Confluence Health

What it reported doing in 2023

Wenatchee Valley Hospital was developed and formed as a means to further Confluence Health. The purposes of the hospital are as follows: A. Maintain the availability and access to high-quality, cost-effective healthcare services for the North Central Washington (NCW) community; B. Improve coordination of limited health care resources and maximize the efficiency of the health system to achieve the most cost effective care that can be delivered;(Continued on Sch. O)C. Preserve NCW community control over important care decisions and ensure NCW community involvement in the development of the medical infrastructure and oversight of the NCW community healthcare delivery system; D. Enhance the patient-physician relationship and maintain the high-quality of care and breadth of services the NCW community currently enjoys; E. Improve teamwork and integration across the continuum of care and ensure that physicians and other healthcare providers lead clinical designs and clinical decisions; F. Ensure that physicians and administrative leaders have a shared vision regarding the NCW community health care delivery system; G. Ensure that the NCW community economy, jobs, and business partners are preserved and can grow with the region in a responsible way; H. Develop a high performing integrated health care delivery system for the NCW community that could apply for and be successful with contracts from Medicare so that the newly created health system can be identified as an accountable care organization if so desired and position the health system so that it could contract for the overall system of care and be successful with newly developed risk contracts being offered by commercial insurers; I. Establish, equip, operate and maintain benevolent and charitable institutions for the giving of medical and surgical care to the sick, wounded and suffering irrespective of sex, marital status, disability, color, race, religious believe, sexual orientation, economic status, or pecuniary circumstances; andJ. Carry on any educational activities, related to the rendering of care to the sick and injured or the promotion of health which, in the opinion of the Board of Directors of WVH, may be justified by the facilities, personnel, funds, or other requirements that are or can be made available in accordance with the laws of the state of Washington. Wenatchee Valley Hospital operates ten rural health clinics in ten communities throughout the NCW community including: Wenatchee, Moses Lake, East Wenatchee, Cashmere, Tonasket, Oroville, Omak, Royal City, Waterville, and Brewster, as well as operates a 20-bed hospital facility which serves medical, surgical and rehabilitation patients. Wenatchee Valley Hospital has entered into professional service agreements with a multi-specialty physician group that employs or otherwise engages nearly 300 primary care physicians, physician specialists and mid-level practitioners to serve the needs of patients within the NCW community.Wenatchee Valley Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the association does not pursue collection of amounts determined to qualify as charity care they are not reported as revenue.The hospital system maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy and the estimated cost of those services and supplies.

Financial Efficiency

• Mission deployment rate: 79.3%; rating input score 79
• Program expense ratio: 82.1%; rating input score 82
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 8th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 60%; rating input score 60; 16th percentile among comparable filings
• Governance controls: 5 of 7 controls in place; rating input score 71
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: 3.4%; rating input score 54; 54th percentile among comparable filings
• Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 0%; rating input score 98; 98th percentile among comparable filings

Growth

• Program expense growth: 0.1% per year; rating input score 100; 9th percentile among comparable filings
• Revenue growth: -1.1% per year; rating input score 0; 4th percentile among comparable filings
• Asset growth: -0.6% per year; rating input score 0; 7th percentile among comparable filings