NAVOS: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NAVOS (EIN 91-0848698)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201913199349318391
Schema version: 2018v3.1
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 G
Schedule H
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T19:01:03-06:00	ReturnTs
Tax Period End	2018-12-31	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	18101 VON KARMAN AVE SUITE 1700	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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	% Rebecca Pevey	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	DAVID JOHNSON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	2069337189	PhoneNum
Signature	2019-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	INAS RAOUF	PreparerPersonNm
PTIN	P01254678	PTIN
Phone	9497942300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420193195000105	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	337686BC7CC6EC2662FF9B863E3DABD55E8368B5	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B624E8CB9ADA9901BBF432C0B9948499803DA55C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	David Johnson	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	$87,221,399	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	768	TotalEmployeeCnt
Total Volunteers	108	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,335,564	PYContributionsGrantsAmt
CY Contributions Grants	$1,420,820	CYContributionsGrantsAmt
PY Program Service Revenue	$62,754,459	PYProgramServiceRevenueAmt
CY Program Service Revenue	$60,638,810	CYProgramServiceRevenueAmt
PY Investment Income	$685,537	PYInvestmentIncomeAmt
CY Investment Income	$6,625,257	CYInvestmentIncomeAmt
PY Other Revenue	$34,044	PYOtherRevenueAmt
CY Other Revenue	-$4,764	CYOtherRevenueAmt
PY Total Revenue	$64,809,604	PYTotalRevenueAmt
CY Total Revenue	$68,680,123	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	$40,440,923	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$40,395,337	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$39,884	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$93,430	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,125,015	PYOtherExpensesAmt
CY Other Expenses	$25,703,232	CYOtherExpensesAmt
PY Total Expenses	$67,605,822	PYTotalExpensesAmt
CY Total Expenses	$66,098,569	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,796,218	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,581,554	CYRevenuesLessExpensesAmt
Total Assets BOY	$89,831,742	TotalAssetsBOYAmt
Total Assets EOY	$70,253,526	TotalAssetsEOYAmt
Total Liabilities BOY	$65,600,289	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$41,522,904	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$24,231,453	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$28,730,622	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	$18,846,872	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$20,336,993	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$14,171,969	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$13,997,425	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$13,913,456	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$12,672,090	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$8,329,075	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$13,632,302	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$55,261,372	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	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	Yes (true)	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	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	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	129	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	768	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
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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Rebecca Pevey	PersonNm
Phone	2069337189	PhoneNum

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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Patti Neuberger
2ND VICE PRESIDENT	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
Don Gillmore
President	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
Bobbie Bridge
Member Emerita	0.5	0.5	Yes (X)		$0	$0	$0
Rebeca Dawn
DIRECTOR	0.5	0.5	Yes (X)		$0	$0	$0
Jean Ellsworth
Member Emerita	0.5	0.5	Yes (X)		$0	$0	$0
Charles Hoffman
Director	0.5	0.5	Yes (X)		$0	$0	$0
Carrie Holmes
DIRECTOR	0.5	0.5	Yes (X)		$0	$0	$0
Brian Abeel
1st VICE PRESIDENT	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
Mike Sweeney
TREASURER/SECRETARY	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
LISA DRECHSLER
DIRECTOR	0.5	1.0	Yes (X)		$0	$0	$0
CHARLES PURCELL
DIRECTOR	0.5	1.0	Yes (X)		$0	$0	$0
SANDY ROSENKRANZ
DIRECTOR	0.5	1.0	Yes (X)		$0	$0	$0
Cassandra Undlin
COO	40.0	0.5		Yes (X)	$245,199	$0	$12,356
MEGAN KELLY
CCO (JAN-APRIL)	40.0	0.5		Yes (X)	$66,442	$0	$2,266
MARYLOUISE JONES
CCO (JULY-DEC)	40.0	0.5		Yes (X)	$77,943	$0	$2,914
DAVID JOHNSON
CEO	40.0	0.5		Yes (X)	$0	$234,000	$0
Brian Coleman
Psychiatrist	40.0	0.1			$232,761	$0	$10,235	Yes (X)
Diane McCleave
Registered Nurse	40.0	0.1			$228,097	$0	$8,207	Yes (X)
Jeff Korcz
Psychiatrist	40.0	0.1			$284,280	$0	$15,288	Yes (X)
CHRISTOPHER GROSS
PSYCHIATRIST	40.0	0.1			$241,995	$0	$12,419	Yes (X)
CATHERINE WEBB
ANRP	40.0	0.0			$200,791	$0	$9,297	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,577,508	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$234,000	TotReportableCompRltdOrgAmt
Total Other Compensation	$72,982	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	44	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
NEXUS
186 F St SE	AUBURN	WA	98002	SOCIAL SERVICES	$1,904,841
YOUTH EASTSIDE SERVICES
999 164TH AVE NE	BELLEVUE	WA	98008	SOCIAL SERVICES	$1,381,189
LUTHERAN SOCIAL SERVICES
433 MINOR AVE N	SEATTLE	WA	98109	SOCIAL SERVICES	$1,156,538
CENTER FOR HUMAN SERVICES
14803 15TH AVE NE	SHORELINE	WA	98155	SOCIAL SERVICES	$1,003,745
RENTON AREA YOUTH
1025 S 3RD ST	RENTON	WA	98057	SOCIAL SERVICES	$792,105

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Fundraising	$338,019	FundraisingAmt
All Other Contributions	$1,082,801	AllOtherContributionsAmt
Noncash Contributions	$55,510	NoncashContributionsAmt
Total Contributions	$1,420,820	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
KING COUNTY - BEHAV HEALTH ORG (NET)	624100	$27,977,556	$27,977,556	$0	$0
KING COUNTY - OTHER SERVICES	624100	$13,361,258	$13,361,258	$0	$0
MEDICARE/MEDICAID NET	624100	$10,839,468	$10,839,468	$0	$0
STATE DSH, CTED AND OTHER	624100	$2,615,238	$2,615,238	$0	$0
3RD PARTY INS & SELF PAY	624100	$1,414,051	$1,414,051	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,431,239	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,431,239	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$60,638,810	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$185,337	TotalRevenueColumnAmt
Exclusion	$185,337	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	$88,666	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$88,666	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,666	TotalRevenueColumnAmt
Exclusion	$88,666	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$55	SecuritiesAmt
Other	$24,887,711	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$18,447,846	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$55	SecuritiesAmt
Other	$6,439,865	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,439,920	TotalRevenueColumnAmt
Exclusion	$6,439,920	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$338,019	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$93,430	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$93,430	TotalRevenueColumnAmt
Exclusion	-$93,430	ExclusionAmt

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	$68,680,123	TotalRevenueColumnAmt
Related Or Exempt Func Income	$60,638,810	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,620,493	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$407,120	TotalAmt
Program Services	$155,422	ProgramServicesAmt
Management And General	$251,698	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,218,044	TotalAmt
Program Services	$27,694,014	ProgramServicesAmt
Management And General	$5,524,030	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$508,688	TotalAmt
Program Services	$486,515	ProgramServicesAmt
Management And General	$22,173	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,310,789	TotalAmt
Program Services	$2,724,199	ProgramServicesAmt
Management And General	$586,590	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,950,696	TotalAmt
Program Services	$2,438,481	ProgramServicesAmt
Management And General	$512,215	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,333,420	TotalAmt
Program Services	$712,696	ProgramServicesAmt
Management And General	$620,724	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$101,043	TotalAmt
Program Services	$24,144	ProgramServicesAmt
Management And General	$76,899	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$120,444	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$120,444	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$30,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$345,285	TotalAmt
Program Services	$158,225	ProgramServicesAmt
Management And General	$148,390	ManagementAndGeneralAmt
Fundraising	$38,670	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$74,639	TotalAmt
Program Services	$24,916	ProgramServicesAmt
Management And General	$49,723	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$837,727	TotalAmt
Program Services	$546,974	ProgramServicesAmt
Management And General	$280,741	ManagementAndGeneralAmt
Fundraising	$10,012	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,265,442	TotalAmt
Program Services	$245,834	ProgramServicesAmt
Management And General	$1,019,608	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,436,293	TotalAmt
Program Services	$2,249,901	ProgramServicesAmt
Management And General	$148,468	ManagementAndGeneralAmt
Fundraising	$37,924	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$168,006	TotalAmt
Program Services	$50,926	ProgramServicesAmt
Management And General	$117,080	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,090,008	TotalAmt
Program Services	$953,371	ProgramServicesAmt
Management And General	$136,637	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,877,831	TotalAmt
Program Services	$1,281,556	ProgramServicesAmt
Management And General	$596,275	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$545,180	TotalAmt
Program Services	$286,025	ProgramServicesAmt
Management And General	$259,155	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BEHAVIORAL HEALTH SERVICES	$12,551,260	$12,546,126	$5,134	$0
FOOD EXPENSE	$693,105	$674,777	$18,222	$106
SUPPLIES EXPENSE	$330,242	$330,231	$11	$0
PHARMACY EXPENSES	$313,353	$313,353	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,589,954	TotalAmt
Program Services	$1,363,686	ProgramServicesAmt
Management And General	$219,550	ManagementAndGeneralAmt
Fundraising	$6,718	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$66,098,569	TotalAmt
Program Services	$55,261,372	ProgramServicesAmt
Management And General	$10,743,767	ManagementAndGeneralAmt
Fundraising	$93,430	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$11,800	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,822,971	BOYAmt
EOY	$2,502,331	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,171	BOYAmt
EOY	$14,171	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,837,964	BOYAmt
EOY	$6,641,348	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	$17,205,791	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$111,203	BOYAmt
EOY	$125,274	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$720,595	BOYAmt
EOY	$714,395	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$68,749,759	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,384,993	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$52,653,094	BOYAmt
EOY	$53,364,766	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	$2,861,905	BOYAmt
EOY	$2,654,764	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,604,048	BOYAmt
EOY	$4,224,677	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$89,831,742	BOYAmt
EOY	$70,253,526	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,049,675	BOYAmt
EOY	$5,881,534	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	$1,893,495	BOYAmt
EOY	$63,331	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,363,263	BOYAmt
EOY	$7,965,198	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	$46,227,562	BOYAmt
EOY	$25,176,416	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	$66,294	BOYAmt
EOY	$2,436,425	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,600,289	BOYAmt
EOY	$41,522,904	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,566,705	BOYAmt
EOY	$24,065,874	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,664,748	BOYAmt
EOY	$4,664,748	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,231,453	BOYAmt
EOY	$28,730,622	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$89,831,742	BOYAmt
EOY	$70,253,526	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,581,554	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$379,372	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$2,296,987	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$33,321	OtherActivitiesAmt
Total Lobbying Expenditures	$33,321	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 $3,321 ARE INCURRED AS PART OF MEMBERSHIP DUES PAID TO WASHINGTON HOSPITAL ASSOCIATION WHICH PARTICIPATES IN LOBBYING ACTIVITIES. A LOBBYIST WAS CONTRACTED TO LOBBY AT THE STATE LEVEL FOR FUNDING FOR THE CHILDREN'S CAMPUS, WHICH IS STATE-FUNDED, IN THE AMOUNT OF $30,000.	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	$13,804,850	OtherCostOrOtherBasisAmt
Book Value	$13,804,850	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,703,148	OtherCostOrOtherBasisAmt
Depreciation	$5,547,642	DepreciationAmt
Book Value	$26,155,506	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,852,594	OtherCostOrOtherBasisAmt
Depreciation	$4,219,463	DepreciationAmt
Book Value	$9,633,131	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,944,795	OtherCostOrOtherBasisAmt
Depreciation	$5,311,651	DepreciationAmt
Book Value	$2,633,144	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,444,372	OtherCostOrOtherBasisAmt
Depreciation	$306,237	DepreciationAmt
Book Value	$1,138,135	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$53,364,766	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
STUART TRUST-BENEFICIAL INT.	$3,241,342
EGTVEDT TRUST-BENEFICIAL INT.	$983,335

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,224,677	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
TENANT DEPOSITS	$71,983
DUE TO MULTICARE HEALTH SYSTEM	$2,364,442

Field	Value	IRS element (for citing)
Total Liability	$2,436,425	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	ASC 740 (FIN 48) FOOTNOTE: NAVOS IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM (MHS). THE FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS READS: "FINANCIAL ACCOUNTING STANDARD BOARD (FASB) ASC TOPIC 740-10, INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MHS'S CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740-10 ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, ASC TOPIC 740-10 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. ASC TOPIC 740-10, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS, DID NOT HAVE A SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF MHS. OTHER THAN MEDIS INC., A TAXABLE CORPORATION, ALL OF THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME."	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	Margaret Masar	PersonNm
Activity	GRANT WRITER	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	COMM. LUNCHEON	Event1Nm
Gross Receipts Event1	$338,019	GrossReceiptsEvent1Amt
Charitable Contri Event1	$338,019	CharitableContriEvent1Amt
Rent Facility Costs Event1	$28,443	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$9,587	FoodAndBeverageEvent1Amt
Entertainment Event1	$15,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$40,400	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$338,019	GrossReceiptsTotalAmt
Charitable Contributions Tot	$338,019	CharitableContributionsTotAmt
Rent Fclty Costs Total Events	$28,443	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$9,587	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$15,000	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$40,400	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$93,430	DirectExpenseSummaryEventsAmt
Net Income Summary	-$93,430	NetIncomeSummaryAmt

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,744,540	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,433,979	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,310,561	NetCommunityBenefitExpnsAmt
Total Expense	0.14090	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,570,744	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,965,670	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,605,074	NetCommunityBenefitExpnsAmt
Total Expense	0.06970	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,727,305	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,633,724	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,042,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,033,373	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,915,635	NetCommunityBenefitExpnsAmt
Total Expense	0.21060	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,455,815	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$709,999	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$745,816	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,956,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,321,758	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$634,804	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,090	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,090	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,417,467	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,031,757	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,385,710	NetCommunityBenefitExpnsAmt
Total Expense	0.02100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,460,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,065,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,301,345	NetCommunityBenefitExpnsAmt
Total Expense	0.23160	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$1,793,598	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,782,336	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$11,262	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	WebsiteAddressTxt
State License	LICENSE: 601-009-3	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	Psychiatric Hospital	OtherDesc
Facility Reporting Group	1	FacilityReportingGroupCd

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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	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	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
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	false	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 (9 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 WE INVITED COMMUNITY COALITIONS AND ORGANIZATIONS TO TELL US ABOUT THE ASSETS AND RESOURCES THAT HELP THEIR COMMUNITIES THRIVE. THE ASSETS MOST FREQUENTLY MENTIONED WERE EXISTING PARTNERSHIPS AND COALITIONS, COMMUNITY HEALTH CENTERS, FAITH COMMUNITIES, AND FOOD PROGRAMS. WE ALSO ASKED COMMUNITY REPRESENTATIVES TO IDENTIFY CONCERNS ABOUT HEALTH NEEDS IN THEIR COMMUNITIES. WE CONSULTED WITH: - AGING & DISABILITY SERVICES - AIRLIFT NORTHWEST - AMR AMBULANCE - ASIAN COUNSELING AND REFERRAL SERVICES - BEHAVIORAL HEALTH PARTNERSHIP GROUP - BRAIN INJURY ALLIANCE - BURIEN POLICE DEPARTMENT - CARSAFE KIDS - CATHOLIC COMMUNITY SERVICES - CEDAR RIVER GROUP - CENTER FOR HUMAN SERVICES - CENTER FOR MULTICULTURAL HEALTH - CENTRAL REGION EMS & TRAUMA CARE COUNCIL - CHILDHOOD OBESITY PREVENTION COALITION - CHILDREN'S ALLIANCE - CITY OF BELLEVUE - CITY OF KIRKLAND - CITY OF LAKE FOREST PARK - CITY OF REDMOND - CITY OF SHORELINE HUMAN SERVICES - COMMUNITY HEALTH NETWORK OF WASHINGTON - COMMUNITY HOUSE MENTAL HEALTH - COMMUNITY PSYCHIATRIC CLINIC - CONSEJO COUNSELING - COUNTRY DOCTOR COMMUNITY HEALTH CENTER - DESC - DUVALL FIRE DEPARTMENT - EASTSIDE AID COMMUNITY - EASTSIDE HUMAN SERVICES FORUM - EQUAL START COMMUNITY COALITION - EVERGREENHEALTH EMERGENCY DEPARTMENT - FALCK NORTHWEST EMERGENCY MEDICAL SERVICES - FEET FIRST PEDESTRIAN SAFETY COALITION - FOREFRONT - FRIENDS OF YOUTH - GROUP HEALTH EMERGENCY DEPARTMENT - HARBORVIEW MEDICAL CENTER - EMERGENCY DEPARTMENT - HARBORVIEW MENTAL HEALTH - HARBORVIEW SPINE CENTER AND CONCUSSION PROGRAM - HEALTH COALITION FOR CHILDREN AND YOUTH - HIGHLINE MEDICAL CENTER EMERGENCY DEPARTMENT - HOPELINK - ISSAQUAH HUMAN SERVICES COMMISSION - ISSAQUAH POLICE DEPARTMENT - ISSAQUAH SAMMAMISH INTERFAITH COALITION - KENT POLICE DEPARTMENT - KING COUNTY COUNCIL - KING COUNTY MENTAL HEALTH CHEMICAL ABUSE AND DEPENDENCY SERVICES - KING COUNTY TRAFFIC SAFETY TASK FORCE - KIRKLAND CITY COUNCIL - KIRKLAND POLICE DEPARTMENT - LOCAL HAZARDOUS WASTE MANAGEMENT - MAPLE VALLEY POLICE DEPARTMENT - MOLINA HEALTHCARE - MULTICARE AUBURN EMERGENCY DEPARTMENT - NATIVE AMERICAN WOMEN'S DIALOGUE ON INFANT MORTALITY - NEIGHBORHOOD HOUSE - NEWCASTLE POLICE DEPARTMENT - NICK OF TIME FOUNDATION - NORTH URBAN HUMAN SERVICES ALLIANCE - NORTHSHORE/SHORELINE COMMUNITY NETWORK - NORTHWEST HEALTH LAW ADVOCATES - NORTHWEST HOSPITAL EMERGENCY DEPARTMENT - ODESSA BROWN CHILDREN'S CLINIC - OLYMPIC PHYSICAL THERAPY - OPEN ARMS PERINATAL SERVICES - OVERLAKE MEDICAL CENTER - OVERLAKE MEDICAL CENTER EMERGENCY DEPARTMENT - PARTNERS FOR OUR CHILDREN - PROJECT ACCESS NORTHWEST - PUBLIC HEALTH - SEATTLE & KING COUNTY: EMERGENCY MEDICAL SERVICES - REDMOND CITY COUNCIL - REDMOND POLICE DEPARTMENT - RENTON POLICE DEPARTMENT - SAFE KIDS EASTSIDE - SAFE KIDS SEATTLE/SOUTH KING COUNTY - SEAMAR COMMUNITY HEALTH CENTER - SEATAC POLICE DEPARTMENT - SEATTLE CHILDREN'S HOSPITAL - SEATTLE CHILDREN'S HOSPITAL EMERGENCY DEPARTMENT - SEATTLE COUNSELING SERVICE - SEATTLE HUMAN SERVICES COALITION - SERVICE EMPLOYEES INTERNATIONAL - UNION HEALTHCARE 1199NW - SHORELINE COMMUNITY COLLEGE - SNOQUALMIE VALLEY HOSPITAL - EMERGENCY DEPARTMENT - SOUND MENTAL HEALTH - SOUTH KING COUNCIL OF HUMAN SERVICES - ST. ELIZABETH HOSPITAL EMERGENCY DEPARTMENT - ST. FRANCIS EMERGENCY DEPARTMENT - THE ARC OF KING COUNTY - TRI-MED AMBULANCE - VALLEY CITIES COUNSELING - VALLEY MEDICAL CENTER EMERGENCY DEPARTMENT - WASHINGTON AMBULANCE ASSOCIATION - WASHINGTON CHAPTER, AMERICAN ACADEMY OF PEDIATRICS - WASHINGTON DENTAL SERVICE FOUNDATION - WASHINGTON STATE DEPARTMENT OF HEALTH - WASHINGTON STATE HOSPITAL ASSOCIATION - WITHINREACH - YMCA - YOUTH EASTSIDE SERVICES - YWCA SEATTLE-KING-SNOHOMISH FOCUS GROUPS, STAKEHOLDER INTERVIEWS, AND COMMUNITY CONVERSATIONS WERE CONDUCTED STARTING IN THE FALL OF 2015 THROUGH 2016 TO COLLECT INPUT FROM THE BROAD COMMUNITY REGARDING THE PROGRAMS, INVESTMENTS, AND RESOURCES IN KING COUNTY THAT IMPACT AS WELL AS CONTRIBUTE TO COMMUNITY HEALTH. COMMUNITY CONVERSATIONS WERE LEVERAGED FROM A VARIETY OF PROGRAMS INCLUDING BEST STARTS FOR KIDS WHICH ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT'S GOAL TO GATHER COMPREHENSIVE DATA ON COMMUNITY INPUT IN ORDER TO DETERMINE COMMUNITY IDENTIFIED PRIORITIES. DETAILED AND COMPREHENSIVE COMMUNITY INPUT WAS GATHERED FROM OVER 10 COMMUNITY CONVERSATIONS WITH POPULATIONS ACROSS KING COUNTY INCLUDING IN SOUTH KING COUNTY, BELLEVUE, SHORELINE, SOUTH SEATTLE, NORTHGATE, AUBURN, RENTON, AND ALSO INCLUDED STAKEHOLDER INTERVIEWS WITH YOUTH, FAMILIES, AND REPRESENTATIVES FROM COMMUNITY-BASED PROVIDERS, SCHOOLS, AS WELL AS HEALTH AND SOCIAL SERVICE ORGANIZATIONS. IN ADDITION TO THE COMMUNITY CONVERSATIONS AND STAKEHOLDER INTERVIEWS THAT WERE CONDUCTED THROUGH THESE OUTREACH AND ENGAGEMENT EFFORTS, ADDITIONAL FOCUS GROUPS AND SURVEYS COLLECTED COMMUNITY PRIORITIES FROM LGBTQ POPULATIONS, OLDER ADULTS, AND ADDITIONAL INPUT FROM COMMUNITY MEMBERS REPRESENTING VARIOUS RACIAL/ETHNIC GROUPS WHICH FURTHER INFORMED COMMUNITY PRIORITIES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE COMPREHENSIVE CONVERSATIONS AND ENGAGEMENT WERE ANALYZED FOR THEMES IN ORDER TO DETERMINE THE COMMUNITY IDENTIFIED AREAS HIGHLIGHTED IN THE CHNA REPORT.
SCHEDULE H, PART V, SECTION B, LINE 6A	- EVERGREENHEALTH - ST. ELIZABETH HOSPITAL - ST. FRANCIS HOSPITAL - HIGHLINE MEDICAL CENTER - REGIONAL HOSPITAL - GROUP HEALTH COOPERATIVE - AUBURN MEDICAL CENTER - OVERLAKE MEDICAL CENTER - SEATTLE CANCER CARE ALLIANCE - SEATTLE CHILDREN'S HOSPITAL - SNOQUALMIE VALLEY HOSPITAL DISTRICT - SWEDISH MEDICAL CENTER - HARBORVIEW MEDICAL CENTER - NORTHWEST HOSPITAL & MEDICAL CENTER - UW MEDICAL CENTER - VALLEY MEDICAL CENTER
SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A	FILING ORGANIZATION: HTTPS://WWW.NAVOS.ORG/WP-CONTENT/UPLOADS/2015-2016-JOINT-CHNA-REPORT.PDF OTHER WEBSITE: HTTPS://WWW.KINGCOUNTY.GOV/DEPTS/HEALTH/DATA/COMMUNITY-HEALTHINDICATORS/~/ MEDIA/DEPTS/HEALTH/DATA/DOCUMENTS/2015-2016-JOINT-CHNA-REPORT-SUMMARY.ASHX
SCHEDULE H, PART V, SECTION B, LINE 11	2015/2016 OPPORTUNITIES IDENTIFIED FOR BEHAVIORAL HEALTH BY THE CHNA INCLUDE: 1. USE OF STANDARDIZED REFERRAL PROTOCOLS, COORDINATION OF DISCHARGE PLANNING ACROSS THE HEALTHCARE SYSTEM, INCREASED CAPACITY FOR INTEGRATED BEHAVIORAL HEALTHCARE, AND INCREASED INPATIENT CAPACITY FOR BEHAVIORAL HEALTH. ADDED 2 ADDITIONAL BEDS AND ALREADY PROVIDE INTEGRATED HEALTHCARE WITH OUR PATIENTS VIA OUR MEDICAL TEAM, BEHAVIORAL HEALTHCARE TEAM, ADJUNCTIVE THERAPIES, PSYCHIATRIC PROVIDERS AND SOCIAL SERVICES. 2. SOME HEALTHCARE SYSTEMS, PUBLIC HEALTH, AND UNIVERSITIES PROVIDE NALOXONE, AN OPIATE OVERDOSE ANTIDOTE, TO INDIVIDUALS IN HIGH-RISK POPULATIONS. THE DRUG HAS BEEN SHOWN TO REDUCE FATALITIES FROM OPIATE USE. WE HAVE NALOXONE AVAILABLE AT ALL OUR SITES AND ALSO HAVE PRESCRIBERS PRESCRIBING TO PATIENTS SO THAT THEY HAVE THIS AT HOME AND ON THEIR PERSON. 3. COORDINATION RELATED TO DISCHARGE PLANNING (INCLUDING NOTIFICATION OF BEHAVIORAL HEALTHCARE PROVIDERS AND COMMUNICATION OF PRESCRIPTIONS TO ALL RELEVANT PROVIDERS) COULD CREATE EFFICIENCIES AND REDUCE UNNECESSARY EMERGENCY DEPARTMENT USE. AT THE TIME OF DISCHARGE THE PATIENT RECEIVES A LIST OF DISCHARGE MEDICATIONS AND THE LIST ALONG WITH CLINICAL INFORMATION IS FAXED TO THE OUTPATIENT PROVIDER. AN ADDITIONAL DISCHARGE PLANNER WAS HIRED TO DECREASE CASELOAD AND IMPROVE COORDINATION OF SERVICES BETWEEN INPATIENT AND OUTPATIENT. THE PEER BRIDGERS ESCORT PATIENTS TO THE PHARMACY TO ASSIST IN FILLING DISCHARGE MEDICATIONS, FOLLOW UP PHONES CALL AND PROVIDE TRANSPORTATION TO FOLLOW UP APPOINTMENTS. 4. CLINICIANS IN PRIMARY CARE AND EMERGENCY DEPARTMENTS CAN USE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) TO IDENTIFY INDIVIDUALS AT RISK FOR SUBSTANCE ABUSE DISORDERS. IN 2016 ADDED A CHEMICAL DEPENDENCY PROFESSIONAL IN TRAINING (CDPT) TO THE SOCIAL SERVICES DEPARTMENT TO ADMINISTER THE SBIRT ON ALL NEW ADMISSIONS. 5. MANY HEALTHCARE ORGANIZATIONS ARE INCREASING THEIR CAPACITY FOR INTEGRATED BEHAVIORAL HEALTHCARE. WE OPERATE AN INTEGRATED HEALTHCARE CLINIC IN PARTNERSHIP WITH KING COUNTY PUBLIC HEALTH. 6. CONTINUED ADVOCACY FOR IMPROVED COORDINATION BETWEEN MENTAL AND PHYSICAL HEALTH SERVICES CAN HIGHLIGHT THE IMPORTANCE OF THIS ISSUE. WE HAVE 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 ARE DEVELOPING AN INTEGRATED HEALTHCARE ACADEMY FOR ALL CLINICIANS. 7. SOME HOSPITALS ARE PLANNING TO OPEN ADDITIONAL PSYCHIATRIC TREATMENT BEDS, INCLUDING BEDS FOR ADOLESCENTS. MEDICAID WILL COVER PSYCHIATRIC SERVICES WITHIN FREESTANDING PSYCHIATRIC HOSPITALS FOR THE NEXT TWO YEARS. ADDED 2 ADDITIONAL BEDS TO EASE BOARDING IN THE COUNTY AND WE ARE INCREASING OUR ADOLESCENT BEDS FROM 15 TO 30. 8. THE EARLY DETECTION AND INTERVENTION FOR THE PREVENTION OF PSYCHOSIS PROGRAM (EDIPPP) EDUCATES FAMILIES AND THOSE WHO ROUTINELY INTERACT WITH YOUTH TEACHERS, MENTAL HEALTH PROFESSIONALS, AND DOCTORS ABOUT KEY SIGNS TO LOOK FOR IN YOUNG PEOPLE TO IDENTIFY AND PREVENT PSYCHOSIS. WE ARE WORKING CLOSELY WITH COMMUNITY PROVIDERS WHO ARE UTILIZING THE NEW JOURNEYS PROGRAM FOR EDIPP. THIS IS ALSO ENVELOPED INTO OUR CLINICAL TRAINING PROGRAM FOR ALL PROVIDERS. 9. APPLYING TRAUMA INFORMED CARE PRINCIPLES WITHIN HEALTHCARE FACILITIES CAN REDUCE UNNECESSARY TRAUMA FOR PEOPLE LIVING WITH A MENTAL ILLNESS OR TRAUMA IMPACTS. IMPLEMENTED TRAUMA INFORMED PRINCIPLES COMPLETED INITIAL TRAINING OF ALL STAFF ALONG WITH YEARLY REFRESHERS. WE HAVE A TRAUMA INFORMED CARE POLICY AND ADDED THE TENETS TO OUR EMPLOYEE PERFORMANCE PLANS. WE HAVE INCREASED OUR USE OF PEERS TO ENSURE CLINET VOICE AND CHOICE IN THEIR TREATMENT. ALL STAFF UNDERSTAND THE NEUROBIOLOGY OF TRAUMA. 10. DISPARITIES IN ADVERSE BIRTH OUTCOMES PERSIST, AND THE PERCENTAGE OF BIRTHS IN WHICH MOTHERS OBTAINED EARLY AND ADEQUATE PRENATAL CARE IS TO LOW. COMMUNITY-BASED ORGANIZATIONS STRESS THE IMPORTANCE OF BABY-FRIENDLY HOSPITALS, QUALITY PRENATAL CARE, AND ONGOING SOCIAL SUPPORT, AS OFFERED BY HOME VISITING PROGRAMS. 11. DEATHS DUE TO FALLS AND SUICIDE ARE BOTH RISING; AND DISTRACTED/IMPAIRED DRIVING CONCERNS BOTH COMMUNITY MEMBERS AND LAW-ENFORCEMENT OFFICIALS. OPPORTUNITIES INCLUDE REGIONAL COORDINATION AND STANDARD IMPLEMENTATION OF BEST PRACTICE IN VIOLENCE INJURY AND PREVENTION (INCLUDING PREVENTION-RELATED PRIMARY CARE ASSESSMENT/SCREENING). OUR AGENCY CONTINUES TO REFINE OUTCOME CLINICAL MEASURES AND WILL BE INCLUDING OUTCOME MEASURES IN NEW EMR, EPIC, WHEN IMPLEMENTED. TO ACHIEVE IMPACT GOALS, THE INTEGRATED HEALTH CARE PROGRAM WILL: - PROVIDE INTEGRATED HEALTH CARE IN THE NAVOS/PUBLIC HEALTH PRIMARY CARE CLINIC TO ADULTS WITH SERIOUS MENTAL ILLNESS - PROVIDE WELLNESS SUPPORT THROUGH WELLNESS CLASSES, DROP-IN WELLNESS EDUCATION SESSIONS, COOKING CLASSES, SUPPORT GROUPS, AND NUTRITIONAL COUNSELING - CONTINUE TO DEVELOP CLINICAL PATHWAYS TO IDENTIFY AND TREAT COMMON HEALTH CONDITIONS AFFECTING LOW-INCOME ADULTS WITH SERIOUS MENTAL ILLNESS INCLUDING METABOLIC SYNDROME, DIABETES AND HYPERTENSION - CONTINUE TO DEVELOP AN INTEGRATED CARE ACADEMY TO BUILD SKILLS AMONG BEHAVIORAL HEALTH PROVIDERS IN IDENTIFYING AND ADDRESSING PHYSICAL HEALTH ISSUES, AND TO HELP MEDICAL CLINIC STAFF TO IDENTIFY AND ADDRESS BEHAVIORAL HEALTH ISSUES - CREATE A NAVOS CONSUMER ADVISORY BOARD TO INCLUDE MEMBERS PARTICIPATING IN TREATMENT AND SUPPORT SERVICES THROUGHOUT NAVOS, INCLUDING IDEALLY A PATIENT IN THE INTEGRATED CARE CLINIC ON JUNE 1, 2018, A PARTNERSHIP CONTRACT BETWEEN NORTHWEST KIDNEY FOUNDATION (NKF) AND NAVOS WAS RENEWED FOR TWO YEARS, WITH THE TERMS BEING IDENTICAL WITH ONE EXCEPTION: AN INCREASE IN THE RATE NAVOS RECEIVES FOR PROVIDING CLINICAL EDUCATION AND CONSULTATION SERVICES NAVOS WAS GIVEN A 40% RAISE BY NKC. SPECIFICALLY, THE HOURLY COMPENSATION RATE INCREASED FROM $125/HOUR TO $175/HOUR. THE CLINICAL EDUCATION AND CONSULTATION SERVICES CONTINUE PER THE PREVIOUS AGREEMENT (JUNE 2016-JUNE 2018). NAVOS'S CLINICAL EDUCATOR PROVIDES A VARIETY OF TRAUMA-INFORMED EDUCATION AND CONSULTATION SERVICES CONSISTENT WITH NKC STRATEGIC GOALS. NAVOS PROVIDED GENERAL TRAININGS, SITE-SPECIFIC IN-SERVICES, AND SENTINEL EVENT DEBRIEFING AND OTHER RELEVANT CONSULTATION SERVICES. MEDICAL SPECIALISTS/PRIMARY-CARE TEAM INVOLVEMENT STARTS AT SCREENING FOR ADMISSION (REVIEWING MEDICAL STATUS OF REFERRALS AND IF WE ARE EQUIPPED TO DEAL WITH THEM). THEN UPON ADMISSION, ALL PATIENTS GET AN ADMISSION 'HISTORY AND PHYSICAL' BY THE PRIMARY CARE TEAM AND MEDICAL ISSUES ARE FOLLOWED UP AS NEEDED THROUGH THEIR ADMISSION. THEY ARE ACTIVELY INVOLVED IN TRANSFERS TO ER/DISCHARGE OF MEDICAL ADMISSION ELSEWHERE IF A PATIENTS MEDICAL STATUS TAKES A DOWNTURN AND NEED A HIGHER LEVEL OF CARE. AS NAVOS HOSPITAL TREATS ONLY PATIENTS IN URGENT PSYCHIATRIC DISTRESS, MATERNAL AND CHILD VIOLENCE WILL NOT BE ADDRESSED. OTHER ORGANIZATIONS IN OUR COMMUNITY ARE BETTER SUITED TO ADDRESS THOSE ISSUES.
SCHEDULE H, PART V, SECTION B, LINE 13H	KING COUNTY POLICY AND PROCEDURE MANUAL AND EXTENUATING CIRCUMSTANCES.
SCHEDULE H, PART V, SECTION B, LINES 16A-16C	HTTPS://WWW.NAVOS.ORG/PUBLICATIONS-DOCUMENTATION/
SCHEDULE H, PART V, SECTION B, LINE 17	THERE IS NO SEPARATE BILLING AND COLLECTIONS POLICY. A POLICY IS UNDER DEVELOPMENT AND WILL BE POSTED IN ENGLISH AND ALL LEP LANGUAGES.
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	33	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 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
Barda Bulding
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
Hillcrest Park Apartments
12227 Des Moines Memorial Drive	Seattle	WA	98168	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	Older Adult Behavioral Housing
Lake Apartments
1020 SW 156th	Burien	WA	98146	Housing
Lakewood Apartments
1500 SW 112th Street	Seattle	WA	98146	Housing
PACT Club Palisades
2211 S Star Lake Road	Federal Way	WA	98003	Housing
Weather Vane Apartments - Burien
1123 SW 134th Street	Burien	WA	98146	Housing
PACT Creekwood Apartments
2200 South 234th Street	Des Moines	WA	98198	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
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
Nike M-1
23948 35th Place S	Kent	WA	98032	Older Adult Behavioral Housing
Nike M-18
23942 35th Place S	Kent	WA	98032	Older Adult Behavioral Housing
Nike M-2
23956 35th Place S	Kent	WA	98032	Older Adult Behavioral Housing
Nike M-4
23959 35th Place S	Kent	WA	98032	Older Adult Behavioral Housing
Nike M-5
23957 35th Place S	Kent	WA	98032	Older Adult Behavioral Housing
Nike M-6
23951 35th Place S	Kent	WA	98032	Older Adult Behavioral Housing
PACT Bryson Square
24006 108th Place SE	Kent	WA	98030	Housing
Brick House
1127 SW 134th Street	Burien	WA	98134	Housing
Endeavor House
14835 42nd Ave S	Tukwila	WA	98168	Housing
NikeMidway Office
23960 35th Pl S	Seattle	WA	98032	Older Adult Behavioral Housing
Geoduck Building
2602 SW Holden Street	Seattle	WA	98126	Outpatient Treatment

Supplemental Information Detail SupplementalInformationDetail (11 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) AND SUBSIDIZED HEALTH SERVICES (LINE 7G) 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. THIS IS A CHANGE IN COSTING METHODOLOGY FOR LINES 7C AND 7G FROM WHAT HAS BEEN USED IN YEARS PRIOR TO 2015. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 294,349.
SCHEDULE H, PART III, LINE 2	BAD DEBT EXPENSE IS ESTIMATED BASED ON ACTUAL HISTORICAL BAD DEBT TO TOTAL GROSS REVENUE. DISCOUNTS AND PAYMENT ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 3	THE ORGANIZATION DOES NOT USUALLY HAVE REVENUE WRITTEN OFF AS BAD DEBTS. AS 97% OF PATIENTS ARE CONSIDERED MEDICALLY INDIGENT PERSONS. AMOUNTS THAT ARE WRITTEN OFF ARE MORE OFTEN THAN NOT CONSIDERED CHARITY CARE AS THE PERSONS FALL UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
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.
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. 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 FIVE AFFILIATED FOUNDATIONS: MARY BRIDGE CHILDREN'S FOUNDATION, MULTICARE HEALTH FOUNDATION, GOOD SAMARITAN FOUNDATION, SOUTH KING HEALTH FOUNDATION, AND INLAND NORTHWEST FOUNDATION, ALL WASHINGTON NONPROFIT CORPORATIONS. MULTICARE HEALTH SYSTEM HAS 18,000 TEAM MEMBERS, INCLUDING EMPLOYEES, PROVIDERS AND VOLUNTEERS. WE'VE BEEN 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. THROUGH OUR AFFILIATION WITH NAVOS (EFFECTIVE MAY 1, 2017) AND GREATER LAKES MENTAL HEALTH (EFFECTIVE JULY 1, 2018) WE ARE THE LARGEST BEHAVIORAL HEALTH PROVIDER IN WASHINGTON STATE. OUR NETWORK OF CARE INCLUDES NINE 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 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	false	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 (7 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
Cassandra Undlin
COO	$245,199	$0	$0	$0	$0	$0	$4,927	$0	$7,429	$0	$257,555	$0	$0	$0
Brian Coleman
Psychiatrist	$232,761	$0	$0	$0	$0	$0	$4,732	$0	$5,503	$0	$242,996	$0	$0	$0
Diane McCleave
Registered Nurse	$228,097	$0	$0	$0	$0	$0	$0	$0	$8,207	$0	$236,304	$0	$0	$0
Jeff Korcz
Psychiatrist	$284,280	$0	$0	$0	$0	$0	$5,831	$0	$9,457	$0	$299,568	$0	$0	$0
CHRISTOPHER GROSS
PSYCHIATRIST	$241,995	$0	$0	$0	$0	$0	$4,648	$0	$7,771	$0	$254,414	$0	$0	$0
DAVID JOHNSON
CEO	$0	$234,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$234,000	$0	$0
CATHERINE WEBB
ANRP	$200,791	$0	$0	$0	$0	$0	$2,702	$0	$6,595	$0	$210,088	$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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
A	911108929	000000000	2010-04-14	$7,500,000	PURCHASE FACILITIES	false	false	false
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
B	911108929	000000000	2004-10-21	$3,800,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$7,500,000	$0	$0	$0	$0	$104,911	$0	$7,395,089	$0	$0	2011	false	false	Yes (true)	Yes (true)
B	$0	$0	$3,800,000	$0	$0	$0	$34,000	$0	$0	$699,640	$3,066,360	$0	2004	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	false
B	false	false	false	false	0	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	false	false	false	false	0	false	false
0
B	false	false	Yes (true)	false	Yes (true)	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, LINE B, COLUMN (F)	FormAndLineReferenceDesc
Explanation	1) REFUND BONDS ISSUED ON JANUARY 10, 1996 2) PURCHASE FACILITIES	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$4,878	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Toys	250	$4,878	Fair Market Value
Yes (X)	Furniture/Electronics	76	$2,672	Fair Market Value
Yes (X)	Activity Supplies	500	$23,471	Fair Market Value
Yes (X)	Tickets/Passes	175	$19,611	FACE VALUE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN (B)	CONTRIBUTIONS REPORTED THE NUMBER OF ITEMS CONTRIBUTED IS BEING REPORTED IN COLUMN B.
SCHEDULE M, PART I, LINE 32B	SEATTLE SEAHAWKS TICKETS ARE DONATED TO A SPORT TICKET SALES COMPANY TO SELL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS 70 BED INPATIENT FACILITY CARES FOR PERSONS 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. NAVOS OFFERS A STRUCTURED ENVIRONMENT OF INDIVIDUAL PATIENT EVALUATION, TREATMENT AND DISCHARGE PLANNING TAKES PLACE WITH EVERY PATIENT ALONG WITH PSYCHIATRIC AND STABILIZATION SERVICES, NAVOS PROVIDES INPATIENT ADJUNCTIVE THERAPIES, INCLUDING THERAPEUTIC GROUPS, RECREATION AND ACTIVITIES, ART THERAPY, DANCE/MOVEMENT THERAPY, PSYCHODRAMA, POETRY THERAPY AND PSYCHO-SOCIAL EDUCATION. FORM 990, PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENTS OUTPATIENT SERVICES - ADULT/CHILD/FAMILY: QUALIFIED MASTERS LEVEL STAFF WORK WITH ADULTS/CHILDREN/TEAMS/FAMILIES TO HELP OVERCOME SITUATIONS THAT HARM OR DISRUPT EMOTIONAL GROWTH. THERAPISTS ARE TRAINED TO WORK WITH CLIENTS FROM DIVERSE CULTURES AND ETHNICITIES. NAVOS OFFERS A RANGE OF THERAPIES, INCLUDING PLAY THERAPY FOR YOUNG CHILDREN, INDIVIDUAL AND GROUP THERAPY. NAVOS IS RECOGNIZED IN WASHINGTON STATE AS A PIONEERING AGENCY INCORPORATING RECOVERY CONCEPTS IN CLINICAL PROGRAMS TO EMPOWER CLIENTS AND PARTNER WITH THEM. EVALUATION OF THE CLIENT'S NEED IS MADE INCLUDING ASPECTS OF PRESENT PROBLEMS, FAMILY HISTORY, MEDICAL/MENTAL HEALTH AND DESIRED OUTCOMES OF TREATMENT. A SERVICE PLAN IS THEN DEVELOPED. THE PLAN IDENTIFIES ANY ADVOCACY NEEDED AND IS PERIODICALLY REVIEWED AND UPDATED BY THE CLIENT AND CLINICAL STAFF. NAVOS HAS DEVELOPED A SUCCESSFUL TRAINING PROGRAM TO DEVELOP PEER COUNSELORS AND RELIES ON THESE COUNSELORS TO HELP CLIENTS ACHIEVE THE GOALS THEY CHOOSE. NAVOS ALSO PROVIDES SUPPORTED EMPLOYMENT AND CHEMICAL DEPENDENCY PROGRAMS. FORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTS RESIDENTIAL TREATMENT AND SUPPORTIVE HOUSING: 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, LEASES OTHER FACILITIES AND RENTS APARTMENTS FROM COMMERCIAL LANDLORDS WHERE APPROPRIATE. COUNTY CONTRACTS PROVIDE THE PRINCIPAL SOURCE OF FUNDING FOR NAVOS'S RESIDENTIAL PROGRAMS. INDIVIDUALS 60 AND OLDER ARE PROVIDED ASSISTANCE 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. FORM 990, PART III, LINE 4D Description of Other Program Services NAVOS OPERATES A CONSORTIUM CONSISTING OF 22 SUBCONTRACTORS TO OFFER MEDICAID FUNDED MENTAL HEALTH SERVICES THROUGHOUT KING COUNTY. ADDITIONALLY, THERE ARE PROGRAMS FOR EMPLOYMENT TRAINING. 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 THE INTERNAL TAX STAFF AND IS REVIEWED 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 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	PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSONS 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 COMPENSATION OF NAVOS'S CEO IS ESTABLISHED AND APPROVED BY A COMPENSATION COMMITTEE OF INDEPENDENT BOARD MEMBERS. IN DETERMINING APPROPRIATE COMPENSATION, THE COMMITTEE ANNUALLY CONSIDERS COMPENSATION SURVEYS AND SALARY EXPENSE FOR COMPARABLE ORGANIZATIONS, AS REPORTED ON FORM 990. COMPENSATION IS DOCUMENTED USING A WRITTEN EMPLOYMENT CONTRACT WHICH IS UPDATED EVERY SIX MONTHS.
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 X, LINES 20 & 23 THE BEGINNING BALANCE OF SECURED MORTGAGES AND NOTES PAYABLE TO UNRELATED THIRD PARTIES WAS UPDATED FROM $54,590,825 IN THE PRIOR YEAR TO $46,227,562. $8,363,263 OF TAX-EXEMPT BOND LIABILITIES WERE INADVERTENTLY INCLUDED IN SECURED MORTGAGES AND NOTES PAYABLE TO UNRELATED THIRD PARTIES.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN FUND BALANCE ASSET TRANSFER FROM MULTICARE HEALTH SYSTEM $2,296,984 ROUNDING $3 ----------- TOTAL $2,296,987

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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
NAVOS MULTI-TREATMENT CENTER
PO BOX 46420	SEATTLE	WA	98146	454031562	LEASING & RE	WA	501(c)(3)	12A - I	MHS	Yes (true)
MULTICARE HEALTH SYSTEM
315 MARTIN LUTHER KING JR WAY	TACOMA	WA	98405	911352172	HOSPITAL	WA	501(C)(3)	3	NA	false
GOOD SAMARITAN FOUNDATION
402 15TH AVE SE SUITE 101	PUYALLUP	WA	98372	912004312	CONTRIBUTIONS	WA	501(C)(3)	7	MHS	Yes (true)
MULTICARE HEALTH FOUNDATION
409 S J STREET	TACOMA	WA	98405	911514257	CONTRIBUTIONS	WA	501(C)(3)	7	MHS	Yes (true)
MULTICARE SOUTH KING HEALTH FOUNDATION
737 FAWCETT AVE	TACOMA	WA	98402	465636491	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	CONTRIBUTIONS	WA	501(C)(3)	10	MHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
REDICLINIC OF WA LLC
9 E GREENWAY PLAZA STE 2950	HOUSTON	TX	77046	471808980	HEALTHCARE	TX	NA	N/A
OLYMPIC SPORTS & SPINE PLLC
6050 TACOMA MALL BLVD	TACOMA	WA	98409	822950138	HEALTHCARE SVCS	WA	NA	N/A
AUBURN IMAGING PARTNERS
PO BOX 26730	FEDERAL WAY	WA	98093	202539907	HEALTHCARE SVCS	WA	NA	N/A
VP SURGERY OF AUBURN
1002 15TH AVE SW STE 215	AUBURN	WA	98001	371668651	HEALTHCARE SVCS	WA	NA	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
MEDIS CORPORATION
315 S K STREET	TACOMA	WA	98405	911111928	MEDICAL BUILDING	WA	NA	C CORP	Yes (true)
ROCKWOOD CLINIC PS
800 WEST FIFTH AVENUE	SPOKANE	WA	99204	911352993	HEALTHCARE SVCS	WA	NA	C CORP	Yes (true)

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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
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	NAVOS MULTI-TREATMENT CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	k	TransactionTypeTxt
Involved	$187,702	InvolvedAmt
Method Of Amount Determination	CASH	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