4A (Expenses $ 2350195302 including grants of $ 10697954) (Revenue $ 2939164537)
MULTICARE HEALTH SYSTEM (MHS) IS THE LARGEST COMMUNITY-BASED, LOCALLY GOVERNED HEALTHCARE TAX-EXEMPT ORGANIZATION IN THE STATE OF WASHINGTON. WITH THE AQUISITION OF THE CAPITAL MEDICAL HOSPITAL IN OLYMPIA, MHS OPERATES NINE COMMUNITY BASED HOSPITALS WITH 1,827 LICENSED ADULT BEDS AND 82 LICENSED PEDIATRIC BEDS. DURING 2021 MHS HOSPITALS ADMITTED 75,366 PATIENTS FOR A TOTAL OF 421,610 PATIENT DAYS, PERFORMED 54,524 SURGERIES AND DELIVERED 9,506 BABIES. THERE WERE 13,498 NEWBORN DAYS DURING 2021. THEY ALSO PROVIDED CARE FOR 535,577 OUTPATIENT VISITS AND 458,921 EMERGENCY ROOM VISITS, OF WHICH 2,191 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 2021 MHS PROVIDED 86 GRANTS TO COMMUNITY ORGANIZATIONS.

4B (Expenses $ 407673946 including grants of $ 0) (Revenue $ 477006386)
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 2021 THE INDIGO, MULTICARE UCC AND ROCKWOOD CLINICS PROVIDED 509,777 CLINIC VISITS. THE MULTI-SPECIALTY CLINICS PROVIDED 968,400 PHYSICIAN VISITS, OUTPATIENT VISITS OF 270,248, AND PROCESSED 1,085,478 LABORATORY WORKLOAD UNITS, 139,864 IMAGING RELATIVE UNITS, (SEE SCHEDULE O)(CONTINUATION FROM PAGE 2) 114,441 ONCOLOGY RELATIVE VALUE UNITS, 146,931 RADIATION ONCOLOGY VALUE UNITS, 2,401 THERAPY VALUE UNITS AND 2,566 PHARMACY WORKLOAD UNITS. THE GIG HARBOR AMBULATORY CENTER PERFORMED 1,217 SPECIALIST SURGERIES AS FOLLOWS: PEDIATRIC, GENERAL, NEUROLOGIC, VASCULAR, SPINE, ORTHOPEDIC, GENERAL BREAST, PEDIATRIC ORTHOPEDIC, CARDIOTHORACIC, GENERAL BARIATRIC, COLORECTAL, PEDIATRIC NEUROSURGERY.

4C (Expenses $ 82543189 including grants of $ 0) (Revenue $ 100455329)
MULTICARE HEALTH SYSTEM OPERATES PRIMARY CARE PHYSICIAN PRACTICES THROUGHOUT PIERCE, SOUTH KING, AND WITH THE AQUISITION OF CAPITAL MEDICAL CLINICS IN OLYMPIA, IN THURNSTON COUNTIES. THESE PRACTICES PROVIDED 533,363 PATIENT VISITS DURING 2021.

4D (Expenses $ 54340455 including grants of $ 0) (Revenue $ 55377447)
MULTICARE HEALTH SYSTEM'S OTHER PROGRAMS INCLUDE BEHAVIORAL HEALTH, HOME HEALTH SERVICES AND HOSPICE, ADULT DAY HEALTH AND PSYCHOLOGY CHILDREN'S THERAPY UNIT. DURING 2021 THE CLINICS PROVIDED 41,868 HOME HEALTH VISITS, THE HOME HEALTH AND HOSPICE PROGRAMS ADMITTED 139,066 AND 1,375 PATIENTS, RESPECTIVELY. MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU) HELPS INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. IN 2021 CTU SERVED 571 PATIENTS. MULTICARE BEHAVIORAL HEALTH SERVICES (BHS) OFFERS A FULL RANGE OF SERVICES AND AN INTEGRATED APPROACH TO WELLNESS.

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 9: MULTICARE COVINGTON HOSPITAL (COV)

GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV, PART V, SECTION B, LINE 5:
"MULTICARE HEALTH SYSTEM (MULTICARE) WORKED WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, PUBLIC HEALTH - SEATTLE AND KING COUNTY, AND THE SPOKANE REGIONAL HEALTH DISTRICT TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OF ITS HOSPITAL SERVICE AREAS, FEATURING INPUT FROM COMMUNITY LEADERS AND RESIDENTS REPRESENTING MULTIPLE SECTORS AND POPULATION GROUPS. THE CHNA INCLUDES PRIMARY DATA GATHERED FROM A COMMUNITY SURVEY, WORKSHOPS AND STAKEHOLDER INTERVIEWS, IN ADDITION TO INFORMATION COLLECTED FROM SECONDARY QUANTITATIVE SOURCES.COMMUNITY SURVEY: MORE THAN 1,600 PIERCE COUNTY AND SOUTH KING COUNTY RESIDENTS WERE SURVEYED ABOUT THEIR COMMUNITY HEALTH NEEDS. THE SURVEY, CONDUCTED, IN 2018, SOUGHT RESIDENTS' VIEWS ON HEALTH STATUS, CRIME & SAFETY, SOCIAL CONNECTEDNESS, HEALTHCARE, AND OTHER ISSUES THAT IMPACT THE QUALITY OF LIFE.COMMUNITY ENGAGEMENT PROCESS:TO COMPLEMENT THE COMMUNITY SURVEY, A COMMUNITY ENGAGEMENT PROCESS FURTHER SOLICITED INPUT FROM THE PUBLIC. THE PROCESS INCLUDED THREE STAGES: CONDUCTING KEY LEADER INTERVIEWS, NOTING OVERARCHING THEMES, HOLDING COMMUNITY WORKSHOPS, DOCUMENTING THE MOST IMPORTANT ISSUES PER RESIDENTS AND INVITING KEY STAKEHOLDERS TO REFLECT ON AND PRIORITIZE HEALTH NEEDS FOR EACH OF THE MULTICARE'S HOSPITALS. THE GROUPS WERE FACILITATED BY THE HEALTH DEPARTMENT AND MULTICARE HEALTH SYSTEM.KEY LEADER INTERVIEWS: A SERIES OF INTERVIEWS WERE HELD TO SOLICIT INPUT ON THE STRENGTHS, ASSETS, RESOURCES, AND HEALTH PRIORITIES IN THE MULTICARE HOSPITAL SERVICE AREAS. TEN INTERVIEWS WERE CONDUCTED WITH 12 PIERCE COUNTY ORGANIZATIONAL LEADERS ACROSS 7 SECTORS. MANY OF THESE LEADERS REPRESENTED COMMUNITY ORGANIZATIONS THAT SERVE LOW-INCOME AND MINORITY RESIDENTS. THE QUESTIONS ASKED INCLUDED: 1. WHAT ARE SOME NOTEWORTHY PEOPLE, PLACES AND ACTIVITIES THAT YOU FEEL MAKE YOUR COMMUNITY HEALTHY, SAFE AND EQUITABLE? 2. WHAT ARE SOME CONCERNS YOU OR YOUR ORGANIZATION HAS/HAVE ABOUT THE CONDITIONS THAT IMPACT THE HEALTH OF PIERCE COUNTY RESIDENTS RIGHT NOW? 3. IN YOUR OPINION, HOW CAN HEALTH CARE SYSTEMS PARTNER IN ADDRESSING THE ISSUES YOU HAVE IDENTIFIED?COMMUNITY WORKSHOPS TEN COMMUNITY WORKSHOPS WERE HELD THROUGHOUT PIERCE COUNTY. PARTICIPANTS WERE ASKED TO CONSIDER THE FOLLOWING QUESTIONS: 1. WHAT DO YOU THINK MAKES AN ""IDEAL"" COMMUNITY OR NEIGHBORHOOD?2. WHAT NEEDS TO CHANGE ABOUT YOUR COMMUNITY OR NEIGHBORHOOD?THE WORKSHOPS REPRESENTED DIVERSE POPULATION GROUPS, INCLUDING LOW INCOME RESIDENTS, PEOPLE OF DIFFERENT AGES, PEOPLE OF DIFFERENT RACE/ETHNICITY, AND THOSE AFFECTED BY HEALTH DISPARITIES.INTERNAL STAKEHOLDER REVIEW MEETINGS:FINALLY, THE ASSESSMENT PROCESS INVOLVED INVITING KEY LEADERS AT MULTICARE TO REVIEW THE RESULTS OF THE PREVIOUS COMMUNITY INPUT, AS WELL AS RELEVANT HEALTH INDICATOR DATA (MAY 2019). DURING THESE MEETINGS EXECUTIVES, PHYSICIAN, NURSES, AND OUTPATIENT LEADERS WERE PRESENTED WITH THE SELECTED HEALTH PRIORITIES FOR EACH HOSPITAL, AS DETERMINED BY THE RESPECTIVE HEALTH DEPARTMENTS USING THE FOLLOWING CRITERIA:1. WAS THE HEALTH CONCERN OR INDICATOR SIGNIFICANTLY WORSE IN THE HOSPITAL SERVICE AREA THAN IN THE STATE?2. WAS THE HEALTH CONCERN TRENDING WORSE OVER TIME?3. WAS A HEALTH CONCERN REPEATEDLY VOICED DURING THE COMMUNITY ENGAGEMENT PORTION OF THE ASSESSMENT?4. DOES THE HEALTH CONCERN HAVE HEALTH INEQUITIES ASSOCIATED WITH RACE, ETHNICITY OR GENDER?THE KEY COMMUNITY LEADERS & ORGANIZATIONS INVOLVED IN THE 2019 SURVEY INCLUDE:CINDAN GIZZI, COMMUNITY ASSESSMENT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,KAREN MEYER, COMMUNITY LIAISON SPECIALIST, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,INGRID PAYNE, PROJECT MANAGER, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,EMILY TURK, PROGRAM ANALYST, TACOMA-PIERCE COUNTY HEALTH DEPARTMENT,PETER ANSARA, PIERCE COUNTY HUMAN SERVICES, MARY CHIKWINYA, TACOMA COMMUNITY COLLEGE, DIANA COMFORT, BIG BROTHERS BIG SISTERS OF PUGET SOUND,HOLLY NEWMAN DZYBAN, BIG BROTHERS BIG SISTERS OF PUGET SOUND, SUE DREIER, PIERCE TRANSIT, LAURIE JINKINS, WASHINGTON STATE REPRESENTATIVE 27TH LEGISLATIVE DISTRICT,NEIL JOHNSON, MAYOR OF BONNEY LAKE, BEV LOSEY, BROWN & BROWN INSURANCE, CHRISTINE LYNCH AND DEREK MURPHY, OLALLA RECOVERY CENTERS/GIG HARBOR RECOVERY CENTER,EDIE MORGAN, MUSTARDSEED PROJECT, DEIRDRE RAYNOR, UNIVERSITY OF WASHINGTON TACOMA, CHUCK WEST, KEY PENINSULA FIRE DEPARTMENT,EATONVILLE COMMUNITY COALITION,EATONVILLE EXCEPTIONAL FAMILIES NETWORK,LAKEWOOD FIFE-MILTON-EDGEWOOD FOOD BANK,FIFE GRAHAM COMMUNITY COALITION,GRAHAM HILLTOP NEIGHBORHOOD RESIDENTS,TACOMA KEY PENINSULA VIOLENCE PREVENTION COALITION,LAKEBAY NURSE FAMILY PARTNERSHIP SUPPORT GROUP,LAKEWOOD PRAIRIE RIDGE COMMUNITY DINNER-PRAIRIE RIDGE, RAINBOW CENTER TACOMA, SAMOAN RESIDENTS, EASTSIDE TACOMA,GLORIA ALBETTA, PUBLIC HEALTH- SEATTLE & KING COUNTY, KAYLIN BOLT, PUBLIC HEALTH- SEATTLE & KING COUNTY, ANNE BUHER, PUBLIC HEALTH- SEATTLE & KING COUNTY,LOUISE CARTER, PUBLIC HEALTH- SEATTLE & KING COUNTY, NADINE CHAN, PUBLIC HEALTH- SEATTLE & KING COUNTY, SUSAN HERNANDEZ, PUBLIC HEALTH- SEATTLE & KING COUNTY, JOIE HSU, PUBLIC HEALTH- SEATTLE & KING COUNTY, ELI KERN, PUBLIC HEALTH- SEATTLE & KING COUNTY, SUSAN KINNE, PUBLIC HEALTH- SEATTLE & KING COUNTY, AMY LAURENT, PUBLIC HEALTH- SEATTLE & KING COUNTY, JAY MARSHALL, PUBLIC HEALTH- SEATTLE & KING COUNTY, ALASTAIR MATHESON, PUBLIC HEALTH- SEATTLE & KING COUNTY, MARGUERITE RO,PUBLIC HEALTH- SEATTLE & KING COUNTY, SARA JAYE SANFORD, PUBLIC HEALTH- SEATTLE & KING COUNTY, MIKE SMYSER, PUBLIC HEALTH- SEATTLE & KING COUNTY, LIN SONG, PUBLIC HEALTH- SEATTLE & KING COUNTY, KIM TIPPENS, PUBLIC HEALTH- SEATTLE & KING COUNTY, MARIKO TOYOJI, PUBLIC HEALTH- SEATTLE & KING COUNTY, EVA WONG, PUBLIC HEALTH- SEATTLE & KING COUNTY, STACY WENZL, ASSOCIATE DIRECTOR OF COMMUNITY HEALTH, SPOKANE REGIONAL HEALTH DISTRICT, STEVEN SMITH, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, ASHLEY BECK, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, AMY RIFFE, RESEARCH SCIENTIST, SPOKANE REGIONAL HEALTH DISTRICT, AMBER LENHART, SPOKANE REGIONAL HEALTH DISTRICT, DANIELLE WRENN, SPOKANE REGIONAL HEALTH DISTRICT."

GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV, PART V, SECTION B, LINE 6A:
THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH MORE HOSPITAL FACILITIES, AS FOLLOWS:MULTICARE TACOMA GENERAL HOSPITAL,MULTICARE GOOD SAMARITAN HOSPITAL,MULTICARE AUBURN MEDICAL CENTER,MULTICARE ALLENMORE HOSPITAL,MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL,MULTICARE DEACONESS HOSPITAL,MULTICARE VALLEY HOSPITAL,MULTICARE COVINGTON HOSPITAL.

GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV, PART V, SECTION B, LINE 6B:
THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH ORGANIZATIONS OTHER THAN THE HOSPITAL FACILITIES AS FOLLOWS:TACOMA PIERCE COUNTY HEALTH DEPARTMENT,CHI FRANSISCAN HEALTH,PUBLIC HEALTH SEATTLE KING COUNTY,KING COUNTY HOSPITALS FOR A HEALTHY COMMUNITY,SPOKANE REGIONAL HEALTH DISTRICT,PRIORITY SPOKANE.

GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV, PART V, SECTION B, LINE 7D:
THE CHNA IS BROADLY DISTRIBUTED TO COMMUNITY PARTNERS, WHO SHARE THESE REPORTS INTERNALLY AND EXTERNALLY THROUGH A COMPUTER-BASED LEARNING MODULE AVAILABLE TO MULTICARE EMPLOYEES AND THROUGH PRESENTATIONS WITH COMMUNITY GROUPS, INCLUDING LOCAL UNIVERSITIES, COMMUNITY SERVICE ORGANIZATIONS, COMMUNITY COALITIONS, REGIONAL BOARDS AND COUNCILS, HOSPITAL LEADERS, AND DEPARTMENTAL STAFF.

GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV, PART V, SECTION B, LINE 11:
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY & IDENTIFIED THROUGH THE CHNA. THEY ARE AS FOLLOWS: ACCESS TO CARE: ALLENMORE, GOOD SAMARITAN, TACOMA GENERAL, MARY BRIDGE CHILDREN'S, DEACONESS & VALLEY HOSPITALS, AUBURN & COVINGTON MEDICAL CENTERS, BEHAVIORAL HEALTH.CANCER: GOOD SAMARITAN HOSPITAL. CHILDHOOD IMMUNIZATIONS: BOTH AUBURN & COVINGTON MEDICAL CENTERS, MARY BRIDGE CHILDREN'S HOSPITAL.INJURIES (UNINTENTIONAL): ALLENMORE, GOOD SAMARITAN & TACOMA GENERAL HOSPITALS.INTENTIONAL INJURIES (SUICIDE & VIOLENCE): DEACONESS & VALLEY HOSPITALS.MATERNAL & CHILD HEALTH: ALLENMORE , MARY BRIDGE CHILDREN'S & TACOMA GENERAL HOSPITALS.OBESITY: ALLENMORE, GOOD SAMARITAN, TACOMA GENERAL & DEACONESS HOSPITALS.YOUTH OBESITY: MARY BRIDGE CHILDREN'S HOSPITAL.ORAL HEALTH CARE (POVERTY): DEACONESS & VALLEY HOSPITALS.PHYSICAL HEALTH SPECIFICALLY OBESITY, CANCER AND DIABETES: AUBURN & COVINGTON MEDICAL CENTERS.DIABETES: VALLEY HOSPITAL.SMOKING: DEACONESS HOSPITAL.HOUSING & HOMELESSNESS: AUBURN & COVINGTON MEDICAL CENTERS. DUE TO LIMITED RESOURCES AND EXPERTISE, THE HOSPITALS LEADERSHIPS DECIDED NOT TO ADDRESS THESE NEEDS.MATERNAL AND CHILD HEALTH: ALLENMORE. SINCE THE HOSPITAL DOES NOT OFFER MATERNAL AND CHILD HEALTH SERVICES, NOR HAS EXPERTISE IN THIS SPECIALTY, THE HOSPITAL WILL NOT ADDRESS THIS NEED.DIABETES, SMOKING, OBESITY: DUE TO LIMITED RESOURCES AND EXPERTISE, VALLEY HOSPITAL LEADERSHIP DECIDED NOT TO ADDRESS DIABETES AND OBESITY, AND DEACONESS HOSPITAL LEADERSHIP DECIDED NOT TO ADDRESS SMOKING.CANCER: ALTHOUGH AUBURN AND COVINGTON MEDICAL CENTERS WILL FOCUS ON PHYSICAL HEALTH, THEY WILL NOT SPECIFICALLY ADDRESS CANCER BECAUSE THE HOSPITALS DO NOT SPECIALIZE IN CANCER CARE.THE FOLLOWING STRATEGIES WILL BE EMPLOYED TO ADDRESS THE IDENTIFIED COMMUNITY NEEDS:ACCESS TO CARE- 1. CONTINUE TO SUPPORT MEDICAL TEAM'S INTERNATIONAL'S MOBILE DENTAL PROGRAM THROUGH ON-SITE CLINICS, REFERRALS AND SHARED MARKETING EFFORTS. 2.EXPLORE INCREASED SHARED MARKETING EFFORTS - THROUGH SOCIAL MEDIA, WEBSITE LINKS, DISTRIBUTION OF MATERIALS AND ATTENDANCE AT COMMUNITY EVENTS - TO PROMOTE LINDQUIST DENTAL CLINIC FOR CHILDREN (LDCC). 3. EXPLORE THE CREATION OF AN EPIC SMARTPHRASE TO REFER YOUTH IN NEED TO LDCC. 4. EXPLORE PARTNERSHIPS BETWEEN LDCC AND MULTICARE WIC CLINICS, PRENATAL AND PRIMARY CARE, AND OTHER DEPARTMENTS AND PROGRAMS. 5. SUPPORT MULTICARE VIRTUAL CARE SERVICES FOR COMMUNITY MEMBERS. 6. SUPPORT MULTICARE'S DISPATCH HEALTH SERVICES TO PROVIDE ON-DEMAND, IN-PERSON HOME CARE TO PATIENTS LIVING IN TACOMA OR PIERCE COUNTY.7. CONTINUE TO SUPPORT THE PRESCRIPTION DRUG ASSISTANCE NETWORK FOR LOW-INCOME INDIVIDUALS. 8. PROMOTE THE AUBURN RESPITE PROGRAM TO ASSIST DEPENDENT SENIORS. 9.CONTINUE TO SUPPORT THE SEATTLE/KING COUNTY CLINIC.ACCESS TO CARE- IN 2021, MULTICARE'S VIRTUAL HEALTH CONTINUED TO PLAY A SIGNIFICANT ROLE IN THE SYSTEM'S RESPONSE TO THE COVID-19 PANDEMIC. ADDITIONALLY, THROUGH OUR PARTNERSHIP WITH MEDICAL TEAM INTERNATIONAL WE WILL ABLE TO PROVIDE $268,349, SERVING ABOUT 251. BEHAVIORAL HEALTH- BEHAVIORAL HEALTH SERVICES CONTINUED TO BE PROVIDED VIA TELEHEALTH AND PHONE FOR 2021. WE HAVE FOCUSED ON EXPANDING SERVICES TO ADULTS, CHILDREN, AND FAMILIES BY ENHANCING OUR PARTNERSHIP WITH QUARTET HEALTH AND OTHER COMMUNITY STAKEHOLDERS. THIS HAS RESULTED IN NEW CONTRACTED SERVICES IN LOCAL SCHOOLS AND OTHER COMMUNITY SETTINGS WHERE SERVICES HAD BEEN LESS ACCESSIBLE. CANCER- IN 2021, MULTICARE PERFORMED GENETIC SCREENING OF THE BRACA1 AND BRACA2 GENE FOR 122 PATIENTS AND INCORPORATED HIGHER RATES OF BREAST, CERVICAL, AND COLORECTAL CANCER SCREENING INTO VISITS. MULTICARE ALSO PARTNERED WITH THE AMERICAN CANCER SOCIETY TO IMPROVE HPV VACCINATION RATES AMONG ADOLESCENTS THROUGH A 5-CLINIC TARGETED CAMPAIGN AROUND PROVIDER AND STAFF EDUCATION TO IMPROVE COMPLETION OF HPV VACCINE SERIES IN CHILDREN AGED 9-13 YEARS OLD.CHILDHOOD IMMUNIZATIONS- THE MARY BRIDGE MOBILE IMMUNIZATION CLINIC PROVIDED 4,994 CHILDHOOD VACCINES TO CHILDREN AGED 0-18., WHICH WAS 1,963 MORE THAN 2020. INJURIES (INTENTIONAL) -IN ADDITION TO MANY OTHER THINGS IN 2021, MULTICARE PARTNERED WITH THE YWCA AND LUTHERAN COMMUNITY SERVICES TO CREATE A DOMESTIC VIOLENCE LEARNING MODULE. MULTICARE ALSO FOCUSED ON ADDING LIGATURE RESISTANT ROOMS AND CREATED A LEARNING MODULE FOR SUICIDE SEVERITY RISK SCREENING. INJURIES (UNINTENTIONAL)MULTICARE CONTINUED TO SUPPORT STOP THE BLEED WA BY IMPLEMENTING THE STOP THE BLEED ONLINE LEARNING MODULE. ADDITIONALLY, FALL PREVENTION TRAININGS AND TRAUMA EDUCATION TRAININGS WERE ALSO HELD. MATERNAL AND CHILD HEALTH - COVID-19 CONTINUED TO IMPACT HOW WE DELIVERED CHILDHOOD INJURY PREVENTION SERVICES AND EDUCATION IN 2021. CAR SEAT INSPECTIONS FOR PARENTS/CAREGIVERS HAVE LONG BEEN A FLAGSHIP PROGRAM AND WERE CONDUCTED VIRTUALLY OVER VIDEO CHAT, ALLOWING US TO SERVE A BROADER GEOGRAPHIC AREA. WINDOW STOPS WERE OFFERED THROUGH MHS SOCIAL MEDIA DURING WINDOW SAFETY WEEK - WHICH WE MAILED DIRECTLY TO LOCAL FAMILIES WHO REQUESTED THEM. WE PROVIDED VIRTUAL SAFETY TRAINING FOR STAFF AND COMMUNITY, INCLUDING OUR QUARTERLY INFANT SAFETY TRAINING FOR MHS RN RESIDENTS (NICU, PERINATAL AND PEDIATRIC MED-SURG) AND QUARTERLY SAFE INFANT SLEEP TRAINING FOR COMMUNITY PARTNER AGENCIES WHO DISTRIBUTE FREE CRIBS THROUGH THE PERINATAL COLLABORATIVE OF PIERCE COUNTY.OBESITY - MULTICARE'S EMPOWERING PREGNANCY AND MOTHERHOOD PROGRAM HAD 17 PARTICIPANTS IN 2021 AND PROVIDED PRE AND POSTNATAL NUTRITION AND HEALTHY LIVING EDUCATION TO WOMEN. MULTICARE'S SNAP - ED PROGRAM ALSO PROVIDED NUTRITION AND HEALTH LIVING EDUCATION IN MIDDLE AND HIGH SCHOOL. YOUTH OBESITY- IN 2021, MULTICARE APPLIED FOR AND RECEIVED THE SNAP-ED GRANT TO PROVIDE YOUTH OBESITY RELATED PROGRAMS. ADDITIONALLY, PROMOTION OF THE READY, SET, GO! 5210 (RSG! 5210) PROGRAM CONTINUED.PHYSICAL HEALTH - DUE TO THE PANDEMIC MULTICARE'S HYPERTENSION GUIDELINE WAS HALTED, AS WELL AS OTHER PROGRAMS RELATED TO THIS NEED. MANY PHYSICAL HEALTH COMMUNITY RELATED EVENTS TURNED VIRTUAL OR WERE ALSO HALTED IN 2021. ORAL HEALTH (POVERTY)- ORAL HEALTH PROGRAMS WERE AFFECTED BY THE PANDEMIC, AND MOST ORAL HEALTH RELATED WORK HAD TO BE PAUSED AND DID NOT RECOVER IN 2021.

GROUP A-FACILITY 1 -- TG,GSH,AUB,ALLEN,M.BRID,DEAC,VALLEY,COV, PART V, SECTION B, LINE 16J:
MULTICARE'S TACOMA GENERAL, GOOD SAMARITAN, AUBURN, ALLENMORE, MARY BRIDGE, DEACONESS, VALLEY, COVINGTON AND CAPITAL MEDICAL CENTER (EFFECTIVE DECEMBER 2021) HOSPITALS:THE POLICY IS POSTED ON THE WA STATE - DEPARTMENT OF HEALTH WEBSITE. THE HOSPITAL'S BILLING INVOICES INCLUDE REFERENCES TO WHERE AND HOW TO CONTACT SOMEONE TO OBTAIN A COPY OF THE FINANCIAL ASSISTANCE POLICY.LINE 16BHTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-FORMS/LINE 16ITHE FAP AND THE PLAIN LANGUAGE SUMMARY ARE TRANSLATED IN THE MULTICARE PATIENT GUIDE IN 3 LANGUAGES AND CAN BE FOUND AT: HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/PLEASE SELECT THE LINK TO THE FINANCIAL ASSISTANCE POLICY ON THE LEFT SIDE OF THE WEB PAGE.THE FAP APPLICATION IS TRANSLATED IN 4 LANGUAGES AND CAN BE FOUND AT:HTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/PLEASE SELECT THE LINK TO FINANCIAL ASSISTANCE FORMS ON THE LEFT SIDE OF THE WEB PAGE.MULTICARE HEALTH SYSTEM HAS TRANSLATED ITS FA POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS.

PART V, SECTION B
FACILITY REPORTING GROUP B

FACILITY REPORTING GROUP B CONSISTS OF:
- FACILITY 7: MULTICARE CAPITAL MEDICAL CENTER

GROUP B-FACILITY 7 -- MULTICARE CAPITAL MEDICAL CENTER (CAPMED PART V, SECTION B, LINE 2:
DURING 2021 MULTICARE HEALTH SYSTEM, (MHS), WELCOMED CAPITAL MEDICAL CENTER TO THE FAMILY WITH THE ACQUISITION OF THE OLYMPIA-BASED HOSPITAL AND ITS ADJACENT CLINICS. AS A RESULT, THE 2021 MHS SCHEDULE H, INCLUDES THE ACTIVITY OF CAPITAL MEDICAL CENTER HOSPITAL AND CLINICS FROM 08/23/2021 UNTIL 12/31/2021.DURING 2021 EFFORTS WERE MADE TO ALIGN THE MULTICARE CAPITAL MEDICAL CENTER WITH MHS, SPECIFICALLY TO ALIGN ITS FINANCIAL ASSISTANCE POLICIES (1) AND TO IMPLEMENT THE CHNA (2).1) THE NEWLY ACQUIRED HOSPITAL ADOPTED THE FINANCIAL ASSISTANCE APPLICATIONS AND DETERMINED ELIGIBILITY FOR FINANCIAL ASSISTANCE AS 150% OF FPG FOR FREE CARE AND 300% OF FPG FOR DISCOUNTED CARE.2) SINCE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS NOT A REQUIREMENT FOR THE FOR-PROFIT HOSPITALS, THE HOSPITAL DID NOT HAVE ONE IN PLACE AT THE TIME OF THE ACQUISITION. EFFECTIVE 2021 THE HOSPITAL WILL CONDUCT A CHNA FOR THE AREAS THEY SERVE, SOUTHERN WA-CAPITAL PACIFIC REGION, TO BE PUBLISHED BY DECEMBER 31ST, 2022.

GROUP B-FACILITY 7 -- MULTICARE CAPITAL MEDICAL CENTER (CAPMED PART V, SECTION B, LINE 16J:
MULTICARE'S CAPITAL MEDICAL CENTER: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 (FAP).LINE 16BHTTPS://WWW.MULTICARE.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-FORMS/LINE 16ICAPITAL MEDICAL HOSPITAL DIDN'T USE THE MULTICARE HEALTH SYSTEM (MHS) PATIENT GUIDE PRIOR TO ITS MERGER INTO MHS AND ADOPTING MHS'S FAP, BUT THE HOSPITAL HAD ITS POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION TRANSLATED IN THE 3 PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS AND POSTED TO THEIR FORMER WEBSITE.EFFECTIVE 12/5/21 THE POLICY CHANGED TO MHS'S FAP AS OUTLINED IN GROUP A.

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 $90,822,247.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 $3,302,000 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, DEACONESS AND VALLEY HOSPITALS WAS THE 2021 MEDICARE COST REPORTS. CAPITAL MEDICAL WAS INCLUDED FOR THE SHORT PERIOD 09/2021-12/2021. 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 $74.2 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 WORKS COLLABORATIVELY WITH REGIONAL AGENCIES AND ORGANIZATIONS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE AND TO DEVELOP PROGRAMS AND SERVICES TO MEET THOSE NEEDS. COMMUNITY PARTNERS INCLUDE: THE TACOMA - PIERCE COUNTY HEALTH DEPARTMENT, THE PIERCE COUNTY MEDICAL SOCIETY, THE UNITED WAY OF PIERCE COUNTY, THE CITY OF TACOMA, THE TACOMA PUBLIC SCHOOL DISTRICT, YWCA OF SPOKANE, CHAS HEALTHSMILE SPOKANE, YMCA OF GREATER SEATTLE, PUBLIC HEALTH SEATTLE & KING COUNTY, AND MANY MORE. MULTICARE HEALTH SYSTEM UTILIZES THE DATA FROM ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA), AS WELL AS THE FEDERAL AND STATE-LEVEL DATA TO DETERMINE THE MOST PRESSING HEALTH CARE NEEDS FOR ITS SERVICE AREAS. THE CHNA PROCESS IS COMPREHENSIVE, THEREFORE THE ORGANIZATION DOES NOT ENGAGE IN ADDITIONAL ASSESSMENTS. FOR MORE DETAILED INFORMATION, SEE PART V, SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B.

PART VI, LINE 5:
"MULTICARE HEALTH SYSTEM IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS REPRESENT THE COMMUNITY, AND HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS'S ""COMMUNITY BENEFIT STANDARD,"" A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. MULTICARE HEALTH SYSTEM HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITIES. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE-OF-THE-ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS STAFF FROM MANY DEPARTMENTS CONDUCT COMMUNITY BENEFIT PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION, PROMOTION, AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. MULTICARE HEALTH SYSTEM PARTICIPATES IN A WIDE VARIETY OF ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. IN THE PUGET SOUND REGION, THIS INCLUDES:TACOMA TRAUMA TRUST, A COLLABORATIVE OF MULTICARE, 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;PIERCE COUNTY COVID MASS 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;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):PROJECT ACCESS, PROVIDING CHARITABLE CARE FOR THOSE NEEDING PRIMARY AND SPECIALTY CARE SERVICES;SEXUAL ASSAULT PREVENTION PROGRAM AND THE FORENSIC NURSE EXAMINER PROGRAM PROVIDING CARE TO ADULT SEXUAL ASSAULT VICTIMS;PARTNERING RELATIONSHIP WITH INW BEHAVIORAL HEALTH HOSPITAL FOR PSYCHIATRIC CARE;AMERICAN BEHAVIORAL HEALTH SERVICES PARTNERSHIP;TUBERCULOSIS TESTING FOR WSU MEDICAL STUDENTS;FLU VACCINATION FOR EWU AND WSU STUDENTS;AMERICAN HEART ASSOCIATION BROWN BAG LUNCH PROVIDER PRESENTATION;TOBACCO CESSATION AND RESOURCES AND EDUCATION FOR PATIENTS AND COMMUNITY MEMBERS IN PARTNERSHIP WITH SPOKANE REGIONAL HEALTH DISTRICT;WSDOT EDUCATIONAL OUTREACH IN SLEEP HEALTH, BODY MECHANICS, WARNING SIGNS, AND RISK DETECTION OF CHRONIC AND ACUTE CONDITIONS OF MAJOR HEALTH PROBLEMS;BREAST HEALTH EVENT TO INCREASE ACCESS TO SCREENING AND RISK AWARENESS EDUCATION;THE PROVISION OF BEHAVIORAL HEALTH SERVICES TO EWU STUDENTS;DOMESTIC VIOLENCE AND RESOURCE AWARENESS TRAINING FOR MULTICARE EMPLOYEES;PIONEER HUMAN SERVICES PARTNERSHIP;JASPR HEALTH PARTNERSHIP FOR IMPROVING THERAPEUTIC CARE OF SUICIDAL PATIENTS IN THE ED.THE HOSPITALS OF THE AFFILIATED GROUP UTILIZE FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING BUT NOT LIMITED TO:EDUCATIONAL PROGRAMS ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, HEALTH AND WELLNESS, AND NUTRITION; FREE MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE LOW-COST IMMUNIZATIONS IN THE COMMUNITY; EXPANSION OF THE EMERGENCY DEPARTMENTS TO ACCOMMODATE AN INCREASE IN EMERGENCY DEPARTMENT PATIENTS; SENIOR MEMBERSHIP AFFINITY PROGRAM; CANCER TRIALS AND RESEARCH; MULTICARE INSTITUTE FOR RESEARCH & INNOVATION; CARE MANAGEMENT, POWER OF ATTORNEY, AND NOTARY SERVICE MEDICATIONS; CHILDREN'S THERAPY UNIT; ASSISTIVE TECHNOLOGY PROGRAM; COMMUNITY EDUCATION: TRANSFUSION FREE MEDICAL & SURGICAL PROGRAM; MULTICARE GOOD SAMARITAN READERS; FAMILY BIRTH CENTER AND CLASSES AND SERVICES; AND MOBILE HEALTH SERVICES, PALLIATIVE CARE, PHYSICAL MEDICINE & REHABILITATION, AND VOLUNTEER SERVICES.INLAND NORTHWEST OFFERINGS & PARTNERSHIPS INCLUDE BUT ARE NOT LIMITED TO: BREASTFEEDING CLASSES; CHILDBIRTH EDUCATION; SAFE INFANT SLEEP; EASTERN WASHINGTON UNIVERSITY, GONZAGA, AND WASHINGTON STATE UNIVERSITY STUDENT PRACTICUM AND PROJECT PLACEMENT; EASTERN WASHINGTON UNIVERSITY AND WHITWORTH UNIVERSITY GUEST LECTURES; HEALTH TB TESTING & FLU VACCINATION PROGRAM; ALS CAREGIVERS SUPPORT GROUP; SCLERODERMA SUPPORT GROUP; SPOKANE COUNTY COLLEAGUES AND WASHINGTON STATE UNIVERSITY NURSING; ROUNDING CONFERENCE; EWU STUDENT THERAPY SERVICES;SUBSTANCE USE DISORDER PROGRAM WITH PIONEER HUMAN SERVICES; OUD/MAT TREATMENT PROGRAM UNDER SOR GRANT; OUD/MAT OUTPATIENT TREATMENT PROGRAM UNDER HUB AND SPOKE MODEL; HOUSING PROGRAM WITH BHT AND OTHER PARTNERS FOR CHRONICALLY HOMELESS PATIENTS IN THE ED; THERAPEUTIC SERVICES PARTNERSHIP WITH JASPR HEALTH PILOT FOR SUICIDAL PATIENTS IN THE ED; VIDEO TRAINING ON HOSPITAL RESPONSE PROGRAM WITH THE YWCA OF SPOKANE FOR DOMESTIC VIOLENCE AWARENESS AND TRAINING;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.IN 2021, MULTICARE WAS ABLE TO IMPROVE HEALTH PROMOTION. FOR EXAMPLE, MULTICARE'S COMMUNITY BASED POP UP COVID VACCINE CLINICS SERVED 3,591 INDIVIDUALS. ADDITIONALLY, THE BRIDGES PROGRAM CENTER FOR GRIEVING CHILDREN PROGRAM SERVED 2,158 INDIVIDUALS, WHICH WAS 1,223 MORE THAN 2020. FURTHERMORE, IN 2021, MULTICARE PARTNERED WITH THE YWCA AND LUTHERAN COMMUNITY SERVICES TO IMPLEMENT DOMESTIC VIOLENCE PREVENTION TRAINING IN ORDER TO PROVIDE THERAPEUTIC SERVICES FOR SUICIDAL PATIENTS IN THE ED. THESE ARE JUST A FEW EXAMPLES OF MANY OF THE IMPROVEMENTS MADE IN 2021. IN 2015, MHS LAUNCHED THE COMMUNITY GRANTS PROGRAM: THE MULTICARE COMMUNITY PARTNERSHIP FUND. IN 2021, $600,000 WAS AWARDED TO COMMUNITY ORGANIZATIONS IN PIERCE, KING, THURSTON, AND KITSAP COUNTIES WHOSE MISSIONS ARE AIMED AT IMPROVING THE LIVES OF RESIDENTS. IN 2021, THE INLAND NORTHWEST REGION AWARDED $250,000 TO COMMUNITY ORGANIZATIONS THROUGHOUT THE EASTERN WA REGION WHOSE MISSIONS ARE ALIGNED WITH OUR MISSION OF PARTNERING FOR HEALING AND A HEALTHY FUTURE. FOR MORE INFORMATION ON THE ORGANIZATION'S AWARDED GRANTS IN 2021 CAN BE FOUND AT HTTPS://WWW.MULTICARE.ORG/COMMUNITYPARTNERSHIP/ AND WITHIN MULTICARE'S FORM 990, SCHEDULE I.MULTICARE HAS ESTABLISHED COLLABORATIVE RELATIONSHIPS WITH SEVERAL COMMUNITY PARTNERSHIP FUND RECIPIENTS. CURRENTLY, MULTICARE WORKS WITH COMMUNITIES IN SCHOOLS OF PUYALLUP AND TACOMA TO IMPROVE ACCESS TO PHYSICAL AND BEHAVIORAL HEALTH SERVICES FOR STUDENTS; SUPPORTS THE TEAMS SENIOR PROGRAM IN PIERCE AND KING COUNTIES; PARTNERS WITH KWA TO DELIVER THE SBIRT PROGRAM TO IMPROVE OUTCOMES AROUND BEHAVIORAL HEALTH, INCLUDING MINORITY BEHAVIORAL HEALTH; PARTNERS WITH THE OASIS YOUTH CENTER, RAINBOW CENTER, AND PCAF TO IMPROVE LGBT PATIENT EXPERIENCES; PROVIDES SUPPORT OPERATIONS AT TRINITY NEIGHBORHOOD HEALTH CLINIC, WHICH PROVIDES FREE MEDICAL SERVICES. MULTICARE INW REGION COLLABORATES WITH THE CATHOLIC CHARITIES OF EASTERN WASHINGTON'S HOUSE OF CHARITY TO PROVIDE RESPITE CARE FOR THE HOMELESS AND IS ALSO A FUNDER FOR HEALTH NEEDS, FOOD SECURITY, AND TRANSPORTATION."

PART VI, LINE 7, REPORTS FILED WITH STATES
WA

PART II, COMMUNITY BUILDING ACTIVITIES:
"MULTICARE HEALTH SYSTEM IS ENGAGED IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES. MULTICARE EMPLOYEES PARTICIPATE IN MANY VOLUNTEER PROGRAMS IN THE COMMUNITY, INCLUDING THE AMERICAN RED CROSS, THE PIERCE COUNTY DIABETES COALITION, UNITED WAY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, COMMUNITIES IN SCHOOLS, HABITAT FOR HUMANITY, SAFE STREETS COALITION, THE YWCA, WHICH OPERATES A DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN, THE AMERICAN CANCER SOCIETY, AND MANY MORE OTHER ORGANIZATIONS.THE FOLLOWING ACTIVITIES BY REGION, AVAILABLE TO ALL COMMUNITY MEMBERS, PROVIDE OPPORTUNITIES FOR IMPROVED PHYSICAL, MENTAL, AND EMOTIONAL HEALTH:A) INLAND NORTHWEST REGION:- DOMESTIC VIOLENCE AND ADVOCACY SERVICES AND RESOURCE ASSISTANCE IN COLLABORATION WITH THE YWCA;- SPOKANE REGIONAL DOMESTIC VIOLENCE COALITION;- BETTERHEALTHTOGETHER (ACH) LEARNING COLLABORATIVES & FREE TRAINING SESSIONS;- WASHINGTON PEER ALLIANCE COALITION; - NATIONAL INSTITUTE FOR MENTAL ILLNESS EDUCATION AND SPEAKING SERIES; - RECOVERY CAF EDUCATION AND VIRTUAL WORKSHOP SERIES; - A BEHAVIORAL PROGRAM IN PARTNERSHIP WITH PIONEER HUMAN SERVICES AND CORAM INFUSION, HELPING PATIENTS WITH LONG-TERM IV DRUG USE RECEIVE SUBSTANCE USE DISORDER ASSESSMENTS AND INPATIENT TREATMENT, PEER COUNSELING SERVICES, AND BEHAVIORAL HEALTH TREATMENT;- DEACONESS MENTAL HEALTH ASSOCIATES, A PROGRAM THAT HIRED AND TRAINED SPECIALISTS TO IMPROVE THE CARE OF BEHAVIORAL HEALTH PATIENTS IN THE EMERGENCY DEPARTMENT; - SPOKANE REGIONAL EMERGENCY COMMAND CENTER BEHAVIORAL HEALTH TASK FORCE;- GRANT-FUNDED PROGRAM NAMED ""BETTERHEALTH THROUGH HOUSING PROVIDENCE"", IN COLLABORATION WITH BETTERHEALTHTOGETHER, SNAP, SPOKANE HOUSING AUTHORITY, CHPW, AND MOLINA;- A PROGRAM TO HELP CHRONICALLY HOMELESS PATIENTS WITH BEHAVIORAL HEALTH AND SUBSTANCE USE NEEDS GET INTO STABLE HOUSING AFTER 4 EMERGENCY DEPARTMENT VISITS IN 6 MONTHS; - SEXUAL ASSAULT NURSE EXAMINERS (SANE NURSES) AVAILABLE TO PATIENTS IN THE HOSPITALS AND ED;- QUARTET, AN ONLINE WEB-BASED PORTAL TO IMPROVE THE COORDINATION OF BEHAVIORAL HEALTH REFERRALS, ENSURING PATIENTS HAVE MORE TIMELY ACCESS TO BEHAVIORAL HEALTH CARE WITHIN THE COMMUNITY; - EAT, SLEEP AND CONSOLE PROGRAM ADDRESSING BABIES BEING BORN WITH DRUG ADDICTION SYMPTOMS;- HOUSE OF CHARITY RESPITE CARE FOR HOMELESS AND COLLABORATION WITH CATHOLIC CHARITIES OF E. WA; -PREVENT SUICIDE SPOKANE COALITION;- REGIONAL EMERGENCY & DISASTER HEALTHCARE CORRELATION LEADERSHIP PARTICIPATION AND CENTRAL COMMAND CENTER;- SPOKANE REGIONAL OPIOID TASK FORCE;-END THE VIOLENCE CAMPAIGN;- ""SMILE SPOKANE LEADERSHIP IMPACT NETWORK PARTICIPATING MEMBER"" TO IMPROVE ORAL HEALTH CARE IN EDUCATION IN SPOKANE COUNTY; -UNDERSERVED ELEMENTARY AND MIDDLE SCHOOL STUDENT OUTREACH PROGRAMS WITH PINES MIDDLE SCHOOL, BROADWAY ELEMENTARY AND REGAL ELEMENTARY, PROVIDING SCHOOL SUPPLIES, SCIENCE EDUCATION AND WINTER CLOTHING;- ANNUAL TREE OF GIVING;- SPOKANE VALLEY PARTNERS COLLABORATION SUPPORTING THE FOOD BANK, CLOTHING BANK, EMERGENCY ASSISTANCE, FOOD4THOUGHT PROGRAM, FOOD EXPRESS, INLAND NW BABY DIAPER BANK, CAREER CLOTHING BANK AND A SUMMER FOOD DRIVE;- ANNUAL BRIDGE TO BRUNCH COMMUNITY 5K RUN/WALK PROVIDED BY MULTICARE AS A COMMUNITY EVENT SUPPORTING AND RAISING AWARENESS FOR A COMMUNITY CANCER FUND; -CLINICAL, EMOTIONAL AND FINANCIAL ONGOING SUPPORT OF FREEMAN HIGH SCHOOL STUDENTS, STAFF AND FAMILIES FOLLOWING THE 2017 SHOOTING;- HOOPFEST, PROVIDING 2 - DAYS OF MEDICAL AND VOLUNTEER SUPPORT FOR 6000 TEAMS AND 225,000 FANS;- AMERICAN HEART AND STROKE WALK AND ANNUAL FUNDRAISING SUPPORT CAMPAIGN;OPERATING HEALTHY FAMILY PARTNERSHIP FOR ORAL HEALTH EDUCATION & LINK TO DENTAL CARE;- BIG TABLE PARTNERSHIP FROM ORAL HEALTH;- WSU HEALTHY PEOPLE HEALTHY PETS PARTNERSHIP TO PROVIDE VACCINATIONS TO HOMELESS AND LOW-INCOME INDIVIDUALS AND THEIR PETS;- ""ACCOUNTABLE COMMUNITY OF HEALTH PARTNER"" FOR IMPROVING ACCESS TO CARE FOR LOW-INCOME MEDICAID POPULATION IN BEHAVIORAL HEALTH, OPIOID USE, CHRONIC DISEASE MANAGEMENT, ORAL HEALTH AND HEALTH EQUITY;- TELEPSYCH SERVICES FOR ED/INPATIENT CARE;- OUT OF THE DARKNESS WALK FOR SUICIDE PREVENTION;- SECOND HARVEST'S TOM'S TURKEY DRIVE PROVIDING LOCAL FAMILIES WITH THANKSGIVING MEALS;- PARTNERSHIP WITH FREEMAN SCHOOLS SCOTTY DASH TO SUPPORT ACADEMIC, SPORT, EXTRACURRICULAR AND FACILITY NEEDS;- 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. MULTICARE PROVIDES SUBSIDIZED NO-COST HOUSING THROUGH TREEHOUSE FOR IMMEDIATE FAMILY MEMBERS WHEN THEIR LOVED ONES RECEIVE MEDICAL CARE AT A MULTICARE HOSPITAL. FINANCIAL ASSISTANCE IS OFFERED SO THAT NO ELIGIBLE FAMILY IS TURNED AWAY BECAUSE OF INABILITY TO PAY. IN ADDITION, THE COMMUNITY PARTNERSHIP FUND OFFERS FINANCIAL SUPPORT TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE HOUSING ASSISTANCE TO HOMELESS INDIVIDUALS, INCLUDING CATHOLIC COMMUNITY SERVICES, AND THE KOREAN WOMEN'S ASSOCIATION."

PART 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.

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MULTICARE HEALTH SYSTEM IS A WASHINGTON STATE INTEGRATED DELIVERY SYSTEM THAT OPERATES IN MULTIPLE REGIONS, PROMINENTLY IN THE PUGET SOUND (1) AND THE INLAND NORTHWEST (2).1) 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, SILVERDALE AND OTHERS.THERE ARE 12 HOSPITALS IN PIERCE AND SOUTH KING COUNTIES, AND SIX OF THEM ARE MULTICARE HOSPITALS. WITH THE ACQUISITION OF CAPITAL MEDICAL CENTER LOCATED IN OLYMPIA, THURSTON COUNTY, MULTICARE HEALTH SYSTEM HAS NOW SUBSTANTIAL REPRESENTATION IN SOUTH WA AREA, AND IS APPROACHING OREGON WHERE IT DID OPEN A CARDIOLOGY CLINIC IN THE COUNTY OF WALLOWA THROUGH ITS' SUBSIDIARY CHVI-PULSE HEART INSTITUTE IN 2021. THE PUGET SOUND REGION IS A MIX OF BOTH URBAN AND SUBURBAN COMMUNITIES. THE POPULATION OF THE PUGET SOUND REGION, INCLUSIVE OF PRIMARY AND SECONDARY SERVICE AREAS, IS 4.3 MILLION INDIVIDUALS.ACCORDING TO U.S CENSUS, 73.1% OF PIERCE COUNTY'S POPULATION IS WHITE,8.0% IS AFRICAN AMERICAN, 7.4% IS ASIAN, 1.8% IS NATIVE AMERICAN, 1.8% ISNATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 12.2% ARE OF HISPANIC ORLATINO, 7.9% IS SOME OTHER RACE OR TWO OR MORE RACES. 8.7% OF INDIVIDUALSIN THE COUNTY LIVE IN POVERTY AND THE MEDIAN HOUSEHOLD INCOME IS $76,438.IN ADDITION, 7.6% OF THE PIERCE COUNTY POPULATION IS UNINSURED.2) THE INLAND NORTHWEST IS AN AREA WHERE MULTICARE HEALTH SYSTEM IS IN A DEVELOPMENT STAGE, GAINING GEOGRAPHIC REPRESENTATION AND EXPANSION, HAVING TWO STRATEGIC POINTS HOSPITALS IN THE SPOKANE COUNTY AREA, THE MULTICARE DEACONESS AND MULTICARE VALLEY HOSPITALS, AS WELL AS ONE OF THE LARGEST OUTPATIENT CLINIC ON THE WA-IDAHO BORDER, THE ROCKWOOD CLINIC.THE PRIMARY SERVICE AREA FOR THE INLAND NORTHWEST REGION IS DEFINED ASSPOKANE WHICH INCLUDES THE CITIES OF SPOKANE, SPOKANE VALLEY, CHENEY,MEDICAL LAKE, AIRWAY HEIGHTS, AND LIBERTY LAKE. THE SECONDARY SERVICE AREAIS DEFINED AS ADAMS, LINCOLN, PEND ORIELLE, STEVENS, AND WHITMAN COUNTIES.THERE ARE SEVEN HOSPITALS IN TOTAL IN SPOKANE COUNTY, AND TWO OUT OF THEMARE MULTICARE HOSPITALS. THE US CENSUS STATES THAT SPOKANE COUNTY'S POPULATION IS 88.4% WHITE, 2.1% BLACK, 1.9% NATIVE AMERICAN, 2.5% ASIAN,0.7 % ARE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 2.5% ARE TWO OR MORE RACES, AND 6.6% ARE HISPANIC OR LATINO. THE TOTAL POPULATION OF SPOKANE COUNTY IS 546,040 AND THE MEDIAN HOUSEHOLD INCOME IS $60,101. THE U.SCENSUS BUREAU REPORTS THAT 7.6% OF THE SPOKANE COUNTY POPULATION IS UNINSURED. AS FOR KING COUNTY, THE TOTAL POPULATION IS 2,252,305 AND THE MEDIAN HOUSEHOLD INCOME IS $99,158. ABOUT 7.6% OF INDIVIDUALS IN THECOUNTY ARE LIVING IN POVERTY.MULTICARE HEALTH SYSTEM INCLUDES A LARGE NETWORK OF PRIMARY AND SPECIALTYPROVIDERS AND IS LICENSED FOR 1,909 BEDS AND OPERATES SEVERAL OUTPATIENTSURGICAL SITES IN OTHER URGENT CARE, PRIMARY CARE, AND MULTISPECIALTYCLINICS. MULTICARE HEALTH SYSTEM PROVIDES SERVICES DESIGNED TO MEET THESPECIFIC HEALTHCARE REQUIREMENTS OF THE POPULATION, WITH A COMPREHENSIVEARRAY OF INPATIENT AND OUTPATIENT PROGRAMS MADE AVAILABLE IN CONJUNCTIONWITH 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 NUMEROUS PRIMARY CARE, URGENT CARE AND SPECIALTY SERVICES INCLUDING MULTICARE INDIGO URGENT CARE CENTERS, MULTICARE IMMEDIATE CLINICS, AND MULTICARE ROCKWOOD CLINICS, THE LARGEST MULTI-SPECIALTY CLINIC SYSTEM IN THE INLAND NORTHWEST REGION. SPECIALTY SERVICES INCLUDE LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, LEVEL IV NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY LEVEL I TRAUMA REHABILITATION CENTER AND AN INTERNATIONALLY RENOWNED THERAPY UNIT FOR CHILDREN WITH SPECIAL NEEDS. MULTICARE ALSO INCLUDES HIGHLY SPECIALIZED AFFILIATED ENTITIES, SUCH AS CHVI PULSE HEART INSTITUTE, SPECIALIZED IN THE TREATMENT AND RESEARCH OF THE HEART, AND MULTICARE REHABILITATION SPECIALISTS P.C., AN ENTITY FOCUSED FOR DELIVERING ACCESSIBLE AND AFFORDABLE PHYSICAL AND REHABILITATION THERAPY SERVICES.THROUGH ITS AFFILIATIONS WITH NAVOS (2017) AND GREATER LAKES MENTAL HEALTH (2018) MULTICARE IS THE LARGEST BEHAVIORAL HEALTH PROVIDER IN WASHINGTON STATE. IN 2019 MULTICARE HEALTH SYSTEM IN PARTNERSHIP WITH 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. IN 2021, WELLFOUND BEGAN WORKING ON ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT. MULTICARE'S AFFILIATION WITH THESE ORGANIZATIONS ALLOWS TO BETTER PROVIDE ESSENTIAL BEHAVIORAL HEALTH SERVICES AND CONNECT OUR PATIENTS TO ESSENTIAL COMMUNITY RESOURCES.MULTICARE HEALTH SYSTEM'S NETWORK OF CARE INCLUDES NINE HOSPITALS:MULTICARE TACOMA GENERAL HOSPITAL, TACOMA,MULTICARE ALLEN MORE 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."