2025-11-11T13:16:48-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET STE 2900 CINCINNATI OH 45202 990 2024-01-01 911352172 MULTICARE HEALTH SYSTEM MULT 2534598141 PO BOX 5299 TACOMA WA 984150299 JAMES LEE CFO & EVP POPULATION HEALTH 2534038001 2025-11-11 0 1 ABBEY E LEIBEL P01517527 5136121400 2024 2025-03-06 01:10:19Z WILLIAM ROBERTSON PO BOX 5299 TACOMA WA 984150299 5013523873 0 X HTTPS://WWW.MULTICARE.ORG/ X 1987 WA MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE. 11 11 22789 1515 398280 14036 137406579 108924556 4144026401 4795052090 218686564 107418576 0 0 4500119544 5011395222 7211897 10811370 0 0 2428690105 2603197086 0 0 0 2061726500 2404619549 4497628502 5018628005 2491042 -7232783 6109937704 6311318297 3224389202 3310198143 2885548502 3001120154 X MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE. 0 0 3446146306 10811370 4011771215 MULTICARE HEALTH SYSTEM (MHS) IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTHCARE TAX-EXEMPT ORGANIZATION IN THE STATE OF WASHINGTON. MHS OPERATES NINE COMMUNITY BASED HOSPITALS WITH 1,743 LICENSED ADULT BEDS AND 152 LICENSED PEDIATRIC BEDS. DURING 2024 MHS HOSPITALS ADMITTED 84,327 PATIENTS FOR A TOTAL OF 431,429 PATIENT DAYS, PERFORMED 75,990 SURGERIES AND DELIVERED 9,704 BABIES. THERE WERE 14,133 NEWBORN DAYS DURING 2024. THEY ALSO PROVIDED CARE FOR 480,752 OUTPATIENT VISITS AND 612,092 EMERGENCY ROOM VISITS, OF WHICH 1,649 WERE TRAUMA PATIENTS. IN ADDITION, MHS, THROUGH THE COMMUNITY PARTNERSHIP FUND, SUPPORTS ORGANIZATIONS WHOSE WORK IS IMPORTANT TO THE HEALTH OF THE COMMUNITIES IT SERVES IN PUGET SOUND AND EASTERN WA. IN 2024 MHS PROVIDED 66 GRANTS TO COMMUNITY ORGANIZATIONS. 663554071 624456851 MULTICARE HEALTH SYSTEM OPERATES A SYSTEM OF MULTI-SPECIALTY CLINICS, PRIMARY CARE PHYSICIAN PRACTICES, HIGHLY SPECIALIZED URGENT CARE CENTERS (UCC) ALL OVER WA STATE, FROM THE INLAND NORTHWEST TO THE SOUTH PUGET SOUND. ROCKWOOD CLINIC, LOCATED IN SPOKANE, WA, IS THE LARGEST OUTPATIENT DIAGNOSTIC AND TREATMENT CENTER IN THE EASTERN WA REGION, WITH MULTIPLE LOCATIONS OFFERING PRIMARY CARE, URGENT CARE AND SPECIALTY CARE. IN 2024 THE INDIGO UCC, MULTICARE UCC AND ROCKWOOD CLINICS PROVIDED 481,399 CLINIC VISITS. THE MULTI-SPECIALTY CLINICS PROVIDED 1,474,877 PHYSICIAN VISITS, OUTPATIENT VISITS OF 62,303, PERFORMED 37 SURGERIES, AND PROCESSED 750,514 LABORATORY WORKLOAD UNITS AND 139,014 IMAGING RELATIVE UNITS. (SEE SCHEDULE O)(CONTINUATION FROM PAGE 2) MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE, SOUTH KING, THURSTON, SPOKANE COUNTIES. THESE PRACTICES PROVIDED 814,606 PATIENT VISITS DURING 2024.THE GIG HARBOR AMBULATORY CENTER PERFORMED SPECIALIST SURGERIES AS FOLLOWS: PEDIATRIC, GENERAL, NEUROLOGIC, VASCULAR, SPINE, ORTHOPEDIC, GENERAL BREAST, PEDIATRIC ORTHOPEDIC, CARDIOTHORACIC, GENERAL BARIATRIC, COLORECTAL, PEDIATRIC NEUROSURGERY. 62613383 158824024 MULTICARE HEALTH SYSTEM OPERATES OTHER PROGRAMS SUCH AS POPULATION HEALTH, BEHAVIORAL HEALTH, HOME HEALTH SERVICES, HOSPICE, ADULT DAY HEALTH, CANCER INSTITUTE, MEDICAL ACADEMICS AND MANY OTHER. DURING 2024 THE HOME HEALTH AND HOSPICE PROGRAMS PROVIDED 114,173 CLINIC VISITS, 48,359 HOME HEALTH VISITS, AND ADMITTED 3,177 PATIENTS AND 1,506 PATIENTS, RESPECTIVELY. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS. BHS ADMITTED 581 PATIENTS FOR A TOTAL OF 24,646 PATIENT DAYS AND 715 PHARMACY WORKLOAD UNITS. PACIFIC NORTHWEST (PNW) PACE PARTNERS PROVIDES INNOVATIVE CARE FOR SENIORS, IT PROVIDES AN ALTERNATIVE MODEL OF CARE THAT AIMS TO SUPPORT THE HEALTH, SAFETY AND INDEPENDENCE OF VULNERABLE SENIORS WHILE REDUCING THE BURDEN FOR FAMILY CAREGIVERS (SEE SCH O).MULTICARE HOSPICE AND PNW HOSPICE ARE MULTICARE'S LINES OF HEALTHCARE FOR INDIVIDUALS WHO ARE ENTERING THE LAST PHASES OF ANY TERMINAL ILLNESS, INCLUDING CANCER, AIDS, ALZHEIMER'S AND RELATED DEMENTIA ILLNESSES, HEART FAILURE, COPD, END-STAGE DIABETES, ETC. HOSPICE CARE IS NOT DESIGNED FOR CURATIVE TREATMENT FOR ILLNESS, BUT RATHER TO PROVIDE CARE AND SUPPORT TO HELP INDIVIDUALS MANAGE THEIR PAIN AND OTHER SYMPTOMS. 4172313760 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1368 0 1 22789 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X CALE MIDDLETON 2534598190 820 A STREET TACOMA WA 98402 X SALLY B LEIGHTON SECRETARY 5.00 0.00 X X 0 0 0 TARA PERRY DIRECTOR 5.00 0.00 X 0 0 0 DALE L SOWELL DIRECTOR 5.00 0.00 X 0 0 0 JANINE TERRANO DIRECTOR 5.00 0.00 X 0 0 0 ROBIN THOMASHAUER DIRECTOR 5.00 0.00 X 0 0 0 FRANK TOMBARI TREASURER 5.00 0.00 X X 0 0 0 DEEDRA WALKEY VICE CHAIR 5.00 0.00 X X 0 0 0 JOHN WIBORG CHAIR 5.00 0.00 X X 0 0 0 ROBERT YOST DIRECTOR 5.00 0.00 X 0 0 0 JOANNA MONROE DIRECTOR,BEGINNING 3/24 5.00 0.00 X 0 0 0 RUSS STOCKDALE DIRECTOR,BEGINNING 10/24 5.00 0.00 X 0 0 0 WILLIAM ROBERTSON CEO 56.00 4.00 X 7786801 0 886457 FLORENCE CHANG PRESIDENT 56.00 4.00 X 4290542 0 674883 JAMES LEE CFO & EVP - POP. BASED CARE 56.00 4.00 X 1234642 0 185963 DAVID R O'BRIEN EVP,CHIEF PHYS.OFFICER 60.00 0.00 X 1469249 0 38624 JUNE ALTARAS EVP,CHIEF NURSING ENTREPR 60.00 0.00 X 1164540 0 38522 TIMOTHY W LYNCH SVP MHS, CHIEF ADMIN OFFICER, CLINICAL SVCS 60.00 0.00 X 915039 0 119585 ALEXANDER M JACKSON SVP CHIEF EXEC.INLAND NW & CENTRAL WA 60.00 0.00 X 786088 0 118020 JEFFREY POLTAWSKY PRES. MARY BRIDGE & PEDIATRIC NETWORK 60.00 0.00 X 683299 0 38181 TIM HOLMES SVP CH. EXEC E PIERCE,S KING,CAP,BH 40.00 20.00 X 959110 0 123983 LEE SANDQUIST MD PHYSICIAN 50.00 0.00 X 2251561 0 34404 NEHAL MASOOD MD PHYSICIAN 50.00 0.00 X 1862194 0 45889 DAVID COONS MD PHYSICIAN 50.00 0.00 X 1783000 0 46071 BENJAMIN Y CHEN MD PHYSICIAN 50.00 0.00 X 1730492 0 37714 SUNIL RANGARAJAN MD PHYSICIAN 50.00 0.00 X 2002142 0 30818 DAVID J CARLSON FORMER SVP, SOUTH SOUND 0.00 0.00 X 188900 0 0 29107599 0 2419114 7587 1 1 0 LAYTON CONSTRUCTION COMPANY 9090 S SANDY PKWY SANDY UT 840706409 CONSTRUCTION 101315589 SIMPLI FI MANAGED SERVICES PO BOX 631820 CINCINNATI OH 452631820 STAFFING 80560112 SOUTH SOUND INPATIENT PHYSICIANS PLLC PO BOX 742936 LOS ANGELES CA 900742936 MEDICAL 29398585 TACOMA ANESTHESIA ASSOC INC PS 1102 A STREET NO 1536 SUITE 300 TACOMA WA 984011536 MEDICAL 21136136 RAINIER RADIOLOGY PLLC 2330 UTAH AVENUE SUITE 200 EL SEGUNDO CA 90245 MEDICAL 14928763 374 58845791 50078765 108924556 HOSP. NET PATIENT REV. 622110 3753298140 3753095406 202734 AMBULATORY SRVS & UCC 621493 779901303 779734660 166643 PHARMACY RETAIL 456110 126658459 126658459 POPULATION HEALTH 923120 103732747 103732747 OUTPATIENT MENTAL HEAL 621420 27240868 27240868 4220573 4220573 4795052090 57152609 28903 57123706 52394618 0 2128651 52394618 -2128651 50265967 50265967 5011395222 4794682713 398280 107389673 X 10811370 10811370 21513529 17885604 3627925 2267338127 1920132885 347205242 68832432 68832432 100623114 58620079 42003035 144889884 120004760 24885124 6500008 1068888 5431120 716658 716658 347327 347327 7306465 1238042 6068423 22126571 4358696 17767875 3442499 2679046 763453 80393162 66377361 14015801 6556006 3409195 3146811 62497 9570 52927 76051270 72878732 3172538 142994428 100647386 42347042 102078596 91868003 10210593 SUPPLIES 801146560 781762735 19383825 PURCHASED SERVICES 451201538 337692007 113509531 PROFESSIONAL FEES 198139691 143320354 54819337 SAFETY NET & PROVIDER C 186176753 149684293 36492460 319379520 219032322 100347198 5018628005 4172313760 846314245 0 299793927 344746724 760463336 713133297 61082079 58589635 40644545 27030072 4135579783 1861436342 2131127944 2274143441 1992674906 1993034921 168473311 167921637 655677656 732718570 6109937704 6311318297 640430406 697859441 19892076 6163023 1739746161 1711866807 824320559 894308872 3224389202 3310198143 X 2885548502 3001120154 2885548502 3001120154 6109937704 6311318297 X -7232783 80911232 -129148 42022351 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 347327 0 0 347327 0 PART II-B, LINE 1: LINE 1(G) - PAYMENTS TO LOBBYING FIRMS (INDEPENDENT CONTRACTORS) TO ACT AS OUR LIAISON WITH STATE AND FEDERAL GOVERNMENTS ON HEALTH CARE ISSUES AND THE PORTION OF MEMBERSHIP DUES PAID TO HOSPITAL ASSOCIATIONS WHICH IS USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. 157724577 157724577 2214392778 903592075 1310800703 210752494 121159962 89592532 1201765474 836684305 365081169 350944460 350944460 2274143441 HEDGE FUNDS-PRIVATE INVESTMENTS FUNDS 1735260921 F LIMITED PARTNERSHIPS-PRIVATE EQUITY 257774000 F 1993034921 ACCRUED PENSION ASSSET, EXECUTIVE CAA, TOP HAT 457(B) 58794603 MALPRACTICE IBNR 12198000 RIGHT OF USE LEASE ASSET, NET 256771530 DONOR RESTRICTED ASSETS 50980411 MARK TO MARKET BASIS SWAP 130222 INVESTMENT IN PARTNERSHIPS 152150468 LOAN RECEIVABLE 80467401 INTERCOMPANY 121225935 732718570 LONG TERM RIGHT OF USE LEASE LIABILITY 269824359 ACCRUED PENSION, WORKERS COMP, MALPRACTICE, & OTHER NON-CURRENT LIABILITIES 294809989 INTEREST RATE SWAP 1868983 EST.THIRD PARTY PAYOR SETTLE. 4249000 DUE TO AFFILIATES 49551643 LONG TERM DEBT 274004898 894308872 X PART X, LINE 2: THE FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM 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 1 1 71711568 71711568 0.01470 1287041000 888895000 398146000 0.08150 0 0 1358752568 888895000 469857568 0.09620 34 51353 9898243 2174696 7723547 0.00160 12 124 55280618 903839 54376779 0.01110 28 64382 130091717 85373083 44718634 0.00920 0 0 3 89 1124779 0 1124779 0.00020 77 115948 196395357 88451618 107943739 0.02210 77 115948 1555147925 977346618 577801307 0.11830 0 0 28 1350355 620720 729635 0.00010 28 1350355 620720 729635 0.00010 1 132931284 2715000 507465324 623596775 -116131451 X 1 1 1 PHYSICIANS OF SW WA LLC HEALTHCARE SERVICES 0.76450 0.23550 9 1 MULTICARE TACOMA GENERAL HOSPITAL (TG) 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 MULTICARE.ORG/LOCATION/TACOMA-GENERAL- 00000176 X X X X X A 2 MULTICARE GOOD SAMARITAN HOSPITAL (GSH) 401 15TH AVE SE PUYALLUP WA 98372 MULTICARE.ORG/LOCATION/GOOD-SAMARITAN- 60221541 X X X X A 3 MULTICARE DEACONESS HOSPITAL (DEAC) 800 W 5TH AVENUE SPOKANE WA 99204 MULTICARE.ORG/LOCATION/DEACONESS-HOSPI 60769397 X X X A 4 MULTICARE AUBURN MEDICAL CENTER (AUB) 202 NORTH DIVISION STREET AUBURN WA 98001 MULTICARE.ORG/LOCATION/AUBURN-MEDICAL- 60311052 X X X A 5 MULTICARE ALLENMORE HOSPITAL (ALLENMORE) 1901 SOUTH UNION TACOMA WA 98405 MULTICARE.ORG/LOCATION/ALLENMORE-HOSPI 00000176 X X X A 6 MULTICARE VALLEY HOSPITAL (VALLEY) 12606 EAST MISSION AVE SPOKANE VALLEY WA 99216 MULTICARE.ORG/LOCATION/VALLEY-HOSPITAL 60769398 X X X A 7 MULTICARE CAPITAL MEDICAL CENTER (CAPMED) 3900 CAPITAL MALL DR SW OLYMPIA WA 985 OLYMPIA WA 98502 MULTICARE.ORG/LOCATION/CAPITAL-MEDICAL 61279406 X X X A 8 MARY BRIDGE CHILDREN'S HOSPITAL (MBRIDGE) 317 MARTIN LUTHER KING JR WAY TACOMA WA 98405 MARYBRIDGE.ORG/LOCATIONS/MARY-BRIDGE-C 00000175 X X X X X A 9 MULTICARE COVINGTON HOSPITAL (COV) 17700 SE 272ND ST COVINGTON WA 98042 MULTICARE.ORG/LOCATION/COVINGTON-MEDIC 60803817 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X X 1 22 1 HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 300.000000000000 500.000000000000 X X X 1 1 X X X 1 X HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: MULTICARE TACOMA GENERAL HOSPITAL (TG), - FACILITY 4: MULTICARE AUBURN MEDICAL CENTER (AUB), - FACILITY 5: MULTICARE ALLENMORE HOSPITAL (ALLENMORE), - FACILITY 6: MULTICARE VALLEY HOSPITAL (VALLEY), - FACILITY 8: MARY BRIDGE CHILDREN'S HOSPITAL (M.BRIDGE), - FACILITY 2: MULTICARE GOOD SAMARITAN HOSPITAL (GSH), - FACILITY 3: MULTICARE DEACONESS HOSPITAL (DEAC), - FACILITY 7: MULTICARE CAPITAL MEDICAL CENTER (CAPMED), - FACILITY 9: MULTICARE COVINGTON HOSPITAL (COV) GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 5: DURING 2024 MULTICARE HEALTH SYSTEM ENGAGED IN WORK TO ADDRESS THE NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE PRIORITIES AND IMPLEMENTATION STRATEGIES FOR 2022 CHNA WERE SELECTED, APPROVED AND PUBLISHED IN DECEMBER 2022. THE WORK ON IMPLEMENTATION STRATEGIES BEGAN IN 2023 AND IS SCHEDULED FOR 2023, 2024, 2025.COMMUNITY ENGAGEMENT PROCESS: FOR THE 2022 CHNA, MULTICARE HEALTH SYSTEM (MULTICARE) WORKED WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, PUBLIC HEALTH - SEATTLE AND KING COUNTY, THURSTON COUNTY PUBLIC HEALTH AND THE SPOKANE REGIONAL HEALTH DISTRICT TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OF ITS HOSPITAL SERVICE AREAS, FEATURING INPUT FROM COMMUNITY LEADERS AND RESIDENTS REPRESENTING MULTIPLE SECTORS AND POPULATION GROUPS. COMMUNITY INPUT: THE CHNA INCLUDES PRIMARY DATA GATHERED FROM COMMUNITY SURVEYS, WORKSHOPS AND STAKEHOLDER INTERVIEWS, IN ADDITION TO INFORMATION COLLECTED FROM SECONDARY QUANTITATIVE SOURCES. PIERCE COUNTY: COMMUNITY WORKSHOPS (FOCUS GROUPS) AND STAKEHOLDER INTERVIEWS WERE CONDUCTED. THREE FOCUS GROUPS WERE HELD. THE POPULATIONS OF INTEREST WERE SELECTED BASED ON GAPS IDENTIFIED IN PREVIOUS ASSESSMENTS, THE NEED FOR TRUST BUILDING AND RECOGNIZED HEALTH DISPARITIES. FOCUS GROUPS WERE HELD WITH THE FOLLOWING: LGBTQ ADULTS, YOUTH (AGES 14 - 17), PEOPLE EXPERIENCING HOMELESSNESS. ALL THREE FOCUS GROUPS INCLUDED PEOPLE REPRESENTING DIVERSE RACE, ETHNICITY, GENDER, AND SEXUAL ORIENTATIONS. WE CONDUCTED TEN INTERVIEWS WITH ORGANIZATIONAL LEADERS ACROSS SEVEN SECTORS. MULTICARE AND VIRGINIA MASON FRANCISCAN PROVIDED THE HEALTH DEPARTMENT WITH MORE THAN 30 NAMES OF SUGGESTED LOCAL LEADERS. TEN PARTICIPANTS WERE SELECTED BASED ON THE FOLLOWING CRITERIA: 1. INDIVIDUAL IS EITHER A PERSON OF COLOR OR REPRESENTS/ WORKS ON BEHALF OF MARGINALIZED POPULATIONS. 2. REPRESENTS KEY SECTORS OF BUSINESS, NON-PROFIT, EDUCATION, TRANSPORTATION, HEALTH AND HUMAN SERVICES, LOCAL GOVERNMENT, AND LAW ENFORCEMENT/ FIRST RESPONDERS. 3. WAS NOT INTERVIEWED FOR THE PREVIOUS 2018-2019 CHNA. 4. AVAILABLE WITHIN THE PROJECT TIMELINE.QUESTIONS INCLUDED: WHAT ARE THE MOST IMPORTANT ISSUES AND CONCERNS YOU (OR YOUR CUSTOMERS/CONSTITUENTS) ARE CURRENTLY FACING, HOW AND WHERE ARE YOU CURRENTLY SEEING EVIDENCE OF RACISM IN PIERCE COUNTY, WHAT DO YOU THINK NEEDS TO CHANGE, WHAT DO YOU THINK HEALTHCARE CAN DO TO HELP?SPOKANE COUNTY: KEY INFORMANT INTERVIEWS AND COMMUNITY CONVERSATIONS WERE CONDUCTED. MANY OF THE INDIVIDUALS AND ORGANIZATIONS INCLUDED WERE IDENTIFIED AS HAVING BEEN MOST IMPACTED BY COVID-19 AND THEIR HEALTH OUTCOMES EXACERBATED BY INEQUITIES. WITHIN THESE INTERVIEWS, EIGHT THEMES EMERGED THAT ALIGNED WITH HOW THESE ORGANIZATIONS SEE HEALTH AND WELL-BEING IN SPOKANE.ADDITIONALLY, A NEEDS ASSESSMENT SPECIFIC TO THE LGBTQ COMMUNITY WAS CONDUCTED ONLINE THROUGH SOCIAL MEDIA CHANNELS AND IN PERSON FROM APRIL TO JULY 2021. RESPONDENTS WERE 357 MEMBERS OF THE SPOKANE COUNTY LBTQ COMMUNITY BETWEEN THE AGES OF 12 AND 83 YEARS OLD, INCLUDING 57 YOUTH (AGES 12-17 YEARS), 170 YOUNG ADULTS (AGES 18-34 YEARS), AND 127 ADULTS AGES 35 YEARS AND OLDER.KING COUNTY: SINCE THE PRIOR CHNA IN 2019, COMMUNITY-BASED ORGANIZATIONS AND CLINICS, STATE AND LOCAL AGENCIES, COALITIONS, SCHOOLS, AND HOSPITALS HAVE CONTINUED TO ENGAGE WITH THE PEOPLE THEY SERVE TO HELP ELEVATE SPECIFIC COMMUNITY CONCERNS AND STRENGTHS. TO ENHANCE OUR UNDERSTANDING OF KING COUNTY RESIDENTS' PRIORITIES LEADING UP TO THE PANDEMIC, WE REVIEWED 48 COMMUNITY NEEDS ASSESSMENTS, STRATEGIC PLANS, OR REPORTS PRODUCED BETWEEN 2018 AND 2020 IN COLLABORATION WITH PUBLIC HEALTH AND MULTIPLE HOSPITAL SYSTEMS IN KING COUNTY. TOGETHER WE SOUGHT PUBLICLY AVAILABLE INFORMATION REPRESENTING REGIONS THROUGHOUT KING COUNTY, SPECIFIC POPULATIONS, AND FOCUS AREAS INCLUDING FOOD, PHYSICAL ACTIVITY, HOUSING, AND TRANSPORTATION. EACH RESOURCE HAD A COMMUNITY ENGAGEMENT COMPONENT FROM WHICH WE SUMMARIZED THEMES. THE 48 ASSESSMENTS WERE CONDUCTED BY AND FOCUSED ON VULNERABLE POPULATIONS TO INCLUDE: CLIENTS OF YOUTH SERVICES, CLIENTS OF AGING AND DISABILITY SERVICES, CLIENTS OF INDIAN HEALTH SERVICES, RESIDENTS OF MULTIPLE CITIES AND MUNICIPALITIES IN KING COUNTY.THURSTON COUNTY: VIRTUAL AND IN-PERSON INTERVIEWS WERE CONDUCTED WITH 28 KEY INFORMANTS IN BEGINNING SEPTEMBER 2022. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES DIVERSE COMMUNITIES. EFFORTS WERE MADE TO ENGAGE KEY INFORMANTS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES.INTERVIEWS WERE FACILITATED BY THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENT STAFF AND BY PROVIDENCE SWEDISH SOUTH PUGET SOUND STAFF. THE KEY ORGANIZATIONS INVOLVED IN THE VARIOUS SURVEYS. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS INCLUDE: CENTRO LATINO CLOVER PARK SCHOOL DISTRICT/LAKES HIGH SCHOOL DEGREES OF CHANGE EMERGENCY FOOD NETWORK FIRST 5 FUNDAMENTALS FRANKLIN PIERCE SCHOOL DISTRICT GRADUATE TACOMA GREATER TACOMA COMMUNITY FOUNDATION MARY BRIDGE CHILDREN'S OASIS YOUTH CENTERPIERCE COLLEGEPIERCE TRANSIT TACID TACOMA COMMUNITY COLLEGE TACOMA HOUSING AUTHORITY TACOMA PIERCE COUNTY COALITION TO END HOMELESSNESS TACOMA PUBLIC SCHOOLS PIERCE TRANSITRAINBOW CENTERTHURSTON REGIONAL PLANNING COUNCILCHOICE REGIONAL HEALTH NETWORK/CASCADE PACIFIC ACTION ALLIANCEWASHINGTON STATE LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER (LGBTQ) COMMISSIONTHURSTON COUNTY PRETRIAL SERVICES DEPARTMENTDIVERSITY ALLIANCE OF THE PUGET SOUNDLEWIS-MASON-THURSTON AREA AGENCY ON AGINGFAMILY SUPPORT CENTER OF SOUTH SOUND COMMUNITY YOUTH SERVICESTHURSTON CLIMATE ACTION TEAMOLYMPIA CRISIS RESPONSE UNITSAFE KIDS THURSTON COUNTY CHILD CARE ACTION COUNCILTOGETHER!THE OLYMPIA FREE CLINICTHURSTON THRIVESINTERFAITH WORKSROCHESTER ORGANIZATION OF FAMILIES COMMUNITY SERVICESMI CHIANTLATHURSTON COUNTY BOARD OF COUNTY COMMISSIONERSINNOVATIONS HUMAN TRAFFICKING COLLABORATIVESOUTH SOUND BEHAVIORAL HOSPITALST. MARTIN'S UNIVERSITY STUDENT HEALTH CENTERYELM COMMUNITY SCHOOLSSOUTH SOUND PARENT TO PARENTLACEY PARKS, CULTURE, AND RECREATION VALLEY VIEW HEALTH CENTERTHURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENTFAMILY EDUCATION AND SUPPORT SERVICESCOMMUNITY VOICE AMERICAN INDIAN COMMUNITY CENTERBIG TABLECARL MAXEY CENTERGREATER SPOKANE INCORPORATEDTHE NATIVE PROJECTNORTHEAST WASHINGTON EDUCATIONAL SERVICE DISTRICT 101SPOKANE NEIGHBORHOOD ACTION PARTNERSSPOKANE POLICE DEPARTMENTARC OF SPOKANEASIAN PACIFIC ISLANDER COALITIONCONTINUUM OF CAREPEOPLE FIRST LILAC CHAPTERMUJERES IN ACTIONMUSLIMS FOR COMMUNITY ACTION AND SUPPORTPACIFIC ISLANDER COMMUNITY ASSOCIATIONSPOKANE IMMIGRANT RIGHTS COALITIONVULNERABLE ADULTS LINKS UNITEDWORLD RELIEFYOUTH ADVISORY LUTHERAN SERVICES.INTERNAL STAKEHOLDER REVIEW MEETINGS.FINALLY, THE ASSESSMENT PROCESS INVOLVED INVITING KEY LEADERS AT MULTICARE TO REVIEW THE RESULTS OF THE PREVIOUS COMMUNITY INPUT, AS WELL AS RELEVANT HEALTH INDICATOR DATA (MAY 2022).DURING THESE MEETINGS EXECUTIVES, PHYSICIAN, NURSES, AND OUTPATIENT LEADERS WERE PRESENTED WITH THE SELECTED HEALTH PRIORITIES FOR EACH HOSPITAL/ REGION, AS DETERMINED BY THE RESPECTIVE HEALTH DEPARTMENTS USING THE FOLLOWING CRITERIA:1. WAS THE HEALTH CONCERN OR INDICATOR SIGNIFICANTLY WORSE IN THE HOSPITAL SERVICE AREA THAN IN THE STATE?2. WAS THE HEALTH CONCERN TRENDING WORSE OVER TIME?3. WAS A HEALTH CONCERN REPEATEDLY VOICED DURING THE COMMUNITY ENGAGEMENT PORTION OF THE ASSESSMENT?4. DOES THE HEALTH CONCERN HAVE HEALTH INEQUITIES ASSOCIATED WITH RACE, ETHNICITY OR GENDER? GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH MORE HOSPITAL FACILITIES, AS FOLLOWS:MULTICARE TACOMA GENERAL HOSPITAL,MULTICARE GOOD SAMARITAN HOSPITAL,MULTICARE AUBURN MEDICAL CENTER,MULTICARE ALLENMORE HOSPITAL,MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL,MULTICARE DEACONESS HOSPITAL,MULTICARE VALLEY HOSPITAL,MULTICARE COVINGTON HOSPITAL,MULTICARE CAPITAL MEDICAL CENTER,CHI FRANCISCAN HEALTH (NOW KNOWN AS VIRGINIA MASON FRANCISCAN HEALTH),PROVIDENCE HEALTH SYSTEMKING COUNTY HOSPITALS FOR A HEALTHY COMMUNITY. GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN THE HOSPITAL FACILITIES AS FOLLOWS:TACOMA PIERCE COUNTY HEALTH DEPARTMENT,PUBLIC HEALTH SEATTLE KING COUNTY,THURSTON COUNTY PUBLIC HEALTH & SOCIAL SERVICES DEPARTMENT,SPOKANE REGIONAL HEALTH DISTRICT,PRIORITY SPOKANE. GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 7D: LINE 7 D -THE CHNA IS BROADLY DISTRIBUTED TO COMMUNITY PARTNERS, WHO SHARE THESE REPORTS INTERNALLY AND EXTERNALLY THROUGH A COMPUTER-BASED LEARNING MODULE AVAILABLE TO MULTICARE EMPLOYEES AND THROUGH PRESENTATIONS WITH COMMUNITY GROUPS, INCLUDING LOCAL UNIVERSITIES, COMMUNITY SERVICE ORGANIZATIONS, COMMUNITY COALITIONS, REGIONAL BOARDS AND COUNCILS, HOSPITAL LEADERS, AND DEPARTMENTAL STAFF. GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 11: IN CONJUNCTION WITH THE CHNA PRIORITIES, THE REGIONAL BOARDS FOR EACH OF THE MULTICARE HOSPITALS ADOPTED AN IMPLEMENTATION STRATEGY IN DECEMBER 2022 RELATED TO THE 2022 CHNA. MULTICARE ENGAGED IN ADDRESSING THE FOLLOWING COMMUNITY HEALTH NEEDS PRIORITIES IN 2023 THROUGH 2025: 1) ACCESS TO CARE: THE NEED IS PREDOMINANT FOR THE HOSPITALS LOCATED IN THE PUGET SOUND AREA SUCH AS AUBURN, COVINGTON, CAPITAL, VALLEY, MARY BRIDGE.2) BEHAVIORAL HEALTH/ MENTAL HEALTH: TACOMA GENERAL, ALLENMORE, AUBURN, COVINGTON, DEACONESS, VALLEY, GOOD SAMARITAN, CAPITAL MEDICAL CENTER AND MARY BRIDGE HOSPITALS.3) CHRONIC DISEASE MANAGEMENT - SPECIFICALLY OBESITY, CANCER, DIABETES, HEART DISEASE/HYPERTENSION: TACOMA GENERAL, ALLENMORE, AUBURN, COVINGTON, GOOD SAMARITAN. 4) MATERNAL AND CHILD HEALTH: TACOMA GENERAL, ALLENMORE, CAPITAL, GOOD SAMARITAN, MARY BRIDGE. 5) VIOLENCE AND DOMESTIC VIOLENCE: MARY BRIDGE CHILDREN'S HOSPITAL, DEACONESS AND VALLEY HOSPITALS.6) HOUSING AND HOMELESSNESS: IDENTIFIED FOR THE TWO HOSPITALS LOCATED IN EASTERN WA, SPOKANE AREA, DEACONESS AND VALLEY HOSPITALS. 7) IMMUNIZATIONS: CAPITAL MEDICAL CENTER IN OLYMPIA, WA.1) ACCESS TO CARE- IN 2024, MULTICARE HEALTH SYSTEM (MHS) MADE ADDITIONAL INVESTMENT AND SIGNIFICANT STRIDES IN IMPROVING ACCESS. WE GREW ACCESS ACROSS THE STATE OF WASHINGTON BY EXPANDING SERVICES BY WELCOMING OVERLAKE MEDICAL CENTER AND CLINICS TO MULTICARE . OUR AFFILIATION FOCUSES ON OUR COLLECTIVE LONG-TERM COMMITMENT TO DELIVERING HIGH-QUALITY, ADVANCED HEALTH CARE TO OUR REGION. TOGETHER, WE WILL WORK TO EXPAND LOCAL ACCESS, INVEST IN THE COMMUNITY, RESPOND TO HEALTH CARE INDUSTRY CHALLENGES AND ADVANCE OUR QUALITY OF CARE. YAKIMA MEMORIAL HOSPITAL AND CLINICS CELEBRATED THEIR ONE-YEAR ANNIVERSARY AS PART OF MULTICARE ON JAN. 17, 2024. OVER THE COURSE OF THE YEAR, YAKIMA TEAMS RECRUITED NEW STAFF MEMBERS, INCREASED ACCESS TO PRIMARY CARE AND COLONOSCOPY SERVICES, IMPROVED THEIR INFRASTRUCTURE, INVESTED IN NEW PARTNERSHIPS AND MUCH MORE. MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL IS BUILDING A NEW HOSPITAL AND EXPANDING ACCESS TO CARE FOR CHILDREN IN THE PIERCE COUNTY REGION. THE NEW CAMPUS - ESTIMATED TO OPEN IN 2026 - WILL INCLUDE A NEW INPATIENT TOWER AND EXPANDED AMBULATORY CARE BUILDING, WITH DESIGN FEATURES TAILORED SPECIFICALLY FOR KIDS. IN 2022, MULTICARE INLAND NORTHWEST PRIMARY CARE TEAMS LAUNCHED A TEAM-BASED PRIMARY CARE MODEL THAT PAIRS A PHYSICIAN WITH AN APP, WHO TOGETHER TAKE CARE OF A PANEL OF PATIENTS.THIS APPROACH IMPROVES THE PATIENT EXPERIENCE BY INCREASING ACCESS TO APPOINTMENTS AND HELPING ENSURE TIMELY RESPONSES WHEN PATIENTS SUBMIT QUESTIONS OR REQUEST PRESCRIPTION REFILLS THROUGH THE EMR. METRICS REFLECT THESE IMPROVEMENTS.IN 2024, ALL INLAND NORTHWEST PRIMARY CARE CLINICS ACHIEVED A SEVEN OUT OF SEVEN IN THE PREVENTIVE AND CHRONIC CARE INDEX, A METRIC THAT THE CENTERS FOR MEDICARE & MEDICAID SERVICES USES TO MEASURE HOW WELL PROVIDERS ARE MANAGING CERTAIN CONDITIONS, LIKE DIABETES, IN PATIENT POPULATIONS. THE TEAM-BASED PRIMARY CARE MODEL HAS ALSO BOOSTED PROVIDER RETENTION. IN 2024, INLAND NORTHWEST PRIMARY CARE TEAMS RETAINED 99 PERCENT OF PHYSICIANS AND APPS WHICH GREATLY BENEFITS ACCESS TO CARE. ADDITIONALLY, ROCKWOOD CLINICS EXPANDED CLINIC SPACE AT AIRWAY HEIGHTS AND OPENED TWO NOEW PRIMARY CARE CLINICS IN SPOKANE. MULTICARE TEAMED UP WITH BOTH PACIFIC LUTHERAN UNIVERSITY AND WASHINGTON STATE UNIVERSITY TO GROW ACCESS AND EXPAND EDUCATION. LAUNCHED IN 2024, THE PARTNERSHIP FOR HEALTH INNOVATION WILL PREPARE STUDENTS TO BECOME LOCAL HEALTH CARE LEADERS AND IMPROVE HEALTH OUTCOMES IN UNDERSERVED CENTRAL PIERCE COUNTY COMMUNITIES. MHS PRIORITIZED ACCESS TO PRENATAL CARE IN THE SOUTH-SOUND COMMUNITY. WE ANNOUNCED AN AFFILIATION AGREEMENT IN 2024 WITH QUILTED HEALTH. THE COLLECTIVE EFFORTS HAVE BEEN DRIVEN BY THREE PRIMARY GOALS: INCREASING ACCESS TO MIDWIVES AND HONORING CHOICE OF HOW AND WHERE PEOPLE CHOOSE TO RECEIVE CARE,DELIVERING HIGH QUALITY CARE AND DEMONSTRATING POSITIVE IMPACT THIS CARE HAS ON OUTCOMES, AND BUILDING TOOLS AND SERVICES THAT SUPPORT THE SUSTAINABILITY OF MIDWIFERY CARE. 2) BEHAVIORAL HEALTH- IN 2024 MHS CONTINUED FOCUSING ON GROWING OUR MODEL OF INTEGRATED BEHAVIORAL HEALTH CARE WITHIN BOTH MULTICARE MEDICAL PARTNERS AND MARY BRIDGE CLINICS. THIS PROGRAM STARTED IN 2022 AND CONTINUES TO GROW AS WE SEE STRONG EVIDENCE OF QUALITY PATIENT CARE AND PRIMARY CARE PROVIDER SATISFACTION. ON A WEEKEND IN JUNE 2024, YOUTH AGES 6-17 WHO HAVE LOST A SIGNIFICANT PERSON IN THEIR LIVES GATHERED AT CAMP ERIN. THE FREE BEREAVEMENT CAMP, OFFERED BY THE BRIDGES CENTER FOR GRIEVING CHILDREN, PART OF MARY BRIDGE CHILDREN'S, HELPS KIDS HEAL AND FOSTER JOY AMID GRIEF. SINCE ITS INCEPTION IN 2004, THE CAMP HAS SERVED MORE THAN 900 CHILDREN ACROSS PIERCE, KITSAP, THURSTON AND SOUTH KING COUNTIES. THE MARY BRIDGE CHILDREN'S ADVOCACY CENTER PARTNERS WITH AGENCIES TO PROVIDE TRAUMA INFORMED CARE TO CHILD ABUSE VICTIMS AND PROVIDES PSYCHOSOCIAL SUPPORT GROUPS FOR NON-OFFENDING PARENTS. IN SPOKANE, A PARTNERSHIP WITH QUARTET HEALTH AND VALERA HEALTH TO INCREASE ACCESS TO BEHAVIORAL HEALTH PROVIDERS AND BUILDING RELATIONSHIPS WITH COMMUNITY PROVIDERS CONTINUES TO SEE SUCCESS. PARTICIPATION IN THE STATE OPIOID RESPONSE PROGRAM IS ONGOING AS IS INCREASING ACCESS TO NARCAN IN COMMUNITIES. 3) CHRONIC DISEASE MANAGEMENT- MHS ACTIVELY SUPPORTS THE COMMUNITY IN CANCER-RELATED INITIATIVES. THEY SPONSORED FREE BREAST CANCER SCREENING EVENTS FOR UNINSURED INDIVIDUALS, PROVIDING VITAL ACCESS TO EARLY DETECTION SERVICES. ADDITIONALLY, MULTICARE HOSTED EDUCATIONAL EVENTS FOR CANCER SURVIVORS, FOCUSING ON LIFESTYLE CHOICES LIKE DIET AND PHYSICAL ACTIVITY TO REDUCE THE RISK OF CANCER RECURRENCE AND IMPROVE OVERALL WELL-BEING. A CANCER INSTITUTE FOCUSED ON PREVENTION AND INTERVENTION WAS ESTABLISHED IN 2023. THESE EFFORTS DEMONSTRATE MULTICARE'S COMMITMENT TO ADDRESSING CANCER-RELATED NEEDS IN THE COMMUNITY AND PROMOTING BETTER HEALTH OUTCOMES. ACCESS TO HEALTHY FOODS IS AN IMPORTANT STRATEGY TO REDUCE RISK OR MANAGE CHRONIC DISEASE. THEY CONTINUE TO FUND MANY FOOD ACCESS INITIATIVES THROUGH GRANTS AND SPONSORSHIPS AS WELL AS OPERATE A FREE SUMMER MEAL PROGRAM FOR CHILDREN. 4) MATERNAL AND CHILD HEALTH - EFFORTS CONTINUED TO PRIORITIZE ACCESSIBILITY THROUGH TELEHEALTH FOR MOTHERS FACING TRANSPORTATION BARRIERS VIA PARTNERSHIP WITH QUILTED HEALTH. THE BESSLER CENTER AT MARY BRIDGE, FORMED IN 2023, WITH A FOCUS ON IMPROVING BIRTH OUTCOMES AND INFANT HEALTH IN THE COMMUNITY. THE MHS WIC CLINICS EXPANDED TO ADDITIONAL LIBRARY AND YMCA SITES TO REDUCE TRANSPORTATION BURDEN FOR PARTICIPANTS. THROUGH THIS EFFORT, WIC ENROLLMENT INCREASED OVER 10%.5) VIOLENCE (CHILD ABUSE AND DOMESTIC VIOLENCE) INJURIES (INTENTIONAL) -IN ADDITION TO MANY OTHER THINGS IN 2024, MHS CONTINUED DOMESTIC VIOLENCE WORK FROM THE PREVIOUS YEAR BY CONTINUING TO PARTNER WITH THE YWCA AND LUTHERAN COMMUNITY SERVICES TO IMPLEMENT DOMESTIC VIOLENCE LEARNING TRAININGS AND CONTINUED TO PARTICIPATE IN DOMESTIC VIOLENCE RELATED COALITIONS IN AN EFFORT TO REDUCE GUN VIOLENCE, THE CENTER FOR CHILDHOOD SAFETY AND CHILDREN'S ADVOCACY CENTER CONTINUED PARTNERING WITH LOCAL POLICE DEPARTMENTS ON GUN RETURN AND LOCK BOX EDUCATION AND DISTRIBUTION INITIATIVES. THE CHILDREN'S ADVOCACY CENTER AT MARY BRIDGE CHILDREN'S MAINTAINED THE PIERCE COUNTY PROTOCOL FOR INVESTIGATION OF CHILD ABUSE, PROVIDING MULTIDISCIPLINARY RESPONSE TEAMS TO VIOLENCE INVESTIGATIONS. 6) IN 2024 MHS DID NOT ADDRESS HOUSING AND HOMELESSNES PER SEE AS THEY WERE THE FOCUS FOR THE PRIOR YEAR, 2023, OF THE CHNA IMPLEMENTATION. 7) IMMUNIZATIONS- MHS ACTIVELY PROMOTED THE MARY BRIDGE MOBILE IMMUNIZATION CLINIC CHILDHOOD IMMUNIZATIONS IN 2024 AS A PRIMARY SOURCE FOR VACCINES FOR CHILDREN WITHOUT ACCESS TO A MEDICAL HOME IN PIERCE COUNTY. THEY PARTNERED WITH SCHOOLS FOR MIDDLE SCHOOL FLU VACCINES AND WITH MULTICARE WIC OFFICES. IN SUPPORT OF OTHER HEALTHCARE PROVIDERS, THEY PARTNERED WITH VARIOUS MHS PRIMARY CARE CLINICS, ADMINISTERING VACCINES TO THEIR PATIENTS DURING STAFFING OR EQUIPMENT CHALLENGES. THEYCONTINUE TO SEEK RESOURCES TO EXPAND SERVICES TO OTHER SERVICE AREAS. IN 2024, MHS MOBILE CLINIC SERVED 1719 CHILDREN, OFFERING ALL CDC RECOMMENDED CHILDHOOD VACCINES (INCLUDING COVID VACCINES). GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 16J: MULTICARE'S TACOMA GENERAL, GOOD SAMARITAN, AUBURN, ALLENMORE, MARY BRIDGE, DEACONESS, VALLEY, COVINGTON AND CAPITAL MEDICAL CENTER HOSPITALS:THE POLICY IS POSTED ON THE WA STATE - DEPARTMENT OF HEALTH WEBSITE. THE HOSPITAL'S BILLING INVOICES INCLUDE REFERENCES TO WHERE AND HOW TO CONTACT SOMEONE TO OBTAIN A COPY OF THE FINANCIAL ASSISTANCE POLICY.PART V, SECTION B, LINE 16 - SUPPLEMENTAL INFORMATION:MULTICARE HEALTH SYSTEM HAS TRANSLATED ITS FA POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS. 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. 129 1 - COVINGTON AMBULATORY SURGERY CENTER &UCC 17700 SE 272 STREET COVINGTON WA 98042 OP SURGERY, RX, LAB, URGENT CARE 2 - KENT CLINIC 222 STATE AVE NORTH KENT WA 98031 FAMILY MEDICINE 3 - GIG HARBOR MEDICAL PARK & UCC 4545 POINT FOSDICK DRIVE GIG HARBOR WA 98335 OP SURG,RX,LAB,ONCOLOGY,URGENT CARE 4 - AUBURN IMAGING & URGENT CARE CENTER 202 CROSS STREET SE AUBURN WA 98001 IMAGING, URGENT CARE 5 - AUBURN VASCULAR LAB 202 N DIVISION ST SUITE 300-301 AUBURN WA 98001 VASCULAR LAB 6 - TACOMA FAMILY MEDICINE 521 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 7 - OBSTETRICS ACCESS CLINIC 522 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 8 - MULTICARE OBGYN ASSOCIATES 523 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 9 - PODIATRY CLINIC 524 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 10 - MATERNAL FETAL MEDICINE 524 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 11 - SILVERDALE CLINIC 1780 NW MYRTLE RD SUITE G220 SILVERDALE WA 98383 OP PHYSICIAN CLINIC 12 - OLYMPIA CLINIC 200 LILLY ROAD NE BUILDING C OLYMPIA WA 98506 OP PHYSICIAN CLINIC 13 - PUYALLUP CLINIC 1803 SOUTH MERIDIAN SUITE B PUYALLUP WA 98371 OP PHYSICIAN CLINIC 14 - CHILDREN'S THERAPY UNIT 402 15TH AVE SE PUYALLUP WA 98372 OUTPATIENT CHILDREN'S THERAPY UNIT 15 - HEALTH RESOURCE CENTER 2622 S MERIDIAN PUYALLUP WA 98372 OP PHYSICIAN CLINIC 16 - CARDIAC REHABILITATION CENTER 16515 MERIDIAN E SUITE 200B PUYALLUP WA 98372 CARDIAC REHABILITATION 17 - PET-CT CLINIC 400 15TH AVE SE PUYALLUP WA 98372 IMAGING TESTING FACILITY 18 - MULTICARE REGIONAL CANCER CENTER AUBURN 121 N DIVISION ST STE 100 AUBURN WA 98001 OP PHYSICIAN CLINIC 19 - MARY BRIDGE WOMAN'S & CHILDREN'S CLINIC 3504 12TH AVE NW OLYMPIA WA 98506 OP PHYSICIAN CLINIC 20 - MULTICARE ORTHO&SPORTS MEDICINE MOUNTAIN 1550 S UNION AVE STE 210 TACOMA WA 98405 OP SURG,RX,LAB, CHIRO 21 - MULTICARE WEST TACOMA CLINIC & UCC 2209 N PEARL ST STE 100 TACOMA WA 98406 OP SURG,RX,LAB, CHIRO 22 - MULTICARE FREDERICKSON CLINIC 5612 176TH STREET FEDERAL WAY WA 98375 PRIMARY CARE PRACTICE 23 - MULTICARE KENT UCC & HEALTHWORKS 222 STATE AVE N KENT WA 98030 URGENT CARE CLINIC AND OCC MEDICINE 24 - MULTICARE LAKEWOOD UCC & HEALTHWORKS 5700 100TH ST SW LAKEWOOD WA 98499 URGENT CARE CLINIC AND OCC MEDICINE 25 - MULTICARE SPANAWAY URGENT CARE 225 176TH ST S SPANAWAY WA 98387 URGENT CARE CLINIC 26 - MULTICARE UNIVERSITY PLACE URGENT CARE 4310 BRIDGEPORT WAY W UNIVERSITY PLACE WA 98466 URGENT CARE CLINIC 27 - MARY BRIDGE PED OUTPATIENT-GIG HARBOR 4700 PT FOSDICK DR NW GIG HARBOR WA 98335 URGENT CARE CLINIC 28 - MARY BRIDGE PED OUTPATIENT-OLYMPIA 3504 12TH AVENUE NE OLYMPIA WA 98506 URGENT CARE CLINIC 29 - MULTICARE MAPLE VALLEY CLINIC 24080 SE KENT KANGLEY ROAD MAPLE VALLEY WA 98038 OP PHYSICIAN CLINIC 30 - MULTICARE EATONVILLE FAMILY PRACTICE 118 WASHINGTON AVE N EATONVILLE WA 98328 OP PHYSICIAN CLINIC 31 - MULTICARE ORTHOPEDIC SPINE AND HAND 1450 5TH ST SE STE 4200 PUYALLUP WA 98372 OP SURG,RX,LAB, CHIRO 32 - MULTICARE ORTHOPEDICS & SPORTS AUBURN 121 N DIVISION ST STE 310 AUBURN WA 98001 OP SURG,RX,LAB, CHIRO 33 - MULTICARE HEALTHWORKS KENT 6719 S 211TH AT STE 102 KENT WA 98032 OCCUPATIONAL MEDICINE CLINIC 34 - MULTICARE HEALTHWORKS FIFE 502 54TH AVE E FIFE WA 98424 OCCUPATIONAL MEDICINE CLINIC 35 - MULTICARE HEALTHWORKS TACOMA 3124 S 19TH ST TACOMA WA 98405 OCCUPATIONAL MEDICINE CLINIC 36 - MULTICARE GOOD SAMARITAN CANCER CENTER 1519 4TH ST SE PUYALLUP WA 98371 OP SURG,RX,LAB,ONCOLOGY,URGENT CARE 37 - MULTICARE BONNEY LAKE WIC CLINIC 10004 204TH AVE SE BONNEY LAKE WA 98391 WOMEN,INFANT,CHILD CLINIC 38 - MULTICARE INDIGO TACOMA 1812 S MILDRED ST STE H TACOMA WA 98465 URGENT CARE CLINIC 39 - MULTICARE INDIGO TUKWILLA 17275 SOUTHCENTER PKWY STE 160 TUKWILLA WA 98188 URGENT CARE CLINIC 40 - MULTICARE INDIGO MILL CREEK 800 164TH ST SE STE P MILL CREEK WA 98012 URGENT CARE CLINIC 41 - MULTICARE INDIGO SEATTLE 118 NE 45TH ST SUITE A SEATTLE WA 98105 URGENT CARE CLINIC 42 - MULTICARE INDIGO BOTHELL 24118 BOTHELL EVERETT HWY BUILDING E SU BOTHELL WA 98021 URGENT CARE CLINIC 43 - MULTICARE INDIGO ISSAQUAH 6140 E LAKE SAMMAMISH PKWY SE SUITE F ISSAQUAH WA 98029 URGENT CARE CLINIC 44 - MULTICARE INDIGO COVINGTON 27111 167TH PL SE SUITES 101 103 105 COVINGTON WA 98042 URGENT CARE CLINIC 45 - MULTICARE INDIGO LAKE STEVENS 809 VERNON RD LAKE STEVENS WA 98258 URGENT CARE CLINIC 46 - MULTICARE INDIGO OLYMPIA 345 COOPER POINT RD NW STE 10 OLYMPIA WA 98502 URGENT CARE CLINIC 47 - MULTICARE INDIGO PUYALLUP 15125 MERIDIAN AVE E STE 101 PUYALLUP WA 98375 URGENT CARE CLINIC 48 - MULTICARE INDIGO KIRKLAND 12475 TOTEM LAKE BLVD NE KIRKLAND WA 98034 URGENT CARE CLINIC 49 - MULTICARE INDIGO LACEY 5128 YELM HWY D5128 STE DF LACEY WA 98503 URGENT CARE CLINIC 50 - MULTICARE INDIGO RAINIER 3820 RAINIER AVE S SEATTLE WA 98118 URGENT CARE CLINIC 51 - MULTICARE INDIGO POINT RUSTON 5005 RUSTON WAY TACOMA WA 98407 URGENT CARE CLINIC 52 - MULTICARE INDIGO FEDERAL WAY 31861 GATEWAY CENTER BLVD S FEDERAL WAY WA 98003 URGENT CARE CLINIC 53 - MULTICARE INDIGO SOUTH HILL 4911 SOUTH REGAL STREET SPOKANE WA 99223 URGENT CARE CLINIC 54 - MULTICARE INDIGO SPOKANE VALLEY 15605 E SPRAGUE AVE SPOKANE WA 99223 URGENT CARE CLINIC 55 - MULTICARE INDIGO NORTH SPOKANE 9420 NORTH NEWPART HWY SPOKANE WA 99218 URGENT CARE CLINIC 56 - MULTICARE ROCKWOOD URGENT CARE DOWNTOWN 400 E 5TH AVE SPOKANE WA 99202 URGENT CARE CLINIC 57 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC 1706 S MERIDIAN PUYALLUP WA 98371 URGENT CARE CLINIC 58 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC 11102 SUNRISE BLVD PUYALLUP WA 98374 URGENT CARE CLINIC 59 - MULTICARE PUYALLUP URGENT CARE 220 15TH AVE SE PUYALLUP WA 98372 URGENT CARE CLINIC 60 - MULTICARE ROCKWOOD CHENEY 19 NORTH STREET CHENEY WA 99004 PRIMARY CARE PRACTICE 61 - MULTICARE ROCKWOOD DEER PARK 20 E J ST DEER PARK WA 99006 PRIMARY CARE PRACTICE 62 - MULTICARE ROCKWOOD LIBERTY LAKE 1326 N STANFORD LIBERTY LAKE WA 99019 PRIMARY CARE PRACTICE 63 - MULTICARE ROCKWOOD MEDICAL LAKE 725 N STANLEY ST MEDICAL LAKE WA 99022 PRIMARY CARE PRACTICE 64 - MULTICARE ROCKWOOD NORTHPOINTE 605 E HOLLAND STREET SPOKANE WA 99218 PRIMARY CARE PRACTICE 65 - MULTICARE ROCKWOOD PRAIRIE FAMILY MED 3016 E 57TH AVE SPOKANE WA 99223 PRIMARY CARE PRACTICE 66 - MULTICARE ROCKWOOD QUAIL RUN CLINIC 2214 E 29TH AVE SPOKANE WA 99203 PRIMARY CARE PRACTICE 67 - MULTICARE ROCKWOOD SOUTH VALLEY CLINIC 13221 E 32ND AVE SPOKANE WA 99216 PRIMARY CARE PRACTICE 68 - MULTICARE SUMNER ASSOCIATES 5814 GRAHAM AVE SUMNER WA 98390 PRIMARY CARE PRACTICE 69 - MULTICARE ROCKWOOD VALLEY CLINIC 14408 E SPRAGUE AVE SPOKANE VALLEY WA 99216 PRIMARY CARE PRACTICE 70 - OLYMPIC SPORTS AND SPINE LLC 6050 TACOMA MALL BLVD TACOMA WA 98409 PHYSICAL AND OCCUPATIONAL THERAPY 71 - AUBURN IMAGING PARTNERS 125 3RD STREET AUBURN WA 98002 IMAGING TESTING FACILITY 72 - VP SURGERY OF AUBURN 1002 15TH AVE SW AUBURN WA 98001 OP SURG,RX,LAB, CHIRO 73 - REDICLINIC OF WA LLC 9 E GREENWAY PLAZA STE 2950 HOUSTON TX 77046 PHARMACY AND PRIMARY CARE 74 - MULTICARE INDIGO MAPPLE VALLEY 26380 238TH LN SE SUITE 100 MAPLE VALLEY WA 98038 URGENT CARE CLINIC 75 - MULTICARE INDIGO MARYSVILLE 3822 116TH ST NE MARYSVILLE WA 98271 URGENT CARE CLINIC 76 - MULTICARE INDIGO TUMWATER 704 TROSPER RD SW 118 TUMWATER WA 98512 URGENT CARE CLINIC 77 - MULTICARE CENTER FOR WEIGHT LOSS 408 LILLY ROAD NE OLYMPIA WA 98506 WEIGHT LOSS AND WELLNESS 78 - MULTICARE FAMILY MEDICINE -CANYON ROAD 11025 CANYON RD E STE A PUYALLUP WA 98373 FAMILY MEDICINE 79 - MULTICARE CENTER FOR WEIGHT LOSS 2202 S CEDAR STREET TACOMA WA 98405 WEIGHT LOSS AND WELLNESS 80 - MULTICARE DBA LABS NORTHWEST 34618 11TH PL ST STE 100 FEDERAL WAY WA 98003 IMAGING TESTING FACILITY 81 - MULTICARE BONNEY LAKE EMERGENCY CLINIC 9550 195TH AVE E BONNEY LAKE WA 98391 URGENT CARE CLINIC 82 - MULTICARE INDIGO FREDERICKSON 5314 176TH ST E STE 104-106 TACOMA WA 98446 URGENT CARE CLINIC 83 - MULTICARE INDIGO ORTING 215 WHITESELL ST NW ORTING WA 98360 URGENT CARE CLINIC 84 - MULTICARE INDIGO LAKELAND COMMONS 7096 LAKELAND HILLS WAY SE STE 103 AUBURN WA 98092 URGENT CARE CLINIC 85 - MULTICARE INDIGO LIBERTY LAKE 1429 N LIBERTY LAKE RD STE B LIBERTY LAKE WA 99019 URGENT CARE CLINIC 86 - MULTICARE INDIGO BONNEY LAKE 21186 STATE ROUTE 410 E BONNEY LAKE WA 98391 URGENT CARE CLINIC 87 - MULTICARE PULSE HEART INSTITUTE 100 3RD ST DAVENPORT WA 99122 CARDIAC SERVICES 88 - MULTICARE PULSE HEART INSTITUTE 905 E D ST DEER PARK WA 99066 CARDIAC SERVICES 89 - MULTICARE PULSE HEART INSTITUTE 411 FORTUYN RD GRAND COULEE WA 99133 CARDIAC SERVICES 90 - MULTICARE PULSE HEART INSTITUTE 55 W TIETAN ST WALLA WALLA WA 99362 CARDIAC SERVICES 91 - HARBOR PEDIATRICS MARY BRIDGE CHILDREN'S 4700 POINT FOSDICK DR NW GIG HARBOR WA 98335 OUTPATIENT CHILDREN'S HEALTH SERVICES 92 - MULTICARE TACGEN EMERGENCY-FEDERAL WAY 29805 PACIFIC HWY S FEDERAL WAY WA 98003 URGENT CARE CLINIC 93 - MC INDIGO -AIRWAY HEIGHTS 9746 W US HIGHWAY 2 STE C D SPOKANE WA 99224 URGENT CARE CLINIC 94 - MC INDIGO -GIG HARBOR NORTH 4784 BORDEN BLVD STE G GIG HARBOR WA 98332 URGENT CARE CLINIC 95 - WESTERN WASHINGTON CARDIOLOGY SILVERLAKE 12728 19TH AVE SE STE 200 EVERETT WA 98208 CARDIAC SERVICES 96 - WESTERN WASHINGTON CARDIOLOGY MONROE SAT 4841 179TH AVE SE STE 220 MONROE WA 98272 CARDIAC SERVICES 97 - WESTERN WASHINGTON CARDIOLOGY EVERETT 4225 HOYT AVE STE C EVERETT WA 98203 CARDIAC SERVICES 98 - WESTERN WASHINGTON CARDIOLOGY MARYSVILLE 4404 80TH ST NE MARYSVILLE WA 98271 CARDIAC SERVICES 99 - WESTERN WASHINGTON CARDIOLOGY ARLINGTON 875 WESLEY ST STE 110 ARLINGTON WA 98223 CARDIAC SERVICES 100 - CAPITAL MEDICAL CENTER PHYSICIANS LLC 3900 CAPITAL MALL DR SW OLYMPIA WA 98502 FAMILY MEDICINE 101 - CAPITAL MEDICAL CTR SPECIALTY PHYSICIANS 3900 CAPITAL MALL DR SW OLYMPIA WA 98502 SPECIALTY AND FAMILY MEDICINE 102 - MC INDIGO -KENT STATION 321 RAMSEY WAY STE 104 KENT WA 98032 URGENT CARE CLINIC 103 - MC INDIGO -UPTOWN GIG HARBOR 44779 POINT FOSDICK DR STE 500 GIG HARBOR WA 98335 URGENT CARE CLINIC 104 - MC INDIGO -UNIVERSITY PLACE 2700 BRIDGEPORT WAY W UNIVERSITY PLACE WA 98466 URGENT CARE CLINIC 105 - MC INDIGO -HOGUN BAY LACEY 2370 MARVIN RD NE LACEY WA 98516 URGENT CARE CLINIC 106 - MC INDIGO -STADIUM TACOMA 632 DIVISION AVE TACOMA WA 98403 URGENT CARE CLINIC 107 - MC INDIGO -SAMMAMISH 530 228TH AVE NE SAMMAMISH WA 98074 URGENT CARE CLINIC 108 - MC INDIGO -REDMOND 15946 REDMOND WAY STE 101 REDMOND WA 98502 URGENT CARE CLINIC 109 - MULTICARE FAMILY MEDICINE EAST MAIN 435 E MAIN STREET STE 301 AUBURN WA 98002 FAMILY MEDICINE 110 - MULTICARE WOMEN'S CENTER 1 E MAIN STREET STE 370 AUBURN WA 98002 SPECIALTY AND FAMILY MEDICINE 111 - FREDERICKSON PRIMARY CARE CLINIC 5612 176TH ST E PUYALLUP WA 98375 PHARMACY AND PRIMARY CARE 112 - MULTICARE OCCUPATIONAL MEDICINE- SPOKANE 323 E 2ND AVE STE 102 SPOKANE WA 99202 OCCUPATIONAL MEDICINE CLINIC 113 - MULTICARE BEHAVIORAL HEALTH NORTHEAST -S 4005 N COOK ST SPOKANE WA 99207 BEHAVIORAL HEALTH 114 - MULTICARE BEHAVIORAL HEALTH PORT ORCHARD 435 SW SEDGEWICK RD STE 101 PORT ORCHARD WA 98367 BEHAVIORAL HEALTH 115 - PUYALLUP AMBULATORY SURGERY CENTER LLC 1519 3RD ST SE STE 240 PUYYALUP WA 98372 AMBULATORY HEATHCARE 116 - MC CAPITAL MEDCTR EMERGENCY-LACEY 4312 PACIFIC AVE SE LACEY WA 98503 EMERGENCY 117 - MC INDIGO UCC - MILTON 940 MERIDIAN AVE E STE 940 MILTON WA 98354 URGENT CARE CLINIC 118 - MC INDIGO UCC - WEST SEATTLE 4508 CALIFORNIA AVE SW SEATTLE WA 98116 URGENT CARE CLINIC 119 - NORTHWEST COMMUNITY LABA DIVMULTICARE 12401 E MARGINAL WAY S TUKWILA WA 98168 LABORATORY SERVICES 120 - MC INDIGO UCC-PUYALLUP 4505 S MERIDIAN STE A PUYALLUP WA 98373 UCC 121 - MC INDIGO UCC - YAKIMA 2707 W NOBB HILL STE 100 YAKIMA WA 98902 UCC 122 - MULTICARE MARY BRIDGE CHILDREN'S HOSPITA 317 MARTIN LUTHER KING JR WAY TACOMA WA 98405 CHILDRENS HEALTH 123 - MULTICARE ROCKWOOD AIRWAY HEIGHTS PRIMAR 9834 WEST HIGHWAY 2 SPOKANE WA 99224 PRIMARY CARE PRACTICE 124 - MULTICARE ROCKWOOD NORTHWEST SPOKANE PRI 5238 W LOWELL AVE SPOKANE WA 99208 PRIMARY CARE PRACTICE 125 - MULTICARE OCCUPATIONAL MEDICINE- COVINGT 17700 SE 272ND ST STE 165 COVINGTON WA 98042 OCCUPATIONAL MEDICINE CLINIC 126 - MC INDIGO UCC - YELM 937 YELM AVE W YELM WA 98597 UCC 127 - MULTICARE CAPITAL IMAGING CTR&OUTPATIENT 601 MCPHEE RD SW STE 1 OLYMPIA WA 98502 IMAGING AND OUTPATIENT CLINIC 128 - MULTICARE TACOMA GENERAL ER- BREMERTON 5900 STATE HIGHWAY 303 NE BREMERTON WA 98311 ER 129 - MULICARE HOME HEALTH AND HOSPICE 801 W 5TH AVE STE 509 SPOKANE WA 99204 HOSPICE PART I, LINE 3C: PATIENTS MAY BE DETERMINED AS PRESUMPTIVELY ELIGIBLE FOR CHARITY IF THEY QUALIFY FOR MEDICAID OR IF THEY ARE HOMELESS. PART I, LINE 7: THE AMOUNTS ARE CALCULATED BASED ON A COST-TO-CHARGE RATIO WHICH WAS CALCULATED BASED ON WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART I, LINE 7G: NONE OF THE SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PHYSICIAN CLINICS. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBTS THAT WERE EXCLUDED FROM THE TOTAL EXPENSES WHEN CALCULATING THE PERCENTAGE IN COLUMN (F) WAS $132,931,284.PART III, SECTION A, LINE 2, COSTING METHODOLOGY:THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.PART III, SECTION A, LINE 3, RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $2,715,000 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF THE ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT. AS PART OF OUR COMMUNITY NEEDS ASSESSMENT, WE STUDIED THE INCOME CHARACTERISTICS OF THE UNINSURED POPULATION IN OUR COMMUNITY. AS PART OF THIS STUDY, WE ALSO LOOKED AT WHAT PORTION OF UNINSURED INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA WOULD BE ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. WE APPLIED THIS PERCENTAGE TO OUR TOTAL AMOUNT OF BAD DEBT EXPENSE RECORDED TO ESTIMATE THE PORTION OF SELF-PAY BAD DEBT THAT WAS REASONABLY ATTRIBUTABLE TO INDIVIDUALS ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY BUT NOT PREVIOUSLY RECORDED AS SUCH. WE SUBTRACTED THE ACTUAL AMOUNT OF FINANCIAL ASSISTANCE RECORDED FROM THIS CALCULATED FIGURE. THE RESULT IS OUR ESTIMATE OF THE AMOUNT THAT SHOULD BE CONSIDERED COMMUNITY BENEFIT COST AND IS ENTERED ON PART III, LINE 3. PART II, COMMUNITY BUILDING ACTIVITIES: MULTICARE HEALTH SYSTEM ACTIVELY PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES. THEIR EMPLOYEES VOLUNTEER IN VARIOUS PROGRAMS SUCH AS THE AMERICAN RED CROSS, PIERCE COUNTY DIABETES COALITION, UNITED WAY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, YWCA (PROVIDING A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN), AMERICAN CANCER SOCIETY, AND OTHER ORGANIZATIONS.THE FOLLOWING ACTIVITIES BY REGION, AVAILABLE TO ALL COMMUNITY MEMBERS, PROVIDE OPPORTUNITIES FOR IMPROVED PHYSICAL, MENTAL, AND EMOTIONAL HEALTH:A) INLAND NORTHWEST REGION:- DOMESTIC VIOLENCE AND ADVOCACY SERVICES AND RESOURCE ASSISTANCE IN COLLABORATION WITH THE YWCA;- SPOKANE REGIONAL DOMESTIC VIOLENCE COALITION;MIA: SUPPORT FOR SURVIVORS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT- BETTERHEALTHTOGETHER (ACH) LEARNING COLLABORATIVES & FREE TRAINING SESSIONS;- WASHINGTON PEER ALLIANCE COALITION; - NATIONAL INSTITUTE FOR MENTAL ILLNESS EDUCATION AND SPEAKING SERIES; -NRCC PROGRAM TO SUPPORT PATIENTS BEING DISCHARGED WITH FOLLOW UP TO REDUCE READMISSIONS;-SHADES OF MOTHERHOOD, A PROGRAM WHICH ADDRESSES HEALTH DISPARITIES SURROUNDING MATERNAL/CHILD HEALTH;-COMMUNITIES IN SCHOOLS, A SUPPORT PROGRAM WHICH SUPPORTS STUDENTS WITH FUNDAMENTAL NEEDS IN ORDER TO REDUCE ABSENTEEISM AND INCREASE GRADUATION RATES;- RECOVERY CAF EDUCATION AND VIRTUAL WORKSHOP SERIES; - A BEHAVIORAL PROGRAM IN PARTNERSHIP WITH PIONEER HUMAN SERVICES AND CORAM INFUSION, HELPING PATIENTS WITH LONG-TERM IV DRUG USE RECEIVE SUBSTANCE USE DISORDER ASSESSMENTS AND INPATIENT TREATMENT, PEER COUNSELING SERVICES, AND BEHAVIORAL HEALTH TREATMENT;- DEACONESS MENTAL HEALTH ASSOCIATES, A PROGRAM THAT HIRED AND TRAINED SPECIALISTS TO IMPROVE THE CARE OF BEHAVIORAL HEALTH PATIENTS IN THE EMERGENCY DEPARTMENT; - SPOKANE REGIONAL EMERGENCY COMMAND CENTER BEHAVIORAL HEALTH TASK FORCE;- GRANT-FUNDED PROGRAM NAMED "BETTERHEALTH THROUGH HOUSING PROVIDENCE", IN COLLABORATION WITH BETTERHEALTHTOGETHER, SNAP, SPOKANE HOUSING AUTHORITY, CHPW, AND MOLINA;- A PROGRAM TO HELP CHRONICALLY HOMELESS PATIENTS WITH BEHAVIORAL HEALTH AND SUBSTANCE USE NEEDS GET INTO STABLE HOUSING AFTER 4 EMERGENCY DEPARTMENT VISITS IN 6 MONTHS; - SEXUAL ASSAULT NURSE EXAMINERS (SANE NURSES) AVAILABLE TO PATIENTS IN THE HOSPITALS AND ED;- QUARTET, AN ONLINE WEB-BASED PORTAL TO IMPROVE THE COORDINATION OF BEHAVIORAL HEALTH REFERRALS, ENSURING PATIENTS HAVE MORE TIMELY ACCESS TO BEHAVIORAL HEALTH CARE WITHIN THE COMMUNITY; - EAT, SLEEP AND CONSOLE PROGRAM ADDRESSING BABIES BEING BORN WITH DRUG ADDICTION SYMPTOMS;- HOUSE OF CHARITY RESPITE CARE FOR HOMELESS AND COLLABORATION WITH CATHOLIC CHARITIES OF E. WA; -PREVENT SUICIDE SPOKANE COALITION;- REGIONAL EMERGENCY & DISASTER HEALTHCARE CORRELATION LEADERSHIP PARTICIPATION AND CENTRAL COMMAND CENTER;- SPOKANE REGIONAL OPIOID TASK FORCE;-END THE VIOLENCE CAMPAIGN;- "SMILE SPOKANE LEADERSHIP IMPACT NETWORK PARTICIPATING MEMBER" TO IMPROVE ORAL HEALTH CARE IN EDUCATION IN SPOKANE COUNTY; -UNDERSERVED ELEMENTARY AND MIDDLE SCHOOL STUDENT OUTREACH PROGRAMS WITH PINES MIDDLE SCHOOL, BROADWAY ELEMENTARY AND REGAL ELEMENTARY, PROVIDING SCHOOL SUPPLIES, SCIENCE EDUCATION AND WINTER CLOTHING;- ANNUAL TREE OF GIVING;- SPOKANE VALLEY PARTNERS COLLABORATION SUPPORTING THE FOOD BANK, CLOTHING BANK, EMERGENCY ASSISTANCE, FOOD4THOUGHT PROGRAM, FOOD EXPRESS, INLAND NW BABY DIAPER BANK, CAREER CLOTHING BANK AND A SUMMER FOOD DRIVE;- ANNUAL BRIDGE TO BRUNCH COMMUNITY 5K RUN/WALK PROVIDED BY MULTICARE AS A COMMUNITY EVENT SUPPORTING AND RAISING AWARENESS FOR A COMMUNITY CANCER FUND; -CLINICAL, EMOTIONAL AND FINANCIAL ONGOING SUPPORT OF FREEMAN HIGH SCHOOL STUDENTS, STAFF AND FAMILIES FOLLOWING THE 2017 SHOOTING;- HOOPFEST, PROVIDING 2 - DAYS OF MEDICAL AND VOLUNTEER SUPPORT FOR TEAMS AND FANS;- AMERICAN HEART AND STROKE WALK AND ANNUAL FUNDRAISING SUPPORT CAMPAIGN;OPERATING HEALTHY FAMILY PARTNERSHIP FOR ORAL HEALTH EDUCATION & LINK TO DENTAL CARE;- WSU HEALTHY PEOPLE HEALTHY PETS PARTNERSHIP TO PROVIDE VACCINATIONS TO HOMELESS AND LOW-INCOME INDIVIDUALS AND THEIR PETS;- "ACCOUNTABLE COMMUNITY OF HEALTH PARTNER" FOR IMPROVING ACCESS TO CARE FOR LOW-INCOME MEDICAID POPULATION IN BEHAVIORAL HEALTH, OPIOID USE, CHRONIC DISEASE MANAGEMENT, ORAL HEALTH AND HEALTH EQUITY;- TELEPSYCH SERVICES FOR ED/INPATIENT CARE;- OUT OF THE DARKNESS WALK FOR SUICIDE PREVENTION;- SECOND HARVEST'S TOM'S TURKEY DRIVE PROVIDING LOCAL FAMILIES WITH THANKSGIVING MEALS;- PARTNERSHIP WITH FREEMAN SCHOOLS SCOTTY DASH TO SUPPORT ACADEMIC, SPORT, EXTRACURRICULAR AND FACILITY NEEDS;- FAMILY PROMISE OF SPOKANE HOMELESS SHELTER PROVIDED SAFETY EQUIPMENT TO HELP REMODEL THEIR NEW AND LARGER SHELTER;- MULTICARE DEACONESS HOSPITAL RONALD MCDONALD FAMILY ROOMS PROVIDED FOR ANY FAMILIES WITH CHILDREN IN THE HOSPITAL.B) PUGET SOUND:- TACOMA TRAUMA TRUST IS A COLLABORATION OF MULTICARE, FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE TRAUMA CARE TO THE SOUTH PUGET SOUND REGION;- FALLS PREVENTION PROGRAM FOR THE ELDERLY;- SEXUAL ASSAULT PREVENTION PROGRAM IN THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT VICTIMS OF SEXUAL ASSAULT;- BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;- MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND THE MARY BRIDGE CHILDREN'S ADVOCACY CENTER;- BRIDGES: A CENTER FOR GRIEVING CHILDREN;- SCHOOL BASED HEALTH PROGRAM;- HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;- GRIEF AND LOSS SERVICES;- FAMILY CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;- CANCER CAMP FOR CHILDREN WITH CANCER;- WOMAN, INFANTS AND CHILDREN (WIC) PROGRAM;- SAFE SHORES;- THE CENTER FOR HEALTH EQUITY & WELLNESS NUTRITION AND FITNESS EDUCATION, AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS:- PUGET SOUND ASTHMA COALITION;- DIABETES SERVICES;- CONSULTING NURSE TELEPHONE SERVICE;- CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS. IN 2024 MULTICARE AWARDED SPONSORSHIP SUPPORT TO OUR NON-PROFIT COMMUNITY TO ORGANIZATIONS. PLEASE REFER TO SCHEDULE I FORM OF THE 990 FOR THE DETAILED LIST OF RECIPIENTS AND AMOUNTS PROVIDED. FINANCIAL ASSISTANCE IS OFFERED SO THAT NO ELIGIBLE FAMILY IS TURNED AWAY BECAUSE OF INABILITY TO PAY. IN ADDITION, THE COMMUNITY PARTNERSHIP FUND OFFERS FINANCIAL SUPPORT TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE HOUSING AND FOOD ASSISTANCE TO HOMELESS AND LOW-INCOME INDIVIDUALS. PART III, LINE 8: COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN, AUBURN, COVINGTON, CAPITAL MEDICAL CENTERS AND DEACONESS AND VALLEY HOSPITALS WAS THE 2024 MEDICARE COST REPORTS. SINCE MARY BRIDGE CHILDREN'S HOSPITAL FILES A LOW MEDICARE UTILIZATION COST REPORT, THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT (PS&R) WAS USED. THE COST TO CHARGE RATIO, AS CALCULATED FROM THE INCOME STATEMENT, WAS APPLIED TO THE PS&R GROSS MEDICARE CHARGES TO CALCULATE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. MARY BRIDGE COSTS REPRESENT LESS THAT 0.1% OF THE TOTAL.MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT:THE HOSPITAL BELIEVES THAT ALL OF THE $116.1 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 17.00% OF HOSPITAL REVENUES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. PART III, LINE 9B: MULTICARE'S DEBT COLLECTION POLICY STATES THAT "MHS WILL ALSO CLEARLY COMMUNICATE TO PATIENTS AND APPLICABLE PARTIES THE VARIOUS ASSISTANCE PROGRAMS MHS OFFERS BASED ON THE SITE OF SERVICE." IF THE PATIENT FOLLOWS THROUGH WITH THE APPLICABLE ASSISTANCE APPOINTMENTS, I.E., MEETING WITH MEDICAID OR COUNTY AGENCIES TO COMPLETE THE NECESSARY APPLICATION PROCESS, MULTICARE WILL NOT SEND THE ACCOUNT TO A BAD DEBT COLLECTION AGENCY.THERE ARE CIRCUMSTANCES WHERE A PATIENT DOES NOT RESPOND TO MULTICARE'S BILLING STATEMENTS AND IS SENT TO COLLECTIONS. AT THIS POINT, WHEN THEY ARE IN COLLECTIONS, IF THEY REQUEST FINANCIAL ASSISTANCE AND MEET CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICY'S FEDERAL POVERTY GUIDELINES (FPG), THE COLLECTIONS WILL NOT BE PURSUED. PART VI, LINE 2: MULTICARE COLLABORATES WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTHCARE REQUIREMENTS OF THE COMMUNITIES WE SERVE AND TO ESTABLISH PROGRAMS AND SERVICES THAT ADDRESS THOSE NEEDS. MULTICARE PARTNERS WITH VARIOUS COMMUNITY ENTITIES, SUCH AS PUBLIC HEALTH AGENCIES, UNITED WAY AGENCIES, CITY MUNICIPALS, PUBLIC SCHOOLS, COMMUNITY COALITIONS, FEDERALLY QUALIFIED HEALTH CENTERS, YMCA'S, SMILE SPOKANE, AND OTHERS.TO DETERMINE THE MOST CRITICAL HEALTHCARE NEEDS IN ITS SERVICE AREAS, MULTICARE HEALTH SYSTEM UTILIZES DATA FROM ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AND FEDERAL AND STATE-LEVEL DATA.GIVEN THE COMPREHENSIVENESS OF THE CHNA PROCESS, THE ORGANIZATION DOES NOT CONDUCT ADDITIONAL ASSESSMENTS.FOR MORE DETAILED INFORMATION, SEE PART V, SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. FINANCIAL AID INFORMATION IS POSTED ON THE MULTICARE.ORG EXTERNAL WEBSITE.PRE-SERVICE CENTER STAFF STARTS CONVERSATIONS WITH PATIENTS ABOUT THEIR POTENTIAL FINANCIAL RESPONSIBILITY AND SHARE PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE INFORMATION WITH THE PATIENT DURING THIS INITIAL PHONE CALL. AT THE TIME OF REGISTRATION (WHETHER PRE-REGISTERED OR NOT), PATIENTS ARE NOTIFIED ABOUT THEIR INSURANCE COVERAGE AND FINANCIAL LIABILITIES. FINANCIAL COUNSELORS ARE AVAILABLE IF A NEED IS IDENTIFIED. MULTICARE ACTIVELY WORKS TO IDENTIFY PATIENTS WITHOUT INSURANCE AND HELPS CONNECT THESE PATIENTS TO ANY STATE OR FEDERAL RESOURCES, INCLUDING ASSISTING IN APPLYING FOR DIFFERENT HEALTH INSURANCE PLANS. EVEN IF A PATIENT QUALIFIES FOR HEALTH INSURANCE OUR STAFF WILL ALSO SCREEN THEM FOR FINANCIAL ASSISTANCE, IF APPLICABLE. 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. FINALLY, ANY MULTICARE BILL SENT TO A PATIENT INCLUDES INFORMATION ABOUT FINANCIAL ASSISTANCE. PART VI, LINE 4: MULTICARE HEALTH SYSTEM IS A WASHINGTON STATE INTEGRATED DELIVERY SYSTEM THAT OPERATES IN THREE REGIONS, THE PUGET SOUND, YAKIMA VALLEY (CENTRAL WA) AND THE INLAND NORTHWEST.THE SERVICE AREA FOR THE PUGET SOUND IS DEFINED AS PIERCE, KING, KITSAP AND THURSTON COUNTIES, WHICH INCLUDES THE CITIES OF TACOMA, PUYALLUP, UNIVERSITY PLACE, LAKEWOOD, BONNEY LAKE, GIG HARBOR, AUBURN, KENT, FEDERAL WAY, COVINGTON, OLYMPIA AND SILVERDALE. THERE ARE 12 HOSPITALS IN PIERCE AND SOUTH KING COUNTIES, AND SIX OF THEM ARE MULTICARE HOSPITALS. THE PUGET SOUND REGION'S POPULATION IS 4.3 MILLION.AS PER THE U.S. CENSUS, 73.1% OF PIERCE COUNTY'S POPULATION IDENTIFIES AS WHITE, 8.09% AS AFRICAN AMERICAN, 7.4% AS ASIAN, 1.8% AS NATIVE AMERICAN, 1.8% AS NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 12.2% AS HISPANIC OR LATINO, AND 7.9% AS SOME OTHER RACE OR TWO OR MORE RACES. LAST OFFICIAL POPULATION COUNT WAS 921,130. THE MEDIAN INCOME FOR A HOUSEHOLD WAS $82,574, BUT THE PER CAPITA INCOME WAS $39,036. 8.2% OF THE POPULATION WERE BELOW THE POVERTY LINE. COMPARABLY, IN THURSTON COUNTY, THERE ARE 297,793 INDIVIDUALS. AS OF THE 2020 CENSUS, THERE WERE 2,269,675 PEOPLE RESIDING IN KING COUNTY, 917,764 HOUSEHOLDS, AND 537,466 FAMILIES RESIDING IN THE COUNTY.[48] THE POPULATION DENSITY WAS 1,073.0 INHABITANTS PER SQUARE MILE (414.3/KM2) THERE WERE 969,234 HOUSING UNITS. THE RACIAL MAKEUP OF THE COUNTY WAS 56.1% WHITE (54.2% NON-HISPANIC WHITE), 6.7% AFRICAN AMERICAN (6.5% NON-HISPANIC BLACK), 19.9% ASIAN (19.8% NON-HISPANIC ASIAN), 0.9% PACIFIC ISLANDER (0.8% NON-HISPANIC PACIFIC ISLANDER), 0.5% NATIVE AMERICAN, 5.2% FROM OTHER RACES, AND 10.4% FROM TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 10.7% OF THE POPULATION.THE PRIMARY SERVICE AREA FOR THE INLAND NORTHWEST REGION IS DEFINED AS SPOKANE WHICH INCLUDES THE CITIES OF SPOKANE, SPOKANE VALLEY, CHENEY, MEDICAL LAKE, AIRWAY HEIGHTS, AND LIBERTY LAKE. THE SECONDARY SERVICE AREA IS DEFINED AS ADAMS, LINCOLN, PEND ORIELLE, STEVENS, AND WHITMAN COUNTIES. THERE ARE SEVEN HOSPITALS IN TOTAL IN SPOKANE COUNTY, AND TWO OUT OF THEM ARE MULTICARE HOSPITALS. THE US CENSUS STATES THAT SPOKANE COUNTY'S POPULATION IS 88.4% WHITE, 2.1% BLACK, 1.9% NATIVE AMERICAN, 2.5% ASIAN, 0.3 % ARE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 3% ARE TWO OR MORE RACES, AND 6.6% ARE HISPANIC OR LATINO. THE TOTAL POPULATION OF SPOKANE COUNTY IS 539,339 AND THE MEDIAN HOUSEHOLD INCOME IS $64,079. THE US CENSUS BUREAU REPORTS THAT 11.2.0% OF THE SPOKANE COUNTY POPULATION IS LIVING IN POVERTY. MULTICARE HEALTH SYSTEM INCLUDES A LARGE NETWORK OF PRIMARY AND SPECIALTY PROVIDERS AND IS LICENSED FOR 2,577 BEDS AND OPERATES SEVERAL OUTPATIENT SURGICAL SITES IN OTHER URGENT CARE, PRIMARY CARE, AND MULTISPECIALTY CLINICS. MULTICARE HEALTH SYSTEM PROVIDES SERVICES DESIGNED TO MEET THE SPECIFIC HEALTHCARE REQUIREMENTS OF THE POPULATION, WITH A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT PROGRAMS MADE AVAILABLE IN CONJUNCTION WITH THE RESOURCES OF OTHER COMMUNITY HEALTH PROVIDERS. PART VI, LINE 5: MULTICARE HEALTH SYSTEM IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS REPRESENT THE COMMUNITY, AND HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS'S "COMMUNITY BENEFIT STANDARD," A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. MULTICARE HEALTH SYSTEM HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITIES. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE-OF-THE-ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS STAFF FROM MANY DEPARTMENTS CONDUCT COMMUNITY BENEFIT PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION, PROMOTION, AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY.MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE.IN THE PUGET SOUND REGION, THIS INCLUDES:-BLUE ZONES;FOOD BANK BLOOD PRESSURE CHECKS & NUTRITION INFO;TACOMA TRAUMA TRUST, A COLLABORATIVE OF MULTICARE, VIRGINIA MASON FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE ADULT TRAUMA CARE;FALLS PREVENTION PROGRAM FOR THE ELDERLY;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT SEXUAL ASSAULT VICTIMS;BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND MARY BRIDGE CHILDREN'S ADVOCACY CENTER;BRIDGES: A CENTER FOR GRIEVING CHILDREN;MARY BRIDGE MOBILE IMMUNIZATION CLINIC;HEALTH EQUITY COMMUNITY ADVISORY BOARD;HEALTH EQUITY SPEAKER SERIES;HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;GRIEF AND LOSS SERVICES;CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;CANCER CAMP FOR CHILDREN WITH CANCER;WOMAN, INFANT AND CHILDREN (WIC) PROGRAM;SAFE SHORES;CENTER FOR HEALTH EQUITY AND WELLNESS NUTRITION AND FITNESS EDUCATION; AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;PUGET SOUND ASTHMA COALITION;DIABETES SERVICES;CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;WORKFORCE DEVELOPMENT PARTNERSHIP WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL;PARTNERSHIP WITH AREA COLLEGE NURSING PROGRAMS IN A NURSING RESIDENCY PROGRAM;MASH CAMP, A WEEK-LONG PROGRAM FOR HIGH SCHOOL STUDENTS SEEKING TO EXPLORE NURSING AND ALLIED HEALTH PROFESSIONS;SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;ASSISTIVE TECHNOLOGY PROGRAM PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;PROJECT ACCESS AND PROJECT NW TO HELP IMPROVE HEALTH OUTCOMES AND REDUCE INAPPROPRIATE EMERGENCY ROOM USE. PROJECT ACCESS ALSO PROVIDES PREMIUM ASSISTANCE FOR PATIENTS.IN THE INLAND NW (EASTERN WA-SPOKANE):BACKPACK AND SCHOOL SUPPLY DRIVE, WITH BOYS AND GIRLS CLUB;PROJECT ACCESS, PROVIDING CHARITABLE CARE FOR THOSE NEEDING PRIMARY AND SPECIALTY CARE SERVICES;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM PROVIDING CARE TO ADULT, ADOLESCENT AND PEDIATRIC SEXUAL ASSAULT VICTIMS;PARTNERING WITH NORTHEAST COMMUNITY CENTER TO RAISE FUNDS AND BEGIN BUILDING A NEW COMMUNITY BEHAVIORAL HEALTH CLINIC IN SPOKANE, OPERATED BY MULTICARE;PARTNERING RELATIONSHIP WITH INW BEHAVIORAL HEALTH HOSPITAL FOR PSYCHIATRIC CARE;AMERICAN BEHAVIORAL HEALTH SERVICES PARTNERSHIP;TUBERCULOSIS TESTING FOR WSU MEDICAL STUDENTS;FLU VACCINATION FOR EWU AND WSU STUDENTS;AMERICAN HEART ASSOCIATION BROWN BAG LUNCH PROVIDER PRESENTATION;TOBACCO CESSATION AND RESOURCES AND EDUCATION FOR PATIENTS AND COMMUNITY MEMBERS IN PARTNERSHIP WITH SPOKANE REGIONAL HEALTH DISTRICT;WSDOT EDUCATIONAL OUTREACH IN SLEEP HEALTH, BODY MECHANICS, WARNING SIGNS, AND RISK DETECTION OF CHRONIC AND ACUTE CONDITIONS OF MAJOR HEALTH PROBLEMS;BREAST HEALTH EVENT TO INCREASE ACCESS TO SCREENING AND RISK AWARENESS EDUCATION;THE PROVISION OF BEHAVIORAL HEALTH SERVICES TO EWU STUDENTS;DOMESTIC VIOLENCE AND RESOURCE AWARENESS TRAINING FOR MULTICARE EMPLOYEES;PIONEER HUMAN SERVICES PARTNERSHIP;JASPR HEALTH PARTNERSHIP FOR IMPROVING THERAPEUTIC CARE OF SUICIDAL PATIENTS IN THE ED.THE HOSPITALS OF THE AFFILIATED GROUP UTILIZE FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING BUT NOT LIMITED TO:EDUCATIONAL PROGRAMS ON, HEALTHY AGING, CHILDBIRTH, INFANT CARE, HEALTH AND WELLNESS, AND NUTRITION; FREE MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE LOW-COST IMMUNIZATIONS IN THE COMMUNITY; EXPANSION OF THE OFF CAMPUS EMERGENCY DEPARTMENTS TO ACCOMMODATE AN INCREASE IN EMERGENCY DEPARTMENT PATIENTS; SENIOR MEMBERSHIP AFFINITY PROGRAM; CANCER TRIALS AND RESEARCH; MULTICARE INSTITUTE FOR RESEARCH & INNOVATION; CARE MANAGEMENT, POWER OF ATTORNEY, AND NOTARY SERVICE MEDICATIONS; CHILDREN'S THERAPY UNIT; ASSISTIVE TECHNOLOGY PROGRAM; COMMUNITY EDUCATION: TRANSFUSION FREE MEDICAL & SURGICAL PROGRAM; FAMILY BIRTH CENTER AND CLASSES AND SERVICES; AND MOBILE HEALTH SERVICES, PALLIATIVE CARE, PHYSICAL MEDICINE & REHABILITATION, AND VOLUNTEER SERVICES.INLAND NORTHWEST OFFERINGS & PARTNERSHIPS INCLUDE BUT ARE NOT LIMITED TO:BREASTFEEDING CLASSES;CHILDBIRTH EDUCATION;SAFE INFANT SLEEP;EASTERN WASHINGTON UNIVERSITY, GONZAGA, AND WASHINGTON STATE UNIVERSITY STUDENT PRACTICUM AND PROJECT PLACEMENT;SUMMER GROUP CLASSES FOR TEENAGERS WITH BEHAVIORAL HEALTH NEEDS;GROUP CLASSES FOR ADULTS WITH INSOMNIA OR OTHER SLEEP DISORDERS;EASTERN WASHINGTON UNIVERSITY AND WHITWORTH UNIVERSITY GUEST LECTURES;HEALTH TB TESTING & FLU VACCINATION PROGRAM;ALS CAREGIVERS SUPPORT GROUP;SCLERODERMA SUPPORT GROUP;SPOKANE COUNTY COLLEAGUES AND WASHINGTON STATE UNIVERSITY NURSING;ROUNDING CONFERENCE;EWU STUDENT THERAPY SERVICES;SUBSTANCE USE DISORDER PROGRAM WITH PIONEER HUMAN SERVICES;OUD/MAT TREATMENT PROGRAM UNDER SOR GRANT;OUD/MAT OUTPATIENT TREATMENT PROGRAM UNDER HUB AND SPOKE MODEL;HOUSING PROGRAM WITH BHT AND OTHER PARTNERS FOR CHRONICALLY HOMELESS PATIENTS IN THE ED;THERAPEUTIC SERVICES PARTNERSHIP WITH JASPR HEALTH PILOT FOR SUICIDAL PATIENTS IN THE ED;QUARTET DIGITAL BEHAVIORAL HEALTH REFERRAL COORDINATION IMPLEMENTATION;UNIVERSITY OF WASHINGTON AIMS CENTER PARTNERSHIP IN IMPLEMENTING COLLABORATIVE CARE (INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH) IN THE INW AT ROCKWOOD.SOUTH PERRY FARMER'S MARKET SHARING INFORMATION RELATED TO NEW PROGRAMS TTP PROGRAM, NAR TO NAC, NURSE TECH, MEDICAL ASSISTANT, PHLEBOTOMY, AND OTHER PROGRAMS. COMMUNITY STOP THE BLEED CLASSES AVAILABLE MONTHLY ON THE DEACONESS CAMPUS.IN 2024, MULTICARE WAS ABLE TO IMPROVE HEALTH PROMOTION. FOR EXAMPLE, MULTICARE SERVED 1,719 PATIENTS AND PROVIDED CHILDHOOD VACCINATIONS IN VARIOUS COMMUNITY SERVICE AREAS. ADDITIONALLY, THE CENTER FOR CHILDHOOD SAFETY PROGRAM SERVED 201 INDIVIDUALS. FURTHERMORE, IN 2024, MULTICARE CONTINUED THE BLUE ZONES PROJECT, WHICH IS DESIGNED TO REDUCE OBESITY, SMOKING AND STRESS, IMPROVE EMPLOYEE AND STUDENT PRODUCTIVITY, AND BOOST ECONOMIC VITALITY IN PIERCE COUNTY WASHINGTON.IN 2015, MHS INTRODUCED THE MULTICARE COMMUNITY PARTNERSHIP FUND. IN 2024, MULTICARE AWARDED A TOTAL OF $794,000 TO DOZENS OF COMMUNITY GROUPS ACROSS THE MHS SERVICE AREA ALIGNED WITH MHS'S MISSION OF PARTNERING HEALING AND A HEALTHY FUTURE. THE COMMUNITY PARTNERSHIP FUND CONTRIBUTES TO NOT-FOR-PROFIT 501(C)(3) DESIGNATED COMMUNITY ORGANIZATIONS IN THE PUGET SOUND, INLAND NORTHWEST AND YAKIMA VALLEY REGIONS. MORE INFORMATION ON THE ORGANIZATIONS AWARDED GRANTS IN 2024 CAN BE FOUND AT HTTPS://WWW.MULTICARE.ORG/COMMUNITYPARTNERSHIP/ AND WITHIN MULTICARE'S FORM 990, SCHEDULE I.MULTICARE COLLABORATES WITH CURRENT AND PAST COMMUNITY PARTNERSHIP FUND RECIPIENTS TO ENHANCE SERVICES. MULTICARE SUPPORTS ACCESS TO FOOD THROUGH FUNDING FOR EMERGENCY FOOD NETWORK, FOOD BANKS IN SUMNER, GIG HARBOR, EATONVILLE, KEY PENINSULA AND OUR SAVIOR LUTHERAN CHURCH BACKBACK PROGRAM AS WELL AS SEVERAL FARMERS MARKETS. THEY ALSO COLLABORATE WITH OASIS YOUTH CENTER, RAINBOW CENTER AND ENTRE HERMANOS IN BOTH PUGET SOUND AND YAKIMA TO ENHANCE LGBTQ+ PATIENT EXPERIENCES, AND PROVIDE SUPPORT TO OPERATIONS AT CHRIST COMMUNITY CLINIC, OFFERING FREE MEDICAL SERVICES. IN THE INLAND NORTHWEST REGION, MULTICARE COLLABORATES WITH CATHOLIC CHARITIES OF EASTERN WASHINGTON'S HOUSE OF CHARITY TO REMOVE BARRIERS TO PERMANENT HOUSING FOR DOMESTIC VIOLENCE SURVIVORS. YAKIMA AWARDEES INCLUDE TRIUMPH TREATMENT SERVICES AND WELLNESS HOUSE, SUPPORTING ACCESS TO BEHAVIORAL HEALTH 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. THE HEALTHCARE ORGANIZATION 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 GROWING 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 CENTRAL WASHINGTON'S YAKIMA VALLEY THIS WAY. 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 IS 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, IT 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 US TO BETTER PROVIDE ESSENTIAL COMPREHENSIVE HEALTH SERVICES AND CONNECT WITH ITS' PATIENTS TO ESSENTIAL COMMUNITY RESOURCES. PART VI, LINE 7, REPORTS FILED WITH STATES WA 1 MARY BRIDGE CHILDREN'S FOUNDATION PO BOX 5299 TACOMA WA 98415 943030039 501(C)(3) 3725948 0 ASSISTANCE FOR OPERATING EXPENSES MULTICARE FOUNDATIONS PO BOX 5300 TACOMA WA 98415 911514257 501(C)(3) 5311422 0 ASSISTANCE FOR OPERATING EXPENSES PACIFIC NORTHWEST UNIVERSITY 111 UNIVERSITY PARKWAY YAKIMA WA 98901 061744054 501(C)(3) 1000000 0 SUPPORT THE GROWTH AND CAMPUS EXPANSION LINDQUIST DENTAL CLINIC FOR CHILDREN 130 131ST ST S TACOMA WA 98444 910615378 501(C)(3) 20000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT COMMUNITIES IN SCHOOLS OF SPOKANE COUNTY 104 S FREYA ST STE 109 SPOKANE WA 99202 261581358 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT LUTHERAN COMMUNITY SERVICES NW 210 W SPRAGUE AVE SPOKANE WA 99201 930386860 501(C)(3) 25000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT VINE MAPLE PLACE PO BOX 1092 MAPLE VALLEY WA 98038 912082308 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TACOMA PIERCE COUNTY HABITAT FOR HUMANITY 4824 S TACOMA WAY TACOMA WA 98409 581735531 501(C)(3) 16000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SOUTH PUGET SOUND HABITAT FOR HUMANITY PO BOX 2225 OLYMPIA WA 98507 911427020 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT NOURISH PIERCE COUNTY 1702 S 272ND ST STE E TACOMA WA 98408 911198391 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT EMERGENCY FOOD NETWORK 3318 92ND ST S LAKEWOOD WA 98499 943131776 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PARTNERS WITH FAMILIES & CHILDREN 106 W MISSION AVE SPOKANE WA 99201 680576560 501(C)(3) 25000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FAMILY PROMISE OF SPOKANE 2002 E MISSION AVE SPOKANE WA 99202 911707988 501(C)(3) 20000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT LUTHERAN COMMUNITY SERVICES NW 3848 S JUNETT TACOMA WA 98409 930386860 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT EATONVILLE AREA COUNCIL DBA EATONVILLE FAMILY AGENCY PO BOX 1764 EATONVILLE WA 98328 911059530 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT INTERFAITH WORKS PO BOX 1221 OLYMPIA WA 98507 910947698 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT RAINBOW CENTER 2215 PACIFIC AVE TACOMA WA 98402 911859897 501(C)(3) 7500 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TACOMA URBAN LEAGUE 2550 S YAKIMA AVE STE A TACOMA WA 98405 910826302 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT VANESSA BEHAN 2230 E SPRAGUE SPOKANE WA 99202 911196575 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT HISPANIC BUSINESS PROFESSIONAL ASSOCIATION OF SPOKANE 1214 E SPRAGUE AVE SPOKANE WA 99202 743200153 501(C)(3) 20000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT YWCA SPOKANE 930 N MONROE SPOKANE WA 99201 910565025 501(C)(3) 25000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT CHRIST COMMUNITY FREE CLINIC 1 A STREET NW PO BOX 908 AUBURN WA 98071 203849881 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT MULTICULTURAL CHILD & FAMILY HOPE CENTER 2021 S 19TH ST TACOMA WA 98408 352266626 501(C)(3) 12500 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SHADES OF DIVINITY 1712 6TH AVE SUITE 100 PMB 1134 TACOMA WA 98405 921698988 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT CATHOLIC CHARITIES OF EASTERN WA AND NORTH ID P O BOX 2253 SPOKANE WA 99210 910569880 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SALVATION ARMY 222 E INDIANA AVE SPOKANE WA 99207 941156347 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT CATHOLIC CHARITIES HOUSING SERVICES 5301 TIETON DR STE G YAKIMA WA 89808 911955616 501(C)(3) 20000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT NORTHWEST HARVEST PO BOX 12272 SEATTLE WA 98102 910826037 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TRIUMPH TREATMENT SERVICES 120 S 3RD ST YAKIMA WA 98901 910755984 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT WELLNESS HOUSE 6006 SUMMITVIEW AVE YAKIMA WA 98908 911418100 501(C)(3) 20000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PUYALLUP MAIN STREET ASSOCIATION PUYALLUP FARMERS 118 W MAIN PUYALLUP WA 98371 943116104 501(C)(3) 12000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT NAMI WASHINGTON 1107 NE 45TH ST STE 215 SEATTLE WA 98105 911689067 501(C)(3) 20000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT ROD'S HOUSE 204 S NACHES AVENUE YAKIMA WA 98907 364659738 501(C)(3) 7500 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TOPPENISH COMMUNITY CHEST 4 N B ST TOPPENISH WA 98948 550845518 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PRESCRIPTION DRUG ASSISTANCE FOUNDATION PO BOX 9658 SPOKANE WA 99209 331134368 501(C)(3) 6000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT GARDEN RAISED BOUNTY (GRUB) 2016 ELLIOT AVE NW OLYMPIA WA 98502 911594312 501(C)(3) 12000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT HILLTOP ARTISTS PO BOX 6829 TACOMA WA 98417 911667476 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SENECA FAMILY OF AGENCIES 724 S YAKIMA AVE TACOMA WA 98405 942971761 501(C)(3) 25000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT BRYANT NEIGHBORHOOD CENTER 1615 6TH AVENUE TACOMA WA 98405 236393377 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS MULTI-SERVICE CENTER 1200 SOUTH 336TH ST FEDERAL WAY WA 98003 237120815 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS THE OLYMPIA FREE CLINIC PO BOX 6310 OLYMPIA WA 98507 271606329 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PERINATAL SUPPORT WASHINGTON 2311 N 45TH ST PMB 239 SEATTLE WA 98103 911448669 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TOGETHER (THURSTON) 521 IRVING ST SW SUITE A TUMWATER WA 98512 911465778 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT YWCA OF KITSAP COUNTY 905 PACIFIC AVE BREMERTON WA 98337 910665112 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SHADES OF MOTHERHOOD NETWORK 3319 E CONGRESS AVE SPOKANE WA 99223 882756048 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT COMMUNITIES IN SCHOOLS OF CENTRAL WASHINGTON 513 W CHESTNUT ST YAKIMA WA 98902 911541026 501(C)(3) 15000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT 2ND CYCLE COMMUNITY BIKE SHOP 1205 MLK JR WAY TACOMA WA 98405 452637950 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT ASSOCIATED MINISTRIES OF TACOMA PIERCE COUNTY 901 SOUTH 13TH STREET TACOMA WA 98405 910847534 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT CRYSTAL JUDSON FAMILY JUSTICE CENTER 718 COURT E TACOMA WA 98402 911007459 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FISHLINE PO BOX 1517 POULSBO WA 98370 911244431 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT KITSAP IMMIGRANT ASSISTANCE CENTER PO BOX 1276 BREMERTON WA 98337 753182528 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT NORTHWEST INFANT SURVIVAL & SIDS ALLIANCE (NISSA) 3649 CEDERBLOM ST COEUR DALENE ID 83815 911567341 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PUYALLUP VALLEY ST FRANCIS HOUSE PO BOX 156 PUYALLUP WA 98371 911621772 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT RAISING GIRLS PO BOX 7851 TACOMA WA 98417 821306270 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT REACH MINISTRIES 310 N K ST SUITE 200 TACOMA WA 98403 911644321 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SAFE CROSSINGS FOUNDATION 4210 SW OREGON ST SEATTLE WA 98116 752992774 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT YMCA OF GREATER SEATTLE 909 FOURTH AVE SEATTLE WA 98104 910482710 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT AT THE CORE 4903 E PEONE PINES DR MEAD WA 99021 462937061 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SPOKANE REGIONAL DOMESTIC VIOLENCE COALITION 104 S FREYA ST STE 319A WHITE FLAG BLD SPOKANE WA 99202 844167529 501(C)(3) 10000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT YWCA PIERCE COUNTY 405 BROADWAY TACOMA WA 98402 910565026 501(C)(3) 8000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TACOMA BOAT BUILDERS 1120 EAST D ST TACOMA WA 98421 461724422 501(C)(3) 7500 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT 62 0 PART I, LINE 2: THE MULTICARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON, KITSAP, LEWIS, WHITMAN, YAKIMA AND SPOKANE COUNTIES THAT ADVANCE INITIATIVES, PROGRAMS, AND PROJECTS THAT IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING THROUGH PARTNERSHIP WITH ORGANIZATIONS THAT AFFECT THE SOCIAL DETERMINANTS OF HEALTH. AFTER THE APPLICANTS ARE VALIDATED AS 501(C)(3) ORGANIZATIONS AND PROVIDED THE FUNDS, MULTICARE HEALTH SYSTEM THEN SEES THE BENEFITS OF THOSE ORGANIZATIONS IN THE COMMUNITY. RESEARCH IS CONDUCTED TO ENSURE THE INTEGRITY AND ETHICS OF EACH OF THE ORGANIZATIONS. X 1 0 X X X X 1 1 0 0 0 0 0 0 0 WILLIAM ROBERTSON CEO 2059505 0 495884 0 5231412 0 868485 0 17972 0 8673258 0 663973 0 FLORENCE CHANG PRESIDENT 1544724 0 372133 0 2373685 0 656911 0 17972 0 4965425 0 498275 0 LEE SANDQUIST MD PHYSICIAN 2203836 0 46143 0 1582 0 12075 0 22329 0 2285965 0 0 0 SUNIL RANGARAJAN MD PHYSICIAN 1765312 0 218821 0 18009 0 13800 0 17018 0 2032960 0 0 0 NEHAL MASOOD MD PHYSICIAN 1668839 0 179344 0 14011 0 20700 0 25189 0 1908083 0 0 0 DAVID COONS MD PHYSICIAN 1575849 0 193140 0 14011 0 20700 0 25371 0 1829071 0 0 0 BENJAMIN Y CHEN MD PHYSICIAN 1573759 0 144234 0 12499 0 20700 0 17014 0 1768206 0 0 0 DAVID R O'BRIEN EVP,CHIEF PHYS.OFFICER 1001116 0 313059 0 155074 0 20700 0 17924 0 1507873 0 0 0 JAMES LEE CFO & EVP - POP. BASED CARE 1014593 0 212052 0 7997 0 158771 0 27192 0 1420605 0 0 0 JUNE ALTARAS EVP,CHIEF NURSING ENTREPR 857369 0 177194 0 129977 0 20700 0 17822 0 1203062 0 0 0 TIM HOLMES SVP CH. EXEC E PIERCE,S KING,CAP,BH 622783 0 169358 0 166969 0 98283 0 25700 0 1083093 0 0 0 TIMOTHY W LYNCH SVP MHS, CHIEF ADMIN OFFICER, CLINIC 611106 0 182663 0 121270 0 92324 0 27261 0 1034624 0 0 0 ALEXANDER M JACKSON SVP CHIEF EXEC.INLAND NW & CENTRAL W 672737 0 107634 0 5717 0 108120 0 9900 0 904108 0 0 0 JEFFREY POLTAWSKY PRES. MARY BRIDGE & PEDIATRIC NETWOR 513260 0 94634 0 75405 0 20700 0 17481 0 721480 0 0 0 DAVID J CARLSON FORMER SVP, SOUTH SOUND 0 0 0 0 188900 0 0 0 0 0 188900 0 0 0 PART I, LINE 1A LINE 1A - THE EXECUTIVE BENEFIT ALLOWANCE AND THE PHYSICIANS BENEFIT ALLOWANCE ARE DISCRETIONARY SPENDING ACCOUNTS AND THERE ARE NO RESTRICTIONS AS TO HOW THE FUNDS ARE TO BE SPENT. THREE KEY EMPLOYEES AND FOUR HIGHEST PAID EMPLOYEES RECEIVED EXECUTIVE BENEFIT ALLOWANCE IN 2024. THEY CAN CHOOSE TO AUGMENT THEIR BENEFITS OR RECEIVE IT AS COMPENSATION PART OF TAXABLE WAGES. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B,(III). PART I, LINES 4A-B LINE 4A - IN 2024 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: DAVID CARLSON - $188,900. LINE 4B - THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN AND RECEIVED A PAYOUT IN 2024: TIM HOLMES - $162,160 AND TIMOTHY LYNCH - $113,273. IRC SECTION 457(F) PLANS ALLOW PARTICIPANTS TO CHOOSE FROM A NUMBER OF DIFFERENT TYPES OF BENEFITS WITH A DEFAULT SELECTION INTO A 457(F) PLAN. THE PLAN COVERS EMPLOYEES WHO ARE PRIMARILY A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THIS TYPE OF ARRANGEMENT CONTAINS A RISK OF FORFEITURE AND SOME OF THE ACCOUNTS USE A NON-COMPETE CLAUSE. THE EXECUTIVE GROUP ACCOUNTS CONTAIN A ROLLING 5-YEAR CLIFF 50% VESTING SCHEDULE AND ONCE THAT IS BEING MET THE PARTICIPANT RECEIVES 50% OF THE ACCOUNT, WITH A 100% VESTING UPON AGE 62 OR 5 YEARS OF PRIOR EMPLOYMENT. FOR THE HIGHLY COMPENSATED GROUP (PLAN'S LEGACY PHYSICIAN PARTICIPANT GROUP) DISTRIBUTION OF BALANCES PAID REPRESENTED VESTED AMOUNT DURING THE YEAR. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B, (III). SCHEDULE J, COLUMN B (III) & C, SUPPLEMENTAL INFORMATION: PART II, COLUMN B (III): DEFERRED COMPENSATION AMOUNTS, SERP VESTED TAXABLE DISTRIBUTIONS, WERE PAID OUT TO THE FOLLOWING INDIVIDUALS: WILLIAM ROBERTSON - $5,216,506 AND FLORENCE CHANG - $2,358,779. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN HAS A VESTING SCHEDULE; THE VESTED BENEFIT WAS PAID OUT AS ORDINARY INCOME (REPORTED ON W-2) AS OF THE PARTICIPANT'S VESTING DATE MILESTONE. THE PAYMENT WAS TAXED AND INCLUDED IN COLUMN B,(III). PART II, COLUMN C: WILLIAM ROBERTSON, CEO, AND FLORENCE CHANG, PRESIDENT, EARNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) INCOME IN THE AMOUNTS OF $847,785 AND $636,211, RESPECTIVELY, WHICH ARE REFLECTED IN COLUMN C. THE SERP PLAN HAS DEFERRALS INTO THE 457(F) CAA DEFERRED COMPENSATION PLAN. FORM 990, PART VII AND SCHEDULE J, PART III- SUPPLEMENTAL THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 47-5457904, 82-2949880, 91-0848698, 91-6064184). THE AMOUNTS UNDER OTHER COMPENSATION INCLUDE DEFERRED COMPENSATION, AND THE VALUE OF MEDICAL, DENTAL, LIFE, DISABILITY INSURANCE, AND PENSION BENEFITS. COMPENSATION ON THIS TAX RETURN INCLUDES AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND MAY NOT BE PAID OUT IN THE FUTURE. THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION AT MULTICARE HEALTH SYSTEM (I) COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (II) IS DETERMINED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL INDEPENDENT, DO NOT HAVE A CONFLICT OF INTEREST, AND ARE NON-PAID; AND (III) IS ANNUALLY EVALUATED IN THE CONTEXT OF COMPENSATION DATA GATHERED BY INDEPENDENT EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILAR HIGH PERFORMING HEALTHCARE INSTITUTIONS, PRIMARILY INTEGRATED HEALTHCARE ORGANIZATIONS. COMPENSATION PAID IS DETERMINED TO BE REASONABLE AND NECESSARY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE INDEPENDENT EXTERNAL CONSULTANT. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND BASED ON ACHIEVEMENT OF GOALS SET BY THE BOARD OF DIRECTORS AT THE START OF EACH YEAR IN AREAS SUCH AS PATIENT SAFETY, QUALITY, WORKFORCE DEVELOPMENT, FINANCE AND OTHER MISSION-RELATED AREAS. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE IN ORDER TO ACHIEVE TOP TIER INTEGRATED CARE DELIVERY SYSTEM STATUS. THE COMPENSATION COMMITTEE ROUTINELY REVIEWS BENEFITS AND RETIREMENT PROGRAMS TO ENSURE THE PLANS ARE MARKET-BASED AND OTHERWISE CONSISTENT WITH IRS GUIDELINES. THE OFFICERS OF MULTICARE HEALTH SYSTEM, 91-1352172, ALSO FULFILL OFFICER AND EXECUTIVE FUNCTIONS FOR ITS RELATED ENTITIES. COMPENSATION DISCLOSED IS REPORTED TO THE RELATED ENTITIES TAX RETURNS IN ACCORDANCE WITH IRS REGULATIONS, BUT IS NOT CHARGED TO THE SUBSIDIARY OR AFFILIATE. AN OFFICER LISTED DEVOTES AN AVERAGE OF 60 HOURS PER WEEK TO PERFORM HIS OR HER RESPONSIBILITIES. A WASHINGTON HEALTH CARE FACILITIES SERIES 2015 AB 911108929 93978HMN2 2015-04-09 420539219 REFUND SERIES 2004 & 2008 DEBT, CONSTRUCTION AT AUBURN & COVINGTON 0 0 0 B WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B 911108929 93978HTS4 2017-11-14 299865868 REFUND THE SERIES 2007 DEBT 0 0 0 C WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CD 911108929 93978HTS3 2017-11-14 191010000 ROCKWOOD ACQUISITION 0 0 0 D WASHINGTON HEALTH CARE FACILITIES SERIES 2022 A 911108929 93978HYM1 2022-08-16 49985000 CONSTRUCTION GOOD SAMARITAN TOWER 0 0 0 A 57675000 420539219 3145115 192374556 225019548 2017 1 0 1 1 B 27865000 299865868 299865868 2017 1 0 1 1 C 80000000 191010000 191010000 2017 1 0 1 1 D 49985000 49985000 2022 1 0 1 1 A 0 1 1 1 1 1 0.01170 0.00000 0.01170 0 0 1 B 0 1 1 1 1 1 0.00580 0.00000 0.00580 0 0 1 C 0 1 1 1 1 1 0.00470 0.00000 0.00470 0 0 1 D 0 1 1 1 1 1 0.00150 0.00000 0.00150 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART I, COLUMN C THE FOLLOWING CUSIPS WERE ISSUED FOR THE FOLLOWING BOND SERIES: $87,710,000 ISSUER BOND DESCRIPTION MULTICARE HEALTH SYSTEM SERIES 2015A MATURITY/CUSIP 8/15/2019/ 93978HMP7 8/15/2020/ 93978HMQ5 8/15/2021/ 93978HMR3 8/15/2022/ 93978HMS1 8/15/2023/ 93978HMT9 8/15/2024/ 93978HMU6 8/15/2025/ 93978HMV4 8/15/2026/ 93978HMW2 8/15/2027/ 93978HMX0 8/15/2028/ 93978HMY8 8/15/2029/ 93978HMZ5 8/15/2030/ 93978HNA9 8/15/2031/ 93978HNB7 8/15/2032/ 93978HNC5 8/15/2033/ 93978HND3 8/15/2034/ 93978HNE1 8/15/2035/ 93978HNF8 8/15/2040/ 93978HNG6 8/15/2045/ 93978HNH4 $285,680,000 ISSUER REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2015B MATURITY/CUSIP 8/15/2019/ 93978HNN1 8/15/2020/ 93978HNP6 8/15/2021/ 93978HNQ4 8/15/2022/ 93978HNR2 8/15/2023/ 93978HNS0 8/15/2024/ 93978HNT8 8/15/2025/ 93978HNU5 8/15/2026/ 93978HNV3 8/15/2027/ 93978HNW1 8/15/2028/ 93978HNX9 8/15/2029/ 93978HNY7 8/15/2030/ 93978HNZ4 8/15/2031/ 93978HPA7 8/15/2032/ 93978HPB5 8/15/2033/ 93978HPC3 8/15/2034/ 93978HPD1 8/15/2035/ 93978HPE9 8/15/2039/ 93978HPF6 8/15/2043/ 93978HPG4 $271,560,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2017B (REFUNDING) MATURITY/CUSIP 8/15/2019/ 93978HSW6 8/15/2020/ 93978HSX4 8/15/2021/ 93978HSY2 8/15/2022/ 93978HSZ9 8/15/2023/ 93978HTA3 8/15/2024/ 93978HTB1 8/15/2025/ 93978HTC9 8/15/2026/ 93978HTD7 8/15/2027/ 93978HTE5 8/15/2028/ 93978HTF2 8/15/2029/ 93978HTG0 8/15/2030/ 93978HTH8 8/15/2031/ 93978HTJ4 8/15/2032/ 93978HTK1 8/15/2033/ 93978HTL9 8/15/2034/ 93978HTM7 8/15/2035/ 93978HTN5 8/15/2036/ 93978HTP0 8/15/2037/ 93978HTQ8 8/15/2038/ 93978HTR6 8/15/2041/ 93978HTS4 SCHEDULE K, PART IV-ARBITRAGE COLUMN C (SERIES 2015 A, B) FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2015 A,B MULTICARE HEALTH SYSTEM ENGAGED RITZ & ASSOCIATES PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE CALCULATION ON 09/29/2019 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS. COLUMN B (SERIES 2017 B) FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2017 B,C,D MULTICARE HEALTH SYSTEM ENGAGED RITZ & ASSOCIATES PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE CALCULATION ON 08/15/2022 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS. COLUMN C (SERIES 2017 C, D) FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2017 B,C,D MULTICARE HEALTH SYSTEM ENGAGED RITZ & ASSOCIATES PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE CALCULATION ON 08/16/2022 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS. A WASHINGTON HEALTH CARE FACILITIES SERIES 2022 B 911108929 93978HYM1 2022-08-16 108145000 AUBURN ACQUISITION, TACOMA GENERAL CAMPUS REFRESH COVINGTON ED 0 0 0 B WASHINGTON HEALTH CARE FACILITIES SERIES 2022 C 911108929 93978HYN9 2022-12-15 80000000 AUBURN ACQUISITION, TACOMA GENERAL CAMPUS REFRESH COVINGTON ED 0 0 0 A 108145000 108145000 2022 1 0 1 1 B 80000000 80000000 2022 1 0 1 1 A 0 1 1 1 1 1 0.00360 0.00000 0.00360 0 0 1 B 0 1 1 1 1 1 0.00610 0.00000 0.00610 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE MULTICARE HEALTH SYSTEM (MHS) FORM 990 IS PREPARED BY INTERNAL STAFF AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. INITIAL REVIEWS ARE PERFORMED BY LEVELS OF MANAGEMENT IN VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION, INCLUDING THE CHIEF EXECUTIVE OFFICER, AND THE CHIEF FINANCIAL OFFICER. A REVIEW IS THEN PERFORMED BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD, WITH A PRESENTATION BY THE OUTSIDE ACCOUNTING FIRM. LASTLY, A COPY OF THE FINAL FORMS 990 FOR MHS, MULTICARE FOUNDATIONS AND MARY BRIDGE CHILDREN'S FOUNDATION, INCLUDING ALL REQUIRED SCHEDULES, ARE POSTED TO DILIGENT BOARD BOOKS, A SECURE BOARD PORTAL WHERE THE MHS'S BOARD OF DIRECTORS HAVE ACCESS TO REVIEW/GAIN KNOWLEDGE/ASK QUESTIONS, PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE BOARD OF DIRECTORS HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION, AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY DIRECTOR ON THE BOARD, EXECUTIVE LEADERSHIP, OR KEY EMPLOYEE. IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, THESE INDIVIDUALS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY, AND HAVE AN ONGOING OBLIGATION TO UPDATE THE DISCLOSURE IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. THE CONFLICTS OF INTEREST QUESTIONNAIRE INCLUDES A STATEMENT THAT THE PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT FURTHER ITS TAX EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, AND IN CERTAIN CIRCUMSTANCES, THERE IS FURTHER REVIEW BY THE GENERAL COUNSEL AND THE MEMBER. NO PERSON WITH A CONFLICT OF INTEREST PARTICIPATES IN AN ACTIVITY RELATED TO THE CONFLICT OF INTEREST UNLESS DISCLOSED, RESOLVED, AND PERMITTED IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. CONFLICTS OF INTEREST ARE DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15 A AND B, PROCESS USED TO DETERMINE COMPENSATION OF THE CEO, CFO, TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES: THE BOARD, THROUGH ITS COMPENSATION COMMITTEE, CONSISTING OF INDEPENDENT, NON-PAID, MHS BOARD MEMBERS, 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 MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 91-1111928, 82-2949880,47-5457904). 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 MULTICARE HEALTH SYSTEM. THIS IS DONE ANNUALLY AND WAS DONE FOR THIS 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 VII, SECTION B - INDEPENDENT CONTRACTORS: PAYMENTS TO LAYTON CONSTRUCTION COMPANY INCLUDE GOODS AND SERVICES ASSOCIATED WITH VARIOUS CONSTRUCTION PROJECTS. THESE AMOUNTS ARE NOT EASILY SEPARATED FOR REPORTING PURPOSES. THE AMOUNTS REPORTED INCLUDE BOTH SERVICES AND EXPENSES. FORM 990, PART IX, LINE 24E BAD DEBTS: PROGRAM SERVICE EXPENSES 132,931,284. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,931,284. UBI TAXES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 729,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 729,847. CORPORATE ALLOCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 85,056,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,056,059. TAXES: PROGRAM SERVICE EXPENSES 44,677,877. MANAGEMENT AND GENERAL EXPENSES 544,612. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,222,489. WASTE & UTILITIES: PROGRAM SERVICE EXPENSES 21,913,830. MANAGEMENT AND GENERAL EXPENSES 6,013,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,927,015. CLIENT NEEDS: PROGRAM SERVICE EXPENSES 14,727,099. MANAGEMENT AND GENERAL EXPENSES 14,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,741,159. EMPLOYEE TRAINING, RECRUITMENT, & RETENTION: PROGRAM SERVICE EXPENSES 2,295,150. MANAGEMENT AND GENERAL EXPENSES 6,329,192. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,624,342. DUES: PROGRAM SERVICE EXPENSES 2,487,082. MANAGEMENT AND GENERAL EXPENSES 1,660,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,147,325. FORM 990, PART XI, LINE 9: CHANGES IN ACCRUED PENSION ASSET 738,677. TRANSFER OF ASSETS- RELATED ENTITIES 44,300,249. CHANGES FROM NONCONTROLLING INTEREST -3,016,575. 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