2019-11-15T19:01:03-06:00 2018-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVE SUITE 1700 IRVINE CA 92612 990 2018-01-01 910848698 Navos % Rebecca Pevey NAVO 2069337189 PO Box 46420 Seattle WA 981460420 DAVID JOHNSON CEO 2069337189 2019-11-15 true INAS RAOUF P01254678 9497942300 164.57.159.253 33577420193195000105 2019-11-15 P 337686BC7CC6EC2662FF9B863E3DABD55E8368B5 B624E8CB9ADA9901BBF432C0B9948499803DA55C 2018 2020-03-31 21:24:44Z David Johnson PO Box 46420 Seattle WA 981460420 87221399 false X Navos.org X 1963 WA COMMUNITY SUPPORT - THERAPY, INPATIENT, DAY TREATMENT, MEDICATION AND CASE MANAGEMENT SERVICES TO THE SEVERELY, PERSISTENTLY MENTALLY ILL 12 12 768 108 0 0 1335564 1420820 62754459 60638810 685537 6625257 34044 -4764 64809604 68680123 0 0 0 0 40440923 40395337 39884 0 93430 27125015 25703232 67605822 66098569 -2796218 2581554 89831742 70253526 65600289 41522904 24231453 28730622 X COMMUNITY SUPPORT - THERAPY, INPATIENT, DAY TREATMENT, MEDICATION AND CASE MANAGEMENT SERVICES TO THE SEVERELY, PERSISTENTLY MENTALLY ILL. false false 18846872 0 20336993 SEE SCHEDULE O 14171969 0 13997425 SEE SCHEDULE O 13913456 0 12672090 SEE SCHEDULE O 8329075 0 13632302 55261372 true true false true false false false false false false true false false true true true false true false false false false false false true false true true false false true true false false false false false false false false false false true false false false false true true true false false true 129 0 true 768 true false false false false false false false false false false false false X 12 12 false false false false true true true true true false false true true true true true true false false false X X Rebecca Pevey 2069337189 2600 SW Holden Street Seattle WA 98126 Patti Neuberger 2ND VICE PRESIDENT 0.5 0.5 X X 0 0 0 Don Gillmore President 0.5 0.5 X X 0 0 0 Bobbie Bridge Member Emerita 0.5 0.5 X 0 0 0 Rebeca Dawn DIRECTOR 0.5 0.5 X 0 0 0 Jean Ellsworth Member Emerita 0.5 0.5 X 0 0 0 Charles Hoffman Director 0.5 0.5 X 0 0 0 Carrie Holmes DIRECTOR 0.5 0.5 X 0 0 0 Brian Abeel 1st VICE PRESIDENT 0.5 0.5 X X 0 0 0 Mike Sweeney TREASURER/SECRETARY 0.5 0.5 X X 0 0 0 LISA DRECHSLER DIRECTOR 0.5 1.0 X 0 0 0 CHARLES PURCELL DIRECTOR 0.5 1.0 X 0 0 0 SANDY ROSENKRANZ DIRECTOR 0.5 1.0 X 0 0 0 Cassandra Undlin COO 40.0 0.5 X 245199 0 12356 MEGAN KELLY CCO (JAN-APRIL) 40.0 0.5 X 66442 0 2266 MARYLOUISE JONES CCO (JULY-DEC) 40.0 0.5 X 77943 0 2914 DAVID JOHNSON CEO 40.0 0.5 X 0 234000 0 Brian Coleman Psychiatrist 40.0 0.1 X 232761 0 10235 Diane McCleave Registered Nurse 40.0 0.1 X 228097 0 8207 Jeff Korcz Psychiatrist 40.0 0.1 X 284280 0 15288 CHRISTOPHER GROSS PSYCHIATRIST 40.0 0.1 X 241995 0 12419 CATHERINE WEBB ANRP 40.0 0.0 X 200791 0 9297 1577508 234000 72982 44 false true false NEXUS 186 F St SE AUBURN WA 98002 SOCIAL SERVICES 1904841 YOUTH EASTSIDE SERVICES 999 164TH AVE NE BELLEVUE WA 98008 SOCIAL SERVICES 1381189 LUTHERAN SOCIAL SERVICES 433 MINOR AVE N SEATTLE WA 98109 SOCIAL SERVICES 1156538 CENTER FOR HUMAN SERVICES 14803 15TH AVE NE SHORELINE WA 98155 SOCIAL SERVICES 1003745 RENTON AREA YOUTH 1025 S 3RD ST RENTON WA 98057 SOCIAL SERVICES 792105 28 338019 1082801 55510 1420820 KING COUNTY - 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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. 13804850 13804850 31703148 5547642 26155506 13852594 4219463 9633131 7944795 5311651 2633144 1444372 306237 1138135 53364766 STUART TRUST-BENEFICIAL INT. 3241342 EGTVEDT TRUST-BENEFICIAL INT. 983335 4224677 0 TENANT DEPOSITS 71983 DUE TO MULTICARE HEALTH SYSTEM 2364442 2436425 X SCHEDULE D, PART X, LINE 2 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." Margaret Masar GRANT WRITER false COMM. LUNCHEON 338019 338019 28443 9587 15000 40400 0 338019 338019 28443 9587 15000 40400 93430 -93430 true true X true X 300. true X 500. true true true false false 16744540 7433979 9310561 0.14090 13570744 8965670 4605074 0.06970 29727305 30633724 60042589 47033373 13915635 0.21060 1455815 709999 745816 0.01130 3956562 3321758 634804 0.00960 5090 0 5090 0.00010 5417467 4031757 1385710 0.02100 65460056 51065130 15301345 0.23160 true 1793598 1782336 11262 X true true 1 1 NAVOS PSYCHIATRIC HOSPITAL 2600 SW Holden Street Seattle WA 98126 WWW.NAVOS.ORG LICENSE: 601-009-3 X Psychiatric Hospital 1 NAVOS PSYCHIATRIC HOSPITAL 1 false false true X X X X X X X X X 16 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 300. 500. X X X X false true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V X X X X X X false X false X X X X true X false false 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. 33 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 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 false false false false false false false false false Cassandra Undlin COO 245199 0 0 0 0 0 4927 0 7429 0 257555 0 0 0 Brian Coleman Psychiatrist 232761 0 0 0 0 0 4732 0 5503 0 242996 0 0 0 Diane McCleave Registered Nurse 228097 0 0 0 0 0 0 0 8207 0 236304 0 0 0 Jeff Korcz Psychiatrist 284280 0 0 0 0 0 5831 0 9457 0 299568 0 0 0 CHRISTOPHER GROSS PSYCHIATRIST 241995 0 0 0 0 0 4648 0 7771 0 254414 0 0 0 DAVID JOHNSON CEO 0 234000 0 0 0 0 0 0 0 0 0 234000 0 0 CATHERINE WEBB ANRP 200791 0 0 0 0 0 2702 0 6595 0 210088 0 0 0 SCHEDULE J, PART I, LINE 3 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. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 000000000 2010-04-14 7500000 PURCHASE FACILITIES false false false B WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 000000000 2004-10-21 3800000 SEE PART VI false false false A 0 0 7500000 0 0 0 0 104911 0 7395089 0 0 2011 false false true true B 0 0 3800000 0 0 0 34000 0 0 699640 3066360 0 2004 true false true true A false false false false 0 false false false false B false false false false 0 false false false false A false false true false false false 0 false 0 false false B false false true false true false 0 false 0 false false A false B false SCHEDULE K, PART I, LINE B, COLUMN (F) 1) REFUND BONDS ISSUED ON JANUARY 10, 1996 2) PURCHASE FACILITIES X 4878 COST/SELLING PRICE X Toys 250 4878 Fair Market Value X Furniture/Electronics 76 2672 Fair Market Value X Activity Supplies 500 23471 Fair Market Value X Tickets/Passes 175 19611 FACE VALUE false true true 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. 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 NAVOS MULTI-TREATMENT CENTER PO BOX 46420 SEATTLE WA 98146 454031562 LEASING & RE WA 501(c)(3) 12A - I MHS 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 true MULTICARE HEALTH FOUNDATION 409 S J STREET TACOMA WA 98405 911514257 CONTRIBUTIONS WA 501(C)(3) 7 MHS true MULTICARE SOUTH KING HEALTH FOUNDATION 737 FAWCETT AVE TACOMA WA 98402 465636491 CONTRIBUTIONS WA 501(C)(3) 7 MHS true GREATER LAKES MENTAL HEALTHCARE 9330 59TH AVE SW LAKEWOOD WA 98499 916064184 HOSPITAL WA 501(C)(3) 3 MHS true CHVI PROFESSIONAL CORPORATION 222 N J STREET TACOMA WA 98403 475457904 HOSPITAL WA 501(C)(3) 3 MHS true MARY BRIDGE CHILDREN'S FOUNDATION 409 S J STREET TACOMA WA 98405 943030039 CONTRIBUTIONS WA 501(C)(3) 7 MHS true MULTICARE REHABILITATION SPECIALISTS PC 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 822949880 CONTRIBUTIONS WA 501(C)(3) 10 MHS true 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 MEDIS CORPORATION 315 S K STREET TACOMA WA 98405 911111928 MEDICAL BUILDING WA NA C CORP true ROCKWOOD CLINIC PS 800 WEST FIFTH AVENUE SPOKANE WA 99204 911352993 HEALTHCARE SVCS WA NA C CORP true false false false false false false false false false false true false false true true false false false true NAVOS MULTI-TREATMENT CENTER k 187702 CASH SCHEDULE R, PART III 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