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      <Desc>VALLEY CITIES COUNSELING AND CONSULTATION (VALLEY CITIES), A NOT-FOR-PROFIT COMMUNITY BEHAVIORAL HEALTH CENTER, HAS BEEN THE LOCAL SOURCE FOR QUALITY BEHAVIORAL HEALTH COUNSELING AND SUBSTANCE USE COUNSELING SINCE 1965 IN WASHINGTON STATE WITH CLINICS IN AUBURN, FEDERAL WAY, KENT, RENTON, MERIDIAN AT NORTHGATE, RAINIER BEACH, ENUMCLAW, MIDWAY, PIKE PLACE, BITTER LAKE, AND THE COHEN VETERANS NETWORK IN LAKEWOOD. VALLEY CITIES SERVES APPROXIMATELY 20,000 INDIVIDUALS EACH YEAR. VALLEY CITIES ALSO PROVIDES ADULT INPATIENT BEHAVIORAL HEALTH SERVICES IN SEATTLE AND KENT. VALLEY CITIES IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) AND COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). VALLEY CITIES PROVIDES LICENSED MENTAL HEALTH AND SUBSTANCE USE COUNSELING FOR YOUTH AND ADULTS; SUPPORTED EMPLOYMENT AND EDUCATION SERVICES; OUTREACH SERVICES AND HOUSING PROGRAMS FOR THE HOMELESS; FAMILY SUPPORT PROGRAMS OFFERING YOUTH AND FAMILY ACTIVITIES; AND SPECIALIZED VETERANS SERVICES THAT DELIVER COUNSELING AND FAMILY SUPPORT SERVICES TO VETERANS AND THEIR FAMILIES. ADDITIONALLY, VALLEY CITIES PROVIDES VOLUNTARY INPATIENT WITHDRAWAL MANAGEMENT AND RESIDENTIAL CHEMICAL DEPENDENCY TREATMENT FOR ADULTS, AS WELL AS INVOLUNTARY SECURE WITHDRAWAL MANAGEMENT AND PSYCHIATRIC TREATMENT FOR ADULTS. VALLEY CITIES CONTINUES TO INTEGRATE TRAINED AND CERTIFIED PEER SUPPORT SPECIALISTS INTO ALL PROGRAMS, ALLOWING THEIR OWN RECOVERY, AND MOTIVATING OTHERS TO FIND HOPE AND GROWTH IN THEIR RECOVERY PROCESS. VALLEY CITIES CLINICS OFFER A UNIQUE MODEL OF CARE, TEAM-BASED CARE. ALL CLIENTS ARE ASSIGNED TO A CASE MANAGER WHO THEN ASSISTS THEM IN CONNECTING TO RESOURCES IN THE AGENCY AND IN THE COMMUNITY. CLINICIANS ARE TRAINED IN EVIDENCED BASED TREATMENT MODALITIES INCLUDING CBT+ (TRAUMA FOCUSED COGNITIVE BEHAVIORAL THERAPY FOR CHILDREN). THROUGH CARE COORDINATION, VALLEY CITIES STILL TREATS CHILDREN, ADULTS AND OLDER ADULTS, BUT AS A TEAM APPROACH SO EACH INDIVIDUAL GETS THE FOCUS THAT THEY NEED. SERVICES ARE PROVIDED TO MEET THE NEEDS OF CHILDREN, YOUTH AND THEIR FAMILIES WITH MENTAL ILLNESSES OR EMOTIONAL DISTURBANCES; CHILDREN, YOUTH AND FAMILIES WHO ARE IN CRISES; AND CHILDREN AND YOUTH WHO ARE VICTIMS OF TRAUMA OR FAMILY VIOLENCE. THESE SERVICES INCLUDE INDIVIDUAL AND FAMILY COUNSELING; IN HOME FAMILY SUPPORT AND ADVOCACY; SCHOOL-BASED COUNSELING; CRISES INTERVENTION; CASE MANAGEMENT; PSYCHIATRIC ASSESSMENT; CASE COORDINATION WITH OTHER SERVICE PROVIDERS; MEDICATION MANAGEMENT; SUPPORT GROUPS AND SKILLS FOR TRAINING PARENTS; OUTREACH CLINICAL TEAMS FOR HOMELESS FAMILIES; COMMUNITY CONSULTATION AND EDUCATION; AND SPECIALIZED TREATMENT FOR THOSE WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. SERVICES ARE ALSO PROVIDED TO ASSIST ADULTS AND THEIR FAMILIES WITH SUBSTANCE USE SERVICES. SERVICES ARE TRAUMA-INFORMED AND DESIGNED WITH AN EMPHASIS ON RECOVERY AND HOPE. VALLEY CITIES PROVIDES EMPLOYMENT AND EDUCATIONAL SERVICES SO THAT CLIENTS CAN BE SUPPORTED TO RETURN TO WORK OR SCHOOL. THE SUBSTANCE USE COUNSELING SERVICES INCLUDE INPATIENT, INTENSIVE OUTPATIENT, OUTPATIENT AND SPECIALIZED RELAPSE PREVENTION SERVICES AND ARE INTEGRATED WITH THE MENTAL HEALTH SERVICES FOR THOSE CLIENTS THAT HAVE CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE PROBLEMS. VALLEY CITIES' PROGRAMS CONSIST OF: CASE MANAGER AT EACH OUTPATIENT CLINIC; PEER SUPPORT SERVICES; CHILDREN'S WRAPAROUND SERVICES; FAMILY TREATMENT COURT WRAPAROUND.SCHOOL-BASED SERVICES (AUBURN, FEDERAL WAY, AND KENT SCHOOL DISTRICTS) - VALLEY CITIES SCHOOL-BASED TEAM REDUCES BARRIERS AND IMPROVES YOUTH'S LIVES BY MEETING STUDENTS WHERE THEY SPEND MUCH OF THEIR TIME AT SCHOOL. THE UNIQUE SKILLS OF THE SCHOOL BASED TEAM FILL A NEED IN THE COMMUNITY BY PROVIDING MENTAL HEALTH AND PREVENTION SERVICES THE SCHOOLS ARE NOT SET UP TO MEET. THROUGH PARTNERSHIPS WITH THE SCHOOL DISTRICTS THE PROGRAM'S SERVICES SUPPORT THE WHOLE YOUTH, HELPING THEM THRIVE IN SCHOOL, AT HOME, AND IMPROVE OVERALL WELLNESS. THE VALLEY CITIES TEAM HAS CONTRACTS THAT SUPPORT THIS WORK INCLUDING CITY OF FEDERAL WAY, AUBURN SCHOOL DISTRICT, FEDERAL WAY SCHOOL DISTRICT, KENT SCHOOL DISTRICT, AS WELL AS FUNDING THROUGH MEDICAID. IN 2023 VALLEY CITIES RECEIVED SPECIAL ESSER FUNDING THROUGH THE OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION. VALLEY CITIES SERVED 188 YOUTH DURING 2023. WHILE MOST STUDENTS ARE SERVED AT THE SCHOOL DURING THE SCHOOL DAY, THE SCHOOL BASED TEAM ALSO OFFERS TELEHEALTH APPOINTMENTS AND COMMUNITY OUTREACH DURING SCHOOL BREAKS. PREVENTION AND COMMUNITY SUPPORT (PCSP) PROGRAM - THE PREVENTION AND COMMUNITY SUPPORT PROGRAM (PCSP) COLLABORATES WITH SCHOOLS, MENTAL HEALTH PROVIDERS, AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE ONE-ON-ONE AND SMALL GROUP ADVOCACY, MENTORING, AND PSYCHOEDUCATION SESSIONS FOR YOUTH DESIGNED TO IMPROVE OVERALL MENTAL HEALTH OUTCOMES. IN ADDITION TO PROGRAM FACILITATION, PCSP STAFF ALSO PROVIDE PROFESSIONAL DEVELOPMENT WORKSHOPS AND TRAINING OPPORTUNITIES TO VARIOUS STAKEHOLDERS TO IMPROVE SERVICE PROVISION FOR LGBTQ+ PEOPLE. PROGRAM STAFF ARE TRAINED IN YOUTH PROGRAM QUALITY IMPROVEMENT AND ARE COMMITTED TO AMPLIFYING YOUTH VOICE, ENCOURAGING POSITIVE IDENTITY DEVELOPMENT, AND BRINGING ATTENTION AND VISIBILITY TO THE ISSUES IMPACTING YOUNG PEOPLE'S LIVES, INCLUDING POVERTY, RACISM, COMMUNITY VIOLENCE, MENTAL HEALTH CONCERNS, SUBSTANCE ABUSE, CLIMATE CHANGE, THE SCHOOL-TO-PRISON PIPELINE, ETC. THE PCSP HAS BEEN DESIGNED TO SUPPORT THE DIVERSE NEEDS OF MARGINALIZED AND MINORITIZED VULNERABLE YOUTH AND EMERGING ADULT POPULATIONS. ONE SUCH PROGRAM, REAL TALK FOR TEENS, PARTNERS WITH SEVERAL SOUTH KING COUNTY SCHOOLS TO MEET THE NUANCED NEEDS OF LGBTQ+ YOUTH AND THEIR ALLIES. THESE LONG-HAUL EFFORTS HAVE BEEN GUIDED BY ONE DEDICATED FULL-TIME STAFF PERSON WHO HAS BEEN WITH THE PROGRAM FOR ALMOST THIRTEEN YEARS. AS A RESULT OF PROGRAM PARTICIPATION, YOUTH WERE BETTER EQUIPPED TO HANDLE DIFFICULT LIFE EVENTS USING HEALTHY COPING STRATEGIES AND IDENTIFIED HAVING SOMEONE TO TALK TO AS THE PRIMARY BENEFIT OF PARTICIPATING IN THE REAL TALK PROGRAM. THE PCSP IS FUNDED BY TWO CONTRACTS THROUGH KING COUNTY'S BEST STARTS FOR KIDS AND THE YOUTH AND FAMILY SERVICES ASSOCIATION, AS WELL AS DONATIONS PROVIDED IN SUPPORT OF LGBTQ+ YOUTH.EXPANDED COMMUNITY SERVICES (ECS) PROGRAM - CLIENTS RECEIVE PERSONAL CARE SERVICES, MEDICATION OVERSIGHT, AND CONTRACTED BEHAVIOR SUPPORT SERVICES. RESIDENTIAL PROVIDERS MAY OFFER INCREASED STAFF OR ACTIVITIES TO SUPPORT THE CLIENT IN THE RESIDENCE. CLIENT SERVICES AND SUPPORTS ARE AVAILABLE 24-HOURS PER DAY BY ON-SITE STAFF WHO PROVIDE SUPERVISION AND SUPPORT. THE CONTRACTED BEHAVIOR SUPPORT SERVICES INCLUDE PERSON-CENTERED, ON-SITE CLIENT TRAINING FOR THE CLIENT AND CAREGIVING STAFF, HOMEOWNERS, GUARDIANS AND FAMILIES; AN INDIVIDUALIZED CRISIS RESPONSE AND BEHAVIOR SUPPORT PLAN THAT IS REVIEWED MONTHLY AND MODIFIED AS THE CLIENT'S NEEDS CHANGE; AND MONTHLY PSYCHOPHARMACOLOGICAL MEDICATION REVIEWS. ECS IS AVAILABLE IN ADULT FAMILY HOMES, ASSISTED LIVING FACILITIES, AND ENHANCED ADULT RESIDENTIAL CARE FACILITIES. ECS IS FUNDED THROUGH DSHS WHO RECEIVES AND DISTRIBUTES REFERRALS TO VALLEY CITIES. THE GOAL OF THIS PROGRAM IS TO SUPPORT CLIENTS IN BEING SUCCESSFUL IN COMMUNITY AND STAYING OUT OF PSYCHIATRIC HOSPITALS AND JAILS. SENIOR CENTER PROGRAM - SENIOR CENTER IS A CONTRACT WITH BOTH CITY OF KENT AND SEATTLE. VALLEY CITIES BRINGS GROUP AND INDIVIDUAL TREATMENT TO KENT AND SEATTLE (PIKE STREET) SENIOR CENTERS. THESE GROUPS ARE SUPPORT BY STAFF AT THE KENT, AUBURN, PIKE CLINICS AND ECS STAFF. THROUGH THIS CONTRACT VALLEY CITIES CAN PROVIDE SERVICES TO THE OLDER ADULT POPULATION, SPECIFICALLY THOSE WHO ARE ON MEDICARE, A WIDELY UNDERSERVED POPULATION DUE TO LACK OF PROVIDERS. IN 2023, THE PROGRAM OFFERED 5 DIFFERENT GROUPS, AND BETWEEN 4-5 SESSIONS A WEEK WERE OFFERED TO SENIORS AT THE KENT AND PIKE CENTERS. GROUP TOPICS INCLUDED GRIEF AND LOSS, SUPPORT GROUP, TAI CHI, BE WELL WORKSHOPS, AND A WOMEN'S GROUP. (SEE CONTINUATION)</Desc>
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        <Desc>MEDICAL SERVICES - MEDICAL SERVICES INCLUDES BOTH STAFF PSYCHIATRISTS AND NURSE PRACTITIONERS. THEY PROVIDE PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT SERVICES TO ANY CLIENT WHO NEEDS PSYCHIATRIC CARE.CLINICAL SUPPORT SERVICES - CLINICAL SUPPORT SERVICES INCLUDES INFORMATION SYSTEMS, ACCESS SERVICES INCLUDING ALL TELEPHONE SCREENING AND INITIAL INTAKE SERVICES, AFTER-HOURS CRISES TEAM, FRONT DESK SUPPORT, MEDICAL RECORDS, CALL CENTER AND QUALITY MANAGEMENT SERVICES. THESE PROGRAMS DIRECTLY SUPPORT ALL CLINICAL PROGRAMS BY PROVIDING EITHER CLIENT ASSISTANCE AND/OR DATA COLLECTION AND REPORTING IN ORDER TO MANAGE CLIENT CARE.RECOVERY PLACE SEATTLE (RPS) - RECOVERY PLACE SEATTLE (RPS) IS A RESIDENTIAL TREATMENT FACILITY AND HOUSES A LICENSED MEDICALLY MONITORED 33 BED DETOXIFICATION SERVICE WHICH PROVIDES MEDICAL DETOXIFICATION INPATIENT SERVICES FOR PEOPLE WHO NEED SUPPORT TO SAFELY WITHDRAW FROM DRUG OR ALCOHOL USE. THIS 33-BED SERVICE PROVIDES SERVICES FOR A 3-5 DAY TYPICAL STAY. RPS ALSO HOUSES A 42 BED 28-DAY INTENSIVE INPATIENT PROGRAM FOR INDIVIDUALS LIVING WITH SUBSTANCE USE DISORDER CONCERNS. THIS PROGRAM OFFERS STRUCTURED, HOLISTIC, AND EVIDENCE-BASED PRACTICES, INCLUDING RELAPSE PREVENTION, COPING MECHANISMS (BOTH ABSTINENCE-BASED AND HARM REDUCTION), AND RE-CONNECTION TO COMMUNITY AND RESOURCES. CLIENTS PARTICIPATE IN COUNSELING AND SUPPORT GROUPS. THE AVERAGE DAILY CENSUS FOR DETOX AND RESIDENTIAL FOR 2023 WAS 14 AND 22, RESPECTIVELY.RECOVERY PLACE KENT (RPK) - RECOVERY PLACE KENT (RPK) OPENED IN DECEMBER 2019 WITH TWO 16 BED SERVICES AND IS WASHINGTON STATE'S FIRST DUALLY LICENSED CHEMICAL DEPENDENCY &amp; PSYCHIATRIC FACILITY. THE EVALUATION AND TREATMENT PROGRAM PROVIDES INPATIENT CRISIS STABILIZATION SERVICES TO INDIVIDUALS WHO HAVE BEEN DETAINED UNDER THE INVOLUNTARY TREATMENT ACT (ITA) FOR DANGER TO SELF, DANGER TO OTHERS, OR GRAVE DISABILITY RELATED TO A PSYCHIATRIC ILLNESS. THE INTERDISCIPLINARY TREATMENT TEAM PROVIDES PSYCHIATRIC EVALUATION, MEDICATION MANAGEMENT, INDIVIDUAL MENTAL HEALTH AND SUBSTANCE USE DISORDER COUNSELING, GROUP ACTIVITIES, PEER SUPPORT, COORDINATION WITH KING COUNTY ITA COURT, AND DISCHARGE PLANNING TO RE-CONNECT CLIENTS TO COMMUNITY SUPPORTS. THE SECURE WITHDRAWAL MANAGEMENT PROGRAM OPENED DECEMBER 2019 IN RESPONSE TO HOUSE BILL 1713 "RICKY'S LAW". THE SECURE WITHDRAWAL MANAGEMENT SERVICES PROVIDES BOTH MEDICAL MANAGEMENT OF WITHDRAWAL FROM ADDICTIVE SUBSTANCES, PSYCHIATRIC EVALUATION AND SUPPORT, SUBSTANCE USE ASSESSMENT AND COUNSELING, MEDICATION MANAGEMENT, GROUP ACTIVITIES, PEER SUPPORT, COORDINATION WITH KING COUNTY ITA COURT, AND DISCHARGE PLANNING TO COMMUNITY SUPPORTS.</Desc>
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        <Desc>HOUSING SUPPORT SERVICES - VALLEY CITIES OPERATES PERMANENT SUPPORTIVE HOUSING PROGRAMS THAT PROVIDE RENTAL ASSISTANCE WITH HOME-BASED CASE MANAGEMENT SERVICES FOR HOMELESS INDIVIDUALS AND HOMELESS FAMILIES. SUPPORTIVE SERVICES IN THESE PROGRAMS ADDRESS EVENTS AND CIRCUMSTANCES THAT UNDERLIE OR CONTRIBUTE TO THE INABILITY TO OBTAIN AND MAINTAIN AFFORDABLE AND STABLE HOUSING. THIS INCLUDES SHELTER PLUS CARE, VALLEY CITIES LANDING, VALLEY CITIES PLACE AND PHOENIX RISING PERMANENT SUPPORTIVE HOUSING PROJECTS DEDICATED TO SERVING INDIVIDUALS, AND FAMILIES. TWELVE UNITS AT VALLEY CITIES LANDING AND EIGHT UNITS IN THE HOMELESS SERVICE ENHANCEMENT PROGRAM ARE DEDICATED FOR HOMELESS "VETERANS." RESIDENTS ENGAGE IN ON-SITE AND COMMUNITY-BASED SERVICES THAT HELP THEM LIVE WITH STABILITY, AUTONOMY AND DIGNITY.FAMILIES FIRST - WITH FUNDING FROM THE KING COUNTY HOUSING AUTHORITY (24 VOUCHERS), THE FAMILIES FIRST PROGRAM IS DESIGNED TO PROVIDE HOUSING PLACEMENT AND SUPPORTIVE SERVICES TO 24 HIGH NEEDS FAMILIES IN KING COUNTY WHO HAVE HAD AT LEAST ONE CHILD OR ARE IN IMMINENT DANGER OF HAVING A CHILD REMOVED FROM THE HOME BY CHILD PROTECTIVE SERVICES. THE GOAL OF THE PROJECT IS REUNIFICATION OF THE FAMILY AND INCREASING HOUSING STABILITY AND SELF-SUFFICIENCY. THIS IS ACCOMPLISHED THROUGH INDIVIDUALIZED, INTENSIVE SERVICES TO FAMILIES ALONG WITH A FAMILY UNIFICATION PROGRAM (FUP) SECTION 8 VOUCHER (TENANT-BASED VOUCHERS) THAT CAN BE USED IN THE PRIVATE HOUSING MARKET. IN 2023, THIS PROGRAM SERVED 34 INDIVIDUALS AND A SUCCESS RATE OF 82% OF FAMILIES REMAINING STABLY HOUSED FOR AT LEAST 1 OR MORE YEARS. MENTAL HEALTH FIRST AID (MHFA) PROGRAM - VALLEY CITIES CONTINUES ITS PARTNERSHIP WITH KING COUNTY TO MAINTAIN A PROGRAM DESIGNED TO INCREASE THE NUMBER OF PEOPLE IN THE COMMUNITY TRAINED IN MENTAL HEALTH FIRST AID (MHFA). THE FOCUS IS TO REDUCE THE STIGMA ASSOCIATED WITH BEHAVIORAL HEALTH DISORDERS, TEACH PARTICIPANTS THE SIGNS AND SYMPTOMS OF MENTAL HEALTH CHALLENGES, HOW TO TALK WITH SOMEONE EXPERIENCING A CHALLENGE AND HOW TO CONNECT THEM TO PROFESSIONAL RESOURCES. TRAINING IS PROVIDED TO THE PUBLIC, INCLUDING PARTNERSHIPS WITH MANY ORGANIZATIONS, WITH THE FOCUS ON INCLUSION FOR ALL REGARDLESS OF GEOGRAPHIC LOCATION, RACE, OR NATIONALITY. IN 2023, 1857 INDIVIDUALS PARTICIPATED IN A MHFA TRAINING AND 146 MHFA TRAININGS WERE HELD; 70 OF THOSE WERE ON YOUTH MENTAL HEALTH AND 76 WERE ON ADULT MENTAL HEALTH, 16 WERE TAUGHT IN SPANISH. IN RESPONSE TO COVID-19, MHFA TRAININGS WERE HELD VIRTUALLY WITH DIRECTION AND TOOLS FROM THE NATIONAL COUNCIL OF BEHAVIORAL HEALTH. SUBSTANCE USE DISORDER (SUD) SERVICES - SUD SERVICES PROVIDE A COMPREHENSIVE RANGE OF TREATMENTS AND SUPPORT TAILORED TO INDIVIDUALS FACING SUBSTANCE ABUSE AND ADDICTION CHALLENGES. THIS INCLUDES THOROUGH ASSESSMENTS TO UNDERSTAND THE DISORDER'S SCOPE, SUPERVISED DETOXIFICATION FOR SAFE WITHDRAWAL MANAGEMENT, AND VARIOUS COUNSELING MODALITIES INDIVIDUAL, GROUP, AND FAMILY THERAPY TO ADDRESS UNDERLYING ISSUES AND DEVELOP COPING STRATEGIES. PEER SUPPORT PROGRAMS, SUCH AS 12-STEP INITIATIVES, OFFER COMMUNITY REINFORCEMENT. EDUCATIONAL EFFORTS FOCUS ON PREVENTION AND PROMOTING HEALTHY BEHAVIORS, WHILE RELAPSE PREVENTION STRATEGIES ARE CRUCIAL FOR SUSTAINING RECOVERY. SPECIALIZED DUAL DIAGNOSIS TREATMENT MEETS THE NEEDS OF INDIVIDUALS WITH CO-OCCURRING MENTAL HEALTH DISORDERS. AFTERCARE SERVICES AND SUPPORT, INCLUDING ACCESS TO COMMUNITY RESOURCES LIKE HOUSING AND EMPLOYMENT ASSISTANCE, ARE PROVIDED BY A MULTIDISCIPLINARY TEAM OF ADDICTION SPECIALISTS, COUNSELORS, THERAPISTS, PHYSICIANS, NURSES, AND SOCIAL WORKERS, ENSURING PERSONALIZED AND EFFECTIVE TREATMENT.HUB AND SPOKES SERVICES, ALSO KNOWN AS MATCH PROGRAM (MEDICATION-ASSISTED TREATMENT &amp; COMMUNITY HEALTH) - IN RESPONSE TO THE OPIOID EPIDEMIC, VALLEY CITIES BEHAVIORAL HEALTH LAUNCHED THE MATCH PROGRAM IN COLLABORATION WITH SAMHSA AND THE HEALTH CARE AUTHORITY. MATCH PROVIDES LOW-BARRIER ACCESS TO MEDICATIONS FOR OPIATE USE DISORDER (MOUD) AND RELATED SUPPORT SERVICES, FOCUSING ON RAPID INDUCTION AND STABILIZATION OF INDIVIDUALS WITH OPIOID USE DISORDER. SERVICES INCLUDE ON-SITE ADMINISTRATION OF MEDICATIONS LIKE BUPRENORPHINE AND DISTRIBUTION OF NALOXONE AND FENTANYL TEST STRIPS AT ALL LOCATIONS TO COMBAT OVERDOSES. CARE NAVIGATORS, PEER SUPPORT SPECIALISTS, DATA COORDINATORS, AND NURSE CARE MANAGERS ASSIST CLIENTS IN ACCESSING PRIMARY CARE, DENTAL CARE, BEHAVIORAL HEALTH SERVICES, HOUSING SUPPORT, EMPLOYMENT ASSISTANCE, AND RECOVERY SUPPORT. MATCH STAFF ENGAGE IN CONTINUING EDUCATION AND COLLABORATIVE LEARNING WITH MOUD PROVIDERS TO IMPROVE COMMUNITY UNDERSTANDING AND TREATMENT STRATEGIES, CONTRIBUTING QUANTITATIVE AND QUALITATIVE DATA TO ENHANCE SERVICE OUTCOMES.LOW-BARRIER BUPRENORPHINE SERVICE EXPANSION PROGRAM - VALLEY CITIES INITIATED THE LOW-BARRIER BUPRENORPHINE SERVICE EXPANSION PROGRAM IN COLLABORATION WITH THE BEHAVIORAL HEALTH RECOVERY DIVISION (BHRD) TO ENHANCE ACCESS TO BUPRENORPHINE INDUCTION AND TREATMENT SERVICES IN KING COUNTY. THE PROGRAM FOCUSES ON A RECOVERY AND RESILIENCY PERSPECTIVE, PROVIDING A CONTINUUM OF MEDICATION-ASSISTED TREATMENT AND RECOVERY SUPPORT SERVICES. PROGRAM EVALUATIONS WITH BHRD AIM TO ASSESS EFFECTIVENESS AND IDENTIFY LEARNING OPPORTUNITIES, SUPPORTING THE DEVELOPMENT OF A COMPREHENSIVE LOW-BARRIER MAT NETWORK ACROSS THE COUNTY.</Desc>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1284568</TotalAmt>
        <ProgramServicesAmt>883917</ProgramServicesAmt>
        <ManagementAndGeneralAmt>400651</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>34624537</TotalAmt>
        <ProgramServicesAmt>32504982</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2022377</ManagementAndGeneralAmt>
        <FundraisingAmt>97178</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>896728</TotalAmt>
        <ProgramServicesAmt>811039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84062</ManagementAndGeneralAmt>
        <FundraisingAmt>1627</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3737585</TotalAmt>
        <ProgramServicesAmt>3459175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>269005</ManagementAndGeneralAmt>
        <FundraisingAmt>9405</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>3150745</TotalAmt>
        <ProgramServicesAmt>2941932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199641</ManagementAndGeneralAmt>
        <FundraisingAmt>9172</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>9324</TotalAmt>
        <ProgramServicesAmt>9324</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>64329</TotalAmt>
        <ProgramServicesAmt>60735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3178</ManagementAndGeneralAmt>
        <FundraisingAmt>416</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>526249</TotalAmt>
        <ProgramServicesAmt>525149</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1100</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>162655</TotalAmt>
        <ProgramServicesAmt>127457</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29561</ManagementAndGeneralAmt>
        <FundraisingAmt>5637</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>4720206</TotalAmt>
        <ProgramServicesAmt>4336977</ProgramServicesAmt>
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        <FundraisingAmt>43313</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>801765</TotalAmt>
        <ProgramServicesAmt>745773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53071</ManagementAndGeneralAmt>
        <FundraisingAmt>2921</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>1205949</TotalAmt>
        <ProgramServicesAmt>1202955</ProgramServicesAmt>
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        <FundraisingAmt>203</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>131047</TotalAmt>
        <ProgramServicesAmt>120556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10143</ManagementAndGeneralAmt>
        <FundraisingAmt>348</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>294133</TotalAmt>
        <ProgramServicesAmt>274460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15396</ManagementAndGeneralAmt>
        <FundraisingAmt>4277</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>269112</TotalAmt>
        <ProgramServicesAmt>268631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>450</ManagementAndGeneralAmt>
        <FundraisingAmt>31</FundraisingAmt>
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        <ProgramServicesAmt>1439858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2262</ManagementAndGeneralAmt>
        <FundraisingAmt>295</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>564215</TotalAmt>
        <ProgramServicesAmt>538126</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23072</ManagementAndGeneralAmt>
        <FundraisingAmt>3017</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>CLIENT ASSISTANCE</Desc>
        <TotalAmt>552838</TotalAmt>
        <ProgramServicesAmt>552838</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>54439</TotalAmt>
        <ProgramServicesAmt>48332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5558</ManagementAndGeneralAmt>
        <FundraisingAmt>549</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT - SPECIAL NEEDS</Desc>
        <TotalAmt>50820</TotalAmt>
        <ProgramServicesAmt>50820</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>54570537</TotalAmt>
        <ProgramServicesAmt>50929914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3462234</ManagementAndGeneralAmt>
        <FundraisingAmt>178389</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1001765</BOYAmt>
        <EOYAmt>-484958</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>21293850</BOYAmt>
        <EOYAmt>21178202</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>5304083</BOYAmt>
        <EOYAmt>5821241</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>269261</BOYAmt>
        <EOYAmt>404285</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>54729747</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13031531</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>43008491</BOYAmt>
        <EOYAmt>41698216</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>5371148</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2629732</BOYAmt>
        <EOYAmt>2093413</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>73507182</BOYAmt>
        <EOYAmt>76081547</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3894231</BOYAmt>
        <EOYAmt>4161731</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>8394695</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>416098</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>22131890</BOYAmt>
        <EOYAmt>21685188</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>36162743</BOYAmt>
        <EOYAmt>34657712</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>38354685</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1737888</BOYAmt>
        <EOYAmt>3069150</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>37344439</BOYAmt>
        <EOYAmt>41423835</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>73507182</BOYAmt>
        <EOYAmt>76081547</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>4088979</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-9583</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>2153345</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2419989</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2025068</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3232926</CurrentTaxYearAmt>
        <TotalAmt>11561042</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>44414062</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>57819858</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>50019231</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>51336040</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>54583489</CurrentTaxYearAmt>
        <TotalAmt>258172680</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>46143776</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>59973203</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>52439220</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>53361108</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57816415</CurrentTaxYearAmt>
        <TotalAmt>269733722</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearAmt>85000</CurrentTaxYearAmt>
        <TotalAmt>85000</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearAmt>85000</CurrentTaxYearAmt>
        <TotalAmt>85000</TotalAmt>
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      <PublicSupportTotal509Amt>269648722</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>8274</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2242</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8064</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>843101</CurrentTaxYearAmt>
        <TotalAmt>893286</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>31605</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8274</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2242</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8064</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>843101</CurrentTaxYearAmt>
        <TotalAmt>893286</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>46175381</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>59981477</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>52441462</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>53369172</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>58659516</CurrentTaxYearAmt>
        <TotalAmt>270627008</TotalAmt>
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      <PublicSupportCY509Pct>0.99640</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99870</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00330</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART I, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>REASON FOR PUBLIC CHARITY STATUS: THE ORGANIZATION CONSIDERED ITSELF A 33 1/3% SUPPORTED ORGANIZATION, WHICH IS DIFFERENT THAN THE IRS DETERMINATION LETTER DATED APRIL 13, 1994 WHERE IT STATES THAT IT IS A HOSPITAL DESCRIBED IN SECTION 170(B)1(A)(III). ALTHOUGH IT STILL PROVIDES OUTPATIENT MENTAL HEALTH SERVICES, IT PROVIDES OTHER SERVICES AS WELL AND RECEIVES MORE THAN 33 1/3% OF ITS TOTAL SUPPORT FROM CONTRIBUTIONS AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTION.</ExplanationTxt>
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      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>6138227</OtherCostOrOtherBasisAmt>
        <BookValueAmt>6138227</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>44999021</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10130582</DepreciationAmt>
        <BookValueAmt>34868439</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <BookValueAmt>395600</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2330050</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2034100</DepreciationAmt>
        <BookValueAmt>295950</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>41698216</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>2064196</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCES</Desc>
        <Amt>19592443</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSIT PAYABLE</Desc>
        <Amt>28549</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-9583</NetUnrealizedGainsInvstAmt>
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      <RevenueSubtotalAmt>58659516</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>54570537</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY CITIES IS A NOT-FOR-PROFIT CORPORATION UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, AS SUCH, IS SUBJECT TO INCOME TAXES ONLY TO THE EXTENT OF TAXABLE UNRELATED BUSINESS INCOME. DURING 2023 AND 2022, VALLEY CITIES DID NOT GENERATE ANY TAXABLE INCOME AND THEREFORE NO PROVISION FOR FEDERAL INCOME TAX IS NECESSARY. IN ADDITION, VALLEY CITIES QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). FASB ASC 740 REQUIRES NONPUBLIC ENTITIES TO DETERMINE AND EVALUATE UNCERTAIN TAX POSITIONS. THE STANDARD REQUIRES ENTITIES TO MEASURE, RECOGNIZE, AND DISCLOSE UNCERTAIN TAX POSITIONS. THE TERM TAX POSITION INCLUDES, BUT IS NOT LIMITED TO, A DECISION NOT TO FILE A RETURN, THE CHARACTERIZATION OF INCOME OR A DECISION TO EXCLUDE REPORTING TAXABLE INCOME ON A TAX RETURN, AND THE ENTITY'S TAX-EXEMPT STATUS. MANAGEMENT BELIEVES VALLEY CITIES DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. VALLEY CITIES IS NO LONGER SUBJECT TO EXAMINATIONS BY THE INTERNAL REVENUE SERVICE FOR THE YEARS PRIOR TO 2019.</ExplanationTxt>
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          <BusinessNameLine1Txt>NEIGHBORCARE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 12TH AVENUE SOUTH NO 901</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98144</ZIPCd>
        </USAddress>
        <RecipientEIN>910893287</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>26878</CashGrantAmt>
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        <PurposeOfGrantTxt>GENERAL OPERATING SUPPORT</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENTERED INTO A FORMAL AGREEMENT WITH NEIGHBORCARE OUTLINING THE RESPONSIBILITIES REGARDING ACCEPTABLE USE OF THE FUNDS AND REPORTING. THE AGREEMENT IS STRUCTURED AS A REIMBURSEMENT, REQUIRING NEIGHBORCARE TO EXPEND FUNDS AS INTENDED BEFORE PAYMENT. A BUDGET IS ESTABLISHED AND REPORTED ON QUARTERLY WITH THE REQUEST FOR PAYMENT FROM NEIGHBORCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>SHEKH A ALI</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STANFORD N TRAN</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7865</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>JEFFREY M KENDALL</PersonNm>
        <TitleTxt>ASSOC MEDICAL DIRECTOR OF I/P PSYCH</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1581</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>894</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>202530</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHRYN C HOWLAND</PersonNm>
        <TitleTxt>ARNP</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>10490</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>197306</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHAKIB BELFARJI</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10714</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195205</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANE NWANKWOOKOYE</PersonNm>
        <TitleTxt>LEAD NURSE PRACTITIONER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HONG-NHUNG T DO</PersonNm>
        <TitleTxt>IP ADDICTION MED. NURSE PRACTITIONER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191920</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD R GEIGER</PersonNm>
        <TitleTxt>CHIEF OF INPATIENT &amp; RESIDENTIAL SVC</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>3534</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9979</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191494</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA E PETTY</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING</TitleTxt>
        <BaseCompensationFilingOrgAmt>167988</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>4894</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>182861</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMIE K NORITAKE HENSON</PersonNm>
        <TitleTxt>CHIEF ADMINISTRATIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>168934</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10721</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>372</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180027</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WASHINGTON HEALTH CARE FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>911108929</BondIssuerEIN>
        <BondIssuedDt>2019-09-20</BondIssuedDt>
        <IssuePriceAmt>10080000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3037191</RetiredAmt>
        <TotalProceedsAmt>10080000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>131776</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>7315737</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>2632487</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE A, DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>BANK OF AMERICA IS OVERSEEING THE LOAN ON BEHALF OF WASHINGTON HEALTH CARE FACILITIES. PROCEEDS OF THE LOAN WERE USED TO REFINANCE A BANK OF AMERICA, N.A. CREDIT LINE, HOUSING FINANCE COMMISSION LOAN, RAINIER COMMUNITY DEVELOPMENT FUNDS LOAN, WHCFA SERIES 2009 BOND, AND TO PAY COSTS OF ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS WORKED CLOSELY WITH THE DEVELOPMENT AND FUNDRAISING DEPARTMENT IN THE ADMINSTRATION BUILDING. THEY ASSISTED WITH THE SALESFORCE AND DATABASSE MANAGEMENT, ASSISTED WITH GOOGLE AD WORDS FOR THE WEBSITE, TOOK PHOTOS AND VIDEO FOR VALLEY CITIES, HELPED FIND GRANT OPPORTUNITIES, AND HELPED WRITE GRANTS. ALL BOARD MEMBERS ARE UNPAID VOLUNTEERS WHO ASSIST IN OVERSIGHT OF THE ORGANIZATION THROUGH MONTHLY MEETING DISCUSSING FINANCIAL RESULTS, POLICIES, THE MISSION, AND OTHER GOVERNANCE ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>(CONTINUATION) EMPLOYMENT SERVICES (ES) PROGRAM - RESEARCH SHOWS THAT PEOPLE WHO HAVE A MENTAL ILLNESS WHO GO TO WORK HAVE INCREASED INCOME, IMPROVED SELF-ESTEEM, IMPROVED ABILITY TO MANAGE SYMPTOMS, AND INCREASED QUALITY OF LIFE. VALLEY CITIES IS THE LARGEST SUPPORTED EMPLOYMENT PROGRAM IN KING COUNTY. VALLEY CITIES DOES MUCH MORE THAN LOOK FOR JOBS FOR THOSE IN THE PROGRAM. VALLEY CITIES HELPS CLIENTS WITH DIAGNOSED DISABILITIES LEARN THE NECESSARY JOB SEARCH SKILLS TO MAKE THEM SUCCESSFUL IN THEIR JOB SEARCH, SUCH AS HOW TO WRITE RESUMES, APPLY FOR A JOB, AND INTERVIEW. A FOCUS OF THE PROGRAM IS TO CONNECT CLIENTS TO JOBS THAT ARE A GOOD FIT AND BENEFIT NOT ONLY THE NEW EMPLOYEE, BUT ALSO THE EMPLOYER. VALLEY CITIES COLLABORATES CLOSELY WITH THESE INDIVIDUALS TO PLAN FOR POTENTIAL CHALLENGES ON THE JOB AND OUTSIDE OF WORK THAT COULD MAKE LONG-TERM EMPLOYMENT DIFFICULT. VALLEY CITIES SUPPORTS THE INDIVIDUAL WITH JOB COACHING, ASSISTANCE WITH TRAINING AND WORKS WITH THEIR INTEGRATED TREATMENT TEAM TO ENSURE THERE ARE NATURAL SUPPORTS IN PLACE SO THAT THEY CAN BE SUCCESSFUL IN THEIR EMPLOYMENT FOR THE LONG TERM. VALLEY CITIES WORKS CLOSELY WITH EMPLOYERS IN THE COMMUNITY TO ENSURE VALLEY CITIES KNOWS THE DETAILS NECESSARY TO PROVIDE A GOOD FITTING CANDIDATE. IN 2023 157 CLIENTS WERE SERVED IN THIS PROGRAM. ONCE VALLEY CITIES MATCHES A CLIENT WITH AN EMPLOYER. THE EMPLOYMENT PROGRAM CURRENTLY HAS CONTRACTS WITH KING COUNTY SUPPORTED EMPLOYMENT, AMERIGROUP FOUNDATIONAL COMMUNITY SUPPORTS (FCS), AND DIVISION OF VOCATIONAL REHABILITATION (DVR). IN 2023, WE HAD REFERRALS FROM 244 CLIENTS, WE SERVED 207 CLIENTS WITH 100 BEING NEW CLIENT ENROLLMENTS. THERE WERE 7,173 (56%) THAT REPORTED THEY WERE NOT EMPLOYED ALTOGETHER. VETERAN SERVICES - THROUGHOUT 2023 AND DESPITE CONTINUING RESTRICTIONS OF COVID19, THE VALLEY CITIES VETERANS TEAM CONTINUED TO PROVIDE BEHAVIORAL HEALTH, PATHFINDER, AND NAVIGATION SERVICES FOR VETERANS AND FAMILY MEMBERS UNDER FUNDING PROVIDED BY THE KING COUNTY VETERAN, SENIORS, AND HUMAN SERVICES LEVY. BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO 25 CLIENTS UNDER A CONTRACT WITH THE WASHINGTON DEPARTMENT OF VETERANS AFFAIRS. BOTH THE PATHFINDER FOR VETERANS OF COLOR AND THE HOUSING NAVIGATOR PROGRAMS SERVED 127 CLIENTS. COHEN VETERANS NETWORK - IN 2023, THE COHEN CLINIC PROVIDED APPROXIMATELY 11,233 SERVICES TO 1,204 VETERANS, ACTIVE-DUTY SERVICE MEMBERS AND THEIR FAMILIES WITH OUTPATIENT BEHAVIORAL HEALTHCARE. WHILE THE CLINIC WAS NOT FULLY STAFFED FOR THE ENTIRE YEAR, THERE ARE CURRENTLY 30.25 FTE BUDGETED POSITIONS. OVER 90% OF VALLEY CITIES CLIENTS WOULD REFER THEIR FRIENDS AND FAMILY TO THE CLINIC FOR CARE. ALMOST 60% OF CLIENTS WITH ANXIETY, 85% WITH PTSD, AND 53% WITH DEPRESSION EXPERIENCE OVERALL IMPROVEMENT IN SYMPTOMS AT THE END OF THEIR TREATMENT. PRIMARY FUNDING SOURCES INCLUDED: CVN GRANT, BOEING GRANT, BOB WOODRUFF FOUNDATION, PIERCE COUNTY CONTRACT, TRICARE, TRIWEST AND OTHER COMMERCIAL INSURANCES. SINCE OPENING IN 2019, THE CLINIC HAS SERVED NEARLY 6,000 MEMBERS OF OUR MILITARY COMMUNITY WITH APPROXIMATELY 55,000 HOURS OF CLINICAL CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT AND THE FINANCE COMMITTEE REVIEWS A DRAFT COPY OF THE FORM 990 FOR ACCURACY AND PRESENTS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A WRITTEN CONFLICT OF INTEREST POLICY IS IN PLACE THAT REQUIRES EACH BOARD MEMBER AND OFFICER TO SIGN AND DISCLOSE THEIR INTERESTS ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 15A: HUMAN RESOURCES PERFORMS A SALARY COMPARISON WITH LIKE AGENCIES FOR THE POSITION. THE CEO HAS AN "AT WILL" CONTRACT THAT IS REVIEWED AND APPROVED BY THE BOARD ANNUALLY, AND CAN BE TERMINATED AT ANYTIME. LINE 15B: HUMAN RESOURCES PERFORMS A SALARY COMPARISON WITH LIKE AGENCIES FOR THE POSITION. SALARIES ARE REVIEWED AND APPROVED BY THE CEO, CFO, CMO, COO, AND THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS ARE PROVIDED TO FUNDERS, AUDITORS, AND THE STATE OF WASHINGTON. ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>