2023-11-02T13:42:57-05:00 2022-12-31 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET SUITE 2900 CINCINNATI OH 45202 990 2022-01-01 910848698 NAVOS NAVO 2069337189 POBOX 46420 SEATTLE WA 981460420 TIM HOLMES BHN/NAVOS PRESIDENT 2069337189 2023-11-02 0 TIM HOLMES 999009999 0 ABBEY E LEIBEL P01517527 5136121400 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TIM HOLMES POBOX 46420 SEATTLE WA 981460420 41884895 0 X NAVOS.ORG X 1963 WA TO TRANSFORM THE QUALITY OF LIFE FOR PEOPLE VULNERABLE TO MENTAL ILLNESS & SUBSTANCE ABUSE DISORDERS. 12 12 387 12 0 0 3126930 38598 42284924 40584775 2424 227383 147722 228597 45562000 41079353 0 0 0 0 32600815 29878296 0 0 0 20112378 14408704 52713193 44287000 -7151193 -3207647 79031001 79448489 39871001 40422489 39160000 39026000 X OUR MISSION IS TO TRANSFORM THE QUALITY OF LIFE FOR PEOPLE VULNERABLE TO MENTAL ILLNESS & SUBSTANCE ABUSE DISORDERS BY PROVIDING A BROAD CONTINUUM OF INTEGRATED, HIGH VALUE BEHAVIORAL HEALTH SERVICES FOR THE PEOPLE WITHIN THE COMMUNITIES OF KING COUNTY. WE BELIEVE THAT DIVERSITY, INCLUSION, AND EQUITY ARE VITAL TO LIVING OUR VALUES AND ACHIEVING OUR MISSION. 0 0 21674324 22082000 NAVOS OPERATES A 70 BED INPATIENT FACILITY THAT CARES FOR ADULTS, 18 AND OVER, WITH MENTAL ILLNESS WHO ARE EXPERIENCING AN ACUTE PSYCHIATRIC CRISIS REQUIRING STABILIZATION. NAVOS SERVES THOSE WHO ARE INVOLUNTARILY COMMITTED BECAUSE THEY ARE DEEMED TO BE AN IMMINENT DANGER OR HARM TO THEMSELVES OR OTHERS OR ARE GRAVELY DISABLED DUE TO A MENTAL ILLNESS. NAVOS OFFERS A STRUCTURED ENVIRONMENT OF INDIVIDUAL PATIENT EVALUATION, TREATMENT AND DISCHARGE PLANNING,AS WELL AS PSYCHIATRIC AND STABILIZATION SERVICES. NAVOS PROVIDES INPATIENT THERAPIES, INCLUDING INDIVIDUAL AND GROUP THERAPY, PSYCHO-EDUCATION, MED-EDUCATION, ART THERAPY, SKILLS BASED THERAPIES, AND COGNITIVE THERAPIES. NAVOS HAS A MULTI-DISCIPLINARY TEAM PROVIDING SERVICES INCLUDING PSYCHIATRISTS AND PSYCHIATRIC NURSE -SEE SCHEDULE O-PRACTITIONERS, PRIMARY CARE PRACTITIONERS, REGISTERED NURSES, MENTAL HEALTH SPECIALISTS, SOCIAL WORKERS, MENTAL HEALTH THERAPISTS, PEER PROFESSIONALS, AND A RECREATION THERAPIST AND SUBSTANCE USE DISORDER PROFESSIONAL. THESE TEAM MEMBERS WORK COLLABORATIVELY WITH THE PATIENT TO DEVELOP TREATMENTPLANS AND GOALS, ASSESS PROGRESS, AND DISCHARGE PLANNING. 13682000 11404195 CHILD, YOUTH, AND FAMILY MENTAL HEALTH SERVICES: NAVOS PROVIDES MENTAL HEALTH SERVICES FOR CHILDREN, YOUTH, AND FAMILIES, WITHIN A RANGE OF AGE 0-5, SCHOOL AGED TO ADULTHOOD (6-18) AND IN HOMEBEHAVIOR SUPPORT FOR INDIVIDUALS AND FAMILIES WITH DEVELOPMENTAL DISABILITIES. SERVICES ARE PROVIDED IN THE HOME, ON SITE AT A SCHOOL, AND WITHIN A CLINIC SETTING, AS APPROPRIATE FOR THE YOUTH AND FAMILY. THE TEAMS ARE COMPRISED OF MASTERS LEVEL STAFF AND MEDICAL PROVIDERS WHO PROVIDE INDIVIDUAL COUNSELING, FAMILY COUNSELING, GROUPS, SKILL BUILDING, CASE MANAGEMENT, AND MEDICATION MANAGEMENT. ADULT AND OLDER ADULT MENTAL HEALTH SERVICES: NAVOS PROVIDES OUTPATIENT ADULT MENTAL HEALTH SERVICES,INCLUDING MEDICAL SERVICES TO ADULTS 18 AND UP THROUGH THE LIFESPAN, INCLUDING FOR OLDER ADULTS -SEE SCHEDULE O-AS THOSE OVER THE AGE OF 55. SERVICES ARE PROVIDED PRIMARILY IN THE CLINIC, WITH A FEW SPECIALTY PROGRAMS SERVING INDIVIDUALS IN THEIR HOMES. SERVICES INCLUDE INDIVIDUAL THERAPY, CASE MANAGEMENT, GROUPS, PEER SUPPORT SERVICES, AND MEDICATION MANAGEMENT. SOME SPECIALTY PROGRAMS ARE 100% COMMUNITY BASED AND FOCUS ON SERVING FOLKS WHO ARE DISCHARGING FROM THE STATE HOSPITAL, PROVIDING STABILIZATION SERVICES IN THEIR HOME. ADULT SUBSTANCE USE DISORDER SERVICES: STATE CERTIFIED OUTPATIENT SUD TREATMENT IS OFFERED FOR ADULTS, INCLUDING ALL PHASES OF OUTPATIENT SUD LEVELS OF CARE THROUGH GROUPS AND INDIVIDUAL COUNSELING. 5949691 7102000 NAVOS HAS DEVELOPED AND OPERATES RESIDENTIAL PROGRAMS FORCHILDREN, ADULTS AND OLDER ADULTS BECAUSE TREATMENT OF PEOPLE WITHSEVERE AND PERSISTENT MENTAL ILLNESS IS INEFFECTIVE WITHOUT SAFEAND SECURE HOUSING. NAVOS OWNS THE FACILITIES IN WHICH CERTAINPROGRAMS ARE OPERATED AND LEASES OTHER FACILITIES. COUNTYCONTRACTS PROVIDE THE PRINCIPAL SOURCE OF FUNDING FOR NAVOS'SRESIDENTIAL PROGRAMS. INDIVIDUALS 60 AND OLDER ARE AIDED TO LIVELIVES THAT ARE AS SATISFYING AND INDEPENDENT AS POSSIBLE, DESPITETHE CHALLENGES MENTAL ILLNESS POSES. NAVOS SERVES POPULATIONS ININDIVIDUAL HOMES, AS WELL AS NURSING HOMES, SUPPORTED HOUSING ANDRESIDENTIAL TREATMENT PROGRAMS. 41306015 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 20 0 1 387 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JESSICA OBER 2536205138 2600 SW HOLDEN ST SEATTLE WA 98126 BRIAN ABEEL CHAIR & TREASURER 1.00 2.00 X X 0 0 0 GREGORY UNRUH VICECHAIR &SECRETARY 1.00 2.00 X X 0 0 0 DENA ASHLOCK DIRECTOR 1.00 2.00 X 0 0 0 STEVEN BROCKEL DIRECTOR 1.00 2.00 X 0 0 0 DON GILLMORE DIRECTOR 1.00 2.00 X 0 0 0 JACLYN KIRBY DIRECTOR 1.00 2.00 X 0 0 0 JERRY MOORE DIRECTOR 1.00 2.00 X 0 0 0 PATRICIA NEUBERGER DIRECTOR 1.00 2.00 X 0 0 0 CHARLES PURCELL DIRECTOR 1.00 2.00 X 0 0 0 SANDY ROSENKRANZ DIRECTOR 1.00 2.00 X 0 0 0 MIKE SWEENEY DIRECTOR 1.00 2.00 X 0 0 0 JEFFREY WATTS DIRECTOR 1.00 2.00 X 0 0 0 CINDY MURRILL DIRECTOR, PART YEAR 1.00 2.00 X 0 0 0 TIM HOLMES BHN & NAVOS PRESIDENT 10.00 30.00 X 0 487415 46119 TERRI CARD COO 20.00 20.00 X 0 370906 24047 JEFF KORCZ PSYCHIATRIST 40.00 0.00 X 410022 0 22052 BRIAN COLEMAN PSYCHIATRIST 40.00 0.00 X 389662 0 17477 MONICA STROPE PSYCHIATRIST 40.00 0.00 X 359070 0 15275 DIANE MCCLEAVE REGISTERED NURSE 40.00 0.00 X 308560 0 12393 YOHANES MEZENGHIE REGISTERED NURSE 40.00 0.00 X 305371 0 12799 1772685 858321 150162 56 0 1 0 HERMANSON COMPANY LLP 1221 2ND AVE N KENT WA 98032 CONSTRUCTION 719508 THE NONPROFIT TRUST 1807 SANTA RITA RD D251 PLEASANTON CA 94566 SOCIAL SERVICES 183382 SIGMUND SOFTWARE LLC 83 WOOSTER HEIGHTS RD STE 210 DANBURY CT 06710 SOFTWARE PROVIDER SERVICES 148777 MOSS ADAMS LLP 19201 120TG AVE NE SUITE 108 BOTHELL WA 98011 AUDITING, ACCOUNTING SERVICES 105919 4 15154 11824 11620 3420 38598 MEDICARE/MEDICAID NET 624100 18134533 18134533 KING CTY-BEHAV HEALTH 624100 10377858 10377858 KING CTY-OTHER SERVICE 624100 4335543 4335543 3RD PARTY INS&SELF PAY 624100 3721379 3721379 ADULT HOUSING,APARTMEN 624100 2770122 2770122 1245340 1245340 40584775 43 43 228597 0 228597 228597 228597 1032882 805542 227340 227340 227340 41079353 40584775 0 455980 25189610 24252005 937605 453640 436993 16647 2659469 2512782 146687 1575577 1526875 48702 3475572 3475572 24132 24132 100864 100864 39360 39360 75 75 481281 320421 160860 651813 72674 579139 2629365 2457369 171996 103395 32072 71323 353483 285820 67663 2272322 1669773 602549 546186 510186 36000 BEHAVIORAL HEALTH SVCS 2142303 2142303 FOOD EXPENSE 579697 579697 HOUSEKEEPING/LAUNDRY 425727 425727 SUPPLIES EXPENSE 294116 292526 1590 289013 289013 44287000 41306015 2980985 0 10500 8100 10461521 15550769 6605838 4731851 142769 124878 235215 875510 66790243 15021937 53589189 51768306 2033343 1826203 5952626 4562872 79031001 79448489 5458843 4614859 17420403 18558680 16991755 17248950 39871001 40422489 X 33147000 34402000 6013000 4624000 39160000 39026000 79031001 79448489 X -3207647 -1389000 4462647 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 39360 39360 0 PART II-B, LINE 1: LOBBYING EXPENSES OF $39,360 ARE INCURRED AS PART OF MEMBERSHIP DUES PAID TO WASHINGTON HOSPITAL ASSOCIATION WHICH PARTICIPATES IN LOBBYING ACTIVITIES. 14467808 14467808 43385570 9436830 33948740 7259029 5337267 1921762 1677836 247840 1429996 51768306 STUART TRUST-BENEFICIAL INT 3386338 EGTVEDT TRUST-BENEFICIAL INT 1176534 4562872 NOTE PAYABLE MHS 15191755 LINE OF CREDIT WITH MHS 2057195 17248950 X 41079000 0 41079000 353 353 41079353 44287000 0 44287000 0 44287000 PART X, LINE 2: FIN 48(ASC740) FOOTNOTE THE INTERNAL REVENUE SERVICE HAS RECOGNIZED NAVOS AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) REQUIRE THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE-LIKELY-THAN-NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE IMPLEMENTATION OF THIS ACCOUNTING POLICY HAD NO IMPACT ON THE FINANCIAL STATEMENTS. NAVOS DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING SCHEDULE D, PART XII, LINE 4C ROUNDING DIFFERENCE ADJUSTMENT: $353 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 0 0 3946 955897 0 0.00000 25912340 14783213 11129127 0.25130 5108522 10377858 0 0.00000 31024808 26116968 11129127 0.25130 460035 297996 162039 0.00370 0 460035 297996 162039 0.00370 31484843 26414964 11291166 0.25500 1 0 0 1496331 1699962 -203631 X 1 1 1 1 NAVOS PSYCHIATRIC HOSPITAL 2600 SW HOLDEN STREET SEATTLE WA 98126 WWW.NAVOS.ORG 6010093 X PSYCHIATRIC HOSPITAL NAVOS PSYCHIATRIC HOSPITAL 1 0 0 1 X X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.NAVOS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X SEE PART V, SECTION C X X 1 22 1 HTTPS://WWW.NAVOS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 300.000000000000 500.000000000000 X X X 0 1 X X X X 1 X HTTPS://WWW.NAVOS.ORG/PATIENT-FINANCIAL-SERVICES/ X HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 NAVOS PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 3J: BASED ON THE FINDINGS FROM THE 2021/2022 CHNA, THE FOLLOWING FOUR AREAS WERE IDENTIFIED AS SIGNIFICANT COMMUNITY HEALTH NEEDS WITHOUT PRIORITIZATION: 1. MENTAL HEALTH AND SUBSTANCE USE DISORDERS2. ACCESS TO CARE AND TRANSPORTATION3. PHYSICAL HEALTH WITH A FOCUS OBESITY, CANCER, AND DIABETES4. HOUSING AND HOMELESSNESS NAVOS PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 5: NAVOS IS A MEMBER OF THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY OR HHC. AS PART OF THE HHC, NAVOS PARTNERED WITH KING COUNTY AND KING COUNTY NON-PROFIT HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WE COLLABORATED WITH THESE HOSPITALS AND KING COUNTY PUBLIC HEALTH TO GATHER COMMUNITY INPUT, IDENTIFY STAKEHOLDER ORGANIZATIONS, DESCRIBE IMPACTS OF PROGRAMS, AND MEASURE PROGRAM INDICATORS. THE CHNA PRESENTS A DETAILED DESCRIPTION OF THE COMMUNITY, ANALYSES OF DATA ON LIFE EXPECTANCY AND LEADING CAUSES OF DEATH, A REVIEW OF LEVELS OF CHRONIC ILLNESS, ACCESS TO SERVICES, MENTAL HEALTH AND SUBSTANCE USE, AND THE MEDICAID POPULATION THROUGHOUT KING COUNTY. IN ADDITION, THIS REPORT PROVIDES QUANTITATIVE INFORMATION ABOUT ADDITIONAL COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED BY THE HOSPITALS FOR HEALTHIER COMMUNITY.THE CHNA INCLUDES PRIMARY DATA GATHERED FROM A COMMUNITY SURVEY, WORKSHOPS AND STAKEHOLDER INTERVIEWS, IN ADDITION TO INFORMATION COLLECTED FROM SECONDARY QUANTITATIVE SOURCES. MORE THAN 800 SOUTH KING COUNTY RESIDENTS WERE SURVEYED ABOUT THEIR COMMUNITY HEALTH NEEDS. THE SURVEY, CONDUCTED, IN 2018-2019, SOUGHT RESIDENTS' VIEWS ON HEALTH STATUS, CRIME & SAFETY, SOCIAL CONNECTEDNESS, HEALTHCARE, AND OTHER ISSUES THAT IMPACT THE QUALITY OF LIFE. MANY OF THE ONGOING POPULATION SURVEY DATA INCLUDED IN THIS REPORT REFLECT DATA FROM 2018 AND 2019, WHICH PROVIDES INFORMATION ON THE HEALTH AND SOCIAL CONTEXT OF KING COUNTY POPULATIONS PRIOR TO COVID-19. SINCE COVID-19 HAS THE POTENTIAL TO HAVE LONG AND LASTING IMPACTS ON COMMUNITY NEEDS AND HAS ALREADY INFLUENCED POPULATION HEALTH AND WELL-BEING THROUGH HEALTH, SOCIAL, AND ECONOMIC IMPACTS, IT IS CRITICAL TO USE THE DATA PRESENTED IN THE REPORT AS A BENCHMARK TO ASSESS AND MONITOR THE IMPACT MOVING FORWARD. NAVOS HOSPITAL, ALONG WITH OTHER KING COUNTY NON-PROFIT HOSPITALS, ARE TASKED EVERY THREE YEARS TO DEVELOP A PLAN TO SERVE THE KING COUNTY COMMUNITY TARGETING ONE OR MORE OF THE ABOVE COMMUNITY HEALTH NEEDS. HOSPITALS ARE CALLED TO CONTRIBUTE SERVICES, TIME, EXPERTISE, ETC. AIMED AT POSITIVELY IMPACTING THE IDENTIFIED NEED. THESE CONTRIBUTIONS SHOULD REACH OUTSIDE OF STANDARD DAY TO DAY OPERATIONS AND WILL BE AT NO FINANCIAL COST TO THE COMMUNITY OR INDIVIDUAL RECEIVING THE SERVICE. THE KING COUNTY HOSPITALS FOR A HEALTHIER COMMUNITY (HHC), REPRESENTS 10 HOSPITALS THROUGHOUT THE COUNTY, AS WELL AS, SEATTLE KING COUNTY PUBLIC HEALTH. THE HHC COLLECTED DATA OVER THE PRIOR 3 YEARS TO INCLUDE SURVEYS, MEETINGS, AND WRITTEN FEEDBACK. AS PART OF THE HHC, NAVOS PARTNERED WITH KING COUNTY AND KING COUNTY NON-PROFIT HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WE COLLABORATED WITH THESE HOSPITALS AND KING COUNTY PUBLIC HEALTH TO GATHER COMMUNITY INPUT, IDENTIFY STAKEHOLDER ORGANIZATIONS, DESCRIBE IMPACTS OF PROGRAMS, AND MEASURE PROGRAM INDICATORS. THE CHNA PRESENTS A DETAILED DESCRIPTION OF THE COMMUNITY, ANALYSES OF DATA ON LIFE EXPECTANCY AND LEADING CAUSES OF DEATH, A REVIEW OF LEVELS OF CHRONIC ILLNESS, ACCESS TO SERVICES, MENTAL HEALTH AND SUBSTANCE USE, AND THE MEDICAID POPULATION THROUGHOUT KING COUNTY. IN ADDITION, THIS REPORT PROVIDES QUANTITATIVE INFORMATION ABOUT ADDITIONAL COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED BY THE HOSPITALS FOR HEALTHIER COMMUNITY.THE 2021/2022 CHNA PROVIDES THE FOLLOWING INFORMATION RELATED TO KING COUNTY RESIDENTS:1. IN 2020, 1 IN 3 KING COUNTY RESIDENTS, OR 35.5%, FILED INITIAL UNEMPLOYMENT INSURANCE CLAIMS2. 22.4% OF KING COUNTY RESIDENTS WERE LIMITED IN SOME WAY DUE TO A PHYSICAL, MENTAL OR EMOTIONAL DISABILITY. THE RATE OF DISABILITY IS SIGNIFICANTLY HIGHER WITH ADULT RESIDENTS IDENTIFYING AS LESBIAN, GAY, OR BI-SEXUAL AT 29.5%3. NEARLY 40% OF BLACK ADULTS ARE FOOD INSECURE4. KING COUNTY IS SEEING ESCALATING HOUSING EXPENSES FOR BOTH OWNERS AND RENTERS. HOUSING COSTS FOR MALE RESIDENTS WERE GREATLY IMPACTED BY COVID-19 AND CREATED MORE DISPARITY FOR MALE RESIDENTS5. 11,199 INDIVIDUALS, YOUTH, AND MEMBERS OF FAMILIES ARE EXPERIENCING HOMELESSNESS IN SEATTLE/KING COUNTY - AMONG THE KING COUNTY HOMELESS POPULATION, 70% LIVES IN SEATTLE. THE OVERALL HOMELESS POPULATION IN KING COUNTY DISPROPORTIONATELY IMPACTS PEOPLE AND HOUSEHOLDS OF COLOR. NAVOS PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH MORE HOSPITAL FACILITIES, AS FOLLOWS:EVERGREENHEALTH;VIRGINIA MASON FRANCISCAN HEALTH - ST. ANNE HOSPITAL, ST. ELIZABETH HOSPITAL, ST. FRANCIS HOSPITAL, VIRGINIA MASON MEDICAL CENTER;KAISER PERMANENTE;MULTICARE HEALTH SYSTEM - AUBURN MEDICAL CENTER, COVINGTON MEDICAL CENTER;OVERLAKE MEDICAL CENTER;SEATTLE CANCER CARE ALLIANCE;SEATTLE CHILDREN'S HOSPITAL;SWEDISH MEDICAL CENTER - BALLARD CAMPUS, CHERRY HILL CAMPUS, FIRST HILLCAMPUS, ISSAQUAH CAMPUS;UW MEDICINE - HARBORVIEW MEDICAL CENTER, NORTHWEST HOSPITAL & MEDICALCENTER, UW MEDICAL CENTER, VALLEY MEDICAL CENTER. NAVOS PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN THE HOSPITAL FACILITIES AS FOLLOWS:PUBLIC HEALTH DEPARTMENTS OF SEATTLE AND KING COUNTY. NAVOS PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 7D: EFFECTIVE MAY 21, 2022, WA STATE REQUIRES HOSPITALS RECOGNIZED AS A 501(C)(3) NONPROFIT TO SUBMIT TO THE DEPARTMENT OF HEALTH ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT SERVICES ADDENDUM.NAVOS AS PART OF MULTICARE HEALTH SYSTEM HAS ITS CHNAS PUBLISHED ON THE SITE:HTTPS://DOH.WA.GOV/SITES/DEFAULT/FILES/2023-06/CHNA-919.PDF NAVOS PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 11: BASED ON THE FINDINGS FROM THE 2021/2022 CHNA, THE FOLLOWING FOUR AREAS WERE IDENTIFIED AS SIGNIFICANT COMMUNITY HEALTH NEEDS:1. MENTAL HEALTH AND SUBSTANCE USE DISORDERS2. ACCESS TO CARE AND TRANSPORTATION3. CHRONIC DISEASE MANAGEMENT-SPECIFICALLY OBESITY, CANCER, DIABETES, HEART DISEASE/HYPERTENSION4. FOOD INSECURITYFOR THE 2022 CHNA PLAN, NAVOS WILL ADDRESS MENTAL HEALTH AND SUBSTANCE USE, PHYSICAL HEALTH, AND ACCESS TO HEALTHCARE. AS NAVOS IS A STAND-ALONE PSYCHIATRIC FACILITY WITH LIMITED IN-HOUSE MEDICAL CARE THE CHRONIC DISEASE MANAGEMENT IS FOCUSED ON SCREENING AND REFERRALS. ADDITIONALLY, NAVOS HOSPITAL RECEIVES REFERRALS THROUGH INVOLUNTARY COMMITMENTS VIA THE COURT, SO THE ABILITY TO EXPAND ACCESS TO CARE IS GOVERNED BY THAT PROCESS. NAVOS IS DEDICATED TO IMPROVING COMMUNITY HEALTH AND DELIVERING COMMUNITY BENEFIT WITH THE ENGAGEMENT OF ITS LEADERSHIP TEAM, BOARD, CLINICIANS, AND STAFF, AND IN COLLABORATION WITH COMMUNITY PARTNERS. THE IMPLEMENTATION STRATEGIES WERE DEVELOPED BY LEADERSHIP WITH INPUT FROM NAVOS BOARD MEMBERS.THIS SECTION PRESENTS STRATEGIES AND PROGRAM ACTIVITIES THAT NAVOS INTENDS TO DELIVER, FUND, OR COLLABORATE WITH OTHERS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS OVER THE NEXT THREE YEARS. IT SUMMARIZES PLANNED ACTIVITIES WITH STATEMENTS ON ANTICIPATED IMPACTS AND PLANNED COLLABORATION.THIS REPORT SPECIFIES PLANNED ACTIVITIES CONSISTENT WITH NAVOS' MISSION AND CAPABILITIES. NAVOS MAY AMEND THE PLAN AS CIRCUMSTANCES WARRANT. FOR INSTANCE, CHANGES IN COMMUNITY HEALTH NEEDS OR IN COMMUNITY ASSETS AND RESOURCES DIRECTED TO THOSE NEEDS MAY MERIT REFOCUSING NAVOS' RESOURCES TO BEST SERVE THE COMMUNITY.THE ANTICIPATED IMPACTS OF THE ACTIVITIES ON SIGNIFICANT HEALTH NEEDS ARE SUMMARIZED BELOW. OVERALL, NAVOS ANTICIPATES THAT ACTIONS TAKEN TO ADDRESS SIGNIFICANT HEALTH NEEDS WILL: IMPROVE HEALTH KNOWLEDGE, BEHAVIORS, AND STATUS; INCREASE ACCESS TO NEEDED AND BENEFICIAL CARE; AND HELP CREATE CONDITIONS THAT SUPPORT GOOD HEALTH.COMMUNITY SERVED: KING COUNTY INCLUDES 38 CITIES AND TOWNS AND IS DIVIDED INTO FOUR GEOGRAPHIC AREAS, SEATTLE, NORTH, SOUTH, AND EAST. KING COUNTY HAS 19 PUBLIC SCHOOL DISTRICTS.SIGNIFICANT COMMUNITY HEALTH NEEDS BEING ADDRESSED:THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THIS DOCUMENT WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE DRUG RELATED DEATHS (ADULTS), PHYSICAL HEALTH, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE TREATMENT.THE HOSPITAL INTENDS TO TAKE ACTIONS AND TO DEDICATE RESOURCES TO ADDRESS THESE NEEDS, INCLUDING:BEHAVIORAL HEALTH - DRUG RELATED DEATHS (ADULTS)- PARTICIPATE IN THE STOPOVERDOSE.COM PROGRAM TO PROVIDE ALL INDIVIDUALS WITH OR WITHOUT INSURANCE WHO ARE ASSESSED IN INTAKE AND WHO MEET THE CRITERIA TO RECEIVE NARCAN TO PREVENT AN OVERDOSE.- CONFISCATE ILLEGAL MEDICATIONS THAT ARE BROUGHT INTO INTAKE BY PATIENTS SEEKING MENTAL HEALTH ASSESSMENTS.ACCESS TO CARE - FINANCIAL AND INCREASED ACCESS TO SERVICES- INCREASE ACCESS FOR COMMUNITY MEMBERS IN NEED OF SUBSTANCE USE TREATMENT IN AN OUTPATIENT SETTING BY OPENING WALK- IN APPOINTMENTS. - CONTINUE TO SUPPORT CHARITY CARE FOR ANY NEEDED PATIENT.MENTAL HEALTH AND SUBSTANCE USE TREATMENT- ENHANCE TREATMENT AND OUTCOMES- CREATE WARM HAND OFF TO NEXT LEVEL TREATMENT PROVIDERS.- EXTEND PEER BRIDGER SERVICES FOR UP TO 120 DAYS FOR DISCHARGED PATIENTS ENROLLED IN THE PROGRAM. CHRONIC DISEASE - METABOLIC SYNDROME- PROVIDE INCREASED SCREENING OF METABOLIC SYNDROME, INCLUDING SCREENING OF ALL COMPONENTS OF METABOLIC SYNDROMECOMPLETE CONSULTATIONS WITH ALL INPATIENTS AND IDENTIFY RISK FACTORS AND FINDINGS OF METABOLIC SYNDROME.ANTICIPATED IMPACTS:OVERALL, NAVOS ANTICIPATES THAT ACTIONS TAKEN TO ADDRESS SIGNIFICANT HEALTH NEEDS WILL IMPROVE KNOWLEDGE OF HOSPITAL AND COMMUNITY PROVIDERS DELIVERING CARE TO OUR COMMUNITY, ENHANCE AND EXPAND OUR SERVICE DELIVERY TO OUR COMMUNITY MEMBERS, IMPROVE OVERALL HEALTH OUTCOMES, AND CREATE A PARTNERSHIP WITH THOSE WE SERVE TO ENHANCE THEIR EXPERIENCE AND ENGAGEMENT MANAGING THEIR PHYSICAL AND MENTAL HEALTH NEEDS.PLANNED COLLABORATION INCLUDES:COMMUNITY MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, COUNSELORS AND SERVICESCOMMUNITY MEDICAL PROVIDERSKING COUNTYMULTICARE HEALTH SYSTEM NAVOS PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 20E: FOR OUTPATIENT SERVICES, PEER BRIDGERS AND PATIENT FINANCIAL NAVIGATORS ARE AVAILABLE TO ASSIST WITH MEDICAID APPLICATIONS. PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. 23 1 - NEW BURIEN CAMPUS 1210 SW 136TH STREET BURIEN WA 98166 OUTPATIENT TREATMENT 2 - LAKE BURIEN CAMPUS 1033 SW 152ND STREET BURIEN WA 98166 RES TREATMENT 3 - NAVOS-WEST SEATTLE CAMPUS 2600 SW HOLDEN STREET SEATTLE WA 98126 OUTPATIENT TREATMENT 4 - INDEPENDENCE BRIDGE 15245 10TH AVE SW BURIEN WA 98146 HOUSING 5 - HIGHLINE VILLAGE 2604-2614 SW HOLDEN STREET SEATTLE WA 98126 HOUSING 6 - PACT BURIEN HEIGHTS APARTMENTS 1115 SW 134TH STREET BURIEN WA 98146 HOUSING 7 - CONBELA APARTMENTS 8424 DELRIDGE WAY SW SEATTLE WA 98106 HOUSING 8 - CEDARSTONE 13213 AMBAUM BLVD SW BURIEN WA 98146 HOUSING 9 - HIGHWEST RESIDENCY 15035 8TH AVE S SEATTLE WA 98148 HOUSING 10 - LAKE APARTMENTS 1020 SW 156TH BURIEN WA 98146 HOUSING 11 - LAKEWOOD APARTMENTS 1500 SW 112TH STREET SEATTLE WA 98146 HOUSING 12 - NIKE 23942-60 35TH PL S KENT WA 98032 OLDER ADULT BEHAVIORAL HOUSING 13 - WEATHER VANE APARTMENTS - BURIEN 1123 SW 134TH STREET BURIEN WA 98146 HOUSING 14 - VALLEYWOOD APARTMENTS 801 I STREET NE AUBURN WA 98002 HOUSING 15 - EVERGREEN HOUSE 818 S 231 STREET DES MOINES WA 98198 HOUSING 16 - GRADUATE HOUSE 13432 4TH AVE SW SEATTLE WA 98146 HOUSING 17 - KENT HOUSE 24904 36TH AVE S KENT WA 98032 OLDER ADULT BEHAVIORAL HOUSING 18 - OCCIDENTAL 13620 OCCIDENTAL S SEATTLE WA 98168 HOUSING 19 - PALS 14611 5TH AVE S SEATTLE WA 98168 HOUSING 20 - FAIRWAY HOUSE 1728 S 104TH SEATTLE WA 98168 HOUSING 21 - BRICK HOUSE 1127 SW 134TH STREET BURIEN WA 98134 HOUSING 22 - ENDEAVOR HOUSE 14835 42ND AVE S TUKWILA WA 98168 HOUSING 23 - GEODUCK BUILDING 2602 SW HOLDEN STREET SEATTLE WA 98126 OUTPATIENT TREATMENT PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATIONALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'SSPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY,INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 7: SCHEDULE H, PART I, LINE 7THE COSTING METHOD USED FOR MOST OF SCHEDULE H, PART I, LINE 7 IS THECOST TO CHARGE RATIO. FOR COSTS OF OTHER MEANS TESTED GOVERNMENT PROGRAMS-LINE 7C- AN ESTIMATE OF COST TO REVENUE RATIO WAS USED. THE USE OF ADIFFERENT METHOD IS DUE TO THE REVENUE FOR THESE PROGRAMS AND SERVICESBEING BASED ON METRICS OTHER THAN GROSS CHARGES. AS SUCH THE COST TOCHARGE RATIO DOES NOT ACCURATELY REFLECT THE COSTS ASSOCIATED WITH THESEPROGRAMS AND SERVICES. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBTS THAT WERE EXCLUDED FROM THE TOTAL EXPENSES WHEN CALCULATING THE PERCENTAGE IN COLUMN (F) WAS $17,469.PART III, SECTION A, LINE 2, COSTING METHODOLOGY:BAD DEBT EXPENSE IS MOSTLY DERIVED FROM THOSE WITH DUAL MEDICARE ANDMEDICAID COVERAGE AS NAVOS DOES NOT SEEK TO COLLECT CO-INSURANCE,CO-PAYS, AND PATIENT RESPONSIBILITY AMOUNTS FROM THOSE DUALLY COVEREDPATIENTS. PART III, LINE 8: COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR NAVOS HOSPITAL WAS THE 2022 MEDICARE COST REPORT.THE ORGANIZATION'S COSTS ARE SEPARATED BY COST CENTERS ANDNON-REIMBURSABLE COST CENTERS ARE ELIMINATED FROM THE MEDICARE COSTREPORT. THE REMAINING COSTS ARE DETERMINED FIRST BY DIRECT RELATIONSHIPTO THE ALLOWABLE CENTERS THEN BY UTILIZING CENSUS TO DETERMINE THENON-DIRECT ALLOWABLE COSTS ALLOCATED TO ALLOWABLE CENTERS. THE COSTS ARESTEPPED DOWN ACCORDING TO THE RULES OF THE MEDICARE COST REPORTINSTRUCTIONS. THE PHARMACY AND LAB CHARGES ARE BASED ON A COST TO CHARGERATIO AND UTILIZES SEGMENTS WITHIN THE CENTER TO DETERMINE THEAPPROPRIATE CLASSIFICATIONS FOR THE COSTS. INPATIENT PSYCHIATRIC SERVICESUTILIZES THE SEPARATION OF EACH FUNDING SOURCES TO DETERMINE APPROPRIATE RELATIONSHIP TO THE FUNDING SOURCE AND SEGMENTS LISTED.THE HOSPITAL BELIEVES THAT ALL OF THE $500,000 SHORTFALL SHOULD BECONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARDINCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. THEHOSPITAL PROVIDES CARE TO THOSE WHO ARE DUALLY COVERED WITH MEDICARE ANDMEDICAID. THESE DUALLY COVERED PATIENTS ARE BOTH LOW INCOME AND ELDERLY.MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUETREATING THE VULNERABLE ELDERLY ADULTS IN OUR COMMUNITY. PART III, LINE 9B: PENDING FINAL ELIGIBILITY DETERMINATION (FOR CHARITY CARE), THE HOSPITALWILL NOT INITIATE COLLECTION EFFORTS OR REQUEST DEPOSITS, PROVIDED THATTHE RESPONSIBLE PARTY IS COOPERATIVE WITH THE HOSPITAL'S EFFORTS TO REACHA FINAL DETERMINATION OF SPONSORSHIP STATUS. THE RESPONSIBLE PARTY'SFINANCIAL OBLIGATION, WHICH REMAINS AFTER THE APPLICATION OF ANY SLIDINGFEE SCHEDULE SHALL BE PAYABLE IN MONTHLY INSTALLMENTS OVER A REASONABLE PERIOD OF TIME, WITHOUT INTEREST OR LATE FEES, AS NEGOTIATED BETWEEN THEHOSPITAL AND THE RESPONSIBLE PARTY. THE RESPONSIBLE PARTY'S ACCOUNT SHALLNOT BE TURNED OVER TO A COLLECTION AGENCY UNLESS PAYMENTS ARE MISSED ORTHERE IS SOME PERIOD OF INACTIVITY ON THE ACCOUNT, AND THERE IS NOSATISFACTORY CONTACT WITH THE PATIENT. IF THE PATIENT HAS PAID SOME ORTHE ENTIRE BILL FOR MEDICAL SERVICES AND IS LATER FOUND TO HAVE BEENELIGIBLE FOR CHARITY CARE AT THE TIME SERVICES WERE PROVIDED, HE/SHESHALL BE REIMBURSED WITHIN THIRTY (30) DAYS OF RECEIVING THE CHARITY CAREDESIGNATION. PART VI, LINE 2: NAVOS PARTICIPATES IN A VARIETY OF FORUMS AND ADVISORY GROUPS AT BOTH THESTATE AND LOCAL LEVEL REGARDING MENTAL HEALTH NEEDS. PART VI, LINE 3: NAVOS HAS A STRUCTURED INTAKE PROCEDURE, WRITTEN POLICIES REQUIRINGFINANCIAL COUNSELING, AND PROCEDURES FOR ENSURING COVERAGE BY ASSISTANCEPROGRAMS FOR BOTH INPATIENT AND OUTPATIENT POPULATIONS. PATIENTS ARENOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE INTAKEPROCESS AS WELL AS ON THEIR BILLING STATEMENTS. PART VI, LINE 4: NAVOS IS LOCATED IN SEATTLE, WA AND PRIMARILY SERVES INDIVIDUALS RESIDING IN KING COUNTY WHO HAVE RECEIVED AN INVOLUNTARY TREATMENT ORDER FOR PSYCHIATRIC CARE IN AN INPATIENT SETTING. ALTHOUGH NAVOS CAN AND DOES SERVE PATIENTS FROM OTHER WASHINGTON COUNTIES, THE VAST MAJORITY OF PATIENTS ADMITTED RESIDE IN KING COUNTY. NAVOS PRIMARILY SERVES PATIENTS RECEIVING MEDICAID. KING COUNTY INCLUDES 38 CITIES AND TOWNS AND IS DIVIDED INTO FOUR GEOGRAPHIC AREAS: SEATTLE, NORTH, SOUTH, AND EAST. KING COUNTY HAS 19 PUBLIC SCHOOL DISTRICTS, (NOT INCLUDING PRIVATE AND CHARTER SCHOOLS AND THE MUCKLESHOOT TRIBAL SCHOOL) AND NUMEROUS MENTAL HEALTH AND PHYSICAL HEALTH SYSTEMS ACROSS THE COUNTY. BASED ON THE 2018 CENSUS, KING COUNTY WAS HOME TO 2,190,200 RESIDENTS DOUBLING THE REPORTED CENSUS IN 1990. KING COUNTY HAS SEEN A GROWTH IN DIVERSITY. KING COUNTY IS NOW 60% WHITE COMPARED TO 62% IN 2016. THE ASIAN POPULATION HAS GROWN FROM 16-18% AND MORE THAN HALF OF KING COUNTY CHILDREN ARE CHILDREN OF COLOR. PART VI, LINE 5: NAVOS PROMOTES WELLNESS AND RECOVERY IN BOTH INPATIENT AND OUTPATIENTSETTINGS THROUGH GROUP SESSIONS AND INDIVIDUAL TREATMENT PLANS. NAVOSSPONSORS CONSUMER-OPERATED ADVOCACY AND RECOVERY ORGANIZATIONS AND ITPARTICIPATES IN REGIONAL AND LOCAL PLANNING EFFORTS RELATED TO HEALTHPROMOTION AND EMERGENCY PREPAREDNESS. NAVOS BOARD MEMBERS RESIDE IN THE KING COUNTY REGION SERVED BY NAVOS. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PHYSICIANS IN THE COMMUNITY AT NAVOS WHEN EMERGENCY SITUATIONS ARISE AS DEFINED IN THE ORGANIZED MEDICAL STAFF BYLAWS. PART VI, LINE 6: NAVOS IS A WASHINGTON NOT-FOR-PROFIT CORPORATION, AND IS ORGANIZED AS ATAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF1986. NAVOS IS PART OF THE MULTICARE HEALTH SYSTEM ("MULTICARE").MULTICARE HAS BEEN CARING FOR PACIFIC NORTHWEST COMMUNITIES SINCE 1882. MULTICARE HAS TWO AFFILIATED FOUNDATIONS: MARY BRIDGE CHILDREN'SFOUNDATION AND MULTICARE FOUNDATIONS, BOTH WASHINGTON NONPROFITCORPORATIONS. MULTICARE HEALTH SYSTEM HAS 20,000 TEAM MEMBERS, INCLUDINGEMPLOYEES, PROVIDERS AND VOLUNTEERS. MULTICARE HEALTH SYSTEM IS CARINGFOR OUR COMMUNITY FOR WELL OVER A CENTURY, SINCE THE FOUNDING OF TACOMA'SFIRST HOSPITAL AND TODAY, WE ARE THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTH SYSTEM IN THE STATE OF WASHINGTON.OUR COMPREHENSIVE SYSTEM OF HEALTH INCLUDES NUMEROUS PRIMARY CARE, URGENTCARE AND SPECIALTY SERVICES - INCLUDING MULTICAREINDIGO URGENT CARE, AND MULTICARE ROCKWOOD CLINIC,THE LARGEST MULTISPECIALTY CLINIC IN THE INLAND NORTHWEST REGION.SPECIALTY SERVICES INCLUDE LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER,LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMAREHABILITATION CENTER AND AN INTERNATIONALLY RENOWNED THERAPY UNIT FORCHILDREN WITH SPECIAL NEEDS.MULTICARE ALSO INCLUDES HIGHLY SPECIALIZED AFFILIATED ENTITIES, SUCH ASCHVI PULSE HEART INSTITUTE, SPECIALIZED IN THE TREATMENT AND RESEARCH OFTHE HEART, AND MULTICARE REHABILITATION SPECIALISTS P.C. AND OLYMPIC SPORTS AND SPINE, LLC, ENTITIES FOCUSED FOR DELIVERING ACCESSIBLE AND AFFORDABLE PHYSICAL ANDREHABILITATION THERAPY SERVICES.IN 2022 MULTICARE IS EXPANDING IN IDAHO AND OREGON WITH THE CREATION OF INDIGO IDAHO, LLC A PARTNERSHIP WITH KOOTENAI HEALTHCARE SYSTEM AND TWO CHVI-PULSE CLINICS IN OREGON. THROUGH ITS AFFILIATIONS WITH NAVOS (2017) AND GREATER LAKES MENTALHEALTHCARE (2018) MULTICARE IS THE LARGEST BEHAVIORAL HEALTH PROVIDER INWASHINGTON STATE. IN 2019 MULTICARE HEALTH SYSTEM IN PARTNERSHIP WITH CHIFRANCISCAN HEALTH OPENED WELLFOUND BEHAVIORAL HEALTH HOSPITAL, ANOT-FOR-PROFIT MENTAL HEALTH HOSPITAL IN TACOMA, WASHINGTON, FURTHERADDRESSING THE NEED FOR MENTAL HEALTH AND WELLBEING IN THE COMMUNITY.SINCE THEN, WELLFOUND HAS CREATED AN IMPLEMENTATION STRATEGY TO ADDRESSITS COMMUNITY IN THE AREAS OF ACCESS TO CARE, SUICIDE, DRUG AND ALCOHOLUSE, AND DEPRESSION. IN 2021, WELLFOUND COMPLETED ITS SECOND COMMUNITYHEALTH NEEDS ASSESSMENT.MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS TO BETTER PROVIDEESSENTIAL BEHAVIORAL HEALTH SERVICES AND CONNECT OUR PATIENTS TOESSENTIAL COMMUNITY RESOURCES.MULTICARE HEALTH SYSTEM'S NETWORK OF CARE INCLUDES TEN HOSPITALS:MULTICARE ALLENMORE HOSPITAL, TACOMAMULTICARE AUBURN MEDICAL CENTER, AUBURNMULTICARE COVINGTON MEDICAL CENTER, COVINGTONMULTICARE DEACONESS HOSPITAL, SPOKANEMULTICARE GOOD SAMARITAN HOSPITAL, PUYALLUPMARY BRIDGE CHILDREN'S HOSPITAL, TACOMAMULTICARE TACOMA GENERAL HOSPITAL, TACOMAMULTICARE VALLEY HOSPITAL, SPOKANE VALLEYMULTICARE CAPITAL MEDICAL CENTER, OLYMPIANAVOS, SEATTLE. PART VI, LINE 7, REPORTS FILED WITH STATES WA 0 0 0 0 0 0 0 0 0 TIM HOLMES BHN & NAVOS PRESIDENT 0 403766 0 80181 0 3468 0 18300 0 27819 0 533534 0 0 JEFF KORCZ PSYCHIATRIST 410022 0 0 0 0 0 7793 0 14259 0 432074 0 0 0 BRIAN COLEMAN PSYCHIATRIST 388737 0 925 0 0 0 7466 0 10011 0 407139 0 0 0 TERRI CARD COO 0 290285 0 50743 0 29878 0 12200 0 11847 0 394953 0 0 MONICA STROPE PSYCHIATRIST 359070 0 0 0 0 0 763 0 14512 0 374345 0 0 0 DIANE MCCLEAVE REGISTERED NURSE 300510 0 8050 0 0 0 0 0 12393 0 320953 0 0 0 YOHANES MEZENGHIE REGISTERED NURSE 262752 0 42619 0 0 0 0 0 12799 0 318170 0 0 0 SCHEDULE J, PART I, LINE 3: NAVOS RELIED ON A RELATED ORGANIZATION, MULTICARE HEALTH SYSTEM, TO ESTABLISH THE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. SEE SCHEDULE O, PART VI, LINE 15 NARRATIVE FOR PROCESS USED BY MULTICARE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS THE SOLE CORPORATE MEMBER IS MULTICARE HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MULTICARE SHALL ACT THROUGH ITS CHIEF EXECUTIVE OFFICER OR DESIGNEE AS NAVOS'S SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE CHIEF EXECUTIVE OFFICER OR DESIGNEE OF MULTICARE HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, HAS THE POWER TO APPOINT OR REMOVE ANY ELECTED DIRECTOR ON THE BOARD OF DIRECTORS OF NAVOS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL THE DECISIONS THAT REQUIRE THE SOLE CORPORATE MEMBER MULTICARE HEALTH SYSTEM APPROVAL ARE: APPOINTMENT AND REMOVAL OF ELECTED DIRECTORS; ANNUAL CAPITAL AND OPERATING BUDGETS, INCLUDING COMPENSATION PLANS; STRATEGIC PLANS; SELECTION AND APPOINTMENT OF THE CEO OF NAVOS; INCURRENCE OF INDEBTEDNESS; SALE OR DISPOSITION OF REAL PROPERTY; ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS; AND MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS. ALL OTHER DECISIONS ARE MADE BY THE NAVOS DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE NAVOS FORM 990 IS PREPARED BY INTERNAL STAFF AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. INITIAL REVIEWS ARE PERFORMED BY LEVELS OF MANAGEMENT IN VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION, INCLUDING THE NAVOS PRESIDENT. A REVIEW WAS THEN PERFORMED BY THE BOARD OF DIRECTORS. ADDITIONALLY, A REVIEW WAS PERFORMED BY THE AUDIT COMMITTEE OF THE MULTICARE HEALTH SYSTEM 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 EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY AND D) UNDERSTANDS THAT THE CORPORATION IS A TAX EXEMPT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE BOARD IS RESPONSIBLE FOR MAKING SURE PERIODIC REVIEWS OF THE STATEMENTS ARE DONE AND MAY USE OUTSIDE ADVISORS. IF A CONFLICT OF INTEREST ARISES, THE INTERESTED PERSON MAY PRESENT TO THE BOARD, BUT MUST LEAVE DURING THE DISCUSSION OF AND VOTE ON THE CONFLICT OF ISSUE TRANSACTION OR ARRANGEMENT. A DISINTERESTED PERSON OR COMMITTEE IS APPOINTED TO INVESTIGATE ALTERNATIVES AND THE BOARD MUST EXERCISE DUE DILIGENCE TO DETERMINE IF THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT. REGARDING COMPENSATION, A VOTING MEMBER OF THE BOARD WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION FOR SERVICES IS PRECLUDED FROM VOTING ON COMPENSATION MATTERS. APPROPRIATE DISCIPLINARY AND CORRECTION ACTION MAY BE TAKEN AGAINST INTERESTED PERSONS WHO FAIL TO DISCLOSE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S PRESIDENT IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE PROCESS USED TO DETERMINE COMPENSATION OF THE PRESIDENT IS PERFORMED BY THE RELATED ORGANIZATION AS FOLLOWS: THE BOARD, THROUGH ITS COMPENSATION COMMITTEE, CONSISTING OF INDEPENDENT,NON-PAID, BOARD MEMBERS OF THE RELATED ORGANIZATION, ARE ACCOUNTABLE FOR ENSURING AND APPROVING A REASONABLE TOTAL COMPENSATION PACKAGE, CONSISTENT WITH ITS COMPENSATION PHILOSOPHY, FOR THE CEO, CFO, TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES FOR THEIR MANAGEMENT AND LEADERSHIP OF RELATED ENTITIES. UPON THE IDENTIFICATION OF THE COMPENSATION FOR THE YEAR, THE INDEPENDENT CONSULTANT SULLIVAN COTTER, REVIEWS THE COMPENSATION AS PROPOSED BY THE BOARD OF DIRECTORS, AND CONDUCTS AN INDEPENDENT REVIEW. AT THE CONCLUSION OF THIS REVIEW, SULLIVAN COTTER ISSUES A REASONABLENESS OPINION TO THE RELATED ORGANIZATION. THIS IS DONE ANNUALLY AND WAS DONE FOR THE CURRENT YEAR. THE INDEPENDENT CONSULTANTS ASSESSED THAT THE COMPENSATION APPROVED BY THE BOARD FOR 2022 WAS OBJECTIVELY REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF THE FORM 990. FORM 990, PART XI, LINE 9: ASSETS TRANSFERS FROM AFFILIATE 4,462,647. MULTICARE HEALTH SYSTEM 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 911352172 HOSPITAL WA 501(C)(3) LINE 3 N/A 0 MULTICARE FOUNDATIONS 409 S J STREET TACOMA WA 98405 911514257 CONTRIBUTIONS WA 501(C)(3) LINE 7 MHS 1 GREATER LAKES MENTAL HEALTHCARE 9330 59TH AVE SW LAKEWOOD WA 98499 916064184 HOSPITAL WA 501(C)(3) LINE 3 MHS 1 CHVI PROFESSIONAL CORPORATION 222 N J STREET TACOMA WA 98403 475457904 HOSPITAL WA 501(C)(3) LINE 3 MHS 1 MARY BRIDGE CHILDREN'S FOUNDATION 409 S J STREET TACOMA WA 98405 943030039 CONTRIBUTIONS WA 501(C)(3) LINE 7 MHS 1 MULTICARE REHABILITATION SPECIALISTS PC 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 822949880 REHABILITATION WA 501(C)(3) LINE 12A, I MHS 1 OLYMPIC SPORTS & SPINE PLLC 6050 TACOMA MALL BLVD TACOMA WA 98409 822950138 HEALTHCARE SERVICES WA N/A 0 0 AUBURN IMAGING PARTNERS POBOX 26730 FEDERAL WAY WA 98093 202539907 HEALTHCARE SERV WA N/A 0 0 VP SURGERY OF AUBURN 1002 15TH AVE SWSTE215 AUBURN WA 98002 371668651 HEALTHCARE SERV WA N/A 0 0 REDICLINIC OF WA LLC 9 E GREENWAY PLAZA STE 2950 H HOUSTON TX 77046 471808980 HEALTHCARE SERV WA N/A 0 0 PHYSICIANS OF SW WA LLC 1300 EVERGREEN PARK DR SW SUITE 200 OLYMPIA WA 98502 911717066 HEALTHCARE SERV WA N/A 0 0 INDIGO IDAHO LLC 2836 N RAMSEY ROAD COEUR DALENE ID 83815 883796666 HEALTHCARE SERV ID N/A 0 0 MEDIS CORPORATION 315 K STREET TACOMA WA 98405 911111928 BUILDING REN.& C WA N/A C 0 COMMENCEMENT RE 18 FORUM LANE GRAND CAYMAN CJ KY11107 MALPRACTICE INSURANCE CJ N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1 MULTICARE FOUNDATIONS C 11734 CASH