2023-10-05T17:15:59-05:00 2022-12-31 910189318 MOSS ADAMS LLP 1301 A STREET SUITE 600 TACOMA WA 984024205 990 2022-01-01 916064184 GREATER LAKES MENTAL HEALTHCARE GREA 2535817020 9330 59TH AVE SW LAKEWOOD WA 98499 TIM HOLMES PRESIDENT BEHAVIORAL HEALTH 2535817020 2023-10-04 1 TIM HOLMES 999009999 1 COLLEEN RAMIRES P01251320 2535724100 2023-10-04 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TIM HOLMES 9330 59TH AVE SW LAKEWOOD WA 98499 30459075 0 X WWW.GLMHC.ORG X 1966 WA GREATER LAKES MENTAL HEALTHCARE EMPOWERS HOPE THROUGH COMPASSION, ENGAGEMENT AND CONNECTION WITH THOSE WE SERVE. EMPOWERS RELIEF THROUGH EFFECTIVE EVIDENCE BASED PRACTICES THAT PROMOTE SKILLS AND RESILIENCE. EMPOWERS RECOVERY BY BUILDING UPON STRENGTHS AND SUPPORTING INDIVIDUALS IN THEIR GOALS. GREATER LAKES MENTAL HEALTHCARE'S CORE VALUES ARE AS FOLLOWS: DO THE RIGHT THINGS FOR THE RIGHT REASONS. PROVIDE GREAT CUSTOMER SERVICE WITH HIGH QUALITY OUTCOMES. COMMUNICATE OPENLY, HONESTLY, AND RESPECTFULLY. PROBLEM SOLVE COLLABORATIVELY WITH CLIENTS, STAFF, AND THE COMMUNITY. PROMOTE HEALTHY OPTIONS FOR CLIENTS AND STAFF. BE NIMBLE AND RESPONSIVE IN CREATING SOLUTIONS. 12 12 365 22 0 0 1386392 568584 29518736 29813788 4016 75989 0 0 30909144 30458361 0 0 0 0 18467025 18295559 0 0 0 8163912 8451657 26630937 26747216 4278207 3711145 35468567 43474566 6282054 7573992 29186513 35900574 X GREATER LAKES MENTAL HEALTHCARE EMPOWERS HOPE THROUGH COMPASSION, ENGAGEMENT AND CONNECTION WITH THOSE WE SERVE. EMPOWERS RELIEF THROUGH EFFECTIVE EVIDENCE BASED PRACTICES THAT PROMOTE SKILLS AND RESILIENCE. EMPOWERS RECOVERY BY BUILDING UPON STRENGTHS AND SUPPORTING INDIVIDUALS IN THEIR GOALS. GREATER LAKES MENTAL HEALTHCARE'S CORE VALUES ARE AS FOLLOWS: DO THE RIGHT THINGS FOR THE RIGHT REASONS. PROVIDE GREAT CUSTOMER SERVICE WITH HIGH QUALITY OUTCOMES. COMMUNICATE OPENLY, HONESTLY, AND RESPECTFULLY. PROBLEM SOLVE COLLABORATIVELY WITH CLIENTS, STAFF, AND THE COMMUNITY. PROMOTE HEALTHY OPTIONS FOR CLIENTS AND STAFF. BE NIMBLE AND RESPONSIVE IN CREATING SOLUTIONS. 0 0 9166174 0 11636882 OUTPATIENT SERVICES A FULL RANGE OF OUTPATIENT COUNSELING FOR CHILDREN, ADULTS, AND FAMILIES. SERVICES INCLUDE CASE AND MEDICATION MANAGEMENT, INDIVIDUAL AND FAMILY THERAPY. 4426019 0 5100189 EVALUATION AND TREATMENT FACILITY, SHORT TERM 16 BED UNIT PRIMARILY FOR PERSONS ADMITTED BY CIVIL DETENTION. IN 2022 THE FACILITY PROVIDED 4,676 DAYS OF PATIENT CARE. 1365922 0 1670086 RESIDENTIAL TREATMENT SERVICES WHICH INCLUDED OPERATION OF FACILITIES AND RENT OF APARTMENTS. FACILITIES RANGED FROM 24 HOUR CARE TO SUPPORTED INDEPENDENT LIVING. APPROXIMATELY 20 BEDS WERE AVAILABLE SERVING CLIENTS WITH 6,406 DAYS OF CARE. 6505605 0 11406631 PROGRAMS COVERING SPECIAL POPULATIONS SUCH AS HOMELESS OUTREACH, SUPPORTIVE HOUSING, VARIOUS BEHAVIORAL HEALTH COURT PROGRAMS, AND OTHER COMMUNITY BASED PROGRAMS. 6505605 0 11406631 21463720 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 118 0 1 365 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X JESSICA OBER 2535817020 9330 59TH AVE SW LAKEWOOD WA 98499 BRIAN ABEEL CHAIR & TREASURER 1.00 2.00 X X 0 0 0 DONALD POWELL CHAIR (THRU 02/22) 0.50 X X 0 0 0 MIMI TUCCI IMMEDIATE PAST CHAIR (THRU 05/22) 0.50 X X 0 0 0 GREG UNRUH VICE CHAIR & SECRETARY 1.00 2.00 X X 0 0 0 ANDREW FAGAN TREASURER (THRU 09/22) 1.00 2.00 X X 0 0 0 JAY MAYER INTERIM TREASURER (THRU 05/22) 0.50 X X 0 0 0 BARBARA WERSCHKUL BOARD MEMBER (THRU 04/22) 0.50 X 0 0 0 CHARLES PURCELL BOARD MEMBER 1.00 2.00 X 0 0 0 CINDY MURRILL BOARD MEMBER (THRU 12/22) 1.00 2.00 X 0 0 0 DENA ASHLOCK BOARD MEMBER 1.00 2.00 X 0 0 0 DON GILLMORE BOARD MEMBER 1.00 2.00 X 0 0 0 EARL WILLIAMS BOARD MEMBER (THRU 05/22) 0.50 X 0 0 0 JACLYN KIRBY BOARD MEMBER 1.00 2.00 X 0 0 0 JEFFERY WATTS BOARD MEMBER 1.00 2.00 X 0 0 0 JERRY MOORE BOARD MEMBER 1.00 2.00 X 0 0 0 LESLIE BECKER BOARD MEMBER (THRU 03/22) 0.50 X 0 0 0 MICHAEL SWEENEY BOARD MEMBER 1.00 2.00 X 0 0 0 MICHAEL ZARO BOARD MEMBER (THRU 05/22) 0.50 X 0 0 0 PATRICIA NEUBERGER BOARD MEMBER 1.00 2.00 X 0 0 0 SANDRA ROSENKRANZ BOARD MEMBER 1.00 2.00 X 0 0 0 STEVEN BROCKEL BOARD MEMBER 1.00 2.00 X 0 0 0 TIM HOLMES PRESIDENT BEHAVIORAL HEALTH 10.00 30.00 X 0 487415 46119 TERRI CARD PRESIDENT/CEO 20.00 20.00 X 0 370906 24047 WILLIAM CZERWINSKI CHIEF OPERATING OFFICER (THRU 06/22) 40.00 X 160043 0 9929 RUSSELL HICKS DIRECTOR MEDICAL SERVICES 32.00 X 282409 0 10777 REBECCA SHIDE-FERGUSON ARNP 40.00 X 166348 0 29363 CARLA CLYDE DIRECTOR CLINICAL SERVICES 40.00 X 159411 0 4728 PLA' LYNNE DIRECTOR CLINICAL SERVICES 40.00 X 158407 0 16739 ANNABELLE VO ARNP 24.00 X 205434 0 6163 HEATHER MARSH FORMER OFFICER 40.00 X 0 203612 12929 1132052 1061933 160794 22 1 1 0 0 89200 390762 88622 568584 GOVERNMENT & PUBLIC FUNDING 621400 22272652 22272652 OTHER CONTRACTS 621400 7395808 7395808 RENT & CLIENT PARTICIPATION 621400 136576 136576 8752 8752 29813788 76703 76703 714 -714 -714 -714 30458361 29813788 0 75989 169972 169972 15280177 14059602 1220575 331506 303092 28414 1305553 1209849 95704 1208351 1092902 115449 78540 78540 481024 437379 43645 4609 4326 283 665549 545378 120171 16930 5991 10939 1024399 951001 73398 43532 33969 9563 28758 27839 919 812506 755422 57084 196012 5252 190760 AFFILIATE SHARED SUPPOR 3009708 3009708 CLIENT NEED 1833821 1833821 CONGREGATE CARE FACILIT 118531 118531 LICENSES AND DUES 60714 18070 42644 77024 61296 15728 26747216 21463720 5283496 0 900 700 18536791 28688787 3534654 3430693 464804 445307 23785844 13301093 10762990 10484751 2082021 30250 86407 394078 35468567 43474566 3646356 2554889 0 2110310 86407 36138 2549291 2509291 0 363364 6282054 7573992 X 29186513 35900574 29186513 35900574 35468567 43474566 X 3711145 14079 2988837 X 0 1 X 1 0 X 226577 83071 677137 1386392 568584 2941761 226577 83071 677137 1386392 568584 2941761 2941761 100340 60835 111482 4016 76703 353376 3295137 127554000 0.89280 0.88960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 919 0 0 919 0 PART II-B, LINE 1: THE CHIEF EXECUTIVE OFFICER CONTACTED LEGISLATORS AND GOVERNMENT OFFICIALS. THE INTENT WAS TO COMMUNICATE THE CONSEQUENCES OF REDUCED FUNDING FOR MENTAL HEALTH SERVICES. MEMBERS OF THE BOARD OF DIRECTORS AND INTERESTED EMPLOYEES WERE ENCOURAGED TO CONTACT LEGISLATORS ABOUT PENDING MENTAL HEALTH LEGISLATION IN THEIR ROLES AS CONCERNED CITIZENS. THE CEO'S COMPENSATION IS PAID BY A SEPARATE ORGANIZATION. 0 1 X 1434936 1434936 14630984 7426973 7204011 4244422 2754756 1489666 1627602 1553791 73811 1847900 1565573 282327 10484751 RIGHT OF USE LEASE LIABILITY 363364 363364 X 33461277 14079 2988837 3002916 30458361 0 30458361 26747216 0 26747216 0 26747216 PART IV, LINE 2B: THE ORGANIZATION ACTS AS A PROTECTIVE PAYEE FOR CERTAIN CLIENTS. THE ORGANIZATION RECEIVES PAYMENTS FROM THIRD PARTIES SUCH AS THE SOCIAL SECURITY ADMINISTRATION. THE ORGANIZATION PREPARES BUDGETS WITH THE CLIENT, DISBURSES FUNDS FOR THE CLIENTS' EXPENSES AND MAINTAINS A SEPARATE ACCOUNT FOR THE CLIENT FUNDS. PART X, LINE 2: THE ORGANIZATION FOLLOWS THE PROVISIONS OF ASC 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION HAS NO UNCERTAIN MATERIAL TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: TRANSFER FROM AFFILIATE - FORGIVENESS OF OUTSTANDING AFFILIATE AP 2,988,837. 0 0 0 0 0 0 0 1 0 TIM HOLMES PRESIDENT BEHAVIORAL HEALTH 0 403766 0 80181 0 3468 0 18300 0 27819 0 533534 0 0 TERRI CARD PRESIDENT/CEO 0 290285 0 50743 0 29878 0 12200 0 11847 0 394953 0 0 RUSSELL HICKS DIRECTOR MEDICAL SERVICES 274990 0 7162 0 257 0 8491 0 2286 0 293186 0 0 0 HEATHER MARSH FORMER OFFICER 0 196415 0 6619 0 578 0 0 0 12929 0 216541 0 0 ANNABELLE VO ARNP 147344 0 49380 0 8710 0 6163 0 0 0 211597 0 0 0 REBECCA SHIDE-FERGUSON ARNP 157055 0 6975 0 2318 0 5051 0 24312 0 195711 0 0 0 PLA' LYNNE DIRECTOR CLINICAL SERVICES 154591 0 3441 0 375 0 4787 0 11952 0 175146 0 0 0 WILLIAM CZERWINSKI CHIEF OPERATING OFFICER (THRU 06/22) 134565 0 25364 0 114 0 3940 0 5989 0 169972 0 0 0 CARLA CLYDE DIRECTOR CLINICAL SERVICES 155751 0 3529 0 131 0 4728 0 0 0 164139 0 0 0 PART I, LINE 3 GREATER LAKES RELIED ON A RELATED ORGANIZATION, MULTICARE HEALTH SYSTEM, TO ESTABLISH THE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. PART I, LINE 7 SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND BASED ON ACHIEVEMENT OF GOALS SET BY THE BOARD OF DIRECTORS AT THE START OF EACH YEAR IN AREAS SUCH AS PATIENT SAFETY, QUALITY, WORKFORCE DEVELOPMENT, FINANCE AND OTHER MISSION RELATED AREAS. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE IN ORDER TO ACHIEVE TOP TIER INTEGRATED CARE DELIVERY SYSTEM STATUS. PART II: THE OFFICERS OF MULTICARE SYSTEM, 91-1352172, ALSO FULFILL OTHER AND EXECUTIVE FUNCTIONS FOR THE RELATED ENTITIES, SUCH AS GREATER LAKES MENTAL HEALTHCARE. 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 990, PART VI, SECTION A, LINE 3 MULTICARE HEALTH SYSTEM PROVIDES GREATER LAKES MENTAL HEALTHCARE EXECUTIVE LEADERSHIP AND OTHER MANAGEMENT SERVICES AT THE ORGANIZATION. THE FOLLOWING PERSONS LISTED IN PART VII WERE COMPENSATED BY MHS: TIM HOLMES - $533,534, COMPENSATION FOR SERVICES AS OFFICER FOR GLMH AND RELATED ORGANIZATIONS TERRI CARD - $394,953 FORM 990, PART VI, SECTION A, LINE 6 MULTICARE HEALTH SYSTEM (MHS) IS THE SOLE MEMBER OF GREATER LAKES MENTAL HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7A MHS HAS THE RESERVED POWER OF APPROVAL OF DIRECTORS SERVING ON GREATER LAKES MENTAL HEALTHCARE'S BOARD WHICH ARE SELECTED OR APPOINTED BY MHS WITH INPUT FROM GREATER LAKES MENTAL HEALTHCARE BOARD. FORM 990, PART VI, SECTION A, LINE 7B MHS HAS SPECIFIC RESERVED POWERS IN REGARD TO GOVERNANCE DECISION IN ACCORDANCE WITH GREATER LAKES MENTAL HEALTHCARE'S AMENDED BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD OF DIRECTORS. THE FORM 990 IS DISTRIBUTED TO ALL GOVERNING BODY MEMBERS BY ELECTRONIC MAIL PRIOR TO FILING. MEMBERS ARE ENCOURAGED TO RESPOND WITH QUESTIONS OR CLARIFICATION. THE 990 IS ALSO REVIEWED BY THE PARENT ORGANIZATION MHS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAS READ AND UNDERSTAND THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY AND D) UNDERSTANDS THAT THE CORPORATION IS A TAX EXEMPT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MOST OF ITS TAX EXEMPT PURPOSES. THE BOARD IS RESPONSIBLE FOR MAKING SURE PERIOD REVIEW OF THE STATEMENTS ARE DONE AND MAY USE OUTSIDE ADVISORS. IF A CONFLICT OF INTEREST ARISES, THE INTERESTED PERSON MAY PRESENT TO THE BOARD, BUT MUST LEAVE DURING THE DISCUSSION OF AND VOTE ON THE CONFLICT OF ISSUES TRANSACTION OR ARRANGEMENT. A DISINTERESTED PERSON OR COMMITTEE IS APPOINTED TO INVESTIGATE ALTERNATIVES AND THE BOARD MUST EXERCISE DUE DILIGENCE TO DETERMINE IF THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT. REGARDING COMPENSATION, A VOTING MEMBER OF THE BOARD WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION FOR SERVICES IS PRECLUDED FROM VOTING ON COMPENSATION MATTERS. APPROPRIATE DISCIPLINARY AND CORRECTION ACTION MAY BE TAKING AGAINST INTERESTED PERSONS WHO FAIL TO DISCLOSE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE PROCESS USED TO DETERMINE COMPENSATION OF THE CEO IS PERFORMED BY THE RELATED ORGANIZATION AS FOLLOWS: THE BOARD, THROUGH ITS COMPENSATION COMMITTEE, CONSISTING OF INDEPENDENT, NON-PAID, BOARD MEMBERS OF THE RELATED ORGANIZATION, ARE ACCOUNTABLE FOR ENSURING AND APPROVING A REASONABLE TOTAL COMPENSATION PACKAGE, CONSISTENT WITH ITS COMPENSATION PHILOSOPHY, FOR THE CEO, CFO, TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES FOR THEIR MANAGEMENT AND LEADERSHIP OF RELATED ENTITIES. UPON THE IDENTIFICATION OF THE COMPENSATION FOR THE YEAR, THE INDEPENDENT CONSULTANT SULLIVAN COTTER, REVIEWS THE COMPENSATION AS PROPOSED BY THE BOARD OF DIRECTORS, AND CONDUCTS AN INDEPENDENT REVIEW. AT THE CONCLUSION OF THIS REVIEW, SULLIVAN COTTER ISSUES A REASONABLENESS OPINION TO THE RELATED ORGANIZATION. THIS IS DONE ANNUALLY AND WAS DONE FOR THIS CURRENT YEAR. THE INDEPENDENT CONSULTANTS ASSESSED THAT THE COMPENSATION APPROVED BY THE BOARD FOR 2022 WAS OBJECTIVELY REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE EXECUTIVE OFFICE OF THE ORGANIZATION WHICH IS LOCATED AT THE FILING ADDRESS OF THE ORGANIZATION. THE ORGANIZATION WILL DELIVER THE FORM 990 IN PAPER OR ELECTRONIC FORM AS REQUESTED. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE - FORGIVENESS OF OUTSTANDING AFFILIATE AP 2,988,837. MULTICARE HEALTH SYSTEM 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 911352172 HOSPITAL WA 501(C)(3) LINE 3 N/A 0 NAVOS PO BOX 46420 SEATTLE WA 98126 910848698 HOSPITAL WA 501(C)(3) LINE 3 MULTICARE HEALTH SYSTEM 0 CHVI PROFESSIONAL CORPORATION 222 N J STREET TACOMA WA 98403 475457904 HOSPITAL WA 501(C)(3) LINE 3 MULTICARE HEALTH SYSTEM 0 MULTICARE REHABILITATION SPECIALISTS 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 822949880 REHABILITATION WA 501(C)(3) LINE 12A, I MULTICARE HEALTH SYSTEM 0 MULTICARE FOUNDATIONS 409 S J STREET TACOMA WA 98405 911514257 SOLICIT CONTRIBUTIONS WA 501(C)(3) LINE 7 MULTICARE HEALTH SYSTEM 0 OLYMPIC SPORTS & SPINE PLLC 6050 TACOMA MALL BLVD TACOMA WA 98409 822950138 HEALTHCARE SERVICES WA N/A N/A 0 0 AUBURN IMAGING PARTNERS PO BOX 26730 FEDERAL WAY WA 98093 202539907 HEALTHCARE SERVICES WA N/A N/A 0 0 VP SURGERY OF AUBURN 1002 15TH AVE STE 215 AUBURN WA 98001 371668651 HEALTHCARE SERVICES WA N/A N/A 0 0 REDICLINIC OF WA LLC 9 E GREENWAY PLAZA STE 2950 HOUSTON TX 77046 471808980 HEALTHCARE SERVICES TX N/A N/A 0 0 PHYSICIANS OF SW WA LLC 1300 EVERGREEN PARK DR SW SUITE 200 OLYMPIA WA 98502 911717066 HEALTHCARE SERVICES WA N/A N/A 0 0 INDIGO IDAHO LLC 2836 N RAMSEY ROAD COEUR DALENE ID 83815 883796666 HEALTHCARE SERVICES WA N/A N/A 0 0 MEDIS CORPORATION 315 S K STREET TACOMA WA 98405 911111928 BLDG. 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