Civic Intelligence

Confluence Health System

990 • Fiscal year 2016 • EIN 45-4789950

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 06, 2017

1201 South Miller StreetWenatchee, WA 98801

(509) 662-1511

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

1.06x

Higher debt load relative to assets than 93% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Liabilities / Revenue

43rd percentile

0.43x

Higher debt load relative to revenue than 43% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Net Margin

30th percentile

-1.1%

Higher net margin than 30% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Top Officer Pay

63rd percentile

$630,078

Higher top officer pay than 63% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2016

Asset Growth

99th percentile

135%

Faster asset growth than 99% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Revenue Growth

87th percentile

23%

Faster revenue growth than 87% of similar nonprofits.

2016 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Assets

Up

$59,729,197

Up $34,296,762 (+135%) from 2015

Net Assets

Down

-$3,508,208

Down $1,650,842 (-89%) from 2015

Liabilities

Up

$63,237,405

Up $35,947,604 (+132%) from 2015

Revenue

Up

$145,373,464

Up $26,969,050 (+23%) from 2015

Expenses

Up

$147,024,306

Up $26,589,034 (+22%) from 2015

Net Income

Up

-$1,650,842

Up $380,016 (+19%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0-$50MAssets 2012: $3,500,000Liabilities 2012: $3,500,000Net Assets 2012: $02012Assets 2013: $15,076,032Liabilities 2013: $14,101,865Net Assets 2013: $974,1672013Assets 2014: $29,893,527Liabilities 2014: $29,720,035Net Assets 2014: $173,4922014Assets 2015: $25,432,435Liabilities 2015: $27,289,801Net Assets 2015: -$1,857,3662015Assets 2016: $59,729,197Liabilities 2016: $63,237,405Net Assets 2016: -$3,508,2082016Assets 2017: $47,295,073Liabilities 2017: $53,923,456Net Assets 2017: -$6,628,3832017Assets 2018: $51,171,129Liabilities 2018: $51,206,935Net Assets 2018: -$35,8062018Assets 2019: $54,431,988Liabilities 2019: $52,151,090Net Assets 2019: $2,280,8982019Assets 2020: $82,309,157Liabilities 2020: $63,634,917Net Assets 2020: $18,674,2402020Assets 2021: $117,607,659Liabilities 2021: $113,268,117Net Assets 2021: $4,339,5422021

Highlighted filing

2016

Assets$59,729,197
Liabilities$63,237,405
Net Assets-$3,508,208

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MRevenue 2012: $0Expenses 2012: $0Net Income 2012: $02012Revenue 2013: $50,692,544Expenses 2013: $49,718,377Net Income 2013: $974,1672013Revenue 2014: $97,467,476Expenses 2014: $98,268,151Net Income 2014: -$800,6752014Revenue 2015: $118,404,414Expenses 2015: $120,435,272Net Income 2015: -$2,030,8582015Revenue 2016: $145,373,464Expenses 2016: $147,024,306Net Income 2016: -$1,650,8422016Revenue 2017: $167,014,723Expenses 2017: $170,357,601Net Income 2017: -$3,342,8782017Revenue 2018: $189,695,886Expenses 2018: $183,251,710Net Income 2018: $6,444,1762018Revenue 2019: $222,550,508Expenses 2019: $220,724,753Net Income 2019: $1,825,7552019Revenue 2020: $241,230,378Expenses 2020: $224,830,302Net Income 2020: $16,400,0762020Revenue 2021: $240,323,017Expenses 2021: $254,690,118Net Income 2021: -$14,367,1012021

Highlighted filing

2016

Revenue$145,373,464
Expenses$147,024,306
Net Income-$1,650,842
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 6, 2017
Return Version
2016v3.0
Gross Receipts
$145,373,464
Mission and Program Overview

Mission

Improving health by providing high-quality care in a compassionate and cost-effective manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,828,049$27,859,127▲ $18,031,078
Savings and Temporary Cash Investments$0$14,154,321▲ $14,154,321
Cash and Non-Interest-Bearing Accounts$4,872,379$8,606,864▲ $3,734,485
Prepaid Expenses and Deferred Charges$2,498,432$2,845,476▲ $347,044
Accounts Receivable$4,233,575$2,263,409▼ $1,970,166
Total Assets$25,432,435$59,729,197▲ $34,296,762
Other Assets Total$4,000,000$4,000,000→ $0
Liabilities
Accounts Payable and Accrued Expenses$27,289,801$38,237,405▲ $10,947,604
Mortgage Notes Payable Secured by Investment Property$0$25,000,000▲ $25,000,000
Total Liabilities$27,289,801$63,237,405▲ $35,947,604
Net Assets / Fund Balance
Unrestricted Net Assets$-1,857,366$-3,508,208▼ $1,650,842
Total Net Assets Fund Balance$-1,857,366$-3,508,208▼ $1,650,842
Total Liabilities and Net Assets / Fund Balance$25,432,435$59,729,197▲ $34,296,762

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$22,134,704$62,645$22,197,349
Equipment$4,424,271$5,882,359$10,306,630
Buildings$1,075,064$32,109$1,107,173
Land$225,088-$225,088
Other Assets Org$4,000,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Peter Rutherford MDChief Executive OfficerPT$565,189$64,889$630,078
Stuart D Freed MdChief Medical OfficerPT$403,195$70,000$473,195
John R DoyleChief Financial OfficerPT$382,142$64,540$446,682
Vikki L NoyesChief Operating OfficerPT$376,103$36,566$412,669
James B WoodChief Admin OfficerPT$303,955$58,580$362,535
Jay H JohnsonSR VP Network StrategyPT$293,803$61,822$355,625
Tracey A Kasnic RNSR VP Inpatient & CNOPT$287,832$61,718$349,550
Robert J PagelerChief information OfficerPT$270,744$59,245$329,989
Glenn W AdamsSR VP Ancillary ServicesPT$221,240$47,812$269,052
Jeffrey W DavisVP of Business DevelopmentPT$217,660$38,151$255,811
Peter N LolosSR VP Facility & Supt SrvPT$209,054$42,945$251,999
Jeanine M AllenSR VP Specialty CarePT$203,153$46,688$249,841
Jeanette WoodSR VP Primary CarePT$205,899$38,645$244,544
Kevin GilbertVP of PerioperativePT$202,730$37,387$240,117
Steven R JacobsVP of Finance through 05/2016PT$125,859$111,961$237,820
Cory M Ferari-ZimmermanVP of FinancePT$198,415$24,600$223,015
Peggi A AmstutzVP of Revenue CyclePT$175,310$23,859$199,169
John B HamiltonFormer COO of CH-$172,531$172,757$172,757

Board Members and Trustees

NameTitle
Kristine S LoomisChairperson
Frank J KuntzVice-Chairperson and Treasurer
D Scott DuncanBoard of Directors
Doug ShaeBoard of Directors
Gus HeinickeBoard of Directors
Jenny CravensBoard of Directors
Julie Smith MDBoard of Directors
Laura MounterBoard of Directors
Michael Rossi MDBoard of Directors
Mitchell A Garrison MDBoard of Directors
Patricia WachtelBoard of Directors
Richard Hourigan MDBoard of Directors
Robert Trask JrBoard of Directors
Toby Bond MDBoard of Directors
Gary Lammert MDSecretary
David Daniel MDSecretary through 02/2016

Highest Paid Contractors

ContractorServicesLocationCompensation
Impact AdvisorsIT Consulting400 E Diehl Road Suite 190, Naperville, IL 60563$4,020,457
Advisory Board CompanyConsulting servicesPO BOX 79461, Baltimore, MD 21279$971,023
Healthcare Resource Group IncConsulting services12610 Mirabeau Pkwy, Spokane Valley, WA 99216$521,722
Moss Adams LLPAuditing & ConsultingPO Box 748369, Los Angeles, CA 90074$454,597
Davis Arneil Law Firm LLPLegal Services617 Washington St, Wenatchee, WA 98801$450,255
Revenue and Support

Revenue Composition

Contributions and Grants
$136,146
Program Service Revenue
$145,186,732
Investment Income
$26,809
Other Revenue
$23,777
Change in Net Assets
$-1,650,842
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$97,140,190
Salaries, Compensation, and Employee Benefits$49,540,988
Grants and Similar Amounts Paid$343,128
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$27,628,699$6,907,174-$34,535,873
Information Technology$6,340,497$1,585,124-$7,925,621
Other Employee Benefits$3,958,877$989,719-$4,948,596
Current Officers, Directors, Trustees, and Key Employees$3,500,605$875,151-$4,375,756
Fees for Services Other$2,480,139$1,062,917-$3,543,056
Payroll Taxes$2,650,788$662,697-$3,313,485
Office Expenses$2,292,350$573,087-$2,865,437
Pension Plan Contributions$1,893,822$473,456-$2,367,278
Depreciation Depletion$2,107,997$234,222-$2,342,219
Occupancy$1,490,015$165,557-$1,655,572
Other Expenses$1,519,487$9,076,195-$1,519,487
Conferences and Meetings$959,833$106,648-$1,066,481
Fees for Services Legal$203,036$473,752-$676,788
Insurance-$632,409-$632,409
Grants to Domestic Orgs$343,128--$343,128
Fees for Services Accounting-$330,640-$330,640
Advertising$174,095$43,524-$217,619
Fees for Services Lobbying$62,791$26,910-$89,701
Total Functional Expenses$122,805,124$24,219,182$0$147,024,306
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Wenatchee Downtown AssociationWenatchee, WA501(c)(3)Main Street $30k Tax Credit Initiative for 2017$60,000
Honoring Choices Pacific NWSeattle, WA501(c)(3)End of Life Care$50,000
Wellness Placewenatchee, WA501(c)(3)Third year of 3 year commitment$40,000
United WayWenatchee, WA501(c)(3)Employee Match$38,128
Tonasket Swimming PoolTonasket, WA501(c)(3)New community pool$20,000
Wenatchee Valley CollegeWenatchee, WA501(c)(3)General Support$20,000
American Cancer Societywenatchee, WA501(c)(3)Relay for Life$15,000
Wenatchee Valley Symphony OrchestraWenatchee, WA501(c)(3)Business Partnership to support nutcracker Performance$15,000
Outdoor Discovery NetworkWenatchee, WA501(c)(3)Website Maintenance$12,500
Chelan Douglas Land Trustwenatchee, WA501(c)(3)2016 Annual Campaign$12,000
NCW Nurses Weekwenatchee, WA501(c)(3)2016 and 2017 Nurses Week$12,000
Alatheia Riding Centerwenatchee, WA501(c)(3)Therapeutic horseback riding$10,000
Seattle Children's HospitalSeattle, WA501(c)(3)Safe Gun Storage Giveaway$10,000
Ease Cancer FoundationCashmere, WA501(c)(3)Cancer awareness$8,500
Wenatchee Row & Paddlewenatchee, WA501(c)(3)Youth on the Columbia ($5 per kid, up to $7,500)$7,500
YmcaWenatchee, WA501(c)(3)Partners with Youth - 3rd of 3 year commitment$7,500
Wenatchee Rotary Foundationwenatchee, WA501(c)(3)2017 Communities Auction$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Steven WoodFamily Member of Jeanette Wood, Sr. VP of Primary CareEmploymentNo$82,898
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

CONFLUENCE HEALTH AND AFFILIATES SHARE THE SAME BOARD AS PART OF THE OPERATING STRUCTURE. AS SUCH, ALL BOARD MEMBERS SERVE WITH EACH OTHER IN A SIMILAR CAPACITY ON RELATED ORGANIZATIONS. ADDITIONALLY, some board members are minority owners in an entity that has a professional service agreement with the organization.

Form 990, Part VI, Section B, line 11B

A COPY OF THE FORM 990 AND SCHEDULE B, if any, IS REVIEWED BY THE CHIEF FINANCIAL OFFICER and VICE PRESIDENT OF FINANCE. SUBSEQUENT TO THIS REVIEW THE FORM 990 AND SCHEDULE B IS REVIEWED BY THE GOVERNING BOARD BEFORE BEING FILED WITH THE IRS.

Form 990, Part VI, Section B, line 12C

Board members, Executive team members and Directors are required to review the current conflict of interest policy and complete an annual questionnaire. The Nominating Committee of the Board reviews questionnaires of existing and new members for potential conflicts of interest. Any potential conflicts of interest are resolved by the Nominating Committee. The Executive Team reviews questionnaires submitted by Executive team members and Directors for potential conflicts of interest. Potential conflicts of interest are resolved by the Executive Team in collaboration with the Corporate Compliance Officer. Review of all conflict of interest statements is noted within the Board minutes.

Form 990, Part VI, Section B, line 15

The Compensation Committee of the Governing Board reviews independent salary survey information and recommends a salary and/or a salary increase for the CEO to the Governing Board. The other Officers receive an annual percent increase which non-contractual employees receive unless the CEO awards a different percentage. The amount is, typically, based on current CPI, market and salary survey information.

Form 990, Part VI, Section C, line 19

Confluence health's governing documents, conflict of interest policy, and financial statements are available on request.

Filing and Contact Details

Filer

Filer Name
Confluence Health
EIN
45-4789950
Phone
5096621511
Address
1201 South Miller Street, Wenatchee, WA 98801

Signing Officer

Name
Peter D Rutherford Md
Title
Chief Executive Officer
Phone
5096621511
Signed
2017-11-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Peter D Rutherford Md
Formed
2012
Legal Domicile
Wa
Voting Board Members
15
Independent Board Members
15
Employees
752
Volunteers
16

Preparer

Firm
Moss Adams LLP
Address
2707 Colby Avenue Suite 801, Everett, WA 98201
Preparer
Robert Grannum
Phone
4252597227
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

The Health System is formed as three separate not-for-profit corporations, which have been recognized as tax exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. The Health System is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code except to the extent of unrelated business taxable income as defined under IRC Sections 511 through 515. Any unrelated business income generated is not significant; therefore, no provision for income taxes has been recorded. The Health System has adopted accounting for uncertain tax positions. The accounting standard prescribes a recognition threshold and measurement process for uncertain tax positions. As of December 31, 2016 and 2015, the Health System had no uncertain tax positions requiring accrual.

Raw XML AppendixShowing 400 of 1,228 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm0Kristine S Loomis
IRS990/Form990PartVIISectionAGrp/PersonNm1Frank J Kuntz
IRS990/Form990PartVIISectionAGrp/PersonNm2Gary Lammert MD
IRS990/Form990PartVIISectionAGrp/PersonNm3David Daniel MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Toby Bond MD
IRS990/Form990PartVIISectionAGrp/PersonNm5Jenny Cravens
IRS990/Form990PartVIISectionAGrp/PersonNm6D Scott Duncan
IRS990/Form990PartVIISectionAGrp/PersonNm7Mitchell A Garrison MD
IRS990/Form990PartVIISectionAGrp/PersonNm8Gus Heinicke
IRS990/Form990PartVIISectionAGrp/PersonNm9Richard Hourigan MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Laura Mounter
IRS990/Form990PartVIISectionAGrp/PersonNm11Michael Rossi MD
IRS990/Form990PartVIISectionAGrp/PersonNm12Doug Shae
IRS990/Form990PartVIISectionAGrp/PersonNm13Julie Smith MD
IRS990/Form990PartVIISectionAGrp/PersonNm14Robert Trask Jr
IRS990/Form990PartVIISectionAGrp/PersonNm15Patricia Wachtel
IRS990/Form990PartVIISectionAGrp/PersonNm16John R Doyle
IRS990/Form990PartVIISectionAGrp/PersonNm17Peter Rutherford MD
IRS990/Form990PartVIISectionAGrp/PersonNm18Glenn W Adams
IRS990/Form990PartVIISectionAGrp/PersonNm19Jeanine M Allen
IRS990/Form990PartVIISectionAGrp/PersonNm20Jay H Johnson
IRS990/Form990PartVIISectionAGrp/PersonNm21Tracey A Kasnic RN
IRS990/Form990PartVIISectionAGrp/PersonNm22Peter N Lolos
IRS990/Form990PartVIISectionAGrp/PersonNm23Vikki L Noyes
IRS990/Form990PartVIISectionAGrp/PersonNm24Robert J Pageler
IRS990/Form990PartVIISectionAGrp/PersonNm25James B Wood
IRS990/Form990PartVIISectionAGrp/PersonNm26Jeanette Wood
IRS990/Form990PartVIISectionAGrp/PersonNm27STUART D FREED MD
IRS990/Form990PartVIISectionAGrp/PersonNm28Steven R Jacobs
IRS990/Form990PartVIISectionAGrp/PersonNm29Jeffrey W Davis
IRS990/Form990PartVIISectionAGrp/PersonNm30Kevin Gilbert
IRS990/Form990PartVIISectionAGrp/PersonNm31Cory M Ferari-Zimmerman
IRS990/Form990PartVIISectionAGrp/PersonNm32Peggi A Amstutz
IRS990/Form990PartVIISectionAGrp/PersonNm33John B Hamilton
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chairperson
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice-Chairperson and Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary through 02/2016
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board of Directors
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IRS990/Form990PartVIISectionAGrp/TitleTxt14Board of Directors
IRS990/Form990PartVIISectionAGrp/TitleTxt15Board of Directors
IRS990/Form990PartVIISectionAGrp/TitleTxt16Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt17Chief Executive Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt18SR VP Ancillary Services
IRS990/Form990PartVIISectionAGrp/TitleTxt19SR VP Specialty Care
IRS990/Form990PartVIISectionAGrp/TitleTxt20SR VP Network Strategy
IRS990/Form990PartVIISectionAGrp/TitleTxt21SR VP Inpatient & CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt22SR VP Facility & Supt Srv
IRS990/Form990PartVIISectionAGrp/TitleTxt23Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt24Chief information Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt25Chief Admin Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt26SR VP Primary Care
IRS990/Form990PartVIISectionAGrp/TitleTxt27Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt28VP of Finance through 05/2016
IRS990/Form990PartVIISectionAGrp/TitleTxt29VP of Business Development
IRS990/Form990PartVIISectionAGrp/TitleTxt30VP of Perioperative
IRS990/Form990PartVIISectionAGrp/TitleTxt31VP of Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt32VP of Revenue Cycle
IRS990/Form990PartVIISectionAGrp/TitleTxt33Former COO of CH
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02012
IRS990/FormerOfcrEmployeesListedInd01

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