MULTICARE HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MULTICARE HEALTH SYSTEM (EIN 91-1352172)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-12
IRS object ID: 201203189349300445
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-12T16:41:59-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	346565596	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	178 S RIO GRANDE STREETSTE 400	AddressLine1
City	SALT LAKE CITY	City
State	UT	State
ZIP Code	84101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	911352172	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MULTICARE HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MULT	NameControl
Phone	2534598125	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5299	AddressLine1
City	TACOMA	City
State	WA	State
ZIP Code	984150299	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DIANE CECCHETTINI	Name
Title	PRESIDENT & CEO	Title
Phone	2534598125	Phone
Date Signed	2012-11-12	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00712229	PTIN
Phone	8013503300	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DIANE CECCHETTINI	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5299	AddressLine1
City	TACOMA	City
State	WA	State
ZIP Code	984150299	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1419589770	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MULTICARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1987	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	MULTICARE HEALTH SYSTEM'S MISSION IS TO PROVIDE QUALITY PATIENT CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	8886	TotalNbrEmployees
Total Nbr Volunteers	1593	TotalNbrVolunteers
Total Gross UBI	4814381	TotalGrossUBI
Net Unrelated Business Txbl Income	-488618	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	13821284	ContributionsGrantsPriorYear
Contributions Grants Current Year	21876174	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1025192054	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1377489080	ProgramServiceRevenueCY
Investment Income Prior Year	-6515168	InvestmentIncomePriorYear
Investment Income Current Year	-24131162	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-919410	OtherRevenuePriorYear
Other Revenue Current Year	6344	OtherRevenueCurrentYear
Total Revenue Prior Year	1031578760	TotalRevenuePriorYear
Total Revenue Current Year	1375240436	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5067818	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	8092530	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	583805745	SalariesEtcPriorYear
Salaries Etc Current Year	748069182	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	403085408	OtherExpensePriorYear
Other Expenses Current Year	575109263	OtherExpensesCurrentYear
Total Expenses Prior Year	991958971	TotalExpensesPriorYear
Total Expenses Current Year	1331270975	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	39619789	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	43969461	RevenuesLessExpensesCY
Total Assets BOY	1557442619	TotalAssetsBOY
Total Assets EOY	2270274326	TotalAssetsEOY
Total Liabilities BOY	1011384386	TotalLiabilitiesBOY
Total Liabilities EOY	1261537187	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	546058233	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1008737139	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	MULTICARE HEALTH SYSTEM'S MISSION IS TO PROVIDE QUALITY PATIENT CARE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	894647481	Expense
Grants	8092530	Grants
Revenue	1146652621	Revenue
Description	MULTICARE HEALTH SYSTEM (MHS) OPERATES FOUR COMMUNITY BASED HOSPITALS WITH 821 LICENSED ADULT BEDS AND 72 LICENSED PEDIATRIC BEDS. DURING 2011 MHS HOSPITALS ADMITTED 35,466 PATIENTS FOR A TOTAL OF 142,471 PATIENT DAYS, PERFORMED 26,887 SURGERIES AND DELIVERED 4,634 BABIES. THERE WERE 7,623 NEWBORN DAYS DURING 2011. THEY ALSO PROVIDED CARE FOR 246,959 OUTPATIENT VISITS AND 145,211 EMERGENCY ROOM VISITS, OF WHICH 637 WERE TRAUMA PATIENTS. THE STATISTICS FOR GOOD SAMARITAN HOSPITAL, WHICH IS PART OF MULTICARE HEALTH SYSTEM, INCLUDE PRORATIONS DUE TO THE 3/31/2011 STUB YEAR FILING.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	103449245	Expense
Revenue	137638999	Revenue
Description	MULTICARE HEALTH SYSTEM OPERATES MULTI-SPECIALTY CLINICS THROUGHOUT PIERCE AND SOUTH KING COUNTIES. DURING 2011 THESE CLINICS PROCESSED 438,076 LABORATORY WORKLOAD UNITS, 173,080 IMAGING RELATIVE UNITS, 70,218 ONCOLOGY RELATIVE VALUE UNITS, 26,243 RADIOLOGY ONCOLOGY RELATIVE VALUE UNITS, 39,585 THERAPY VALUE UNITS AND 823 PHARMACY WORKLOAD UNITS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	75688327	Expense
Revenue	56513348	Revenue
Description	MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 410,665 PATIENT VISITS DURING 2011.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	49309969	Expense
Revenue	36684112	Revenue
Description	MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE URGENT CARE CLINICS, BEHAVIORAL HEALTH, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH,PSYCHOLOGY CHILDREN'S THERAPY UNIT. DURING 2011 THE CLINICS PROVIDED 149,050 URGENT CARE VISITS, 48,184 HOME HEALTH VISITS AND 5,812 PHYCHOLOGY CHILDREN'S THERAPY VISITS. THE HOME HEALTH AND HOSPICE PROGRAMS ADMITTED 4,794 PATIENTS DURING 2011.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	49309969	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	36684112	TotalOfOtherProgramServiceRev
Total Program Service Expense	1123095022	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1065	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	8886	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	2534598331	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	737 S FAWCETT	AddressLine1
City	TACOMA	City
State	WA	State
ZIP Code	98402	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ROBERT CORLISS MD PART YEAR
DIRECTOR	2.00	X	0	0	0
JOHN FOLSOM
CHAIR	2.00	X	0	0	0	X
JOHN HALL
DIRECTOR	2.00	X	0	0	0
SALLY B LEIGHTON
SECRETARY	2.00	X	0	0	0	X
KAREN J LYNCH PART YEAR
DIRECTOR	2.00	X	0	0	0
ROB R ROTH MD
VICE CHAIR	2.00	X	0	0	0	X
L DALE SOWELL
DIRECTOR	2.00	X	0	0	0
DEEDRA WALKEY
DIRECTOR	2.00	X	0	0	0
JOHN WIBORG
TREASURER	2.00	X	0	0	0	X
BISHOP DAVID WOLD PART YEAR
DIRECTOR	2.00	X	0	0	0
LUKE XITCO
DIRECTOR	2.00	X	0	0	0
ROBERT A YOST
DIRECTOR	2.00	X	0	0	0
DIANE CECCHETTINI
PRESIDENT & CEO	57.00		1633568	0	38961	X
JOHN LONG PART YEAR
SENIOR EXECUTIVE ADVISOR	19.00		537660	0	17371	X
VINCENT SCHMITZ
CHIEF FINANCIAL OFFICER	57.00		850298	0	44239	X
WILLIAM STOVER
SR. VICE PRESIDENT	60.00		598842	0	41074		X
KATHERINE SMITH
SR. VICE PRESIDENT	60.00		599443	0	39677		X
FLORENCE CHANG
SR. VICE PRESIDENT	60.00		491976	0	26155		X
SHELLY MULLIN
VP,ADMINISTRATOR TACOMA GENERAL HOSPITAL	60.00		371454	0	64166		X
GLENN KASMAN
PRESIDENT GOOD SAMARITAN HOSPITAL	60.00		358683	0	61958		X
MADLYN MURREY
VP,ADMINISTRATOR MARY BRIDGE HOSPITAL	60.00		238212	0	52998		X
ELISE FORNADLEY
VP,ADMINISTRATOR ALLENMORE HOSPITAL	60.00		224824	0	29305		X
MARCIA JOHNSON
VICE PRESIDENT	60.00		363838	0	88638		X
CLAIRE SPAIN-REMY
VICE PRESIDENT	60.00		344742	0	47454		X
PATRICK WARD
VICE PRESIDENT	60.00		170409	0	33380		X
JOHN HUNG
PHYSICIAN	50.00		1204415	0	34515			X
DAVID COONS
PHYSICIAN	50.00		1200387	0	56811			X
JAMES WYMAN
PHYSICIAN	50.00		977789	0	30018			X
WILLIAM MORRIS
PHYSICIAN	50.00		964777	0	218986			X
DOUGLAS SUTHERLAND
PHYSICIAN	50.00		837422	0	28313			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	11968739	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	954019	TotalOtherCompensation
Number Individuals GT100 K	1016	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TACOMA EMERGENCY CARE PHYSICIANS CO
4301 S PINE STREET STE 400	TACOMA	WA	98409	MEDICAL	10479155
TACOMA ANESTHESIA ASSOCIATES INC PS
3633 PACIFIC AVE STE 204	TACOMA	WA	98418	MEDICAL	7055488
TRAUMA TRUST
POBOX 5299	TACOMA	WA	98415	MEDICAL	6702008
SOUND PHYSICIANS
POBOX 60000	SAN FRANCISCO	CA	94160	MEDICAL	3667710
TOTAL RENAL CARE INC
POBOX 403008	ATLANTA	GA	30384	MEDICAL	1550636

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	87	NumberOfContractorsGT100K
Related Organizations	10512741	RelatedOrganizations
Government Grants	11363433	GovernmentGrants
Total Contributions	21876174	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
HEALTHCARE SERVICES	622110	1164341468	1161924878	2416590
AMBULATORY SRVS AND UR	621493	127062027	125971580	1090447
OFFICES OF PHYSICIANS	621111	71304904	71304904
HOME HEALTH	621610	9385847	9385847
OUTPATIENT MENTAL HEAL	621420	2950288	2950288

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2444546	TotalRevenueColumn
Related Or Exempt Function Income	1150942	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1293604	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	1377489080	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	19843676	TotalRevenueColumn
Unrelated Business Revenue	13740	UnrelatedBusinessRevenue
Exclusion	$19,829,936	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	85	TotalRevenueColumn
Exclusion	$85	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	53263	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	53263	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	53263	TotalRevenueColumn
Exclusion	$53,263	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	43974923	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-43974923	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-43974923	TotalRevenueColumn
Exclusion	-$43,974,923	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	327492	GrossSalesOfInventory
Cost Of Goods Sold	374411	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-46919	TotalRevenueColumn
Exclusion	-$46,919	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1375240436	TotalRevenueColumn
Related Or Exempt Function Income	1372688439	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4814381	UnrelatedBusinessRevenue
Exclusion	-$24,138,558	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	8092530	Total
Program Services	8092530	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7369325	Total
Program Services	6119802	ProgramServices
Management And General	1249523	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	558367226	Total
Program Services	462442457	ProgramServices
Management And General	95924769	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	42943068	Total
Program Services	35661757	ProgramServices
Management And General	7281311	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	101069898	Total
Program Services	83932758	ProgramServices
Management And General	17137140	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	38319665	Total
Program Services	32069406	ProgramServices
Management And General	6250259	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1562407	Total
Management And General	1562407	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	337036	Total
Management And General	337036	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	116370	Total
Management And General	116370	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	118884050	Total
Program Services	66663598	ProgramServices
Management And General	52220452	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2650987	Total
Program Services	817010	ProgramServices
Management And General	1833977	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8686362	Total
Program Services	6348977	ProgramServices
Management And General	2337385	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	22831720	Total
Program Services	18960435	ProgramServices
Management And General	3871285	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	5228374	Total
Program Services	4118995	ProgramServices
Management And General	1109379	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	62979	Total
Program Services	51672	ProgramServices
Management And General	11307	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	25675298	Total
Program Services	21321863	ProgramServices
Management And General	4353435	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	91034762	Total
Program Services	75599152	ProgramServices
Management And General	15435610	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	17468657	Total
Program Services	14506718	ProgramServices
Management And General	2961939	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	157083936	156370845	713091
PROVISION FOR BAD DEBTS	109282012	109282012
SAFETY NET ASSESMENT	26293292	109664	26183628
LICENSES	18034220	1601216	16433004

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-30123199	Total
Program Services	19024155	ProgramServices
Management And General	-49147354	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1331270975	Total
Program Services	1123095022	ProgramServices
Management And General	208175953	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	161327793	BOY
EOY	167371520	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	139274205	BOY
EOY	176494579	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11973550	BOY
EOY	17717604	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9386059	BOY
EOY	11674175	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1967321709	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	836640147	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	959189788	BOY
EOY	1130681562	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	200695451	BOY
EOY	674150734	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	22328000	BOY
EOY	22953000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	53267773	BOY
EOY	69231152	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1557442619	BOY
EOY	2270274326	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	124758099	BOY
EOY	190362434	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	555039068	BOY
EOY	782124965	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	9060000	BOY
EOY	365888	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	322527219	BOY
EOY	288683900	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1011384386	BOY
EOY	1261537187	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	546058233	BOY
EOY	1008737139	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	546058233	BOY
EOY	1008737139	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1557442619	BOY
EOY	2270274326	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	43969461	ReconcilationRevenueExpenses
Reconcilation Other Changes	418709445	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$116,370	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	116370	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	50488339	OtherCostOrOtherBasis
Book Value	50488339	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1158381337	OtherCostOrOtherBasis
Depreciation	318989032	Depreciation
Book Value	839392305	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47390637	OtherCostOrOtherBasis
Depreciation	27472399	Depreciation
Book Value	19918238	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	665184974	OtherCostOrOtherBasis
Depreciation	490178716	Depreciation
Book Value	175006258	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	45876422	OtherCostOrOtherBasis
Book Value	45876422	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1130681562	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
ACCRUED INTEREST PAYABLE	$10,320,585
DUE TO AFFILIATES	$20,691,518
ESTIMATED THIRD PARTY SETTLEMENT	$7,069,374
ACCRUED PENSION AND MALPRACTICE LIABILITY	$187,107,587
INTEREST RATE SWAP	$63,494,836

Field	Value	IRS element (for citing)
Total Of Amounts	288683900	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM FOOTNOTE READS: "EFFECTIVE JANUARY I, 2007, MHS ADOPTED FASB ASC TOPIC 740-10 -INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MHS' CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740-10 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, ASC TOPIC 740-10 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. ASC TOPIC 740-10, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS, DID NOT HAVE A SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM. OTHER THAN MEDIS, INC., A TAXABLE CORPORATION, AND GOOD SAMARITAN SURGERY CENTER, LLC, A LIMITED LIABILITY COMPANY (WHICH MERGED INTO MHS IN DECEMBER 2010), ALL OF THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME."	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24480681	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	24480681	NetCommunityBenefitExpense
Percent Of Total Expense	0.02000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	269019246	TotalCommunityBenefitExpense
Direct Offsetting Revenue	192550175	DirectOffsettingRevenue
Net Community Benefit Expense	76469071	NetCommunityBenefitExpense
Percent Of Total Expense	0.06260	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2497000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1576000	DirectOffsettingRevenue
Net Community Benefit Expense	921000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	295996927	TotalCommunityBenefitExpense
Direct Offsetting Revenue	194126175	DirectOffsettingRevenue
Net Community Benefit Expense	101870752	NetCommunityBenefitExpense
Percent Of Total Expense	0.08340	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	8648	PersonsServed
Total Community Benefit Expense	1224334	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1224334	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	2934	PersonsServed
Total Community Benefit Expense	7260765	TotalCommunityBenefitExpense
Direct Offsetting Revenue	509611	DirectOffsettingRevenue
Net Community Benefit Expense	6751154	NetCommunityBenefitExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	30	NumberOfActivitiesOrPrograms
Persons Served	44287	PersonsServed
Total Community Benefit Expense	57090917	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31933371	DirectOffsettingRevenue
Net Community Benefit Expense	25157546	NetCommunityBenefitExpense
Percent Of Total Expense	0.02060	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	101	PersonsServed
Total Community Benefit Expense	961315	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	961315	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	175	PersonsServed
Total Community Benefit Expense	1215969	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1215969	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	57	NumberOfActivitiesOrPrograms
Persons Served	56145	PersonsServed
Total Community Benefit Expense	67753300	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32442982	DirectOffsettingRevenue
Net Community Benefit Expense	35310318	NetCommunityBenefitExpense
Percent Of Total Expense	0.02890	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	57	NumberOfActivitiesOrPrograms
Persons Served	56145	PersonsServed
Total Community Benefit Expense	363750227	TotalCommunityBenefitExpense
Direct Offsetting Revenue	226569157	DirectOffsettingRevenue
Net Community Benefit Expense	137181070	NetCommunityBenefitExpense
Percent Of Total Expense	0.11230	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	984	PersonsServed
Total Community Building Expense	737998	TotalCommunityBuildingExpense
Direct Offsetting Revenue	334091	DirectOffsettingRevenue
Net Community Building Expense	403907	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	64106	PersonsServed
Total Community Building Expense	6984061	TotalCommunityBuildingExpense
Direct Offsetting Revenue	200768	DirectOffsettingRevenue
Net Community Building Expense	6783293	NetCommunityBuildingExpense
Percent Of Total Expense	0.00560	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	28713	PersonsServed
Total Community Building Expense	3254853	TotalCommunityBuildingExpense
Direct Offsetting Revenue	5992	DirectOffsettingRevenue
Net Community Building Expense	3248861	NetCommunityBuildingExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	11394	PersonsServed
Total Community Building Expense	4162938	TotalCommunityBuildingExpense
Direct Offsetting Revenue	158609	DirectOffsettingRevenue
Net Community Building Expense	4004329	NetCommunityBuildingExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	3	PersonsServed
Total Community Building Expense	940740	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	940740	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	105200	PersonsServed
Total Community Building Expense	16080590	TotalCommunityBuildingExpense
Direct Offsetting Revenue	699460	DirectOffsettingRevenue
Net Community Building Expense	15381130	NetCommunityBuildingExpense
Percent Of Total Expense	0.01270	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$31,124,000	BadDebtExpenseAmount
Amount Attributable To	3256000	AmountAttributableTo
Amount Reimbursed By Medicare	169109000	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	216695000	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-47586000	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	Childrens HospitalChildrensHospital
TACOMA GENERAL HOSPITAL
1	315 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	X	X	X	X	X
GOOD SAMARITAN HOSPITAL
2	401 15TH AVE SE	PUYALLUP	WA	98372	X	X			X
ALLENMORE HOSPITAL
3	1901 SOUTH UNION	TACOMA	WA	98411	X	X			X
MARY BRIDGE CHILDRENS HOSPITAL
4	315 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	X	X	X		X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
TACOMA GENERAL HOSPITAL
1	1	1	200.000000000000	1	500.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	0
GOOD SAMARITAN HOSPITAL
2	1	1	200.000000000000	1	500.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	0
ALLENMORE HOSPITAL
3	1	1	200.000000000000	1	500.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	0
MARY BRIDGE CHILDRENS HOSPITAL
4	1	1	300.000000000000	1	500.000000000000	1	X	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	19	NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
COVINGTON AMBULATORY SURGERY CENTER
17700 SE 272ND STREET	COVINGTON	WA	98042	OP SURGERY, RX, LAB
AUBURN LAB
735 12TH STREET SE	AUBURN	WA	98002	LAB TESTING
KENT LAB
222 STATE AVE NORTH	KENT	WA	98031	LAB TESTING
CEDAR MEDICAL LAB
1901 SOUTH CEDAR STREET SUITE B5	TACOMA	WA	98405	LAB TESTING
GIG HARBOR MEDICAL PARK
4545 POINT FOSDICK DRIVE	GIG HARBOR	WA	98335	OP SURG,RX,LAB,ONCOLOGY
AUBURN IMAGING
202 CROSS STREET SE	AUBURN	WA	98001	IMAGING
AUBURN VASCULAR LAB
202 N DIVISION ST SUITE 300-301	AUBURN	WA	98001	VASCULAR LAB
TACOMA FAMILY MEDICINE
521 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
OBSTETRICS ACCESS CLINIC
522 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
MULTICARE OBGYN ASSOCIATES
523 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
PODIATRY CLINIC
524 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
MATERNAL FETAL MEDICINE
524 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	OP PHYSICIAN CLINIC
SILVERDALE CLINIC
1780 NW MYRTLE RD SUITE G220	SILVERDALE	WA	98383	OP PHYSICIAN CLINIC
OLYMPIA CLINIC
200 LILLY ROAD NE BUILDING C	OLYMPIA	WA	98506	OP PHYSICIAN CLINIC
PUYALLUP CLINIC
1803 SOUTH MERIDIAN SUITE B	PUYALLUP	WA	98371	OP PHYSICIAN CLINIC
CHILDREN'S THERAPY UNIT
402 15TH AVE SE	PUYALLUP	WA	98372	OUTPATIENT CHILDREN'S THERAPY UNIT
HEALTH RESOURCE CENTER
2622 S MERIDIAN	PUYALLUP	WA	98372	OP PHYSICIAN CLINIC
CARDIAC REHABILITATION CENTER
16515 MERIDIAN E SUITE 200B	PUYALLUP	WA	98372	CARDIAC REHABILITATION
PET-CT CLINIC
400 15TH AVE SE	PUYALLUP	WA	98372	IMAGING TESTING FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ XXX-XX-XXXX.
PART II: MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE INCLUDE:-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;-TACOMA SOBERING CENTER PROVIDING OVERNIGHT HOUSING FOR INDIVIDUALS WITH DRUG AND ALCOHOL ISSUES; -SEXUAL ASSAULT PREVENTION PROGRAM AND 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;-WOMEN, INFANT AND CHILDREN (WIC) PROGRAM;-SAFE KIDS;-SAFE SHORES;-CENTER FOR HEALTHY LIVING NUTRITION AND FITNESS EDUCATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;-DIABETES SERVICES;-CONSULTING NURSE TELEPHONE SERVICE;-CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;-WORKFORCE DEVELOPMENT PARTNERSHIPS WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL TO PREPARE PEOPLE FOR HEALTH CARE CAREERS;-PARTNERSHIPS WITH AREA COLLEGE NURSING PROGRAMS AND A NURSE RESIDENCY PROGRAM;-FREE SPORTS PHYSICALS FOR THE STUDENTS AT THE FIRST CREEK MIDDLE SCHOOL;- 5-2-1-0 LET'S GO!, A COMMUNITY-WIDE PUBLIC-PRIVATE PARTNERSHIP INITIATIVE TO PREVENT CHILDHOOD OBESITY;-SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;-SCHOLARSHIPS FOR PARENT EDUCATION;-ASSISTIVE TECHNOLOGY PROGRAM- PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;-"HOST SITE FOR PARENTS NIGHT OUT" FOR PARENTS WITH CHILDREN WITH SPECIAL NEEDS;-SIGN LANGUAGE CLASSES THROUGH PIERCE COUNTY LIBRARY.
PART III, LINE 4: 1. FOOTNOTES:THE FINANCIAL STATEMENTS DO NOT HAVE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSES.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. RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $3,256,000 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. AS A TAX-EXEMPT HOSPITAL WE MUST PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. 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 III, LINE 8: COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR TACOMA GENERAL, ALLENMORE AND GOOD SAMARITAN HOSPITALS WAS THE 2011 MEDICARE COST REPORT. 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. MARYBRIDGE COSTS REPRESENT LESS THAT 0.1% OF THE TOTAL.MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT:THE HOSPITAL BELIEVES THAT ALL OF THE $47.5 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 29.9% 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.IF AN ACCOUNT DOES GET SENT TO A BAD DEBT COLLECTION AGENCY, AS LONG AS IT MEETS MULTICARE'S CHARITY AND FINANCIAL ASSISTANCE POLICY'S FEDERAL POVERTY GUIDELINES (FPG), GARNISHMENT OF WAGES WILL NOT BE PURSUED.
PART V, SECTION B, LINE 13G: 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.	TACOMA GENERAL HOSPITAL
PART V, SECTION B, LINE 13G: 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.	GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 13G: 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.	ALLENMORE HOSPITAL
PART V, SECTION B, LINE 13G: 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.	MARY BRIDGE CHILDRENS HOSPITAL
PART V, SECTION B, LINE 19D: TACOMA GENERAL HOSPITAL CHARGES PATIENTS ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM WITH FEDERAL POVERTY LEVELS (FPL) UP TO 425.4% OF THE FPL AT A RATE THAT IS EQUAL TO OR LOWER THAN OUR THREE LOWEST NEGOTIATED COMMERCIAL RATES. ADDITIONALLY, INDIVIDUALS BETWEEN 425.5% AND 500.4% OF THE FPL ARE OFFERED SLIDING SCALE DISCOUNTS AT OR ABOVE THE AMOUNT OFFERED TO INDIVIDUALS WHO PAY WITHIN 60 DAYS FROM THE DATE OF BILLING. THESE INDIVIDUALS ARE ALSO OFFERED INTEREST FREE PAYMENT ARRANGEMENTS FOR UP TO 12 MONTHS FOR THESE DISCOUNTED RATES.	TACOMA GENERAL HOSPITAL
PART V, SECTION B, LINE 19D: GOOD SAMARITAN HOSPITAL CHARGES PATIENTS ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM WITH FEDERAL POVERTY LEVELS (FPL) UP TO 425.4% OF THE FPL AT A RATE THAT IS EQUAL TO OR LOWER THAN OUR THREE LOWEST NEGOTIATED COMMERCIAL RATES. ADDITIONALLY, INDIVIDUALS BETWEEN 425.5% AND 500.4% OF THE FPL ARE OFFERED SLIDING SCALE DISCOUNTS AT OR ABOVE THE AMOUNT OFFERED TO INDIVIDUALS WHO PAY WITHIN 60 DAYS FROM THE DATE OF BILLING. THESE INDIVIDUALS ARE ALSO OFFERED INTEREST FREE PAYMENT ARRANGEMENTS FOR UP TO 12 MONTHS FOR THESE DISCOUNTED RATES.	GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 19D: ALLENMORE HOSPITAL CHARGES PATIENTS ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM WITH FEDERAL POVERTY LEVELS (FPL) UP TO 425.4% OF THE FPL AT A RATE THAT IS EQUAL TO OR LOWER THAN OUR THREE LOWEST NEGOTIATED COMMERCIAL RATES. ADDITIONALLY, INDIVIDUALS BETWEEN 425.5% AND 500.4% OF THE FPL ARE OFFERED SLIDING SCALE DISCOUNTS AT OR ABOVE THE AMOUNT OFFERED TO INDIVIDUALS WHO PAY WITHIN 60 DAYS FROM THE DATE OF BILLING. THESE INDIVIDUALS ARE ALSO OFFERED INTEREST FREE PAYMENT ARRANGEMENTS FOR UP TO 12 MONTHS FOR THESE DISCOUNTED RATES.	ALLENMORE HOSPITAL
PART V, SECTION B, LINE 19D: MARY BRIDGE CHILDRENS HOSPITAL CHARGES PATIENTS ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM WITH FEDERAL POVERTY LEVELS (FPL) UP TO 425.4% OF THE FPL AT A RATE THAT IS EQUAL TO OR LOWER THAN OUR THREE LOWEST NEGOTIATED COMMERCIAL RATES. ADDITIONALLY, INDIVIDUALS BETWEEN 425.5% AND 500.4% OF THE FPL ARE OFFERED SLIDING SCALE DISCOUNTS AT OR ABOVE THE AMOUNT OFFERED TO INDIVIDUALS WHO PAY WITHIN 60 DAYS FROM THE DATE OF BILLING. THESE INDIVIDUALS ARE ALSO OFFERED INTEREST FREE PAYMENT ARRANGEMENTS FOR UP TO 12 MONTHS FOR THESE DISCOUNTED RATES.	MARY BRIDGE CHILDRENS HOSPITAL
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, YMCA OF PIERCE COUNTY, THE CITY OF TACOMA AND THE TACOMA SCHOOL DISTRICT AND OTHERS. WE UTILIZE THE DATA FROM THE HEALTH DEPARTMENT'S PERIODIC COMMUNITY NEEDS ASSESSMENT AS WELL AS FEDERAL DATA TO DETERMINE THE MOST PRESSING HEALTH CARE NEEDS FOR OUR POPULATION. FOR 2011, TOP COMMUNITY HEALTH PRIORITIES WERE: PREVENTING AND CURING COMMUNICABLE AND CHRONIC DISEASES, IMPROVING ACCESS TO MEDICAL CARE, INFANT AND CHILD DEVELOPMENT, CHILDHOOD AND ADULT OBESITY, DISASTER PREPAREDNESS. MULTICARE ADDRESSED THESE PRIORITIES THROUGH COLLABORATIVE POLICY DEVELOPMENT AND FUNDING OF: MRSA PREVENTION AND TREATMENT ACTIVITIES, DEVELOPING A CHRONIC DISEASE MANAGEMENT PILOT PROGRAM, THE PROJECT ACCESS PROGRAM, A PIERCE COUNTY MEDICAL SOCIETY CASE MANAGEMENT MODEL WHICH COORDINATES UNDER- OR UNINSURED PATIENT ACCESS TO VOLUNTEER HEALTH PROVIDERS, AND FINANCIAL SUPPORT FOR THE COUNTY'S SAFETY NET PROVIDER AND THE COMMUNITY HEALTH CARE CLINIC NETWORK. IN ADDITION, MULTICARE FUNDED AND OPERATED THE COMMUNITY MEDICAL CARE CLINIC FOR CHILDREN AT MARY BRIDGE CHILDREN'S HOSPITAL AND HEALTH CENTER AND THE TACOMA FAMILY MEDICINE CLINIC WHICH PROVIDES A RANGE OF PRIMARY CARE AND OB/GYN MEDICAL SERVICES TO LOW-INCOME INDIVIDUALS AND FAMILIES. IN 2011 IN PUYALLUP GOOD SAMARITAN HOSPITAL STARTED THE EAST PIERCE FAMILY MEDICINE RESIDENCY PROGRAM. THE CLINIC HAS RECEIVED ACCREDITATION FROM THE AMERICAN OSTEOPATHIC ASSOCIATION, AN ACCREDITATION THAT ALLOWS THE CLINIC TO BEGIN RECRUITING PHYSICIANS FOR THE RESIDENCY PROGRAM. FOR THE EAST PIERCE COUNTY COMMUNITY GOOD SAMARITAN HOSPITAL EXPANDED THE CARE TRANSITIONS PROGRAM TO ASSIST IN THE TRANSITION OF CHRONICALLY ILL PATIENTS BACK TO THE COMMUNITY AFTER THEIR HOSPITAL STAY.MULTICARE ADDRESSES THE GROWING PROBLEM OF CHILDHOOD AND ADULT OBESITY ON SEVERAL FRONTS. WE ARE AN ACTIVE PARTNER IN A COMMUNITY-WIDE, CDC-FUNDED COALITION, ACHIEVE, WHICH FOCUSES ON REGIONAL POLICIES TO PREVENT AND TREAT CHILDHOOD OBESITY. THROUGH THE HEALTHY COMMUNITIES PROGRAM, WE PARTNER WITH AREA AGENCIES AND HEALTH SYSTEMS TO PROVIDE EDUCATION FOR CHILDREN AND FAMILIES ON HEALTHY NUTRITION AND EXERCISE. MULTICARE ALSO OPERATES A SCHOOL-BASED NUTRITION EDUCATION PROGRAM IN THE TACOMA PUBLIC SCHOOLS AND THE HEALTHY KIDS INITIATIVE WITH THE YMCA. IN PARTNERSHIP WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, WE OFFER PIERCE COUNTY GETS FIT, A MULTI-FACETED PROGRAM AIMED AT ENCOURAGING ADULTS TO MAKE HEALTHY LIFE CHOICES. OTHER COMMUNITY-BASED MULTICARE SERVICES INCLUDE NUTRITION CONSULTATION, WEIGHT MANAGEMENT, TOBACCO CESSATION PROGRAMS, MOBILE IMMUNIZATION CLINICS, ADULT DAY HEALTH, PARENT PARTNERSHIP PROGRAMS FOR FAMILIES AT RISK, MOBILE MENTAL HEALTH OUTREACH SERVICES, PERINATAL OUTREACH SERVICES, HEALTH EDUCATION AND SCREENINGS TO UNDERSERVED COMMUNITIES, SENIOR WELLNESS AND CORPORATE WELLNESS PROGRAMS. MULTICARE IS AN ACTIVE PARTICIPANT IN THE COUNTY-WIDE COORDINATED EMERGENCY PREPAREDNESS EFFORT WHICH INCLUDES PERIODIC MEETINGS, TRAININGS AND COUNTY-WIDE DRILLS AND DISASTER PREPAREDNESS EXERCISES.THROUGH OUR RELATIONSHIP WITH THE REGIONAL UNITED WAY, WE REVIEW THEIR COMMUNITY NEEDS ASSESSMENT DATA AND SUPPORT PRIORITY PROGRAMS. IN 2011, EARLY LEARNING, EDUCATION, EMPLOYMENT, SAFETY, VOLUNTEERISM AND HOUSING WERE AREAS OF FOCUS. TO MEET THESE NEEDS, MULTICARE HAS PROVIDED DAYCARE SERVICES, READING PROGRAMS, CAREER PARTNERSHIPS, MIDDLE AND HIGH SCHOOL HEALTH CAREER EXPLORATION PROGRAMS, INCLUDING MEDICAL EXPLORERS, NURSE CAMP FOR HIGH SCHOOL STUDENTS, AND TRANSITION, A PROGRAM THAT PROVIDES CAREER OPPORTUNITIES FOR DISABLED, DISADVANTAGED YOUTH. MULTICARE EMPLOYEES PARTICIPATE IN A WIDE VARIETY OF VOLUNTEER PROGRAMS IN THE COMMUNITY, INCLUDING THE AMERICAN RED CROSS, THE PIERCE COUNTY DIABETES COALITION, SAFE STREETS COALITION, THE YWCA WHICH OPERATES A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN, THE AMERICAN CANCER SOCIETY, THE PLAN TO END CHRONIC HOMELESSNESS AND MANY OTHER ORGANIZATIONS.
PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. PRE-SERVICE CENTER STAFF START 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 CHARITY OR 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'S PRIMARY SERVICE AREA IS DEFINED AS PIERCE COUNTY WHICH INCLUDES TACOMA, PUYALLUP, UNIVERSITY PLACE, LAKEWOOD, PARKLAND AND GIG HARBOR. SECONDARY SERVICE AREA IS DEFINED AS SOUTH KING COUNTY AND INCLUDES THE CITIES OF FEDERAL WAY, AUBURN, ENUMCLAW, COVINGTON AND KENT. THE PRIMARY SERVICE AREA MULTICARE SERVES IS A MIX OF BOTH URBAN AND SUBURBAN COMMUNITIES. THE POPULATION OF PIERCE COUNTY IS APPROXIMATELY 800,000 INDIVIDUALS. A MAJOR MILITARY INSTALLATION -JOINT BASE LEWIS MCCHORD- IS LOCATED IN PIERCE COUNTY AND AS A RESULT, MULTICARE PROVIDES HEALTH CARE SERVICES TO A LARGE NUMBER OF ACTIVE AND RETIRED MILITARY PERSONNEL. THE MEDIAN AGE IN PIERCE COUNTY IS 35.9 YEARS OLD. SEVENTY PERCENT OF THE POPULATION IN PIERCE COUNTY IS OVER THE AGE OF TWENTY-ONE YEARS OLD. 77% OF PIERCE COUNTY'S POPULATION IS CAUCASIAN; 9% IS LATINO/HISPANIC; 7% IS AFRICAN-AMERICAN; 6% IS ASIAN; AND 1% IS NATIVE-AMERICAN. THE MEDIAN HOUSEHOLD INCOME FOR MULTICAREHEALTH SYSTEM'S PRIMARY SERVICE AREA IS $57,869 AND FOR THE SECONDARY SERVICE AREA IS $68,789. BASED ON THE 2010 WASHINGTON STATE POPULATION SURVEY, APPROXIMATELY 94,313 INDIVIDUALS IN PIERCE COUNTY (MULTICARE'S MAIN SERVICE AREA) ARE UNINSURED. OVER 10 PERCENT OF INDIVIDUALS IN MULTICARE'S SERVICE AREA ARE LIVING BELOW THE POVERTY LEVEL.MULTICARE HEALTH SYSTEM EMPLOYS THE LARGEST NUMBER OF PRIMARY AND SPECIALTY PROVIDERS IN THE REGION, OPERATES 893 BEDS, SEVERAL OUTPATIENT SURGICAL SITES AND 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: THE HOSPITALS OF THE AFFILIATED GROUP UTILIZE SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO THE FOLLOWING:-EDUCATIONAL PROGRAMS THE PROVIDE CLASSES AND INFORMATION ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, HEALTH AND WELLNESS, NUTRITION AND MORE;-FREE MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW COST SCREENINGS AT A VARIETY OF HEALTH FAIRS HELD THROUGHOUT THE YEAR, LOW COST IMMUNIZATIONS IN THE COMMUNITY; -EXPANSION OF THE EMERGENCY DEPARTMENTS TO ACCOMMODATE AN INCREASE IN EMERGENCY DEPARTMENT PATIENTS;-EXPANSION OF THE CANCER CENTER TO ACCOMMODATE AN INCREASE IN CANCER PATIENTS;-BUILDING OF THE PATIENT CARE TOWER IN PUYALLUP TO ACCOMMODATE FOR AN INCREASE IN THE POPULATION;-SENIOR MEMBERSHIP AFFINITY PROGRAM;-CANCER TRIALS AND RESEARCH;-CARE MANAGEMENT, POWER OF ATTORNEY, NOTARY SERVICE CHARITY MEDICATIONS, THE WAL-MART PROGRAM; -CHILDREN'S THERAPY UNIT, ASSISTIVE TECHNOLOGY PROGRAM "THE SMILE FACTORY"SIBSHOPS, ARK ANGELS; -COMMUNITY EDUCATION: MEDICAL EXPLORERS, TRANSFUSION FREE MEDICAL & SURGICAL PROGRAM, TRAUMA NURSES TALK TOUGH, CELEBRATE SENIORITY COMMUNITY IN SCHOOLS, MULTICARE GOOD SAMARITAN READERS, AMERICAN RED CROSS,MULTICARE GOOD SAMARITAN HOSPITAL PLAY PARK @ SOUTH HILL MALL; -FAMILY BIRTH CENTER: LACTATION SUPPORT SERVICES, TEEN PARENT RESOURCE CENTER,MOM AND BABY SUPPORT CLASS,FAMILY BIRTH CENTER CLASSES; -MOBILE HEALTH SERVICES, PALLIATIVE CARE, PHYSICAL MEDICINE & REHABILITATION, VOLUNTEER SERVICES.
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 ALSO HAS THREE AFFILIATED FOUNDATIONS: MARY BRIDGE CHILDREN'S FOUNDATION, MULTICARE HEALTH FOUNDATION AND GOOD SAMARITAN FOUNDATION, ALL WASHINGTON NONPROFIT CORPORATIONS. MULTICARE IS ALSO THE SOLE SHAREHOLDER OF MEDIS CORPORATION, A WASHINGTON FOR-PROFIT CORPORATION. MULTICARE HEALTH SYSTEM HAS FOUR ACUTE-CARE HOSPITALS INCLUDING LEVEL II ADULT AND PEDIATRIC TRAUMA CENTERS, THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER, AN INTERNATIONALLY RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS, AND SOUTHWEST WASHINGTON'S ONLY CHILDREN'S HOSPITAL. MULTICARE'S FOUR HOSPITALS SERVE INDIVIDUALS OF ALL AGES. MARY BRIDGE CHILDREN'S HOSPITAL AND HEALTH CENTER SERVES THE PEDIATRIC NEEDS OF THE COMMUNITY; TACOMA GENERAL HOSPITAL AND GOOD SAMARITAN HOSPITAL HAVE SPECIALTY SERVICES THAT FOCUS ON ADULT POPULATIONS; AND ALLENMORE HOSPITAL HAS SPECIALTY HEALTHCARE SERVICES THAT FOCUS ON THE ELDERLY POPULATION. MULTICARE CONTINUALLY REINVESTS IN THE COMMUNITIES WE SERVE TO IMPROVE ACCESS TO HEALTHCARE. IN 2011 MULTICARE OPENED A NEW 9-STORY PATIENT CARE TOWER AT MULTICARE GOOD SAMARITAN HOSPITAL IN PUYALLUP AND NEW MEDICAL OFFICE BUILDINGS THROUGHOUT PIERCE COUNTY.MULTICARE HEALTH SYSTEM IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS. EACH OF THE FOUNDATION BOARDS ARE ALSO GOVERNED BY COMMUNITY-BASED BOARD OF DIRECTORS AS WELL.
IN 2011 WASHINGTON STATE DID NOT HAVE A COMMUNITY BENEFIT REPORT FILING REQUIREMENT. THE ORGANIZATION FILES THE REPORT EVERY YEAR AND IS POSTED ON MULTICARE HEALTH SYSTEM'S WEBSITE.		SCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
MARY BRIDGE CHILDREN'S FOUNDATION
PO BOX 5299	TACOMA	WA	98415	943030039	501(C)(3)	2891826	ASSISTANCE FOR OPERATING EXPENSES.
MULTICARE HEALTH FOUNDATION
PO BOX 5299	TACOMA	WA	98415	911514257	501(C)(3)	1595449	ASSISTANCE FOR OPERATING EXPENSES.
GOOD SAMARITAN FOUNDATION
PO BOX 5299	TACOMA	WA	98415	912004312	501(C)(3)	3605255	ASSISTANCE FOR OPERATING EXPENSES.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: MULTICARE HEALTH SYSTEM MAINTAINS SEPARATE GENERAL LEDGER ACCOUNTS FOR THE AMOUNTS FUNDED TO RELATED ORGANIZATIONS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DIANE CECCHETTINI
815284	0	817088	0	1196	0	25970	0	12991	0	1672529	0	0	0
JOHN LONG PART YEAR
242227	0	281585	0	13848	0	13358	0	4013	0	555031	0	0	0
VINCENT SCHMITZ
435907	0	400043	0	14348	0	25970	0	18269	0	894537	0	0	0
WILLIAM STOVER
364034	0	229756	0	5052	0	25970	0	15104	0	639916	0	0	0
KATHERINE SMITH
381755	0	214292	0	3396	0	25970	0	13707	0	639120	0	0	0
FLORENCE CHANG
310885	0	179435	0	1656	0	9749	0	16406	0	518131	0	0	0
SHELLY MULLIN
283298	0	86952	0	1204	0	46421	0	17745	0	435620	0	0	0
GLENN KASMAN
248153	0	80155	0	30375	0	35809	0	26149	0	420641	0	7846	0
MADLYN MURREY
183954	0	53136	0	1122	0	35424	0	17574	0	291210	0	0	0
ELISE FORNADLEY
168100	0	55046	0	1678	0	18515	0	10790	0	254129	0	0	0
MARCIA JOHNSON
231015	0	57140	0	75683	0	64761	0	23877	0	452476	0	73195	0
CLAIRE SPAIN-REMY
268044	0	75079	0	1619	0	28470	0	18984	0	392196	0	0	0
PATRICK WARD
133610	0	34891	0	1908	0	15101	0	18279	0	203789	0	0	0
JOHN HUNG
1087542	0	25370	0	91503	0	9326	0	25189	0	1238930	0	0	0
DAVID COONS
1188233	0	9150	0	3004	0	31565	0	25246	0	1257198	0	0	0
JAMES WYMAN
839604	0	25370	0	112815	0	9221	0	20797	0	1007807	0	0	0
WILLIAM MORRIS
931499	0	28420	0	4858	0	200109	0	18877	0	1183763	0	0	0
DOUGLAS SUTHERLAND
807222	0	28420	0	1780	0	8878	0	19435	0	865735	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	LINE 1A - COUNTRY CLUB DUES ARE PAID FOR THE FOLLOWING OFFICERS AND THE AMOUNTS ARE AS FOLLOWS: VINCENT SCHMITZ - $5,971 AND DIANE CECCHETTINI - $500. THE PERSONAL USE OF THE CLUB DUES ARE ADDED TO THEIR TAXABLE WAGES AND REPORTED ON THEIR W-2. LINE 1A - HOUSING ALLOWANCE IS PAID TO JOHN LONG AND GLENN KASMAN, THE AMOUNT IS ADDED TO THEIR TAXABLE WAGES AND REPORTED ON THEIR W-2S.
PART I, LINE 4B	THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN: SHELLY MULLIN $20,451, MADLYN MURREY $11,197, CLAIRE SPAIN-REMY $19,002, DAVID COONS $16,220, PATRICK WARD $8,598, ELISE FORNADLEY $10,291, GLENN KASMAN $12,217, MARCIA JOHNSON $55,453 AND WILLIAM MORRIS $186,450.
PART I, LINE 6	THE COMPENSATION COMMITTEE SETS ANNUAL GOALS FOR THE INCENTIVE COMPENSATION PLAN COVERING SENIOR VICE PRESIDENTS, VICE PRESIDENTS, ADMINISTRATORS, DIRECTORS, MANAGERS AND SUPERVISORS. TARGETS IN QUALITY OF CARE, PATIENT SAFETY, CUSTOMER SERVICE, PEOPLE AND PERFORMANCE ALONG WITH A SYSTEM WIDE OPERATING MARGIN GOAL MUST BE MET IN ORDER FOR THE INCENTIVE COMPENSATION PLAN PAYMENTS TO BE MADE. THE INCENTIVE COMPENSATION PLAN IS CALCULATED AND THEN PAID BASED ON THE NUMBER OF TARGETS ACHIEVED.
PART III	SCHEDULE J, PART III- SUPPLEMENTAL INFORMATION: THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE FISCAL YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1352172, 91-1514257, 94-3030039, AND 91-2004312), 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 FISCAL 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.	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WASHINGTON HEALTH CARE FACILITIES SERIES 2004 A
911108929	93978EL83	2008-05-15	50000000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2004 B
911108929	93978EM74	2008-05-15	50000000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2004 C
911108929	93978EN65	2008-05-15	50000000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2007 A
911108929	93978EQ54	2008-05-15	78725000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
50000000	2344811	47655189	2005	1	1
50000000	2344811	48439399	2005	1	1
50000000	2344811	48439399	2005	1	1
78725000	1981663	76743337	2009	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	0.00800	0.00800	1
1	1	1	0.00800	0.00800	1
1	1	1	0.00800	0.00800	1
1	1	1	0.01240	0.01240	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
0	0	0	0	0	1
(no name)
0	0	0	0	0	1
(no name)
0	0	0	0	0	1
XL
0	0	0	1	0	1	1.916000000000	1

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE K, PART I, COLUMN C	BOND'S ISSUE MATURITY DATES AND CUSSIP NUMBERS	SERIES 2004A 8/15/2023-93978EL26 8/15/2024-93978EL34 8/15/2025-93978EL42 8/15/2026-93978EL59 8/15/2027-93978EL67 8/15/2028-93978EL75 8/15/2034-93978EL83 SERIES 2004B 8/15/2023-93978EL91 8/15/2024-93978EM25 8/15/2025-93978EM33 8/15/2026-93978EM41 8/15/2027-93978EM58 8/15/2028-93978EM66 8/15/2034-93978EM74 SERIES 2004C 8/15/2023-93978EM82 8/15/2024-93978EM90 8/15/2025-93978EM24 8/15/2026-93978EM32 8/15/2027-93978EM40 8/15/2028-93978EM57 8/15/2034-93978EM65 SERIES 2007A 08/15/2012-93978EN73 08/15/2013-93978EN81 08/15/2014-93978EN99 08/15/2015-93978EP22 08/15/2016-93978EP30 08/15/2017-93978EP48 08/15/2018-93978EP55 08/15/2019-93978EP63 08/15/2020-93978EP71 08/15/2021-93978EP89 08/15/2022-93978EP97 08/15/2025-93978EQ21 08/15/2031-93978EQ39 08/15/2038-93978EQ47 08/15/2041-93978EQ54 SERIES 2007B 08/15/2012-93978EQ62 08/15/2013-93978EQ70 08/15/2014-93978EQ88 08/15/2015-93978EQ96 08/15/2016-93978ER20 08/15/2017-93978ER38 08/15/2018-93978ER46 08/15/2019-93978ER53 08/15/2020-93978ER61 08/15/2021-93978ER79 08/15/2022-93978ER87 08/15/2025-93978ER95 08/15/2031-93978ES29 08/15/2038-93978ES37 08/15/2041-93978ES45 SERIES 2007C 08/15/2041-93978EE99 SERIES 2007D 08/15/2041-93978EF23 SERIES 2008A 08/15/2010-93978E2E1 08/15/2011-93978E2F8 08/15/2012-93978E2G6 08/15/2013-93978E2H4 08/15/2014-93978E2J0 08/15/2015-93978E2K7 08/15/2016-93978E2L5 08/15/2017-93978E2M3 08/15/2018-93978E2N1 08/15/2019-93978E2P6 08/15/2024-93978E2Q4 08/15/2029-93978E2R2 08/15/2039-93978E2S0 SERIES 2008B 08/15/2010-93978E2U5 08/15/2011-93978E2V3 08/15/2012-93978E2W1 08/15/2013-93978E2X9 08/15/2014-93978E2Y7 08/15/2015-93978E2Z4 08/15/2016-93978E3A8 08/15/2017-93978E3B6 08/15/2018-93978E3C4 08/15/2019-93978E3D2 08/15/2024-93978E3E0 08/15/2029-93978E3F7 08/15/2039-93978E3G5 SERIES 2008C 8/15/2043-93978EK92 SERIES 2009A 8/15/2044-93978E3U4 SERIES 2009B 8/15/2044-93978E3V2 SERIES 2010A 08/15/2010-93978E6N7 08/15/2011-93978E6P2 08/15/2012-93978E6Q0 08/15/2013-93978E6X5 08/15/2014-93978E6Y3 08/15/2015-93978E6Z0 08/15/2016-93978E7A4 08/15/2017-93978E7B2 08/15/2017-93978E6R8 08/15/2018-93978E7C0 08/15/2019-93978E6S6 08/15/2020-93978E6T4 08/15/2021-93978E6V9 08/15/2022-93978E6W7
SCHEDULE K, PART I, COLUMN E		SERIES 2004A - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004B - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004C - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2007A - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007B - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007C - JOINT PREMIUM 2008 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007 SERIES 2008A - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008B - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008C - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008
SCHEDULE K, SUPPLEMENTAL INFORMATION		MULTICARE HEALTH SYSTEM (MHS), THE PARENT AND SURVIVING CORPORATION AND GOOD SAMARITAN HOSPITAL (GSH), A SUBSIDIARY DISSOLVED AND MERGED WITH THE PARENT/SURVIVING CORPORATION ON 04/01/2011, WERE MEMBERS OF THE OBLIGATED GROUP, AND THEY WERE JOINTLY AND SEVERALLY OBLIGATED ON ALL BOND DEBT. UPON THE MERGER MULTICARE HEALTH SYSTEM, THE SURVIVING CORPORATION, TOOK OVER ON ALL THE ASSETS AND LIABILITIES OF GSH AND MHS.
SCHEDULE K, PART I, COLUMN A	NAME OF THE ISSUER FOR ALL BOND ISSUES	WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS
SCHEDULE K, SUPPLEMENTAL INFORMATION		ANY CHANGES IN THE LEASE AGREEMENTS DURING 2011 WERE NOT MATERIAL ENOUGH TO CHANGE THE PRIVATE BUSINESS USE PERCENTAGE AND/OR THE LOANS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WASHINGTON HEALTH CARE FACILITIES SERIES 2007 B
911108929	93978ES45	2008-05-15	78725000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2007 C
911108929	93978EE99	2007-02-15	52915000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D
911108929	93978EF23	2007-02-15	105635000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2008 A
911108929	93978ES52	2009-02-26	50000000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
78725000	1981663	76743337	2009	1	1
52915000	1331974	51583026	2009	1	1
105635000	2659040	102975960	2009	1	1
50000000	2608752	47391248	2009	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	0.01240	0.01240	1
1	1	1	0.01240	0.01240	1
1	1	1	0.01240	0.01240	1
1	0		0.00290	0.00290	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
XL
0	0	0	1	1.916000000000	1	0	1
XL
1	1	0	1	1.916000000000	1	0	0
RBC
1	1	0	1	1.916000000000	1	0	1
(no name)
0	0	0	0			0	1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WASHINGTON HEALTH CARE FACILITIES SERIES 2008 B
911108929	93978ES60	2009-02-26	50000000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2008 C
911108929	93978EK92	2009-02-26	30000000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2009 A
911108929	93978E3U4	2009-05-15	50000000	CONSTRUCTION OF GOOD SAMARITAN TOWER	0	0	0
WASHINGTON HEALTH CARE FACILITIES SERIES 2009 B
911108929	93978E3V2	2009-05-15	50000000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
50000000	2608752	47391248	2009	1	1
30000000	1565251	28424749	2009	1	1
50000000	729490	499270510	2010	1	1
50000000	729490	499270510	2010	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	0.00290	0.00290	1
1	0.00290	0.00290	1
0	0.00290	0.00290	1
0	0.00290	0.00290	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	1
0	0	0	0	0	1
0	0	0	0	0	1
0	0	0	0	0	1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	911108929	IssuerEIN
CUSIP Number	93978E6N7	CUSIPNumber
Date Issued	2010-01-05	DateIssued
Issue Price	105127578	IssuePrice
Description Of Purpose	CURRENT REFUNDING OF THE WHCA SERIES 1998	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	105127578	TotalProceeds
Issuance Costs From Proceeds	574	IssuanceCostsFromProceeds
Other Spent Proceeds	105127578	OtherSpentProceeds
Year Of Subst Completion	2010	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00290	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00290	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	1	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
WESTERN WA PATHOLOGY
ROB ROTH/VICE CHAIRMAN	1029174	REIMBURSEMENT FOR PROFESSIONAL SERVICES: ROB ROTH, MD OWNS 12.5% OF WESTERN WASHINGTON PATHOLOGY PS. IN 2011 MULTICARE HEALTH SYSTEM ENGAGED WESTERN WASHINGTON PATHOLOGY PS FOR PROFESSIONAL SERVICES.	0
CAROLINE RUTTER MD
DAUGHTER OF THE VICE CHAIRMAN	646935	EMPLOYEE OF THE MHS	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY INTERNAL STAFF AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. INITIAL REVIEWS WERE PERFORMED BY LEVELS OF MANAGEMENT IN VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION, INCLUDING THE CHIEF EXECUTIVE OFFICER, AND THE CHIEF FINANCIAL OFFICER. A REVIEW WAS THEN PERFORMED BY THE AUDIT COMMITTEE OF THE BOARD, AND INCLUDED A PRESENTATION BY THE OUTSIDE ACCOUNTING FIRM. LASTLY, A COPY OF THE FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, 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 BOARD. 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 HER MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1352172, 91-1514257, 94-3030039, AND 91-2004312). 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 2011.
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. ADDITIONALLY THIS YEAR THE AUDITED FINANCIAL STATEMENTS ARE INCLUDED AS PART OF THE FORM 990.
FORM 990, PART VII	DIANE CECCHETTINI IS THE PRESIDENT AND CEO OF MULTICARE HEALTH SYSTEM AND AFFILIATES. SHE IS COMPENSATED BY MULTICARE HEALTH SYSTEM (MHS) AND DEVOTES ON AVERAGE A TOTAL OF 60 HOURS PER WEEK TO MHS AND AFFILIATES AS FOLLOWS: 1 HOUR PER WEEK TO MARY BRIDGE CHILDREN'S FOUNDATION (MBCF), 1 HOUR PER WEEK TO MULTICARE HEALTH FOUNDATION (MHF), 1 HOUR PER WEEK TO GOOD SAMARITAN FOUNDATION (GSF), AND 57 HOURS PER WEEK TO MULTICARE HEALTH SYSTEM. VINCENT SCHMITZ IS THE CFO OF MULTICARE HEALTH SYSTEM AND AFFILIATES. HE IS COMPENSATED BY MHS AND DEVOTES ON AVERAGE A TOTAL OF 60 HOURS PER WEEK TO MHS AND ITS AFFILIATES AS FOLLOWS: 1 HOUR PER WEEK TO MBCF, 1 HOUR PER WEEK TO MHF, 1 HOUR PER WEEK TO GSF, AND 57 HOURS PER WEEK TO MHS. JOHN LONG WAS THE PRESIDENT OF GOOD SAMARITAN HOSPITAL FROM JANUARY THROUGH APRIL 2011. ON APRIL 1ST, 2011 GOOD SAMARITAN HOSPITAL MERGED WITH MULTICARE HEALTH SYSTEM AND JOHN LONG'S ROLE AS AN OFFICER ENDED WHILE HE CONTINUES TO WORK FOR MULTICARE AS A NON-MEDICAL CONSULTANT. HE IS COMPENSATED BY MHS AND DEVOTES ON AVERAGE A TOTAL OF 60 HOURS PER WEEK TO MHS AND ITS AFFILIATES.	HOURS DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -8,091,895. TRANSFER OF ASSETS FROM AFFILIATES 1,131,210. UNFUNDED DB PENSION LIABILITY -39,974,391. GOOD SAMARITAN'S GROUP DISTRIBUTION TO THE PARENT 465,412,272. A-133 FUNDED ASSETS 232,249. TOTAL TO FORM 990, PART XI, LINE 5: 418,709,445.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
MULTICARE HEALTH FOUNDATION
409 S J STREET	TACOMA	WA	98405	911514257	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	1
MARY BRIDGE CHILDREN'S FOUNDATION
409 S J STREET	TACOMA	WA	98405	943030039	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	1
GOOD SAMARITAN HOSPITAL
407 14TH AVE SE	PUYALLUP	WA	98372	910961134	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	1
GOOD SAMARITAN OUTREACH SERVICES
325 E PIONEER AVE	PUYALLUP	WA	98372	911203564	MEDICAL SERVICES	WA	501(C)(3)	LINE 9	MULTICARE HEALTH SYSTEM	1
GOOD SAMARITAN FOUNDATION
402 15TH AVE SE SUITE 101	PUYALLUP	WA	98372	912004312	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315 S K STREET	AddressLine1
City	TACOMA	City
State	WA	State
ZIP Code	98405	ZIPCode

Field	Value	IRS element (for citing)
EIN	911111928	EIN
Primary Activity	MEDICAL BUILDING RENTAL	PrimaryActivity
Legal Domicile State	WA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MULTICARE HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	8236679	ShareOfTotalIncome
Share Of EOY Assets	2065814	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MEDIS CORPORATION
A	13944
MULTICARE HEALTH FOUNDATION
B	1595449
MARY BRIDGE CHILDREN'S FOUNDATION
B	2891826
GOOD SAMARITAN FOUNDATION
B	3605255
MULTICARE HEALTH FOUNDATION
C	3393572
MARY BRIDGE CHILDREN'S FOUNDATION
C	4679758
GOOD SAMARITAN FOUNDATION
C	2439411
MEDIS CORPORATION
J	312520
MULTICARE HEALTH FOUNDATION
P	863518
MARY BRIDGE CHILDREN'S FOUNDATION
P	1308449
GOOD SAMARITAN FOUNDATION
P	646540
MEDIS CORPORATION
P	1196253