Civic Intelligence

Confluence Health System

990 • Fiscal year 2022 • EIN 45-4789950

Jan 01, 2022 to Dec 31, 2022 • Filed on Feb 16, 2024

1201 S Miller StWenatchee, WA 98801

(509) 664-4868

Siviq Scores

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

Liabilities / Assets

88th percentile

0.93x

Higher debt load relative to assets than 88% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Liabilities / Revenue

28th percentile

0.26x

Higher debt load relative to revenue than 28% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Net Margin

43rd percentile

2.2%

Higher net margin than 43% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Top Officer Pay

47th percentile

$764,034

Higher top officer pay than 47% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Asset Growth

2nd percentile

-32%

Faster asset growth than 2% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Revenue Growth

80th percentile

18%

Faster revenue growth than 80% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Assets

Down

$80,488,899

Down $37,118,760 (-32%) from 2021

Net Assets

Up

$5,938,740

Up $1,599,198 (+37%) from 2021

Liabilities

Down

$74,550,159

Down $38,717,958 (-34%) from 2021

Revenue

Up

$284,152,765

Up $43,829,748 (+18%) from 2021

Expenses

Up

$277,867,261

Up $23,177,143 (+9.1%) from 2021

Net Income

Up

$6,285,504

Up $20,652,605 (+144%) from 2021

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: $4,339,5422021Assets 2022: $80,488,899Liabilities 2022: $74,550,159Net Assets 2022: $5,938,7402022

Highlighted filing

2022

Assets$80,488,899
Liabilities$74,550,159
Net Assets$5,938,740

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: -$14,367,1012021Revenue 2022: $284,152,765Expenses 2022: $277,867,261Net Income 2022: $6,285,5042022

Highlighted filing

2022

Revenue$284,152,765
Expenses$277,867,261
Net Income$6,285,504
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Feb 16, 2024
Return Version
2022v5.0
Gross Receipts
$284,240,202
Mission and Program Overview

Mission

Confluence health was formed in 2012 as a health system that represents an affiliation between central washington health services association, dba central washington hospital (the association - a not-for-profit organization) and wenatchee valley medical center (a for-profit organization). Effective january 1, 2013, the association affiliated with confluence health, and confluence health became the sole member of the association. The board of directors of confluence health consists of 9 community members and 6 physicians of wenatchee valley medical center (wvmc).

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$31,096,286$29,811,727▼ $1,284,559
Land, Buildings, and Equipment, Net$28,018,435$22,952,653▼ $5,065,782
Prepaid Expenses and Deferred Charges$5,506,254$5,751,262▲ $245,008
Cash and Non-Interest-Bearing Accounts$3,052,922--
Accounts Receivable$45,267,781$24,672▼ $45,243,109
Inventories for Sale or Use$194--
Total Assets$117,607,659$80,488,899▼ $37,118,760
Other Assets Total$4,665,787$21,948,585▲ $17,282,798
Liabilities
Tax Exempt Bond Liabilities$40,000,000$39,981,307▼ $18,693
Accounts Payable and Accrued Expenses$62,574,030$25,948,194▼ $36,625,836
Other Liabilities$0$7,165,738▲ $7,165,738
Mortgage Notes Payable Secured by Investment Property$10,694,087$1,454,920▼ $9,239,167
Total Liabilities$113,268,117$74,550,159▼ $38,717,958
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$4,339,542$5,938,740▲ $1,599,198
Total Net Assets Fund Balance$4,339,542$5,938,740▲ $1,599,198
Total Liabilities and Net Assets / Fund Balance$117,607,659$80,488,899▼ $37,118,760

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$15,457,058$23,938,021$39,395,079
Equipment$4,212,902$13,993,429$18,206,331
Buildings$3,057,605$909,224$3,966,829
Land$225,088-$225,088
Investment Program Related Org$6,390,819--
Other Assets Org$17,039,989--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Peter Rutherford MDChief Executive Officer (thru May)PT$539,133$228,201$767,334
Thomas J LegelChief Financial OfficerPT$488,864$186,571$675,435
Glenn W AdamsChief Operations OfficerPT$447,295$177,481$624,776
Jason M Lake MDChief Medical OfficerPT$513,771$49,581$563,352
Tracy A KasnicCNO, Hospital AdministratorPT$359,671$138,766$498,437
Robert J PagalerChief Information OfficerPT$348,324$134,546$482,870
Kris DeyerleVP, General CounselFT$336,303$108,237$444,540
Andrew Jones MDChief Executive Officer (as of July)PT$413,828$11,752$425,580
Jay H JohnsonVP, SR Network StrategyPT$306,273$114,338$420,611
Thomas K ChristensenVP of Human ResourcesFT$257,775$66,944$324,719
Sarah BrownVP Risk & RegulatoryFT$219,035$88,148$307,183
JoEllen ColsonVP, Ancillary ServicesPT$160,958$142,139$303,097
Joshua WoodVP Revenue CycleFT$218,487$81,588$300,075
Michael SiegVP Strategy & ImpactFT$212,809$72,769$285,578
Eric CaldwellVP FinancePT$143,660$40,952$184,612
Cori BautistaBoard Member-$6,600-$6,600
Doug ShaeChair-$6,600-$6,600
Garn ChristensenBoard Member-$6,600-$6,600
Greg HamiltonBoard Member-$6,600-$6,600
Gus HeinickeTreasurer-$6,600-$6,600
Jenny CravensVice Chair-$6,600-$6,600
Vicky SharlauBoard Member-$6,600-$6,600
Vanessa GutierrezBoard Member-$1,800-$1,800
Dave BalcomBoard Member-$1,200-$1,200

Board Members and Trustees

NameTitle
Catherine Ridgeway MDBoard Member
Jennifer Jorgensen MDBoard Member
Jim Murray MDBoard Member
Mitchell A Garrison MDBoard Member
Tom Tuszynski MDBoard Member
Robert Trask JrBoard Member (thru July)
Abe Sorom MDSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Kiwico LLCAdvertising122 N Raymond Rd, Spokane Valley, WA 99206$280,237
Change Healthcare TechnologyHealthcare TechnologyPO Box 572490, Murray, UT 84157-2490$196,263
Rapid7 LLCSecurity data and analytic software soluPO Box 347377, Pittsburgh, PA 15251-4377$138,459
Wenatchee Valley Medical GroupPhysician Services820 N Chelan Ave, Wenatchee, WA 98801$128,457
Midwest Series Lockton Company LLCConsulting Services15939 Collection Center Drive, Chicago, IL 60693$115,000
Revenue and Support

Revenue Composition

Contributions and Grants
$730,716
Program Service Revenue
$283,375,181
Investment Income
$67,690
Other Revenue
$-20,822
Change in Net Assets
$6,285,504
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$187,136,440
Salaries, Compensation, and Employee Benefits$89,939,920
Grants and Similar Amounts Paid$790,901
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$150,473,271$1,209,034-$151,682,305
Other Salaries and Wages$62,479,990$273,232-$62,753,222
Other Employee Benefits$13,340,990$327,011-$13,668,001
Payroll Taxes$5,690,666$175,855-$5,866,521
Current Officers, Directors, Trustees, and Key Employees$2,693,946$2,314,123-$5,008,069
Depreciation Depletion$105,084$4,762,262-$4,867,346
Travel$132,247$3,836,284-$3,968,531
Office Expenses$121,875$2,312,731-$2,434,606
Occupancy$86,722$2,224,572-$2,311,294
Pension Plan Contributions$2,222,300$12,863-$2,235,163
Insurance$1,154,023$431,656-$1,585,679
Fees for Services Legal$1,163,532--$1,163,532
Interest-$833,425-$833,425
Grants to Domestic Orgs$527,978--$527,978
Comp Disqual Persons$408,944--$408,944
Grants to Domestic Individuals$262,923--$262,923
Other Expenses$13,740$165,376-$179,116
Fees for Services Accounting-$133,383-$133,383
Total Functional Expenses$241,605,885$36,261,376$0$277,867,261
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Community Foundation of NCWWenatchee, WA501(c)(3)General Support$329,978
Wenatchee Valley YMCAWenatchee, WA501(c)(3)General Support$100,000
Wenatchee Valley CollegeWenatchee, WA501(c)(3)General Support$56,000
People for PeopleYakima, WA501(c)(3)General Support$42,000
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
-Family Member of DirectorEmploymentNo$132,589
-Family Member of DirectorEmploymentNo$114,309
-Family Member of DirectorEmploymentNo$62,802
-Family Member of DirectorEmploymentNo$59,914
-Family Member of DirectorEmploymentNo$39,331
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$5,147,369
Overdrawn Cash$1,993,239
Due to Affiliates - WVMG$25,130

Bond Issues

BondIssuerIssuedIssue PricePurpose
AWashington Health Care Facilities Authority2020-02-27$40,000,000Construction/Remodel of healthcare facility; medical equipment

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$40,000,000--$488,031

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
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 35% controlled entity
No
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 1A

Any committee, to the extent provided in the resolution of the Board, will have and may exercise any of the powers and authority of the Board, except that committees shall not have any power or authority as to the following: (i) electing, appointing, or removing any member of any such committee or any Board Member or officer of the Health System; (ii) amending, altering or repealing of the Bylaws; (iii) amending, altering or repealing of the articles of ncorporation; (iv) adopting a plan of merger or adopting a plan of consolidation with another corporation; (v) uthorizing the sale, lease, or exchange of all or substantially all of Confluence's or the Health System's property and assets not in the ordinary course of business; (vi) authorizing Confluence's or the Health System's voluntary dissolution or revoking proceedings therefor; (vii) adopting a plan for the distribution of Confluence's or the Health System's assets; (viii) amending, altering, or repealing any Board resolution which by its terms provides that it shall not be amended, altered, or repealed by such committee; (ix) the fixing of Board Members' compensation; or (x) action on matters committed by the Bylaws or by Board resolution to another Board committee. The standing committees of the Board of Directors (the "Standing Committees") shall include a Finance Committee, a Quality Enhancement and Safety Committee, an Audit and Enterprise Risk Management Committee, a Governance and Strategic Planning Committee, and a Human Capital and Compensation Committee having such powers and duties delegated by the Board that are not inconsistent with Section 3 hereof or any existing delegation of powers to a committee of Board Members. Standing Committees shall have at least one Clinic Member and one Community Member.

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 services agreement with Confluence Health.

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

A copy of the Form 990 is reviewed by the Chief Financial Officer and Vice President of Finance. Subsequent to this review the Form 990 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 the 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 annually 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 audited financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Confluence Health System
EIN
45-4789950
Phone
5096644868
Address
1201 S Miller St, Wenatchee, WA 98801

Signing Officer

Name
Thomas Legel
Title
Chief Financial Officer
Phone
5096644868
Signed
2024-02-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas Legel
Formed
2012
Legal Domicile
Wa
Voting Board Members
15
Independent Board Members
9
Employees
1,220
Volunteers
120

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Contract Labor: Program service expenses 259,087. Management and general expenses 0. Fundraising expenses 0. Total expenses 259,087. Professional Fees: Program service expenses 3,564,098. Management and general expenses 76,804. Fundraising expenses 0. Total expenses 3,640,902. Professional Fees - Managed Care: Program service expenses 136,505,842. Management and general expenses 0. Fundraising expenses 0. Total expenses 136,505,842. Professional Fees - PSA's: Program service expenses 0. Management and general expenses 113,157. Fundraising expenses 0. Total expenses 113,157. Professional Fees - ACO: Program service expenses 413,327. Management and general expenses 0. Fundraising expenses 0. Total expenses 413,327. Purchased Services: Program service expenses 9,730,917. Management and general expenses 1,019,073. Fundraising expenses 0. Total expenses 10,749,990.

Form 990, Part XI, line 9:

Adjustment due to financial statement restatement -3,949,433.

Financial Statement Notes

Part X, Line 2:

Confluence Health believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Confluence Health would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

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IRS990/Desc0Confluence Health provides the administrative and shared functions 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;Continued on Schedule OD. 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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