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600-309-534:KITSAP MENTAL HEALTH SERVICES

Site:KMHS, Tax Year:2011

Business Information
Name of Business as Registered: KITSAP MENTAL HEALTH SERVICES
UBI Number used with Department of Employment Security
(if this number differs from Revenue's Tax Registration Number)
600309534
Total number of employees statewide (as reported to
Employment Security) on December 31, 2011
345
Employment Security Reference Number(s)
951748006
Check this box if you are a tooling manufacturer.
Check this box if you have no sites in Washington
Check this box if you have no business sites and no employees in Washington State.
How many manufacturing sites do you have in Washington that were supported by tax incentives during this calendar year?
1
Selected Incentives:
Government Funded Mental Health Services Deduction
Manufacturing Site Details
Site Name:
KMHS
Contact Name:
Address line 1
5455 ALMIRA DR NE
Address line 2
City
BREMERTON
Zip
98311
State
WA
Email Address
Daytime phone
Fax
Activity begin date
8/1/2011
mm/dd/yyyy
Activity end date
12/31/2012
mm/dd/yyyy
SECTION 1a - EMPLOYMENT INFORMATION
Percentage of activities reflected in this report supported by tax incentives: 98.0%
OCCUPATIONS/STANDARD OCCUPATION CODE 1
Total no. of employees in this occupation
2a
Minimum Wage - $10(%)
2b
$10.01 - $15(%)
2c
$15.01 - $20(%)
2d
$20.01 - $30(%)
2e
$30.01 & Over(%)
Management 9 0.0 0.0 0.0 0.0 100.0
Business, financial, and legal operations 3 0.0 0.0 0.0 67.0 33.0
Computer, mathematical, architecture, and engineering 7 0.0 0.0 29.0 57.0 14.0
Life, physical, and social science 0
Community and social services 164 1.0 19.0 28.0 45.0 7.0
Education, training, and library 1 0.0 0.0 100.0 0.0 0.0
Healthcare practitioners, technical, and support 37 0.0 0.0 0.0 16.0 84.0
Protective services, building, and grounds maintenance 0
Sales and service 0
Office and administrative support 51 2.0 31.0 51.0 16.0 0.0
Construction and extraction 0
Installation, maintenance, and repair 14 0.0 50.0 29.0 14.0 7.0
Production, non-construction trades, and craft 0
Transportation and material moving 0
Other (forest, fishery, agriculture, military, arts, entertainment, and media) 59 32.0 68.0 0.0 0.0 0.0


OCCUPATIONS/STANDARD OCCUPATION CODE 3a
Full-Time Employees(%)
3b
Part-Time Employees(%)
3c
Temporary Employees(%)
4
Medical Benefits % Eligible
5
Retirement Benefits % Eligible
Management 78.0 22.0 0.0 100.0 88.0
Business, financial, and legal operations 100.0 0.0 0.0 100.0 100.0
Computer, mathematical, architecture, and engineering 100.0 0.0 0.0 100.0 100.0
Life, physical, and social science
Community and social services 77.0 20.0 3.0 97.0 93.0
Education, training, and library 100.0 0.0 0.0 100.0 100.0
Healthcare practitioners, technical, and support 27.0 46.0 27.0 73.0 62.0
Protective services, building, and grounds maintenance
Sales and service
Office and administrative support 82.0 12.0 6.0 94.0 94.0
Construction and extraction
Installation, maintenance, and repair 93.0 0.0 7.0 93.0 72.0
Production, non-construction trades, and craft
Transportation and material moving
Other (forest, fishery, agriculture, military, arts, entertainment, and media) 0.0 0.0 100.0 0.0 0.0
SECTION 1b - TEMPORARY STAFFING

1. What is the total number of persons obtained through temporary staffing firms? 0

2. What are the top three occupational codes in which those workers were placed?

1. Not Applicable

2. Not Applicable

3. Not Applicable

3. What is the average duration of temporary employees?

SECTION 2a - MEDICAL PLANS No Medical Plans Offered:



Description of Medical Plan (Fee for service, HMO, PPO, Taft-Hartley, etc.)
Self Funded Medical plan - PPO
Eligible Enrolled Part Time Eligible Avg Premium Paid Avg Emp Contrib Dependents Addtl Premium
72.0% 94.0% 5.0% $ 470.00

Is service covered under plan? Co-Pay/Co-Insurance Amount of Co-Pay/Co-Insurance per Use Deductible Annual Deductible per Employee and Spouse/Dependents Other (explain)
Primary Care Provider Services
Yes
Yes $25.00
and/or
%
No
Hospital Services
Yes
Yes $
and/or
20.0%
Yes over $250
Prescription Drug Benefit
Yes
Yes $12.00
and/or
%
No retail copay 30 day $12/$35/$65 Mail order copay 90 day $30/$87.50/ $162.50
SECTION 2b - DENTAL PLANS No Dental Plans Offered:


Description of Dental Plan (Fee for service, HMO, PPO, Taft-Hartley, ect.)
self funded ppo
Eligible Enrolled Part-time Eligible Premium Paid
72.0% 94.0% 5.0%
Employer Monthly Rate Annual Maximum Benefit and/or Unlimited Benefit
$40.00 $2,000.00
SECTION 3 - RETIREMENT BENEFITS No Retirement Plans Offered:


Name: 403 (B) Plan
Description: Other Contribution
Eligible: 73.0%
Enrolled: 100.0%
Max Contribution: $ and/or 5.0%
Type: Contribution
SECTION 4 - ADDITIONAL QUESTIONS FOR ALUMINUM SMELTERS AND ELECTROLYTIC PROCESSING

For an aluminum smelter, what is the quantity of aluminum smelted at the manufacturing site during the calendar year covered by the report?

metric tons (MT = 2204.62 lbs).

For a chlor-alkali electrolytic processing business or sodium chlorate electrolytic processing business, what is the quantity of product produced at the manufacturing site during the calendar year covered by the report?

tons (2000 lbs).

For an aluminum smelter, chlor-alkali electrolytic processing business, or sodium chlorate electrolytic processing business:
What was your actual total employment at the manufacturing site for:

Q1

Q2

Q3

Q4

What is the number of employment positions affected or to be affected by any employment reductions that have been publicly announced during the sixty-day period preceding the date this report is submitted?

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