Totals
- Total revenue
- $62,937,192
- Total expenses
- $70,584,533
- Contributions and grants received
- $61,975,575
- Grants paid
- $0
- Program service revenue
- not reported
- Investment income
- not reported
- Other revenue
- not reported
- Total assets, end of year
- not reported
- Total liabilities, end of year
- not reported
- Net assets or fund balances, end of year
- not reported
- Program services expenses (Part IX)
- $70,584,533
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $70,584,533
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
MICHAEL MEYER MD
MEMBER,PHYSICIAN
- Total calculated
- $1,516,783
- From this org
- $1,493,718
- From related orgs
- $0
- Other
- $23,065
- Hours/week
- 52
Schedule J breakdown matched by us
- Base
- $1,353,815
- Bonus
- $124,908
- Other
- $14,995
- Deferred
- $18,300
- Nontaxable benefits
- $4,765
- Filer's total
- $1,516,783
-
DAVID CARLSON MD
MEMBER,PART YEAR,SRVP MHS
- Total calculated
- $1,477,122
- From this org
- $0
- From related orgs
- $1,453,095
- Other
- $24,027
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $654,969 related
- Bonus
- $0 + $180,768 related
- Other
- $0 + $617,358 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $24,027 related
- Filer's total
- $0 + $1,477,122 related
-
HASSAN YAZDIAN TEHRANI MD
MEMBER,PART YEAR,PHYSICIAN
- Total calculated
- $1,250,364
- From this org
- $1,214,798
- From related orgs
- $0
- Other
- $35,566
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $1,078,416
- Bonus
- $130,576
- Other
- $5,806
- Deferred
- $10,675
- Nontaxable benefits
- $24,891
- Filer's total
- $1,250,364
-
VINAY MALHOTRA MD
MEMBER,PHYSICIAN
- Total calculated
- $1,222,146
- From this org
- $1,176,113
- From related orgs
- $0
- Other
- $46,033
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $1,094,471
- Bonus
- $64,931
- Other
- $16,711
- Deferred
- $18,300
- Nontaxable benefits
- $27,733
- Filer's total
- $1,222,146
-
DEVENDRA VORA MD
MEMBER,PHYSICIAN
- Total calculated
- $1,161,447
- From this org
- $1,132,703
- From related orgs
- $0
- Other
- $28,744
- Hours/week
- 52
Schedule J breakdown matched by us
- Base
- $1,023,382
- Bonus
- $93,441
- Other
- $15,880
- Deferred
- $18,300
- Nontaxable benefits
- $10,444
- Filer's total
- $1,161,447
-
DAVID O'BRIEN MD
MEMBER, SRVP MHS
- Total calculated
- $1,126,178
- From this org
- $0
- From related orgs
- $1,095,048
- Other
- $31,130
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $813,349 related
- Bonus
- $0 + $152,251 related
- Other
- $0 + $129,448 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $18,930 related
- Filer's total
- $0 + $1,126,178 related
-
MOMAH KINGSON
MEMBER,PHYSICIAN
- Total calculated
- $1,034,753
- From this org
- $1,002,488
- From related orgs
- $0
- Other
- $32,265
- Hours/week
- 52
Schedule J breakdown matched by us
- Base
- $863,585
- Bonus
- $119,690
- Other
- $19,213
- Deferred
- $18,300
- Nontaxable benefits
- $13,965
- Filer's total
- $1,034,753
-
MOHIT JAINMD
MEMBER,PHYSICIAN
- Total calculated
- $1,028,788
- From this org
- $1,017,179
- From related orgs
- $0
- Other
- $11,609
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $921,553
- Bonus
- $94,264
- Other
- $1,362
- Deferred
- $10,675
- Nontaxable benefits
- $934
- Filer's total
- $1,028,788
-
STEPHEN THEW MD
MEMBER,PHYSICIAN
- Total calculated
- $994,031
- From this org
- $958,707
- From related orgs
- $0
- Other
- $35,324
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $817,184
- Bonus
- $138,129
- Other
- $3,394
- Deferred
- $10,675
- Nontaxable benefits
- $24,649
- Filer's total
- $994,031
-
SARAH KOCH MD
MEMBER,PHYSICIAN
- Total calculated
- $750,032
- From this org
- $720,239
- From related orgs
- $0
- Other
- $29,793
- Hours/week
- 52
Schedule J breakdown matched by us
- Base
- $623,720
- Bonus
- $84,344
- Other
- $12,175
- Deferred
- $18,300
- Nontaxable benefits
- $11,493
- Filer's total
- $750,032
-
NEEDHAM WARD MD
CHAIRMAN,PHYSICIAN
- Total calculated
- $584,886
- From this org
- $548,255
- From related orgs
- $0
- Other
- $36,631
- Hours/week
- 52
Schedule J breakdown matched by us
- Base
- $348,472
- Bonus
- $148,903
- Other
- $50,880
- Deferred
- $18,300
- Nontaxable benefits
- $18,331
- Filer's total
- $584,886
-
CHRISTI MCCARREN RN
MEMBER, PART YEAR, SRVP MHS
- Total calculated
- $540,725
- From this org
- $0
- From related orgs
- $510,401
- Other
- $30,324
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $351,549 related
- Bonus
- $0 + $114,384 related
- Other
- $0 + $44,468 related
- Deferred
- $0 + $18,300 related
- Nontaxable benefits
- $0 + $12,024 related
- Filer's total
- $0 + $540,725 related
-
JASON PARKS
PRESIDENT/SECRETARY,TREASURER
- Total calculated
- $731,174
- From this org
- $684,387
- From related orgs
- $0
- Other
- $46,787
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $488,110
- Bonus
- $189,248
- Other
- $7,029
- Deferred
- $18,300
- Nontaxable benefits
- $28,487
- Filer's total
- $731,174
-
PETER CHEN MD
PHYSICIAN
- Total calculated
- $1,663,726
- From this org
- $1,623,360
- From related orgs
- $0
- Other
- $40,366
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $1,520,920
- Bonus
- $87,187
- Other
- $15,253
- Deferred
- $18,300
- Nontaxable benefits
- $22,066
- Filer's total
- $1,663,726
-
NATHAN E SPENCE MD
PHYSICIAN
- Total calculated
- $1,251,809
- From this org
- $1,237,728
- From related orgs
- $0
- Other
- $14,081
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $1,135,745
- Bonus
- $100,071
- Other
- $1,912
- Deferred
- $10,675
- Nontaxable benefits
- $3,406
- Filer's total
- $1,251,809
-
VAL A LEV
PHYSICIAN
- Total calculated
- $1,272,530
- From this org
- $1,234,009
- From related orgs
- $0
- Other
- $38,521
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $1,117,363
- Bonus
- $96,593
- Other
- $20,053
- Deferred
- $18,300
- Nontaxable benefits
- $20,221
- Filer's total
- $1,272,530
-
UMA M KRISHNAN MD
PHYSICIAN
- Total calculated
- $1,243,656
- From this org
- $1,205,147
- From related orgs
- $0
- Other
- $38,509
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $1,103,879
- Bonus
- $88,337
- Other
- $12,931
- Deferred
- $18,300
- Nontaxable benefits
- $20,209
- Filer's total
- $1,243,656
-
KURT GARY KINNEY
PHYSICIAN
- Total calculated
- $1,247,607
- From this org
- $1,202,931
- From related orgs
- $0
- Other
- $44,676
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $1,043,666
- Bonus
- $143,754
- Other
- $15,511
- Deferred
- $18,300
- Nontaxable benefits
- $26,376
- Filer's total
- $1,247,607
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINES 4A-B
- LINE 4A - IN 2022 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: DAVID CARLSON - $217,962. LINE 4B - JASON PARKS, PRESIDENT FOR CHVI- PULSE HEART INSTITUTE, IS PARTICIPATING IN A 457(F) PLAN BUT NO AMOUNTS WERE PAID OUT IN 2022. THE PLAN COVERS EMPLOYEES WHO ARE PRIMARILY A SELECT GROUP OF MANAGEMENT (THE EXECUTIVE GROUP) OR HIGHLY COMPENSATED EMPLOYEES. THIS TYPE OF ARRANGEMENT CONTAINS A RISK OF FORFEITURE AND SOME OF THE ACCOUNTS USE A NON-COMPETE CLAUSE. THE EXECUTIVE GROUP ACCOUNTS CONTAIN A ROLLING 5-YEAR CLIFF 50% VESTING SCHEDULE AND ONCE THAT IS BEING MET THE PARTICIPANT RECEIVES 50% OF THE ACCOUNT, WITH A 100% VESTING UPON AGE 62 OR 5 YEARS OF PRIOR EMPLOYMENT. FOR THE HIGHLY COMPENSATED GROUP (PLAN'S LEGACY PHYSICIAN PARTICIPANT GROUP) DISTRIBUTION OF BALANCES PAID REPRESENTED VESTED AMOUNT DURING THE YEAR. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B, (III).
- SCHEDULE J, PART I LINE 3:
- CHVI PROFESSIONAL CORPORATION RELIED ON A RELATED ORGANIZATION, MULTICARE HEALTH SYSTEM, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT. SEE SCHEDULE O, PART VI, LINE 15 NARRATIVE FOR PROCESS USED BY MULTICARE HEALTH SYSTEM
- SCHEDULE J, PART I & II, SUPPLEMENTAL:
- THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION IS BASED ON THE TOTAL AMOUNT PAID DURING THE YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM AND ITS SUBSIDIARIES, INCLUDING CURRENT YEAR PAYMENTS OF AMOUNTS REPORTED IN PRIOR YEARS AS CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS AND DEFERRED COMPENSATION PLANS, TOGETHER WITH INVESTMENT EARNINGS FROM THOSE PRIOR YEAR CONTRIBUTIONS. THE AMOUNTS UNDER OTHER COMPENSATION, REPORTED ON SCHEDULE J, COLUMN C, INCLUDE DEFERRED COMPENSATION, AND THE VALUE OF MEDICAL, DENTAL, LIFE, DISABILITY INSURANCE, AND PENSION BENEFITS. COMPENSATION ON THIS TAX RETURN INCLUDES AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND MAY NOT BE PAID OUT IN THE FUTURE. THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION AT MULTICARE HEALTH SYSTEM (I) COMPLIES WITH THE IRS FORM 990 INSTRUCTIONS; (II) IS DETERMINED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL INDEPENDENT, DO NOT HAVE A CONFLICT OF INTEREST, AND ARE NON-PAID; AND (III) IS ANNUALLY EVALUATED IN THE CONTEXT OF COMPENSATION DATA GATHERED BY INDEPENDENT EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILAR HIGH PERFORMING HEALTHCARE INSTITUTIONS, PRIMARILY INTEGRATED HEALTHCARE ORGANIZATIONS. COMPENSATION PAID IS DETERMINED TO BE REASONABLE AND NECESSARY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE INDEPENDENT EXTERNAL CONSULTANT. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND BASED ON ACHIEVEMENT OF GOALS SET BY THE BOARD OF DIRECTORS AT THE START OF EACH YEAR IN AREAS SUCH AS PATIENT SAFETY, QUALITY, WORKFORCE DEVELOPMENT, FINANCE AND OTHER MISSION-RELATED AREAS. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE IN ORDER TO ACHIEVE TOP TIER INTEGRATED CARE DELIVERY SYSTEM STATUS. THE EXECUTIVE COMPENSATION COMMITTEE ROUTINELY REVIEWS BENEFITS AND RETIREMENT PROGRAMS TO ENSURE THE PLANS ARE MARKET-BASED AND OTHERWISE CONSISTENT WITH IRS GUIDELINES. THE OFFICERS OF MULTICARE HEALTH SYSTEM, 91-1352172, ALSO FULFILL OFFICER AND EXECUTIVE FUNCTIONS FOR ITS RELATED ENTITIES. COMPENSATION DISCLOSED IS REPORTED TO THE RELATED ENTITIES TAX RETURNS IN ACCORDANCE WITH IRS REGULATIONS, BUT IS NOT CHARGED TO THE SUBSIDIARY OR AFFILIATE. AN OFFICER LISTED DEVOTES AN AVERAGE OF 52 HOURS PER WEEK TO PERFORM HIS OR HER RESPONSIBILITIES.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HOSPITAL · WA
-
501(C)(3) · SOLICIT CONTRIBUTIONS · WA · controlled entity
Directly controlled by MULTICARE HEALTH SYSTEM
-
MARY BRIDGE CHILDREN'S FOUNDATION
501(C)(3) · SOLICIT CONTRIBUTIONS · WA · controlled entity
Directly controlled by MULTICARE HEALTH SYSTEM
-
MULTICARE REHABILITATION SPECIALISTS PS
501(C)(3) · REHABILITATION · WA · controlled entity
Directly controlled by MULTICARE HEALTH SYSTEM
-
GREATER LAKES MENTAL HEALTHCARE
501(C)(3) · HOSPITAL · WA · controlled entity
Directly controlled by MULTICARE HEALTH SYSTEM
-
501(C)(3) · HOSPITAL · WA · controlled entity
Directly controlled by MULTICARE HEALTH SYSTEM
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
N/A · HEALTHCARE SERVICES · WA
-
N/A · HEALTHCARE SERVICES · WA
-
N/A · HEALTHCARE SERVICES · WA
-
N/A · HEALTHCARE SERVICES · TX
-
N/A · HEALTHCARE SERVICES · ID
-
N/A · HEALTHCARE SERVICES · WA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · BLDG. RENTAL & CONSULTING · WA
-
COMMENCEMENT RE
C · MALPRACTICE INSURANCE · CJ
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343069349301994
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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