TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ROBERT CORLISS MD DIRECTOR	2.00	X			0	0
(2) JOHN FOLSOM CHAIR	2.00	X	X		0	0
(3) JOHN HALL DIRECTOR	2.00	X			0	0
(4) SALLY B LEIGHTON DIRECTOR	2.00	X			0	0
(5) KAREN J LYNCH SECRETARY	2.00	X	X		0	0
(6) ROB R ROTH MD VICE CHAIR	2.00	X	X		0	0
(7) L DALE SOWELL DIRECTOR	2.00	X			0	0
(8) DEEDRA WALKEY PHYSICIAN	2.00	X			0	0
(9) JOHN WIBORG TREASURER	2.00	X	X		0	0
(10) BISHOP DAVID WOLD DIRECTOR	2.00	X			0	0
(11) LUKE XITCO DIRECTOR	2.00	X			0	0
(12) ROBERT A YOST DIRECTOR	2.00	X			0	0
(13) DIANE CECCHETTINI PRESIDENT & CHIEF EXECUTIVE OFFICER	45.00		X		1,806,833	35,112
(14) JOHN LONG PRESIDENT GOOD SAMARITAN	19.00		X		931,894	31,027
(15) VINCENT SCHMITZ CHIEF FINANCIAL OFFICER	45.00		X		1,036,296	39,064
(16) WILLIAM STOVER SR. VICE PRESIDENT	60.00			X	606,624	36,608
(17) KATHERINE SMITH SR. VICE PRESIDENT	60.00			X	684,855	62,709

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(F) Estimated amount of other compensation from the organization and related organizations
(18) FLORENCE CHANG SR. VICE PRESIDENT	60.00	X			418,950	0	87,524
(19) SHELLY MULLIN VP & ADMINISTRATOR MARY BRIDGE CHILDREN HOSPITAL	60.00	X			416,540	0	83,145
(20) MADLYN MURREY VP & ADMINISTRATOR TACOMA GENERAL	60.00	X			231,022	0	46,366
(21) CHRISTI MCCARREN VP & ADMINISTRATOR CARELINE	60.00	X			230,904	0	41,138
(22) ELISE FORNADLEY VP & ADMINISTRATOR ALLENMORE HOSPITAL	60.00	X			213,417	0	27,295
(23) DAVID COONS PHYSICIAN	50.00		X		1,426,136	0	33,368
(24) WILLIAM MORRIS PHYSICIAN	50.00		X		982,806	0	232,829
(25) RONALD WOODS PHYSICIAN	50.00		X		933,055	0	52,146
(26) JOHN HUNG PHYSICIAN	50.00		X		1,011,961	0	32,934
(27) JAMES WYMAN PHYSICIAN	50.00		X		966,264	0	29,874
(28) RICHARD S DEVINE DIRECTOR	2.00			X	0	0	0
(29) WW PHILIP DIRECTOR	2.00			X	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
TACOMA EMERGENCY CARE PHYSICIANS CO 4301 S PINE STREET STE 400 TACOMA,WA98409	MEDICAL	9,494,209
TRAUMA TRUST POBOX 5299 TACOMA,WA98415	MEDICAL	7,781,367
TACOMA ANESTHESIA ASSOCIATES INC PS 3633 PACIFIC AVE STE 204 TACOMA,WA98418	MEDICAL	6,740,329
EVERGREEN PERFUSION INC PMB 179 JUDSON STREET GIG HARBOR,WA98335	MEDICAL	1,352,350
PWC LLP POBOX 514038 LOS ANGELES,CA90051	CONSULTING	1,042,901
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 60

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	5,067,818	5,067,818
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	6,577,335	5,316,578	1,260,757
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	438,772,372	359,984,157	78,788,215
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	33,120,313	26,771,743	6,348,570
9	Other employee benefits .......	75,971,680	61,409,272	14,562,408
10	Payroll taxes ...........	29,364,045	24,521,179	4,842,866
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	796,482	18,317	778,165
c	Accounting ...........	409,875		409,875
d	Lobbying ...........	97,955		97,955
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	92,902,153	51,533,874	41,368,279
12	Advertising and promotion ....	653,329	271,168	382,161
13	Office expenses .......	129,136,984	127,109,506	2,027,478
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	15,137,364	12,235,803	2,901,561
17	Travel ............	4,605,745	3,738,427	867,318
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	75,796	39,188	36,608
20	Interest ...........	15,159,184	12,253,440	2,905,744
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	67,488,664	54,552,298	12,936,366
23	Insurance ..............	17,999,150	14,549,036	3,450,114
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	PROVISION FOR BAD DEBTS	61,435,779	61,435,779
b	LICENSES	13,109,037	730,888	12,378,149
c	EQUIPMENT RENTAL/MAINTE	12,131,109	11,444,017	687,092
d	SAFETY NET ASSESMENT	5,300,166		5,300,166
e	TELEPHONE AND INTERNET	4,957,964	4,007,611	950,353
f	All other expenses	-38,311,328	3,229,122	-41,540,450
25	Total functional expenses. Add lines 1 through 24f	991,958,971	840,219,221	151,739,750	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........		1
2	Savings and temporary cash investments .......	205,018,583	2	161,327,793
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	134,104,795	4	139,274,205
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	11,616,985	8	11,973,550
9	Prepaid expenses and deferred charges ............	5,324,945	9	9,386,059
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,571,603,997
b	Less: accumulated depreciation. .....	10b	612,414,209	618,094,898	10c	959,189,788
11	Investments—publicly traded securities ..........	180,559,668	11	223,023,451
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	238,770,457	15	53,267,773
16	Total assets. Add lines 1 through 15 (must equal line 34)...	1,393,490,331	16	1,557,442,619
	17	Accounts payable and accrued expenses .	131,586,380	17	124,758,099
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	563,354,004	20	555,039,068
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....	7,734,147	24	9,060,000
25	Other liabilities. Complete Part X of Schedule D.....	203,534,384	25	322,527,219
26	Total liabilities. Add lines 17 through 25.....	906,208,915	26	1,011,384,386
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	487,281,416	27	546,058,233
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	487,281,416	33	546,058,233
34	Total liabilities and net assets/fund balances .....	1,393,490,331	34	1,557,442,619

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization MULTICARE HEALTH SYSTEM
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization MULTICARE HEALTH SYSTEM
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

97,995

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Total. lines 1c through 1i ...................................

97,995

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(a) Cost or other basis (investment)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	40,357,892		40,357,892
b	Buildings ................	624,859,438	211,142,454	413,716,984
c	Leasehold improvements ............	33,873,093	19,534,670	14,338,423
d	Equipment ................	509,631,278	381,737,085	127,894,193
e	Other .................	362,882,296		362,882,296
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				959,189,788

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
ACCRUED INTEREST PAYABLE		6,147,971
DUE TO AFFILIATES		158,934,271
ESTIMATED THIRD PARTY SETTLEMENT		4,236,184
ACCRUED PENSION AND MALPRACTICE LIABILITY		136,983,221
INTEREST RATE SWAP		16,225,572




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		322,527,219
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM FOOTNOTE READS: "MULTICARE HEALTH SYSTEM ADOPTED FASB INTERPRETATION NO.48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ON JANUARY 1, 2007. FIN 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS IN ACCORDANCE WITH FASB NO. 109, ACCOUNTING FOR INCOME TAXES. FIN 48 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, FIN 48 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. FIN 48 DID NOT HAVE A SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM. OTHER THAN MEDIS, INC., A TAXABLE CORPORATION, AND GOOD SAMARITAN SURGERY CENTER, LLC, A LIMITED LIABILITY COMPANY, 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."

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other 50100.0000000000 %

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			16,303,480		16,303,480	1.640 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			202,795,130	133,093,627	69,701,503	7.030 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....			2,556,766	1,458,000	1,098,766	0.110 %
dTotal Charity Care and Means-Tested Government Programs .....			221,655,376	134,551,627	87,103,749	8.780 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	17	39,984	19,227,871	5,876,918	13,350,953	1.350 %
f Health professions education (from Worksheet 5) ..	5	24	7,195,956	1,639,274	5,556,682	0.560 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)	3	264	2,614,687	10,934	2,603,753	0.260 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	4	40	1,347,804	0	1,347,804	0.140 %
jTotal Other Benefits ...	29	40,312	30,386,318	7,527,126	22,859,192	2.310 %
kTotal. Add lines 7d and 7j. ..	29	40,312	252,041,694	142,078,753	109,962,941	11.090 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1	955	552,882	106,124	446,758	0.050 %
2	Economic development
3	Community support	10	1,152	5,113,541	521,699	4,591,842	0.460 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	4	23,986	1,862,124	6,426	1,855,698	0.190 %
7	Community health improvement advocacy	6	10,129	7,465,382	3,086,804	4,378,578	0.440 %
8	Workforce development	1	1	32,290	0	32,290	0 %
9	Other
10	Total	22	36,223	15,026,219	3,721,053	11,305,166	1.130 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

19,721,000

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

2,670,000

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

115,034,000

Enter Medicare allowable costs of care relating to payments on line 5.....

151,034,000

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-36,000,000

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?3 Name and address		Other (Describe)
1	TACOMA GENERAL HOSPITAL 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405	X	X		X	X	X
2	MARY BRIDGE CHILDRENS HOSPITAL 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405	X	X	X	X		X
3	ALLENMORE HOSPITAL 1901 SOUTH UNION TACOMA,WA98411	X	X				X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:TACOMA GENERAL HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:MARY BRIDGE CHILDRENS HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:ALLENMORE HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?15
Name and address		Type of Facility (Describe)
1	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
2	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
3	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
4	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
5	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
6	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
7	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
8	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
9	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
10	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
11	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
12	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
13	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
14	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB
15	COVINGTON AMBULATORY SURGERY CENTER 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART II: COMMUNITY BUILDING ACTIVITIESMULTICARE 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 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-TACOMA SOBERING CENTER PROVIDING OVERNIGHT HOUSING FOR INDIVIDUALS WITH DRUG AND ALCOHOL ISSUES -TREEHOUSE: A PLACE FOR FAMILIES (AFFORDABLE APARTMENT LODGING PROVIDED BY MULTICARE CLOSE TO THE HOSPITAL FOR FAMILIES WITH CRITICALLY ILL CHILDREN AND OTHER RELATIVES)-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 AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS-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 THE FIRST CREEK MIDDLE SCHOOL
		PART III, LINE 4: 1. FOOTNOTES:THE FINANCIAL STATEMENTS DO NOT HAVE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSES.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. RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $2,670,000 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. AS A TAX-EXEMPT HOSPITAL WE MUST PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. 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 HOSPITAL WAS THE 2010 MEDICARE COST REPORT. BECAUSE 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 CHANGES TO CALCULATE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. MARYBRIDGE COSTS REPRESENT LESS THAT 0.1% OF THE TOTAL.MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT:THE HOSPITAL BELIEVES THAT ALL OF THE $36 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 26.6% 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.IF AN ACCOUNT DOES GET SENT TO A BAD DEBT COLLECTION AGENCY, AS LONG AS IT MEETS MULTICARE'S CHARITY AND 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 COUNTY, THE CITY OF TACOMA AND THE TACOMA SCHOOL DISTRICT AND OTHERS. WE UTILIZE THE DATA FROM THE HEALTH DEPARTMENT'S PERIODIC COMMUNITY NEEDS ASSESSMENT AS WELL AS FEDERAL DATA TO DETERMINE THE MOST PRESSING HEALTH CARE NEEDS FOR OUR ARE POPULATION. FOR 2010, TOP COMMUNITY HEALTH PRIORITIES WERE: PREVENTING AND CURING COMMUNICABLE AND CHRONIC DISEASE; IMPROVING ACCESS TO MEDICAL CARE; INFANT AND CHILD DEVELOPMENT; CHILDHOOD AND ADULT OBESITY; DISASTER PREPAREDNESS;. MULTICARE ADDRESSED THESE PRIORITIES THROUGH COLLABORATIVE POLICY DEVELOPMENT AND FUNDING OF MRSA PREVENTION AND TREATMENT ACTIVITIES; DEVELOPING A CHRONIC DISEASE MANAGEMENT PILOT PROGRAM; FUNDING OF THE PROJECT ACCESS PROGRAM, A PIERCE COUNTY MEDICAL SOCIETY CASE MANAGEMENT MODEL WHICH COORDINATES UNDER- OR UNINSURED PATIENT ACCESS TO VOLUNTEER HEALTH PROVIDERS; AND FINANCIAL SUPPORT FOR THE COUNTY'S SAFETY NET PROVIDER, 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 WHICH PROVIDES A RANGE OF PRIMARY CARE AND OB/GYN MEDICAL SERVICES TO LOW-INCOME INDIVIDUALS AND FAMILIES.MULTICARE ADDRESSES THE GROWING PROBLEM OF CHILDHOOD AND ADULT OBESITY ON SEVERAL FRONTS. WE ARE AN ACTIVE PARTNER IN A COMMUNITY-WIDE, CDC-FUNDED COALITION, ACHIEVE, WHICH FOCUSES ON REGIONAL POLICIES TO PREVENT AND TREAT CHILDHOOD OBESITY. THROUGH THE HEALTHY COMMUNITIES PROGRAM, WE PARTNER WITH AREA AGENCIES AND HEALTH SYSTEMS TO PROVIDE EDUCATION FOR CHILDREN AND FAMILIES ON HEALTHY NUTRITION AND EXERCISE. MULTICARE ALSO OPERATES A SCHOOL-BASED NUTRITION EDUCATION PROGRAM IN THE TACOMA PUBLIC SCHOOLS AND THE HEALTHY KIDS INITIATIVE WITH THE YMCA. IN PARTNERSHIP WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, WE OFFER PIERCE COUNTY GETS FIT, A MULTI-FACETED PROGRAM AIMED AT ENCOURAGING ADULTS TO MAKE HEALTHY LIFE CHOICES. OTHER COMMUNITY-BASED MULTICARE SERVICES INCLUDE NUTRITION CONSULTATION, WEIGHT MANAGEMENT, TOBACCO CESSATION PROGRAMS, MOBILE IMMUNIZATION CLINICS, ADULT DAY HEALTH, PARENT PARTNERSHIP PROGRAMS FOR FAMILIES AT RISK, MOBILE MENTAL HEALTH OUTREACH SERVICES, PERINATAL OUTREACH SERVICES, HEALTH EDUCATION AND SCREENINGS TO UNDERSERVED COMMUNITIES, SENIOR WELLNESS AND CORPORATE WELLNESS PROGRAMS. MULTICARE IS AN ACTIVE PARTICIPANT IN THE COUNTY-WIDE COORDINATED EMERGENCY PREPAREDNESS EFFORT WHICH INCLUDES PERIODIC MEETINGS, TRAININGS AND COUNTY-WIDE DRILLS AND DISASTER PREPAREDNESS EXERCISES.THROUGH OUR RELATIONSHIP WITH THE REGIONAL UNITED WAY, WE REVIEW THEIR COMMUNITY NEEDS ASSESSMENT DATA AND SUPPORT PRIORITY PROGRAMS. IN 2010, EARLY LEARNING, EDUCATION, EMPLOYMENT, SAFETY, VOLUNTEERISM AND HOUSING WERE AREAS OF FOCUS. TO MEET THESE NEEDS, MULTICARE HAS PROVIDED DAYCARE SERVICES, READING PROGRAMS, CAREER PARTNERSHIPS, MIDDLE AND HIGH SCHOOL HEALTH CAREER EXPLORATION PROGRAMS, INCLUDING MEDICAL EXPLORERS, NURSE CAMP FOR HIGH SCHOOL STUDENTS, AND TRANSITION, A PROGRAM THAT PROVIDES CAREER OPPORTUNITIES FOR DISABLED, DISADVANTAGED YOUTH. MULTICARE EMPLOYEES PARTICIPATE IN A WIDE VARIETY OF VOLUNTEER PROGRAMS IN THE COMMUNITY, INCLUDING THE AMERICAN RED CROSS, THE PIERCE COUNTY DIABETES COALITION, SAFE STREETS COALITION, THE YWCA WHICH OPERATES A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN, THE AMERICAN CANCER SOCIETY, THE PLAN TO END CHRONIC HOMELESSNESS AND MANY OTHER ORGANIZATIONS.
		PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. PRE-SERVICE CENTER STAFF START 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 CHARITY OR 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 TACOMA, PUYALLUP, UNIVERSITY PLACE, LAKEWOOD, PARKLAND AND GIG HARBOR. SECONDARY SERVICE AREA IS DEFINED AS SOUTH KING COUNTY AND INCLUDES THE CITIES OF FEDERAL WAY, AUBURN, ENUMCLAW, COVINGTON AND KENT. MULTICARE HEALTH SYSTEM EMPLOYS THE LARGEST NUMBER OF PRIMARY AND SPECIALTY PROVIDERS IN THE REGION, CURRENTLY EMPLOYING OVER 350 PRIMARY AND SPECIALTY PHYSICIANS. MULTICARE HEALTH SYSTEM OPERATES 818 BEDS, SEVEN OUTPATIENT SURGICAL SITES AND SEVERAL OTHER URGENT CARE, PRIMARY CARE AND MULTISPECIALTY CLINICS. THE MEDIAN HOUSEHOLD INCOME FOR MULTICARE HEALTH SYSTEM'S PRIMARY SERVICE AREA IS $57,571 AND FOR THE SECONDARY SERVICE AREA IS $68,789.
		PART VI, LINE 6: THE HOSPITALS OF THE AFFILIATED GROUP UTILIZE SURPLUS 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 THE 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-EXPANSION OF THE CANCER CENTER TO ACCOMMODATE AN INCREASE IN CANCER PATIENTS-BUILDING OF THE PATIENT CARE TOWER IN PUYALLUP TO ACCOMMODATE FOR AN INCREASE IN THE POPULATION-SENIOR MEMBERSHIP AFFINITY PROGRAM-CANCER TRIALS AND RESEARCH
		PART VI, LINE 7: MULTICARE HEALTH SYSTEM ("MULTICARE") IS A WASHINGTON NONPROFIT CORPORATION, AND ORGANIZED AS A TAX EXEMPT ENTITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. MULTICARE IS THE SOLE CORPORATE MEMBER OF ITS NONPROFIT AFFILIATE, GOOD SAMARITAN HOSPITAL ("GSH"), A WASHINGTON NONPROFIT CORPORATION. MULTICARE ALSO HAS THREE AFFILIATED FOUNDATIONS: MARY BRIDGE CHILDREN'S FOUNDATION, MULTICARE HEALTH SYSTEM HEALTH FOUNDATION AND GOOD SAMARITAN FOUNDATION, ALL WASHINGTON NONPROFIT CORPORATIONS. MULTICARE IS ALSO THE SOLE SHAREHOLDER OF MEDIS CORPORATION, A WASHINGTON FOR-PROFIT CORPORATION. IN ADDITION, GSH IS THE SOLE CORPORATE MEMBER OF GOOD SAMARITAN COMMUNITY OUTREACH, WHICH IS ALSO A WASHINGTON NONPROFIT CORPORATION.MULTICARE HEALTH SYSTEM HAS FOUR ACUTE-CARE HOSPITALS INCLUDING LEVEL II ADULT AND PEDIATRIC TRAUMA CENTERS, THE REGION'S ONLY LEVEL III 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 HEALTH SYSTEM IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MULTICARE HEALTH SYSTEM

Employer identification number
91-1352172

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MARY BRIDGE CHILDREN'S FOUNDATIONPO BOX 5299 TACOMA,WA98415	94-3030039	501(C)(3)	3,289,444	ASSISTANCE FOR OPERATING EXPENSES.
(2) MULTICARE HEALTH FOUNDATIONPO BOX 5299 TACOMA,WA98415	91-1514257	501(C)(3)	1,778,374	ASSISTANCE FOR OPERATING EXPENSES.

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: MULTICARE HEALTH SYSTEM MAINTAINS SEPARATE GENERAL LEDGER ACCOUNTS FOR THE AMOUNTS FUNDED TO RELATED ORGANIZATIONS.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) DIANE CECCHETTINI	(i) (ii)	803,130 0	999,401 0	4,302 0	23,275 0	11,837 0	1,841,945 0	0 0
(2) JOHN LONG	(i) (ii)	433,465 0	342,710 0	155,719 0	20,230 0	10,797 0	962,921 0	0 0
(3) VINCENT SCHMITZ	(i) (ii)	437,173 0	317,884 0	281,239 0	23,275 0	15,789 0	1,075,360 0	0 0
(4) WILLIAM STOVER	(i) (ii)	356,026 0	244,709 0	5,889 0	23,275 0	13,333 0	643,232 0	0 0
(5) KATHERINE SMITH	(i) (ii)	343,478 0	204,765 0	136,612 0	51,954 0	10,755 0	747,564 0	0 0
(6) FLORENCE CHANG	(i) (ii)	294,864 0	122,516 0	1,570 0	74,264 0	13,260 0	506,474 0	0 0
(7) SHELLY MULLIN	(i) (ii)	271,413 0	89,866 0	55,261 0	67,925 0	15,220 0	499,685 0	0 0
(8) MADLYN MURREY	(i) (ii)	171,286 0	57,796 0	1,940 0	31,461 0	14,905 0	277,388 0	0 0
(9) CHRISTI MCCARREN	(i) (ii)	172,784 0	56,680 0	1,440 0	31,466 0	9,672 0	272,042 0	0 0
(10) ELISE FORNADLEY	(i) (ii)	158,350 0	52,583 0	2,484 0	17,757 0	9,538 0	240,712 0	0 0
(11) DAVID COONS	(i) (ii)	1,385,204 0	38,142 0	2,790 0	11,877 0	21,491 0	1,459,504 0	0 0
(12) WILLIAM MORRIS	(i) (ii)	949,575 0	28,742 0	4,489 0	216,522 0	16,307 0	1,215,635 0	0 0
(13) RONALD WOODS	(i) (ii)	895,859 0	35,356 0	1,840 0	30,655 0	21,491 0	985,201 0	0 0
(14) JOHN HUNG	(i) (ii)	901,199 0	15,356 0	95,406 0	11,480 0	21,454 0	1,044,895 0	0 0
(15) JAMES WYMAN	(i) (ii)	833,241 0	15,356 0	117,667 0	12,220 0	17,654 0	996,138 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINE 1A	ZZLINE 1A - COUNTRY CLUB DUES ARE PAID FOR THREE OFFICERS - VINCENT SCHMITZ, SARA LONG AND DIANE CECCHETTINI. THE PERSONAL USE OF THE CLUB DUES ARE ADDED TO THEIR TAXABLE WAGES AND REPORTED ON THEIR W-2. LINE 1A - HOUSING ALLOWANCE IS PAID TO JOHN LONG, THE AMOUNT IS ADDED TO HIS TAXABLE WAGES AND REPORTED ON HIS W-2.
	PART I, LINE 4B	THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN OR RECEIVED PAYMENTS FROM A 457(F) DEFERRED COMPENSATION PLAN: FLORENCE CHANG $62,322, SHELLY MULLIN $19,176, MADLYN MURREY $10,437, CHRISTI MCCARREN $10,501, ELISE FORNADLEY $9,501.
	PART I, LINE 6	THE COMPENSATION COMMITTEE SETS ANNUAL GOALS FOR THE INCENTIVE COMPENSATION PLAN COVERING SENIOR VICE PRESIDENTS, VICE PRESIDENTS, ADMINISTRATORS, DIRECTORS, MANAGERS AND SUPERVISORS. 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 CALCULATED AND THEN PAID BASED ON THE NUMBER OF TARGETS ACHIEVED.
SUPPLEMENTAL INFORMATION	PART III	SCHEDULE J, PART III- SUPPLEMENTAL INFORMATION: THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE FISCAL YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM AND GOOD SAMARITAN ENTITIES (91-1352172, 91-1514257, 94-3030039, 91-0961134, 91-1203564 AND 91-2004312), 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 FISCAL 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.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MULTICARE HEALTH SYSTEM

Employer identification number
91-1352172

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 A	91-1108929	93978EL83	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 B	91-1108929	93978EM74	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 C	91-1108929	93978EN65	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 A	91-1108929	93978EQ54	05-15-2008	78,725,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 B	91-1108929	93978ES45	05-15-2008	78,725,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 C	91-1108929	93978EE99	02-15-2007	52,915,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D	91-1108929	93978EF23	02-15-2007	105,635,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 A	91-1108929	93978ES52	02-26-2009	50,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 B	91-1108929	93978ES60	02-26-2009	50,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 C	91-1108929	93978EK92	02-26-2009	30,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 A	91-1108929	93978E3U4	05-15-2009	50,000,000	CONSTRUCTION OF GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 B	91-1108929	93978E3V2	05-15-2009	50,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6N7	01-05-2010	105,127,578	CURRENT REFUNDING OF THE WHCA SERIES 1998		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	104,560,000
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	50,000,000		50,000,000		50,000,000		78,725,000
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	2,344,811		2,344,811		2,344,811		1,981,663
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	47,655,189		48,439,399
11 Other spent proceeds . .
12 Other unspent proceeds. . .	48,439,399				48,439,399		76,743,337
13 Year of substantial completion . . .	2005		2005		2005		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X		X
16 Has the final allocation of proceeds been made? . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .	X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .	X		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.290 %		0.290 %		0.290 %		0.410 %
6 Total of lines 4 and 5 . . .. . . . . .	0.290 %		0.290 %		0.290 %		0.410 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .	X		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X	X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X		X	X
b Name of provider .	XL		XL		RBC		XL
c Term of GIC . .	1.916000000000		1.916000000000		1.916000000000		1.916000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .	X		X		X		X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART I, COLUMN C	BOND'S ISSUE MATURITY DATES AND CUSSIP NUMBERS	SERIES 2004A 8/15/2023-93978EL26 8/15/2024-93978EL34 8/15/2025-93978EL42 8/15/2026-93978EL59 8/15/2027-93978EL67 8/15/2028-93978EL75 8/15/2034-93978EL83 SERIES 2004B 8/15/2023-93978EL91 8/15/2024-93978EM25 8/15/2025-93978EM33 8/15/2026-93978EM41 8/15/2027-93978EM58 8/15/2028-93978EM66 8/15/2034-93978EM74 SERIES 2004C 8/15/2023-93978EM82 8/15/2024-93978EM90 8/15/2025-93978EM24 8/15/2026-93978EM32 8/15/2027-93978EM40 8/15/2028-93978EM57 8/15/2034-93978EM65 SERIES 2007A 08/15/2012-93978EN73 08/15/2013-93978EN81 08/15/2014-93978EN99 08/15/2015-93978EP22 08/15/2016-93978EP30 08/15/2017-93978EP48 08/15/2018-93978EP55 08/15/2019-93978EP63 08/15/2020-93978EP71 08/15/2021-93978EP89 08/15/2022-93978EP97 08/15/2025-93978EQ21 08/15/2031-93978EQ39 08/15/2038-93978EQ47 08/15/2041-93978EQ54 SERIES 2007B 08/15/2012-93978EQ62 08/15/2013-93978EQ70 08/15/2014-93978EQ88 08/15/2015-93978EQ96 08/15/2016-93978ER20 08/15/2017-93978ER38 08/15/2018-93978ER46 08/15/2019-93978ER53 08/15/2020-93978ER61 08/15/2021-93978ER79 08/15/2022-93978ER87 08/15/2025-93978ER95 08/15/2031-93978ES29 08/15/2038-93978ES37 08/15/2041-93978ES45 SERIES 2007C 08/15/2041-93978EE99 SERIES 2007D 08/15/2041-93978EF23 SERIES 2008A 08/15/2010-93978E2E1 08/15/2011-93978E2F8 08/15/2012-93978E2G6 08/15/2013-93978E2H4 08/15/2014-93978E2J0 08/15/2015-93978E2K7 08/15/2016-93978E2L5 08/15/2017-93978E2M3 08/15/2018-93978E2N1 08/15/2019-93978E2P6 08/15/2024-93978E2Q4 08/15/2029-93978E2R2 08/15/2039-93978E2S0 SERIES 2008B 08/15/2010-93978E2U5 08/15/2011-93978E2V3 08/15/2012-93978E2W1 08/15/2013-93978E2X9 08/15/2014-93978E2Y7 08/15/2015-93978E2Z4 08/15/2016-93978E3A8 08/15/2017-93978E3B6 08/15/2018-93978E3C4 08/15/2019-93978E3D2 08/15/2024-93978E3E0 08/15/2029-93978E3F7 08/15/2039-93978E3G5 SERIES 2008C 8/15/2043-93978EK92 SERIES 2009A 8/15/2044-93978E3U4 SERIES 2009B 8/15/2044-93978E3V2 SERIES 2010A 08/15/2010-93978E6N7 08/15/2011-93978E6P2 08/15/2012-93978E6Q0 08/15/2013-93978E6X5 08/15/2014-93978E6Y3 08/15/2015-93978E6Z0 08/15/2016-93978E7A4 08/15/2017-93978E7B2 08/15/2017-93978E6R8 08/15/2018-93978E7C0 08/15/2019-93978E6S6 08/15/2020-93978E6T4 08/15/2021-93978E6V9 08/15/2022-93978E6W7
SCHEDULE K, PART I, COLUMN E		SERIES 2004A - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004B - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004C - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2007A - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007B - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007C - JOINT PREMIUM 2008 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007 SERIES 2008A - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008B - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008C - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008
SCHEDULE K, SUPPLEMENTAL INFORMATION		MULTICARE HEALTH SYSTEM, GOOD SAMARITAN HOSPITAL ARE MEMBERS OF THE OBLIGATED GROUP, THEY ARE JOINTLY AND SEVERALLY OBLIGATED ON ALL BOND DEBT.
SCHEDULE K, PART I, COLUMN A	NAME OF THE ISSUER FOR ALL BOND ISSUES	WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MULTICARE HEALTH SYSTEM

Employer identification number
91-1352172

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 A	91-1108929	93978EL83	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 B	91-1108929	93978EM74	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 C	91-1108929	93978EN65	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 A	91-1108929	93978EQ54	05-15-2008	78,725,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 B	91-1108929	93978ES45	05-15-2008	78,725,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 C	91-1108929	93978EE99	02-15-2007	52,915,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D	91-1108929	93978EF23	02-15-2007	105,635,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 A	91-1108929	93978ES52	02-26-2009	50,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 B	91-1108929	93978ES60	02-26-2009	50,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 C	91-1108929	93978EK92	02-26-2009	30,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 A	91-1108929	93978E3U4	05-15-2009	50,000,000	CONSTRUCTION OF GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 B	91-1108929	93978E3V2	05-15-2009	50,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6N7	01-05-2010	105,127,578	CURRENT REFUNDING OF THE WHCA SERIES 1998		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	104,560,000
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	50,000,000		50,000,000		50,000,000		78,725,000
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	2,344,811		2,344,811		2,344,811		1,981,663
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	47,655,189		48,439,399
11 Other spent proceeds . .
12 Other unspent proceeds. . .	48,439,399				48,439,399		76,743,337
13 Year of substantial completion . . .	2005		2005		2005		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X		X
16 Has the final allocation of proceeds been made? . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .	X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .	X		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.290 %		0.290 %		0.290 %		0.410 %
6 Total of lines 4 and 5 . . .. . . . . .	0.290 %		0.290 %		0.290 %		0.410 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .	X		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X	X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X		X	X
b Name of provider .	XL		XL		RBC		XL
c Term of GIC . .	1.916000000000		1.916000000000		1.916000000000		1.916000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .	X		X		X		X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART I, COLUMN C	BOND'S ISSUE MATURITY DATES AND CUSSIP NUMBERS	SERIES 2004A 8/15/2023-93978EL26 8/15/2024-93978EL34 8/15/2025-93978EL42 8/15/2026-93978EL59 8/15/2027-93978EL67 8/15/2028-93978EL75 8/15/2034-93978EL83 SERIES 2004B 8/15/2023-93978EL91 8/15/2024-93978EM25 8/15/2025-93978EM33 8/15/2026-93978EM41 8/15/2027-93978EM58 8/15/2028-93978EM66 8/15/2034-93978EM74 SERIES 2004C 8/15/2023-93978EM82 8/15/2024-93978EM90 8/15/2025-93978EM24 8/15/2026-93978EM32 8/15/2027-93978EM40 8/15/2028-93978EM57 8/15/2034-93978EM65 SERIES 2007A 08/15/2012-93978EN73 08/15/2013-93978EN81 08/15/2014-93978EN99 08/15/2015-93978EP22 08/15/2016-93978EP30 08/15/2017-93978EP48 08/15/2018-93978EP55 08/15/2019-93978EP63 08/15/2020-93978EP71 08/15/2021-93978EP89 08/15/2022-93978EP97 08/15/2025-93978EQ21 08/15/2031-93978EQ39 08/15/2038-93978EQ47 08/15/2041-93978EQ54 SERIES 2007B 08/15/2012-93978EQ62 08/15/2013-93978EQ70 08/15/2014-93978EQ88 08/15/2015-93978EQ96 08/15/2016-93978ER20 08/15/2017-93978ER38 08/15/2018-93978ER46 08/15/2019-93978ER53 08/15/2020-93978ER61 08/15/2021-93978ER79 08/15/2022-93978ER87 08/15/2025-93978ER95 08/15/2031-93978ES29 08/15/2038-93978ES37 08/15/2041-93978ES45 SERIES 2007C 08/15/2041-93978EE99 SERIES 2007D 08/15/2041-93978EF23 SERIES 2008A 08/15/2010-93978E2E1 08/15/2011-93978E2F8 08/15/2012-93978E2G6 08/15/2013-93978E2H4 08/15/2014-93978E2J0 08/15/2015-93978E2K7 08/15/2016-93978E2L5 08/15/2017-93978E2M3 08/15/2018-93978E2N1 08/15/2019-93978E2P6 08/15/2024-93978E2Q4 08/15/2029-93978E2R2 08/15/2039-93978E2S0 SERIES 2008B 08/15/2010-93978E2U5 08/15/2011-93978E2V3 08/15/2012-93978E2W1 08/15/2013-93978E2X9 08/15/2014-93978E2Y7 08/15/2015-93978E2Z4 08/15/2016-93978E3A8 08/15/2017-93978E3B6 08/15/2018-93978E3C4 08/15/2019-93978E3D2 08/15/2024-93978E3E0 08/15/2029-93978E3F7 08/15/2039-93978E3G5 SERIES 2008C 8/15/2043-93978EK92 SERIES 2009A 8/15/2044-93978E3U4 SERIES 2009B 8/15/2044-93978E3V2 SERIES 2010A 08/15/2010-93978E6N7 08/15/2011-93978E6P2 08/15/2012-93978E6Q0 08/15/2013-93978E6X5 08/15/2014-93978E6Y3 08/15/2015-93978E6Z0 08/15/2016-93978E7A4 08/15/2017-93978E7B2 08/15/2017-93978E6R8 08/15/2018-93978E7C0 08/15/2019-93978E6S6 08/15/2020-93978E6T4 08/15/2021-93978E6V9 08/15/2022-93978E6W7
SCHEDULE K, PART I, COLUMN E		SERIES 2004A - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004B - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004C - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2007A - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007B - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007C - JOINT PREMIUM 2008 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007 SERIES 2008A - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008B - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008C - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008
SCHEDULE K, SUPPLEMENTAL INFORMATION		MULTICARE HEALTH SYSTEM, GOOD SAMARITAN HOSPITAL ARE MEMBERS OF THE OBLIGATED GROUP, THEY ARE JOINTLY AND SEVERALLY OBLIGATED ON ALL BOND DEBT.
SCHEDULE K, PART I, COLUMN A	NAME OF THE ISSUER FOR ALL BOND ISSUES	WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MULTICARE HEALTH SYSTEM

Employer identification number
91-1352172

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 A	91-1108929	93978EL83	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 B	91-1108929	93978EM74	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 C	91-1108929	93978EN65	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 A	91-1108929	93978EQ54	05-15-2008	78,725,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 B	91-1108929	93978ES45	05-15-2008	78,725,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 C	91-1108929	93978EE99	02-15-2007	52,915,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D	91-1108929	93978EF23	02-15-2007	105,635,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 A	91-1108929	93978ES52	02-26-2009	50,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 B	91-1108929	93978ES60	02-26-2009	50,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 C	91-1108929	93978EK92	02-26-2009	30,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 A	91-1108929	93978E3U4	05-15-2009	50,000,000	CONSTRUCTION OF GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 B	91-1108929	93978E3V2	05-15-2009	50,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6N7	01-05-2010	105,127,578	CURRENT REFUNDING OF THE WHCA SERIES 1998		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	104,560,000
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	50,000,000		50,000,000		50,000,000		78,725,000
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	2,344,811		2,344,811		2,344,811		1,981,663
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	47,655,189		48,439,399
11 Other spent proceeds . .
12 Other unspent proceeds. . .	48,439,399				48,439,399		76,743,337
13 Year of substantial completion . . .	2005		2005		2005		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X		X
16 Has the final allocation of proceeds been made? . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .	X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .	X		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.290 %		0.290 %		0.290 %		0.410 %
6 Total of lines 4 and 5 . . .. . . . . .	0.290 %		0.290 %		0.290 %		0.410 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .	X		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X	X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X		X	X
b Name of provider .	XL		XL		RBC		XL
c Term of GIC . .	1.916000000000		1.916000000000		1.916000000000		1.916000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .	X		X		X		X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART I, COLUMN C	BOND'S ISSUE MATURITY DATES AND CUSSIP NUMBERS	SERIES 2004A 8/15/2023-93978EL26 8/15/2024-93978EL34 8/15/2025-93978EL42 8/15/2026-93978EL59 8/15/2027-93978EL67 8/15/2028-93978EL75 8/15/2034-93978EL83 SERIES 2004B 8/15/2023-93978EL91 8/15/2024-93978EM25 8/15/2025-93978EM33 8/15/2026-93978EM41 8/15/2027-93978EM58 8/15/2028-93978EM66 8/15/2034-93978EM74 SERIES 2004C 8/15/2023-93978EM82 8/15/2024-93978EM90 8/15/2025-93978EM24 8/15/2026-93978EM32 8/15/2027-93978EM40 8/15/2028-93978EM57 8/15/2034-93978EM65 SERIES 2007A 08/15/2012-93978EN73 08/15/2013-93978EN81 08/15/2014-93978EN99 08/15/2015-93978EP22 08/15/2016-93978EP30 08/15/2017-93978EP48 08/15/2018-93978EP55 08/15/2019-93978EP63 08/15/2020-93978EP71 08/15/2021-93978EP89 08/15/2022-93978EP97 08/15/2025-93978EQ21 08/15/2031-93978EQ39 08/15/2038-93978EQ47 08/15/2041-93978EQ54 SERIES 2007B 08/15/2012-93978EQ62 08/15/2013-93978EQ70 08/15/2014-93978EQ88 08/15/2015-93978EQ96 08/15/2016-93978ER20 08/15/2017-93978ER38 08/15/2018-93978ER46 08/15/2019-93978ER53 08/15/2020-93978ER61 08/15/2021-93978ER79 08/15/2022-93978ER87 08/15/2025-93978ER95 08/15/2031-93978ES29 08/15/2038-93978ES37 08/15/2041-93978ES45 SERIES 2007C 08/15/2041-93978EE99 SERIES 2007D 08/15/2041-93978EF23 SERIES 2008A 08/15/2010-93978E2E1 08/15/2011-93978E2F8 08/15/2012-93978E2G6 08/15/2013-93978E2H4 08/15/2014-93978E2J0 08/15/2015-93978E2K7 08/15/2016-93978E2L5 08/15/2017-93978E2M3 08/15/2018-93978E2N1 08/15/2019-93978E2P6 08/15/2024-93978E2Q4 08/15/2029-93978E2R2 08/15/2039-93978E2S0 SERIES 2008B 08/15/2010-93978E2U5 08/15/2011-93978E2V3 08/15/2012-93978E2W1 08/15/2013-93978E2X9 08/15/2014-93978E2Y7 08/15/2015-93978E2Z4 08/15/2016-93978E3A8 08/15/2017-93978E3B6 08/15/2018-93978E3C4 08/15/2019-93978E3D2 08/15/2024-93978E3E0 08/15/2029-93978E3F7 08/15/2039-93978E3G5 SERIES 2008C 8/15/2043-93978EK92 SERIES 2009A 8/15/2044-93978E3U4 SERIES 2009B 8/15/2044-93978E3V2 SERIES 2010A 08/15/2010-93978E6N7 08/15/2011-93978E6P2 08/15/2012-93978E6Q0 08/15/2013-93978E6X5 08/15/2014-93978E6Y3 08/15/2015-93978E6Z0 08/15/2016-93978E7A4 08/15/2017-93978E7B2 08/15/2017-93978E6R8 08/15/2018-93978E7C0 08/15/2019-93978E6S6 08/15/2020-93978E6T4 08/15/2021-93978E6V9 08/15/2022-93978E6W7
SCHEDULE K, PART I, COLUMN E		SERIES 2004A - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004B - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004C - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2007A - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007B - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007C - JOINT PREMIUM 2008 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007 SERIES 2008A - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008B - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008C - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008
SCHEDULE K, SUPPLEMENTAL INFORMATION		MULTICARE HEALTH SYSTEM, GOOD SAMARITAN HOSPITAL ARE MEMBERS OF THE OBLIGATED GROUP, THEY ARE JOINTLY AND SEVERALLY OBLIGATED ON ALL BOND DEBT.
SCHEDULE K, PART I, COLUMN A	NAME OF THE ISSUER FOR ALL BOND ISSUES	WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MULTICARE HEALTH SYSTEM

Employer identification number
91-1352172

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 A	91-1108929	93978EL83	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 B	91-1108929	93978EM74	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2004 C	91-1108929	93978EN65	05-15-2008	50,000,000	CONSTRUCTION AND EQUIPMENT TACOMA GENERAL L WING AND MARY BRIDGE CLINIC		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 A	91-1108929	93978EQ54	05-15-2008	78,725,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 B	91-1108929	93978ES45	05-15-2008	78,725,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 C	91-1108929	93978EE99	02-15-2007	52,915,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D	91-1108929	93978EF23	02-15-2007	105,635,000	CONSTRUCTION & EQUIP TG EMER. DEPT, STEAM PLANT, GIG HARBOR MEDICAL PARK		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 A	91-1108929	93978ES52	02-26-2009	50,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 B	91-1108929	93978ES60	02-26-2009	50,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 C	91-1108929	93978EK92	02-26-2009	30,000,000	CONSTRUCTION GOOD SAMARITAN HOSPITAL TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 A	91-1108929	93978E3U4	05-15-2009	50,000,000	CONSTRUCTION OF GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 B	91-1108929	93978E3V2	05-15-2009	50,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6N7	01-05-2010	105,127,578	CURRENT REFUNDING OF THE WHCA SERIES 1998		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	104,560,000
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	50,000,000		50,000,000		50,000,000		78,725,000
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	2,344,811		2,344,811		2,344,811		1,981,663
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	47,655,189		48,439,399
11 Other spent proceeds . .
12 Other unspent proceeds. . .	48,439,399				48,439,399		76,743,337
13 Year of substantial completion . . .	2005		2005		2005		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X		X
16 Has the final allocation of proceeds been made? . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .	X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .	X		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.290 %		0.290 %		0.290 %		0.410 %
6 Total of lines 4 and 5 . . .. . . . . .	0.290 %		0.290 %		0.290 %		0.410 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .	X		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X	X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X		X	X
b Name of provider .	XL		XL		RBC		XL
c Term of GIC . .	1.916000000000		1.916000000000		1.916000000000		1.916000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .	X		X		X		X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART I, COLUMN C	BOND'S ISSUE MATURITY DATES AND CUSSIP NUMBERS	SERIES 2004A 8/15/2023-93978EL26 8/15/2024-93978EL34 8/15/2025-93978EL42 8/15/2026-93978EL59 8/15/2027-93978EL67 8/15/2028-93978EL75 8/15/2034-93978EL83 SERIES 2004B 8/15/2023-93978EL91 8/15/2024-93978EM25 8/15/2025-93978EM33 8/15/2026-93978EM41 8/15/2027-93978EM58 8/15/2028-93978EM66 8/15/2034-93978EM74 SERIES 2004C 8/15/2023-93978EM82 8/15/2024-93978EM90 8/15/2025-93978EM24 8/15/2026-93978EM32 8/15/2027-93978EM40 8/15/2028-93978EM57 8/15/2034-93978EM65 SERIES 2007A 08/15/2012-93978EN73 08/15/2013-93978EN81 08/15/2014-93978EN99 08/15/2015-93978EP22 08/15/2016-93978EP30 08/15/2017-93978EP48 08/15/2018-93978EP55 08/15/2019-93978EP63 08/15/2020-93978EP71 08/15/2021-93978EP89 08/15/2022-93978EP97 08/15/2025-93978EQ21 08/15/2031-93978EQ39 08/15/2038-93978EQ47 08/15/2041-93978EQ54 SERIES 2007B 08/15/2012-93978EQ62 08/15/2013-93978EQ70 08/15/2014-93978EQ88 08/15/2015-93978EQ96 08/15/2016-93978ER20 08/15/2017-93978ER38 08/15/2018-93978ER46 08/15/2019-93978ER53 08/15/2020-93978ER61 08/15/2021-93978ER79 08/15/2022-93978ER87 08/15/2025-93978ER95 08/15/2031-93978ES29 08/15/2038-93978ES37 08/15/2041-93978ES45 SERIES 2007C 08/15/2041-93978EE99 SERIES 2007D 08/15/2041-93978EF23 SERIES 2008A 08/15/2010-93978E2E1 08/15/2011-93978E2F8 08/15/2012-93978E2G6 08/15/2013-93978E2H4 08/15/2014-93978E2J0 08/15/2015-93978E2K7 08/15/2016-93978E2L5 08/15/2017-93978E2M3 08/15/2018-93978E2N1 08/15/2019-93978E2P6 08/15/2024-93978E2Q4 08/15/2029-93978E2R2 08/15/2039-93978E2S0 SERIES 2008B 08/15/2010-93978E2U5 08/15/2011-93978E2V3 08/15/2012-93978E2W1 08/15/2013-93978E2X9 08/15/2014-93978E2Y7 08/15/2015-93978E2Z4 08/15/2016-93978E3A8 08/15/2017-93978E3B6 08/15/2018-93978E3C4 08/15/2019-93978E3D2 08/15/2024-93978E3E0 08/15/2029-93978E3F7 08/15/2039-93978E3G5 SERIES 2008C 8/15/2043-93978EK92 SERIES 2009A 8/15/2044-93978E3U4 SERIES 2009B 8/15/2044-93978E3V2 SERIES 2010A 08/15/2010-93978E6N7 08/15/2011-93978E6P2 08/15/2012-93978E6Q0 08/15/2013-93978E6X5 08/15/2014-93978E6Y3 08/15/2015-93978E6Z0 08/15/2016-93978E7A4 08/15/2017-93978E7B2 08/15/2017-93978E6R8 08/15/2018-93978E7C0 08/15/2019-93978E6S6 08/15/2020-93978E6T4 08/15/2021-93978E6V9 08/15/2022-93978E6W7
SCHEDULE K, PART I, COLUMN E		SERIES 2004A - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004B - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2004C - JOINT PREMIUM 2004 A,B,C OF $977,057 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 6/22/2004. SERIES 2007A - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007B - JOINT PREMIUM 2007 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007. SERIES 2007C - JOINT PREMIUM 2008 A,B,C OF $1,042,602 AT REISSUANCE 5/15/2008. ORIGINAL ISSUE 2/15/2007 SERIES 2008A - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008B - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008 SERIES 2008C - JOINT PREMIUM 2008 A,B,C OF $81,316 AT REISSUANCE 2/26/2009. ORIGINAL ISSUE 5/15/2008
SCHEDULE K, SUPPLEMENTAL INFORMATION		MULTICARE HEALTH SYSTEM, GOOD SAMARITAN HOSPITAL ARE MEMBERS OF THE OBLIGATED GROUP, THEY ARE JOINTLY AND SEVERALLY OBLIGATED ON ALL BOND DEBT.
SCHEDULE K, PART I, COLUMN A	NAME OF THE ISSUER FOR ALL BOND ISSUES	WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) WESTERN WA PATHOLOGY	ROB ROTH/VICE CHAIRMAN	945,736	PROFESSIONAL SERVICES		No
(2) CAROLINE RUTTER MD	DAUGHTER OF THE VICE CHAIRMAN	516,600	EMPLOYEE OF THE MHS		No
(3) ASSOCIATED PETROLEUM PRODUCTS	LUKE XITCO/DIRECTOR	164,814	SUPPLIER OF GOODS AND/OR SERVICES		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Identifier	Return Reference	Explanation
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, THE CHIEF EXECUTIVE OFFICER, 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 BOARD. 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 HER MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM AND GOOD SAMARITAN ENTITIES (91-1352172, 91-1514257, 94-3030039, 91-1203564, 91-0961134 AND 91-2004312). THE COMPENSATION COMMITTEE DIRECTS THE DEVELOPMENT AND IT APPROVES ANNUAL GOALS AND PERFORMANCE CRITERIA THAT ARE USED TO DETERMINE VARIABLE COMPENSATION OPPORTUNITIES FOR THE PRESIDENT. 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.
	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.
HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII	DIANE CECCHETTINI IS THE PRESIDENT AND CEO OF MULTICARE HEALTH SYSTEM AND AFFILIATES. SHE IS COMPENSATED BY MULTICARE HEALTH SYSTEM (MHS) AND DEVOTES ON AVERAGE A TOTAL OF 60 HOURS PER WEEK TO MHS AND AFFILIATES AS FOLLOWS: 1 HOUR PER WEEK TO MARY BRIDGE CHILDREN'S FOUNDATION (MBCF), 1 HOUR PER WEEK TO MULTICARE HEALTH FOUNDATION (MHF), 1 HOUR PER WEEK TO GOOD SAMARITAN FOUNDATION (GSF), 1 HOUR PER WEEK TO GOOD SAMARITAN OUTREACH SERVICES (GSOS), 11 HOURS PER WEEK TO GOOD SAMARITAN HOSPITAL (GSH), AND 45 HOURS PER WEEK TO MULTICARE HEALTH SYSTEM. VINCENT SCHMITZ IS THE CFO OF MULTICARE HEALTH SYSTEM AND AFFILIATES. HE IS COMPENSATED BY MHS AND DEVOTES ON AVERAGE A TOTAL OF 60 HOURS PER WEEK TO MHS AND ITS AFFILIATES AS FOLLOWS: 1 HOUR PER WEEK TO MBCF, 1 HOUR PER WEEK TO MHF, 1 HOUR PER WEEK TO GSF, 1 HOUR PER WEEK TO GSOS, 11 HOURS PER WEEK TO GSH, AND 45 HOURS PER WEEK TO MHS. JOHN LONG IS THE PRESIDENT OF GOOD SAMARITAN HOSPITAL. HE IS COMPENSATED BY MHS AND DEVOTES ON AVERAGE A TOTAL OF 60 HOURS PER WEEK TO MHS AND ITS AFFILIATES AS FOLLOWS: 2 HOURS PER WEEK TO GSF, 1 HOUR PER WEEK TO GSOS, 38 HOURS PER WEEK TO GSH, AND 19 HOURS PER WEEK TO MHS.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 7,035,909. TRANSFER OF ASSETS FROM AFFILIATES -7,118,634. UNFUNDED DB PENSION LIABILITY 19,239,763. CHANGE IN UNREALIZED SWAP -10. TOTAL TO FORM 990, PART XI, LINE 5: 19,157,028.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) MULTICARE HEALTH FOUNDATION 409 S J STREET TACOMA,WA98405 91-1514257	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes
(2) MARY BRIDGE CHILDREN'S FOUNDATION 409 S J STREET TACOMA,WA98405 94-3030039	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes
(3) GOOD SAMARITAN HOSPITAL 407 14TH AVE SE PUYALLUP,WA98372 91-0961134	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes
(4) GOOD SAMARITAN OUTREACH SERVICES 325 E PIONEER AVE PUYALLUP,WA98372 91-1203564	MEDICAL SERVICES	WA	501(C)(3)	LINE 9	MULTICARE HEALTH SYSTEM	Yes
(5) GOOD SAMARITAN FOUNDATION 402 15TH AVE SE SUITE 101 PUYALLUP,WA98372 91-2004312	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) GOOD SAMARITAN SURGERY CENTER LLC 1322 3RD STREET SE SUITE 100 PUYALLUP,WA98372 91-1456609	MEDICAL SERVICES	WA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) MEDIS CORPORATION 315 S K STREET TACOMA,WA98405 91-1111928	MEDICAL BUILDING RENTAL	WA	MULTICARE HEALTH SYSTEM	C	82,872	2,191,482	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) MEDIS CORPORATION	A	20,107
(2) MULTICARE HEALTH FOUNDATION	B	1,780,040
(3) MARY BRIDGE CHILDREN'S FOUNDATION	B	3,289,444
(4) MULTICARE HEALTH FOUNDATION	C	5,753,149
(5) MARY BRIDGE CHILDREN'S FOUNDATION	C	7,873,867
(6) GOOD SAMARITAN FOUNDATION	C	129,746
(7) GOOD SAMARITAN HOSPITAL	E	21,478,652
(8) MEDIS CORPORATION	J	312,520
(9) MULTICARE HEALTH FOUNDATION	K	586,738
(10) MARY BRIDGE CHILDREN'S FOUNDATION	K	880,106
(11) GOOD SAMARITAN HOSPITAL	N	663,471
(12) MULTICARE HEALTH FOUNDATION	P	868,181
(13) MARY BRIDGE CHILDREN'S FOUNDATION	P	1,346,692
(14) MEDIS CORPORATION	P	193,661

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: MULTICARE HEALTH SYSTEM'S MISSION IS TO PROVIDE QUALITY PATIENT CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	10
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	7,927
6	Total number of volunteers (estimate if necessary) ....	6	1,647
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	3,658,643
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-864,202

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	15,264,608	13,821,284
9	Program service revenue (Part VIII, line 2g) .........	1,033,493,297	1,025,192,054
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	46,956,411	-6,515,168
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-758,509	-919,410
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,094,955,807	1,031,578,760
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,993,305	5,067,818
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	556,577,125	583,805,745
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	414,741,644	403,085,408
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	976,312,074	991,958,971
19	Revenue less expenses. Subtract line 18 from line 12......	118,643,733	39,619,789
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	1,393,490,331	1,557,442,619
21	Total liabilities (Part X, line 26)............	906,208,915	1,011,384,386
22	Net assets or fund balances. Subtract line 21 from line 20 .....	487,281,416	546,058,233

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 637,819,353 including grants of $ 5,069,484 ) (Revenue $ 825,739,915 )
	MULTICARE HEALTH SYSTEM (MHS) OPERATES THREE COMMUNITY BASED HOSPITALS WITH 521 LICENSED ADULT BEDS AND 72 LICENSED PEDIATRIC BEDS. DURING 2010 MHS HOSPITALS ADMITTED 22,937 PATIENTS FOR A TOTAL OF 94,339 PATIENT DAYS, PERFORMED 22,465 SURGERIES AND DELIVERED 3,091 BABIES. THERE WERE 5,314 NEWBORN DAYS DURING 2010. THEY ALSO PROVIDED CARE FOR 347,310 OUTPATIENT VISITS AND 95,676 EMERGENCY ROOM VISITS, OF WHICH 588 WERE TRAUMA PATIENTS.

4b	(Code: ) (Expenses $ 91,343,439 including grants of $ ) (Revenue $ 120,559,385 )
	MULTICARE HEALTH SYSTEM OPERATES MULTI-SPECIALTY CLINICS THROUGHOUT PIERCE AND SOUTH KING COUNTIES. DURING 2010 THESE CLINICS PROCESSED 442,161 LABORATORY WORKLOAD UNITS, 205,085 IMAGING RELATIVE UNITS, 48,817 ONCOLOGY RELATIVE VALUE UNITS, 38,792 THERAPY VALUE UNITS AND 905,000 PHARMACY WORKLOAD UNITS.

4c	(Code: ) (Expenses $ 69,617,489 including grants of $ ) (Revenue $ 50,833,788 )
	MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 409,560 PATIENT VISITS DURING 2010.

	(Code: ) (Expenses $ 41,438,940 including grants of $ ) (Revenue $ 27,199,569 )
	MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE SEVEN URGENT CARE CLINICS, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH. THESE PROGRAMS SERVE PIERCE AND SOUTH KING COUNTIES. THEY PROVIDED CARE FOR 149,335 URGENT CARE VISITS, 34,604 HOME HEALTH VISITS AND 40,708 HOSPICE DAYS DURING 2010.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 41,438,940 including grants of $ ) (Revenue $ 27,199,569 )
4e	Total program service expenses$ 840,219,221

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	11,897,557	0	871,139

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		13,756,762
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		64,522
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			13,821,284
			Business Code
2a	HEALTHCARE SERVICES		622,110	843,083,779	841,109,793	1,973,986
b	OTHER AMBULATORY SRVS		621,990	101,052,711	100,048,956	1,003,755
c	OFFICES OF PHYSICIANS		621,110	52,040,673	52,040,673
d	URGENT CARE CENTERS		621,400	16,895,768	16,895,768
e	HOME HEALTH		621,610	10,835,167	10,835,167
f	All other program service revenue .			1,283,956	603,054	680,902
g	Total. Add lines 2a–2f........			1,025,192,054
3	Investment income (including dividends, interest
	and other similar amounts).....			8,374,302			8,374,302
4	Income from investment of tax-exempt bond proceeds..			29			29
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	4,637
b	Less: rental expenses
c	Rental income or (loss)	4,637
d	Net rental income or (loss).......			4,637			4,637
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses	14,459,142	430,357
c	Gain or (loss)	-14,459,142	-430,357
d	Net gain or (loss)..........			-14,889,499			-14,889,499
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		327,597
b	Less: cost of goods sold ..b		392,247
c	Net income or (loss) from sales of inventory..			-64,650			-64,650
Miscellaneous Revenue			Business Code
11a	OTHER INCOME		900,099	1,726,843	1,726,843
b	LOSS ON BOND REFINANCE		900,099	-2,586,240	-2,586,240
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			-859,397
12	Total revenue. See Instructions....			1,031,578,760	1,020,674,014	3,658,643	-6,575,181


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........				1
2	Savings and temporary cash investments .......			205,018,583	2	161,327,793
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			134,104,795	4	139,274,205
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			11,616,985	8	11,973,550
9	Prepaid expenses and deferred charges ............			5,324,945	9	9,386,059
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,571,603,997
b	Less: accumulated depreciation. .....	10b	612,414,209	618,094,898	10c	959,189,788
11	Investments—publicly traded securities ..........			180,559,668	11	223,023,451
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			238,770,457	15	53,267,773
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,393,490,331	16	1,557,442,619
17	Accounts payable and accrued expenses .			131,586,380	17	124,758,099
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			563,354,004	20	555,039,068
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....			7,734,147	24	9,060,000
25	Other liabilities. Complete Part X of Schedule D.....			203,534,384	25	322,527,219
26	Total liabilities. Add lines 17 through 25.....			906,208,915	26	1,011,384,386
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			487,281,416	27	546,058,233
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			487,281,416	33	546,058,233
34	Total liabilities and net assets/fund balances .....			1,393,490,331	34	1,557,442,619