2025-08-27T11:18:29-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2024-01-01 916063183 VALLEY CITIES COUNSELING AND CONSULTATION VALL 2538337444 325 WEST GOWE STREET KENT WA 98032 SHEKH ALI CEO 2538337444 2025-08-25 1 1 EMINA O CRESSWELL CPA P01217304 4252597227 2025-08-25 2024 2025-03-06 01:10:19Z SHEKH ALI 33405 8TH AVE S SUITE 200 FEDERAL WAY WA 98003 72242807 0 X WWW.VALLEYCITIES.ORG X 1965 WA TO EMPOWER AND ENRICH OUR COMMUNITIES THROUGH COMPREHENSIVE MENTAL HEALTH AND SUBSTANCE USE TREATMENT, ONE INDIVIDUAL AT A TIME. 8 8 756 10 0 0 3232926 1263540 54583489 66914929 843101 1156020 0 -12193 58659516 69322296 26878 31625 0 0 43694163 50169707 0 0 56634 10849496 12317751 54570537 62519083 4088979 6803213 76081547 83030894 34657712 34783293 41423835 48247601 X TO EMPOWER AND ENRICH OUR COMMUNITIES THROUGH COMPREHENSIVE MENTAL HEALTH AND SUBSTANCE USE TREATMENT, ONE INDIVIDUAL AT A TIME. 0 0 27010587 31625 36825397 SEE SCHEDULE OVALLEY CITIES COUNSELING AND CONSULTATION (VALLEY CITIES) (THE ORGANIZATION), 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. THE DEVELOPMENT DEPARTMENT CONDUCTS FUNDRAISING, MARKETING, PUBLIC RELATIONS, GRANT WRITING, AND PUBLIC POLICY ADVOCACY. THE HUMAN RESOURCES DEPARTMENT OVERSEES PERSONNEL, STAFF TRAINING, STUDENT INTERN, AND VOLUNTEER FUNCTIONS, AND THE ADMINISTRATION AND FINANCE DEPARTMENTS OVERSEE THE REVENUE CYCLE TEAM, SUPPORT STAFF, ACCOUNTING AND PAYROLL OPERATIONS.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 CRISIS; 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 SERVICES: THE CASE MANAGER IS THE MAIN POINT OF CONTACT AT VALLEY CITIES. THEY HELP WALK THE CLIENT THROUGH HOW TO GET SERVICES AT VALLEY CITIES, ASK THEM ABOUT WHAT DIFFICULTIES THEY ARE HAVING AND TRY TO FIND WAYS TO HELP. THEY CONNECT THE CLIENT WITH THE APPROPRIATE LEVEL OF CARE THAT IS NEEDED, WHICH CAN INCLUDE COUNSELING, MEDICATIONS, PEER SUPPORT, OR GROUPS. THEY ALSO HELP CONNECT THEM TO SERVICES IN THE COMMUNITY, LIKE A PRIMARY CARE PHYSICIAN OR A DENTIST. THE CASE MANAGER HELPS MANAGE ALL THE EXPERTISE NEEDED TO PROVIDE THE BEST OUTCOMES FOR CLIENTS.PEER SUPPORT SERVICES: PEERS ARE LIVING, WALKING EXAMPLES OF HOPE AND THAT RECOVERY IS POSSIBLE. VALLEY CITIES PROUDLY OFFERS A RANGE OF SUPPORT SERVICES PROVIDED BY CERTIFIED PEER COUNSELORS. PEERS ARE AN INTEGRAL PART OF THE CARE TEAM AT VALLEY CITIES, OFFERING INSIGHT, EMPOWERMENT, AND ENGAGEMENT FROM LIFE EXPERIENCE. PEER SUPPORT IS BASED ON THE PHILOSOPHY THAT SOMEONE WHO HAS FACED LIFE CIRCUMSTANCES SIMILAR TO YOURS MAY BE THE PERSON WHO CAN UNDERSTAND YOU THE MOST. PEER SUPPORT COUNSELORS HAVE BEEN TRAINED, TESTED, AND CERTIFIED TO INSPIRE HOPE AND PROVIDE UNIQUE SUPPORT TO PEOPLE RECEIVING MENTAL HEALTH AND CHEMICAL DEPENDENCY SERVICES. BECAUSE OF THEIR UNIQUE EXPERIENCE WITH MENTAL ILLNESS, MENTAL HEALTH SERVICES, AS WELL AS SUBSTANCE ABUSE EXPERIENCE AND SERVICES, PEER COUNSELORS PROVIDE EXPERTISE THAT PROFESSIONAL TRAINING CANNOT REPLICATE.CHILDREN'S WRAPAROUND SERVICES: VALLEY CITIES DELIVER INTENSIVE, INDIVIDUALIZED SUPPORT TO HIGH-NEEDS YOUTH ACROSS KING COUNTY, WITH A PRIMARY FOCUS IN SOUTH KING COUNTY WHERE ACCESS TO SERVICES IS OFTEN LIMITED. THESE SERVICES ARE DESIGNED FOR YOUTH FACING COMPLEX EMOTIONAL AND BEHAVIORAL CHALLENGES, OFTEN INVOLVED IN MULTIPLE SYSTEMS SUCH AS MENTAL HEALTH, SPECIAL EDUCATION, JUVENILE JUSTICE, CHILD WELFARE, DEVELOPMENTAL DISABILITIES, OR CHEMICAL DEPENDENCY. TWO PATHWAYS SUPPORT ELIGIBLE YOUTH: WRAPAROUND WITH INTENSIVE SERVICES (WISE) FOR THOSE UTILIZING MEDICAID-FUNDED MENTAL HEALTH TREATMENT, AND MIDD WRAPAROUND FOR YOUTH ENGAGED IN AT LEAST TWO PUBLIC SYSTEMS. EACH YOUNG PERSON IS SUPPORTED BY A COORDINATED TEAM THAT INCLUDES A FACILITATOR, CLINICIAN, FAMILY PEER PARTNER, AND YOUTH PEER. TOGETHER, THIS TEAM DEVELOPS A CUSTOMIZED, CROSS-SYSTEM CARE PLAN CENTERED ON THE FAMILY'S VOICE, VALUES, AND GOALS. SERVICES ARE COMMUNITY-BASED, CULTURALLY RESPONSIVE, AND GROUNDED IN TEN GUIDING PRINCIPLES, INCLUDING FAMILY VOICE AND CHOICE, COLLABORATION, PERSISTENCE, AND OUTCOMES-BASED PLANNING.IN 2024, 288 YOUTH RECEIVED CARE THROUGH THIS PROGRAM. ON AVERAGE, YOUTH PARTICIPATE FOR 18 MONTHS, WITH SIGNIFICANT IMPROVEMENTS IN SCHOOL ATTENDANCE, ACADEMIC ACHIEVEMENT, REDUCED HOSPITAL VISITS, AND FEWER INTERACTIONS WITH LAW ENFORCEMENT. FAMILIES EXIT THE PROGRAM WITH STRONGER SUPPORT NETWORKS AND THE TOOLS NEEDED TO CONTINUE GUIDING THEIR CHILD'S RECOVERY.SCHOOL-BASED SERVICES (AUBURN, FEDERAL WAY, AND KENT SCHOOL DISTRICTS): VALLEY CITIES' SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM MEETS YOUTH WHERE THEY SPEND MOST OF THEIR TIME AT SCHOOL PROVIDING ESSENTIAL MENTAL HEALTH AND PREVENTION SERVICES IN AUBURN, FEDERAL WAY, AND KENT SCHOOL DISTRICTS. BY PARTNERING DIRECTLY WITH SCHOOLS, OUR DEDICATED TEAM REMOVES BARRIERS TO CARE, SUPPORTS EMOTIONAL WELL-BEING, AND HELPS STUDENTS THRIVE BOTH IN THE CLASSROOM AND AT HOME. MEETING STUDENTS AT SCHOOL BREAKS DOWN MANY OF THE BIGGEST OBSTACLES TO CARE INCLUDING TRANSPORTATION CHALLENGES, LACK OF PARENTAL AVAILABILITY DURING WORK HOURS, AND STIGMA AROUND SEEKING HELP. BY OFFERING SERVICES IN A FAMILIAR, SUPPORTIVE ENVIRONMENT, STUDENTS ARE MORE LIKELY TO ENGAGE IN CARE AND STICK WITH IT. THIS APPROACH ENSURES THAT HELP IS AVAILABLE WHEN AND WHERE IT'S NEEDED MOST. IN 2024 ALONE, VALLEY CITIES SERVED 281 STUDENTS THROUGH IN-SCHOOL COUNSELING, GROUP SESSIONS, AND TELEHEALTH OUTREACH EVEN CONTINUING CARE DURING SCHOOL BREAKS. OUR TEAM HOSTED 14 EDUCATIONAL WORKSHOPS, 15 SUPPORT GROUPS, AND 3 COMMUNITY EVENTS, INCLUDING BACK-TO SCHOOL AND RESOURCE FAIRS THAT CONNECTED FAMILIES TO VITAL SERVICES. THIS PROGRAM FILLS A CRITICAL GAP OFFERING MENTAL HEALTH SUPPORT THAT SCHOOLS ARE NOT EQUIPPED TO PROVIDE, WHILE CREATING A SAFE, TRUSTED SPACE FOR YOUTH TO GROW AND HEAL. FUNDED IN PART BY MEDICAID AND SUPPORTED BY CITY AND DISTRICT CONTRACTS, THIS WORK IS MADE POSSIBLE BY GENEROUS PARTNERS LIKE YOU. WITH YOUR SUPPORT, WE CAN REACH EVEN MORE YOUNG PEOPLE IN NEED. (SEE CONTINUATION) 22537880 21073666 SEE SCHEDULE ORECOVERY 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 2024 WAS 22 AND 28, 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 & 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. THE AVERAGE DAILY CENSUS FOR SWMS AND E&T FOR 2024 WAS 13 AND 15, RESPECTIVELY. 8322881 9015866 SEE SCHEDULE OHOUSING 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 ONSITE AND COMMUNITY-BASED SERVICES THAT HELP THEM LIVE WITH STABILITY, AUTONOMY AND DIGNITY. FAMILIES FIRST: WITH FUNDING FROM THE KING COUNTY HOUSING AUTHORITY (23 VOUCHERS), THE FAMILIES FIRST PROGRAM IS DESIGNED TO PROVIDE HOUSING PLACEMENT AND SUPPORTIVE SERVICES TO 23 HIGH NEEDS FAMILIES IN KING COUNTY WHO HAVE HAD AT LEAST ONE CHILD OR MORE WHO 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 INCREASE 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 2024, THIS PROGRAM SERVED 32 ADULTS AND 37 CHILDREN, 22 OF 23 HOUSEHOLDS AND A SUCCESS RATE OF 96% OF FAMILIES REMAINING STABLY HOUSED FOR AT LEAST 1 OR MORE YEARS.RURAL MOBILE BEHAVIORAL HEALTH OUTREACH AND ENGAGEMENT: LAUNCHED BY THE KING COUNTY DEPARTMENT OF COMMUNITY AND HUMAN SERVICES (DCHS), THE PROGRAM PROVIDES TIME-LIMITED BEHAVIORAL HEALTH SUPPORT THROUGH MOBILE UNITS AND OUTREACH TEAMS. THE PRIMARY OBJECTIVES ARE TO ENGAGE INDIVIDUALS WHO ARE ELIGIBLE FOR MEDICAID-FUNDED BEHAVIORAL HEALTH SERVICES OR ARE CURRENTLY ENROLLED BUT NOT ACTIVELY PARTICIPATING; OFFER SERVICES IN LOCATIONS THAT ARE CONVENIENT AND RELEVANT TO RURAL RESIDENTS, THEREBY REDUCING BARRIERS SUCH AS TRANSPORTATION, TRAVEL TIME, AND CHILDCARE NEEDS; ASSIST INDIVIDUALS IN ACCESSING OUTPATIENT SERVICES, WHETHER IN-PERSON OR VIA TELEHEALTH, IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND MEDICAID BEHAVIORAL HEALTH PROVIDERS. SERVICES INCLUDE OUTREACH, ENGAGEMENT, ASSESSMENT, AND REFERRALS TO APPROPRIATE BEHAVIORAL HEALTH SERVICES.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 2024, 2,317 INDIVIDUALS PARTICIPATED IN A MHFA TRAINING AND 225 MHFA TRAININGS WERE HELD; 69 OF THOSE WERE ON YOUTH MENTAL HEALTH AND 155 WERE ON ADULT MENTAL HEALTH, 41 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.ASSISTED OUTPATIENT SERVICES PROGRAM: THE ASSISTED OUTPATIENT SERVICES PROGRAM (AOSP) WAS CREATED BY KING COUNTY IN ORDER TO REDUCE OR PREVENT DECOMPENSATION, RE-HOSPITALIZATION, AND OTHER EMERGENCY BEHAVIORAL HEALTH RESPONSES FOR CLIENTS WHO HAVE BEEN DISCHARGED FROM COMMUNITY HOSPITALS AND EVALUATION AND TREATMENT (E&T) FACILITIES ON A LESS RESTRICTIVE ORDER (LRO), LESS RESTRICTIVE ALTERNATIVE (LRA), OR CONDITIONAL RELEASE (CR). THE GOAL OF AOSP IS TO SUCCESSFULLY TRANSITION CLIENTS FROM A HIGHER LEVEL OF CARE TO OUTPATIENT BEHAVIORAL HEALTH SERVICES AS WELL AS ENSURE THAT CLIENTS MAINTAIN A HIGH LEVEL OF ENGAGEMENT IN OUTPATIENT SERVICES FOR THE DURATION OF THEIR LRO, LRA OR CR. KING COUNTY PROVIDES AN INCENTIVE PAYMENT WHEN VALLEY CITIES ENGAGES AN AOSP ENROLLED CLIENT IN AT LEAST 12 CONTACTS PER MONTH. CLIENTS ARE ENROLLED IN AOSP FOR THE DURATION OF THEIR LRO, LRA OR CR, WHICH IS TYPICALLY 3 MONTHS BUT CAN BE 6 MONTHS OR 12 MONTHS. IN 2024, A TOTAL OF 73 CLIENTS WERE ENROLLED IN AOSP. AN AVERAGE OF 23 CLIENTS WERE SERVED EACH MONTH.HUB AND SPOKES SERVICES ALSO KNOWN AS MATCH (MEDICATION-ASSISTED TREATMENT & COMMUNITY HEALTH): IN 2017, VALLEY CITIES BEHAVIORAL HEALTH ENTERED A CONTRACT WITH SAMHSA AND THE HEALTH CARE AUTHORITY TO BEGIN PROVIDING LOW-BARRIER, RAPID ACCESS TO MEDICATIONS FOR OPIATE USE DISORDER (MOUD) AND RELATED SUPPORT SERVICES IN RESPONSE TO THE OPIOID EPIDEMIC. THE PRIMARY FOCUS OF THE MATCH PROGRAM IS TO INDUCT AND STABILIZE INDIVIDUALS WITH MOUD, WHO MEET DIAGNOSTIC CRITERIA FOR AN OPIOID USE DISORDER, WITH THE OPTION OF ON-SITE ADMINISTRATION OF AN OPIOID AGONIST (BUPRENORPHINE) OR AN OPIOID ANTAGONIST (NALTREXONE, PRIMARILY IN THE FORM OF EXTENDED-RELEASE INJECTABLE). AN ADDITIONAL FOCUS OF MATCH IS REDUCING BARRIERS TO INCREASE THE EASE OF ACCESS TO MOUD, TREATMENT AND CARE NAVIGATION. MATCH SERVICES CAN BE ACCESSED IN THE COMMUNITY AT ONE OF VALLEY CITIES' OUTPATIENT FACILITIES THROUGHOUT KING COUNTY OR AT ONE OF THE TWO INPATIENT PROGRAMS, RECOVERY PLACE SEATTLE (RPS) AND RECOVERY PLACE KENT (RPK). IN RESPONSE TO THE ONSET OF FENTANYL AND THE SUBSEQUENT SPIKE IN OVERDOSE, OVERDOSE DEATH AND ACCIDENTAL POISONING, THE MATCH PROGRAM IS WORKING ASSERTIVELY TO ENSURE CONSISTENT ACCESS TO NALOXONE AND FENTANYL TEST STRIPS. THESE LIFESAVING ITEMS ARE DISTRIBUTED AT ALL VALLEY CITIES LOCATIONS. THE MATCH PROGRAM WORKS CLOSELY WITH ITS COMMUNITY PARTNERS TO PROVIDE INDIVIDUALIZED, EQUITABLE SERVICES. VALLEY CITIES CARE NAVIGATORS, PEER SUPPORT SPECIALIST, DATA COORDINATOR AND NURSE CARE MANAGER ALL WORK DIRECTLY WITH THE CLIENT TO CONNECT THEM WITH THE SERVICES THEY ARE SEEKING TO INCLUDE (BUT NOT LIMITED TO), PRIMARY CARE, DENTAL, BEHAVIORAL HEALTH, HOUSING, EMPLOYMENT, AND RECOVERY SUPPORT SERVICES. TO PROVIDE EVIDENCE-BASED, TRAUMA-INFORMED CARE, THE MATCH PROGRAM REGULARLY ATTENDS CONTINUING EDUCATION OPPORTUNITIES AND ENGAGES WITH OTHER MOUD PROVIDERS AS A COHORT, TO BETTER UNDERSTAND THE COMMUNITY VALLEY CITIES IS SERVING AND TO STAY UP TO DATE ON THE MOST EFFECTIVE TREATMENT STRATEGIES. IN THAT SPIRIT, MATCH PROVIDES QUANTITATIVE AND QUALITATIVE DATA TO THE WASHINGTON STATE HEALTHCARE AUTHORITY, DBHR AND SAMHSA TO FURTHER THE MUTUAL GOAL OF HELPING THOSE WHO CONTINUE TO STRUGGLE WITH OPIATE USE DISORDER. 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. IN ADDITION, THE MEDICAL STAFF PROVIDES PSYCHIATRIC CONSULTATION TO A RANGE OF COMMUNITY HEALTH CENTERS THROUGHOUT KING COUNTY, ADVISING THE PRIMARY CARE STAFF WITH DIAGNOSTIC INFORMATION AND RECOMMENDATIONS ON PSYCHOTROPIC MEDICATIONS THAT CAN BE PRESCRIBED IN THE PRIMARY CARE SETTING. ALL EXPENSES RELATED TO THESE STAFF ARE CAPTURED IN THIS PROGRAM.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. 57871348 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 160 0 1 756 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X X SHEKH ALI 2064085182 33405 8TH AVE S SUITE 200 FEDERAL WAY WA 98003 DAN MCDOUGALL-TREACY CHAIR/TREASURER 1.00 X X 0 0 0 HOLLY WEST IMMEDIATE PAST-CHAIR 1.00 X X 0 0 0 MEGAN PUKALA VICE-CHAIR 1.00 X X 0 0 0 JANET VALDIVIA SPANGLER SECRETARY 1.00 X X 0 0 0 ALEX SHEEHAN BOARD DIRECTOR 1.00 X 0 0 0 ARON ZEKARIAS BOARD DIRECTOR 1.00 X 0 0 0 HEATHER RAMOS BOARD DIRECTOR 1.00 X 0 0 0 JENNIFER HARJEHAUSEN BOARD DIRECTOR 1.00 X 0 0 0 LINDA OSBORNE BOARD DIRECTOR 1.00 X 0 0 0 MARCIE PALMER BOARD DIRECTOR 1.00 X 0 0 0 TERESA CURRY BOARD DIRECTOR 1.00 X 0 0 0 SHEKH A ALI CHIEF EXECUTIVE OFFICER 40.00 X 407210 0 11107 CHAKIB BELFARJI CHIEF FINANCIAL OFFICER 40.00 X 206322 0 11107 STANFORD N TRAN ASSOC. DIRECTOR OF IP MEDICINE 32.00 X 263343 0 1792 RICHARD R GEIGER CHIEF OF IP & RESIDENTIAL SERVICES 40.00 X 199558 0 11107 JAMIE K NORITAKE HENSON CHIEF ADMINISTRATIVE OFFICER 40.00 X 204370 0 372 JEFFREY M KENDALL ASSOC. MEDICAL DIRECTOR OF IP PSYCH 40.00 X 221643 0 372 HONG-NHUNG T DO ADDICTION MEDICINE PHYSICIAN 40.00 X 216269 0 371 KATHRYN C HOWLAND ADV. REGISTERED NURSE PRACTIONER 40.00 X 205290 0 11107 ASKIA DAVIS ADV. REGISTERED NURSE PRACTIONER 40.00 X 198229 0 11107 ANGELA E TIEDE OUTPATIENT PSYCHIATRY SUPERVISOR 32.00 X 185283 0 8960 2307517 0 67402 87 0 1 0 QUALIFACTS PO BOX 4577 CAROL STREAM IL 60197 CRM SYSTEM 519538 AMERGIS HEALTHCARE STAFFING 6100 219TH ST SW ST 500 MOUNTLAKE TERRACE WA 98043 STAFFING 484272 ALERT SECURITY ASSET PROTECTION PO BOX 25656 PORTLAND OR 97298 SECURITY 413101 LEVEL 3 COMMUNICATIONS LLC PO BOX 910182 DENVER CO 80291 COMMUNICATION 373437 VALLEY JANITORIAL LLC PO BOX 1686 SUMNER WA 98390 JANITORIAL SERVICES 341237 31 24467 1239073 1263540 KING COUNTY CONTRACTS 621400 54171044 54171044 MEDICAID 621400 6305341 6305341 STATE OF WASHINGTON 621400 2851729 2851729 LOCAL CONTRACTS 621400 1581176 1581176 SUPPORTED HOUSING INCOME 624200 550294 550294 1455345 1455345 66914929 1156020 1156020 2908318 2908318 0 0 24467 12193 -12193 -12193 69322296 66914929 0 1143827 31625 31625 1316285 850450 465835 39759957 37363158 2353677 43122 1075867 979159 96705 3 4403136 4093921 303957 5258 3614462 3381251 229598 3613 96098 62767 33331 64925 61076 3789 60 1181414 644645 536769 203154 143050 59237 867 4836721 4495243 341478 1176235 1074399 101169 667 1361256 1358877 2354 25 152222 144022 7581 619 290582 268747 19977 1858 274864 274631 229 4 1370590 1368111 2428 51 631563 604299 26777 487 CLIENT ASSISTANCE 543452 542452 1000 OTHER EXPENSES 76370 71160 5210 CLIENT - SPECIAL NEEDS 58305 58305 62519083 57871348 4591101 56634 -484958 208144 21178202 27796831 5821241 5145211 404285 636207 55574205 14355221 41698216 41218984 5371148 6952141 2093413 1073376 76081547 83030894 4161731 5845951 8394695 7976710 416098 311738 21685188 20648894 34657712 34783293 X 38354685 45317397 3069150 2930204 41423835 48247601 76081547 83030894 6803213 20553 0 X 0 1 X 1 1 1 X 2153345 2419989 2025068 3232926 1263540 11094868 57819858 50019231 51336040 54583489 66914929 280673547 59973203 52439220 53361108 57816415 68178469 291768415 1956788 2240943 1704992 85000 909389 6897112 0 1956788 2240943 1704992 85000 909389 6897112 284871303 8274 2242 8064 843101 1156020 2017701 8274 2242 8064 843101 1156020 2017701 59981477 52441462 53369172 58659516 69334489 293786116 0.96970 0.99640 0.00690 0.00330 X PART I, LINE 10 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6138227 6138227 45518246 11293733 34224513 1262449 899631 362818 2364792 2161857 202935 290491 290491 41218984 LEASE LIABILITIES 1027902 REFUNDABLE ADVANCES 19592443 SECURITY DEPOSIT PAYABLE 28549 20648894 X 69355042 20553 12193 32746 69322296 0 69322296 62531276 12193 12193 62519083 0 62519083 PART X, LINE 2: 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 2024 AND 2023, 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 12,193. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 12,193. CVN FUNDRAISER 14360 14360 288 220 5897 900 210 PATHWAYS TO RECOVERY BREAKFAST 10107 10107 706 250 3529 193 24467 24467 994 470 9426 900 403 12193 -12193 1 NEIGHBORCARE HEALTH 1200 12TH AVE S NO 901 SEATTLE WA 98144 910893287 501(C)(3) 31625 0 GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: 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. X X X 0 0 0 0 0 0 0 0 0 SHEKH A ALI CHIEF EXECUTIVE OFFICER 384655 0 0 0 22555 0 0 0 11107 0 418317 0 0 0 STANFORD N TRAN ASSOC. DIRECTOR OF IP MEDICINE 252072 0 0 0 11271 0 0 0 1792 0 265135 0 0 0 JEFFREY M KENDALL ASSOC. MEDICAL DIRECTOR OF IP PSYCH 217313 0 0 0 4330 0 0 0 372 0 222015 0 0 0 CHAKIB BELFARJI CHIEF FINANCIAL OFFICER 206322 0 0 0 0 0 0 0 11107 0 217429 0 0 0 HONG-NHUNG T DO ADDICTION MEDICINE PHYSICIAN 192346 0 0 0 23923 0 0 0 371 0 216640 0 0 0 KATHRYN C HOWLAND ADV. REGISTERED NURSE PRACTIONER 193829 0 0 0 11461 0 0 0 11107 0 216397 0 0 0 RICHARD R GEIGER CHIEF OF IP & RESIDENTIAL SERVICES 193747 0 0 0 5811 0 0 0 11107 0 210665 0 0 0 ASKIA DAVIS ADV. REGISTERED NURSE PRACTIONER 184498 0 0 0 13731 0 0 0 11107 0 209336 0 0 0 JAMIE K NORITAKE HENSON CHIEF ADMINISTRATIVE OFFICER 193398 0 0 0 10972 0 0 0 372 0 204742 0 0 0 ANGELA E TIEDE OUTPATIENT PSYCHIATRY SUPERVISOR 164037 0 0 0 21246 0 0 0 8960 0 194243 0 0 0 A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2019-09-20 10080000 SEE PART VI 0 0 0 A 3454063 10080000 131776 7315737 2632487 2019 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 SCHEDULE K, PART I, LINE A, DESCRIPTION OF PURPOSE 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. FORM 990, PAGE 1, PART I, LINE 6 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. FORM 990, PART III, LINE 4A (CONTINUATION) FAMILY TREATMENT COURT WRAPAROUND IS A POWERFUL ALTERNATIVE TO TRADITIONAL DEPENDENCY COURT, FOCUSED ON IMPROVING THE SAFETY AND WELL-BEING OF CHILDREN BY SUPPORTING PARENTS IN THEIR RECOVERY AND REUNIFICATION JOURNEY. THIS SPECIALIZED APPROACH PROVIDES PARENTS WITH ACCESS TO SUBSTANCE USE TREATMENT, JUDICIAL OVERSIGHT OF SOBRIETY, AND INDIVIDUALIZED SERVICES THAT STRENGTHEN THE ENTIRE FAMILY UNIT. UNIQUE IN WASHINGTON STATE, VALLEY CITIES' PROGRAM IS THE ONLY WRAPAROUND MODEL THAT CENTERS ADULTS AS THE PRIMARY CLIENT ENSURING THAT PARENTS' VOICES ARE HEARD AND THEIR NEEDS PRIORITIZED WITHIN THE CHILD WELFARE PROCESS. A DEDICATED FULL-TIME FACILITATOR WORKS CLOSELY WITH EACH FAMILY TO IDENTIFY STRENGTHS, SET MEANINGFUL GOALS, AND BUILD A STRENGTH-BASED PLAN FOR LASTING CHANGE. THIS INDIVIDUALIZED SUPPORT HELPS FAMILIES REMAIN SAFELY TOGETHER WHILE ADDRESSING ROOT CAUSES OF INSTABILITY SUCH AS ADDICTION, TRAUMA, AND POVERTY. THROUGH CONSISTENT COLLABORATION, FAMILIES GAIN THE TOOLS, STABILITY, AND SUPPORT THEY NEED TO CREATE SAFE, NURTURING HOME ENVIRONMENTS FOR THEIR CHILDREN. FUNDED BY KING COUNTY THROUGH THE MIDD INITIATIVE, THIS PROGRAM OFFERS A CRITICAL LIFELINE TO PARENTS WORKING TO REUNIFY WITH THEIR CHILDREN AND CREATES LASTING CHANGE BY BREAKING CYCLES OF FAMILY SEPARATION AND SUBSTANCE USE. SENIOR CENTER PROGRAM: OLDER ADULTS OFTEN FACE UNIQUE CHALLENGES INCLUDING ISOLATION, GRIEF, CHRONIC HEALTH ISSUES, AND LIMITED ACCESS TO MENTAL HEALTH CARE. THE SENIOR CENTER PROGRAM EXPANDS ACCESS TO VITAL GROUP AND INDIVIDUAL BEHAVIORAL HEALTH SERVICES FOR SENIORS IN KENT AND SEATTLE, THROUGH PARTNERSHIPS WITH THE CITY OF KENT AND THE CITY OF SEATTLE. SERVICES ARE PROVIDED ON-SITE AT THE KENT SENIOR CENTER AND THE PIKE MARKET SENIOR CENTER, WITH SUPPORT FROM STAFF AT THE KENT, AUBURN, AND PIKE CLINICS, ALONG WITH THE EXPANDED COMMUNITY SERVICES (ECS) TEAM. THIS OUTREACH SPECIFICALLY SERVES MEDICARE RECIPIENTS A POPULATION HISTORICALLY UNDERSERVED DUE TO A SHORTAGE OF BEHAVIORAL HEALTH PROVIDERS. IN 2024, THE PROGRAM DELIVERED 5 WEEKLY GROUPS AND 45 SESSIONS PER WEEK, OFFERING SUPPORT ON TOPICS SUCH AS GRIEF AND LOSS, MENTAL WELLNESS, TAI CHI FOR GENTLE MOVEMENT, WOMEN'S CONNECTION GROUPS, AND PEER-LED WORKSHOPS FOCUSED ON SELF-CARE AND HEALTHY AGING. THIS PROGRAM ENSURES THAT OLDER ADULTS ARE NOT LEFT BEHIND PROVIDING A SPACE FOR CONNECTION, HEALING, AND CONTINUED GROWTH IN LATER LIFE. WITH DONOR SUPPORT, MORE SENIORS CAN GAIN ACCESS TO CARE THAT HONORS THEIR EXPERIENCES, RESTORES THEIR SENSE OF BELONGING, AND IMPROVES THEIR OVERALL QUALITY OF LIFE. 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 SUPPORT 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. 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. 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. THE 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 2024, 151 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 2024, VALLEY CITIES HAD REFERRALS FROM 262 CLIENTS, WE SERVED 150 CLIENTS WITH 85 BEING NEW CLIENT ENROLLMENTS. THERE WERE 3,356 (22%) REPORTED THEY WERE NOT EMPLOYED. NEW JOURNEYS DEMONSTRATION PROJECT PROGRAM: THE NEW JOURNEYS DEMONSTRATION PROJECT'S GOAL IS TO DELIVER AND IMPLEMENT A MODEL FOR FIRST-EPISODE PSYCHOSIS (FEP) TREATMENT THAT CREATES A POSITIVE CLIMATE AND MAINTAINS FIDELITY TO THE CLINICAL CONCEPTS AND CORE ELEMENTS OF COORDINATED SPECIALTY CARE (CSC) VIA THE NAVIGATE MODEL. PARTICIPANTS ARE KING COUNTY RESIDENTS BETWEEN AGES 15-40 WHO HAVE A PRIMARY DIAGNOSIS ON THE SCHIZOPHRENIA SPECTRUM WITH SYMPTOMS FOR LESS THAN TWO YEARS. THE MENTAL HEALTH SYMPTOMS ARE NOT A DIRECT RESULT OF OR STRONGLY IMPACTED BY AN AUTISM SPECTRUM DISORDER, SIGNIFICANT DEVELOPMENTAL DELAYS, LEARNING DISABILITIES OR OTHER MEDICAL CONDITIONS. NEW JOURNEYS PLACES A STRONG EMPHASIS ON OUTREACH AND ENGAGEMENT. VALLEY CITIES STAFF DEDICATE THEIR TIME TO "MEETING PARTICIPANTS WHERE THEY ARE AT." THEY ENSURE PARTICIPATION AND ENGAGEMENT OF SUPPORT BY OFFERING MOBILE SERVICES TO MEET THE VARYING NEEDS WITHIN RECOVERY. NEW JOURNEYS PROVIDES INDIVIDUAL SKILLS TRAINING AND THERAPY, GROUP THERAPY, FAMILY EDUCATION AND SUPPORT, CASE MANAGEMENT, EMPLOYMENT AND EDUCATION SERVICES AND PEER SUPPORT IN COMMUNITY SETTINGS. THEY ALSO OFFER MEDICATION MANAGEMENT AT A CLINIC FOR ENROLLED PARTICIPANTS. THE MANAGER PROVIDES SCREENINGS FOR REFERRALS, CLINICAL SUPERVISION, CONTRACT MONITORING, RELATIONSHIP BUILDING WITH THE REFERRAL BASE AND COMMUNITY EDUCATION ABOUT BOTH THE SCHIZOPHRENIA SPECTRUM AND SERVICES OFFERED BY NEW JOURNEYS. IN ADDITION TO WORKING WITH ENROLLED PARTICIPANTS AND THEIR SUPPORT, THE MANAGER ALSO EXPLORES RESOURCES AND TREATMENT OPTIONS FOR THOSE INDIVIDUALS WHO DO NOT MEET THE ELIGIBILITY CRITERIA FOR NEW JOURNEYS. (SEE CONTINUATION) FORM 990, PART III, LINE 4A (CONTINUATION) LOW-BARRIER BUPRENORPHINE SERVICE EXPANSION PROGRAM: IN 2018, VALLEY CITIES FACILITATED ACCESS TO BUPRENORPHINE INDUCTION AND TREATMENT SERVICES THAT PROVIDE A CONTINUUM OF MEDICATION ASSISTED TREATMENT AND RECOVERY SUPPORT SERVICES DESIGNED FROM A RECOVERY AND RESILIENCY PERSPECTIVE AND AVAILABLE TO ELIGIBLE INDIVIDUALS IN KING COUNTY. VALLEY CITIES WORKED COOPERATIVELY WITH BEHAVIORAL HEALTH RECOVERY DIVISION (BHRD) ON A MUTUALLY AGREED-UPON PROCESS TO QUALITATIVELY EVALUATE TREATMENT ACTIVITIES TO HELP ANSWER QUESTIONS RELATED TO BUPRENORPHINE PROGRAM SUCCESS AND TO CREATE AND IDENTIFY LEARNING OPPORTUNITIES WHILE AN EFFECTIVE LOW-BARRIER MAT NETWORK IS DEVELOPED IN KING COUNTY. VETERAN SERVICES: VETERANS AND THEIR FAMILIES OFTEN FACE SIGNIFICANT BARRIERS WHEN TRANSITIONING TO CIVILIAN LIFE INCLUDING HOUSING INSTABILITY, MENTAL HEALTH CHALLENGES, AND DIFFICULTY NAVIGATING COMPLEX SYSTEMS OF CARE. VALLEY CITIES' VETERAN SERVICES PROGRAM PROVIDES ESSENTIAL BEHAVIORAL HEALTH SUPPORT, HOUSING NAVIGATION, AND CULTURALLY RESPONSIVE GUIDANCE TO VETERANS ACROSS KING COUNTY. IN 2024, WITH FUNDING FROM THE KING COUNTY VETERANS, SENIORS, AND HUMAN SERVICES LEVY, THE PROGRAM CONNECTED 133 VETERANS AND FAMILY MEMBERS TO CRITICAL SERVICES THROUGH TWO KEY INITIATIVES: PATHFINDER FOR VETERANS OF COLOR, WHICH OFFERS CULTURALLY ATTUNED SUPPORT AND SYSTEM NAVIGATION; VETERAN HOUSING NAVIGATION, HELPING INDIVIDUALS SECURE STABLE HOUSING AND REBUILD THEIR FOUNDATION. IN ADDITION, BEHAVIORAL HEALTH COUNSELING WAS PROVIDED TO 20 VETERANS THROUGH A SPECIALIZED CONTRACT WITH THE WASHINGTON STATE DEPARTMENT OF VETERANS AFFAIRS ADDRESSING PTSD, DEPRESSION, SUBSTANCE USE, AND OTHER CHALLENGES WITH CARE ROOTED IN DIGNITY AND RESPECT. THIS PROGRAM HELPS VETERANS, AND THEIR FAMILIES RECLAIM STABILITY, MENTAL WELLNESS, AND A SENSE OF COMMUNITY. COHEN VETERANS NETWORK: IN 2024, THE COHEN CLINIC PROVIDED APPROXIMATELY 12,880 SERVICE HOURS WITH 1296 EPISODES OF CARE TO 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 26.77 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, 80% 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 6,572 EPISODES OF CARE TO MEMBERS OF OUR MILITARY COMMUNITY WITH APPROXIMATELY 59,118 HOURS OF CLINICAL CARE. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C A WRITTEN CONFLICT OF INTEREST POLICY IS IN PLACE THAT REQUIRES EACH BOARD MEMBER AND OFFICER TO SIGN AND DISCLOSE THEIR INTERESTS ANNUALLY. UPON DISCLOSURE OF A FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE INTERESTED PERSON WILL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS WILL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN THE EVENT OF A CONFLICT OF INTEREST, THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE BOARD OR COMMITTEE WILL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE WILL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE WILL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND WILL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE OVERSIGHT, IMPLEMENTATION, AND PERIODIC REVIEW OF THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE PROVIDED TO FUNDERS, AUDITORS, AND THE STATE OF WASHINGTON. ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.