Confluence Health is a community-based healthcare organization serving 12 communities across North Central Washington, with a mission of providing local care by and for the community. Its services and initiatives highlighted in the source materials include DirectCare in the Wenatchee Valley, an Observation Program focused on patient care and administrative processes, a Student Program offering observational and supervised hands-on learning experiences, a newly opened Pre-Anesthesia Testing Clinic to support surgical preparation and patient safety, and a newly approved cancer center at its hospital's Central Campus.