2016-11-15T14:11:30-06:00 2015-12-31 390758449 Wipfli LLP PO Box 12237 Green Bay WI 543072237 990 2015-01-01 910545036 Tri-State Memorial Hospital TRI- 5097585511 1221 Highland Avenue Clarkston WA 99403 Alex Town CFO 5097585511 2016-11-14 1 Terri Rexrode CPA MST P00096513 9206620016 2016-11-14 2015 2017-02-10 21:41:12Z Alex Town 1221 Highland Avenue Clarkston WA 99403 70581249 0 X www.tristatehospital.org X 1955 WA TRI-STATE MEMORIAL HOSPITAL, A 62 BED LICENSED NOT-FOR-PROFIT COMMUNITY OWNED HOSPITAL, IS CURRENTLY OPERATING AS A 25 BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL SERVES A 10 COUNTY REGION IN THREE STATES (WASHINGTON, OREGON, AND IDAHO). 13 11 548 86 -9785 -9785 466839 93710 68213221 69529469 479177 732402 177968 75164 69337205 70430745 17800 33775 0 0 29369109 30785407 0 0 229139 34750424 38008670 64137333 68827852 5199872 1602893 69232102 78569943 20603740 29086003 48628362 49483940 From our first day of operation until today, we are proud to say that our mission has always remained the same: The PATIENT is our FIRST priority. 0 0 56648149 33775 67584832 The hospital provided 3,957 days of care to 1,210 patients in 2015. In addition, the hospital provided approximately 264,334 outpatient visits in the emergency room, rental dialysis, surgical, and other patient service centers. The hospital provided approximately $1,040,000 in charitable services to patients unable to pay for healthcare services. 56648149 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 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 0 1 0 0 0 0 1 1 1 1 0 0 1 52 0 548 1 1 1 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 1 0 X ALEX TOWN CFO 5097585511 PO Box 189 Clarkston WA 99403 Rick Wasem Board Member 1.00 X 0 0 0 K David Hagen President 1.00 X X 0 0 0 jack seeh Secretary/Treasurer 1.00 X X 0 0 0 Scott Arnone Board Member 1.00 X 0 0 0 John Mannschreck MD Board Member 1.00 X 0 0 0 LaRae Merril Board Member 1.00 X 0 0 0 Steve Claassen Board Member 1.00 X 0 0 0 Dick Flerchinger Board Member 1.00 X 0 0 0 Mike Martin Vice President 1.00 X X 0 0 0 Dan Klaveano Board Member 1.00 X 0 0 0 E Wayne Day MD Board Member 1.00 X 0 0 0 Don McQuary Board Member 1.00 X 0 0 0 Debra R Ausman Board Member 1.00 X 0 0 0 Donald Wee CEO 40.00 X 322770 0 25495 ALEX TOWN CFO 40.00 X 180217 0 26280 Meghana S Awad MD Physician 40.00 X 323491 0 12747 Robert T Parkey MD Physician 40.00 X 429731 0 12180 M Lyndon Dieter Physician 40.00 X 435306 0 23646 Donald Greggain Physician 40.00 X 315542 0 15179 Richard Zobell Physician 40.00 X 293529 0 7107 2300586 0 122634 30 0 1 0 Bouten Construction Co PO Box 3507 spokane WA 99220 General Building Contractor 4222055 Pathologist Regional Lab P O Box 956 Lewiston ID 83501 Lab/Blood Work 3347934 Clarkston Emergency Physicians P O Box 189 Clarkston WA 99403 ER Physicians 1925448 Twin City Radiology PO Box 136 Clarkson WA 99403 Radiology Physician Services 1373426 Weatherby Locums Inc PO Box 972633 Dallas TX 75397 Physician Services 1236789 17 93710 93710 Net Patient Service 621400 64573031 64573031 Resident Rental Income 621400 2792138 2792138 other operating Revenue 623000 2029586 2029586 MOB rental income 621400 134714 134714 69529469 711710 711710 140719 150504 -9785 -9785 -9785 20692 0 20692 20692 20692 Investment in Joint Ventu 621300 84949 84949 84949 70430745 67584832 -9785 2761988 X 33775 33775 554762 554762 24626667 22443033 2038904 144730 818491 732103 77919 8469 2535252 2220304 295500 19448 2250235 1999417 232183 18635 47804 47804 359500 359500 12577638 12142115 435523 308680 308680 13145026 12290642 842324 12060 121400 20518 100882 3040093 2184198 834646 21249 611665 611665 3853476 3853476 537823 537823 Bad Debt 1101620 1101620 Continuing Education 209838 156723 53115 Dues and Subscriptions 136939 17825 119114 1957168 1560993 391627 4548 68827852 56648149 11950564 229139 7981696 7786764 7311677 5997859 6514597 8895065 1676882 1642715 272422 420449 81369023 38778933 34267120 42590090 6864517 6644911 4343191 4592090 69232102 78569943 9386091 6931149 380008 903790 10837641 21251064 20603740 29086003 X 44612613 45412904 2677615 2516495 1338134 1554541 48628362 49483940 69232102 78569943 X 1602893 -802602 55287 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12232 12232 0 Part II-B, Line 1: THE FACILITY PAYS DUES TO THE WASHINGTON STATE HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, HOME CARE ASSOCIATION OF WASHINGTON, AND THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE. A PERCENTAGE OF THESE DUES WERE USED FOR LOBBYING ON BEHALF OF HEALTH CARE ORGANIZATIONS. 2637354 220000 62702 2794652 2566632 80000 70048 26667 52659 2637354 1995974 118680 492667 27284 13405 2566632 1797279 236101 28375 9031 1995974 1824903 42417 48211 21830 1797279 0.52580 0.47420 0 1 1 2354993 2354993 44194849 17934857 26259992 1043567 588035 455532 31441600 20256041 11185559 2334014 2334014 42590090 Deferred Financing Costs 294450 Investment in Unconsolidated Affiliates 41953 Land Held for Future Expansion 240710 Interest in Net Assets of Foundation 3820583 Loan Fees (net) 194394 4592090 X Part V, Line 4: The Foundation's articles of incorporation provide that all funds raised, except for funds required for operation of the Foundation, shall be distributed to or held primarily for the benefit of the Hospital or the Hospital's mission in the community. The Hospital also holds permanently and temporarily donor-restricted endowment funds. Tri-State Memorial Hospital began reporting its interest in the net assets of the foundation for the years ended December 31, 2012 and 2011. Part X, Line 2: THE HOSPITAL IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). INCOME TAXES ON UBI ARE NOT SIGNIFICANT. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSTITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AND HAS RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED DECEMBER 31, 2015 OR 2014. FEDERAL TAX RETURNS FOR YEARS 2012 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. 1 1 1 X 1 X 1 1 0 1 1 583838 104032 479806 0.00710 6298031 5516216 781815 0.01150 6881869 5620248 1261621 0.01860 31450 31450 0.00050 11384 11384 0.00020 42834 42834 0.00070 6924703 5620248 1304455 0.01930 28426 28426 0.00040 28426 28426 0.00040 1 1101620 26123550 26890195 -766645 X 1 1 1 1 Tri-State Memorial Hospital 1221 Highland Avenue Clarkston WA 99403 www.tristatehospital.org H-108 X X X X Tri-State Memorial Hospital 1 0 0 1 X X X X X X X X X 13 1 0 0 1 X www.tristatehospital.org/about X 1 13 1 WWW.TRISTATEHOSPITAL.ORG/ABOUT 1 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X 1 X X X 1 0 X X X X 1 X 0 0 Tri-State Memorial Hospital Part V, Section B, Line 5: The CHNA was prepared in partnership with the Asotin County Health District, the Idaho North Central Public Health District and key community and civic groups:Charlotte Ash, Snake River Community Clinic and Nimiipuu Health Center, Mary Ackerman, Asotin County Food Bank, Kelly Carlstrom, Boys and Girls Club, Brady Woodbury, Asotin County Health District, Sherry Greenup, Asotin County Aging and Disability, Dale Bonfield, Superintendent Asotin-Anatone School District, Community Action Partnership, United Way, and Quality Behavioral Health. Tri-State Memorial Hospital Part V, Section B, Line 11: THE FACILITY IDENTIFIED NUMEROUS COMMUNITY NEEDS IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. DUE TO THE WIDE RANGE OF NEEDS AND THE FACILITY'S LIMITED RESOURCES, THE FACILITY IS UNABLE TO ADDRESS ALL OF THE NEEDS IDENTIFIED. GIVEN THE FACILITY'S AREAS OF EXPERTISE AND RESOURCES AVAILABLE, THE FACILITY WILL FOCUS ON THE FOLLOWING NEEDS:- INCREASING ACCESS TO AFFORDABLE HEALTHCARE BY SUPPORTING ACTIVE ENROLLMENT IN MEDICAID EXPANSION AND EXCHANGE.- REDUCING THE IMPACT OF OBESITY AND OTHER CHRONIC HEALTH CONDITIONS BY PROVIDING/PARTNERING WITH COMMUNITY ORGANIZATIONS TO DEVELOP COMMUNITY EDUCATION CLASSES AIMED AT HEALTH LIFESTYLES AND MANAGING HEALTH CONDITIONS. Tri-State Memorial Hospital Part V, Section B, Line 22d: THE FULL PATIENT BALANCE FOR HOSPITAL CHARGES IS EVALUATED TO DETERMINE FULL FINANCIAL ASSISTANCE ELIGIBILITY FOR ANY PATIENT WHOSE GROSS FAMILY INCOME IS AT OR BELOW 100% OF THE CURRENT FEDERAL POVERTY GUIDELINES.PATIENTS WHOSE GROSS FAMILY INCOME IS 101% TO 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR A DISCOUNT OF 75% TO BE APPLIED TO THE PATIENT ACCOUNT BALANCE AND WILL BE DETERMINED AS A FINANCIAL ASSISTANCE DISCOUNT.PATIENTS WHOSE GROSS FAMILY INCOME IS 201% TO 300% OF THE CURRENT FEDERAL POVERTY GUIDELINES WILL QUALIFY FOR A DISCOUNT OF 35% APPLIED TO THE PATIENT RESPONSIBILITY.PRIMA FACIE WRITE-OFFS: THE HOSPITAL MAY CHOOSE TO GRANT FINANCIAL ASSISTANCE BASED SOLELY UPON THE INITIAL DETERMINATION. ANY PATIENTS WHO ARE ON STATE ASSISTANCE, ARE UNEMPLOYED, DISABLED, TRANSIENTS OR INCOMPETANT MAY BE VALID "PRIMA-FACIE" CANDIDATES. IN SUCH CASES, THE HOSPITAL MAY NOT COMPLETE FULL VERIFICATION OR DOCUMENTATION OF ANY REQUEST.SPECIAL CONSIDERATION FINANCIAL ASSISTANCE: UNINSURED AND UNDERINSURED WASHINGTON AND IDAHO PATIENTS MAY QUALIFY FOR A DISCOUNT. DETERMINATION WILL BE MADE BY THE HOSPITAL ADMINISTRATION UPON A PATIENT'S COMPLETION OF THE SPECIAL CONSIDERATION FINANCIAL ASSISTANCE APPLICATION AND THE SPECIFIED SUPPORTING DOCUMENTATION AS PROOF OF SEVERE FINANCIAL HARDSHIP OR PERSONAL LOSS FROM THE TIME OF THE REQUEST BASED ON THE PATIENT'S ECONOMIC SITUATION. Part I, Line 7: The cost-to-charge ratio used was derived based on the filed 2015 Medicare cost report. 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 $ 1,101,620. Part II, Community Building Activities: Tri-State Memorial Hospital helps promote the health of the communities it serves by providing support amongst a number of local charities, food banks and other agencies. In 2015 Tri-State Hospital contributed $8,325 to the Boys and Girls Clubs of the Lewis-Clark Valley which they used for the Partnership for Kids, the Annual Campaign, the Grilled Cheese Program and medical supplies/first aid donations. Tri-State Memorial Hospital also contributed over $5,000 to the Interlink Volunteer Organization that provides volunteers through the surrounding communities to provide assistance with medical transportation, building wheelchair accessible ramps and moving support. The World Series of NAIA Baseball is played in Lewiston and Tri-State Memorial Hospital sponsored that event and sponsored the medical tent and refreshments for all medical volunteers for this event. $5,000 was donated to the Asotin County Food Bank by Tri-State Memorial Hospital. Additionally, Tri-State Memorial Hospital gave donations to Lewis-Clark State College, the Tina's Hope for A Cure, LC Legands, Clarkston Rotary Club, Inland Northwest Blood Center, Asotin County Aquatic Center, Washington Poison Control, 2015 Fire Releif Fund, Family Promise, The Roc Rescue Mission, Lewiston High School Wrestling and the Asotin County Fair. Tri-State Memorial Hospital continues to find ways to support the communities it serves in broad and expanding ways, trying to reach all patients from adolescence to adulthood. Part III, Line 2: The Organization's bad debt expense at cost was estimated by multiplying the bad debt expense by the organization's cost-to-charge ratio. Part III, Line 3: The facility reports bad debt expense in accordance with healthcare financial management association statement number 15, so none of the bad debt expense reported on schedule h, part III, line 2 is estimated to be attributable to patients eligible under the facility's financial assistance policy. Part III, Line 4: While the facility does not have a note regarding bad debt expense in its financial statements, the amount of bad debt expense for each year is disclosed on the facility's statements of revenue and expenses. The amount of bad debt expense reported was $1,101,620 for the year ended December 31, 2015.The costing methodology used to determine the cost of bad debt is based on the facility's calculated cost-to-charge ratio. Part III, Line 8: THE FACILITY IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED BY MEDICARE AT approximately 99% OF MEDICARE'S COSTS.THE TOTAL REVENUE RECEIVED FROM MEDICARE AND RELATED MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE FACILITY'S FILED 2015 MEDICARE COST REPORT. Part III, Line 9b: The collection practice for patients known to qualify for charity care is as follows: 75% of the patient's bill is adjusted off if the person is between 101-200% of the FPL to charity care and the remaining 25% is the patient's responsibility. If the patient is up to 100% of the FPL then 100% of the patient's bill is adjusted off as charity care. This policy is applied to all patients that have completed a financial assistance application and whose incomes levels have been verified. Patients are also identified who may be eligible for assistance beyond the hospital through Medicaid or County Aid. Part VI, Line 2: In 2009 Tri-State Memorial Hospital assessed the needs of the communities it serves by participating in the local Access to Care committee. This committee represents a majority of health care organizations in the community, including St. Joseph Regional Medical Center, Valley Medical Center, Area Agency on Aging, Idaho Department of Health and Welfare, Washington State, Asotin County Health District, North Central Idaho District Health, Nimipoo Indian Health Services, Quality Behavioral Health, the United Way, and the Community Health Association of Spokane. The purpose of the committee is to bring administrators together to discuss the major health issues and access to health care issues in the community. The work of this community helped establish a Federally Qualified Health Center in 2009 and continues to assess the needs of the patients in the community. Part VI, Line 3: Financial brochures are sent with itemized statements to all uninsured patients. At the time patient makes contact, the patient financial counselor will:1. Discuss the hospital guideline for reimbursement of hospital services.2. The 10% discount is offered to uninsured patients when balance is paid in full. 3. Establish a payment contract in order to resolve the account balance within applicable guidelines. The minimum acceptable payment is $50 or 5% (whichever is greater).4. Identify a patient who may be eligible for assistance to include but not limited to Medicaid or County Aid for the state the patient resides.5. Determine if household income meets or falls below the current year's poverty guidelines then explain TSMH Financial Assistance Program.TSMH will write off 35% of all charges for all uninsured patients whose family poverty level is up to 300% of the Federal poverty level. Part VI, Line 4: Tri State Memorial Hospital serves patients in a 10 county region of Southeastern Washington, Northeastern Oregon and North Central Idaho. There are approximately 165,000 patients in the service area. Part VI, Line 5: The hospital performs surgeries requiring inpatient stays and also same day operations, not requiring a hospital stay. Outpatient services include renal dialysis centers in Clarkston, WA, wound healing & hyperbaric center, sleep diagnostic center, and a 24 hour physician staffed emergency department. Other outpatient services include a nephrology center, primary care clinic, internal medicine clinic, pediatric clinic, urology clinic, and rheumatology clinic. The hospital operates with over 444 full and part-time employees, 86 volunteers and 227 physicians on staff. Tri-State Hospital Foundation is a non-profit organization which benefits the health care needs of the community served by the hospital. Gifts to the foundation are used to purchase specialized equipment that help expand services provided by the hospital to the community. 1 Boys & Girls Clubs of the Lewis-Clark Valley 1021 Burrell Ave Lewiston ID 83501 826001432 501(c)(3) 8325 Partnership for Kids, Annual Campaign, Scholarships, Grilled Cheese Program Snake River Community Clinic 215 10th Street Lewiston ID 83501 311726460 501(c)(3) 25450 Free medical clinic for the uninsured and medically needy Part I, Line 2: The hospital receives and reviews detailed reports provided by the charitable organizations that receive grant funds from the hospital. The hospital is able to substantiate the proper use of the funds through the reports provided by the charitable organizations. X X X X X X 0 0 0 0 0 0 0 0 0 Donald Wee CEO 316770 0 0 0 6000 0 12188 0 13307 0 348265 0 0 0 ALEX TOWN CFO 180217 0 0 0 0 0 14642 0 11638 0 206497 0 0 0 Meghana S Awad MD Physician 308648 0 0 0 14843 0 1308 0 11439 0 336238 0 0 0 Robert T Parkey MD Physician 229106 0 200625 0 0 0 6010 0 6170 0 441911 0 0 0 M Lyndon Dieter Physician 434379 0 0 0 927 0 5329 0 18317 0 458952 0 0 0 Donald Greggain Physician 208779 0 106763 0 0 0 9002 0 6177 0 330721 0 0 0 Richard Zobell Physician 285751 0 0 0 7778 0 0 0 7107 0 300636 0 0 0 A Washington Health Care Authority 911108929 2014-07-17 13200000 Medical office building addition 0 0 0 A 13200000 189169 11001726 2015 1 0 0 1 A 0 0 0 0 0.04000 0.04000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 0 Part IV, Line 2c: TSMH did not earn more interest than paid in regards to the bond financing. Mike Martin Board Member 170732 Insurance Broker - Owner of Martin Insurance 0 John Mannschreck MD Board Member 1373426 Patient Care Services - Owner of Twin City Radiology 0 John Mannschreck MD Board Member 15675 Rental of building - owner of Clarkston Radiologists. 0 Form 990, Part VI, Section B, line 11 Part VI, Line 11 - Form 990 Review Process: A copy is provided to the CFO for review prior to filing. The board authorizes the CFO to review and approve the 990. The final 990 is filed after CFO approval. Form 990, Part VI, Section B, line 12c The organization is aware that the potential for conflict of interest exists for decision-makers at all levels within the hospital. This includes members of the governing board, administration, the medical staff, and all other employees. It is the organization's policy to request the disclosure of potential conflicts of interest so that appropriate action may be taken to ensure that such conflict does not inappropriately influence important decisions. The hospital reviews its relationship and its staff's relationships with other care providers, educational institutions, and payers to ensure that those relationships are within law and regulation and determine if conflicts of interest exist. Board members are required to submit an annual disclosure form. Board members, administration and medical staff leaders are required to disclose potential conflicts related to decisions that arise during the course of the year on a case-by-case basis. The governing board, senior management, or the Medical Executive Committee will review potential conflicts and take appropriate action. In the event a potential conflict of interest has a direct implication for patient care, the institution may convene an ethics committee to assist in the resolution of the issue. A disinterested person or committee shall investigate alternatives to the proposed transaction or arrangement. If the transaction or arrangement is not advantageous with a non conflict of interest party, a vote of majority will occur to determine if the Hospital should enter into the transaction or arrangement with the conflict of interest business or individual. Form 990, Part VI, Section B, line 15a Compensation is determined based on fair market value. TSMH uses national and regional benchmarks (Milliman Survey & State of Idaho). Based on these comparisons, the board of directors determines the compensation for the CEO and the CEO determines the compensation for the remaining employees of the facility. The board has full determination of the CEO's compensation. Decisions are made by those without conflict and the decisions are documented. Form 990, Part VI, Section C, line 19 Tri-State Memorial Hospital's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part IX, line 11g Health Care Professional Services: Program service expenses 11,489,681. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,489,681. Administrative Professional Fees: Program service expenses 452,633. Management and general expenses 435,523. Fundraising expenses 0. Total expenses 888,156. Laundry Purchased Services: Program service expenses 199,801. Management and general expenses 0. Fundraising expenses 0. Total expenses 199,801. Form 990, Part XI, line 9: Temporarily Restricted - Net Grant Funds Received 25,869. temporarily restricted - Released for Operations -24,097. Permanently Restricted - Released for Operations -3,593. Permanently Restricted - Interest Income 281. Temporarily Restricted - Change in Interest in Net Assets of Foundation -84,353. Temporarily Restricted - Net Assets Released from Restrictions - Foundation -78,820. Permanently Restricted - Change in intrest in Net assets of foundation 220,000. Aquavia PO Box 189 Clarkson WA 99403 472643240 Real Estate Rental WA -8299 2179049 Tri-State Memorial Hospital Tri-State Hospital Foundation 1347 12th Street Clarkston WA 99403 911307818 Fundraising for Tri-State Memorial Hospital WA 501(c)(3) Line 7 Tri-State Memorial Hospital 1 Tri-State Memorial Hospital Auxiliary PO Box 189 Clarkston WA 99403 911357957 Fundraising for Tri-State Memorial Hospital WA 501(c)(3) Line 11a, I Tri-State Memorial Hospital 1 Evergreen Estates 1215 Evergreen Court Clarkston WA 994032800 910411930 Assisted Living Facility WA N/A Evergreen Estates Retirement and Assisted Living Community LLC 1215 Evergreen Court Clarkston WA 99403 263462257 Assisted Living WA Tri-State Memorial Hospital C 2161714 1026041 1.00000 1 Tri-State Evergreen LLC 1221 Highland Avenue Clarkston WA 99403 264687291 Assisted Living WA Tri-State Memorial Hospital C 622946 6309913 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Tri-State Hospital Foundation C 78820 Cash