TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MATT DAVIS........................................................................ DIRECTOR, PHYSICIAN	52.00 .......................0.00	X			433,244	0	66,636
(2) JOHN FOLSOM........................................................................ DIRECTOR	2.00 .......................0.00	X			9,696	1,500	0
(3) JOHN HALL........................................................................ TREASURER	2.00 .......................0.00	X	X		0	0	0
(4) SALLY B LEIGHTON........................................................................ SECRETARY	2.00 .......................0.00	X	X		0	0	0
(5) ROB R ROTH MD........................................................................ DIRECTOR	2.00 .......................0.00	X			0	0	0
(6) L DALE SOWELL........................................................................ DIRECTOR	2.00 .......................0.00	X			0	0	0
(7) JANINE TERRANO........................................................................ DIRECTOR	2.00 .......................0.00	X			0	0	0
(8) DEEDRA WALKEY........................................................................ VICE CHAIR	2.00 .......................0.00	X	X		0	0	0
(9) JOHN WIBORG........................................................................ CHAIR	2.00 .......................0.00	X	X		0	0	0
(10) LUKE XITCO........................................................................ DIRECTOR	2.00 .......................0.00	X			0	0	0
(11) ROBERT A YOST........................................................................ DIRECTOR	2.00 .......................0.00	X			0	0	0
(12) WILLIAM ROBERTSON........................................................................ PRESIDENT &CEO,PART YEAR MAY-PRESENT	57.00 .......................0.00		X		758,678	0	216,490
(13) ANNA LOOMIS........................................................................ CFO, PART YEAR APRIL-PRESENT	57.00 .......................0.00		X		448,280	0	71,204
(14) DIANE CECCHETTINI........................................................................ PRESIDENT & CEO, PART YEAR JAN-APRIL	57.00 .......................3.00		X		998,453	0	36,238
(15) CHRIS KNACKSTEDT........................................................................ CFO, PART YEAR JAN-MARCH	57.00 .......................3.00		X		315,224	0	5,112
(16) FLORENCE CHANG........................................................................ EXECUTIVE VICE PRESIDENT	60.00 .......................0.00			X	665,365	0	114,806
(17) CLAIRE SPAIN-REMY........................................................................ SR. VICE PRESIDENT	60.00 .......................0.00			X	535,209	0	98,950

(A) Name and business address	(B) Description of services	(C) Compensation
TACOMA ANESTHESIA ASSOCIATES INC PS 3633 PACIFIC AVE204 TACOMA,WA98418	MEDICAL	9,433,807
TRAUMA TRUST POBOX 5299 TACOMA,WA98415	MEDICAL	6,617,827
SOUTH SOUND INPATIENT PHYSICIANS PLLC POBOX 742936 LOS ANGELES,CA90074	MEDICAL	5,693,474
TACOMA-PIERCE COUNTY BLOOD BANK POBOX 2113 TACOMA,WA98401	MEDICAL	5,345,538
TACOMA EMERGENCY CARE PHYSICIANS CO 4301 SPINE STREET400 TACOMA,WA98409	MEDICAL	4,331,243
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 138

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 domestic organizations and domestic governments. See Part IV, line 21 ....	6,664,377	6,664,377
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	5,061,286	4,176,086	885,200
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	795,122	795,122
7	Other salaries and wages ....	760,021,201	626,072,020	133,949,181
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	32,615,436	26,911,116	5,704,320
9	Other employee benefits .......	126,015,498	103,975,850	22,039,648
10	Payroll taxes ...........	49,584,028	40,873,064	8,710,964
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,712,398		3,712,398
c	Accounting ...........	281,130		281,130
d	Lobbying ...........	72,000		72,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	71,849,674	48,710,309	23,139,365
12	Advertising and promotion ....	1,452,337	349,127	1,103,210
13	Office expenses .......	10,108,083	8,412,216	1,695,867
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	31,134,214	25,688,954	5,445,260
17	Travel ............	5,185,045	4,145,072	1,039,973
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	94,174	65,132	29,042
20	Interest ...........	34,701,651	28,632,460	6,069,191
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	105,643,256	87,166,638	18,476,618
23	Insurance ..............	11,171,656	9,217,774	1,953,882
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	230,485,717	222,378,658	8,107,059
b	PROVISION FOR BAD DEBTS	114,590,660	114,590,660
c	UNRELATED BUSINESS INCO	308,285	308,285
d	EQUIPMENT RENTAL/MAINTE	26,895,722	18,372,808	8,522,914
e	All other expenses	67,305,816	18,290,949	49,014,867
25	Total functional expenses. Add lines 1 through 24e	1,695,748,766	1,395,796,677	299,952,089	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	59,838,712	2	106,197,236
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	274,524,381	4	314,185,164
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	23,087,682	8	21,410,850
9	Prepaid expenses and deferred charges ..........	11,042,815	9	13,769,426
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,252,096,333
b	Less: accumulated depreciation .....	10b	956,254,162	1,299,785,694	10c	1,295,842,171
11	Investments—publicly traded securities ..........	1,050,535,665	11	1,204,759,545
12	Investments—other securities. See Part IV, line 11 .....	145,613,190	12	172,695,117
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	8,718,006	14	8,718,006
15	Other assets. See Part IV, line 11 ...........	113,303,921	15	81,272,542
16	Total assets. Add lines 1 through 15 (must equal line 34)......	2,986,450,066	16	3,218,850,057
	17	Accounts payable and accrued expenses .........	247,017,350	17	312,422,692
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	901,867,566	20	890,030,907
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other 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 ....	274,174	24	227,066
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	159,828,632	25	248,788,849
26	Total liabilities. Add lines 17 through 25.........	1,308,987,722	26	1,451,469,514
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,677,462,344	27	1,767,380,543
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	1,677,462,344	33	1,767,380,543
34	Total liabilities and net assets/fund balances ........	2,986,450,066	34	3,218,850,057

- 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.
right arrow

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

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 described in 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. See section 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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. If the organization did not check a 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—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. 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 VI 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) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the 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, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization MULTICARE HEALTH SYSTEM

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization MULTICARE HEALTH SYSTEM

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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

$
Use duplicate copies of Part III if additional space is needed.

(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) (2014)

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

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)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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

72,000

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

Other activities? ..........................

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

72,000

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

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

Section 162(e) nondeductible 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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	LINE 1(G) - PAYMENTS TO LOBBYING FIRMS (INDEPENDENT CONTRACTORS) TO ACT AS OUR LIAISON WITH STATE AND FEDERAL GOVERNMENTS ON HEALTH CARE ISSUES AND THE PORTION OF MEMBERSHIP DUES PAID TO HOSPITAL ASSOCIATIONS WHICH IS USED FOR LEGISLATIVE AND LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2014

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of 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 can 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue 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 (ASC 958) relating to these items:

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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 XIII 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, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

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 XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	52,927,590		52,927,590
b	Buildings ................	1,422,883,660	451,229,901	971,653,759
c	Leasehold improvements ............	65,056,676	39,563,561	25,493,115
d	Equipment ................	642,574,182	465,460,700	177,113,482
e	Other .................	68,654,225		68,654,225
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,295,842,171

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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
(3)Other (A) HEDGE FUNDS-PRIVATE INVESTMENTS FUNDS	73,154,000	F
(B) LIMITED PARTNERSHIPS-PRIVATE EQUITY	99,541,117	F







Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	172,695,117

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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









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

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









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

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
ACCRUED INTEREST PAYABLE		12,609,688
DUE TO AFFILIATES		23,528,050
ESTIMATED THIRD PARTY SETTLEMENT		5,865,339
ACCRUED PENSION AND MALPRACTICE LIABILITY		147,487,723
INTEREST RATE SWAP		59,298,049




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		248,788,849
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM FOOTNOTE READS: "FINANCIAL ACCOUNTING STANDARD BOARD (FASB) ASC TOPIC 740-10, INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MULTICARE HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740-10 ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, ASC TOPIC 740-10 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. ASC TOPIC 740-10, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS, DID NOT HAVE A SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM. OTHER THAN MEDIS INC., A TAXABLE CORPORATION, ALL OF THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME."

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other 30000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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	Financial Assistance at cost (from Worksheet 1) ..			23,394,614	0	23,394,614	1.480 %
b	Medicaid (from Worksheet 3, column a) ....			418,783,000	317,288,000	101,495,000	6.420 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .			287,000	171,000	116,000	0.010 %
d	Total Financial Assistance and Means-Tested Government Programs .			442,464,614	317,459,000	125,005,614	7.910 %
Other Benefits		21	16,819	1,786,192	0	1,786,192	0.110 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	21	16,819	1,786,192	0	1,786,192	0.110 %
f	Health professions education (from Worksheet 5) ..	9	605	10,000,084	544,668	9,455,416	0.600 %
g	Subsidized health services (from Worksheet 6) ..	30	33,622	50,858,817	27,124,144	23,734,673	1.500 %
h	Research (from Worksheet 7)	3	51	891,260	56,627	834,633	0.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	3	2,057	998,971	0	998,971	0.060 %
j	Total. Other Benefits ..	66	53,154	64,535,324	27,725,439	36,809,885	2.320 %
k	Total. Add lines 7d and 7j .	66	53,154	506,999,938	345,184,439	161,815,499	10.230 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(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	2	6,790	1,067,333	130,936	936,397	0.060 %
2	Economic development
3	Community support	6	57,993	7,877,457	230,772	7,646,685	0.480 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	3	37,666	3,179,138	457,963	2,721,175	0.170 %
7	Community health improvement advocacy	7	182,396	4,128,108	49,115	4,078,993	0.260 %
8	Workforce development	1	30	6,097,680	0	6,097,680	0.390 %
9	Other
10	Total	19	284,875	22,349,716	868,786	21,480,930	1.360 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

27,479,000

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,631,000

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

253,481,000

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

295,795,000

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

-42,314,000

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?5 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Facility reporting group
1	TACOMA GENERAL HOSPITAL (TG) 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405 WWW.MULTICARE.ORG/TACOMA-GENERAL-HOSPI 00000176	X	X		X	X	X	A
2	GOOD SAMARITAN HOSPITAL (GOOD SAM) 401 15TH AVE SE PUYALLUP,WA98372 WWW.MULTICARE.ORG/GOOD-SAMARITAN-HOSPI 00000081	X	X		X		X	A
3	AUBURN MEDICAL CENTER 202 NORTH DIVISION STREET AUBURN,WA98001 WWW.MULTICARE.ORG/AUBURN-MEDICAL-CENTE 60311052	X	X				X	A
4	ALLENMORE HOSPITAL 1901 SOUTH UNION TACOMA,WA98411 WWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/ 00000176	X	X				X	A
5	MARY BRIDGE CHILDREN'S HOSPITAL 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405 WWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL 00000175	X	X	X	X		X	A

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): HTTP://WWW.MULTICARE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: TACOMA GENERAL HOSPITAL (TG), - FACILITY 5: MARY BRIDGE CHILDREN'S HOSPITAL, - FACILITY 3: AUBURN MEDICAL CENTER, - FACILITY 2: GOOD SAMARITAN HOSPITAL (GOOD SAM), - FACILITY 4: ALLENMORE HOSPITAL
GROUP A-FACILITY 1 -- TG,ALLENMORE,GOOD SAM,AUBURN,MARY BRIDGE PART V, SECTION B, LINE 5:	COMMUNITY ENGAGEMENT DATA METHODS: MULTICARE HEALTH SYSTEM, (MULTICARE), WORKED WITH TACOMA PIERCE COUNTY HEALTH DEPARTMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDED INPUT FROM KEY LEADERS AND COMMUNITY RESIDENTS REPRESENTING MULTIPLE SECTORS AND POPULATION GROUPS IN THE COMMUNITY. THE NEEDS ASSESSMENT INCLUDED A COMMUNITY SURVEY, AS WELL AS THE COMMUNITY ENGAGEMENT PROCESS DESCRIBED BELOW. PIERCE COUNTY COMMUNITY SURVEY: IN DECEMBER 2011, THE HEALTH DEPARTMENT COMMISSIONED THE PIERCE COUNTY COMMUNITY STUDY, CONDUCTED BY THE GILMORE RESEARCH GROUP IN SEATTLE. MORE THAN 500 PIERCE COUNTY RESIDENTS WERE SURVEYED; 384 (73%) VIA THE INTERNET, 100 ( 19%) FROM PHONE CALLS, AND 41 (8%) VIA INTERCEPT SURVEYS CONDUCTED AT SEVERAL PIERCE COUNTY FOOD BANKS. THE COMMUNITY STUDY SOUGHT PIERCE COUNTY RESIDENTS' VIEWS ON ISSUES RELATED TO HEALTH CARE, ECONOMIC OPPORTUNITY, IMPORTANT HEALTH ISSUES, AND ISSUES THAT IMPACT COMMUNITY HEALTH. COMMUNITY ENGAGEMENT PROCESS:TO COMPLEMENT THE COMMUNITY SURVEY, A COMMUNITY ENGAGEMENT PROCESS WAS IMPLEMENTED TO FURTHER SOLICIT INPUT FROM THE PIERCE COUNTY PUBLIC. THIS PROCESS INCLUDED THREE STAGES: 1.HOLD KEY LEADER FOCUS GROUPS TO GAIN INPUT ON MAIN QUESTIONS, LISTENING FOR TOP THEMES; 2.HOLD COMMUNITY WORKSHOPS, LISTENING FOR IMPORTANT HEALTH ISSUES IN PIERCE COUNTY; AND 3.INVITE KEY LEADERS TO REFLECT ON QUALITATIVE AND SELECTED QUANTITATIVE DATA. FOCUS GROUPS UTILIZED THE "WORLD CAFE" MEETING FORMAT TO ALLOW PARTICIPANTS THE OPPORTUNITY TO SHARE THEIR OBSERVATIONS AND REFLECTIONS. GROUPS WERE FACILITATED BY KAREN MEYER, COMMUNITY LIAISON SPECIALIST WITH THE HEALTH DEPARTMENT. A KEY ELEMENT IN ALL THREE PARTS OF THE COMMUNITY ENGAGEMENT PROCESS WAS THE USE OF A VISUAL (OR GRAPHIC) FACILITATOR. THIS ALLOWED FOR COMMENTS TO BE CAPTURED IMMEDIATELY. FURTHERMORE, BY UTILIZING A GRAPHIC RECORDER, ALL PARTICIPANTS WERE ABLE TO BE ENGAGED IN THE PROCESS. IF PARTICIPANTS PROVIDED AN EMAIL ADDRESS, THEY RECEIVED A COPY OF THE MEETING GRAPHIC; THUS, BUILDING MOMENTUM AND KEEPING THEM ENGAGED IN THE PROCESS. IN ADDITION, PARTICIPANTS WERE ENCOURAGED TO SUGGEST ANY CORRECTIONS THEY FELT WERE NECESSARY. KEY LEADER FOCUS GROUPS: A SERIES OF FOUR KEY LEADER FOCUS GROUPS (32 PARTICIPANTS) WERE HELD IN OCTOBER AND NOVEMBER 2012 TO SOLICIT INPUT ON THE STRENGTHS, ASSETS AND RESOURCES, AS WELL AS HEALTH PRIORITIES FOR PIERCE COUNTY. KEY LEADERS REPRESENTED MULTIPLE SECTORS, INCLUDING LOCAL GOVERNMENT, EDUCATION, BUSINESS, SOCIAL AND HEALTH SERVICES, AND THE MILITARY. MEETINGS WERE HELD IN PUYALLUP, AT THE UNIVERSITY OF WASHINGTON-TACOMA, AT THE SEA MAR HEALTH CLINIC (TACOMA) AND WITH THE LEADERSHIP GROUP FROM THE PIERCE COUNTY CROSS CULTURAL COLLABORATIVE. COMMUNITY WORKSHOPS: SEVEN COMMUNITY WORKSHOPS WERE HELD BETWEEN DECEMBER 2012 AND JANUARY 2013 IN PUYALLUP, GIG HARBOR, TACOMA, BONNEY LAKE, AND LAKEWOOD, AS WELL AS WITH THE PIERCE COUNTY CROSS CULTURAL COLLABORATIVE. APPROXIMATELY 80 PIERCE COUNTY RESIDENTS ATTENDED THE COMMUNITY WORKSHOPS, WHICH WERE BROADLY ADVERTISED THROUGH LOCAL PRINT, RADIO AND TELEVISION MEDIA (INCLUDING ON-LINE) AND WITH MULTIPLE COMMUNITY PARTNERS. PARTICIPANTS WERE ASKED TO CONSIDER THE CHALLENGES TO HEALTH IN PIERCE COUNTY. AFTER THINKING ABOUT CHALLENGES, PARTICIPANTS WERE ASKED TO ADDRESS THE FOLLOWING, WORKING IN SMALL GROUPS: OWHICH PRIORITIES HAVE THE GREATEST IMPACT (I.E., IMPACT THE GREATEST NUMBER OF PIERCE COUNTY RESIDENTS)? WHICH PRIORITIES ALLOW FOR GREATEST EQUITY? WHICH PRIORITIES ARE WE MOST READY TO ADDRESS? KEY LEADER REVIEW MEETING:FINALLY, THE ASSESSMENT PROCESS INVOLVED INVITING KEY LEADERS (SEE ABOVE DEFINITION) TO MEET AGAIN IN JANUARY 2013 AT THE HEALTH DEPARTMENT TO REVIEW THE RESULTS OF THE PREVIOUS COMMUNITY INPUT, AS WELL AS SOME RELEVANT QUANTITATIVE DATA. DURING THIS MEETING, ATTENDEES WERE ASKED TO WORK IN SMALL GROUPS AND SHARE THEIR REFLECTIONS ON THE DATA PRESENTED, THEIR IMPRESSIONS OF THE COMMON THREADS, AND TO CONSIDER WHAT MIGHT BE MISSING IN TERMS OF HEALTH ISSUES THAT SHOULD BE INCLUDED IN A COMMUNITY HEALTH IMPROVEMENT PLAN GOING FORWARD. KEY COMMUNITY LEADERS INVOLVED IN CHNA:JANE MOORE, MD, WASHINGTON COALITION FOR PROMOTING PHYSICAL ACTIVITY CHRIS MORTON ,EXECUTIVE DIRECTOR, ASSOCIATED MINISTRIES JACKIE OSTROM, EXECUTIVE DIRECTOR, CAROL MILGARD BREAST CENTER DAN PENROSE, PROGRAM MANAGER, SOUTH SOUND MILITARY/COMMUNITIES PARTNERSHIP CITY OF LAKEWOOD MARK PEREBOOM, PRESIDENT AND CEO, METROPOLITAN DEVELOPMENT COUNCIL JULIO QUAN, MEMBER, CROSS CULTURAL COLLABORATIVE DOUG RICHARDSON, COUNCIL MEMBER, PIERCE COUNTY COUNCIL CHERYL SHAW, EXECUTIVE DIRECTOR SUSAN G. KOMEN FOR THE CURE, PUGET SOUND RICK TALBERT, BOARD/COUNCIL MEMBER, TACOMA-PIERCE COUNTY BOARD OF HEALTHAMADEO TIAM, EXECUTIVE DIRECTOR,SOUTH PUGET INTERTRIBAL PLANNING AGENCY AARON VAN ALKENBERG, MANAGER, PIERCE COUNTY AGING & LONG-TERM CARE VICTORIA WOODARDS, VICE CHAIR & COUNCIL MEMBER, TACOMA-PIERCE COUNTY BOARD OF HEALTH / TACOMA CITY COUNCIL MARTY CAMPBELL, BOARD MEMBER & DEPUTY MAYOR, TACOMA-PIERCE COUNTY BOARD OF HEALTH / TACOMA CITY COUNCIL GEORGE CARGILL, VP, NW FIELD OPERATIONS, TRIWEST HEALTH CARE ALLIANCE KELVIN CEASAR, COMMUNITY IMPACT MANAGER, UNITED WAY OF PIERCE COUNTY DARCY CELLETTI, SENIOR EXECUTIVE DIRECTOR, YMCA OF PIERCE & KITSAP COUNTIES BOB ECKLUND, PRESIDENT AND CEO, YMCA OF PIERCE AND KITSAP COUNTIES SUSAN EIDENSCHNIK, MEMBER, LEAGUE OF WOMEN VOTERS MAUREEN FACCIA, EXECUTIVE VICE-PRESIDENT, UNITED WAY OF PIERCE COUNTY STAN FLEMMING, DO, CHAIR / COUNCIL MEMBER, TACOMA-PIERCE COUNTY BOARD OF HEALTH/PIERCE COUNTY COUNCIL DAVID FLENTGE, PRESIDENT/CEO, COMMUNITY HEALTH CARE GRETCHEN HANSEN, HEALTH ADVOCATE COORDINATOR, COMPREHENSIVE HEALTH EDUCATION FOUNDATION JULIE JENSEN, PHD, CLINICIAN, HEROS OF PIERCE COUNTY - MULTICARE GOOD SAM BEHAVIORAL HEALTH, OLDER ADULT SERVICES PAT JOHNSON, BOARD MEMBER / MAYOR, TACOMA-PIERCE COUNTY BOARD OF HEALTH / CITY OF BUCKLEY SUSAN KELLER, RN, NURSE MANAGER, CLOVER PARK SCHOOL DISTRICT JEAN KINNAMAN, SUPERVISOR OF HEALTH SERVICES, PUYALLUP SCHOOL DISTRICT GREG KLEINER, CLINIC MANAGER, TACOMA MEDICAL CLINIC - SEAMAR MATTHEW LEVI, BOARD OF DIRECTORS MEMBER, UNITED WAY OF PIERCE COUNTY PAT MCCARTHY, BOARD MEMBER / PIERCE COUNTY EXECUTIVE, TACOMA-PIERCE COUNTY BOARD OF HEALTH / PIERCE COUNTY JIM MCCUNE, BOARD MEMBER / COUNCIL MEMBER, TACOMA-PIERCE COUNTY BOARD OF HEALTH / PIERCE COUNTY COUNCIL
GROUP A-FACILITY 1 -- TG,ALLENMORE,GOOD SAM,AUBURN,MARY BRIDGE PART V, SECTION B, LINE 6A:	TACOMA GENERAL HOSPITALGOOD SAMARITAN HOSPITALAUBURN MEDICAL CENTERALLENMORE HOSPITALMARY BRIDGE CHILDREN'S HOSPITAL
GROUP A-FACILITY 1 -- TG,ALLENMORE,GOOD SAM,AUBURN,MARY BRIDGE PART V, SECTION B, LINE 6B:	TACOMA PIERCE COUNTY HEALTH DEPARTMENT
GROUP A-FACILITY 1 -- TG,ALLENMORE,GOOD SAM,AUBURN,MARY BRIDGE PART V, SECTION B, LINE 7D:	ADDITIONAL COPIES OF THE CHNAS AND IMPLEMENTATION STRATEGIES WERE PROVIDED TO VARIOUS COMMUNITY ORGANIZATIONS.
GROUP A-FACILITY 1 -- TG,ALLENMORE,GOOD SAM,AUBURN,MARY BRIDGE PART V, SECTION B, LINE 11:	FOR 2014, THE TOP COMMUNITY HEALTH PRIORITIES FROM OUR 2013 CHNA WERE ADDRESSED: PREVENTION AND TREATMENT OF CHRONIC DISEASES, IMPROVING ACCESS TO MEDICAL CARE, ADDRESSING NEEDS OF SPECIAL POPULATIONS (LOW-INCOME AND AGING), BEHAVIORAL HEALTH, CHILDHOOD AND ADULT OBESITY, TOBACCO PREVENTION AND CESSATION, AND CULTURAL DIVERSITY (HEALTH INEQUITIES AND COMMUNICATION NEEDS). MULTICARE TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN HOSPITAL, AND MULTICARE AUBURN MEDICAL CENTER FOCUSED THEIR ATTENTION ON ADDRESSING CARDIOVASCULAR DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND TYPE 2 DIABETES. FREE BLOOD PRESSURE CHECKS AND DIABETES RISK ASSESSMENTS WERE PROVIDED AT OVER 10 LARGE COMMUNITY EVENTS IN THE HOSPITALS' SERVICE AREA LAST YEAR. WE ALSO PROMOTED AND REFERRED PATIENTS TO INTERNAL AND EXTERNAL CARDIAC AND DIABETES PROGRAMS AND SERVICES THAT TEACH THEM HOW TO SELF-MANAGE THEIR CONDITIONS. MULTICARE ALLENMORE HOSPITAL ALSO SUCCESSFULLY IMPLEMENTED A PILOT "CHRONIC OBSTRUCTIVE PULMONARY DISEASE", (COPD), INPATIENT EDUCATION PROGRAM IN EFFORTS TO EASILY TRANSITION COPD INPATIENTS BACK INTO THE COMMUNITY AND PREVENT HOSPITAL READMISSIONS. MULTICARE ALSO PARTNERED WITH COMMUNITY PARTNERS, SUCH AS THE YMCA AND THE AMERICAN HEART ASSOCIATION, TO HOST HEALTHY LIVING EVENTS IN THE COMMUNITY. MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL ADDRESSED ASTHMA BY OFFERING COMMUNITY-BASED ASTHMA EDUCATION CLASSES IN ENGLISH AND SPANISH AND BY REFERRING ASTHMA PATIENTS TO THE CLEAN AIR FOR KIDS ASTHMA COMMUNITY HEALTH WORKERS PROGRAM. PEDIATRIC PROVIDERS REFER PARENTS TO THE MULTICARE QUITSMART TOBACCO CESSATION PROGRAM WHEN NECESSARY. MULTICARE ALSO IS A BACKBONE MEMBER OF THE PUGET SOUND ASTHMA COALITION.MULTICARE ADDRESSES THE GROWING PROBLEM OF CHILDHOOD AND ADULT OBESITY ON SEVERAL FRONTS. WE ARE A LEAD ORGANIZATION FOR THE READY, SET, GO! 5210 (RSG 5210) PROGRAM, A COUNTY-WIDE INITIATIVE SUPPORTED BY OTHER COMMUNITY ORGANIZATIONS. THE PROGRAM'S MISSION IS TO INCREASE PHYSICAL ACTIVITY AND HEALTHY LIFESTYLES CHOICES FOR CHILDREN, YOUTH AND FAMILIES. WE ARE ALSO AN ACTIVE PARTNER IN THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT COMMUNITY-WIDE, CDC-FUNDED COMMUNITY TRANSFORMATION GRANT (CTG) FROM THE CENTERS OF DISEASE CONTROL AND PREVENTION. THE COMMUNITY TRANSFORMATION PARTNERSHIP (CTP) WORKS WITH FIVE COMMUNITY COALITIONS (1) HEALTHY EATING AND PHYSICAL ACTIVITY, 2) ACTIVE TRANSPORTATION, 3)TOBACCO-FREE LIVING, 4) CLINICAL AND COMMUNITY HEALTH, AND 5)HEALTHY EQUITY, AND LOCAL LEADERS THAT ARE PARTNERING TO INCREASE OPPORTUNITIES FOR PEOPLE TO MAKE HEALTHY LIVING EASIER AND IMPROVE HEALTH IN COMMUNITIES. THROUGH THE HEALTHY COMMUNITIES OF PIERCE COUNTY, WE PARTNER WITH AREA AGENCIES AND HEALTH SYSTEMS TO PROVIDE EDUCATION FOR CHILDREN AND FAMILIES ON HEALTHY NUTRITION AND EXERCISE. MULTICARE CENTER FOR HEALTHY LIVING ALSO OPERATES A SCHOOL-BASED SUPPLEMENTAL NUTRITION EDUCATION PROGRAM (SNAP-ED) IN THE TACOMA PUBLIC SCHOOLS AND THE HEALTHY KIDS INITIATIVE WITH THE YMCA. IN PARTNERSHIP WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT AND YMCA OF PIERCE AND KITSAP COUNTIES WE OFFER PIERCE COUNTY GETS FIT & HEALTHY, A MULTI-FACETED PROGRAM AIMED AT ENCOURAGING ADULTS TO MAKE HEALTHY LIFE CHOICES. MULTICARE ALSO OFFERS NUTRITION CONSULTATION AND WEIGHT MANAGEMENT SERVICES TO THE COMMUNITY AND HAS INCREASED THE AMOUNT OF HEALTHY OPTIONS SERVED IN OUR CAFETERIAS AND CAFES.MULTICARE HAS BEEN ADDRESSING TOBACCO USE PRIMARILY THROUGH OFFERING A TOBACCO CESSATION PROGRAM: QUITSMART. THE QUITSMART PROGRAM IS PROMOTED INTERNALLY AND EXTERNALLY IN THE COMMUNITY. MULTICARE ALSO OFFERS TOBACCO CESSATION THERAPIES AND SUPPORT PROGRAMS FOR MULTICARE EMPLOYEES AND ALSO PARTNERS WITH THE TOBACCO-FREE ALLIANCE OF PIERCE COUNTY (TAP) TO PROMOTE TOBACCO-FREE ENVIRONMENTS AND HOLD A YEARLY COMMUNITY CONFERENCE. MULTICARE CONTINUES TO SUPPORT AND ENFORCE ITS SMOKE-FREE CAMPUS POLICY.BEHAVIORAL HEALTH CONCERNS ARE ALSO BEING ADDRESSED AT MULTICARE. TO MAKE CARE BETTER COORDINATED AND EASIER TO ACCESS, MULTICARE HAS CONTINUED TO INTEGRATE BEHAVIORAL HEALTH SERVICES INTO THE TRADITIONAL MEDICAL CARE SETTING, INCLUDING CHEMICAL DEPENDENCY TREATMENT. WE HAVE ALSO BEEN ACTIVELY ENROLLING CLIENTS FROM OUR MOBILE MENTAL HEALTH PROGRAM INTO OUR INTEGRATED MEDICAL AND BEHAVIORAL HEALTH CARE PROGRAM. MULTICARE AUBURN MEDICAL CENTER BECAME OUR THIRD HOSPITAL THAT HAS IMPLEMENTED "PERIOD OF PURPLE CRYING" IN EFFORTS TO PREVENT INFANT ABUSE. MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL CONTINUES TO HOST THE PARENTING PARTNERSHIP PROGRAM FOR FAMILIES IN OUR COMMUNITY, IN ADDITION TO BRIDGES, A COMMUNITY PROGRAM FOR GRIEVING CHILDREN.MULTICARE VALUES CULTURAL DIVERSITY AND HAS RECENTLY DEVELOPED A CULTURAL COMPETENCY COUNCIL AND PERFORMED AN INTERNAL CULTURAL COMPETENCY ASSESSMENT TO ADDRESS HEALTH INEQUITIES. CULTURAL DIVERSITY HAS BEEN CITED BY THE COMMUNITY AS A COMMUNITY HEALTH NEED IN THE MOST RECENT CHNA. THE CULTURAL COMPETENCY ASSESSMENT DATA WILL INFORM MULTICARE'S HEALTH EQUITY STRATEGIC PLAN THAT WILL BENEFIT ALL PATIENTS IN THE COMMUNITY. TO ADDRESS ACCESS TO CARE, ANOTHER IDENTIFIED COMMUNITY HEALTH NEED, MULTICARE FUNDS, PROJECT ACCESS, A PROGRAM OF THE PIERCE COUNTY MEDICAL SOCIETY, CHI FRANCISCAN HEALTH AND MULTICARE HEALTH SYSTEM, TO PROVIDE UNINSURED PATIENTS ACCESS TO HEALTH CARE PROVIDERS. MULTICARE ALSO FUNDS AND OPERATES THE TACOMA FAMILY MEDICINE CLINIC, WHICH PROVIDES A RANGE OF PRIMARY CARE AND OB/GYN MEDICAL SERVICES TO LOW INCOME INDIVIDUALS AND FAMILIES.
GROUP A-FACILITY 1 -- TG,ALLENMORE,GOOD SAM,AUBURN,MARY BRIDGE PART V, SECTION B, LINE 16I:	THE POLICY IS POSTED ON THE WA STATE - DEPARTMENT OF HEALTH WEBSITE. THE HOSPITAL'S BILLING INVOICES INCLUDE REFERENCES TO WHERE AND HOW TO CONTACT SOMEONE TO OBTAIN A COPY OF THE FINANCIAL ASSISTANCE POLICY.
GROUP A-FACILITY 5 -- MARY BRIDGE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:
GROUP A-FACILITY 5 -- MARY BRIDGE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16I:
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.MULTICARE.ORG/FINANCIAL-ASSISTANCE/
PART V, SECTION B, FACILITY REPORTING GROUP A, LINE 6A	THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH MORE HOSPITAL FACILITIES, AS FOLLOWS:TACOMA GENERAL HOSPITALGOOD SAMARITAN HOSPITALAUBURN MEDICAL CENTERALLENMORE HOSPITALMARY BRIDGE CHILDREN'S HOSPITAL

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?30
Name and address		Type of Facility (describe)
1	COVINGTON AMBULATORY SURGERY CENTER &UCC 17700 SE 272ND STREET COVINGTON,WA98042	OP SURGERY, RX, LAB, URGENT CARE
2	AUBURN LAB 735 12TH STREET SE AUBURN,WA98002	LAB TESTING
3	KENT LAB 222 STATE AVE NORTH KENT,WA98031	LAB TESTING
4	CEDAR MEDICAL LAB 1901 SOUTH CEDAR STREET SUITE B5 TACOMA,WA98405	LAB TESTING
5	GIG HARBOR MEDICAL PARK & UCC 4545 POINT FOSDICK DRIVE GIG HARBOR,WA98335	OP SURG,RX,LAB,ONCOLOGY, URGENT CARE
6	AUBURN IMAGING & URGENT CARE CENTER 202 CROSS STREET SE AUBURN,WA98001	IMAGING, URGENT CARE
7	AUBURN VASCULAR LAB 202 N DIVISION ST SUITE 300-301 AUBURN,WA98001	VASCULAR LAB
8	TACOMA FAMILY MEDICINE 521 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
9	OBSTETRICS ACCESS CLINIC 522 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
10	MULTICARE OBGYN ASSOCIATES 523 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
11	PODIATRY CLINIC 524 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
12	MATERNAL FETAL MEDICINE 524 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
13	SILVERDALE CLINIC 1780 NW MYRTLE RD SUITE G220 SILVERDALE,WA98383	OP PHYSICIAN CLINIC
14	OLYMPIA CLINIC 200 LILLY ROAD NE BUILDING C OLYMPIA,WA98506	OP PHYSICIAN CLINIC
15	PUYALLUP CLINIC 1803 SOUTH MERIDIAN SUITE B PUYALLUP,WA98371	OP PHYSICIAN CLINIC
16	CHILDREN'S THERAPY UNIT 402 15TH AVE SE PUYALLUP,WA98372	OUTPATIENT CHILDREN'S THERAPY UNIT
17	HEALTH RESOURCE CENTER 2622 S MERIDIAN PUYALLUP,WA98372	OP PHYSICIAN CLINIC
18	CARDIAC REHABILITATION CENTER 16515 MERIDIAN E SUITE 200B PUYALLUP,WA98372	CARDIAC REHABILITATION
19	PET-CT CLINIC 400 15TH AVE SE PUYALLUP,WA98372	IMAGING TESTING FACILITY
20	MULTICARE REGIONAL CANCER CENTER AUBURN 121 N DIVISION ST STE 100 AUBURN,WA98001	OP PHYSICIAN CLINIC
21	MARY BRIDGE WOMAN'S & CHILDREN'S CLINIC 3504 12TH AVE NW OLYMPIA,WA98506	OP PHYSICIAN CLINIC
22	MULTICARE ORTHO&SPORTS MEDICINE MOUNTAIN 1550 S UNION AVE STE 210 TACOMA,WA98405	OP SURG,RX,LAB, CHIRO
23	WESTGATE MULTICARE CLINIC & URGENT CARE 2209 N PEARL ST STE 100 TACOMA,WA98406	OP SURG,RX,LAB, CHIRO
24	MULTICARE FEDERAL WAY URGENT CARE 1413 S 348TH ST BLDG L FEDERAL WAY,WA98003	URGENT CARE CLINIC
25	MULTICARE KENT URGENT CARE 222 STATE AVE N KENT,WA98030	URGENT CARE CLINIC
26	MULTICARE LAKEWOOD URGENT CARE 5700 100TH ST SW LAKEWOOD,WA98499	URGENT CARE CLINIC
27	MULTICARE SPANAWAY URGENT CARE 225 176TH ST S SPANAWAY,WA98387	URGENT CARE CLINIC
28	MULTICARE UNIVERSITY PLACE URGENT CARE 4310 BRIDGEPORT WAY W UNIVERSITY PLACE,WA98466	URGENT CARE CLINIC
29	MARY BRIDGE PEDIATRIC UC-GIG HARBOR 4545 PT FOSDICK DR NW GIG HARBOR,WA98335	URGENT CARE CLINIC
30	MARY BRIDGE PEDIATRIC UC-OLYMPIA 3504 12TH AVENUE NE OLYMPIA,WA98506	URGENT CARE CLINIC

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 7:	THE AMOUNTS ARE CALCULATED BASED ON A COST-TO-CHARGE RATIO WHICH WAS CALCULATED BASED ON WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 114,590,660.
PART II, COMMUNITY BUILDING ACTIVITIES:	MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE INCLUDE:-TACOMA TRAUMA TRUST IS A COLLABORATION OF MULTICARE, FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE TRAUMA CARE TO THE SOUTH PUGET SOUND REGION;-FALLS PREVENTION PROGRAM FOR THE ELDERLY;-SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT VICTIMS OF SEXUAL ASSAULT;-BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;-MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND THE MARY BRIDGE CHILDREN'S ADVOCACY CENTER; -BRIDGES: A CENTER FOR GRIEVING CHILDREN;-HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;-GRIEF AND LOSS SERVICES;-FAMILY CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;-CANCER CAMP FOR CHILDREN WITH CANCER;-WOMEN, INFANT AND CHILDREN (WIC) PROGRAM;-SAFE KIDS;-SAFE SHORES;-CENTER FOR HEALTHY LIVING NUTRITION AND FITNESS EDUCATION, WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;-PUGET SOUND ASTHMA COALITION;-DIABETES SERVICES;-CONSULTING NURSE TELEPHONE SERVICE;-CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;-WORKFORCE DEVELOPMENT PARTNERSHIPS WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL TO PREPARE PEOPLE FOR HEALTH CARE CAREERS;-PARTNERSHIPS WITH AREA COLLEGE NURSING PROGRAMS AND A NURSE RESIDENCY PROGRAM;-FREE SPORTS PHYSICALS FOR THE STUDENTS AT FIRST CREEK MIDDLE SCHOOL AND LINCOLN HIGH SCHOOL;- READY, SET, GO! 5-2-1-0, A COMMUNITY-WIDE PUBLIC-PRIVATE PARTNERSHIP INITIATIVE TO PROMOTE HEALTHY LIFESTYLES FOR CHILDREN, YOUTH AND FAMILIES;-SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;-SCHOLARSHIPS FOR PARENT EDUCATION;-ASSISTIVE TECHNOLOGY PROGRAM- PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;-"HOST SITE FOR PARENTS NIGHT OUT" FOR PARENTS WITH CHILDREN WITH SPECIAL NEEDS;-SIGN LANGUAGE CLASSES THROUGH PIERCE COUNTY LIBRARY.
PART III, LINE 4:	1. FOOTNOTES:THE FOOTNOTE ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE PROVISION FOR BAD DEBT AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.2. 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 $2,631,000 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, GOOD SAMARITAN AND AUBURN HOSPITALS WAS THE 2014 MEDICARE COST REPORT. SINCE MARY BRIDGE CHILDREN'S HOSPITAL FILES A LOW MEDICARE UTILIZATION COST REPORT, THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT (PS&R) WAS USED. THE COST TO CHARGE RATIO, AS CALCULATED FROM THE INCOME STATEMENT, WAS APPLIED TO THE PS&R GROSS MEDICARE CHARGES TO CALCULATE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6. MARY BRIDGE COSTS REPRESENT LESS THAT 0.1% OF THE TOTAL.MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT:THE HOSPITAL BELIEVES THAT ALL OF THE $42.3 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 31.40% OF HOSPITAL REVENUES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES.
PART III, LINE 9B:	"MULTICARE'S DEBT COLLECTION POLICY STATES THAT "MHS WILL ALSO CLEARLY COMMUNICATE TO PATIENTS AND APPLICABLE PARTIES THE VARIOUS ASSISTANCE PROGRAMS MHS OFFERS BASED ON THE SITE OF SERVICE." IF THE PATIENT FOLLOWS THROUGH WITH THE APPLICABLE ASSISTANCE APPOINTMENTS, I.E., MEETING WITH MEDICAID OR COUNTY AGENCIES TO COMPLETE THE NECESSARY APPLICATION PROCESS, MULTICARE WILL NOT SEND THE ACCOUNT TO A BAD DEBT COLLECTION AGENCY.THERE ARE CIRCUMSTANCES WHERE A PATIENT DOES NOT RESPOND TO MULTICARE'S BILLING STATEMENTS AND IS SENT TO COLLECTIONS. AT THIS POINT, WHEN THEY ARE IN COLLECTIONS, IF THEY REQUEST FINANCIAL ASSISTANCE AND MEET CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICY'S FEDERAL POVERTY GUIDELINES (FPG), GARNISHMENT OF WAGES WILL NOT BE PURSUED.
PART V, SECTION A, FACILITIES INFORMATION	THE HOSPITAL FACILITIES PRIMARY WEBSITE ADDRESSES ARE:1. TACOMA GENERAL HOSPITALWWW.MULTICARE.ORG/TACOMA-GENERAL-HOSPITAL/2. GOOD SAMARITAN HOSPITALWWW.MULTICARE.ORG/GOOD-SAMARITAN-HOSPITAL/3. AUBURN MEDICAL CENTERWWW.MULTICARE.ORG/AUBURN-MEDICAL-CENTER/4. ALLENMORE HOSPITALWWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/5. MARY BRIDGE CHILDREN'S HOSPITALWWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL/
PART VI, LINE 2:	MULTICARE WORKS COLLABORATIVELY WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE AND TO DEVELOP PROGRAMS AND SERVICES TO MEET THOSE NEEDS. COMMUNITY PARTNERS INCLUDE THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, THE PIERCE COUNTY MEDICAL SOCIETY, THE UNITED WAY OF PIERCE COUNTY, YMCA OF PIERCE AND KITSAP COUNTIES, THE CITY OF TACOMA, THE TACOMA PUBLIC SCHOOL DISTRICT, AND MANY OTHERS. WE UTILIZE THE DATA FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AS WELL AS FEDERAL DATA TO DETERMINE THE MOST PRESSING HEALTH CARE NEEDS FOR OUR SERVICE AREAS. WE PROVIDE FINANCIAL SUPPORT FOR THE COUNTY'S SAFETY NET PROVIDER AND THE COMMUNITY HEALTH CARE CLINIC NETWORK. IN ADDITION, MULTICARE FUNDED AND OPERATED THE COMMUNITY MEDICAL CARE CLINIC FOR CHILDREN AT MARY BRIDGE CHILDREN'S HOSPITAL AND HEALTH CENTER AND THE TACOMA FAMILY MEDICINE CLINIC AND EAST PIERCE FAMILY PRACTICE RESIDENCY PROGRAM WHICH PROVIDE A RANGE OF PRIMARY CARE AND OB/GYN MEDICAL SERVICES TO LOW-INCOME INDIVIDUALS AND FAMILIES. FOR THE EAST PIERCE COUNTY COMMUNITY GOOD SAMARITAN HOSPITAL EXPANDED THE CARE TRANSITIONS PROGRAM TO ASSIST IN THE TRANSITION OF CHRONICALLY ILL PATIENTS BACK TO THE COMMUNITY AFTER THEIR HOSPITAL STAY. PATIENTS HAVE 24 HOURS A DAY ACCESS TO MYCHART, AN ELECTRONIC PATIENT HEALTH RECORD SYSTEM, WHERE THEY CAN VIEW THEIR MEDICAL RECORDS, TEST RESULTS, UPCOMING APPOINTMENTS, ETC. THEY ARE ALSO ABLE TO COMMUNICATE DIRECTLY WITH THEIR HEALTH CARE PROVIDER AND MAKE AN APPOINTMENT WITH A PROVIDER AT A CLINIC LOCATED CLOSE TO THEIR HOME. COMMUNITY-BASED MULTICARE SERVICES INCLUDE NUTRITION CONSULTATION, WEIGHT MANAGEMENT, SPORTS NUTRITION, COMMUNITY OUTREACH, QUITSMART TOBACCO CESSATION PROGRAM, IMMUNIZATION CLINICS, ADULT DAY HEALTH, PARENT PARTNERSHIP PROGRAMS FOR FAMILIES AT RISK, WIC, MOBILE MENTAL HEALTH OUTREACH SERVICES, PERINATAL OUTREACH SERVICES, SUPPORT GROUP FOR LGBTQ YOUTH, SENIOR WELLNESS AND CORPORATE WELLNESS PROGRAMS. MULTICARE EMPLOYEES PARTICIPATE IN A WIDE VARIETY OF VOLUNTEER PROGRAMS IN THE COMMUNITY, INCLUDING THE AMERICAN RED CROSS, THE PIERCE COUNTY DIABETES COALITION, UNITED WAY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, THE YWCA, WHICH OPERATES A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN, THE AMERICAN CANCER SOCIETY AND MANY OTHER ORGANIZATIONS.MULTICARE VALUES CULTURAL DIVERSITY. WE DELIVER EQUITABLE CARE TO ALL PATIENTS, REGARDLESS OF ETHNICITY, RACE, DISABILITY, OR SOCIOECONOMIC STATUS. BECAUSE LANGUAGE CAN SERVE AS A BARRIER FOR SOME PEOPLE TO ACCESS HEALTH CARE SERVICES, WE PROVIDE INTERPRETERS FOR A LARGE NUMBER OF FOREIGN LANGUAGES, AS WELL AS A TELECOMMUNICATIONS DEVICE TO HELP HEARING IMPAIRED PATIENTS. IN ADDITION, MANY PATIENT MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES. WE CONTINUALLY ASSESS LANGUAGE AND COMMUNICATION NEEDS. FREE HEALTH SCREENINGS AND RESOURCES AND YOUTH SPORTS PHYSICALS ARE PROVIDED IN THE COMMUNITY, TARGETING LOW-INCOME, UNDERSERVED POPULATIONS.
PART VI, LINE 3:	FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. FINANCIAL AID INFORMATION IS POSTED ON THE MULTICARE.ORG EXTERNAL WEBSITE.PRE-SERVICE CENTER STAFF STARTS CONVERSATIONS WITH PATIENTS ABOUT THEIR POTENTIAL FINANCIAL RESPONSIBILITY AND SHARE PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE INFORMATION WITH THE PATIENT DURING THIS INITIAL PHONE CALL. AT THE TIME OF REGISTRATION (WHETHER PRE-REGISTERED OR NOT), PATIENTS ARE NOTIFIED ABOUT THEIR INSURANCE COVERAGE AND FINANCIAL LIABILITIES. FINANCIAL COUNSELORS ARE AVAILABLE IF A NEED IS IDENTIFIED. IF A PATIENT DOES NOT HAVE INSURANCE, MULTICARE WORKS WITH PATIENTS TO VERIFY POTENTIAL STATE/FEDERAL ELIGIBILITY OR ROUTE THEM TO FINANCIAL AID IF APPROPRIATE. FINANCIAL AID APPLICATIONS ARE HANDED OUT AT ALL SERVICE LOCATIONS UPON REQUEST OR WHEN A NEED IS IDENTIFIED BY STAFF. PATIENTS ARE ALSO GIVEN AN INFORMATIONAL BILLING HANDOUT AT REGISTRATION/ADMISSION WITH INFORMATION TO CONTACT FINANCIAL COUNSELORS IF THEY MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILL.
PART VI, LINE 4:	MULTICARE HEALTH SYSTEM'S PRIMARY SERVICE AREA IS DEFINED AS PIERCE COUNTY WHICH INCLUDES 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. THE PRIMARY SERVICE AREA MULTICARE SERVES IS A MIX OF BOTH URBAN AND SUBURBAN COMMUNITIES. THE POPULATION OF PIERCE COUNTY IS APPROXIMATELY 820,000 (819,701 TO BE EXACT) INDIVIDUALS. A MAJOR MILITARY INSTALLATION -JOINT BASE LEWIS MCCHORD- IS LOCATED IN PIERCE COUNTY AND AS A RESULT, MULTICARE PROVIDES HEALTH CARE SERVICES TO A LARGE NUMBER OF ACTIVE AND RETIRED MILITARY PERSONNEL. THE MEDIAN AGE IN PIERCE COUNTY IS 38.5 YEARS OLD. SEVENTY-TWO PERCENT OF THE POPULATION IN PIERCE COUNTY IS OVER THE AGE OF TWENTY-ONE YEARS OLD. APPROXIMATELY 73% OF PIERCE COUNTY'S POPULATION IS CAUCASIAN; 7% IS AFRICAN-AMERICAN; 6% IS ASIAN; 1% IS NATIVE-AMERICAN, 1% IS PACIFIC ISLANDER, AND 11% IS SOME OTHER RACE OR TWO OR MORE RACES. OUT OF THIS POPULATION, 10% ARE OF HISPANIC ORIGIN. THE MEDIAN HOUSEHOLD INCOME FOR MULTICARE HEALTH SYSTEM'S PRIMARY SERVICE AREA IS $55,970 AND FOR THE SECONDARY SERVICE AREA IS $64,734. BASED ON THE 2010 WASHINGTON STATE POPULATION SURVEY, APPROXIMATELY 94,313 INDIVIDUALS IN PIERCE COUNTY (MULTICARE'S MAIN SERVICE AREA) ARE UNINSURED. OVER 10 PERCENT OF INDIVIDUALS IN MULTICARE'S SERVICE AREA ARE LIVING BELOW THE POVERTY LEVEL.MULTICARE HEALTH SYSTEM EMPLOYS THE LARGEST NUMBER OF PRIMARY AND SPECIALTY PROVIDERS IN THE REGION, OPERATES 1,130 BEDS, SEVERAL OUTPATIENT SURGICAL SITES AND OTHER URGENT CARE, PRIMARY CARE AND MULTISPECIALTY CLINICS. MULTICARE HEALTH SYSTEM PROVIDES SERVICES DESIGNED TO MEET THE SPECIFIC HEALTHCARE REQUIREMENTS OF THE POPULATION, WITH A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT PROGRAMS MADE AVAILABLE IN CONJUNCTION WITH THE RESOURCES OF OTHER COMMUNITY HEALTH PROVIDERS.
PART VI, LINE 5:	MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE INCLUDE:-TACOMA TRAUMA TRUST IS A COLLABORATION OF MULTICARE, FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE TRAUMA CARE TO THE SOUTH PUGET SOUND REGION;-FALLS PREVENTION PROGRAM FOR THE ELDERLY;-SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT VICTIMS OF SEXUAL ASSAULT;-BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;-MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND THE MARY BRIDGE CHILDREN'S ADVOCACY CENTER; -BRIDGES: A CENTER FOR GRIEVING CHILDREN;-HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;-GRIEF AND LOSS SERVICES;-FAMILY CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;-CANCER CAMP FOR CHILDREN WITH CANCER;-WOMEN, INFANT AND CHILDREN (WIC) PROGRAM;-SAFE KIDS;-SAFE SHORES;-CENTER FOR HEALTHY LIVING NUTRITION AND FITNESS EDUCATION, WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;-PUGET SOUND ASTHMA COALITION;-DIABETES SERVICES;-CONSULTING NURSE TELEPHONE SERVICE;-CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;-WORKFORCE DEVELOPMENT PARTNERSHIPS WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL TO PREPARE PEOPLE FOR HEALTH CARE CAREERS;-PARTNERSHIPS WITH AREA COLLEGE NURSING PROGRAMS AND A NURSE RESIDENCY PROGRAM;-FREE SPORTS PHYSICALS FOR THE STUDENTS AT FIRST CREEK MIDDLE SCHOOL AND LINCOLN HIGH SCHOOL;- READY, SET, GO! 5-2-1-0, A COMMUNITY-WIDE PUBLIC-PRIVATE PARTNERSHIP INITIATIVE TO PROMOTE HEALTHY LIFESTYLES FOR CHILDREN, YOUTH AND FAMILIES; -SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;-SCHOLARSHIPS FOR PARENT EDUCATION;-ASSISTIVE TECHNOLOGY PROGRAM- PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;-"HOST SITE FOR PARENTS NIGHT OUT" FOR PARENTS WITH CHILDREN WITH SPECIAL NEEDS;-SIGN LANGUAGE CLASSES THROUGH PIERCE COUNTY LIBRARY.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 PROVIDE CLASSES AND INFORMATION ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, HEALTH AND WELLNESS, NUTRITION AND MORE;-FREE MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW COST SCREENINGS AT A VARIETY OF HEALTH FAIRS HELD THROUGHOUT THE YEAR, LOW COST IMMUNIZATIONS IN THE COMMUNITY; -EXPANSION OF THE EMERGENCY DEPARTMENTS TO ACCOMMODATE AN INCREASE IN EMERGENCY DEPARTMENT PATIENTS;-SENIOR MEMBERSHIP AFFINITY PROGRAM;-CANCER TRIALS AND RESEARCH;-MULTICARE INSTITUTE FOR RESEARCH INNOVATION-CARE MANAGEMENT, POWER OF ATTORNEY, NOTARY SERVICE CHARITY MEDICATIONS, -CHILDREN'S THERAPY UNIT, ASSISTIVE TECHNOLOGY PROGRAM "THE SMILE FACTORY"SIBSHOPS, ARK ANGELS; -COMMUNITY EDUCATION: TRANSFUSION FREE MEDICAL & SURGICAL PROGRAM, COMMUNITIES IN SCHOOLS, MULTICARE GOOD SAMARITAN READERS, FAMILY BIRTH CENTER: LACTATION SUPPORT SERVICES, TEEN PARENT RESOURCE CENTER, MOM AND BABY SUPPORT CLASS, FAMILY BIRTH CENTER CLASSES; -MOBILE HEALTH SERVICES, PALLIATIVE CARE, PHYSICAL MEDICINE & REHABILITATION, VOLUNTEER SERVICES.
PART VI, LINE 6:	MULTICARE HEALTH SYSTEM ("MULTICARE") IS A WASHINGTON NOT-FOR-PROFIT CORPORATION, AND ORGANIZED AS A TAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. MULTICARE HAS FOUR AFFILIATED FOUNDATIONS: MARY BRIDGE CHILDREN'S FOUNDATION, MULTICARE HEALTH FOUNDATION, GOOD SAMARITAN FOUNDATION AND MULTICARE SOUTH KING HEALTH FOUNDATION, ALL WASHINGTON NONPROFIT CORPORATIONS. MULTICARE IS ALSO THE SOLE SHAREHOLDER OF MEDIS CORPORATION, A WASHINGTON FOR-PROFIT CORPORATION, SOLE MEMBER OF MULTICARE CONNECTED CARE, LLC, AN ACCOUNTABLE CARE ORGANIZATION AND MANAGING PARTNER OF MULTICARE CONSULTING SERVICES, LLC, A FOR-PROFIT PARTNERSHIP SPECIALIZED IN CONSULTING. MULTICARE HEALTH SYSTEM HAS FIVE ACUTE-CARE HOSPITALS INCLUDING LEVEL II ADULT AND PEDIATRIC TRAUMA CENTERS, THE REGION'S ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER, AN INTERNATIONALLY RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS, AND SOUTHWEST WASHINGTON'S ONLY CHILDREN'S HOSPITAL. MULTICARE'S FIVE HOSPITALS SERVE INDIVIDUALS OF ALL AGES. MARY BRIDGE CHILDREN'S HOSPITAL AND HEALTH CENTER SERVES THE PEDIATRIC NEEDS OF THE COMMUNITY; TACOMA GENERAL HOSPITAL, GOOD SAMARITAN HOSPITAL, AUBURN HOSPITAL AND ALLENMORE HOSPITAL HAVE SPECIALTY SERVICES THAT FOCUS ON ADULT POPULATIONS AND ALLENMORE HOSPITAL HAS SPECIALTY HEALTHCARE SERVICES. MULTICARE CONTINUALLY REINVESTS IN THE COMMUNITIES WE SERVE TO IMPROVE ACCESS TO HEALTHCARE. MULTICARE HEALTH SYSTEM IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS. EACH OF THE FOUNDATION BOARDS ARE ALSO GOVERNED BY COMMUNITY-BASED BOARD OF DIRECTORS AS WELL.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA

Schedule H (Form 990) 2014

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.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(h) Purpose of grant or assistance
(1) MARY BRIDGE CHILDREN'S FOUNDATION PO BOX 5299 TACOMA,WA98415	94-3030039	501(C)(3)	3,368,043	0	ASSISTANCE FOR OPERATING EXPENSES.
(2) MULTICARE HEALTH FOUNDATION PO BOX 5299 TACOMA,WA98415	91-1514257	501(C)(3)	1,807,753	0	ASSISTANCE FOR OPERATING EXPENSES.
(3) GOOD SAMARITAN FOUNDATION PO BOX 5299 TACOMA,WA98415	91-2004312	501(C)(3)	1,488,581	0	ASSISTANCE FOR OPERATING EXPENSES.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated 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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	MULTICARE HEALTH SYSTEM MAINTAINS SEPARATE GENERAL LEDGER ACCOUNTS FOR THE AMOUNTS FUNDED TO RELATED ORGANIZATIONS.

Schedule I (Form 990) 2014

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, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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? ................

Yes

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), 501(c)(4), and 501(c)(29) organizations 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? .........................

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

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(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)
1MATT DAVISDIRECTOR, PHYSICIAN	(i) (ii)	395,848 ............................... 0	19,900 ............................... 0	17,496 ............................... 0	39,300 ............................... 0	27,336 ............................... 0	499,880 ............................... 0	0 ............................... 0
2WILLIAM ROBERTSONPRESIDENT &CEO,PART YEAR MAY-PRESENT	(i) (ii)	558,742 ............................... 0	150,000 ............................... 0	49,936 ............................... 0	185,057 ............................... 0	31,433 ............................... 0	975,168 ............................... 0	0 ............................... 0
3ANNA LOOMISCFO, PART YEAR APRIL-PRESENT	(i) (ii)	361,485 ............................... 0	53,798 ............................... 0	32,997 ............................... 0	51,846 ............................... 0	19,358 ............................... 0	519,484 ............................... 0	10,064 ............................... 0
4DIANE CECCHETTINIPRESIDENT & CEO, PART YEAR JAN-APRIL	(i) (ii)	565,552 ............................... 0	298,184 ............................... 0	134,717 ............................... 0	28,860 ............................... 0	7,378 ............................... 0	1,034,691 ............................... 0	0 ............................... 0
5CHRIS KNACKSTEDTCFO, PART YEAR JAN-MARCH	(i) (ii)	193,692 ............................... 0	102,729 ............................... 0	18,803 ............................... 0	0 ............................... 0	5,112 ............................... 0	320,336 ............................... 0	0 ............................... 0
6FLORENCE CHANGEXECUTIVE VICE PRESIDENT	(i) (ii)	494,584 ............................... 0	115,664 ............................... 0	55,117 ............................... 0	92,656 ............................... 0	22,150 ............................... 0	780,171 ............................... 0	0 ............................... 0
7CLAIRE SPAIN-REMYSR. VICE PRESIDENT	(i) (ii)	398,268 ............................... 0	94,195 ............................... 0	42,746 ............................... 0	71,761 ............................... 0	27,189 ............................... 0	634,159 ............................... 0	0 ............................... 0
8KATHERINE SMITHSR. VICE PRESIDENT, PART YEAR	(i) (ii)	224,795 ............................... 0	79,658 ............................... 0	672,208 ............................... 0	28,860 ............................... 0	21,230 ............................... 0	1,026,751 ............................... 0	25,809 ............................... 0
9GLENN KASMANREGIONAL PRESIDENT	(i) (ii)	349,240 ............................... 0	76,298 ............................... 0	92,561 ............................... 0	71,075 ............................... 0	29,108 ............................... 0	618,282 ............................... 0	16,446 ............................... 0
10SHELLY MULLINREGIONAL PRESIDENT	(i) (ii)	359,481 ............................... 0	86,157 ............................... 0	59,707 ............................... 0	75,172 ............................... 0	20,352 ............................... 0	600,869 ............................... 0	21,458 ............................... 0
11HUGH KODAMAVICE PRESIDENT - REGIONAL	(i) (ii)	231,680 ............................... 0	56,721 ............................... 0	28,232 ............................... 0	43,765 ............................... 0	18,939 ............................... 0	379,337 ............................... 0	9,571 ............................... 0
12DAVID COONSPHYSICIAN	(i) (ii)	1,333,696 ............................... 0	26,698 ............................... 0	2,300 ............................... 0	35,492 ............................... 0	26,839 ............................... 0	1,425,025 ............................... 0	0 ............................... 0
13JOHN HUNGPHYSICIAN	(i) (ii)	1,011,884 ............................... 0	26,698 ............................... 0	16,945 ............................... 0	30,950 ............................... 0	26,700 ............................... 0	1,113,177 ............................... 0	0 ............................... 0
14SURAJ SINGHPHYSICIAN	(i) (ii)	913,667 ............................... 0	28,606 ............................... 0	16,945 ............................... 0	23,720 ............................... 0	26,716 ............................... 0	1,009,654 ............................... 0	0 ............................... 0
15DOUGLAS SUTHERLANDPHYSICIAN	(i) (ii)	833,414 ............................... 0	21,904 ............................... 0	16,891 ............................... 0	19,229 ............................... 0	20,511 ............................... 0	911,949 ............................... 0	0 ............................... 0
16MOHAMMED BACCORAPHYSICIAN	(i) (ii)	811,825 ............................... 0	21,166 ............................... 0	16,891 ............................... 0	19,453 ............................... 0	19,452 ............................... 0	888,787 ............................... 0	0 ............................... 0
17VINCENT SCHMITZFORMER OFFICER/CONSULTANT	(i) (ii)	0 ............................... 0	0 ............................... 0	511,855 ............................... 0	0 ............................... 0	0 ............................... 0	511,855 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	LINE 1A - WILLIAM ROBERTSON'S, CEO, RELOCATION PAYMENTS WERE GROSSED UP FOR TAX. LINE 1A - THE EXECUTIVE BENEFIT ALLOWANCE IS A DISCRETIONARY SPENDING ACCOUNT AND THERE ARE NO RESTRICTIONS AS TO HOW THE FUNDS ARE TO BE SPENT. ALL VICE-PRESIDENTS, SR. VICE-PRESIDENTS AND OFFICERS, A TOTAL OF 9 REPORTED PEOPLE, RECEIVED EXECUTIVE BENEFIT ALLOWANCE IN 2014. THE PHYSICIANS ARE OFFERED A SIMILAR BENEFIT ALLOWANCE BUT THE AMOUNT IS CAPPED AT $15,815.04. IN 2014 5 REPORTED PHYSICIANS WERE PAID BENEFIT ALLOWANCE. THEY CAN CHOOSE TO AUGMENT THEIR BENEFITS OR RECEIVE IT AS COMPENSATION PART OF TAXABLE WAGES. LINE 1A - HOUSING ALLOWANCE IS PAID TO GLENN KASMAN, THE AMOUNT IS ADDED TO THE TAXABLE WAGES AND REPORTED ON HIS W-2.
PART I, LINES 4A-B	LINE 4A - KATHERINE SMITH, SR. VP, RECEIVED $624,736 IN SEVERANCE PAYMENTS. LINE 4B - THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN AND RECEIVED A PAYOUT IN 2014: SHELLY MULLIN $21,458, GLENN KASMAN $16,446, KATHERINE SMITH $25,809, HUGH KODAMA $9,571, ANNA LOOMIS $10,064. IRC SECTION 457(F) PLANS ALLOW PARTICIPANTS TO CHOOSE FROM A NUMBER OF DIFFERENT TYPES OF BENEFITS WITH A DEFAULT SELECTION INTO A 457(F) PLAN. THE PLAN COVERS EMPLOYEES WHO ARE PRIMARILY A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THIS TYPE OF ARRANGEMENT CONTAINS A RISK OF FORFEITURE AND DEVICES SUCH AS NON-COMPETE CLAUSES, ROLLING RISK OF FORFEITURE AND OPTIONS THAT ADD SOME RISK OF LOSING THE BENEFIT. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B, (III).
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 THEN CALCULATED AND PAID BASED ON THE ACHIEVEMENT OF THE IDENTIFIED SYSTEM AND INDIVIDUAL GOALS.
FORM 990, PART VII AND SCHEDULE J, PART III- SUPPLEMENTAL	THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1352172, 91-1514257, 94-3030039, 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 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, SUPPLEMENTAL	VINCENT SCHMITZ, FORMER CHIEF FINANCIAL OFFICER, RECEIVED PAYMENTS OF DEFERRED COMPENSATION DURING 2014 FOR WORK PERFORMED IN PRIOR YEARS.
SCHEDULE J, PART II, SUPPLEMENTAL	THE FOLLOWING REPORTED PEOPLE EARNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ACCRUALS WHICH ARE REFLECTED IN COLUMN C : WILLIAM G. ROBERTSON, $185,057, FLORENCE CHANG, $70,095, CLAIRE SPAIN-REMY, $53,663, GLEN KASMAN, $46,069, ANNA LOOMIS, $27,593, SHELLY MULLIN, $46,312, HUGH KODAMA, $14,905 AND DAVID COONS, $15,815.
SCHEDULE J, PART II, SUPPLEMENTAL	MATT DAVIS, MD WAS COMPENSATED AS A PHYSICIAN FOR MULTICARE HEALTH SYSTEM AND NOT FOR BEING ON THE BOARD OF DIRECTORS.

Schedule J (Form 990) 2014

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 Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 ABC	91-1108929	93978EL83	05-15-2008	150,977,057	TO REFUND THE ORIGINAL 04 BONDS ISSUED 6/22/04.THE CONSTR.WAS COMPLETED IN05		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 ABC	91-1108929	93978EE73	02-15-2007	210,365,000	CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D	91-1108929	93978EF23	02-15-2007	105,635,000	CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 AB	91-1108929	93978EQ54	05-15-2008	158,492,602	$157,450,000 WAS USED TO REFUND BONDS ISSUED ON 02/15/07		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 ABC	91-1108929	93978ES52	05-15-2008	130,081,316	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 AB	91-1108929	93978E2SO	02-26-2009	99,094,039	$99,094,039 WAS USED TO REFUND BONDS ISSUED ON 05/15/2008		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 AB	91-1108929	93978E3U4	05-01-2009	100,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6W7	01-05-2010	105,127,578	$105,127,004 WAS USED TO REFUND THE WHCA SERIES 1998 ISSUED ON 08/13/1998		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2012 AB	91-1108929	93978HHC2	11-13-2012	140,628,741	AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	4,375,000		4,375,000		6,150,000		3,475,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	150,977,057		210,365,000		105,635,000		158,492,602
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	977,057		1,147,268		465,412		1,042,602
8 Credit enhancement from proceeds . . . . . . . . . . .	4,071,130		4,071,130		1,820,372		574
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	205,146,602		205,146,602		103,349,215
11 Other spent proceeds . . . . . . . . . . . . . .	150,000,000		99,094,039				157,450,000
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2008		2009		2009		2008
	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

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 of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 . .	0.570 %		1.330 %		1.330 %		1.330 %
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 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.570 %		1.330 %		1.330 %		1.330 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X	X		X			X
4a Has the organization or the governmental issuer entered into a qualified 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 the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART IV, LINE 2C	FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2009 AB, MULTICARE HEALTH SYSTEM ENGAGED BARTHE & WAHRMAN PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE REBATE CALCULATION ON 05/22/2014 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS.

Schedule K (Form 990) 2014

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 Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 ABC	91-1108929	93978EL83	05-15-2008	150,977,057	TO REFUND THE ORIGINAL 04 BONDS ISSUED 6/22/04.THE CONSTR.WAS COMPLETED IN05		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 ABC	91-1108929	93978EE73	02-15-2007	210,365,000	CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D	91-1108929	93978EF23	02-15-2007	105,635,000	CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 AB	91-1108929	93978EQ54	05-15-2008	158,492,602	$157,450,000 WAS USED TO REFUND BONDS ISSUED ON 02/15/07		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 ABC	91-1108929	93978ES52	05-15-2008	130,081,316	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 AB	91-1108929	93978E2SO	02-26-2009	99,094,039	$99,094,039 WAS USED TO REFUND BONDS ISSUED ON 05/15/2008		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 AB	91-1108929	93978E3U4	05-01-2009	100,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6W7	01-05-2010	105,127,578	$105,127,004 WAS USED TO REFUND THE WHCA SERIES 1998 ISSUED ON 08/13/1998		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2012 AB	91-1108929	93978HHC2	11-13-2012	140,628,741	AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	4,375,000		4,375,000		6,150,000		3,475,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	150,977,057		210,365,000		105,635,000		158,492,602
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	977,057		1,147,268		465,412		1,042,602
8 Credit enhancement from proceeds . . . . . . . . . . .	4,071,130		4,071,130		1,820,372		574
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	205,146,602		205,146,602		103,349,215
11 Other spent proceeds . . . . . . . . . . . . . .	150,000,000		99,094,039				157,450,000
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2008		2009		2009		2008
	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

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 of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 . .	0.570 %		1.330 %		1.330 %		1.330 %
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 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.570 %		1.330 %		1.330 %		1.330 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X	X		X			X
4a Has the organization or the governmental issuer entered into a qualified 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 the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART IV, LINE 2C	FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2009 AB, MULTICARE HEALTH SYSTEM ENGAGED BARTHE & WAHRMAN PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE REBATE CALCULATION ON 05/22/2014 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS.

Schedule K (Form 990) 2014

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 Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 ABC	91-1108929	93978EL83	05-15-2008	150,977,057	TO REFUND THE ORIGINAL 04 BONDS ISSUED 6/22/04.THE CONSTR.WAS COMPLETED IN05		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 ABC	91-1108929	93978EE73	02-15-2007	210,365,000	CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 D	91-1108929	93978EF23	02-15-2007	105,635,000	CONSTR.& EQUIPMENT TG EMERGENCY DEPT.,STEAM PLANT,GIG HARBOR MEDICAL PARK		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2007 AB	91-1108929	93978EQ54	05-15-2008	158,492,602	$157,450,000 WAS USED TO REFUND BONDS ISSUED ON 02/15/07		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 ABC	91-1108929	93978ES52	05-15-2008	130,081,316	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2008 AB	91-1108929	93978E2SO	02-26-2009	99,094,039	$99,094,039 WAS USED TO REFUND BONDS ISSUED ON 05/15/2008		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2009 AB	91-1108929	93978E3U4	05-01-2009	100,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2010 A	91-1108929	93978E6W7	01-05-2010	105,127,578	$105,127,004 WAS USED TO REFUND THE WHCA SERIES 1998 ISSUED ON 08/13/1998		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2012 AB	91-1108929	93978HHC2	11-13-2012	140,628,741	AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	4,375,000		4,375,000		6,150,000		3,475,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	150,977,057		210,365,000		105,635,000		158,492,602
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	977,057		1,147,268		465,412		1,042,602
8 Credit enhancement from proceeds . . . . . . . . . . .	4,071,130		4,071,130		1,820,372		574
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	205,146,602		205,146,602		103,349,215
11 Other spent proceeds . . . . . . . . . . . . . .	150,000,000		99,094,039				157,450,000
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2008		2009		2009		2008
	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

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 of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 . .	0.570 %		1.330 %		1.330 %		1.330 %
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 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.570 %		1.330 %		1.330 %		1.330 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .	X		X		X		X
c No rebate due? . . . . . . . .		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X	X		X			X
4a Has the organization or the governmental issuer entered into a qualified 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 the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART IV, LINE 2C	FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2009 AB, MULTICARE HEALTH SYSTEM ENGAGED BARTHE & WAHRMAN PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE REBATE CALCULATION ON 05/22/2014 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS.

Schedule K (Form 990) 2014

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

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






Total ...... $

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

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) CAROLINE RUTTER MD	DAUGHTER OF ROB ROTH, DIRECTOR	728,743	EMPLOYEE OF MULTICARE HEALTH SYSTEM		No
(2) RICKY ROTH	WIFE OF ROB ROTH, DIRECTOR	66,379	EMPLOYEE OF MULTICARE HEALTH SYSTEM		No
(3) MEDIS CORPORATION	SUBSIDIARY OF MULTICARE HEALTH SYSTEM	754,075	LEASE PAYMENTS FOR RENTED SPACE: MULTICARE HEALTH SYSTEM IS LEASING SPACE FROM MEDIS AT THE BAKER CENTER AND IN 2014 MULTICARE HEALTH SYSTEM PAID MEDIS RENTS IN AN AMOUNT OVER THE REPORTING THRESHOLD.		No
(4) MULTICARE CONSULTING SERVICES LLC	SUBSIDIARY OF MULTICARE HEALTH SYSTEM	169,163	OVERHEAD CORPORATE ALLOCATION FOR SHARED SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

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, INCLUDING THE CHIEF EXECUTIVE OFFICER, AND THE CHIEF FINANCIAL OFFICER. A REVIEW WAS THEN PERFORMED BY THE AUDIT COMMITTEE OF THE BOARD, AND INCLUDED A PRESENTATION BY THE OUTSIDE ACCOUNTING FIRM. LASTLY, A COPY OF THE FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, PRIOR TO ITS FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE BOARD OF DIRECTORS HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION, AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY DIRECTOR ON THE BOARD, EXECUTIVE LEADERSHIP, OR KEY EMPLOYEE. IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, THESE INDIVIDUALS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY, AND HAVE AN ONGOING OBLIGATION TO UPDATE THE DISCLOSURE IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. THE CONFLICTS OF INTEREST QUESTIONNAIRE INCLUDES A STATEMENT THAT THE PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT FURTHER ITS TAX EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, AND IN CERTAIN CIRCUMSTANCES, THERE IS FURTHER REVIEW BY THE GENERAL COUNSEL AND 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 ENTITIES (91-1352172, 91-1514257, 94-3030039, 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 CEO. THE COMPENSATION COMMITTEE ASSESSES PERFORMANCE AGAINST THESE GOALS AND PERFORMANCE CRITERIA, WHICH INCLUDE IMPROVING PATIENT CARE, CARE ACCESS TO THE UNDERSERVED, CLINICAL OUTCOMES, AND PATIENT SAFETY, AS WELL AS EARNING AN OPERATING MARGIN TO ENABLE INVESTMENT IN PEOPLE, TECHNOLOGY, AND FACILITIES. THE COMPENSATION COMMITTEE SELECTS AND ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT EACH YEAR TO REVIEW AND ANALYZE THE TOTAL COMPENSATION PACKAGE FOR ALIGNMENT WITH APPROPRIATE PRACTICES FOR SIMILAR NOT-FOR-PROFIT HEALTHCARE SYSTEMS. THE COMPENSATION COMMITTEE, AS PART OF ITS ANALYSIS, OBTAINS FROM THE INDEPENDENT COMPENSATION CONSULTANT APPROPRIATE COMPARABILITY DATA, INCLUDING TOTAL COMPENSATION PAID BY SIMILARLY SITUATED NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE. THE COMPENSATION DELIBERATION AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE LAST TIME THIS PROCESS WAS UNDERTAKEN WAS 2014.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE INCLUDED AS PART OF THE FORM 990.
FORM 990, PART XI, LINE 9:	UNFUNDED DB PENSION LIABILITY -121,438,263. TRANSFER OF ASSETS -3,264,933.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 (if applicable) 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
(1) MULTICARE CONNECTED CARE LLC 222 N J ST STE B TACOMA,WA98403 47-2859356	HEALTHCARE ACO	WA	0	0	MULTICARE HEALTH SYSTEM

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 entity?
(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 FOUNDATION 402 15TH AVE SE SUITE 101 PUYALLUP,WA98372 91-2004312	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes
(4) MULTICARE SOUTH KING HEALTH FOUNDATION 737 FAWCETT AVE TACOMA,WA98402 46-5636491	SOLICIT CONTRIBUTIONS	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2014

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MULTICARE CONSULTING SERVICES LLC 1102 BROADWAY STE 510 TACOMA,WA98402 45-4152765	HEALTHCARE CASH COLLECTIONS CONSULTING	WA	MULTICARE HEALTH SYSTEM	UNRELATED	12,778,248	3,626,007		No		Yes		99.000 %

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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) MEDIS CORPORATION 315 S K STREET TACOMA,WA98405 91-1111928	MEDICAL BUILDING RENTAL	WA	MULTICARE HEALTH SYSTEM	C	1,376,471	2,081,972	100.000 %	Yes

Schedule R (Form 990) 2014

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

Yes

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

Yes

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

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MULTICARE HEALTH FOUNDATION	B	1,807,753	FINANCIAL STATEMENTS
(2) MARY BRIDGE CHILDREN'S FOUNDATION	B	3,368,043	FINANCIAL STATEMENTS
(3) GOOD SAMARITAN FOUNDATION	B	1,488,581	FINANCIAL STATEMENTS
(4) MULTICARE HEALTH FOUNDATION	C	4,189,608	FINANCIAL STATEMENTS
(5) MARY BRIDGE CHILDREN'S FOUNDATION	C	13,072,391	FINANCIAL STATEMENTS
(6) GOOD SAMARITAN FOUNDATION	C	1,817,014	FINANCIAL STATEMENTS
(7) MEDIS CORPORATION	K	754,075	FINANCIAL STATEMENTS
(8) MULTICARE HEALTH FOUNDATION	Q	756,012	FINANCIAL STATEMENTS
(9) MARY BRIDGE CHILDREN'S FOUNDATION	Q	1,626,646	FINANCIAL STATEMENTS
(10) GOOD SAMARITAN FOUNDATION	Q	699,587	FINANCIAL STATEMENTS
(11) MEDIS CORPORATION	Q	683,483	FINANCIAL STATEMENTS
(12) MULTICARE CONSULTING SERVICES LLC	Q	169,163	FINANCIAL STATEMENTS
(13) MULTICARE CONSULTING SERVICES LLC	S	2,442,969	MCS, LLC K-1

Schedule R (Form 990) 2014

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

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: MULTICARE HEALTH SYSTEM'S MISSION IS PARTNERING FOR HEALING AND A HEALTHY FUTURE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	10,451
6	Total number of volunteers (estimate if necessary) .............	6	3,111
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,710,717
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-2,200,322

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	24,686,213	42,142,063
9	Program service revenue (Part VIII, line 2g) .........	1,812,865,328	1,862,026,956
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	60,833,272	39,305,104
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	165,563	45,198
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,898,550,376	1,943,519,321
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,217,035	6,664,377
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)	937,587,843	974,092,571
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–24e)....	732,557,147	714,991,818
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,676,362,025	1,695,748,766
19	Revenue less expenses. Subtract line 18 from line 12.......	222,188,351	247,770,555
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,986,450,066	3,218,850,057
21	Total liabilities (Part X, line 26).............	1,308,987,722	1,451,469,514
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,677,462,344	1,767,380,543

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,164,931,240 including grants of $ 6,664,377 ) (Revenue $ 1,586,143,216 )
	MULTICARE HEALTH SYSTEM (MHS) OPERATES FIVE COMMUNITY BASED HOSPITALS WITH 1,048 LICENSED ADULT BEDS AND 82 LICENSED PEDIATRIC BEDS. DURING 2014 MHS HOSPITALS ADMITTED 42,426 PATIENTS FOR A TOTAL OF 203,028 PATIENT DAYS, PERFORMED 32,897 SURGERIES AND DELIVERED 6,631 BABIES. THERE WERE 9,847 NEWBORN DAYS DURING 2014. THEY ALSO PROVIDED CARE FOR 260,815 OUTPATIENT VISITS AND 237,905 EMERGENCY ROOM VISITS, OF WHICH 560 WERE TRAUMA PATIENTS.

4b	(Code: ) (Expenses $ 85,909,422 including grants of $ 0 ) (Revenue $ 141,496,464 )
	MULTICARE HEALTH SYSTEM OPERATES MULTI-SPECIALTY CLINICS THROUGHOUT PIERCE AND SOUTH KING COUNTIES. DURING 2014 THESE CLINICS PROCESSED 412,474 LABORATORY WORKLOAD UNITS, 100,049 IMAGING RELATIVE UNITS, 125,964 ONCOLOGY RELATIVE VALUE UNITS, 22,962 THERAPY VALUE UNITS AND 1,076 PHARMACY WORKLOAD UNITS. THEY ALSO PROVIDED CARE FOR 191,184 OUTPATIENT VISITS AND PERFORMED SPECIALIST SURGERIES AS FOLLOWS: PEDIATRIC, GENERAL, NEUROLOGIC, VASCULAR, SPINE, ORTHOPEDIC, GENERAL BREAST, PEDIATRIC ORTHOPEDIC, CARDIOTHORACIC, GENERAL BARIATRIC, COLORECTAL, SURGICAL PODIATRY, PEDIATRIC NEUROSURGERY, FOOT ANKLE SURGERY ETC.

4c	(Code: ) (Expenses $ 85,833,162 including grants of $ 0 ) (Revenue $ 70,349,861 )
	MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 524,030 PATIENT VISITS DURING 2014.

	(Code: ) (Expenses $ 59,122,853 including grants of $ 0 ) (Revenue $ 64,037,415 )
	MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE URGENT CARE CLINICS, BEHAVIORAL HEALTH, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH AND PSYCHOLOGY CHILDREN'S THERAPY UNIT. DURING 2014 THE CLINICS PROVIDED 197,838 URGENT CARE VISITS AND 42,921 HOME HEALTH VISITS. THE HOME HEALTH AND HOSPICE PROGRAMS ADMITTED 4,177 AND 710 PATIENTS, RESPECTIVELY DURING 2014. MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU) HELPS INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. IN 2014 CTU SERVED 383 PATIENTS. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS. IN 2014 BHS SERVED 8,936 CLIENTS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 59,122,853 including grants of $ 0 ) (Revenue $ 64,037,415 )
4e	Total program service expenses1,395,796,677

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) KATHERINE SMITH........................................................................ SR. VICE PRESIDENT, PART YEAR	60.00 .......................0.00	X			976,661	0	50,090
(19) GLENN KASMAN........................................................................ REGIONAL PRESIDENT	60.00 .......................0.00	X			518,099	0	100,183
(20) SHELLY MULLIN........................................................................ REGIONAL PRESIDENT	60.00 .......................0.00	X			505,345	0	95,524
(21) HUGH KODAMA........................................................................ VICE PRESIDENT - REGIONAL	60.00 .......................0.00	X			316,633	0	62,704
(22) DAVID COONS........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,362,694	0	62,331
(23) JOHN HUNG........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,055,527	0	57,650
(24) SURAJ SINGH........................................................................ PHYSICIAN	50.00 .......................0.00		X		959,218	0	50,436
(25) DOUGLAS SUTHERLAND........................................................................ PHYSICIAN	50.00 .......................0.00		X		872,209	0	39,740
(26) MOHAMMED BACCORA........................................................................ PHYSICIAN	50.00 .......................0.00		X		849,882	0	38,905
(27) VINCENT SCHMITZ........................................................................ FORMER OFFICER/CONSULTANT	40.00 .......................0.00			X	511,855	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	12,092,272	1,500	1,166,999

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		19,079,013
e	Government grants (contributions)1e		23,063,050

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			42,142,063
			Business Code
2a	HEALTHCARE SERVICES		622110	1,616,285,812	1,613,072,457	3,213,355
b	AMBULATORY SRVS & UCC		621493	146,266,198	144,765,427	1,500,771
c	OFFICES OF PHYSICIANS		621111	80,203,053	80,203,053
d	HOME HEALTH		621610	8,978,201	8,978,201
e	OUTPATIENT MENTAL HEAL		621420	7,297,989	7,297,989
f	All other program service revenue .			2,995,703	1,999,112	996,591
g	Total. Add lines 2a–2f........			1,862,026,956
3	Investment income (including dividends, interest, and other similar amounts).......			28,346,033			28,346,033
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	80,585
b	Less: rental expenses	59,740
c	Rental income or (loss)	20,845
d	Net rental income or (loss).......			20,845			20,845
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	10,959,071
b	Less: cost or other basis and sales expenses	0
c	Gain or (loss)	10,959,071
d	Net gain or (loss)..........			10,959,071			10,959,071
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		366,803
b	Less: cost of goods sold ..b		342,450
c	Net income or (loss) from sales of inventory..			24,353			24,353
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			1,943,519,321	1,856,316,239	5,710,717	39,350,302


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............				1
2	Savings and temporary cash investments .........			59,838,712	2	106,197,236
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			274,524,381	4	314,185,164
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			23,087,682	8	21,410,850
9	Prepaid expenses and deferred charges ..........			11,042,815	9	13,769,426
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,252,096,333
b	Less: accumulated depreciation .....	10b	956,254,162	1,299,785,694	10c	1,295,842,171
11	Investments—publicly traded securities ..........			1,050,535,665	11	1,204,759,545
12	Investments—other securities. See Part IV, line 11 .....			145,613,190	12	172,695,117
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			8,718,006	14	8,718,006
15	Other assets. See Part IV, line 11 ...........			113,303,921	15	81,272,542
16	Total assets. Add lines 1 through 15 (must equal line 34)......			2,986,450,066	16	3,218,850,057
17	Accounts payable and accrued expenses .........			247,017,350	17	312,422,692
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			901,867,566	20	890,030,907
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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 ....			274,174	24	227,066
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			159,828,632	25	248,788,849
26	Total liabilities. Add lines 17 through 25.........			1,308,987,722	26	1,451,469,514
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,677,462,344	27	1,767,380,543
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			1,677,462,344	33	1,767,380,543
34	Total liabilities and net assets/fund balances ........			2,986,450,066	34	3,218,850,057