4A (Expenses $ 2826922694 including grants of $ 13992324) (Revenue $ 3144006817)
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 (Expenses $ 459383927 including grants of $ 0) (Revenue $ 598619741)
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 (Expenses $ 135799303 including grants of $ 0) (Revenue $ 122671090)
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.

4D (Expenses $ 49582650 including grants of $ 0) (Revenue $ 61658159)
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.

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.

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 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 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 7, REPORTS FILED WITH STATES
WA

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 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.

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"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."