2024-10-16T16:05:56-05:00 2023-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION ST STE 1600 SAN FRANCISCO CA 94105 990 2023-01-01 916064184 GREATER LAKES MENTAL HEALTHCARE GREA 2535817020 9330 59TH AVE SW LAKEWOOD WA 98499 TIM HOLMES PRESIDENT GL,NAVOS,MHS-BHN 2535817020 2024-10-16 0 1 EVA NITTA P01286320 4158948000 2023 2024-10-15 13:58:12Z TIM HOLMES 9330 59TH AVE SW LAKEWOOD WA 98499 32246850 0 X WWW.GLMHC.ORG X 1966 WA EMPOWER HOPE THROUGH COMPASSION, ENGAGEMENT AND CONNECTION WITH THOSE WE SERVE. 12 12 209 14 0 0 568584 1790422 29813788 29681181 75989 760164 0 12153 30458361 32243920 0 0 0 0 18295559 17398725 0 0 0 8451657 10606125 26747216 28004850 3711145 4239070 43474566 51973649 7573992 11845522 35900574 40128127 GREATER LAKES MENTAL HEALTHCARE EMPOWERS HOPE THROUGH COMPASSION AND CONNECTION WITH THOSE WE SERVE. EMPOWERS RELIEF THROUGH EFFECTIVE EVIDENCE BASED PRACTICES THAT PROMOTE SKILLS, RESILIENCE & RECOVERY BY BUILDING UPON STRENGTHS & SUPPORTING INDIVIDUALS IN THEIR GOALS. 0 0 10261081 11729540 GREATER LAKES OUTPATIENT SERVICES: GREATER LAKES IS PART OF THE MULTICARE BEHAVIORAL HEALTH NETWORK, WHICH IS THE LARGEST PROVIDER OF BEHAVIORAL HEALTH SERVICES IN WASHINGTON STATE. ITS NETWORK INCLUDES GREATER LAKES MENTAL HEALTHCARE AND MULTICARE BEHAVIORAL HEALTH IN THE SOUTH PUGET SOUND AREA AND NAVOS IN KING COUNTY. THE GREATER LAKES OUTPATIENT SERVICES AND CLINICS PROVIDE A FULL RANGE OF OUTPATIENT COUNSELING FOR CHILDREN, ADULTS, AND FAMILIES WITH BEHAVIORAL NEEDS IN PIERCE COUNTY. THE SERVICES INCLUDE CASE AND MEDICATION MANAGEMENT, INDIVIDUAL AND FAMILY THERAPY. 7143654 11780301 THE GREATER LAKES COMMUNITY OUTREACH PROGRAMS: OUTREACH IS THE ACTIVITY OF PROVIDING SERVICES TO ANY POPULATION THAT MIGHT NOT OTHERWISE HAVE ACCESS TO THOSE SERVICES. IN 2023 GREATER LAKES OUTREACH FOCUSED ON SUPPORTING PROGRAMS FOR INDIVIDUALS EXPERIENCING HOMELESSNESS OR THAT HAVE ENCOUNTERED THE CRIMINAL JUSTICE SYSTEM. GLMH HAS SEVERAL PROGRAMS THAT UTILIZED EVIDENCE-BASED PRACTICES, SUCH AS, THE FELONY FORENSIC ASSERTIVE COMMUNITY TREATMENT (FFACT) PROGRAM, WHICH ASSISTS INDIVIDUALS WITH SEVERE, PERSISTENT MENTAL ILLNESS WHO'VE BEEN CHARGED WITH A FELONY, AND THE JAIL DIVERSION PROGRAM, WHICH HELPS CLIENTS WHO WERE PREVIOUSLY IN JAIL TRANSITION INTO SERVICES IN THE COMMUNITY. 7073502 6171340 GREATER LAKES OPERATES A 20-BED ADULT RESIDENTIAL TREATMENT FACILITY AND A 16-BED ADULT INPATIENT EVALUATION AND TREATMENT CENTER. THE RESIDENTIAL TREATMENT SERVICES INCLUDE OPERATION OF FACILITIES AND RENTAL OF APARTMENTS. FACILITIES RANGE FROM 24 HOUR CARE TO SUPPORTED INDEPENDENT LIVING. IN 2023 20 BEDS WERE AVAILABLE SERVING CLIENTS WITH 6,912 DAYS OF CARE.THE EVALUATION AND TREATMENT FACILITY OPERATES A SHORT TERM 16 BEDS UNIT PRIMARILY FOR PERSONS ADMITTED BY CIVIL DETENTION. IN 2023 THE FACILITY HAD 134 ADMISSIONS AND PROVIDED 2,684 DAYS OF PATIENT CARE. 24478237 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 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 1 1 0 0 1 143 0 1 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JESSICA OBER 2535817020 9330 59TH AVE SW LAKEWOOD WA 98499 BRIAN ABEEL CHAIR & TREASURER 1.00 2.00 X X 0 0 0 GREGORY UNRUH VICE CHAIR & SECRETARY 1.00 2.00 X X 0 0 0 DENA ASHLOCK BOARD MEMBER 1.00 2.00 X 0 0 0 STEVEN BROCKEL BOARD MEMBER 1.00 2.00 X 0 0 0 DON GILLMORE BOARD MEMBER 1.00 2.00 X 0 0 0 JACLYN KRIBY BOARD MEMBER 1.00 2.00 X 0 0 0 PATRICIA NEUBERGER BOARD MEMBER 1.00 2.00 X 0 0 0 CHARLES PURCELL BOARD MEMBER 1.00 2.00 X 0 0 0 SANDRA ROSENKRANZ BOARD MEMBER 1.00 2.00 X 0 0 0 MICHAEL SWEENEY BOARD MEMBER 1.00 2.00 X 0 0 0 CHARLOTTE EAGLETON BOARD MEMBER 1.00 2.00 X 0 0 0 CHIEH CHENG BOARD MEMBER 1.00 2.00 X 0 0 0 JEFFREY WATTS PART YEAR BOARD MEMBER 1.00 2.00 X 0 0 0 JERRY MOORE PART YEAR BOARD MEMBER 1.00 2.00 X 0 0 0 TIM HOLMES PRESIDENT GREATER LAKES,NAVOS,MHS-BHN 10.00 30.00 X 0 482901 49027 RUSSELL HICKS MEDICAL DIRECTOR 40.00 0.00 X 276096 0 10246 REBECCA SHIDE-FERGUSON ARNP MENTAL HEALTH\PSYCHIATRIC OP 40.00 0.00 X 171360 0 24284 ASURUPI GURUNG ARNP MENTAL HEALTH\PSYCHIATRIC OP BH 40.00 0.00 X 172407 0 11440 LYNNE PLA' DIR BEHAVIOR HEALTH SERVICES 40.00 0.00 X 159094 0 15724 CARLA CLYDE DIR BEHAVIOR HEALTH SERVICES 40.00 0.00 X 159863 0 5544 938820 482901 116265 13 0 1 0 B&M JANITORIAL 14901 132ND AVE E PUYALLUP WA 98374 JANITORIAL & HOUSEKEEPING 131781 1 77142 1713280 1790422 BHV.HLTH CONTRACT REV. 624100 13752940 13752940 INPATIENT REVENUE 624100 8280667 8280667 OUTPATIENT REVENUE 621400 7584763 7584763 RENT/CLIENT PARTICIP. 623990 62811 62811 29681181 763094 763094 7502 0 7502 7502 7502 2930 -2930 -2930 -2930 OTHER INCOME CLAWBACK 524292 4651 4651 4651 32243920 29681181 0 772317 14473778 12519163 1954615 194488 169469 25019 1590639 1369028 221611 1139820 1009878 129942 1148 1148 78435 78435 1692172 1567298 124874 2970 2970 318844 203955 114889 9097 156 8941 99219 97157 2062 104223 95237 8986 813645 610325 203320 112210 112210 AFFILIATED SHARED SUPPO 3555637 3555637 CLIENT NEEDS 2313642 2313642 MAINTENANCE 668806 392802 276004 SUPPLIES 408055 281604 126451 428022 288768 139254 28004850 24478237 3526613 0 700 550 28688787 37100556 3430693 4772337 445307 44780 24085334 14054145 10484751 10031189 30250 394078 24237 43474566 51973649 2554889 2044263 2110310 0 36138 0 2509291 2469291 363364 7331968 7573992 11845522 X 35900574 40128127 35900574 40128127 43474566 51973649 X 4239070 -11517 X 0 1 X 1 0 X 83071 677137 1386392 568584 1790422 4505606 83071 677137 1386392 568584 1790422 4505606 4505606 60835 111482 4016 76703 770595 1023631 4651 4651 5533888 130362170 0.81420 0.89280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1434936 1434936 14780009 7991027 6788982 7721259 6063118 1658141 149130 149130 10031189 ROU ASSET 15371 OTHER LIABILITIES 265020 DUE TO AFFILIATES 7051577 7331968 X PART X, LINE 2: GREATER LAKES MENTAL HEALTHCARE IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MULTICARE HEALTH SYSTEM (MHS). THE FOOTNOTE ON THE CONSOLIDATED FINANCIAL STATEMENTS READS: "ASC SUBTOPIC 740 10, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN MHS' CONSOLIDATED FINANCIAL STATEMENTS. THIS TOPIC ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED OR CONTINUE TO BE RECOGNIZED UPON ADOPTION. IN ADDITION, THIS TOPIC PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. OTHER THAN MEDIS, INC., PHYSICIANS OF SOUTHWEST WASHINGTON, LLC AND OLYMPIC SPORTS & SPINE, PLLC, WHICH ARE ALL TAXABLE ENTITIES, ALL OF THE OTHER ENTITIES HAVE OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME." 0 0 0 0 0 0 0 0 0 TIM HOLMES PRESIDENT GREATER LAKES,NAVOS,MHS-BH 0 458754 0 20000 0 4147 0 19800 0 29227 0 531928 0 0 RUSSELL HICKS MEDICAL DIRECTOR 265977 0 2000 0 8119 0 8221 0 2025 0 286342 0 0 0 REBECCA SHIDE-FERGUSON ARNP MENTAL HEALTH\PSYCHIATRIC OP 169787 0 1000 0 573 0 5194 0 19090 0 195644 0 0 0 ASURUPI GURUNG ARNP MENTAL HEALTH\PSYCHIATRIC OP BH 170834 0 1000 0 573 0 609 0 10831 0 183847 0 0 0 LYNNE PLA' DIR BEHAVIOR HEALTH SERVICES 157111 0 1000 0 983 0 4823 0 10901 0 174818 0 0 0 CARLA CLYDE DIR BEHAVIOR HEALTH SERVICES 158257 0 1000 0 606 0 4770 0 774 0 165407 0 0 0 SCHEDULE J, PART I, LINE 3: GREATER LAKES MENTAL HEALTHCARE RELIED ON A RELATED ORGANIZATION, MULTICARE HEALTH SYSTEM, TO ESTABLISH THE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. SEE SCHEDULE O, PART VI, LINE 15 NARRATIVE FOR PROCESS USED BY MULTICARE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS THE SOLE CORPORATE MEMBER IS MULTICARE HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MULTICARE SHALL ACT THROUGH ITS CHIEF EXECUTIVE OFFICER OR DESIGNEE AS NAVOS'S SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE CHIEF EXECUTIVE OFFICER OR DESIGNEE OF MULTICARE HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, HAS THE POWER TO APPOINT OR REMOVE ANY ELECTED DIRECTOR ON THE BOARD OF DIRECTORS OF GREATER LAKES MENTAL HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL THE DECISIONS THAT REQUIRE THE SOLE CORPORATE MEMBER MULTICARE HEALTH SYSTEM APPROVAL ARE: APPOINTMENT AND REMOVAL OF ELECTED DIRECTORS; ANNUAL CAPITAL AND OPERATING BUDGETS, INCLUDING COMPENSATION PLANS; STRATEGIC PLANS; SELECTION AND APPOINTMENT OF THE CEO OF GREATER LAKES; INCURRENCE OF INDEBTEDNESS; SALE OR DISPOSITION OF REAL PROPERTY; ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS; AND MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS. ALL OTHER DECISIONS ARE MADE BY THE NAVOS DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE GREATER LAKES MENTAL HEALTHCARE FORM 990 IS PREPARED BY INTERNAL STAFF AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. INITIAL REVIEWS ARE PERFORMED BY LEVELS OF MANAGEMENT IN VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION, INCLUDING THE GREATER LAKES MENTAL HEALTHCARE PRESIDENT. A REVIEW WAS THEN PERFORMED BY THE BOARD OF DIRECTORS. ADDITIONALLY, A REVIEW WAS PERFORMED BY THE AUDIT COMMITTEE OF THE MULTICARE HEALTH SYSTEM BOARD, AND INCLUDED A PRESENTATION BY THE OUTSIDE ACCOUNTING FIRM. LASTLY, A COPY OF THE FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO ITS FILING WITH THE IRS. 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 UNDERSTANDS 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 MORE OF ITS TAX-EXEMPT PURPOSES. THE BOARD IS RESPONSIBLE FOR MAKING SURE PERIODIC REVIEWS 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 ISSUE 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 TAKEN AGAINST INTERESTED PERSONS WHO FAIL TO DISCLOSE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S PRESIDENT 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 PRESIDENT 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 THE CURRENT YEAR. THE INDEPENDENT CONSULTANTS ASSESSED THAT THE COMPENSATION APPROVED BY THE BOARD FOR 2023 WAS OBJECTIVELY REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF THE FORM 990. FORM 990, PART XI, LINE 9: NET ASSETS TRANSFERS -11,517. MULTICARE HEALTH SYSTEM POBOX 5299 TACOMA WA 98415 911352172 HOSPITAL WA 501(C)(3) LINE 3 N/A 0 MULTICARE FOUNDATIONS 1313 BROADWAY TACOMA WA 98402 911514257 CONTRIBUTIONS WA 501(C)(3) LINE 7 MHS 1 NAVOS POBOX 46420 SEATTLE WA 98126 910848698 HOSPITAL WA 501(C)(3) LINE 3 MHS 1 CHVI PROFESSIONAL CORPORATION 820 A STREET TACOMA WA 98402 475457904 HOSPITAL WA 501(C)(3) LINE 3 MHS 1 MARY BRIDGE CHILDREN'S FOUNDATION 1313 BROADWAY TACOMA WA 98402 943030039 CONTRIBUTIONS WA 501(C)(3) LINE 7 MHS 1 MULTICARE REHABILITATION SPECIALISTS PC 315 MLKJ WAY TACOMA WA 98405 822949880 REHABILITATION WA 501(C)(3) LINE 7 MHS 1 YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION 2811 TIETON DR TACOMA WA 98902 910567263 HOSPITAL WA 501(C)(3) LINE 3 MHS 1 OLYMPIC SPORTS & SPINE PLLC 6050 TACOMA MALL BLVD TACOMA WA 98409 822950138 HEALTHCARE SERVICES WA N/A 0 0 AUBURN IMAGING PARTNERS POBOX 26730 FEDERAL WAY WA 98903 202539907 HEALTHCARE SERVICES WA N/A 0 0 VP SURGERY OF AUBURN 1002 15TH AVE STE 215 AUBURN WA 98001 371668651 HEALTHCARE SERVICES WA N/A 0 0 REDICLINIC OF WA LLC 9 E GREENWAY PLAZASTE 2950 HOUSTON TX 77046 471668651 HEALTHCARE SERVICES WA N/A 0 0 PHYSICIANS OF SW WA LLC 1300 EVERGREEN PARK DRIVE SW STE 20 OLYMPIA WA 98502 911717066 HEALTHCARE SERVICES WA N/A 0 0 INDIGO IDAHO LLC 2836 N RAMSEY ROAD COEUR DALENE ID 83815 883796666 HEALTHCARE SERVICES ID N/A 0 0 MYRIADD SUPPLY NETWORK LLC 820 A STREET TACOMA WA 98402 873856218 HEALTHCARE SERVICES WA N/A 0 0 MEDIS CORPORATION 820 A STREET TACOMA WA 98402 911111928 MEDICAL OFFICE BUILLDING WA N/A 0 COMMENCEMENT RE 18 FORUM LANE GRAND CAYMAN CJ MALPRACTICE INSURANCE CJ N/A 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 MULTICARE FOUNDATIONS C 77142 CASH