2017-11-09T17:42:37-06:00 2016-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2016-01-01 911352172 MULTICARE HEALTH SYSTEM MULT 2534598125 PO BOX 5299 TACOMA WA 984150299 ANNA LOOMIS CFO 2534598125 2017-11-09 0 P01286320 4158948000 199.79.112.251 2017-11-09 15:32:27 PS P 5F5F42CA9AA3CF23D4E9302B5A25BFD747527FAC CE127F71443DBE0C0618F053878EDE5B21AB9198 2016 2021-01-29 14:40:06Z ANNA LOOMIS PO BOX 5299 TACOMA WA 984150299 1993168267 0 X HTTPS://WWW.MULTICARE.ORG/ X 1987 WA MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE. 10 9 11613 2176 1632241 -901632 33015880 37339194 1939546859 1932563386 -4644067 -2374390 -368776 -329588 1967549896 1967198602 6579495 7413680 0 0 1028607689 1079077429 0 0 0 723985101 768417271 1759172285 1854908380 208377611 112290222 3396517115 3604113624 1483942825 1515722936 1912574290 2088390688 X MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE. 0 0 1248358907 7413680 1719942664 MULTICARE HEALTH SYSTEM (MHS) OPERATES FIVE COMMUNITY BASED HOSPITALS WITH 1,061 LICENSED ADULT BEDS AND 82 LICENSED PEDIATRIC BEDS. DURING 2016 MHS HOSPITALS ADMITTED 46,011 PATIENTS FOR A TOTAL OF 235,549 PATIENT DAYS, PERFORMED 32,967 SURGERIES AND DELIVERED 6,714 BABIES. THERE WERE 9,735 NEWBORN DAYS DURING 2016. THEY ALSO PROVIDED CARE FOR 278,749 OUTPATIENT VISITS AND 267,745 EMERGENCY ROOM VISITS, OF WHICH 1,215 WERE TRAUMA PATIENTS. IN 2015, MHS BEGAN A COMMUNITY PARTNERSHIP FUND TO SUPPORT ORGANIZATIONS WHOSE WORK IS IMPORTANT TO THE HEALTH OF THE COMMUNITIES IT SERVES. THE FUND FOCUSES ON THE IDEA THAT BUILDING ENDURING PRODUCTIVE PARTNERSHIPS FOR THE BETTERMENT OF OUR COMMUNITY BY SUPPORTING ACTIVITIES FOR HEALTH IMPROVEMENT, ECONOMIC (SEE SCHEDULE O) WELL-BEING AND OTHER COMMUNITY "DETERMINANTS OF HEALTH" INDICATORS, EXTENDS MULTICARE'S DIRECT COMMUNITY ENGAGEMENT AND IMPACT. IN 2016 MHS PROVIDED OVER 45 GRANTS TO COMMUNITY ORGANIZATIONS. 114853747 103228527 MULTICARE HEALTH SYSTEM OPERATES MULTI-SPECIALTY CLINICS THROUGHOUT PIERCE AND SOUTH KING COUNTIES. DURING 2016 THESE CLINICS PROCESSED 391,807 LABORATORY WORKLOAD UNITS, 29,861 IMAGING RELATIVE UNITS, 115,591 ONCOLOGY RELATIVE VALUE UNITS, 186,494 THERAPY VALUE UNITS AND 1,132 PHARMACY WORKLOAD UNITS. THEY ALSO PROVIDED CARE FOR 128,871 OUTPATIENT VISITS AND PERFORMED SPECIALIST SURGERIES AS FOLLOWS: PEDIATRIC, GENERAL, NEUROLOGIC, VASCULAR, SPINE, ORTHOPEDIC, GENERAL BREAST, PEDIATRIC ORTHOPEDIC, CARDIOTHORACIC, GENERAL BARIATRIC, COLORECTAL, SURGICAL PODIATRY, PEDIATRIC NEUROSURGERY, FOOT ANKLE SURGERY ETC. 94151292 50828969 MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 518,972 PATIENT VISITS DURING 2016. 73987249 58563226 MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE URGENT CARE CLINICS, BEHAVIORAL HEALTH, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH AND PSYCHOLOGY CHILDREN'S THERAPY UNIT. DURING 2016 THE CLINICS PROVIDED 238,348 URGENT CARE VISITS AND 41,951 HOME HEALTH VISITS. THE HOME HEALTH AND HOSPICE PROGRAMS ADMITTED 3,948 AND 1,506 PATIENTS, RESPECTIVELY DURING 2016. MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU) HELPS INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. IN 2016 CTU SERVED 521 PATIENTS. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS. IN 2016 BHS SERVED 12,704 CLIENTS. 73987249 58563226 1531351195 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 1143 0 1 11613 1 1 1 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA X JASON MITCHELL 2534598331 737 S FAWCETT TACOMA WA 98402 JOHN FOLSOM DIRECTOR 5.00 0.00 X 0 0 0 JOHN HALL TREASURER 5.00 0.00 X X 0 0 0 SALLY B LEIGHTON SECRETARY 5.00 0.00 X X 0 0 0 ROB R ROTH MD DIRECTOR 5.00 0.00 X 0 0 0 L DALE SOWELL DIRECTOR 5.00 0.00 X 0 0 0 JANINE TERRANO DIRECTOR 5.00 0.00 X 0 0 0 DEEDRA WALKEY VICE CHAIR 5.00 0.00 X X 0 0 0 JOHN WIBORG CHAIR 5.00 0.00 X X 0 0 0 LUKE XITCO DIRECTOR 5.00 0.00 X 0 0 0 ROBERT A YOST DIRECTOR 5.00 0.00 X 0 0 0 WILLIAM ROBERTSON PRESIDENT & CEO 56.00 4.00 X 1427871 0 489695 ANNA LOOMIS CFO 56.00 4.00 X 861420 0 142186 FLORENCE CHANG EXECUTIVE VICE PRESIDENT 60.00 0.00 X 1130554 0 150879 CLAIRE SPAIN-REMY SRVP, CHIEF PHYSICIAN OFFI 60.00 0.00 X 1048965 0 68264 GLENN KASMAN REGIONAL PRESIDENT,EAST RE 60.00 0.00 X 577071 0 124860 SHELLY MULLIN REGIONAL PRESIDENT,WEST RE 60.00 0.00 X 618394 0 84085 LINDA CHEN PRESIDENT MARY BRIDGE 60.00 0.00 X 420531 0 58340 CHRISTI MCCARREN SRVP RETAIL HEALTH&COMMUNI 58.00 2.00 X 631508 0 25614 DAVID COONS PHYSICIAN 50.00 0.00 X 1291262 0 53215 SURAJ SINGH PHYSICIAN 50.00 0.00 X 1237301 0 51482 JOHN HUNG PHYSICIAN 50.00 0.00 X 1060782 0 48466 MOHAMMED BACCORA PHYSICIAN 50.00 0.00 X 1012879 0 33977 UMESH AVITANASH CHITALEY PHYSICIAN 50.00 0.00 X 998542 0 34671 12317080 0 1365734 1929 0 1 0 TACOMA ANESTHESIA ASSOCIATES INC PS 3633 PACIFIC AVE204 TACOMA WA 98418 MEDICAL 10394228 TRAVEL NURSE ACROSS AMERICA LLC 5020 NORTHSHORE DR NORTH LITTLE ROCK AZ 72118 STAFFING 7523545 TRAUMA TRUST POBOX 5299 TACOMA WA 98415 MEDICAL 6870323 SOUTH SOUND INPATIENT PHYSICIANS PLLC POBOX 742936 LOS ANGELES CA 90074 MEDICAL 6195409 KAUFMAN HALL & ASSOCIATES 8610 SOLUTION CENTER CHICAGO IL 60677 FIN. PLANNING & SOFTWARE IMPLEMENTATION 5720247 175 10167862 27171332 37339194 HEALTHCARE SERVICES 622110 1705835024 1705089226 745798 AMBULATORY SRVS & UCC 621493 132291165 131404722 886443 OFFICES OF PHYSICIANS 621111 75045168 75045168 HOME HEALTH 621610 8954737 8954737 OUTPATIENT MENTAL HLTH 621420 7009522 7009522 3427770 3427770 1932563386 22709773 22709773 25084163 -25084163 -25084163 -25084163 555914 885502 -329588 -329588 1967198602 1930931145 1632241 -2703978 7413680 7413680 7860237 6553143 1307094 795122 795122 871506334 725142560 146363774 25741707 21461069 4280638 117881783 98278996 19602787 55292246 45824291 9467955 4369890 117634 4252256 383667 383667 66000 66000 130518499 72740211 57778288 3267055 972337 2294718 8961830 7537550 1424280 31887131 26584559 5302572 7866639 5350140 2516499 108145 87941 20204 35258982 29395698 5863284 110153604 91835950 18317654 19107564 15930131 3177433 SUPPLIES 259240911 252862559 6378352 UBI TAX 652509 652509 PROVISION FOR BAD DEBTS 40835588 40835588 WA HOSP. SAFETY NET PRO 38989891 38989891 76749366 41989636 34759730 1854908380 1531351195 323557185 0 206500250 411409912 281129684 288883187 20492540 22007719 13478514 15748758 2486598559 1155823341 1279274902 1330775218 1233090434 1247401734 191680483 119851945 170870308 168035151 3396517115 3604113624 237610934 280005523 1008089087 991974222 177053 123955 238065751 243619236 1483942825 1515722936 X 1912574290 2088390688 1912574290 2088390688 3396517115 3604113624 X 112290222 75999261 -12473085 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 306000 0 0 306000 0 PART II-B, LINE 1: LINE 1(G) - PAYMENTS TO LOBBYING FIRMS (INDEPENDENT CONTRACTORS) TO ACT AS OUR LIAISON WITH STATE AND FEDERAL GOVERNMENTS ON HEALTH CARE ISSUES AND THE PORTION OF MEMBERSHIP DUES PAID TO HOSPITAL ASSOCIATIONS WHICH IS USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES. 61963205 61963205 1526120164 554500115 971620049 77513415 48897672 28615743 724209084 552425554 171783530 96792691 96792691 1330775218 ACCRUED INTEREST PAYABLE 13564693 DUE TO AFFILIATES 72276811 ACCRUED PENSION AND MALPRACTICE LIABILITY 101512558 INTEREST RATE SWAP 56265174 243619236 X PART X, LINE 2: THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM FOOTNOTE READS: "FINANCIAL ACCOUNTING STANDARD BOARD (FASB) ASC TOPIC 740-10, INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MULTICARE HEALTH SYSTEM'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 MULTICARE HEALTH SYSTEM. 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." 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 0 1 1 25305743 25305743 0.01390 503686000 323780000 179906000 0.09920 0 0 528991743 323780000 205211743 0.11310 24 60434 14520688 3404986 11115702 0.00610 6 89 15289845 11446 15278399 0.00840 27 91129 59410762 22945006 36465756 0.02010 1 2 874592 221144 653448 0.00040 2 162 1443919 1443919 0.00080 60 151816 91539806 26582582 64957224 0.03580 60 151816 620531549 350362582 270168967 0.14890 2 2 954158 70781 883377 0.00050 4 425834 1115902 28618 1087284 0.00060 6 425836 2070060 99399 1970661 0.00110 1 40835588 844000 257222000 309677000 -52455000 X 1 1 5 1 MULTICARE TACOMA GENERAL HOSPITAL (TG) 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 WWW.MULTICARE.ORG/TACOMA-GENERAL-HOSPI 00000176 X X X X X A 2 MULTICARE GOOD SAMARITAN HOSPITAL (GOOD SAM) 401 15TH AVE SE PUYALLUP WA 98372 WWW.MULTICARE.ORG/GOOD-SAMARITAN-HOSPI 00000081 X X X X A 3 MULTICARE AUBURN MEDICAL CENTER (AUBURN) 202 NORTH DIVISION STREET AUBURN WA 98001 WWW.MULTICARE.ORG/AUBURN-MEDICAL-CENTE 60311052 X X X A 4 MULTICARE ALLENMORE HOSPITAL (ALLENMORE) 1901 SOUTH UNION TACOMA WA 98411 WWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/ 00000176 X X X A 5 MARY BRIDGE CHILDREN'S HOSPITAL (MARY BRIDGE) 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 WWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL 00000175 X X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X X 1 16 1 HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 300.000000000000 500.000000000000 X X X 1 1 X X X 1 X HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/ X HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/ X HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: MULTICARE TACOMA GENERAL HOSPITAL (TG), - FACILITY 3: MULTICARE AUBURN MEDICAL CENTER (AUBURN), - FACILITY 4: MULTICARE ALLENMORE HOSPITAL (ALLENMORE), - FACILITY 2: MULTICARE GOOD SAMARITAN HOSPITAL (GOOD SAM), - FACILITY 5: MARY BRIDGE CHILDREN'S HOSPITAL (MARY BRIDGE) GROUP A-FACILITY 1 -- 5 TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRID PART V, SECTION B, LINE 5: MULTICARE HEALTH SYSTEM (MULTICARE) WORKED WITH TACOMA-PIERCE COUNTY HEALTH DEPARTMENT AND PUBLIC HEALTH SEATTLE-KING COUNTY TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ITS HOSPITAL SERVICE AREAS, FEATURING INPUT FROM COMMUNITY LEADERS AND RESIDENTS REPRESENTING MULTIPLE SECTORS AND POPULATION GROUPS. IT INCLUDES PRIMARY DATA GATHERED FROM A COMMUNITY SURVEY, WORKSHOPS, AND STAKEHOLDER INTERVIEWS, IN ADDITION TO INFORMATION COLLECTED FROM SECONDARY QUANTITATIVE SOURCES. THE COMMUNITY SURVEY:MORE THAN 700 PIERCE COUNTY AND SOUTH KING COUNTY RESIDENTS WERE SURVEYED ABOUT THEIR COMMUNITY HEALTH NEEDS. THE SURVEY, CONDUCTED IN 2015, SOUGHT RESIDENTS' VIEWS ON HEALTH STATUS, SOCIAL CONNECTEDNESS, HEALTHCARE, AND OTHER ISSUES THAT IMPACT QUALITY OF LIFE. COMMUNITY ENGAGEMENT PROCESS:TO COMPLEMENT THE COMMUNITY SURVEY, A COMMUNITY ENGAGEMENT PROCESS FURTHER SOLICITED INPUT FROM THE PUBLIC. THIS PROCESS INCLUDED THREE STAGES: 1. CONDUCTING KEY LEADER INTERVIEWS, NOTING OVERARCHING THEMES; 2. HOLDING COMMUNITY WORKSHOPS, DOCUMENTING MOST IMPORTANT ISSUES ACCORDING TO RESIDENTS; 3. INVITING KEY STAKEHOLDERS TO REFLECT ON AND PRIORITIZE HEALTH NEEDS FOR EACH MULTICARE HOSPITAL.GROUPS WERE FACILITATED BY THE HEALTH DEPARTMENT AND MULTICARE HEALTH SYSTEM. THE KEY LEADER INTERVIEWS:A SERIES OF INTERVIEWS WERE HELD TO SOLICIT INPUT ON THE STRENGTHS, ASSETS, RESOURCES, AND HEALTH PRIORITIES IN THE MULTICARE HOSPITAL SERVICE AREAS. SEVEN INDIVIDUAL INTERVIEWS WERE CONDUCTED IN PIERCE COUNTY, AND IN KING COUNTY, A TOTAL OF 11 COALITIONS AND 99 INDIVIDUALS OR KEY INFORMANTS PROVIDED INFORMATION. LEADERS REPRESENTED MULTIPLE SECTORS, INCLUDING LOCAL GOVERNMENT, EDUCATION, BUSINESS, SOCIAL AND HEALTH SERVICES, AND THE MILITARY. MANY OF THESE LEADERS REPRESENTED COMMUNITY ORGANIZATIONS THAT SERVE LOW-INCOME AND MINORITY RESIDENTS. QUESTIONS ASKED INCLUDED:1. WHAT ARE THE MAIN CONCERNS YOU OR YOUR ORGANIZATION HAS ABOUT THE HEALTH OF RESIDENTS RIGHT NOW? HOW ARE YOU [THE ORGANIZATION] INVOLVED IN ADDRESSING THESE CONCERNS? 2. WHAT ARE THE PEOPLE, PLACES, AND THINGS THAT MAKE YOUR COMMUNITY HEALTHY, SAFE, AND STRONG? PLEASE TELL US WHY THESE PEOPLE, PLACES, AND THINGS ARE IMPORTANT. [THESE COULD INCLUDE ORGANIZATIONS, LEADERS, COALITIONS, INITIATIVES, POLICIES, OR PHYSICAL/ENVIRONMENTAL ATTRIBUTES.] 3. WHAT PROGRAMS OR PROJECTS ARE HAPPENING OR PLANNED THAT ARE MOST RELEVANT TO THE IDENTIFIED NEEDS? 4. HOW CAN HOSPITALS AND HEALTH SYSTEMS BE INVOLVED IN ADDRESSING THE ISSUES YOU HAVE IDENTIFIED? 5. WHAT ARE THE MOST SIGNIFICANT GAPS IN RESOURCES, COORDINATION, ETC. IN THIS AREA? THE KEY COMMUNITY LEADERS & ORGANIZATIONS INVOLVED IN THE 2016 CHNA INCLUDE:CINDAN GIZZI, COMMUNITY ASSESSMENT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENTKAREN MEYER, COMMUNITY LIAISON SPECIALIST, TACOMA-PIERCE COUNTY HEALTH DEPARTMENTINGRID PAYNE, PROJECT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENTANNIE JONES BARNES, NORTHWEST LEADERSHIP FOUNDATIONDONA PONEPINTO, UNITED WAY OF PIERCE COUNTY LYLE QUASIM, BLACK COLLECTIVEMARILEE HILL-ANDERSON, SUMNER SCHOOL DISTRICTPAT JOHNSON, MAYOR OF BUCKLEYTIFFANY SPIER, SOUTH SOUND MILITARY AND COMMUNITIES PARTNERSHIPTRACEY DETTY, TACOMA POLICE DEPARTMENTEASTSIDE HUMAN SERVICES FORUMNORTH URBAN HUMAN SERVICES ALLIANCESEATTLE HUMAN SERVICES COALITIONSOUTH KING COUNTY COUNCIL OF HUMAN SERVICESKING COUNTY TRAFFIC SAFETY TASK FORCESAFE STREETS SEATTLE/SOUTH KING COUNTYSAFE KIDS EASTSIDECENTRAL REGION EMS & TRAUMA CARE COUNCIL BEHAVIORAL HEALTH PARTNERSHIP GROUPALAN ABE, PROGRAM MANAGER - INJURY PREVENTION, KING COUNTY EMERGENCY MEDICAL SERVICESCAROL ALLEN, COORDINATOR, ACCESS TO BABY AND CHILD DENTISTRY PROGRAM, PUBLIC HEALTH-SEATTLE & KINGCOUNTYJENNIFER DEYOUNG, HEALTH REFORM ANALYST, PUBLIC HEALTH-SEATTLE & KING COUNTYTONY GOMEZ, RS, MANAGER, VIOLENCE AND INJURY PREVENTION, PUBLIC HEALTH-SEATTLE & KING COUNTYSCOTT NEAL, TOBACCO PROGRAM MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTYLISA PODELL, INTERIM HEALTH REFORM ANALYST, PUBLIC HEALTH-SEATTLE & KING COUNTYWHITNEY TAYLOR, FIREARM VIOLENCE PREVENTION/CHILD FATALITY REVIEW PROGRAM MANAGER, PUBLIC HEALTH-SEATTLE & KING COUNTYTHE COMMUNITY WORKSHOPS:SEVEN COMMUNITY WORKSHOPS WERE HELD THROUGHOUT PIERCE COUNTY. PARTICIPANTS WERE ASKED TO CONSIDER THE FOLLOWING QUESTIONS:1. HOW DO YOU DEFINE A HEALTHY COMMUNITY (OR NEIGHBORHOOD)? 2. WHAT DO YOU THINK ARE THE STRENGTHS AND ASSETS OF YOUR COMMUNITY? 3. WHAT DO YOU THINK MAKES IT CHALLENGING TO BE HEALTHY HERE? OR, WHAT ARE THE BARRIERS TO BEING HEALTHY? 4. WHAT DO YOU NEED TO BE HEALTHY? PARTICIPANTS AT COMMUNITY WORKSHOPS WERE DIVERSE IN TERMS OF RACE/ETHNICITY, AGE, AND SOCIOECONOMIC STATUS.INTERNAL STAKEHOLDER REVIEW MEETINGS:FINALLY, THE ASSESSMENT PROCESS INVOLVED INVITING KEY LEADERS AT MULTICARE TO REVIEW THE RESULTS OF THE PREVIOUS COMMUNITY INPUT, AS WELL AS RELEVANT HEALTH INDICATOR DATA, IN MAY OF 2016. DURING THESE MEETINGS, PHYSICIAN, NURSE, CLINIC, AND OUTPATIENT LEADERS WERE PRESENTED WITH SELECTED HEALTH PRIORITIES FOR EACH HOSPITAL, AS DETERMINED BY THE RESPECTIVE HEALTH DEPARTMENTS USING THE FOLLOWING CRITERIA:- WAS A HEALTH CONCERN OR INDICATOR SIGNIFICANTLY WORSE IN THE HOSPITAL SERVICE AREA THAN IN THE STATE? - WERE RELATIVELY LARGE NUMBERS OF PEOPLE IMPACTED BY A HEALTH CONCERN OR INDICATOR? - WAS A HEALTH CONCERN REPEATEDLY VOICED DURING THE COMMUNITY ENGAGEMENT PORTION OF THE ASSESSMENT (E.G., SURVEY, WORKSHOPS OR INTERVIEWS)? GROUP A-FACILITY 1 -- 5 TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRID PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH MORE HOSPITAL FACILITIES, AS FOLLOWS:TACOMA GENERAL HOSPITALGOOD SAMARITAN HOSPITALAUBURN MEDICAL CENTERALLENMORE HOSPITALMARY BRIDGE CHILDREN'S HOSPITAL GROUP A-FACILITY 1 -- 5 TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRID PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN THE HOSPITAL FACILITIES AS FOLLOWS:TACOMA PIERCE COUNTY HEALTH DEPARTMENTCHI FRANCISCAN HEALTH GROUP A-FACILITY 1 -- 5 TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRID PART V, SECTION B, LINE 7D: THE CHNA IS BROADLY DISTRIBUTED TO COMMUNITY PARTNERS, WHO SHARE THESE REPORTS INTERNALLY AND EXTERNALLY; THROUGH A COMPUTER-BASED LEARNING MODULE AVAILABLE TO MULTICARE EMPLOYEES; AND THROUGH PRESENTATIONS WITH COMMUNITY GROUPS, INCLUDING LOCAL UNIVERSITIES, COMMUNITY SERVICE ORGANIZATIONS, COMMUNITY COALITIONS, REGIONAL BOARDS AND COUNCILS, HOSPITAL LEADERS, AND DEPARTMENTAL STAFF. GROUP A-FACILITY 1 -- 5 TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRID PART V, SECTION B, LINE 11: WE ARE ADDRESSING ALL THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE CHNA. THE TOP COMMUNITY HEALTH PRIORITIES FROM THE 2016 CHNA WERE: ACCESS TO CARE, INCLUDING WOMEN'S HEALTH AND ORAL HEALTH CARE SERVICES; OBESITY; TOBACCO USE; BEHAVIORAL HEALTH; CHILDHOOD IMMUNIZATIONS; AND CULTURAL COMPETENCY.ACCESS TO CARE - MULTICARE TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN, AND AUBURN MEDICAL CENTER ARE FOCUSING THEIR ATTENTION ON ADDRESSING CARE ACCESS. MULTICARE CURRENTLY SUPPORTS CARE ACCESS THROUGH COMMUNITY PARTNERSHIPS, INCLUDING PROJECT ACCESS, WHICH PROVIDES MEDICAL AND DENTAL CARE FOR UNINSURED AND LOW-INCOME INDIVIDUALS; MEDICAL TEAMS INTERNATIONAL, WHICH OFFERS NO-COST URGENT DENTAL CARE SERVICES; AND TRINITY NEIGHBORHOOD HEALTH CLINIC, WHICH OFFERS FREE MEDICAL CARE. WE PROVIDE FINANCIAL SUPPORT FOR COMMUNITY HEALTH CARE CLINIC NETWORK, IN ADDITION TO FUNDING AND OPERATING THE COMMUNITY MEDICAL CARE CLINIC FOR CHILDREN AT MARY BRIDGE CHILDREN'S HOSPITAL AND HEALTH CENTER, AND THE TACOMA FAMILY MEDICINE CLINIC AND EAST PIERCE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH PROVIDE A RANGE OF PRIMARY CARE AND OB/GYN MEDICAL SERVICES TO LOW-INCOME INDIVIDUALS. FOR THE EAST PIERCE COUNTY COMMUNITY, GOOD SAMARITAN HOSPITAL OPERATES THE CARE TRANSITIONS PROGRAM TO ASSIST IN THE TRANSITION OF CHRONICALLY ILL PATIENTS BACK TO THE COMMUNITY AFTER THEIR HOSPITAL STAY. PATIENTS HAVE 24 HOURS A DAY ACCESS TO MYCHART, AN ELECTRONIC PATIENT HEALTH RECORD SYSTEM, WHERE THEY CAN VIEW THEIR MEDICAL RECORDS, TEST RESULTS, AND UPCOMING APPOINTMENTS. THEY ARE ALSO ABLE TO COMMUNICATE DIRECTLY WITH THEIR HEALTH CARE PROVIDER AND MAKE AN APPOINTMENT AT A CLINIC LOCATED CLOSE TO THEIR HOME. COMMUNITY-BASED MULTICARE SERVICES INCLUDE NUTRITION CONSULTATION, WEIGHT MANAGEMENT, SPORTS NUTRITION, COMMUNITY OUTREACH, TOBACCO CESSATION PROGRAM, MOBILE IMMUNIZATION CLINICS, ADULT DAY HEALTH, PARENT PARTNERSHIP PROGRAMS FOR FAMILIES AT RISK, WIC, MOBILE MENTAL HEALTH OUTREACH SERVICES, PERINATAL OUTREACH SERVICES, SUPPORT GROUP FOR LGBT YOUTH, SENIOR WELLNESS AND CORPORATE WELLNESS PROGRAMS. THE FOLLOWING STRATEGIES AND ACTIVITIES WILL BE EMPLOYED TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR ALL MEMBERS OF THE COMMUNITY:WOMEN'S HEALTH- 1. EXPLORE THE DEVELOPMENT OF A COMMUNITY RESOURCE TOOLKIT THAT FOCUSES ON HPV PREVENTION AND SCREENING. 2. EXPLORE PROMOTING WOMEN'S HEALTH SERVICES AT COMMUNITY OUTREACH EVENTS. 3. PROMOTE BREAST HEALTH IN PARTNERSHIP WITH THE CAROL MILGARD BREAST CENTER (CMBC), THROUGH: EXPLORING THE USE OF MOBILE MAMMOGRAPHY CLINICS IN HIGH-NEEDS AREAS, INCLUDING LOCAL TRIBES; AND SUPPORTING NO-COST MAMMOGRAPHY SCREENINGS. 4. REACH NEWLY ELIGIBLE MEDICAID AND APPLE HEALTH ENROLLEES AT SECOND-ANNUAL CMBC COORDINATED CARE EVENT. 5. EXPLORE SUPPORTING FUTURE FOCUS GROUPS DEDICATED TO ASSESSING BARRIERS AND OPPORTUNITIES FOR BREAST HEALTH IN LATINA COMMUNITIES. ORAL HEALTH- 1. CONTINUE TO SUPPORT MEDICAL TEAMS INTERNATIONAL'S MOBILE DENTAL PROGRAM THROUGH REFERRALS AND SHARED MARKETING EFFORTS. 2. EXPLORE INCREASED SHARED MARKETING EFFORTS TO PROMOTE LINDQUIST DENTAL CLINIC FOR CHILDREN (LDCC) THAT MAY INCLUDE SOCIAL MEDIA, CO-LINKING WEBSITES, MATERIALS, AND PRESENCE AT COMMUNITY EVENTS. 3. EXPLORE THE CREATION OF AN EPIC SMARTPHRASE TO REFER YOUTH IN NEED TO LDCC. 4. EXPLORE PARTNERSHIPS BETWEEN LDCC AND MULTICARE WIC CLINICS, PRENATAL AND PRIMARY CARE, AND OTHER DEPARTMENTS AND PROGRAMS.OBESITY - ALL OF MULTICARE'S HOSPITALS WILL CONTINUE TO ADDRESS THE GROWING PROBLEM OF CHILDHOOD AND ADULT OBESITY. MULTICARE PARTNERS WITH COMMUNITY ORGANIZATIONS SUCH AS FIRST 5 FUNDAMENTALS TO SUPPORT HEALTHY CHILDREN AND FAMILIES; COMMUNITIES IN SCHOOLS OF TACOMA AND PUYALLUP, WHICH WORKS TO IMPROVE PHYSICAL HEALTH OUTCOMES FOR STUDENTS; AND PACIFIC LUTHERAN UNIVERSITY FOUNDATION TEAMS PROGRAM, WHICH SUPPORTS HEALTHY LIFESTYLES FOR SENIORS. THE FOLLOWING STRATEGIES AND ACTIVITIES WILL BE IMPLEMENTED: 1. PROMOTE COMMUNITY AWARENESS AND UNDERSTANDING OF THE READY, SET, GO! 5210 (RSG! 5210) PROGRAM AND MESSAGE. 2. INCREASE COLLABORATION WITH COMMUNITY PARTNERS ON PROGRAMS AND POLICIES TO IMPROVE THE HEALTH OF OUR COMMUNITY. 3. SURVEILLANCE OF PARTICIPATION AT COMMUNITY PROGRAMS, CLASSES, AND EVENTS, INCLUDING: THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM AND CLASSES; EMPOWERING WOMEN FOR WELLNESS; FAMILY WELLNESS WORKSHOPS; POWERCOOK CLASSES; AND OTHER RELATED COMMUNITY EVENTS AND WORKSHOPS. 4. PROMOTE WEIGHT MANAGEMENT PROGRAMS AND SERVICES. 5. SEEK GRANTS LIKE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION (SNAP-ED) TO PROVIDE NUTRITION EDUCATION AND PROGRAMMING TO SCHOOLS, THE WIC PROGRAM AND FOOD BANK CLIENTS. 6. INCREASE KNOWLEDGE AND BEST PRACTICE EDUCATION AROUND THE BENEFITS OF BREASTFEEDING. 7. INCREASE ACCESS TO HEALTHY FOOD AT WORKSITES. 8. INCREASE ACCESS TO AND PROMOTION OF PHYSICAL ACTIVITY AMONG MULTICARE EMPLOYEES AND THEIR FAMILIES.TOBACCO USE - ALL MULTICARE HOSPITALS WILL WORK TO INCREASE THE PERCENTAGE OF ADULTS WHO ARE TOBACCO-FREE THROUGH THE FOLLOWING STRATEGIES AND ACTIVITIES:1. PROMOTE ACCESS TO TOBACCO CESSATION RESOURCES AND SUPPORT PROGRAMS. 2. PROMOTE PARTNERSHIPS WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT. 3. PROMOTE INSURANCE-COVERED PHARMACOTHERAPY AND/OR FREE OR LOW-COST CESSATION PROGRAMS FOR HOSPITAL EMPLOYEES. 4. CONTINUE TO SUPPORT THE MULTICARE TOBACCO-FREE POLICY FOR ALL EMPLOYEES AND FACILITIES. BEHAVIORAL HEALTH - ALL MULTICARE HOSPITALS WILL FOCUS ON IMPROVING BEHAVIORAL HEALTH OUTCOMES. MULTICARE PARTNERS WITH COMMUNITY ORGANIZATIONS SUCH AS THE KOREAN WOMEN'S ASSOCIATION, WHICH PROVIDES SERVICES TO ADVANCE MINORITY MENTAL HEALTH, AND COMMUNITIES IN SCHOOLS OF PUYALLUP AND TACOMA, WHICH WORKS TO IMPROVE BEHAVIORAL HEALTH FOR CHILDREN. MULTICARE WILL FOCUS ON THE FOLLOWING STRATEGIES AND ACTIVITIES: 1. INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. 2. PROMOTE INTEGRATION OF PHYSICAL AND BEHAVIORAL HEALTH CARE. 2. INTEGRATE CHEMICAL DEPENDENCY TREATMENT INTO THE MEDICAL CARE SETTING. 3. EXPAND CAPACITY TO PROVIDE CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT. 4. FOCUS ON HIGH-RISK AND HIGH UTILIZERS OF HEALTH CARE SERVICES. 5. INCREASE COMMUNITY CAPACITY TO PROVIDE INPATIENT PSYCHIATRIC SERVICES.CHILDHOOD IMMUNIZATIONS - GOOD SAMARITAN HOSPITAL, MARY BRIDGE CHILDREN'S HOSPITAL, AND AUBURN MEDICAL CENTER WILL FOCUS ON ENSURING THAT ALL KIDS RECEIVE THE RECOMMENDED SERIES OF CHILDHOOD IMMUNIZATIONS, THROUGH THE FOLLOWING STRATEGIES: 1. SUPPORT AND PROMOTE ACCESS TO MULTICARE MARY BRIDGE IMMUNIZATION CLINICS. 2. PROMOTE PARTNERSHIPS WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT. 3. CONTINUE TO PROMOTE THE USE OF THE WASHINGTON STATE IMMUNIZATION INFORMATION SYSTEM (IIS).CULTURAL COMPETENCY - ALL MULTICARE HOSPITALS WILL FOCUS ON PROVIDING CULTURALLY COMPETENT HEALTH CARE TO ALL MEMBERS OF THE COMMUNITY. MULTICARE VALUES CULTURAL DIVERSITY. WE DELIVER EQUITABLE CARE TO ALL PATIENTS, REGARDLESS OF ETHNICITY, RACE, DISABILITY, OR SOCIOECONOMIC STATUS. BECAUSE LANGUAGE CAN SERVE AS A BARRIER FOR SOME PEOPLE TO ACCESS HEALTH CARE SERVICES, WE PROVIDE INTERPRETERS FOR A LARGE NUMBER OF FOREIGN LANGUAGES, AS WELL AS TELECOMMUNICATIONS DEVICES TO HELP HEARING IMPAIRED PATIENTS. IN ADDITION, MANY PATIENT MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES. WE CONTINUALLY ASSESS LANGUAGE AND COMMUNICATION NEEDS. FREE HEALTH SCREENINGS AND RESOURCES AND YOUTH SPORTS PHYSICALS ARE PROVIDED IN THE COMMUNITY, TARGETING LOW-INCOME, UNDERSERVED POPULATIONS. IN ADDITION, MULTICARE PARTNERS WITH BOTH THE PIERCE COUNTY AIDS FOUNDATION AND OASIS YOUTH CENTER/RAINBOW CENTER TO IMPROVE LGBT PATIENT EXPERIENCES. MULTICARE WILL FOCUS ON THE FOLLOWING STRATEGIES TO IMPROVE CULTURAL COMPETENCY: 1. PROMOTE CULTURAL DIVERSITY AND HEALTH EQUITY AWARENESS AMONG MULTICARE STAFF. 2. INCREASE ACCESS TO INTERPRETER SERVICES. 3. CONTINUE TO PROMOTE HEALTH EQUITY COMMUNITY PARTNERSHIPS. 4. CONTINUE TO PROVIDE OUTREACH SERVICES TO ETHNIC MINORITY AND LOW-INCOME COMMUNITIES. GROUP A-FACILITY 1 -- 5 TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRID PART V, SECTION B, LINE 16J: THE POLICY IS POSTED ON THE WA STATE - DEPARTMENT OF HEALTH WEBSITE. THE HOSPITAL'S BILLING INVOICES INCLUDE REFERENCES TO WHERE AND HOW TO CONTACT SOMEONE TO OBTAIN A COPY OF THE FINANCIAL ASSISTANCE POLICY. 65 1 - COVINGTON AMBULATORY SURGERY CENTER &UCC 17700 SE 272 STREET COVINGTON WA 98042 OP SURGERY, RX, LAB, URGENT CARE 2 - AUBURN LAB 735 12TH STREET SE AUBURN WA 98002 LAB TESTING 3 - KENT LAB 222 STATE AVE NORTH KENT WA 98031 LAB TESTING 4 - CEDAR MEDICAL LAB 1901 SOUTH CEDAR STREET SUITE B5 TACOMA WA 98405 LAB TESTING 5 - GIG HARBOR MEDICAL PARK & UCC 4545 POINT FOSDICK DRIVE GIG HARBOR WA 98335 OP SURG,RX,LAB,ONCOLOGY,URGENT CARE 6 - AUBURN IMAGING & URGENT CARE CENTER 202 CROSS STREET SE AUBURN WA 98001 IMAGING, URGENT CARE 7 - AUBURN VASCULAR LAB 202 N DIVISION ST SUITE 300-301 AUBURN WA 98001 VASCULAR LAB 8 - TACOMA FAMILY MEDICINE 521 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 9 - OBSTETRICS ACCESS CLINIC 522 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 10 - MULTICARE OBGYN ASSOCIATES 523 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 11 - PODIATRY CLINIC 524 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 12 - MATERNAL FETAL MEDICINE 524 MARTIN LUTHER KING JR WAY TACOMA WA 98405 OP PHYSICIAN CLINIC 13 - SILVERDALE CLINIC 1780 NW MYRTLE RD SUITE G220 SILVERDALE WA 98383 OP PHYSICIAN CLINIC 14 - OLYMPIA CLINIC 200 LILLY ROAD NE BUILDING C OLYMPIA WA 98506 OP PHYSICIAN CLINIC 15 - PUYALLUP CLINIC 1803 SOUTH MERIDIAN SUITE B PUYALLUP WA 98371 OP PHYSICIAN CLINIC 16 - CHILDREN'S THERAPY UNIT 402 15TH AVE SE PUYALLUP WA 98372 OUTPATIENT CHILDREN'S THERAPY UNIT 17 - HEALTH RESOURCE CENTER 2622 S MERIDIAN PUYALLUP WA 98372 OP PHYSICIAN CLINIC 18 - CARDIAC REHABILITATION CENTER 16515 MERIDIAN E SUITE 200B PUYALLUP WA 98372 CARDIAC REHABILITATION 19 - PET-CT CLINIC 400 15TH AVE SE PUYALLUP WA 98372 IMAGING TESTING FACILITY 20 - MULTICARE REGIONAL CANCER CENTER AUBURN 121 N DIVISION ST STE 100 AUBURN WA 98001 OP PHYSICIAN CLINIC 21 - MARY BRIDGE WOMAN'S & CHILDREN'S CLINIC 3504 12TH AVE NW OLYMPIA WA 98506 OP PHYSICIAN CLINIC 22 - MULTICARE ORTHO&SPORTS MEDICINE MOUNTAIN 1550 S UNION AVE STE 210 TACOMA WA 98405 OP SURG,RX,LAB, CHIRO 23 - WESTGATE MULTICARE CLINIC & URGENT CARE 2209 N PEARL ST STE 100 TACOMA WA 98406 OP SURG,RX,LAB, CHIRO 24 - MULTICARE FEDERAL WAY URGENT CARE 1413 S 348TH ST BLDG L FEDERAL WAY WA 98003 URGENT CARE CLINIC 25 - MULTICARE KENT UCC & HEALTHWORKS 222 STATE AVE N KENT WA 98030 URGENT CARE CLINIC AND OCC MEDICINE 26 - MULTICARE LAKEWOOD UCC & HEALTHWORKS 5700 100TH ST SW LAKEWOOD WA 98499 URGENT CARE CLINIC AND OCC MEDICINE 27 - MULTICARE SPANAWAY URGENT CARE 225 176TH ST S SPANAWAY WA 98387 URGENT CARE CLINIC 28 - MULTICARE UNIVERSITY PLACE URGENT CARE 4310 BRIDGEPORT WAY W UNIVERSITY PLACE WA 98466 URGENT CARE CLINIC 29 - MARY BRIDGE PEDIATRIC UC-GIG HARBOR 4545 PT FOSDICK DR NW GIG HARBOR WA 98335 URGENT CARE CLINIC 30 - MARY BRIDGE PEDIATRIC UC-OLYMPIA 3504 12TH AVENUE NE OLYMPIA WA 98506 URGENT CARE CLINIC 31 - MULTICARE MAPLE VALLEY CLINIC 24080 SE KENT KANGLEY ROAD MAPLE VALLEY WA 98038 OP PHYSICIAN CLINIC 32 - MULTICARE EATONVILLE FAMILY PRACTICE 118 WASHINGTON AVE N EATONVILLE WA 98328 OP PHYSICIAN CLINIC 33 - MULTICARE ORTHOPEDIC SPINE AND HAND 1450 5TH ST SE STE 4200 PUYALLUP WA 98372 OP SURG,RX,LAB, CHIRO 34 - MULTICARE ORTHOPEDICS & SPORTS AUBURN 121 N DIVISION ST STE 310 AUBURN WA 98001 OP SURG,RX,LAB, CHIRO 35 - MULTICARE HEALTHWORKS KENT 6719 S 211TH AT STE 102 KENT WA 98032 OCCUPATIONAL MEDICINE CLINIC 36 - MULTICARE HEALTHWORKS FIFE 502 54TH AVE E FIFE WA 98424 OCCUPATIONAL MEDICINE CLINIC 37 - MULTICARE HEALTHWORKS TACOMA 3124 S 19TH ST TACOMA WA 98405 OCCUPATIONAL MEDICINE CLINIC 38 - MULTICARE GOOD SAMARITAN CANCER CENTER 1519 4TH ST SE PUYALLUP WA 98371 OP SURG,RX,LAB,ONCOLOGY,URGENT CARE 39 - MULTICARE BONNEY LAKE WIC CLINIC 10004 204TH AVE SE BONNEY LAKE WA 98391 WOMEN,INFANT,CHILD CLINIC 40 - MULTICARE INDIGO TACOMA 1812 S MILDRED ST STE H TACOMA WA 98465 URGENT CARE CLINIC 41 - MULTICARE INDIGO TUKWILLA 17275 SOUTHCENTER PKWY STE 160 TUKWILLA WA 98188 URGENT CARE CLINIC 42 - MULTICARE INDIGO MILL CREEK 800 164TH ST SE STE P MILL CREEK WA 98012 URGENT CARE CLINIC 43 - MULTICARE INDIGO SEATTLE 118 NE 45TH ST SUITE A SEATTLE WA 98105 URGENT CARE CLINIC 44 - MULTICARE INDIGO BOTHELL 24118 BOTHELL EVERETT HWY BUILDING E SU BOTHELL WA 98021 URGENT CARE CLINIC 45 - MULTICARE INDIGO ISSAQUAH 6140 E LAKE SAMMAMISH PKWY SE SUITE F ISSAQUAH WA 98029 URGENT CARE CLINIC 46 - MULTICARE INDIGO COVINGTON 27111 167TH PL SE SUITES 101 103 105 COVINGTON WA 98042 URGENT CARE CLINIC 47 - MULTICARE INDIGO LAKE STEVENS 809 VERNON RD LAKE STEVENS WA 98258 URGENT CARE CLINIC 48 - MULTICARE INDIGO OLYMPIA 345 COOPER POINT RD NW STE 10 OLYMPIA WA 98502 URGENT CARE CLINIC 49 - MULTICARE INDIGO PUYALLUP 15125 MERIDIAN AVE E STE 101 PUYALLUP WA 98375 URGENT CARE CLINIC 50 - MULTICARE INDIGO KIRKLAND 12475 TOTEM LAKE BLVD NE KIRKLAND WA 98034 URGENT CARE CLINIC 51 - MULTICARE INDIGO LACEY 5128 YELM HWY D5128 STE DF LACEY WA 98503 URGENT CARE CLINIC 52 - MULTICARE IMMEDIATE SEATTLE CAPITOL HILL 1512 BROADWAY SEATTLE WA 98122 URGENT CARE CLINIC 53 - MULTICARE IMMEDIATE SEATTLE QUEEN ANNE 610 - 1ST AVENUE NORTH SEATTLE WA 98109 URGENT CARE CLINIC 54 - MULTICARE IMMEDIATE SEATTLE CROWN HILL 9000 HOLMAN ROAD NW SUITE A1 SEATTLE WA 98117 URGENT CARE CLINIC 55 - MULTICARE IMMEDIATE SEATTLE-LAKE CITY 3050 NE 127TH STREET SEATTLE WA 98125 URGENT CARE CLINIC 56 - MULTICARE IMMEDIATE SHORELINE 20120 BALLINGER WAY NE SHORELINE WA 98155 URGENT CARE CLINIC 57 - MULTICARE IMMEDIATE BURIEN 15870-1ST AVE 15870 - 1ST AVENUE SOUTH BURIEN WA 98148 URGENT CARE CLINIC 58 - MULTICARE IMMEDIATE BURIEN 15500-1ST AVE 15500 - 1ST AVENUE SOUTH 106 BURIEN WA 98148 URGENT CARE CLINIC 59 - MULTICARE IMMEDIATE BELLEVUE 15600 NE 8TH STREET SUITE A-4 BELLEVUE WA 98008 URGENT CARE CLINIC 60 - MULTICARE IMMEDIATE KIRKLAND 13718 - 100TH AVENUE EAST KIRKLAND WA 98034 URGENT CARE CLINIC 61 - MULTICARE IMMEDIATE REDMOND 13131 NE 85TH STREET KIRKLAND WA 98033 URGENT CARE CLINIC 62 - MULTICARE IMMEDIATE BOTHELL 23131 BOTHELL EVERETT HWY BOTHELL WA 98021 URGENT CARE CLINIC 63 - MULTICARE IMMEDIATE LYNWOOD 4725 - 196TH STREET LYNNWOOD WA 98036 URGENT CARE CLINIC 64 - MULTICARE IMMEDIATE EVERETT 607 SE EVERETT MALL WAY SUITE 2 EVERETT WA 98208 URGENT CARE CLINIC 65 - MULTICARE IMMEDIATE POULSBO 20730 BOND ROAD NE SUITE 205 POULSBO WA 98370 URGENT CARE CLINIC PART I, LINE 3C: MULTICARE HEALTH SYSTEM DOES USE A PRESUMPTIVE CHARITY PROCESS USING A THRESHOLD AND HOLDBACK TEST TO DETERMINE ELIGIBILITY. PART I, LINE 7: THE AMOUNTS ARE CALCULATED BASED ON A COST-TO-CHARGE RATIO WHICH WAS CALCULATED BASED ON WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 40,835,588. PART II, COMMUNITY BUILDING ACTIVITIES: MULTICARE HEALTH SYSTEM IS ENGAGED IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES. MULTICARE EMPLOYEES PARTICIPATE IN MANY VOLUNTEER PROGRAMS IN THE COMMUNITY, INCLUDING THE AMERICAN RED CROSS, THE PIERCE COUNTY DIABETES COALITION, UNITED WAY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, THE YWCA, WHICH OPERATES A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN, THE AMERICAN CANCER SOCIETY, AND MANY OTHER ORGANIZATIONS.THE FOLLOWING ACTIVITIES, AVAILABLE TO ALL COMMUNITY MEMBERS, PROVIDE OPPORTUNITIES FOR IMPROVED PHYSICAL, MENTAL, AND EMOTIONAL HEALTH:-TACOMA TRAUMA TRUST IS A COLLABORATION OF MULTICARE, FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE TRAUMA CARE TO THE SOUTH PUGET SOUND REGION;-FALLS PREVENTION PROGRAM FOR THE ELDERLY;-SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT VICTIMS OF SEXUAL ASSAULT;-BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;-MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND THE MARY BRIDGE CHILDREN'S ADVOCACY CENTER; -BRIDGES: A CENTER FOR GRIEVING CHILDREN;-HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;-GRIEF AND LOSS SERVICES;-FAMILY CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;-CANCER CAMP FOR CHILDREN WITH CANCER;-WOMEN, INFANT AND CHILDREN (WIC) PROGRAM;-SAFE KIDS;-SAFE SHORES;-CENTER FOR HEALTHY LIVING NUTRITION AND FITNESS EDUCATION, WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;-PUGET SOUND ASTHMA COALITION;-DIABETES SERVICES;-CONSULTING NURSE TELEPHONE SERVICE;-CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;-WORKFORCE DEVELOPMENT PARTNERSHIPS WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL TO PREPARE PEOPLE FOR HEALTH CARE CAREERS;-PARTNERSHIPS WITH AREA COLLEGE NURSING PROGRAMS AND A NURSE RESIDENCY PROGRAM;-FREE SPORTS PHYSICALS FOR THE STUDENTS AT FIRST CREEK MIDDLE SCHOOL AND LINCOLN HIGH SCHOOL;-READY, SET, GO! 5-2-1-0, A COMMUNITY-WIDE PUBLIC-PRIVATE PARTNERSHIP INITIATIVE TO PROMOTE HEALTHY LIFESTYLES FOR CHILDREN, YOUTH AND FAMILIES;-SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;-SCHOLARSHIPS FOR PARENT EDUCATION;-ASSISTIVE TECHNOLOGY PROGRAM- PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;-"HOST SITE FOR PARENTS NIGHT OUT" FOR PARENTS WITH CHILDREN WITH SPECIAL NEEDS;-SIGN LANGUAGE CLASSES THROUGH PIERCE COUNTY LIBRARY. PART III, LINE 4: 1. FOOTNOTES:THE FOOTNOTE ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE PROVISION FOR BAD DEBT AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.2. PART III, SECTION A, LINE 2, COSTING METHODOLOGY:THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.3-4. PART III, SECTION A, LINE 3, RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $844,000 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF THE ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT. AS PART OF OUR COMMUNITY NEEDS ASSESSMENT, WE STUDIED THE INCOME CHARACTERISTICS OF THE UNINSURED POPULATION IN OUR COMMUNITY. AS PART OF THIS STUDY, WE ALSO LOOKED AT WHAT PORTION OF UNINSURED INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA WOULD BE ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. WE APPLIED THIS PERCENTAGE TO OUR TOTAL AMOUNT OF BAD DEBT EXPENSE RECORDED TO ESTIMATE THE PORTION OF SELF-PAY BAD DEBT THAT WAS REASONABLY ATTRIBUTABLE TO INDIVIDUALS ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY BUT NOT PREVIOUSLY RECORDED AS SUCH. WE SUBTRACTED THE ACTUAL AMOUNT OF FINANCIAL ASSISTANCE RECORDED FROM THIS CALCULATED FIGURE. THE RESULT IS OUR ESTIMATE OF THE AMOUNT THAT SHOULD BE CONSIDERED COMMUNITY BENEFIT COST AND IS ENTERED ON PART III, LINE 3. PART III, LINE 8: COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN AND AUBURN HOSPITALS WAS THE 2016 MEDICARE COST REPORT. SINCE MARY BRIDGE CHILDREN'S HOSPITAL FILES A LOW MEDICARE UTILIZATION COST REPORT, THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT (PS&R) WAS USED. THE COST TO CHARGE RATIO, AS CALCULATED FROM THE INCOME STATEMENT, WAS APPLIED TO THE PS&R GROSS MEDICARE CHARGES TO CALCULATE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. MARY BRIDGE COSTS REPRESENT LESS THAT 0.1% OF THE TOTAL.MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT:THE HOSPITAL BELIEVES THAT ALL OF THE $52.5 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 31.40% OF HOSPITAL REVENUES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. PART III, LINE 9B: MULTICARE'S DEBT COLLECTION POLICY STATES THAT "MHS WILL ALSO CLEARLY COMMUNICATE TO PATIENTS AND APPLICABLE PARTIES THE VARIOUS ASSISTANCE PROGRAMS MHS OFFERS BASED ON THE SITE OF SERVICE." IF THE PATIENT FOLLOWS THROUGH WITH THE APPLICABLE ASSISTANCE APPOINTMENTS, I.E., MEETING WITH MEDICAID OR COUNTY AGENCIES TO COMPLETE THE NECESSARY APPLICATION PROCESS, MULTICARE WILL NOT SEND THE ACCOUNT TO A BAD DEBT COLLECTION AGENCY.THERE ARE CIRCUMSTANCES WHERE A PATIENT DOES NOT RESPOND TO MULTICARE'S BILLING STATEMENTS AND IS SENT TO COLLECTIONS. AT THIS POINT, WHEN THEY ARE IN COLLECTIONS, IF THEY REQUEST FINANCIAL ASSISTANCE AND MEET CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICY'S FEDERAL POVERTY GUIDELINES (FPG), GARNISHMENT OF WAGES WILL NOT BE PURSUED. PART V, SECTION A, FACILITIES INFORMATION THE HOSPITAL FACILITIES PRIMARY WEBSITE ADDRESSES ARE: 1. TACOMA GENERAL HOSPITALWWW.MULTICARE.ORG/TACOMA-GENERAL-HOSPITAL/2. GOOD SAMARITAN HOSPITALWWW.MULTICARE.ORG/GOOD-SAMARITAN-HOSPITAL/3. AUBURN MEDICAL CENTERWWW.MULTICARE.ORG/AUBURN-MEDICAL-CENTER/4. ALLENMORE HOSPITALWWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/5. MARY BRIDGE CHILDREN'S HOSPITALWWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL/ PART VI, LINE 2: MULTICARE WORKS COLLABORATIVELY WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE AND TO DEVELOP PROGRAMS AND SERVICES TO MEET THOSE NEEDS. COMMUNITY PARTNERS INCLUDE THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, THE PIERCE COUNTY MEDICAL SOCIETY, THE UNITED WAY OF PIERCE COUNTY, YMCA OF PIERCE AND KITSAP COUNTIES, THE CITY OF TACOMA, THE TACOMA PUBLIC SCHOOL DISTRICT, AND MANY OTHERS. WE UTILIZE THE DATA FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AS WELL AS FEDERAL- AND STATE-LEVEL DATA TO DETERMINE THE MOST PRESSING HEALTH CARE NEEDS FOR OUR SERVICE AREAS. FOR MORE DETAILED INFORMATION, SEE PART V, SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. FINANCIAL AID INFORMATION IS POSTED ON THE MULTICARE.ORG EXTERNAL WEBSITE.PRE-SERVICE CENTER STAFF STARTS CONVERSATIONS WITH PATIENTS ABOUT THEIR POTENTIAL FINANCIAL RESPONSIBILITY AND SHARE PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE INFORMATION WITH THE PATIENT DURING THIS INITIAL PHONE CALL. AT THE TIME OF REGISTRATION (WHETHER PRE-REGISTERED OR NOT), PATIENTS ARE NOTIFIED ABOUT THEIR INSURANCE COVERAGE AND FINANCIAL LIABILITIES. FINANCIAL COUNSELORS ARE AVAILABLE IF A NEED IS IDENTIFIED. IF A PATIENT DOES NOT HAVE INSURANCE, MULTICARE WORKS WITH PATIENTS TO VERIFY POTENTIAL STATE/FEDERAL ELIGIBILITY OR ROUTE THEM TO FINANCIAL AID IF APPROPRIATE. FINANCIAL AID APPLICATIONS ARE HANDED OUT AT ALL SERVICE LOCATIONS UPON REQUEST OR WHEN A NEED IS IDENTIFIED BY STAFF. PATIENTS ARE ALSO GIVEN AN INFORMATIONAL BILLING HANDOUT AT REGISTRATION/ADMISSION WITH INFORMATION TO CONTACT FINANCIAL COUNSELORS IF THEY MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILL. PART VI, LINE 4: MULTICARE HEALTH SYSTEM'S PRIMARY SERVICE AREA IS DEFINED AS PIERCE COUNTY, WHICH INCLUDES THE CITIES OF TACOMA, PUYALLUP, UNIVERSITY PLACE, LAKEWOOD, PARKLAND, AND GIG HARBOR. THERE ARE SEVEN HOSPITALS IN THE PIERCE COUNTY SERVICE AREA; FOUR OF THEM ARE MULTICARE HOSPITALS. SECONDARY SERVICE AREA IS DEFINED AS SOUTH KING COUNTY AND INCLUDES THE CITIES OF FEDERAL WAY, AUBURN, ENUMCLAW, COVINGTON, AND KENT. THERE ARE FOUR HOSPITALS IN THE SOUTH KING SERVICE AREA; ONE IS A MULTICARE HOSPITAL. THE PRIMARY MULTICARE SERVICE AREA IS A MIX OF BOTH URBAN AND SUBURBAN COMMUNITIES. THE POPULATION OF PIERCE COUNTY IS APPROXIMATELY 861,312 INDIVIDUALS. A MAJOR MILITARY INSTALLATION -JOINT BASE LEWIS MCCHORD- IS LOCATED IN PIERCE COUNTY, AND AS A RESULT, MULTICARE PROVIDES HEALTH CARE SERVICES TO A LARGE NUMBER OF ACTIVE AND RETIRED MILITARY PERSONNEL. APPROXIMATELY 75% OF PIERCE COUNTY'S POPULATION IS CAUCASIAN; 7% IS AFRICAN-AMERICAN, 6% IS ASIAN, 1% IS NATIVE-AMERICAN, 1% IS PACIFIC ISLANDER, 10% ARE OF HISPANIC ORIGIN, AND 7% IS SOME OTHER RACE OR TWO OR MORE RACES. THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $59,953, AND FOR THE SECONDARY SERVICE AREA IT IS $75,302. OVER 12 PERCENT OF INDIVIDUALS IN MULTICARE'S SERVICE AREAS ARE LIVING IN POVERTY. IN ADDITION, THE ROBERT WOOD JOHNSON FOUNDATION 2016 COUNTY HEALTH RANKINGS REPORT THAT 11% OF THE PIERCE COUNTY POPULATION IS UNINSURED.MULTICARE HEALTH SYSTEM EMPLOYS THE LARGEST NUMBER OF PRIMARY AND SPECIALTY PROVIDERS IN THE REGION, OPERATES 1,130 BEDS, SEVERAL OUTPATIENT SURGICAL SITES AND OTHER URGENT CARE, PRIMARY CARE AND MULTISPECIALTY CLINICS. MULTICARE HEALTH SYSTEM PROVIDES SERVICES DESIGNED TO MEET THE SPECIFIC HEALTHCARE REQUIREMENTS OF THE POPULATION, WITH A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT PROGRAMS MADE AVAILABLE IN CONJUNCTION WITH THE RESOURCES OF OTHER COMMUNITY HEALTH PROVIDERS. PART VI, LINE 5: MULTICARE HEALTH SYSTEM IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD" A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. MULTICARE HEALTH SYSTEM HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE OF THE ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS, STAFF FROM NUMEROUS DEPARTMENTS AT THE MEDICAL CENTER CONDUCT COMMUNITY BENEFITS PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION, PROMOTION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF HEALTH PROMOTION ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE INCLUDE:-TACOMA TRAUMA TRUST IS A COLLABORATION OF MULTICARE, FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE ADULT TRAUMA CARE TO THE SOUTH PUGET SOUND REGION;-FALLS PREVENTION PROGRAM FOR THE ELDERLY;-SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT VICTIMS OF SEXUAL ASSAULT;-BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;-MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND THE MARY BRIDGE CHILDREN'S ADVOCACY CENTER; -BRIDGES: A CENTER FOR GRIEVING CHILDREN;-HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;-GRIEF AND LOSS SERVICES;-FAMILY CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;-CANCER CAMP FOR CHILDREN WITH CANCER;-WOMEN, INFANT AND CHILDREN (WIC) PROGRAM;-SAFE KIDS;-SAFE SHORES;-CENTER FOR HEALTHY LIVING NUTRITION AND FITNESS EDUCATION, WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;-PUGET SOUND ASTHMA COALITION;-DIABETES SERVICES;-CONSULTING NURSE TELEPHONE SERVICE;-CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;-WORKFORCE DEVELOPMENT PARTNERSHIPS WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL TO PREPARE PEOPLE FOR HEALTH CARE CAREERS;-PARTNERSHIPS WITH AREA COLLEGE NURSING PROGRAMS AND A NURSE RESIDENCY PROGRAM;-NURSE CAMP, A WEEK-LONG PROGRAM FOR 10TH AND 11TH GRADERS SEEKING TO EXPLORE NURSING AND THE ALLIED HEALTH PROFESSIONS; -FREE SPORTS PHYSICALS FOR THE STUDENTS AT FIRST CREEK MIDDLE SCHOOL, BAKER MIDDLE SCHOOL, AND LINCOLN HIGH SCHOOL;- READY, SET, GO! 5-2-1-0, A COMMUNITY-WIDE PUBLIC-PRIVATE PARTNERSHIP INITIATIVE TO PROMOTE HEALTHY LIFESTYLES FOR CHILDREN, YOUTH AND FAMILIES;-SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;-SCHOLARSHIPS FOR PARENT EDUCATION;-ASSISTIVE TECHNOLOGY PROGRAM- PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;-"HOST SITE FOR PARENTS NIGHT OUT" FOR PARENTS WITH CHILDREN WITH SPECIAL NEEDS;-SIGN LANGUAGE CLASSES THROUGH PIERCE COUNTY LIBRARY.-PROJECT ACCESS AND PROJECT NW- HELPS LOW-INCOME PATIENTS CONNECT WITH PRIMARY CARE AND SPECIALTY PROVIDERS TO IMPROVE HEALTH OUTCOMES AND REDUCE INAPPROPRIATE EMERGENCY ROOM USE. PROJECT ACCESS ALSO PROVIDES PREMIUM ASSISTANCE FOR INDIVIDUALS ON THE HEALTH EXCHANGE.THE HOSPITALS OF THE AFFILIATED GROUP UTILIZE FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO THE FOLLOWING:-EDUCATIONAL PROGRAMS PROVIDE CLASSES AND INFORMATION ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, HEALTH AND WELLNESS, NUTRITION AND MORE;-FREE MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW COST SCREENINGS AT A VARIETY OF HEALTH FAIRS HELD THROUGHOUT THE YEAR, LOW COST IMMUNIZATIONS IN THE COMMUNITY; -EXPANSION OF THE EMERGENCY DEPARTMENTS TO ACCOMMODATE AN INCREASE IN EMERGENCY DEPARTMENT PATIENTS;-SENIOR MEMBERSHIP AFFINITY PROGRAM;-CANCER TRIALS AND RESEARCH;-MULTICARE INSTITUTE FOR RESEARCH & INNOVATION;-CARE MANAGEMENT, POWER OF ATTORNEY, NOTARY SERVICE CHARITY MEDICATIONS, -CHILDREN'S THERAPY UNIT, ASSISTIVE TECHNOLOGY PROGRAM "THE SMILE FACTORY"SIBSHOPS, ARK ANGELS; -COMMUNITY EDUCATION: TRANSFUSION FREE MEDICAL & SURGICAL PROGRAM, COMMUNITIES IN SCHOOLS, MULTICARE GOOD SAMARITAN READERS,-FAMILY BIRTH CENTER: LACTATION SUPPORT SERVICES, TEEN PARENT RESOURCE CENTER, MOM AND BABY SUPPORT CLASS, FAMILY BIRTH CENTER CLASSES; -MOBILE HEALTH SERVICES, PALLIATIVE CARE, PHYSICAL MEDICINE & REHABILITATION, VOLUNTEER SERVICES.IN 2015, MULTICARE LAUNCHED A COMMUNITY GRANTS PROGRAM: MULTICARE COMMUNITY PARTNERSHIP FUND. IN 2016, OVER $506,000 WAS AWARDED TO COMMUNITY ORGANIZATIONS IN PIERCE, KING, AND KITSAP COUNTIES WHOSE MISSIONS ARE AIMED AT IMPROVING THE LIVES OF RESIDENTS. ORGANIZATIONS AWARDED GRANTS INCLUDE:ASSOCIATED MINISTRIES OF TACOMA PIERCE COUNTYAUBURN YOUTH RESOURCESBACKPACK FOR KIDS/OUR SAVIOR LUTHERAN CHURCH BIG BROTHERS BIG SISTERSCATHERINE PLACECATHOLIC COMMUNITY SERVICESCHILDREN'S MUSEUM OF TACOMACOMMUNITIES IN SCHOOLS LAKEWOODCOMMUNITIES IN SCHOOLS PUYALLUPCOMMUNITIES IN SCHOOLS TACOMACOURAGE360EMERGENCY FOOD NETWORKFOUNDATION FOR HEALTHY GENERATIONSFRANKE TOBEY JONES FOR POINT DEFIANCE-RUSTON SENIOR CENTERGREATER LAKES MENTAL HEALTHGREEN RIVER COMMUNITY COLLEGE FOUNDATION - TEAMS PROGRAMHILLTOP ARTISTSINTREPID FALLEN HEROES FUNDKEY PENINSULA FREE CLINICKOREAN WOMEN'S ASSOCIATIONLINDQUIST DENTAL CLINIC FOR CHILDRENLUTHERAN COMMUNITY SERVICES NWMEDICAL TEAMS INTERNATIONALMULTI-SERVICE CENTERNW FURNITURE BANKOASIS YOUTH CENTER AND RAINBOW CENTEROPEN HEARTH MINISTRIESPACIFIC LUTHERAN UNIVERSITY FOUNDATION - TEAMS PROGRAMPACIFIC LUTHERAN UNIVERSITY SCHOOL OF NURSING PEACE COMMUNITY CENTERPIERCE COUNTY AIDS FOUNDATIONREBUILDING SOUTH SOUNDRED BARN YOUTH CENTERRP/6, INC.SEATTLE UNION GOSPEL MISSIONSOUND OUTREACHSOUTH SOUND PARENT TO PARENTTACOMA LUTHERAN RETIREMENT COMMUNITY FOUNDATIONTACOMA PIERCE COUNTY HABITAT FOR HUMANITYTHE FIRST TEE OF SOUTH PUGET SOUNDTHE GREATER METRO PARKS FOUNDATIONTHE TEARS FOUNDATIONTRINITY NEIGHBORHOOD HEALTH CLINICUNITED WAY OF PIERCE COUNTYWASHINGTON FIRST ROBOTICSWASHINGTON STATE HISTORICAL SOCIETYWESLEY HOMES FOUNDATIONMULTICARE HAS ESTABLISHED COLLABORATIVE RELATIONSHIPS WITH SEVERAL COMMUNITY PARTNERSHIP FUND RECIPIENTS. OUR SYSTEM CURRENTLY WORKS WITH COMMUNITIES IN SCHOOLS OF PUYALLUP AND TACOMA TO IMPROVE ACCESS TO PHYSICAL AND BEHAVIORAL HEALTH SERVICES FOR STUDENTS; GUIDES THE TEAMS PROGRAM AT GREEN RIVER COMMUNITY COLLEGE AND PACIFIC LUTHERAN UNIVERSITY TO IMPROVE HEALTH FOR SENIORS; PARTNERS WITH KOREAN WOMEN'S ASSOCIATION TO DELIVER THE SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) CONFERENCE AND INCREASE ACCESS TO AND IMPROVE OUTCOMES AROUND BEHAVIORAL HEALTH, INCLUDING MINORITY BEHAVIORAL HEALTH; PARTNERS WITH THE OASIS YOUTH CENTER, RAINBOW CENTER, AND PIERCE COUNTY AIDS FOUNDATION TO IMPROVE LGBT PATIENT EXPERIENCES; AND SUPPORTS OPERATIONS AT TRINITY NEIGHBORHOOD HEALTH CLINIC, WHICH PROVIDES FREE MEDICAL SERVICES. PART VI, LINE 6: MULTICARE HEALTH SYSTEM ("MULTICARE") IS A WASHINGTON NOT-FOR-PROFIT CORPORATION, AND ORGANIZED AS A TAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. MULTICARE HAS FOUR AFFILIATED FOUNDATIONS: MARY BRIDGE CHILDREN'S FOUNDATION, MULTICARE HEALTH FOUNDATION, GOOD SAMARITAN FOUNDATION AND SOUTH KING HEALTH FOUNDATION, ALL WASHINGTON NONPROFIT CORPORATIONS. MULTICARE HEALTH SYSTEM HAS FIVE ACUTE-CARE HOSPITALS INCLUDING LEVEL II ADULT AND PEDIATRIC TRAUMA CENTERS, THE REGION'S ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER, AN INTERNATIONALLY RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS, AND SOUTHWEST WASHINGTON'S ONLY CHILDREN'S HOSPITAL. MULTICARE'S FIVE HOSPITALS SERVE INDIVIDUALS OF ALL AGES. MARY BRIDGE CHILDREN'S HOSPITAL AND HEALTH NETWORK SERVES THE PEDIATRIC NEEDS OF THE COMMUNITY; TACOMA GENERAL HOSPITAL, GOOD SAMARITAN HOSPITAL, AUBURN HOSPITAL AND ALLENMORE HOSPITAL HAVE SPECIALTY SERVICES THAT FOCUS ON ADULT POPULATIONS AND ALLENMORE HOSPITAL HAS SPECIALTY HEALTHCARE SERVICES. MULTICARE CONTINUALLY REINVESTS IN THE COMMUNITIES WE SERVE TO IMPROVE ACCESS TO HEALTHCARE. PART VI, LINE 7, REPORTS FILED WITH STATES WA 1 MARY BRIDGE CHILDREN'S FOUNDATION PO BOX 5299 TACOMA WA 98415 943030039 501(C)(3) 3508324 ASSISTANCE FOR OPERATING EXPENSES. MULTICARE HEALTH FOUNDATION PO BOX 5299 TACOMA WA 98415 911514257 501(C)(3) 1827135 ASSISTANCE FOR OPERATING EXPENSES GOOD SAMARITAN FOUNDATION PO BOX 5299 TACOMA WA 98415 912004312 501(C)(3) 1298208 ASSISTANCE FOR OPERATING EXPENSES MULTICARE SOUTH KING HEALTH FOUNDATION PO BOX 5299 TACOMA WA 98415 465636491 501(C)(3) 273698 ASSISTANCE FOR OPERATING EXPENSES MEDICAL TEAMS INTERNATIONAL PO BOX 500 PORTLAND OR 97207 980878944 501(C)(3) 60000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO PROVIDE FUNDS TO LOW INCOME PEOPLE WHO DO NOT HAVE ACCESS OR CANNOT AFFORD PRIVATE INSURANCES. KOREAN WOMEN'S ASSOCIATION 125 EAST 96TH STREET TACOMA WA 98445 911066806 501(C)(3) 30000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND TO IMPROVE BEHAVIORAL HEALTH EQUITY INITIATIVE COMMUNITIES IN SCHOOLS TACOMA 708 S G ST TACOMA WA 98405 912138848 501(C)(3) 25000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE OAKLAND SCHOOL BASED HEALTH CENTER LINDQUIST DENTAL CLINIC FOR CHILDREN PO BOX 1092 TACOMA WA 98444 910615378 501(C)(3) 25000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND TO THE UNCOMPENSATED CARE FUND. SOUND OUTREACH 1106 MLK JR WAY TACOMA WA 98405 911741624 501(C)(3) 25000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE SOUND OUTREACH NAVIGATOR PROGRAM UNITED WAY OF PIERCE COUNTY PO BOX 2215 TACOMA WA 98401 910650669 501(C)(3) 20000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR SERVING LOW INCOME FAMILIES AUBURN YOUTH RESOURCES 1000 AUBURN WAY S AUBURN WA 98002 910903084 501(C)(3) 15000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: FUNDING FOR OUTREACH TO HOMELESS YOUTH ON THE STREET MULTI-SERVICE CENTER PO BOX 23699 FEDERAL WAY WA 98093 237120815 501(C)(3) 15000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE MULTI-SERVICE CENTER BASIC NEEDS/ECONOMIC WELL-BEING PROGRAM OASIS YOUTH CENTER AND RAINBOW CENTER 2215 PACIFIC AVE TACOMA WA 98402 911859897 501(C)(3) 15000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR EDUCATION AND COMMUNITY OUTREACH ENHANCEMENT TACOMA PIERCE COUNTY HABITAT FOR HUMANITY 4824 S TACOMA WAY TACOMA WA 98409 581735531 501(C)(3) 15000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND TO HABITAT HOME OWNERSHIP PROGRAM THE TEARS FOUNDATION 11102 SUNRISE BLVD E PUYALLUP WA 98372 450500497 501(C)(3) 15000 SUPPORT FOR BEREAVED FAMILIES PACIFIC LUTHERAN UNIVERSITY SCHOOL OF NURSING 12180 PARK AVE S TACOMA WA 98447 910565571 501(C)(3) 12500 DOCTOR OF NURSING PRACTICE NURSE LEADERS SCHOLARSHIP WESLEY HOMES FOUNDATION 815 S 216 ST DES MOINES WA 98198 911732317 501(C)(3) 12500 CAMPAIGN FOR WESLEY HOMES LEA HILL CATHOLIC COMMUNITY SERVICES OF WESTERN WA 1323 S YAKIMA AVE TACOMA WA 98405 911585652 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT AND VOLUNTEER TRANSPORTATION ASSOCIATED MINISTRIES OF TACOMA PIERCE COUNTY 901 S 13TH ST TACOMA WA 98405 910847534 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE COMMUNITY RESOURCE CONNECTION CENTER EMERGENCY FOOD NETWORK 3318 92ND ST S LAKEWOOD WA 98499 943131776 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT HILLTOP ARTISTS PO BOX 6829 TACOMA WA 98417 911667476 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO TEAM PRODUCTION PROGRAM LUTHERAN COMMUNITY SERVICES NORTH WEST 223 N YAKIMA AVE TACOMA WA 98403 930386860 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: FUND A PART TIME POSITION TO RECRUIT AND HELP TRAIN MORE SENIOR VOLUNTEERS. INTREPID FALLEN HEROS FUND ONE INTREPID SQUARE WEST 46TH ST 12TH AVE NEW YORK NY 10036 200366717 501(C)(3) 10000 FUND THE INTREPID SPIRIT CENTER AT JOINT BASE LEWIS-MCCHORD PEACE COMMUNITY CENTER 2106 S CUSHMAN AVE TACOMA WA 98405 911746986 501(C)(3) 10000 FUND THE MCCARVER SCHOLARS PROGRAM RED BARN YOUTH CENTER PO BOX 1032 VAUGHN WA 98394 461318527 501(C)(3) 10000 FUND YOUTH MENTOR PROGRAM RP6 INC 9881 BRIDGEPORT WAY SW LAKEWOOD WA 98499 453484547 501(C)(3) 10000 FUND RP/6 SCOUT PROGRAM PCAF (PIERCE COUNTY AIDS FOUNDATION) 3009 S 40TH ST TACOMA WA 98409 911385245 501(C)(3) 9000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT WASHINGTON STATE HISTORICAL SOCIETY 1911 PACIFIC AVE TACOMA WA 98402 916000557 501(C)(3) 9000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO ROOTS OF WISDOM PROGRAM FOR STUDENTS SOUTH SOUND PARENT TO PARENT 1012 HOMANN DR SE LACEY WA 98503 911496512 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO CIRCLE OF SECURITY PARENTING (COS-P) THE FIRST TEE OF SOUTH PUGET SOUND 7108 LAKEWOOD DR SW TACOMA WA 98467 451781054 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR THE HEALTHY FUTURE OF NATIVE AMERICAN YOUTH THE GREATER METRO PARKS FOUNDATION 4702 S 19TH ST TACOMA WA 98405 911482669 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR METRO PARKS SPECIALIZED RECREATION WASHINGTON FIRST ROBOTICS 21238 68TH AVE S KENT WA 98032 452443839 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO INCREASING STEM SKILLS IN UNDERSERVED GIRLS AND BOYS AGES 9-14 IN KENT, LAKEWOOD, AND TACOMA FRANKE TOBEY JONES FOR POINT DEFIANCE-RUSTON SENIOR CENTER 5340 N BRISTOL ST TACOMA WA 98407 910575957 501(C)(3) 5500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE HEARING LOOP SYSTEM FOR POINT DEFIANCE RUSTON SENIOR CENTER GREEN RIVER COMMUNITY COLLEGE FOUNDATION - TEAMS PROGRAM 12401 SE 320TH ST AUBURN WA 98092 510168649 501(C)(3) 5210 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR TEAMS FOR HEALTHIER LIVING. PARTICIPANTS AT AUBURN SENIOR & ACTIVITY CENTER BACKPACK FOR KIDSOUR SAVIOUR LUTHERAN CHURCH 4519 112TH ST E TACOMA WA 98446 910850441 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO BACKPACKS 4 KIDS, A PROGRAM THAT IDENTIFIES HUNGRY CHILDREN AND SUPPLIES THEM WITH CHILD-FRIENDLY FOOD ITEMS THAT ARE EASY TO USE AND OPEN WITH NO PREPARATION BIG BROTHERS BIG SISTERS 1600 S GRAHAM ST SEATTLE WA 98108 910673185 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO ONE-TO-ONE MENTORING CATHERINE PLACE 923 S 8TH ST TACOMA WA 98405 912089836 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR CATHERINE PLACE: WOMEN'S WELLNESS PROGRAMMING IN SPANISH CHILDREN'S MUSEUM OF TACOMA 1501 PACIFIC AVE STE 202 TACOMA WA 98402 943036465 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT COMMUNITIES IN SCHOOLS LAKEWOOD 6402 100TH ST SW LAKEWOOD WA 98499 911732922 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT COMMUNITIES IN SCHOOLS PUYALLUP 302 SECOND ST SE PUYALLUP WA 98372 260028759 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT GREATER LAKES MENTAL HEALTH 9330 59TH AVE SW LAKEWOOD WA 98499 916064184 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT TO EMERGENCY NEEDS FUNDS NW FURNITURE BANK 117 PUYALLUP AVE TACOMA WA 98421 223939593 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: FUNDING FOR ESSENTIAL FURNITURE AND HOUSEHOLD ITEMS TO FAMILIES IN NEED. REBUILDING SOUTH SOUND 712 54TH AVE E TACOMA WA 98424 912147601 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SEATTLE UNION GOSPEL MISSION PO BOX 202 SEATTLE WA 98111 910595029 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT KENTHOPE OVERNIGHT SHELTER (KHOS) TACOMA LUTHERAN RETIREMENT COMMUNITY FOUNDATION 1301 N HIGHLANDS PKWY TACOMA WA 98406 943031579 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT 45 0 PART I, LINE 2: THE MULTICARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON AND KITSAP COUNTIES THAT ADVANCE INITIATIVES, PROGRAMS, AND PROJECTS THAT IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING THROUGH PARTNERSHIP WITH ORGANIZATIONS THAT AFFECT THE SOCIAL DETERMINANTS OF HEALTH. AFTER THE APPLICANTS ARE VALIDATED AS 501,C,3 ORGANIZATIONS AND PROVIDED THE FUNDS, MULTICARE HEALTH SYSTEM THEN SEES THE BENEFITS OF THOSE ORGANIZATIONS IN THE COMMUNITY. RESEARCH IS CONDUCTED TO ENSURE THE INTEGRITY AND ETHICS OF EACH OF THE ORGANIZATIONS. X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 WILLIAM ROBERTSON PRESIDENT & CEO 986924 0 395787 0 45160 0 471898 0 17797 0 1917566 0 0 0 ANNA LOOMIS CFO 537241 0 253628 0 70551 0 124648 0 17538 0 1003606 0 14946 0 FLORENCE CHANG EXECUTIVE VICE PRESIDENT 722285 0 332742 0 75527 0 133346 0 17533 0 1281433 0 0 0 CLAIRE SPAIN-REMY SRVP, CHIEF PHYSICIAN OFFI 373505 0 213859 0 461601 0 50232 0 18032 0 1117229 0 268833 0 GLENN KASMAN REGIONAL PRESIDENT,EAST RE 386054 0 91980 0 99037 0 107660 0 17200 0 701931 0 14564 0 SHELLY MULLIN REGIONAL PRESIDENT,WEST RE 389669 0 162632 0 66093 0 68279 0 15806 0 702479 0 24618 0 LINDA CHEN PRESIDENT MARY BRIDGE 305650 0 82299 0 32582 0 41288 0 17052 0 478871 0 0 0 CHRISTI MCCARREN SRVP RETAIL HEALTH&COMMUNI 393747 0 103528 0 134233 0 15900 0 9714 0 657122 0 45743 0 DAVID COONS PHYSICIAN 1104893 0 162884 0 23485 0 30616 0 22599 0 1344477 0 20390 0 SURAJ SINGH PHYSICIAN 991760 0 234528 0 11013 0 27622 0 23860 0 1288783 0 0 0 JOHN HUNG PHYSICIAN 920139 0 129360 0 11283 0 25990 0 22476 0 1109248 0 0 0 MOHAMMED BACCORA PHYSICIAN 840323 0 161543 0 11013 0 17165 0 16812 0 1046856 0 0 0 UMESH AVITANASH CHITALEY PHYSICIAN 852391 0 136436 0 9715 0 22619 0 12052 0 1033213 0 0 0 PART I, LINE 1A LINE 1A - THE EXECUTIVE BENEFIT ALLOWANCE IS A DISCRETIONARY SPENDING ACCOUNT AND THERE ARE NO RESTRICTIONS AS TO HOW THE FUNDS ARE TO BE SPENT. ALL VICE-PRESIDENTS, SR. VICE-PRESIDENTS AND OFFICERS, A TOTAL OF 8 REPORTED PEOPLE, RECEIVED EXECUTIVE BENEFIT ALLOWANCE IN 2016. THE PHYSICIANS ARE OFFERED A SIMILAR BENEFIT ALLOWANCE BUT THE AMOUNT IS CAPPED AT $10,000. IN 2016 THE REPORTED HIGHEST COMPENSATED EMPLOYEES, PHYSICIANS, WERE PAID BENEFIT ALLOWANCE. THEY CAN CHOOSE TO AUGMENT THEIR BENEFITS OR RECEIVE IT AS COMPENSATION PART OF TAXABLE WAGES. LINE 1A - HOUSING ALLOWANCE WAS PAID TO GLENN KASMAN IN THE AMOUNT OF $41,600 FOR 2016. THE AMOUNT WAS PART OF TAXABLE WAGES AND REPORTED ON HIS W-2. PART I, LINES 4A-B LINE 4B - THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN AND RECEIVED A PAYOUT IN 2016: CLAIRE SPAIN-REMY $268,833, DAVIS COONS $20,390, SHELLY MULLIN $24,618, GLENN KASMAN $14,564, CHRISTI MCCARREN $45,743, ANNA LOOMIS $14,946. IRC SECTION 457(F) PLANS ALLOW PARTICIPANTS TO CHOOSE FROM A NUMBER OF DIFFERENT TYPES OF BENEFITS WITH A DEFAULT SELECTION INTO A 457(F) PLAN. THE PLAN COVERS EMPLOYEES WHO ARE PRIMARILY A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THIS TYPE OF ARRANGEMENT CONTAINS A RISK OF FORFEITURE AND SOME OF THE ACCOUNTS USE A NON-COMPETE CLAUSE. THE ACCOUNTS CONTAIN A 5-YEAR CLIFF VESTING SCHEDULE AND ONCE THAT IS BEING MET THE PARTICIPANT RECEIVES 50% OF THE ACCOUNT WITH A 100% VESTING UPON AGE 62 AND 5 YEARS OF PRIOR EMPLOYMENT. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B,(III). LINE 4A- IN 2016 CLAIRE SPAIN-REMY RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $154,965. SCHEDULE J, SUPPLEMENTAL INFORMATION WILLIAM G. ROBERTSON, PRESIDENT AND CEO, EARNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) INCOME IN THE AMOUNT OF $460,610 WHICH IS REFLECTED IN COLUMN C. THE SERP PLAN HAS DEFERRALS INTO THE 457(F) CAA DEFERRED COMPENSATION PLAN. MR. ROBERTSON RECEIVED NO PAYOUTS FROM THE PLAN DURING THE YEAR AND THE PLAN IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I, LINE 7 THE SENIOR VICE PRESIDENTS AND THE CEO ARE ELIGIBLE FOR AN INCENTIVE COMPENSATION PLAN WHERE DISCRETION IS EXERCISED BY OTHER PERSONS: FOR THE CEO THE ADJUSTMENT IS AT THE DISCRETION OF THE COMPENSATION COMMITTEE OF THE BOARD. FOR THE SENIOR VICE PRESIDENTS WHO ARE "DISQUALIFIED" AS DEFINED UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF THE IRS, INCENTIVES ARE AT THE DISCRETION OF THE COMPENSATION COMMITTEE. FOR ALL OTHER SENIOR VICE PRESIDENTS IT IS AT THE DISCRETION OF THE CEO. TARGETS IN QUALITY OF CARE, PATIENT SAFETY, CUSTOMER SERVICE, PEOPLE AND PERFORMANCE ALONG WITH A SYSTEM-WIDE OPERATING MARGIN GOAL MUST BE MET FOR THE INCENTIVE COMPENSATION PLAN PAYMENTS TO BE MADE. THE INCENTIVE COMPENSATION PLAN IS THEN CALCULATED AND PAID BASED ON INDIVIDUAL/TEAM CONTRIBUTIONS TO THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES, OR OTHER IMPORTANT RESULTS, AND/OR ACCOMPLISHMENTS. FORM 990, PART VII AND SCHEDULE J, PART III- SUPPLEMENTAL THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 91-2004312, 46-5636491 AND 47-5457904), INCLUDING CURRENT YEAR PAYMENTS OF AMOUNTS REPORTED IN PRIOR YEARS AS CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS AND DEFERRED COMPENSATION PLANS, TOGETHER WITH INVESTMENT EARNINGS FROM THOSE PRIOR YEAR CONTRIBUTIONS. AS A RESULT, CERTAIN AMOUNTS HAVE BEEN REPORTED TWICE, BOTH IN PRIOR YEARS WHEN EARNED OR ACCRUED, AND AGAIN IN THE CURRENT YEAR WHEN PAID. THE AMOUNTS UNDER OTHER COMPENSATION INCLUDE DEFERRED COMPENSATION, AND THE VALUE OF MEDICAL, DENTAL, LIFE, DISABILITY INSURANCE, AND PENSION BENEFITS. COMPENSATION ON THIS TAX RETURN INCLUDES AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND MAY NOT BE PAID OUT IN THE FUTURE. THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION AT MULTICARE HEALTH SYSTEM (I) COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (II) IS DETERMINED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL INDEPENDENT, DO NOT HAVE A CONFLICT OF INTEREST, AND ARE NON-PAID; AND (III) IS ANNUALLY EVALUATED IN THE CONTEXT OF COMPENSATION DATA GATHERED BY INDEPENDENT EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILAR HIGH PERFORMING HEALTHCARE INSTITUTIONS, PRIMARILY INTEGRATED HEALTHCARE ORGANIZATIONS. COMPENSATION PAID IS DETERMINED TO BE REASONABLE AND NECESSARY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE INDEPENDENT EXTERNAL CONSULTANT. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND BASED ON ACHIEVEMENT OF GOALS SET BY THE BOARD OF DIRECTORS AT THE START OF EACH YEAR IN AREAS SUCH AS PATIENT SAFETY, QUALITY, WORKFORCE DEVELOPMENT, FINANCE AND OTHER MISSION-RELATED AREAS. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE IN ORDER TO ACHIEVE TOP TIER INTEGRATED CARE DELIVERY SYSTEM STATUS. THE COMPENSATION COMMITTEE ROUTINELY REVIEWS BENEFITS AND RETIREMENT PROGRAMS TO ENSURE THE PLANS ARE MARKET-BASED AND OTHERWISE CONSISTENT WITH IRS GUIDELINES. THE OFFICERS OF MULTICARE HEALTH SYSTEM, 91-1352172, ALSO FULFILL OFFICER AND EXECUTIVE FUNCTIONS FOR ITS RELATED ENTITIES. COMPENSATION DISCLOSED IS REPORTED TO THE RELATED ENTITIES TAX RETURNS IN ACCORDANCE WITH IRS REGULATIONS, BUT IS NOT CHARGED TO THE SUBSIDIARY OR AFFILIATE. AN OFFICER LISTED DEVOTES AN AVERAGE OF 60 HOURS PER WEEK TO PERFORM HIS OR HER RESPONSIBILITIES. A WASHINGTON HEALTH CARE FACILITIES SERIES 2007 ABC 911108929 93978EE73 2007-02-15 210365000 CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK 0 0 0 B WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D 911108929 93978EF23 2007-02-15 105635000 CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK 0 0 0 C WASHINGTON HEALTH CARE FACILITIES SERIES 2007 AB 911108929 93978EQ54 2008-05-15 158492602 CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK 0 0 0 D WASHINGTON HEALTH CARE FACILITIES SERIES 2009 AB 911108929 93978E3U4 2009-05-01 100000000 CONSTRUCTION OF THE GOOD SAMARITAN TOWER 0 0 0 A 7574997 210365000 1147268 4071130 205146602 2009 0 0 1 1 B 10560984 105635000 465412 1820372 103349216 2009 0 0 1 1 C 5875000 158492602 1042602 157450000 2008 1 0 1 1 D 100000000 1032608 556507 98410885 2010 0 0 1 1 A 0 1 1 1 1 1 0.01430 0.00000 0.01430 0 0 1 B 0 1 1 1 1 1 0.01430 0.00000 0.01430 0 0 1 C 0 1 1 1 1 1 0.01430 0.00000 0.01430 0 0 1 D 0 1 1 1 1 1 0.00080 0.00000 0.00080 0 0 1 A 0 0 0 0 1 0 0 0 1 B 0 0 0 0 1 0 0 0 1 C 0 0 0 0 0 0 0 0 1 D 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A 911108929 93978E6W7 2010-01-05 105127578 USED TO REFUND THE WHCA SERIES 1998 ISSUED ON 08/13/1998 0 0 0 B WASHINGTON HEALTH CARE FACILITIES SERIES 2012 AB 911108929 93978HHC2 2012-11-13 140628741 AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT 0 0 0 C WASHINGTON HEALTH CARE FACILITIES SERIES 2015 AB 911108929 93978HNH4 2015-04-16 420539219 REFUND $318,137,428 OF THE SERIES 2004 & SERIES 2008 BONDS 0 0 0 A 49645000 105127578 574 105127004 2010 1 0 1 1 B 140628741 1336000 139292741 2013 0 0 1 1 C 4120000 420539219 3145115 99256676 224959548 93117880 2015 1 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.01270 0.00000 0.01270 0 0 1 C 0 1 1 1 1 1 0.02570 0.00000 0.02570 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 1 0 0 0 1 C 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 CAROLINE RUTTER MD FAMILY OF DIRECTOR 728743 EMPLOYEE OF MULTICARE HEALTH SYSTEM 0 RICKY ROTH FAMILY OF DIRECTOR 66379 EMPLOYEE OF MULTICARE HEALTH SYSTEM 0 FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY INTERNAL STAFF AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. INITIAL REVIEWS WERE PERFORMED BY LEVELS OF MANAGEMENT IN VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION, INCLUDING THE CHIEF EXECUTIVE OFFICER, AND THE CHIEF FINANCIAL OFFICER. A REVIEW WAS THEN PERFORMED BY THE AUDIT COMMITTEE OF THE 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 THE BOARD OF DIRECTORS HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION, AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY DIRECTOR ON THE BOARD, EXECUTIVE LEADERSHIP, OR KEY EMPLOYEE. IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, THESE INDIVIDUALS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY, AND HAVE AN ONGOING OBLIGATION TO UPDATE THE DISCLOSURE IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. THE CONFLICTS OF INTEREST QUESTIONNAIRE INCLUDES A STATEMENT THAT THE PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT FURTHER ITS TAX EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, AND IN CERTAIN CIRCUMSTANCES, THERE IS FURTHER REVIEW BY THE GENERAL COUNSEL AND THE MEMBER. NO PERSON WITH A CONFLICT OF INTEREST PARTICIPATES IN AN ACTIVITY RELATED TO THE CONFLICT OF INTEREST UNLESS DISCLOSED, RESOLVED, AND PERMITTED IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. CONFLICTS OF INTEREST ARE DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15 A-B: PROCESS USED TO DETERMINE COMPENSATION OF CEO THE BOARD, THROUGH ITS COMPENSATION COMMITTEE CONSISTING OF INDEPENDENT, NON-PAID, BOARD MEMBERS, IS ACCOUNTABLE FOR ENSURING AND APPROVING A REASONABLE TOTAL COMPENSATION PACKAGE, CONSISTENT WITH ITS COMPENSATION PHILOSOPHY, FOR THE CEO FOR HIS MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 91-2004312, 46-5636491 AND 47-5457904). THE COMPENSATION COMMITTEE DIRECTS THE DEVELOPMENT AND IT APPROVES ANNUAL GOALS AND PERFORMANCE CRITERIA THAT ARE USED TO DETERMINE VARIABLE COMPENSATION OPPORTUNITIES FOR THE CEO. THE COMPENSATION COMMITTEE ASSESSES PERFORMANCE AGAINST THESE GOALS AND PERFORMANCE CRITERIA, WHICH INCLUDE IMPROVING PATIENT CARE, CARE ACCESS TO THE UNDERSERVED, CLINICAL OUTCOMES, AND PATIENT SAFETY, AS WELL AS EARNING AN OPERATING MARGIN TO ENABLE INVESTMENT IN PEOPLE, TECHNOLOGY, AND FACILITIES. THE COMPENSATION COMMITTEE SELECTS AND ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT EACH YEAR TO REVIEW AND ANALYZE THE TOTAL COMPENSATION PACKAGE FOR ALIGNMENT WITH APPROPRIATE PRACTICES FOR SIMILAR NOT-FOR-PROFIT HEALTHCARE SYSTEMS. THE COMPENSATION COMMITTEE, AS PART OF ITS ANALYSIS, OBTAINS FROM THE INDEPENDENT COMPENSATION CONSULTANT APPROPRIATE COMPARABILITY DATA, INCLUDING TOTAL COMPENSATION PAID BY SIMILARLY SITUATED NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE. THE COMPENSATION DELIBERATION AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE LAST TIME THIS PROCESS WAS UNDERTAKEN WAS 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF THE FORM 990. FORM 990, PART XI, LINE 9: UNFUNDED DB PENSION LIABILITY -12,473,085. MULTICARE CONNECTED CARE LLC 222 N J ST STE B TACOMA WA 98403 472859356 HEALTHCARE ACO WA MULTICARE HEALTH SYSTEM MULTICARE HEALTH FOUNDATION 409 S J STREET TACOMA WA 98405 911514257 SOLICIT CONTRIBUTIONS WA 501(C)(3) LINE 7 MULTICARE HEALTH SYSTEM 1 MARY BRIDGE CHILDREN'S FOUNDATION 409 S J STREET TACOMA WA 98405 943030039 SOLICIT CONTRIBUTIONS WA 501(C)(3) LINE 7 MULTICARE HEALTH SYSTEM 1 GOOD SAMARITAN FOUNDATION 402 15TH AVE SE SUITE 101 PUYALLUP WA 98372 912004312 SOLICIT CONTRIBUTIONS WA 501(C)(3) LINE 7 MULTICARE HEALTH SYSTEM 1 MULTICARE SOUTH KING HEALTH FOUNDATION 737 FAWCETT AVE TACOMA WA 98402 465636491 SOLICIT CONTRIBUTIONS WA 501(C)(3) LINE 7 MULTICARE HEALTH SYSTEM 1 ALLIANCE FOR SOUTH SOUND HEALTH 737 FAWCETT AVE TACOMA WA 98402 474654897 HOSPITAL WA 501(C)(3) LINE 3 MULTICARE HEALTH SYSTEM 1 CHVI PROFESSIONAL CORPORATION 222 N J STREET TACOMA WA 98403 475457904 HOSPITAL WA 501(C)(3) LINE 3 MULTICARE HEALTH SYSTEM 1 MULTICARE CONSULTING SERVICES LLC 1102 BROADWAY STE 510 TACOMA WA 98402 454152765 HEALTHCARE CASH COLLECTIONS CONSULTING WA MULTICARE HEALTH SYSTEM UNRELATED 23140691 0 1 0.99000 REDICLINIC OF WALLC 9 E GREENWAY PLAZA STE 2950 HOUSTON TX 77046 471808980 HEALTHCARE TX MULTICARE HEALTH SYSTEM RELATED -2068620 1685089 0 0 0.51000 MEDIS CORPORATION 315 S K STREET TACOMA WA 98405 911111928 MEDICAL BUILDING RENTAL WA MULTICARE HEALTH SYSTEM C 1317355 1695721 1.00000 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 MULTICARE HEALTH FOUNDATION B 1827135 ACCRUAL MARY BRIDGE CHILDREN'S FOUNDATION B 3508324 ACCRUAL GOOD SAMARITAN FOUNDATION B 1298208 ACCRUAL MULTICARE SOUTH KING HEALTH FOUNDATION B 273698 ACCRUAL MULTICARE HEALTH FOUNDATION C 3197039 ACCRUAL MARY BRIDGE CHILDREN'S FOUNDATION C 3815847 ACCRUAL GOOD SAMARITAN FOUNDATION C 3098394 ACCRUAL MULTICARE SOUTH KING HEALTH FOUNDATION C 56582 ACCRUAL MEDIS CORPORATION K 825823 ACCRUAL CHVI PROFESSIONAL CORPORATION Q 16199716 ACCRUAL MULTICARE HEALTH FOUNDATION Q 11953124 ACCRUAL MARY BRIDGE CHILDREN'S FOUNDATION Q 2434273 ACCRUAL GOOD SAMARITAN FOUNDATION Q 842261 ACCRUAL MULTICARE SOUTH KING HEALTH FOUNDATION Q 27355 ACCRUAL MEDIS CORPORATION Q 334523 ACCRUAL