2016-11-14T11:02:35-06:00 2015-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2015-01-01 911352172 MULTICARE HEALTH SYSTEM MULT 2534598125 PO BOX 5299 TACOMA WA 984150299 ANNA LOOMIS CFO 2534598125 2016-11-11 0 P01286320 4158948000 2015 2017-02-10 21:41:12Z ANNA LOOMIS PO BOX 5299 TACOMA WA 984150299 1996326665 0 X HTTPS://WWW.MULTICARE.ORG/ X 1987 WA MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE. 11 9 10652 3301 5792447 -232053 42142063 33015880 1862026956 1939546859 39305104 -4644067 45198 -368776 1943519321 1967549896 6664377 6579495 0 0 974092571 1028607689 0 0 0 714991818 723985101 1695748766 1759172285 247770555 208377611 3218850057 3396517115 1451469514 1483942825 1767380543 1912574290 X MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE. 0 0 1208987425 6579495 1718549527 MULTICARE HEALTH SYSTEM (MHS) OPERATES FIVE COMMUNITY BASED HOSPITALS WITH 1,048 LICENSED ADULT BEDS AND 82 LICENSED PEDIATRIC BEDS. DURING 2015 MHS HOSPITALS ADMITTED 45,195 PATIENTS FOR A TOTAL OF 226,637 PATIENT DAYS, PERFORMED 34,811 SURGERIES AND DELIVERED 6,627 BABIES. THERE WERE 9,866 NEWBORN DAYS DURING 2015. THEY ALSO PROVIDED CARE FOR 266,379 OUTPATIENT VISITS AND 257,721 EMERGENCY ROOM VISITS, OF WHICH 1,053 WERE TRAUMA PATIENTS. 100752452 0 102218707 MULTICARE HEALTH SYSTEM OPERATES MULTI-SPECIALTY CLINICS THROUGHOUT PIERCE AND SOUTH KING COUNTIES. DURING 2015 THESE CLINICS PROCESSED 395,956 LABORATORY WORKLOAD UNITS, 67,201 IMAGING RELATIVE UNITS, 114,111 ONCOLOGY RELATIVE VALUE UNITS, 132,470 THERAPY VALUE UNITS AND 1,119 PHARMACY WORKLOAD UNITS. THEY ALSO PROVIDED CARE FOR 140,495 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. 93267800 0 57648786 MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 530,238 PATIENT VISITS DURING 2015. 67645102 0 55337392 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 2015 THE CLINICS PROVIDED 201,628 URGENT CARE VISITS AND 42,253 HOME HEALTH VISITS. THE HOME HEALTH AND HOSPICE PROGRAMS ADMITTED 3,987 AND 929 PATIENTS, RESPECTIVELY DURING 2015. MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU) HELPS INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. IN 2015 CTU SERVED 498 PATIENTS. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS. IN 2015 BHS SERVED 11,810 CLIENTS. 67645102 0 55337392 1470652779 1 1 0 1 0 0 0 0 0 0 1 1 0 1 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 1084 0 1 10652 1 1 1 0 0 0 0 0 0 0 0 0 X 11 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 MATT DAVIS MD DIRECTOR, PHYSICIAN 55.00 0.00 X 452064 0 41675 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 0.00 X 1226947 0 451481 ANNA LOOMIS CFO 56.00 0.00 X 721475 0 105081 FLORENCE CHANG EXECUTIVE VICE PRESIDENT 60.00 0.00 X 914416 0 122426 CLAIRE SPAIN-REMY SRVP, CHIEF PHYSICIAN OFFICER 60.00 0.00 X 664265 0 101684 GLENN KASMAN REGIONAL PRESIDENT,EAST REGION 60.00 0.00 X 553969 0 102894 SHELLY MULLIN REGIONAL PRESIDENT,WEST REGION 60.00 0.00 X 621008 0 105889 LINDA CHEN PRESIDENT MARY BRIDGE PART YEAR 60.00 0.00 X 171552 0 42225 CHRISTI MCCARREN SRVP RETAIL HEALTH&COMMUNITY CLINICS 60.00 0.00 X 407203 0 67038 SURAJ SINGH PHYSICIAN 50.00 0.00 X 1494664 0 40189 DAVID COONS PHYSICIAN 50.00 0.00 X 1291868 0 71925 FRANCIS KIM PHYSICIAN 50.00 0.00 X 673261 0 368834 JOHN HUNG PHYSICIAN 50.00 0.00 X 952546 0 43181 DOUGLAS SUTHERLAND PHYSICIAN 50.00 0.00 X 925097 0 40875 11070335 0 1705397 1737 0 1 0 TACOMA ANESTHESIA ASSOCIATES INC PS 3633 PACIFIC AVE204 TACOMA WA 98418 MEDICAL 9042365 TRAUMA TRUST POBOX 5299 TACOMA WA 98415 MEDICAL 6233365 SOUTH SOUND INPATIENT PHYSICIANS PLLC POBOX 742936 LOS ANGELES CA 90074 MEDICAL 5447140 TACOMA-PIERCE COUNTY BLOOD BANK POBOX 2113 TACOMA WA 98401 MEDICAL 4740916 KAUFMAN HALL & ASSOCIATES 8610 SOLUTION CENTER CHICAGO IL 60677 SOFTWARE IMPLEMENTATION 4188951 130 9895747 23120133 33015880 HEALTHCARE SERVICES 622110 1720124530 1715636819 4487711 AMBULATORY SRVS & UCC 621493 123323840 122019104 1304736 OFFICES OF PHYSICIANS 621111 76456737 76456737 HOME HEALTH 621610 9376425 9376425 OUTPATIENT MENTAL HEAL 621420 7323554 7323554 2941773 2941773 1939546859 22646319 22646319 84364 84364 0 0 27290386 -27290386 -27290386 -27290386 1033243 1402019 -368776 -368776 1967549896 1933754412 5792447 -5012843 6579495 6579495 5280835 4420965 859870 976996 976996 805078135 672969616 132108519 43353615 36294416 7059199 122626351 102659301 19967050 51291757 42480005 8811752 2517492 336335 2181157 362300 362300 72000 72000 88311597 50821491 37490106 2046840 433829 1613011 9088126 7680321 1407805 30757072 25748948 5008124 6288805 4209083 2079722 84454 43880 40574 35538788 29752065 5786723 107085849 89649234 17436615 9802217 8206138 1596079 SUPPLIES 241492582 235502357 5990225 UBI TAX 44154 44154 SAFETY NET ASSESMENT 71263935 71263935 PROVISION FOR BAD DEBTS 44193950 44193950 75034940 36386265 38648675 1759172285 1470652779 288519506 0 106197236 206500250 314185164 281129684 21410850 20492540 13769426 13478514 2327731313 1048456411 1295842171 1279274902 1204759545 1233090434 172695117 191680483 8718006 0 81272542 170870308 3218850057 3396517115 312422692 237610934 890030907 1008089087 227066 177053 248788849 238065751 1451469514 1483942825 X 1767380543 1912574290 1767380543 1912574290 3218850057 3396517115 X 208377611 -102192625 39008761 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 72000 0 0 72000 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. 52927590 52927590 1477353270 502248502 975104768 70807939 43455147 27352792 671681936 502752762 168929174 54960578 54960578 1279274902 HEDGE FUNDS-PRIVATE INVESTMENTS FUNDS 82937000 F LIMITED PARTNERSHIPS-PRIVATE EQUITY 108743483 F 191680483 OTHER ASSETS 76220969 MARK TO MARKET BASIS SWAP 1335168 BONDS HELD IN TRUST 93314171 170870308 ACCRUED INTEREST PAYABLE 13731438 DUE TO AFFILIATES 55820047 ESTIMATED THIRD PARTY SETTLEMENT 8326961 ACCRUED PENSION AND MALPRACTICE LIABILITY 101157841 INTEREST RATE SWAP 59029464 238065751 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 19601141 0 19601141 0.01140 513181000 385855000 127326000 0.07420 0 0 532782141 385855000 146927141 0.08560 19 19316 2910813 45354 2865459 0.00170 7 60 8732252 736978 7995274 0.00470 30 55889 57128416 29979335 27149081 0.01580 3 124 947925 166237 781688 0.00050 3 2028 1688548 1688548 0.00100 62 77417 71407954 30927904 40480050 0.02370 62 77417 604190095 416782904 187407191 0.10930 2 6760 1320941 178554 1142387 0.00070 5 57985 8243531 71518 8172013 0.00480 3 40183 2990275 416810 2573465 0.00150 19 209127 3845872 34308 3811564 0.00220 1 30 4972800 0 4972800 0.00290 30 314085 21373419 701190 20672229 0.01210 1 10509000 969000 258347000 311062000 -52715000 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 13 1 1 1 1 X HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X X 1 13 1 HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 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 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 -- TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRIDGE PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT DATA METHODS: MULTICARE HEALTH SYSTEM, (MULTICARE), WORKED WITH TACOMA PIERCE COUNTYHEALTH DEPARTMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT THATINCLUDED INPUT FROM KEY LEADERS AND COMMUNITY RESIDENTS REPRESENTINGMULTIPLE SECTORS AND POPULATION GROUPS IN THE COMMUNITY. THE NEEDSASSESSMENT INCLUDED A COMMUNITY SURVEY, AS WELL AS THE COMMUNITYENGAGEMENT PROCESS DESCRIBED BELOW.PIERCE COUNTY COMMUNITY SURVEY:IN DECEMBER 2011, THE HEALTH DEPARTMENT COMMISSIONED THE PIERCE COUNTYCOMMUNITY STUDY, CONDUCTED BY THE GILMORE RESEARCH GROUP IN SEATTLE. MORETHAN 500 PIERCE COUNTY RESIDENTS WERE SURVEYED; 384 (73%) VIA THEINTERNET, 100 ( 19%) FROM PHONE CALLS, AND 41 (8%) VIA INTERCEPT SURVEYSCONDUCTED AT SEVERAL PIERCE COUNTY FOOD BANKS. THE COMMUNITY STUDY SOUGHTPIERCE COUNTY RESIDENTS' VIEWS ON ISSUES RELATED TO HEALTH CARE, ECONOMICOPPORTUNITY, IMPORTANT HEALTH ISSUES, AND ISSUES THAT IMPACT COMMUNITYHEALTH.COMMUNITY ENGAGEMENT PROCESS:TO COMPLEMENT THE COMMUNITY SURVEY, A COMMUNITY ENGAGEMENT PROCESS WASIMPLEMENTED TO FURTHER SOLICIT INPUT FROM THE PIERCE COUNTY PUBLIC. THISPROCESS INCLUDED THREE STAGES: 1.HOLD KEY LEADER FOCUS GROUPS TO GAININPUT ON MAIN QUESTIONS, LISTENING FOR TOP THEMES; 2.HOLD COMMUNITYWORKSHOPS, LISTENING FOR IMPORTANT HEALTH ISSUES IN PIERCE COUNTY; AND3.INVITE KEY LEADERS TO REFLECT ON QUALITATIVE AND SELECTED QUANTITATIVEDATA.FOCUS GROUPS UTILIZED THE "WORLD CAFE" MEETING FORMAT TO ALLOWPARTICIPANTS THE OPPORTUNITY TO SHARE THEIR OBSERVATIONS AND REFLECTIONS.GROUPS WERE FACILITATED BY KAREN MEYER, COMMUNITY LIAISON SPECIALIST WITHTHE HEALTH DEPARTMENT. A KEY ELEMENT IN ALL THREE PARTS OF THE COMMUNITYENGAGEMENT PROCESS WAS THE USE OF A VISUAL (OR GRAPHIC) FACILITATOR. THISALLOWED FOR COMMENTS TO BE CAPTURED IMMEDIATELY. FURTHERMORE, BY UTILIZINGA GRAPHIC RECORDER, ALL PARTICIPANTS WERE ABLE TO BE ENGAGED IN THEPROCESS. IF PARTICIPANTS PROVIDED AN EMAIL ADDRESS, THEY RECEIVED A COPYOF THE MEETING GRAPHIC; THUS, BUILDING MOMENTUM AND KEEPING THEM ENGAGEDIN THE PROCESS. IN ADDITION, PARTICIPANTS WERE ENCOURAGED TO SUGGEST ANYCORRECTIONS THEY FELT WERE NECESSARY.KEY LEADER FOCUS GROUPS:A SERIES OF FOUR KEY LEADER FOCUS GROUPS (32 PARTICIPANTS) WERE HELD INOCTOBER AND NOVEMBER 2012 TO SOLICIT INPUT ON THE STRENGTHS, ASSETS ANDRESOURCES, AS WELL AS HEALTH PRIORITIES FOR PIERCE COUNTY AND SOUTH KING COUNTY. KEY LEADERSREPRESENTED 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 RACIAL/ETHNIC MINORITY RESIDENTS. MEETINGS WERE HELD IN PUYALLUP, AT THE UNIVERSITY OF WASHINGTON-TACOMA, AT THE SEA MAR HEALTHCLINIC TACOMA (REPRESENTED MEDICALLY UNDERSERVED AND LOW INCOME RESIDENTS AND COMMUNITIES OF COLOR) AND WITH THE LEADERSHIP GROUP FROM THE PIERCE COUNTY CROSSCULTURAL COLLABORATIVE (REPRSENTED COMMUNITIES OF COLOR). COMMUNITY WORKSHOPS:SEVEN COMMUNITY WORKSHOPS WERE HELD BETWEEN DECEMBER 2012 AND JANUARY 2013IN PUYALLUP, GIG HARBOR, TACOMA, BONNEY LAKE, AND LAKEWOOD, AS WELL ASWITH THE PIERCE COUNTY CROSS CULTURAL COLLABORATIVE. APPROXIMATELY 80PIERCE COUNTY RESIDENTS ATTENDED THE COMMUNITY WORKSHOPS, WHICH WEREBROADLY ADVERTISED THROUGH LOCAL PRINT, RADIO AND TELEVISION MEDIA(INCLUDING ON-LINE) AND WITH MULTIPLE COMMUNITY PARTNERS. PARTICIPANTSWERE ASKED TO CONSIDER THE CHALLENGES TO HEALTH IN PIERCE COUNTY. AFTERTHINKING ABOUT CHALLENGES, PARTICIPANTS WERE ASKED TO ADDRESS THEFOLLOWING, WORKING IN SMALL GROUPS: WHICH PRIORITIES HAVE THE GREATESTIMPACT (I.E., IMPACT THE GREATEST NUMBER OF PIERCE COUNTY RESIDENTS)?WHICH PRIORITIES ALLOW FOR GREATEST EQUITY? WHICH PRIORITIES ARE WE MOSTREADY TO ADDRESS? PARTICIPANTS AT COMMUNITY WORKSHOPS WERE DIVERSE, IN TERMS OF RACE/ETHNICITY, AGE AND SOCIOECONOMIC STATUS.KEY LEADER REVIEW MEETING:FINALLY, THE ASSESSMENT PROCESS INVOLVED INVITING KEY LEADERS (SEE ABOVEDEFINITION) TO MEET AGAIN IN JANUARY 2013 AT THE HEALTH DEPARTMENT TOREVIEW THE RESULTS OF THE PREVIOUS COMMUNITY INPUT, AS WELL AS SOMERELEVANT QUANTITATIVE DATA. DURING THIS MEETING, ATTENDEES WERE ASKED TOWORK IN SMALL GROUPS AND SHARE THEIR REFLECTIONS ON THE DATA PRESENTED,THEIR IMPRESSIONS OF THE COMMON THREADS, AND TO CONSIDER WHAT MIGHT BEMISSING IN TERMS OF HEALTH ISSUES THAT SHOULD BE INCLUDED IN A COMMUNITYHEALTH IMPROVEMENT PLAN GOING FORWARD. KEY LEADERS HAD ONE MONTH TO PROVIDE INPUT.KEY COMMUNITY LEADERS INVOLVED IN CHNA:JANE MOORE, MD, WASHINGTON COALITION FOR PROMOTING PHYSICAL ACTIVITYCHRIS MORTON ,EXECUTIVE DIRECTOR, ASSOCIATED MINISTRIESJACKIE OSTROM, EXECUTIVE DIRECTOR, CAROL MILGARD BREAST CENTERDAN PENROSE, PROGRAM MANAGER, SOUTH SOUND MILITARY/COMMUNITIES PARTNERSHIPCITY OF LAKEWOODMARK PEREBOOM, PRESIDENT AND CEO, METROPOLITAN DEVELOPMENT COUNCILJULIO QUAN, MEMBER, CROSS CULTURAL COLLABORATIVEDOUG RICHARDSON, COUNCIL MEMBER, PIERCE COUNTY COUNCILCHERYL SHAW, EXECUTIVE DIRECTOR SUSAN G. KOMEN FOR THE CURE, PUGET SOUNDRICK TALBERT, BOARD/COUNCIL MEMBER, TACOMA-PIERCE COUNTY BOARD OF HEALTHAMADEO TIAM, EXECUTIVE DIRECTOR,SOUTH PUGET INTERTRIBAL PLANNING AGENCYAARON VAN ALKENBERG, MANAGER, PIERCE COUNTY AGING & LONG-TERM CAREVICTORIA WOODARDS, VICE CHAIR & COUNCIL MEMBER, TACOMA-PIERCE COUNTY BOARDOF HEALTH / TACOMA CITY COUNCILMARTY CAMPBELL, BOARD MEMBER & DEPUTY MAYOR, TACOMA-PIERCE COUNTY BOARD OFHEALTH / TACOMA CITY COUNCILGEORGE CARGILL, VP, NW FIELD OPERATIONS, TRIWEST HEALTH CARE ALLIANCEKELVIN CEASAR, COMMUNITY IMPACT MANAGER, UNITED WAY OF PIERCE COUNTYDARCY CELLETTI, SENIOR EXECUTIVE DIRECTOR, YMCA OF PIERCE & KITSAPCOUNTIES BOB ECKLUND, PRESIDENT AND CEO, YMCA OF PIERCE AND KITSAPSUSAN EIDENSCHNIK, MEMBER, LEAGUE OF WOMEN VOTERSMAUREEN FACCIA, EXECUTIVE VICE-PRESIDENT, UNITED WAY OF PIERCE COUNTYSTAN FLEMMING, DO, CHAIR / COUNCIL MEMBER, TACOMA-PIERCE COUNTY BOARD OFHEALTH/PIERCE COUNTY COUNCILDAVID FLENTGE, PRESIDENT/CEO, COMMUNITY HEALTH CAREGRETCHEN HANSEN, HEALTH ADVOCATE COORDINATOR, COMPREHENSIVE HEALTHEDUCATION FOUNDATIONJULIE JENSEN, PHD, CLINICIAN, HEROS OF PIERCE COUNTY - MULTICARE GOOD SAMBEHAVIORAL HEALTH, OLDER ADULT SERVICESPAT JOHNSON, BOARD MEMBER / MAYOR, TACOMA-PIERCE COUNTY BOARD OF HEALTH /CITY OF BUCKLEYSUSAN KELLER, RN, NURSE MANAGER, CLOVER PARK SCHOOL DISTRICTJEAN KINNAMAN, SUPERVISOR OF HEALTH SERVICES, PUYALLUP SCHOOL DISTRICTGREG KLEINER, CLINIC MANAGER, TACOMA MEDICAL CLINIC - SEAMARMATTHEW LEVI, BOARD OF DIRECTORS MEMBER, UNITED WAY OF PIERCE COUNTYPAT MCCARTHY, BOARD MEMBER / PIERCE COUNTY EXECUTIVE, TACOMA-PIERCE COUNTYBOARD OF HEALTH / PIERCE COUNTYJIM MCCUNE, BOARD MEMBER / COUNCIL MEMBER, TACOMA-PIERCE COUNTY BOARD OFHEALTH / PIERCE COUNTY COUNCIL RALPH FORQUERA, EXECUTIVE DIRECTOR, SEATTLE INDIAN HEALTH BOARDMIGUEL MAESTAS, ASSOCIATE ADMINISTRATOR, EL CENTRO DE LA RAZAJOAN ST CLAIR, DEPUTY DIRECTOR, ASIAN COUNSELING AND REFERRAL SERVICESLISA YOHALEM, CHIEF STRATEGY AND DEVELOPMENT OFFICER, HEALTHPOINT GROUP A-FACILITY 1 -- TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRIDGE PART V, SECTION B, LINE 6B: TACOMA PIERCE COUNTY HEALTH DEPARTMENT GROUP A-FACILITY 1 -- TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRIDGE PART V, SECTION B, LINE 7D: ADDITIONAL COPIES OF THE CHNAS AND IMPLEMENTATION STRATEGIES WERE PROVIDED TO VARIOUS COMMUNITY ORGANIZATIONS. GROUP A-FACILITY 1 -- TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRIDGE PART V, SECTION B, LINE 11: WE ARE ADDRESSING ALL OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE CHNA. FOR 2015, THE TOP COMMUNITY HEALTH PRIORITIES FROM OUR 2013 CHNA WERE: PREVENTION AND TREATMENT OF CHRONIC DISEASES, IMPROVING ACCESS TO MEDICAL CARE, ADDRESSING NEEDS OF SPECIAL POPULATIONS (LOW-INCOME AND AGING), BEHAVIORAL HEALTH, CHILDHOOD AND ADULT OBESITY, TOBACCO PREVENTION AND CESSATION, AND CULTURAL DIVERSITY (HEALTH INEQUITIES AND COMMUNICATION NEEDS). MULTICARE TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN HOSPITAL, AND MULTICARE AUBURN MEDICAL CENTER FOCUSED THEIR ATTENTION ON ADDRESSING CARDIOVASCULAR DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND TYPE 2 DIABETES. FREE BLOOD PRESSURE CHECKS AND DIABETES RISK ASSESSMENTS WERE PROVIDED AT OVER 10 LARGE COMMUNITY EVENTS IN THE HOSPITALS' SERVICE AREA LAST YEAR. WE ALSO PROMOTED AND REFERRED PATIENTS TO INTERNAL AND EXTERNAL CARDIAC AND DIABETES PROGRAMS AND SERVICES THAT TEACH THEM HOW TO SELF-MANAGE THEIR CONDITIONS. MULTICARE ALLENMORE HOSPITAL ALSO SUCCESSFULLY IMPLEMENTED A PILOT "CHRONIC OBSTRUCTIVE PULMONARY DISEASE", (COPD), INPATIENT EDUCATION PROGRAM IN EFFORTS TO EASILY TRANSITION COPD INPATIENTS BACK INTO THE COMMUNITY AND PREVENT HOSPITAL READMISSIONS. MULTICARE ALSO PARTNERED WITH COMMUNITY PARTNERS, SUCH AS THE YMCA AND THE AMERICAN HEART ASSOCIATION, TO HOST HEALTHY LIVING EVENTS IN THE COMMUNITY. MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL ADDRESSED ASTHMA BY OFFERING COMMUNITY-BASED ASTHMA EDUCATION CLASSES IN ENGLISH AND SPANISH AND BY REFERRING ASTHMA PATIENTS TO THE CLEAN AIR FOR KIDS ASTHMA COMMUNITY HEALTH WORKERS PROGRAM. PEDIATRIC PROVIDERS REFER PARENTS TO THE MULTICARE QUITSMART TOBACCO CESSATION PROGRAM WHEN NECESSARY. MULTICARE ALSO IS A BACKBONE MEMBER OF THE PUGET SOUND ASTHMA COALITION.MULTICARE ADDRESSES THE GROWING PROBLEM OF CHILDHOOD AND ADULT OBESITY ON SEVERAL FRONTS. WE ARE A LEAD ORGANIZATION FOR THE READY, SET, GO! 5210 (RSG 5210) PROGRAM, A COUNTY-WIDE INITIATIVE SUPPORTED BY OTHER COMMUNITY ORGANIZATIONS. THE PROGRAM'S MISSION IS TO INCREASE PHYSICAL ACTIVITY AND HEALTHY LIFESTYLES CHOICES FOR CHILDREN, YOUTH AND FAMILIES. WE ARE ALSO AN ACTIVE PARTNER IN THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT COMMUNITY-WIDE, CDC-FUNDED COMMUNITY TRANSFORMATION GRANT (CTG) FROM THE CENTERS OF DISEASE CONTROL AND PREVENTION. THE COMMUNITY TRANSFORMATION PARTNERSHIP (CTP) WORKS WITH FIVE COMMUNITY COALITIONS (1) HEALTHY EATING AND PHYSICAL ACTIVITY, 2) ACTIVE TRANSPORTATION, 3)TOBACCO-FREE LIVING, 4) CLINICAL AND COMMUNITY HEALTH, AND 5)HEALTHY EQUITY, AND LOCAL LEADERS THAT ARE PARTNERING TO INCREASE OPPORTUNITIES FOR PEOPLE TO MAKE HEALTHY LIVING EASIER AND IMPROVE HEALTH IN COMMUNITIES. THROUGH THE HEALTHY COMMUNITIES OF PIERCE COUNTY, WE PARTNER WITH AREA AGENCIES AND HEALTH SYSTEMS TO PROVIDE EDUCATION FOR CHILDREN AND FAMILIES ON HEALTHY NUTRITION AND EXERCISE. MULTICARE CENTER FOR HEALTHY LIVING ALSO OPERATES A SCHOOL-BASED SUPPLEMENTAL NUTRITION EDUCATION PROGRAM (SNAP-ED) IN THE TACOMA PUBLIC SCHOOLS AND THE HEALTHY KIDS INITIATIVE WITH THE YMCA. IN PARTNERSHIP WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT AND YMCA OF PIERCE AND KITSAP COUNTIES WE OFFER PIERCE COUNTY GETS FIT & HEALTHY, A MULTI-FACETED PROGRAM AIMED AT ENCOURAGING ADULTS TO MAKE HEALTHY LIFE CHOICES. MULTICARE ALSO OFFERS NUTRITION CONSULTATION AND WEIGHT MANAGEMENT SERVICES TO THE COMMUNITY AND HAS INCREASED THE AMOUNT OF HEALTHY OPTIONS SERVED IN OUR CAFETERIAS AND CAFES.MULTICARE HAS BEEN ADDRESSING TOBACCO USE PRIMARILY THROUGH OFFERING A TOBACCO CESSATION PROGRAM: QUITSMART. THE QUITSMART PROGRAM IS PROMOTED INTERNALLY AND EXTERNALLY IN THE COMMUNITY. MULTICARE ALSO OFFERS TOBACCO CESSATION THERAPIES AND SUPPORT PROGRAMS FOR MULTICARE EMPLOYEES AND ALSO PARTNERS WITH THE TOBACCO-FREE ALLIANCE OF PIERCE COUNTY (TAP) TO PROMOTE TOBACCO-FREE ENVIRONMENTS AND HOLD A YEARLY COMMUNITY CONFERENCE. MULTICARE CONTINUES TO SUPPORT AND ENFORCE ITS SMOKE-FREE CAMPUS POLICY.BEHAVIORAL HEALTH CONCERNS ARE ALSO BEING ADDRESSED AT MULTICARE. TO MAKE CARE BETTER COORDINATED AND EASIER TO ACCESS, MULTICARE HAS CONTINUED TO INTEGRATE BEHAVIORAL HEALTH SERVICES INTO THE TRADITIONAL MEDICAL CARE SETTING, INCLUDING CHEMICAL DEPENDENCY TREATMENT. WE HAVE ALSO BEEN ACTIVELY ENROLLING CLIENTS FROM OUR MOBILE MENTAL HEALTH PROGRAM INTO OUR INTEGRATED MEDICAL AND BEHAVIORAL HEALTH CARE PROGRAM. MULTICARE AUBURN MEDICAL CENTER BECAME OUR THIRD HOSPITAL THAT HAS IMPLEMENTED "PERIOD OF PURPLE CRYING" IN EFFORTS TO PREVENT INFANT ABUSE. MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL CONTINUES TO HOST THE PARENTING PARTNERSHIP PROGRAM FOR FAMILIES IN OUR COMMUNITY, IN ADDITION TO BRIDGES, A COMMUNITY PROGRAM FOR GRIEVING CHILDREN.MULTICARE VALUES CULTURAL DIVERSITY AND HAS RECENTLY DEVELOPED A CULTURAL COMPETENCY COUNCIL AND PERFORMED AN INTERNAL CULTURAL COMPETENCY ASSESSMENT TO ADDRESS HEALTH INEQUITIES, WITH PLANS TO DEVELOP THE CENTER FOR HEALTHY LIVING AND HEALTH EQUITY. CULTURAL DIVERSITY HAS BEEN CITED BY THE COMMUNITY AS A COMMUNITY HEALTH NEED IN THE MOST RECENT CHNA. THE CULTURAL COMPETENCY ASSESSMENT DATA WILL INFORM MULTICARE'S HEALTH EQUITY STRATEGIC PLAN, WHICH WILL INCLUDE CULTURAL COMPETENCY TRAINING, THAT WILL BENEFIT ALL PATIENTS IN THE COMMUNITY. TO ADDRESS ACCESS TO CARE, ANOTHER IDENTIFIED COMMUNITY HEALTH NEED, MULTICARE FUNDS, PROJECT ACCESS, A PROGRAM OF THE PIERCE COUNTY MEDICAL SOCIETY, CHI FRANCISCAN HEALTH AND MULTICARE HEALTH SYSTEM, TO PROVIDE UNINSURED PATIENTS ACCESS TO HEALTH CARE PROVIDERS. MULTICARE ALSO FUNDS AND OPERATES THE TACOMA FAMILY MEDICINE CLINIC, WHICH PROVIDES A RANGE OF PRIMARY CARE AND OB/GYN MEDICAL SERVICES TO LOW INCOME INDIVIDUALS AND FAMILIES. GROUP A-FACILITY 1 -- TG,GOOD SAM,AUBURN,ALLENMORE,MARY BRIDGE PART V, SECTION B, LINE 16I: 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. 38 1 - COVINGTON AMBULATORY SURGERY CENTER &UCC 17700 SE 272ND 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 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 $ 44,193,950. PART II, COMMUNITY BUILDING ACTIVITIES: MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF COMMUNITY BUILDING 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 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 $969,000 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 2015 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 $52.7 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 30.80% 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 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.WE PROVIDE FINANCIAL SUPPORT FOR THE COUNTY'S SAFETY NET PROVIDER AND THE COMMUNITY HEALTH CARE CLINIC NETWORK. IN ADDITION, MULTICARE FUNDED AND OPERATED 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 PROVIDES A RANGE OF PRIMARY CARE AND OB/GYN MEDICAL SERVICES TO LOW-INCOME INDIVIDUALS AND FAMILIES. 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, UPCOMING APPOINTMENTS, ETC. THEY ARE ALSO ABLE TO COMMUNICATE DIRECTLY WITH THEIR HEALTH CARE PROVIDER AND MAKE AN APPOINTMENT WITH A PROVIDER AT A CLINIC LOCATED CLOSE TO THEIR HOME. COMMUNITY-BASED MULTICARE SERVICES INCLUDE NUTRITION CONSULTATION, WEIGHT MANAGEMENT, SPORTS NUTRITION, COMMUNITY OUTREACH, QUITSMART 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 LGBTQ YOUTH, SENIOR WELLNESS AND CORPORATE WELLNESS PROGRAMS. MULTICARE EMPLOYEES PARTICIPATE IN A WIDE VARIETY OF 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.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 A TELECOMMUNICATIONS DEVICE 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. 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 820,000 (819,701 TO BE EXACT) 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. THE MEDIAN AGE IN PIERCE COUNTY IS 38.5 YEARS OLD. 72% OF THE POPULATION IN PIERCE COUNTY IS OVER THE AGE OF 21. APPROXIMATELY 73% OF PIERCE COUNTY'S POPULATION IS CAUCASIAN; 7% IS AFRICAN-AMERICAN; 6% IS ASIAN; 1% IS NATIVE-AMERICAN, 1% IS PACIFIC ISLANDER, AND 11% IS SOME OTHER RACE OR TWO OR MORE RACES. OUT OF THIS POPULATION, 10% ARE OF HISPANIC ORIGIN. THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $55,970, AND FOR THE SECONDARY SERVICE AREA IT IS $64,734. BASED ON 2015 STATISTICS FROM THE WASHINGTON STATE OFFICE OF THE INSURANCE COMMISSIONER, APPROXIMATELY 68,453 INDIVIDUALS IN PIERCE COUNTY ARE UNINSURED, WHICH EQUATES TO 8.3% OF THE COUNTY'S POPULATION. OVER 10 PERCENT OF INDIVIDUALS IN MULTICARE'S SERVICE AREAS ARE LIVING BELOW THE POVERTY LEVEL.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. OVER $485,000 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:AUBURN YOUTH RESOURCESBACKPACKS 4 KIDS/OUR SAVIOR LUTHERAN CHURCHBOYS AND GIRLS CLUB OF SOUTH PUGET SOUNDCATHOLIC COMMUNITY SERVICESCOMMUNITIES IN SCHOOLS OF TACOMA, PENINSULA, AND PUYALLUPCHILDREN'S MUSEUM OF TACOMACHRIST COMMUNITY FREE CLINICCOVINGTON DOMESTIC VIOLENCE TASK FORCECRYSTAL JUDSON FAMILY JUSTICE CENTER/FAMILY JUSTICE CENTER FOUNDATIONEAST PIERCE FIRE AND RESCUEEMERGENCY FOOD NETWORKFIRST TEE OF SOUTH PUGET SOUNDFOUNDATION OF TACOMA STUDENTSFRANKLIN PIERCE SCHOOL DISTRICTGREATER LAKES MENTAL HEALTHCAREHILLTOP ARTISTSJENKINS CREEK PTAKEY PENINSULA FREE CLINICLINDQUIST DENTAL CLINIC FOR CHILDRENLUTHERAN COMMUNITY SERVICES NORTHWESTMEDICAL TEAMS INTERNATIONALMOUNTAIN VIEW COMMUNITY CENTERMUSEUM OF GLASSTHE MUSTARD SEED PROJECT OF KEY PENINSULANORTHWEST INFANT SURVIVAL AND SIDS ALLIANCENW FURNITURE BANKPACIFIC LUTHERAN UNIVERSITY SCHOOL OF NURSINGPIERCE COUNTY AIDS FOUNDATIONPIERCE COUNTY LIBRARY FOUNDATIONRALLYPOINT/6 INC.REBUILDING TOGETHER SOUTH SOUNDSAFE STREETSSOUTH KITSAP HELPLINESOUTH KITSAP SOCCER CLUBST. LEO FOOD CONNECTIONSTEP BY STEPTACOMA ART MUSEUMTACOMA COMMUNITY HOUSETACOMA URBAN LEAGUETEARS FOUNDATIONTRINITY NEIGHBORHOOD HEALTH CLINICVINE MAPLE PLACEYWCA PIERCE COUNTY. 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) 3011989 0 ASSISTANCE FOR OPERATING EXPENSES. MULTICARE HEALTH FOUNDATION PO BOX 5299 TACOMA WA 98415 911514257 501(C)(3) 1478804 0 ASSISTANCE FOR OPERATING EXPENSES GOOD SAMARITAN FOUNDATION PO BOX 5299 TACOMA WA 98415 912004312 501(C)(3) 1257904 0 ASSISTANCE FOR OPERATING EXPENSES MULTICARE SOUTH KING HEALTH FOUNDATION PO BOX 5299 TACOMA WA 98415 465636491 501(C)(3) 267275 0 ASSISTANCE FOR OPERATING EXPENSES FOUNDATION OF TACOMA STUDENTS 901 BROADWAY STE 400 TACOMA WA 98402 273029219 501(C)(3) 50000 0 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO FACILITATE THE DEVELOPMENT OF A FORMAL COMMUNITY HEALTH WORKER NETWORK IN PIERCE COUNTY NORTHWEST LEADERSHIP FOUNDATION 1119 PACIFIC AVE STE 800 TACOMA WA 98402 911462508 501(C)(3) 50000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE HEALTH DEMONSTRATION PROJECT WITH LEADERS IN WOMEN'S HEALTH AND THE CAROL MILGARD BREAST CENTER FIRST 5 FUNDAMENTALS 1501 PACIFIC AVE SE STE 203 TACOMA WA 98402 800209462 501(C)(3) 49523 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT EXISTING INFRASTRUCTURE MEDICAL TEAMS INTERNATIONAL PO BOX 500 PORTLAND OR 97207 980878944 501(C)(3) 30000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO PROVIDING FREE DENTAL CARE TO LOW INCOME PEOPLE BOYS AND GIRLS CLUB OF SOUTH PUGET SOUND 3875 S 66TH ST STE 101 TACOMA WA 98409 910759832 501(C)(3) 25000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: FUND THE FAMILY SUPPORT CENTER LINDQUIST DENTAL CLINIC FOR CHILDREN 130 131ST ST S TACOMA WA 98444 910615378 501(C)(3) 25000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE UNCOMPENSATED CARE SCHOLARSHIP FUND VINE MAPLE PLACE PO BOX 1092 MAPLE VALLEY WA 98308 912082308 501(C)(3) 25000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: CONTRIBUTION TO PROVIDE SAFE HOUSING AND INTEGRATED SERVICES FOR THE CHILDREN AND THEIR FAMILIES TO HEAL FROM PAST TRAUMA RALLYPOINT6 INC 9881 BRIDGEPORT WAY W LAKEWOOD WA 98499 453484547 501(C)(3) 20000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE VETERAN LEADER CORPS/AMERICORPS PROGRAM MOUNTAINVIEW COMMUNITY CENTER 3607 122ND AVE E STE A EDGEWOOD WA 98372 264177066 501(C)(3) 16000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR SERVING LOW INCOME FAMILIES AND VULNERABLE SENIORS AUBURN YOUTH RESOURCES 1000 AUBURN WAY S AUBURN WA 98002 910903084 501(C)(3) 15000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: FUNDING FOR COMPLETION OF THE GROUP THERAPY/CONFERENCE ROOM STEP BY STEP 3303 8TH AVE SE PUYALLUP WA 98372 911871945 501(C)(3) 15000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE PURCHASING OF LAND ECONOMIC DEVELOPMENT BOARD FOR TACOMA-PIERCE COUNTY PO BOX 1555 TACOMA WA 98401 911040355 501(C)(3) 15000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT 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 EAST PIERCE FIRE AND RESCUE FOUNDATION PO BOX 8291 BONNEY LAKE WA 98391 455460951 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE SENTIMENTAL JOURNEY PROGRAM EMERGENCY FOOD NETWORK 3318 92ND ST S LAKEWOOD WA 98499 943131776 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FRANKLIN SCHOOL FOUNDATION 315 129TH ST S TACOMA WA 98444 237353720 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE PURCHASING OF THE FURNISHINGS AND EQUIPMENT HILLTOP ARTISTS PO BOX 6829 TACOMA WA 98417 911667476 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO OPERATING FUNDS FOR NINE TUITION-FREE PROGRAMS 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. PCAF (PIERCE COUNTY AIDS FOUNDATION) 3009 S 40TH ST TACOMA WA 98409 911385245 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT PIERCE COUNTY LIBRARY FOUNDATION 3005 112TH ST E TACOMA WA 98446 510180293 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TO EXPAND CURRENT PROGRAMS SAFE STREETS 622 TACOMA AVE S TACOMA WA 98402 911704402 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT ST LEO FOOD CONNECTION 710 S 13TH ST TACOMA WA 98405 943064453 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE RENOVATION OF A NEW FACILITY AND THE PURCHASE OF EQUIPMENT TACOMA URBAN LEAGUE 2550 S YAKIMA AVE TACOMA WA 98405 910826302 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS AND SUPPORT FOR A NEW INSTRUCTOR POSITION THE TEARS FOUNDATION 11102 SUNRISE BLVD E PUYALLUP WA 98374 450500497 501(C)(3) 10000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT TACOMA COMMUNITY HOUSE 1314 S L STREET TACOMA WA 98405 910570872 501(C)(3) 7500 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE CLIENT ADVOCACY PROGRAM BACKPACKS 4 KIDSOUR SAVIOR LUTHERAN CHURCH 4519 112TH ST E TACOMA WA 98446 910850441 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT 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 FOR INSTRUCTION AND TRAVEL CLASSES CHRIST COMMUNITY FREE CLINIC 1 A STREET NW PO BOX 908 AUBURN WA 98071 203849881 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT COMMUNITIES IN SCHOOLS OF PENINSULA PO BOX 684 VAUGHN WA 98394 912024847 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT RURAL DEVELOPMENT COMMUNITIES IN SCHOOLS OF PUYALLUP 302 SECOND ST SE PUYALLUP WA 98372 260028759 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT COMMUNITIES IN SCHOOLS OF TACOMA 708 S G ST TACOMA WA 98405 912138848 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT GREATER LAKES MENTAL HEALTHCARE 9330 59TH AVE SW LAKEWOOD WA 98499 916064184 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT JENKINS CREEK PTA 26915 186TH AVE SE COVINGTON WA 98402 911381363 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT TO ENHANCE CURRENT PLAYGROUND MUSEUM OF GLASS 1801 DOCK ST TACOMA WA 98402 911669422 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: FUNDING FOR ART CLASSES NORTHWEST INFANT SURVIVAL AND SIDS ALLIANCE 4649 SUNNYSIDE AVE N STE 350 SEATTLE WA 98103 911567341 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT NW FURNITURE BANK PO BOX 307 WAUNA WA 98395 223939593 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT RURAL DEVELOPMENT PACIFIC LUTHERAN UNIVERSITY SCHOOL OF NURSING 12180 PARK AVE S TACOMA WA 98447 910565571 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT REBUILDING TOGETHER SOUTH SOUND 712 54TH AVE E TACOMA WA 98424 912147601 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT SOUTH KITSAP HELPLINE 1012 MITCHELL AVE PORT ORCHARD WA 98366 911117868 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT THE SOUTH KITSAP HELPLINEZZZ PROGRAM TACOMA ART MUSEUM 1701 PACIFIC AVE TACOMA WA 98402 910697444 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT SPECIFIC ART AIDS PROGRAMS THE FIRST TEE OF SOUTH PUGET SOUND 7108 LAKEWOOD DR W TACOMA WA 98467 451781054 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR VARIOUS SCOLARSHIPS THE MUSTARD SEED PROJECT OF KEY PENINSULA PO BOX 182 VAUGHN WA 98394 611537566 501(C)(3) 5000 CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR HEALTH IMPROVEMENT ACTIVITIES AND ECONOMIC WELL-BEING 46 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 MATT DAVIS MD DIRECTOR, PHYSICIAN 400769 0 33199 0 18096 0 13516 0 28159 0 493739 0 0 0 WILLIAM ROBERTSON PRESIDENT & CEO 964645 0 217156 0 45146 0 402572 0 48909 0 1678428 0 0 0 ANNA LOOMIS CFO 502669 0 163988 0 54818 0 84100 0 20981 0 826556 0 9077 0 FLORENCE CHANG EXECUTIVE VICE PRESIDENT 597507 0 253493 0 63416 0 98777 0 23649 0 1036842 0 0 0 CLAIRE SPAIN-REMY SRVP, CHIEF PHYSICIAN OFFICER 437321 0 180238 0 46706 0 73636 0 28048 0 765949 0 0 0 GLENN KASMAN REGIONAL PRESIDENT,EAST REGION 374177 0 87053 0 92739 0 73071 0 29823 0 656863 0 16968 0 SHELLY MULLIN REGIONAL PRESIDENT,WEST REGION 394700 0 161153 0 65155 0 84526 0 21363 0 726897 0 24795 0 LINDA CHEN PRESIDENT MARY BRIDGE PART YEAR 155099 0 0 0 16453 0 16052 0 26173 0 213777 0 0 0 CHRISTI MCCARREN SRVP RETAIL HEALTH&COMMUNITY CLINICS 293102 0 76817 0 37284 0 54283 0 12755 0 474241 0 17315 0 SURAJ SINGH PHYSICIAN 1432601 0 45118 0 16945 0 12813 0 27376 0 1534853 0 0 0 DAVID COONS PHYSICIAN 1200103 0 46275 0 45490 0 44066 0 27859 0 1363793 0 12000 0 FRANCIS KIM PHYSICIAN 642431 0 29430 0 1400 0 340082 0 28752 0 1042095 0 314000 0 JOHN HUNG PHYSICIAN 893028 0 42303 0 17215 0 15341 0 27840 0 995727 0 0 0 DOUGLAS SUTHERLAND PHYSICIAN 872555 0 35597 0 16945 0 14094 0 26781 0 965972 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 2015. THE PHYSICIANS ARE OFFERED A SIMILAR BENEFIT ALLOWANCE BUT THE AMOUNT IS CAPPED AT $15,815. IN 2015 5 REPORTED 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 $35,200 FOR 2015. 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 2015: FRANCIS KIM $314,000, DAVIS COONS $12,000, SHELLY MULLIN $24,795, GLENN KASMAN $16,968, CHRISTI MCCARREN $17,315, ANNA LOOMIS $9,077. 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). SCHEDULE J, SUPPLEMENTAL INFORMATION WILLIAM G. ROBERTSON, PRESIDENT AND CEO, EARNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) INCOME IN THE AMOUNT OF $391,972 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 SR. 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 IN ORDER 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 (91-1352172, 91-1514257, 94-3030039, 91-2004312 AND 46-5636491), 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 5975000 210365000 1147268 4071130 205146602 2009 0 0 1 1 B 8355000 105635000 465412 1820372 103349216 2009 0 0 1 1 C 4675000 158492602 1042602 157450000 2008 1 0 1 1 D 100000000 1032608 556057 98411335 2010 0 0 1 1 A 0 1 1 1 1 1 0.01710 0.00000 0.01710 0 0 1 B 0 1 1 1 1 1 0.01710 0.00000 0.01710 0 0 1 C 0 1 1 1 1 1 0.01710 0.00000 0.01710 0 0 1 D 0 1 1 1 1 1 0.00070 0.00000 0.00070 0 0 1 A 0 1 1 0 1 0 0 0 1 B 0 1 1 0 1 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 1 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART IV, LINE 2C FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2010 A, MULTICARE HEALTH SYSTEM ENGAGED BARTHE & WAHRMAN PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE REBATE CALCULATION ON 03/30/2015 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS. A WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A 911108929 93978E6W7 2010-01-05 105127578 $105,127,004 WAS 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 93978HML6 2015-04-16 420539219 REFUND $318,137,428 BONDS ORIGINALLY ISSUED ON 6/22/04&5/15/08 RESPECTIVELY 0 0 0 A 42645000 105127578 574 105127004 2010 1 0 1 1 B 140628741 1336000 139292741 2013 0 0 1 1 C 2060000 420539219 3145115 99256676 318137428 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 0.01280 0.00000 0.01280 0 0 1 C 0 1 1 1 1 1 0.02170 0.00000 0.02170 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 1 1 0 1 0 0 0 1 C 0 1 1 0 0 0 0 0 1 A 1 B 1 C 1 CAROLINE RUTTER MD DAUGHTER OF ROB ROTH, DIRECTOR 903823 EMPLOYEE OF MULTICARE HEALTH SYSTEM 0 RICKY ROTH WIFE OF ROB ROTH, DIRECTOR 73172 EMPLOYEE OF MULTICARE HEALTH SYSTEM 0 FORM 990, PART VI, SECTION B, LINE 11 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 (91-1352172, 91-1514257, 94-3030039, 91-2004312 AND 46-5636491). 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 2015. 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 39,008,761. MULTICARE CONNECTED CARE LLC 222 N J ST STE B TACOMA WA 98403 472859356 HEALTHCARE ACO WA 0 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 2387827 23140691 0 1 0.99000 MEDIS CORPORATION 315 S K STREET TACOMA WA 98405 911111928 MEDICAL BUILDING RENTAL WA MULTICARE HEALTH SYSTEM C 1264196 1864720 1.00000 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 MULTICARE HEALTH FOUNDATION B 1478804 ACCRUAL MARY BRIDGE CHILDREN'S FOUNDATION B 3011989 ACCRUAL GOOD SAMARITAN FOUNDATION B 1257904 ACCRUAL MULTICARE SOUTH KING HEALTH FOUNDATION B 267275 ACCRUAL MULTICARE HEALTH FOUNDATION C 3300020 ACCRUAL MARY BRIDGE CHILDREN'S FOUNDATION C 5033320 ACCRUAL GOOD SAMARITAN FOUNDATION C 1562407 ACCRUAL MULTICARE SOUTH KING HEALTH FOUNDATION C 47769 ACCRUAL MEDIS CORPORATION K 825823 ACCRUAL MULTICARE HEALTH FOUNDATION Q 1031671 ACCRUAL MARY BRIDGE CHILDREN'S FOUNDATION Q 1968431 ACCRUAL GOOD SAMARITAN FOUNDATION Q 831292 ACCRUAL MULTICARE SOUTH KING HEALTH FOUNDATION Q 15885 ACCRUAL MEDIS CORPORATION Q 516714 ACCRUAL