Civic Intelligence

Confluence Health System

990 • Fiscal year 2023 • EIN 45-4789950

Jan 01, 2023 to Jun 30, 2023 • Filed on May 13, 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

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2023

Liabilities / Revenue

2nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2023

Net Margin

36th percentile

-0.3%

Higher net margin than 36% of similar nonprofits.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2023

Top Officer Pay

5th percentile

$0

Higher top officer pay than 5% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2023

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Revenue Growth

5th percentile

-51%

Faster revenue growth than 5% of similar nonprofits.

2023 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Assets

Down

$0

Down $117,607,659 (-100%) from 2021

Net Assets

Down

$0

Down $4,339,542 (-100%) from 2021

Liabilities

Down

$0

Down $113,268,117 (-100%) from 2021

Revenue

Down

$139,024,254

Down $101,298,763 (-42%) from 2021

Expenses

Down

$139,394,670

Down $115,295,448 (-45%) from 2021

Net Income

Up

-$370,416

Up $13,996,685 (+97%) 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 2023: $0Liabilities 2023: $0Net Assets 2023: $02023

Highlighted filing

2023

Assets$0
Liabilities$0
Net Assets$0

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 2023: $139,024,254Expenses 2023: $139,394,670Net Income 2023: -$370,4162023

Highlighted filing

2023

Revenue$139,024,254
Expenses$139,394,670
Net Income-$370,416
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Jun 30, 2023
Signed
May 13, 2024
Return Version
2023v5.0
Gross Receipts
$139,024,254
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Program Related$29,811,727$0▼ $29,811,727
Land, Buildings, and Equipment, Net$22,952,653$0▼ $22,952,653
Prepaid Expenses and Deferred Charges$5,751,262$0▼ $5,751,262
Accounts Receivable$24,672$0▼ $24,672
Cash and Non-Interest-Bearing Accounts-$0-
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$80,488,899$0▼ $80,488,899
Other Assets Total$21,948,585$0▼ $21,948,585
Liabilities
Tax Exempt Bond Liabilities$39,981,307$0▼ $39,981,307
Accounts Payable and Accrued Expenses$25,948,194$0▼ $25,948,194
Other Liabilities$7,165,738$0▼ $7,165,738
Mortgage Notes Payable Secured by Investment Property$1,454,920$0▼ $1,454,920
Total Liabilities$74,550,159$0▼ $74,550,159
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,938,740$0▼ $5,938,740
Total Net Assets Fund Balance$5,938,740$0▼ $5,938,740
Total Liabilities and Net Assets / Fund Balance$80,488,899$0▼ $80,488,899
Compensation and Service Providers

Board Members and Trustees

NameTitle
Doug ShaeChair
Cori BautistaVice Chair
Catherine Ridgeway MDBoard Member
Dave BalcomBoard Member
Garn ChristensenBoard Member
Greg HamiltonBoard Member
James Murray MDBoard Member
Jennifer Jorgensen MDBoard Member
Jenny CravensBoard Member
Mabel Bodell MDBoard Member
Michael Tuggy MDBoard Member
Vanessa GutierrezBoard Member
Vicky ScharlauBoard Member
Mitchell A Garrison MDBoard Member (January)
Tom Tuszynski MDBoard Member (January)
Andrew Jones MDChief Executive Officer
Thomas J LegelChief Financial Officer
Robert J PagelerChief Information Officer
Jason Lake MDChief Medical Officer
Glenn AdamsChief Operations Officer
Katina MaierChief People Officer
Abe Sorom MDSecretary
Gus HeinickeTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$200,489
Program Service Revenue
$138,789,508
Investment Income
$0
Other Revenue
$34,257
Change in Net Assets
$-370,416
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$95,700,882
Salaries, Compensation, and Employee Benefits$43,273,591
Grants and Similar Amounts Paid$420,197
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$75,777,278$3,831,664-$79,608,942
Other Salaries and Wages$14,688,085$15,087,833-$29,775,918
Other Employee Benefits$3,729,389$3,546,560-$7,275,949
Payroll Taxes$1,284,709$1,220,475-$2,505,184
Depreciation Depletion$154,578$2,208,503-$2,363,081
Current Officers, Directors, Trustees, and Key Employees$769,307$1,289,832-$2,059,139
Travel$89,695$1,487,766-$1,577,461
Pension Plan Contributions$701,744$648,131-$1,349,875
Insurance$740,822$198,870-$939,692
Occupancy$85,160$847,050-$932,210
Fees for Services Legal$784,721--$784,721
Office Expenses$23,019$521,828-$544,847
Grants to Domestic Individuals$370,197--$370,197
Comp Disqual Persons$307,526--$307,526
Grants to Domestic Orgs$50,000--$50,000
Other Expenses$55$21,660-$21,715
Interest-$5,019-$5,019
Total Functional Expenses$99,862,553$39,532,117$0$139,394,670
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Wenatchee Valley CollegeWenatchee, WA501(c)(3)General Support$50,000
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$141,205
-Family Member of DirectorEmploymentNo$62,616
-Family Member of DirectorEmploymentNo$55,044
-Family Member of DirectorEmploymentNo$32,588
-Family Member of DirectorEmploymentNo$16,073

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
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 A, line 4

THe Board of Directors approved Articles of Merger effective June 30, 2023.

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
2024-05-13
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
0
Volunteers
45

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 III, line 3

The organization ceased activities and merged into Central Washington Health Services on June 30, 2023.

Form 990, Part IX, line 11G

Professional Fees: Program service expenses 908,576. Management and general expenses 0. Fundraising expenses 0. Total expenses 908,576. Professional Fees - Managed Care: Program service expenses 73,739,119. Management and general expenses 0. Fundraising expenses 0. Total expenses 73,739,119. Professional Fees - PSA's: Program service expenses 0. Management and general expenses 54,801. Fundraising expenses 0. Total expenses 54,801. Professional Fees - ACO: Program service expenses 201,190. Management and general expenses 0. Fundraising expenses 0. Total expenses 201,190. Purchased Services: Program service expenses 928,393. Management and general expenses 3,776,863. Fundraising expenses 0. Total expenses 4,705,256.

Form 990, Part XI, line 9:

Transfer net assets to Central Washington Health Services -16,385,906. Receipt of net assets from Wenatchee Valley Hospital 10,817,582.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt130
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt140
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt150
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt160
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt170
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt180
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt190
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt210
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IRS990/Form990PartVIISectionAGrp/PersonNm1Cori Bautista
IRS990/Form990PartVIISectionAGrp/PersonNm2Gus Heinicke
IRS990/Form990PartVIISectionAGrp/PersonNm3Abe Sorom MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Dave Balcom
IRS990/Form990PartVIISectionAGrp/PersonNm5Mabel Bodell MD
IRS990/Form990PartVIISectionAGrp/PersonNm6Garn Christensen
IRS990/Form990PartVIISectionAGrp/PersonNm7Jenny Cravens
IRS990/Form990PartVIISectionAGrp/PersonNm8Vanessa Gutierrez
IRS990/Form990PartVIISectionAGrp/PersonNm9Greg Hamilton
IRS990/Form990PartVIISectionAGrp/PersonNm10Jennifer Jorgensen MD
IRS990/Form990PartVIISectionAGrp/PersonNm11James Murray MD
IRS990/Form990PartVIISectionAGrp/PersonNm12Catherine Ridgeway MD
IRS990/Form990PartVIISectionAGrp/PersonNm13Vicky Scharlau
IRS990/Form990PartVIISectionAGrp/PersonNm14Michael Tuggy MD
IRS990/Form990PartVIISectionAGrp/PersonNm15Tom Tuszynski MD
IRS990/Form990PartVIISectionAGrp/PersonNm16Mitchell A Garrison MD
IRS990/Form990PartVIISectionAGrp/PersonNm17Andrew Jones MD
IRS990/Form990PartVIISectionAGrp/PersonNm18Thomas J Legel
IRS990/Form990PartVIISectionAGrp/PersonNm19Katina Maier
IRS990/Form990PartVIISectionAGrp/PersonNm20Glenn Adams
IRS990/Form990PartVIISectionAGrp/PersonNm21Robert J Pageler
IRS990/Form990PartVIISectionAGrp/PersonNm22Jason Lake MD
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt220
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IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary
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IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt10Board Member
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IRS990/Form990PartVIISectionAGrp/TitleTxt12Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt13Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt14Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt15Board Member (January)
IRS990/Form990PartVIISectionAGrp/TitleTxt16Board Member (January)
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IRS990/Form990PartVIISectionAGrp/TitleTxt18Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt19Chief People Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt20Chief Operations Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt21Chief Information Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt22Chief Medical Officer
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IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0790901
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