Civic Intelligence

Confluence Health System

990 • Fiscal year 2013 • EIN 45-4789950

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 15, 2014

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

89th percentile

0.94x

Higher debt load relative to assets than 89% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Liabilities / Revenue

36th percentile

0.28x

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

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Net Margin

41st percentile

1.9%

Higher net margin than 41% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$618,967

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Asset Growth

99th percentile

331%

Faster asset growth than 99% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2012 to 2013

Assets

Up

$15,076,032

Up $11,576,032 (+331%) from 2012

Net Assets

Up

$974,167

Up $974,167 from 2012

Liabilities

Up

$14,101,865

Up $10,601,865 (+303%) from 2012

Revenue

Up

$50,692,544

Up $50,692,544 from 2012

Expenses

Up

$49,718,377

Up $49,718,377 from 2012

Net Income

Up

$974,167

Up $974,167 from 2012

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

2013

Assets$15,076,032
Liabilities$14,101,865
Net Assets$974,167

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

2013

Revenue$50,692,544
Expenses$49,718,377
Net Income$974,167
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 15, 2014
Return Version
2013v3.0
Gross Receipts
$50,692,544
Mission and Program Overview

Mission

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

We are dedicated to improving our patient's health by providing safe, high-quality care in a compassionate and cost-effective manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$3,500,000$5,498,773▲ $1,998,773
Accounts Receivable$0$3,979,740▲ $3,979,740
Land, Buildings, and Equipment, Net$0$3,080,198▲ $3,080,198
Prepaid Expenses and Deferred Charges$0$2,512,774▲ $2,512,774
Inventories for Sale or Use$0$4,547▲ $4,547
Total Assets$3,500,000$15,076,032▲ $11,576,032
Liabilities
Accounts Payable and Accrued Expenses$0$14,101,865▲ $14,101,865
Deferred Revenue$3,500,000$0▼ $3,500,000
Total Liabilities$3,500,000$14,101,865▲ $10,601,865
Net Assets / Fund Balance
Unrestricted Net Assets$0$974,167▲ $974,167
Total Net Assets Fund Balance$0$974,167▲ $974,167
Total Liabilities and Net Assets / Fund Balance$3,500,000$15,076,032▲ $11,576,032

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$3,080,198-$3,080,198
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Peter Rutherford MdChief Executive OfficerPT$524,859$43,143$568,002
John B HamiltonFormer Chief Executive OfficerPT$386,433$35,655$422,088
Shaun P KoosChief Operations OfficerPT$374,583$43,609$418,192
John R DoyleChief Financial OfficerPT$270,267$41,363$311,630
Steve JacobsVP of FinancePT$263,244$39,219$302,463
Tracey a KasnicChief Nursing OfficerPT$260,462$39,552$300,014
Jay JohnsonExecutive VP Outpatient ServicesPT$214,788$40,669$255,457
Richard LawleyChroPT$216,046$33,295$249,341
Peter LolosVice PresidentPT$188,724$32,831$221,555
Kevin GilbertDirector of Hospital OperationsPT$180,364$33,807$214,171

Board Members and Trustees

NameTitle
Kenneth J MartinChair
Marc C HemingerVice Chair
David Daniel MdBoard of Directors
David W ParksBoard of Directors
Frank J KuntzBoard of Directors
Jeffery T Monson MdBoard of Directors
Karen JacksonBoard of Directors
Laura MounterBoard of Directors
Mitchell a Garrison MdBoard of Directors
Phillip R JohnsonBoard of Directors
Robert E Justus MdBoard of Directors
Robert TraskBoard of Directors
Thomas P Carlson MdBoard of Directors
Marcus Kubosumi MdSecretary
Kristine S LoomisTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Hims Consulting Group INCConsulting-$293,555
Sei LLCConsulting-$115,638
Everett Clinic INC GeneralProfessional Service-$111,926
Medsys Group LLCConsulting-$107,200
Revenue and Support

Revenue Composition

Contributions and Grants
$95,224
Program Service Revenue
$50,514,941
Investment Income
$0
Other Revenue
$82,379
Change in Net Assets
$974,167
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$41,351,941
Other Expenses$8,366,436
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$21,410,107$9,175,760-$30,585,867
Other Employee Benefits$2,827,165$1,211,642-$4,038,807
Payroll Taxes$1,803,993$773,140-$2,577,133
Pension Plan Contributions$1,491,146$639,062-$2,130,208
Current Officers, Directors, Trustees, and Key Employees$1,413,948$605,978-$2,019,926
Office Expenses$1,017,402$436,029-$1,453,431
Fees for Services Other$721,224$309,096-$1,030,320
Information Technology$484,387$207,594-$691,981
Travel$476,331$204,142-$680,473
Fees for Services Legal$312,488$133,924-$446,412
Advertising$222,562$95,384-$317,946
Occupancy$100,948$43,263-$144,211
Insurance$76,754$32,894-$109,648
Fees for Services Lobbying$33,626$14,411-$48,037
Fees for Services Accounting$18,359$7,868-$26,227
Other Expenses$23,426$250,606-$23,426
Fees for Services Management$15,530$6,656-$22,186
Total Functional Expenses$34,809,895$14,908,482$0$49,718,377
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
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 B, Line 11

A copy of the form 990 is reviewed by the chief financial officer, vice president of finance, and director 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 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

In 2013, 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

EIN
45-4789950
Phone
5096621511

Signing Officer

Name
Peter D Rutherford Md
Title
CEO
Phone
5096621511
Signed
2014-11-15
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
701
Volunteers
15

Preparer

Preparer
Robert Grannum
Phone
4252597227
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

There have been no changes to the oversight process or selection process during the tax year.

Financial Statement Notes

PART X, LINE 2:

The health system is formed as three separate 501(c)(3) organizations and has submitted application to the irs for not-for-profit tax exempt status for confluence health and wenatchee valley hospital. The health system will operate as 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, 2013, the health system had no uncertain tax positions requiring accrual.

Raw XML AppendixShowing 400 of 838 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. CONFLUENCE HEALTH IS A SEPARATE 501(C)(3) ORGANIZATION. 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/MissionDesc0CONFLUENCE 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).
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