COMMONSPIRIT WASHINGTON F/K/A FRANCISCAN HEALTH SYSTEM (EIN 910564491) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1891

Legal Domicile

Principal Officer

JULIE MANAS

Phone

2536804005

Tax Period

2024-07-01 to 2025-06-30

COMMONSPIRIT WASHINGTON F/K/A FRANCISCAN HEALTH SYSTEM, founded in 1891, is a large national nonprofit in the Health Care sector that reported $2.0B in total revenue in fiscal year 2024. Revenue grew 9% year-over-year, indicating healthy expansion.

Mission

FHS WAS FOUNDED ON THE PRINCIPLE TO PROVIDE COMPASSIONATE CARE TO EVERYONE REGARDLESS OF ABILITY TO PAY OR SOCIAL STATUS. FHS INCLUDES MULTIPLE FACILITIES AND HOSPICE, AND AN EXPANDING NETWORK OF CLINICS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $37,293,785

Program Service Revenue $1,890,017,569

Investment Income $1,739,618

Other Revenue $62,060,683

TOTAL REVENUE $1,991,111,655

Expense Breakdown

Grants Paid $2,322,220

Salaries & Benefits $886,530,662

Fundraising Expenses $0

Program Expenses $1,744,263,600

Other Expenses $1,112,816,333

TOTAL EXPENSES $2,001,669,215

Year-over-Year Comparison

	2024	2023	Change
Revenue	$1,991,111,655	$1,821,452,038	+0.1%
Expenses	$2,001,669,215	$1,882,297,860	+0.1%
Net Income	$-10,557,560	$-60,845,822	-0.8%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✓ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

9043

Volunteers

259

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$7,163,440

Total Directors

Key Employees

$5,825,796

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
KETUL PATEL	CEO VMFH & PRESIDENT NORTHWEST REGION	2.00	Officer	$0	$88,958	$5,754,859
CHARLEEN TACHIBANA RN	REGION CHIEF QUALITY-SAFETY-PATIENT EXP OFFICER-NW	60.00	Highest	$1,578,856	$32,392	$1,611,248
JAMES TERWILLIGER	PRESIDENT, PUGET SOUND MARKET (THRU 02/25)	60.00	Key Emp	$1,390,307	$96,214	$1,486,521
THOMAS KRUSE	REGION CHIEF STRATEGY OFFICER-NW	60.00	Key Emp	$1,029,204	$41,047	$1,070,251
DAVID NOSACKA	TREASURER/SVP&CFO NORTHWEST REGION	58.00	Officer	$872,310	$61,972	$934,282
RUSSELL WOOLLEY	FORMER COO ST FRANCIS & ST ANNE HOSPITALS	0.00		$0	$102,943	$811,800
RYAN PONG	REGION VP ACADEMIC OFFICER NW	60.00	Highest	$754,346	$56,898	$811,244
DIANNE AROH	REGION CHIEF NURSING OFFICER-NW (THRU 2/25)	60.00	Highest	$765,892	$23,414	$789,306
KIMBERLY MOORE	VP/INTERIM CHIEF MEDICAL OFFICER (THRU 05/24)	60.00	Key Emp	$733,218	$33,947	$767,165
HANS CASSAGNOL	CHIEF MEDICAL OFFICER NW	60.00	Key Emp	$716,057	$22,916	$738,973
INGRID GERBINO	CHIEF INNOVATION OFFICER	60.00	Highest	$661,670	$33,645	$695,315
TOBY SUTTON	REGION CHRO-NW	60.00	Highest	$596,389	$19,328	$615,717
DAVID WEISS	FORMER MKT VP MEDICAL OPERATIONS	60.00		$559,209	$41,048	$600,257
DAVID BUTCHERITE	FORMER TREASURER/REGION VP FINANCE NW	60.00		$460,998	$41,857	$502,855
MIRIAM CHAMBLISS	CORPORATE SECRETARY/VP GENERAL COUNSEL NORTHWEST R	2.00	Officer	$0	$45,640	$474,299
SHARON ROYNE	FORMER KE/VP ADMINISTRATIVE SERVICES	60.00		$406,549	$38,829	$445,378
MATTHEW METSKER PA-C MPAS MHA CMPE	PRESIDENT ST CLARE HOSPITAL	60.00	Key Emp	$387,155	$50,863	$438,018
MICHAEL COX	FORMER KEY EMPLOYEE/CHIEF MISSION OFFICER	60.00		$380,900	$56,192	$437,092
DINO JOHNSON	PRESIDENT ST ANTHONY HOSPITAL	60.00	Key Emp	$373,965	$52,668	$426,633
DEEPAK DEVASTHALI	PRESIDENT ST. JOSEPH MEDICAL CENTER	60.00	Key Emp	$329,588	$54,184	$383,772
JENNIFER SCHOMBURG	PRESIDENT ST JOSEPH MEDICAL CENTER (THRU 7/24)	60.00	Key Emp	$303,580	$30,454	$334,034
SYDNEY BERSANTE	FORMER INTERIM PRESIDENT SJMC	60.00		$169,231	$12,483	$181,714
LOIS ERICKSON	PRESIDENT ST CLARE HOSPITAL (THRU 5/24)	60.00	Key Emp	$160,956	$19,473	$180,429
CHUCK ARNOLD	DIRECTOR	2.00	Director	$0	$0	$0
LARRY BJORK	DIRECTOR	2.00	Director	$0	$0	$0
BOB CARLILE	DIRECTOR	2.00	Director	$0	$0	$0
ULI CHI PHD	CHAIR	2.00	Officer Director	$0	$0	$0
JAMES CIVILLA	DIRECTOR	2.00	Director	$0	$0	$0
CAROLYN CORVI	DIRECTOR	2.00	Director	$0	$0	$0
SR RUTH GOODWIN OSF	DIRECTOR	2.00	Director	$0	$0	$0
TOD HAMACHEK	DIRECTOR	2.00	Director	$0	$0	$0
DAVID HOHIMER	DIRECTOR	2.00	Director	$0	$0	$0
DENNIS HUNTHAUSEN	DIRECTOR	2.00	Director	$0	$0	$0
KAREN LEE	DIRECTOR	2.00	Director	$0	$0	$0
ROBERT LEMON	VICE CHAIR	2.00	Officer Director	$0	$0	$0
SR ANNE MCNAMARA OSF	DIRECTOR	2.00	Director	$0	$0	$0
GREGG MEYER MD MSC	DIRECTOR	2.00	Director	$0	$0	$0
JOHN OPPENHEIMER	DIRECTOR	2.00	Director	$0	$0	$0
DIANN PULS	DIRECTOR	2.00	Director	$0	$0	$0
JAMES SMALLEY	DIRECTOR	2.00	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$1,991,111,655	$2,001,669,215	$1,147,131,491	$-10,557,560
2024	No data	No data	No data	No data
2023	$1,585,832,705	$1,732,889,119	$958,034,404	$-147,056,414
2022	$1,546,242,913	$1,637,559,651	$1,007,410,025	$-91,316,738
2021	$1,482,263,838	$1,349,171,037	$1,151,561,991	$133,092,801
2020	$1,290,934,396	$1,227,679,724	$988,080,209	$63,254,672
2019	$1,323,733,092	$1,367,668,281	$913,965,389	$-43,935,189
2018	$1,415,526,364	$1,395,432,964	$1,052,224,032	$20,093,400

COMMONSPIRIT WASHINGTON F/K/A FRANCISCAN HEALTH SYSTEM