MULTICARE HEALTH SYSTEM: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: MULTICARE HEALTH SYSTEM (EIN 91-1352172)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-02
IRS object ID: 202043079349302519
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-02T16:10:31-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION STREET SUITE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	911352172	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MULTICARE HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MULT	BusinessNameControlTxt
Phone	2534598125	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5299	AddressLine1Txt
City	TACOMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	984150299	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES P MCMANUS	PersonNm
Person Title	CFO, SR. VP	PersonTitleTxt
Phone	2534598125	PhoneNum
Signature	2020-11-02	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MONIKA YADAV	PreparerPersonNm
PTIN	P01473280	PTIN
Phone	4158948000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.79.112.252	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-02	IPDt
IP Tm	14:03:49	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	5A018795E8AE3FDCCFB073DE08FD5AC73ABF1485	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5A018795E8AE3FDCCFB073DE08FD5AC73ABF1485	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES P MCMANUS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5299	AddressLine1Txt
City	TACOMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	984150299	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,259,380,775	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.MULTICARE.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	17867	TotalEmployeeCnt
Total Volunteers	3068	TotalVolunteersCnt
Total Gross UBI	$497,968	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$38,987,235	PYContributionsGrantsAmt
CY Contributions Grants	$41,339,790	CYContributionsGrantsAmt
PY Program Service Revenue	$2,827,677,265	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,179,967,185	CYProgramServiceRevenueAmt
PY Investment Income	$63,976,911	PYInvestmentIncomeAmt
CY Investment Income	$19,196,089	CYInvestmentIncomeAmt
PY Other Revenue	-$441,864	PYOtherRevenueAmt
CY Other Revenue	-$572,453	CYOtherRevenueAmt
PY Total Revenue	$2,930,199,547	PYTotalRevenueAmt
CY Total Revenue	$3,239,930,611	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,519,150	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$8,821,602	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,496,280,065	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,680,058,727	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,248,653,973	PYOtherExpensesAmt
CY Other Expenses	$1,426,011,028	CYOtherExpensesAmt
PY Total Expenses	$2,753,453,188	PYTotalExpensesAmt
CY Total Expenses	$3,114,891,357	CYTotalExpensesAmt
PY Revenues Less Expenses	$176,746,359	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$125,039,254	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,353,484,139	TotalAssetsBOYAmt
Total Assets EOY	$4,914,390,204	TotalAssetsEOYAmt
Total Liabilities BOY	$1,923,308,315	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,181,620,665	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,430,175,824	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,732,769,539	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,188,468,501	ExpenseAmt
Grant	$8,821,602	GrantAmt
Revenue	$2,617,112,312	RevenueAmt
Desc	MULTICARE HEALTH SYSTEM (MHS) IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTHCARE TAX-EXEMPT ORGANIZATION IN THE STATE OF WASHINGTON. MHS OPERATES EIGHT COMMUNITY BASED HOSPITALS WITH 1,720 LICENSED ADULT BEDS AND 82 LICENSED PEDIATRIC BEDS. DURING 2019 MHS HOSPITALS ADMITTED 70,357 PATIENTS FOR A TOTAL OF 353,811 PATIENT DAYS, PERFORMED 55,001 SURGERIES AND DELIVERED 8,494 BABIES. THERE WERE 13,112 NEWBORN DAYS DURING 2019. THEY ALSO PROVIDED CARE FOR 395,093 OUTPATIENT VISITS AND 411,304 EMERGENCY ROOM VISITS, OF WHICH 1,680 WERE TRAUMA PATIENTS. IN ADDITION, MHS, THROUGH THE COMMUNITY PARTNERSHIP FUND SUPPORTS ORGANIZATIONS WHOSE WORK IS IMPORTANT TO THE HEALTH OF THE COMMUNITIES IT SERVES IN PUGET SOUND AND EASTERN WA. IN 2019 MHS PROVIDED 90 GRANTS TO COMMUNITY ORGANIZATIONS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$427,602,537	ExpenseAmt
Revenue	$425,805,533	RevenueAmt
Desc	MULTICARE HEALTH SYSTEM OPERATES A SYSTEM OF MULTI-SPECIALTY CLINICS, A GRID OF HIGHLY SPECIALIZED URGENT CARE CENTERS (INDIGO), 7-DAYS/WEEK NEIGHBORHOOD WALK-IN FRIENDLY URGENT CARE CENTERS (IMMEDIATE), ALL THROUGHOUT PIERCE, KING, THURNSTON, KITSAP, SNOHOMISH COUNTIES AND IN THE EASTERN WA REGION.IN 2019 THE INDIGO, IMMEDIATE, MULTICARE URGENT CARE CENTERS AND ROCKWOOD CLINICS PROVIDED 460,300 CLINIC VISITS AND PERFORMED SPECIALIST SURGERIES AS FOLLOWS: PEDIATRIC, GENERAL, NEUROLOGIC, VASCULAR, SPINE, ORTHOPEDIC, GENERAL BREAST, PEDIATRIC ORTHOPEDIC, CARDIOTHORACIC, GENERAL BARIATRIC, COLORECTAL, PEDIATRIC NEUROSURGERY.(SEE SCHEDULE O)DURING 2019 THE MULTI-SPECIALTY CLINICS PROVIDED CARE FOR 154,106 OUTPATIENTS VISITS AND 72,185 PHYSICIAN VISISTS, AND PROCESSED 1,047,891 LABORATORY WORKLOAD UNITS, 166,341 IMAGING RELATIVE UNITS, 179,805 ONCOLOGY RELATIVE VALUE UNITS, 106,452 RADIATION ONCOLOGY VALUE UNITS, 2,605 THERAPY VALUE UNITS AND 1,829 PHARMACY WORKLOAD UNITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$117,894,159	ExpenseAmt
Revenue	$78,188,030	RevenueAmt
Desc	MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 460,408 PATIENT VISITS DURING 2019.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$58,970,883	ExpenseAmt
Revenue	$58,861,310	RevenueAmt
Desc	MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE BEHAVIORAL HEALTH, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH AND PSYCHOLOGY CHILDREN'S THERAPY UNIT. DURING 2019 THE CLINICS PROVIDED 43,663 HOME HEALTH VISITS, THE HOME HEALTH AND HOSPICE PROGRAMS ADMITTED 3,083 AND 1,358 PATIENTS, RESPECTIVELY. MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU) HELPS INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. IN 2019 CTU SERVED 734 PATIENTS. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$58,970,883	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$58,861,310	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$2,792,936,080	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1505	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	17867	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JASON MITCHELL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2534598331	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	737 S FAWCETT	AddressLine1Txt
City	TACOMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98402	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN FOLSOM
DIRECTOR	5.00	0.00	Yes (X)	$0	$0	$0
JOHN HALL
TREASURER	5.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SALLY B LEIGHTON
SECRETARY	5.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ROB R ROTH MD
DIRECTOR	5.00	0.00	Yes (X)	$0	$0	$0
L DALE SOWELL
DIRECTOR	5.00	0.00	Yes (X)	$0	$0	$0
JANINE TERRANO
DIRECTOR	5.00	0.00	Yes (X)	$0	$0	$0
DEEDRA WALKEY
VICE CHAIR	5.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JOHN WIBORG
CHAIR	5.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ROBERT A YOST
DIRECTOR	5.00	0.00	Yes (X)	$0	$0	$0
JOANNA MONROE
DIRECTOR	5.00	0.00	Yes (X)	$0	$0	$0
WILLIAM ROBERTSON
PRESIDENT & CEO	56.00	4.00		$2,809,083	$0	$578,460	Yes (X)
FLORENCE CHANG
EXECUTIVE VICE PRESIDENT	60.00	0.00		$1,440,170	$0	$482,260		Yes (X)
TIM BRICKER
SRVP/CHIEF EXEC-S. SOUND	60.00	0.00		$861,980	$0	$135,242		Yes (X)
DAVID CARLSON
SRVP,PROVIDER ENTERPRISES	58.00	2.00		$846,856	$0	$140,052		Yes (X)
DAVID O'BRIEN
SRVP/CHIEF EXEC-EAST. WA	60.00	0.00		$689,294	$0	$30,081		Yes (X)
JAMES MCMANUS
CFO	56.00	4.00		$557,120	$0	$71,411		Yes (X)
CHRISTI MCCARREN
SRVP,RETAIL HEALTH&COMMUNI	58.00	2.00		$576,901	$0	$36,448		Yes (X)
JEFFREY POLTAWSKY
PRES. MARY BRIDGE	60.00	0.00		$505,289	$0	$77,539		Yes (X)
SURAJ SINGH
PHYSICIAN	50.00	0.00		$1,957,277	$0	$94,208			Yes (X)
DAVID COONS
PHYSICIAN	50.00	0.00		$1,561,672	$0	$61,956			Yes (X)
NICOLAS A VILLA GUILLEN
PHYSICIAN	50.00	0.00		$1,451,011	$0	$40,270			Yes (X)
MIGUEL E ORDONEZ CASTELLANOS
PHYSICIAN	50.00	0.00		$1,324,527	$0	$37,120			Yes (X)
BENJAMIN CHEN
PHYSICIAN	50.00	0.00		$1,308,712	$0	$33,600			Yes (X)
SHELLY MULLIN
FORMER VP, FORMER KEY EMPL	50.00	0.00		$432,910	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,322,802	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,818,647	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3132	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TRAVEL NURSE ACROSS AMERICA LLC
5020 NORTHSHORE DR	N LITTLE ROCK	AZ	72118	STAFFING	$48,223,489
TACOMA ANESTHESIA ASSOCIATES INC PS
3633 PACIFIC AVE204	TACOMA	WA	98418	MEDICAL	$14,583,598
TRAUMA TRUST
POBOX 5299	TACOMA	WA	98415	MEDICAL	$8,203,243
SOUTH SOUND INPATIENT PHYSICIANS PLLC
POBOX 742936	LOS ANGELES	CA	90074	MEDICAL	$6,871,655
AQUITY SOLUTIONS LLC
POBOX 746366	ATLANTA	GA	30374	HEALTHCARE BUSINESS	$6,578,340

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	310	CntrctRcvdGreaterThan100KCnt
Related Organizations	$20,544,710	RelatedOrganizationsAmt
Government Grants	$20,795,080	GovernmentGrantsAmt
Total Contributions	$41,339,790	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
HEALTHCARE SERVICES	622110	$2,580,905,908	$2,580,610,016	$295,892
AMBULATORY SRVS & UCC	621493	$455,963,568	$455,791,325	$172,243
OFFICES OF PHYSICIANS	621111	$85,132,272	$85,132,272
HOME HEALTH	621610	$28,747,727	$28,747,727
OUTPATIENT MENTAL HLTH	621420	$22,841,995	$22,841,995

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,375,715	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,375,715	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,179,967,185	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,264,650	TotalRevenueColumnAmt
Unrelated Business Revenue	$29,833	UnrelatedBusinessRevenueAmt
Exclusion	$37,234,817	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$18,068,561	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$18,068,561	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$18,068,561	TotalRevenueColumnAmt
Exclusion	-$18,068,561	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$809,150	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,381,603	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$572,453	TotalRevenueColumnAmt
Exclusion	-$572,453	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,239,930,611	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,179,499,050	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$497,968	UnrelatedBusinessRevenueAmt
Exclusion	$18,593,803	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,821,602	TotalAmt
Program Services	$8,821,602	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,838,186	TotalAmt
Program Services	$8,639,152	ProgramServicesAmt
Management And General	$1,199,034	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$646,465	TotalAmt
Program Services	$646,465	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,443,456,736	TotalAmt
Program Services	$1,266,256,908	ProgramServicesAmt
Management And General	$177,199,828	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$42,636,531	TotalAmt
Program Services	$37,440,183	ProgramServicesAmt
Management And General	$5,196,348	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$93,485,593	TotalAmt
Program Services	$82,091,990	ProgramServicesAmt
Management And General	$11,393,603	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$89,995,216	TotalAmt
Program Services	$78,083,800	ProgramServicesAmt
Management And General	$11,911,416	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,625,748	TotalAmt
Program Services	$275,167	ProgramServicesAmt
Management And General	$3,350,581	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$519,225	TotalAmt
Management And General	$519,225	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$286,000	TotalAmt
Management And General	$286,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$315,405,512	TotalAmt
Program Services	$315,405,512	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,991,961	TotalAmt
Program Services	$4,472,106	ProgramServicesAmt
Management And General	$2,519,855	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,242,435	TotalAmt
Program Services	$15,141,005	ProgramServicesAmt
Management And General	$2,101,430	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$57,191,386	TotalAmt
Program Services	$50,221,157	ProgramServicesAmt
Management And General	$6,970,229	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$13,026,107	TotalAmt
Program Services	$7,188,954	ProgramServicesAmt
Management And General	$5,837,153	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$281,147	TotalAmt
Program Services	$135,188	ProgramServicesAmt
Management And General	$145,959	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$45,448,731	TotalAmt
Program Services	$39,909,644	ProgramServicesAmt
Management And General	$5,539,087	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$162,503,643	TotalAmt
Program Services	$142,698,431	ProgramServicesAmt
Management And General	$19,805,212	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$38,812,991	TotalAmt
Program Services	$34,082,638	ProgramServicesAmt
Management And General	$4,730,353	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$499,048,560	$492,349,737	$6,698,823
PROVISION FOR BAD DEBTS	$89,241,765	$89,241,765
WA HOSP. SAFETY NET PRO	$59,461,842	$59,461,842
LICENSES	$49,929,033	$6,680,710	$43,248,323

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$66,994,942	TotalAmt
Program Services	$53,692,124	ProgramServicesAmt
Management And General	$13,302,818	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,114,891,357	TotalAmt
Program Services	$2,792,936,080	ProgramServicesAmt
Management And General	$321,955,277	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$370,871,294	BOYAmt
EOY	$416,707,735	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$396,601,403	BOYAmt
EOY	$407,643,403	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$43,261,791	BOYAmt
EOY	$41,595,679	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$27,945,800	BOYAmt
EOY	$34,005,065	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,260,292,856	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,566,005,746	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,709,123,857	BOYAmt
EOY	$1,694,287,110	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,181,678,148	BOYAmt
EOY	$1,253,703,970	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$309,038,000	BOYAmt
EOY	$543,779,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$314,963,846	BOYAmt
EOY	$522,668,242	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,353,484,139	BOYAmt
EOY	$4,914,390,204	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$387,408,901	BOYAmt
EOY	$402,536,605	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,266,586,741	BOYAmt
EOY	$1,255,914,047	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$67,582	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$269,245,091	BOYAmt
EOY	$523,170,013	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,923,308,315	BOYAmt
EOY	$2,181,620,665	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,430,175,824	BOYAmt
EOY	$2,732,769,539	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,430,175,824	BOYAmt
EOY	$2,732,769,539	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,353,484,139	BOYAmt
EOY	$4,914,390,204	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$125,039,254	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$174,621,378	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,933,083	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$286,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$286,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LINE 1(G) - PAYMENTS TO LOBBYING FIRMS (INDEPENDENT CONTRACTORS) TO ACT AS OUR LIAISON WITH STATE AND FEDERAL GOVERNMENTS ON HEALTH CARE ISSUES AND THE PORTION OF MEMBERSHIP DUES PAID TO HOSPITAL ASSOCIATIONS WHICH IS USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,302,770	OtherCostOrOtherBasisAmt
Book Value	$115,302,770	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,925,958,694	OtherCostOrOtherBasisAmt
Depreciation	$733,369,413	DepreciationAmt
Book Value	$1,192,589,281	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$105,740,468	OtherCostOrOtherBasisAmt
Depreciation	$76,282,404	DepreciationAmt
Book Value	$29,458,064	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,012,619,520	OtherCostOrOtherBasisAmt
Depreciation	$756,353,929	DepreciationAmt
Book Value	$256,265,591	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$100,671,404	OtherCostOrOtherBasisAmt
Book Value	$100,671,404	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,694,287,110	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS-PRIVATE INVESTMENTS FUNDS	$211,455,000	F
LIMITED PARTNERSHIPS-PRIVATE EQUITY	$332,324,000	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$543,779,000	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$351,458,617
MARK TO MARKET BASIS SWAP	$1,262,336
BONDS HELD IN TRUST	$9,325
RIGHT OF USE LEASE ASSET, NET	$144,140,454
NET INVESTMENT IN LEASE	$25,797,510

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$522,668,242	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
LONG TERM RIGHT OF USE LEASE LIABILITY	$260,810,140
ACCRUED INTEREST PAYABLE	$15,168,103
INTEREST RATE SWAP	$88,311,151
EST.THIRD PARTY PAYOR SETTLE.	$3,561,779
OTHER LIABILITIES	$155,318,840

Field	Value	IRS element (for citing)
Total Liability	$523,170,013	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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."	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,197,180	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,197,180	NetCommunityBenefitExpnsAmt
Total Expense	0.01760	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$764,791,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$573,617,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$191,174,000	NetCommunityBenefitExpnsAmt
Total Expense	0.06320	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$817,988,180	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$573,617,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$244,371,180	NetCommunityBenefitExpnsAmt
Total Expense	0.08080	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	32	ActivitiesOrProgramsCnt
Persons Served	97148	PersonsServedCnt
Total Community Benefit Expns	$15,579,254	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,566,213	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,013,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	233	PersonsServedCnt
Total Community Benefit Expns	$17,994,260	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$685,515	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,308,745	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	67402	PersonsServedCnt
Total Community Benefit Expns	$63,495,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,984,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,510,672	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$695,183	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$140,711	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$554,472	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	75	PersonsServedCnt
Total Community Benefit Expns	$1,905,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,905,277	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	72	ActivitiesOrProgramsCnt
Persons Served	164859	PersonsServedCnt
Total Community Benefit Expns	$99,669,096	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,376,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,292,207	NetCommunityBenefitExpnsAmt
Total Expense	0.02190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	72	ActivitiesOrProgramsCnt
Persons Served	164859	PersonsServedCnt
Total Community Benefit Expns	$917,657,276	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$606,993,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$310,663,387	NetCommunityBenefitExpnsAmt
Total Expense	0.10270	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	492	PersonsServedCnt
Total Community Benefit Expns	$882,517	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$132,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$750,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	270	ActivitiesOrProgramsCnt
Persons Served	8860686	PersonsServedCnt
Total Community Benefit Expns	$1,331,503	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,184	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,305,319	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	272	ActivitiesOrProgramsCnt
Persons Served	8861178	PersonsServedCnt
Total Community Benefit Expns	$2,214,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158,217	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,055,803	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$89,241,765	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,956,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$418,177,156	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$480,617,701	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$62,440,545	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	8	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Childrens HospitalChildrensHospitalInd
MULTICARE TACOMA GENERAL HOSPITAL (TG)
1	315 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	WWW.MULTICARE.ORG/TACOMA-GENERAL-HOSPI	00000176	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
MULTICARE GOOD SAMARITAN HOSPITAL (GSH)
2	401 15TH AVE SE	PUYALLUP	WA	98372	WWW.MULTICARE.ORG/GOOD-SAMARITAN-HOSPI	00000081	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
MULTICARE DEACONESS HOSPITAL (DEAC)
3	800 W 5TH AVENUE	SPOKANE	WA	99204	WWW.MULTICARE.ORG/DEACONESS-HOSPITAL/	60769397	Yes (X)	Yes (X)			Yes (X)	A
MULTICARE AUBURN MEDICAL CENTER (AUB)
4	202 NORTH DIVISION STREET	AUBURN	WA	98001	WWW.MULTICARE.ORG/AUBURN-MEDICAL-CENTE	60311052	Yes (X)	Yes (X)			Yes (X)	A
MARY BRIDGE CHILDREN'S HOSPITAL (MBRIDGE)
5	315 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	WWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL	00000175	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A	Yes (X)
MULTICARE ALLENMORE HOSPITAL (ALLENMORE)
6	1901 SOUTH UNION	TACOMA	WA	98411	WWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/	00000176	Yes (X)	Yes (X)			Yes (X)	A
MULTICARE VALLEY HOSPITAL (VALLEY)
7	12606 EAST MISSION AVE	SPOKANE VALLEY	WA	99216	WWW.MULTICARE.ORG/VALLEY-HOSPITAL/	60769398	Yes (X)	Yes (X)			Yes (X)	A
MULTICARE COVINGTON HOSPITAL (COV)
8	17700 SE 272ND ST	COVINGTON	WA	98042	HTTPS://WWW.MULTICARE.ORG/COVINGTON-ME	60803817	Yes (X)	Yes (X)			Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE-POLICY/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE-FORMS/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.MULTICARE.ORG/FOR-PATIENTS/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: MULTICARE TACOMA GENERAL HOSPITAL (TG), - FACILITY 4: MULTICARE AUBURN MEDICAL CENTER (AUB), - FACILITY 6: MULTICARE ALLENMORE HOSPITAL (ALLENMORE), - FACILITY 7: MULTICARE VALLEY HOSPITAL (VALLEY), - FACILITY 8: MULTICARE COVINGTON HOSPITAL (COV), - FACILITY 3: MULTICARE DEACONESS HOSPITAL (DEAC), - FACILITY 2: MULTICARE GOOD SAMARITAN HOSPITAL (GSH), - FACILITY 5: MARY BRIDGE CHILDREN'S HOSPITAL (M.BRIDGE)
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 5:	MULTICARE HEALTH SYSTEM (MULTICARE) WORKED WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, PUBLIC HEALTH - SEATTLE AND KING COUNTY, AND THE SPOKANE REGIONAL HEALTH DISTRICT TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OF ITS' HOSPITAL SERVICE AREAS, FEATURING INPUT FROM COMMUNITY LEADERS AND RESIDENTS REPRESENTING MULTIPLE SECTORS AND POPULATION GROUPS. THE CHNA INCLUDES PRIMARY DATA GATHERED FROM A COMMUNITY SURVEY, WORKSHOPS AND STAKEHOLDER INTERVIEWS, IN ADDITION TWO INFORMATION COLLECTED FROM SECONDARY QUANTITATIVE SOURCES.COMMUNITY SURVEY: MORE THAN 1,600 PIERCE COUNTY AND SOUTH KING COUNTY RESIDENTS WERE SURVEYED ABOUT THEIR COMMUNITY HEALTH NEEDS. THE SURVEY, CONDUCTED, IN 2018, SOUGHT RESIDENTS' VIEWS ON HEALTH STATUS, CRIME & SAFETY, SOCIAL CONNECTEDNESS, HEALTHCARE, AND OTHER ISSUES THAT IMPACT THE QUALITY OF LIFE.COMMUNITY ENGAGEMENT PROCESS:TO COMPLEMENT THE COMMUNITY SURVEY, A COMMUNITY ENGAGEMENT PROCESS FURTHER SOLICITED INPUT FROM THE PUBLIC. THE PROCESS INCLUDED THREE STAGES: CONDUCTING KEY LEADER INTERVIEWS, NOTING OVERARCHING THEMES, HOLDING COMMUNITY WORKSHOPS, DOCUMENTING THE MOST IMPORTANT ISSUES PER RESIDENTS AND INVITING KEY STAKEHOLDERS TO REFLECT ON AND PRIORITIZE HEALTH NEEDS FOR EACH OF THE MULTICARE'S HOSPITALS. THE GROUPS WERE FACILITATED BY THE HEALTH DEPARTMENT AND MULTICARE HEALTH SYSTEM.KEY LEADER INTERVIEWS: A SERIES OF INTERVIEWS WERE HELD TO SOLICIT INPUT ON THE STRENGTHS, ASSETS, RESOURCES, AND HEALTH PRIORITIES IN THE MULTICARE HOSPITAL SERVICE AREAS. TEN INTERVIEWS WERE CONDUCTED WITH 12 PIERCE COUNTY ORGANIZATIONAL LEADERS ACROSS 7 SECTORS. MANY OF THESE LEADERS REPRESENTED COMMUNITY ORGANIZATIONS THAT SERVE LOW-INCOME AND MINORITY RESIDENTS. THE QUESTIONS ASKED INCLUDED: 1. WHAT ARE SOME NOTEWORTHY PEOPLE, PLACES AND ACTIVITIES THAT YOU FEEL MAKE YOUR COMMUNITY HEALTHY, SAFE AND EQUITABLE? 2. WHAT ARE SOME CONCERNS YOU OR YOUR ORGANIZATION HAS/HAVE ABOUT THE CONDITIONS THAT IMPACT THE HEALTH OF PIERCE COUNTY RESIDENTS RIGHT NOW? 3. IN YOUR OPINION, HOW CAN HEALTH CARE SYSTEMS PARTNER IN ADDRESSING THE ISSUES YOU HAVE IDENTIFIED?COMMUNITY WORKSHOPS TEN COMMUNITY WORKSHOPS WERE HELD THROUGHOUT PIERCE COUNTY. PARTICIPANTS WERE ASKED TO CONSIDER THE FOLLOWING QUESTIONS: 1. WHAT DO YOU THINK MAKES AN "IDEAL" COMMUNITY OR NEIGHBORHOOD?2. WHAT NEEDS TO CHANGE ABOUT YOUR COMMUNITY OR NEIGHBORHOOD?THE WORKSHOPS REPRESENTED DIVERSE POPULATION GROUPS, INCLUDING LOW INCOME RESIDENTS, PEOPLE OF DIFFERENT AGES, PEOPLE OF DIFFERENT RACE/ETHNICITY, AND THOSE AFFECTED BY HEALTH DISPARITIES.INTERNAL STAKEHOLDER REVIEW MEETINGS:FINALLY, THE ASSESSMENT PROCESS INVOLVED INVITING KEY LEADERS AT MULTICARE TO REVIEW THE RESULTS OF THE PREVIOUS COMMUNITY INPUT, AS WELL AS RELEVANT HEALTH INDICATOR DATA (MAY 2019). DURING THESE MEETINGS EXECUTIVES, PHYSICIAN, NURSES, AND OUTPATIENT LEADERS WERE PRESENTED WITH THE SELECTED HEALTH PRIORITIES FOR EACH HOSPITAL, AS DETERMINED BY THE RESPECTIVE HEALTH DEPARTMENTS USING THE FOLLOWING CRITERIA:1. WAS THE HEALTH CONCERN OR INDICATOR SIGNIFICANTLY WORSE IN THE HOSPITAL SERVICE AREA THEN IN THE STATE?2. WAS THE HEALTH CONCERN TRENDING WORSE OVER TIME?3. WAS A HEALTH CONCERN REPEATEDLY VOICED DURING THE COMMUNITY ENGAGEMENT PORTION OF THE ASSESSMENT?4. DOES THE HEALTH CONCERN HAVE HEALTH INEQUITIES ASSOCIATED WITH RACE, ETHNICITY OR GENDER?THE KEY COMMUNITY LEADERS & ORGANIZATIONS INVOLVED IN THE 2019 INCLUDE:CINDAN GIZZI, COMMUNITY ASSESSMENT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,KAREN MEYER, COMMUNITY LIAISON SPECIALIST, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,INGRID PAYNE, PROJECT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,EMILY TURK, PROGRAM ANALYST, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,PETER ANSARA, PIERCE COUNTY HUMAN SERVICES, MARY CHIKWINYA, TACOMA COMMUNITY COLLEGE, DIANA COMFORT, BIG BROTHERS BIG SISTERS OF PUGET SOUND,HOLLY NEWMAN DZYBAN, BIG BROTHERS BIG SISTERS OF PUGET SOUND, SUE DREIER, PIERCE TRANSIT, LAURIE JINKINS, WASHINGTON STATE REPRESENTATIVE 27TH LEGISLATIVE DISTRICT,NEIL JOHNSON, MAYOR OF BONNEY LAKE, BEV LOSEY, BROWN & BROWN INSURANCE, CHRISTINE LYNCH AND DEREK MURPHY, OLALLA RECOVERY CENTERS/GIG HARBOR RECOVERY CENTER,EDIE MORGAN, MUSTARDSEED PROJECT, DEIRDRE RAYNOR, UNIVERSITY OF WASHINGTON TACOMA, CHUCK WEST, KEY PENINSULA FIRE DEPARTMENT,EATONVILLE COMMUNITY COALITION,EATONVILLE EXCEPTIONAL FAMILIES NETWORK,LAKEWOOD FIFE-MILTON-EDGEWOOD FOOD BANK,FIFE GRAHAM COMMUNITY COALITION,GRAHAM HILLTOP NEIGHBORHOOD RESIDENTS,TACOMA KEY PENINSULA VIOLENCE PREVENTION COALITION,LAKEBAY NURSE FAMILY PARTNERSHIP SUPPORT GROUP,LAKEWOOD PRAIRIE RIDGE COMMUNITY DINNER-PRAIRIE RIDGE, RAINBOW CENTER TACOMA, SAMOAN RESIDENTS, EASTSIDE TACOMA,GLORIA ALBETTA, PUBLIC HEALTH- SEATTLE & KING COUNTY, KAYLIN BOLT, PUBLIC HEALTH- SEATTLE & KING COUNTY, ANNE BUHER, PUBLIC HEALTH- SEATTLE & KING COUNTY,LOUISE CARTER, PUBLIC HEALTH- SEATTLE & KING COUNTY, NADINE CHAN, PUBLIC HEALTH- SEATTLE & KING COUNTY, SUSAN HERNANDEZ, PUBLIC HEALTH- SEATTLE & KING COUNTY, JOIE HSU, PUBLIC HEALTH- SEATTLE & KING COUNTY, ELI KERN, PUBLIC HEALTH- SEATTLE & KING COUNTY, SUSAN KINNE, PUBLIC HEALTH- SEATTLE & KING COUNTY, AMY LAURENT, PUBLIC HEALTH- SEATTLE & KING COUNTY, JAY MARSHALL, PUBLIC HEALTH- SEATTLE & KING COUNTY, ALASTAIR MATHESON, PUBLIC HEALTH- SEATTLE & KING COUNTY, MARGUERITE RO,PUBLIC HEALTH- SEATTLE & KING COUNTY, SARA JAYE SANFORD, PUBLIC HEALTH- SEATTLE & KING COUNTY, MIKE SMYSER, PUBLIC HEALTH- SEATTLE & KING COUNTY, LIN SONG, PUBLIC HEALTH- SEATTLE & KING COUNTY, KIM TIPPENS, PUBLIC HEALTH- SEATTLE & KING COUNTY, MARIKO TOYOJI, PUBLIC HEALTH- SEATTLE & KING COUNTY, EVA WONG, PUBLIC HEALTH- SEATTLE & KING COUNTY, STACY WENZL, ASSOCIATE DIRECTOR OF COMMUNITY HEALTH, SPOKANE REGIONAL HEALTH DISTRICT, STEVEN SMITH, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, ASHLEY BECK, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, AMY RIFFE, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, AMBER LENHART, SPOKANE REGIONAL HEALTH DISTRICT, DANIELLE WRENN, SPOKANE REGIONAL HEALTH DISTRICT.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH MORE HOSPITAL FACILITIES, AS FOLLOWS:MULTICARE TACOMA GENERAL HOSPITAL,MULTICARE GOOD SAMARITAN HOSPITAL,MULTICARE AUBURN MEDICAL CENTER,MULTICARE ALLENMORE HOSPITAL,MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL,MULTICARE DEACONESS HOSPITAL,MULTICARE VALLEY HOSPITAL,MULTICARE COVINGTON HOSPITAL.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 6B:	THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN THE HOSPITAL FACILITIES AS FOLLOWS:TACOMA PIERCE COUNTY HEALTH DEPARTMENT,CHI FRANSISCAN HEALTH,PUBLIC HEALTH SEATTLE KING COUNTY,KING COUNTY HOSPITALS FOR A HEALTHY COMMUNITY,SPOKANE REGIONAL HEALTH DISTRICT,PRIORITY SPOKANE.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 7D:	THE CHNA IS BROADLY DISTRIBUTED TO COMMUNITY PARTNERS, WHO SHARE THESE REPORTS INTERNALLY AND EXTERNALLY THROUGH A COMPUTER-BASED LEARNING MODULE AVAILABLE TO MULTICARE EMPLOYEES AND THROUGH PRESENTATIONS WITH COMMUNITY GROUPS, INCLUDING LOCAL UNIVERSITIES, COMMUNITY SERVICE ORGANIZATIONS, COMMUNITY COALITIONS, REGIONAL BOARDS AND COUNCILS, HOSPITAL LEADERS, AND DEPARTMENTAL STAFF.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 11:	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY & IDENTIFIED THROUGH THE CHNA. THEY ARE AS FOLLOWS: ACCESS TO CARE: ALLENMORE, GOOD SAMARITAN, TACOMA GENERAL, MARY BRIDGE CHILDREN'S, DEACONESS & VALLEY HOSPITALS, AUBURN & COVINGTON MEDICAL CENTERS, BEHAVIORAL HEALTH.CANCER: GOOD SAMARITAN HOSPITAL. CHILDHOOD IMMUNIZATIONS: BOTH AUBURN & COVINGTON MEDICAL CENTERS, MARY BRIDGE CHILDREN'S HOSPITAL.INJURIES (UNINTENTIONAL): ALLENMORE, GOOD SAMARITAN & TACOMA GENERAL HOSPITALS.INTENTIONAL INJURIES (SUICIDE & VIOLENCE): DEACONESS & VALLEY HOSPITALS.MATERNAL & CHILD HEALTH: ALLENMORE , MARY BRIDGE CHILDREN'S & TACOMA GENERAL HOSPITALS.OBESITY: ALLENMORE, GOOD SAMARITAN, TACOMA GENERAL & DEACONESS HOSPITALS.YOUTH OBESITY: MARY BRIDGE CHILDREN'S HOSPITAL.ORAL HEALTH CARE (POVERTY): DEACONESS & VALLEY HOSPITALS.PHYSICAL HEALTH SPECIFICALLY OBESITY, CANCER AND DIABETES: AUBURN & COVINGTON MEDICAL CENTERS.DIABETES: VALLEY HOSPITAL.SMOKING: DEACONESS HOSPITAL.HOUSING & HOMELESSNESS: AUBURN & COVINGTON MEDICAL CENTERS. DUE TO LIMITED RESOURCES AND EXPERTISE, THE HOSPITALS LEADERSHIPS DECIDED NOT TO ADDRESS THESE NEEDS.MATERNAL AND CHILD HEALTH: ALLENMORE. SINCE THE HOSPITAL DOES NOT OFFER MATERNAL AND CHILD HEALTH SERVICES, NOR HAS EXPERTISE IN THIS SPECIALTY, THE HOSPITAL WILL NOT ADDRESS THIS NEED.DIABETES, SMOKING, OBESITY: DUE TO LIMITED RESOURCES AND EXPERTISE, VALLEY HOSPITAL LEADERSHIP DECIDED NOT TO ADDRESS DIABETES AND OBESITY, AND DEACONESS HOSPITAL LEADERSHIP DECIDED NOT TO ADDRESS SMOKING.CANCER: ALTHOUGH AUBURN AND COVINGTON MEDICAL CENTERS WILL FOCUS ON PHYSICAL HEALTH, THEY WILL NOT SPECIFICALLY ADDRESS CANCER BECAUSE THE HOSPITALS DO NOT SPECIALIZE IN CANCER CARE.THE FOLLOWING STRATEGIES WILL BE EMPLOYED TO ADDRESS THE IDENTIFIED COMMUNITY NEEDS:ACCESS TO CARE- 1. CONTINUE TO SUPPORT MEDICAL TEAMS INTERNATIONAL'S MOBILE DENTAL PROGRAM THROUGH ON-SITE CLINICS, REFERRALS AND SHARED MARKETING EFFORTS. 2.EXPLORE INCREASED SHARED MARKETING EFFORTS - THROUGH SOCIAL MEDIA, WEBSITE LINKS, DISTRIBUTION OF MATERIALS AND ATTENDANCE AT COMMUNITY EVENTS - TO PROMOTE LINDQUIST DENTAL CLINIC FOR CHILDREN (LDCC). 3. EXPLORE THE CREATION OF AN EPIC SMARTPHRASE TO REFER YOUTH IN NEED TO LDCC. 4. EXPLORE PARTNERSHIPS BETWEEN LDCC AND MULTICARE WIC CLINICS, PRENATAL AND PRIMARY CARE, AND OTHER DEPARTMENTS AND PROGRAMS. 5. SUPPORT MULTICARE VIRTUAL CARE SERVICES FOR COMMUNITY MEMBERS. 6. SUPPORT MULTICARE'S DISPATCH HEALTH SERVICES TO PROVIDE ON-DEMAND, IN-PERSON HOME CARE TO PATIENTS LIVING IN TACOMA OR PIERCE COUNTY.7. CONTINUE TO SUPPORT THE PRESCRIPTION DRUG ASSISTANCE NETWORK FOR LOW-INCOME INDIVIDUALS. 8. PROMOTE THE AUBURN RESPITE PROGRAM TO ASSIST DEPENDENT SENIORS. 9.CONTINUE TO SUPPORT THE SEATTLE/KING COUNTY CLINIC.BEHAVIORAL HEALTH- 1. INCREASE TIMELY ACCESS TO SERVICES. 2. PROMOTE INTEGRATION OF PHYSICAL AND BEHAVIORAL HEALTH CARE. 3. CONTINUE TO INTEGRATE SUBSTANCE USE TREATMENT INTO THE MEDICAL CARE SETTING. 4. EXPAND CAPACITY TO PROVIDE CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT. 5. PROVIDE GRIEF AND LOSS SUPPORT TO CHILDREN THROUGH THE BRIDGES PROGRAM.6. PARTNER WITH COMMUNITY HEALTH AGENCIES TO PROVIDE THERAPY SERVICES TO CHILD VICTIMS OF ABUSE. 7. DEVELOP A SURVEY TOOL TO ASSESS BEHAVIORAL HEALTH RESOURCES AMONG COMMUNITY PARTNERS. 8. DEVELOP A SYSTEM TO SHARE RESOURCES IN THE COMMUNITY. 9. IDENTIFY GAPS IN CARE AND CONNECT CLIENTS TO COORDINATED RESOURCES BY FOSTERING CONTRACTUAL RELATIONSHIPS, SHARED KNOWLEDGE AND TRAINING AMONG THE EMERGENCY DEPARTMENT AND COMMUNITY PARTNERS.CANCER- 1. INCREASE COMMUNITY EDUCATION AND SCREENINGS FOR PROSTATE AND URINARY CANCERS. 2. SMOKING CESSATION COUNSELING INTO PROVIDER VISITS. 3. INCREASE GENETIC SCREENING RATES AND EDUCATION. 4. CONTINUE TO PROMOTE HPV VACCINATION.CHILDHOOD IMMUNIZATIONS- 1. SUPPORT AND PROMOTE ACCESS TO MULTICARE CLINICS, INCLUDING PRIMARY CARE. 2. PROMOTE PUBLIC HEALTH PARTNERSHIPS. 3. CONTINUE TO PROMOTE THE USE OF THE WA STATE IMMUNIZATION INFORMATION SYSTEM (IIS).INJURIES (UNINTENTIONAL) - 1. SUPPORT THE STOP THE BLEED WA CAMPAIGN. 2. PROMOTE EVIDENCE-BASED FALL PREVENTION PROGRAMS FOR OLDER ADULTS, INCLUDING: 3. INCREASE PARTICIPATION IN LOCAL, STATE AND NATIONAL COALITIONS, INCLUDING THE FOLLOWING: 4. PROMOTE EDUCATIONAL OPPORTUNITIES FOR MULTICARE STAFF, OTHER HEALTH CARE SYSTEMS AND COMMUNITY MEMBERS.5. SCREEN EVERY NEW MOTHER AFTER DELIVERY AND PRIOR TO DISCHARGE FOR SAFETY AT HOME. 6. DEVELOP A COMPREHENSIVE SCREENING TOOL FOR SUICIDE AND VIOLENCE TO BE USED WITHIN MULTICARE. 7. PROVIDE VIOLENCE PREVENTION TRAINING FOR STAFF THAT ADDRESSES TOPICS SUCH AS INTERGENERATIONAL CYCLES OF VIOLENCE AND REFERRAL PROTOCOLS FOR SURVIVORS AND VICTIMS.INJURIES (INTENTIONAL)1. SCREEN EVERY NEW MOTHER AFTER DELIVERY AND PRIOR TO DISCHARGE FOR SAFETY AT HOME. 2. DEVELOP A COMPREHENSIVE SCREENING TOOL FOR SUICIDE AND VIOLENCE TO BE USED WITHIN MULTICARE. 3. PROVIDE VIOLENCE PREVENTION TRAINING FOR STAFF THAT ADDRESSES TOPICS SUCH AS INTERGENERATIONAL CYCLES OF VIOLENCE AND REFERRAL PROTOCOLS FOR SURVIVORS AND VICTIMS.MATERNAL AND CHILD HEALTH -1. CONTINUE TO PROVIDE FREE PREGNANCY TESTS AT THE MULTICARE OB. ACCESS CLINIC, IN PARTNERSHIP WITH MATERNAL SUPPORT SERVICES. 2. EXPLORE PROMOTING WOMEN'S HEALTH SERVICES AT COMMUNITY OUTREACH EVENTS. 3. PROVIDE EDUCATION AND SUPPORT TO WOMEN WHO ARE PREGNANT, OR PLANNING TO BECOME PREGNANT, AND OFFER THESE SERVICES IN MULTIPLE LANGUAGES. 4. CONTINUE TO PROVIDE VIRTUAL CARE, WITH INTERPRETER SERVICES, FOR LOW-RISK PREGNANCIES. 5. EXPLORE THE DEVELOPMENT OF A COMMUNITY RESOURCE TOOLKIT THAT FOCUSES ON HPV PREVENTION AND SCREENING. 6. CONNECT PREGNANT WOMEN TO TOBACCO CESSATION RESOURCES. 7. EXPLORE OFFERING CHILDBIRTH EDUCATION CLASSES TO NATIVE HAWAIIAN/PACIFIC ISLANDER AND AMERICAN INDIAN COMMUNITIES 8. PROVIDE AMERICAN INDIAN CULTURAL SENSITIVITY TRAINING FOR MATERNAL/CHILD HEALTH STAFF. 9. REFER CLIENTS TO COMMUNITY RESOURCES THAT SUPPORT HEALTHY BIRTH OUTCOMES, SUCH AS BLACK INFANT HEALTH.10. OFFER CHILD-SAFETY EDUCATION, INCLUDING SAFE SLEEP GUIDELINES AND CAR SEAT SAFETY.OBESITY -1. INCREASE ACCESS TO HEALTHY FOODS. 2. INCREASE COLLABORATION WITH COMMUNITY PARTNERS ON PROGRAMS AND POLICIES TO IMPROVE THE HEALTH OF OUR COMMUNITY. 3. PROMOTE COMMUNITY AWARENESS AND UNDERSTANDING OF THE READY, SET, GO! 5210 (RSG! 5210) PROGRAM AND MESSAGE. 4. INCREASE PARTICIPATION IN COMMUNITY PROGRAMS, CLASSES AND EVENTS, INCLUDING THE YMCA'S EMPOWERING PREGNANCY AND MOTHERHOOD PROGRAM AND HEALTHY KIDS DAY. 5. PROMOTE WEIGHT MANAGEMENT PROGRAMS AND SERVICES. 6. SEEK GRANTS THAT SUPPORT HEALTH EQUITY 7. INCREASE KNOWLEDGE AND BEST PRACTICE EDUCATION AROUND THE BENEFITS OF BREASTFEEDING. 8. INCREASE ACCESS TO AND PROMOTION OF PHYSICAL ACTIVITY AMONG MULTICARE EMPLOYEES AND COMMUNITY MEMBERS.YOUTH OBESITY- 1. INCREASE ACCESS TO HEALTHY FOODS 2. INCREASE COLLABORATION WITH COMMUNITY PARTNERS ON PROGRAMS AND POLICIES TO IMPROVE THE HEALTH OF OUR COMMUNITY 3. PROMOTE COMMUNITY AWARENESS AND UNDERSTANDING OF THE READY, SET, GO! 5210 (RSG! 5210) PROGRAM AND MESSAGE. 4. INCREASE PARTICIPATION IN COMMUNITY PROGRAMS, CLASSES AND EVENTS, INCLUDING THE YMCA'S EMPOWERING PREGNANCY AND MOTHERHOOD PROGRAM AND HEALTHY KIDS DAY. 5. PROMOTE WEIGHT MANAGEMENT PROGRAMS AND SERVICES. 6. SEEK GRANTS THAT SUPPORT HEALTH EQUITY 7. INCREASE KNOWLEDGE AND BEST-PRACTICE EDUCATION ABOUT THE BENEFITS OF BREASTFEEDING. 8. INCREASE ACCESS TO AND PROMOTION OF PHYSICAL ACTIVITY AMONG MULTICARE EMPLOYEES AND COMMUNITY MEMBERS.PHYSICAL HEALTH - 1. INCREASE ACCESS TO HEALTHY FOODS. 2. INCREASE COLLABORATION WITH COMMUNITYPARTNERS ON PROGRAMS AND POLICIES TO IMPROVE THE HEALTH OF OUR COMMUNITY. 3. PROMOTE COMMUNITY AWARENESS AND UNDERSTANDING OF THE READY, SET, GO! 5210 (RSG! 5210) PROGRAM AND MESSAGE. 4. INCREASE PARTICIPATION IN COMMUNITY PROGRAMS, CLASSES AND EVENTS, INCLUDING THE YMCA'S HEALTHY KIDS DAY 5. PROMOTE WEIGHT MANAGEMENT PROGRAMS AND SERVICES. 6. SEEK GRANTS THAT SUPPORT HEALTH EQUITY. 8. INCREASE KNOWLEDGE AND BEST-PRACTICE EDUCATION ABOUT THE BENEFITS OF BREASTFEEDING. 9. INCREASE ACCESS TO AND PROMOTION OF PHYSICAL ACTIVITY AMONG MULTICARE EMPLOYEES AND COMMUNITY MEMBERS. 10. PROMOTE MULTICARE'S HYPERTENSION GUIDELINE THAT ADDRESSES MEDICATION ADJUSTMENT, LIFESTYLE CHANGES AND METHODS FOR MEASURING BLOOD PRESSURE BOTH IN THE OFFICE AND AT HOME.ORAL HEALTH (POVERTY)- 1. COLLABORATE WITH AREA PARTNERS TO EDUCATE THE PUBLIC ABOUT THE EXTENT AND IMPACT OF ORAL HEALTH PROBLEMS ON INDIVIDUALS AND FAMILIES; WORK WITH OUR PARTNERS TO IMPROVE ACCESS TO ORAL HEALTH SERVICES AND RESOURCES FOR LOW-INCOME AND UNDERSERVED POPULATIONS. 2. FACILITATE CONTINUOUS QUALITY IMPROVEMENT & PRACTICE COACHING TO SUPPORT MEDICAL-DENTAL INTEGRATION IN PEDIATRIC CLINICS BY PARTNERING WITH SMILE SPOKANE. 3. INTEGRATE ORAL HEALTH CARE.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 16J:	MULTICARE'S TACOMA GENERAL, GOOD SAMARITAN, AUBURN, ALLENMORE, MARY BRIDGE, DEACONESS, VALLEY AND COVINGTON HOSPITALS:THE POLICY IS POSTED ON THE WA STATE - DEPARTMENT OF HEALTH WEBSITE. THE HOSPITAL'S BILLING INVOICES INCLUDE REFERENCES TO WHERE AND HOW TO CONTACT SOMEONE TO OBTAIN A COPY OF THE FINANCIAL ASSISTANCE POLICY.LINE 16ITHE FAP AND THE PLAIN LANGUAGE SUMMARY ARE TRANSLATED IN THE MULTICARE PATIENT GUIDE IN 3 LANGUAGES AND CAN BE FOUND AT: HTTPS://WWW.MULTICARE.ORG/FOR-PATIENTS./MULTICARE HEALTH SYSTEM HAS TRANSLATED ITS FAP APPLICATION AND PLAIN LANGUAGE SUMMARY INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS. MHS IS IN THE PROCESS OF TRANSLATING ITS FINANCIAL ASSISTANCE POLICY AND INTENDS TO HAVE THIS COMPLETED DURING 2020. READERS ARE ENCOURAGED TO USE GOOGLE TRANSLATE TO TRANSLATE THE ENGLISH VERSION OF THE POLICY IN THE INTERIM.

Field	Value	IRS element (for citing)
Facility	92	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (92 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - COVINGTON AMBULATORY SURGERY CENTER &UCC
17700 SE 272 STREET	COVINGTON	WA	98042	OP SURGERY, RX, LAB, URGENT CARE
2 - KENT CLINIC
222 STATE AVE NORTH	KENT	WA	98031	FAMILY MEDICINE
3 - GIG HARBOR MEDICAL PARK & UCC
4545 POINT FOSDICK DRIVE	GIG HARBOR	WA	98335	OP SURG,RX,LAB,ONCOLOGY,URGENT CARE
4 - AUBURN IMAGING & URGENT CARE CENTER
202 CROSS STREET SE	AUBURN	WA	98001	IMAGING, URGENT CARE
5 - AUBURN VASCULAR LAB
202 N DIVISION ST SUITE 300-301	AUBURN	WA	98001	VASCULAR LAB
6 - TACOMA FAMILY MEDICINE
521 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
7 - OBSTETRICS ACCESS CLINIC
522 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
8 - MULTICARE OBGYN ASSOCIATES
523 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
9 - PODIATRY CLINIC
524 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
10 - MATERNAL FETAL MEDICINE
524 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
11 - SILVERDALE CLINIC
1780 NW MYRTLE RD SUITE G220	SILVERDALE	WA	98383	OP PHYSICIAN CLINIC
12 - OLYMPIA CLINIC
200 LILLY ROAD NE BUILDING C	OLYMPIA	WA	98506	OP PHYSICIAN CLINIC
13 - PUYALLUP CLINIC
1803 SOUTH MERIDIAN SUITE B	PUYALLUP	WA	98371	OP PHYSICIAN CLINIC
14 - CHILDREN'S THERAPY UNIT
402 15TH AVE SE	PUYALLUP	WA	98372	OUTPATIENT CHILDREN'S THERAPY UNIT
15 - HEALTH RESOURCE CENTER
2622 S MERIDIAN	PUYALLUP	WA	98372	OP PHYSICIAN CLINIC
16 - CARDIAC REHABILITATION CENTER
16515 MERIDIAN E SUITE 200B	PUYALLUP	WA	98372	CARDIAC REHABILITATION
17 - PET-CT CLINIC
400 15TH AVE SE	PUYALLUP	WA	98372	IMAGING TESTING FACILITY
18 - MULTICARE REGIONAL CANCER CENTER AUBURN
121 N DIVISION ST STE 100	AUBURN	WA	98001	OP PHYSICIAN CLINIC
19 - MARY BRIDGE WOMAN'S & CHILDREN'S CLINIC
3504 12TH AVE NW	OLYMPIA	WA	98506	OP PHYSICIAN CLINIC
20 - MULTICARE ORTHO&SPORTS MEDICINE MOUNTAIN
1550 S UNION AVE STE 210	TACOMA	WA	98405	OP SURG,RX,LAB, CHIRO
21 - MULTICARE WEST TACOMA CLINIC & UCC
2209 N PEARL ST STE 100	TACOMA	WA	98406	OP SURG,RX,LAB, CHIRO
22 - MULTICARE FREDERICKSON CLINIC
5612 176TH STREET	FEDERAL WAY	WA	98375	PRIMARY CARE PRACTICE
23 - MULTICARE KENT UCC & HEALTHWORKS
222 STATE AVE N	KENT	WA	98030	URGENT CARE CLINIC AND OCC MEDICINE
24 - MULTICARE LAKEWOOD UCC & HEALTHWORKS
5700 100TH ST SW	LAKEWOOD	WA	98499	URGENT CARE CLINIC AND OCC MEDICINE
25 - MULTICARE SPANAWAY URGENT CARE
225 176TH ST S	SPANAWAY	WA	98387	URGENT CARE CLINIC
26 - MULTICARE UNIVERSITY PLACE URGENT CARE
4310 BRIDGEPORT WAY W	UNIVERSITY PLACE	WA	98466	URGENT CARE CLINIC
27 - MARY BRIDGE PED OUTPATIENT-GIG HARBOR
4700 PT FOSDICK DR NW	GIG HARBOR	WA	98335	URGENT CARE CLINIC
28 - MARY BRIDGE PED OUTPATIENT-OLYMPIA
3504 12TH AVENUE NE	OLYMPIA	WA	98506	URGENT CARE CLINIC
29 - MULTICARE MAPLE VALLEY CLINIC
24080 SE KENT KANGLEY ROAD	MAPLE VALLEY	WA	98038	OP PHYSICIAN CLINIC
30 - MULTICARE EATONVILLE FAMILY PRACTICE
118 WASHINGTON AVE N	EATONVILLE	WA	98328	OP PHYSICIAN CLINIC
31 - MULTICARE ORTHOPEDIC SPINE AND HAND
1450 5TH ST SE STE 4200	PUYALLUP	WA	98372	OP SURG,RX,LAB, CHIRO
32 - MULTICARE ORTHOPEDICS & SPORTS AUBURN
121 N DIVISION ST STE 310	AUBURN	WA	98001	OP SURG,RX,LAB, CHIRO
33 - MULTICARE HEALTHWORKS KENT
6719 S 211TH AT STE 102	KENT	WA	98032	OCCUPATIONAL MEDICINE CLINIC
34 - MULTICARE HEALTHWORKS FIFE
502 54TH AVE E	FIFE	WA	98424	OCCUPATIONAL MEDICINE CLINIC
35 - MULTICARE HEALTHWORKS TACOMA
3124 S 19TH ST	TACOMA	WA	98405	OCCUPATIONAL MEDICINE CLINIC
36 - MULTICARE GOOD SAMARITAN CANCER CENTER
1519 4TH ST SE	PUYALLUP	WA	98371	OP SURG,RX,LAB,ONCOLOGY,URGENT CARE
37 - MULTICARE BONNEY LAKE WIC CLINIC
10004 204TH AVE SE	BONNEY LAKE	WA	98391	WOMEN,INFANT,CHILD CLINIC
38 - MULTICARE INDIGO TACOMA
1812 S MILDRED ST STE H	TACOMA	WA	98465	URGENT CARE CLINIC
39 - MULTICARE INDIGO TUKWILLA
17275 SOUTHCENTER PKWY STE 160	TUKWILLA	WA	98188	URGENT CARE CLINIC
40 - MULTICARE INDIGO MILL CREEK
800 164TH ST SE STE P	MILL CREEK	WA	98012	URGENT CARE CLINIC
41 - MULTICARE INDIGO SEATTLE
118 NE 45TH ST SUITE A	SEATTLE	WA	98105	URGENT CARE CLINIC
42 - MULTICARE INDIGO BOTHELL
24118 BOTHELL EVERETT HWY BUILDING	BOTHELL	WA	98021	URGENT CARE CLINIC	E SU
43 - MULTICARE INDIGO ISSAQUAH
6140 E LAKE SAMMAMISH PKWY SE SUITE	ISSAQUAH	WA	98029	URGENT CARE CLINIC	F
44 - MULTICARE INDIGO COVINGTON
27111 167TH PL SE SUITES 101 103	COVINGTON	WA	98042	URGENT CARE CLINIC	105
45 - MULTICARE INDIGO LAKE STEVENS
809 VERNON RD	LAKE STEVENS	WA	98258	URGENT CARE CLINIC
46 - MULTICARE INDIGO OLYMPIA
345 COOPER POINT RD NW STE 10	OLYMPIA	WA	98502	URGENT CARE CLINIC
47 - MULTICARE INDIGO PUYALLUP
15125 MERIDIAN AVE E STE 101	PUYALLUP	WA	98375	URGENT CARE CLINIC
48 - MULTICARE INDIGO KIRKLAND
12475 TOTEM LAKE BLVD NE	KIRKLAND	WA	98034	URGENT CARE CLINIC
49 - MULTICARE INDIGO LACEY
5128 YELM HWY D5128 STE DF	LACEY	WA	98503	URGENT CARE CLINIC
50 - MULTICARE IMMEDIATE SEATTLE CAPITOL HILL
1512 BROADWAY	SEATTLE	WA	98122	URGENT CARE CLINIC
51 - MULTICARE IMMEDIATE SEATTLE QUEEN ANNE
610 - 1ST AVENUE NORTH	SEATTLE	WA	98109	URGENT CARE CLINIC
52 - MULTICARE IMMEDIATE SEATTLE CROWN HILL
9000 HOLMAN ROAD NW SUITE A1	SEATTLE	WA	98117	URGENT CARE CLINIC
53 - MULTICARE IMMEDIATE SEATTLE-LAKE CITY
3050 NE 127TH STREET	SEATTLE	WA	98125	URGENT CARE CLINIC
54 - MULTICARE IMMEDIATE SHORELINE
20120 BALLINGER WAY NE	SHORELINE	WA	98155	URGENT CARE CLINIC
55 - MULTICARE IMMEDIATE BURIEN 15870-1ST AVE
15870 - 1ST AVENUE SOUTH	BURIEN	WA	98148	URGENT CARE CLINIC
56 - MULTICARE IMMEDIATE BURIEN 15500-1ST AVE
15500 - 1ST AVENUE SOUTH 106	BURIEN	WA	98148	URGENT CARE CLINIC
57 - MULTICARE IMMEDIATE BELLEVUE
15600 NE 8TH STREET SUITE A-4	BELLEVUE	WA	98008	URGENT CARE CLINIC
58 - MULTICARE IMMEDIATE KIRKLAND
13718 - 100TH AVENUE EAST	KIRKLAND	WA	98034	URGENT CARE CLINIC
59 - MULTICARE IMMEDIATE REDMOND
13131 NE 85TH STREET	KIRKLAND	WA	98033	URGENT CARE CLINIC
60 - MULTICARE IMMEDIATE BOTHELL
23131 BOTHELL EVERETT HWY	BOTHELL	WA	98021	URGENT CARE CLINIC
61 - MULTICARE IMMEDIATE LYNWOOD
4725 - 196TH STREET	LYNNWOOD	WA	98036	URGENT CARE CLINIC
62 - MULTICARE IMMEDIATE EVERETT
607 SE EVERETT MALL WAY SUITE 2	EVERETT	WA	98208	URGENT CARE CLINIC
63 - MULTICARE IMMEDIATE POULSBO
20730 BOND ROAD NE SUITE 205	POULSBO	WA	98370	URGENT CARE CLINIC
64 - MULTICARE INDIGO RAINIER
3820 RAINIER AVE S	SEATTLE	WA	98118	URGENT CARE CLINIC
65 - MULTICARE INDIGO POINT RUSTON
5005 RUSTON WAY	TACOMA	WA	98407	URGENT CARE CLINIC
66 - MULTICARE INDIGO FEDERAL WAY
31861 GATEWAY CENTER BLVD S	FEDERAL WAY	WA	98003	URGENT CARE CLINIC
67 - MULTICARE INDIGO SOUTH HILL
4911 SOUTH REGAL STREET	SPOKANE	WA	99223	URGENT CARE CLINIC
68 - MULTICARE INDIGO SPOKANE VALLEY
15605 E SPRAGUE AVE	SPOKANE	WA	99223	URGENT CARE CLINIC
69 - MULTICARE INDIGO NORTH SPOKANE
9420 NORTH NEWPART HWY	SPOKANE	WA	99218	URGENT CARE CLINIC
70 - MULTICARE ROCKWOOD URGENT CARE DOWNTOWN
400 E 5TH AVE	SPOKANE	WA	99202	URGENT CARE CLINIC
71 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC
1706 S MERIDIAN	PUYALLUP	WA	98371	URGENT CARE CLINIC
72 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC
11102 SUNRISE BLVD	PUYALLUP	WA	98374	URGENT CARE CLINIC
73 - MULTICARE PUYALLUP URGENT CARE
220 15TH AVE SE	PUYALLUP	WA	98372	URGENT CARE CLINIC
74 - MULTICARE ROCKWOOD CHENEY
19 NORTH STREET	CHENEY	WA	99004	PRIMARY CARE PRACTICE
75 - MULTICARE ROCKWOOD DEER PARK
20 E J ST	DEER PARK	WA	99006	PRIMARY CARE PRACTICE
76 - MULTICARE ROCKWOOD LIBERTY LAKE
1326 N STANFORD	LIBERTY LAKE	WA	99019	PRIMARY CARE PRACTICE
77 - MULTICARE ROCKWOOD MEDICAL LAKE
725 N STANLEY ST	MEDICAL LAKE	WA	99022	PRIMARY CARE PRACTICE
78 - MULTICARE ROCKWOOD NORTHPOINTE
605 E HOLLAND STREET	SPOKANE	WA	99218	PRIMARY CARE PRACTICE
79 - MULTICARE ROCKWOOD PRAIRIE FAMILY MED
3016 E 57TH AVE	SPOKANE	WA	99223	PRIMARY CARE PRACTICE
80 - MULTICARE ROCKWOOD QUAIL RUN CLINIC
2214 E 29TH AVE	SPOKANE	WA	99203	PRIMARY CARE PRACTICE
81 - MULTICARE ROCKWOOD SOUTH VALLEY CLINIC
13221 E 32ND AVE	SPOKANE	WA	99216	PRIMARY CARE PRACTICE
82 - MULTICARE SUMNER ASSOCIATES
5814 GRAHAM AVE	SUMNER	WA	98390	PRIMARY CARE PRACTICE
83 - MULTICARE ROCKWOOD VALLEY CLINIC
14408 E SPRAGUE AVE	SPOKANE VALLEY	WA	99216	PRIMARY CARE PRACTICE
84 - OLYMPIC SPORTS AND SPINE LLC
6050 TACOMA MALL BLVD	TACOMA	WA	98409	PHYSICAL AND OCCUPATIONAL THERAPY
85 - AUBURN IMAGING PARTNERS
125 3RD STREET	AUBURN	WA	98002	IMAGING TESTING FACILITY
86 - VP SURGERY OF AUBURN
1002 15TH AVE SW	AUBURN	WA	98001	OP SURG,RX,LAB, CHIRO
87 - REDICLINIC OF WA LLC
9 E GREENWAY PLAZA STE 2950	HOUSTON	TX	77046	PHARMACY AND PRIMARY CARE
88 - MULTICARE INDIGO MAPPLE VALLEY
26380 238TH LN SE SUITE 100	MAPLE VALLEY	WA	98038	URGENT CARE CLINIC
89 - MULTICARE INDIGO MARYSVILLE
3822 116TH ST NE	MARYSVILLE	WA	98271	URGENT CARE CLINIC
90 - MULTICARE INDIGO TUMWATER
704 TROSPER RD SW 118	TUMWATER	WA	98512	URGENT CARE CLINIC
91 - MULTICARE CENTER FOR WEIGHT LOSS
408 LILLY ROAD NE	OLYMPIA	WA	98506	WEIGHT LOSS AND WELLNESS
92 - MULTICARE FAMILY MEDICINE -CANYON ROAD
11025 CANYON RD E STE A	PUYALLUP	WA	98373	FAMILY MEDICINE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	PATIENTS MAY BE DETERMINED AS PRESUMPTIVELY ELIGIBLE FOR CHARITY IF THEY QUALIFY FOR MEDICAID OR IF THEY ARE HOMELESS.
PART I, LINE 7:	THE AMOUNTS ARE CALCULATED BASED ON A COST-TO-CHARGE RATIO WHICH WAS CALCULATED BASED ON WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.
PART I, LINE 7G:	NONE OF THE SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PHYSICIAN CLINICS.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBTS THAT WERE EXCLUDED FROM THE TOTAL EXPENSES WHEN CALCULATING THE PERCENTAGE IN COLUMN (F) WAS $89,241,765.PART III, SECTION A, LINE 2, COSTING METHODOLOGY:THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.3-4. PART III, SECTION A, LINE 3, RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $2,956,000 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF THE ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT. AS PART OF OUR COMMUNITY NEEDS ASSESSMENT, WE STUDIED THE INCOME CHARACTERISTICS OF THE UNINSURED POPULATION IN OUR COMMUNITY. AS PART OF THIS STUDY, WE ALSO LOOKED AT WHAT PORTION OF UNINSURED INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA WOULD BE ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. WE APPLIED THIS PERCENTAGE TO OUR TOTAL AMOUNT OF BAD DEBT EXPENSE RECORDED TO ESTIMATE THE PORTION OF SELF-PAY BAD DEBT THAT WAS REASONABLY ATTRIBUTABLE TO INDIVIDUALS ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY BUT NOT PREVIOUSLY RECORDED AS SUCH. WE SUBTRACTED THE ACTUAL AMOUNT OF FINANCIAL ASSISTANCE RECORDED FROM THIS CALCULATED FIGURE. THE RESULT IS OUR ESTIMATE OF THE AMOUNT THAT SHOULD BE CONSIDERED COMMUNITY BENEFIT COST AND IS ENTERED ON PART III, LINE 3.
PART II, COMMUNITY BUILDING ACTIVITIES:	MULTICARE HEALTH SYSTEM IS ENGAGED IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES. MULTICARE EMPLOYEES PARTICIPATE IN MANY VOLUNTEER PROGRAMS IN THE COMMUNITY, INCLUDING THE AMERICAN RED CROSS, THE PIERCE COUNTY DIABETES COALITION, UNITED WAY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, THE YWCA, WHICH OPERATES A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN, THE AMERICAN CANCER SOCIETY, AND MANY MORE OTHER ORGANIZATIONS.THE FOLLOWING ACTIVITIES BY REGION, AVAILABLE TO ALL COMMUNITY MEMBERS, PROVIDE OPPORTUNITIES FOR IMPROVED PHYSICAL, MENTAL, AND EMOTIONAL HEALTH:A) INLAND NORTHWEST REGION:- DOMESTIC VIOLENCE AND ADVOCACY SERVICES AND RESOURCE ASSISTANCE IN COLLABORATION WITH THE YWCA;- SPOKANE REGIONAL DOMESTIC VIOLENCE COALITION;- BETTERHEALTHTOGETHER (ACH) LEARNING COLLABORATIVES & FREE TRAINING SESSIONS;- WASHINGTON PEER ALLIANCE COALITION; - NATIONAL INSTITUTE FOR MENTAL ILLNESS EDUCATION AND SPEAKING SERIES; - RECOVERY CAF EDUCATION AND VIRTUAL WORKSHOP SERIES; - A BEHAVIORAL PROGRAM IN PARTNERSHIP WITH PIONEER HUMAN SERVICES AND CORAM INFUSION, HELPING PATIENTS WITH LONG-TERM IV DRUG USE RECEIVE SUBSTANCE USE DISORDER ASSESSMENTS AND INPATIENT TREATMENT, PEER COUNSELING SERVICES, AND BEHAVIORAL HEALTH TREATMENT;- DEACONESS MENTAL HEALTH ASSOCIATES, A PROGRAM THAT HIRED AND TRAINED SPECIALISTS TO IMPROVE THE CARE OF BEHAVIORAL HEALTH PATIENTS IN THE EMERGENCY DEPARTMENT; - SPOKANE REGIONAL EMERGENCY COMMAND CENTER BEHAVIORAL HEALTH TASK FORCE;- GRANT-FUNDED PROGRAM NAMED "BETTERHEALTH THROUGH HOUSING PROVIDENCE", IN COLLABORATION WITH BETTERHEALTHTOGETHER, SNAP, SPOKANE HOUSING AUTHORITY, CHPW, AND MOLINA;- A PROGRAM TO HELP CHRONICALLY HOMELESS PATIENTS WITH BEHAVIORAL HEALTH AND SUBSTANCE USE NEEDS GET INTO STABLE HOUSING AFTER 4 EMERGENCY DEPARTMENT VISITS IN 6 MONTHS; - SEXUAL ASSAULT NURSE EXAMINERS (SANE NURSES) AVAILABLE TO PATIENTS IN THE HOSPITALS AND ED;- QUARTET, AN ONLINE WEB-BASED PORTAL TO IMPROVE THE COORDINATION OF BEHAVIORAL HEALTH REFERRALS, ENSURING PATIENTS HAVE MORE TIMELY ACCESS TO BEHAVIORAL HEALTH CARE WITHIN THE COMMUNITY; - EAT, SLEEP AND CONSOLE PROGRAM ADDRESSING BABIES BEING BORN WITH DRUG ADDICTION SYMPTOMS;- HOUSE OF CHARITY RESPITE CARE FOR HOMELESS AND COLLABORATION WITH CATHOLIC CHARITIES OF E. WA; -PREVENT SUICIDE SPOKANE COALITION;- REGIONAL EMERGENCY & DISASTER HEALTHCARE CORRELATION LEADERSHIP PARTICIPATION AND CENTRAL COMMAND CENTER;- SPOKANE REGIONAL OPIOID TASK FORCE;-END THE VIOLENCE CAMPAIGN;- "SMILE SPOKANE LEADERSHIP IMPACT NETWORK PARTICIPATING MEMBER" TO IMPROVE ORAL HEALTH CARE IN EDUCATION IN SPOKANE COUNTY; -UNDERSERVED ELEMENTARY AND MIDDLE SCHOOL STUDENT OUTREACH PROGRAMS WITH PINES MIDDLE SCHOOL, BROADWAY ELEMENTARY AND REGAL ELEMENTARY, PROVIDING SCHOOL SUPPLIES, SCIENCE EDUCATION AND WINTER CLOTHING;- ANNUAL TREE OF GIVING;- SPOKANE VALLEY PARTNERS COLLABORATION SUPPORTING THE FOOD BANK, CLOTHING BANK, EMERGENCY ASSISTANCE, FOOD4THOUGHT PROGRAM, FOOD EXPRESS, INLAND NW BABY DIAPER BANK, CAREER CLOTHING BANK AND A SUMMER FOOD DRIVE;- ANNUAL BRIDGE TO BRUNCH COMMUNITY 5K RUN/WALK PROVIDED BY MULTICARE AS A COMMUNITY EVENT SUPPORTING AND RAISING AWARENESS FOR A COMMUNITY CANCER FUND; -CLINICAL, EMOTIONAL AND FINANCIAL ONGOING SUPPORT OF FREEMAN HIGH SCHOOL STUDENTS, STAFF AND FAMILIES FOLLOWING THE 2017 SHOOTING;- HOOPFEST, PROVIDING 2 - DAYS OF MEDICAL AND VOLUNTEER SUPPORT FOR 6000 TEAMS AND 225,000 FANS;- AMERICAN HEART AND STROKE WALK AND ANNUAL FUNDRAISING SUPPORT CAMPAIGN;OPERATING HEALTHY FAMILY PARTNERSHIP FOR ORAL HEALTH EDUCATION & LINK TO DENTAL CARE;- BIG TABLE PARTNERSHIP FROM ORAL HEALTH;- WSU HEALTHY PEOPLE HEALTHY PETS PARTNERSHIP TO PROVIDE VACCINATIONS TO HOMELESS AND LOW-INCOME INDIVIDUALS AND THEIR PETS;- "ACCOUNTABLE COMMUNITY OF HEALTH PARTNER" FOR IMPROVING ACCESS TO CARE FOR LOW-INCOME MEDICAID POPULATION IN BEHAVIORAL HEALTH, OPIOID USE, CHRONIC DISEASE MANAGEMENT, ORAL HEALTH AND HEALTH EQUITY;- TELEPSYCH SERVICES FOR ED/INPATIENT CARE;- OUT OF THE DARKNESS WALK FOR SUICIDE PREVENTION;- SECOND HARVEST'S TOM'S TURKEY DRIVE PROVIDING LOCAL FAMILIES WITH THANKSGIVING MEALS;- PARTNERSHIP WITH FREEMAN SCHOOLS SCOTTY DASH TO SUPPORT ACADEMIC, SPORT, EXTRACURRICULAR AND FACILITY NEEDS;-VALLEYFEST COMMUNITY CELEBRATION TITLE SPONSOR PROVIDING VISUAL AND PERFORMING ARTS, EDUCATION, SCIENCE, AND RECREATION TO THE COMMUNITY IN SPOKANE VALLEY AND BEYOND;- SPOKANE COUNTY MEALS ON WHEELS SUPPLIED SAFETY EQUIPMENT, SO MEALS COULD SAFELY BE DISTRIBUTED DURING HEAVY FIRE SEASON;- FAMILY PROMISE OF SPOKANE HOMELESS SHELTER PROVIDED SAFETY EQUIPMENT TO HELP REMODEL THEIR NEW AND LARGER SHELTER;- MULTICARE DEACONESS HOSPITAL RONALD MCDONALD FAMILY ROOMS PROVIDED FOR ANY FAMILIES WITH CHILDREN IN THE HOSPITAL.B) PUGET SOUND:- TACOMA TRAUMA TRUST IS A COLLABORATION OF MULTICARE, FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE TRAUMA CARE TO THE SOUTH PUGET SOUND REGION;- FALLS PREVENTION PROGRAM FOR THE ELDERLY;- SEXUAL ASSAULT PREVENTION PROGRAM IN THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT VICTIMS OF SEXUAL ASSAULT;- BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;- MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND THE MARY BRIDGE CHILDREN'S ADVOCACY CENTER;- BRIDGES: A CENTER FOR GRIEVING CHILDREN;- HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;- GRIEF AND LOSS SERVICES;- FAMILY CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;- CANCER CAMP FOR CHILDREN WITH CANCER;- WOMAN, INFANTS AND CHILDREN (WIC) PROGRAM;- SAFE KIDS;- SAFE SHORES;- THE CENTER FOR HEALTH EQUITY & WELLNESS NUTRITION AND FITNESS EDUCATION, WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS:- PUGET SOUND ASTHMA COALITION;- DIABETES SERVICES;- CONSULTING NURSE TELEPHONE SERVICE;- CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS. MULTICARE PROVIDES SUBSIDIZED NO-COST HOUSING THROUGH TREEHOUSE FOR IMMEDIATE FAMILY MEMBERS WHEN THEIR LOVED ONES RECEIVE MEDICAL CARE AT A MULTICARE HOSPITAL. FINANCIAL ASSISTANCE IS OFFERED SO THAT NO ELIGIBLE FAMILY IS TURNED AWAY BECAUSE OF INABILITY TO PAY. IN ADDITION, THE COMMUNITY PARTNERSHIP FUND OFFERS FINANCIAL SUPPORT TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE HOUSING ASSISTANCE TO HOMELESS INDIVIDUALS, INCLUDING CATHOLIC COMMUNITY SERVICES, AND THE KOREAN WOMEN'S ASSOCIATION.
PART III, LINE 8:	COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN, AUBURN, COVINGTON, DEACONESS AND VALLEY HOSPITALS WAS THE 2019 MEDICARE COST REPORTS. SINCE MARY BRIDGE CHILDREN'S HOSPITAL FILES A LOW MEDICARE UTILIZATION COST REPORT, THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT (PS&R) WAS USED. THE COST TO CHARGE RATIO, AS CALCULATED FROM THE INCOME STATEMENT, WAS APPLIED TO THE PS&R GROSS MEDICARE CHARGES TO CALCULATE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. MARY BRIDGE COSTS REPRESENT LESS THAT 0.1% OF THE TOTAL.MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT:THE HOSPITAL BELIEVES THAT ALL OF THE $62.5 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 26.81% OF HOSPITAL REVENUES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES.
PART III, LINE 9B:	MULTICARE'S DEBT COLLECTION POLICY STATES THAT "MHS WILL ALSO CLEARLY COMMUNICATE TO PATIENTS AND APPLICABLE PARTIES THE VARIOUS ASSISTANCE PROGRAMS MHS OFFERS BASED ON THE SITE OF SERVICE." IF THE PATIENT FOLLOWS THROUGH WITH THE APPLICABLE ASSISTANCE APPOINTMENTS, I.E., MEETING WITH MEDICAID OR COUNTY AGENCIES TO COMPLETE THE NECESSARY APPLICATION PROCESS, MULTICARE WILL NOT SEND THE ACCOUNT TO A BAD DEBT COLLECTION AGENCY.THERE ARE CIRCUMSTANCES WHERE A PATIENT DOES NOT RESPOND TO MULTICARE'S BILLING STATEMENTS AND IS SENT TO COLLECTIONS. AT THIS POINT, WHEN THEY ARE IN COLLECTIONS, IF THEY REQUEST FINANCIAL ASSISTANCE AND MEET CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICY'S FEDERAL POVERTY GUIDELINES (FPG), THE COLLECTIONS WILL NOT BE PURSUED.
PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PART VI, LINE 2:	MULTICARE WORKS COLLABORATIVELY WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE AND TO DEVELOP PROGRAMS AND SERVICES TO MEET THOSE NEEDS. COMMUNITY PARTNERS INCLUDE: THE TACOMA - PIERCE COUNTY HEALTH DEPARTMENT, THE PIERCE COUNTY MEDICAL SOCIETY, THE UNITED WAY OF PIERCE COUNTY, THE CITY OF TACOMA, THE TACOMA PUBLIC SCHOOL DISTRICT, YWCA OF SPOKANE, CHAS HEALTHSMILE SPOKANE, YMCA OF GREATER SEATTLE, PUBLIC HEALTH SEATTLE & KING COUNT, AND MANY MORE. MULTICARE HEALTH SYSTEM UTILIZES THE DATA FROM ITS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AS WELL AS THE FEDERAL AND STATE-LEVEL DATA TO DETERMINE THE MOST PRESSING HEALTH CARE NEEDS FOR ITS SERVICE AREAS. FOR MORE DETAILED INFORMATION, SEE PART V, SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B.
PART VI, LINE 3:	FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. FINANCIAL AID INFORMATION IS POSTED ON THE MULTICARE.ORG EXTERNAL WEBSITE.PRE-SERVICE CENTER STAFF STARTS CONVERSATIONS WITH PATIENTS ABOUT THEIR POTENTIAL FINANCIAL RESPONSIBILITY AND SHARE PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE INFORMATION WITH THE PATIENT DURING THIS INITIAL PHONE CALL. AT THE TIME OF REGISTRATION (WHETHER PRE-REGISTERED OR NOT), PATIENTS ARE NOTIFIED ABOUT THEIR INSURANCE COVERAGE AND FINANCIAL LIABILITIES. FINANCIAL COUNSELORS ARE AVAILABLE IF A NEED IS IDENTIFIED. IF A PATIENT DOES NOT HAVE INSURANCE, MULTICARE WORKS WITH PATIENTS TO VERIFY POTENTIAL STATE/FEDERAL ELIGIBILITY OR ROUTE THEM TO FINANCIAL AID IF APPROPRIATE. FINANCIAL AID APPLICATIONS ARE HANDED OUT AT ALL SERVICE LOCATIONS UPON REQUEST OR WHEN A NEED IS IDENTIFIED BY STAFF. PATIENTS ARE ALSO GIVEN AN INFORMATIONAL BILLING HANDOUT AT REGISTRATION/ADMISSION WITH INFORMATION TO CONTACT FINANCIAL COUNSELORS IF THEY MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILL.
PART VI, LINE 4:	MULTICARE HEALTH SYSTEM IS A WASHINGTON STATE INTEGRATED DELIVERY SYSTEM THAT OPERATES IN TWO REGIONS, THE PUGET SOUND AND THE INLAND NORTHWEST.THE PRIMARY SERVICE AREA FOR THE PUGET SOUND IS DEFINED AS PIERCE AND SOUTH KING COUNTIES, WHICH INCLUDES THE CITIES OF TACOMA, PUYALLUP, UNIVERSITY PLACE, LAKEWOOD, BONNEY LAKE, GIG HARBOR, AUBURN, KENT, FEDERAL WAY AND COVINGTON. THE SECONDARY SERVICE AREA IS DEFINED AS NE KING, KITSAP AND THURSTON COUNTIES. THERE ARE 12 HOSPITALS IN PIERCE AND SOUTH KING COUNTIES, AND SIX OF THEM ARE MULTICARE HOSPITALS. THE PUGET SOUND REGION IS A MIX OF BOTH URBAN AND SUBURBAN COMMUNITIES. THE POPULATION OF THE PUGET SOUND REGION, INCLUSIVE OF PRIMARY AND SECONDARY SERVICE AREAS, IS 4,269,349 INDIVIDUALS.ACCORDING TO THE MOST RECENT US CENSUS DATA, 74.8% OF PIERCE COUNTY'S POPULATION IS CAUCASIAN; 7.6% IS AFRICAN-AMERICAN, 6.9% IS ASIAN, 1.8% IS NATIVE AMERICAN, 1.7% IS NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 11.1 ARE OF HISPANIC OR LATINO ORIGIN, 7.3% IS SOME OTHER RACE OR TWO OR MORE RACES. OVER 10% OF INDIVIDUALS IN THE COUNTY ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IS $67,868. IN ADDITION, "THE ROBERT WOOD JOHNSON FOUNDATION 2018 COUNTY HEALTH RANKINGS" REPORT THAT 7% OF THE PIERCE COUNTY POPULATION IS UNINSURED.THE PRIMARY SERVICE AREA FOR THE INLAND NORTHWEST REGION IS DEFINED AS SPOKANE WHICH INCLUDES THE CITIES OF SPOKANE, SPOKANE VALLEY, CHENEY, MEDICAL LAKE, AIRWAY HEIGHTS AND LIBERTY LAKE. THE SECONDARY SERVICE AREA IS DEFINED AS ADAMS, LINCOLN, PEND ORIELLE, STEVENS AND WHITMAN COUNTIES. THERE ARE SEVEN HOSPITALS IN TOTAL IN SPOKANE COUNTY, AND TWO OUT OF THEM ARE MULTICARE HOSPITALS. THE INLAND NORTHWEST'S POPULATION, INCLUSIVE OF THE PRIMARY AND SECONDARY SERVICE AREAS, IS 649,780 INDIVIDUALS, WITH A MEDIAN HOUSEHOLD INCOME OF $54,852. ACCORDING TO THE MOST RECENT CENSUS DATA, THE RACIAL ETHNIC MAKEUP OF SPOKANE COUNTY WAS 88.9% WHITE, 2.4% ASIAN, 2% BLACK OR AFRICAN AMERICAN, 1.8% AMERICAN INDIAN OR ALASKA NATIVE, 0.6% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 4.2% IDENTIFYING AS TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 6.1% OF THE POPULATION. ABOUT 13.0% OF THE POPULATION LIVE IN POVERTY.MULTICARE HEALTH SYSTEM INCLUDES A LARGE NETWORK OF PRIMARY AND SPECIALTY PROVIDERS, AND IS LICENSED FOR 1,802 BEDS AND OPERATES SEVERAL OUTPATIENT SURGICAL SITES IN OTHER URGENT CARE, PRIMARY CARE AND MULTISPECIALTY CLINICS. MULTICARE HEALTH SYSTEM PROVIDES SERVICES DESIGNED TO MEET THE SPECIFIC HEALTHCARE REQUIREMENTS OF THE POPULATION, WITH A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT PROGRAMS MADE AVAILABLE IN CONJUNCTION WITH THE RESOURCES OF OTHER COMMUNITY HEALTH PROVIDERS.
PART VI, LINE 5:	MULTICARE HEALTH SYSTEM IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS REPRESENT THE COMMUNITY, AND HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS'S "COMMUNITY BENEFIT STANDARD," A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. MULTICARE HEALTH SYSTEM HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITIES. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE-OF-THE-ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS STAFF FROM MANY DEPARTMENTS CONDUCT COMMUNITY BENEFIT PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION, PROMOTION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY.MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE.IN THE PUGET SOUND REGION, THIS INCLUDES: TACOMA TRAUMA TRUST, A COLLABORATIVE OF MULTICARE, CHI FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE ADULT TRAUMA CARE;FALLS PREVENTION PROGRAM FOR THE ELDERLY;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT SEXUAL ASSAULT VICTIMS;BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND MARY BRIDGE CHILDREN'S ADVOCACY CENTER;BRIDGES: A CENTER FOR GRIEVING CHILDREN;MARY BRIDGE MOBILE IMMUNIZATION CLINIC; HEALTH EQUITY COMMUNITY ADVISORY BOARD;HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;GRIEF AND LOSS SERVICES;CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;CANCER CAMP FOR CHILDREN WITH CANCER;WOMAN, INFANT AND CHILDREN (WIC) PROGRAM;SAFE KIDS;SAFE SHORES;CENTER FOR HEALTH EQUITY AND WELLNESS NUTRITION AND FITNESS EDUCATION;WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;PUGET SOUND ASTHMA COALITION;DIABETES SERVICES;CONSULTING NURSE TELEPHONE SERVICE;CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;WORKFORCE DEVELOPMENT PARTNERSHIP WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL;PARTNERSHIP WITH AREA COLLEGE NURSING PROGRAMS IN A NURSING RESIDENCY PROGRAM;NURSE CAMP, A WEEK-LONG PROGRAM FOR HIGH SCHOOL STUDENTS SEEKING TO EXPLORE NURSING AND ALLIED HEALTH PROFESSIONS;FREE SPORTS PHYSICALS FOR TACOMA SCHOOL DISTRICT STUDENTS;READY, SET, GO! 5210, A COMMUNITY-WIDE PUBLIC-PRIVATE PARTNERSHIP TO PROMOTE HEALTHY LIFESTYLES FOR CHILDREN AND FAMILIES;SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;SCHOLARSHIP FOR PARENTS EDUCATION;ASSISTIVE TECHNOLOGY PROGRAM PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;PROJECT ACCESS AND PROJECT NW TO HELP IMPROVE HEALTH OUTCOMES AND REDUCE INAPPROPRIATE EMERGENCY ROOM USE. PROJECT ACCESS ALSO PROVIDES PREMIUM ASSISTANCE FOR PATIENTS.IN THE INLAND NW ( EASTERN WA-SPOKANE):PROJECT ACCESS, PROVIDING CHARITABLE CARE FOR THOSE NEEDING PRIMARY AND SPECIALTY CARE SERVICES;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM PROVIDING CARE TO ADULT SEXUAL ASSAULT VICTIMS;PARTNERING RELATIONSHIP WITH INW BEHAVIORAL HEALTH HOSPITAL FOR PSYCHIATRIC CARE;AMERICAN BEHAVIORAL HEALTH SERVICES PARTNERSHIP;TUBERCULOSIS TESTING FOR WSU MEDICAL STUDENTS;FLU VACCINATION FOR EWU AND WSU STUDENTS;AMERICAN HEART ASSOCIATION BROWN BAG LUNCH PROVIDER PRESENTATION;TOBACCO CESSATION AND RESOURCES AND EDUCATION FOR PATIENTS AND COMMUNITY MEMBERS IN PARTNERSHIP WITH SPOKANE REGIONAL HEALTH DISTRICT;WSDOT EDUCATIONAL OUTREACH IN SLEEP HEALTH, BODY MECHANICS, WARNING SIGNS, AND RISK DETECTION OF CHRONIC AND ACUTE CONDITIONS OF MAJOR HEALTH PROBLEMS;VOLUNTEER MEDICAL DIRECTOR FOR EWU ATHLETICS; BREAST HEALTH EVENT TO INCREASE ACCESS TO SCREENING AND RISK AWARENESS EDUCATION;THE PROVISION OF BEHAVIORAL HEALTH SERVICES TO EWU STUDENTS; DOMESTIC VIOLENCE AND RESOURCE AWARENESS TRAINING FOR MULTICARE EMPLOYEES;PIONEER HUMAN SERVICES PARTNERSHIP;JASPR HEALTH PARTNERSHIP FOR IMPROVING THERAPEUTIC CARE OF SUICIDAL PATIENTS IN THE ED. THE HOSPITALS OF THE AFFILIATED GROUP UTILIZE FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING BUT NOT LIMITED TO:EDUCATIONAL PROGRAMS ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, HEALTH AND WELLNESS, AND NUTRITION; FREE MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE LOW COST IMMUNIZATIONS IN THE COMMUNITY; EXPANSION OF THE EMERGENCY DEPARTMENTS TO ACCOMMODATE AN INCREASE IN EMERGENCY DEPARTMENT PATIENTS; SENIOR MEMBERSHIP AFFINITY PROGRAM; CANCER TRIALS AND RESEARCH; MULTICARE INSTITUTE FOR RESEARCH & INNOVATION; CARE MANAGEMENT, POWER OF ATTORNEY, AND NOTARY SERVICE MEDICATIONS; CHILDREN'S THERAPY UNIT; ASSISTIVE TECHNOLOGY PROGRAM; COMMUNITY EDUCATION: TRANSFUSION FREE MEDICAL & SURGICAL PROGRAM; MULTICARE GOOD SAMARITAN READERS; FAMILY BIRTH CENTER AND CLASSES AND SERVICES; AND MOBILE HEALTH SERVICES, PALLIATIVE CARE, PHYSICAL MEDICINE & REHABILITATION, AND VOLUNTEER SERVICES. INLAND NORTHWEST OFFERINGS & PARTNERSHIPS INCLUDE BUT ARE NOT LIMITED TO:BREASTFEEDING CLASSES;CHILDBIRTH EDUCATION;SAFE INFANT SLEEP;EASTERN WASHINGTON UNIVERSITY AND WESTERN STATE UNIVERSITY STUDENT;HEALTH TB TESTING & FLU VACCINATION PROGRAM;ALS CAREGIVERS SUPPORT GROUP;SCLERODERMA SUPPORT GROUP;SPOKANE COUNTY COLLEAGUES AND WASHINGTON STATE UNIVERSITY NURSING;ROUNDING CONFERENCE;EWU STUDENT THERAPY SERVICES; SUBSTANCE USE DISORDER PROGRAM WITH PIONEER HUMAN SERVICES;OUD/MAT TREATMENT PROGRAM UNDER SOR GRANT; OUD/MAT OUTPATIENT TREATMENT PROGRAM UNDER HUB AND SPOKE MODEL; HOUSING PROGRAM WITH BHT AND OTHER PARTNERS FOR CHRONICALLY HOMELESS PATIENTS IN THE ED;THERAPEUTIC SERVICES PARTNERSHIP WITH JASPR HEALTH FOR SUICIDAL PATIENTS IN THE ED; VIDEO TRAINING ON HOSPITAL RESPONSE PROGRAM WITH THE YWCA OF SPOKANE FOR DOMESTIC VIOLENCE AWARENESS AND TRAINING; SPONSORSHIP OF TWO PSYCHIATRIC DNP STUDENTS AT WSU FOR TWO LEADERSHIP DEVELOPMENT & PROCESS IMPROVEMENT CLASSES; QUARTET DIGITAL BEHAVIORAL HEALTH REFERRAL COORDINATION IMPLEMENTATION; UNIVERSITY OF WASHINGTON AIMS CENTER PARTNERSHIP IN IMPLEMENTING COLLABORATIVE CARE (INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH) IN THE INW AT ROCKWOOD. IN 2015, MULTICARE HEALTH SYSTEM LAUNCHED THE COMMUNITY GRANTS PROGRAM: THE MULTICARE COMMUNITY PARTNERSHIP FUND. IN 2019, $500,250 WAS AWARDED TO COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON AND KITSAP COUNTIES WHOSE MISSIONS ARE AIMED AT IMPROVING THE LIVES OF RESIDENTS. IN 2019, THE INLAND NORTHWEST REGION AWARDED $250,000 TO COMMUNITY ORGANIZATIONS THROUGHOUT THE EASTERN WA REGION WHOSE MISSIONS ARE ALIGNED WITH MULTICARE. MORE INFORMATION ON THE ORGANIZATION'S AWARDED GRANTS IN 2019 CAN BE FOUND AT AT HTTPS://WWW.MULTICARE.ORG/COMMUNITYPARTNERSHIP/ AND WITHIN MULTICARE'S FORM 990, SCHEDULE I .MULTICARE HAS ESTABLISHED COLLABORATIVE RELATIONSHIPS WITH SEVERAL COMMUNITY PARTNERSHIP FUND RECIPIENTS. CURRENTLY, MULTICARE WORKS WITH COMMUNITIES IN SCHOOLS OF PUYALLUP AND TACOMA TO IMPROVE ACCESS TO PHYSICAL AND BEHAVIORAL HEALTH SERVICES FOR STUDENTS; GUIDES THE TEAM'S PROGRAM AT GREEN RIVER COMMUNITY COLLEGE IN PACIFIC LUTHERAN UNIVERSITY TO IMPROVE HEALTH FOR SENIORS; PARTNERS WITH KOREAN WOMEN'S ASSOCIATION TO DELIVER THE SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) TO IMPROVE OUTCOMES AROUND BEHAVIORAL HEALTH, INCLUDING MINORITY BEHAVIORAL HEALTH; PARTNERS WITH THE OASIS YOUTH CENTER, RAINBOW CENTER, AND PIERCE COUNTY AIDS FOUNDATION TO IMPROVE LGBT PATIENT EXPERIENCES; PROVIDES SUPPORT OPERATIONS AT TRINITY NEIGHBORHOOD HEALTH CLINIC, WHICH PROVIDES FREE MEDICAL SERVICES. MULTICARE INW REGION COLLABORATES WITH THE CATHOLIC CHARITIES OF EASTERN WASHINGTON'S HOUSE OF CHARITY TO PROVIDE RESPITE CARE FOR THE HOMELESS, WHILE ALSO BEING A RESOURCE TO MANY FOR THE HEALTH NEEDS, FOOD SECURITY, TRANSPORTATION, AND HOUSING ASSISTANCE SOLUTIONS.MULTICARE HEALTH SYSTEM USES A PRESUMPTIVE CHARITY CARE PROCESS USING A THRESHOLD AND HOLD BACK TEST TO DETERMINE ELIGIBILITY FOR HOMELESS PATIENTS AND THOSE WHO QUALIFY FOR MEDICAID. FOR ALL OTHER PATIENTS, THE MULTICARE HEALTH SYSTEM USES FPG TO DETERMINE ELIGIBILITY.
PART VI, LINE 6:	MULTICARE HEALTH SYSTEM ("MULTICARE") IS A WASHINGTON NOT-FOR-PROFIT CORPORATION, AND ORGANIZED AS A TAX-EXEMPT ENTITY UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE OF 1986. MULTICARE HAS FOUR AFFILIATED FOUNDATIONS AS FOLLOWS: MULTICARE FOUNDATIONS, MARY BRIDGE CHILDREN'S FOUNDATION, GOOD SAMARITAN FOUNDATION, AND THE SOUTH KING HEALTH FOUNDATION, ALL WASHINGTON NOT-FOR-PROFIT CORPORATIONS.MULTICARE HEALTH SYSTEM HAS 18,000 TEAM MEMBERS, INCLUDING EMPLOYEES, PROVIDERS AND VOLUNTEERS. MULTICARE HEALTH SYSTEM IS CARING FOR THE COMMUNITY FOR WELL OVER A CENTURY, SINCE THE FOUNDING OF TACOMA'S FIRST HOSPITAL ON APRIL 29, 1882, THE TACOMA GENERAL HOSPITAL, AND TODAY, MULTICARE IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTH SYSTEM IN THE STATE OF WASHINGTON.MULTICARE'S COMPREHENSIVE SYSTEM OF HEALTH INCLUDES NUMEROUS PRIMARY CARE, URGENT CARE AND SPECIALTY SERVICES INCLUDING MULTICARE INDIGO URGENT CARE CENTERS, MULTICARE IMMEDIATE CLINICS, AND MULTICARE ROCKWOOD CLINICS, THE LARGEST MULTI-SPECIALTY CLINIC SYSTEM IN THE INLAND NORTHWEST REGION. SPECIALTY SERVICES INCLUDE LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER AND AN INTERNATIONALLY-RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS. MULTICARE ALSO INCLUDES HIGHLY SPECIALIZED AFFILIATED ENTITIES, SUCH AS CHVI PULSE HEART INSTITUTE, SPECIALIZED IN THE TREATMENT AND RESEARCH OF THE HEART, AND MULTICARE REHABILITATION SPECIALISTS P.C., AN ENTITY FOCUSED FOR DELIVERING ACCESSIBLE AND AFFORDABLE PHYSICAL AND REHABILITATION THERAPY SERVICES.THROUGH ITS' AFFILIATIONS WITH NAVOS (2017) AND GREATER LAKES MENTAL HEALTH (2018) MULTICARE IS THE LARGEST BEHAVIORAL HEALTH PROVIDER IN WASHINGTON STATE. IN 2019 MULTICARE HEALTH SYSTEM IN PARTNERSHIP WITH CHI FRANCISCAN HEALTH OPENED WELLFOUND BEHAVIORAL HEALTH HOSPITAL, A NOT-FOR-PROFIT MENTAL HEALTH HOSPITAL IN TACOMA, WASHINGTON, FURTHER ADDRESSING THE NEED FOR MENTAL HEALTH AND WELLBEING IN THE COMMUNITY.MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS TO BETTER PROVIDE ESSENTIAL BEHAVIORAL HEALTH SERVICES AND CONNECT OUR PATIENTS TO ESSENTIAL COMMUNITY RESOURCES.MULTICARE HEALTH SYSTEM'S NETWORK OF CARE INCLUDES NINE HOSPITALS:MULTICARE TACOMA GENERAL HOSPITAL, TACOMA,MULTICARE ALLENMORE HOSPITAL, TACOMA,MARY BRIDGE CHILDREN'S HOSPITAL, TACOMA,MULTICARE GOOD SAMARITAN HOSPITAL, PUYALLYUP,MULTICARE AUBURN MEDICAL CENTER, AUBURN,MULTICARE COVINGTON MEDICAL CENTER, COVINGTON,MULTICARE DEACONESS HOSPITAL, SPOKANE,MULTICARE VALLEY HOSPITAL, SPOKANE VALLEY,NAVOS, SEATTLE.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (78 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MARY BRIDGE CHILDREN'S FOUNDATION
PO BOX 5299	TACOMA	WA	98415	943030039	501(C)(3)	$4,059,803	ASSISTANCE FOR OPERATING EXPENSES.
MULTICARE FOUNDATIONS
PO BOX 5299	TACOMA	WA	98415	911514257	501(C)(3)	$2,579,013	ASSISTANCE FOR OPERATING EXPENSES
GOOD SAMARITAN FOUNDATION
PO BOX 5299	TACOMA	WA	98415	912004312	501(C)(3)	$1,085,843	ASSISTANCE FOR OPERATING EXPENSES
MULTICARE SOUTH KING HEALTH FOUNDATION
PO BOX 5299	TACOMA	WA	98415	465636491	501(C)(3)	$346,693	ASSISTANCE FOR OPERATING EXPENSES
MEDICAL TEAMS INTERNATIONAL
9680 153RD AVE	REDMOND	WA	98052	930878944	501(C)(3)	$60,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, GENERAL SUPPORT FOR OPERATIONS
LINDQUIST DENTAL CLINIC FOR CHILDREN
130 131ST ST S	TACOMA	WA	98444	910615378	501(C)(3)	$25,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND TO THE UNCOMPENSATED CARE FUND.
LUTHERAN COMMUNITY SERVICES NORTH WEST
210 W SPRAGUE AVE	SPOKANE	WA	99201	930386860	501(C)(3)	$25,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
PARTNERS WITH FAMILIES & CHILDREN SPOKANE
1321 W BROADWAY	SPOKANE	WA	99201	680576560	501(C)(3)	$25,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
YOUNG WOMEN'S CHRISTIAN ASSOCIATION
930 N MONROE	SPOKANE	WA	99201	910565025	501(C)(3)	$25,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
PIONEER HUMAN SERVICES
206 S POST	SPOKANE	WA	99201	910791552	501(C)(3)	$18,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
THE TEARS FOUNDATION
11102 SUNRISE BLVD E	PUYALLUP	WA	98374	450500497	501(C)(3)	$15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
VINE MAPLE PLACE
PO BOX 1092	MAPLE VALLEY	WA	98038	912082308	501(C)(3)	$15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
FAMILY PROMISE OF SPOKANE
904 E HARTSON AVE	SPOKANE	WA	99202	911707988	501(C)(3)	$15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
FOOD BACKPACK FOR KIDS
PO BOX 173	GIG HARBOR	WA	98335	800600633	501(C)(3)	$12,750	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
ASIA PACIFIC CULTURAL CENTER
4851 S TACOMA WAY	TACOMA	WA	98409	911854410	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
SAFE STREETS CAMPAIGN
622 TACOMA AVE S	TACOMA	WA	98402	911704402	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
AUBURN PUBLIC SCHOOLS FOUNDATION
915 4TH ST NE	AUBURN	WA	98002	453713074	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
EMERGENCY FOOD NETWORK
3318 92ND ST S	LAKEWOOD	WA	98499	943131776	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
NOURISH PIERCE COUNTY
1702 S 72ND ST	TACOMA	WA	98408	911198391	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
AT THE CORE
4903 E PEONE PINES DR	MEAD	WA	99021	462937061	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
CATHOLIC COMMUNITY SERVICES- WESTERN WA
100 23RD AVE S	SEATTLE	WA	98144	911585652	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
COMMUNITIES IN SCHOOLS PUYALLUP
302 SECOND ST SE	PUYALLUP	WA	98372	260028759	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
FOOD LIFELINE
815 S 96TH ST	SEATTLE	WA	98108	911090450	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
LAMBERT HOUSE
PO BOX 23111	SEATTLE	WA	98102	943036815	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
MAPLE VALLEY FOOD BANK & EMERGENCY SERVICES
21415 RENTON MAPLE VALLEY RD SE	MAPLE VALLEY	WA	98038	916057006	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS.
MARY'S PLACE
PO BOX 1711	SEATTLE	WA	98111	272087950	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
MULTI-SERVICE CENTER
1200 S 336TH ST	FEDERAL WAY	WA	98008	237120815	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
SALVATION ARMY
222 E INDIANA AVE	SPOKANE	WA	99207	941156347	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
SECOND HARVEST
1234 E FRONT AVE	SPOKANE	WA	99202	237173826	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
SOMALI HEALTH BOARD
725 STRANDLER BLVD STE B	TUKWILA	WA	98188	465114580	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
SPOKANE DISTRICT DENTAL SOCIETY FOUNDATION
23403 E MISSION AVE STE 104	LIBERTY LAKE	WA	99019	208248281	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
SPOKANE VALLEY PARTNERS
10814 E BROADWAY AVE	SPOKANE	WA	99206	911478830	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
ST VINCENT DE PAUL HOLY FAMILY CONFERENCE
PO BOX 604	AUBURN	WA	98071	910601570	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
TACOMA PIERCE COUNTY HABITAT FOR HUMANITY
4824 S TACOMA WAY	TACOMA	WA	98409	581735531	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
TRANSITIONAL PROGRAMS FOR WOMEN
3128 N HEMLOCK	SPOKANE	WA	99205	911307272	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
UNITED STATES CONFERENCE OF CATHOLIC BISHOPS
PO BOX 2253	SPOKANE	WA	99210	910569880	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS.
VOLUNTEERS OF AMERICA OF EASTERN WA AND NORTHERN IDAHO
525 W 2ND AVE	SPOKANE	WA	99201	910577131	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
WOMEN HELPING WOMEN FUND
1325 W 1ST AVE ST	SPOKANE	WA	99201	911561874	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
YOUNG MEN'S CHRISTIAN ASSOCIATION
1126 N MONROE	SPOKANE	WA	99201	910827958	501(C)(3)	$10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
ASIAN COUNSELING & REFERRAL SERVICE
3639 MLK JR WAY S	SEATTLE	WA	98144	910916176	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
BOYS & GIRLS CLUBS OF THURNSTON COUNTY
2424 HERITAGE CT SW STE 301	OLYMPIA	WA	98502	912124629	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
HILLTOP ARTISTS
PO BOX 6829	TACOMA	WA	98417	911667476	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
HOLLY RIDGE CENTER
5112 NW TAYLOR ROAD	BREMERTON	WA	98312	910757541	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
PIERCE CONSERVATION DISTRICT
308 W STEWART AVE	PUYALLUP	WA	98371	261443800	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
PUYALLUP VALLEY ST FRANCIS HOUSE
PO BOX 156	PUYALLUP	WA	98371	911621772	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
THE RESCUE MISSION
425 S TACOMA WAY	TACOMA	WA	98402	910565014	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
SEATTLEKING COUNTY CLINIC
305 HARRISON ST	SEATTLE	WA	98109	911003385	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
SEXUAL ASSAULT CENTER
101 E 26TH ST STE 200	TACOMA	WA	98421	910962226	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
SOUND OUTREACH
1106 MLK JR WAY	TACOMA	WA	98405	911741624	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
ST LEO FOOD CONNECTION
710 S 13TH ST	TACOMA	WA	98405	910622353	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
STEP BY STEP
3308 8TH AVE SE	PUYALLUP	WA	98372	911871945	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
TACOMA HOUSING DEVELOPMENT GROUP
902 S L ST	TACOMA	WA	98405	810557198	501(C)(3)	$7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
EASTERN WA UNIVERSITY FOUNDATION- 3D
102 HARGREAVES HALL 616 STUDY LANE	CHENEY	WA	99004	911019819	501(C)(3)	$6,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
ASHLEY HOUSE
33811 9TH AVE S	FEDERAL WAY	WA	98003	943080307	501(C)(3)	$6,000	GENERAL SUPPORT FOR THE AFTER SCHOOL PROGRAM
ACTIVE4YOUTH
PO BOX 30501	SPOKANE	WA	99223	202744962	501(C)(3)	$5,000	GENERAL SUPPORT FOR THE AFTER SCHOOL PROGRAM
ALLEN RENAISSANCETACOMA CLUBHOUSE
1209 MLK JR WAY	TACOMA	WA	98405	912003317	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
AMERICAN DIABETES ASSOCIATION
180 NICKERSON ST	SEATTLE	WA	98109	131623888	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
BIG BROTHERS BIG SISTERS OF THE INLAND NORTHWEST
222 W MISSION AVE	SPOKANE	WA	99201	916061587	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
CATHERINE PLACE
923 S 8TH ST	TACOMA	WA	98405	912089836	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
CENTRAL KITSAP FOOD BANK
PO BOX 748	SILVERDALE	WA	98383	911425561	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
COFFEE OASIS
837 4TH ST	BREMERTON	WA	98337	911745050	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
COMMUNITIES IN SCHOOLS LAKEWOOD
10828 GRAVELLY LAKE DRIVE	LAKEWOOD	WA	98499	911732922	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
DOMESTIC ABUSE WOMEN'S NETWORK
221 W GOWE ST	KENT	WA	98032	911176122	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
GIRLS SCOUTS OF WESTERN WA
1000 DAVIS PLACE	DUPONT	WA	98327	916060940	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
HEALTH IMPROVEMENT PARTNERSHIP
PO BOX 48150	SPOKANE	WA	99218	911764236	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
HOPE SPARKS
6424 N 9TH ST	TACOMA	WA	98406	910598103	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
KEY PENINSULA FREE CLINIC
PO BOX 1095	VAUGHN	WA	98349	462454053	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
MUSEUM OF GLASS
1801 DOCK ST	TACOMA	WA	98402	911669422	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
NAMI OF WA
1107 NE 45TH STE 340	SEATTLE	WA	98105	911689067	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
VANESSA BEHAN CRISIS NURSERY
10004 E 8TH AVE	SPOKANE	WA	99202	911196575	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
OUR SISTERS'HOUSE
2714 N 21ST ST 3	TACOMA	WA	98406	911650772	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
PIERCE COUNTY AIDS FOUNDATION
3009 S 40TH ST	TACOMA	WA	98409	911385245	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
REACH OUT AND READ WA STATE
2400 NW 80TH ST	SEATTLE	WA	98117	043481253	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
SPOKANE NEIGHBORHOOD ACTION PARTNERS (SNAP)
3102 W FT GEORGE WRIGHT DR	SPOKANE	WA	99224	911311127	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
TACOMA FARMERS MARKET
902 MARKET ST	TACOMA	WA	98402	911647227	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
TACOMA URBAN LEAGUE
2550 S YAKIMA AVE	TACOMA	WA	99223	910826302	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
TRNITY PRESBYTERIAN CHURCH
1615 6TH AVE	TACOMA	WA	98405	236393377	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
U DISTRICT FOUNDATION
730 HAMILTON	SPOKANE	WA	99202	300391912	501(C)(3)	$5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	78	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE MULTICARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON AND KITSAP COUNTIES THAT ADVANCE INITIATIVES, PROGRAMS, AND PROJECTS THAT IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING THROUGH PARTNERSHIP WITH ORGANIZATIONS THAT AFFECT THE SOCIAL DETERMINANTS OF HEALTH. AFTER THE APPLICANTS ARE VALIDATED AS 501(C)(3) ORGANIZATIONS AND PROVIDED THE FUNDS, MULTICARE HEALTH SYSTEM THEN SEES THE BENEFITS OF THOSE ORGANIZATIONS IN THE COMMUNITY. RESEARCH IS CONDUCTED TO ENSURE THE INTEGRITY AND ETHICS OF EACH OF THE ORGANIZATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM ROBERTSON
PRESIDENT & CEO	$1,279,848	$0	$334,880	$0	$1,194,355	$0	$556,101	$0	$22,359	$0	$3,387,543	$0	$0	$0
FLORENCE CHANG
EXECUTIVE VICE PRESIDENT	$973,180	$0	$218,600	$0	$248,390	$0	$455,725	$0	$26,535	$0	$1,922,430	$0	$228,554	$0
TIM BRICKER
SRVP/CHIEF EXEC-S. SOUND	$666,634	$0	$192,563	$0	$2,783	$0	$109,263	$0	$25,979	$0	$997,222	$0	$0	$0
DAVID CARLSON
SRVP,PROVIDER ENTERPRISES	$667,342	$0	$171,480	$0	$8,034	$0	$109,797	$0	$30,255	$0	$986,908	$0	$0	$0
DAVID O'BRIEN
SRVP/CHIEF EXEC-EAST. WA	$594,663	$0	$0	$0	$94,631	$0	$12,570	$0	$17,511	$0	$719,375	$0	$0	$0
JAMES MCMANUS
CFO	$453,610	$0	$100,500	$0	$3,010	$0	$59,201	$0	$12,210	$0	$628,531	$0	$0	$0
CHRISTI MCCARREN
SRVP,RETAIL HEALTH&COMMUNI	$412,960	$0	$98,251	$0	$65,690	$0	$24,056	$0	$12,392	$0	$613,349	$0	$0	$0
JEFFREY POLTAWSKY
PRES. MARY BRIDGE	$398,250	$0	$100,293	$0	$6,746	$0	$57,257	$0	$20,282	$0	$582,828	$0	$0	$0
SURAJ SINGH
PHYSICIAN	$1,622,688	$0	$323,675	$0	$10,914	$0	$68,025	$0	$26,183	$0	$2,051,485	$0	$0	$0
DAVID COONS
PHYSICIAN	$1,330,066	$0	$207,915	$0	$23,691	$0	$37,306	$0	$24,650	$0	$1,623,628	$0	$10,965	$0
NICOLAS A VILLA GUILLEN
PHYSICIAN	$1,384,648	$0	$44,694	$0	$21,669	$0	$21,093	$0	$19,177	$0	$1,491,281	$0	$0	$0
MIGUEL E ORDONEZ CASTELLANOS
PHYSICIAN	$1,274,538	$0	$47,583	$0	$2,406	$0	$17,914	$0	$19,206	$0	$1,361,647	$0	$0	$0
BENJAMIN CHEN
PHYSICIAN	$1,105,455	$0	$182,013	$0	$21,244	$0	$20,029	$0	$13,571	$0	$1,342,312	$0	$0	$0
SHELLY MULLIN
FORMER VP, FORMER KEY EMPL	$0	$0	$0	$0	$432,910	$0	$0	$0	$0	$0	$432,910	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	LINE 1A - THE EXECUTIVE BENEFIT ALLOWANCE IS A DISCRETIONARY SPENDING ACCOUNT AND THERE ARE NO RESTRICTIONS AS TO HOW THE FUNDS ARE TO BE SPENT. A VICE-PRESIDENT AND A SR. VICE-PRESIDENT, A TOTAL OF 2 REPORTED PEOPLE, RECEIVED EXECUTIVE BENEFIT ALLOWANCE IN 2019. THE PHYSICIANS ARE OFFERED A SIMILAR BENEFIT ALLOWANCE BUT THE AMOUNT IS CAPPED AT $10,000. IN 2019 THE REPORTED HIGHEST COMPENSATED EMPLOYEES, PHYSICIANS, WERE PAID BENEFIT ALLOWANCE. THEY CAN CHOOSE TO AUGMENT THEIR BENEFITS OR RECEIVE IT AS COMPENSATION PART OF TAXABLE WAGES. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B,(III).
PART I, LINES 4A-B	LINE 4A- IN 2019 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: SHELLY MULLIN THE AMOUNT OF $432,910. LINE 4B - THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN AND RECEIVED A PAYOUT IN 2019: DAVIS COONS - $10,965, FLORENCE CHANG - $228,554. IRC SECTION 457(F) PLANS ALLOW PARTICIPANTS TO CHOOSE FROM A NUMBER OF DIFFERENT TYPES OF BENEFITS WITH A DEFAULT SELECTION INTO A 457(F) PLAN. THE PLAN COVERS EMPLOYEES WHO ARE PRIMARILY A SELECT GROUP OF MANAGEMENT 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 AND 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). PART II, COLUMN III: DEFERRED COMPENSATION AMOUNTS, SERP VESTED TAXABLE DISTRIBUTION, WAS PAID OUT TO WILLIAM ROBERTSON IN THE AMOUNT OF $1,185,391. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN HAS A VESTING SCHEDULE; THE VESTED BENEFIT WAS PAID OUT AS ORDINARY INCOME (REPORTED ON W-2) AS OF THE PARTICIPANT'S VESTING DATE MILESTONE. THE PAYMENT WAS TAXED AND INCLUDED IN COLUMN B,(III). SCHEDULE J, SUPPLEMENTAL INFORMATION WILLIAM G. ROBERTSON, PRESIDENT AND CEO, AND FLORENCE CHANG, EXEC.VP, EARNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) INCOME IN THE AMOUNTS OF $536,765 AND $396,758, RESPECTIVELY, WHICH ARE REFLECTED IN COLUMN C. THE SERP PLAN HAS DEFERRALS INTO THE 457(F) CAA DEFERRED COMPENSATION PLAN.
FORM 990, PART VII AND SCHEDULE J, PART III- SUPPLEMENTAL	THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 91-2004312, 46-5636491, 47-5457904, 82-2949880), 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. AS A RESULT, CERTAIN AMOUNTS HAVE BEEN REPORTED TWICE, BOTH IN PRIOR YEARS WHEN EARNED OR ACCRUED, AND AGAIN IN THE CURRENT YEAR WHEN PAID. THE AMOUNTS UNDER OTHER COMPENSATION 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 IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (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 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 60 HOURS PER WEEK TO PERFORM HIS OR HER RESPONSIBILITIES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WASHINGTON HEALTH CARE FACILITIES SERIES 2009 AB
A	911108929	93978HEU5	2009-05-01	$100,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2012 A
B	911108929	93978HHB4	2012-11-13	$140,628,741	AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2015 AB
C	911108929	93978HMN2	2015-04-16	$420,539,219	REFUND THE SERIES 2004 & SERIES 2008 BONDS, CONSTRUCTION AT AUBURN & COVINGT	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B
D	911108929	93978HTS4	2017-11-14	$299,865,868	REFUND THE SERIES 2007	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$100,000,000	$1,032,608	$556,507	$98,410,885	2010	0	Yes (1)	Yes (1)
B	$140,628,741	$1,336,000		$139,292,741	2013	0	Yes (1)	Yes (1)
C	$420,539,219	$3,145,115		$192,374,556	2017	Yes (1)	Yes (1)	Yes (1)	$15,575,000	$225,019,548
D	$299,865,868				2017	Yes (1)	Yes (1)	Yes (1)	$8,950,000	$299,865,868

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00180	0.00180	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00110	0.00110	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00970	0.00970	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00810	0.00810	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)
B	0	Yes (1)
C	Yes (1)	Yes (1)
D	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K, PART IV, LINE 2C

FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2015 A,B MULTICARE HEALTH SYSTEM ENGAGED RITZ & ASSOCIATES PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE REBATE CALCULATION ON 09/29/2019 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS.

SCHEDULE K, PART I, COLUMN C

THE FOLLOWING CUSIPS WERE ISSUED FOR THE FOLLOWING BOND SERIES: $48,145,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2009A MATURITY/CUSIP 8/15/2044/ 93978HET8 $49,985,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2009B MATURITY/CUSIP 8/15/2040/ 93978HEU5 8/15/2041/ 93978HEV3 8/15/2042/ 93978HEW1 8/15/2043/ 93978HEX9 8/15/2044/ 93978HEY7 $60,000,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2012A MATURITY/CUSIP 8/15/2042/ 93978HHB4 8/15/2046/ 93978HHA6 $87,710,000 ISSUER BOND DESCRIPTION MULTICARE HEALTH SYSTEM SERIES 2015A MATURITY/CUSIP 8/15/2019/ 93978HMP7 8/15/2020/ 93978HMQ5 8/15/2021/ 93978HMR3 8/15/2022/ 93978HMS1 8/15/2023/ 93978HMT9 8/15/2024/ 93978HMU6 8/15/2025/ 93978HMV4 8/15/2026/ 93978HMW2 8/15/2027/ 93978HMX0 8/15/2028/ 93978HMY8 8/15/2029/ 93978HMZ5 8/15/2030/ 93978HNA9 8/15/2031/ 93978HNB7 8/15/2032/ 93978HNC5 8/15/2033/ 93978HND3 8/15/2034/ 93978HNE1 8/15/2035/ 93978HNF8 8/15/2040/ 93978HNG6 8/15/2045/ 93978HNH4 $285,680,000 ISSUER REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2015B MATURITY/CUSIP 8/15/2019/ 93978HNN1 8/15/2020/ 93978HNP6 8/15/2021/ 93978HNQ4 8/15/2022/ 93978HNR2 8/15/2023/ 93978HNS0 8/15/2024/ 93978HNT8 8/15/2025/ 93978HNU5 8/15/2026/ 93978HNV3 8/15/2027/ 93978HNW1 8/15/2028/ 93978HNX9 8/15/2029/ 93978HNY7 8/15/2030/ 93978HNZ4 8/15/2031/ 93978HPA7 8/15/2032/ 93978HPB5 8/15/2033/ 93978HPC3 8/15/2034/ 93978HPD1 8/15/2035/ 93978HPE9 8/15/2039/ 93978HPF6 8/15/2043/ 93978HPG4 $271,560,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2017B (REFUNDING) MATURITY/CUSIP 8/15/2019/ 93978HSW6 8/15/2020/ 93978HSX4 8/15/2021/ 93978HSY2 8/15/2022/ 93978HSZ9 8/15/2023/ 93978HTA3 8/15/2024/ 93978HTB1 8/15/2025/ 93978HTC9 8/15/2026/ 93978HTD7 8/15/2027/ 93978HTE5 8/15/2028/ 93978HTF2 8/15/2029/ 93978HTG0 8/15/2030/ 93978HTH8 8/15/2031/ 93978HTJ4 8/15/2032/ 93978HTK1 8/15/2033/ 93978HTL9 8/15/2034/ 93978HTM7 8/15/2035/ 93978HTN5 8/15/2036/ 93978HTP0 8/15/2037/ 93978HTQ8 8/15/2038/ 93978HTR6 8/15/2041/ 93978HTS4

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CDE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	911108929	BondIssuerEIN
CUSIP	93978HTS3	CUSIPNum
Bond Issued	2017-11-14	BondIssuedDt
Issue Price	$191,010,000	IssuePriceAmt
Purpose	REFUND 2012B DEBT & ROCKWOOD ACQUISTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$191,010,000	TotalProceedsAmt
Other Spent Proceeds	$191,010,000	OtherSpentProceedsAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Use By Others	0.00130	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00130	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CAROLINE RUTTER MD
FAMILY OF DIRECTOR	$604,567	EMPLOYEE OF MULTICARE HEALTH SYSTEM	0
RACHEL ROTH
FAMILY OF DIRECTOR	$41,898	EMPLOYEE OF MULTICARE HEALTH SYSTEM	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 990S 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-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 2019.
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.
FORM 990, PART IX, LINE 11G	PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 315,405,512. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 315,405,512.
FORM 990, PART XI, LINE 9:	CHANGES IN ACCRUED PENSION ASSET 13,275,715. TRANSFER OF ASSETS: NAVOS AND BEHAVIORAL, MHS'S FOUNDATIONS -10,342,632.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MULTICARE CONNECTED CARE LLC
222 N J ST STE B	TACOMA	WA	98403	472859356	HEALTHCARE ACO	WA	$0	$0	MULTICARE HEALTH SYSTEM
NORTHSTAR PROPERTY ACQUISITIONS LLC
4720 MONTGOMERY LANE STE 1000	BETHESDA	MD	20814	821517201	REAL PROPERTY ACQUISITION	WA	$0	$0	MULTICARE HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MULTICARE FOUNDATIONS
409 S J STREET	TACOMA	WA	98405	911514257	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes (1)
MARY BRIDGE CHILDREN'S FOUNDATION
409 S J STREET	TACOMA	WA	98405	943030039	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes (1)
GOOD SAMARITAN FOUNDATION
402 15TH AVE SE SUITE 101	PUYALLUP	WA	98372	912004312	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes (1)
MULTICARE SOUTH KING HEALTH FOUNDATION
737 FAWCETT AVE	TACOMA	WA	98402	465636491	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes (1)
CHVI PROFESSIONAL CORPORATION
222 N J STREET	TACOMA	WA	98403	475457904	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes (1)
NAVOS
PO BOX 46420	SEATTLE	WA	98126	910848698	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes (1)
MULTICARE REHABILITATION SPECIALISTS PS
315 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	822949880	REHABILITATION	WA	501(C)(3)	LINE 10	MULTICARE HEALTH SYSTEM	Yes (1)
GREATER LAKES MENTAL HEALTHCARE
9330 59TH AVE SW	LAKEWOOD	WA	98499	916064184	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
REDICLINIC OF WALLC
9 E GREENWAY PLAZA STE 2950	HOUSTON	TX	77046	471808980	HEALTHCARE	TX	MULTICARE HEALTH SYSTEM	RELATED	-$81,718	$41,707	0	0	0.51000
OLYMPIC SPORTS & SPINE PLLC
6050 TACOMA MALL BLVD	TACOMA	WA	98409	822950138	HEALTHCARE SERVICES	WA					0	0		N/A
AUBURN IMAGING PARTNERS
PO BOX 26730	FEDERAL WAY	WA	98093	202539907	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED	-$30,890	$1,150,964	0	Yes (1)	0.80000
VP SURGERY OF AUBURN
122 3RD ST NE	AUBURN	WA	98002	371668651	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED	-$523,066	$336,039	0	Yes (1)	0.50100

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MEDIS CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	315 S K STREET	AddressLine1Txt
City	TACOMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98405	ZIPCd

Field	Value	IRS element (for citing)
EIN	911111928	EIN
Primary Activities	MEDICAL BUILDING RENTAL	PrimaryActivitiesTxt
Legal Domicile State	WA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MULTICARE HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$1,524,459	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,168,564	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MULTICARE FOUNDATIONS
B	$13,542,315	ACCRUAL
MARY BRIDGE CHILDREN'S FOUNDATION
B	$6,423,932	ACCRUAL
GOOD SAMARITAN FOUNDATION
B	$537,726	ACCRUAL
MULTICARE FOUNDATIONS
C	$2,579,013	ACCRUAL
MARY BRIDGE CHILDREN'S FOUNDATION
C	$4,059,803	ACCRUAL
GOOD SAMARITAN FOUNDATION
C	$1,085,843	ACCRUAL
MULTICARE SOUTH KING HEALTH FOUNDATION
C	$346,693	ACCRUAL
MEDIS CORPORATION
K	$996,134	ACCRUAL
CHVI PROFESSIONAL CORPORATION
P	$34,548,937	ACCRUAL
MULTICARE FOUNDATIONS
Q	$791,079	ACCRUAL
MARY BRIDGE CHILDREN'S FOUNDATION
Q	$1,901,350	ACCRUAL
GOOD SAMARITAN FOUNDATION
Q	$786,539	ACCRUAL
MULTICARE SOUTH KING HEALTH FOUNDATION
Q	$395,245	ACCRUAL