2013-07-29T16:15:45-05:00 2012-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2012-01-01 910818971 SOUND MENTAL HEALTH SOUN 2063022270 1600 EAST OLIVE STREET SEATTLE WA 98122 DAVID STONE 2063022270 2013-07-29 1 KAREN L DUNN P00192887 4254544919 2013-07-29 2012 2016-02-24 21:20:13Z DAVID STONE 1600 EAST OLIVE STREET SEATTLE WA 98122 48853175 0 X WWW.SMH.ORG X 1967 WA SMH PROVIDES A BROAD ARRAY OF BEHAVIORAL HEALTH SERVICES TO THE KING COUNTY COMMUNITY. 11 11 645 209 0 0 709604 1155119 45251704 46900239 216059 79690 131080 174872 46308447 48309920 0 0 0 0 30156742 31056448 0 0 427140 14478115 14720774 44634857 45777222 1673590 2532698 38878901 39216989 21019186 18426872 17859715 20790117 X SOUND MENTAL HEALTH'S MISSION IS TO STRENGTHEN ITS COMMUNITY AND IMPROVE THE LIVES OF ITS CLIENTS BY DELIVERING EXCELLENT HEALTH AND HUMAN SERVICES TAILORED TO MEET THEIR NEEDS. 0 0 8105189 9884623 DURING 2012, SOUND MENTAL HEALTH (SMH) PROVIDED SERVICES TO APPROXIMATELY 17,850 CLIENTS IN GREATER KING COUNTY. OVER THE PAST 44 YEARS, SMH HAS DEVELOPED A SUBSTANTIAL BASE OF QUALIFICATIONS AND EXPERIENCE INCLUDING A PHILOSOPHY OF CARE THAT INTEGRATES NATIONAL, STATE AND REGIONAL VALUES AND PRINCIPLES OF RESILIENCE AND PARTNERSHIP IN INDIVIDUALIZED, RECOVERY-ORIENTED CARE. SMH PROVIDES THE FOLLOWING ARRAY OF SERVICES:COUNSELING SERVICES:THIS DIVISION OFFERS INDIVIDUAL COUNSELING, FAMILY THERAPY, GROUP WORK, ADDICTION TREATMENT AND MEDICATION MANAGEMENT SERVICES. THERAPY ADDRESSES DEPRESSION AND ANXIETY, TRAUMA AND POSTTRAUMATIC STRESS, CHILDHOOD DISORDERS, SUBSTANCE ABUSE, PARENTING AND FAMILY CONFLICT, AND MAJOR MENTAL ILLNESS SUCH AS PSYCHOTIC DISORDERS. ADDITIONALLY, CLIENTS RECEIVE CASE MANAGEMENT SUPPORTS AROUND NEEDS SUCH AS HOUSING, EMPLOYMENT, SCHOOL ADVOCACY, TRANSPORTATION, AND DOMESTIC VIOLENCE. SERVICES ARE OFFERED AT CLINIC SITES, PRIMARY HEALTH CARE CLINICS, SCHOOLS, AND IN THE HOME. 8877111 10826016 CHILDREN'S SERVICES:SINCE 1979, THIS DIVISION HAS SPECIALIZED IN SERVING CHILDREN AND YOUTH (AGES 0-21) WHO ARE AT RISK, HAVE HIGH RISK COMPLEX NEEDS AND MULTI-SYSTEM INVOLVEMENT. CLINICIANS USE A CLIENT-CENTERED, HOLISTIC, AND CROSS-SYSTEM APPROACH TO SERVE CHILDREN AND YOUTH WHO ARE MENTALLY ILL, CHEMICALLY DEPENDENT, DEVELOPMENTALLY DISABLED, DEAF AND HARD OF HEARING, PHYSICALLY OR SEXUALLY ABUSED OR NEGLECTED, AND/OR VICTIMS OF DOMESTIC VIOLENCE. MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES SPECIFICALLY TARGETED TO YOUTH ARE DELIVERED IN SCHOOLS, HOMES, AND THE COMMUNITY, AS WELL AS AT SMH FACILITIES. THE ORGANIZATION IS A CHILDPLACING ORGANIZATION THAT LICENSES AND SUPPORTS FOSTER PARENTS TO PROVIDE THERAPEUTIC RESPITE AND ONGOING PLACEMENTS. 8105189 9884623 SUPPORTIVE HOUSING AND RESIDENTIAL SERVICES:LONG-TERM REHABILITATION SERVICES ARE PROVIDED AT CHARTLEY HOUSE, A 64-BED FACILITY LOCATED IN SOUTH KING COUNTY, AVONDALE HOUSE, A 16-BED FACILITY LOCATED IN EAST KING COUNTY, AND STILLWATER HOUSE, A 16-BED FACILITY LOCATED IN EAST KING COUNTY. RESIDENTS TYPICALLY COME TO THE FACILITIES FROM MORE RESTRICTIVE CARE ENVIRONMENTS INCLUDING WESTERN STATE HOSPITAL, JUNIPERWOOD, BROOKSIDE, TALL FIRS, HOLLY CREEK, KENYON HOUSE, MCDERMOTT PLACE, PACIFIC COURT, KASOTA, OASIS HOUSE, REDMOND HOUSE, LAKE HOUSE, AND HAVEN HOUSE ARE AMONG THE APARTMENTS AND HOMES AVAILABLE FOR THOSE WHO ARE HOMELESS OR FOR WHOM FINDING A PLACE TO LIVE WHILE CONTENDING WITH MENTAL ILLNESS AND/OR CHEMICAL DEPENDENCY IS OTHERWISE IMPOSSIBLE. SOME HOUSING UNITS ARE DEDICATED TO TAKING MENTALLY ILL OFFENDERS, WHILE OTHERS SUPPORT VETERANS. PROJECT HOMESTEAD WORKS TO FIND PLACES FOR FAMILIES. THE ORGANIZATION ALSO FORMALLY SUPPORTS ADDITIONAL COMMUNITY HOUSING THROUGH THE SHELTER PLUS CARE PROGRAM, KING COUNTY HOUSING AUTHORITY, AND INDEPENDENT ORGANIZATIONS THAT PROVIDE HOUSING FOR INDIVIDUALS WITH MENTAL HEALTH DISABILITIES. 6175382 7531142 INTEGRATED SERVICES:FORENSIC SERVICES RANGE FROM SUPPORTED HOUSING FOR MENTALLY ILL OFFENDERS TO COMMUNITY REINTEGRATION SERVICES PROVIDING INDIVIDUALIZED CARE TO ADDRESS BOTH MEDICAL AND SOCIAL NECESSITIES AND INTEGRATE INTENSIVE PRE-RELEASE AND POST-RELEASE CASE MANAGEMENT SERVICES WITH HARM REDUCTION AND RELAPSE PREVENTION. 7333265 8943231 REHABILITATIVE SERVICES:THIS DIVISION PROVIDES A BROAD RANGE OF RECOVERY-ORIENTED SERVICES TO CLIENTS WITH PERSISTENT LONG-TERM MENTAL HEALTH DISABILITIES. FROM RESIDENTIAL SUPPORT, PAYEE SERVICES, INDIVIDUAL THERAPY, ADDICTION TREATMENT, VOCATIONAL REHABILITATION, MEDICATION, AND PRESCRIPTION MONITORING TO PEER SUPPORT, SERVICES CAN BE ACCESSED AT ANY SITE IN THE COMMUNITY THAT IS INDICATED BY INDIVIDUAL CIRCUMSTANCES. EMERALD HOUSE PROVIDES REHABILITATIVE INTERACTIONS IN A CLIENT-RUN CLUBHOUSE. OLDER ADULT SERVICES PROVIDE CARE TAILORED TO SENIORS BOTH ON CAMPUS AND AT CARE FACILITIES. THE DEAF SERVICES PROGRAM IS A COMPREHENSIVE, CULTURALLY RELEVANT HEALTH PROGRAM FOR ALL AGES AND IS THE ONLY COUNTY-WIDE SERVICE OF ITS SORT. THE COMMUNITY NETWORKS PROGRAM PROVIDES A WIDE RANGE OF SERVICES TO ADULTS WITH DEVELOPMENTAL DISABILITIES AND MENTAL HEALTH DIAGNOSES. SPECIALIZED PROGRAMS FOR BOTH PERPETRATORS AND VICTIMS OF DOMESTIC VIOLENCE HAVE A STRONG PRESENCE IN THE COMMUNITY. THE ORGANIZATION ALSO PROVIDES A 24/7 CRISIS SERVICE AS WELL AS CRISIS AFTER-CARE AND INCIDENT DEBRIEFING. 13508647 16474373 38596136 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 157 0 1 645 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X DAVID STONE CEO 2063022200 1600 EAST OLIVE STREET SEATTLE WA 98122 X PAULA JANSON 2.00 X X 0 0 0 STAN MOFFETT 2.00 X X 0 0 0 GEORGE STEWART 2.00 X X 0 0 0 RHEA LUTTON 2.00 X X 0 0 0 SUSAN ABOTT 2.00 X 0 0 0 MYLENE BARIZO 2.00 X 0 0 0 GLORIA BERNARD 2.00 X 0 0 0 TRICIA BOERGER 2.00 X 0 0 0 DIANE CIMINO-KELLY 2.00 X 0 0 0 VICKI JACKSON 2.00 X 0 0 0 MARCIA WHARTON 2.00 X 0 0 0 BOBBY MARTINSEN 2.00 X 0 0 0 DAVID STONE 40.00 X 238008 0 16511 PATRICIA BLANCHARD 40.00 X 172596 0 14214 PAUL EISENHAUER 40.00 X 173381 0 21030 MICHAEL SNYDER 40.00 X 268566 0 17472 CARRIE SYLVESTER 28.00 X 166124 0 10492 HARLAN WHITE 32.00 X 184956 0 13421 PAUL ZARKOWSKI 40.00 X 183814 0 14986 MARY BARTELS 28.00 X 169155 0 10687 NICHOLAS WEISS 40.00 X 199593 0 15554 1756193 0 134367 19 0 1 0 AVALON HEALTH CARE 135 S 336TH ST FEDERAL WAY WA 98003 RESIDENTIAL 590160 SYSCO PO BOX 84907 SEATTLE WA 98124 RESIDENTIAL 309190 ASKESIS DEVELOPMENT GROUP 1 CHATHAM CENTER STE 300 PITTSBURGH PA 15219 IT PROGRAMMING 193875 PUGET SOUND REGIONAL SERVICES PO BOX 2577 RENTON WA 98056 CLINICAL 176605 GENOA HEALTHCARE 18300 CASCADE AVE S STE 251 TUKWILA WA 98188 CLINICAL 130273 37 64471 1090648 463607 1155119 FEE FOR SERVICES 623990 44416917 44416917 RENTS 623990 2480311 2480311 KENYON HOUSING LLC 623990 3011 3011 46900239 200692 200692 1560 0 1560 1560 1560 81090 273151 85243 390000 -4153 -116849 -121002 -121002 36075 64471 68012 -31937 -31937 MEDICAL RECORD REVENUE 900099 169396 169396 BOA CASH POINTS 900099 29863 29863 BAD DEBT ALLWNCE CUT 900099 5318 5318 672 672 205249 48309920 47069635 0 85166 921778 760932 154001 6845 23257804 19199420 3884276 174108 637676 526404 107011 4261 4048916 3342398 679466 27052 2190274 1808081 367559 14634 54525 54525 77194 77194 77044 77044 2012314 1865295 133056 13963 100989 78696 16532 5761 637165 496516 104301 36348 1830143 1580113 243363 6667 456410 427752 21252 7406 79560 61998 13023 4539 578872 492061 84573 2238 1390615 1182070 203168 5377 374524 320172 40306 14046 RENTAL HOUSING PROGRAMS 2309080 2309080 SUPPLIES 1381128 1225069 115729 40330 REPAIRS & MAINTENANCE 1101008 964741 101052 35215 COMMUNICATIONS 713091 607360 78407 27324 1547112 1347978 198108 1026 45777222 38596136 6753946 427140 8328173 8702372 91452 99517 2879562 2969098 649267 576378 31860530 11211218 21297958 20649312 4144602 4663214 61396 64407 7978 117138 1418513 1375553 38878901 39216989 3370541 3559964 158616 222181 912769 886646 15613554 12751434 963706 1006647 21019186 18426872 X 17760715 20694117 99000 96000 17859715 20790117 38878901 39216989 2532698 397704 0 X 0 1 X 1 1 1 X 536623 706054 436716 452122 1155119 3286634 39737244 45869548 46550178 45655451 47069635 224882056 40273867 46575602 46986894 46107573 48224754 228168690 9569 12693 16450 9885 13580 62177 0 9569 12693 16450 9885 13580 62177 228106513 149404 48452 127597 177881 202252 705586 149404 48452 127597 177881 202252 705586 4646 4646 35181 35181 40423271 46624054 47119137 46285454 48462187 228914103 0.99650 0.99570 0.00310 0.00400 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: BOA CASH POINTS - 2012 AMOUNT: $ 29,863. BAD DEBT ALLOWANCE REDUCTION - 2012 AMOUNT: $ 5,318. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3751156 3751156 22260275 6784194 15476081 746565 252323 494242 5102534 4174701 927833 20649312 REFUNDABLE GRANTS FROM GOV AGENCIES 782031 CAPITAL LEASE 224616 1006647 50376455 397704 687633 796337 1881674 48494781 -184861 -184861 48309920 47201869 687633 814058 1501691 45700178 77044 77044 45777222 PART IV, LINE 2B: THE ORGANIZATION MAINTAINS A TRUST BANK ACCOUNT FOR ITS CLIENTS AS REQUIRED BY THE DEPARTMENT OF SOCIAL AND HEALTH SERVICES OF WASHINGTON STATE. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM RELATED AFFILIATES 873,381. INVESTMENT EXPENSES -77,044. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -68,012. LOSS ON DISPOSAL OF FIXED ASSET -116,849. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 68,012. EXPENSES FROM RELATED AFFILIATES 629,197. LOSS ON DISPOSAL OF FIXED ASSET 116,849. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 77,044. ANNUAL DINNER 100546 64471 36075 11678 41606 14728 100546 64471 36075 11678 41606 14728 68012 -31937 X 1 1 X X X X 0 0 0 0 0 0 0 1 0 DAVID STONE 199897 0 30000 0 8111 0 6985 0 9526 0 254519 0 0 0 PATRICIA BLANCHARD 160096 0 12500 0 0 0 5120 0 9094 0 186810 0 0 0 PAUL EISENHAUER 160881 0 12500 0 0 0 5143 0 15887 0 194411 0 0 0 MICHAEL SNYDER 258566 0 10000 0 0 0 7500 0 9972 0 286038 0 0 0 CARRIE SYLVESTER 166124 0 0 0 0 0 5049 0 5443 0 176616 0 0 0 HARLAN WHITE 184956 0 0 0 0 0 5538 0 7883 0 198377 0 0 0 PAUL ZARKOWSKI 183814 0 0 0 0 0 5548 0 9438 0 198800 0 0 0 MARY BARTELS 169155 0 0 0 0 0 5244 0 5443 0 179842 0 0 0 NICHOLAS WEISS 199593 0 0 0 0 0 5975 0 9579 0 215147 0 0 0 PART I, LINE 1A DAVID STONE, CEO RECEIVES A GYM MEMBERSHIP AS PART OF HIS COMPENSATION. IT WAS TREATED AS TAXABLE COMPENSATION. THE CEO ALSO HAS A COMPANY VEHICLE. PART I, LINE 7 SMH PROVIDES FOR OPTIONAL BONUSES IN THEIR SENIOR MANAGEMENTS' EMPLOYMENT AGREEMENTS, THOUGH NO CALCULATIONS ARE PROVIDED MAKING THE BONUSES AT THE DISCRETION OF SMH. BONUSES ARE ALLOWED DEPENDING ON PERFORMANCE OF THE INDIVIDUAL AND THE FINANCIAL WELL BEING OF THE ORGANIZATION. COMPARATIVE COMPENSATION SURVEYS ARE TAKEN INTO CONSIDERATION WHEN DETERMINING BONUSES. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2012-12-21 9713921 REFINANCE DEBT 0 0 0 A 9713921 9713921 2012 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 SCHEDULE K, PART IV LINE 6 SIX MONTH SPENDING EXCEPTION - ALL PROCEEDS SPENT WITHIN ONE YEAR. X 1 19843 FMV X SOFTWARE 3 53764 FMV X BUILDING 1 390000 FMV 0 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE NUMBER IN SCHEDULE M, PART I, COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTIONS RECEIVED DURING THE YEAR. FORM 990, PART I, LINE 6, DESCRIPTION OF VOLUNTEER ACTIVITIES: THIS NUMBER PRIMARILY REPRESENTS THE COUNT OF UNPAID CLINICAL INTERNS WHO PERFORMED PATIENT SERVICES AT VARIOUS AMOUNTS OF HOURS THROUGH OUT THE YEAR. TWELVE BOARD MEMBERS PERFORMED THEIR DUTIES UNCOMPENSATED. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY MANAGEMENT AND THE FINANCE & AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE, UPON ACCEPTANCE OF THE FORM 990, INFORMS THE FULL BOARD OF DIRECTORS OF THE OUTCOME OF THE COMMITTEE'S REVIEW, AND COPIES OF THE FORM ARE DISTRIBUTED TO ALL BOARD MEMBERS. AT THE CONCLUSION OF THIS PROCESS, THE COMMITTEE INSTRUCTS MANAGEMENT TO SUBMIT THE FORM 990 TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE SMH BYLAWS INCLUDES A CONFLICT OF INTEREST POLICY, AND THE BOARD OF DIRECTORS IS COVERED BY THE POLICY. PROSPECTIVE BOARD MEMBERS ARE QUESTIONED ON ANY EXISTING AND/OR POTENTIAL CONFLICT OF INTEREST ISSUES DURING THE BOARD MEMBER RECRUITMENT PROCESS. THE BOARD HAS A PRACTICE THAT IT IS THE RESPONSIBILITY OF ALL BOARD MEMBERS TO CONTINUALLY MONITOR AND DISCLOSE ANY NEW OR POTENTIAL CONFLICT OF INTEREST CONCERNS ON AN ONGOING BASIS. WHEN A CONFLICT OF INTEREST OCCURS, THE BOARD DETERMINES IF THERE IS A CONFLICT OF INTEREST, REVIEWS IT, AND DETERMINES IF THE MEMBER(S) INVOLVED SHOULD BE EXCLUDED FROM THE PARTICULAR CONVERSATION OR VOTE. FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR (INCLUDING 2012) THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CEO COMPENSATION TO SET THE COMPENSATION FOR THE FOLLOWING YEAR. THE COMMITTEE USES OUTSIDE COMPARABLE INFORMATION TO SET THIS COMPENSATION. THE PRIMARY SOURCE OF INFORMATION IS THE MENTAL HEALTH CORPORATIONS OF AMERICA ANNUAL SALARY SURVEY FOR OFFICERS AND KEY EMPLOYEES. THE CEO COMPLETES THIS PROCESS FOR A COMPENSATION REVIEW OF OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, COLUMN B: HOURS FOR RELATED ORGANIZATIONS PAULA JANSON, GLORIA BERNARD, RHEA LUTTON, DAVID STONE, AND PAUL EISENHAUER EACH SERVE ONE HOUR PER WEEK WITH SMHI RESIDENTIAL SERVICES, A RELATED ORGANIZATION. RHEA LUTTON, DAVID STONE, AND PAUL EISENHAUER ALSO SERVE ONE HOUR PER WEEK WITH EASTSIDE RESIDENTIAL OPPORTUNITIES, A RELATED ORGANIZATION. EASTSIDE RESIDENTIAL OPPORTUNITIES 1600 EAST OLIVE STREET SEATTLE WA 98122 943145210 LOW INCOME HOUSING FOR THE ELDERLY AND PEOPLE WITH HANDICAPPING CONDITIONS WA 501(C)(3) LINE 9 SOUND MENTAL HEALTH 1 SMHI RESIDENTIAL SERVICES 1600 EAST OLIVE STREET SEATTLE WA 98122 943184024 LONG-TERM INDEPENDENT HOUSING FOR LOW-INCOME AND HOMELESS INDIVIDUALS WA 501(C)(3) LINE 9 SOUND MENTAL HEALTH 1 CHRISTOPHER HOUSING 1600 EAST OLIVE STREET SEATTLE WA 98122 911814362 LOW INCOME HOUSING FOR PEOPLE WITH MULTIPLE NEEDS WA 501(C)(3) LINE 7 BUILDING CHANGES (11-7312012) SOUND MENTAL HEALTH (81-12312012) 1 SHIRLEY BRIDGE BUNGALOWS 1600 EAST OLIVE STREET SEATTLE WA 98122 912105328 LOW INCOME HOUSING FOR PEOPLE WITH MULTIPLE NEEDS WA 501(C)(3) LINE 7 BUILDING CHANGES (11-7312012) SOUND MENTAL HEALTH (81-12312012) 1 KENYON HOUSING LLC 1600 EAST OLIVE STREET SEATTLE WA 98122 204629205 RENTAL REAL ESTATE WA SOUND MENTAL HEALTH RELATED 3011 379578 0 -1154 1 0.50000 KENYON & BOZEMAN LP 1600 EAST OLIVE STREET SEATTLE WA 98122 261525260 RENTAL REAL ESTATE WA 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 EASTSIDE RESIDENTIAL OPPORTUNITIES A 1710 FAIR MARKET VALUE EASTSIDE RESIDENTIAL OPPORTUNITIES D 96719 BOOK VALUE