Civic Intelligence

Confluence Health System

990 • Fiscal year 2018 • EIN 45-4789950

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 01, 2019

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

1.00x

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

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

33rd percentile

0.27x

Higher debt load relative to revenue than 33% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Net Margin

48th percentile

3.4%

Higher net margin than 48% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

67th percentile

$697,698

Higher top officer pay than 67% of similar nonprofits.

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

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Asset Growth

72nd percentile

8.2%

Faster asset growth than 72% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

72nd percentile

14%

Faster revenue growth than 72% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Assets

Up

$51,171,129

Up $3,876,056 (+8.2%) from 2017

Net Assets

Up

-$35,806

Up $6,592,577 (+99%) from 2017

Liabilities

Down

$51,206,935

Down $2,716,521 (-5.0%) from 2017

Revenue

Up

$189,695,886

Up $22,681,163 (+14%) from 2017

Expenses

Up

$183,251,710

Up $12,894,109 (+7.6%) from 2017

Net Income

Up

$6,444,176

Up $9,787,054 (+293%) from 2017

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

2018

Assets$51,171,129
Liabilities$51,206,935
Net Assets-$35,806

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

2018

Revenue$189,695,886
Expenses$183,251,710
Net Income$6,444,176
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 1, 2019
Return Version
2018v3.1
Gross Receipts
$189,695,886
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$34,847,758$37,662,164▲ $2,814,406
Prepaid Expenses and Deferred Charges$4,474,684$5,349,059▲ $874,375
Cash and Non-Interest-Bearing Accounts$3,580,952$3,342,926▼ $238,026
Accounts Receivable$37,149$209,049▲ $171,900
Total Assets$47,295,073$51,171,129▲ $3,876,056
Other Assets Total$4,354,530$4,607,931▲ $253,401
Liabilities
Accounts Payable and Accrued Expenses$31,580,313$32,904,428▲ $1,324,115
Mortgage Notes Payable Secured by Investment Property$22,343,143$18,302,507▼ $4,040,636
Total Liabilities$53,923,456$51,206,935▼ $2,716,521
Net Assets / Fund Balance
Unrestricted Net Assets$-6,628,383$-35,806▲ $6,592,577
Total Net Assets Fund Balance$-6,628,383$-35,806▲ $6,592,577
Total Liabilities and Net Assets / Fund Balance$47,295,073$51,171,129▲ $3,876,056

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$29,778,037$8,240,385$38,018,422
Equipment$5,710,707$8,383,162$14,093,869
Buildings$1,948,332$255,340$2,203,672
Land$225,088-$225,088
Other Assets Org$2,181,184--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Peter Rutherford MdChief Executive OfficerPT$605,549$92,149$697,698
Stuart D Freed MdChief Medical OfficerPT$495,080$58,825$553,905
John R DoyleChief Financial OfficerPT$424,843$74,732$499,575
Vikki L NoyesChief Operating OfficerPT$398,386$66,720$465,106
Kevin GilbertVP of Surgery Admin (thru 08/18)PT$155,702$294,673$450,375
James B WoodChief Admin OfficerPT$326,250$76,449$402,699
Jay H JohnsonSr VP Network StrategyPT$316,146$80,239$396,385
Tracey a Kasnic RnSr VP Inpatient & CNOPT$309,161$66,077$375,238
Robert J PagelerChief Information OfficerPT$289,044$63,380$352,424
Glenn W AdamsSr VP Ancillary ServicesPT$235,233$60,261$295,494
Peggi a AmstutzVP Revenue CyclePT$232,144$55,192$287,336
Jeanine M AllenSr VP Specialty CarePT$218,517$59,120$277,637
Peter N Lolos JrSr VP Facility & Supt SrvPT$222,402$55,076$277,478
Kris a DeyerleVP General CounselPT$241,692$32,552$274,244
Cory M Ferari-zimmermanVP FinancePT$212,197$36,821$249,018
Julie a McallisterVP NursingPT$194,412$36,397$230,809
Faraz S AhmedSr VP Primary CarePT$168,017$23,881$191,898
Frank J KuntzBoard Chair-$3,600-$3,600
Gus HeinickeTreasurer-$3,600-$3,600
Patricia WachtelVice Chair-$3,600-$3,600
D Scott DuncanBoard of Directors-$3,600-$3,600
Doug ShaeBoard of Directors-$3,600-$3,600
Garn ChristensenBoard of Directors (from 05/18)-$3,600-$3,600
Jenny CravensBoard of Directors-$3,600-$3,600
Kristine S LoomisBoard of Directors-$3,600-$3,600

Board Members and Trustees

NameTitle
Mitchell a Garrison MdBoard of Directors
Rick Hourigan MdBoard of Directors
Robert Trask JrBoard of Directors
Toby Bond MdBoard of Directors
Gautam Nayak MdBoard of Directors (from 05/18)
James Murray MdBoard of Directors (from 05/18)
Gary Lammert MdBoard of Directors (thru 01/18)
Laura MounterBoard of Directors (thru 05/18)
Michael Rossi MdBoard of Directors (thru 05/18)
Julie Smith MdSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Epic Systems CorporationServices/support Billing SystemPO BOX 88314, Milwaukee, WI 53288$5,308,106
Epic Hosting LLCServices Billing SystemBIN 88056, Milwaukee, WI 53288$4,080,786
Compunet INCCloud Services505 S FLORENCE ST, Grangeville, ID 83530$1,191,137
Healthcare Resource Group INCServices Coding12610 E MIRABEAU PKWY, Spokane Valley, WA 99216$991,983
Advisory Board CompanyServices655 NEW YORK AVE NW, Washington, DC 20001$861,873
Revenue and Support

Revenue Composition

Contributions and Grants
$1,315,221
Program Service Revenue
$187,616,969
Investment Income
$105,690
Other Revenue
$658,006
All Other Contributions
$19,195
Change in Net Assets
$6,444,176
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$116,855,793
Salaries, Compensation, and Employee Benefits$65,452,265
Grants and Similar Amounts Paid$943,652
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$36,500,133$9,125,033-$45,625,166
Information Technology$8,058,791$2,014,698-$10,073,489
Other Employee Benefits$7,098,502$1,774,625-$8,873,127
Depreciation Depletion$4,861,478$540,164-$5,401,642
Office Expenses$4,250,082$1,062,520-$5,312,602
Current Officers, Directors, Trustees, and Key Employees$3,851,469$962,867-$4,814,336
Payroll Taxes$3,069,228$767,307-$3,836,535
Fees for Services Other$2,681,940$670,485-$3,352,425
Occupancy$2,406,866$267,430-$2,674,296
Pension Plan Contributions$1,842,481$460,620-$2,303,101
Fees for Services Legal-$1,990,904-$1,990,904
Conferences and Meetings$1,023,687$255,922-$1,279,609
Insurance-$943,822-$943,822
Grants to Domestic Orgs$843,363--$843,363
Advertising$507,453$126,863-$634,316
Other Expenses$405,919$10,255,976-$405,919
Fees for Services Accounting-$383,308-$383,308
Interest$344,429--$344,429
Grants to Domestic Individuals$100,289--$100,289
Total Functional Expenses$151,649,166$31,602,544$0$183,251,710
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Confluence Health FoundationWenatchee, WA501(c)(3)General Support$517,258
The Trust for Public LandSeattle, WA501(c)(3)Methow Park$100,000
People for PeopleYakima, WA501(c)(3)Community Shuttle in Moses Lake$36,000
The United Way of Chelan and Douglas CountiesWenatchee, WA501(c)(3)Color Rush and Employee Match$33,820
Wenatchee Downtown AssociationWenatchee, WA501(c)(3)MAIN STREET $30K TAX CREDIT INITIATIVE FOR 2019$30,000
Wellness PlaceWenatchee, WA501(c)(3)2nd Payment of 3 Year Commitment$20,000
GwataWenatchee, WA501(c)(3)Flywheel Sponsorship$15,000
WenatcheeoutdoorsorgWenatchee, WA501(c)(3)Annual Donation$12,500
Alatheia Riding CenterWenatchee, WA501(c)(3)Operating Expenses$10,000
Numerica Performing Arts CenterWenatchee, WA501(c)(3)2018 Festival of Trees$9,000
American Lung AssociationSeattle, WA501(c)(3)Heoa Air Filters$8,250
YmcaWenatchee, WA501(c)(3)Partners With Youth$8,000
Wenatchee Row and Paddle ClubWenatchee, WA501(c)(3)Youth on the Columba 3rd Year of 3 Year Commitment$7,500
Moses Lake Business AssociationMoses Lake, WA501(c)(6)Main Street Tax Incentive and Downtown Harvest Fest$7,035
Big Bend Community CollegeMoses Lake, WA501(c)(3)Scholarships$6,000
Nurse Week CommitteeWenatchee, WA501(c)(3)National Nurse Week$6,000
Wenatchee Valley Humane SocietyWenatchee, WA501(c)(3)Rabies Shots for Employees and Holiday Lunch$6,000
Brewster Boys and Girls ClubBrewster, WA501(c)(3)Benefit Golf Tournament$5,500
Ncesd Educational FoundationWenatchee, WA501(c)(3)Ncesd Grants$5,500
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$59,137
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
2019-11-01
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
10

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, 2018 and 2017, the health system had no uncertain tax positions requiring accrual.

Raw XML AppendixShowing 400 of 1,275 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/TitleTxt0BOARD CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
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IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD OF DIRECTORS
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD OF DIRECTORS
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD OF DIRECTORS
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD OF DIRECTORS
IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD OF DIRECTORS (THRU 01/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD OF DIRECTORS
IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD OF DIRECTORS (THRU 05/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD OF DIRECTORS (FROM 05/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt14BOARD OF DIRECTORS (FROM 05/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt15BOARD OF DIRECTORS (THRU 05/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt16BOARD OF DIRECTORS
IRS990/Form990PartVIISectionAGrp/TitleTxt17BOARD OF DIRECTORS
IRS990/Form990PartVIISectionAGrp/TitleTxt18CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt20CHIEF OPERATING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt21CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt22CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF ADMIN OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt24SR VP ANCILLARY SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt25SR VP PRIMARY CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt26SR VP SPECIALTY CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt27SR VP NETWORK STRATEGY
IRS990/Form990PartVIISectionAGrp/TitleTxt28SR VP INPATIENT & CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt29SR VP FACILITY & SUPT SRV
IRS990/Form990PartVIISectionAGrp/TitleTxt30VP OF SURGERY ADMIN (THRU 08/18)

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