NAVOS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: NAVOS (EIN 91-0848698)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-06
IRS object ID: 201813119349300001
Schema version: 2017v2.3
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	2018-11-06T23:54:26-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION ST STE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	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	MARY LOUISE JONES	PersonNm
Person Title	COO	PersonTitleTxt
Signature	2018-11-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	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	33577420183115000000	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-06	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	85868073965687212239AA369D140FAEDE3756F9	AtSubmissionCreationDeviceId
At Submission Filing Device Id	85868073965687212239AA369D140FAEDE3756F9	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2018-06-14 16:35:46Z	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	981260420	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$64,877,515	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	836	TotalEmployeeCnt
Total Volunteers	95	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,610,697	PYContributionsGrantsAmt
CY Contributions Grants	$1,335,564	CYContributionsGrantsAmt
PY Program Service Revenue	$63,979,179	PYProgramServiceRevenueAmt
CY Program Service Revenue	$62,754,459	CYProgramServiceRevenueAmt
PY Investment Income	$680,679	PYInvestmentIncomeAmt
CY Investment Income	$685,537	CYInvestmentIncomeAmt
PY Other Revenue	-$32,634	PYOtherRevenueAmt
CY Other Revenue	$34,044	CYOtherRevenueAmt
PY Total Revenue	$66,237,921	PYTotalRevenueAmt
CY Total Revenue	$64,809,604	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	$36,760,249	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$40,440,923	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$39,884	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$412,962	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,592,828	PYOtherExpensesAmt
CY Other Expenses	$27,125,015	CYOtherExpensesAmt
PY Total Expenses	$64,353,077	PYTotalExpensesAmt
CY Total Expenses	$67,605,822	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,884,844	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,796,218	CYRevenuesLessExpensesAmt
Total Assets BOY	$105,241,539	TotalAssetsBOYAmt
Total Assets EOY	$89,831,742	TotalAssetsEOYAmt
Total Liabilities BOY	$65,201,263	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$65,600,289	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$40,040,276	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$24,231,453	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	Yes (true)	SignificantChangeInd
Expense	$18,840,016	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$21,946,880	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$15,482,434	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$17,102,406	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$11,243,367	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,555,002	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$16,327,571	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$15,150,171	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$61,893,388	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	Yes (true)	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	134	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	836	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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	Yes (true)	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 (18 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
Treasurer	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
Don Gillmore
President	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
Bobbie Bridge
Member Emerita	0.5	1.0	Yes (X)		$0	$0	$0
Rebeca Dawn
1st Vice President	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
Jean Ellsworth
Member Emerita	0.5	1.0	Yes (X)		$0	$0	$0
Charles Hoffman
Director	0.5	1.0	Yes (X)		$0	$0	$0
Tom Mitchell
Director	0.5	1.0	Yes (X)		$0	$0	$0
Carrie Holmes
2nd Vice President	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
Brian Abeel
Secretary	0.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
Matt Mihlon
President Emeritus	0.5	1.0	Yes (X)		$0	$0	$0
Mike Sweeney
Director	0.5	1.0	Yes (X)		$0	$0	$0
David Johnson
CEO	40.0	1.0		Yes (X)	$102,024	$194,110	$5,462
Cassandra Undlin
COO	40.0	1.0		Yes (X)	$211,585	$0	$12,009
Brian Coleman
Psychiatrist	22.4	0.1			$206,697	$0	$9,577	Yes (X)
Diane McCleave
Registered Nurse	40.0	0.1			$196,031	$0	$8,158	Yes (X)
Monica Strope
Psychiatrist	10.0	0.1			$200,140	$0	$12,622	Yes (X)
Catherine Webb
Registered Nurse	40.0	0.1			$205,607	$0	$10,666	Yes (X)
Jeff Korcz
Psychiatrist	40.0	0.1			$291,384	$0	$15,426	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,413,468	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$194,110	TotReportableCompRltdOrgAmt
Total Other Compensation	$73,920	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	35	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	$1,761,646
LUTHERAN SOCIAL SERVICES
433 Minor Ave N	SEATTLE	WA	98109	SOCIAL SERVICES	$1,427,804
YOUTH EASTSIDE SERVICES
999 164th Ave NE	BELLEVUE	WA	98008	SOCIAL SERVICES	$1,222,634
RENTON AREA YOUTH
1025 S 3RD ST	RENTON	WA	98057	SOCIAL SERVICES	$932,040
CENTER FOR HUMAN SERVICES
14803 15th Ave NE	SHORELINE	WA	98155	SOCIAL SERVICES	$712,175

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Fundraising	$331,038	FundraisingAmt
Related Organizations	$10,000	RelatedOrganizationsAmt
All Other Contributions	$994,526	AllOtherContributionsAmt
Noncash Contributions	$43,002	NoncashContributionsAmt
Total Contributions	$1,335,564	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	$27,668,810	$27,668,810	$0	$0
KING COUNTY - OTHER SERVICES	624100	$14,848,677	$14,848,677	$0	$0
MEDICARE/MEDICAID NET	624100	$11,367,385	$11,367,385	$0	$0
STATE DSH, CTED AND OTHER	624100	$2,380,441	$2,380,441	$0	$0
3RD PARTY INS & SELF PAY	624100	$2,305,634	$2,305,634	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,183,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,183,512	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$62,754,459	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$223,252	TotalRevenueColumnAmt
Exclusion	$223,252	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	$97,776	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$97,776	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$97,776	TotalRevenueColumnAmt
Exclusion	$97,776	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$29,888	SecuritiesAmt
Other	$436,576	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,179	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,888	SecuritiesAmt
Other	$432,397	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$462,285	TotalRevenueColumnAmt
Exclusion	$462,285	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$331,038	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$63,732	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$63,732	TotalRevenueColumnAmt
Exclusion	-$63,732	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	$64,809,604	TotalRevenueColumnAmt
Related Or Exempt Func Income	$62,754,459	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$719,581	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	$565,609	TotalAmt
Program Services	$235,638	ProgramServicesAmt
Management And General	$329,971	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$32,870,640	TotalAmt
Program Services	$28,820,160	ProgramServicesAmt
Management And General	$3,807,224	ManagementAndGeneralAmt
Fundraising	$243,256	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$499,866	TotalAmt
Program Services	$482,732	ProgramServicesAmt
Management And General	$11,853	ManagementAndGeneralAmt
Fundraising	$5,281	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,458,131	TotalAmt
Program Services	$3,005,956	ProgramServicesAmt
Management And General	$437,779	ManagementAndGeneralAmt
Fundraising	$14,396	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,046,677	TotalAmt
Program Services	$2,647,571	ProgramServicesAmt
Management And General	$374,484	ManagementAndGeneralAmt
Fundraising	$24,622	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$681,989	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$681,989	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$263,252	TotalAmt
Program Services	$40,463	ProgramServicesAmt
Management And General	$222,789	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$127,487	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$127,487	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	$39,884	TotalAmt
Fundraising	$39,884	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	$1,111,468	TotalAmt
Program Services	$726,475	ProgramServicesAmt
Management And General	$384,993	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$106,840	TotalAmt
Program Services	$24,840	ProgramServicesAmt
Management And General	$79,938	ManagementAndGeneralAmt
Fundraising	$2,062	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,053,306	TotalAmt
Program Services	$1,507,356	ProgramServicesAmt
Management And General	-$486,360	ManagementAndGeneralAmt
Fundraising	$32,310	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,200,513	TotalAmt
Program Services	$3,391,381	ProgramServicesAmt
Management And General	-$2,198,555	ManagementAndGeneralAmt
Fundraising	$7,687	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	$2,428,100	TotalAmt
Program Services	$2,237,042	ProgramServicesAmt
Management And General	$159,579	ManagementAndGeneralAmt
Fundraising	$31,479	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	$193,442	TotalAmt
Program Services	$124,575	ProgramServicesAmt
Management And General	$68,327	ManagementAndGeneralAmt
Fundraising	$540	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,100,429	TotalAmt
Program Services	$1,005,844	ProgramServicesAmt
Management And General	$94,585	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,290,581	TotalAmt
Program Services	$1,642,824	ProgramServicesAmt
Management And General	$647,757	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$680,928	TotalAmt
Program Services	$293,710	ProgramServicesAmt
Management And General	$387,218	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BEHAVIORAL HEALTH SERVICES	$13,092,253	$13,087,018	$5,235	$0
PROGRAM EXPENSES	$2,310,268	$2,293,701	$15,027	$1,540
EMPLOYEE TRAINING/RECRUITING	$211,674	$143,271	$66,807	$1,596
OTHER OPERATING EXPENSES	$242,485	$182,831	$51,345	$8,309

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,605,822	TotalAmt
Program Services	$61,893,388	ProgramServicesAmt
Management And General	$5,299,472	ManagementAndGeneralAmt
Fundraising	$412,962	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,883,414	BOYAmt
EOY	$1,822,971	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	$8,684,650	BOYAmt
EOY	$9,837,964	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	$20,126,291	BOYAmt
EOY	$17,205,791	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$108,215	BOYAmt
EOY	$111,203	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$604,506	BOYAmt
EOY	$720,595	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$67,591,842	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$14,938,748	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$67,633,889	BOYAmt
EOY	$52,653,094	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	$0	BOYAmt
EOY	$2,861,905	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,186,403	BOYAmt
EOY	$4,604,048	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$105,241,539	BOYAmt
EOY	$89,831,742	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,298,605	BOYAmt
EOY	$9,049,675	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	$2,032,060	BOYAmt
EOY	$1,893,495	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$54,801,949	BOYAmt
EOY	$54,590,825	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	$68,649	BOYAmt
EOY	$66,294	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,201,263	BOYAmt
EOY	$65,600,289	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,660,316	BOYAmt
EOY	$19,566,705	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,132,858	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,247,102	BOYAmt
EOY	$4,664,748	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$40,040,276	BOYAmt
EOY	$24,231,453	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$105,241,539	BOYAmt
EOY	$89,831,742	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,796,218	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$449,582	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$100	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$13,462,287	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
Public Support CY509	0.00000	PublicSupportCY509Pct

Schedule B IRS990ScheduleB

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	$33,131	OtherActivitiesAmt
Total Lobbying Expenditures	$33,131	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 $3,131 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)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$13,804,850	OtherCostOrOtherBasisAmt
Book Value	$13,804,850	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$30,695,610	OtherCostOrOtherBasisAmt
Depreciation	$4,927,624	DepreciationAmt
Book Value	$25,767,985	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$13,869,723	OtherCostOrOtherBasisAmt
Depreciation	$3,879,811	DepreciationAmt
Book Value	$9,989,912	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$8,397,277	OtherCostOrOtherBasisAmt
Depreciation	$5,850,513	DepreciationAmt
Book Value	$2,546,765	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$824,382	OtherCostOrOtherBasisAmt
Depreciation	$280,800	DepreciationAmt
Book Value	$543,582	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$52,653,094	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
STUART TRUST BENEFICIAL INTRST	$3,598,831
EGTVEDT TRUST BENEFICIAL INTRT	$1,005,217

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,604,048	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	TENANT DEPOSITS	Desc
Amt	$66,294	Amt

Field	Value	IRS element (for citing)
Total Liability	$66,294	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

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	Margaret Masar	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 60091	AddressLine1Txt
City	Burien	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98160	ZIPCd

Field	Value	IRS element (for citing)
Activity	GRANT WRITER	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$2,922,758	GrossReceiptsAmt
Retained By Contractor	$39,884	RetainedByContractorAmt
Net To Organization	$1,194,753	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$2,922,758	TotalGrossReceiptsAmt
Total Retained By Contractors	$39,884	TotalRetainedByContractorsAmt
Total Net To Organization	$1,194,753	TotalNetToOrganizationAmt
Licensed States	WA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GROWING HOPE	Event1Nm
Gross Receipts Event1	$331,038	GrossReceiptsEvent1Amt
Charitable Contri Event1	$331,038	CharitableContriEvent1Amt
Rent Facility Costs Event1	$7,748	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$23,742	FoodAndBeverageEvent1Amt
Entertainment Event1	$16,883	EntertainmentEvent1Amt
Other Direct Expenses Event1	$15,359	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$331,038	GrossReceiptsTotalAmt
Charitable Contributions Tot	$331,038	CharitableContributionsTotAmt
Rent Fclty Costs Total Events	$7,748	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$23,742	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$16,883	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$15,359	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$63,732	DirectExpenseSummaryEventsAmt
Net Income Summary	-$63,732	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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,765,520	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,181,077	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,584,443	NetCommunityBenefitExpnsAmt
Total Expense	0.11250	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,169,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,984,298	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,184,812	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,949,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,302,287	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,884,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,467,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,769,255	NetCommunityBenefitExpnsAmt
Total Expense	0.15970	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$345,783	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$345,783	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,959,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,092,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,320,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,092,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$360,956	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,204,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,560,421	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,130,211	NetCommunityBenefitExpnsAmt
Total Expense	0.16500	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$805,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$441,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$364,442	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$805,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$441,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$364,442	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$168,905	BadDebtExpenseAmt
Bad Debt Expense Attributable	$168,905	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,062,303	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,116,058	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$53,755	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	98216	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	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
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 Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 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 ASSESSMENTS 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, LINE 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 CLIENT 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, LINE 15C & 15D	THE FINANCIAL ASSISTANCE APPLICATION METHOD WAS UPDATED IN FEBRUARY 2018 TO INCLUDE CONTACT INFORMATION OF HOSPITAL FACILITY STAFF WHO CAN PROVIDE AN INDIVIDUAL WITH INFORMATION ABOUT THE FAP AND FAP APPLICATION PROCESS. THE METHOD WILL ALSO BE UPDATED TO PROVIDE CONTACT INFORMATION OF NONPROFIT ORGANIZATIONS OR GOVERNMENT AGENCIES THAT MAY BE SOURCES OF ASSISTANCE WITH FAP APPLICATIONS. THE APPLICATION CAN BE ACCESSED VIA THE FOLLOWING LINK: https://www.navos.org/wp-content/uploads/Financial-Assistance-and-Charity- Care-Application-Instructions.pdf
SCHEDULE H, PART V, SECTION B, LINES 16A-16C & 16F-I	THE FOLLOWING ITEMS WERE COMPLETED AND UPDATED IN FEBRUARY 2018: 16A-C & 16F-I: https://www.navos.org/publications-documentation/
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.

Field	Value	IRS element (for citing)
Facility	31	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PACT Bryson Square
24006 108th Place SE	Kent	WA	98030	Housing
PACT Burien Heights APARTMENTS
1115 SW 134th Street	Burien	WA	98146	Housing
PACT Club Palisades
2211 S Star Lake Road	Federal Way	WA	98003	Housing
PACT Creekwood Apartments
2200 South 234th Street	Des Moines	WA	98198	Housing
Brick House
1127 SW 134th Street	Burien	WA	98134	Housing
Cedarstone
13213 Ambaum Blvd SW	Burien	WA	98146	Housing
Endeavor House
14835 42nd Ave S	Tukwila	WA	98168	HOUSING
Evergreen House
818 S 231 Street	Des Moines	WA	98198	HOUSING
Fairway House
1728 S 104th	Seattle	WA	98168	HOUSING
Graduate House
13432 4th Ave SW	Seattle	WA	98146	HOUSING
Highline Village
2604 - 2614 SW Holden Street	Seattle	WA	98126	HOUSING
Hillcrest Park APARTMENTS
12227 Des Moines Memorial DRIVE	Seattle	WA	98168	HOUSING
Kent
24904 36th Ave S	Kent	WA	98032	OLDER ADULT BEHAVIORAL 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
Occidental
13620 Occidental S	Seattle	WA	98168	HOUSING
PALS
14611 5th Ave S	Seattle	WA	98168	HOUSING
Weather Vane APARTMENTS - Burien
1123 SW 134th Street	Burien	WA	98146	HOUSING
Lakewood APARTMENTS
1500 SW 112th Street	Seattle	WA	98146	HOUSING
Conbela APARTMENTS
8424 Delridge Way SW	Seattle	WA	98106	HOUSING
Valleywood APARTMENTS
801 I Street NE	Auburn	WA	98002	HOUSING
Barda Bulding
2600 SW Holden Street	Seattle	WA	98126	OUTPATIENT Treatment
New Burien Campus
1210 SW 136th Street	Burien	WA	98166	OUTPATIENT Treatment
Lake Burien Campus
1033 SW 152nd Street	Burien	WA	98166	RES Treatment
HIGHWEST RESIDENCY
15035 8th Ave S	Seattle	WA	98148	OLDER ADULT BEHAVIORAL 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 (14 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.
SCHEDULE H, 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 $ 168,905.
SCHEDULE H, PART II, LINE 2	COMMUNITY BUILDING ACTIVITIES ECONOMIC DEVELOPMENT: SUPPORTED EMPLOYMENT - THE SUPPORTED EMPLOYMENT PROGRAM WORKS WITH INDIVIDUALS TO HELP THEM BUILD SKILLS, FIND MEANINGFUL WORK, AND MAINTAIN JOBS. VOCATIONAL SPECIALISTS MATCH POTENTIAL CLIENT-EMPLOYEES WITH EMPLOYERS AND PROVIDE LONG-TERM SUPPORT SERVICES TO ENSURE CLIENTS' ONGOING EMPLOYMENT SUCCESS. VOCATIONAL STAFF DEVELOP PARTNERSHIPS WITH COMMUNITY BUSINESSES AND COLLABORATE WITH THE DIVISION OF VOCATIONAL REHABILITATION, AS WELL AS OTHER EMPLOYMENT SERVICE AGENCIES. THE NAVOS CAFE/FOOD SERVICE PROGRAMS WORK WITH THE VOCATIONAL SERVICE CLIENTS TO TRAIN THEM FOR RETAIL AND FOOD SERVICE INDUSTRY. COALITION FOR DRUG FREE YOUTH, MENTORS GROUPS TO FACILITATE THE GOAL OF DRUG REDUCTION AND EDUCATION FOR THE SCHOOL DISTRICTS.
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. PERSONS FALL UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 4	NAVOS DOES NOT ACCRUE INTEREST ON PATIENT AND THIRD-PARTY ACCOUNTS RECEIVABLE. NAVOS RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS ON PATIENT AND THIRD-PARTY ACCOUNTS RECEIVABLE, CONSIDERING SEVERAL FACTORS SUCH AS HISTORICAL BILLING AND COLLECTIONS DATA, CHANGES IN PAYMENT METHODOLOGY, CHANGES IN CONTRACT, PAYOR TYPE, FREQUENCY OF PAYMENTS, LEVEL OF DIFFICULTIES IN COLLECTIONS, POPULATION TYPE, FUTURE ECONOMIC CONDITIONS, AND OTHER FACTORS. BALANCES ARE DEEMED DELINQUENT AFTER 90 DAYS. RECEIVABLES PAST DUE 90 DAYS OR MORE WERE APPROXIMATELY $3,621,000 AND $3,119,000 AT DECEMBER 31, 2017 AND 2016, RESPECTIVELY. BALANCES THAT ARE STILL OUTSTANDING AFTER REASONABLE AND CUSTOMARY COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A REDUCTION OF ACCOUNTS RECEIVABLE.
SCHEDULE H, PART III, LINE 8	THE ORGANIZATION DOES NOT TREAT ANY OF THE MEDICARE SHORTFALL AS COMMUNITY BENEFIT. 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.
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)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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
David Johnson
CEO	$102,024	$170,000	$0	$10,800	$0	$13,310	$0	$0	$4,573	$889	$106,597	$194,999	$0	$0
Cassandra Undlin
COO	$211,585	$0	$0	$0	$0	$0	$4,256	$0	$7,753	$0	$223,594	$0	$0	$0
Brian Coleman
Psychiatrist	$206,697	$0	$0	$0	$0	$0	$4,211	$0	$5,366	$0	$216,274	$0	$0	$0
Diane McCleave
Registered Nurse	$196,031	$0	$0	$0	$0	$0	$0	$0	$8,158	$0	$204,189	$0	$0	$0
Monica Strope
Psychiatrist	$200,140	$0	$0	$0	$0	$0	$3,919	$0	$8,703	$0	$212,762	$0	$0	$0
Catherine Webb
Registered Nurse	$205,607	$0	$0	$0	$0	$0	$2,778	$0	$7,888	$0	$216,273	$0	$0	$0
Jeff Korcz
Psychiatrist	$291,384	$0	$0	$0	$0	$0	$5,973	$0	$9,453	$0	$306,810	$0	$0	$0

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	2004-10-21	$3,800,000	PURCHASE FACILITIES	false	false	false
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
B	911108929	000000000	2010-04-14	$7,500,000	PURCHASE FACILITIES	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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$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)
B	$0	$0	$7,500,000	$0	$0	$0	$104,911	$0	$0	$7,395,089	$0	$0	2011	false	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	Yes (true)	false	false	0	false	false
0
B	false	false	Yes (true)	false	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

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	$34,362	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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$5,837	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	TICKETS	Desc
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$2,803	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
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	A BROKER IS USED TO SELL DONATED TICKETS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	CHANGES TO PROGRAM SERVICES DISCONTINUED BEHAVIORAL RESIDENTIAL SERVICES FOR YOUTH IN JULY 2017. 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 PROGRAM SERVICE ACCOMPLISHMENTS 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 4	SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS THE SOLE CORPORATE MEMBER HAS CHANGED TO MULTICARE HEALTH SYSTEM. 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 DECISIONS REQUIRING APPROVAL THE DECISIONS THAT REQUIRE THE SOLE CORPORATE MEMBER MULTICARE HEALTH SYSTEM APPROVAL ARE: APPOINTMENT AND REMOVAL OF ELECTED DIRECTORS; ANNUAL CAPITAL AND OPERATING BUDGETS, INCLUDING COMPENSATION PLANS; STRATEGIC PLANS; SELECTION AND APPOINTMENT OF THE CEO OF NAVOS; INCURRENCE OF INDEBTEDNESS; SALE OR DISPOSITION OF REAL PROPERTY; ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS; AND MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS. ALL OTHER DECISIONS ARE MADE BY THE NAVOS DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS USED BY 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 EXECUTIVE 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, SECTION B, LINE 12C	PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH 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 15B	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 XI, LINE 9	OTHER CHANGES IN FUND BALANCE ASSET TRANSFER FROM MULTICARE HEALTH SYSTEM $ 2,420,186 ASSET IMPAIRMENT - PURCHASE ACCOUNTING $(15,777,000) OTHER $ (105,473) ------------- TOTAL $(13,462,287)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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	981460420	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)
ALLIANCE FOR SOUTH SOUND HEALTH
737 FAWCETT AVE	TACOMA	WA	98403	474654897	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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
MULTICARE CONSULTING SERVICES LLC
1102 BROADWAY STE 510	TACOMA	WA	98402	454152765	COLLECTIONS	WA	NA	N/A
OLYMPIC SPORTS & SPINE PLLC
6050 TACOMA MALL BLVD	TACOMA	WA	98409	822950138	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	BLDG RENT/CONSULT	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	false	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 PAYMENTS	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 MULTICARE CONSULTING SERVICES, LLC EIN: 45-4152765 ADDRESS: 1102 BROADWAY, STE 510, TACOMA, WA 98402 OLYMPIC SPORTS & SPINE, PLLC EIN: 82-2950138 ADDRESS: 6050 TACOMA MALL BLVD, TACOMA, WA 98409	ExplanationTxt