Civic Intelligence

Multicare Health System

990 • Fiscal year 2018 • EIN 91-1352172

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

PO Box 5299Tacoma, WA 98415-0299

(253) 459-8125

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.44x

Higher debt load relative to assets than 62% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Liabilities / Revenue

50th percentile

0.66x

Higher debt load relative to revenue than 50% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Net Margin

43rd percentile

6.0%

Higher net margin than 43% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Top Officer Pay

59th percentile

$2,147,811

Higher top officer pay than 59% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Asset Growth

24th percentile

1.2%

Faster asset growth than 24% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2017 to 2018

Revenue Growth

87th percentile

24%

Faster revenue growth than 87% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2017 to 2018

Assets

Up

$4,353,484,139

Up $50,998,331 (+1.2%) from 2017

Net Assets

Up

$2,430,175,824

Up $2,148,590 (+0.1%) from 2017

Liabilities

Up

$1,923,308,315

Up $48,849,741 (+2.6%) from 2017

Revenue

Up

$2,930,199,547

Up $565,153,462 (+24%) from 2017

Expenses

Up

$2,753,453,188

Up $557,603,231 (+25%) from 2017

Net Income

Up

$176,746,359

Up $7,550,231 (+4.5%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$8.0B$6.0B$4.0B$2.0B$0Assets 2010: $1,557,442,619Liabilities 2010: $1,011,384,386Net Assets 2010: $546,058,2332010Assets 2011: $2,270,274,326Liabilities 2011: $1,261,537,187Net Assets 2011: $1,008,737,1392011Assets 2012: $2,649,801,471Liabilities 2012: $1,376,873,086Net Assets 2012: $1,272,928,3852012Assets 2013: $2,986,450,066Liabilities 2013: $1,308,987,722Net Assets 2013: $1,677,462,3442013Assets 2014: $3,218,850,057Liabilities 2014: $1,451,469,514Net Assets 2014: $1,767,380,5432014Assets 2015: $3,396,517,115Liabilities 2015: $1,483,942,825Net Assets 2015: $1,912,574,2902015Assets 2016: $3,604,113,624Liabilities 2016: $1,515,722,936Net Assets 2016: $2,088,390,6882016Assets 2017: $4,302,485,808Liabilities 2017: $1,874,458,574Net Assets 2017: $2,428,027,2342017Assets 2018: $4,353,484,139Liabilities 2018: $1,923,308,315Net Assets 2018: $2,430,175,8242018Assets 2019: $4,914,390,204Liabilities 2019: $2,181,620,665Net Assets 2019: $2,732,769,5392019Assets 2020: $5,732,640,112Liabilities 2020: $2,718,992,585Net Assets 2020: $3,013,647,5272020Assets 2021: $5,997,507,394Liabilities 2021: $2,692,174,413Net Assets 2021: $3,305,332,9812021Assets 2022: $5,895,297,278Liabilities 2022: $3,066,222,058Net Assets 2022: $2,829,075,2202022Assets 2023: $6,109,937,704Liabilities 2023: $3,224,389,202Net Assets 2023: $2,885,548,5022023Assets 2024: $6,311,318,297Liabilities 2024: $3,310,198,143Net Assets 2024: $3,001,120,1542024

Highlighted filing

2018

Assets$4,353,484,139
Liabilities$1,923,308,315
Net Assets$2,430,175,824

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0B$4.0B$2.0B$0-$2.0BExpenses 2010: $991,958,9712010Expenses 2011: $1,331,270,9752011Expenses 2012: $1,521,433,0222012Revenue 2013: $1,898,550,376Expenses 2013: $1,676,362,025Net Income 2013: $222,188,3512013Revenue 2014: $1,943,519,321Expenses 2014: $1,695,748,766Net Income 2014: $247,770,5552014Revenue 2015: $1,967,549,896Expenses 2015: $1,759,172,285Net Income 2015: $208,377,6112015Revenue 2016: $1,967,198,602Expenses 2016: $1,854,908,380Net Income 2016: $112,290,2222016Revenue 2017: $2,365,046,085Expenses 2017: $2,195,849,957Net Income 2017: $169,196,1282017Revenue 2018: $2,930,199,547Expenses 2018: $2,753,453,188Net Income 2018: $176,746,3592018Revenue 2019: $3,239,930,611Expenses 2019: $3,114,891,357Net Income 2019: $125,039,2542019Revenue 2020: $3,352,640,659Expenses 2020: $3,244,135,092Net Income 2020: $108,505,5672020Revenue 2021: $3,884,628,307Expenses 2021: $3,696,619,413Net Income 2021: $188,008,8942021Revenue 2022: $4,302,865,545Expenses 2022: $4,247,451,115Net Income 2022: $55,414,4302022Revenue 2023: $4,500,119,544Expenses 2023: $4,497,628,502Net Income 2023: $2,491,0422023Revenue 2024: $5,011,395,222Expenses 2024: $5,018,628,005Net Income 2024: -$7,232,7832024

Highlighted filing

2018

Revenue$2,930,199,547
Expenses$2,753,453,188
Net Income$176,746,359
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Oct 31, 2019
Return Version
2018v3.1
Gross Receipts
$2,931,492,370
Mission and Program Overview

Mission

Multicare health system's mission is partnering for healing and a healthy future.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,615,007,143$1,709,123,857▲ $94,116,714
Investments in Publicly Traded Securities$1,452,694,844$1,181,678,148▼ $271,016,696
Accounts Receivable$362,510,903$396,601,403▲ $34,090,500
Savings and Temporary Cash Investments$357,444,178$370,871,294▲ $13,427,116
Investments Other Securities$170,205,982$309,038,000▲ $138,832,018
Inventories for Sale or Use$34,234,939$43,261,791▲ $9,026,852
Prepaid Expenses and Deferred Charges$29,997,355$27,945,800▼ $2,051,555
Total Assets$4,302,485,808$4,353,484,139▲ $50,998,331
Other Assets Total$280,390,464$314,963,846▲ $34,573,382
Liabilities
Tax Exempt Bond Liabilities$1,287,092,589$1,266,586,741▼ $20,505,848
Accounts Payable and Accrued Expenses$354,386,889$387,408,901▲ $33,022,012
Other Liabilities$232,846,265$269,245,091▲ $36,398,826
Unsecured Notes Loans Payable$132,831$67,582▼ $65,249
Total Liabilities$1,874,458,574$1,923,308,315▲ $48,849,741
Net Assets / Fund Balance
Unrestricted Net Assets$2,428,027,234$2,430,175,824▲ $2,148,590
Total Net Assets Fund Balance$2,428,027,234$2,430,175,824▲ $2,148,590
Total Liabilities and Net Assets / Fund Balance$4,302,485,808$4,353,484,139▲ $50,998,331

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,190,931,825$677,068,427$1,868,000,252
Equipment$248,300,128$677,351,022$925,651,150
Other Land Buildings$127,262,139-$127,262,139
Land$109,702,012-$109,702,012
Leasehold Improvements$32,927,753$65,006,211$97,933,964
Other Assets Org$423,728--
Other Securities$104,405,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William RobertsonPresident & CEO, Interim CFOFT$1,237,368$910,443$2,147,811
Suraj SinghPhysicianFT$1,437,591$289,925$1,727,516
David CoonsPhysicianFT$1,375,334$287,535$1,662,869
Florence ChangExecutive Vice PresidentFT$940,019$482,849$1,422,868
Masood NehalPhysicianFT$943,348$213,799$1,157,147
John HungPhysicianFT$920,334$181,619$1,101,953
Rob TamurianPhysicianFT$903,448$163,376$1,066,824
DAVID O'BRIENSrvp/chief Exec-east. WaFT$595,563$330,619$926,182
Tim BrickerSrvp/chief Exec-s. SoundFT$644,690$268,249$912,939
Shelly MullinFormer VP, Former Key EmplFT$280,280$603,309$883,589
David CarlsonSrvp,provider EnterprisesFT$592,699$231,299$823,998
Anna LoomisCFO, Part YearFT$547,040$276,016$823,056
Linda ChenPres. Mary Bridge,part YearFT$67,769$753,667$821,436
Christi MccarrenSrvp,retail Health&communiFT$397,542$204,958$602,500
Jeffrey PoltawskyPres. Mary BridgeFT$164,682$199,974$364,656
Claire Spain-remyFormer VP, Former Key Empl-$122,965$122,965$122,965

Board Members and Trustees

NameTitle
John WiborgChair
Deedra WalkeyVice Chair
Janine TerranoDirector
John FolsomDirector
L Dale SowellDirector
Rob R Roth MdDirector
Robert a YostDirector
Sally B LeightonSecretary
John HallTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Travel Nurse Across America LLCStaffing5020 NORTHSHORE DR, N Little Rock, AZ 72118$23,430,245
Tacoma Anesthesia Associates INC PsMedical3633 PACIFIC AVE204, Tacoma, WA 98418$10,431,093
South Sound Inpatient Physicians PllcMedicalPOBOX 742936, Los Angeles, CA 90074$9,824,142
Navitus Health Solutions LLCPharmacy Benefits Management2601 W BELTLINE HWY, Madison, WI 53713$8,297,720
Trauma TrustMedicalPOBOX 5299, Tacoma, WA 98415$8,228,354
Revenue and Support

Revenue Composition

Contributions and Grants
$38,987,235
Program Service Revenue
$2,827,677,265
Investment Income
$63,976,911
Other Revenue
$-441,864
Change in Net Assets
$176,746,359
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,496,280,065
Other Expenses$1,248,653,973
Grants and Similar Amounts Paid$8,519,150
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,133,632,642$154,830,212-$1,288,462,854
Fees for Services Other$248,584,866$33,668,946-$282,253,812
Depreciation Depletion$128,837,583$17,450,079-$146,287,662
Payroll Taxes$70,078,036$10,502,395-$80,580,431
Other Employee Benefits$67,326,224$9,118,829-$76,445,053
All Other Expenses$55,606,274$9,963,867-$65,570,141
Occupancy$45,849,447$6,209,962-$52,059,409
Pension Plan Contributions$36,356,362$4,924,195-$41,280,557
Interest$36,356,114$4,924,162-$41,280,276
Other Expenses$6,245,759$33,346,764-$39,592,523
Insurance$23,786,008$3,221,635-$27,007,643
Office Expenses$11,509,526$1,558,879-$13,068,405
Travel$5,464,588$4,428,922-$9,893,510
Current Officers, Directors, Trustees, and Key Employees$7,790,308$1,055,138-$8,845,446
Grants to Domestic Orgs$8,519,150--$8,519,150
Advertising$3,842,904$1,984,031-$5,826,935
Fees for Services Legal$397,129$4,092,366-$4,489,495
Comp Disqual Persons$665,724--$665,724
Fees for Services Accounting$1,088$630,900-$631,988
Fees for Services Lobbying-$329,090-$329,090
Payment Travel Entrtnmnt Publicly Ofcl$119,538$43,526-$163,064
Total Functional Expenses$2,438,088,922$315,364,266$0$2,753,453,188
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
MARY BRIDGE CHILDREN'S FOUNDATIONTacoma, WA501(c)(3)Assistance for Operating Expenses.$3,688,730
Multicare Health FoundationTacoma, WA501(c)(3)Assistance for Operating Expenses$1,711,555
Good Samaritan FoundationTacoma, WA501(c)(3)Assistance for Operating Expenses$1,639,736
Multicare South King Health FoundationTacoma, WA501(c)(3)Assistance for Operating Expenses$734,129
Medical Teams InternationalRedmond, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, General Support for Operations$60,000
First Five FundamentalsTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, General Support for Operations$25,000
Greater Spokane Meals on WheelsSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$25,000
Lindquist Dental Clinic for ChildrenTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund to the Uncompensated Care Fund.$25,000
Vine Maple PlaceMaple Valley, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support the General Operations$20,000
Ywca SpokaneSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$17,500
Catholic Charities of Eastern WaSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$15,000
Partners With Families & Children SpokaneSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$15,000
Safe Streets CampaignTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS$15,000
Spokane County United WaySpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$15,000
The Tears FoundationPuyallup, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$15,000
Family Promise of SpokaneSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$12,500
At the CoreMead, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Big TableSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Boys & Girls Clubs of South Puget SoundTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$10,000
Emergency Food NetworkLakewood, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$10,000
Nourish Pierce CountyTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$10,000
Second Harvest Inland NwSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Share & Care HousePuyallup, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$10,000
U-district Foundation Mentoring ProgramSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Vanessa Behan Crisis NurserySpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Women Helping Women FundSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Eastern Wa University Foundation- 3dCheney, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$8,000
AMARA'S PIERCE COUNTY EMERGENCY SANCTUARYTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$7,500
Asian Counseling and Referral ServicesSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS$7,500
Cis TacomaTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS$7,500
Food Backpack for KidsGig Harbor, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,500
Hilltop ArtistsTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS$7,500
Lutheran Community Services North WestTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations.$7,500
Mercy Housing NorthwestSeattle, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$7,500
Pierce County Aids FoundationTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$7,500
Tacoma Housing Development GroupTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,500
Northwest HarvestSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,000
River City Youth OperationsSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$6,000
TransitionsSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$6,000
A Step AheadPuyallup, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Backpack KidsPuyallup, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS$5,000
Big Brothers Big SistersTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
CHILDREN'S MUSEUM OF TACOMATacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Catherine PlaceTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Catholic Community Services- KitsappiercethurstonTacoma, WA501(c)(3)Support Teams for Healthier Living$5,000
Cis PeninsulaVaughn, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Cis PuyallupPuyallup, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Crystal Judson Family Justice CenterTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS.$5,000
Daybridge ServicesSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
ELEVATION A CHILDREN'S THERAPHY RESOURCESpokane Valley, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
FarestartSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
First WashingtonKent, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Foundation for Healthy GenerationsSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Free Rein Therapeutic RidingSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Frontier Behavioral HealthSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Girls on the Run of Spokane CountySpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Greater Maple Valley Community CenterMaple Valley, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS$5,000
Greater Spokane IncorporatedSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Key Peninsula Free ClinicLakebay, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Metropolitan Development CouncilTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Mission Community Outreach CenterSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Museum of GlassTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS$5,000
Mustard SeedVaughn, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Neighborhood ClinicTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Northwest Infant Survival & Sids AllianceSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Operation Healthy FamilySpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Peace Community CenterTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Pierce County Library FoundationTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Plu-grcc Teams for Healthier LivingTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Preciption Drug AssistanceSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Project Beauty ShareSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Puyallup Valley St Francis HousePuyallup, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Rebuilding Together SouthTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Rotary First HarvestSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Seattleking County ClinicSeattle, WA501(c)(3)General Support for the After School Program$5,000
Somali Health BoardSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
South Sound Parent to ParentOlympia, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Spokane Eastside Reunion AssociationSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
St Leo Food ConnectionTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
St Vincent Paul CovingtonSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
St Vincent Paul TacomaTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Stolen YouthSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
The Als ServiceSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
The Isaac FoundationSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
The Rescue MissionTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
United Territories of Pacific Islanders AllianceSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Vashon Youth & Family ServicesVashon, WA501(c)(3)General Support for the After School Program$5,000
WOMEN & CHILDREN'S FREE RESTAURANT & COMMUNITYSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Wsu Foundation College of NursingPullman, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Ywca PierceTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
Ywca SeattleSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$5,000
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
Caroline Rutter MdFamily of DirectorEmployee of Multicare Health SystemNo$599,403
Rachel RothFamily of DirectorEmployee of Multicare Health SystemNo$35,875
Ricky RothFamily of DirectorEmployee of Multicare Health SystemNo$30,446
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Pension and Malpractice Liability$127,406,125
Due to Affiliates$79,642,772
Interest Rate Swap$45,832,668
Accrued Interest Payable$16,363,526

Bond Issues

BondIssuerIssuedIssue PricePurpose
DWashington Health Care Facilities Series 2015 Ab2015-04-16$420,539,219Refund the series 2004 & series 2008 bonds, construction at auburn & covingt
AWashington Health Care Facilities Series 2017 B2017-11-14$299,865,868REFUND THE SERIES 2007
BWashington Health Care Facilities Series 2017 Cde2017-11-14$191,010,000Refund 2012b debt & rockwood acquistion
CWashington Health Care Facilities Series 2012 a2012-11-13$140,628,741Auburn aquisition,tg campus refresh,covington emergency department
BWashington Health Care Facilities Series 2010 a2010-01-05$105,127,578Used to refund the whca series 1998 issued on 08/13/1998
AWashington Health Care Facilities Series 2009 Ab2009-05-01$100,000,000Construction of the good samaritan tower

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$420,539,219$191,010,000--
A$299,865,868---
B$191,010,000---
C$140,628,741$299,865,868$5,980,000$3,145,115
B$105,127,578$225,019,548$11,495,000$1,336,000
A$100,000,000$105,127,004$64,820,000$1,032,608

Bond Financing Compliance

No rebate due
Yes
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 family members
Yes
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

Janine terrano and john folsom have a business relationship.

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

Process used by management and/or governing body to review 990 the multicare health system (mhs) form 990 is prepared by internal staff and reviewed by an outside accounting firm. Initial reviews were performed by levels of management in various departments throughout the organization, including the chief executive officer, and the chief financial officer. A review was then performed by the finance and audit committee of the board, and included a presentation by the outside accounting firm. Lastly, a copy of the final forms 990s for mhs and the four multicare foundations, including all required schedules, were provided to each voting member of the board of directors for review, prior to its filing with the irs.

Form 990, Part VI, Section B, Line 12C

Process used to monitor transactions for conflicts of interest the board of directors has accountability for oversight of the process for disclosure, evaluation, and management of conflicts of interest involving any director on the board, executive leadership, or key employee. In accordance with the conflicts of interest policy, these individuals are required to complete the conflicts of interest questionnaire at least annually, and have an ongoing obligation to update the disclosure in the event an actual or potential conflict of interest arises. The conflicts of interest questionnaire includes a statement that the person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization must engage primarily in activities that further its tax exempt purposes. Written disclosures are reviewed by the compliance officer, and in certain circumstances, there is further review by the general counsel and the member. No person with a conflict of interest participates in an activity related to the conflict of interest unless disclosed, resolved, and permitted in accordance with the conflict of interest policy. Conflicts of interest are documented.

Form 990, Part VI, Section B, Line 15

A-b: process used to determine compensation of ceo the board, through its compensation committee consisting of independent, non-paid, board members, is accountable for ensuring and approving a reasonable total compensation package, consistent with its compensation philosophy, for the ceo for his management and leadership of multicare health system entities (91-1514257, 94-3030039, 91-2004312, 46-5636491, 91-1111928). The compensation committee directs the development and it approves annual goals and performance criteria that are used to determine variable compensation opportunities for the ceo. The compensation committee assesses performance against these goals and performance criteria, which include improving patient care, care access to the underserved, clinical outcomes, and patient safety, as well as earning an operating margin to enable investment in people, technology, and facilities. The compensation committee selects and engages a qualified independent compensation consultant each year to review and analyze the total compensation package for alignment with appropriate practices for similar not-for-profit healthcare systems. The compensation committee, as part of its analysis, obtains from the independent compensation consultant appropriate comparability data, including total compensation paid by similarly situated not-for-profit health care organizations for positions that are functionally comparable. The compensation deliberation and decisions are contemporaneously documented. The last time this process was undertaken was 2018.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy and audited consolidated financial statements available to the public upon request. The audited financial statements are also included as part of the form 990.

Filing and Contact Details

Filer

Filer Name
Multicare Health System
EIN
91-1352172
Phone
2534598125
Address
PO BOX 5299, TACOMA, WA 98415-0299

Signing Officer

Name
James P Mcmanus
Title
CFO, Sr. VP
Phone
2534598125
Signed
2019-10-31
Discuss with paid preparer
No

Organization Details

Principal Officer
James P Mcmanus
Formed
1987
Legal Domicile
Wa
Voting Board Members
9
Independent Board Members
8
Employees
16,611
Volunteers
3,119

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION STREET SUITE 1600, SAN FRANCISCO, CA 94105
Preparer
Eva Nitta
Phone
4158948000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Professional services: program service expenses 248,584,866. Management and general expenses 33,668,946. Fundraising expenses 0. Total expenses 282,253,812.

FORM 990, PART XI, LINE 9:

Changes in accrued pension asset -14,172,310. Transfer rockwood clinic upon dissolution on march 1st 2018 -19,702,419. Navos transfer of assets -2,013,038. Foundations transfer of assets -283,970.

Financial Statement Notes

PART X, LINE 2:

The consolidated audited financial statements of multicare health system footnote reads: "financial accounting standard board (fasb) asc subtopic 740 10, income taxes, clarifies the accounting for uncertainty in income taxes recognized in mhs' consolidated financial statements. This topic also prescribes a recognition threshold and measurement standard for the financial statement recognition and measurement of an income tax position taken or expected to be taken in a tax return. Only tax positions that meet the "more likely than not" recognition threshold at the effective date may be recognized or continue to be recognized upon adoption. In addition, this topic provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition. Adoption of this topic did not have a significant impact on the consolidated financial statements of mhs. Other than medis, inc., which is a taxable corporation, all the other entities have obtained determination letters from the internal revenue service that they are exempt from federal income taxes under section 501(a) of the internal revenue code as an organization described in 501(c)(3) of the internal revenue code, except for tax on unrelated business income."

Raw XML AppendixShowing 400 of 3,263 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/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt12706275
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt13898229
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt15575968
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt16789962
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt17340948
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt181616641
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt191700072
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt201020698
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt211123873
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt221074690
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt23841951
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt24122965
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt220
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt230
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt240
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt7CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9PRESIDENT & CEO, INTERIM CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt10CFO, PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt11EXECUTIVE VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt12SRVP,PROVIDER ENTERPRISES
IRS990/Form990PartVIISectionAGrp/TitleTxt13SRVP/CHIEF EXEC-EAST. WA
IRS990/Form990PartVIISectionAGrp/TitleTxt14PRES. MARY BRIDGE,PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt15SRVP,RETAIL HEALTH&COMMUNI
IRS990/Form990PartVIISectionAGrp/TitleTxt16SRVP/CHIEF EXEC-S. SOUND
IRS990/Form990PartVIISectionAGrp/TitleTxt17PRES. MARY BRIDGE
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt20PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt21PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt22PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt23FORMER VP, FORMER KEY EMPL
IRS990/Form990PartVIISectionAGrp/TitleTxt24FORMER VP, FORMER KEY EMPL
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/Form990TFiledInd01
IRS990/FormationYr01987
IRS990/FormerOfcrEmployeesListedInd01
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt037210733
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GovernmentGrantsAmt027817982
IRS990/GrantAmt08519150
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt08519150
IRS990/GrantsToDomesticOrgsGrp/TotalAmt08519150
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt037210733
IRS990/GrossReceiptsAmt02931492370
IRS990/GrossSalesOfInventoryAmt0850959
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt08
IRS990/IndivRcvdGreaterThan100KCnt02896
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt03221635
IRS990/InsuranceGrp/ProgramServicesAmt023786008
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IRS990/InterestGrp/ManagementAndGeneralAmt04924162
IRS990/InterestGrp/ProgramServicesAmt036356114
IRS990/InterestGrp/TotalAmt041280276
IRS990/InventoriesForSaleOrUseGrp/BOYAmt034234939
IRS990/InventoriesForSaleOrUseGrp/EOYAmt043261791
IRS990/InvestmentIncomeGrp/ExclusionAmt026766178
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt026766178
IRS990/InvestmentInJointVentureInd01
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IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0309038000
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01452694844
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01181678148
IRS990/InvestTaxExemptBondsInd00
IRS990/IRPDocumentCnt01641
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt01419425660
IRS990/LandBldgEquipBasisNetGrp/BOYAmt01615007143
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01709123857
IRS990/LandBldgEquipCostOrOtherBssAmt03128549517
IRS990/LegalDomicileStateCd0WA
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd01
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt02428027234
IRS990/NetAssetsOrFundBalancesEOYAmt02430175824
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt037210733
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt037210733
IRS990/NetIncomeOrLossGrp/ExclusionAmt0-441864
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt0-441864

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$6,311$3,310$3,001$5,011$5,019$7.23
2023Detailed filing. Detailed filing data is available for this year.$6,110$3,224$2,886$4,500$4,498$2.49
2022Detailed filing. Detailed filing data is available for this year.$5,895$3,066$2,829$4,303$4,247$55.4
2021Detailed filing. Detailed filing data is available for this year.$5,998$2,692$3,305$3,885$3,697$188
2020Detailed filing. Detailed filing data is available for this year.$5,733$2,719$3,014$3,353$3,244$109
2019Detailed filing. Detailed filing data is available for this year.$4,914$2,182$2,733$3,240$3,115$125
2018Detailed filing. Detailed filing data is available for this year.$4,353$1,923$2,430$2,930$2,753$177
2017Summary only. Only limited summary data is available for this year.$4,302$1,874$2,428$2,365$2,196$169
2016Detailed filing. Detailed filing data is available for this year.$3,604$1,516$2,088$1,967$1,855$112
2015Detailed filing. Detailed filing data is available for this year.$3,397$1,484$1,913$1,968$1,759$208
2014Detailed filing. Detailed filing data is available for this year.$3,219$1,451$1,767$1,944$1,696$248
2013Detailed filing. Detailed filing data is available for this year.$2,986$1,309$1,677$1,899$1,676$222
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,650$1,377$1,273$1,521
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,270$1,262$1,009$1,331
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,557$1,011$546$992