Civic Intelligence

Confluence Health System

990 • Fiscal year 2014 • EIN 45-4789950

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 03, 2015

Organization ProfileWWW.CONFLUENCEHEALTH.ORG

View Organization Page

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

92nd percentile

0.99x

Higher debt load relative to assets than 92% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Liabilities / Revenue

39th percentile

0.30x

Higher debt load relative to revenue than 39% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Net Margin

25th percentile

-0.8%

Higher net margin than 25% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

78th percentile

$611,218

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Asset Growth

98th percentile

98%

Faster asset growth than 98% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

94th percentile

92%

Faster revenue growth than 94% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Balance Sheet
Liabilities / Assets92nd percentile

Assets

Up

$29,893,527

Up $14,817,495 (+98%) from 2013

Net Assets

Down

$173,492

Down $800,675 (-82%) from 2013

Liabilities

Up

$29,720,035

Up $15,618,170 (+111%) from 2013

Revenue And Expenses
Liabilities / Revenue39th percentileNet Margin25th percentile

Revenue

Up

$97,467,476

Up $46,774,932 (+92%) from 2013

Expenses

Up

$98,268,151

Up $48,549,774 (+98%) from 2013

Net Income

Down

-$800,675

Down $1,774,842 (-182%) from 2013

Historical Trend

Balance Sheet Trend

Asset Growth98th percentile

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

2014

Assets$29,893,527
Liabilities$29,720,035
Net Assets$173,492
Open 2014 Filing

Operations Trend

Revenue Growth94th percentile

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

2014

Revenue$97,467,476
Expenses$98,268,151
Net Income-$800,675
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 3, 2015
Return Version
2014v5.0
Gross Receipts
$97,467,476
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$3,979,740$10,700,401▲ $6,720,661
Land, Buildings, and Equipment, Net$3,080,198$7,838,662▲ $4,758,464
Cash and Non-Interest-Bearing Accounts$5,498,773$7,538,717▲ $2,039,944
Prepaid Expenses and Deferred Charges$2,512,774$1,815,747▼ $697,027
Inventories for Sale or Use$4,547$0▼ $4,547
Total Assets$15,076,032$29,893,527▲ $14,817,495
Other Assets Total$0$2,000,000▲ $2,000,000
Liabilities
Accounts Payable and Accrued Expenses$14,101,865$29,720,035▲ $15,618,170
Total Liabilities$14,101,865$29,720,035▲ $15,618,170
Net Assets / Fund Balance
Unrestricted Net Assets$974,167$173,492▼ $800,675
Total Net Assets Fund Balance$974,167$173,492▼ $800,675
Total Liabilities and Net Assets / Fund Balance$15,076,032$29,893,527▲ $14,817,495

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,967,060$918,405$4,885,465
Other Land Buildings$3,582,473$24,094$3,606,567
Land$289,129-$289,129
Other Assets Org$2,000,000--
Compensation and Service Providers
Top Officer Pay78th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Peter Rutherford MdChief Executive OfficerPT$568,168$43,050$611,218
Stuart D Freed MdChief Medical OfficerPT$409,870$108,133$518,003
Shaun P KoosChief Operations OfficerPT$444,183$66,712$510,895
Jay H JohnsonExecutive VP, Outpatient ServicesPT$312,167$79,414$391,581
John R DoyleChief Financial OfficerPT$288,315$88,108$376,423
John B HamiltonRetired Chief Operations OfficerPT$342,685$26,311$368,996
Richard L CanningExecutive VP, Inpatient ServicesPT$312,714$54,470$367,184
Tracey a Kasnic RnChief Nursing OfficerPT$274,247$83,033$357,280
Steven R JacobsVP of FinancePT$271,925$55,462$327,387
Peter N LolosVP of Facility & Support ServicePT$207,773$45,426$253,199
Richard S BennettSenior Vice President, QualityPT$182,062$57,020$239,082
Robert PagelerChief Information OfficerPT$153,630$30,025$183,655
James B WoodChief Administrative OfficerPT$145,756$27,816$173,572

Board Members and Trustees

NameTitle
Marc C HemingerChairperson
Kenneth J MartinImmediate Past Chair
Kristine S LoomisVice-chairperson
D Scott DuncanBoard of Directors
David W Parks DmdBoard of Directors
Jeffery T Monson MdBoard of Directors
Karen JacksonBoard of Directors
Laura MounterBoard of Directors
Mitchell a Garrison MdBoard of Directors
Robert E Justus MdBoard of Directors
Robert Trask JrBoard of Directors
Thomas P Carlson MdBoard of Directors
Toby Bond MdBoard of Directors
John T EvansFormer Chief Executive Officer
David Daniel MdSecretary
Frank J KuntzTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Moss Adams LLPAccounting ServicesPO BOX 748369, Los Angeles, CA 90074$339,927
Peer Consulting LLCConsulting3040 78TH AVE SE, Mercer Island, WA 98040$270,009
Davis Arneil Law Firm LLPLegal ServicesPO BOX 2136, Wenatchee, WA 98801$210,357
Intellix Solutions LLCConsulting29 CHESTNUT PL, Danville, CA 94506$163,458
Demarco & AssociatesConsulting21287 E VIA DE ARBOLES, Queen Creek, AZ 85142$153,389
Revenue and Support

Revenue Composition

Contributions and Grants
$3,188,890
Program Service Revenue
$94,254,083
Investment Income
$0
Other Revenue
$24,503
Change in Net Assets
$-800,675
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$50,918,003
Salaries, Compensation, and Employee Benefits$47,350,148
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$24,266,944$10,400,109-$34,667,053
Other Employee Benefits$3,458,911$1,482,390-$4,941,301
Payroll Taxes$2,074,614$889,120-$2,963,734
Information Technology$2,020,303$865,842-$2,886,145
Current Officers, Directors, Trustees, and Key Employees$1,753,093$751,326-$2,504,419
Office Expenses$1,681,041$720,446-$2,401,487
Pension Plan Contributions$1,591,549$682,092-$2,273,641
Fees for Services Other$1,361,692$583,584-$1,945,276
Other Expenses$662,272$283,828-$946,100
Depreciation Depletion$659,748$282,749-$942,497
Insurance$544,913$233,530-$778,443
Conferences and Meetings$405,553$173,808-$579,361
Advertising$237,808$101,918-$339,726
Occupancy$210,761$90,325-$301,086
Fees for Services Accounting$48,896$209,653-$258,549
Fees for Services Legal$176,095$75,469-$251,564
Fees for Services Lobbying$62,052$26,594-$88,646
Total Functional Expenses$68,640,326$29,627,825$0$98,268,151
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
Backup withholding compliance
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 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 orgnanizations. Additionally, some board members are also minority owners in a joint venture with ownership less than the reporting threshold.”

Form 990, Part VI, Section B, Line 11

“A copy of the form 990 and schedule b, if any, is reviewed by the chief financial officer, vice president of finance, and director 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

“In 2014, 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
CEO
Phone
5096621511
Signed
2015-11-03
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
685
Volunteers
15

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 corporation 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 taxable income granted 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, 2014 and 2013, the health system had no uncertain tax positions requiring accrual.”

Raw XML AppendixShowing 400 of 955 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/TitleTxt17FORMER CHIEF EXECUTIVE OFFICER
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IRS990/Form990PartVIISectionAGrp/TitleTxt19CHIEF OPERATIONS OFFICER
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IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF NURSING OFFICER
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IRS990/Form990PartVIISectionAGrp/TitleTxt25EXECUTIVE VP, OUTPATIENT SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt26VP OF FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP OF FACILITY & SUPPORT SERVICE
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Document Assets

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Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$29,893,527
Liabilities
$29,720,035
Net assets
$173,492
Revenue
$97,467,476
Expenses
$98,268,151
Net income
-$800,675
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$118$113$4.34$240$255$14.4
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$82.3$63.6$18.7$241$225$16.4
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$54.4$52.2$2.28$223$221$1.83
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$51.2$51.2$0.04$190$183$6.44
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$47.3$53.9$6.63$167$170$3.34
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$59.7$63.2$3.51$145$147$1.65
2015Detailed filing. Detailed filing data is available for this year.$25.4$27.3$1.86$118$120$2.03
2014Detailed filing. Detailed filing data is available for this year.$29.9$29.7$0.17$97.5$98.3$0.80
2013Detailed filing. Detailed filing data is available for this year.$15.1$14.1$0.97$50.7$49.7$0.97
2012Summary only. Only limited summary data is available for this year.$3.50$3.50$0.00$0.00$0.00$0.00