Community Report Dear Friends, As we refl ect on 2019 so far and look forward to the rest of the Our Mission year, I am thankful for all of those who give their time and talents to make Confl uence Health a place I am proud to be a part of We are dedicated to improving our patients’ every day. Our vision states that Confl uence Health strives “to health by providing safe, high-quality care in become the highest value rural health care system in the nation,” a compassionate and cost-effective manner. About Us and that goal isn’t achieved by accident. Our success is directly impacted by the dedication of our exceptional physicians, nurses, employees, volunteers and leadership teams, who all share a commitment to our patients. Healthy individuals make Our Vision healthy communities, and we understand and embrace the part we play in making that a reality. To become the highest value rural health 4, 000+ employees care system in the nation that improves Additionally, fulfi lling this vision means ensuring the best possible health, quality of life, and is a source of health outcomes at the lowest possible cost, whenever and wherever our patients need care. If we can accomplish that, pride to those who work here. we will uphold our founding principle that a locally controlled, 12 cities directed and integrated health care delivery system best meets the needs of this region. While acknowledging our successes, we understand there is still 12,000 much to do to ensure our community receives the effective and square mile timely care it deserves. This work is not a race to a destination but rather an ongoing journey toward creating healthier patients and service area communities, one individual at a time. Finally, I would like to express my gratitude toward our Confl uence Health physicians and staff for their continued dedication and compassion, as well as our patients for your trust 300+ 30+ in us. While we strive to fi nd ways to enhance our services and provide the highest value healthcare experience, it is our daily Brewster Clinic Ephrata Clinic Royal City Clinic physicians specialties encounters with you, our community members, that mean the Cashmere Clinic Methow Valley Clinic Tonasket Clinic most to us. Central Washington Moses Lake Clinic Waterville Clinic Hospital & Clinics Thank you for supporting your local health care system. Omak Clinic Wenatchee Valley + Hospital & Clinics 170 East Wenatchee Sincerely, Oroville Clinic 200+ Clinic advanced hospital beds practice Peter Rutherford, MD clinicians 2 Chief Executive Offi cer 3 Compassion Compassion Respect Our Compassionate Care Program is Just the Beginning. Our Compassionate Care It is the mission of Confluence Health to improve our patients’ health by Respect is the Core of Our Culture. providing safe, high-quality care in a compassionate and cost-effective Program is just the beginning. manner. In 2017 Confluence Health provided $9.3 million in compassion- Every patient deserves to be treated equally and with respect. Confl uence Health’s Compassionate Care Program offers ate care throughout the region. Confluence Health’s Compassionate Care By leading with respect, we create a culture that ensures all fi nancial assistance for medical services to uninsured or Program provides financial assistance for medical services to uninsured individuals at Confl uence Health—provider, staff or patient— underinsured patients who meet eligibility requirements. and under-insured patients who meet eligibility requirements. play a valuable role in shaping our organization and feel In 2018, Confl uence Health provided $13.1 million in empowered in their professional and personal lives. charity care throughout the region. Local Grateful We are invested in impacting We are grateful for the opportunity to serve. and improving our communities. We are grateful for the trust our community puts in us with The people we serve are our friends the things that matter most in life: family and friends. We are and family, so we see the world a bit differently. We grateful each day for the opportunity to improve the health understand that we are all connected. Caring for one and quality of life of our friends and neighbors. another—whether in the exam room or out in the community—is who we are. 4 5 Due to the abundance of quality care I have “ been blessed with, I have been able to continue working a normal schedule through my treatments. I’ve been able to be active in my kids’ lives, grow a successful business, “ run four half marathons, and continue to lead the Patient story healthiest lifestyle I can. It was late on a Friday afternoon wants to hear: Stage 3 metastatic negative. I’ve watched what this job schedule through my treatments. when Andrea Johnson walked into melanoma. After the initial surgery demands of them. I’ve heard some I’ve been able to be active in my her doctor’s offi ce. She had routine removing the mole and lymph of the other patients’ stories and can kids’ lives, grow a successful questions about some growth she’d nodes, her diagnosis became more only imagine how emotionally diffi cult business, run four half marathons, noticed on a mole she had on her complicated: melanoma had spread it is for them to hear these stories and continue to lead the healthiest leg since birth. Her primary care to her excised sentinel node. daily. These women have made lifestyle I can.” Johnson calls herself provider, Carolyn Smith, PA-C, took Johnson was in the fi ght of her life, every single infusion of mine “the happiest cancer survivor you one look at the mole and knew two but she wasn’t battling alone. something I look forward to.” haven’t met yet.” things: this was no longer a routine Johnson and her oncology team mole, and the weekend can wait. decided on a three-year treatment, Additionally, Johnson says the Like all we care for, we think of her Within an hour, Johnson was at keeping her care local, rather than care she has received at Confl uence as family, and one of the thousands Central Washington Hospital going to Seattle for treatments. Health has actually helped her lead of reasons we bring our best every preparing for a biopsy from During her infusions, Johnson was a more productive life in the face day. Family deserves nothing less. – Andrea Johnson Dr. Phillip Hochwalt. constantly astonished at the nurses’ of incredible odds: “Due to the level of care: “In three years, never abundance of quality care I have Survivor, Business Owner Less than 24 hours later, Hochwalt once, have I heard any one of the been blessed with, I have been Many thanks to Andrea for 6 told Johnson the words no one oncology nurses say something able to continue working a normal allowing us to tell her story. 7 charitable giving numbers at $500k Services We a Glance Charity Care Provide Transparency is important to us, so we’d like to share 2018’s fi nancial results with you. $13.1M Gross Patient Service Revenue $ 1,443,305,193 Operating Margin percentage 1,080,487 1,261,297 Deductions from Revenue $ 841,556,004 2.87% outpatient visits operating room days cash on-hand per year minutes annually Net Patient Revenue $ 601,749,189 Other Operating Revenue $ 104,773,424 101.49 accounts receivable days 63.7% 43.8% Total Operating Revenue $ 706,522,613 of WVH&C of CWH&C 54.19 patients are from patients are from Total Operating Expenses $ 686,259,178 Bad Debt outside the greater outside the greater Wenatchee area Wenatchee area Operating Margin $ 20,263,435 15.1M 1,282 14,264 newborns surgeries 3,974 46,669 Transitional Care acute patient Unit patient days care days 8 9 Community Impact $500K in charitable giving to 200+ organizations* ACS Relay For Life Foothills Middle School National Alliance on Mental Illness Wenatchee Row and Paddle Club Alatheia Therapeutic Foundation for Health Care Numerica Performing Arts Center Wenatchee Sunrise Rotary Club Riding Center Quality Nurse Week Committee Wenatchee Valley Chamber American Cancer Society Friends of the Wenatchee of Commerce Public Library NW Children's Foundation American Lung Association Wenatchee Valley College Grant County Health District Pybus Market Charitable Foundation Big Bend Community College Foundation GWATA Wenatchee Valley Humane Society Brewster Boys & Girls Club Run Wenatchee 21st Annual Golf Icicle Creek Center for the Arts Wenatchee Valley Museum & $279,620 $4 ,000 $33 ,553 Tournament netted over $250 ,000 CH Foundation Russo CME Cultural Center Independence Day Celebration USDA grant donated to 4 Singleton donated for Home Health, approved by Board of Chapters Swim Across America Wenatchee Valley Sports for telemedicine Awards presented at comfort therapies, $62,000 Trustees for the Moses KC-HELP Foundation infrastructure in 4 rural Nurse Week palliative care Lake Capital Campaign Chelan County Volunteer The Trust for Public Land to benefi t emergency clinics and a hospital preparedness and Search and Rescue Leavenworth Summer Theater Wenatchee Valley Symphony Sponsored national United Way of Douglas County Orchestra trauma training Chelan-Douglas Community Lighthouse Christian Ministries speaker for Nurse Week Action Counsel Washington State Public Health WenatcheeOutdoors.org $6,000 Started “family phase” $136,800 Lilac Services for the Blind Association $48,267 awarded to 4 patients for the Moses Lake in pledges received for Children's Home Society WHS/EHS Sports Medicine $250 ,000 utilizing the exoskeleton radiation treatment ML Radiation Treatment of Washington Mission Ridge Ski Education Wenatchee Downtown in scholarship funds walking program facility’s capital campaign Facility capital campaign Foundation Association WISE awarded to 19 approved by Board of Eastmont Metropolitan individuals and Trustees for the Moses Parks District Moses Lake Business Wenatchee High School Women's Resource Center Confluence health Lake Capital Campaign Association $35,000 Epilepsy Foundation Washington Wenatchee Rotary Foundation WORX of Wenatchee Valley $231,634 $11,831 benefi ting the Wenatchee $1,485,194 *This list includes organizations receiving $2,500 or more.