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THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM FOOTNOTE READS \"MULTICARE HEALTH SYSTEM ADOPTED FASB INTERPRETATION NO.48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ON JANUARY 1, 2007. FIN 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS IN ACCORDANCE WITH FASB NO. 109, ACCOUNTING FOR INCOME TAXES. FIN 48 ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, FIN 48 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. FIN 48 DID NOT HAVE A SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM. OTHER THAN MEDIS, INC., A TAXABLE CORPORATION, AND GOOD SAMARITAN SURGERY CENTER, LLC, A LIMITED LIABILITY COMPANY, ALL OF THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME.\""}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":true,"compensation_based_on_net_earnings_related_orgs":true,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"DIANE CECCHETTINI","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":999401,"compensation_based_on_related_orgs":803130,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":23275,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":11837,"other_compensation_filing_org":0,"other_compensation_related_orgs":4302,"total_compensation_filing_org":0,"total_compensation_related_orgs":1841945,"name":"DIANE CECCHETTINI"},{"person_name":"JOHN LONG","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":342710,"compensation_based_on_related_orgs":433465,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":20230,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":10797,"other_compensation_filing_org":0,"other_compensation_related_orgs":155719,"total_compensation_filing_org":0,"total_compensation_related_orgs":962921,"name":"JOHN LONG"},{"person_name":"VINCENT SCHMITZ","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":317884,"compensation_based_on_related_orgs":437173,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":23275,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15789,"other_compensation_filing_org":0,"other_compensation_related_orgs":281239,"total_compensation_filing_org":0,"total_compensation_related_orgs":1075360,"name":"VINCENT SCHMITZ"},{"person_name":"RONALD LEWIS","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":74857,"compensation_based_on_related_orgs":192041,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":21973,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":14490,"other_compensation_filing_org":0,"other_compensation_related_orgs":11978,"total_compensation_filing_org":0,"total_compensation_related_orgs":315339,"name":"RONALD LEWIS"},{"person_name":"ARSHAD A ZAIDI","base_compensation_filing_org":196770,"bonus_filing_org":2300,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":14409,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":18529,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":1297,"other_compensation_related_orgs":0,"total_compensation_filing_org":233305,"total_compensation_related_orgs":0,"name":"ARSHAD A ZAIDI"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 6","explanation":"THE COMPENSATION COMMITTEE OF MULTICARE HEALTH SYSTEM SETS ANNUAL GOALS FOR THE INCENTIVE COMPENSATION PLAN COVERING SENIOR VICE PRESIDENTS, VICE PRESIDENTS, ADMINISTRATORS, DIRECTORS, MANAGERS AND SUPERVISORS. TARGETS IN QUALITY OF CARE, PATIENT SAFETY, CUSTOMER SERVICE, PEOPLE AND PERFORMANCE ALONG WITH A SYSTEM WIDE OPERATING MARGIN GOAL MUST BE MET IN ORDER FOR THE INCENTIVE COMPENSATION PLAN PAYMENTS TO BE MADE. THE INCENTIVE COMPENSATION PLAN IS THEN CALCULATED AND PAID BASED ON THE NUMBER OF TARGETS ACHIEVED."},{"form_and_line_reference":"PART III","explanation":"THE REPORTABLE COMPENSATION FOR THE OFFICERS OF THE CORPORATION AND KEY EMPLOYEES IS BASED ON THE TOTAL AMOUNT PAID DURING THE FISCAL YEAR FOR MANAGEMENT AND LEADERSHIP OF MULTICARE HEALTH SYSTEM AND GOOD SAMARITAN ENTITIES (91-1352172, 91-1514257, 94-3030039, 91-0961134, 91-1203494, 91-1203564 AND 91-2004312), INCLUDING CURRENT YEAR PAYMENTS OF AMOUNTS REPORTED IN PRIOR YEARS AS CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS AND DEFERRED COMPENSATION PLANS, TOGETHER WITH INVESTMENT EARNINGS FROM THOSE PRIOR YEAR CONTRIBUTIONS. AS A RESULT, CERTAIN AMOUNTS HAVE BEEN REPORTED TWICE, BOTH IN PRIOR YEARS WHEN EARNED OR ACCRUED, AND AGAIN IN THE CURRENT YEAR WHEN PAID. THE AMOUNTS UNDER OTHER COMPENSATION INCLUDE DEFERRED COMPENSATION, AND THE VALUE OF MEDICAL, DENTAL, LIFE, DISABILITY INSURANCE, AND PENSION BENEFITS. COMPENSATION ON THIS TAX RETURN INCLUDES AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND MAY NOT BE PAID OUT IN THE FUTURE. THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION AT MULTICARE HEALTH SYSTEM (I) COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (II) IS DETERMINED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL INDEPENDENT, DO NOT HAVE A CONFLICT OF INTEREST, AND ARE NON-PAID; AND (III) IS ANNUALLY EVALUATED IN THE CONTEXT OF COMPENSATION DATA GATHERED BY INDEPENDENT EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILAR HIGH PERFORMING HEALTHCARE INSTITUTIONS, PRIMARILY INTEGRATED HEALTHCARE ORGANIZATIONS. COMPENSATION PAID IS DETERMINED TO BE REASONABLE AND NECESSARY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND THE INDEPENDENT EXTERNAL CONSULTANT. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND BASED ON ACHIEVEMENT OF GOALS SET BY THE BOARD OF DIRECTORS AT THE START OF EACH FISCAL YEAR IN AREAS SUCH AS PATIENT SAFETY, QUALITY, WORKFORCE DEVELOPMENT, FINANCE AND OTHER MISSION-RELATED AREAS. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE IN ORDER TO ACHIEVE TOP TIER INTEGRATED CARE DELIVERY SYSTEM STATUS. THE EXECUTIVE COMPENSATION COMMITTEE ROUTINELY REVIEWS BENEFITS AND RETIREMENT PROGRAMS TO ENSURE THE PLANS ARE MARKET-BASED AND OTHERWISE CONSISTENT WITH IRS GUIDELINES. THE OFFICERS OF MULTICARE HEALTH SYSTEM, 91-1352172, ALSO FULFILL OFFICER AND EXECUTIVE FUNCTIONS FOR ITS RELATED ENTITIES. COMPENSATION DISCLOSED IS REPORTED TO THE RELATED ENTITIES TAX RETURNS IN ACCORDANCE WITH IRS REGULATIONS, BUT IS NOT CHARGED TO THE SUBSIDIARY OR AFFILIATE. AN OFFICER LISTED DEVOTES AN AVERAGE OF 60 HOURS PER WEEK TO PERFORM HIS OR HER RESPONSIBILITIES."},{"form_and_line_reference":"PART III","explanation":"SCHEDULE J, PART I, LINE 3: THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS AN EMPLOYEE OF ITS TAX EXEMPT PARENT, MULTICARE HEALTH SYSTEM (MHS), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. 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OTHER THAN MEDIS, INC., A TAXABLE CORPORATION, AND GOOD SAMARITAN SURGERY CENTER, LLC, A LIMITED LIABILITY COMPANY (WHICH MERGED INTO MHS IN DECEMBER 2010), ALL OF THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME.\""}]},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":true,"compensation_based_on_net_earnings_related_orgs":true,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"DIANE CECCHETTINI","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":618209,"compensation_based_on_related_orgs":407642,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":12985,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":7313,"other_compensation_filing_org":0,"other_compensation_related_orgs":198,"total_compensation_filing_org":0,"total_compensation_related_orgs":1046347,"name":"DIANE CECCHETTINI"},{"person_name":"VINCENT SCHMITZ","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":350347,"compensation_based_on_related_orgs":217954,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":12985,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":9338,"other_compensation_filing_org":0,"other_compensation_related_orgs":4389,"total_compensation_filing_org":0,"total_compensation_related_orgs":595013,"name":"VINCENT SCHMITZ"},{"person_name":"GLENN KASMAN","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":60147,"compensation_based_on_related_orgs":112921,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":21692,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":12153,"other_compensation_filing_org":0,"other_compensation_related_orgs":15756,"total_compensation_filing_org":0,"total_compensation_related_orgs":222669,"name":"GLENN KASMAN"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 4B","explanation":"DEFERRED COMPENSATION AMOUNTS INTO A 457(F) PLAN WERE MADE BY A RELATED ORGANIZATION, MULTICARE HEALTH SYSTEM (THE PARENT) FOR INDIVIDUALS EMPLOYED BY MULTICARE HEALTH SYSTEM WHO ARE WORKING FOR GOOD SAMARITAN OUTREACH SERVICES: GLENN KASMAN $6,109."},{"form_and_line_reference":"PART I, LINE 6","explanation":"THE COMPENSATION COMMITTEE OF MULTICARE HEALTH SYSTEM SETS ANNUAL GOALS FOR THE INCENTIVE COMPENSATION PLAN COVERING SENIOR VICE PRESIDENTS, VICE PRESIDENTS, ADMINISTRATORS, DIRECTORS, MANAGERS AND SUPERVISORS. TARGETS IN QUALITY OF CARE, PATIENT SAFETY, CUSTOMER SERVICE, PEOPLE AND PERFORMANCE ALONG WITH A SYSTEM WIDE OPERATING MARGIN GOAL MUST BE MET IN ORDER FOR THE INCENTIVE COMPENSATION PLAN PAYMENTS TO BE MADE. THE INCENTIVE COMPENSATION PLAN IS THEN CALCULATED AND PAID BASED ON THE NUMBER OF TARGETS ACHIEVED."},{"form_and_line_reference":"PART III","explanation":"SCHEDULE J, PART I, LINE 3: THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS AN EMPLOYEE OF ITS TAX EXEMPT PARENT, MULTICARE HEALTH SYSTEM (MHS), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, FORM 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY MHS."}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"bond_liabilities_discharged":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":false,"owner_of_successor":false},"liquidations":[{"business_name_line1":"MULTICARE HEALTH SYSTEM","ein":911352172,"irc_section":"501 (C) (3)","distribution_date":"2011-06-30T00:00:00","description":"ACCOUNTS RECEIVABLE, NET","fair_market_value":1977499,"method_of_fmv_determination":"BOOK VALUE","address_line1":"POBOX 5299","city":"TACOMA","state":"WA","zip":"98415","name":"MULTICARE HEALTH SYSTEM","address":"POBOX 5299, TACOMA, WA, 98415"},{"business_name_line1":"MULTICARE HEALTH SYSTEM","ein":911352172,"irc_section":"501 (C) (3)","distribution_date":"2011-06-30T00:00:00","description":"PREPAID EXPENSES","fair_market_value":23917,"method_of_fmv_determination":"BOOK VALUE","address_line1":"POBOX 5299","city":"TACOMA","state":"WA","zip":"98415","name":"MULTICARE HEALTH SYSTEM","address":"POBOX 5299, TACOMA, WA, 98415"},{"business_name_line1":"MULTICARE HEALTH SYSTEM","ein":911352172,"irc_section":"501 (C) (3)","distribution_date":"2011-06-30T00:00:00","description":"LONG TERM INVESTMENTS","fair_market_value":6905408,"method_of_fmv_determination":"BOOK VALUE","address_line1":"POBOX 5299","city":"TACOMA","state":"WA","zip":"98415","name":"MULTICARE HEALTH SYSTEM","address":"POBOX 5299, TACOMA, WA, 98415"},{"business_name_line1":"MULTICARE HEALTH SYSTEM","ein":911352172,"irc_section":"501 (C) (3)","distribution_date":"2011-06-30T00:00:00","description":"LAND, BUILDINGS AND IMPROVEMENTS NET OF ACCUMULATED DEPRECIATION OF $4,338,181","fair_market_value":3034687,"method_of_fmv_determination":"BOOK VALUE","address_line1":"POBOX 5299","city":"TACOMA","state":"WA","zip":"98415","name":"MULTICARE HEALTH SYSTEM","address":"POBOX 5299, TACOMA, WA, 98415"}],"supplemental_information":[{"explanation":"GOOD SAMARITAN OUTREACH SERVICES (FEIN: 91-1203564) MERGED WITH MULTICARE HEALTH SYSTEM (FEIN: 91-1352172) EFFECTIVE 07/01/2011. 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