TY 2020 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) JOHN FOLSOM...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(2) JOHN HALL...................................................................... TREASURER	5.00 ................. 0.00	X	X		0	0
(3) SALLY B LEIGHTON...................................................................... SECRETARY	5.00 ................. 0.00	X	X		0	0
(4) ROB R ROTH MD...................................................................... DIRECTOR, PART YEAR	5.00 ................. 0.00	X			0	0
(5) L DALE SOWELL...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(6) JANINE TERRANO...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(7) DEEDRA WALKEY...................................................................... VICE CHAIR	5.00 ................. 0.00	X	X		0	0
(8) JOHN WIBORG...................................................................... CHAIR	5.00 ................. 0.00	X	X		0	0
(9) ROBERT A YOST...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(10) JOANNA MONROE...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(11) ROBIN THOMASHAUER...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(12) WILLIAM ROBERTSON...................................................................... PRESIDENT & CEO	56.00 ................. 4.00		X		1,839,190	649,879
(13) JAMES MCMANUS...................................................................... CFO	60.00 ................. 0.00		X		750,976	29,783
(14) TIM BRICKER...................................................................... SRVP/EXEC.,PART YEAR	60.00 ................. 0.00			X	1,987,261	15,826
(15) FLORENCE CHANG...................................................................... EXECUTIVE VICE PRESIDENT	60.00 ................. 0.00			X	1,380,625	500,641
(16) DAVID CARLSON...................................................................... SRVP,PROVIDER ENTERPRISES	58.00 ................. 2.00			X	929,176	42,807
(17) DAVID O'BRIEN...................................................................... SRVP/CHIEF EXEC-EAST. WA	60.00 ................. 0.00			X	804,547	29,615

(A) Name and business address	(B) Description of services	(C) Compensation
TRAVEL NURSE ACROSS AMERICA LLC 5020 NORTHSHORE DR N LITTLE ROCK,AZ72118	STAFFING	50,047,779
TACOMA ANESTHESIA ASSOCIATES INC PS 3633 PACIFIC AVE204 TACOMA,WA98418	MEDICAL	16,260,947
AQUITY SOLUTIONS LLC POBOX 746366 ATLANTA,GA30374	HEALTHCARE BUSINESS	13,097,882
PEDIATRICS NW 316 MARTIN LUTHER KING JR WAY TACOMA,WA98405	MEDICAL	9,247,075
TRAUMA TRUST POBOX 5299 TACOMA,WA98415	MEDICAL	8,185,592
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 318

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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 0.015 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 0.035	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

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) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization MULTICARE HEALTH SYSTEM

Part I Contributors	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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization MULTICARE HEALTH SYSTEM		Employer identification number 91-1352172

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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.) $ 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) (2020)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

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) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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

265,750

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

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

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

265,750

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) 2020

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," on 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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2020

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	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

Term endowment SchDMd Bullet

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	115,637,651		115,637,651
b	Buildings ....	2,005,776,398	806,980,451	1,198,795,947
c	Leasehold improvements	132,765,386	86,834,657	45,930,729
d	Equipment ....	1,105,394,193	834,776,284	270,617,909
e	Other .....	64,982,688		64,982,688
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,695,964,924

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on 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	237,612,000	F
(B) LIMITED PARTNERSHIPS-PRIVATE EQUITY	382,322,000	F
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	619,934,000

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1)OTHER ASSETS				350,778,910
(2)ACCRUED PENSION ASSSET, EXECUTIVE CAA, TOP HAT 457(B)				122,428,618
(3)BONDS HELD IN TRUST				117,915
(4)RIGHT OF USE LEASE ASSET, NET				153,456,571
(5)NET INVESTMENT IN LEASE				23,199,802
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				649,981,816

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	669,975,503
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) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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: "ASC SUBTOPIC 740 10, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MHS' CONSOLIDATED FINANCIAL STATEMENTS. THIS TOPIC 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, THIS TOPIC PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. OTHER THAN MEDIS, INC., WHICH IS 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(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME."

Schedule D (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

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? . . . . . .

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) . . .			52,151,058		52,151,058	1.650 %
b	Medicaid (from Worksheet 3, column a) . . . . .			805,076,000	589,258,000	215,818,000	6.820 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			857,227,058	589,258,000	267,969,058	8.470 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	32	61,846	15,639,953	2,605,594	13,034,359	0.410 %
f	Health professions education (from Worksheet 5) . . .	9	104	17,797,890	70,490	17,727,400	0.560 %
g	Subsidized health services (from Worksheet 6) . . . .	28	64,674	63,372,519	24,416,559	38,955,960	1.230 %
h	Research (from Worksheet 7) .	1	1	319,026		319,026	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3	99	1,312,011		1,312,011	0.040 %
j	Total. Other Benefits . .	73	126,724	98,441,399	27,092,643	71,348,756	2.250 %
k	Total. Add lines 7d and 7j .	73	126,724	955,668,457	616,350,643	339,317,814	10.720 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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	219	807,894	100,191	707,703	0.020 %
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	29	7,931,450	1,355,607	19,155	1,336,452	0.040 %
8	Workforce development
9	Other
10	Total	31	7,931,669	2,163,501	119,346	2,044,155	0.060 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

79,486,084

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. ......

2,852,000

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).....

396,405,787

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

463,997,052

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

-67,591,265

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) 2020

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?8Name, 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	MULTICARE 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	MULTICARE GOOD SAMARITAN HOSPITAL (GSH) 401 15TH AVE SE PUYALLUP,WA98372 WWW.MULTICARE.ORG/GOOD-SAMARITAN-HOSPI 00000081	X	X		X		X	A
3	MULTICARE DEACONESS HOSPITAL (DEAC) 800 W 5TH AVENUE SPOKANE,WA99204 WWW.MULTICARE.ORG/DEACONESS-HOSPITAL/ 60769397	X	X				X	A
4	MULTICARE AUBURN MEDICAL CENTER (AUB) 202 NORTH DIVISION STREET AUBURN,WA98001 WWW.MULTICARE.ORG/AUBURN-MEDICAL-CENTE 60311052	X	X				X	A
5	MARY BRIDGE CHILDREN'S HOSPITAL (MBRIDGE) 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405 WWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL 00000175	X	X	X	X		X	A
6	MULTICARE ALLENMORE HOSPITAL (ALLENMORE) 1901 SOUTH UNION TACOMA,WA98411 WWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/ 00000176	X	X				X	A
7	MULTICARE VALLEY HOSPITAL (VALLEY) 12606 EAST MISSION AVE SPOKANE VALLEY,WA99216 WWW.MULTICARE.ORG/VALLEY-HOSPITAL/ 60769398	X	X				X	A
8	MULTICARE COVINGTON HOSPITAL (COV) 17700 SE 272ND ST COVINGTON,WA98042 HTTPS://WWW.MULTICARE.ORG/COVINGTON-ME 60803817	X	X				X	A

Schedule H (Form 990) 2020

Page 4

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

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

6 a

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 19

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

12b

If "Yes" on 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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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)

Was widely publicized 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):

HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/

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

HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized 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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2020

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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: MULTICARE TACOMA GENERAL HOSPITAL (TG), - FACILITY 4: MULTICARE AUBURN MEDICAL CENTER (AUB), - FACILITY 6: MULTICARE ALLENMORE HOSPITAL (ALLENMORE), - FACILITY 7: MULTICARE VALLEY HOSPITAL (VALLEY), - FACILITY 8: MULTICARE COVINGTON HOSPITAL (COV), - FACILITY 3: MULTICARE DEACONESS HOSPITAL (DEAC), - FACILITY 2: MULTICARE GOOD SAMARITAN HOSPITAL (GSH), - FACILITY 5: MARY BRIDGE CHILDREN'S HOSPITAL (M.BRIDGE)
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 5:	MULTICARE HEALTH SYSTEM (MULTICARE) WORKED WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, PUBLIC HEALTH - SEATTLE AND KING COUNTY, AND THE SPOKANE REGIONAL HEALTH DISTRICT TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OF ITS HOSPITAL SERVICE AREAS, FEATURING INPUT FROM COMMUNITY LEADERS AND RESIDENTS REPRESENTING MULTIPLE SECTORS AND POPULATION GROUPS. THE CHNA INCLUDES PRIMARY DATA GATHERED FROM A COMMUNITY SURVEY, WORKSHOPS AND STAKEHOLDER INTERVIEWS, IN ADDITION TO INFORMATION COLLECTED FROM SECONDARY QUANTITATIVE SOURCES.COMMUNITY SURVEY: MORE THAN 1,600 PIERCE COUNTY AND SOUTH KING COUNTY RESIDENTS WERE SURVEYED ABOUT THEIR COMMUNITY HEALTH NEEDS. THE SURVEY, CONDUCTED, IN 2018, SOUGHT RESIDENTS' VIEWS ON HEALTH STATUS, CRIME & SAFETY, SOCIAL CONNECTEDNESS, HEALTHCARE, AND OTHER ISSUES THAT IMPACT THE QUALITY OF LIFE.COMMUNITY ENGAGEMENT PROCESS:TO COMPLEMENT THE COMMUNITY SURVEY, A COMMUNITY ENGAGEMENT PROCESS FURTHER SOLICITED INPUT FROM THE PUBLIC. THE PROCESS INCLUDED THREE STAGES: CONDUCTING KEY LEADER INTERVIEWS, NOTING OVERARCHING THEMES, HOLDING COMMUNITY WORKSHOPS, DOCUMENTING THE MOST IMPORTANT ISSUES PER RESIDENTS AND INVITING KEY STAKEHOLDERS TO REFLECT ON AND PRIORITIZE HEALTH NEEDS FOR EACH OF THE MULTICARE'S HOSPITALS. THE GROUPS WERE FACILITATED BY THE HEALTH DEPARTMENT AND MULTICARE HEALTH SYSTEM.KEY LEADER INTERVIEWS: A SERIES OF INTERVIEWS WERE HELD TO SOLICIT INPUT ON THE STRENGTHS, ASSETS, RESOURCES, AND HEALTH PRIORITIES IN THE MULTICARE HOSPITAL SERVICE AREAS. TEN INTERVIEWS WERE CONDUCTED WITH 12 PIERCE COUNTY ORGANIZATIONAL LEADERS ACROSS 7 SECTORS. MANY OF THESE LEADERS REPRESENTED COMMUNITY ORGANIZATIONS THAT SERVE LOW-INCOME AND MINORITY RESIDENTS. THE QUESTIONS ASKED INCLUDED: 1. WHAT ARE SOME NOTEWORTHY PEOPLE, PLACES AND ACTIVITIES THAT YOU FEEL MAKE YOUR COMMUNITY HEALTHY, SAFE AND EQUITABLE? 2. WHAT ARE SOME CONCERNS YOU OR YOUR ORGANIZATION HAS/HAVE ABOUT THE CONDITIONS THAT IMPACT THE HEALTH OF PIERCE COUNTY RESIDENTS RIGHT NOW? 3. IN YOUR OPINION, HOW CAN HEALTH CARE SYSTEMS PARTNER IN ADDRESSING THE ISSUES YOU HAVE IDENTIFIED?COMMUNITY WORKSHOPS TEN COMMUNITY WORKSHOPS WERE HELD THROUGHOUT PIERCE COUNTY. PARTICIPANTS WERE ASKED TO CONSIDER THE FOLLOWING QUESTIONS: 1. WHAT DO YOU THINK MAKES AN "IDEAL" COMMUNITY OR NEIGHBORHOOD?2. WHAT NEEDS TO CHANGE ABOUT YOUR COMMUNITY OR NEIGHBORHOOD?THE WORKSHOPS REPRESENTED DIVERSE POPULATION GROUPS, INCLUDING LOW INCOME RESIDENTS, PEOPLE OF DIFFERENT AGES, PEOPLE OF DIFFERENT RACE/ETHNICITY, AND THOSE AFFECTED BY HEALTH DISPARITIES.INTERNAL STAKEHOLDER REVIEW MEETINGS:FINALLY, THE ASSESSMENT PROCESS INVOLVED INVITING KEY LEADERS AT MULTICARE TO REVIEW THE RESULTS OF THE PREVIOUS COMMUNITY INPUT, AS WELL AS RELEVANT HEALTH INDICATOR DATA (MAY 2019). DURING THESE MEETINGS EXECUTIVES, PHYSICIAN, NURSES, AND OUTPATIENT LEADERS WERE PRESENTED WITH THE SELECTED HEALTH PRIORITIES FOR EACH HOSPITAL, AS DETERMINED BY THE RESPECTIVE HEALTH DEPARTMENTS USING THE FOLLOWING CRITERIA:1. WAS THE HEALTH CONCERN OR INDICATOR SIGNIFICANTLY WORSE IN THE HOSPITAL SERVICE AREA THAN IN THE STATE?2. WAS THE HEALTH CONCERN TRENDING WORSE OVER TIME?3. WAS A HEALTH CONCERN REPEATEDLY VOICED DURING THE COMMUNITY ENGAGEMENT PORTION OF THE ASSESSMENT?4. DOES THE HEALTH CONCERN HAVE HEALTH INEQUITIES ASSOCIATED WITH RACE, ETHNICITY OR GENDER?THE KEY COMMUNITY LEADERS & ORGANIZATIONS INVOLVED IN THE 2019 SURVEY INCLUDE:CINDAN GIZZI, COMMUNITY ASSESSMENT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,KAREN MEYER, COMMUNITY LIAISON SPECIALIST, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,INGRID PAYNE, PROJECT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,EMILY TURK, PROGRAM ANALYST, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,PETER ANSARA, PIERCE COUNTY HUMAN SERVICES, MARY CHIKWINYA, TACOMA COMMUNITY COLLEGE, DIANA COMFORT, BIG BROTHERS BIG SISTERS OF PUGET SOUND,HOLLY NEWMAN DZYBAN, BIG BROTHERS BIG SISTERS OF PUGET SOUND, SUE DREIER, PIERCE TRANSIT, LAURIE JINKINS, WASHINGTON STATE REPRESENTATIVE 27TH LEGISLATIVE DISTRICT,NEIL JOHNSON, MAYOR OF BONNEY LAKE, BEV LOSEY, BROWN & BROWN INSURANCE, CHRISTINE LYNCH AND DEREK MURPHY, OLALLA RECOVERY CENTERS/GIG HARBOR RECOVERY CENTER,EDIE MORGAN, MUSTARDSEED PROJECT, DEIRDRE RAYNOR, UNIVERSITY OF WASHINGTON TACOMA, CHUCK WEST, KEY PENINSULA FIRE DEPARTMENT,EATONVILLE COMMUNITY COALITION,EATONVILLE EXCEPTIONAL FAMILIES NETWORK,LAKEWOOD FIFE-MILTON-EDGEWOOD FOOD BANK,FIFE GRAHAM COMMUNITY COALITION,GRAHAM HILLTOP NEIGHBORHOOD RESIDENTS,TACOMA KEY PENINSULA VIOLENCE PREVENTION COALITION,LAKEBAY NURSE FAMILY PARTNERSHIP SUPPORT GROUP,LAKEWOOD PRAIRIE RIDGE COMMUNITY DINNER-PRAIRIE RIDGE, RAINBOW CENTER TACOMA, SAMOAN RESIDENTS, EASTSIDE TACOMA,GLORIA ALBETTA, PUBLIC HEALTH- SEATTLE & KING COUNTY, KAYLIN BOLT, PUBLIC HEALTH- SEATTLE & KING COUNTY, ANNE BUHER, PUBLIC HEALTH- SEATTLE & KING COUNTY,LOUISE CARTER, PUBLIC HEALTH- SEATTLE & KING COUNTY, NADINE CHAN, PUBLIC HEALTH- SEATTLE & KING COUNTY, SUSAN HERNANDEZ, PUBLIC HEALTH- SEATTLE & KING COUNTY, JOIE HSU, PUBLIC HEALTH- SEATTLE & KING COUNTY, ELI KERN, PUBLIC HEALTH- SEATTLE & KING COUNTY, SUSAN KINNE, PUBLIC HEALTH- SEATTLE & KING COUNTY, AMY LAURENT, PUBLIC HEALTH- SEATTLE & KING COUNTY, JAY MARSHALL, PUBLIC HEALTH- SEATTLE & KING COUNTY, ALASTAIR MATHESON, PUBLIC HEALTH- SEATTLE & KING COUNTY, MARGUERITE RO,PUBLIC HEALTH- SEATTLE & KING COUNTY, SARA JAYE SANFORD, PUBLIC HEALTH- SEATTLE & KING COUNTY, MIKE SMYSER, PUBLIC HEALTH- SEATTLE & KING COUNTY, LIN SONG, PUBLIC HEALTH- SEATTLE & KING COUNTY, KIM TIPPENS, PUBLIC HEALTH- SEATTLE & KING COUNTY, MARIKO TOYOJI, PUBLIC HEALTH- SEATTLE & KING COUNTY, EVA WONG, PUBLIC HEALTH- SEATTLE & KING COUNTY, STACY WENZL, ASSOCIATE DIRECTOR OF COMMUNITY HEALTH, SPOKANE REGIONAL HEALTH DISTRICT, STEVEN SMITH, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, ASHLEY BECK, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, AMY RIFFE, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, AMBER LENHART, SPOKANE REGIONAL HEALTH DISTRICT, DANIELLE WRENN, SPOKANE REGIONAL HEALTH DISTRICT.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH MORE HOSPITAL FACILITIES, AS FOLLOWS:MULTICARE TACOMA GENERAL HOSPITAL,MULTICARE GOOD SAMARITAN HOSPITAL,MULTICARE AUBURN MEDICAL CENTER,MULTICARE ALLENMORE HOSPITAL,MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL,MULTICARE DEACONESS HOSPITAL,MULTICARE VALLEY HOSPITAL,MULTICARE COVINGTON HOSPITAL.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 6B:	THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN THE HOSPITAL FACILITIES AS FOLLOWS:TACOMA PIERCE COUNTY HEALTH DEPARTMENT,CHI FRANSISCAN HEALTH,PUBLIC HEALTH SEATTLE KING COUNTY,KING COUNTY HOSPITALS FOR A HEALTHY COMMUNITY,SPOKANE REGIONAL HEALTH DISTRICT,PRIORITY SPOKANE.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 7D:	THE CHNA IS BROADLY DISTRIBUTED TO COMMUNITY PARTNERS, WHO SHARE THESE REPORTS INTERNALLY AND EXTERNALLY THROUGH A COMPUTER-BASED LEARNING MODULE AVAILABLE TO MULTICARE EMPLOYEES AND THROUGH PRESENTATIONS WITH COMMUNITY GROUPS, INCLUDING LOCAL UNIVERSITIES, COMMUNITY SERVICE ORGANIZATIONS, COMMUNITY COALITIONS, REGIONAL BOARDS AND COUNCILS, HOSPITAL LEADERS, AND DEPARTMENTAL STAFF.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 11:	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY & IDENTIFIED THROUGH THE CHNA. THEY ARE AS FOLLOWS: ACCESS TO CARE: ALLENMORE, GOOD SAMARITAN, TACOMA GENERAL, MARY BRIDGE CHILDREN'S, DEACONESS & VALLEY HOSPITALS, AUBURN & COVINGTON MEDICAL CENTERS, BEHAVIORAL HEALTH.CANCER: GOOD SAMARITAN HOSPITAL. CHILDHOOD IMMUNIZATIONS: BOTH AUBURN & COVINGTON MEDICAL CENTERS, MARY BRIDGE CHILDREN'S HOSPITAL.INJURIES (UNINTENTIONAL): ALLENMORE, GOOD SAMARITAN & TACOMA GENERAL HOSPITALS.INTENTIONAL INJURIES (SUICIDE & VIOLENCE): DEACONESS & VALLEY HOSPITALS.MATERNAL & CHILD HEALTH: ALLENMORE , MARY BRIDGE CHILDREN'S & TACOMA GENERAL HOSPITALS.OBESITY: ALLENMORE, GOOD SAMARITAN, TACOMA GENERAL & DEACONESS HOSPITALS.YOUTH OBESITY: MARY BRIDGE CHILDREN'S HOSPITAL.ORAL HEALTH CARE (POVERTY): DEACONESS & VALLEY HOSPITALS.PHYSICAL HEALTH SPECIFICALLY OBESITY, CANCER AND DIABETES: AUBURN & COVINGTON MEDICAL CENTERS.DIABETES: VALLEY HOSPITAL.SMOKING: DEACONESS HOSPITAL.HOUSING & HOMELESSNESS: AUBURN & COVINGTON MEDICAL CENTERS. DUE TO LIMITED RESOURCES AND EXPERTISE, THE HOSPITALS LEADERSHIPS DECIDED NOT TO ADDRESS THESE NEEDS.MATERNAL AND CHILD HEALTH: ALLENMORE. SINCE THE HOSPITAL DOES NOT OFFER MATERNAL AND CHILD HEALTH SERVICES, NOR HAS EXPERTISE IN THIS SPECIALTY, THE HOSPITAL WILL NOT ADDRESS THIS NEED.DIABETES, SMOKING, OBESITY: DUE TO LIMITED RESOURCES AND EXPERTISE, VALLEY HOSPITAL LEADERSHIP DECIDED NOT TO ADDRESS DIABETES AND OBESITY, AND DEACONESS HOSPITAL LEADERSHIP DECIDED NOT TO ADDRESS SMOKING.CANCER: ALTHOUGH AUBURN AND COVINGTON MEDICAL CENTERS WILL FOCUS ON PHYSICAL HEALTH, THEY WILL NOT SPECIFICALLY ADDRESS CANCER BECAUSE THE HOSPITALS DO NOT SPECIALIZE IN CANCER CARE.THE FOLLOWING STRATEGIES WILL BE EMPLOYED TO ADDRESS THE IDENTIFIED COMMUNITY NEEDS:ACCESS TO CARE- 1. CONTINUE TO SUPPORT MEDICAL TEAMS INTERNATIONAL'S MOBILE DENTAL PROGRAM THROUGH ON-SITE CLINICS, REFERRALS AND SHARED MARKETING EFFORTS. 2.EXPLORE INCREASED SHARED MARKETING EFFORTS - THROUGH SOCIAL MEDIA, WEBSITE LINKS, DISTRIBUTION OF MATERIALS AND ATTENDANCE AT COMMUNITY EVENTS - TO PROMOTE LINDQUIST DENTAL CLINIC FOR CHILDREN (LDCC). 3. EXPLORE THE CREATION OF AN EPIC SMARTPHRASE TO REFER YOUTH IN NEED TO LDCC. 4. EXPLORE PARTNERSHIPS BETWEEN LDCC AND MULTICARE WIC CLINICS, PRENATAL AND PRIMARY CARE, AND OTHER DEPARTMENTS AND PROGRAMS. 5. SUPPORT MULTICARE VIRTUAL CARE SERVICES FOR COMMUNITY MEMBERS. 6. SUPPORT MULTICARE'S DISPATCH HEALTH SERVICES TO PROVIDE ON-DEMAND, IN-PERSON HOME CARE TO PATIENTS LIVING IN TACOMA OR PIERCE COUNTY.7. CONTINUE TO SUPPORT THE PRESCRIPTION DRUG ASSISTANCE NETWORK FOR LOW-INCOME INDIVIDUALS. 8. PROMOTE THE AUBURN RESPITE PROGRAM TO ASSIST DEPENDENT SENIORS. 9.CONTINUE TO SUPPORT THE SEATTLE/KING COUNTY CLINIC.ACCESS TO CARE- MULTICARE'S VIRTUAL HEALTH IMPACT PLAYED A SIGNIFICANT ROLE IN THE SYSTEM'S RESPONSE TO THE COVID-19 PANDEMIC. OUR ON-DEMAND VIRTUAL URGENT CARE SERVICE WAS OFFERED FOR FREE TO THE COMMUNITY AS A PUBLIC HEALTH SCREENING SERVICE STARTING IN EARLY MARCH. AS A RESULT, VOLUMES SKYROCKETED FROM 25-35 COMPLETED VISITS A DAY TO AS MANY AS 950 IN A GIVEN DAY, AND THE TEAM ADDED DOZENS OF PER DIEM PROVIDERS TO HELP STAFF THE SERVICE/MEET DEMAND. PROMOTING VIRTUAL URGENT CARE WAS A PUBLIC-HEALTH-CONSCIOUS STRATEGY THAT MINIMIZED RISK OF EXPOSURE TO COVID-19 FOR OUR PATIENTS, PROVIDERS, AND STAFF, CALMING THE WORRIED WELL AND TRIAGING THE COMMUNITY TO THE MOST APPROPRIATE SITE OF CARE. MEDICAL TEAM INTERNATIONAL WAS ABLE TO CONTINUE PROVIDING DENTAL SERVICES AS WELL AS TRANSITION ITS STRATEGY TO SUPPORT WITH PROVIDING COVID-19 RELATED SERVICES. DESPITE THE REFOCUS OF STRATEGY, MEDICAL TEAMS INTERNATIONAL WAS ABLE TO PROVIDE SERVICES TO 225 INDIVIDUALS. MULTICARE CONTINUED SUPPORTING AND PROVIDING ON-DEMAND, IN PERSON SERVICES THROUGH DISPATCH HEALTH. DESPITE THE INCREASE IN VIRTUAL SERVICES AND ACCESS TO CARE, COMMUNITY PARTNERS SUCH AS LINDQUIST DENTAL CLINICAL WERE FORCED TO HALT SERVICES DUE TO THE PANDEMIC. OTHER MULTICARE PROGRAMS RELATED TO THIS PRIORITY HEALTH NEED WERE ALSO HALTED OR TRANSITIONED VIRTUALLY. BEHAVIORAL HEALTH- BEHAVIORAL HEALTH SERVICES MOVED TO VIRTUAL DURING PANDEMIC AND ABOUT 80% OF ALL BEHAVIORAL HEALTH SERVICES BEING TELEHEALTH. MULTICARE'S BEHAVIORAL HEALTH ASSESSMENT TEAM WAS ENLARGED AND TELEPHONIC SERVICES APPROVED BY MEDICAID. QUARTET HEALTH WAS IMPLEMENTED TO HELP GENERATE ADVANCED INSIGHTS ON THE POPULATIONS THAT WE SERVE AND HELP SURVEY BEHAVIORAL HEALTH RESOURCES AMONG COMMUNITY PARTNERS. IN ADDITION, IN ORDER TO SHARE BEHAVIORAL RESOURCES WITH OUR COMMUNITY, WE UPDATED THE ROCKWOOD BEHAVIORAL HEALTH WEB PAGE WITH AN EXTENSIVE LIST OF BEHAVIORAL HEALTH RESOURCES TO SHARE WITH COMMUNITY MEMBERS AND COMMUNITY PARTNERS. CANCER- MULTICARE PERFORMED GENETIC SCREENING OF THE BRACA1 AND BRACA2 GENE FOR 162 PATIENTS AND INCORPORATED HIGHER RATES OF SMOKING CESSATION COUNSELING INTO PROVIDER VISITS. DURING QUARTER 2 OF 2020, THE PERCENTAGE OF PROVIDERS PERFORMING SMOKING CESSATION COUNSELING AT LEAST ONCE PER YEAR WAS 56.2%, BY THE END OF THE YEAR, THIS RATE INCREASED TO 75.7%. ADDITIONALLY, EFFORTS TO INCREASE HPV VACCINATION RATES WERE ALSO INCREASED THROUGH INCREASED PROMOTION OF HPV THROUGH MARKETING CHANNELS SUCH AS SOCIAL MEDIA. CHILDHOOD IMMUNIZATIONS- THE MARY BRIDGE MOBILE IMMUNIZATION CLINIC PROVIDED 3,031 CHILDHOOD VACCINES TO CHILDREN AGED 0-18 IN PIERCE COUNTY. THE CLINIC SAW FEWER PATIENTS THIS YEAR DUE TO THE COVID-19 PANDEMIC. INJURIES (UNINTENTIONAL) - MULTICARE SUPPORTED STOP THE BLEED WA BY IMPLEMENTING THE STOP THE BLEED ONLINE LEARNING MODULE. THE NUMBER OF INDIVIDUALS THAT COMPLETED THIS LEARNING MODULE DECREASED FROM 174 TO 112 DUE TO THE PANDEMIC. ADDITIONALLY, 4 FALL PREVENTION TRAININGS WERE PROVIDED AND 131 INDIVIDUALS WERE PROVIDED TRAUMA EDUCATION IN 2020, WHICH WAS HIGHER THAN THE NUMBER OF INDIVIDUALS WHO COMPLETED THE TRAINING IN 2019. ALTHOUGH SOME PROGRAMS WERE AFFECTED BY THE PANDEMIC, THEY STILL CONTINUED THROUGHOUT 2020. INJURIES (INTENTIONAL)MULTICARE IMPLEMENTED THE 5 FACETS OF SAFTEY TRAINING TO TRAIN DISCHARGE STAFF ABOUT VARIOUS TOPICS SURROUNDING DISCHARGE SAFETY. ADDITIONALLY, MULTICARE IMPLEMENTED JASPR, A TABLET-BASED SUICIDE PREVENTION APP, AND AN EMERGENCY DEPARTMENT SUICIDE SCREENING TRACER, AS WELL AS ENVIRONMENTAL SAFETY CHANGES TO BETTER IMPROVE SUICIDE SCREENING. LASTLY, SEVERAL DOMESTIC VIOLENCE TRAININGS WERE HELD.MATERNAL AND CHILD HEALTH - DUE TO THE PANDEMIC, MATERNAL AND CHILD HEALTH PROGRAM DEVELOPMENT WAS RESTRAINED. REGARDING CHILD SAFETY AND SAFE SLEEP RELATED PROGRAMS, OUR SERVICES TRANSITIONED FROM IN PERSON TO VIRTUAL. THIS INCLUDES OUR VIRTUAL CAR SEAT CHECKS (TEACHING CORRECT CAR SEAT USAGE OVER VIDEO CHAT, USING THE LIFESIZE PLATFORM) AND OUR STAFF TRAININGS WHICH HAVE BEEN CONDUCTED OVER WEBEX.OBESITY - SEVERAL OBESITY RELATED PROGRAMS WERE HINDERED BY THE PANDEMIC, BUT SOME OF THE PROGRAMS MANAGED TO TRANSITION VIRTUALLY OR CONTINUE. THE EMPOWERING PREGNANCY AND MOTHERHOOD PROGRAM HOSTED 2 COHORTS. MULTICARE APPLIED FOR SEVERAL HEALTH-RELATED GRANTS, SUCH AS THE ALBERTSON'S NOURISHING NEIGHBORS GRANT, WHICH ALLOWED FOR DISTRIBUTION OF GIFT CARDS FOR COMMUNITY MEMBERS TO PURCHASE HEALTHY FOOD. MULTICARE ALSO COLLABORATED WITH SEVERAL COMMUNITY PARTNERS ON FOOD RELATED PROJECTS AND GRANTS TO BETTER ADDRESS FOOD INSECURITY IN OUR COMMUNITIES. YOUTH OBESITY- MULTICARE APPLIED FOR AND RECEIVED THE SNAP-ED GRANT TO PROVIDE YOUTH OBESITY RELATED PROGRAMS. ADDITIONALLY, PROMOTION OF THE READY, SET, GO! 5210 (RSG! 5210) PROGRAM CONTINUED. MANY OTHER PROGRAMS TARGETING THIS SPECIFIC NEED WERE AFFECTED BY THE PANDEMIC.PHYSICAL HEALTH - DUE TO THE PANDEMIC MULTICARE'S HYPERTENSION GUIDELINE WAS HALTED, AS WELL AS OTHER PROGRAMS RELATED TO THIS NEED. MANY PHYSICAL HEALTH COMMUNITY RELATED EVENTS TURNED VIRTUAL OR WERE ALSO HALTED. ORAL HEALTH (POVERTY)- ORAL HEALTH PROGRAMS WERE AFFECTED BY THE PANDEMIC, AND MOST ORAL HEALTH RELATED WORK HAD TO BE PAUSED IN 2020.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV PART V, SECTION B, LINE 16J:	MULTICARE'S TACOMA GENERAL, GOOD SAMARITAN, AUBURN, ALLENMORE, MARY BRIDGE, DEACONESS, VALLEY AND COVINGTON HOSPITALS: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.LINE 16ITHE FAP AND THE PLAIN LANGUAGE SUMMARY ARE TRANSLATED IN THE MULTICARE PATIENT GUIDE IN 3 LANGUAGES AND CAN BE FOUND AT: HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/PLEASE SELECT THE LINK TO THE FINANCIAL ASSISTANCE POLICY ON THE LEFT SIDE OF THE WEB PAGE.THE FAP APPLICATION IS TRANSLATED IN 18 LANGUAGES AND CAN BE FOUND AT:HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/PLEASE SELECT THE LINK TO FINANCIAL ASSISTANCE FORMS ON THE LEFT SIDE OF THE WEB PAGE.MULTICARE HEALTH SYSTEM HAS TRANSLATED ITS FA POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS.
PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

Schedule H (Form 990) 2020

Page 9

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?105
Name and address		Type of Facility (describe)
1	1 - COVINGTON AMBULATORY SURGERY CENTER &UCC 17700 SE 272 STREET COVINGTON,WA98042	OP SURGERY, RX, LAB, URGENT CARE
2	2 - KENT CLINIC 222 STATE AVE NORTH KENT,WA98031	FAMILY MEDICINE
3	3 - GIG HARBOR MEDICAL PARK & UCC 4545 POINT FOSDICK DRIVE GIG HARBOR,WA98335	OP SURG,RX,LAB,ONCOLOGY,URGENT CARE
4	4 - AUBURN IMAGING & URGENT CARE CENTER 202 CROSS STREET SE AUBURN,WA98001	IMAGING, URGENT CARE
5	5 - AUBURN VASCULAR LAB 202 N DIVISION ST SUITE 300-301 AUBURN,WA98001	VASCULAR LAB
6	6 - TACOMA FAMILY MEDICINE 521 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
7	7 - OBSTETRICS ACCESS CLINIC 522 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
8	8 - MULTICARE OBGYN ASSOCIATES 523 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
9	9 - PODIATRY CLINIC 524 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
10	10 - MATERNAL FETAL MEDICINE 524 MARTIN LUTHER KING JR WAY TACOMA,WA98405	OP PHYSICIAN CLINIC
11	11 - SILVERDALE CLINIC 1780 NW MYRTLE RD SUITE G220 SILVERDALE,WA98383	OP PHYSICIAN CLINIC
12	12 - OLYMPIA CLINIC 200 LILLY ROAD NE BUILDING C OLYMPIA,WA98506	OP PHYSICIAN CLINIC
13	13 - PUYALLUP CLINIC 1803 SOUTH MERIDIAN SUITE B PUYALLUP,WA98371	OP PHYSICIAN CLINIC
14	14 - CHILDREN'S THERAPY UNIT 402 15TH AVE SE PUYALLUP,WA98372	OUTPATIENT CHILDREN'S THERAPY UNIT
15	15 - HEALTH RESOURCE CENTER 2622 S MERIDIAN PUYALLUP,WA98372	OP PHYSICIAN CLINIC
16	16 - CARDIAC REHABILITATION CENTER 16515 MERIDIAN E SUITE 200B PUYALLUP,WA98372	CARDIAC REHABILITATION
17	17 - PET-CT CLINIC 400 15TH AVE SE PUYALLUP,WA98372	IMAGING TESTING FACILITY
18	18 - MULTICARE REGIONAL CANCER CENTER AUBURN 121 N DIVISION ST STE 100 AUBURN,WA98001	OP PHYSICIAN CLINIC
19	19 - MARY BRIDGE WOMAN'S & CHILDREN'S CLINIC 3504 12TH AVE NW OLYMPIA,WA98506	OP PHYSICIAN CLINIC
20	20 - MULTICARE ORTHO&SPORTS MEDICINE MOUNTAIN 1550 S UNION AVE STE 210 TACOMA,WA98405	OP SURG,RX,LAB, CHIRO
21	21 - MULTICARE WEST TACOMA CLINIC & UCC 2209 N PEARL ST STE 100 TACOMA,WA98406	OP SURG,RX,LAB, CHIRO
22	22 - MULTICARE FREDERICKSON CLINIC 5612 176TH STREET FEDERAL WAY,WA98375	PRIMARY CARE PRACTICE
23	23 - MULTICARE KENT UCC & HEALTHWORKS 222 STATE AVE N KENT,WA98030	URGENT CARE CLINIC AND OCC MEDICINE
24	24 - MULTICARE LAKEWOOD UCC & HEALTHWORKS 5700 100TH ST SW LAKEWOOD,WA98499	URGENT CARE CLINIC AND OCC MEDICINE
25	25 - MULTICARE SPANAWAY URGENT CARE 225 176TH ST S SPANAWAY,WA98387	URGENT CARE CLINIC
26	26 - MULTICARE UNIVERSITY PLACE URGENT CARE 4310 BRIDGEPORT WAY W UNIVERSITY PLACE,WA98466	URGENT CARE CLINIC
27	27 - MARY BRIDGE PED OUTPATIENT-GIG HARBOR 4700 PT FOSDICK DR NW GIG HARBOR,WA98335	URGENT CARE CLINIC
28	28 - MARY BRIDGE PED OUTPATIENT-OLYMPIA 3504 12TH AVENUE NE OLYMPIA,WA98506	URGENT CARE CLINIC
29	29 - MULTICARE MAPLE VALLEY CLINIC 24080 SE KENT KANGLEY ROAD MAPLE VALLEY,WA98038	OP PHYSICIAN CLINIC
30	30 - MULTICARE EATONVILLE FAMILY PRACTICE 118 WASHINGTON AVE N EATONVILLE,WA98328	OP PHYSICIAN CLINIC
31	31 - MULTICARE ORTHOPEDIC SPINE AND HAND 1450 5TH ST SE STE 4200 PUYALLUP,WA98372	OP SURG,RX,LAB, CHIRO
32	32 - MULTICARE ORTHOPEDICS & SPORTS AUBURN 121 N DIVISION ST STE 310 AUBURN,WA98001	OP SURG,RX,LAB, CHIRO
33	33 - MULTICARE HEALTHWORKS KENT 6719 S 211TH AT STE 102 KENT,WA98032	OCCUPATIONAL MEDICINE CLINIC
34	34 - MULTICARE HEALTHWORKS FIFE 502 54TH AVE E FIFE,WA98424	OCCUPATIONAL MEDICINE CLINIC
35	35 - MULTICARE HEALTHWORKS TACOMA 3124 S 19TH ST TACOMA,WA98405	OCCUPATIONAL MEDICINE CLINIC
36	36 - MULTICARE GOOD SAMARITAN CANCER CENTER 1519 4TH ST SE PUYALLUP,WA98371	OP SURG,RX,LAB,ONCOLOGY,URGENT CARE
37	37 - MULTICARE BONNEY LAKE WIC CLINIC 10004 204TH AVE SE BONNEY LAKE,WA98391	WOMEN,INFANT,CHILD CLINIC
38	38 - MULTICARE INDIGO TACOMA 1812 S MILDRED ST STE H TACOMA,WA98465	URGENT CARE CLINIC
39	39 - MULTICARE INDIGO TUKWILLA 17275 SOUTHCENTER PKWY STE 160 TUKWILLA,WA98188	URGENT CARE CLINIC
40	40 - MULTICARE INDIGO MILL CREEK 800 164TH ST SE STE P MILL CREEK,WA98012	URGENT CARE CLINIC
41	41 - MULTICARE INDIGO SEATTLE 118 NE 45TH ST SUITE A SEATTLE,WA98105	URGENT CARE CLINIC
42	42 - MULTICARE INDIGO BOTHELL 24118 BOTHELL EVERETT HWY BUILDING E SU BOTHELL,WA98021	URGENT CARE CLINIC
43	43 - MULTICARE INDIGO ISSAQUAH 6140 E LAKE SAMMAMISH PKWY SE SUITE F ISSAQUAH,WA98029	URGENT CARE CLINIC
44	44 - MULTICARE INDIGO COVINGTON 27111 167TH PL SE SUITES 101 103 105 COVINGTON,WA98042	URGENT CARE CLINIC
45	45 - MULTICARE INDIGO LAKE STEVENS 809 VERNON RD LAKE STEVENS,WA98258	URGENT CARE CLINIC
46	46 - MULTICARE INDIGO OLYMPIA 345 COOPER POINT RD NW STE 10 OLYMPIA,WA98502	URGENT CARE CLINIC
47	47 - MULTICARE INDIGO PUYALLUP 15125 MERIDIAN AVE E STE 101 PUYALLUP,WA98375	URGENT CARE CLINIC
48	48 - MULTICARE INDIGO KIRKLAND 12475 TOTEM LAKE BLVD NE KIRKLAND,WA98034	URGENT CARE CLINIC
49	49 - MULTICARE INDIGO LACEY 5128 YELM HWY D5128 STE DF LACEY,WA98503	URGENT CARE CLINIC
50	50 - MULTICARE IMMEDIATE SEATTLE CAPITOL HILL 1512 BROADWAY SEATTLE,WA98122	URGENT CARE CLINIC
51	51 - MULTICARE IMMEDIATE SEATTLE QUEEN ANNE 610 - 1ST AVENUE NORTH SEATTLE,WA98109	URGENT CARE CLINIC
52	52 - MULTICARE IMMEDIATE SEATTLE CROWN HILL 9000 HOLMAN ROAD NW SUITE A1 SEATTLE,WA98117	URGENT CARE CLINIC
53	53 - MULTICARE IMMEDIATE SEATTLE-LAKE CITY 3050 NE 127TH STREET SEATTLE,WA98125	URGENT CARE CLINIC
54	54 - MULTICARE IMMEDIATE SHORELINE 20120 BALLINGER WAY NE SHORELINE,WA98155	URGENT CARE CLINIC
55	55 - MULTICARE IMMEDIATE BURIEN 15870-1ST AVE 15870 - 1ST AVENUE SOUTH BURIEN,WA98148	URGENT CARE CLINIC
56	56 - MULTICARE IMMEDIATE BURIEN 15500-1ST AVE 15500 - 1ST AVENUE SOUTH 106 BURIEN,WA98148	URGENT CARE CLINIC
57	57 - MULTICARE IMMEDIATE BELLEVUE 15600 NE 8TH STREET SUITE A-4 BELLEVUE,WA98008	URGENT CARE CLINIC
58	58 - MULTICARE IMMEDIATE KIRKLAND 13718 - 100TH AVENUE EAST KIRKLAND,WA98034	URGENT CARE CLINIC
59	59 - MULTICARE IMMEDIATE REDMOND 13131 NE 85TH STREET KIRKLAND,WA98033	URGENT CARE CLINIC
60	60 - MULTICARE IMMEDIATE BOTHELL 23131 BOTHELL EVERETT HWY BOTHELL,WA98021	URGENT CARE CLINIC
61	61 - MULTICARE IMMEDIATE LYNWOOD 4725 - 196TH STREET LYNNWOOD,WA98036	URGENT CARE CLINIC
62	62 - MULTICARE IMMEDIATE EVERETT 607 SE EVERETT MALL WAY SUITE 2 EVERETT,WA98208	URGENT CARE CLINIC
63	63 - MULTICARE IMMEDIATE POULSBO 20730 BOND ROAD NE SUITE 205 POULSBO,WA98370	URGENT CARE CLINIC
64	64 - MULTICARE INDIGO RAINIER 3820 RAINIER AVE S SEATTLE,WA98118	URGENT CARE CLINIC
65	65 - MULTICARE INDIGO POINT RUSTON 5005 RUSTON WAY TACOMA,WA98407	URGENT CARE CLINIC
66	66 - MULTICARE INDIGO FEDERAL WAY 31861 GATEWAY CENTER BLVD S FEDERAL WAY,WA98003	URGENT CARE CLINIC
67	67 - MULTICARE INDIGO SOUTH HILL 4911 SOUTH REGAL STREET SPOKANE,WA99223	URGENT CARE CLINIC
68	68 - MULTICARE INDIGO SPOKANE VALLEY 15605 E SPRAGUE AVE SPOKANE,WA99223	URGENT CARE CLINIC
69	69 - MULTICARE INDIGO NORTH SPOKANE 9420 NORTH NEWPART HWY SPOKANE,WA99218	URGENT CARE CLINIC
70	70 - MULTICARE ROCKWOOD URGENT CARE DOWNTOWN 400 E 5TH AVE SPOKANE,WA99202	URGENT CARE CLINIC
71	71 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC 1706 S MERIDIAN PUYALLUP,WA98371	URGENT CARE CLINIC
72	72 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC 11102 SUNRISE BLVD PUYALLUP,WA98374	URGENT CARE CLINIC
73	73 - MULTICARE PUYALLUP URGENT CARE 220 15TH AVE SE PUYALLUP,WA98372	URGENT CARE CLINIC
74	74 - MULTICARE ROCKWOOD CHENEY 19 NORTH STREET CHENEY,WA99004	PRIMARY CARE PRACTICE
75	75 - MULTICARE ROCKWOOD DEER PARK 20 E J ST DEER PARK,WA99006	PRIMARY CARE PRACTICE
76	76 - MULTICARE ROCKWOOD LIBERTY LAKE 1326 N STANFORD LIBERTY LAKE,WA99019	PRIMARY CARE PRACTICE
77	77 - MULTICARE ROCKWOOD MEDICAL LAKE 725 N STANLEY ST MEDICAL LAKE,WA99022	PRIMARY CARE PRACTICE
78	78 - MULTICARE ROCKWOOD NORTHPOINTE 605 E HOLLAND STREET SPOKANE,WA99218	PRIMARY CARE PRACTICE
79	79 - MULTICARE ROCKWOOD PRAIRIE FAMILY MED 3016 E 57TH AVE SPOKANE,WA99223	PRIMARY CARE PRACTICE
80	80 - MULTICARE ROCKWOOD QUAIL RUN CLINIC 2214 E 29TH AVE SPOKANE,WA99203	PRIMARY CARE PRACTICE
81	81 - MULTICARE ROCKWOOD SOUTH VALLEY CLINIC 13221 E 32ND AVE SPOKANE,WA99216	PRIMARY CARE PRACTICE
82	82 - MULTICARE SUMNER ASSOCIATES 5814 GRAHAM AVE SUMNER,WA98390	PRIMARY CARE PRACTICE
83	83 - MULTICARE ROCKWOOD VALLEY CLINIC 14408 E SPRAGUE AVE SPOKANE VALLEY,WA99216	PRIMARY CARE PRACTICE
84	84 - OLYMPIC SPORTS AND SPINE LLC 6050 TACOMA MALL BLVD TACOMA,WA98409	PHYSICAL AND OCCUPATIONAL THERAPY
85	85 - AUBURN IMAGING PARTNERS 125 3RD STREET AUBURN,WA98002	IMAGING TESTING FACILITY
86	86 - VP SURGERY OF AUBURN 1002 15TH AVE SW AUBURN,WA98001	OP SURG,RX,LAB, CHIRO
87	87 - REDICLINIC OF WA LLC 9 E GREENWAY PLAZA STE 2950 HOUSTON,TX77046	PHARMACY AND PRIMARY CARE
88	88 - MULTICARE INDIGO MAPPLE VALLEY 26380 238TH LN SE SUITE 100 MAPLE VALLEY,WA98038	URGENT CARE CLINIC
89	89 - MULTICARE INDIGO MARYSVILLE 3822 116TH ST NE MARYSVILLE,WA98271	URGENT CARE CLINIC
90	90 - MULTICARE INDIGO TUMWATER 704 TROSPER RD SW 118 TUMWATER,WA98512	URGENT CARE CLINIC
91	91 - MULTICARE CENTER FOR WEIGHT LOSS 408 LILLY ROAD NE OLYMPIA,WA98506	WEIGHT LOSS AND WELLNESS
92	92 - MULTICARE FAMILY MEDICINE -CANYON ROAD 11025 CANYON RD E STE A PUYALLUP,WA98373	FAMILY MEDICINE
93	93 - MULTICARE CENTER FOR WEIGHT LOSS 2202 S CEDAR STREET TACOMA,WA98405	WEIGHT LOSS AND WELLNESS
94	94 - MULTICARE DBA LABS NORTHWEST 34618 11TH PL ST STE 100 FEDERAL WAY,WA98003	IMAGING TESTING FACILITY
95	95 - MULTICARE BONNEY LAKE EMERGENCY CLINIC 9550 195TH AVE E BONNEY LAKE,WA98391	URGENT CARE CLINIC
96	96 - MULTICARE INDIGO FREDERICKSON 5314 176TH ST E STE 104-106 TACOMA,WA98446	URGENT CARE CLINIC
97	97 - MULTICARE INDIGO ORTING 215 WHITESELL ST NW ORTING,WA98360	URGENT CARE CLINIC
98	98 - MULTICARE INDIGO LAKELAND COMMONS 7096 LAKELAND HILLS WAY SE STE 103 AUBURN,WA98092	URGENT CARE CLINIC
99	99 - MULTICARE INDIGO LIBERTY LAKE 1429 N LIBERTY LAKE RD STE B LIBERTY LAKE,WA99019	URGENT CARE CLINIC
100	100 - MULTICARE INDIGO BONNEY LAKE 21186 STATE ROUTE 410 E BONNEY LAKE,WA98391	URGENT CARE CLINIC
101	101 - MULTICARE PULSE HEART INSTITUTE 100 3RD ST DAVENPORT,WA99122	CARDIAC SERVICES
102	102 - MULTICARE PULSE HEART INSTITUTE 905 E D ST DEER PARK,WA99066	CARDIAC SERVICES
103	103 - MULTICARE PULSE HEART INSTITUTE 411 FORTUYN RD GRAND COULEE,WA99133	CARDIAC SERVICES
104	104 - MULTICARE PULSE HEART INSTITUTE 55 W TIETAN ST WALLA WALLA,WA99362	CARDIAC SERVICES
105	105 - HARBOR PEDIATRICS MARY BRIDGE CHILDREN'S 4700 POINT FOSDICK DR NW GIG HARBOR,WA98335	OUTPATIENT CHILDREN'S HEALTH SERVICES

Schedule H (Form 990) 2020

Page 10

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 3C:	PATIENTS MAY BE DETERMINED AS PRESUMPTIVELY ELIGIBLE FOR CHARITY IF THEY QUALIFY FOR MEDICAID OR IF THEY ARE HOMELESS.
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 7G:	NONE OF THE SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PHYSICIAN CLINICS.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBTS THAT WERE EXCLUDED FROM THE TOTAL EXPENSES WHEN CALCULATING THE PERCENTAGE IN COLUMN (F) WAS $79,486,084.PART III, SECTION A, LINE 2, COSTING METHODOLOGY:THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.3-4. PART III, SECTION A, LINE 3, RATIONALE FOR BAD DEBT AMOUNT ATTRIBUTABLE TO COMMUNITY BENEFIT:IT IS OUR BELIEF THAT $2,852,000 OF BAD DEBT SHOULD BE INCLUDED AS COMMUNITY BENEFIT. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF THE ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT. AS PART OF OUR COMMUNITY NEEDS ASSESSMENT, WE STUDIED THE INCOME CHARACTERISTICS OF THE UNINSURED POPULATION IN OUR COMMUNITY. AS PART OF THIS STUDY, WE ALSO LOOKED AT WHAT PORTION OF UNINSURED INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA WOULD BE ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. WE APPLIED THIS PERCENTAGE TO OUR TOTAL AMOUNT OF BAD DEBT EXPENSE RECORDED TO ESTIMATE THE PORTION OF SELF-PAY BAD DEBT THAT WAS REASONABLY ATTRIBUTABLE TO INDIVIDUALS ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY BUT NOT PREVIOUSLY RECORDED AS SUCH. WE SUBTRACTED THE ACTUAL AMOUNT OF FINANCIAL ASSISTANCE RECORDED FROM THIS CALCULATED FIGURE. THE RESULT IS OUR ESTIMATE OF THE AMOUNT THAT SHOULD BE CONSIDERED COMMUNITY BENEFIT COST AND IS ENTERED ON PART III, LINE 3.
PART II, COMMUNITY BUILDING ACTIVITIES:	MULTICARE HEALTH SYSTEM IS ENGAGED IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES. MULTICARE EMPLOYEES PARTICIPATE IN MANY VOLUNTEER PROGRAMS IN THE COMMUNITY, INCLUDING THE AMERICAN RED CROSS, THE PIERCE COUNTY DIABETES COALITION, UNITED WAY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, THE YWCA, WHICH OPERATES A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN, THE AMERICAN CANCER SOCIETY, AND MANY MORE OTHER ORGANIZATIONS.THE FOLLOWING ACTIVITIES BY REGION, AVAILABLE TO ALL COMMUNITY MEMBERS, PROVIDE OPPORTUNITIES FOR IMPROVED PHYSICAL, MENTAL, AND EMOTIONAL HEALTH:A) INLAND NORTHWEST REGION:- DOMESTIC VIOLENCE AND ADVOCACY SERVICES AND RESOURCE ASSISTANCE IN COLLABORATION WITH THE YWCA;- SPOKANE REGIONAL DOMESTIC VIOLENCE COALITION;- BETTERHEALTHTOGETHER (ACH) LEARNING COLLABORATIVES & FREE TRAINING SESSIONS;- WASHINGTON PEER ALLIANCE COALITION; - NATIONAL INSTITUTE FOR MENTAL ILLNESS EDUCATION AND SPEAKING SERIES; - RECOVERY CAF EDUCATION AND VIRTUAL WORKSHOP SERIES; - A BEHAVIORAL PROGRAM IN PARTNERSHIP WITH PIONEER HUMAN SERVICES AND CORAM INFUSION, HELPING PATIENTS WITH LONG-TERM IV DRUG USE RECEIVE SUBSTANCE USE DISORDER ASSESSMENTS AND INPATIENT TREATMENT, PEER COUNSELING SERVICES, AND BEHAVIORAL HEALTH TREATMENT;- DEACONESS MENTAL HEALTH ASSOCIATES, A PROGRAM THAT HIRED AND TRAINED SPECIALISTS TO IMPROVE THE CARE OF BEHAVIORAL HEALTH PATIENTS IN THE EMERGENCY DEPARTMENT; - SPOKANE REGIONAL EMERGENCY COMMAND CENTER BEHAVIORAL HEALTH TASK FORCE;- GRANT-FUNDED PROGRAM NAMED "BETTERHEALTH THROUGH HOUSING PROVIDENCE", IN COLLABORATION WITH BETTERHEALTHTOGETHER, SNAP, SPOKANE HOUSING AUTHORITY, CHPW, AND MOLINA;- A PROGRAM TO HELP CHRONICALLY HOMELESS PATIENTS WITH BEHAVIORAL HEALTH AND SUBSTANCE USE NEEDS GET INTO STABLE HOUSING AFTER 4 EMERGENCY DEPARTMENT VISITS IN 6 MONTHS; - SEXUAL ASSAULT NURSE EXAMINERS (SANE NURSES) AVAILABLE TO PATIENTS IN THE HOSPITALS AND ED;- QUARTET, AN ONLINE WEB-BASED PORTAL TO IMPROVE THE COORDINATION OF BEHAVIORAL HEALTH REFERRALS, ENSURING PATIENTS HAVE MORE TIMELY ACCESS TO BEHAVIORAL HEALTH CARE WITHIN THE COMMUNITY; - EAT, SLEEP AND CONSOLE PROGRAM ADDRESSING BABIES BEING BORN WITH DRUG ADDICTION SYMPTOMS;- HOUSE OF CHARITY RESPITE CARE FOR HOMELESS AND COLLABORATION WITH CATHOLIC CHARITIES OF E. WA; -PREVENT SUICIDE SPOKANE COALITION;- REGIONAL EMERGENCY & DISASTER HEALTHCARE CORRELATION LEADERSHIP PARTICIPATION AND CENTRAL COMMAND CENTER;- SPOKANE REGIONAL OPIOID TASK FORCE;-END THE VIOLENCE CAMPAIGN;- "SMILE SPOKANE LEADERSHIP IMPACT NETWORK PARTICIPATING MEMBER" TO IMPROVE ORAL HEALTH CARE IN EDUCATION IN SPOKANE COUNTY; -UNDERSERVED ELEMENTARY AND MIDDLE SCHOOL STUDENT OUTREACH PROGRAMS WITH PINES MIDDLE SCHOOL, BROADWAY ELEMENTARY AND REGAL ELEMENTARY, PROVIDING SCHOOL SUPPLIES, SCIENCE EDUCATION AND WINTER CLOTHING;- ANNUAL TREE OF GIVING;- SPOKANE VALLEY PARTNERS COLLABORATION SUPPORTING THE FOOD BANK, CLOTHING BANK, EMERGENCY ASSISTANCE, FOOD4THOUGHT PROGRAM, FOOD EXPRESS, INLAND NW BABY DIAPER BANK, CAREER CLOTHING BANK AND A SUMMER FOOD DRIVE;- ANNUAL BRIDGE TO BRUNCH COMMUNITY 5K RUN/WALK PROVIDED BY MULTICARE AS A COMMUNITY EVENT SUPPORTING AND RAISING AWARENESS FOR A COMMUNITY CANCER FUND; -CLINICAL, EMOTIONAL AND FINANCIAL ONGOING SUPPORT OF FREEMAN HIGH SCHOOL STUDENTS, STAFF AND FAMILIES FOLLOWING THE 2017 SHOOTING;- HOOPFEST, PROVIDING 2 - DAYS OF MEDICAL AND VOLUNTEER SUPPORT FOR 6000 TEAMS AND 225,000 FANS;- AMERICAN HEART AND STROKE WALK AND ANNUAL FUNDRAISING SUPPORT CAMPAIGN;OPERATING HEALTHY FAMILY PARTNERSHIP FOR ORAL HEALTH EDUCATION & LINK TO DENTAL CARE;- BIG TABLE PARTNERSHIP FROM ORAL HEALTH;- WSU HEALTHY PEOPLE HEALTHY PETS PARTNERSHIP TO PROVIDE VACCINATIONS TO HOMELESS AND LOW-INCOME INDIVIDUALS AND THEIR PETS;- "ACCOUNTABLE COMMUNITY OF HEALTH PARTNER" FOR IMPROVING ACCESS TO CARE FOR LOW-INCOME MEDICAID POPULATION IN BEHAVIORAL HEALTH, OPIOID USE, CHRONIC DISEASE MANAGEMENT, ORAL HEALTH AND HEALTH EQUITY;- TELEPSYCH SERVICES FOR ED/INPATIENT CARE;- OUT OF THE DARKNESS WALK FOR SUICIDE PREVENTION;- SECOND HARVEST'S TOM'S TURKEY DRIVE PROVIDING LOCAL FAMILIES WITH THANKSGIVING MEALS;- PARTNERSHIP WITH FREEMAN SCHOOLS SCOTTY DASH TO SUPPORT ACADEMIC, SPORT, EXTRACURRICULAR AND FACILITY NEEDS;-VALLEYFEST COMMUNITY CELEBRATION TITLE SPONSOR PROVIDING VISUAL AND PERFORMING ARTS, EDUCATION, SCIENCE, AND RECREATION TO THE COMMUNITY IN SPOKANE VALLEY AND BEYOND;- SPOKANE COUNTY MEALS ON WHEELS SUPPLIED SAFETY EQUIPMENT, SO MEALS COULD SAFELY BE DISTRIBUTED DURING HEAVY FIRE SEASON;- FAMILY PROMISE OF SPOKANE HOMELESS SHELTER PROVIDED SAFETY EQUIPMENT TO HELP REMODEL THEIR NEW AND LARGER SHELTER;- MULTICARE DEACONESS HOSPITAL RONALD MCDONALD FAMILY ROOMS PROVIDED FOR ANY FAMILIES WITH CHILDREN IN THE HOSPITAL.B) PUGET SOUND:- 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 IN 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;- WOMAN, INFANTS AND CHILDREN (WIC) PROGRAM;- SAFE KIDS;- SAFE SHORES;- THE CENTER FOR HEALTH EQUITY & WELLNESS 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. MULTICARE PROVIDES SUBSIDIZED NO-COST HOUSING THROUGH TREEHOUSE FOR IMMEDIATE FAMILY MEMBERS WHEN THEIR LOVED ONES RECEIVE MEDICAL CARE AT A MULTICARE HOSPITAL. FINANCIAL ASSISTANCE IS OFFERED SO THAT NO ELIGIBLE FAMILY IS TURNED AWAY BECAUSE OF INABILITY TO PAY. IN ADDITION, THE COMMUNITY PARTNERSHIP FUND OFFERS FINANCIAL SUPPORT TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE HOUSING ASSISTANCE TO HOMELESS INDIVIDUALS, INCLUDING CATHOLIC COMMUNITY SERVICES, AND THE KOREAN WOMEN'S ASSOCIATION.
PART III, LINE 8:	COSTING METHODOLOGY:THE SOURCE USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS FOR TACOMA GENERAL, ALLENMORE, GOOD SAMARITAN, AUBURN, COVINGTON, DEACONESS AND VALLEY HOSPITALS WAS THE 2020 MEDICARE COST REPORTS. 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 $67.5 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 27.27% 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), THE COLLECTIONS WILL NOT BE PURSUED.
PART VI, LINE 2:	MULTICARE WORKS COLLABORATIVELY WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE AND TO DEVELOP PROGRAMS AND SERVICES TO MEET THOSE NEEDS. COMMUNITY PARTNERS INCLUDE: THE TACOMA - PIERCE COUNTY HEALTH DEPARTMENT, THE PIERCE COUNTY MEDICAL SOCIETY, THE UNITED WAY OF PIERCE COUNTY, THE CITY OF TACOMA, THE TACOMA PUBLIC SCHOOL DISTRICT, YWCA OF SPOKANE, CHAS HEALTHSMILE SPOKANE, YMCA OF GREATER SEATTLE, PUBLIC HEALTH SEATTLE & KING COUNTY, AND MANY MORE. MULTICARE HEALTH SYSTEM UTILIZES THE DATA FROM ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AS WELL AS THE FEDERAL AND STATE-LEVEL DATA TO DETERMINE THE MOST PRESSING HEALTH CARE NEEDS FOR ITS SERVICE AREAS. THE CHNA PROCESS IS COMPREHENSIVE, THEREFORE THE ORGANIZATION DOES NOT ENGAGE IN ADDITIONAL ASSESSMENTS. FOR MORE DETAILED INFORMATION, SEE PART V, SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B.
PART VI, LINE 3:	FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN A VARIETY OF WAYS. FINANCIAL AID INFORMATION IS POSTED ON THE MULTICARE.ORG EXTERNAL WEBSITE.PRE-SERVICE CENTER STAFF STARTS CONVERSATIONS WITH PATIENTS ABOUT THEIR POTENTIAL FINANCIAL RESPONSIBILITY AND SHARE PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE INFORMATION WITH THE PATIENT DURING THIS INITIAL PHONE CALL. AT THE TIME OF REGISTRATION (WHETHER PRE-REGISTERED OR NOT), PATIENTS ARE NOTIFIED ABOUT THEIR INSURANCE COVERAGE AND FINANCIAL LIABILITIES. FINANCIAL COUNSELORS ARE AVAILABLE IF A NEED IS IDENTIFIED. IF A PATIENT DOES NOT HAVE INSURANCE, MULTICARE WORKS WITH PATIENTS TO VERIFY POTENTIAL STATE/FEDERAL ELIGIBILITY OR ROUTE THEM TO FINANCIAL AID IF APPROPRIATE. FINANCIAL AID APPLICATIONS ARE HANDED OUT AT ALL SERVICE LOCATIONS UPON REQUEST OR WHEN A NEED IS IDENTIFIED BY STAFF. PATIENTS ARE ALSO GIVEN AN INFORMATIONAL BILLING HANDOUT AT REGISTRATION/ADMISSION WITH INFORMATION TO CONTACT FINANCIAL COUNSELORS IF THEY MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILL.
PART VI, LINE 4:	MULTICARE HEALTH SYSTEM IS A WASHINGTON STATE INTEGRATED DELIVERY SYSTEM THAT OPERATES IN TWO REGIONS, THE PUGET SOUND AND THE INLAND NORTHWEST.THE PRIMARY SERVICE AREA FOR THE PUGET SOUND IS DEFINED AS PIERCE AND SOUTH KING COUNTIES, WHICH INCLUDES THE CITIES OF TACOMA, PUYALLUP, UNIVERSITY PLACE, LAKEWOOD, BONNEY LAKE, GIG HARBOR, AUBURN, KENT, FEDERAL WAY AND COVINGTON. THE SECONDARY SERVICE AREA IS DEFINED AS NE KING, KITSAP AND THURSTON COUNTIES. THERE ARE 12 HOSPITALS IN PIERCE AND SOUTH KING COUNTIES, AND SIX OF THEM ARE MULTICARE HOSPITALS. THE PUGET SOUND REGION IS A MIX OF BOTH URBAN AND SUBURBAN COMMUNITIES. THE POPULATION OF THE PUGET SOUND REGION, INCLUSIVE OF PRIMARY AND SECONDARY SERVICE AREAS, IS 4,269,349 INDIVIDUALS.ACCORDING TO THE MOST RECENT US CENSUS DATA, 74.8% OF PIERCE COUNTY'S POPULATION IS CAUCASIAN; 7.6% IS AFRICAN-AMERICAN, 6.9% IS ASIAN, 1.8% IS NATIVE AMERICAN, 1.7% IS NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 11.1 ARE OF HISPANIC OR LATINO ORIGIN, 7.3% IS SOME OTHER RACE OR TWO OR MORE RACES. OVER 10% OF INDIVIDUALS IN THE COUNTY ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IS $67,868. IN ADDITION, "THE ROBERT WOOD JOHNSON FOUNDATION 2018 COUNTY HEALTH RANKINGS" REPORT THAT 7% OF THE PIERCE COUNTY POPULATION IS UNINSURED.THE PRIMARY SERVICE AREA FOR THE INLAND NORTHWEST REGION IS DEFINED AS SPOKANE WHICH INCLUDES THE CITIES OF SPOKANE, SPOKANE VALLEY, CHENEY, MEDICAL LAKE, AIRWAY HEIGHTS AND LIBERTY LAKE. THE SECONDARY SERVICE AREA IS DEFINED AS ADAMS, LINCOLN, PEND ORIELLE, STEVENS AND WHITMAN COUNTIES. THERE ARE SEVEN HOSPITALS IN TOTAL IN SPOKANE COUNTY, AND TWO OUT OF THEM ARE MULTICARE HOSPITALS. THE INLAND NORTHWEST'S POPULATION, INCLUSIVE OF THE PRIMARY AND SECONDARY SERVICE AREAS, IS 649,780 INDIVIDUALS, WITH A MEDIAN HOUSEHOLD INCOME OF $54,852. ACCORDING TO THE MOST RECENT CENSUS DATA, THE RACIAL ETHNIC MAKEUP OF SPOKANE COUNTY WAS 88.9% WHITE, 2.4% ASIAN, 2% BLACK OR AFRICAN AMERICAN, 1.8% AMERICAN INDIAN OR ALASKA NATIVE, 0.6% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 4.2% IDENTIFYING AS TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 6.1% OF THE POPULATION. ABOUT 13.0% OF THE POPULATION LIVE IN POVERTY.MULTICARE HEALTH SYSTEM INCLUDES A LARGE NETWORK OF PRIMARY AND SPECIALTY PROVIDERS, AND IS LICENSED FOR 1,802 BEDS AND OPERATES SEVERAL OUTPATIENT SURGICAL SITES IN OTHER URGENT CARE, PRIMARY CARE AND MULTISPECIALTY CLINICS. MULTICARE HEALTH SYSTEM PROVIDES SERVICES DESIGNED TO MEET THE SPECIFIC HEALTHCARE REQUIREMENTS OF THE POPULATION, WITH A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT PROGRAMS MADE AVAILABLE IN CONJUNCTION WITH THE RESOURCES OF OTHER COMMUNITY HEALTH PROVIDERS.
PART VI, LINE 5:	MULTICARE HEALTH SYSTEM IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS REPRESENT THE COMMUNITY, AND HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS'S "COMMUNITY BENEFIT STANDARD," A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. MULTICARE HEALTH SYSTEM HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITIES. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE-OF-THE-ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS STAFF FROM MANY DEPARTMENTS CONDUCT COMMUNITY BENEFIT PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION, PROMOTION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. IN THE PUGET SOUND REGION, THIS INCLUDES:TACOMA TRAUMA TRUST, A COLLABORATIVE OF MULTICARE, CHI FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE ADULT TRAUMA CARE;FALLS PREVENTION PROGRAM FOR THE ELDERLY;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM, PROVIDING CARE TO ADULT SEXUAL ASSAULT VICTIMS;BEHAVIORAL HEALTH CRISIS INTERVENTION PROGRAM;MARY BRIDGE CENTER FOR CHILDHOOD SAFETY AND MARY BRIDGE CHILDREN'S ADVOCACY CENTER;BRIDGES: A CENTER FOR GRIEVING CHILDREN;MARY BRIDGE MOBILE IMMUNIZATION CLINIC;HEALTH EQUITY COMMUNITY ADVISORY BOARD;HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES;GRIEF AND LOSS SERVICES;CAMP ERIN FOR CHILDREN SUFFERING LOSSES OF FAMILY MEMBERS;CANCER CAMP FOR CHILDREN WITH CANCER;WOMAN, INFANT AND CHILDREN (WIC) PROGRAM;SAFE SHORES;CENTER FOR HEALTH EQUITY AND WELLNESS NUTRITION AND FITNESS EDUCATION;WEIGHT MANAGEMENT, TOBACCO CESSATION AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS;PUGET SOUND ASTHMA COALITION;DIABETES SERVICES;CHRONIC DISEASE MANAGEMENT SUPPORT GROUPS;WORKFORCE DEVELOPMENT PARTNERSHIP WITH THE PIERCE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE PIERCE COUNTY HEALTH CAREERS COUNCIL;PARTNERSHIP WITH AREA COLLEGE NURSING PROGRAMS IN A NURSING RESIDENCY PROGRAM;NURSE CAMP, A WEEK-LONG PROGRAM FOR HIGH SCHOOL STUDENTS SEEKING TO EXPLORE NURSING AND ALLIED HEALTH PROFESSIONS;FREE SPORTS PHYSICALS FOR TACOMA SCHOOL DISTRICT STUDENTS;READY, SET, GO! 5210, A COMMUNITY-WIDE PUBLIC-PRIVATE PARTNERSHIP TO PROMOTE HEALTHY LIFESTYLES FOR CHILDREN AND FAMILIES;SIBLING SUPPORT PROJECT TO BENEFIT SIBLINGS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS;ASSISTIVE TECHNOLOGY PROGRAM PROVIDING ADAPTATIONS TO THE ENVIRONMENT TO IMPROVE INDEPENDENCE;PROJECT ACCESS AND PROJECT NW TO HELP IMPROVE HEALTH OUTCOMES AND REDUCE INAPPROPRIATE EMERGENCY ROOM USE. PROJECT ACCESS ALSO PROVIDES PREMIUM ASSISTANCE FOR PATIENTS. IN THE INLAND NW ( EASTERN WA-SPOKANE):PROJECT ACCESS, PROVIDING CHARITABLE CARE FOR THOSE NEEDING PRIMARY AND SPECIALTY CARE SERVICES;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM PROVIDING CARE TO ADULT SEXUAL ASSAULT VICTIMS;PARTNERING RELATIONSHIP WITH INW BEHAVIORAL HEALTH HOSPITAL FOR PSYCHIATRIC CARE;AMERICAN BEHAVIORAL HEALTH SERVICES PARTNERSHIP;TUBERCULOSIS TESTING FOR WSU MEDICAL STUDENTS;FLU VACCINATION FOR EWU AND WSU STUDENTS;AMERICAN HEART ASSOCIATION BROWN BAG LUNCH PROVIDER PRESENTATION;TOBACCO CESSATION AND RESOURCES AND EDUCATION FOR PATIENTS AND COMMUNITY MEMBERS IN PARTNERSHIP WITH SPOKANE REGIONAL HEALTH DISTRICT;WSDOT EDUCATIONAL OUTREACH IN SLEEP HEALTH, BODY MECHANICS, WARNING SIGNS, AND RISK DETECTION OF CHRONIC AND ACUTE CONDITIONS OF MAJOR HEALTH PROBLEMS;BREAST HEALTH EVENT TO INCREASE ACCESS TO SCREENING AND RISK AWARENESS EDUCATION;THE PROVISION OF BEHAVIORAL HEALTH SERVICES TO EWU STUDENTS;DOMESTIC VIOLENCE AND RESOURCE AWARENESS TRAINING FOR MULTICARE EMPLOYEES;PIONEER HUMAN SERVICES PARTNERSHIP;JASPR HEALTH PARTNERSHIP FOR IMPROVING THERAPEUTIC CARE OF SUICIDAL PATIENTS IN THE ED.THE HOSPITALS OF THE AFFILIATED GROUP UTILIZE FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING BUT NOT LIMITED TO:EDUCATIONAL PROGRAMS ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, HEALTH AND WELLNESS, AND NUTRITION; FREE MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE 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, AND NOTARY SERVICE MEDICATIONS; CHILDREN'S THERAPY UNIT; ASSISTIVE TECHNOLOGY PROGRAM; COMMUNITY EDUCATION: TRANSFUSION FREE MEDICAL & SURGICAL PROGRAM; MULTICARE GOOD SAMARITAN READERS; FAMILY BIRTH CENTER AND CLASSES AND SERVICES; AND MOBILE HEALTH SERVICES, PALLIATIVE CARE, PHYSICAL MEDICINE & REHABILITATION, AND VOLUNTEER SERVICES. INLAND NORTHWEST OFFERINGS & PARTNERSHIPS INCLUDE BUT ARE NOT LIMITED TO: BREASTFEEDING CLASSES; CHILDBIRTH EDUCATION; SAFE INFANT SLEEP; EASTERN WASHINGTON UNIVERSITY, GONZAGA, AND WASHINGTON STATE UNIVERSITY STUDENT PRACTICUM AND PROJECT PLACEMENT; EASTERN WASHINGTON UNIVERSITY AND WHITWORTH UNIVERSITY GUEST LECTURES; HEALTH TB TESTING & FLU VACCINATION PROGRAM; ALS CAREGIVERS SUPPORT GROUP; SCLERODERMA SUPPORT GROUP; SPOKANE COUNTY COLLEAGUES AND WASHINGTON STATE UNIVERSITY NURSING; ROUNDING CONFERENCE; EWU STUDENT THERAPY SERVICES;SUBSTANCE USE DISORDER PROGRAM WITH PIONEER HUMAN SERVICES; OUD/MAT TREATMENT PROGRAM UNDER SOR GRANT; OUD/MAT OUTPATIENT TREATMENT PROGRAM UNDER HUB AND SPOKE MODEL; HOUSING PROGRAM WITH BHT AND OTHER PARTNERS FOR CHRONICALLY HOMELESS PATIENTS IN THE ED; THERAPEUTIC SERVICES PARTNERSHIP WITH JASPR HEALTH PILOT FOR SUICIDAL PATIENTS IN THE ED; VIDEO TRAINING ON HOSPITAL RESPONSE PROGRAM WITH THE YWCA OF SPOKANE FOR DOMESTIC VIOLENCE AWARENESS AND TRAINING; SPONSORSHIP OF TWO PSYCHIATRIC DNP STUDENTS AT WSU FOR TWO LEADERSHIP DEVELOPMENT & PROCESS IMPROVEMENT CLASSES; QUARTET DIGITAL BEHAVIORAL HEALTH REFERRAL COORDINATION IMPLEMENTATION; UNIVERSITY OF WASHINGTON AIMS CENTER PARTNERSHIP IN IMPLEMENTING COLLABORATIVE CARE (INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH) IN THE INW AT ROCKWOOD.ALTHOUGH THE COVID-19 PANDEMIC AFFECTED OUR COMMUNITIES AND PROGRAMS BY 2020, MULTICARE WAS ABLE TO IMPROVE HEALTH PROMOTION. FOR EXAMPLE, IN 2020, MULTICARE HELD 4 TRAUMA EDUCATION TRAININGS, WHICH WAS MORE THAN IN 2019. ADDITIONALLY, THE BRIDGES PROGRAM CENTER FOR GRIEVING CHILDREN PROGRAM SERVED 935 CHILDREN, MULTICARE IMPLEMENTED QUARTET HEALTH TO HELP INCREASE ACCESS TO CARE AND ENROLL PRIMARY CARE PROVIDERS TO BEHAVIORAL HEALTH SERVICES. FURTHERMORE IN 2020, MULTICARE ALSO IMPLEMENTED JASPR, IN ORDER TO PROVIDE THERAPEUTIC SERVICES FOR SUICIDAL PATIENTS IN THE ED. THESE ARE JUST A FEW EXAMPLES OUT OF MANY OF THE IMPROVEMENTS MADE IN 2020. IN 2015, MHS LAUNCHED THE COMMUNITY GRANTS PROGRAM: THE MULTICARE COMMUNITY PARTNERSHIP FUND. IN 2020, $600,000 WAS AWARDED TO COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON AND KITSAP COUNTIES WHOSE MISSIONS ARE AIMED AT IMPROVING THE LIVES OF RESIDENTS. IN 2020, THE INLAND NORTHWEST REGION AWARDED $250,000 TO COMMUNITY ORGANIZATIONS THROUGHOUT THE EASTERN WA REGION WHOSE MISSIONS ARE ALIGNED WITH OUR MISSION OF PARTNERING FOR HEALING AND A HEALTHY FUTURE. IN 2020, MULTICARE ALSO DONATED $1M TO NON-PROFIT COMMUNITY-BASED ORGANIZATIONS IN PIERCE, SOUTH KING AND SPOKANE COUNTIES DURING THE COVID PANDEMIC, MANY OF WHICH SERVE VULNERABLE POPULATIONS AND ADDRESS FOOD INSECURITY.MORE INFORMATION ON THE ORGANIZATION'S AWARDED GRANTS IN 2020 CAN BE FOUND AT HTTPS://WWW.MULTICARE.ORG/COMMUNITYPARTNERSHIP/ AND WITHIN MULTICARE'S FORM 990, SCHEDULE I. MULTICARE HAS ESTABLISHED COLLABORATIVE RELATIONSHIPS WITH SEVERAL COMMUNITY PARTNERSHIP FUND RECIPIENTS. CURRENTLY, MULTICARE WORKS WITH COMMUNITIES IN SCHOOLS OF PUYALLUP AND TACOMA TO IMPROVE ACCESS TO PHYSICAL AND BEHAVIORAL HEALTH SERVICES FOR STUDENTS; SUPPORTS THE TEAMS SENIOR PROGRAM IN PIERCE AND KING COUNTIES; PARTNERS WITH KWA TO DELIVER THE SBIRT PROGRAM TO IMPROVE OUTCOMES AROUND BEHAVIORAL HEALTH, INCLUDING MINORITY BEHAVIORAL HEALTH; PARTNERS WITH THE OASIS YOUTH CENTER, RAINBOW CENTER, AND PCAF TO IMPROVE LGBT PATIENT EXPERIENCES; PROVIDES SUPPORT OPERATIONS AT TRINITY NEIGHBORHOOD HEALTH CLINIC, WHICH PROVIDES FREE MEDICAL SERVICES. MULTICARE INW REGION COLLABORATES WITH THE CATHOLIC CHARITIES OF EASTERN WASHINGTON'S HOUSE OF CHARITY TO PROVIDE RESPITE CARE FOR THE HOMELESS, AND IS ALSO A FUNDER FOR HEALTH NEEDS, FOOD SECURITY, TRANSPORTATION.
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 TWO AFFILIATED FOUNDATIONS AS FOLLOWS: MULTICARE FOUNDATIONS AND MARY BRIDGE CHILDREN'S FOUNDATION, ALL WASHINGTON NOT-FOR-PROFIT CORPORATIONS.MULTICARE HEALTH SYSTEM HAS 20,000 TEAM MEMBERS, INCLUDING EMPLOYEES, PROVIDERS AND VOLUNTEERS. MULTICARE HEALTH SYSTEM IS CARING FOR THE COMMUNITY FOR WELL OVER A CENTURY, SINCE THE FOUNDING OF TACOMA'S FIRST HOSPITAL ON APRIL 29, 1882, THE TACOMA GENERAL HOSPITAL, AND TODAY, MULTICARE IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTH SYSTEM IN THE STATE OF WASHINGTON.MULTICARE'S COMPREHENSIVE SYSTEM OF HEALTH INCLUDES NUMEROUS PRIMARY CARE, URGENT CARE AND SPECIALTY SERVICES INCLUDING MULTICARE INDIGO URGENT CARE CENTERS, MULTICARE IMMEDIATE CLINICS, AND MULTICARE ROCKWOOD CLINICS, THE LARGEST MULTI-SPECIALTY CLINIC SYSTEM IN THE INLAND NORTHWEST REGION. SPECIALTY SERVICES INCLUDE LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER AND AN INTERNATIONALLY-RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS. MULTICARE ALSO INCLUDES HIGHLY SPECIALIZED AFFILIATED ENTITIES, SUCH AS CHVI PULSE HEART INSTITUTE, SPECIALIZED IN THE TREATMENT AND RESEARCH OF THE HEART, AND MULTICARE REHABILITATION SPECIALISTS P.C., AN ENTITY FOCUSED FOR DELIVERING ACCESSIBLE AND AFFORDABLE PHYSICAL AND REHABILITATION THERAPY SERVICES.THROUGH ITS AFFILIATIONS WITH NAVOS (2017) AND GREATER LAKES MENTAL HEALTH (2018) MULTICARE IS THE LARGEST BEHAVIORAL HEALTH PROVIDER IN WASHINGTON STATE. IN 2019 MULTICARE HEALTH SYSTEM IN PARTNERSHIP WITH CHI FRANCISCAN HEALTH OPENED WELLFOUND BEHAVIORAL HEALTH HOSPITAL, A NOT-FOR-PROFIT MENTAL HEALTH HOSPITAL IN TACOMA, WASHINGTON, FURTHER ADDRESSING THE NEED FOR MENTAL HEALTH AND WELLBEING IN THE COMMUNITY. IN 2020, WELLFOUND CREATED AN IMPLEMENTATION STRATEGY TO ADDRESS ITS COMMUNITY IN THE AREAS OF ACCESS TO CARE, SUICIDE, DRUG AND ALCOHOL USE, AND DEPRESSION. MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS TO BETTER PROVIDE ESSENTIAL BEHAVIORAL HEALTH SERVICES AND CONNECT OUR PATIENTS TO ESSENTIAL COMMUNITY RESOURCES.MULTICARE HEALTH SYSTEM'S NETWORK OF CARE INCLUDES NINE HOSPITALS:MULTICARE TACOMA GENERAL HOSPITAL, TACOMA,MULTICARE ALLENMORE HOSPITAL, TACOMA,MARY BRIDGE CHILDREN'S HOSPITAL, TACOMA,MULTICARE GOOD SAMARITAN HOSPITAL, PUYALLYUP,MULTICARE AUBURN MEDICAL CENTER, AUBURN,MULTICARE COVINGTON MEDICAL CENTER, COVINGTON,MULTICARE DEACONESS HOSPITAL, SPOKANE,MULTICARE VALLEY HOSPITAL, SPOKANE VALLEY,NAVOS, SEATTLE.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA

Schedule H (Form 990) 2020

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

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" on 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	(h) Purpose of grant or assistance
(1) MARY BRIDGE CHILDREN'S FOUNDATION PO BOX 5299 TACOMA,WA98415	94-3030039	501(C)(3)	4,862,621	ASSISTANCE FOR OPERATING EXPENSES.
(2) MULTICARE FOUNDATIONS PO BOX 5299 TACOMA,WA98415	91-1514257	501(C)(3)	4,170,470	ASSISTANCE FOR OPERATING EXPENSES
(3) PACIFIC NORTHWEST UNIVERSITY OF HEALTH SCIENCES 111 UNIVERSITY PARKWAY YAKIMA,WA98901	06-1744054	501(C)(3)	1,000,000	SUPPORT THE UNIVERSITY GROWTH AND CAMPUS EXPANSION, MAKE HEALTH SCIENCES MORE ACCESSIBLE TO STUDENTS, ASSISTANCE FOR OPERATING EXPENSES
(4) GREATER TACOMA COMMUNITY FOUNDATION 950 PACIFIC AVE 1100 TACOMA,WA98402	91-1007459	501(C)(3)	500,000	COMMUNITY COVID RELIEF FUNDS
(5) SEATTLE FOUNDATION 1601 5TH AVE 1900 SEATTLE,WA98101	91-6013536	501(C)(3)	250,000	COMMUNITY COVID RELIEF FUNDS
(6) MEDICAL TEAMS INTERNATIONAL 9680 153RD AVE REDMOND,WA98052	93-0878944	501(C)(3)	60,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, GENERAL SUPPORT FOR OPERATIONS
(7) LINDQUIST DENTAL CLINIC FOR CHILDREN 130 131ST ST S TACOMA,WA98444	91-0615378	501(C)(3)	25,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND TO THE UNCOMPENSATED CARE FUND.
(8) DEER AMBULANCE PARK 19 N ARNIM AVE 596 DEER PARK,WA99006	91-6054699	501(C)(3)	21,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR GENERAL OPERATIONS.
(9) INTERFAITH WORKS PO BOX 1221 OLYMPIA,WA98507	91-0947698	501(C)(3)	20,000	SUPPORT THE OPERATIONS OF INTERFAITH WORKS HOMELESS SERVICES
(10) KOREAN WOMEN'S ASSOCIATION 123 E 96TH STREET TACOMA,WA98445	91-1066806	501(C)(3)	20,000	GENERAL SUPPORT
(11) LUTHERAN COMMUNITY SERVICES NORTH WEST 210 W SPRAGUE AVE SPOKANE,WA99201	93-0386860	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(12) PARTNERS WITH FAMILIES & CHILDREN SPOKANE 1321 W BROADWAY SPOKANE,WA99201	68-0576560	501(C)(3)	20,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(13) EATONVILLE AREA COUNCILFAMILY AGENCY 305 CENTER STRETT W EATONVILLE,WA98328	91-1059530	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(14) PIONEER HUMAN SERVICES 206 S POST SPOKANE,WA99201	91-0791552	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(15) THE TEARS FOUNDATION 11102 SUNRISE BLVD E PUYALLUP,WA98374	45-0500497	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(16) VINE MAPLE PLACE PO BOX 1092 MAPLE VALLEY,WA98038	91-2082308	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(17) ASHLEY HOUSE 33811 9TH AVE S FEDERAL WAY,WA98003	94-3080307	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(18) COMMUNITY MINDED ENTREPRISES POBOX 48150 SPOKANE,WA99228	91-1764236	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(19) EASTERN WA UNIVERSITY FOUNDATION- 102 HARGREAVES HALL 616 STUDY LANE CHENEY,WA99004	91-1019819	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(20) SAFE STREETS CAMPAIGN 622 TACOMA AVE S TACOMA,WA98402	91-1704402	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
(21) EVERGREEN STATE COLLEGE 270 EVERGHREEN PARKWAY NW OLYMPIA,WA99004	91-0981488	501(C)(3)	12,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(22) LUMEN HIGH SCHOOL 718 W RIVERSIDE SPOKANE,WA99201	83-2652406	501(C)(3)	12,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(23) EMERGENCY FOOD NETWORK 3318 92ND ST S LAKEWOOD,WA98499	94-3131776	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(24) NOURISH PIERCE COUNTY 1702 S 72ND ST TACOMA,WA98408	91-1198391	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(25) BOYS & GIRLS CLUBS OF SOUTH PUGET SOUND 3875 S 66TH STREET TACOMA,WA98409	91-0759832	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(26) COMMUNITIES IN SCHOOLS TACOMA PO BOX 111646 TACOMA,WA98411	91-2138848	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
(27) FOOD LIFELINE 815 S 96TH ST SEATTLE,WA98108	91-1090450	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(28) GARDEN RAISED BOUNTY 2016 ELLIOTT AVE NW OLYMPIA,WA98502	91-1594312	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
(29) PUYALLUP FOOD BANK 110 23RD AVE SE PUYALLUP,WA98372	23-7259739	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS.
(30) SOUTH PUGET SOUND HABITAT FOR HUMANITY 711 CAPITOL WAY S OLYMPIA,WA98501	91-1427020	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(31) SOUTH SOUND YMCA PO BOX 4132 OLYMPIA,WA98501	91-0586473	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(32) TACOMA-PIERCE COUNTY HABITAT FOR HUMANITYTACOMA-PIERCE COUNTY HABITAT FOR 4824 S TACOMA WAY TACOMA,WA98409	58-1735531	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(33) TOGETHER - COMMUNITY SCHOOLS 1520 IRVING STREET TUMWATER,WA98512	91-1465778	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(34) AMERICAN RED CROSS 315 W NORA AVE SPOKANE,WA99205	53-0196605	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(35) BIG BROTHERS BIG SISTERS OF THE INLAND NORTHWEST 222 W MISSION AVE SPOKANE,WA99201	91-6061587	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
(36) BIG TABLE PO BOX 372 SPOKANE,WA99210	20-8931223	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(37) CATHOLIC CHARITIES EASTERN WA PO BOX 2253 SPOKANE,WA99210	91-0569880	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(38) INNOVIA FOUNDATION 421 W RIVERSIDE AVE SPOKANE,WA99201	91-0941053	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(39) SPECTRUM 1414 W 14TH AVE SPOKANE,WA99204	83-2138955	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(40) OLIVE CREST 2130 EAST FOURTH STREET SANTA ANA,CA92705	95-2877102	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS.
(41) SPOKANE REGIONAL DOMESTIC VIOLENCE 421 W RIVERSIDE AVE SPOKANE,WA99201	91-0941053	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(42) TRANSITIONS 3128 N HEMLOCK SPOKANE,WA99205	91-1307272	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(43) WOMEN & CHILDREN'S FREE RESTAURANT & COMMUNITY KITCHEN 1408 N WASHINGTON ST SPOKANE,WA99201	91-1399742	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(44) ZONE PROJECT 4001 N COOK STREET SPOKANE,WA99207	91-1196071	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
(45) MUSTARD SEED PROJECT OF KEY PENINSULA PO BOX 182 VAUGHN,WA98394	61-1537566	501(C)(3)	8,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(46) NORTHWEST HARVEST EMM PO BOX 12272 SEATTLE,WA98102	91-0826037	501(C)(3)	8,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
(47) AMARA 3501 104TH ST E TACOMA,WA98446	91-0577487	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(48) COMMUNITIES IN SCHOOLS PUYALLUP 302 2ND AVE PUYALLUP,WA98372	26-0028759	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(49) RAINBOW CENTER 2215 PACIFIC AVE TACOMA,WA98402	91-1859897	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(50) FIRST 5 FUNDAMENTALS 1501 PACIFIC AVE 203 TACOMA,WA98403	80-0209462	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(51) RAINIER FOOTHILLS WELLNESS FOUNDATION 1675 COLE ST ENUMCLAW,WA98022	91-1192604	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(52) THE RESCUE MISSON PO BOX 1912 TACOMA,WA98402	91-0565014	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(53) SOUND OUTREACH 1106 MLK JR WAY TACOMA,WA98405	91-1741624	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(54) SCARLET ROAD POBOX 378 BREMERTON,WA98337	45-3703034	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(55) STEP BY STEP 3308 8TH AVE SE PUYALLUP,WA98372	91-1871945	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(56) SOMALI HEALTH BOARD 725 STRANDER BLVD TUKWILLA,WA98188	46-5114580	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(57) UNITED TERRITORIES OF PACIFIC ISLANDERS' ALLIANCE 205 E MEEKER ST KENT,WA98032	61-1668192	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(58) NAMI OF WA 10 N POST ST SPOKANE,WA99201	94-3080307	501(C)(3)	7,500	GENERAL SUPPORT FOR THE AFTER SCHOOL PROGRAM
(59) PEER SPOKANE 425 W ST AVE SPOKANE,WA99201	91-1327257	501(C)(3)	7,500	GENERAL SUPPORT FOR THE AFTER SCHOOL PROGRAM
(60) SOUTH SOUND PARENT TO PARENT 2108 CATON WAY SW OLYMPIA,WA98502	91-1496512	501(C)(3)	7,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(61) WSU FOUNDATION PO BOX 641925 PULLMAN,WA99164	91-1075542	501(C)(3)	6,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(62) SOUTH SOUND READING FOUNDATION 305 COLLEGE ST NE LACEY,WA98516	91-2091907	501(C)(3)	5,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(63) A STEP AHEAD 10324 CANYON RD E ST PUYALLUP,WA98373	91-2145470	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(64) ASSOCIATED MINISTRIES OF TACOMA-PIERCE COUNTY 901 S 13TH ST TACOMA,WA98405	91-0847534	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(65) CATHOLIC COMMUNITY SERVICES 1323 S YAKIMA AVE TACOMA,WA98405	91-1585652	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(66) COMMUNITIES IN SCHOOLS LAKEWOOD 10828 GRAVELLY LAKE DRIVE LAKEWOOD,WA98499	91-1732922	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(67) COMMUNITIES IN SCHOOLS PENINSULA PO BOX 684 VAUGHN,WA98394	91-2024847	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(68) CRYSTAL JUDSON FAMILY JUSTICE CENTER 10828 GRAVELLY LAKE DRIVE LAKEWOOD,WA98499	91-2024847	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(69) EASTSIDE BABY CENTER PO BOX 712 ISSAQUAH,WA98027	91-1617032	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(70) FEST 605 SW 108TH ST SEATTLE,WA98146	46-2268038	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(71) GENERATION ALIVE 418 W SHARP AVE SPOKANE,WA99201	56-2598004	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(72) GIG HARBOR PENINSULA FISH FOOD BANK 4425 BURNHAM DR GIG HARBOR,WA98335	91-1307991	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(73) GREENTRIKE 1501 PACIFIC AVE 202 TACOMA,WA98402	94-3036465	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(74) MUSEUM OF GLASS 1801 DOCK ST TACOMA,WA98402	91-1669422	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(75) HANDS ON CHILDRENS MUSEUM 1501 PACIFIC AVE 202 TACOMA,WA98402	91-1405065	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(76) HILLTOP ARTISTS POBOX 6829 TACOMA,WA98417	91-1667476	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(77) KIDS DISCOVERY MUSEUM 301 RAVINE LN NE BAINBRIDGE ISLAND,WA98110	30-0167480	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(78) MERCY HOUSING NORTHWEST 6930 MLK JR WAY S SEATTLE,WA98118	91-1546525	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(79) REACH OUT AND READ WA STATE 2400 NW 80TH ST SEATTLE,WA98117	04-3481253	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(80) MOUNTAIN VIEW COMMUNITY CENTER 3607 122ND AVE E STE A EDGEWOOD,WA98372	26-4177066	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(81) NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) OF WA 1107 NE 45TH STE 330 SEATTLE,WA98105	91-1689067	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(82) TACOMA URBAN LEAGUE 2550 S YAKIMA AVE TACOMA,WA99223	91-0826302	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(83) NEIGHBORHOOD CLINIC 1323 S YAKIMA AVE TACOMA,WA98405	91-1318144	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(84) NORTHWEST INFANT SURVIVAL & SIDS ALLIANCE 4649 SUNNYSIDE AVE N SEATTLE,WA98103	91-1567341	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(85) OUR SAVIOR LUTHERAN CHURCH 4519 112TH ST E TACOMA,WA98446	91-0850441	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(86) PUYALLUP VALLEY STREET FRANCIS HOUSE PO BOX 156 PUYALLUP,WA98371	91-1621772	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(87) RAISING GIRLS PO BOX 7851 TACOMA,WA98417	82-1306270	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(88) REBUILD TOGETHER SOUTH SOUND 4019 S ORCHARD ST TACOMA,WA98466	91-2147601	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(89) REBUILD TOGETHER THURSTON COUNTY 809 LEGION WAY STE 306 OLYMPIA,WA98501	77-0613860	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(90) THE SALVATION ARMY 111 QUEEN ANNE AVE N SEATTLE,WA98109	94-1156347	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(91) ST VINCENT DE PAUL HOLY FAMILY CONFERENCE PO BOX 624 AUBURN,WA980710624	91-0601570	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(92) ST VINCENT DE PAUL KENTCOVINGTON 25810 156TH AVE SE COVINGTON,WA98042	91-0583891	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(93) ST VINCENT DE PAUL TACOMA-PIERCE COUNTY 4009 S 56TH ST TACOMA,WA98409	91-0580490	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(94) TOGETHER - CLUB HOUSE 1520 IRVING ST SW STE A TUMWATER,WA98512	91-1465778	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(95) VASHON YOUTH & FAMILY SERVICES 20110 VASHON HWY SW VASHON,WA98070	91-1025994	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(96) WONDERLAND CHILD & FAMILY SERVICES 2402 NW 196TH PL SHORELINE,WA98177	91-0890276	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(97) YWCA PIERCE COUNTY 405 BROADWAY TACOMA,WA98402	91-0565026	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(98) YWCA SEATTLEKINGSNOHOMISH 118 FITH AVE SEATTLE,WA98101	91-0482890	501(C)(3)	5,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT

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) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

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:

THE MULTICARE COMMUNITY PARTNERSHIP FUND PROVIDES FUNDING TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON AND KITSAP COUNTIES THAT ADVANCE INITIATIVES, PROGRAMS, AND PROJECTS THAT IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING THROUGH PARTNERSHIP WITH ORGANIZATIONS THAT AFFECT THE SOCIAL DETERMINANTS OF HEALTH. AFTER THE APPLICANTS ARE VALIDATED AS 501(C)(3) ORGANIZATIONS AND PROVIDED THE FUNDS, MULTICARE HEALTH SYSTEM THEN SEES THE BENEFITS OF THOSE ORGANIZATIONS IN THE COMMUNITY. RESEARCH IS CONDUCTED TO ENSURE THE INTEGRITY AND ETHICS OF EACH OF THE ORGANIZATIONS.

Schedule I (Form 990) 2020

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
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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 on 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 on 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 on Line 1a? ....

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 on 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 on 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," on line 5a or 5b, describe in Part III.

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

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

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

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

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

Were any amounts reported on 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" on 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) 2020

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 on 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 on 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)
1WILLIAM ROBERTSON PRESIDENT & CEO	(i) (ii)	1,373,459 ------------- 0	457,739 ------------- 0	7,992 ------------- 0	625,360 ------------- 0	24,519 ------------- 0	2,489,069 ------------- 0	0 ------------- 0
2TIM BRICKER SRVP/EXEC.,PART YEAR	(i) (ii)	478,695 ------------- 0	165,561 ------------- 0	1,343,005 ------------- 0	0 ------------- 0	15,826 ------------- 0	2,003,087 ------------- 0	304,603 ------------- 0
3FLORENCE CHANG EXECUTIVE VICE PRESIDENT	(i) (ii)	1,073,907 ------------- 0	298,798 ------------- 0	7,920 ------------- 0	473,597 ------------- 0	27,044 ------------- 0	1,881,266 ------------- 0	0 ------------- 0
4JASON ADAMS DREYER PHYSICIAN	(i) (ii)	1,737,553 ------------- 0	7,490 ------------- 0	1,236 ------------- 0	0 ------------- 0	20,975 ------------- 0	1,767,254 ------------- 0	0 ------------- 0
5LEE J SANDQUIST PHYSICIAN	(i) (ii)	1,550,509 ------------- 0	0 ------------- 0	1,236 ------------- 0	0 ------------- 0	20,975 ------------- 0	1,572,720 ------------- 0	0 ------------- 0
6DAVID COONS PHYSICIAN	(i) (ii)	1,304,178 ------------- 0	175,876 ------------- 0	47,720 ------------- 0	17,100 ------------- 0	25,805 ------------- 0	1,570,679 ------------- 0	34,214 ------------- 0
7NEHAL MASOOD PHYSICIAN	(i) (ii)	1,335,952 ------------- 0	92,421 ------------- 0	13,206 ------------- 0	11,400 ------------- 0	24,913 ------------- 0	1,477,892 ------------- 0	0 ------------- 0
8BENJAMIN CHEN PHYSICIAN	(i) (ii)	1,211,794 ------------- 0	138,251 ------------- 0	12,024 ------------- 0	17,100 ------------- 0	22,336 ------------- 0	1,401,505 ------------- 0	0 ------------- 0
9DAVID CARLSON SRVP,PROVIDER ENTERPRISES	(i) (ii)	653,685 ------------- 0	170,859 ------------- 0	104,632 ------------- 0	11,400 ------------- 0	31,407 ------------- 0	971,983 ------------- 0	0 ------------- 0
10DAVID O'BRIEN SRVP/CHIEF EXEC-EAST. WA	(i) (ii)	579,449 ------------- 0	141,093 ------------- 0	84,005 ------------- 0	11,400 ------------- 0	18,215 ------------- 0	834,162 ------------- 0	0 ------------- 0
11JUNE ALTARAS SRVP,CHIEF NURSING ENTERPRISE	(i) (ii)	561,815 ------------- 0	126,976 ------------- 0	85,973 ------------- 0	11,400 ------------- 0	18,383 ------------- 0	804,547 ------------- 0	0 ------------- 0
12JAMES MCMANUS CFO	(i) (ii)	627,396 ------------- 0	115,660 ------------- 0	7,920 ------------- 0	11,400 ------------- 0	18,383 ------------- 0	780,759 ------------- 0	0 ------------- 0
13CHRISTI MCCARREN SRVP,RETAIL HEALTH&COMMUNI	(i) (ii)	415,817 ------------- 0	102,623 ------------- 0	64,289 ------------- 0	17,100 ------------- 0	17,507 ------------- 0	617,336 ------------- 0	0 ------------- 0
14JEFFREY POLTAWSKY PRES. MARY BRIDGE	(i) (ii)	399,804 ------------- 0	112,012 ------------- 0	6,487 ------------- 0	11,400 ------------- 0	24,529 ------------- 0	554,232 ------------- 0	0 ------------- 0
15SHELLY MULLIN FORMER VP, FORMER KEY EMPL	(i) (ii)	231,848 ------------- 0	0 ------------- 0	249,892 ------------- 0	13,911 ------------- 0	0 ------------- 0	495,651 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

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 - THE EXECUTIVE BENEFIT ALLOWANCE IS A DISCRETIONARY SPENDING ACCOUNT AND THERE ARE NO RESTRICTIONS AS TO HOW THE FUNDS ARE TO BE SPENT. TWO SR. VICE-PRESIDENTS RECEIVED EXECUTIVE BENEFIT ALLOWANCE IN 2020. THEY CAN CHOOSE TO AUGMENT THEIR BENEFITS OR RECEIVE IT AS COMPENSATION PART OF TAXABLE WAGES. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B,(III).
PART I, LINES 4A-B	LINE 4A- IN 2020 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: TIM BRICKER, SRVP/CHIEF EXECUTIVE SOUTH SOUND, IN THE AMOUNT OF $1,026,792 AND SHELLY MULLIN, FORMER VP, IN THE AMOUNT OF $249,892. LINE 4B - THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN AND RECEIVED A PAYOUT IN 2020: DAVIS COONS - $34,214, TIM BRICKER- $304,603. IRC SECTION 457(F) PLANS ALLOW PARTICIPANTS TO CHOOSE FROM A NUMBER OF DIFFERENT TYPES OF BENEFITS WITH A DEFAULT SELECTION INTO A 457(F) PLAN. THE PLAN COVERS EMPLOYEES WHO ARE PRIMARILY A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THIS TYPE OF ARRANGEMENT CONTAINS A RISK OF FORFEITURE AND SOME OF THE ACCOUNTS USE A NON-COMPETE CLAUSE. THE EXECUTIVE GROUP ACCOUNTS CONTAIN A ROLLING 5-YEAR CLIFF 50% VESTING SCHEDULE AND ONCE THAT IS BEING MET THE PARTICIPANT RECEIVES 50% OF THE ACCOUNT, WITH A 100% VESTING UPON AGE 62 OR 5 YEARS OF PRIOR EMPLOYMENT. FOR THE HIGHLY COMPENSATED GROUP (PLAN'S LEGACY PHYSICIAN PARTICIPANT GROUP) DISTRIBUTION OF BALANCES PAID REPRESENTED VESTED AMOUNT DURING THE YEAR. THE PAYMENTS WERE TAXED AND INCLUDED IN COLUMN B, (III). SCHEDULE J, SUPPLEMENTAL INFORMATION WILLIAM G. ROBERTSON, PRESIDENT AND CEO, AND FLORENCE CHANG, EXEC.VP, EARNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) INCOME IN THE AMOUNTS OF $608,260 AND $456,497, RESPECTIVELY, WHICH ARE REFLECTED IN COLUMN C. THE SERP PLAN HAS DEFERRALS INTO THE 457(F) CAA DEFERRED COMPENSATION PLAN.
FORM 990, PART VII AND SCHEDULE J, PART III- SUPPLEMENTAL	THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 47-5457904, 82-2949880), 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 (Form 990) 2020

Additional Data

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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 2009 AB	91-1108929	93978HEU5	05-01-2009	100,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2012 A	91-1108929	93978HHB4	11-13-2012	140,628,741	AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2015 AB	91-1108929	93978HMN2	04-16-2015	420,539,219	REFUND THE SERIES 2004 & SERIES 2008 BONDS, CONSTRUCTION AT AUBURN & COVINGT		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B	91-1108929	93978HTS4	11-14-2017	299,865,868	REFUND THE SERIES 2007		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CDE	91-1108929	93978HTS3	11-14-2017	191,010,000	REFUND 2012B DEBT & ROCKWOOD ACQUISTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................					19,265,000		12,265,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	100,000,000		140,628,741		420,539,219		299,865,868
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,032,608		1,336,000		3,145,115
8 Credit enhancement from proceeds .............	556,507
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	98,410,885		139,292,741		192,374,556
11 Other spent proceeds .............	191,010,000				225,019,548		299,865,868
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2013		2017		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

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
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 ....	0.290 %		0.120 %		0.560 %		0.480 %
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 .............	0.290 %		0.120 %		0.560 %		0.480 %
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

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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 I, COLUMN C

THE FOLLOWING CUSIPS WERE ISSUED FOR THE FOLLOWING BOND SERIES: $48,145,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2009A MATURITY/CUSIP 8/15/2044/ 93978HET8 $49,985,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2009B MATURITY/CUSIP 8/15/2040/ 93978HEU5 8/15/2041/ 93978HEV3 8/15/2042/ 93978HEW1 8/15/2043/ 93978HEX9 8/15/2044/ 93978HEY7 $60,000,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2012A MATURITY/CUSIP 8/15/2042/ 93978HHB4 8/15/2046/ 93978HHA6 $87,710,000 ISSUER BOND DESCRIPTION MULTICARE HEALTH SYSTEM SERIES 2015A MATURITY/CUSIP 8/15/2019/ 93978HMP7 8/15/2020/ 93978HMQ5 8/15/2021/ 93978HMR3 8/15/2022/ 93978HMS1 8/15/2023/ 93978HMT9 8/15/2024/ 93978HMU6 8/15/2025/ 93978HMV4 8/15/2026/ 93978HMW2 8/15/2027/ 93978HMX0 8/15/2028/ 93978HMY8 8/15/2029/ 93978HMZ5 8/15/2030/ 93978HNA9 8/15/2031/ 93978HNB7 8/15/2032/ 93978HNC5 8/15/2033/ 93978HND3 8/15/2034/ 93978HNE1 8/15/2035/ 93978HNF8 8/15/2040/ 93978HNG6 8/15/2045/ 93978HNH4 $285,680,000 ISSUER REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2015B MATURITY/CUSIP 8/15/2019/ 93978HNN1 8/15/2020/ 93978HNP6 8/15/2021/ 93978HNQ4 8/15/2022/ 93978HNR2 8/15/2023/ 93978HNS0 8/15/2024/ 93978HNT8 8/15/2025/ 93978HNU5 8/15/2026/ 93978HNV3 8/15/2027/ 93978HNW1 8/15/2028/ 93978HNX9 8/15/2029/ 93978HNY7 8/15/2030/ 93978HNZ4 8/15/2031/ 93978HPA7 8/15/2032/ 93978HPB5 8/15/2033/ 93978HPC3 8/15/2034/ 93978HPD1 8/15/2035/ 93978HPE9 8/15/2039/ 93978HPF6 8/15/2043/ 93978HPG4 $271,560,000 WA HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS MULTICARE HEALTH SYSTEM SERIES 2017B (REFUNDING) MATURITY/CUSIP 8/15/2019/ 93978HSW6 8/15/2020/ 93978HSX4 8/15/2021/ 93978HSY2 8/15/2022/ 93978HSZ9 8/15/2023/ 93978HTA3 8/15/2024/ 93978HTB1 8/15/2025/ 93978HTC9 8/15/2026/ 93978HTD7 8/15/2027/ 93978HTE5 8/15/2028/ 93978HTF2 8/15/2029/ 93978HTG0 8/15/2030/ 93978HTH8 8/15/2031/ 93978HTJ4 8/15/2032/ 93978HTK1 8/15/2033/ 93978HTL9 8/15/2034/ 93978HTM7 8/15/2035/ 93978HTN5 8/15/2036/ 93978HTP0 8/15/2037/ 93978HTQ8 8/15/2038/ 93978HTR6 8/15/2041/ 93978HTS4

Schedule K (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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 2009 AB	91-1108929	93978HEU5	05-01-2009	100,000,000	CONSTRUCTION OF THE GOOD SAMARITAN TOWER		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2012 A	91-1108929	93978HHB4	11-13-2012	140,628,741	AUBURN AQUISITION,TG CAMPUS REFRESH,COVINGTON EMERGENCY DEPARTMENT		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2015 AB	91-1108929	93978HMN2	04-16-2015	420,539,219	REFUND THE SERIES 2004 & SERIES 2008 BONDS, CONSTRUCTION AT AUBURN & COVINGT		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B	91-1108929	93978HTS4	11-14-2017	299,865,868	REFUND THE SERIES 2007		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CDE	91-1108929	93978HTS3	11-14-2017	191,010,000	REFUND 2012B DEBT & ROCKWOOD ACQUISTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................					19,265,000		12,265,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	100,000,000		140,628,741		420,539,219		299,865,868
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,032,608		1,336,000		3,145,115
8 Credit enhancement from proceeds .............	556,507
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	98,410,885		139,292,741		192,374,556
11 Other spent proceeds .............	191,010,000				225,019,548		299,865,868
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2013		2017		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

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
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 ....	0.290 %		0.120 %		0.560 %		0.480 %
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 .............	0.290 %		0.120 %		0.560 %		0.480 %
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

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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 I, COLUMN C

Schedule K (Form 990) 2020

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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 section 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 the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-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) 2020

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	FAMILY OF DIRECTOR	565,697	EMPLOYEE OF MULTICARE HEALTH SYSTEM		No
(2) RACHEL ROTH	FAMILY OF DIRECTOR	44,816	EMPLOYEE OF MULTICARE HEALTH SYSTEM		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) 2020

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

MULTICARE HEALTH SYSTEM

Employer identification number

91-1352172

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	JANINE TERRANO AND JOHN FOLSOM HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE MULTICARE HEALTH SYSTEM (MHS) FORM 990 IS PREPARED BY INTERNAL STAFF AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. INITIAL REVIEWS ARE PERFORMED BY LEVELS OF MANAGEMENT IN VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION, INCLUDING THE CHIEF EXECUTIVE OFFICER, AND THE CHIEF FINANCIAL OFFICER. A REVIEW IS THEN PERFORMED BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD, WITH A PRESENTATION BY THE OUTSIDE ACCOUNTING FIRM. LASTLY, A COPY OF THE FINAL FORMS 990 FOR MHS, MULTICARE FOUNDATIONS AND MARY BRIDGE CHILDREN'S FOUNDATION, INCLUDING ALL REQUIRED SCHEDULES, ARE POSTED TO DILIGENT BOARD BOOKS, A SECURE BOARD PORTAL WHERE THE MHS'S BOARD OF DIRECTORS HAVE ACCESS TO REVIEW/GAIN KNOWLEDGE/ASK QUESTIONS, PRIOR TO ITS FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE BOARD OF DIRECTORS HAS ACCOUNTABILITY FOR OVERSIGHT OF THE PROCESS FOR DISCLOSURE, EVALUATION, AND MANAGEMENT OF CONFLICTS OF INTEREST INVOLVING ANY DIRECTOR ON THE BOARD, EXECUTIVE LEADERSHIP, OR KEY EMPLOYEE. IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, THESE INDIVIDUALS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY, AND HAVE AN ONGOING OBLIGATION TO UPDATE THE DISCLOSURE IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. THE CONFLICTS OF INTEREST QUESTIONNAIRE INCLUDES A STATEMENT THAT THE PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT FURTHER ITS TAX EXEMPT PURPOSES. WRITTEN DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, AND IN CERTAIN CIRCUMSTANCES, THERE IS FURTHER REVIEW BY THE GENERAL COUNSEL AND THE MEMBER. NO PERSON WITH A CONFLICT OF INTEREST PARTICIPATES IN AN ACTIVITY RELATED TO THE CONFLICT OF INTEREST UNLESS DISCLOSED, RESOLVED, AND PERMITTED IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. CONFLICTS OF INTEREST ARE DOCUMENTED.
FORM 990, PART VI, SECTION B, LINE 15	A-B: PROCESS USED TO DETERMINE COMPENSATION OF CEO THE BOARD, THROUGH ITS COMPENSATION COMMITTEE CONSISTING OF INDEPENDENT, NON-PAID, BOARD MEMBERS, IS ACCOUNTABLE FOR ENSURING AND APPROVING A REASONABLE TOTAL COMPENSATION PACKAGE, CONSISTENT WITH ITS COMPENSATION PHILOSOPHY, FOR THE CEO FOR HIS MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 91-1111928, 82-2949880,47-5457904). THE COMPENSATION COMMITTEE DIRECTS THE DEVELOPMENT AND IT APPROVES ANNUAL GOALS AND PERFORMANCE CRITERIA THAT ARE USED TO DETERMINE VARIABLE COMPENSATION OPPORTUNITIES FOR THE CEO. THE COMPENSATION COMMITTEE ASSESSES PERFORMANCE AGAINST THESE GOALS AND PERFORMANCE CRITERIA, WHICH INCLUDE IMPROVING PATIENT CARE, CARE ACCESS TO THE UNDERSERVED, CLINICAL OUTCOMES, AND PATIENT SAFETY, AS WELL AS EARNING AN OPERATING MARGIN TO ENABLE INVESTMENT IN PEOPLE, TECHNOLOGY, AND FACILITIES. THE COMPENSATION COMMITTEE SELECTS AND ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT EACH YEAR TO REVIEW AND ANALYZE THE TOTAL COMPENSATION PACKAGE FOR ALIGNMENT WITH APPROPRIATE PRACTICES FOR SIMILAR NOT-FOR-PROFIT HEALTHCARE SYSTEMS. THE COMPENSATION COMMITTEE, AS PART OF ITS ANALYSIS, OBTAINS FROM THE INDEPENDENT COMPENSATION CONSULTANT APPROPRIATE COMPARABILITY DATA, INCLUDING TOTAL COMPENSATION PAID BY SIMILARLY SITUATED NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE. THE COMPENSATION DELIBERATION AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED. THE LAST TIME THIS PROCESS WAS UNDERTAKEN WAS 2020.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF THE FORM 990.
FORM 990, PART IX, LINE 11G	PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 347,376,847. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 347,376,847.
FORM 990, PART XI, LINE 9:	CHANGES IN ACCRUED PENSION ASSET 2,514,099. TRANSFER OF ASSETS, RELATED ENTITIES MBCF AND MF 5,703,784.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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
(2) NORTHSTAR PROPERTY ACQUISITIONS LLC 4720 MONTGOMERY LANE STE 1000 BETHESDA,MD20814 82-1517201	REAL PROPERTY ACQUISITION	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 FOUNDATIONS 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)CHVI PROFESSIONAL CORPORATION 222 N J STREET TACOMA,WA98403 47-5457904	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes
(4)NAVOS PO BOX 46420 SEATTLE,WA98126 91-0848698	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes
(5)MULTICARE REHABILITATION SPECIALISTS PS 315 MARTIN LUTHER KING JR WAY TACOMA,WA98405 82-2949880	REHABILITATION	WA	501(C)(3)	LINE 12-I	MULTICARE HEALTH SYSTEM	Yes
(6)GREATER LAKES MENTAL HEALTHCARE 9330 59TH AVE SW LAKEWOOD,WA98499 91-6064184	HOSPITAL	WA	501(C)(3)	LINE 3	MULTICARE HEALTH SYSTEM	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2020

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	(k) Percentage ownership
(1) OLYMPIC SPORTS & SPINE PLLC 6050 TACOMA MALL BLVD TACOMA,WA98409 82-2950138	HEALTHCARE SERVICES	WA	N/A	RELATED				No			No
(2) AUBURN IMAGING PARTNERS PO BOX 26730 FEDERAL WAY,WA98093 20-2539907	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED	32,538	1,023,901		No		Yes		80.000 %
(3) VP SURGERY OF AUBURN 122 3RD ST NE AUBURN,WA98002 37-1668651	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED	270,548	858,233		No		Yes		50.100 %
(4) REDICLINIC OF WALLC 9 E GREENWAY PLAZA STE 2950 HOUSTON,TX77046 47-1808980	HEALTHCARE SERVICES	TX	MULTICARE HEALTH SYSTEM	RELATED	11,649	53,356		No			No	51.000 %

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	(h) Percentage ownership	Yes	No
(1) MEDIS CORPORATION 315 S K STREET TACOMA,WA98405 91-1111928	MEDICAL BUILDING RENTAL	WA	MULTICARE HEALTH SYSTEM	C	1,499,703	2,352,515	100.000 %	Yes

Schedule R (Form 990) 2020

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) ............................

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) .....................

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 ............................

Yes

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) ............................

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 FOUNDATIONS	B	4,170,470	ACCRUAL
(2) MARY BRIDGE CHILDREN'S FOUNDATION	B	4,862,621	ACCRUAL
(3) MULTICARE FOUNDATIONS	C	6,462,619	ACCRUAL
(4) MARY BRIDGE CHILDREN'S FOUNDATION	C	7,356,743	ACCRUAL
(5) MEDIS CORPORATION	K	1,285,955	ACCRUAL
(6) CHVI PROFESSIONAL CORPORATION	P	55,927,424	ACCRUAL
(7) MULTICARE FOUNDATIONS	Q	2,849,935	ACCRUAL
(8) MARY BRIDGE CHILDREN'S FOUNDATION	Q	3,390,243	ACCRUAL
(9) MEDIS CORPORATION	Q	1,025,562	ACCRUAL

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

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) 2020

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	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	17,405
6	Total number of volunteers (estimate if necessary) .............	6	645
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	536,289
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	41,339,790	161,145,210
9	Program service revenue (Part VIII, line 2g) .........	3,179,967,185	3,187,058,252
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	19,196,089	4,590,412
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-572,453	-153,215
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,239,930,611	3,352,640,659
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	8,821,602	11,633,091
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)	1,680,058,727	1,750,788,984
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)....	1,426,011,028	1,481,713,017
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,114,891,357	3,244,135,092
19	Revenue less expenses. Subtract line 18 from line 12.......	125,039,254	108,505,567
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,914,390,204	5,732,640,112
21	Total liabilities (Part X, line 26).............	2,181,620,665	2,718,992,585
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,732,769,539	3,013,647,527

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,372,267,203 including grants of $ 11,633,091 ) (Revenue $ 2,642,339,444 )
	MULTICARE HEALTH SYSTEM (MHS) IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTHCARE TAX-EXEMPT ORGANIZATION IN THE STATE OF WASHINGTON. MHS OPERATES EIGHT COMMUNITY BASED HOSPITALS WITH 1,720 LICENSED ADULT BEDS AND 82 LICENSED PEDIATRIC BEDS. DURING 2020 MHS HOSPITALS ADMITTED 65,995 PATIENTS FOR A TOTAL OF 345,816 PATIENT DAYS, PERFORMED 51,069 SURGERIES AND DELIVERED 8,563 BABIES. THERE WERE 12,600 NEWBORN DAYS DURING 2020. THEY ALSO PROVIDED CARE FOR 389,809 OUTPATIENT VISITS AND 375,551 EMERGENCY ROOM VISITS, OF WHICH 1,978 WERE TRAUMA PATIENTS. IN ADDITION, MHS, THROUGH THE COMMUNITY PARTNERSHIP FUND SUPPORTS ORGANIZATIONS WHOSE WORK IS IMPORTANT TO THE HEALTH OF THE COMMUNITIES IT SERVES IN PUGET SOUND AND EASTERN WA. IN 2020 MHS PROVIDED 97 GRANTS TO COMMUNITY ORGANIZATIONS.

4b	(Code: ) (Expenses $ 405,059,765 including grants of $ ) (Revenue $ 404,598,831 )
	MULTICARE HEALTH SYSTEM OPERATES A SYSTEM OF MULTI-SPECIALTY CLINICS, A GRID OF HIGHLY SPECIALIZED URGENT CARE CENTERS (INDIGO), 7- DAYS/WEEK WALK-IN FRIENDLY URGENT CARE CENTERS (IMMEDIATE), THROUGHOUT PIERCE, KING, THURNSTON, KITSAP, SNOHOMISH COUNTIES, AND MULTICARE ROCKWOOD CLINIC LOCATED IN SPOKANE, WA. ROCKWOOD CLINIC IS THE LARGEST OUTPATIENT DIAGNOSTIC AND TREATMENT CENTER IN THE EASTERN WA REGION, WITH MULTIPLE LOCATIONS OFFERING PRIMARY CARE, URGENT CARE AND SPECIALTY CARE. IN 2020 THE INDIGO, IMMEDIATE, MULTICARE UCC AND ROCKWOOD CLINICS PROVIDED 489,000 CLINIC VISITS. THE MULTI-SPECIALTY CLINICS PROVIDED 385,546 PHYSICIAN VISITS, OUTPATIENT VISITS OF 130,392, AND PROCESSED 988,557 LABORATORY WORKLOAD UNITS, (SEE SCHEDULE O)157,887 IMAGING RELATIVE UNITS, 173,056 ONCOLOGY RELATIVE VALUE UNITS, 129,736 RADIATION ONCOLOGY VALUE UNITS, 2,274 THERAPY VALUE UNITS AND 1,958 PHARMACY WORKLOAD UNITS. THE GIG HARBOR AMBULATORY CENTER PERFORMED 957 SPECIALIST SURGERIES AS FOLLOWS: PEDIATRIC, GENERAL, NEUROLOGIC, VASCULAR, SPINE, ORTHOPEDIC, GENERAL BREAST, PEDIATRIC ORTHOPEDIC, CARDIOTHORACIC, GENERAL BARIATRIC, COLORECTAL, PEDIATRIC NEUROSURGERY.

4c	(Code: ) (Expenses $ 88,924,924 including grants of $ ) (Revenue $ 87,682,020 )
	MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE AND SOUTH KING COUNTIES. THESE PRACTICES PROVIDED 445,186 PATIENT VISITS DURING 2020.

	(Code: ) (Expenses $ 56,867,031 including grants of $ ) (Revenue $ 52,437,957 )
	MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE BEHAVIORAL HEALTH, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH AND PSYCHOLOGY CHILDREN'S THERAPY UNIT. DURING 2020 THE CLINICS PROVIDED 40,254 HOME HEALTH VISITS, THE HOME HEALTH AND HOSPICE PROGRAMS ADMITTED 3,012 AND 1,413 PATIENTS, RESPECTIVELY. MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU) HELPS INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. IN 2020 CTU SERVED 604 PATIENTS. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 56,867,031 including grants of $ ) (Revenue $ 52,437,957 )
4e	Total program service expenses2,923,118,923

(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) JUNE ALTARAS........................................................................ SRVP,CHIEF NURSING ENTERPRISE	60.00 .......................0.00	X			774,764	0	29,783
(19) CHRISTI MCCARREN........................................................................ SRVP,RETAIL HEALTH&COMMUNI	58.00 .......................2.00	X			582,729	0	34,607
(20) JEFFREY POLTAWSKY........................................................................ PRES. MARY BRIDGE	60.00 .......................0.00	X			518,303	0	35,929
(21) JASON ADAMS DREYER........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,746,279	0	20,975
(22) LEE J SANDQUIST........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,551,745	0	20,975
(23) DAVID COONS........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,527,774	0	42,905
(24) NEHAL MASOOD........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,441,579	0	36,313
(25) BENJAMIN CHEN........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,362,069	0	39,436
(26) SHELLY MULLIN........................................................................ FORMER VP, FORMER KEY EMPL	50.00 .......................0.00			X	481,740	0	13,911

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	17,678,757	0	1,543,385

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	13,819,362
e	Government grants (contributions)		1e	147,325,848

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		161,145,210

		Business Code
2a	HEALTHCARE SERVICES	622110	2,631,483,355	2,631,262,353	221,002
b	AMBULATORY SRVS & UCC	621493	427,873,441	427,726,908	146,533
c	OFFICES OF PHYSICIANS	621111	79,111,982	79,111,982
d	HOME HEALTH	621610	27,834,473	27,834,473
e	OUTPATIENT MENTAL HLTH	621420	14,672,760	14,672,760
f	All other program service revenue.		6,082,241	6,082,241
g	Total. Add lines 2a–2f .....		3,187,058,252

3 Investment income (including dividends, interest, and othersimilar amounts) ......			22,277,491		168,754	22,108,737
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses		17,687,079	7b
c	Gain or (loss)		-17,687,079	7c
d	Net gain or (loss).........			-17,687,079			-17,687,079
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	727,451
b	Less: cost of goods sold ..		10b	880,666
c	Net income or (loss) from sales of inventory..			-153,215			-153,215
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			3,352,640,659	3,186,690,717	536,289	4,268,443

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	11,633,091	11,633,091
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 ...........	10,936,440	9,638,477	1,297,963
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	610,513	610,513
7	Other salaries and wages........	1,505,102,371	1,325,102,730	179,999,641
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	50,276,619	44,309,667	5,966,952
9	Other employee benefits .......	90,728,150	79,960,312	10,767,838
10	Payroll taxes ...........	93,134,891	83,436,815	9,698,076
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	6,520,885	533,407	5,987,478
c	Accounting ...........	470,250	1,500	468,750
d	Lobbying ...........	265,750		265,750
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)	347,376,847	347,376,847
12	Advertising and promotion ....	9,445,685	5,032,136	4,413,549
13	Office expenses .......	15,498,456	13,659,061	1,839,395
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	63,687,899	56,129,264	7,558,635
17	Travel ............	6,999,950	6,276,460	723,490
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	33,111	20,435	12,676
20	Interest ...........	45,361,964	39,978,295	5,383,669
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	164,397,934	144,886,786	19,511,148
23	Insurance ...	36,172,836	31,879,756	4,293,080
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	518,256,432	510,858,630	7,397,802
b	PROVISION FOR BAD DEBTS	79,486,084	79,486,084
c	WA HOSP. SAFETY NET PRO	64,803,808	64,803,808
d	LICENSES	56,595,491	12,753,765	43,841,726
e	All other expenses	66,339,635	54,751,084	11,588,551
25	Total functional expenses. Add lines 1 through 24e	3,244,135,092	2,923,118,923	321,016,169	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).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			416,707,735	2	922,676,122
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			407,643,403	4	407,903,304
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			41,595,679	8	48,979,741
9	Prepaid expenses and deferred charges ......			34,005,065	9	36,677,019
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,424,556,316
b	Less: accumulated depreciation	10b	1,728,591,392	1,694,287,110	10c	1,695,964,924
11	Investments—publicly traded securities .			1,253,703,970	11	1,350,523,186
12	Investments—other securities. See Part IV, line 11 .....			543,779,000	12	619,934,000
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			522,668,242	15	649,981,816
16	Total assets. Add lines 1 through 15 (must equal line 33)...			4,914,390,204	16	5,732,640,112

17	Accounts payable and accrued expenses .....	402,536,605	17	505,356,977
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	1,255,914,047	20	1,543,660,105
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	523,170,013	25	669,975,503
26	Total liabilities. Add lines 17 through 25..	2,181,620,665	26	2,718,992,585

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,732,769,539	27	3,013,647,527
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	2,732,769,539	32	3,013,647,527
33	Total liabilities and net assets/fund balances ........	4,914,390,204	33	5,732,640,112