Multicare Health System

“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.”

“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.”

“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 2024 was objectively reasonable.”

“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.”

“Payments to layton construction company include goods and services associated with various construction projects. These amounts are not easily separated for reporting purposes. The amounts reported include both services and expenses.”

“Bad debts: program service expenses 132,931,284. Management and general expenses 0. Fundraising expenses 0. Total expenses 132,931,284. Ubi taxes : program service expenses 0. Management and general expenses 729,847. Fundraising expenses 0. Total expenses 729,847. Corporate allocation: program service expenses 0. Management and general expenses 85,056,059. Fundraising expenses 0. Total expenses 85,056,059. Taxes: program service expenses 44,677,877. Management and general expenses 544,612. Fundraising expenses 0. Total expenses 45,222,489. Waste & utilities: program service expenses 21,913,830. Management and general expenses 6,013,185. Fundraising expenses 0. Total expenses 27,927,015. Client needs: program service expenses 14,727,099. Management and general expenses 14,060. Fundraising expenses 0. Total expenses 14,741,159. Employee training, recruitment, & retention: program service expenses 2,295,150. Management and general expenses 6,329,192. Fundraising expenses 0. Total expenses 8,624,342. Dues: program service expenses 2,487,082. Management and general expenses 1,660,243. Fundraising expenses 0. Total expenses 4,147,325.”

“Changes in accrued pension asset 738,677. Transfer of assets- related entities 44,300,249. Changes from noncontrolling interest -3,016,575.”