Civic Intelligence

Multicare Health System

990 • Fiscal year 2023 • EIN 91-1352172

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 11, 2024

PO Box 5299Tacoma, WA 98415-0299

(253) 459-8141

Siviq Scores

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

Liabilities / Assets

73rd percentile

0.53x

Higher debt load relative to assets than 73% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Liabilities / Revenue

56th percentile

0.72x

Higher debt load relative to revenue than 56% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Net Margin

29th percentile

0.1%

Higher net margin than 29% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Top Officer Pay

68th percentile

$3,023,053

Higher top officer pay than 68% of similar nonprofits.

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

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Asset Growth

43rd percentile

3.6%

Faster asset growth than 43% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Revenue Growth

51st percentile

4.6%

Faster revenue growth than 51% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Assets

Up

$6,109,937,704

Up $214,640,426 (+3.6%) from 2022

Net Assets

Up

$2,885,548,502

Up $56,473,282 (+2.0%) from 2022

Liabilities

Up

$3,224,389,202

Up $158,167,144 (+5.2%) from 2022

Revenue

Up

$4,500,119,544

Up $197,253,999 (+4.6%) from 2022

Expenses

Up

$4,497,628,502

Up $250,177,387 (+5.9%) from 2022

Net Income

Down

$2,491,042

Down $52,923,388 (-96%) from 2022

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

2023

Assets$6,109,937,704
Liabilities$3,224,389,202
Net Assets$2,885,548,502

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

2023

Revenue$4,500,119,544
Expenses$4,497,628,502
Net Income$2,491,042
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 11, 2024
Return Version
2023v5.1
Gross Receipts
$4,501,411,262
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$2,036,661,682$2,131,127,944▲ $94,466,262
Investments Other Securities$1,968,205,260$1,992,674,906▲ $24,469,646
Accounts Receivable$590,639,712$760,463,336▲ $169,823,624
Savings and Temporary Cash Investments$450,400,586$299,793,927▼ $150,606,659
Intangible Assets-$168,473,311-
Inventories for Sale or Use$60,067,195$61,082,079▲ $1,014,884
Prepaid Expenses and Deferred Charges$54,591,495$40,644,545▼ $13,946,950
Total Assets$5,895,297,278$6,109,937,704▲ $214,640,426
Other Assets Total$734,731,348$655,677,656▼ $79,053,692
Liabilities
Tax Exempt Bond Liabilities$1,914,298,630$1,739,746,161▼ $174,552,469
Other Liabilities$561,942,569$824,320,559▲ $262,377,990
Accounts Payable and Accrued Expenses$589,980,859$640,430,406▲ $50,449,547
Deferred Revenue$0$19,892,076▲ $19,892,076
Total Liabilities$3,066,222,058$3,224,389,202▲ $158,167,144
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,829,075,220$2,885,548,502▲ $56,473,282
Total Net Assets Fund Balance$2,829,075,220$2,885,548,502▲ $56,473,282
Total Liabilities and Net Assets / Fund Balance$5,895,297,278$6,109,937,704▲ $214,640,426

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,336,270,511$854,112,672$2,190,383,183
Equipment$343,876,898$768,125,550$1,112,002,448
Other Land Buildings$211,197,418-$211,197,418
Leasehold Improvements$82,991,922$109,229,276$192,221,198
Land$156,791,195-$156,791,195
Other Assets Org$92,880,663--
Other Securities$325,453,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William RobertsonCEOFT$1,999,350$1,023,703$3,023,053
Florence ChangPresidentFT$1,499,833$1,029,545$2,529,378
Lee Sandquist MdPhysicianFT$1,886,642$80,002$1,966,644
Nehal Masood MdPhysicianFT$1,647,098$200,931$1,848,029
Benjamin Y Chen MdPhysicianFT$1,545,954$245,549$1,791,503
Umesh Chitaley MdPhysicianFT$1,527,309$149,297$1,676,606
David Coons MdPhysicianFT$1,419,799$239,285$1,659,084
DAVID R O'BRIENSrvp,chief Phys.officer/exFT$1,000,404$303,512$1,303,916
June AltarasSrvp,chief Nursing EntreprFT$830,748$294,861$1,125,609
James LeeCFOFT$998,830$50,548$1,049,378
David J CarlsonSrvp,exec South Sound,part-$905,602$905,602$905,602
Alexander M JacksonSVP Exec.inland NwFT$658,868$164,377$823,245
James McmanusFormer CFO-$711,838$711,838$711,838
Jeffrey PoltawskyPres. Mary Bridge&pediatriFT$457,030$247,264$704,294
Timothy W LynchSrvp,clinical Services(labFT$567,377$50,634$618,011
Tim HolmesSVP Behavioral HealthFT$458,754$73,174$531,928

Board Members and Trustees

NameTitle
John WiborgChair
Deedra WalkeyVice Chair
Dale L SowellDirector
Janine TerranoDirector
Robert YostDirector
Robin ThomashauerDirector
Tara PerryDirector
John FolsomDirector,part Year
Sally B LeightonSecretary
Frank TombariTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Travel Nurses Across America LLCStaffing2811 W PALMETTO STREET, Florence, SC 29501$146,141,724
Layton Construction CompanyConstruction9090 S SANDY PKWY, Sandy, UT 84070-6409$21,314,933
Turner Construction CompanyConstruction830 4TH AVE SOUTH, Seattle, WA 98134$20,645,386
Locumsmart LLCConsulting315 WEST 36TH STREET, New York, NY 10018$14,765,018
Aquity Solutions LLCClinical Documentation SvcsPO BOX 536470, Pittsburgh, PA 15253-5906$13,422,288
Revenue and Support

Revenue Composition

Contributions and Grants
$137,406,579
Program Service Revenue
$4,144,026,401
Investment Income
$218,686,564
Other Revenue
$0
Change in Net Assets
$2,491,042
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,428,690,105
Other Expenses$2,061,726,500
Grants and Similar Amounts Paid$7,211,897
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,765,507,186$344,677,567-$2,110,184,753
All Other Expenses$172,419,678$116,378,625-$288,798,303
Depreciation Depletion$95,547,137$41,419,141-$136,966,278
Other Expenses$136,413,495$35,209,176-$136,413,495
Payroll Taxes$104,696,698$23,711,733-$128,408,431
Other Employee Benefits$79,423,424$32,788,766-$112,212,190
Interest$68,802,679$9,614,050-$78,416,729
Occupancy$60,961,907$10,067,941-$71,029,848
Pension Plan Contributions$64,491,706$66,773-$64,558,479
Insurance$48,564,414$9,510,466-$58,074,880
Office Expenses$12,042,596$3,330,271-$15,372,867
Current Officers, Directors, Trustees, and Key Employees$9,454,630$2,254,182-$11,708,812
Grants to Domestic Orgs$7,211,897--$7,211,897
Fees for Services Legal$826,845$4,468,286-$5,295,131
Advertising$805,479$4,263,104-$5,068,583
Travel$2,734,171$1,386,028-$4,120,199
Comp Disqual Persons$1,306,050$311,390-$1,617,440
Fees for Services Accounting-$462,081-$462,081
Fees for Services Lobbying-$258,552-$258,552
Total Functional Expenses$3,631,744,595$865,883,907$0$4,497,628,502
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Multicare FoundationsTacoma, WA501(c)(3)Assistance for Operating Expenses$3,387,418
MARY BRIDGE CHILDREN'S FOUNDATIONTacoma, WA501(c)(3)Assistance for Operating Expenses.$2,024,857
Pacific Northwest UniversityYakima, WA501(c)(3)Support the Growth and Campus Expansion.$1,000,000
Medical Teams International - Mobile Dental ClinicsSeattle, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, General Support for Operations$50,000
Lindquist Dental Clinic for ChildrenTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, General Support for Operations$20,000
Partners With Families & ChildrenSpokane, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$20,000
SrdvcSpokane, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, General Support for Operations$20,000
Ywca SpokaneSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$20,000
Cjk Community HomesTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$15,000
Communities in Schools of Spokane CountySpokane, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support the General Operations$15,000
Family Promise of SpokaneSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$15,000
Interfaith WorksOlympia, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$15,000
Lutheran Community Services NwSpokane, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support the General Operations$15,000
Vanessa BehanSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$15,000
Nami SeattleSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$11,622
American Red Cross - South Puget Sound & Olympics-blood Gives LifesTacoma, 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: SUPPORT FOR OPERATIONS$10,000
Bonney Lake Food BankBonney Lake, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Campbell FarmWapato, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Carl Maxey CenterSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Catholic Charities Housing ServicesYakima, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Catholic Charities of Eastern Wa and North IdSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Christ Community Free ClinicAuburn, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Eatonville Area Council Dba Eatonville Family AgencyEatonville, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Emergency Food NetworkLakewood, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support the General Operations$10,000
Fail Safe for LifeSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Hispanic Business Professional Association of SpokaneSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Hopesparks Family ServicesTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Mia Mujeres in ActionSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Multicultural Child & Family Hope CenterTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Northwest HarvestSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Nourish Pierce CountyTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS$10,000
People for PeopleYakima, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Salvation ArmySpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Salvation ArmyYakima, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Shades of DivinityTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
The Salvation Army - Jarvie Memorial LodgeSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
TransitionsSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS$10,000
Triumph Treatment ServicesYakima, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Wellness HouseYakima, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$10,000
Vine Maple PlaceMaple Valley, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support the General Operations$8,500
Puyallup Main Street Association Puyallup FarmersPuyallup, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$8,000
SAINT MARTIN'S UNIVERSITYLacey, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,500
Tacoma Pierce County Habitat for HumanityTacoma, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support the General Operations$7,500
Tacoma Urban LeagueTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,500
The Rescue MissonTacoma, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,500
Ashley House-bridges to HopeFederal Way, WA501(c)(3)Contribution From the Multicare Community Partnership Fund, Support for Operations$7,000
Nami WashingtonSeattle, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,000
ROD'S HOUSEYakima, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,000
Toppenish Community ChestToppenish, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$7,000
La Casa HogarYakima, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$6,000
Prescription Drug Assistance FoundationSpokane, WA501(c)(3)CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT$6,000
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Long Term Debt$273,538,728
Accrued Pension and Malpractice$237,860,375
Long Term Right of Use Lease Liability$237,512,204
Due to Affiliates$64,380,057
Interest Rate Swap$6,425,181
Est.third Party Payor Settle.$4,604,014

Bond Issues

BondIssuerIssuedIssue PricePurpose
AWashington Health Care Facilities Series 2015 Ab2015-04-09$420,539,219Refund series 2004 & 2008 debt, construction at auburn & covington
BWashington Health Care Facilities Series 2017 B2017-11-14$299,865,868Refund the series 2007 debt
CWashington Health Care Facilities Series 2017 Cde2017-11-14$191,010,000ROCKWOOD ACQUISITION
AWashington Health Care Facilities Series 2022 B2022-08-16$108,145,000Auburn acquisition, tacoma general campus refresh covington ed
BWashington Health Care Facilities Series 2022 C2022-12-15$80,000,000Auburn acquisition, tacoma general campus refresh covington ed
DWashington Health Care Facilities Series 2022 a2022-08-16$49,985,000Construction good samaritan tower

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$420,539,219$225,019,548-$3,145,115
B$299,865,868$299,865,868--
C$191,010,000$191,010,000--
A$108,145,000$108,145,000--
B$80,000,000$80,000,000--
D$49,985,000$49,985,000--

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 35% controlled entity
No
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 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 are performed by levels of management in various departments throughout the organization, including the chief executive officer, and the chief financial officer. A review is then performed by the finance and audit committee of the board, with a presentation by the outside accounting firm. Lastly, a copy of the final forms 990 for mhs, multicare foundations and mary bridge children's foundation, including all required schedules, are posted to diligent board books, a secure board portal where the mhs's board of directors have access to review/gain knowledge/ask questions, 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 and b, process used to determine compensation of the ceo, cfo, top management officials and key employees: the board, through its compensation committee, consisting of independent, non-paid, mhs board members, are accountable for ensuring and approving a reasonable total compensation package, consistent with its compensation philosophy, for the ceo, cfo, top management officials and key employees for their management and leadership of multicare health system entities (91-1514257, 94-3030039, 91-1111928, 82-2949880,47-5457904). Upon the identification of the compensation for the year, the independent consultant sullivan cotter, reviews the compensation as proposed by the board of directors, and conducts an independent review. At the conclusion of this review, sullivan cotter issues a reasonableness opinion to multicare health system. This is done annually and was done for this current year. The independent consultants assessed that the compensation approved by the board for 2023 was objectively reasonable.

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
2534598141
Address
PO BOX 5299, TACOMA, WA 98415-0299

Signing Officer

Name
James Lee
Title
CFO & Evp-pop. Based Care
Phone
2534038001
Signed
2024-11-11
Discuss with paid preparer
No

Organization Details

Principal Officer
William Robertson
Formed
1987
Legal Domicile
Wa
Voting Board Members
9
Independent Board Members
9
Employees
20,945
Volunteers
1,154

Preparer

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

Additional Explanations

Form 990, Part IX, Line 24E

Provision for bad debts: program service expenses 112,656,619. Management and general expenses 0. Fundraising expenses 0. Total expenses 112,656,619. Ubi taxes: program service expenses 0. Management and general expenses 883,789. Fundraising expenses 0. Total expenses 883,789. Ubi expenses- 990t: program service expenses 0. Management and general expenses 295,192. Fundraising expenses 0. Total expenses 295,192. Corporate allocation: program service expenses 0. Management and general expenses 64,138,655. Fundraising expenses 0. Total expenses 64,138,655. All other : program service expenses 11,774,720. Management and general expenses 46,949,457. Fundraising expenses 0. Total expenses 58,724,177. Property and business taxes: program service expenses 27,999,001. Management and general expenses 691,732. Fundraising expenses 0. Total expenses 28,690,733. Utilities: program service expenses 16,060,519. Management and general expenses 3,419,800. Fundraising expenses 0. Total expenses 19,480,319. Public relations: program service expenses 3,928,819. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,928,819.

FORM 990, PART XI, LINE 9:

Changes in accrued pension asset -157,532. Transfer of assets- related entities 3,394,226. Changes from noncontrolling interest -909,993.

Financial Statement Notes

PART X, LINE 2:

The footnote on the consolidated financial statements of multicare health system reads: "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. Other than medis, inc., physicians of southwest washington, llc and olympic sports & spine, pllc, which are all taxable entities, all of 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 3,214 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/TitleTxt15SRVP,CLINICAL SERVICES(LAB
IRS990/Form990PartVIISectionAGrp/TitleTxt16SVP EXEC.INLAND NW
IRS990/Form990PartVIISectionAGrp/TitleTxt17PRES. MARY BRIDGE&PEDIATRI
IRS990/Form990PartVIISectionAGrp/TitleTxt18SVP BEHAVIORAL HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt20PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt21PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt22PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt23PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt24FORMER CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt25SRVP,EXEC SOUTH SOUND,PART
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/Form990TFiledInd01
IRS990/FormationYr01987
IRS990/FormerOfcrEmployeesListedInd01
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/OtherAmt038606460
IRS990/GainOrLossGrp/SecuritiesAmt0121975742
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GovernmentGrantsAmt0124126954
IRS990/GrantAmt07211897
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt07211897
IRS990/GrantsToDomesticOrgsGrp/TotalAmt07211897
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/OtherAmt039898178
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0121975742
IRS990/GrossReceiptsAmt04501411262
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt06210
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt09510466
IRS990/InsuranceGrp/ProgramServicesAmt048564414
IRS990/InsuranceGrp/TotalAmt058074880
IRS990/IntangibleAssetsGrp/EOYAmt0168473311
IRS990/InterestGrp/ManagementAndGeneralAmt09614050
IRS990/InterestGrp/ProgramServicesAmt068802679
IRS990/InterestGrp/TotalAmt078416729
IRS990/InventoriesForSaleOrUseGrp/BOYAmt060067195
IRS990/InventoriesForSaleOrUseGrp/EOYAmt061082079
IRS990/InvestmentIncomeGrp/ExclusionAmt058104362
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt058104362
IRS990/InvestmentInJointVentureInd01
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt01968205260
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt01992674906
IRS990/InvestTaxExemptBondsInd00
IRS990/IRPDocumentCnt01445
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt01731467498
IRS990/LandBldgEquipBasisNetGrp/BOYAmt02036661682
IRS990/LandBldgEquipBasisNetGrp/EOYAmt02131127944
IRS990/LandBldgEquipCostOrOtherBssAmt03862595442
IRS990/LegalDomicileStateCd0WA
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt01291718
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd01
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01

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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