NAVOS: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NAVOS (EIN 91-0848698)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-10-05
- IRS object ID
- 202242789349301804
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-10-05T15:23:09-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 560 MISSION STREET SUITE 1600 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910848698 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAVOS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Jessica Ober | InCareOfNm |
| Business Name Control | NAVO | BusinessNameControlTxt |
| Phone | 2069337189 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 46420 | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 981460420 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tim Holmes | PersonNm |
| Person Title | BHN Pres & Navos CEO | PersonTitleTxt |
| Phone | 2069337189 | PhoneNum |
| Signature | 2022-10-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TIM | PersonFirstNm |
| Person Last | HOLMES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EVA NITTA | PreparerPersonNm |
| PTIN | P01286320 | PTIN |
| Phone | 4158948000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Tim Holmes | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Po Box 46420 | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 981460420 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,562,000 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | Navos.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY SUPPORT - THERAPY, INPATIENT, DAY TREATMENT, MEDICATION AND, CASE MANAGEMENT SERVICES TO THE SEVERELY, PERSISTENTLY MENTALLY ILL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 537 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,658,530 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,126,930 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,873,898 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $42,284,924 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,152 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,424 | CYInvestmentIncomeAmt |
| PY Other Revenue | $144,420 | PYOtherRevenueAmt |
| CY Other Revenue | $147,722 | CYOtherRevenueAmt |
| PY Total Revenue | $56,678,000 | PYTotalRevenueAmt |
| CY Total Revenue | $45,562,000 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,926,423 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,600,815 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,470,577 | PYOtherExpensesAmt |
| CY Other Expenses | $20,112,378 | CYOtherExpensesAmt |
| PY Total Expenses | $60,397,000 | PYTotalExpensesAmt |
| CY Total Expenses | $52,713,193 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,719,000 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,151,193 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $79,001,670 | TotalAssetsBOYAmt |
| Total Assets EOY | $79,031,001 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $48,859,880 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $39,871,001 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,141,790 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,160,000 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMUNITY SUPPORT - THERAPY, INPATIENT, DAY TREATMENT, MEDICATION AND CASE MANAGEMENT SERVICES TO THE SEVERELY, PERSISTENTLY MENTALLY ILL. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $21,963,000 | ExpenseAmt |
| Revenue | $20,891,000 | RevenueAmt |
| Desc | Navos operates a 70 Bed Inpatient facility that cares for adults, 18 and over, with mental illness who are experiencing an acute psychiatric crisis requiring stabilization. Navos serves those who are involuntarily committed because they are deemed to be an imminent danger or harm to themselves or others or are gravely disabled due to a mental illness. Navos offers a structured environment of individual patient evaluation, treatment and discharge planning, as well as psychiatric and stabilization services. Navos provides inpatient therapies, including individual and group therapy, psycho-education, med-education, art therapy, skills based therapies, and cognitive therapies. Navos has a multi-disciplinary team providing services including psychiatrists and psychiatric nurse practitioners, primary care practitioners, registered nurses, mental health specialists, social workers, mental health therapists, peer professionals, and a recreation therapist and substance use disorder professional. These team members work collaboratively with the patient to develop treatment plans and goals, assess progress, and discharge planning. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,085,000 | ExpenseAmt |
| Revenue | $12,323,000 | RevenueAmt |
| Desc | Child, Youth, and Family Mental Health Services: Navos provides mental health services for Children, Youth, and Families, within a range of age 0-5, school aged to adulthood (6-18) and in home behavior support for individuals and families with developmental disabilities. Services are provided in the home, on site at a school, and within a clinic setting, as appropriate for the youth and family. The teams are comprised of Masters Level staff and Medical Providers who provide individual counseling, family counseling, groups, skill building, case management, and medication management. Adult and Older Adult Mental Health Services: Navos provides Outpatient Adult Mental Health Services, including Medical Services to adults 18 and up through the lifespan, including for Older Adults as those over the age of 55. Services are provided primarily in the clinic, with a few specialty programs serving individuals in their homes. Services include individual therapy, case management, groups, Peer Support Services, and medication management. Some specialty programs are 100% community based and focus on serving folks who are discharging from the State Hospital, providing stabilization services in their home. Adult Substance Use Disorder Services: State certified outpatient SUD treatment is offered for adults, including all phases of outpatient SUD levels of care through groups and individual counseling. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,008,993 | ExpenseAmt |
| Revenue | $9,070,924 | RevenueAmt |
| Desc | Navos has developed and operates residential programs for children, adults and older adults because treatment of people with severe and persistent mental illness is ineffective without safe and secure housing. Navos owns the facilities in which certain programs are operated and leases other facilities. County contracts provide the principal source of funding for Navos's residential programs. Individuals 60 and older are aided to live lives that are as satisfying and independent as possible, despite the challenges Mental illness poses. Navos Serves populations in individual homes, as well as nursing homes, supported housing and residential treatment programs. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $46,056,993 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 537 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jessica Ober | PersonNm |
| Phone | 2536205138 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SW Holden St | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| Tim Holmes | |||||||||
| BHN Pres & Navos CEO | 10.0 | 30.0 | Yes (X) | $0 | $511,925 | $44,123 | |||
| Terri Card | |||||||||
| Interim COO | 10.0 | 40.0 | Yes (X) | $0 | $368,652 | $23,209 | |||
| Jeff Korcz | |||||||||
| Psychiatrist | 40.0 | 0.0 | $342,883 | $0 | $12,623 | Yes (X) | |||
| Diane McCleave | |||||||||
| Registered Nurse | 40.0 | 0.0 | $298,575 | $0 | $12,772 | Yes (X) | |||
| Karakus Sule | |||||||||
| Psychiatrist | 40.0 | 0.0 | $239,100 | $0 | $8,745 | Yes (X) | |||
| Rebecca Richardson | |||||||||
| Physician | 32.0 | 0.0 | $234,629 | $0 | $3,837 | Yes (X) | |||
| Diane Bunch | |||||||||
| ARNP CYF | 40.0 | 0.0 | $208,001 | $0 | $11,421 | Yes (X) | |||
| DAVID JOHNSON | |||||||||
| Former Officer | 0.0 | 0.0 | $0 | $164,074 | $0 | Yes (X) | |||
| Maurice Lee | |||||||||
| COO (thru 4/21) | 40.0 | 0.0 | Yes (X) | $116,034 | $0 | $6,319 | |||
| Patti Neuberger | |||||||||
| President Emeritus & Treasurer | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Mike Sweeney | |||||||||
| 1st VICE PRESIDENT | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SANDY ROSENKRANZ | |||||||||
| 2nd Vice President | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Brian Abeel | |||||||||
| President | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CHARLES PURCELL | |||||||||
| Secretary | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Charles Hoffman | |||||||||
| Director (Thru 7/21) | 0.5 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Cindy Murrill | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Rebeca Dawn | |||||||||
| DIRECTOR (THRU 12/21) | 0.5 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Dean Ashlock | |||||||||
| Director | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Don Gillmore | |||||||||
| DIRECTOR | 0.5 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,439,222 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,044,651 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $123,049 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 49 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LocumTenenscom | |||||
| PO Box 405547 | ATLANTA | GA | 30384 | Temporary Employment | $560,455 |
| Hermanson Company LLP | |||||
| 1221 2ND AVE N | KENT | WA | 98032 | Construction | $370,991 |
| Refugee Women's Alliance | |||||
| 40008 Martin Luther King Jr Way Sea | SEATTLE | WA | 98108 | Social Services | $361,718 |
| Kent Youth Family Svcs | |||||
| 232 S 2nd Ave Suite 201 | KENT | WA | 98032 | Social Services | $360,886 |
| Northshore Youth Family Services | |||||
| 19201 120th Ave NE Suite 108 | BOTHELL | WA | 98011 | Social Services | $241,832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $132,352 | RelatedOrganizationsAmt |
| Government Grants | $2,963,717 | GovernmentGrantsAmt |
| All Other Contributions | $30,861 | AllOtherContributionsAmt |
| Total Contributions | $3,126,930 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| King County - Behav Healt | 624100 | $11,186,246 | $11,186,246 |
| King County - Other Serv | 624100 | $4,723,522 | $4,723,522 |
| Medicare/Medicaid Net | 624100 | $18,762,000 | $18,762,000 |
| State DSH,CTED and Other | 624100 | $1,760,455 | $1,760,455 |
| 3rd Party INS & Self Pay | 624100 | $2,851,777 | $2,851,777 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,000,924 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,000,924 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $42,284,924 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,424 | TotalRevenueColumnAmt |
| Exclusion | $2,424 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $147,722 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $147,722 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $147,722 | TotalRevenueColumnAmt |
| Exclusion | $147,722 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,562,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,284,924 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $150,146 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,353 | TotalAmt |
| Management And General | $122,353 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,707,824 | TotalAmt |
| Program Services | $24,622,522 | ProgramServicesAmt |
| Management And General | $1,085,302 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $499,423 | TotalAmt |
| Program Services | $497,267 | ProgramServicesAmt |
| Management And General | $2,156 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,393,339 | TotalAmt |
| Program Services | $3,954,907 | ProgramServicesAmt |
| Management And General | $438,432 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,877,876 | TotalAmt |
| Program Services | $1,786,215 | ProgramServicesAmt |
| Management And General | $91,661 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,094,489 | TotalAmt |
| Program Services | $6,763,361 | ProgramServicesAmt |
| Management And General | $2,331,128 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,342 | TotalAmt |
| Program Services | $6,342 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,621 | TotalAmt |
| Management And General | $100,621 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,375 | TotalAmt |
| Management And General | $1,375 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1 | TotalAmt |
| Management And General | $1 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75 | TotalAmt |
| Program Services | $75 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,243 | TotalAmt |
| Program Services | $384,674 | ProgramServicesAmt |
| Management And General | $387,569 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $773,679 | TotalAmt |
| Program Services | $75,528 | ProgramServicesAmt |
| Management And General | $698,151 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,357,623 | TotalAmt |
| Program Services | $2,230,272 | ProgramServicesAmt |
| Management And General | $127,351 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,358 | TotalAmt |
| Program Services | $33,434 | ProgramServicesAmt |
| Management And General | $42,924 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,224 | TotalAmt |
| Program Services | $298,935 | ProgramServicesAmt |
| Management And General | $83,289 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,501,044 | TotalAmt |
| Program Services | $1,665,369 | ProgramServicesAmt |
| Management And General | $835,675 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,240 | TotalAmt |
| Program Services | $349,080 | ProgramServicesAmt |
| Management And General | $242,160 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Behavioral Health Service | $1,733,955 | $1,733,955 | |
| FOOD EXPENSE | $595,849 | $595,849 | |
| Supplies Expense | $492,046 | $437,659 | $54,387 |
| Pharmacy & Lab | $341,160 | $340,688 | $472 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,054 | TotalAmt |
| Program Services | $280,861 | ProgramServicesAmt |
| Management And General | $11,193 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,713,193 | TotalAmt |
| Program Services | $46,056,993 | ProgramServicesAmt |
| Management And General | $6,656,200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,500 | BOYAmt |
| EOY | $10,500 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,443,721 | BOYAmt |
| EOY | $10,461,521 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,192,351 | BOYAmt |
| EOY | $6,605,838 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,068 | BOYAmt |
| EOY | $142,769 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $553,882 | BOYAmt |
| EOY | $235,215 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $68,361,584 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,772,395 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,031,586 | BOYAmt |
| EOY | $53,589,189 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,240,483 | BOYAmt |
| EOY | $2,033,343 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,418,079 | BOYAmt |
| EOY | $5,952,626 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,001,670 | BOYAmt |
| EOY | $79,031,001 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,416,698 | BOYAmt |
| EOY | $5,458,843 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,902,043 | BOYAmt |
| EOY | $17,420,403 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,541,139 | BOYAmt |
| EOY | $16,991,755 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,859,880 | BOYAmt |
| EOY | $39,871,001 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,776,868 | BOYAmt |
| EOY | $33,147,000 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,364,922 | BOYAmt |
| EOY | $6,013,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,141,790 | BOYAmt |
| EOY | $39,160,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,001,670 | BOYAmt |
| EOY | $79,031,001 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,151,193 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $648,403 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $15,521,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $18,124 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $18,124 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES OF $18,124 ARE INCURRED AS PART OF MEMBERSHIP DUES PAID TO WASHINGTON HOSPITAL ASSOCIATION WHICH PARTICIPATES IN LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,158,615 | OtherCostOrOtherBasisAmt |
| Book Value | $15,158,615 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,473,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,360,297 | DepreciationAmt |
| Book Value | $35,113,440 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,692,643 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,038,543 | DepreciationAmt |
| Book Value | $2,654,100 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,036,589 | OtherCostOrOtherBasisAmt |
| Depreciation | $373,555 | DepreciationAmt |
| Book Value | $663,034 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,589,189 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| STUART TRUST- BENEFICIAL INT | $4,465,528 |
| EGTVEDT TRUST- BENEFICIAL INT | $1,487,098 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,952,626 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| NOTE PAYABLE MHS | $15,191,755 |
| LINE OF CREDIT WITH MHS | $1,800,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,991,755 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $45,562,000 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $45,562,000 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $45,562,000 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $52,711,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $52,711,000 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,193 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,193 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $52,713,193 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FIN 48(ASC740) Footnote | The Internal Revenue Service has recognized Navos as exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Generally accepted accounting principles (GAAP) require that a tax position be recognized or derecognized based on a "more-likely-than-not" threshold. This applies to positions taken or expected to be taken in a tax return. The implementation of this accounting policy had no impact on the financial statements. Navos does not believe it has any uncertain tax positions. |
| Schedule D, Part XII, line 4c | Rounding difference adjustment: $2193 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $485,868 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,965,826 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,846,406 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,119,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.38180 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,122,410 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,919,060 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,103,304 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,251,334 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,119,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.38180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $163,213 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $163,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $163,213 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $163,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,266,517 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,251,334 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,282,633 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.38490 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $1,924,063 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,281,395 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$357,332 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAVOS PSYCHIATRIC HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SW HOLDEN STREET | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NAVOS.ORG 601-009-3 | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | Psychiatric Hospital | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAVOS PSYCHIATRIC HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | false | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | false | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 3e | THE CHNA IDENTIFIED THESE OPPORTUNITIES IN THE BEHAVIORAL HEALTH SECTION WITHOUT PRIORITIZATION. - USE OF STANDARDIZED REFERRAL PROTOCOLS - COORDINATION OF DISCHARGE PLANNING ACROSS THE HEALTHCARE SYSTEM - INCREASED CAPACITY FOR INTEGRATED BEHAVIORAL HEALTHCARE - INCREASED INPATIENT CAPACITY |
| SCHEDULE H, PART V, SECTION B, LINE 5 | FOR PURPOSES OF THE 2018/2019 CHNA, input was received from community leaders and residents representing multiple sectors and population groups. The CHNA includes primary data gathered from a community survey, workshops and stakeholder interviews, in addition two information collected from secondary quantitative sources. The survey, conducted, in 2018, sought residents' views on health status, crime & safety, social connectedness, healthcare, and other issues that impact the quality of life. Community engagement process: to complement the community survey, a community engagement process further solicited input from the public. The process included three stages: conducting key leader interviews, noting overarching themes, holding community workshops, documenting the most important issues per residents and inviting key stakeholders to reflect on and prioritize health needs for the Navos hospital. The groups were facilitated by the health department and community organizations. Key leader interviews: a series of interviews were held to solicit input on the strengths, assets, resources, and health priorities in the Navos hospital service areas. The workshops represented diverse population groups, including low income residents, people of different ages, people of different Race/ethnicity, and those affected by health disparities. The Navos hospital is located within the South King county region which has one of the most diverse populations and also the least amount of citizens covered by insurance. The CHNA also found that South King County youth had increase in depression. Also, residents of South King County were found to have increase mental health needs and other health determinants such as homelessness and nutrition. Along with other hospitals in King County, Navos collaborated with King County Health Department; King County Department of Community and Human Services, along with other community groups. TO IDENTIFY COMMUNITY CONCERNS AND ASSETS, THEY INTERVIEWED STAKEHOLDERS, CONSULTED RECENT COMMUNITY-BASED REPORTS, AND PULLED INFORMATION FROM PREVIOUS HOSPITAL CHNAS. THE GROUP REACHED CONSENSUS TO FOCUS PARTICULARLY ON ACCESS TO CARE, PREVENTABLE CAUSES OF DEATH, MATERNAL AND CHILD HEALTH, BEHAVIORAL HEALTH, AND VIOLENCE & INJURY PREVENTION. WHILE HOSPITALS AND HEALTH SYSTEMS REACHED CONSENSUS ON A CORE SET OF TOPIC AREAS, EACH HOSPITAL MAY ALSO GATHER ADDITIONAL INFORMATION SPECIFIC TO ITS SERVICE AREA. RECOGNIZING THAT THE CHNA IS NOT INTENDED TO PROVIDE COMPREHENSIVE DATA FOR EACH SPECIALIZED TOPIC, INDICATORS WERE SELECTED ACCORDING TO THE FOLLOWING CRITERIA: 1. AVAILABILITY OF HIGH-QUALITY DATA THAT ARE POPULATION-BASED (WHERE POSSIBLE), MEASURABLE, ACCURATE, RELIABLE, AND REGULARLY UPDATED. DATA SHOULD FOCUS ON RATES RATHER THAN COUNTS. 2. ABILITY TO MAKE VALID COMPARISONS TO A BASELINE OR BENCHMARK. 3. PREVENTION ORIENTATION WITH CLEAR SENSE OF DIRECTION FOR ACTION BY HOSPITALS FOR INDIVIDUAL, COMMUNITY, SYSTEM, HEALTH SERVICE, OR POLICY INTERVENTIONS THAT WILL LEAD TO COMMUNITY HEALTH IMPROVEMENT. 4. ABILITY TO MEASURE PROGRESS OF A CONDITION OR PROCESS THAT CAN BE IMPROVED BY INTERVENTION/ POLICY/SYSTEM CHANGE, AND THERE EXISTS A CAPACITY TO AFFECT CHANGE. 5. ABILITY TO ADDRESS HEALTH EQUITY, PARTICULARLY BY AGE, GENDER, RACE/ETHNICITY, GEOGRAPHY, SOCIOECONOMIC STATUS, ALTHOUGH NOT ALL DEMOGRAPHIC BREAKDOWNS MAY BE AVAILABLE FOR ALL INDICATORS. 6. ALIGNMENT WITH LOCAL AND NATIONAL HEALTHCARE REFORM EFFORTS INCLUDING THE TRIPLE AIM. FOR THE PURPOSE OF THE 2018/2019 KING COUNTY CHNA, A COMMITTEE OF HHC REPRESENTATIVES, FACILITATED BY PHSKC STAFF, REVISITED THE ORIGINAL LIST OF INDICATORS AND OPTED TO REMOVE A SHORT LIST OF 12 INDICATORS FOR WHICH TIMELY AND/OR ACTIONABLE DATA ARE NOT CURRENTLY AVAILABLE IN KING COUNTY. A FEW ADDITIONAL INDICATORS WERE ADDED TO THE CHNA TO REFLECT EMERGING OR MORE WIDELY ACCEPTED COMMUNITY HEALTH NEEDS, SUCH AS THE OPIOID EPIDEMIC. ALL REMOVAL AND ADDITION OF INDICATORS WAS CONDUCTED IN A MANNER CONSISTENT WITH THE AFOREMENTIONED SELECTION CRITERIA. THE FINAL SET OF INDICATORS WERE ANALYZED, USING APPROPRIATE STATISTICAL METHODS, BY PUBLIC HEALTH SEATTLE & KING COUNTY. DATA WERE COMPILED FROM LOCAL, STATE, AND NATIONAL SOURCES SUCH AS THE U.S. CENSUS BUREAU, U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION, WASHINGTON STATE DEPARTMENT OF HEALTH, AND KING COUNTY. OF HEALTH, AND KING COUNTY. |
| SCHEDULE H, PART V, SECTION B, LINE 6A | EVERGREENHEALTH CHI FRANCISCAN HEALTH - ST. ELIZABETH HOSPITAL, ST. FRANCIS HOSPITAL, HIGHLINE MEDICAL CENTER, REGIONAL HOSPITAL KAISER PERMANENTE MULTICARE HEALTH SYSTEM - AUBURN MEDICAL CENTER, COVINGTON MEDICAL CENTER OVERLAKE MEDICAL CENTER SEATTLE CANCER CARE ALLIANCE SEATTLE CHILDREN'S SWEDISH MEDICAL CENTER - BALLARD CAMPUS, CHERRY HILL CAMPUS, FIRST HILL CAMPUS, ISSAQUAH CAMPUS UW MEDICINE - HARBORVIEW MEDICAL CENTER, NORTHWEST HOSPITAL & MEDICAL CENTER, UW MEDICAL CENTER, VALLEY MEDICAL CENTER VIRGINIA MASON |
| SCHEDULE H, PART V, SECTION B, LINE 6B | PUBLIC HEALTH DEPARTMENTS OF SEATTLE AND KING COUNTY |
| SCHEDULE H, PART V, SECTION B, LINES 7A AND 7B | FILING ORGANIZATION: https://www.navos.org/wp-content/uploads/2018-2019-Joint-CHNA-Report.pdf OTHER WEBSITE: https://kingcounty.gov/DEPTS/HEALTH/DATA/COMMUNITY-HEALTH-INDICATORS/~/MED IA/DEPTS/HEALTH/DATA/DOCUMENTS/2018-2019-JOINT-CHNA-REPORT.ASHX |
| SCHEDULE H, PART V, SECTION B, LINE 10A | https://www.navos.org/wp-content/uploads/2019-2019-Community-Health-Implem entation-Strategy.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 11 | THE FOLLOWING IS THE DISCLOSURE RELATED TO THE 2018/19 CHNA AND INCLUDES THE NEEDS IDENTIFIED THAT NAVOS HAS BEEN ADDRESSING: DUE TO COVID 19 SOME PROGRAMS AND STRATEGIES RELATED TO THE CHNA WERE PAUSED TO FOCUS ON THE HEALTH OF THE COMMUNITY AND EMPLOYEES BUT WILL BE RE-IMPLEMENTED GOING FORWARD. - IMPLEMENT USE OF STANDARIZED REFERRAL PROTOCOLS & IMPROVE COORDINATION OF DISCHARGE PLANNING FROM NAVOS AT THE TIME OF DISCHARGE THE PATIENT WILL RECEIVE A LIST OF DISCHARGE MEDICATIONS AND THE LIST ALONG WITH CLINICAL INFORMATION WILL BE FAXED TO THE OUTPATIENT PROVIDER. DISCHARGE PLANNERS ARE EMPLOYED TO DECREASE CASELOAD AND IMPROVE COORDINATION OF SERVICES BETWEEN INPATIENT AND OUTPATIENT. THE PEER BRIDGER PROGRAM AT NAVOS OFFERS SUPPORT TO THESE PATIENTS. THE PEER BRIDGERS WILL BE FURTHER LEVERAGED TO ENSURE SUCCESSFUL TRANSITION OF CARE FOR PATIENT BY OBTAINING MEDICATIONS, ARRANGING FOLLOW UP CAR, AND ASSISTANCE WITH TRANSPORTATION TO APPOINTMENTS. - INCREASE CAPACITY FOR INTEGRATED BEHAVIORAL HEALTHCARE WE WILL HOLD AN INTEGRATED HEALTHCARE MONTHLY MEETING TO ENSURE ALL OUR CLINICAL PROGRAMS ARE EDUCATING CLIENTS ON THE IMPACT OF PHYSICAL HEALTH CONDITIONS ON THEIR MENTAL HEALTH AND THE IMPACT OF MENTAL HEALTH DIFFICULTIES ON PHYSICAL HEALTH. WE WILL EXPAND THE COLLABORATIVE CARE MODEL FOCUSED ON SHARED TREATMENT BETWEEN PHYSICAL HEALTH AND MENTAL HEALTH. INCLUDE A QUALITY GOAL THAT IS FOCUSED ON REDUCING EMERGENCY DEPARTMENT UTILIZATION FOR THOSE THAT WE SERVE. - EVALUATE POTENTIAL INCREASED INPATIENT CAPACITY EXPANSION OF ADOLESCENT RESIDENTIAL TREATMENT/INPATIENT PROGRAMS AT THE LAKE BURIEN CAMPUS. CONSIDER EXPANSION OF ADULT long term INPATIENT BEDS AT THE NAVOS HOSPITAL. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | KING COUNTY POLICY AND PROCEDURE MANUAL AND EXTENUATING CIRCUMSTANCES ARE USED TO DETERMINE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART V, SECTION B, LINES 16A-16C | https://www.navos.org/PATIENT-FINANCIAL-SERVICES/ |
| SCHEDULE H, PART V, SECTION B, LINE 20A | FOR INPATIENT SERVICES, NO EXTRAORDINARY COLLECTION ACTIVITIES (ECAS) ARE EVER TAKEN AS THE PATIENTS ARE ADMITTED DUE TO A COURT ORDER AND DO NOT HAVE THE FINANCIAL ABILITY TO PAY. |
| SCHEDULE H, PART V, SECTION B, LINE 20E | FOR OUTPATIENT SERVICES, PEER BRIDGERS AND PATIENT FINANCIAL NAVIGATORS ARE AVAILABLE TO ASSIST WITH MEDICAID APPLICATIONS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 23 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| New Burien Campus | ||||
| 1210 SW 136th Street | Burien | WA | 98166 | Outpatient Treatment |
| Lake Burien Campus | ||||
| 1033 SW 152nd Street | Burien | WA | 98166 | RES Treatment |
| Navos-West Seattle Campus | ||||
| 2600 SW Holden Street | Seattle | WA | 98126 | Outpatient Treatment |
| Independence Bridge | ||||
| 15245 10th Ave SW | Burien | WA | 98146 | Housing |
| Highline Village | ||||
| 2604 - 2614 SW Holden Street | Seattle | WA | 98126 | Housing |
| PACT Burien Heights Apartments | ||||
| 1115 SW 134th Street | Burien | WA | 98146 | Housing |
| Conbela Apartments | ||||
| 8424 Delridge Way SW | Seattle | WA | 98106 | Housing |
| Cedarstone | ||||
| 13213 Ambaum Blvd SW | Burien | WA | 98146 | Housing |
| Highwest Residency | ||||
| 15035 8th Ave S | Seattle | WA | 98148 | Housing |
| Lake Apartments | ||||
| 1020 SW 156th | Burien | WA | 98146 | Housing |
| Lakewood Apartments | ||||
| 1500 SW 112th Street | Seattle | WA | 98146 | Housing |
| NIKE | ||||
| 23942-60 35th Pl S | Kent | WA | 98032 | Older Adult Behavioral Housing |
| Weather Vane Apartments - Burien | ||||
| 1123 SW 134th Street | Burien | WA | 98146 | Housing |
| Valleywood Apartments | ||||
| 801 I Street NE | Auburn | WA | 98002 | Housing |
| Evergreen House | ||||
| 818 S 231 Street | Des Moines | WA | 98198 | Housing |
| Graduate House | ||||
| 13432 4th Ave SW | Seattle | WA | 98146 | Housing |
| Kent HOUSE | ||||
| 24904 36th Ave S | Kent | WA | 98032 | Older Adult Behavioral Housing |
| Occidental | ||||
| 13620 Occidental S | Seattle | WA | 98168 | Housing |
| PALS | ||||
| 14611 5th Ave S | Seattle | WA | 98168 | Housing |
| Fairway House | ||||
| 1728 S 104th | Seattle | WA | 98168 | Housing |
| Brick House | ||||
| 1127 SW 134th Street | Burien | WA | 98134 | Housing |
| Endeavor House | ||||
| 14835 42nd Ave S | Tukwila | WA | 98168 | Housing |
| Geoduck Building | ||||
| 2602 SW Holden Street | Seattle | WA | 98126 | Outpatient Treatment |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. |
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHOD USED FOR MOST OF SCHEDULE H, PART I, LINE 7 IS THE COST TO CHARGE RATIO. FOR COSTS OF OTHER MEANS TESTED GOVERNMENT PROGRAMS -LINE 7C- AN ESTIMATE OF COST TO REVENUE RATIO WAS USED. THE USE OF A DIFFERENT METHOD IS DUE TO THE REVENUE FOR THESE PROGRAMS AND SERVICES BEING BASED ON METRICS OTHER THAN GROSS CHARGES. AS SUCH THE COST TO CHARGE RATIO DOES NOT ACCURATELY REFLECT THE COSTS ASSOCIATED WITH THESE PROGRAMS AND SERVICES. SCHEDULE H, PART I, LINE 7F The amount of bad debts that were excluded from the total expenses when calculating the percentage in Column (F) was $20,484. |
| SCHEDULE H, PART III, LINE 2 | BAD DEBT EXPENSE IS MOSTLY DERIVED FROM THOSE WITH DUAL MEDICARE AND MEDICAID COVERAGE AS NAVOS DOES NOT SEEK TO COLLECT CO-INSURANCE, CO-PAYS, AND PATIENT RESPONSIBILITY AMOUNTS FROM THOSE DUALLY COVERED PATIENTS. |
| SCHEDULE H, PART III, LINE 3 | SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY AND DEEMED UNCOLLECTABLE ARE RECORDED AS BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 8 | THE ORGANIZATION'S COSTS ARE SEPARATED BY COST CENTERS AND NON-REIMBURSABLE COST CENTERS ARE ELIMINATED FROM THE MEDICARE COST REPORT. THE REMAINING COSTS ARE DETERMINED FIRST BY DIRECT RELATIONSHIP TO THE ALLOWABLE CENTERS THEN BY UTILIZING CENSUS TO DETERMINE THE NON-DIRECT ALLOWABLE COSTS ALLOCATED TO ALLOWABLE CENTERS. THE COSTS ARE STEPPED DOWN ACCORDING TO THE RULES OF THE MEDICARE COST REPORT INSTRUCTIONS. THE PHARMACY AND LAB CHARGES ARE BASED ON A COST TO CHARGE RATIO AND UTILIZES SEGMENTS WITHIN THE CENTER TO DETERMINE THE APPROPRIATE CLASSIFICATIONS FOR THE COSTS. INPATIENT PSYCHIATRIC SERVICES UTILIZES THE SEPARATION OF EACH FUNDING SOURCES TO DETERMINE APPROPRIATE RELATIONSHIP TO THE FUNDING SOURCE AND SEGMENTS LISTED. THE HOSPITAL BELIEVES THAT ALL OF THE $357,332 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. THE HOSPITAL PROVIDES CARE TO THOSE WHO ARE DUALLY COVERED WITH MEDICARE AND MEDICAID. THESE DUALLY COVERED PATIENTS ARE BOTH LOW INCOME AND ELDERLY. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE VULNERABLE ELDERLY ADULTS IN OUR COMMUNITY. |
| SCHEDULE H, PART III, LINE 9B | PENDING FINAL ELIGIBILITY DETERMINATION (FOR CHARITY CARE), THE HOSPITAL WILL NOT INITIATE COLLECTION EFFORTS OR REQUEST DEPOSITS, PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH THE HOSPITAL'S EFFORTS TO REACH A FINAL DETERMINATION OF SPONSORSHIP STATUS. THE RESPONSIBLE PARTY'S FINANCIAL OBLIGATION, WHICH REMAINS AFTER THE APPLICATION OF ANY SLIDING FEE SCHEDULE SHALL BE PAYABLE IN MONTHLY INSTALLMENTS OVER A REASONABLE PERIOD OF TIME, WITHOUT INTEREST OR LATE FEES, AS NEGOTIATED BETWEEN THE HOSPITAL AND THE RESPONSIBLE PARTY. THE RESPONSIBLE PARTY'S ACCOUNT SHALL NOT BE TURNED OVER TO A COLLECTION AGENCY UNLESS PAYMENTS ARE MISSED OR THERE IS SOME PERIOD OF INACTIVITY ON THE ACCOUNT, AND THERE IS NO SATISFACTORY CONTACT WITH THE PATIENT. IF THE PATIENT HAS PAID SOME OR THE ENTIRE BILL FOR MEDICAL SERVICES AND IS LATER FOUND TO HAVE BEEN ELIGIBLE FOR CHARITY CARE AT THE TIME SERVICES WERE PROVIDED, HE/SHE SHALL BE REIMBURSED WITHIN THIRTY (30) DAYS OF RECEIVING THE CHARITY CARE DESIGNATION. |
| SCHEDULE H, PART VI, LINE 2 | NAVOS PARTICIPATES IN A VARIETY OF FORUMS AND ADVISORY GROUPS AT BOTH THE STATE AND LOCAL LEVEL REGARDING MENTAL HEALTH NEEDS. |
| SCHEDULE H, PART VI, LINE 3 | NAVOS HAS A STRUCTURED INTAKE PROCEDURE, WRITTEN POLICIES REQUIRING FINANCIAL COUNSELING, AND PROCEDURES FOR ENSURING COVERAGE BY ASSISTANCE PROGRAMS FOR BOTH INPATIENT AND OUTPATIENT POPULATIONS. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE INTAKE PROCESS AS WELL AS ON THEIR BILLING STATEMENTS. |
| SCHEDULE H, PART VI, LINE 4 | NAVOS TARGETS THE POPULATION OF KING COUNTY RESIDENTS WITH SEVERE MENTAL ILLNESS. THERE ARE 6 MENTAL HEALTH FACILITIES IN KING COUNTY. THIS POPULATION HAS SUBSTANTIALLY HIGHER RATES OF WOMEN THAN THE GENERAL KING COUNTY POPULATION. ALTHOUGH NAVOS PROVIDES ABOUT HALF THE SERVICES TO CHILDREN AND FAMILIES DELIVERED UNDER THE COUNTY MENTAL HEALTH PROGRAM THROUGH A CONSORTIUM OF SPECIALTY AGENCIES, MOST OF THE CLIENTS SERVED DIRECTLY BY NAVOS ARE ADULTS AND OLDER ADULTS. IT IS NOTABLE THAT THE RATE OF PERSONS OVER AGE 65 RECEIVING CARE AT NAVOS IS DISPROPORTIONATELY HIGH AT 29%, COMPARED WITH THE GENERAL POPULATION RATE OF 11%. WE PROVIDE SPECIALIZED SERVICES FOR OLDER CLIENTS. THE NAVOS CLIENT POPULATION IS MORE ETHNICALLY DIVERSE THAN THE COUNTY POPULATION, WITH 1/3 OF OUR PATIENTS DESIGNATED AS AFRICAN AMERICANS/AFRICANS, ASIAN/PACIFIC ISLANDERS, ALASKA NATIVE/AMERICAN INDIANS, MULTI-RACIAL, OR SOME OTHER RACE. 5% OF NAVOS CLIENTS HAVE SELF-REPORTED VETERAN STATUS. IT IS LIKELY THAT THIS RATE IS ACTUALLY SOMEWHAT HIGHER. FINALLY, OUR CLIENTS WITH SERIOUS MENTAL ILLNESS ARE OF VERY LOW INCOME, WITH 97% HAVING INCOMES AT OR BELOW 200% OF POVERTY. 87% OF OUR OUTPATIENT CLIENTS HAVE INCOMES LESS THAN 100% OF POVERTY. |
| SCHEDULE H, PART VI, LINE 5 | NAVOS PROMOTES WELLNESS AND RECOVERY IN BOTH INPATIENT AND OUTPATIENT SETTINGS THROUGH GROUP SESSIONS AND INDIVIDUAL TREATMENT PLANS. NAVOS SPONSORS CONSUMER-OPERATED ADVOCACY AND RECOVERY ORGANIZATIONS AND IT PARTICIPATES IN REGIONAL AND LOCAL PLANNING EFFORTS RELATED TO HEALTH PROMOTION AND EMERGENCY PREPAREDNESS. NAVOS IS A LEADER IN THE INTEGRATION OF PRIMARY CARE AND TREATMENT OF MENTAL ILLNESS. NAVOS BOARD MEMBERS RESIDE IN THE KING COUNTY REGION SERVED BY NAVOS. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PHYSICIANS IN THE COMMUNITY AT NAVOS WHEN EMERGENCY SITUATIONS ARISE AS DEFINED IN THE ORGANIZED MEDICAL STAFF BYLAWS. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM NAVOS IS A WASHINGTON NOT-FOR-PROFIT CORPORATION, AND IS ORGANIZED AS A TAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. NAVOS IS PART OF THE MULTICARE HEALTH SYSTEM ("MULTICARE"). MULTICARE HAS TWO AFFILIATED FOUNDATIONS: MARY BRIDGE CHILDREN'S FOUNDATION AND MULTICARE FOUNDATIONS, BOTH WASHINGTON NONPROFIT CORPORATIONS. MULTICARE HEALTH SYSTEM HAS 20,000 TEAM MEMBERS, INCLUDING EMPLOYEES, PROVIDERS AND VOLUNTEERS. MULTICARE HEALTH SYSTEM IS CARING FOR OUR COMMUNITY FOR WELL OVER A CENTURY, SINCE THE FOUNDING OF TACOMA'S FIRST HOSPITAL AND TODAY, WE ARE THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTH SYSTEM IN THE STATE OF WASHINGTON. OUR COMPREHENSIVE SYSTEM OF HEALTH INCLUDES NUMEROUS PRIMARY CARE, URGENT CARE AND SPECIALTY SERVICES - INCLUDING IMMEDIATE CLINIC, MULTICARE INDIGO URGENT CARE, PULSE HEART INSTITUTE AND MULTICARE ROCKWOOD CLINIC, THE LARGEST MULTISPECIALTY CLINIC IN THE INLAND NORTHWEST REGION. SPECIALTY SERVICES INCLUDE LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER AND AN INTERNATIONALLY RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS. MULTICARE ALSO INCLUDES HIGHLY SPECIALIZED AFFILIATED ENTITIES, SUCH AS CHVI PULSE HEART INSTITUTE, SPECIALIZED IN THE TREATMENT AND RESEARCH OF THE HEART, AND MULTICARE REHABILITATION SPECIALISTS P.C., AN ENTITY FOCUSED FOR DELIVERING ACCESSIBLE AND AFFORDABLE PHYSICAL AND REHABILITATION THERAPY SERVICES. THROUGH ITS AFFILIATIONS WITH NAVOS (2017) AND GREATER LAKES MENTAL HEALTH (2018) MULTICARE IS THE LARGEST BEHAVIORAL HEALTH PROVIDER IN WASHINGTON STATE. IN 2019 MULTICARE HEALTH SYSTEM IN PARTNERSHIP WITH CHI FRANCISCAN HEALTH OPENED WELLFOUND BEHAVIORAL HEALTH HOSPITAL, A NOT-FOR-PROFIT MENTAL HEALTH HOSPITAL IN TACOMA, WASHINGTON, FURTHER ADDRESSING THE NEED FOR MENTAL HEALTH AND WELLBEING IN THE COMMUNITY. 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, IN 2021, WELLFOUND BEGAN ON ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT. 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 Ten HOSPITALS: MULTICARE ALLENMORE HOSPITAL, TACOMA MULTICARE AUBURN MEDICAL CENTER, AUBURN MULTICARE COVINGTON MEDICAL CENTER, COVINGTON MULTICARE DEACONESS HOSPITAL, SPOKANE MULTICARE GOOD SAMARITAN HOSPITAL, PUYALLUP MARY BRIDGE CHILDREN'S HOSPITAL, TACOMA MULTICARE TACOMA GENERAL HOSPITAL, TACOMA MULTICARE VALLEY HOSPITAL, SPOKANE VALLEY Multicare Capital Medical Center, Olympia NAVOS, SEATTLE |
| SCHEDULE H, PART VI, LINE 7 | LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: WA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tim Holmes | ||||||||||||||
| BHN Pres & Navos CEO | $0 | $421,769 | $0 | $89,438 | $0 | $718 | $0 | $17,400 | $0 | $26,723 | $0 | $556,048 | $0 | $0 |
| DAVID JOHNSON | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $24,074 | $0 | $140,000 | $0 | $0 | $0 | $0 | $0 | $164,074 | $0 | $0 |
| Terri Card | ||||||||||||||
| Interim COO | $0 | $283,924 | $0 | $56,556 | $0 | $28,172 | $0 | $11,600 | $0 | $11,609 | $0 | $391,861 | $0 | $0 |
| Karakus Sule | ||||||||||||||
| Psychiatrist | $238,600 | $0 | $500 | $0 | $0 | $0 | $8,745 | $0 | $0 | $0 | $247,845 | $0 | $0 | $0 |
| Jeff Korcz | ||||||||||||||
| Psychiatrist | $322,883 | $0 | $20,000 | $0 | $0 | $0 | $12,623 | $0 | $0 | $0 | $355,506 | $0 | $0 | $0 |
| Diane McCleave | ||||||||||||||
| Registered Nurse | $293,575 | $0 | $5,000 | $0 | $0 | $0 | $12,772 | $0 | $0 | $0 | $311,347 | $0 | $0 | $0 |
| Diane Bunch | ||||||||||||||
| ARNP CYF | $207,501 | $0 | $500 | $0 | $0 | $0 | $11,421 | $0 | $0 | $0 | $219,422 | $0 | $0 | $0 |
| Rebecca Richardson | ||||||||||||||
| Physician | $234,229 | $0 | $400 | $0 | $0 | $0 | $3,837 | $0 | $0 | $0 | $238,466 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY MULTICARE HEALTH SYSTEM. Schedule J, Part I, Line 4a In 2021, the following individual received a severance payment: David Johnson, CEO, in the amount of $140,000. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 6 | CLASSES OF MEMBERS THE SOLE CORPORATE MEMBER IS MULTICARE HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MULTICARE SHALL ACT THROUGH ITS CHIEF EXECUTIVE OFFICER OR DESIGNEE AS NAVOS'S SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, LINE 7A | classes of persons and the nature of their rights THE CHIEF EXECUTIVE OFFICER OR DESIGNEE OF MULTICARE HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, HAS THE POWER TO APPOINT OR REMOVE ANY ELECTED DIRECTOR ON THE BOARD OF DIRECTORS OF NAVOS. |
| FORM 990, PART VI, LINE 7B | decisions requiring approval THE DECISIONS THAT REQUIRE THE SOLE CORPORATE MEMBER MULTICARE HEALTH SYSTEM APPROVAL ARE: APPOINTMENT AND REMOVAL OF ELECTED DIRECTORS; ANNUAL CAPITAL AND OPERATING BUDGETS, INCLUDING COMPENSATION PLANS; STRATEGIC PLANS; SELECTION AND APPOINTMENT OF THE CEO OF NAVOS; INCURRENCE OF INDEBTEDNESS; SALE OR DISPOSITION OF REAL PROPERTY; ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS; AND MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS. ALL OTHER DECISIONS ARE MADE BY THE NAVOS DIRECTORS. |
| FORM 990, PART VI, LINE 11B | PROCESS USED BY THE MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 The Form 990 is prepared by an outside accounting firm. Initial reviews were performed by levels of management in various departments throughout the organization, the Chief Operating Officer, and the Chief Financial Officer. A review was then performed by the board directors. Additionally, a review was performed by the Audit Committee of the MultiCare Health System Board, and included a presentation by the outside accounting firm. Lastly, a copy of the final Form 990, including all required schedules, was provided to each voting member of the board of directors for review prior to its filing with the IRS. |
| FORM 990, PART VI, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY AND D) UNDERSTANDS THAT THE CORPORATION IS A TAX EXEMPT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE BOARD IS RESPONSIBLE FOR MAKING SURE PERIODIC REVIEWS OF THE STATEMENTS ARE DONE AND MAY USE OUTSIDE ADVISORS. IF A CONFLICT OF INTEREST ARISES, THE INTERESTED PERSON MAY PRESENT TO THE BOARD, BUT MUST LEAVE DURING THE DISCUSSION OF AND VOTE ON THE CONFLICT OF ISSUE TRANSACTION OR ARRANGEMENT. A DISINTERESTED PERSON OR COMMITTEE IS APPOINTED TO INVESTIGATE ALTERNATIVES AND THE BOARD MUST EXERCISE DUE DILIGENCE TO DETERMINE IF THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT. REGARDING COMPENSATION, A VOTING MEMBER OF THE BOARD WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION FOR SERVICES IS PRECLUDED FROM VOTING ON COMPENSATION MATTERS. APPROPRIATE DISCIPLINARY AND CORRECTION ACTION MAY BE TAKEN AGAINST INTERESTED PERSONS WHO FAIL TO DISCLOSE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE PROCESS USED TO DETERMINE COMPENSATION OF THE CEO IS PERFORMED BY THE RELATED ORGANIZATION AS FOLLOWS: THE BOARD, THROUGH ITS COMPENSATION COMMITTEE, CONSISTING OF INDEPENDENT, NON-PAID, BOARD MEMBERS OF THE RELATED ORGANIZATION, ARE ACCOUNTABLE FOR ENSURING AND APPROVING A REASONABLE TOTAL COMPENSATION PACKAGE, CONSISTENT WITH ITS COMPENSATION PHILOSOPHY, FOR THE CEO, CFO, TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES FOR THEIR MANAGEMENT AND LEADERSHIP OF RELATED ENTITIES. UPON THE IDENTIFICATION OF THE COMPENSATION FOR THE YEAR, THE INDEPENDENT CONSULTANT SULLIVAN COTTER, REVIEWS THE COMPENSATION AS PROPOSED BY THE BOARD OF DIRECTORS, AND CONDUCTS AN INDEPENDENT REVIEW. AT THE CONCLUSION OF THIS REVIEW, SULLIVAN COTTER ISSUES A REASONABLENESS OPINION TO THE RELATED ORGANIZATION. THIS IS DONE ANNUALLY AND WAS DONE FOR THIS CURRENT YEAR. THE INDEPENDENT CONSULTANTS ASSESSED THAT THE COMPENSATION APPROVED BY THE BOARD FOR 2021 WAS OBJECTIVELY REASONABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | availability of governing documents, coi policy & financial statements NAVOS'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON NAVOS'S WEBSITE AND BY REQUEST. NAVOS DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN FUND BALANCE ASSET TRANSFER FROM MULTICARE HEALTH SYSTEM $15,077,000 TOTAL $15,077,000 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MULTICARE HEALTH SYSTEM | ||||||||||
| 315 MARTIN LUTHER KING JR WAY | TACOMA | WA | 98405 | 911352172 | HOSPITAL | WA | 501(C)(3) | 3 | NA | false |
| MULTICARE FOUNDATIONS | ||||||||||
| 409 S J STREET | TACOMA | WA | 98405 | 911514257 | CONTRIBUTIONS | WA | 501(C)(3) | 7 | MHS | Yes (true) |
| GREATER LAKES MENTAL HEALTHCARE | ||||||||||
| 9330 59TH AVE SW | LAKEWOOD | WA | 98499 | 916064184 | HOSPITAL | WA | 501(C)(3) | 3 | MHS | Yes (true) |
| CHVI PROFESSIONAL CORPORATION | ||||||||||
| 222 N J STREET | TACOMA | WA | 98403 | 475457904 | HOSPITAL | WA | 501(C)(3) | 3 | MHS | Yes (true) |
| MARY BRIDGE CHILDREN'S FOUNDATION | ||||||||||
| 409 S J STREET | TACOMA | WA | 98405 | 943030039 | CONTRIBUTIONS | WA | 501(C)(3) | 7 | MHS | Yes (true) |
| MULTICARE REHABILITATION SPECIALISTS PC | ||||||||||
| 315 MARTIN LUTHER KING JR WAY | TACOMA | WA | 98405 | 822949880 | rehabilitaT. | WA | 501(C)(3) | 12-I | MHS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OLYMPIC SPORTS & SPINE PLLC | |||||||||||
| 6050 TACOMA MALL BLVD | TACOMA | WA | 98409 | 822950138 | HEALTHCARE SV | WA | NA | false | $0 | false | |
| AUBURN IMAGING PARTNERS | |||||||||||
| PO BOX 26730 | FEDERAL WAY | WA | 98093 | 202539907 | HEALTHCARE SV | WA | NA | false | $0 | false | |
| VP SURGERY OF AUBURN | |||||||||||
| 1002 15TH AVE SW STE 215 | AUBURN | WA | 98001 | 371668651 | HEALTHCARE SV | WA | NA | false | $0 | false | |
| REDICLINIC OF WA LLC | |||||||||||
| 9 E GREENWAY PLAZA STE 2950 | HOUSTON | TX | 77046 | 471808980 | HEALTHCARE SV | TX | NA | false | $0 | false | |
| Columbia Capital Medical Center LP | |||||||||||
| PO BOX 5299 | TACOMA | WA | 98415 | 621689675 | HEALTHCARE SV | WA | false | false | N/A | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| MEDIS CORPORATION | ||||||||||
| 315 S K STREET | TACOMA | WA | 98405 | 911111928 | bldg ren. & c | WA | NA | C CORP | Yes (true) | |
| COLUMBIA OLYMPIA MANAGMENT | ||||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 621690140 | HEALTHCARE | TN | C CORP | false | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MULTICARE FOUNDATIONS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $132,352 | InvolvedAmt |
| Method Of Amount Determination | ACCRUAL | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP REDICLINIC OF WA, LLC EIN: 47-1808980 ADDRESS: 9 E GREENWAY PLAZA, STE 2950, HOUSTON, TX 77046 OLYMPIC SPORTS & SPINE, PLLC EIN: 82-2950138 ADDRESS: 6050 TACOMA MALL BLVD, TACOMA, WA 98409 AUBURN IMAGING PARTNERS EIN: 20-2539907 ADDRESS: P.O. BOX 26730, FEDERAL WAY, WA 98093 VP SURGERY OF AUBURN EIN: 37-1668651 ADDRESS: 1002 15TH AVE. SW, STE 215, AUBURN, WA 98001 | ExplanationTxt |
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