2025-10-28T14:49:21-05:00 2024-12-31 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET STE 2900 CINCINNATI OH 45202 990 2024-01-01 910848698 NAVOS NAVO 2069337189 POBOX 46420 SEATTLE WA 981460420 NATALIA MARTINEZ-KOHLER PRESIDENT & CFO-BHN 2069337189 2025-10-28 0 0 X ABBEY E LEIBEL P01517527 5136121400 2024 2025-03-06 01:10:19Z NATALIA MARTINEZ-KOHLER POBOX 46420 SEATTLE WA 981460420 54373903 0 X NAVOS.ORG X 1963 WA TO TRANSFORM THE QUALITY OF LIFE FOR PEOPLE VULNERABLE TO MENTAL ILLNESS & SUBSTANCE ABUSE DISORDERS. 10 10 233 12 0 0 2065183 445005 44430269 51959553 441103 894324 365500 1023915 47302055 54322797 0 0 0 0 29615576 31362297 0 0 0 15293168 17604198 44908744 48966495 2393311 5356302 89405939 105043436 47896820 57696295 41509119 47347141 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 30085285 31930889 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. 12990300 16867612 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 HOME BEHAVIOR 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. 3492068 3161052 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. 46567653 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 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 71 0 1 233 1 0 0 0 0 0 0 0 0 0 0 X 10 10 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 VICE CHAIR & SECRETARY 1.00 2.00 X X 0 0 0 DENA ASHLOCK DIRECTOR 1.00 2.00 X 0 0 0 STEVEN BROCKEL THRU 1124 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 PATRICIA NEUBERGER THRU 0324 DIRECTOR 1.00 2.00 X 0 0 0 CHARLES PURCELL DIRECTOR 1.00 2.00 X 0 0 0 SANDRA ROSENKRANZ DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL SWEENEY DIRECTOR 1.00 2.00 X 0 0 0 CHARLOTTE EAGLETON DIRECTOR 1.00 2.00 X 0 0 0 CHIEH CHENG DIRECTOR 1.00 2.00 X 0 0 0 TIM HOLMES PRESIDENT NAVOS, GL, MHS-BHN 10.00 30.00 X 0 959110 123983 JEFF KORCZ PSYCHIATRIST 40.00 0.00 X 452737 0 26629 MONICA STROPE PSYCHIATRIST 40.00 0.00 X 365000 0 23336 BRIAN COLEMAN PSYCHIATRIST 40.00 0.00 X 346972 0 24093 YOHANES MEZENGHIE REGISTERED NURSE 40.00 0.00 X 336498 0 11891 DIANE MCCLEAVE REGISTERED NURSE 40.00 0.00 X 361491 0 10449 1862698 959110 220381 69 0 1 0 SIMPLI FI MANAGED SERVICES PO BOX 631820 CINCINNATI OH 45263 MEDICAL SERVICES 2292555 HERMANSON COMPANY LLP 1221 2ND AVENUE NORTH KENT WA 98032 CONSTRUCTION 156320 JKR LLC PO BOX 957 RENTON WA 98057 POWER LAUNDRIES,LINEN SERVICES 138677 MONARCH LANDSCAPING WA LLC PO BOX 102180 PASADENA CA 91189 LANDSCAPING 112552 ONEILL PSYCHOLOGICAL SERVIES PO BOX 68663 SEATAC WA 98168 MEDICAL SERVICES 111400 5 180655 264350 445005 MEDICARE/MEDICAID NET 621420 29900439 29900439 KING CTY-BEHAV HEALTH 621420 15434428 15434428 ADULT HOUSING,APARTMEN 621420 2322696 2322696 3RD PARTY INS&SELF PAY 621420 2219550 2219550 STATE-OTHER CONTRACTS 621420 2082440 2082440 51959553 1023915 0 1023915 1023915 1023915 945430 51106 894324 894324 894324 54322797 51959553 0 1918239 25641697 25113661 528036 189925 189925 3908522 3722113 186409 1622153 1574107 48046 2726466 2706300 20166 32586 32586 56447 31222 25225 244838 242375 2463 617 392 225 200075 143660 56415 685742 468326 217416 784043 732354 51689 139661 110700 28961 220394 204 220190 1771059 1555776 215283 550456 545006 5450 AFFILIATED SHARED SUPPO 3404760 3323683 81077 CLIENT NEEDS 2460742 2460742 MAINTENANCE 1562077 1197235 364842 SUPPLIES 1456523 1241860 214663 1307712 1175426 132286 48966495 46567653 2398842 0 22595355 40036616 9842173 9029801 82407 77870 209491 162912 67201973 18439496 49927194 48762477 1619062 1411922 5130257 5561838 89405939 105043436 7402671 8813598 31530856 30457825 8963293 18424872 47896820 57696295 X 34402000 41798298 7107119 5548843 41509119 47347141 89405939 105043436 X 5356302 481720 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14483816 14483816 43609991 11903031 31706960 840353 334614 505739 8256788 6201851 2054937 11025 11025 48762477 DONOR RESTRICTED ASSETS-STUART TRUST 3872005 DONOR RESTRICTED ASSETS-EGTVEDT TRUST 1616139 ROU LEASE ASSET 73694 5561838 ROU LEASE ASSET 73772 DUE TO AFFILIATES 16499640 OTHER CURRENT LIABILITIES 1851404 UNCLAIMED PROPERTY 56 18424872 X PART X, LINE 2: NAVOS IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM (MHS). THE FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS READS: "ASC SUBTOPIC 740 10, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MHS' CONSOLIDATED FINANCIAL STATEMENTS. THIS TOPIC ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, THIS TOPIC PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. OTHER THAN MEDIS, INC., PHYSICIANS OF SOUTHWEST WASHINGTON, LLC AND OLYMPIC SPORTS & SPINE, PLLC, WHICH ARE ALL TAXABLE ENTITIES, 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(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME." 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 0 0 0 0 17822000 20812988 0 0.00000 0 0 17822000 20812988 0 0.00000 473513 387867 85646 0.00170 473513 387867 85646 0.00170 18295513 21200855 85646 0.00170 1 24076 0 2260819 1919276 341543 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 MENTAL HEALTH SOLUTIONS IS PART OF THE MULTICARE BEHAVIORAL HEALTH NETWORK. THERE ARE THREE MAIN CAMPUSES INCLUDING A FREESTANDING, 3 STORY, BEHAVIORAL HEALTH HOSPITAL WITH 70 INPATIENT BEDS LOCATED IN WEST SEATTLE. THE HOSPITAL PROVIDES SERVICES TO ADULTS AGES 18 AND OVER WITH A FOCUS ON PSYCHIATRIC CARE FOR INDIVIDUALS WHO ARE INVOLUNTARY DETAINED. NAVOS SERVES THE RESIDENTS OF KING COUNTY, HOWEVER, CAN ACCEPT AND ASSIST OTHER RESIDENTS WITHIN DIFFERENT COUNTIES OF WASHINGTON. NAVOS HOSPITAL SERVES PATIENTS ON BOTH LONG-TERM AND SHORT-TERM INVOLUNTARY COMMITMENTS.THE MENTAL HEALTH AND WELLNESS CENTER IS LOCATED IN BURIEN AND PROVIDES OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES TO ALL AGES. THE BURIEN CAMPUS IS ALSO HOME TO OUR PROGRAM FOR ASSERTIVE COMMUNITY TREATMENT OR PACT TEAM, SERVING UP TO 90 ADULT CLIENTS WITHIN NAVOS HOUSING UNITS, PRIVATE RESIDENCES, OR WHO ARE UNHOUSED OR HOMELESS. NAVOS OUTPATIENT ALSO HAS AN EXPANDED COMMUNITY SERVICE PROGRAM, SERVING UP TO 38 ADULT CLIENTS IN NAVOS RESIDENTIAL HOUSING LOCATED IN WEST SEATTLE AND SURROUNDING AREA. THE LAKE BURIEN CAMPUS IS HOME TO OUR OUTPATIENT YOUTH SERVICES. THIS CAMPUS PROVIDES SERVICES TO YOUTH, AGED 0-18. 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 MENTIONED 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 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. 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 - NAVOS, 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;WASHINGTON STATE HOSPITAL ASSOCIATION;KING COUNTY PUBLIC HEALTH. 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;WASHINGTON STATE HOSPITAL ASSOCIATION. 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: THE 2021/2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS DEVELOPED USING DATA COLLECTED BETWEEN 2018-2020, TO INCLUDE COMMUNITY INPUT. 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 NEEDS IDENTIFIED BELOW.1. MENTAL HEALTH AND SUBSTANCE USE DISORDERS2. ACCESS TO CARE AND TRANSPORTATION3. CHRONIC DISEASE MANAGEMENT-SPECIFICALLY OBESITY, CANCER, DIABETES, HEART DISEASE/HYPERTENSION4. FOOD INSECURITYNAVOS HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE, CHRONIC DISEASE MANAGEMENT, AND ACCESS TO HEALTHCARE. THESE IDENTIFIED AREAS OF NEED DO NOT CHANGE FOR THE 3 YEAR CYCLE ENDING IN 2024. 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:AS PREVIOUSLY STATED, THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED BY THE CHNA INCLUDE 1) MENTAL HEALTH AND SUBSTANCE USE DISORDERS, 2) ACCESS TO HEALTH CARE, 3) CHRONIC DISEASE MANAGEMENT, AND 4) FOOD INSECURITY. THE HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN FOR THE FOLLOWING HEALTH NEEDS AND DEDICATE RESOURCES TO ADDRESS THESE NEEDS:1. MENTAL HEALTH AND SUBSTANCE USE DISORDERS (ADULTS): 1) PARTICIPATE IN THE STOPOVERDOSE.COM PROGRAM TO PROVIDE ALL INDIVIDUALS WITH OR WITHOUT INSURANCE WHO ARE ASSESSED IN INTAKE AND WHO MEET THE CRITERIA FOR TO RECEIVE NARCAN TO PREVENT AN OVERDOSE, 2) CONFISCATE ILLEGAL MEDICATIONS THAT ARE BROUGHT INTO INTAKE BY PATIENTS SEEKING MENTAL HEALTH ASSESSMENTS.A. OUTCOMES FOR 2024 COMPARED TO 2023: NAVOS PROVIDED 100% OF PATIENTS MEETING CRITERIA, WITH NARCAN UPON DISCHARGE. IN 2023 NAVOS PROVIDED 171 PATIENTS NARCAN UPON DISCHARGE COMPARED TO 212 PATIENTS IN 2024.B. OUTCOMES FOR 2024 COMPARED TO 2023: NAVOS IDENTIFIED ONLY 1 PATIENT BRINGING IN ILLEGAL SUBSTANCES INTO THE FACILITY AND 0 INCIDENTS IN 2024. ALL IDENTIFIED ILLEGAL SUBSTANCES WERE CONFISCATED. 2. ACCESS TO CARE - FINANCIAL AND INCREASED ACCESS TO SERVICES: 1) INCREASE ACCESS FOR COMMUNITY MEMBERS IN NEED OF SUBSTANCE USE TREATMENT IN AN OUTPATIENT SETTING BY OPENING WALK- IN APPOINTMENTS, 2) CONTINUE TO SUPPORT CHARITY CARE FOR ANY NEEDED PATIENT.A. OUTCOMES FOR 2024 COMPARED TO 2023 FOR INCREASING ACCESS FOR SUBSTANCE USE TREATMENT IN AN OUTPATIENT SETTING: 2023 INCLUDED EXPANDED MARKETING AND SITES WHERE SERVICES ARE PROVIDED. DUE TO SIGNIFICANT GAPS IN STAFFING, SOME OF THIS EXPANDED ACCESS COULD NOT BE SUSTAINED IN 2024.3. MENTAL HEALTH AND SUBSTANCE USE TREATMENT - ENHANCE TREATMENT AND OUTCOMES: 1) CREATE WARM HAND OFF TO NEXT LEVEL TREATMENT PROVIDERS, 2) EXTEND PEER BRIDGER SERVICES FOR UP TO 120 DAYS FOR DISCHARGED PATIENTS ENROLLED IN THE PROGRAM. A. OUTCOMES FOR 2024 COMPARED TO 2023 RELATED TO SUBSTANCE USE: IN 2023, NAVOS EMPLOYED A FULL TIME SUBSTANCE USE PROFESSIONAL (SUDP) WHO SUPPORTED THESE EFFORTS AND WAS ABLE TO IMPLEMENT THE WARM HANDOFF PROGRAM AND TRANSPORTATION TO 18 PATIENTS TRANSFERRING TO INPATIENT SUBSTANCE USE TREATMENT. IN 2024 NAVOS LOST THE FULL-TIME STAFF. THIS POSITION REMAINS VACANT TODAY. NAVOS CONTINUED TO PROVIDE TRANSPORTATION POST DISCHARGE TO 100% OF PATIENTS TRANSFERRING TO SUBSTANCE USE TREATMENT AT DISCHARGE BUT WAS NOT ABLE TO COMPLETE THE WARM HAND-OFF PROGRAM. B. OUTCOMES FOR 2024 COMPARED TO 2023 FOR PEER BRIDGER EXPANDED SERVICES: IN 2023, NAVOS EXTENDED THESE SERVICES TO 51 PATIENTS ENROLLED IN THE PEER BRIDGER PROGRAM. IN 2024, NAVOS INCREASED THE NUMBER SERVED TO 58 PATIENTS. 4. CHRONIC DISEASE - METABOLIC SYNDROME: 1) PROVIDE INCREASED SCREENING OF METABOLIC SYNDROME, INCLUDING SCREENING OF ALL COMPONENTS OF METABOLIC SYNDROME, 2) COMPLETE CONSULTS WITH ALL INPATIENTS AND IDENTIFY RISK FACTORS AND FINDINGS OF METABOLIC SYNDROME AND IDENTIFY AND TREAT CHRONIC DISEASE, 3) COORDINATE AFTER CARE APPOINTMENTS FOR DISCHARGING PATIENTS TO ADDRESS AND MONITOR SYMPTOMS, MEDICATIONS, AND PROGRESSION OF CHRONIC DISEASE.A. OUTCOMES FOR 2024 COMPARED TO 2023 FOR BOTH SCREENING AND TREATMENT INCLUDED 100% OF PATIENTS ADMITTED WERE SCREENED FOR METABOLIC SYNDROME FOR BOTH YEARS. IN 2023, NAVOS SCREENED 659 PATIENTS OVER 581 IN 2024. ALL PATIENTS WITH IDENTIFIED RISK FACTORS WERE PRESCRIBED AND OFFERED INDICATED TREATMENT.B. OUTCOMES FOR 2024 COMPARED TO 2023 RELATED TO COORDINATING AFTER-CARE FOR PATIENTS WITH IDENTIFIED CHRONIC NEEDS UPON DISCHARGE, NAVOS IDENTIFIED 69 PATIENTS IN 2023 WITH INDICATED AFTER-CARE NEEDS. OF THOSE, 49 WERE PROVIDED FOLLOW UP APPOINTMENTS WITH THE REMAINDER PROVIDED IDENTIFIED PROVIDERS IN THEIR COMMUNITY OF CHOICE. IN 2024, NAVOS IDENTIFIED 64 PATIENTS WITH INDICATED AFTER-CARE NEEDS WITH 45 PROVIDED FOLLOW UP APPOINTMENTS, WITH THE REMAINDER BEING PROVIDED PROVIDERS IN THEIR COMMUNITY OF CHOICE. NAVOS DID NOT INCLUDE THE HEALTH NEED OF FOOD INSECURITY AS PART OF THEIR IMPLEMENTATION PLAN. ALTHOUGH, IT IS BELIEVED THAT BY IMPROVING ACCESS TO SERVICES, INCLUDING BEHAVIORAL HEALTH AND SUBSTANCE DISORDER TREATMENT, FOOD INSECURITY WILL BE REDUCED, NAVOS DOES NOT HAVE MEANS TO DIRECTLY IMPACT FOOD INSECURITY THROUGH OUR SERVICE DELIVERY. 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 SERVICES;COMMUNITY MEDICAL PROVIDERS;KING COUNTY;MULTICARE 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 NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. 16 1 - MENTAL HEALTH AND WELLNESS 1210 SW 136TH STREET BURIEN WA 98166 OUTPATIENT TREATMENT 2 - NAVOS-LAKE BURIEN CAMPUS 1033 SW 152ND STREET BURIEN WA 98166 OUTPATIENT TREATMENT 3 - NAVOS-WEST SEATTLE CAMPUS 2600 SW HOLDEN STREET SEATTLE WA 98126 INPATIENT 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 - 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 - LAKE APARTMENTS 1020 SW 156TH BURIEN WA 98146 HOUSING 10 - LAKEWOOD APARTMENTS 1500 SW 112TH STREET SEATTLE WA 98146 HOUSING 11 - NIKE 23942-60 35TH PL S KENT WA 98032 HOUSING 12 - WEATHERVANE APARTMENTS 1123 SW 134TH STREET BURIEN WA 98146 HOUSING 13 - VALLEYWOOD APARTMENTS 801 I STREET NE AUBURN WA 98002 HOUSING 14 - EVERGREEN HOUSE 818 S 231 STREET DES MOINES WA 98198 HOUSING 15 - BRICK HOUSE 1127 SW 134TH STREET BURIEN WA 98134 HOUSING 16 - ENDEAVOR HOUSE 14835 42ND AVE S TUKWILA WA 98168 HOUSING 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 $24,076.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.3-4. PART III, SECTION A, LINE 3, RATIONALE FOR BAD DEBT AMOUNTATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $24,076 OF BAD DEBT SHOULD BE INCLUDED ASCOMMUNITY BENEFIT. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL,REGARDLESS OF THE ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENTCARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMICMEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT.THE ORGANIZATION BELIEVES THE FAP PROCEDURES AND PRESUMPTIVE ELIGIBILITY TO BE SUFFICIENT AND NO INDIVIDUALS ELIGIBLE UNDER THE FAP ARE INCLUDED IN BAD DEBT. PART III, LINE 8: COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR NAVOS HOSPITAL WAS THE 2024 MEDICARE COST REPORT.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. MEDICARE SURPLUS:THE HOSPITAL HAS A $341,543 SURPLUS FOR 2024. NAVOS IS A MEDICARE CERTIFIED INPATIENT PSYCHIATRIC FACILITY (IPF) WITH 70 BEDS AND AN AVERAGE LENGTH OF STAY 42.42 DAYS. THE POPULATION FOR 2024 CONSISTED OF 14% MEDICARE ADVANTAGE PATIENTS, 67% MEDICAID PATIENTS, 12% MEDICARE PATIENTS, AND 7% PATIENTS THAT ARE SELF-PAY/OTHER INSURANCE. THE HOSPITAL IS TREATING THE ELDERLY IN OUR COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF WHETHER IS A SHORTFALL OR A SURPLUS. 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 70-BED HOSPITAL THAT PROVIDES MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES IN SEATTLE, WASHINGTON. NAVOS IS PART OF THE MULTICARE BEHAVIORAL HEALTH NETWORK SINCE 2017. MULTICARE HEALTH SYSTEM (MULTICARE) IS A WASHINGTON NOT-FOR-PROFIT CORPORATION, ORGANIZED AS A TAX-EXEMPT ENTITY UNDER IRC SECTION 501(C)(3). MULTICARE HAS APPROXIMATELY 25,000 TEAM MEMBERS, INCLUDING EMPLOYEES, PROVIDERS AND VOLUNTEERS. MULTICARE'S ROOTS IN THE PACIFIC NORTHWEST GO BACK TO 1882, WITH THE FOUNDING OF TACOMA'S FIRST HOSPITAL. OVER THE YEARS, MULTICARE HAS GROWN FROM A TACOMA-CENTRIC, HOSPITAL-BASED ORGANIZATION INTO THE LARGEST, COMMUNITY-BASED, LOCALLY GOVERNED HEALTH SYSTEM IN THE STATE OF WASHINGTON.TODAY, ITS COMPREHENSIVE SYSTEM OF HEALTH INCLUDES MORE THAN 700 PRIMARY, URGENT, PEDIATRIC AND SPECIALTY CARE LOCATIONS ACROSS WASHINGTON, IDAHO AND OREGON, AS WELL AS 13 HOSPITALS, THREE FOUNDATIONS AND SEVERAL AFFILIATES. MULTICARE'S COMPREHENSIVE SYSTEM OF HEALTH INCLUDES PRIMARY CARE, URGENT CARE AND SPECIALTY SERVICES - INCLUDING MULTICARE INDIGO URGENT CARE, MULTICARE ROCKWOOD CLINIC, AND YAKIMA VALLEY MEMORIAL'S MULTIPLE CLINICS LOCATIONS, MAKING MULTICARE THE LARGEST MULTISPECIALTY CLINIC SYSTEM IN THE INLAND AND CENTRAL NORTHWEST REGION. SPECIALTY SERVICES INCLUDE LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER AND AN INTERNATIONALLY RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS. MULTICARE ALSO INCLUDES HIGHLY SPECIALIZED AFFILIATED ENTITIES, SUCH AS CHVI PULSE HEART INSTITUTE, SPECIALIZED IN THE TREATMENT AND RESEARCH OF THE HEART, AND MULTICARE REHABILITATION SPECIALISTS P.C. AND OLYMPIC SPORTS AND SPINE, LLC, ENTITIES FOCUSED FOR DELIVERING ACCESSIBLE AND AFFORDABLE PHYSICAL AND REHABILITATION THERAPY SERVICES, INDIGO IDAHO LLC, TO SERVE NORTHEN IDAHO'S GWROWING POPULATION. IN 2022 MULTICARE EXPANDED 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 MENTAL HEALTHCARE (2018) MULTICARE IS THE LARGEST BEHAVIORAL HEALTH PROVIDER IN WASHINGTON STATE. IN 2019 MULTICARE HEALTH SYSTEM IN PARTNERSHIP WITH CHI FRANCISCAN HEALTH OPENED WELLFOUND BEHAVIORAL HEALTH HOSPITAL, A NOT-FOR-PROFIT MENTAL HEALTH HOSPITAL IN TACOMA, WASHINGTON, FURTHER ADDRESSING THE NEED FOR MENTAL HEALTH AND WELLBEING IN THE COMMUNITY. SINCE THEN, WELLFOUND HAS CREATED AN IMPLEMENTATION STRATEGY TO ADDRESS ITS COMMUNITY IN THE AREAS OF ACCESS TO CARE, SUICIDE, DRUG AND ALCOHOL USE, AND DEPRESSION. MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS TO BETTER PROVIDE ESSENTIAL BEHAVIORAL HEALTH SERVICES AND CONNECT OUR PATIENTS TO ESSENTIAL COMMUNITY RESOURCES. MULTICARE HEALTH SYSTEM'S NETWORK OF CARE INCLUDES 13 HOSPITALS SUCH AS: MULTICARE TACOMA GENERAL AND ALLENMORE HOSPITAL IN TACOMA, MULTICARE AUBURN AND COVINGTON MEDICAL CENTERS IN SOUTH KING COUNTY, MULTICARE GOOD SAMARITAN HOSPITAL IN PUYALLUP, MULTICARE CAPITAL MEDICAL CENTER IN OLYMPIA, MULTICARE DEACONESS AND VALLEY HOSPITALS IN SPOKANE AND SPOKANE VALLEY, MARY BRIDGE CHILDREN'S HOSPITAL SPECIALIZED IN CHILDREN'S CARE, NAVOS IN SEATTLE AND WELLFOUND IN TACOMA ARE HOSPITALS SPECIALIZED IN BEHAVIORAL HEALTH AND NOT THE LAST BUT THE LATEST AFFILIATIONS, MULTICARE YAKIMA VALLEY MEMORIAL HOSPITAL,OVERLAKE HOSPITAL MEDICAL CENTER. IN 2023 MULTICARE AFFILIATED WITH YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION SERVING THIS WAY CENTRAL WASHINGTON'S YAKIMA VALLEY. MULTICARE YAKIMA MEMORIAL IS A 238-BED ACUTE-CARE, NOT-FOR-PROFIT HOSPITAL THAT HAS SERVED CENTRAL WASHINGTON'S YAKIMA VALLEY SINCE 1950. THE MEMORIAL FOUNDATION IS THE FUNDRAISING DIVISION OF THE YAKIMA VALLEY HEALTH SYSTEM AND NOW ALSO AFFILIATED WITH THE MULTICARE HEALTH SYSTEM.IN 2024 MULTICARE WELCOMED OVERLAKE MEDICAL CENTER & CLINICS TO THE MULTICARE FAMILY. OVERLAKE MEDICAL CENTER & CLINICS IS A NONPROFIT HEALTHCARE SYSTEM BASED IN BELLEVUE, WASHINGTON, SERVING THE COMMUNITY SINCE 1960.THE 2023 AND 2024 AFFILIATIONS ARE AN EXCEPTIONAL MILESTONE FOR THE MULTICARE ORGANIZATION WHO IS LOOKING TO BECOME THE PACIFIC NORTHWEST'S HIGHEST VALUE SYSTEM OF HEALTH.WITHOUT A DOUBT, MULTICARE AS AN ORGANIZATION HAS CHANGED OVER THE YEARS BUT WHAT HAS NEVER CHANGED, THROUGHOUT ITS LONG HISTORY, HAS BEEN ITS DEDICATION TO THE HEALTH AND WELLNESS OF THE PEOPLE OF THE PACIFIC NORTHWEST. GUIDED BY ITS MISSION, VISION, AND VALUES, MULTICARE IS ON A CONTINUOUS JOURNEY TO DELIVER THE SERVICES THAT ITS COMMUNITIES NEED, AND TO ENSURE ACCESS TO THOSE SERVICES, NOW AND IN THE FUTURE.MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS IT TO BETTER PROVIDE ESSENTIAL COMPREHENSIVE HEALTH SERVICES AND CONNECT ITS PATIENTS TO ESSENTIAL COMMUNITY RESOURCES. PART VI, LINE 7, REPORTS FILED WITH STATES WA 0 0 0 0 0 0 0 0 0 TIM HOLMES PRESIDENT NAVOS, GL, MHS-BHN 0 622783 0 169358 0 166969 0 98283 0 25700 0 1083093 0 0 JEFF KORCZ PSYCHIATRIST 410354 0 2500 0 39883 0 9107 0 17522 0 479366 0 0 0 MONICA STROPE PSYCHIATRIST 336273 0 2000 0 26727 0 5962 0 17374 0 388336 0 0 0 DIANE MCCLEAVE REGISTERED NURSE 354112 0 6600 0 779 0 0 0 10449 0 371940 0 0 0 BRIAN COLEMAN PSYCHIATRIST 297009 0 5824 0 44139 0 6937 0 17156 0 371065 0 0 0 YOHANES MEZENGHIE REGISTERED NURSE 310166 0 21480 0 4852 0 1417 0 10474 0 348389 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 2024 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 481,720. 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 1313 BROADWAY TACOMA WA 98402 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 7 MHS 1 CHVI PROFESSIONAL CORPORATION 820 A STREET TACOMA WA 98403 475457904 HOSPITAL WA 501(C)(3) LINE 3 MHS 1 MARY BRIDGE CHILDREN'S FOUNDATION 1313 BROADWAY TACOMA WA 98402 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 YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION 2811 TIETON DRIVE YAKIMA WA 98902 910567263 HOSPITAL WA 501(C)(3) LINE 3 MHS 1 OVERLAKE HOSPITAL MEDICAL CENTER 1035 116TH AVENUE NE BELLEVUE WA 98004 910652651 HOSPITAL WA 501(C)(3) LINE 3 MHS 1 OVERLAKE HOSPITAL FOUNDATION 1035 116TH AVENUE NE BELLEVUE WA 98004 911050325 CONTRIBUTIONS WA 501(C)(3) LINE 7 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 MYRIADD SUPPLY NETWORK LLC 820 A STREET TACOMA WA 98402 873856218 HEALTHCARE SERV WA 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 JOURNEY HEALTH INC 1329 N 47TH ST 31112 SEATTLE WA 98103 943589488 HEALTHCARE SERVICES WA 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 180655 CASH