TY 2022 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JOHN P FOLSOM...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(2) SALLY B LEIGHTON...................................................................... SECRETARY	5.00 ................. 0.00	X	X		0	0
(3) TARA PERRY...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(4) DALE L SOWELL...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(5) JANINE TERRANO...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(6) ROBIN THOMASHAUER...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(7) FRANK TOMBARI...................................................................... TREASURER	5.00 ................. 0.00	X	X		0	0
(8) DEEDRA WALKEY...................................................................... VICE CHAIR	5.00 ................. 0.00	X	X		0	0
(9) JOHN WIBORG...................................................................... CHAIR	5.00 ................. 0.00	X	X		0	0
(10) ROBERT YOST...................................................................... DIRECTOR	5.00 ................. 0.00	X			0	0
(11) WILLIAM ROBERTSON...................................................................... CEO	56.00 ................. 4.00		X		2,751,828	856,729
(12) JAMES LEE...................................................................... CFO	50.00 ................. 0.00		X		596,384	11,289
(13) FLORENCE CHANG...................................................................... PRESIDENT	60.00 ................. 0.00			X	2,029,026	633,316
(14) DAVID J CARLSON...................................................................... SRVP,EXEC SOUTH SOUND,PART YEAR	58.00 ................. 2.00			X	1,453,095	24,027
(15) DAVID R O'BRIEN...................................................................... SRVP,CHIEF PHYS.OFFICER/EXEC.SOUTH SOUND & PAC.REG	60.00 ................. 0.00			X	1,095,048	31,130
(16) JUNE ALTARAS...................................................................... SRVP,CHIEF NURSING ENTREPRISE	60.00 ................. 0.00			X	1,112,698	33,443
(17) CHRISTI MCCARREN...................................................................... SRVP,RETAIL HEALTHCARE,PART YEAR	58.00 ................. 0.00			X	510,401	30,324

(A) Name and business address	(B) Description of services	(C) Compensation
TRAVEL NURSE ACROSS AMERICA LLC 5020 NORTHSHORE DR N LITTLE ROCK,AZ72118	STAFFING	268,408,113
LOCUMSMART LLC 315 WEST 36TH STREET NEW YORK,NY10018	CONSULTING	14,584,548
AQUITY SOLUTIONS LLC POBOX 746366 ATLANTA,GA30374	CLINICAL DOCUMENTATION SVCS	14,214,693
ACCENTURE INTERNATIONAL LTD 29889 NETWORK PL CHICAGO,IL60673	CONSULTING	10,799,460
COLVOS CONSTRUCTION LLC 711 COURT C TACOMA,WA98402	CONSTRUCTIONS	7,988,642
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 136

- TIN:

SCHEDULE A
(Form 990)

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

2022

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

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) .

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

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

Did one or more disqualified persons (as defined on 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 on 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) 2022

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

11a

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

11b

A 35% controlled entity of a person described on 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 on 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) 2022

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) 2022

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 2022 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-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2022

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) (2022)

Schedule B (Form 990) (2022) 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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

290,995

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

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

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

290,995

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

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

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

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

Part III-A

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

Yes

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

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

Did the organization agree to 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) 2021

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

2021

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) 2021

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 .....	147,209,581		147,209,581
b	Buildings ....	2,139,724,708	806,363,468	1,333,361,240
c	Leasehold improvements	146,734,921	97,413,948	49,320,973
d	Equipment ....	1,037,408,549	702,295,216	335,113,333
e	Other .....	171,656,555		171,656,555
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,036,661,682

Schedule D (Form 990) 2021

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	1,535,523,260	F
(B) LIMITED PARTNERSHIPS-PRIVATE EQUITY	432,682,000	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,968,205,260

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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				339,310,981
(2)ACCRUED PENSION ASSSET, EXECUTIVE CAA, TOP HAT 457(B)				117,563,512
(3)BONDS HELD IN TRUST				379,867
(4)RIGHT OF USE LEASE ASSET, NET				185,134,037
(5)NET INVESTMENT IN LEASE				22,654,793
(6)DONOR RESTRICTED ASSETS HELD FOR LONG-TERM PURPOSES				46,192,276
(7)MARK TO MARKET BASIS SWAP				23,495,882
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				734,731,348

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
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	561,942,569
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) 2021

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., PHYSICIANS OF SOUTHWEST WASHINGTON, LLC AND OLYMPIC SPORTS & SPINE, PLLC, WHICH ARE ALL TAXABLE ENTITIES, 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) 2021

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

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) . . .			52,627,553		52,627,553	1.270 %
b	Medicaid (from Worksheet 3, column a) . . . . .			1,036,745,000	615,857,000	420,888,000	10.170 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			1,089,372,553	615,857,000	473,515,553	11.440 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	33	36,354	14,364,015	6,315,875	8,048,140	0.190 %
f	Health professions education (from Worksheet 5) . . .	9	93	30,362,291	949,440	29,412,851	0.710 %
g	Subsidized health services (from Worksheet 6) . . . .	28	64,218	61,314,766	31,984,317	29,330,449	0.710 %
h	Research (from Worksheet 7) .	1		217,785	15,600	202,185	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3	114	1,227,931	0	1,227,931	0.030 %
j	Total. Other Benefits . .	74	100,779	107,486,788	39,265,232	68,221,556	1.640 %
k	Total. Add lines 7d and 7j .	74	100,779	1,196,859,341	655,122,232	541,737,109	13.080 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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	15	95,190		95,190	0 %
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	3,505,375	1,501,223	228,192	1,273,031	0.030 %
8	Workforce development
9	Other
10	Total	31	3,505,390	1,596,413	228,192	1,368,221	0.030 %

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. ......

107,408,619

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. ......

3,197,000

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).....

485,650,885

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

612,957,306

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

-127,306,421

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) 2022

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?9Name, 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 60221541	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	MULTICARE ALLENMORE HOSPITAL (ALLENMORE) 1901 SOUTH UNION TACOMA,WA98405 WWW.MULTICARE.ORG/ALLENMORE-HOSPITAL/ 00000176	X	X				X	A
6	MULTICARE VALLEY HOSPITAL (VALLEY) 12606 EAST MISSION AVE SPOKANE VALLEY,WA99216 WWW.MULTICARE.ORG/VALLEY-HOSPITAL/ 60769398	X	X				X	A
7	MULTICARE CAPITAL MEDICAL CENTER (CAPMED) 3900 CAPITAL MALL DR SW OLYMPIA WA 985 OLYMPIA,WA98502 HTTPS://WWW.MULTICARE.ORG/LOCATION/CAP 61279406	X	X				X	A
8	MARY BRIDGE CHILDREN'S HOSPITAL (MBRIDGE) 317 MARTIN LUTHER KING JR WAY TACOMA,WA98405 WWW.MULTICARE.ORG/MARY-BRIDGE-HOSPITAL 00000175	X	X	X	X		X	A
9	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) 2022

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 22

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 22

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) 2022

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) 2022

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) 2022

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) 2022

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 5: MULTICARE ALLENMORE HOSPITAL (ALLENMORE), - FACILITY 6: MULTICARE VALLEY HOSPITAL (VALLEY), - FACILITY 8: MARY BRIDGE CHILDREN'S HOSPITAL (M.BRIDGE), - FACILITY 2: MULTICARE GOOD SAMARITAN HOSPITAL (GSH), - FACILITY 3: MULTICARE DEACONESS HOSPITAL (DEAC), - FACILITY 7: MULTICARE CAPITAL MEDICAL CENTER (CAPMED), - FACILITY 9: MULTICARE COVINGTON HOSPITAL (COV)
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 5:	DURING 2022 MULTICARE HEALTH SYSTEM WORKED TO COMPLETE THE NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ADDITIONALLY, THE PRIORITIES AND IMPLEMENTATION STRATEGIES FOR 2022 CHNA WERE SELECTED AND APPROVED. PUBLISHED IN DECEMBER 2022, THE WORK ON IMPLEMENTATION STRATEGIES IS SCHEDULED FOR 2023,2024, 2025.COMMUNITY ENGAGEMENT PROCESS: MULTICARE HEALTH SYSTEM (MULTICARE) WORKED WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, PUBLIC HEALTH - SEATTLE AND KING COUNTY, THURSTON COUNTY PUBLIC HEALTH 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. COMMUNITY INPUT: THE CHNA INCLUDES PRIMARY DATA GATHERED FROM COMMUNITY SURVEYS, WORKSHOPS AND STAKEHOLDER INTERVIEWS, IN ADDITION TO INFORMATION COLLECTED FROM SECONDARY QUANTITATIVE SOURCES. PIERCE COUNTY: COMMUNITY WORKSHOPS (FOCUS GROUPS) AND STAKEHOLDER INTERVIEWS WERE CONDUCTED. THREE FOCUS GROUPS WERE HELD. THE POPULATIONS OF INTEREST WERE SELECTED BASED ON GAPS IDENTIFIED IN PREVIOUS ASSESSMENTS, THE NEED FOR TRUST BUILDING AND RECOGNIZED HEALTH DISPARITIES. FOCUS GROUPS WERE HELD WITH THE FOLLOWING: LGBTQ ADULTS, YOUTH (AGES 14 - 17), PEOPLE EXPERIENCING HOMELESSNESS. ALL THREE FOCUS GROUPS INCLUDED PEOPLE REPRESENTING DIVERSE RACE, ETHNICITY, GENDER, AND SEXUAL ORIENTATIONS. WE CONDUCTED TEN INTERVIEWS WITH ORGANIZATIONAL LEADERS ACROSS SEVEN SECTORS. MULTICARE AND VIRGINIA MASON FRANCISCAN PROVIDED THE HEALTH DEPARTMENT WITH MORE THAN 30 NAMES OF SUGGESTED LOCAL LEADERS. TEN PARTICIPANTS WERE SELECTED BASED ON THE FOLLOWING CRITERIA: 1. INDIVIDUAL IS EITHER A PERSON OF COLOR OR REPRESENTS/ WORKS ON BEHALF OF MARGINALIZED POPULATIONS. 2. REPRESENTS KEY SECTORS OF BUSINESS, NON-PROFIT, EDUCATION, TRANSPORTATION, HEALTH AND HUMAN SERVICES, LOCAL GOVERNMENT, AND LAW ENFORCEMENT/ FIRST RESPONDERS. 3. WAS NOT INTERVIEWED FOR THE PREVIOUS 2018-2019 CHNA. 4. AVAILABLE WITHIN THE PROJECT TIMELINE.QUESTIONS INCLUDED: WHAT ARE THE MOST IMPORTANT ISSUES AND CONCERNS YOU (OR YOUR CUSTOMERS/CONSTITUENTS) ARE CURRENTLY FACING, HOW AND WHERE ARE YOU CURRENTLY SEEING EVIDENCE OF RACISM IN PIERCE COUNTY, WHAT DO YOU THINK NEEDS TO CHANGE, WHAT DO YOU THINK HEALTHCARE CAN DO TO HELP?SPOKANE COUNTY: KEY INFORMANT INTERVIEWS AND COMMUNITY CONVERSATIONS WERE CONDUCTED. MANY OF THE INDIVIDUALS AND ORGANIZATIONS INCLUDED WERE IDENTIFIED AS HAVING BEEN MOST IMPACTED BY COVID-19 AND THEIR HEALTH OUTCOMES EXACERBATED BY INEQUITIES. WITHIN THESE INTERVIEWS, EIGHT THEMES EMERGED THAT ALIGNED WITH HOW THESE ORGANIZATIONS SEE HEALTH AND WELL-BEING IN SPOKANE.ADDITIONALLY, A NEEDS ASSESSMENT SPECIFIC TO THE LGBTQ COMMUNITY WAS CONDUCTED ONLINE THROUGH SOCIAL MEDIA CHANNELS AND IN PERSON FROM APRIL TO JULY 2021. RESPONDENTS WERE 357 MEMBERS OF THE SPOKANE COUNTY LBTQ COMMUNITY BETWEEN THE AGES OF 12 AND 83 YEARS OLD, INCLUDING 57 YOUTH (AGES 12-17 YEARS), 170 YOUNG ADULTS (AGES 18-34 YEARS), AND 127 ADULTS AGES 35 YEARS AND OLDER.KING COUNTY: SINCE THE LAST CHNA IN 2019, COMMUNITY-BASED ORGANIZATIONS AND CLINICS, STATE AND LOCAL AGENCIES, COALITIONS, SCHOOLS, AND HOSPITALS HAVE CONTINUED TO ENGAGE WITH THE PEOPLE THEY SERVE TO HELP ELEVATE SPECIFIC COMMUNITY CONCERNS AND STRENGTHS. TO ENHANCE OUR UNDERSTANDING OF KING COUNTY RESIDENTS' PRIORITIES LEADING UP TO THE PANDEMIC, WE REVIEWED 48 COMMUNITY NEEDS ASSESSMENTS, STRATEGIC PLANS, OR REPORTS PRODUCED BETWEEN 2018 AND 2020 IN COLLABORATION WITH PUBLIC HEALTH AND MULTIPLE HOSPITAL SYSTEMS IN KING COUNTY. TOGETHER WE SOUGHT PUBLICLY AVAILABLE INFORMATION REPRESENTING REGIONS THROUGHOUT KING COUNTY, SPECIFIC POPULATIONS, AND FOCUS AREAS INCLUDING FOOD, PHYSICAL ACTIVITY, HOUSING, AND TRANSPORTATION. EACH RESOURCE HAD A COMMUNITY ENGAGEMENT COMPONENT FROM WHICH WE SUMMARIZED THEMES. THE 48 ASSESSMENTS WERE CONDUCTED BY AND FOCUSED ON VULNERABLE POPULATIONS TO INCLUDE: CLIENTS OF YOUTH SERVICES, CLIENTS OF AGING AND DISABILITY SERVICES, CLIENTS OF INDIAN HEALTH SERVICES, RESIDENTS OF MULTIPLE CITIES AND MUNICIPALITIES IN KING COUNTY.THURSTON COUNTY: VIRTUAL AND IN-PERSON INTERVIEWS WERE CONDUCTED WITH 28 KEY INFORMANTS IN BEGINNING SEPTEMBER 2022. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES DIVERSE COMMUNITIES. EFFORTS WERE MADE TO ENGAGE KEY INFORMANTS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES.INTERVIEWS WERE FACILITATED BY THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENT STAFF AND BY PROVIDENCE SWEDISH SOUTH PUGET SOUND STAFF. THE KEY ORGANIZATIONS INVOLVED IN THE VARIOUS SURVEYS. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS INCLUDE: CENTRO LATINO CLOVER PARK SCHOOL DISTRICT/LAKES HIGH SCHOOL DEGREES OF CHANGE EMERGENCY FOOD NETWORK FIRST 5 FUNDAMENTALS FRANKLIN PIERCE SCHOOL DISTRICT GRADUATE TACOMA GREATER TACOMA COMMUNITY FOUNDATION MARY BRIDGE CHILDREN'S OASIS YOUTH CENTERPIERCE COLLEGEPIERCE TRANSIT TACID TACOMA COMMUNITY COLLEGE TACOMA HOUSING AUTHORITY TACOMA PIERCE COUNTY COALITION TO END HOMELESSNESS TACOMA PUBLIC SCHOOLS PIERCE TRANSITRAINBOW CENTERTHURSTON REGIONAL PLANNING COUNCILCHOICE REGIONAL HEALTH NETWORK/CASCADE PACIFIC ACTION ALLIANCEWASHINGTON STATE LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER (LGBTQ) COMMISSIONTHURSTON COUNTY PRETRIAL SERVICES DEPARTMENTDIVERSITY ALLIANCE OF THE PUGET SOUNDLEWIS-MASON-THURSTON AREA AGENCY ON AGINGFAMILY SUPPORT CENTER OF SOUTH SOUND COMMUNITY YOUTH SERVICESTHURSTON CLIMATE ACTION TEAMOLYMPIA CRISIS RESPONSE UNITSAFE KIDS THURSTON COUNTY CHILD CARE ACTION COUNCILTOGETHER!THE OLYMPIA FREE CLINICTHURSTON THRIVESINTERFAITH WORKSROCHESTER ORGANIZATION OF FAMILIES COMMUNITY SERVICESMI CHIANTLATHURSTON COUNTY BOARD OF COUNTY COMMISSIONERSINNOVATIONS HUMAN TRAFFICKING COLLABORATIVESOUTH SOUND BEHAVIORAL HOSPITALST. MARTIN'S UNIVERSITY STUDENT HEALTH CENTERYELM COMMUNITY SCHOOLSSOUTH SOUND PARENT TO PARENTLACEY PARKS, CULTURE, AND RECREATION VALLEY VIEW HEALTH CENTERTHURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENTFAMILY EDUCATION AND SUPPORT SERVICESCOMMUNITY VOICE AMERICAN INDIAN COMMUNITY CENTERBIG TABLECARL MAXEY CENTERGREATER SPOKANE INCORPORATEDTHE NATIVE PROJECTNORTHEAST WASHINGTON EDUCATIONAL SERVICE DISTRICT 101SPOKANE NEIGHBORHOOD ACTION PARTNERSSPOKANE POLICE DEPARTMENTARC OF SPOKANEASIAN PACIFIC ISLANDER COALITIONCONTINUUM OF CAREPEOPLE FIRST LILAC CHAPTERMUJERES IN ACTIONMUSLIMS FOR COMMUNITY ACTION AND SUPPORTPACIFIC ISLANDER COMMUNITY ASSOCIATIONSPOKANE IMMIGRANT RIGHTS COALITIONVULNERABLE ADULTS LINKS UNITEDWORLD RELIEFYOUTH ADVISORY LUTHERAN SERVICES.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 2022). DURING THESE MEETINGS EXECUTIVES, PHYSICIAN, NURSES, AND OUTPATIENT LEADERS WERE PRESENTED WITH THE SELECTED HEALTH PRIORITIES FOR EACH HOSPITAL/ REGION, 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?
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM 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,MULTICARE CAPITAL MEDICAL CENTER,CHI FRANCISCAN HEALTH,KING COUNTY HOSPITALS FOR A HEALTHY COMMUNITY.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM 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,PUBLIC HEALTH SEATTLE KING COUNTY,THURSTON COUNTY PUBLIC HEALTH & SOCIAL SERVICES DEPARTMENT,SPOKANE REGIONAL HEALTH DISTRICT,PRIORITY SPOKANE.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 7D:	LINE 7 D -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,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 11:	IN CONJUNCTION WITH THE CHNA, THE REGIONAL BOARDS FOR EACH OF THE MULTICARE HOSPITALS ADOPTED AN IMPLEMENTATION STRATEGY IN DECEMBER 2022 RELATED TO THE 2022 CHNA. MULTICARE WILL ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS BETWEEN 2023 AND 2025: - BEHAVIORAL HEALTH/ MENTAL HEALTH: ALLENMORE, AUBURN, COVINGTON, DEACONESS, GOOD SAMARITAN, TACOMA GENERAL, VALLEY HOSPITAL.- ACCESS TO CARE: THE NEED IS PREDOMINANT FOR THE HOSPITALS LOCATED IN THE PUGET SOUND AREA SUCH AS: ALLENMORE, AUBURN, CAPITAL, COVINGTON, GOOD SAMARITAN, MARY BRIDGE, TACOMA GENERAL.- CHRONIC DISEASE MANAGEMENT - SPECIFICALLY OBESITY, CANCER, DIABETES, HEART DISEASE/HYPERTENSION: ALLENMORE, AUBURN, CAPITAL, COVINGTON, GOOD SAMARITAN, MARY BRIDGE, TACOMA GENERAL.- MATERNAL AND CHILD HEALTH: ALLENMORE, CAPITAL, GOOD SAMARITAN, MARY BRIDGE, TACOMA GENERAL.- VIOLENCE AND DOMESTIC VIOLENCE: MARY BRIDGE CHILDREN'S HOSPITAL, DEACONESS AND VALLEY HOSPITALS.- HOUSING AND HOMELESSNESS: THE NEED WAS IDENTIFIED FOR THE TWO HOSPITALS LOCATED IN EASTERN WA, SPOKANE AREA, DEACONESS AND VALLEY HOSPITALS. - IMMUNIZATIONS: CAPITAL MEDICAL CENTER IN OLYMPIA, WA.THROUGHOUT 2022 MHS WORKED ON BRINGING TO A COMPLETION THE NEEDS IDENTIFIED IN THE 2019 CHNA.AS A RESULT, IN 2022 THE FOLLOWING STRATEGIES WERE EMPLOYED TO COMPLETE THE 2019 IDENTIFIED COMMUNITY NEEDS:ACCESS TO CARE- IN 2022, MULTICARE HEALTH SYSTEM (MHS) MADE SIGNIFICANT STRIDES IN IMPROVING ACCESS TO CARE. FIRSTLY, WE EXPANDED OUR SERVICES TO REACH UNDERSERVED AND RURAL COMMUNITIES, ENSURING THAT MORE INDIVIDUALS HAD ACCESS TO HEALTHCARE FACILITIES AND RESOURCES. TO ENHANCE CONVENIENCE FOR PATIENTS, WE ESTABLISHED THE PULSE VIRTUAL HEART FAILURE CLINIC, ENABLING PHYSICIANS AND PATIENTS TO AVOID LONG 2-HOUR DRIVES FOR APPOINTMENTS. MHS IMPLEMENTED VIRTUAL HEALTH INPATIENT SPECIALTY SERVICES, FURTHER ENHANCING ACCESS TO SPECIALIZED MEDICAL CARE. THROUGHOUT THE YEAR, MHS PROVIDED A TOTAL OF 181,235 VISITS TO OUR VALUED PATIENTS, ENSURING THEIR MEDICAL NEEDS WERE MET. ADDITIONALLY, MHS PRIORITIZED DENTAL HEALTH IN THE COMMUNITY. THROUGH OUR PARTNERSHIP WITH MEDICAL TEAMS INTERNATIONAL, IT PROVIDED $144,527 WORTH OF FREE DENTAL VISITS TO UNDERSERVED AND UNDERINSURED INDIVIDUALS, PROMOTING ORAL HEALTH AND WELL-BEING FOR ALL. BEHAVIORAL HEALTH- IN 2022 MHS CONTINUED FOCUSING ON GROWING OUR MODEL OF INTEGRATED BEHAVIORAL HEALTH CARE WITHIN BOTH MULTICARE MEDICAL ASSOCIATE AND MARY BRIDGE CLINICS. THIS MODEL OF CARE IS DESIGNED TO SUPPORT PRIMARY CARE AND PEDIATRIC CLINICS BY PROVIDING HIGHLY ACCESSIBLE AND COLLABORATIVE EMBEDDED THERAPY SERVICES, AS WELL AS ACCESS TO PSYCHIATRIC PROVIDERS AND MEDICATION TREATMENT RECOMMENDATIONS. THIS PROGRAM STARTED IN SPRING OF 2022 AND CONTINUES TO GROW AS WE SEE STRONG EVIDENCE OF QUALITY PATIENT CARE, PRIMARY CARE PROVIDER SATISFACTION AND FINANCIAL SUSTAINABILITY. ADDITIONALLY, IN 2022 MHS CONTINUED TO EXPAND SERVICES TO ADULTS, CHILDREN, AND FAMILIES BY ENHANCING OUR PARTNERSHIP WITH QUARTET HEALTH AND OTHER COMMUNITY STAKEHOLDERS. THROUGH UTILIZATION OF QUARTET HEALTH, IN THE INLAND NORTHWEST REGION, MHS RECEIVED 13,869 REFERRALS AND WE MARKED 3,992 PATIENTS AS HAVING ATTENDED AT LEAST ONE APPOINTMENT. THIS RESULTED IN INCREASED ACCESS TO BEHAVIORAL HEALTH SERVICES.CANCER- IN 2022, MHS ACTIVELY SUPPORTED THE COMMUNITY IN CANCER-RELATED INITIATIVES. THEY SPONSORED FREE BREAST CANCER SCREENING EVENTS FOR UNINSURED INDIVIDUALS, PROVIDING VITAL ACCESS TO EARLY DETECTION SERVICES. ADDITIONALLY, MULTICARE HOSTED EDUCATIONAL EVENTS FOR CANCER SURVIVORS, FOCUSING ON LIFESTYLE CHOICES LIKE DIET AND PHYSICAL ACTIVITY TO REDUCE THE RISK OF CANCER RECURRENCE AND IMPROVE OVERALL WELL-BEING. TO ENHANCE HEALTHCARE FOLLOW-UP, MULTICARE ESTABLISHED A PULMONARY NODULE CLINIC, ENSURING TIMELY AND THOROUGH EVALUATIONS OF SUSPICIOUS FINDINGS ON LUNG RADIOLOGY STUDIES. THESE EFFORTS DEMONSTRATE MULTICARE'S COMMITMENT TO ADDRESSING CANCER-RELATED NEEDS IN THE COMMUNITY AND PROMOTING BETTER HEALTH OUTCOMES.CHILDHOOD IMMUNIZATIONS- MULTICARE ACTIVELY PROMOTED CHILDHOOD IMMUNIZATIONS IN 2022 AS A PRIMARY SOURCE FOR COVID VACCINES FOR CHILDREN UNDER 5 IN PIERCE COUNTY. WE SUCCESSFULLY PASSED A WA DEPARTMENT OF HEALTH SITE VISIT, ENSURING HIGH STANDARDS OF VACCINATION ADMINISTRATION. COLLABORATING WITH THE COVID VACCINE MOBILE UNIT, WE CO-HOSTED 49 EVENTS IN PIERCE AND SOUTH KING COUNTIES, OFFERING COVID AND VFC VACCINES. WE HELD 32 EVENTS IN PIERCE COUNTY AND 17 EVENTS IN SOUTH KING COUNTY. ADDITIONALLY, WE PARTNERED WITH ANNIE WRIGHT UPPER SCHOOL TO VACCINATE FOREIGN EXCHANGE STUDENTS AND HOSTED WEEKLY POP-UP CLINICS IN DOWNTOWN PUYALLUP IN COLLABORATION WITH MARY BRIDGE/MULTICARE WIC OFFICES. IN SUPPORT OF OTHER HEALTHCARE PROVIDERS, WE PARTNERED WITH TACOMA FAMILY MEDICINE, MARY BRIDGE PEDIATRICS - AUBURN, AND MARY BRIDGE PEDIATRICS - EVERGREEN, ADMINISTERING VACCINES TO THEIR PATIENTS DURING STAFFING, LOCATION, OR EQUIPMENT CHALLENGES. FURTHERMORE, WE COLLABORATED WITH MARY BRIDGE CHILD LIFE AND OLAF, THE FACILITY DOG, FOR POSITIVE VACCINATION EXPERIENCES. MULTIPLE NEWS SEGMENTS HIGHLIGHTED THE IMPACT OF OLAF AND OUR CLINICS.IN 2022, MHS ADMINISTERED A TOTAL OF 10,551 VACCINES FOR CHILDREN AGED 0-18, INCLUDING 8,287 CHILDHOOD VACCINES (EXCLUDING COVID VACCINES). OUR DEDICATION TO INCREASING IMMUNIZATION RATES SAFEGUARDS THE HEALTH OF CHILDREN IN OUR COMMUNITY.INJURIES (INTENTIONAL) -IN ADDITION TO MANY OTHER THINGS IN 2022, MHS CONTINUED DOMESTIC VIOLENCE WORK FROM THE PREVIOUS YEAR BY CONTINUING TO PARTNER WITH THE YWCA AND LUTHERAN COMMUNITY SERVICES TO IMPLEMENT DOMESTIC VIOLENCE LEARNING TRAININGS AND CONTINUED TO PARTICIPATE IN DOMESTIC VIOLENCE RELATED COALITIONS.INJURIES (UNINTENTIONAL) IN 2022, MHS SUPPORTED STOP THE BLEED WA BY IMPLEMENTING COURSES HELD AT TACOMA GENERAL HOSPITAL FOR THE COMMUNITY. MULTICARE SECURITY OFFICERS WERE TRAINED TO BETTER RESPOND TO EMERGENCIES ON CAMPUS. MHS PARTICIPATED IN THE PIERCE COUNTY FALL PREVENTION COALITION FALL PREVENTION: STEPPING AHEAD FOR A FALLS FREE COMMUNITY POWER POINT. TRAUMA EDUCATION WAS PROVIDED TO HOSPITAL STAFF AND OUR RURAL COMMUNITY PARTNERS THROUGH COURSES AS ADVANCED TRAUMA LIFE SUPPORT AND RURAL TRAUMA TEAM DEVELOPMENT COURSESMATERNAL AND CHILD HEALTH -IN 2022 MULTICARE'S MATERNAL/CHILD HEALTH EFFORTS PRIORITIZE ACCESSIBILITY THROUGH TELEHEALTH FOR MOTHERS FACING TRANSPORTATION OR RESOURCE CHALLENGES. NEONATAL FOLLOW-UP APPOINTMENTS CAN CONVERT TO TELEHEALTH IF NEEDED. ADDITIONAL OPTIONS EXTEND TO FAMILIES FAR FROM CLINIC RESOURCES AND THOSE WITH FEEDING ISSUES. GOOD SAMARITAN START TRAINING SUPPORTS FAMILIES WITH SUD HISTORY. ADDITIONALLY IN 2022, MULTICARE COMPILED A COMMUNITY RESOURCES LIST FOR FOOD INSECURITY, DOMESTIC VIOLENCE, AND MATERNAL MENTAL HEALTH. EDINBURGH POSTNATAL DEPRESSION SCALE WAS INTEGRATED INTO APPOINTMENTS FOR CHILDREN UP TO 12 MONTHS, IN MULTIPLE LANGUAGES. ADDITIONALLY, THERE WAS A PILOT FOR INFANT/EARLY CHILDHOOD MENTAL HEALTH SERVICES IN PARTNERSHIP WITH NAVOS. IN 2022, MULTICARE UPDATED EVIDENCE-BASED RESOURCES FOCUS ON CHILD SAFETY, MULTILINGUAL MATERIALS INCLUDED, COORDINATED WITH EARLY INTERVENTION FOR SMOOTH CARE TRANSITIONS, AND ENHANCED PROVIDER AWARENESS AND REFERRAL PROCESSES WITH WIC. ADDITIONALLY, REACH OUT AND READ BOOKS ORDERED IN PRIMARY HEART LANGUAGES, AND CONVERSATIONS EXPLORE FAMILY RESOURCES IN SCHOOLS FOR MATERNAL/CHILD HEALTH INITIATIVES.OBESITY & PHYSICAL HEALTH - MULTICARE'S EMPOWERING PREGNANCY AND MOTHERHOOD PROGRAM HAD OVER 2100 REFERRALS IN 2022 AND PROVIDED PRE AND POSTNATAL NUTRITION AND HEALTHY LIVING EDUCATION TO WOMEN. MHS'S SNAP - ED PROGRAM ALSO PROVIDED NUTRITION AND HEALTH LIVING EDUCATION IN MIDDLE AND HIGH SCHOOL. THROUGH MHS'S YMCA PARTNERSHIP WE OFFERED INCREASED ACCESS TO WEIGHT-SUPPORTIVE AND CHRONIC DISEASE PREVENTION PROGRAMMING, SUCH AS THE YMCA DIABETES PREVENTION PROGRAM AND THE YMCA WEIGHT LOSS. IN 2022, 278 PATIENTS WERE REFERRED TO YMCA SERVICES.YOUTH OBESITY- IN 2022, WE REFRESHED THE READY, SET, GO 5210 HEALTH MESSAGING CAMPAIGN TO 5 KEYS TO FEEDING WELL WHICH SUPPORTS CURRENT RESEARCH IN EFFECTIVELY ADDRESSING CHILD WEIGHT AND WELLNESS. WE PROVIDED WEIGHT-INCLUSIVE CARE TRAINING TO SUPPORT CHILD HEALTH TO 237 PROVIDERS. WE DEVELOPED AND BEGAN PROVIDING COMMUNITY CLASSES FOR CAREGIVERS AND PARENTS TO IMPROVE CHILD HEALTH. THROUGH OUR SUMMER MEALS PROGRAM, WE PROVIDED 2300 FREE MEALS TO FAMILIES. MARY BRIDGE CHILDREN'S HOSPITAL CONTINUES TO REFER TO THE YMCA ACT! (ACTIVELY CHANGING TOGETHER) PROGRAM. IN 2022, MULTICARE APPLIED FOR AND RECEIVED THE SNAP-ED GRANT TO CONTINUE YOUTH OBESITY RELATED PROGRAMS.ORAL HEALTH (POVERTY)- IN 2022 MHS CONTINUED TO PROVIDE FLUORIDE VARNISHING IN SPOKANE.
GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,MB,DEAC,VALLEY,COV,CAPM PART V, SECTION B, LINE 16J:	MULTICARE'S TACOMA GENERAL, GOOD SAMARITAN, AUBURN, ALLENMORE, MARY BRIDGE, DEACONESS, VALLEY, COVINGTON AND CAPITAL MEDICAL CENTER 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.PART V, SECTION B, LINE 16 - SUPPLEMENTAL INFORMATION: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) 2022

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?101
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 INDIGO RAINIER 3820 RAINIER AVE S SEATTLE,WA98118	URGENT CARE CLINIC
51	51 - MULTICARE INDIGO POINT RUSTON 5005 RUSTON WAY TACOMA,WA98407	URGENT CARE CLINIC
52	52 - MULTICARE INDIGO FEDERAL WAY 31861 GATEWAY CENTER BLVD S FEDERAL WAY,WA98003	URGENT CARE CLINIC
53	53 - MULTICARE INDIGO SOUTH HILL 4911 SOUTH REGAL STREET SPOKANE,WA99223	URGENT CARE CLINIC
54	54 - MULTICARE INDIGO SPOKANE VALLEY 15605 E SPRAGUE AVE SPOKANE,WA99223	URGENT CARE CLINIC
55	55 - MULTICARE INDIGO NORTH SPOKANE 9420 NORTH NEWPART HWY SPOKANE,WA99218	URGENT CARE CLINIC
56	56 - MULTICARE ROCKWOOD URGENT CARE DOWNTOWN 400 E 5TH AVE SPOKANE,WA99202	URGENT CARE CLINIC
57	57 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC 1706 S MERIDIAN PUYALLUP,WA98371	URGENT CARE CLINIC
58	58 - CONVENIENCE CARE BY WOODCREECK PEDIATRIC 11102 SUNRISE BLVD PUYALLUP,WA98374	URGENT CARE CLINIC
59	59 - MULTICARE PUYALLUP URGENT CARE 220 15TH AVE SE PUYALLUP,WA98372	URGENT CARE CLINIC
60	60 - MULTICARE ROCKWOOD CHENEY 19 NORTH STREET CHENEY,WA99004	PRIMARY CARE PRACTICE
61	61 - MULTICARE ROCKWOOD DEER PARK 20 E J ST DEER PARK,WA99006	PRIMARY CARE PRACTICE
62	62 - MULTICARE ROCKWOOD LIBERTY LAKE 1326 N STANFORD LIBERTY LAKE,WA99019	PRIMARY CARE PRACTICE
63	63 - MULTICARE ROCKWOOD MEDICAL LAKE 725 N STANLEY ST MEDICAL LAKE,WA99022	PRIMARY CARE PRACTICE
64	64 - MULTICARE ROCKWOOD NORTHPOINTE 605 E HOLLAND STREET SPOKANE,WA99218	PRIMARY CARE PRACTICE
65	65 - MULTICARE ROCKWOOD PRAIRIE FAMILY MED 3016 E 57TH AVE SPOKANE,WA99223	PRIMARY CARE PRACTICE
66	66 - MULTICARE ROCKWOOD QUAIL RUN CLINIC 2214 E 29TH AVE SPOKANE,WA99203	PRIMARY CARE PRACTICE
67	67 - MULTICARE ROCKWOOD SOUTH VALLEY CLINIC 13221 E 32ND AVE SPOKANE,WA99216	PRIMARY CARE PRACTICE
68	68 - MULTICARE SUMNER ASSOCIATES 5814 GRAHAM AVE SUMNER,WA98390	PRIMARY CARE PRACTICE
69	69 - MULTICARE ROCKWOOD VALLEY CLINIC 14408 E SPRAGUE AVE SPOKANE VALLEY,WA99216	PRIMARY CARE PRACTICE
70	70 - OLYMPIC SPORTS AND SPINE LLC 6050 TACOMA MALL BLVD TACOMA,WA98409	PHYSICAL AND OCCUPATIONAL THERAPY
71	71 - AUBURN IMAGING PARTNERS 125 3RD STREET AUBURN,WA98002	IMAGING TESTING FACILITY
72	72 - VP SURGERY OF AUBURN 1002 15TH AVE SW AUBURN,WA98001	OP SURG,RX,LAB, CHIRO
73	73 - REDICLINIC OF WA LLC 9 E GREENWAY PLAZA STE 2950 HOUSTON,TX77046	PHARMACY AND PRIMARY CARE
74	74 - MULTICARE INDIGO MAPPLE VALLEY 26380 238TH LN SE SUITE 100 MAPLE VALLEY,WA98038	URGENT CARE CLINIC
75	75 - MULTICARE INDIGO MARYSVILLE 3822 116TH ST NE MARYSVILLE,WA98271	URGENT CARE CLINIC
76	76 - MULTICARE INDIGO TUMWATER 704 TROSPER RD SW 118 TUMWATER,WA98512	URGENT CARE CLINIC
77	77 - MULTICARE CENTER FOR WEIGHT LOSS 408 LILLY ROAD NE OLYMPIA,WA98506	WEIGHT LOSS AND WELLNESS
78	78 - MULTICARE FAMILY MEDICINE -CANYON ROAD 11025 CANYON RD E STE A PUYALLUP,WA98373	FAMILY MEDICINE
79	79 - MULTICARE CENTER FOR WEIGHT LOSS 2202 S CEDAR STREET TACOMA,WA98405	WEIGHT LOSS AND WELLNESS
80	80 - MULTICARE DBA LABS NORTHWEST 34618 11TH PL ST STE 100 FEDERAL WAY,WA98003	IMAGING TESTING FACILITY
81	81 - MULTICARE BONNEY LAKE EMERGENCY CLINIC 9550 195TH AVE E BONNEY LAKE,WA98391	URGENT CARE CLINIC
82	82 - MULTICARE INDIGO FREDERICKSON 5314 176TH ST E STE 104-106 TACOMA,WA98446	URGENT CARE CLINIC
83	83 - MULTICARE INDIGO ORTING 215 WHITESELL ST NW ORTING,WA98360	URGENT CARE CLINIC
84	84 - MULTICARE INDIGO LAKELAND COMMONS 7096 LAKELAND HILLS WAY SE STE 103 AUBURN,WA98092	URGENT CARE CLINIC
85	85 - MULTICARE INDIGO LIBERTY LAKE 1429 N LIBERTY LAKE RD STE B LIBERTY LAKE,WA99019	URGENT CARE CLINIC
86	86 - MULTICARE INDIGO BONNEY LAKE 21186 STATE ROUTE 410 E BONNEY LAKE,WA98391	URGENT CARE CLINIC
87	87 - MULTICARE PULSE HEART INSTITUTE 100 3RD ST DAVENPORT,WA99122	CARDIAC SERVICES
88	88 - MULTICARE PULSE HEART INSTITUTE 905 E D ST DEER PARK,WA99066	CARDIAC SERVICES
89	89 - MULTICARE PULSE HEART INSTITUTE 411 FORTUYN RD GRAND COULEE,WA99133	CARDIAC SERVICES
90	90 - MULTICARE PULSE HEART INSTITUTE 55 W TIETAN ST WALLA WALLA,WA99362	CARDIAC SERVICES
91	91 - HARBOR PEDIATRICS MARY BRIDGE CHILDREN'S 4700 POINT FOSDICK DR NW GIG HARBOR,WA98335	OUTPATIENT CHILDREN'S HEALTH SERVICES
92	92 - MULTICARE TACGEN EMERGENCY-FEDERAL WAY 29805 PACIFIC HWY S FEDERAL WAY,WA98003	URGENT CARE CLINIC
93	93 - MC INDIGO -AIRWAY HEIGHTS 9746 W US HIGHWAY 2 STE C D SPOKANE,WA99224	URGENT CARE CLINIC
94	94 - MC INDIGO -GIG HARBOR NORTH 4784 BORDEN BLVD STE G GIG HARBOR,WA98332	URGENT CARE CLINIC
95	95 - WESTERN WASHINGTON CARDIOLOGY SILVERLAKE 12728 19TH AVE SE STE 200 EVERETT,WA98208	CARDIAC SERVICES
96	96 - WESTERN WASHINGTON CARDIOLOGY MONROE SAT 4841 179TH AVE SE STE 220 MONROE,WA98272	CARDIAC SERVICES
97	97 - WESTERN WASHINGTON CARDIOLOGY MARYSVILLE 4225 HOYT AVE STE C EVERETT,WA98203	CARDIAC SERVICES
98	98 - WESTERN WASHINGTON CARDIOLOGY MARYSVILLE 4404 80TH ST NE MARYSVILLE,WA98271	CARDIAC SERVICES
99	99 - WESTERN WASHINGTON CARDIOLOGY ARLINGTON 875 WESLEY ST STE 110 ARLINGTON,WA98223	CARDIAC SERVICES
100	100 - CAPITAL MEDICAL CENTER PHYSICIANS LLC 3900 CAPITAL MALL DR SW OLYMPIA,WA98502	FAMILY MEDICINE
101	101 - CAPITAL MEDICAL CTR SPECIALTY PHYSICIANS 3900 CAPITAL MALL DR SW OLYMPIA,WA98502	SPECIALTY AND FAMILY MEDICINE

Schedule H (Form 990) 2022

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 $107,408,619.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 $3,197,000 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 ACTIVELY PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES. THEIR EMPLOYEES VOLUNTEER IN VARIOUS PROGRAMS SUCH AS THE AMERICAN RED CROSS, PIERCE COUNTY DIABETES COALITION, UNITED WAY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, YWCA (PROVIDING A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN), AMERICAN CANCER SOCIETY, AND 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;- 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;- SCHOOL BASED HEALTH PROGRAM;- 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. IN 2022 MULTICARE AWARDED NEARLY $40,000 IN SPONSORSHIP SUPPORT TO OUR NON-PROFIT COMMUNITY TO ORGANIZATIONS SUCH AS: BOYS & GIRLS CLUB OF THURSTON COUNTY;SOUTH PUGET SOUND COMMUNITY COLLEGE;FAMILY EDUCATION & SUPPORT SERVICES;SAINT MARTIN'S UNIVERSITY; IN THURSTON COUNTY, MULTICARE AWARDED $700,000 IN CHARITY CARE MONEY TO: FAMILY SUPPORT CENTER;BEHAVIORAL HEALTH RESOURCES; SEAMAR; VALLEY VIEW;UNION GOSPEL MISSION; OLYMPIA FREE CLINIC;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 ORGANIZATIONS SUCH AS 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, CAPITAL MEDICAL CENTERS AND DEACONESS AND VALLEY HOSPITALS WAS THE 2022 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 $127.3 MILLION SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 27.05% 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 COLLABORATES WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTHCARE REQUIREMENTS OF THE COMMUNITIES WE SERVE AND TO ESTABLISH PROGRAMS AND SERVICES THAT ADDRESS THOSE NEEDS.MULTICARE PARTNERS WITH VARIOUS COMMUNITY ENTITIES, SUCH AS PUBLIC HEALTH AGENCIES, UNITED WAY AGENCIES, CITY MUNICIPALS, PUBLIC SCHOOLS, COMMUNITY COALITIONS, FEDERALLY QUALIFIED HEALTH CENTERS, YMCA'S, SMILE SPOKANE, AND OTHERS.TO DETERMINE THE MOST CRITICAL HEALTHCARE NEEDS IN ITS SERVICE AREAS, MULTICARE HEALTH SYSTEM UTILIZES DATA FROM ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AND FEDERAL AND STATE-LEVEL DATA.GIVEN THE COMPREHENSIVENESS OF THE CHNA PROCESS, THE ORGANIZATION DOES NOT CONDUCT 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. MULTICARE ACTIVELY WORKS TO IDENTIFY PATIENTS WITHOUT INSURANCE AND HELPS CONNECT THESE PATIENTS TO ANY STATE OR FEDERAL RESOURCES, INCLUDING ASSISTING IN APPLYING FOR DIFFERENT HEALTH INSURANCE PLANS. EVEN IF A PATIENT QUALIFIES FOR HEALTH INSURANCE OUR STAFF WILL ALSO SCREEN THEM FOR FINANCIAL ASSISTANCE, IF APPLICABLE. 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. FINALLY, ANY MULTICARE BILL SENT TO A PATIENT INCLUDES INFORMATION ABOUT FINANCIAL ASSISTANCE.
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 SERVICE AREA FOR THE PUGET SOUND IS DEFINED AS PIERCE, KING, KITSAP AND THURSTON COUNTIES, WHICH INCLUDES THE CITIES OF TACOMA, PUYALLUP, UNIVERSITY PLACE, LAKEWOOD, BONNEY LAKE, GIG HARBOR, AUBURN, KENT, FEDERAL WAY, COVINGTON, OLYMPIA AND SILVERDALE. THERE ARE 12 HOSPITALS IN PIERCE AND SOUTH KING COUNTIES, AND SIX OF THEM ARE MULTICARE HOSPITALS. THE PUGET SOUND REGION'S POPULATION IS 4.3 MILLION.AS PER THE U.S. CENSUS, 71.9% OF PIERCE COUNTY'S POPULATION IDENTIFIES AS WHITE, 8.2% AS AFRICAN AMERICAN, 7.6% AS ASIAN, 1.8% AS NATIVE AMERICAN, 1.8% AS NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 12.5% AS HISPANIC OR LATINO, AND 9.1% AS SOME OTHER RACE OR TWO OR MORE RACES. THE COUNTY HAS AN 8.7% POVERTY RATE, WITH A MEDIAN HOUSEHOLD INCOME OF $76,438. ADDITIONALLY, 7.4% OF THE POPULATION LACKS HEALTH INSURANCE. AS FOR KING COUNTY, THE TOTAL POPULATION IS 2,296,675 AND THE MEDIAN HOUSEHOLD INCOME IS $110,586. ABOUT 7.6% OF INDIVIDUALS IN THE COUNTY ARE LIVING IN POVERTY. COMPARABLY, IN THURSTON COUNTY, THERE ARE 297,977 INDIVIDUALS. 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 US CENSUS STATES THAT SPOKANE COUNTY'S POPULATION IS 88.9% WHITE, 2.0% BLACK, 1.8% NATIVE AMERICAN, 2.2% ASIAN, 0.2 % ARE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 4.8% ARE TWO OR MORE RACES, AND 6.1% ARE HISPANIC OR LATINO. THE TOTAL POPULATION OF SPOKANE COUNTY IS 549,690 AND THE MEDIAN HOUSEHOLD INCOME IS $76,438. THE U.S CENSUS BUREAU REPORTS THAT 7.0% OF THE SPOKANE COUNTY POPULATION IS UNINSURED. MULTICARE HEALTH SYSTEM INCLUDES A LARGE NETWORK OF PRIMARY AND SPECIALTY PROVIDERS AND IS LICENSED FOR 1,909 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:-BLUE ZONES;FOOD BANK BLOOD PRESURE CHECKS & NUTRITION INFO;TACOMA TRAUMA TRUST, A COLLABORATIVE OF MULTICARE, VIRGINIA MASON FRANCISCAN HEALTH SYSTEM AND MADIGAN ARMY MEDICAL CENTER TO PROVIDE ADULT TRAUMA CARE;FALLS PREVENTION PROGRAM FOR THE ELDERLY;COMMUNITY BASED POP UP COVID VACCINE CLINICS;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;HEALTH EQUITY SPEAKER SERIES;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;MASH 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):BACKPACK AND SCHOOL SUPPLY DRIVE, WITH BOYS AND GIRLS CLUB;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, ADOLESCENT AND PEDIATRIC SEXUAL ASSAULT VICTIMS;PARTNERING WITH NORTHEAST COMMUNITY CENTER TO RAISE FUNDS AND BEGIN BUILDING A NEW COMMUNITY BEHAVIORAL HEALTH CLINIC IN SPOKANE, OPERATED BY MULTICARE;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;SUMMER GROUP CLASSES FOR TEENAGERS WITH BEHAVIORAL HEALTH NEEDS;GROUP CLASSES FOR ADULTS WITH INSOMNIA OR OTHER SLEEP DISORDERS;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;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.SOUTH PERRY FARMER'S MARKET SHARING INFORMATION RELATED TO NEW PROGRAMS TTP PROGRAM, NAR TO NAC, NURSE TECH, MEDICAL ASSISTANT, PHLEBOTOMY, AND OTHER PROGRAMS. COMMUNITY STOP THE BLEED CLASSES AVAILABLE MONTHLY ON THE DEACONESS CAMPUSIN 2022, MULTICARE WAS ABLE TO IMPROVE HEALTH PROMOTION. FOR EXAMPLE, MULTICARE'S 8,287 CHILDHOOD VACCINATIONS IN VARIOUS COMMUNITY SERVICE AREAS. ADDITIONALLY, THE BRIDGES PROGRAM CENTER FOR GRIEVING CHILDREN PROGRAM SERVED 2,600 INDIVIDUALS, WHICH WAS 442 MORE THAN 2021. FURTHERMORE, IN 2022, MULTICARE CONTINUED THE BLUE ZONES PROJECT, WHICH IS DESIGNED TO REDUCE OBESITY, SMOKING AND STRESS, IMPROVE EMPLOYEE AND STUDENT PRODUCTIVITY, AND BOOST ECONOMIC VITALITY IN PIERCE COUNTY WASHINGTON. IN 2015, MHS INTRODUCED THE MULTICARE COMMUNITY PARTNERSHIP FUND. IN 2022, MULTICARE ALLOCATED $600,000 TO SUPPORT COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON, KITSAP COUNTIES, FOCUSING ON IMPROVING RESIDENTS' QUALITY OF LIFE. ADDITIONALLY, THE INLAND REGION GRANTED $250,000 TO EASTERN WA COMMUNITY ORGANIZATIONS ALIGNED WITH MHS'S MISSION OF PARTNERING HEALING AND A HEALTHY FUTURE.MORE INFORMATION ON THE ORGANIZATIONS AWARDED GRANTS IN 2022 CAN BE FOUND AT HTTPS://WWW.MULTICARE.ORG/COMMUNITYPARTNERSHIP/ AND WITHIN MULTICARE'S FORM 990, SCHEDULE I.MULTICARE COLLABORATES WITH VARIOUS COMMUNITY PARTNERSHIP FUND RECIPIENTS TO ENHANCE SERVICES. THEY CURRENTLY WORK WITH COMMUNITIES IN SCHOOLS OF PUYALLUP AND TACOMA TO IMPROVE PHYSICAL AND BEHAVIORAL HEALTH ACCESS FOR STUDENTS. ADDITIONALLY, MULTICARE SUPPORTS THE TEAMS SENIOR PROGRAM IN PIERCE AND KING COUNTIES, PARTNERS WITH KWA FOR THE SBIRT PROGRAM TO ENHANCE BEHAVIORAL HEALTH OUTCOMES, INCLUDING MINORITY BEHAVIORAL HEALTH. THEY ALSO COLLABORATE WITH OASIS YOUTH CENTER, RAINBOW CENTER, AND PCAF TO ENHANCE LGBTQ+ PATIENT EXPERIENCES, AND PROVIDE SUPPORT OPERATIONS AT TRINITY NEIGHBORHOOD HEALTH CLINIC, OFFERING FREE MEDICAL SERVICES. IN THE INLAND NORTHWEST REGION, MULTICARE COLLABORATES WITH CATHOLIC CHARITIES OF EASTERN WASHINGTON'S HOUSE OF CHARITY TO PROVIDE RESPITE CARE FOR THE HOMELESS.
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 TEN HOSPITALS, NUMEROUS URGENT CARE, PRIMARY CARE, SPECIALTY SERVICES CLINICS, AND VIRTUAL CARE TO NAME A FEW.MULTICARE HEALTH SYSTEM'S HOSPITALS ARE:MULTICARE TACOMA GENERAL HOSPITAL, TACOMA,MULTICARE ALLENMORE HOSPITAL, TACOMA,MARY BRIDGE CHILDREN'S HOSPITAL, TACOMA,MULTICARE GOOD SAMARITAN HOSPITAL, PUYALLUP,MULTICARE AUBURN MEDICAL CENTER, AUBURN,MULTICARE COVINGTON MEDICAL CENTER, COVINGTON,MULTICARE DEACONESS HOSPITAL, SPOKANE,MULTICARE VALLEY HOSPITAL, SPOKANE VALLEY,MULTICARE CAPITAL MEDICAL CENTER, THURSTON COUNTYNAVOS, SEATTLE.THE URGENT CARE LINE IS MAINLY REPRESENTED BY INDIGO URGENT CARE CLINICS AND ROCKWOOD CLINIC. THE INDIGO CLINICS PROVIDE QUICK CARE FOR LOWER-ACUITY CONDITIONS SEVEN DAYS A WEEK AND ARE SERVING NEIGHBORHOODS THROUGHOUT PIERCE, KING, THURSTON, SNOHOMISH AND SPOKANE COUNTIES. IN 2022 MULTICARE AND KOOTENAI HEALTH JOINED THEIR EFFORTS TO OPEN A CLINIC IN IDAHO, INDIGO IDAHO, THAT WILL SIMILARLY SERVE NORTHERN IDAHO.MULTICARE ROCKWOOD CLINIC IS THE LARGEST MULTI-SPECIALTY CLINIC SYSTEM IN THE INLAND NORTHWEST REGION WITH MULTIPLE LOCATIONS OFFERING PRIMARY CARE, URGENT CARE AND SPECIALTY CARE. THE MULTICARE ROCKWOOD CLINIC HAS LOCATIONS STRETCHING FROM MOSES LAKE, WA, TO C'OEUR D'ALENE, IDAHO, OFFERING COMPREHENSIVE PRIMARY AND SPECIALTY CARE.IN ADDITION TO THE LINES OF CARE DESCRIBED ABOVE, MULTICARE 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 VIRGINIA MASON 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. SINCE THEN, WELLFOUND HAS 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	WA

Schedule H (Form 990) 2022

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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

2022

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)	3,637,167	ASSISTANCE FOR OPERATING EXPENSES.
(2) MULTICARE FOUNDATIONS PO BOX 5300 TACOMA,WA98415	91-1514257	501(C)(3)	6,319,648	ASSISTANCE FOR OPERATING EXPENSES
(3) PACIFIC NORTHWEST UNIVERSITY 111 UNIVERSITY PARKWAY YAKIMA,WA98901	06-1744054	501(C)(3)	3,185,509	SUPPORT THE GROWTH AND CAMPUS EXPANSION.
(4) MEDICAL TEAMS INTERNATIONAL - MOBILE DENTAL CLINICS 2225 4TH AVE 200 SEATTLE,WA97208	93-0878944	501(C)(3)	50,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, GENERAL SUPPORT FOR OPERATIONS
(5) LINDQUIST DENTAL CLINIC FOR CHILDREN 130 131ST ST S TACOMA,WA98444	91-0615378	501(C)(3)	20,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, GENERAL SUPPORT FOR OPERATIONS
(6) SALVATION ARMY OF SPOKANE 222 E INDIANA AVE SPOKANE,WA99207	94-1156347	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND TO THE UNCOMPENSATED CARE FUND.
(7) COMMUNITIES IN SCHOOLS OF SPOKANE COUNTY 104S FREYA ST STE 109 SPOKANE,WA99202	26-1581358	501(C)(3)	20,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(8) COMMUNITY HEALTH ASSOCIATION OF SPOKANE (CHAS HEALTH) 611 N IRON BRIDGE WY SPOKANE,WA99202	91-1641797	501(C)(3)	21,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(9) LUTHERAN COMMUNITY SERVICES NW 210 W SPRAGUE AVE SPOKANE,WA99201	93-0386860	501(C)(3)	22,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(10) VINE MAPLE PLACE 21730 DORRE DON WAY SE MAPLE VALLEY,WA98038	91-2082308	501(C)(3)	12,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(11) TACOMA PIERCE COUNTY HABITAT FOR HUMANITY 4824 S TACOMA WAY TACOMA,WA98409	58-1735531	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(12) SOUTH PUGET SOUND HABITAT FOR HUMANITY 1216 2ND AVE TUMWATER,WA98512	91-1427020	501(C)(3)	7,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(13) NOURISH PIERCE COUNTY 1702 S 272ND ST STE E TACOMA,WA98408	91-1198391	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT FOR OPERATIONS
(14) EMERGENCY FOOD NETWORK 3318 92ND ST S LAKEWOOD,WA98499	94-3131776	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT THE GENERAL OPERATIONS
(15) PARTNERS WITH FAMILIES & CHILDREN 106 W MISSION AVE SPOKANE,WA99201	68-0576560	501(C)(3)	22,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND, SUPPORT FOR OPERATIONS
(16) FAIL SAFE FOR LIFE P O BOX 28955 SPOKANE,WA99208	81-3525568	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(17) BIG TABLE P O BOX 372 SPOKANE,WA99210	20-8931223	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS
(18) OASIS YOUTH CENTER 2215 PACIFIC AVE TACOMA,WA98402	91-1385245	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(19) LUTHERAN COMMUNITY SERVICES NW NORTHWEST SPS DISTRICT TACOMA,WA98409	93-0386860	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: SUPPORT FOR OPERATIONS.
(20) AMERICAN RED CROSS - SOUTH PUGET SOUND & OLYMPICS-BLOOD GIVES LIFES 1235 S TACOMA WAY TACOMA,WA98408	53-0196605	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(21) BOYS & GIRLS CLUBS OF SOUTH PUGET SOUND 3875 S 66TH ST STE 101 TACOMA,WA98409	91-0759832	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(22) EATONVILLE AREA COUNCIL DBA EATONVILLE FAMILY AGENCY 305 CENTER ST W EATONVILLE,WA98328	91-1059530	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(23) TACOMA RESCUE MISSION 425 S TACOMA WAY TACOMA,WA98402	91-0565014	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND:GENERAL SUPPORT
(24) AMARA 3501 104TH AVE E TACOMA,WA98446	91-0577487	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(25) COMMUNITIES IN SCHOOLS OF PUYALLUP 302 SECOND ST SE PUYALLUP,WA98372	26-0028759	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(26) FIVE FIVE FUNDAMENTALS 1501 PACIFIC AVE210 TACOMA,WA98402	80-0209462	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(27) HOPESPARKS FAMILY SERVICES 6424 N 9TH ST TACOMA,WA98406	91-0598103	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(28) INTERFAITH WORKS 110 11TH AVE SE OLYMPIA,WA98501	91-0947698	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(29) PIERCE COUNTY AIDS FOUNDATION 3009 S 40TH ST TACOMA,WA98409	92-1385245	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(30) RAINBOW CENTER 2215 PACIFIC AVE TACOMA,WA98402	91-1859897	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(31) ST VINCENT DE PAUL TACOMA-PIERCE COUNTY 4009 S 56TH TACOMA,WA98409	91-0580490	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(32) TACOMA URBAN LEAGUE 2550 S YAKIMA AVE STE A TACOMA,WA98405	91-0826302	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(33) THE TEARS FOUNDATION 11102 SUNRISE BLVD E 112 PUYALLUP,WA98374	45-0500497	501(C)(3)	7,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(34) VANESSA BEHAN 2230 E SPRAGUE SPOKANE,WA99202	91-1196575	501(C)(3)	22,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(35) WOMEN'S CENTER DBA SAFE PASSAGE 611 N IRON BRIDGE WY SPOKANE,WA99202	91-1641797	501(C)(3)	22,500	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(36) EASTERN WASHINGTON UNIVERSITY - DENTAL HYGIENE CLINIC 102 HARGREAVES HALL CHENEY,WA99004	91-1019819	501(C)(3)	21,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(37) HISPANIC BUSINESS PROFESSIONAL ASSOCIATION OF SPOKANE 308 W 1ST AVE SPOKANE,WA99223	74-3200153	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(38) NORTHEAST YOUTH CENTER 3004 E QUEEN AVE SPOKANE,WA99217	71-0886315	501(C)(3)	15,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(39) SECOND HARVEST INLAND NORTHWEST 1234 E FRONT AVE SPOKANE,WA99202	23-7173826	501(C)(3)	10,000	CONTRIBUTION FROM THE MULTICARE COMMUNITY PARTNERSHIP FUND: GENERAL SUPPORT
(40) YWCA SPOKANE 930 N MONROE SPOKANE,WA99201	91-0565025	501(C)(3)	22,500	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) 2022

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, KITSAP, LEWIS, WHITMAN AND SPOKANE 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) 2022

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2022

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) 2022

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, 1099-MISC compensation, and/or 1099-NEC			(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 CEO	(i) (ii)	1,910,400 ------------- 0	542,506 ------------- 0	298,922 ------------- 0	831,790 ------------- 0	24,939 ------------- 0	3,608,557 ------------- 0	0 ------------- 0
2FLORENCE CHANG PRESIDENT	(i) (ii)	1,434,058 ------------- 0	355,636 ------------- 0	239,332 ------------- 0	612,073 ------------- 0	21,243 ------------- 0	2,662,342 ------------- 0	0 ------------- 0
3LEE SANDQUIST MD PHYSICIAN	(i) (ii)	1,995,058 ------------- 0	34,325 ------------- 0	1,582 ------------- 0	10,675 ------------- 0	21,898 ------------- 0	2,063,538 ------------- 0	0 ------------- 0
4NEHAL MASOOD MD PHYSICIAN	(i) (ii)	1,592,108 ------------- 0	173,104 ------------- 0	14,011 ------------- 0	18,300 ------------- 0	25,130 ------------- 0	1,822,653 ------------- 0	0 ------------- 0
5ARCHIE ADAMS MD PHYSICIAN	(i) (ii)	1,472,045 ------------- 0	80,425 ------------- 0	12,229 ------------- 0	18,300 ------------- 0	26,984 ------------- 0	1,609,983 ------------- 0	0 ------------- 0
6ESTHER M PARK-HWANG MD PHYSICIAN	(i) (ii)	1,317,639 ------------- 0	88,473 ------------- 0	30,811 ------------- 0	18,300 ------------- 0	27,125 ------------- 0	1,482,348 ------------- 0	0 ------------- 0
7DAVID J CARLSON SRVP,EXEC SOUTH SOUND,PART YEAR	(i) (ii)	654,969 ------------- 0	180,768 ------------- 0	617,358 ------------- 0	0 ------------- 0	24,027 ------------- 0	1,477,122 ------------- 0	0 ------------- 0
8BENJAMIN Y CHEN MD PHYSICIAN	(i) (ii)	1,274,751 ------------- 0	139,723 ------------- 0	12,829 ------------- 0	18,300 ------------- 0	29,055 ------------- 0	1,474,658 ------------- 0	0 ------------- 0
9JAMES MCMANUS FORMER CFO	(i) (ii)	140,876 ------------- 0	177,960 ------------- 0	1,023,307 ------------- 0	0 ------------- 0	1,587 ------------- 0	1,343,730 ------------- 0	0 ------------- 0
10JUNE ALTARAS SRVP,CHIEF NURSING ENTREPRISE	(i) (ii)	806,067 ------------- 0	175,770 ------------- 0	130,861 ------------- 0	12,200 ------------- 0	21,243 ------------- 0	1,146,141 ------------- 0	0 ------------- 0
11DAVID R O'BRIEN SRVP,CHIEF PHYS.OFFICER/EXEC.SOUTH S	(i) (ii)	813,349 ------------- 0	152,251 ------------- 0	129,448 ------------- 0	12,200 ------------- 0	18,930 ------------- 0	1,126,178 ------------- 0	0 ------------- 0
12JEFFREY POLTAWSKY PRES. MARY BRIDGE&PEDIATRIC NETWORK	(i) (ii)	457,030 ------------- 0	138,088 ------------- 0	71,925 ------------- 0	12,200 ------------- 0	25,051 ------------- 0	704,294 ------------- 0	0 ------------- 0
13ALEXANDER M JACKSON SVP EXEC.INLAND NW	(i) (ii)	538,329 ------------- 0	65,073 ------------- 0	6,137 ------------- 0	12,200 ------------- 0	12,652 ------------- 0	634,391 ------------- 0	0 ------------- 0
14JAMES LEE CFO	(i) (ii)	523,568 ------------- 0	70,000 ------------- 0	2,816 ------------- 0	0 ------------- 0	11,289 ------------- 0	607,673 ------------- 0	0 ------------- 0
15TIMOTHY W LYNCH SRVP,CLINICAL SERVICES(LAB,PHARMACY,	(i) (ii)	501,050 ------------- 0	60,945 ------------- 0	5,385 ------------- 0	12,200 ------------- 0	27,963 ------------- 0	607,543 ------------- 0	0 ------------- 0
16CHRISTI MCCARREN SRVP,RETAIL HEALTHCARE,PART YEAR	(i) (ii)	351,549 ------------- 0	114,384 ------------- 0	44,468 ------------- 0	18,300 ------------- 0	12,024 ------------- 0	540,725 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

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. FIVE KEY EMPLOYEES RECEIVED EXECUTIVE BENEFIT ALLOWANCE IN 2022. 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 2022 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: DAVID CARLSON - $217,962 AND JAMES MCMANUS- $684,460. LINE 4B - THE FOLLOWING REPORTED PEOPLE PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN AND RECEIVED A PAYOUT IN 2022: DAVID CARLSON - $271,245 AND JAMES MCMANUS- $292,896. 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). PART II, COLUMN III: DEFERRED COMPENSATION AMOUNTS, SERP VESTED TAXABLE DISTRIBUTIONS, WERE PAID OUT TO THE FOLLOWING INDIVIDUALS: FLORENCE CHANG - $228,713 AND WILLIAM ROBERTSON - $288,038. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN HAS A VESTING SCHEDULE; THE VESTED BENEFIT WAS PAID OUT AS ORDINARY INCOME (REPORTED ON W-2) AS OF THE PARTICIPANT'S VESTING DATE MILESTONE. THE PAYMENT WAS TAXED AND INCLUDED IN COLUMN B,(III). SCHEDULE J, COLUMN C, SUPPLEMENTAL INFORMATION: WILLIAM G. ROBERTSON, CEO, AND FLORENCE CHANG, PRESIDENT, EARNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) INCOME IN THE AMOUNTS OF $593,773 AND $813,490, 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). 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) 2022

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

2021

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 2015 AB	91-1108929	93978HMN2	04-09-2015	420,539,219	REFUND SERIES 2004 & 2008 DEBT, CONSTRUCTION AT AUBURN & COVINGTON		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B	91-1108929	93978HTS4	11-14-2017	299,865,868	REFUND THE SERIES 2007 DEBT		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CDE	91-1108929	93978HTS3	11-14-2017	191,010,000	ROCKWOOD ACQUISITION		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2022 A	91-1108929	93978HYM1	08-16-2022	49,985,000	CONSTRUCTION GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2022 B	91-1108929	93978HYM1	08-16-2022	108,145,000	AUBURN ACQUISITION, TACOMA GENERAL CAMPUS REFRESH COVINGTON ED		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2022 C	91-1108929	93978HYN9	12-15-2022	80,000,000	AUBURN ACQUISITION, TACOMA GENERAL CAMPUS REFRESH COVINGTON ED		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	28,265,000		19,420,000		80,000,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	420,539,219		299,865,868		191,010,000		49,985,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	3,145,115
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	192,374,556
11 Other spent proceeds .............	225,019,548		299,865,868		191,010,000		49,985,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2017		2017		2017		2022
	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 2020, 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 2020, 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) 2021

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 ....	0.300 %		0.380 %		0.470 %		0.160 %
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 .............	0.300 %		0.380 %		0.470 %		0.160 %
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) 2021

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: $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, PART VI, ARBITRAGE

COLUMN A (SERIES 2015 A, B) FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2015 A,B MULTICARE HEALTH SYSTEM ENGAGED RITZ & ASSOCIATES PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE CALCULATION ON 09/29/2019 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS. COLUMN B (SERIES 2017 B) FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2017 B,C,D MULTICARE HEALTH SYSTEM ENGAGED RITZ & ASSOCIATES PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE CALCULATION ON 08/15/2022 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS. COLUMN C (SERIES 2017 C, D, E) FOR THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS SERIES 2017 B,C,D MULTICARE HEALTH SYSTEM ENGAGED RITZ & ASSOCIATES PROFESSIONAL ASSOCIATION TO PERFORM A FIVE-YEAR ARBITRAGE CALCULATION ON 08/16/2022 AND THE RESULT WAS THERE IS NO REBATE DUE TO THE IRS.

Schedule K (Form 990) 2021

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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

2021

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 2015 AB	91-1108929	93978HMN2	04-09-2015	420,539,219	REFUND SERIES 2004 & 2008 DEBT, CONSTRUCTION AT AUBURN & COVINGTON		X		X		X
B	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 B	91-1108929	93978HTS4	11-14-2017	299,865,868	REFUND THE SERIES 2007 DEBT		X		X		X
C	WASHINGTON HEALTH CARE FACILITIES SERIES 2017 CDE	91-1108929	93978HTS3	11-14-2017	191,010,000	ROCKWOOD ACQUISITION		X		X		X
D	WASHINGTON HEALTH CARE FACILITIES SERIES 2022 A	91-1108929	93978HYM1	08-16-2022	49,985,000	CONSTRUCTION GOOD SAMARITAN TOWER		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2022 B	91-1108929	93978HYM1	08-16-2022	108,145,000	AUBURN ACQUISITION, TACOMA GENERAL CAMPUS REFRESH COVINGTON ED		X		X		X
	WASHINGTON HEALTH CARE FACILITIES SERIES 2022 C	91-1108929	93978HYN9	12-15-2022	80,000,000	AUBURN ACQUISITION, TACOMA GENERAL CAMPUS REFRESH COVINGTON ED		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	28,265,000		19,420,000		80,000,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	420,539,219		299,865,868		191,010,000		49,985,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	3,145,115
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	192,374,556
11 Other spent proceeds .............	225,019,548		299,865,868		191,010,000		49,985,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2017		2017		2017		2022
	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 2020, 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 2020, 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) 2021

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 ....	0.300 %		0.380 %		0.470 %		0.160 %
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 .............	0.300 %		0.380 %		0.470 %		0.160 %
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) 2021

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, PART VI, ARBITRAGE

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

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 A, LINE 4	THE FIRST AMENDMENT DATED 06/2022 TO THE RESTATED BYLAWS CHANGES ONE OF THE OFFICER POSITIONS AS FOLLOWS: ALL REFRENCES CONTAINED IN THE BYLAWS TO "PRESIDENT AND CHIEF EXECUTIVE OFFICER" ARE AMENDED TO READ "CHIEF EXECUTIVE OFFICER", ALONG WITH THE RESERVATION OF ALL AUTHORITIES, DUTIES AND RESPONSIBILITIES TO THE CHIEF EXECUTIVE OFFICER FORMERLY ATTRIBUTED TO THE "PRESIDENT AND CHIEF EXECUTIVE OFFICER" PRIOR TO THIS AMENDMENT.
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 AND B, PROCESS USED TO DETERMINE COMPENSATION OF THE CEO, CFO, TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES: THE BOARD, THROUGH ITS COMPENSATION COMMITTEE, CONSISTING OF INDEPENDENT, NON-PAID, MHS BOARD MEMBERS, ARE ACCOUNTABLE FOR ENSURING AND APPROVING A REASONABLE TOTAL COMPENSATION PACKAGE, CONSISTENT WITH ITS COMPENSATION PHILOSOPHY, FOR THE CEO, CFO, TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES FOR THEIR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM ENTITIES (91-1514257, 94-3030039, 91-1111928, 82-2949880,47-5457904). UPON THE IDENTIFICATION OF THE COMPENSATION FOR THE YEAR, THE INDEPENDENT CONSULTANT SULLIVAN COTTER, REVIEWS THE COMPENSATION AS PROPOSED BY THE BOARD OF DIRECTORS, AND CONDUCTS AN INDEPENDENT REVIEW. AT THE CONCLUSION OF THIS REVIEW, SULLIVAN COTTER ISSUES A REASONABLENESS OPINION TO MULTICARE HEALTH SYSTEM. THIS IS DONE ANNUALLY AND WAS DONE FOR THIS CURRENT YEAR. THE INDEPENDENT CONSULTANTS ASSESSED THAT THE COMPENSATION APPROVED BY THE BOARD FOR 2022 WAS OBJECTIVELY REASONABLE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF THE FORM 990.
FORM 990, PART XI, LINE 9:	CHANGES IN ACCRUED PENSION ASSET -15,507,775. TRANSFER OF ASSETS- RELATED ENTITIES 15,241,440.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

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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

2021

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 820 A STREET TACOMA,WA98402 47-2859356	HEALTHCARE ACO	WA	2,626,892	12,705,773	MULTICARE HEALTH SYSTEM
(2) MHS EMPLOYEES LLC 820 A STREET TACOMA,WA98402 85-4163073	HEALTHCARE	WA	0	-51,584	MULTICARE HEALTH SYSTEM
(3) PNW PACE PARTNERS LLC 820 A STREET TACOMA,WA98402 86-1692392	HEALTHCARE	WA	-2,831,975	-1,840,600	MULTICARE HEALTH SYSTEM
(4) PNW HOSPICE LLC 820 A STREET TACOMA,WA98402 85-4392366	HEALTHCARE	WA	-27,119	0	MULTICARE HEALTH SYSTEM
(5) CAPITAL MEDICAL CENTER PHYSICIANS LLC 3900 CAPITAL MALL DR SW OLYMPIA,WA98502 26-3756673	HEALTHCARE	WA	160,189	-2,328,114	MULTICARE HEALTH SYSTEM
(6) CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS LLC 3900 CAPITAL MALL DR SW OLYMPIA,WA98502 27-3578184	HEALTHCARE	WA	-141,443	-2,667,015	MULTICARE HEALTH SYSTEM
(7) CAPITAL MEDICAL HEALTH SOLUTIONS LLC 3900 CAPITAL MALL DR SW OLYMPIA,WA98502 37-1780553	REAL PROPERTY ACQUISITION	WA	0	0	MULTICARE HEALTH SYSTEM
(8) MYRIADD SUPPLY NETWORK LLC 820 A STREET TACOMA,WA98402 87-3856218	HEALTHCARE	WA	0	0	MULTICARE HEALTH SYSTEM
(9) NORTHSTAR PROPERTY ACQUISITIONS LLC 6116 EXECUTIVE BLVD STE 205 ROCKVILLE,MD20852 82-1517201	REAL PROPERTY ACQUISITION	WA	0	0	MULTICARE HEALTH SYSTEM
(10) CAVATICA LAND ACQUISITIONS LLC 6116 EXECUTIVE BLVD STE 205 ROCKVILLE,MD20852 91-1352172	REAL PROPERTY ACQUISITION	WA	0	0	MULTICARE HEALTH SYSTEM
(11) SYRINGA LAND ACQUISITIONS LLC 6116 EXECUTIVE BLVD STE 205 ROCKVILLE,MD20852 91-1352172	REAL PROPERTY ACQUISITION	WA	0	0	MULTICARE HEALTH SYSTEM
(12) NINE ALDER ACQUISITIONS LLC 6116 EXECUTIVE BLVD STE 205 ROCKVILLE,MD20852 91-1352172	REAL PROPERTY ACQUISITION	WA	0	0	MULTICARE HEALTH SYSTEM
(13) NW COMMUNITY LABORATORIES LLC 820 A STREET TACOMA,WA98402 88-1757544	HEALTHCARE	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	FUNDRAISING	WA	501(C)(3)	LINE 7	MULTICARE HEALTH SYSTEM	Yes
(2)MARY BRIDGE CHILDREN'S FOUNDATION 409 S J STREET TACOMA,WA98405 94-3030039	FUNDRAISING	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) 2021

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	-69,399	947,266		No		Yes		80.000 %
(3) VP SURGERY OF AUBURN 122 3RD ST NE AUBURN,WA98002 37-1668651	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED	24,610	220,165		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	1,587	56,050		No			No	51.000 %
(5) INDIGO IDAHO SERVICES LLC 2836 RAMSEY ROAD COEUR DALENE,ID83815 88-3796666	HEALTHCARE SERVICES	ID	MULTICARE HEALTH SYSTEM	RELATED				No			No	51.000 %
(6) PHYSICIANS OF SW WA LLC 1300 EVERGREEN PARK DR SW STE 200 OLYMPIA,WA98502 91-1717066	HEALTHCARE SERVICES	WA	MULTICARE HEALTH SYSTEM	RELATED	-671,553	32,928,534		No			No	75.090 %

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	1,748,827	3,263,851	100.000 %	Yes
(2) COMMENCEMENT RE 18 FORUM LANE GRAND CAYMAN KY11107 CJ	MALPRACTICE INSURANCE	CJ	MULTICARE HEALTH SYSTEM	C		68,458,592	100.000 %	Yes

Schedule R (Form 990) 2021

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

Yes

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	6,319,648	ACCRUAL
(2) MARY BRIDGE CHILDREN'S FOUNDATION	B	3,637,167	ACCRUAL
(3) MULTICARE FOUNDATIONS	C	5,913,930	ACCRUAL
(4) MARY BRIDGE CHILDREN'S FOUNDATION	C	12,002,645	ACCRUAL
(5) MEDIS CORPORATION	K	1,350,369	ACCRUAL
(6) CHVI PROFESSIONAL CORPORATION	P	61,975,575	ACCRUAL
(7) MULTICARE FOUNDATIONS	Q	2,712,900	ACCRUAL
(8) MARY BRIDGE CHILDREN'S FOUNDATION	Q	3,535,069	ACCRUAL
(9) MEDIS CORPORATION	Q	200,182	ACCRUAL

Schedule R (Form 990) 2021

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) 2021

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) 2021

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 2021 (Part V, line 2a) ......	5	18,413
6	Total number of volunteers (estimate if necessary) .............	6	955
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,290,837
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	1,064,341

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	199,173,819	41,042,119
9	Program service revenue (Part VIII, line 2g) .........	3,572,003,699	3,926,955,806
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	113,541,834	334,863,569
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-91,045	4,051
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,884,628,307	4,302,865,545
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,697,954	13,992,324
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)	2,008,960,168	2,362,425,726
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)....	1,676,961,291	1,871,033,065
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,696,619,413	4,247,451,115
19	Revenue less expenses. Subtract line 18 from line 12.......	188,008,894	55,414,430
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,997,507,394	5,895,297,278
21	Total liabilities (Part X, line 26).............	2,692,174,413	3,066,222,058
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,305,332,981	2,829,075,220

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,826,922,694 including grants of $ 13,992,324 ) (Revenue $ 3,144,006,817 )
	MULTICARE HEALTH SYSTEM (MHS) IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTHCARE TAX-EXEMPT ORGANIZATION IN THE STATE OF WASHINGTON. MHS OPERATES NINE COMMUNITY BASED HOSPITALS WITH 1,827 LICENSED ADULT BEDS AND 82 LICENSED PEDIATRIC BEDS. DURING 2022 MHS HOSPITALS ADMITTED 78,710 PATIENTS FOR A TOTAL OF 447,312 PATIENT DAYS, PERFORMED 58,463 SURGERIES AND DELIVERED 9,474 BABIES. THERE WERE 13,836 NEWBORN DAYS DURING 2022. THEY ALSO PROVIDED CARE FOR 535,418 OUTPATIENT VISITS AND 545,137 EMERGENCY ROOM VISITS, OF WHICH 1,447 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 2022 MHS PROVIDED 115 GRANTS TO COMMUNITY ORGANIZATIONS.

4b	(Code: ) (Expenses $ 459,383,927 including grants of $ ) (Revenue $ 598,619,741 )
	MULTICARE HEALTH SYSTEM OPERATES A SYSTEM OF MULTI-SPECIALTY CLINICS (MULTICARE) AND A GRID OF HIGHLY SPECIALIZED URGENT CARE CENTERS (INDIGO), 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 2022 THE INDIGO, MULTICARE UCC AND ROCKWOOD CLINICS PROVIDED 526,680 CLINIC VISITS. THE MULTI-SPECIALTY CLINICS PROVIDED 962,120 PHYSICIAN VISITS, OUTPATIENT VISITS OF 367,323, PERFORMED 1,925 SURGERIES, PROCESSED 2,992,436 LABORATORY WORKLOAD UNITS, 141,185 IMAGING RELATIVE UNITS, (SEE SCHEDULE O)(CONTINUATION FROM PAGE 2) 114,441 ONCOLOGY RELATIVE VALUE UNITS, 149,289 RADIATION ONCOLOGY VALUE UNITS, 1,630 THERAPY VALUE UNITS AND 3,500 PHARMACY WORKLOAD UNITS. THE GIG HARBOR AMBULATORY CENTER PERFORMED SPECIALIST SURGERIES AS FOLLOWS: PEDIATRIC, GENERAL, NEUROLOGIC, VASCULAR, SPINE, ORTHOPEDIC, GENERAL BREAST, PEDIATRIC ORTHOPEDIC, CARDIOTHORACIC, GENERAL BARIATRIC, COLORECTAL, PEDIATRIC NEUROSURGERY.

4c	(Code: ) (Expenses $ 135,799,303 including grants of $ ) (Revenue $ 122,671,090 )
	MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE, SOUTH KING, AND IN THURNSTON COUNTIES. THESE PRACTICES PROVIDED 558,613 PATIENT VISITS DURING 2022.

	(Code: ) (Expenses $ 49,582,650 including grants of $ ) (Revenue $ 61,658,159 )
	MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE BEHAVIORAL HEALTH, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH AND PSYCHOLOGY CHILDREN'S THERAPY UNIT. DURING 2022 THE HOME HEALTH AND HOSPICE PROGRAMS PROVIDED 130,123 CLINIC VISITS, 40,999 HOME HEALTH VISITS, AND ADMITTED 2,657 PATIENTS AND 1,288 PATIENTS, RESPECTIVELY. MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU) HELPS INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. IN 2022 CTU SERVED 567 PATIENTS. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS. BHS ADMITTED 609 PATIENTS FOR A TOTAL OF 28,530 PATIENT DAYS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 49,582,650 including grants of $ ) (Revenue $ 61,658,159 )
4e	Total program service expenses3,471,688,574

(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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) TIMOTHY W LYNCH........................................................................ SRVP,CLINICAL SERVICES(LAB,PHARMACY,BLOOD BANK)	58.00 .......................0.00	X			567,380	0	40,163
(19) ALEXANDER M JACKSON........................................................................ SVP EXEC.INLAND NW	58.00 .......................0.00	X			609,539	0	24,852
(20) JEFFREY POLTAWSKY........................................................................ PRES. MARY BRIDGE&PEDIATRIC NETWORK	60.00 .......................0.00	X			667,043	0	37,251
(21) LEE SANDQUIST MD........................................................................ PHYSICIAN	50.00 .......................0.00		X		2,030,965	0	32,573
(22) NEHAL MASOOD MD........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,779,223	0	43,430
(23) ARCHIE ADAMS MD........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,564,699	0	45,284
(24) ESTHER M PARK-HWANG MD........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,436,923	0	45,425
(25) BENJAMIN Y CHEN MD........................................................................ PHYSICIAN	50.00 .......................0.00		X		1,427,303	0	47,355
(26) JAMES MCMANUS........................................................................ FORMER CFO	0.00 .......................0.00			X	1,342,143	0	1,587

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	20,973,698	0	1,938,178

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	17,916,575
e	Government grants (contributions)		1e	23,125,544

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.......		41,042,119

		Business Code
2a	HEALTHCARE SERVICES	622110	3,200,577,039	3,200,242,154	334,885
b	AMBULATORY SRVS & UCC	621493	575,167,591	575,010,661	156,930
c	OFFICES OF PHYSICIANS	621111	100,934,179	100,934,179
d	HOME HEALTH	621610	24,107,577	24,107,577
e	OUTPATIENT MENTAL HLTH	621420	20,277,611	20,277,611
f	All other program service revenue.		5,891,809	5,891,809
g	Total. Add lines 2a–2f .....		3,926,955,806

3 Investment income (including dividends, interest, and othersimilar amounts) ......			32,917,291		799,022	32,118,269
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		301,946,278	7a
b	Less: cost or other basis and sales expenses		0	7b
c	Gain or (loss)		301,946,278	7c
d	Net gain or (loss).........			301,946,278			301,946,278
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	2,168,880
b	Less: cost of goods sold ..		10b	2,164,829
c	Net income or (loss) from sales of inventory..			4,051			4,051
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			4,302,865,545	3,926,463,991	1,290,837	334,068,598

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	13,992,324	13,992,324
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 ...........	13,114,966	11,794,592	1,320,374
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,343,730	1,211,727	132,003
7	Other salaries and wages........	2,065,748,468	1,861,427,835	204,320,633
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	54,509,691	49,154,840	5,354,851
9	Other employee benefits .......	102,717,565	92,626,933	10,090,632
10	Payroll taxes ...........	124,991,306	109,522,016	15,469,290
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	6,064,953	1,068,969	4,995,984
c	Accounting ...........	544,500		544,500
d	Lobbying ...........	290,995		290,995
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)
12	Advertising and promotion ....	14,960,114	5,509,139	9,450,975
13	Office expenses .......	17,221,613	15,529,819	1,691,794
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	74,132,895	66,850,326	7,282,569
17	Travel ............	9,540,049	8,709,217	830,832
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	79,573	79,573
20	Interest ...........	56,198,334	50,677,596	5,520,738
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	136,633,439	123,211,024	13,422,415
23	Insurance ...	59,196,903	53,381,596	5,815,307
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	656,213,859	653,631,092	2,582,767
b	CORPORATE ALLOCATION	430,708,879		430,708,879
c	WA HOSP. SAFETY NET PRO	127,651,933	127,651,933
d	PROVISION FOR BAD DEBTS	107,408,619	107,408,619
e	All other expenses	174,186,407	118,249,404	55,937,003
25	Total functional expenses. Add lines 1 through 24e	4,247,451,115	3,471,688,574	775,762,541	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 .........			269,538,752	2	450,400,586
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			476,708,338	4	590,639,712
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 ............			56,384,445	8	60,067,195
9	Prepaid expenses and deferred charges ......			36,465,764	9	54,591,495
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,642,734,314
b	Less: accumulated depreciation	10b	1,606,072,632	1,913,642,302	10c	2,036,661,682
11	Investments—publicly traded securities .			2,094,811,365	11
12	Investments—other securities. See Part IV, line 11 .....			515,720,000	12	1,968,205,260
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			634,236,428	15	734,731,348
16	Total assets. Add lines 1 through 15 (must equal line 33)...			5,997,507,394	16	5,895,297,278

17	Accounts payable and accrued expenses .....	573,937,046	17	589,980,859
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	1,533,449,304	20	1,914,298,630
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	584,788,063	25	561,942,569
26	Total liabilities. Add lines 17 through 25..	2,692,174,413	26	3,066,222,058

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,305,332,981	27	2,829,075,220
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 ...........	3,305,332,981	32	2,829,075,220
33	Total liabilities and net assets/fund balances ........	5,997,507,394	33	5,895,297,278