Civic Intelligence

Confluence Health System

990 • Fiscal year 2017 • EIN 45-4789950

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 08, 2018

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

95th percentile

1.14x

Higher debt load relative to assets than 95% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

36th percentile

0.32x

Higher debt load relative to revenue than 36% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

24th percentile

-2.0%

Higher net margin than 24% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

67th percentile

$686,933

Higher top officer pay than 67% of similar nonprofits.

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

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

2nd percentile

-21%

Faster asset growth than 2% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

75th percentile

15%

Faster revenue growth than 75% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Down

$47,295,073

Down $12,434,124 (-21%) from 2016

Net Assets

Down

-$6,628,383

Down $3,120,175 (-89%) from 2016

Liabilities

Down

$53,923,456

Down $9,313,949 (-15%) from 2016

Revenue

Up

$167,014,723

Up $21,641,259 (+15%) from 2016

Expenses

Up

$170,357,601

Up $23,333,295 (+16%) from 2016

Net Income

Down

-$3,342,878

Down $1,692,036 (-102%) from 2016

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

2017

Assets$47,295,073
Liabilities$53,923,456
Net Assets-$6,628,383

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

2017

Revenue$167,014,723
Expenses$170,357,601
Net Income-$3,342,878
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 8, 2018
Return Version
2017v2.3
Gross Receipts
$181,423,820
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$27,859,127$34,847,758▲ $6,988,631
Savings and Temporary Cash Investments$14,154,321$0▼ $14,154,321
Prepaid Expenses and Deferred Charges$2,845,476$4,474,684▲ $1,629,208
Cash and Non-Interest-Bearing Accounts$8,606,864$3,580,952▼ $5,025,912
Accounts Receivable$2,263,409$37,149▼ $2,226,260
Total Assets$59,729,197$47,295,073▼ $12,434,124
Other Assets Total$4,000,000$4,354,530▲ $354,530
Liabilities
Accounts Payable and Accrued Expenses$38,237,405$31,580,313▼ $6,657,092
Mortgage Notes Payable Secured by Investment Property$25,000,000$22,343,143▼ $2,656,857
Total Liabilities$63,237,405$53,923,456▼ $9,313,949
Net Assets / Fund Balance
Unrestricted Net Assets$-3,508,208$-6,628,383▼ $3,120,175
Total Net Assets Fund Balance$-3,508,208$-6,628,383▼ $3,120,175
Total Liabilities and Net Assets / Fund Balance$59,729,197$47,295,073▼ $12,434,124

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$27,602,111$5,709,512$33,311,623
Equipment$5,806,152$6,849,790$12,655,942
Buildings$1,214,407$199,398$1,413,805
Land$225,088-$225,088
Other Assets Org$2,171,747--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Peter Rutherford MdChief Executive OfficerPT$584,866$102,067$686,933
Stuart D Freed MdChief Medical OfficerPT$450,633$93,841$544,474
John R DoyleChief Financial OfficerPT$392,854$90,128$482,982
Vikki L NoyesChief Operating OfficerPT$382,760$73,629$456,389
James B WoodChief Admin OfficerPT$313,157$78,777$391,934
Jay H JohnsonSr VP Network StrategyPT$302,632$88,550$391,182
Tracey a Kasnic RnSr VP Inpatient & CNOPT$297,421$83,148$380,569
Robert J PagelerChief Information OfficerPT$277,482$79,074$356,556
Glenn W AdamsSr VP Ancillary ServicesPT$228,113$66,698$294,811
Jeanine M AllenSr VP Specialty CarePT$209,508$66,968$276,476
Peter N LolosSr VP Facility & Supt SrvPT$212,643$63,281$275,924
Jeanette WoodSr VP Primary CarePT$210,154$62,409$272,563
Kevin GilbertVP of Surgery AdministrationFT$204,571$50,760$255,331
Cory M Ferari-zimmermanVP of FinanceFT$204,308$38,503$242,811
Peggi a AmstutzVP of Revenue CycleFT$200,075$33,307$233,382
Julie a McallisterVP of NursingFT$183,481$44,477$227,958
Joellen ColsonVP of Human ResourcesFT$176,458$23,615$200,073
John B HamiltonFormer COO of Ch-$185,288$185,288$185,288

Board Members and Trustees

NameTitle
Kristine S LoomisChair
Frank J KuntzVice-chair 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

Highest Paid Contractors

ContractorServicesLocationCompensation
Impact AdvisorsIt Consulting400 E DIEHL ROAD SUITE 190, Naperville, IL 60563$3,814,555
Greythorn INCLabor Contractors40 LAKE BELLEVUE DR SUITE 200, Bellevue, WA 98005$1,867,808
Compunet INCCloud Services505 S FLORENCE ST, Grangeville, ID 83530$1,053,564
Healthcare Resource Group INCCoding Services12610 E MIRABEAU PKWY, Spokane Valley, WA 99216$827,453
Hyatt Healthcare Info TechConsulting Services8626 E IRISH HUNTER, Scottsdale, AZ 85258$659,610
Revenue and Support

Revenue Composition

Contributions and Grants
$568,769
Program Service Revenue
$166,444,462
Investment Income
$1,492
Other Revenue
$0
All Other Contributions
$28,258
Change in Net Assets
$-3,342,878
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$111,352,998
Salaries, Compensation, and Employee Benefits$58,766,166
Grants and Similar Amounts Paid$238,437
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$33,215,867$8,303,967-$41,519,834
Information Technology$7,467,602$1,866,901-$9,334,503
Other Employee Benefits$5,112,435$1,278,109-$6,390,544
Fees for Services Other$4,355,070$1,866,458-$6,221,528
Office Expenses$3,824,910$956,228-$4,781,138
Current Officers, Directors, Trustees, and Key Employees$3,705,622$926,405-$4,632,027
Payroll Taxes$3,136,471$784,118-$3,920,589
Depreciation Depletion$3,459,111$384,346-$3,843,457
Pension Plan Contributions$1,842,538$460,634-$2,303,172
Occupancy$1,876,940$208,549-$2,085,489
Conferences and Meetings$1,067,217$266,804-$1,334,021
Insurance-$633,627-$633,627
Fees for Services Legal-$610,762-$610,762
Fees for Services Accounting-$551,767-$551,767
Other Expenses$535,209$9,974,659-$535,209
Advertising$393,220$98,305-$491,525
Interest$263,008--$263,008
Grants to Domestic Orgs$238,437--$238,437
Total Functional Expenses$141,185,962$29,171,639$0$170,357,601
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Honoring Choices Pacific NwSeattle, WA501(c)(3)End of Life Care$50,000
United WayWenatchee, WA501(c)(3)General Support$30,937
Port of ChelanWenatchee, WAGovernmentAir Service Investment Program$25,000
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)Trail Maintenance$12,000
Ease Cancer FoundationCashmere, WA501(c)(3)Cancer Survivorship Workshop$10,000
Trust for Public LandWenatchee, WA501(c)(3)Kiwanis Methow Park Maintenance$10,000
Wenatchee Rotary FoundationWenatchee, WA501(c)(3)Tribute to End Polio Now Program$10,000
University of WashingtonSeattle, WA501(c)(3)Scholarships$9,000
Wenatchee Valley CollegeWenatchee, WA501(c)(3)Scholarships$9,000
Wenatchee Row & PaddleWenatchee, WA501(c)(3)Youth on the Columbia$7,500
YmcaWenatchee, WA501(c)(3)Partners With Youth - 1st of 3 Year Commitment$7,500
American Heart AssociationWenatchee, WA501(c)(3)5th Annual Community Summit$5,000
American Red CrossWenatchee, WA501(c)(3)Assist in Purchasing a Fleet Response Vehicle$5,000
Big Bend Community CollegeMoses Lake, WA501(c)(3)Scholarship Payments$5,000
ChaptersEllensburg, WA501(c)(3)Assistance for Website$5,000
Evergreen Mountain Bike AllianceSeattle, WA501(c)(3)Squilchuck Bike Trails Maintenance$5,000
Wenatchee Valley MuseumWenatchee, WA501(c)(3)The Wildfire Project$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
Dustin AllenFamily Member of Key EmployeeEmploymentNo$56,597
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
2018-11-08
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
849
Volunteers
178

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, 2017 and 2016, the health system had no uncertain tax positions requiring accrual.

Raw XML AppendixShowing 400 of 1,249 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/Desc0CONFLUENCE HEALTH PROVIDES THE ADMINISTRATIVE AND SHARED FUNCTIONS FOR THE HEALTH SYSTEM. IN ADDITION, THE PURPOSES OF THE SYSTEM 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 CARE SYSTEM TO ACHIEVE THE MOST COST EFFECTIVE CARE THAT CAN BE DELIVERED;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 A 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 BELIEF, 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 THE HEALTH SYSTEM 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.
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IRS990/Form990PartVIISectionAGrp/TitleTxt17SR VP ANCILLARY SERVICES
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IRS990/Form990PartVIISectionAGrp/TitleTxt19SR VP NETWORK STRATEGY
IRS990/Form990PartVIISectionAGrp/TitleTxt20SR VP INPATIENT & CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt21SR VP FACILITY & SUPT SRV
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IRS990/Form990PartVIISectionAGrp/TitleTxt24CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt25CHIEF ADMIN OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt26CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP OF SURGERY ADMINISTRATION
IRS990/Form990PartVIISectionAGrp/TitleTxt28VP OF FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt29VP OF REVENUE CYCLE
IRS990/Form990PartVIISectionAGrp/TitleTxt30VP OF NURSING
IRS990/Form990PartVIISectionAGrp/TitleTxt31VP OF HUMAN RESOURCES
IRS990/Form990PartVIISectionAGrp/TitleTxt32FORMER COO OF CH
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