2020-11-02T16:10:31-06:00 2019-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2019-01-01 911352172 MULTICARE HEALTH SYSTEM MULT 2534598125 PO BOX 5299 TACOMA WA 984150299 JAMES P MCMANUS CFO, SR. VP 2534598125 2020-11-02 0 MONIKA YADAV P01473280 4158948000 199.79.112.252 2020-11-02 14:03:49 PS P 5A018795E8AE3FDCCFB073DE08FD5AC73ABF1485 5A018795E8AE3FDCCFB073DE08FD5AC73ABF1485 2019 2021-01-29 14:40:06Z JAMES P MCMANUS PO BOX 5299 TACOMA WA 984150299 3259380775 0 X HTTPS://WWW.MULTICARE.ORG/ X 1987 WA MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE. 10 9 17867 3068 497968 0 38987235 41339790 2827677265 3179967185 63976911 19196089 -441864 -572453 2930199547 3239930611 8519150 8821602 0 0 1496280065 1680058727 0 0 0 1248653973 1426011028 2753453188 3114891357 176746359 125039254 4353484139 4914390204 1923308315 2181620665 2430175824 2732769539 X MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE. 0 0 2188468501 8821602 2617112312 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. 427602537 425805533 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. 117894159 78188030 MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 460,408 PATIENT VISITS DURING 2019. 58970883 58861310 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. 58970883 58861310 2792936080 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 1505 0 1 17867 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 10 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X JASON MITCHELL 2534598331 737 S FAWCETT TACOMA WA 98402 JOHN FOLSOM DIRECTOR 5.00 0.00 X 0 0 0 JOHN HALL TREASURER 5.00 0.00 X X 0 0 0 SALLY B LEIGHTON SECRETARY 5.00 0.00 X X 0 0 0 ROB R ROTH MD DIRECTOR 5.00 0.00 X 0 0 0 L DALE SOWELL DIRECTOR 5.00 0.00 X 0 0 0 JANINE TERRANO DIRECTOR 5.00 0.00 X 0 0 0 DEEDRA WALKEY VICE CHAIR 5.00 0.00 X X 0 0 0 JOHN WIBORG CHAIR 5.00 0.00 X X 0 0 0 ROBERT A YOST DIRECTOR 5.00 0.00 X 0 0 0 JOANNA MONROE DIRECTOR 5.00 0.00 X 0 0 0 WILLIAM ROBERTSON PRESIDENT & CEO 56.00 4.00 X 2809083 0 578460 FLORENCE CHANG EXECUTIVE VICE PRESIDENT 60.00 0.00 X 1440170 0 482260 TIM BRICKER SRVP/CHIEF EXEC-S. SOUND 60.00 0.00 X 861980 0 135242 DAVID CARLSON SRVP,PROVIDER ENTERPRISES 58.00 2.00 X 846856 0 140052 DAVID O'BRIEN SRVP/CHIEF EXEC-EAST. WA 60.00 0.00 X 689294 0 30081 JAMES MCMANUS CFO 56.00 4.00 X 557120 0 71411 CHRISTI MCCARREN SRVP,RETAIL HEALTH&COMMUNI 58.00 2.00 X 576901 0 36448 JEFFREY POLTAWSKY PRES. MARY BRIDGE 60.00 0.00 X 505289 0 77539 SURAJ SINGH PHYSICIAN 50.00 0.00 X 1957277 0 94208 DAVID COONS PHYSICIAN 50.00 0.00 X 1561672 0 61956 NICOLAS A VILLA GUILLEN PHYSICIAN 50.00 0.00 X 1451011 0 40270 MIGUEL E ORDONEZ CASTELLANOS PHYSICIAN 50.00 0.00 X 1324527 0 37120 BENJAMIN CHEN PHYSICIAN 50.00 0.00 X 1308712 0 33600 SHELLY MULLIN FORMER VP, FORMER KEY EMPL 50.00 0.00 X 432910 0 0 16322802 0 1818647 3132 1 1 0 TRAVEL NURSE ACROSS AMERICA LLC 5020 NORTHSHORE DR N LITTLE ROCK AZ 72118 STAFFING 48223489 TACOMA ANESTHESIA ASSOCIATES INC PS 3633 PACIFIC AVE204 TACOMA WA 98418 MEDICAL 14583598 TRAUMA TRUST POBOX 5299 TACOMA WA 98415 MEDICAL 8203243 SOUTH SOUND INPATIENT PHYSICIANS PLLC POBOX 742936 LOS ANGELES CA 90074 MEDICAL 6871655 AQUITY SOLUTIONS LLC POBOX 746366 ATLANTA GA 30374 HEALTHCARE BUSINESS 6578340 310 20544710 20795080 41339790 HEALTHCARE SERVICES 622110 2580905908 2580610016 295892 AMBULATORY SRVS & UCC 621493 455963568 455791325 172243 OFFICES OF PHYSICIANS 621111 85132272 85132272 HOME HEALTH 621610 28747727 28747727 OUTPATIENT MENTAL HLTH 621420 22841995 22841995 6375715 6375715 3179967185 37264650 29833 37234817 18068561 -18068561 -18068561 -18068561 809150 1381603 -572453 -572453 3239930611 3179499050 497968 18593803 X 8821602 8821602 9838186 8639152 1199034 646465 646465 1443456736 1266256908 177199828 42636531 37440183 5196348 93485593 82091990 11393603 89995216 78083800 11911416 3625748 275167 3350581 519225 519225 286000 286000 315405512 315405512 6991961 4472106 2519855 17242435 15141005 2101430 57191386 50221157 6970229 13026107 7188954 5837153 281147 135188 145959 45448731 39909644 5539087 162503643 142698431 19805212 38812991 34082638 4730353 SUPPLIES 499048560 492349737 6698823 PROVISION FOR BAD DEBTS 89241765 89241765 WA HOSP. SAFETY NET PRO 59461842 59461842 LICENSES 49929033 6680710 43248323 66994942 53692124 13302818 3114891357 2792936080 321955277 0 370871294 416707735 396601403 407643403 43261791 41595679 27945800 34005065 3260292856 1566005746 1709123857 1694287110 1181678148 1253703970 309038000 543779000 314963846 522668242 4353484139 4914390204 387408901 402536605 1266586741 1255914047 67582 269245091 523170013 1923308315 2181620665 X 2430175824 2732769539 2430175824 2732769539 4353484139 4914390204 X 125039254 174621378 2933083 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 286000 0 0 286000 0 PART II-B, LINE 1: 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. 115302770 115302770 1925958694 733369413 1192589281 105740468 76282404 29458064 1012619520 756353929 256265591 100671404 100671404 1694287110 HEDGE FUNDS-PRIVATE INVESTMENTS FUNDS 211455000 F LIMITED PARTNERSHIPS-PRIVATE EQUITY 332324000 F 543779000 OTHER ASSETS 351458617 MARK TO MARKET BASIS SWAP 1262336 BONDS HELD IN TRUST 9325 RIGHT OF USE LEASE ASSET, NET 144140454 NET INVESTMENT IN LEASE 25797510 522668242 LONG TERM RIGHT OF USE LEASE LIABILITY 260810140 ACCRUED INTEREST PAYABLE 15168103 INTEREST RATE SWAP 88311151 EST.THIRD PARTY PAYOR SETTLE. 3561779 OTHER LIABILITIES 155318840 523170013 X PART X, LINE 2: 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." 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 0 1 1 53197180 53197180 0.01760 764791000 573617000 191174000 0.06320 0 0 817988180 573617000 244371180 0.08080 32 97148 15579254 2566213 13013041 0.00430 9 233 17994260 685515 17308745 0.00570 27 67402 63495122 29984450 33510672 0.01110 1 1 695183 140711 554472 0.00020 3 75 1905277 0 1905277 0.00060 72 164859 99669096 33376889 66292207 0.02190 72 164859 917657276 606993889 310663387 0.10270 2 492 882517 132033 750484 0.00020 270 8860686 1331503 26184 1305319 0.00040 272 8861178 2214020 158217 2055803 0.00060 1 89241765 2956000 418177156 480617701 -62440545 X 1 1 8 1 MULTICARE TACOMA GENERAL HOSPITAL (TG) 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 WWW.MULTICARE.ORG/TACOMA-GENERAL-HOSPI 00000176 X X X X X A 2 MULTICARE GOOD SAMARITAN HOSPITAL (GSH) 401 15TH AVE SE PUYALLUP WA 98372 WWW.MULTICARE.ORG/GOOD-SAMARITAN-HOSPI 00000081 X X X X A 3 MULTICARE DEACONESS HOSPITAL (DEAC) 800 W 5TH AVENUE SPOKANE WA 99204 WWW.MULTICARE.ORG/DEACONESS-HOSPITAL/ 60769397 X X X A 4 MULTICARE AUBURN MEDICAL CENTER (AUB) 202 NORTH DIVISION STREET AUBURN WA 98001 WWW.MULTICARE.ORG/AUBURN-MEDICAL-CENTE 60311052 X X X A 5 MARY BRIDGE CHILDREN'S HOSPITAL (MBRIDGE) 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 WWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL 00000175 X X X X X A 6 MULTICARE ALLENMORE HOSPITAL (ALLENMORE) 1901 SOUTH UNION TACOMA WA 98411 WWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/ 00000176 X X X A 7 MULTICARE VALLEY HOSPITAL (VALLEY) 12606 EAST MISSION AVE SPOKANE VALLEY WA 99216 WWW.MULTICARE.ORG/VALLEY-HOSPITAL/ 60769398 X X X A 8 MULTICARE COVINGTON HOSPITAL (COV) 17700 SE 272ND ST COVINGTON WA 98042 HTTPS://WWW.MULTICARE.ORG/COVINGTON-ME 60803817 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X X 1 19 1 HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 300.000000000000 500.000000000000 X X X 1 1 X X X 1 X HTTPS://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE-POLICY/ X HTTPS://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE-FORMS/ X HTTPS://WWW.MULTICARE.ORG/FOR-PATIENTS/ X X X X X X X 1 X 0 X X X X 1 X 0 0 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. 92 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 E SU BOTHELL WA 98021 URGENT CARE CLINIC 43 - MULTICARE INDIGO ISSAQUAH 6140 E LAKE SAMMAMISH PKWY SE SUITE F ISSAQUAH WA 98029 URGENT CARE CLINIC 44 - MULTICARE INDIGO COVINGTON 27111 167TH PL SE SUITES 101 103 105 COVINGTON WA 98042 URGENT CARE CLINIC 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 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 1 MARY BRIDGE CHILDREN'S FOUNDATION PO BOX 5299 TACOMA WA 98415 943030039 501(C)(3) 4059803 ASSISTANCE FOR OPERATING EXPENSES. MULTICARE FOUNDATIONS PO BOX 5299 TACOMA WA 98415 911514257 501(C)(3) 2579013 ASSISTANCE FOR OPERATING EXPENSES GOOD SAMARITAN FOUNDATION PO BOX 5299 TACOMA WA 98415 912004312 501(C)(3) 1085843 ASSISTANCE FOR OPERATING EXPENSES MULTICARE SOUTH KING HEALTH FOUNDATION PO BOX 5299 TACOMA WA 98415 465636491 501(C)(3) 346693 ASSISTANCE FOR OPERATING EXPENSES MEDICAL TEAMS INTERNATIONAL 9680 153RD AVE REDMOND WA 98052 930878944 501(C)(3) 60000 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) 25000 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) 25000 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) 25000 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) 25000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS PIONEER HUMAN SERVICES 206 S POST SPOKANE WA 99201 910791552 501(C)(3) 18500 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) 15000 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) 15000 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) 15000 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) 12750 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) 10000 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) 10000 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) 10000 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) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS NOURISH PIERCE COUNTY 1702 S 72ND ST TACOMA WA 98408 911198391 501(C)(3) 10000 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) 10000 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) 10000 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) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS FOOD LIFELINE 815 S 96TH ST SEATTLE WA 98108 911090450 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT LAMBERT HOUSE PO BOX 23111 SEATTLE WA 98102 943036815 501(C)(3) 10000 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) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS. MARY'S PLACE PO BOX 1711 SEATTLE WA 98111 272087950 501(C)(3) 10000 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) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS SALVATION ARMY 222 E INDIANA AVE SPOKANE WA 99207 941156347 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SECOND HARVEST 1234 E FRONT AVE SPOKANE WA 99202 237173826 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SOMALI HEALTH BOARD 725 STRANDLER BLVD STE B TUKWILA WA 98188 465114580 501(C)(3) 10000 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) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS SPOKANE VALLEY PARTNERS 10814 E BROADWAY AVE SPOKANE WA 99206 911478830 501(C)(3) 10000 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) 10000 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) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TRANSITIONAL PROGRAMS FOR WOMEN 3128 N HEMLOCK SPOKANE WA 99205 911307272 501(C)(3) 10000 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) 10000 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) 10000 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) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT YOUNG MEN'S CHRISTIAN ASSOCIATION 1126 N MONROE SPOKANE WA 99201 910827958 501(C)(3) 10000 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) 7500 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) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT HILLTOP ARTISTS PO BOX 6829 TACOMA WA 98417 911667476 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS HOLLY RIDGE CENTER 5112 NW TAYLOR ROAD BREMERTON WA 98312 910757541 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PIERCE CONSERVATION DISTRICT 308 W STEWART AVE PUYALLUP WA 98371 261443800 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PUYALLUP VALLEY ST FRANCIS HOUSE PO BOX 156 PUYALLUP WA 98371 911621772 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT THE RESCUE MISSION 425 S TACOMA WAY TACOMA WA 98402 910565014 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SEATTLEKING COUNTY CLINIC 305 HARRISON ST SEATTLE WA 98109 911003385 501(C)(3) 7500 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) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SOUND OUTREACH 1106 MLK JR WAY TACOMA WA 98405 911741624 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT ST LEO FOOD CONNECTION 710 S 13TH ST TACOMA WA 98405 910622353 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT STEP BY STEP 3308 8TH AVE SE PUYALLUP WA 98372 911871945 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TACOMA HOUSING DEVELOPMENT GROUP 902 S L ST TACOMA WA 98405 810557198 501(C)(3) 7500 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) 6500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT ASHLEY HOUSE 33811 9TH AVE S FEDERAL WAY WA 98003 943080307 501(C)(3) 6000 GENERAL SUPPORT FOR THE AFTER SCHOOL PROGRAM ACTIVE4YOUTH PO BOX 30501 SPOKANE WA 99223 202744962 501(C)(3) 5000 GENERAL SUPPORT FOR THE AFTER SCHOOL PROGRAM ALLEN RENAISSANCETACOMA CLUBHOUSE 1209 MLK JR WAY TACOMA WA 98405 912003317 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT AMERICAN DIABETES ASSOCIATION 180 NICKERSON ST SEATTLE WA 98109 131623888 501(C)(3) 5000 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) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT CATHERINE PLACE 923 S 8TH ST TACOMA WA 98405 912089836 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT CENTRAL KITSAP FOOD BANK PO BOX 748 SILVERDALE WA 98383 911425561 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT COFFEE OASIS 837 4TH ST BREMERTON WA 98337 911745050 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT COMMUNITIES IN SCHOOLS LAKEWOOD 10828 GRAVELLY LAKE DRIVE LAKEWOOD WA 98499 911732922 501(C)(3) 5000 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) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT GIRLS SCOUTS OF WESTERN WA 1000 DAVIS PLACE DUPONT WA 98327 916060940 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT HEALTH IMPROVEMENT PARTNERSHIP PO BOX 48150 SPOKANE WA 99218 911764236 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT HOPE SPARKS 6424 N 9TH ST TACOMA WA 98406 910598103 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT KEY PENINSULA FREE CLINIC PO BOX 1095 VAUGHN WA 98349 462454053 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT MUSEUM OF GLASS 1801 DOCK ST TACOMA WA 98402 911669422 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT NAMI OF WA 1107 NE 45TH STE 340 SEATTLE WA 98105 911689067 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT VANESSA BEHAN CRISIS NURSERY 10004 E 8TH AVE SPOKANE WA 99202 911196575 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT OUR SISTERS'HOUSE 2714 N 21ST ST 3 TACOMA WA 98406 911650772 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PIERCE COUNTY AIDS FOUNDATION 3009 S 40TH ST TACOMA WA 98409 911385245 501(C)(3) 5000 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) 5000 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) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TACOMA FARMERS MARKET 902 MARKET ST TACOMA WA 98402 911647227 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TACOMA URBAN LEAGUE 2550 S YAKIMA AVE TACOMA WA 99223 910826302 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TRNITY PRESBYTERIAN CHURCH 1615 6TH AVE TACOMA WA 98405 236393377 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT U DISTRICT FOUNDATION 730 HAMILTON SPOKANE WA 99202 300391912 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT 78 0 PART I, LINE 2: 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. X 1 0 X X X X X 1 1 0 0 0 0 0 0 0 WILLIAM ROBERTSON PRESIDENT & CEO 1279848 0 334880 0 1194355 0 556101 0 22359 0 3387543 0 0 0 FLORENCE CHANG EXECUTIVE VICE PRESIDENT 973180 0 218600 0 248390 0 455725 0 26535 0 1922430 0 228554 0 TIM BRICKER SRVP/CHIEF EXEC-S. SOUND 666634 0 192563 0 2783 0 109263 0 25979 0 997222 0 0 0 DAVID CARLSON SRVP,PROVIDER ENTERPRISES 667342 0 171480 0 8034 0 109797 0 30255 0 986908 0 0 0 DAVID O'BRIEN SRVP/CHIEF EXEC-EAST. WA 594663 0 0 0 94631 0 12570 0 17511 0 719375 0 0 0 JAMES MCMANUS CFO 453610 0 100500 0 3010 0 59201 0 12210 0 628531 0 0 0 CHRISTI MCCARREN SRVP,RETAIL HEALTH&COMMUNI 412960 0 98251 0 65690 0 24056 0 12392 0 613349 0 0 0 JEFFREY POLTAWSKY PRES. MARY BRIDGE 398250 0 100293 0 6746 0 57257 0 20282 0 582828 0 0 0 SURAJ SINGH PHYSICIAN 1622688 0 323675 0 10914 0 68025 0 26183 0 2051485 0 0 0 DAVID COONS PHYSICIAN 1330066 0 207915 0 23691 0 37306 0 24650 0 1623628 0 10965 0 NICOLAS A VILLA GUILLEN PHYSICIAN 1384648 0 44694 0 21669 0 21093 0 19177 0 1491281 0 0 0 MIGUEL E ORDONEZ CASTELLANOS PHYSICIAN 1274538 0 47583 0 2406 0 17914 0 19206 0 1361647 0 0 0 BENJAMIN CHEN PHYSICIAN 1105455 0 182013 0 21244 0 20029 0 13571 0 1342312 0 0 0 SHELLY MULLIN FORMER VP, FORMER KEY EMPL 0 0 0 0 432910 0 0 0 0 0 432910 0 0 0 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. A WASHINGTON HEALTH CARE FACILITIES SERIES 2009 AB 911108929 93978HEU5 2009-05-01 100000000 CONSTRUCTION OF THE GOOD SAMARITAN TOWER 0 0 0 B WASHINGTON HEALTH CARE FACILITIES SERIES 2012 A 911108929 93978HHB4 2012-11-13 140628741 AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT 0 0 0 C WASHINGTON HEALTH CARE FACILITIES SERIES 2015 AB 911108929 93978HMN2 2015-04-16 420539219 REFUND THE SERIES 2004 & SERIES 2008 BONDS, CONSTRUCTION AT AUBURN & COVINGT 0 0 0 D WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B 911108929 93978HTS4 2017-11-14 299865868 REFUND THE SERIES 2007 0 0 0 A 100000000 1032608 556507 98410885 2010 0 0 1 1 B 140628741 1336000 139292741 2013 0 0 1 1 C 15575000 420539219 3145115 192374556 225019548 2017 1 0 1 1 D 8950000 299865868 299865868 2017 1 0 1 1 A 0 1 1 1 1 1 0.00180 0.00000 0.00180 0 0 1 B 0 1 1 1 1 1 0.00110 0.00000 0.00110 0 0 1 C 0 1 1 1 1 1 0.00970 0.00000 0.00970 0 0 1 D 0 1 1 1 1 1 0.00810 0.00000 0.00810 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 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 A WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CDE 911108929 93978HTS3 2017-11-14 191010000 REFUND 2012B DEBT & ROCKWOOD ACQUISTION 0 0 0 A 191010000 191010000 2017 1 0 1 1 A 0 1 1 1 1 1 0.00130 0.00000 0.00130 0 0 1 A 0 0 0 0 1 0 0 0 1 A 1 CAROLINE RUTTER MD FAMILY OF DIRECTOR 604567 EMPLOYEE OF MULTICARE HEALTH SYSTEM 0 RACHEL ROTH FAMILY OF DIRECTOR 41898 EMPLOYEE OF MULTICARE HEALTH SYSTEM 0 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. 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