Washington Department of Commerce: Master Planning Report, Rising Strong (March 8, 2022)
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- 2022 Commercereports 03 08 22 Cshd Rising Strong West Master Plan Final C27
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- 2022 Commercereports 03 08 22 Cshd Rising Strong West Master Plan Final C27
Summary
The Rising Strong West Master Plan, a report to the Legislature from the Washington State Department of Commerce, Community Services and Housing Division, dated March 8, 2022 and authorized by the 2021 Capital Budget (SHB 1080, Sec. 1082). A cover letter to Gov. Inslee and legislators states the report is the work product of Catholic Community Services/Catholic Housing Services, which received $150,000 to plan a family-centered drug treatment and housing program in western Washington modeled on Rising Strong in Spokane. The executive summary compares rehabilitating the Historic Nurses Quarters Buildings at the Pacific Tower Campus, serving 12 families at $10,080,637, with new construction at a Skyway site serving 24 families at $12,315,429. It lists seven recommendations, including an advisory committee, and closes with a construction cost estimate totaling $6,796,982.
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“Washington Department of Commerce: Master Planning Report, Rising Strong (March 8, 2022).”
Original at app.leg.wa.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2022-commercereports-03-08-22-cshd-rising-strong-west-master-plan-final-c27/
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STATE OF WASHINGTON
DEPARTMENT OF COMMERCE
1011 Plum Street SE PO Box 42525 Olympia, Washington 98504-2525 360-725-4000
www.commerce.wa.gov
March 8, 2022
Dear Gov. Inslee and Washington State Legislators,
Please find attached the master planning report authorized by 2021 Capital Budget (SHB 1080, Sec.
1082) subject to the following conditions and limitations:
(1) The appropriation in this section is provided solely for an agreement with Catholic Community
Services/Catholic Housing Services to fund a master planning process for the development of a
family centered drug treatment and housing program in western Washington that supports
families staying together while they recover from addiction and rebuild their lives. Housing
developers, service providers, and other stakeholders must be included in this master planning
process
(2) The master planning process under this section must model the project to be developed after
Rising Strong in Spokane and must include units for families that are experiencing substance use
disorder and that are involved in the child welfare system. The site must include living quarters
for families, space for services, play areas for children, and space for childcare. The program
services located at the site must include, but are not limited to, case management, counseling,
substance use disorder treatment, and parenting skills classes. The site must be located in King
County, or located near King County, to provide services to families in the western area of the
state.
(3) The master plan developed under this section must be submitted to the appropriate committees of
the legislature by December 31, 2021.
Commerce contracted with Catholic Community Services/Catholic Housing Services of Western
Washington to satisfy the proviso requirements. The attached report is the sole work product of Catholic
Community Services/Catholic Housing Services and reflects the Rising Strong program in Spokane.
Commerce will take the findings and recommendations contained herein into consideration for future
programmatic and community funding investments.
Signed,
Emily Grossman
Policy Advisor, Community Services and Housing Division
Washington State Department of Commerce
Rising Strong West
Master Plan
Authorized by 2021 Capital Budget (SHB 1080, Sec. 1082)
March 8, 2022
COMMUNITY SERVICES AND
HOUSING DIVISION Report to the Legislature
Director Lisa Brown
V3.0
Acknowledgments
An acknowledgment to Milena Stott, Tasha Irvine, &
Elizabeth Perry of Principle Allies and Brad Howell
of Deacon Construction for their hard work and
dedication to the development of this report.
A special acknowledgment to Dawn Kinder,
Catholic Charities Eastern Washington, and her
dedicated team at Rising Strong Spokane.
Washington State Department of Commerce
Emily Grossman, policy advisor
COMMUNITY SERVICES AND HOUSING DIVISION
1011 Plum St. SE
P.O. Box 42525
Olympia, WA 98504-2525
www.commerce.wa.gov
For people with disabilities, this report is available
on request in other formats. To submit a request,
please call 360.725.4000 (TTY 360.586.0772)
Rising Strong West Master Plan
Table of Contents
Executive Summary ..................................................................................................................................... 2
Introduction ................................................................................................................................................. 6
Master Plan ................................................................................................................................................. 9
Recommendations ..................................................................................................................................... 38
Appendix A: 2021 Legislative Proviso Language......................................................................................... 39
Appendix B: Glossary of Terms/Acronyms ................................................................................................. 40
Appendix C: List of Technical and Advisory Support Team.......................................................................... 42
Appendix D: List of Key Stakeholder Organizations Interviewed and Documents Referenced ....................... 43
Appendix E: Letters of Support ................................................................................................................... 45
Appendix F: Implementation Rubric ............................................................................................................ 52
Appendix G: Detailed Analysis of Revenue Sources .................................................................................... 58
Appendix H: Comparative Budget for New Construction ............................................................................. 63
Appendix I: Construction Cost Estimates from Deacon Construction .......................................................... 68
Rising Strong West Master Plan 1
Executive Summary
Overview
Purpose and Authorization
In 2021 the Legislature included a proviso in the Capital Budget (SHB 1080, Sec. 1082) that provided $150,000
to Catholic Community Services/Catholic Housing Services to fund a master planning process for the
development of a family-centered drug treatment and housing program in Western Washington that supports
families staying together while they recover from addiction and rebuild their lives. The legislation required the
planning process be modeled after Rising Strong in Spokane and must include units for families that are
experiencing substance use disorder and that are involved in the child welfare system. See Appendix A for the
full text of the legislative proviso.
What is Rising Strong?
Rising Strong is a holistic, family-centered drug treatment, and housing program supporting families in staying
together while they begin to recover from addiction, heal from trauma, and rebuild their lives.
Key Findings or Highlights
This study included interviews with stakeholders from a variety of state and county agencies, Managed Care
Organizations (MCOs), and potential partners, as well as an in-depth site visit, and analysis of the Spokane
program. Strong interest in this model stems from the potential for cross-sector cost savings and client
outcomes, both of which are necessary for overall community health.
The need for the Rising Strong program is great. Washington State Department of Social and Human
Services (DSHS) analysis of 2019 data showed that of the 40,145 women in the Pregnant and Parenting
Women (PPW) Medicaid program, 21% had a substance use disorder (SUD), and 8% had an opioid use
disorder. Another report found of all children on Medicaid, 22% have a documented case of abuse or neglect.
Western Washington lacks facilities to provide family-centered, SUD treatment. The region does not have
any programs where families can stay together while recovering from SUD.
Rising Strong West Master Plan 2
New construction option would serve more families at a significantly lower cost per adult than the
rehabilitation option. All components of the program and costs of launching in King County at the Historic
Nurses Quarters Buildings at the Pacific Tower Campus in Seattle were considered alongside a new
construction option:
Rehabilitation on New Construction at Skyway Site
Pacific Tower Campus
Families Served 12 24
Total Capital Cost $10,080,637 $12,315,429
Capital Cost per Adult $840,053 $513,143
Annual Operating Cost (100% Capacity) $1,454,524 $2,116,950
Annual Operating Costs per Adult $121,210 $88,206
Daily Operating Cost per Adult $332 $242
While sustainable funding for this unique approach is a challenge, Rising Strong Spokane has laid significant
groundwork. The Spokane program layers income from Behavioral Health services, Mental Health services,
Wrap Around with Intensive Services (WISe) program services, and foster care maintenance payments. MCOs
also indicated an interest in exploring value-based service bundles. However, in all scenarios a significant
startup, public, and/or private investment will be required to launch the program.
Rising Strong West Master Plan 3
The Rising Strong approach aligns with many shared goals. These goals include cross-system collaboration,
a reduction in barriers to services, alignment with Coordinated Entry’s focus on permanent supportive housing,
and Health Care Authority (HCA) integrated care objectives. Highlights of strengths, weaknesses,
opportunities, and threats (SWOT) for both the clinical and financial model of the program are summarized
below:
Strengths Weaknesses
• Keeps families together per the Family First • It is challenging to find and blend funds that
Prevention Services Act (FFPSA) pay for the holistic nature of the model
• Culturally-centered approach • Access is not low-barrier as a pending out-
• Health and housing partnership addressing of-home placement is a required for entry
the service and housing needs of families • The program has limited capacity to serve all
• Social and medical model for comprehensive families in need
family services • Development and start-up funding provided
• Considers the entire treatment, housing, and by local philanthropy was foundational to the
services continuum, including employment, program and expensive to replicate
and transportation • Requires high medical service thresholds to
• MCOs have a strong interest in a value-based finance the program due to lack of other
programs that align these components operations fund sources
• Cross-system collaboration has addressed • Dependency on availability of Permanent
barriers across systems to ensure aligned Supportive Housing upon program exit
metrics that meet the customer’s needs • May require a larger resident population to
• Aligns with Coordinated Entry goals to secure be financially sustainable
permanent housing • Challenging to coordinate the five MCOs
• Aligns with HCA goals of integrated care
Opportunities Threats
• Foster Care Maintenance Payments • Sustainable funding
• Recovery Housing Vouchers • Gaps in funding for care navigation to
• PPW provider need in King County ensure continuity across settings (hospital,
• Potential funds for new Perinatal SUD residential, housing)
initiatives • Competition across vulnerable populations
• Blended Funding (housing first vs. recovery housing)
• Fund stack for services, operations • "Not in my backyard" (NIMBY) concerns
• MCOs are considering milieu management • Limited workforce of behavioral health staff
benefit • King County construction costs are high
• Involve HCA in coordinating MCO benefits • Operator capacity, knowledge, and resources
• Capital development grants for rehabilitation • Lack of alignment in goals and resources
and new construction
Rising Strong West Master Plan 4
Recommendations or Conclusions
The Rising Strong model is a unique solution to an ongoing challenge of creating positive outcomes for
families at risk of child removal due to parental alcohol and substance use disorder. While this report
documents program design, implementation and funding options, there is still work to be done to identify an
operator for a King County site and to finalize a location.
The new construction option is not just more cost efficient, it would also provide a more comprehensive
blueprint for operators who might be interested in building a program in other parts of the state. Because of
the innovative aspects of this approach, we also recognize the importance of predesign and technical
assistance in developing a model prototype.
In order to successfully develop Rising Strong Spokane, a key set of system partners came together to align
the coordinated system of care. Due to time constraints and the complex nature alignment, this level of
coordination has not yet been possible in King County. However, we believe that the potential positive
outcomes from a Rising Strong West program merit further exploration. As such, we recommend the following
steps to ensure ongoing development of a coordinated and successful model:
1) Establish an Advisory Committee consisting of service providers, stakeholders, relevant state agencies,
chairpersons of the appropriate Senate and House of Representatives Committees, and community
members. State agencies should include, but not be limited, to: HCA, DSHS, Commerce, DOH, and Office of
Public Defense. Community membership should include family advocates, service providers, and program
alumni. The state agency members and community members should have input into who else holds an
advisory committee seat.
2) Work with state agencies to coordinate a funding model that is easily operationalized by providers seeking
to develop a similar program.
3) Align key measures of interest across systems with an emphasis on client outcomes at the program level.
4) Engage community stakeholders to address system barriers in implementation, such as ensuring seamless
coordination across health, housing, and child welfare systems and agencies.
5) Engage private sector and philanthropic organizations in planning to determine interest in funding.
6) Support interested providers in understanding the model toward implementation with the goal of naming
an operating agency for the King County program.
7) Recommend funding of an advisory committee in a subsequent legislative proviso which would be
responsible for continued program development. An appropriation of $150,000 in FY22 would support this
second phase of work. Deliverables in the second phase of work include: a named operating agency, a
named housing developer, a specified development site, and detailed capital requirement in anticipation of
a 2023 capital request.
Rising Strong West Master Plan 5
Introduction
Background
In 2021 the Legislature included a proviso in the Capital Budget (SHB 1080, Sec. 1082) that provided funding to
Catholic Community Services/Capital Housing Services to fund a master planning process for the
development of a family-centered drug treatment and housing program in King County, or located in King
County, to provide services to families in western Washington that supports families staying together while
they recover from addiction and rebuild their lives. The Legislation required the planning process be modeled
after Rising Strong in Spokane and must include units for families that are experiencing substance use
disorder (SUD) and that are involved in the child welfare system. The master plan developed under this section
must be submitted to the appropriate committees of the legislature by December 31, 2021. See Appendix A
for the full text of the legislative proviso.
Project Team
Catholic Community Services/Catholic Housing Services contracted with Principle Allies and Deacon
Construction to conduct the Master Plan Process. The process studied the need for and process to develop a
family-centered drug treatment and housing program in western Washington that supports families staying
together while they recover from addiction and rebuild their lives.
This study focused on the Rising Strong Spokane program that is operated by Catholic Charities of Eastern
Washington as the model, as directed in the Capital Budget proviso.
Rising Strong Spokane
In 2017 Catholic Charities of Eastern Washington was awarded a Children’s Bureau Regional Partnership Grant
to establish a regional partnership and advisory board to ensure interagency collaboration in meeting
outcomes on vulnerable children and families. As a result, the Rising Strong program in Spokane was
developed and launched in fall of 2017 to positively change outcomes for families at risk of child removal due
to parental SUD. As an alternative to removing children from their parent’s care, and revolving door crisis care,
Rising Strong is a holistic family-centered treatment and housing program for at-risk families that enables
children and parents to stay together while they begin to recover from addiction, heal from trauma, and rebuild
their lives.
The program goals include:
1) Improve the well-being, permanency, and safety for children impacted by family substance use
2) Decrease the number of children in out-of-home placements
3) Significantly reduce or eliminate family separation by serving the entire family
4) Reduce trauma exposure and impacts for children and enhance parent treatment success
5) Timely and enduring family reunification
Rising Strong West Master Plan 6
Rising Strong West
Because of the successful outcomes from the Spokane location, the legislature is exploring how to duplicate
and bring this program to western Washington, targeting King County as an initial location. This program is
being called “Rising Strong West” for the purposes of this analysis.
Rising Strong West Master Plan 7
Goals
The purpose of this report is fourfold:
1) Validate the need for family-centered treatment in King County;
2) Document the key elements of the Rising Strong Spokane program that are required to duplicate the
positive outcomes;
3) Evaluate the use of the Historic Quarters Buildings at the Pacific Tower Campus to house a companion
program; and
4) Develop cost analysis for development of a “Rising Strong-Type” program using new construction models
that can be used in other sites.
Because of its connection to Rising Strong Spokane, the legislative proviso named Catholic Community
Services/Catholic Housing Services (CCS/CHS) to lead the development of this master plan. However,
CCS/CHS intends for this report to serve as a blueprint for other agencies or organizations that may be
interested in operating Rising Strong West or future companion programs in other parts of the state.
Rising Strong West Master Plan 8
Master Plan
1. Community and Population Need Profile
Population Profile and Eligibility
The state of Washington’s Department of Children, Youth, and Families (DCYF) has embraced the vision of the
Families First Prevention Services Act (FFPSA), which allows states to use federal Title IV-E funds to deliver
prevention services to families with children at risk of entering foster care. Similarly, the Health Care Authority
(HCA) has a Pregnant and Postpartum Women (PPW) benefit design that supports the family unit. Together
these programs and services work to respond to the needs of families challenged by substance use and other
health challenges. This section addresses data on population demographics, caregiver substance use, youth
behavioral health, family housing needs, and access to services. See Appendix D for a complete list of data
and reports.
Substance Use Disorder among Child Welfare-Involved Caregivers
Washington State is undergoing system transformation and has been looking closely at populations of
interest. Given this work, the Washington State Department of Social and Human Services (DSHS) Research
and Data Analysis (RDA) Division conducted a number of analyses focused on substance use disorder
(SUD). In one report of 2019 data, there were 40,145 women in the PPW Medicaid program, 21% of which had
a SUD and 8% had an opioid use disorder documented in claims data. In another report they looked at
caregivers involved in child welfare including, patterns of SUD, out of home placement, and access to
treatment. Below are some highlights of the report:
• 27% of all child-welfare-involved caregivers had a SUD in the year prior to involvement
• 58% of caregivers with out-of-home placements had a SUD in the year prior to the child’s removal
• Among all child-welfare-involved caregivers, 39% had any SUD treatment in the 12 months following
CPS intake or removal
In addition to prevalence and access, RDA also reviewed the data on the types of substances consumed by
caregivers for all child-welfare-involved caregivers:
All Child-Welfare-Involved Caregivers Caregivers with Out-of-Home Placement
• 39% of caregivers had issues related to • 35% of caregivers had issues related to
alcohol use alcohol use
• 78% of caregivers had issues related to drug • 88% of caregivers had issues related to drug
use use
• 21% Two or more substances • 27% Two or more substances
• 21% Opioid use • 23 % Opioid use
• 18% Stimulant use • 25% Stimulant use
Rising Strong West Master Plan 9
Behavioral Health Treatment Needs and Outcomes among Medicaid-Enrolled Children
RDA also looked at comparative data of all children on Medicaid and those in foster care. The report found of
all children on Medicaid, 22% have a documented case of abuse or neglect. Using this filter, they further
explored the need for mental health (MH), substance use, co-occurring, and/or no known behavioral health BH)
needs. The data shows a significantly higher prevalence of BH conditions for youth in foster care. These
findings are summarized below; the full report and detailed tables are found on the Children's BH Dashboard.
BH Treatment Needs of Medicaid Enrolled Children by Abuse and Neglect History, SFY 2018
Abuse/Neglect History Ever Abuse/Neglect No Known Abuse/Neglect In Foster Care
Population Proportions 221,874 (22%) 782,604 (78%)
Proportions with BH Needs
Total Persons 0-20 221,874 (22%) 782,604 (78%) 13,630 (100%)
MH Treatment Need 86,030 (39%) 115,335 (15%) 7,731 (57%)
SUD Treatment Need 12,617 (6%) 10,041 (1%) 851 (6%)
MH + SUD Treatment Need 9,479 (4%) 6,333 (1%) 764 (6%)
Rising Strong West Master Plan 10
2. Site and Building Description
Site Selection
The site, under the rehabilitation model, under consideration for this project is the Historic Nurses Quarters
Buildings at the Pacific Tower Campus on the north end of Beacon Hill in Seattle. With close proximity to
public transportation, major highways, and a variety of community resources, this site also has the unique
feeling of a wooded, residential setting in the middle of the city.
Seattle Chinatown International District Preservation and Development Authority (SCIDpda) currently is
developing an affordable housing, childcare and community hub in the north lot of the facility providing further
opportunities for services and engagement.
The model Rising Strong Spokane facility is also located in a quiet, natural, woodsy setting, and this
environment is credited with providing residents with a supportive, quiet retreat from locations where they’ve
experienced past trauma.
The Historic Quarters include a total of ten buildings of different sizes. The largest, Building ten, was targeted
as the potential site for this program because it has the largest footprint at 9,850 square feet.
Rising Strong West Master Plan 11
Site Selection Criteria
Initial analysis of the Historic Quarters location and building showed high compatibility with program
requirements.
Summary of Benefits and Concerns of Historic Quarters Site
Benefits Concerns
Location • Accessible to target demographics • Vicinity of the facility to known
• Ability of site to serve as a community homelessness encampments
hub • Proximity to known areas of high
• Access to public transportation criminal and drug trafficking activities
• Appropriate adjacent businesses and
organizations
Building • Current availability and vacancy of space • Limited to existing building footprint
• Access to pre-existing utilities and cannot accommodate future
• Project appropriate to zoning growth
requirements • Improvement required to meet
• Adequate parking American with Disabilities Act (ADA)
• Existing, well-maintained and mature requirements
landscape and grounds • Preliminary costs for improvements are
high compared with new construction
• Privacy is limited due to sightlines from
traffic to office tower
Terms • Currently vacant and available for lease • Preference to tenant who can lease
• Motivated Leaser entire campus of buildings
• Supportive, mission-driven landlord in
Pacific Hospital Preservation and
Development Authority
Facility Criteria
Through extensive interviews and an in-person visit of the Rising Strong Spokane facility, we determined the
following features to be key requirements for the rehabilitation or construction of a facility. To support
community-building and recovery, ideally the environment would be welcoming and homey in contrast to
typical institutional settings.
Rising Strong West Master Plan 12
Residential Facility Requirements
Feature Why This Matters
Bedrooms
• Communal living is a key component of the
• A minimum of 12-16 dormitory-style bedrooms Rising Strong model. Dormitory-style
• Sinks are included in each bedroom rooms encourage socialization among the
• Room large enough for two occupants (i.e. cohort of residents which supports their
mother and small child) recovery.
Communal Bathrooms
• Communal bathrooms ensure a higher level
• Communal bathrooms- several of hygiene in the facility. They also reduce
toilet/sink/shower on each floor the risk of illicit activities, even overdose, in
• At least one separate bathtub room on each private quarters.
floor • Separate bathtub is needed for bathing
children aged 10 and under. Sign-up
reservations are used to manage usage.
Kitchens and Communal Living Space
• Communal kitchen and living space is
• One communal kitchen and living area per 5-6 another component of program
families socialization and recovery.
• A little bigger than traditional apartment • Ideally, each family can have their own
kitchen - long galley or U-shaped with an island fridge and story space to cut down on
in middle; one stove/one microwave but larger conflict and provide them the dignity of
physical prep space and storage spaces controlling their own supplies.
• Residential style appliances; timed stoves &
ovens
• At least one dishwasher (duplicate would be
nice-to-have)
• One fridge for each family
• Congregate dining spaces on each floor for the
majority of residents to gather
Laundry
• Communal laundry is another component
• At least one communal laundry facility per of the program socialization and recovery.
building - one set per floor but could use more
than that/per floor if have space
Rising Strong West Master Plan 13
• Additional commercial washer & dryer on-site
for program needs (sheets, towels, childcare
items)
Program Offices and Space
• Two important components of the program
• Meeting space that can accommodate the are group sessions and one-on-one
entire resident population & program staff counseling. Adequate space is needed for
(approx. 80) both within the residential setting.
• Two conference rooms (approx. 10 people) • Staff needs separate space for breaks and
• 15 individual staff offices on-site for one-on- to rest during overnight shifts.
one meetings (including a flex office space)
• Public toilet - also used by staff
• One handicap-accessible public toilet that is
larger enough for urinalysis (two people and
supply cart)
• Storage: locked file room, locked fax/copy
room, office supply room, laundry storage
room, cleaning supply room, programming
supplies (i.e. art therapy - can be near or in
conference rooms)
• Food bank
• Donation room
• Secure fridge for urinalysis
• Staff kitchen & breakroom
Storage
• Residents need enough space to store their
• Storage space apart from bedrooms for belongings, without encouraging hoarding
personal belongings behaviors.
• Most residents have young children
requiring storage space for strollers, car
seats, and other childcare equipment.
Security
• Controlled environment with a primary, • Minimal hidden corners, stairways, and
centralized entry/exit near administrative office hallways helps minimize opportunities for
space illicit behaviors. Clear lines of sight for staff
• Two-door vestibule entry - first unlocked and are important for managing residents.
then callbox with locked door • Controlled entry and exit ensure the safety
• No other entry point - cameras on all exit points of residents and prevent dealers from
• Small lobby and waiting area sneaking into the space.
Rising Strong West Master Plan 14
• Intake/holding room close to entry (large • Security cameras are used to verify
enough for possessions search and screening) activities should conflicts occur.
Accessibility
• In addition to being wheelchair accessible,
• Handicap accessibility of communal spaces this requirement makes the space user-
and at least 2 bedroom units friendly for children in strollers.
• Elevator if multi-level building
Parking
• Most of the parking is for staff and visiting
• 25 staff and program partner spots social workers and family.
• 3 visitor spots (family visitation)
• 15 resident spots (may be long-term storage)
• 3 spots for program transportation vehicles
(large enough for passenger vans)
Childcare
• On-site childcare reduces a typical barrier
• Non-licensed, drop-in childcare for children 6 for parents seeking therapeutic services.
months -12-year-olds • Drop-in childcare is also used for weekly
• Separate bathroom respite care.
• Separate kitchen
• Childcare provider office space
Outdoor
• Separate outdoor space provides an
• Nice-to-have: Designated outdoor play space alternative to inside meeting rooms and is
for children, ideally secured and separate from therapeutic when residents need a change
public of scene.
• Designated smoking area at least 25 feet from • Privacy is important for both recovery and
building exits, entrances, windows, and security.
ventilation intakes
Site Selection Analysis
Deacon Construction provided estimates for the rehab of this site based on the facility criteria outlined above.
In order to meet the program requirements at this site, the program will need to be scaled to approximately
one-third the size of Rising Strong Spokane. While Spokane can serve up to thirty-six (36) families at a time,
the Historic Quarters facility would limit the program to twelve (12) families. In addition, the entire program
could not be housed in Building Ten. Additional space in a nearby building, such as Building Five, would be
required for provider offices, meeting space and storage. The cost estimate does not include any rehab of
Building Five because that space is currently being used as office and meeting space. The program would
Rising Strong West Master Plan 15
also rely on the meeting spaces in the Pacific Tower for periodic gatherings of the entire residential community
and related staff.
New Construction
For the sake of comparison, the team also analyzed the costs of new construction on a site owned by Catholic
Community Services (CCS)/Catholic Housing Services (CHS) in unincorporated Skyway (4520 S. Mead
Street). The building site would accommodate a larger, purpose-built facility that could serve up to twenty-four
(24) families at a time. Not only are more families served by this new site, but at a lower cost. Details of this
cost comparison in Appendix H.
Rising Strong West Master Plan 16
Summary of Site Selection
Analysis indicates that new construction would serve more families at a significantly lower cost:
Rehabilitation on New Construction at Skyway Site
Pacific Tower Campus
Families Served 12 24
Total Capital Cost $10,080,637 $12,315,429
Capital Cost per Adult $840,053 $513,143
Annual Operating Cost (100% Capacity) $1,454,524 $2,116,950
Annual Operating Costs per Adult $121,210 $88,206
Daily Operating Cost per Adult $332 $242
Rising Strong West Master Plan 17
4. Stakeholder Engagement
Stakeholder Interview Process and Selection
Community awareness, engagement, and support will be key to the success of a Rising Strong program in King
County. As part of assessing the community need and identifying potential partners and operators, we
conducted stakeholder interviews with programmatic stakeholders such as Key Recovery and Life Skills
Center, partner organizations including the Department of Children, Youth, and Family (DCYF), Coordinated
Entry for All, and financial partners such as Managed Care Organizations (MCOs). Stakeholders were
identified by the Rising Strong West Technical and Advisory Support Team and by referral and
recommendation from other stakeholders. In total, we conducted stakeholder interviews with individuals
representing twenty-three (23) different organizations. This included ten programmatic, two partner, nine
financial, and two facility stakeholder focused interviews.
Stakeholder Interview Methodology
The stakeholder interviews were primarily semi-structured. The majority of interviews included a brief
presentation about the Rising Strong West program to provide context and increase awareness of the
program. The interview questions were tailored to the type of stakeholder - programmatic, partner, financial,
and facility. Example questions included:
• Do you see a need for a Rising Strong program in King County?
• What data is available to identify the community need for the program?
• What funding is available to support capital and operations costs for the program?
Stakeholder Interview Findings
Below is a brief summary of high-level stakeholder interview findings:
Programmatic
• There is a need for a Rising Strong program in King County.
• Currently, there are no programs allowing families in the dependency process to stay together while
seeking SUD treatment in King County. There is one program with a similar mission in King County;
however, it only serves women and their dependents.
• The residential/inpatient Pregnant and Parenting Women (PPW) programs are subject to medical
necessity criteria and are typically thirty to ninety days in duration. The families in need of Rising
Strong need supportive transitions, access to intensive services, and housing for DCYF to feel as
though the children can return and safety remain in the home.
Partners
• Having transitional and supportive housing available upon resident exit for the program is essential to
program and resident success. This is particularly important in King County due to the cost of housing
and limited housing options.
• There were changes made to RCW 26.44.195 that “When evaluating whether the child has been subject
to negligent treatment or maltreatment, evidence of a parent's substance abuse as a contributing factor
Rising Strong West Master Plan 18
to a parent's failure to provide for a child's basic health, welfare, or safety shall be given great
weight.” This means families in the program have high risk and high need.
Financial
• Some MCOs would be interested in funding a Rising Strong in King County and would want to see
program outcomes data supporting the impact on key metrics.
• The licensing structure of the Rising Strong Spokane program limits access to funding. However, the
shelter licensing structure is critical for ensuring that residents can access permanent housing upon
program completion and exit.
• Funding is available across various state agencies and across programs within those agencies. These
fund sources often have different eligibility, compliance, and reporting requirements so it can be
challenging for agencies to know about these funds, to align them for their program, and to set up their
infrastructure to receive and report accordingly.
Facility
• The facility layout, design, and location are integral to creating a program environment that supports
successful resident recovery.
• Facilities are subject to Department of Health and Health Care Authority regulations, whereas shelter,
transitional housing, and housing are subject to Department of Commerce regulations and coordinated
entry processes.
Letters of Support
Letters of support from stakeholders can be found in Appendix E.
Rising Strong West Master Plan 19
5. Environmental Scan
Process
In order to understand the factors that are critical to creating an optimal environment for resident
recovery, and to assess if the Pacific Tower Campus meets the specifications, we conducted an
environmental scan of the area surrounding the Pacific Tower Campus. This process also included
visiting the Rising Strong Spokane facility, St. Margaret’s shelter in Spokane, and the Head Start program
and supportive housing facility that are adjacent to the Rising Strong Spokane program. The purpose of
the site visits was to gain first-hand knowledge of the strengths and limitations of the current Rising
Strong Spokane location and view other potential facility designs. The Technical and Advisory Support Team,
as well as other stakeholders, identified services and environmental factors that are critical to creating a
successful program. The desired environmental factors, and Pacific Tower environmental components, can be
seen below:
Environmental Scan of Pacific Tower Campus
Desired Environmental Pacific Tower Complex Site Components
Components
Access to Public Transportation • Two bus lines located on the edge of the Campus with access to
downtown Seattle
• 1 mile to King Street train station; 1 mile to a light rail station
• 0.6 miles to the closest tram stop with access to both stations
Education and Employment • 0.7 Goodwill Training and Education program
Services for Adults • 1.8 miles to Seattle Central Community College and easily
accessible by public transportation
Educational Services for Children • 1 mile to the closest Head Start program and elementary
and Youth school. Ideally, a Head Start location would be accessible on the
Pacific Tower Campus or within close walking distance.
• 1.1 miles to the closest middle school
• 1.7 to the closest high school
Primary Care and Other Medical • Campus is co-located with Pacific Medical group and other
Services healthcare services including a dental clinic
• 1.2 miles to Harborview Medical Center and other health services
focused on serving the homeless population
Rising Strong West Master Plan 20
Adult, Child, Youth Behavioral • Behavioral health and substance use disorder services will be
Health and Substance Use provided in the program.
Disorder Counseling
Social Services and Other • Many social service agencies and community resources within
Community Resources close proximity to the campus
• All downtown Seattle resources are accessible by bus
Outdoor and Greenspace • Building 10 is surrounded by grass and trees and there is a
greenbelt around the Pacific Tower Campus.
• Staff at the Rising Strong Spokane program stressed the
importance of having a playground and space for children to play
outside and a place for residents to engage in therapeutic and
recovery services outside. The closest play area is located
directly outside the Campus. It isn’t possible to build an
additional play area on the campus due to it being a historical
site.
Entertainment, Community and • The site is located within walking distance to the International
Culture District which has a range of restaurants, coffee shops, a
museum, and other cultural activities.
• All activities downtown and on Beacon Hill are easily and quickly
accessible by bus.
Transitional and/or Permanent • There are several transitional and permanent housing programs
Housing located near the campus.
• Plans are in place to build low-income housing on the Campus.
• Ideally, transitional and permanent housing would be located on
the campus with priority access for Rising Strong residents.
Rising Strong West Master Plan 21
6. Program Structure and Licensing
Program Structure
As communities look to build housing and programs to address homelessness, they need to provide solutions
that are effective in meeting the diverse needs. In the case of homeless families involved in the child welfare
system, substance use disorders (SUD) have unique impacts on youth and caregiver health and safety. Thus,
effective housing and treatment should use a trauma-informed approach and consider all members of the
family where they are. This can be a challenge when coordinating across systems with various roles and
functions which are also limited by specific responsibilities, incentives, and fiscal structures.
Some community housing operators use a Housing First and harm reduction approach, some are treatment-
oriented transitional housing programs, others might refer to themselves as “sober-living environments”, and
still others refer to themselves as “Recovery Housing”. The best practice in coordinated entry systems
balances both program goals and population needs. In a policy brief for their Office of Special Needs
Programs (SNAP), the US Department of Housing and Urban Development (HUD) encourages analyzing the
following to inform decisions:
• Current inventory of housing opportunities
• Needs within its jurisdiction (geographic area)
• Expressed preferences of people being served
• Performance of all programs to determine the appropriate mix of housing options and to ensure the
most effective use of resources
• How it can provide meaningful choice to people experiencing homeless with SUD who are in all stages
of recovery
As we describe the structure of the Rising Strong program, we consider these guidelines relative to the needs
of the entire family unit, the opportunities offered in housing, and the best practices in services. In a later
section, we discuss the strengths, weaknesses, opportunities, and threats to the model.
Referral and Access
Like all others who seek Recovery Housing or sober living environments, families entering the Rising Strong
program are seeking an environment where their choice is to participate together in an abstinence-focused and
peer-supported community. As safety has proved to be a concern in the dependency process, families opt into
the program and depend on the program structure to support their recovery goals and the safety needs of the
children. Similar to the Housing First model as a best practice for achieving housing and stability for homeless
persons with serious mental illness, Rising Strong parallels that efficacy for families challenged by SUD and
who are involved in the dependency process. The program blends the philosophies of permanent supportive
housing, harm-reduction, low-barrier, strength-based, trauma-informed programming with elements of
structure and facilitation around relapse to ensure the safety of all family members.
Licensing
Program design and populations served have implications for program funding and licensing. Rising Strong
has intentionally not pursued a residential treatment facility (RTF) license. Instead, it operates as an
Rising Strong West Master Plan 22
emergency shelter which does not require a license. The primary reason for this is that residents need to keep
their status of being “homeless” or “at risk of homelessness” in order to qualify for permanent supportive
housing at program exit. This structure also means that residents cannot use housing vouchers at this facility.
Another ramification of not holding an RTF license is that all on-site and contracted services, such as mental
health, substance use, and/or recovery support services, need to be delivered through a licensed behavioral
health agency. As a result, these services are billed on a fee-for-service basis, rather than the higher residential
treatment rates. As illustrated in the image below, RTFs are subject to licensing requirements and must be
licensed and contracted to deliver Medicaid services, based on medical necessity. The Rising Strong model is
a unique hybrid of health and housing services that allows for blending fund sources across three state
agencies.
Finally, on-site childcare is offered on a time-limited, drop-in basis so a childcare license is not required. This
also has implications for funding as some payers (Pregnant and Postpartum Women program (PPW), for
example) require licensed providers for reimbursement.
Rising Strong West Master Plan 23
Interdependency between Facility Design, Licenses and Funding
When considering program build, Rising Strong achieved a unique model that effectively meets the health and
housing needs of the entire family. As referenced above, treatment facilities are designed to provide intensive
and short-term treatment, based on medical necessity criteria, that emphasizes stabilization and transition to
community settings for persons with SUD. Due to our housing crisis, however, transition into safe and
appropriate community settings is challenging and bound by rules, definitions, and regulations that make it
difficult to meet the requirements and goals of all state agencies and fund sources. The model of housing
with services enables the unique blend of resources across various departments while meeting the overall
choice and goals of the family unit. The table below summarizes the requirements for contracting,
credentialing, and fund sources based on selected setting and program elements.
Site Residential Treatment Facility Housing with Services
Licensing DOH License DOH License, if delivering services
246-337 246-341
246-341
Level of Care Inpatient or residential Partial hospitalization
Intensive Outpatient program (IOP)
Contracts Managed Care Contracts Managed Care Contracts
DCYF
Funding • Department of Commerce • DCYF Foster Care Payment (for other
Behavioral Health Facilities populations could be substituted by
Grants HARPS)
• Daily rate for RTF • Fee for service Medicaid benefit
• Operations costs are covered • Department of Commerce operational
by daily rate funding grants
Length of Stay 14-90 days 6-18 months
Coordinated May receive Foundational Community Exit to Permanent Supportive Housing or other
Entry Access Supports permanent and affordable housing
Housing Subsidy Not eligible Foster Care Payment
HARPS vouchers in like programs
Rising Strong West Master Plan 24
7. Program Description
The Rising Strong West project seeks to replicate aspects of the Rising Strong Spokane program that have
been identified as effective in delivering services and promoting resident recovery. The proposed mission,
program philosophy, entry requirements, and services are modeled directly from the Rising Strong Spokane
program.
Program Mission
Rising Strong is a holistic, family-centered drug treatment and housing program supporting families in staying
together while they begin to recover from addiction, heal from trauma, and rebuild their lives.
Core Program Elements and Philosophy
Safe Housing - The program provides safe, out-of-home placement to facilitate family
reunification. Housing is based on a shelter/transitional housing model with the long-term goal of
residents transitioning into permanent housing upon graduation from the program. Families typically
reside in the Rising Strong Community for twelve to eighteen months.
Substance Abuse Recovery - The program is abstinence-based accommodating medication-assisted
treatment (MAT) such as suboxone and methadone and supports residents in avoiding relapse and
creating a sober environment. Substance abuse services are provided on-site for adults and teens
including non-medically assisted detox and recovery coaching.
Clinical Support - Mental health assessments and services are provided on-site for adults and are designed
based on the identified need including medication and clinician-led services (e.g. cognitive behavioral
therapy and contingency management).
Child Assessment, Treatment, and Services - All children receive comprehensive age-appropriate
assessment, treatment, and services including mental health services, educational support, high-quality
childcare, and recreational activities.
Integrated Family Treatment - Services are provided to parents and children together to promote family
healing and functioning. Parents are engaged and develop skills through evidence-based parenting
programs.
Education and Employment - Education support for adults and children based on the identified need. The
program includes a structured employment program and often includes specific volunteer and paid
employment opportunities as part of the program.
After-Care and Long-Term Housing - Residents receive assistance with transitioning to long-term,
affordable housing with ongoing support and services provided to program graduates.
Entry Criteria and Eligibility
In order to be eligible for the program, residents must be involved in the dependency process and experiencing
homelessness or housing instability. Residents must also be willing and able to participate in
treatment. Admission to the program is determined solely by Rising Strong in collaboration with the Family
Dependency Treatment Court team and the DCYF caseworker. If all parties are in agreement, a referral is
made to the program at the initial shelter care hearing.
Rising Strong West Master Plan 25
Program Phases
Rising Strong West Master Plan 26
Staffing Model
Rising Strong utilizes a robust, person-centered staffing model that focuses on recovery, healing, and skill-
building. The staffing model is built on the unique needs of the residents across the family unit and leverages
the role and inclusion of peers in promoting a healthy recovery environment. The multi-disciplinary, wrap-
around team includes the following roles:
• Coordinators - The coordinator monitors program entrance and supports residents through
coordination of transportation, appointments and other resources.
• Family Skills Coaches - Family skills coaches provide program milieu monitoring and management.
They engage with residents in practical skill-building activities such as cooking, childcare, and other
activities.
• Peer Supporters - Peer supporters are individuals with lived experience who lead groups and engage in
individual peer support with residents.
• Masters Level Behavioral Health (BH) Therapists - BH therapists lead therapeutic groups as well as
voluntary individual and family mental health therapy.
• Care Coordinators - Care coordinators manage program referrals and facilitate program entry.
• Substance Use Disorder (SUD) Providers - SUD providers lead recovery-focused groups and offer
individual SUD counseling.
RSW Staffing Model
Total Salary
Current FTE - Planned FTE - Estimated Expense
Staff Position RS Spokane RSW Salary for RSW
Director 1 1 $95,000 $95,000
Clinical Director 0.4 0.1 $120,000 $12,000
Admin Support 1 0 $45,000 $0
Coordinators 3 1 $45,000 $45,000
Family Skills Coaches 10 3 $58,000 $174,000
Peer Supports 4 1.5 $45,000 $67,500
Masters Level BH Therapists 3 1 $80,000 $80,000
Care Coordinators 2 1 $50,000 $50,000
SUD Provider 2 1 $60,000 $60,000
Vice President 0.5 0 $120,000 $0
Rising Strong West Master Plan 27
Maintenance Staff 2.5 1 $45,000 $45,000
29.4 10.6 $628,500
WISe Program
The Wraparound with Intensive Services (WISe) program has been identified by Rising Strong Spokane as a
critical component to resident success and currently supports the overall operations and financial sustainment
of the program. In order to meet the criteria for the program, the youth must have serious behavioral or
emotional needs, risk factors, and serious functional impairment. As noted in the needs assessment and in
the WISe data, this is more common among systems-involved children, including those involved in child
welfare. WISe is a wrap-around treatment approach to helping Medicaid-eligible children, youth, and their
families with intensive mental health care. It is a voluntary program that utilizes a team approach to support
families with meeting their goals. WISe services are typically available in home and community settings and
therefore can be offered within the Rising Strong Model. Program peers and coaches are also trained and
function as WISe providers when families are enrolled in the WISe program. More information about the WISe
program can be found here.
Key Community and Provider Partnerships
In addition to employed and contracted staff, service partners have a critical role in providing holistic services
through the recovery continuum.
• Catholic Charities of Western Washington
• Catholic Charities of Eastern Washington
• Washington State Department of Children, Youth and Families
• King County Superior Court
• WA State Office of Public Defense
• Court Appointed Special Advocates (CASA)/Juvenile Guardian Ad Litem Program Juvenile Court
• Department of Children, Youth and Families Case Worker
• Parents for Parents Program
• Medications for Opioid Use Disorder (MOUD) Prescribers
• Primary Care Providers
• Washington State University and the Regional Partnership Grant Team
• Coordinated Entry for All
• Seattle Public Schools Head Start Program
• Seattle Public Schools
• Parent Child Assistant Program (PCAP)
Rising Strong West Master Plan 28
8. Expected Program Outcomes and Impact
Preliminary Rising Strong Spokane program data under review by Washington State University indicates
positive program outcomes. For example, two-thirds of families successfully exit the program, and more than
80% complete their treatment requirements. For those who don’t complete the program, exit reasons include:
a higher level of care needed, dependency case successfully closed, program violations involving safety
concerns, or the family no longer feels the program meets their needs. It is anticipated that the Rising Strong
model will also have a positive impact on the following program goals:
1) Improve the well-being, permanency and safety for children impacted by family substance use;
2) Decrease the number of children in out-of-home placements;
3) Significantly reduce or eliminate family separation by serving the entire family;
4) Reduce trauma exposure and impacts for children and enhance parental treatment success; and
5) Timely and enduring family reunification.
To measure the actual impact of the Rising Strong Program, Catholic Community Services of Spokane is
partnering with Western Washington University (WSU) in a five-year Regional Partnership Grant (RPG). The
RPG commenced in 2017 and WSU began studying the program impact immediately upon launch of the Rising
Strong program. The study is structured as a quasi-experimental outcome study. The study group of 150
families will receive the entire scope of services for twelve to eighteen months and the comparison group of
150 families will receive typical services. Data sources include program documents, participant record
reviews, administrative data, staff interviews, and use of standardized instruments at program entry (baseline
data), and throughout the program at three, six, nine, twelve and at eighteen months (six months after services
conclude). The impact evaluation will rely only on administrative data. Currently, longitudinal data is being
collected and the outcome of the study, and program impact, are unknown. Rising Strong Spokane will receive
the data after the last study month in September of 2022.
Measuring program success could be an ongoing challenge due to the complexity of measuring the impact
and data not consistently being available to align across agencies and intended measures. One of our
recommendations, as we move forward, is to create discussion among the various partners to ensure
alignment in measurement across several levels and state agencies. When considering program
measurement, there are several ways and several interests related to measurement.
Example of Shared Metrics
Client Data Program Data Impact Data Fiscal Savings
• Client • Retention and • Reunification • Reduction in cost
Satisfaction completion • Decrease in the of out of home
Survey • Average length utilization of placement
• Screening tool of stay crisis and legal • Reduction in cost
scores services of medical and
Rising Strong West Master Plan 29
• Housing status behavioral health
at exit services
In general, systems are tracking the metrics they are required to track related to their goals in determining
eligibility and need. Global outcomes are not tracked in a single system and systems are tracking based on
their objectives toward eligibility determination and required federal reporting. The systems are currently set
up to capture the following:
DCYF Metrics
DCYF is able to provide: DCYF is not about to provide:
• Reason for removal and outcomes • Income
• # of children in care • Employment
• Age • Housing status
• Race • How long with child welfare services/child
protection services before removal
HCA, DOC and DSHS Metrics
Health Care Authority Department of Commerce Department of Social and
Health Services
Treatment need and penetration Homelessness status Income
WISe Data: HUD Homelessness Management Employment
Information System (HMIS) data
• Cross-system involvement
at entry (foster care 30%)
• Referral source (child
welfare 7%)
• Reliable change at
reassessment (overall, life,
emotional needs, risks, and
strengths)
• Treatment needs at entry
• Strengths at entry
Rising Strong West Master Plan 30
9. Financial Proforma and Budget
Expenses
The expenses for this project are divided into three categories: capital investment, start-up costs and
operational expenses. This section focuses on the Historic Quarters Rehabilitation option. For comparable
estimates for the New Construction option, please refer to Appendix H.
Capital Investment
The capital investment for this project includes architectural design services, permitting, building rehabilitation
construction and project management:
Construction of Nurses Quarters Building Ten Rehab $8,319,641
($678/square foot)
Development Costs (architect, permits, legal, etc.) $1,760,995
TOTAL $10,080,637
Full estimate for building rehab by Deacon Construction is located in Appendix I.
Start-up Costs
Additional start-up costs for the project include technical assistance on program development and initial
furnishings and supplies.
Technical Assistance $300,000
Furnishings and Supplies $300,000
TOTAL $600,000
Operational Expenses
Ongoing operation of Rising Strong West consists of lease expenses, staffing, program expenses,
administrative expenses, and ongoing maintenance and totals $1,454,524 in the first year. A 3% cost increase
and rent escalation are factored into the projections.
Rising Strong West Master Plan 31
Income
Funding for the Rising Strong program falls into two categories: program fees for services and public or private
grants. See Appendix G for a more detailed explanation of these revenue sources.
While this model assumes billing for individual services, bundling service codes to establish a weekly or
monthly case rate has advantages for planning and providing long-term care. Managed Care Organizations
(MCOs) have all expressed a willingness to engage in these conversations because treatment outcomes are
found to be the same or better for individuals who have participated in a residential housing program.
(Source: Logan, T., Cole, J., Miller, J. & Scrivner, A. (2019). Findings from the Recovery Center Outcome Study
2019 Report. Lexington, KY: University of Kentucky, Center on Drug and Alcohol Research.)
Program Fees for Services
Because Rising Strong is a relatively new program, the funding model is still under development. The
challenge is combining funding sources across various federal, state, and county programs.
Fee Type Estimate Source Type
Behavioral Health Treatment $12,801.92 per adult/year Health Care Healthcare
Services Authority
MCO
Mental Health Treatment $3,559.00 per adult/year Health Care Healthcare
Services Authority
MCO
Foundational Community $3,240.00 per adult/6 months Health Care Healthcare
Supports (FCS) - Authority
Employment
MCO
Foundational Community $3,360.00 per adult/6 months Health Care Healthcare
Supports (FCS) - Housing Authority
MCO
WISe Program Services $3,427.20 per child/month Health Care Healthcare
Authority
Rising Strong West Master Plan 32
MCO
Foster Care Maintenance $672.00 per child/month DCYF Child Welfare
Payments
Pregnant and Parenting varies Health Care Healthcare
Women (PPW) Residential Authority
MCO
BH Operations Program varies Commerce Infrastructure and
Department Community
Development
For the purposes of our estimates, we have assumed that all adults are eligible for behavioral health, mental
health and FCS services. We’ve assumed all children are eligible for WISe programming and Foster Care
Maintenance Payments. Our operating revenue is based on 75% capacity during the first year, growing to
100% in year two and going forward. Similarly, program revenue grows from $1.27 million in year one to $1.6
million in year two. The full capacity is twelve families (twelve adults and eighteen children).
Grants
Rising Strong in Spokane benefited from significant grant investments for its start-up costs, primarily from the
Children’s Bureau Regional Partnership Grant and Empire Health Foundation. Similar sources may be
necessary to launch other Rising Strong programs. Grants may be available at the federal, state, and county
levels. The Department of Commerce invests regularly in Behavioral Health facilities. King County has funding
allocated to Housing First solutions for which this program may qualify. Appendix G details public and private
grant funding opportunities.
The financial projection assumes 100% of capital and start-up costs will be covered by grant sources.
Gaps in Funding
• The structural design of the program limits some of its funding sources. These gaps include:
• Services provided outside of a Residential Treatment Facility license limit reimbursement rate, as
previously explained.
• Housing Vouchers cannot be applied to this program because families need to keep their status as
unhoused or at the risk of homelessness in order to qualify for permanent supportive housing upon
exit. Programs typically used to assist this population, such as Housing and Essential Needs (HENS),
Housing and Recovery through Peer Services (HARPS), and Consolidated Homeless Grants (CHG),
cannot be applied.
Rising Strong West Master Plan 33
Financial Projection Findings
The following financial projection shows a scenario where the program will require $600,000 of operational
grant funding to break even in the first year. This grant funding can drop to $300,000 in year two as the
program ramps to 100% capacity. Because of the smaller size of the Historic Quarters, the program does not
enjoy the efficiencies of the larger Rising Strong Spokane program.
The financial projections for the New Construction option outlined in Appendix H show that a larger facility
serving up to twenty-four (24) families can break even without external grant funding by year two.
Rising Strong West Master Plan 34
Projected Income-Expense Statement - Historic Nurses Quarters Rehab
Rising Strong West Master Plan 35
10. Findings
Our findings related to strengths, weaknesses, opportunities, and threats (SWOT) for both the clinical and
financial model of the program are outlined below. The clinical model is structured as a system best practice,
though significant challenges exist aligning funding that supports the collective outcomes across child
welfare, behavioral health, and housing systems. These findings have informed our recommendations to
those interested in replicating the program.
Strengths Weaknesses
• Keeps families together per the Family First • It is challenging to find funds that pay for the
Prevention Services Act (FFPSA) holistic nature of the model
• Culturally-centered approach • Access is not low-barrier as a pending out-
• Health and housing partnership addressing of-home placement is a required for entry
the service and housing needs of families • The program has limited capacity to serve all
• Social and medical model for comprehensive families in need
family services • Development and start-up funding provided
• Considers the entire treatment, housing, and by local philanthropy was foundational to the
services continuum, including employment program and expensive to replicate
and transportation • Requires high medical service thresholds to
• MCOs have a strong interest in a value based finance the program due to lack of other
programs that aligns these components operations fund sources
• Cross-system collaboration has addressed • Dependency on availability of Permanent
barriers across systems to ensure aligned Support Housing upon program exit
metrics that meet the customer’s needs • May require a larger resident population to
• Aligns with Coordinated Entry goals to secure be financially sustainable
permanent housing • Challenging to coordinate the five MCOs
• Aligns with HCA goals of integrated care
Opportunities Threats
• Foster Care Maintenance Payments • Sustainable funding
• Recovery Housing Vouchers • Gaps in funding for care navigation to
• PPW provider need in King County ensure continuity across settings (hospital,
• Potential funds for new Perinatal SUD residential, housing)
initiatives • Competition across vulnerable populations
• Blended Funding (housing first vs. recovery housing)
• Fund stack for services, operations • NIMBY concerns
• MCOs are considering milieu management • Limited workforce of behavioral health staff
benefit • King County construction costs are high
• Involve HCA in coordinating MCO benefits • Operator capacity, knowledge, resource
Rising Strong West Master Plan 36
• Capital development grants for rehab and new • Lack of alignment in goals and resources
construction
Rising Strong West Master Plan 37
Recommendations
The Rising Strong model is a unique solution to an ongoing challenge of creating positive outcomes for
families at risk of child removal due to parental alcohol and substance use disorder. While this report
documents program design, implementation and funding options, there is still work to be done to identify an
operator for a King County site and to finalize a location.
The new construction option is not just more cost efficient, it would also provide a more comprehensive
blueprint for operators who might be interested in building a program in other parts of the state. Because of
the innovative aspects of this approach, we also recognize the importance of predesign and technical
assistance in developing a model prototype.
Next Steps
In order to successfully develop Rising Strong Spokane, a key set of system partners came together to align
the coordinated system of care. Due to time constraints, this level of coordination has not yet been possible in
King County. However, we believe that the potential positive outcomes from a Rising Strong West program
merits further exploration. As such we recommend the following steps to ensure ongoing development of a
coordinated and successful model:
1. Establish an Advisory Committee consisting of service providers, stakeholders, relevant state agencies,
chairpersons of the appropriate Senate and House of Representatives Committees, and community
members. State agencies should include, but not be limited, to: HCA, DSHS, Commerce, DOH, and Office of
Public Defense. Community membership should include family advocates, service providers, and program
alumni. The state agency members and community members should have input into who else holds an
advisory committee seat.
2. Work with state agencies to coordinate a funding model that is easily operationalized by providers seeking
to develop a similar program.
3. Align key measures of interest across systems with an emphasis on client outcomes at the program level.
4. Engage community stakeholders to address system barriers in implementation, such as ensuring seamless
coordination across health, housing, and child welfare systems and agencies.
5. Engage private sector and philanthropic organizations in planning to determine interest in funding.
6. Support interested providers in understanding the model toward implementation with the goal of naming
an operating agency for the King County program.
7. Recommend funding of an advisory committee in a subsequent legislative proviso which would be
responsible for continued program development. An appropriation of $150,000 in FY22 would support this
second phase of work. Deliverables in the second phase of work include: a named operating agency, a
named housing developer, a specified development site, and detailed capital requirement in anticipation of
a 2023 capital request.
Rising Strong West Master Plan 38
Appendix A: 2021 Legislative Proviso Language
SUBSTITUTE HOUSE BILL 1080
Chapter 332, Laws of 2021
67th Legislature
2021 Regular Session
CAPITAL BUDGET
EFFECTIVE DATE: May 18, 2021
Sec. 1082. FOR THE DEPARTMENT OF COMMERCE
Substance Use Disorder Recovery Housing (91001675)
The appropriation in this section is subject to the following conditions and limitations:
(1) The appropriation in this section is provided solely for an agreement with Catholic Community
Services/Catholic Housing Services to fund a master planning process for the development of a family-
centered drug treatment and housing program in western Washington that supports families staying together
while they recover from addiction and rebuild their lives. Housing developers, service providers, and other
stakeholders must be included in this master planning process.
(2) The master planning process under this section must model the project to be developed after Rising Strong
in Spokane and must include units for families that are experiencing substance use disorder and that are
involved in the child welfare system. The site must include living quarters for families, space for services, play
areas for children, and space for child care. The program services located at the site must include, but are not
limited to, case management, counseling, substance use disorder treatment, and parenting skills classes. The
site must be located in King County, or located near King County, to provide services to families in the western
area of the state.
(3) The master plan developed under this section must be submitted to the appropriate committees of the
legislature by December 31, 2021.
Appropriation:
State Building Construction Account—State. . . . . . $150,000
Prior Biennia (Expenditures). . . . . . . . . . . . . . . . . . . . . . . . $0
Future Biennia (Projected Costs). . . . . . . . . . . . . . .. . . . . . $0
Rising Strong West Master Plan 39
TOTAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $150,000
Appendix B: Glossary of Terms/Acronyms
BH - Behavioral Health
BHA - Behavioral Health Agency
BHASO - Behavioral Health Administrative Services Organization
CBT - Cognitive Behavioral Therapy
CEA - Coordinated Entry for All
DCYF - Department of Children, Youth and Families
DOH - Department of Health
DSHS - Department of Social and Human Services
FCS - Foundational Community Supports
HARPS - Housing and Recovery through Peer Services
HCA - Health Care Authority
HEN - Housing and Essential Needs
HMIS - Homeless Management Information System
IOP - Intensive Outpatient Program
MCO - Managed Care Organization
MH - Mental Health
MI - Motivational Interviewing
OP - Outpatient Program
PCIT - Parent Child Interaction Therapy
PPW - Pregnant and Parenting Women
Rising Strong West Master Plan 40
RDA - Research and Data Analysis
RTF - Residential Treatment Facility
SUD - Substance Use Disorder
WAC - Washington Administrative Codes
Rising Strong West Master Plan 41
Appendix C: List of Technical and Advisory Support
Team
• Brad Howell, Deacon Construction
• Tasha Irvine, Principle Allies
• Chris Jowell, Catholic Community Services of Western Washington
• Dawn Kinder, Catholic Community Services of Eastern Washington
• Laurie Lippold, Partners for Our Children
• Bob Murphy, Deacon Construction
• Elizabeth Perry, Principle Allies
• Kenny Pittman, Catholic Community Services of Western Washington
• Nolita Reynolds, Catholic Community Services of Western Washington
• Will Rice, Catholic Community Services of Western Washington
• Mary Stone-Smith, Catholic Community Services of Western Washington
• Milena Stott, Principle Allies
Rising Strong West Master Plan 42
Appendix D: List of Key Stakeholder Organizations
Interviewed and Documents Referenced
Programmatic Stakeholders
• Catholic Community Services of Eastern Washington
• Key Recovery and Life Skills Center
• King County Behavioral Health and Recovery Division
• King County Coordinated Entry for All
• King County Superior Court, Family Treatment Court Program
• Washington State Department of Children, Youth and Families, Child Welfare Intake
• Washington State Department of Children, Youth and Families, Early Support for Infants and Toddlers
Partnership Stakeholders
• Local Foster Care Provider
• HealthierHere Accountable Community of Health
• Washington Alliance of Quality Recovery Residences
Facility Stakeholders
• Washington State Department of Children, Youth and Families, Substance Use Prevention, Treatment,
and Recovery Services
• Washington State Department of Health, Pregnant and Parenting Program
Financial Stakeholders
• Amerigroup
• Community Health Plan of Washington
• Coordinated Care
• Empire Health Foundation
• Molina Healthcare
• United Healthcare
• Washington State Health Care Authority, Foundational Community Supports
• Washington State Health Care Authority, Recovery Residence, HARPS and Peer Support Programs
• Washington State Department of Commerce, Office of Supportive Housing
Rising Strong West Master Plan 43
List of Department of Social and Health Services Research and Data Analysis Reports Reviewed:
• Prevalence of Substance Use Disorder Diagnoses among Medicaid Beneficiaries
• Variations in Behavioral Health Treatment Penetration Rates
• Variations in Utilization of Substance Use Disorder Treatment Modalities
• Physical Health and Social Outcomes among Medicaid Beneficiaries with and without Behavioral
Health Diagnoses
• Substance Use Disorder Treatment Penetration Rates Among Child Welfare Involved
• Behavioral Health Treatment Needs and Outcomes among Medicaid Enrolled Children in WA
• WISe Dashboards and Reports
• WISe King County Trends and Data
Rising Strong West Master Plan 44
Appendix E: Letters of Support
The following letters of support for Rising Strong West were received from:
Health Care Authority - Beth Tinker, PhD, MPH, RN, Clinical Nurse Consultant
King County Behavioral Health and Recovery Division - Kelli Nomura, Division Director
King County Family Treatment Court - Jill Murphy, LICSW
Molina Healthcare - Tory Gildred, LICSW, SUDP, Associate Vice President
Rising Strong West Master Plan 45
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Rising Strong West Master Plan 51
Appendix F: Implementation Rubric
Eligibility and Population
Philosophy Rising Strong is a strength-based, trauma-informed, holistic, family-centered drug treatment
and housing program supporting families in staying together while they begin to recover
from addiction, heal from trauma and rebuild their lives.
• Shelter or ”transitional housing” with the goal of transitioning into permanent housing
after program
• Abstinence-focused program with capacity to address relapse and medication
assisted treatment (MAT)
• Treatment philosophy is informed by best practices
• Access to the program is determined at the court level or in some cases by the DCYF
caseworker
• The family has chosen participate in treatment as required by the dependency
process
Collaborators • Family
• Attorney
• DCYF case worker
• Family Court/Family Treatment Court
• Coordinated Entry
• Community partners (see services sections)
• State Agencies (see infrastructure)
Entry Points • DCYF case worker
• Dependency shelter care hearing
• Family Treatment Court
• Parent attorneys
Prioritization • Determined by resources and need
• Definitions of homelessness
• Fund sources and related regulations/criteria
• Coordinated entry resources
• Court goals (limit separation time, conditions under which offered)
• Populations of interest
Rising Strong West Master Plan 52
Program Entry
Screening and Assessment Tools • GAIN SS
• CANS for WISe - CANS Data Fields
• Background check – Subject to state agency rules and WAC
• Referral and Eligibility Determination Form - CEA
• List of exclusions that arise in the background check process
Partner Communication and • Process between the court, DCYF and RS program
Collaboration • Timeline and preparation for program entry among partners
• Monthly report on every parent to DCYF
• Probation reports and parent report
• Safety and communication
• Commissioner and court leadership
Rising Strong Intake Packet • Stages of Change Assessment Tool
• Trauma Symptom Checklist for Young Children
• Sensory Profiles
• Child Behavioral Checklist (CBCL)
• Behavioral Rating Inventory of Executive Functioning (BRIEF) and
BRIEF Preschool Version
• Vineland Adaptive Behavior Scales
• Adult Severity Index (ASI)
• Trauma Symptom Checklist 40
• Center for Epidemiological Studies Depression Scale
• Adult-Adolescent Parenting Inventory
• Parenting Stress Index
• Intake and Belongings Search Procedure
• Participant Handbook
• Clinical Schedule
• Notice of Accountability
Rising Strong West Master Plan 53
Services and Progress Monitoring
Required Partners • Family court and others connected to legal process
• Intensive Case Management - Family Success Approach
• Childcare, early intervention, and education organizations
• Mental health, substance use, and primary health providers
• Parent educators and other recreation facilitators
• Education and employment partners
• Coordinated entry and housing providers
Dyadic Relationships • Play and Learn – certified Infant Mental Health Specialists
• Family based therapy
• Parent Child Assistance Program – Home Visiting
• Parent Child Interaction Therapy
• Focused curriculum on development
Childcare and • Head start
Education • Required to engage in daycare for program participation – priority access
• Early Risers Program, Certified Baby 101
• Trained family peers with background in childcare and Montessori
Recreation • Ranch Partners
Services • Mental health and substance use screening and services for youth and
caregivers
• Physical health services
• See services and programs section for full description
Progress Monitoring • Phases and Treatment Goals
• Treatment milestones
• Treatment outcomes
• Functional outcomes - decrease in symptoms, school attendance, health
outcomes
Rising Strong West Master Plan 54
Development and Implementation
Needs • Data sources – DCYF, DSHS, HCA
(See data and needs assessment section)
Leadership • Organizational leaders
• Community leaders
• Political leaders
• Advocates
Site • Definition of being “homeless” or “at risk of homelessness” required to
gain access and is required to be maintained to gain permanent housing
when exiting the program
Licenses • Shelter - no facility license
• On-site behavioral health and SUD services will be licensed through
agency partners
• Time-limited, drop-in childcare (license not required)
Fund Sources • Predevelopment
• Capital development, Start Up, Operations, Services
Policies and Procedures • Emergency procedure
• Transport procedure
• Notice of violations
• Safety protocol for domestic violence
• Procedures for unsafe behaviors
Curriculum and Evidence • Motivational Interviewing
Based Practices • Cognitive Behavioral Therapy (CBT)
• Dialectical Behavioral Therapy
• Eye Movement Desensitization and Reprocessing
• Seeking Safety - A Treatment Manual for Post Traumatic Stress Disorder
(PTSD)
• Circle of Security
• Certified baby 101 curriculum
• Incredible Years
• Promoting First Relationships
• Triple P
• Functional Family Therapy for Adolescent Alcohol and Drug Abuse
Rising Strong West Master Plan 55
Community Partners • See Advisory committee section
Cultural considerations • Prioritization – see data and recommendation
Housing Continuum • Current inventory of housing opportunities;
• Needs within its jurisdiction (geographic area)
• Expressed preferences of people being served
• Continuity to permanent supportive and affordable housing
Data, Outcomes, Cost Savings
Data Governance • State agency
• Community
• Provider
• Limited aggregated reports AND ability to align across systems
Data Collection Methods • DCYF – Reasons for removal and outcomes
• HCA – Treatment need and treatment penetration
• COM – Homeless status
• DSHS – Income, Employment
Program Data • # of referrals eligible
• # accepted and reasons for decline
• # of completions and reasons for attrition
• Average length of stay
• Exit reason
• Identified barriers
• Situation at exit
• Employment
• Housing
• Custody
• Health
Cost Savings • Emergency Department Visits
• Jail
• Out of home placement in foster care
Rising Strong West Master Plan 56
Additional Resources
Coordinated Entry Information from Commerce:
• https://files.hudexchange.info/resources/documents/Coordinated-Entry-Core-Elements.pdf (HUD
Coordinated Entry Core Elements)
• https://www.hudexchange.info/resource/5340/coordinated-entry-core-elements/
• https://www.hudexchange.info/resource/5182/sample-chronic-homelessness-documentation-
checklist/
• https://www.hud.gov/sites/documents/17-01CPDN.PDF
• https://www.commerce.wa.gov/program-index/ (WA – Commerce)
• https://deptofcommerce.app.box.com/s/z5km1qwohx23u1c7fa5tv9spjx0gtxyd (CEA Plan)
Rising Strong West Master Plan 57
Appendix G: Detailed Analysis of Revenue Sources
Following are more detailed descriptions of the revenue sources included in the financial projections.
Program Fees
Behavioral Health Treatment Services
Services received in the program for behavioral health treatments will be reimbursed by Managed Care
Organizations. The rate for these services varies depending on the stage of care being provided, and the
financial projections include tapered benefits depending on treatment stages. Because the program is not a
residential treatment facility, daily rate facility codes cannot be used. Instead, services are billed based on
encounters.
Summary of Reimbursement Modeling for Behavioral Health Services (2021)
Treatment Time Frame Reimbursement per Resident
Day 0-30 $3,401.60
Day 30-60 $1,530.72
Day 60-90 $1,530.72
Day 90-120 $1,530.72
Day 120-150 $1,092.48
Day 150-180 $1,092.48
Day 180-210 $1,092.48
Day 210-240 $510.24
Day 240-270 $510.24
Day 270-300 $510.24
Day 300-360 FCS only
Rising Strong West Master Plan 58
These are an aggregation of the following fee-for-service units:
Treatments through Stages of Progress and Family Model of Care (2021)
Proposed Units and Rates Typical Interventions and Rates
Entry and Stabilization (2-4 weeks) Pre-recovery and stabilization (fewer than 30 days)
$42.52 per hour x 20 hours • Hospital or Secure Withdrawal Management Facility ($938.40
per day)
$850.40 per week x 4 = • Acute Withdrawal Management ($298.36 per day )
• Sub-acute Withdrawal Management ($144.36 per day)
$3,401.60 per month
• Adult Intensive Residential Program ($183.46 per day)
• Residential PPW with child ($214.96 per day)
• SUD Residential Child Care Services ($174.96 per day)
• H0019 - Adult Long Term Residential ($58.36 per day)
• H0018 – Adult Recovery House ($42.36 per day)
Avoidable cost:
$298 x 5 = $1,490 & $214.96 x 28 = $6,019
Active Treatment (1-3 months) Recovery initiation and active treatment (1–3 months)
$42.52 per hour x 9 hours • Intensive Outpatient ($42.52 per hour)
• 9 hours per week for 3 months
$382.68 per week x 4 = • Mental health services ($3,559 per year or $296.58 per month)
$1,530.72 per month
Active Engagement and Active Engagement and Rehabilitation (3-12 months)
Rehabilitation (3-12 months)
• Intensive Outpatient ($42.52 per hour)
$42.52 per hour x 6 hours • 6 hours per week for 3 months
• Outpatient ($42.52 per hour)
$273.12 per week x 4 = • 3 hours per week for 3 months
• Mental health services ($3559 per year or $296.58 per month)
$1,092.48 per month and
• Primary care services ($300 encounter rate)
$42.52 per hour x 3 hours • MOUD ($500 per month bundled rate)
$127.56 per week x 4
$510.24 per month
Rising Strong West Master Plan 59
Treatment Services - Mental Health
In addition to Behavioral Health services, residents are eligible for Mental Health Services, with a maximum
reimbursement of $3,559 total for Days 0-360. The financial model assumes all adult residents receive mental
health services.
Foundational Community Supports
There are two types of Foundational Community Supports (FCS) services - Supported Employment and
Supportive Housing. These services can be offered to residents during their final months of stay in the
program, assuming Day 300-360 in the current financial model.
FCS Reimbursement Rates (2021)
Supported Employment Benefit Supportive Housing Benefit
1 unit = 15 minutes of service Per diem rate
Limit of 120 units (30 hours) of service per 6 Limit of 30 days of service per 6 month
month authorization period authorization period
Reimbursement rate of $27/unit of service Reimbursement rate of $112/day
Services may be reauthorized if a participant Services may be reauthorized if a participant
continues to need services continues to need services
Under both FCS programs, there is an “Exception to Rule” authorization process available for additional service
units within a 6-month period for participants who have exceptional service needs.
WISe Program Services
Wraparound with Intensive Services (WISe) is an approach to helping Medicaid-eligible children, youth, and
their families with intensive mental health care. Geared toward minors, these services are reimbursed in
addition to other behavioral and mental health services. Monthly Case Rate provided for WISe per youth, per
month is $3,427.20 (2021). We assume that all children in the program are eligible for and receive WISe
services. Note that those children eligible for tribal affiliated care options may receive a higher reimbursement
because those services are billed on a fee-for-service basis.
Foster Care Maintenance Payments
Rising Strong in Spokane worked with the legislature to ensure its program could qualify for Foster Care
Maintenance Payments because children who stay with their parents at Rising Strong as an alternative to
foster care enrollment.
The language added in March 2020 reads: “The Department of Children, Youth, and Families shall make foster
care maintenance payments to programs where children are placed with a parent in a residential program for
Rising Strong West Master Plan 60
substance abuse treatment. These maintenance payments are considered foster care maintenance payments
for purposes of forecasting and budgeting at maintenance level as required by RCW 43.88.058 2.”
Foster Care Maintenance Payment Rates - Monthly
Child’s Age Basic Level II Level III Level IV
(incl. Basic Rate)
(incl. Basic Rate) (incl. Basic Rate)
0 to 5 years $672.00 $849.92 $1,195.51 $1,474.30
6 to 11 Years $796.00 $973.92 $1,319.51 $1,598.30
12 & Older $810.00 $987.92 $1,333.51 $1,612.30
DCYF Foster Care lists the basic rate payment (Level one) to all foster parents for costs related to food,
clothing, shelter, and personal incidentals. In addition, there are three levels of supplemental payments (Levels
two, three and four) which are paid to foster parents who care for children with varying degrees of physical,
mental, behavioral or emotional conditions that require increased effort, care or supervision that are above the
needs of a typically developing child. Rising Strong children typically receive the basic rates, which is prorated
based on time in the facility.
Pregnant and Parenting Women Residential
Pregnant and Parenting Women (PPW) housing support services provide housing support services for women
who are pregnant, postpartum, or parenting, and for their children, in drug and alcohol-free residences for up to
eighteen months at an enhanced rate. Housing is classified as support services rather than treatment. King
County has a childcare rate and pays for services in the residential setting. The fund source also covers
extended eligibility and additional services in outpatient settings to ensure family focus. Note that child care
licensing may be required for reimbursement.
Grant Funding
Following are examples of available public and private grant funding sources:
Federal: HUD Recovery Housing grants
HUD's Office of Special Needs Assistance Programs (SNAPS) funds over 1,600 projects across the country
through its Continuum of Care (CoC) Program that serve people with chronic substance use disorders,
including projects funded as both transitional housing and permanent supportive housing. Some programs
target specific priority populations, such as families with children. HUD emphasizes that unless court ordered,
CoC Program-funded projects should not require any homeless person to enter Recovery Housing or be
offered or provided this type of program as the only housing option, but rather should offer them choices. This
choice is key to long-term, stable recovery.
Rising Strong West Master Plan 61
State: Housing Grants
Although the Department of Commerce has been focused on permanent supportive housing under the
Housing First model, some specialized opportunities exist, such as the Commerce Behavioral Health Facilities
Serving Children and Minor Youth grants (currently reviewing 2021-2023 round of applications). Another
current Commerce program assists pilot programs by helping fund operating costs of new Recovery
Residence projects.
State: Health Care Authority Programs
The Health Care Authority's (HCA) funding is focused on medical necessity and is driven by the length of
stay. As stated above, bundling services presents an opportunity to leverage this revenue source. HCA also
provides technical support; one example is the current partnership with the Corporation for Supportive Housing
(CSH) to build capacity of SUD treatment providers in supportive housing partnerships.
County: King County Mental Illness and Drug Dependency Behavioral Health Sales Tax Fund
The King County Mental Illness and Drug Dependency (MIDD) program is a countywide 0.1% sales tax-
generating about $136 million per two-year biennium. It is specifically for programs and services for people
living with or at risk of behavioral health conditions. Project-based grant opportunities are available.
Managed Care Organizations Innovation Funds
Most of the Managed Care Organizations have budgets for innovative or pilot programs which may be
available to fund a study of a bundled service model. One example is the United Healthcare Foundation.
Private Grants
Philanthropic foundations with an interest in recovery programs for families might include:
• Ballmer Group
• Cambia Health Foundation
• Group Health Foundation
• M.J. Murdock Charitable Trust
• Pacific Hospital PDA Health Equity Fund
• Perigee Fund
• Premera Social Impact Grants
• The Tulalip Foundation
• Washington Women’s Foundation
• Wells Fargo Foundation
Rising Strong West Master Plan 62
Appendix H: Comparative Budget for New Construction
Option
As a comparison to the Historic Nurses Quarters Rehabilitation option, we also examined the costs for the
project based on new construction. This facility has higher overall expenses, but the per adult cost is lower
because the population that could be served is double at twenty-four adults.
Expenses
The expenses for this project are divided into three categories: capital investment, start-up costs, and
operational expenses.
Capital Investment
The capital investment for this project includes architectural design services, permitting, building rehabilitation
construction, and project management:
New Construction $9,679,319
($768/square foot)
Development Costs (Architect, Permits, Legal, etc.) $1,886,110
TOTAL $10,080,637
Full estimate for building rehab by Deacon Construction is located in Appendix I.
Start-up Costs
Additional start-up costs for the project include technical assistance on program development and initial
furnishings and supplies.
Technical Assistance $300,000
Furnishings and Supplies $600,000
TOTAL $900,000
Operational Expenses
Ongoing operation of Rising Strong West consists of lease expenses, staffing, program expenses,
administrative expenses, and ongoing maintenance and totals $2,116,950 in the first year. A 3% cost increase
and rent escalation are factored into the projections.
Rising Strong West Master Plan 63
Income
Funding for the Rising Strong program falls into two categories: program fees for services and public or private
grants. See Appendix G for a more detailed explanation of these revenue sources.
While this model assumes billing for individual services, bundling service codes to establish a weekly or
monthly case rate has advantages for planning and providing long-term care. Managed Care Organizations
(MCOs) have all expressed a willingness to engage in these conversations.
Program Fees for Services
Because Rising Strong is a relatively new program, the funding model is still under development. The
challenge is combining funding sources across various federal, state and county programs.
Fee Type Estimate Source Type
Behavioral Health Treatment $12,801.92 per adult/year Health Care Healthcare
Services Authority
MCO
Mental Health Treatment $3,559.00 per adult/year Health Care Healthcare
Services Authority
MCO
Foundational Community $3,240.00 per adult/6 months Health Care Healthcare
Supports (FCS) - Authority
Employment
MCO
Foundational Community $3,360.00 per adult/6 months Health Care Healthcare
Supports (FCS) - Housing Authority
MCO
WISe Program Services $3,427.20 per child/month Health Care Healthcare
Authority
MCO
Rising Strong West Master Plan 64
Foster Care Maintenance $672.00 per child/month DCYF Child Welfare
Payments
Pregnant and Parenting varies Health Care Healthcare
Women (PPW) Residential Authority
MCO
Behavioral Health Varies Commerce Infrastructure &
Operations Program Department Community Development
For the purposes of our estimates, we’ve assumed that all adults are eligible for behavioral health, mental
health, and FCS services. We’ve assumed all children are eligible for WISe programming and Foster Care
Maintenance Payments. Our operating revenue is based on 75% capacity during the first year, growing to
100% in year two and going forward. Similarly, program revenue grows from $2.14 million in year one to $2.39
million in year two. The full capacity is twenty-four families (twenty-four adults and thirty-six children).
Grants
Rising Strong in Spokane benefited from significant grant investments for its start-up costs, primarily from the
Children’s Bureau Regional Partnership Grant and Empire Health Foundation. Similar sources may be
necessary to launch other Rising Strong programs. Grants may be available at the federal, state, and county
levels. Commerce invests regularly in behavioral health facilities. King County has funding allocated to
Housing First solutions for which this program may qualify. Appendix G details public and private grant
funding opportunities.
The financial projection assumes 100% of capital and start-up costs will be covered by grant sources.
Gaps in Funding
The structural design of the program limits some of its funding sources. These gaps include:
• Services provided outside of a Residential Treatment Facility license limit reimbursement rates, as
previously explained.
• Housing Vouchers cannot be applied to this program because families need to keep their status as
unhoused or at the risk of homelessness in order to qualify for permanent supportive housing upon
exit. Programs typically used to assist this population, such as Housing and Essential Needs (HENS),
Housing and Recovery through Peer Services (HARPS) and Consolidated Homeless Grants (CHG),
cannot be applied.
Rising Strong West Master Plan 65
Financial Projection Findings
The following financial projection shows a scenario where the program will require $200,000 of operational
grant funding to break even in the first year. This grant funding will not be needed after year one as the
program ramps to 100% capacity.
Rising Strong West Master Plan 66
New Construction Alternative Year 0 Year 1 Year 2 Year 3
INCOME
Program Service Fees
Behavioral Health Treatment Services 0 230,435 316,463 325,957
Mental Health Treatment Services 0 64,062 87,978 90,618
Foster Care Maintenance Payments 0 217,728 299,013 307,984
WISe 0 1,110,413 1,524,967 1,570,716
FCS - Supported Employment 0 58,320 80,093 82,496
FCS - Supportive Housing 0 60,480 83,059 85,551
Grants
Public (Federal, State, County) 13,500,000 200,000 0 0
Private (Foundation, Corporate, Nonprofit) 250,000 200,000 0 0
TOTAL INCOME $ 13,750,000 $ 2,141,437 $ 2,391,574 $ 2,463,321
EXPENSES
Facilities & Occupancy
Land Cost 750,000 0 0 0
Building Rehab Construction 9,679,319 0 0 0
Development, Architect, PM, Permits 1,886,110 0 0 0
Furnishings and Equipment 600,000 0 0 0
Lease 0 0 0 0
Insurance, Maintenance & Prop Taxes 100,000 103,000 106,090 109,273
Utilities 0 10,000 10,300 10,609
Staffing Costs
Salaries 314,250 1,257,000 1,294,710 1,333,551
Benefits (35%) 109,988 439,950 453,149 466,743
Program Costs
Client Workshops & Trainings 0 15,000 15,450 15,914
Medical Supplies (UAs) 0 10,000 10,300 10,609
Program Equipment, Furnishings & Maintenance 0 30,000 30,900 31,827
Program Supplies 0 10,000 10,300 10,609
Program Meetings & Events 0 10,000 10,300 10,609
Client Supports (ie. baby formula, food, clothing) 0 15,000 15,450 15,914
Transportation for Clients 0 40,000 41,200 42,436
Staff Training & Development 0 24,000 24,720 25,462
Technical Assistance - Implementation 240,000 60,000 0 0
Administrative Costs
Computer Equipment & Software 15,000 24,000 24,000 24,000
Insurance 0 10,000 10,000 10,000
Licenses, Dues & Fees 0 4,000 4,000 4,000
Office Equipment & Furnishings 0 30,000 30,000 30,000
Office Supplies 0 10,000 10,000 10,000
Phone, Internet, Postage & Shipping 0 15,000 15,000 15,000
TOTAL EXPENSES $ 13,694,667 $ 2,116,950 $ 2,115,869 $ 2,176,555
NET INCOME $ 55,334 $ 24,487 $ 275,705 $ 286,767
Rising Strong West Master Plan 67
Appendix I: Construction Cost Estimates from Deacon
Construction
Rising Strong West - PDA Site
Sample Development Proforma
12/31/2021
Land Costs:
Prepaid Land Lease n/a
Lease Execution n/a
$0
Construction Costs:
Basic Construction Contract $6,795,050
Construction Services - Other/Inspections/Reports $33,975
FF&E Furnishings & Play Equipment $339,753
Hazardous Materials Abatement $50,000
Sitework/Infrastructure in Const.
Sales Tax $739,925
Contingency $360,939
$8,319,641
Development Costs:
Appraisal & Marketing Studies $7,500
Architect $679,505
Bidding Costs $500
Boundary/Topo/ALTA Survey n/a
Developer Fee $400,000
Developer Reimbursables $2,500
Development Period Utilities $5,000
Engineering/Pre-Construction $100,000
Environmental Assessment & Reports $20,000
Geotech n/a
Legal - Construction $5,000
Legal - Real Estate $5,000
Other Consultants $50,000
Permits/Fees/Utilities $339,753
Contingency $80,738
$1,695,495
Other Development Costs
Administrative General $500
Accounting and Audit $10,000
Loan Fees $50,000
Soft Cost - Indirect Other $5,000
$65,500
Total Development Cost $10,080,637
Rising Strong West Master Plan 68
Rising Strong West - Nurses Qtrs : Seattle, WA
Catholic Housing Services
12/2/2021
Conceptual Estimate
Documents & Dates: n/a
Building: 12,267 sf
Schedule: 9 mo.
Building Shell $6,795,050 $553.93 /sf
Key Clarifications:
1) Above prices do not include Washington St. Sales Tax
2) Construction Costs only included. Soft costs including design, permits, etc. not included.
Rising Strong West Master Plan 69
Rising Strong West - Nurses Qtrs : Seattle, WA
Catholic Housing Services
12/2/2021
Detailed Breakdown - Building 10 Renovation
12,267 sf
1 Site Utilities Quantity Unit Unit Price Total Cost
Street Cut/Patch 300 SF 40.00 12,000
Sidewalk Cut/Patch 400 SF 25.00 10,000
Patch Landscaping (Lawn) 800 SF 5.00 4,000
Fire Line to Bldg. 120 LF 125.00 15,000
DDC Vault 1 EA 30,000.00 30,000
Subtotal: $71,000
2 Demolition Quantity Unit Unit Price Total Cost
Interior Demolition 12,267 SF 8.00 98,136
Hazardous Material Abatement 1 LS 75,000.00 75,000
Demo Floors for Elevator Shaft 2 EA 3,200.00 6,400
Demo/Shore/Excavate for Elevator Pit 1 LS 15,000.00 15,000
Demo portion of Basement Slab 1,500 SF 12.00 18,000
Subtotal: $212,536
3 Site Concrete Quantity Unit Unit Price Total Cost
Exterior Repairs for ADA Ramp/Steps 1 LS 10,000.00 10,000
Subtotal: $10,000
4 Landscaping & Irrigation Quantity Unit Unit Price Total Cost
Landscape Repairs Post Construction 1 LS 10,000.00 10,000
Subtotal: $10,000
5 Site Amenities Quantity Unit Unit Price Total Cost
Play Area 1 EA 50,000.00 50,000
Other Misc. Amenities 1 LS 5,000.00 5,000
Subtotal: $55,000
Rising Strong West Master Plan 70
6 Building Concrete Quantity Unit Unit Price Total Cost
Elevator Pit Concrete 1 LS 13,688.89 13,689
Walls @ Elevator Shaft 720 SF 67.89 48,884
Pour Back Slabs 1,500 SF 15.00 22,500
Subtotal: $85,073
7 Masonry Quantity Unit Unit Price Total Cost
Masonry Restoration 10,640 SF 20.00 212,800
Subtotal: $212,800
8 Structural Steel & Misc. Metals Quantity Unit Unit Price Total Cost
Support Floors @ Elevator Openings 2 EA 1,500.00 3,000
Seismic Upgrades 12,267 SF 20.00 245,340
Elevator Steel 1 LS 20,000.00 20,000
Subtotal: $268,340
9 Rough Carpentry Quantity Unit Unit Price Total Cost
Misc. Backing/Bloocking 12,267 SF 0.50 6,134
Subtotal: $6,134
10 Finish Carpentry Quantity Unit Unit Price Total Cost
Kitchen Base Cabinetry/Tops 32 LF 396.25 12,680
Kitchen Wall Cabinetry 48 LF 200.00 9,600
Restroom Counters/Supports 60 LF 300.00 18,000
Lav Cabinets/Tops - Units 72 LF 330.00 23,760
Office Cabinets 4 EA 1,500.00 6,000
Other Misc. Millwork 1 LS 25,000.00 25,000
Subtotal: $95,040
11 Roofing Quantity Unit Unit Price Total Cost
Misc. Roof Patch/Repair 1 LS 10,000.00 10,000
Subtotal: $10,000
Rising Strong West Master Plan 71
12 Water / Dampproofing Quantity Unit Unit Price Total Cost
Waterproofing - Elevator Pit 1 LS 6,500.00 6,500
Subtotal: $6,500
13 Caulking Quantity Unit Unit Price Total Cost
General Building Caulking 12,267 SF 0.15 1,840
Subtotal: $1,840
14 Doors & Hardware Quantity Unit Unit Price Total Cost
Doors/Frames/Hardware 56 EA 3,500.00 196,000
Subtotal: $196,000
15 Glass & Glazing Quantity Unit Unit Price Total Cost
Window Renovation 57 EA 3,750.00 213,750
Subtotal: $213,750
16 Metal Studs & Sheetrock Quantity Unit Unit Price Total Cost
Partition Walls 1,124 LF 130.00 146,120
Perimeter Walls incl. Repairs 950 LF 29.00 27,550
Drywall Ceilings 12,267 SF 8.00 98,136
Temporary Heat 12,267 SF 1.50 18,401
Subtotal: $290,207
17 Acoustical Quantity Unit Unit Price Total Cost
Suspended Ceilings - Basement 1,804 SF 6.00 10,824
Suspended Ceilings - Corridors 1,762 SF 6.00 10,572
Subtotal: $21,396
Rising Strong West Master Plan 72
18 Insulation Quantity Unit Unit Price Total Cost
Exterior Walls 9,500 SF 1.25 11,875
Roof Insulation 4,580 SF 2.00 9,160
Sound Insulation 11,240 SF 1.00 11,240
Crawl Space Insulation 1,295 SF 2.00 2,590
Firestopping/Firesafing 12,267 SF 1.00 12,267
Subtotal: $47,132
19 Floor Coverings Quantity Unit Unit Price Total Cost
LVT 6,310 SF 5.00 31,550
Carpet Tile - Corridors 1,414 SF 5.00 7,070
Ceramic Tile - Floors 1,581 SF 15.00 23,715
Ceramic Tile - Walls 2,940 SF 20.00 58,800
Shower Tile 8 EA 5,000.00 40,000
Concrete Floor Sealer 403 SF 0.50 202
Stair Treads 514 SF 10.00 5,143
Rubber Base 3,198 LF 2.75 8,795
Elevator Tile 48 SF 15.00 720
Floor Prep. 12,267 SF 0.50 6,134
Subtotal: $182,127
20 Paint & Wall Coverings Quantity Unit Unit Price Total Cost
Interior Walls & Ceilings Paint 44,247 SF 1.75 77,432
Exterior Masonry / Concrete Sealer 9,500 SF 2.00 in restoration
Doors & Frames 56 EA 200.00 11,200
Misc Exterior Painting 1 LS 5,000.00 5,000
Subtotal: $93,632
21 Toilet Accessories Quantity Unit Unit Price Total Cost
Accessory Sets 13 EA 1,000.00 13,000
Subtotal: $13,000
Rising Strong West Master Plan 73
22 Toilet Partitions Quantity Unit Unit Price Total Cost
Stalls 12 EA 1,000.00 12,000
Subtotal: $12,000
23 Other Specialties Quantity Unit Unit Price Total Cost
Fire Extinguishers 6 EA 250.00 1,500
Lockers 36 EA 200.00 7,200
Knox Boxes 1 EA 400.00 400
Window Blinds 57 EA 150.00 8,550
Subtotal: $17,650
24 Residential Appliances Quantity Unit Unit Price Total Cost
Refrigerators 4 EA 3,500.00 14,000
Freezers 4 EA 3,500.00 14,000
Ranges 4 EA 1,500.00 6,000
Range Hoods 4 EA 250.00 1,000
Microwaves 4 EA 300.00 1,200
Dishwashers 4 EA 750.00 3,000
Office Appliances 1 LS 2,050.00 2,050
Install 25 EA 150.00 3,750
Subtotal: $45,000
25 Elevators & Escalators Quantity Unit Unit Price Total Cost
Hydraulic Elevators 3 STOP 40,000.00 120,000
Subtotal: $120,000
Rising Strong West Master Plan 74
26 Building Plumbing Quantity Unit Unit Price Total Cost
Plumbing incl. Waste/Water/Vent
Shower Plumbing 8 EA 5,000.00 40,000
Tubs 2 EA 6,500.00 13,000
Toilets 13 EA 3,500.00 45,500
Sinks - Restrooms 17 EA 3,000.00 51,000
Floor Drains 9 EA 1,500.00 13,500
Room Sinks 18 EA 3,000.00 54,000
Other
Water Risers/Heaters/Pumps/Other Plumbing 12,267 SF 15.00 184,005
Subtotal: $401,005
27 HVAC Quantity Unit Unit Price Total Cost
VRF System 48 tons 10,000.00 480,000
DOAS 12,267 SF 30.00 368,010
Kitchen Exhaust 8 EA 750.00 6,000
Restroom Exhaust 9 EA 750.00 6,750
Machine Room Cooling 1 LS 7,500.00 7,500
Other 12,267 SF 5.00 61,335
Subtotal: $929,595
28 Fire Protection Quantity Unit Unit Price Total Cost
Sprinkler Riser & 5' Out 1 LS 7,500.00 7,500
Shell Sprinkler System 12,267 SF 5.00 61,335
Drop Head @ Ceilings 3,566 SF 2.00 7,132
Subtotal: $75,967
Rising Strong West Master Plan 75
29 Electrical Quantity Unit Unit Price Total Cost
All Electrical/Low Voltage 12,267 SF 50.00 613,350
Primary to Bldg.:
Excavation/Backfill 130 LF 25.00 3,250
Tree Root Protection 1 LS 2,500.00 2,500
Primary Conduits 160 LF 40.00 6,400
Cut/Demo/Patch Sidewalk 400 SF 25.00 10,000
Patch Landscaping (Lawn) 800 SF 5.00 4,000
Power Vault 1 EA 3,500.00 3,500
Install Vault 1 LS 5,000.00 5,000
Subtotal: $648,000
30 Allowances / Other Quantity Unit Unit Price Total Cost
Permits & Fees LS by owner
Testing & Inspections LS by owner
Subtotal:
31 General Conditions Quantity Unit Unit Price Total Cost
Job Expense 972,485
Subtotal: $972,485
32 Insurance & Bonds Quantity Unit Unit Price Total Cost
Insurance 1.30 % 69,202
Builder's Risk Gap Insurance 0.13 % 7,010
B & O Tax ( State ) 0.471 % 25,431
B & O Tax ( Local ) 0.222 % 12,043
Material Escalation Excluded
Performance/Payment Bonds 85,291
Subtotal: $198,977
33 Overhead & Profit 7.00 % 386,553
34 Contingency 15.00 % 886,311
Total Construction Costs : $6,795,050
Rising Strong West Master Plan 76
Rising Strong West - Skyway Site
Sample Development Proforma
12/31/2021
Land Costs:
Cost of Land (varies by location) $750,000
$750,000
Construction Costs:
Basic Construction Contract $6,796,982
Construction Services - Other/Inspections/Reports $33,985
FF&E Furnishings & Play Equipment $339,849
Hazardous Materials Abatement $50,000
Sitework/Infrastructure $1,188,670
Sales Tax $849,358
Contingency $420,474
$9,679,319
Development Costs:
Appraisal & Marketing Studies $7,500
Architect $798,565
Bidding Costs $500
Boundary/Topo/ALTA Survey n/a
Developer Fee $400,000
Developer Reimbursables $2,500
Development Period Utilities $5,000
Engineering/Pre-Construction $100,000
Environmental Assessment & Reports $20,000
Geotech n/a
Legal - Construction $5,000
Legal - Real Estate $5,000
Other Consultants $50,000
Permits/Fees/Utilities $339,849
Contingency $86,696
$1,820,610
Other Development Costs
Administrative General $500
Accounting and Audit $10,000
Loan Fees $50,000
Soft Cost - Indirect Other $5,000
$65,500
Total Development Cost $12,315,429
Rising Strong West Master Plan 77
Rising Strong West - Skyway Site : Seattle, WA
Catholic Housing Services
12/2/2021
Conceptual Estimate
Documents & Dates: n/a
Building: 12,600 sf
Schedule: 12 mo.
Building Shell $6,796,982 $539.44 /sf
Sitework $1,188,670 $94.34 /sf
Total Construction Cost $7,985,652 $633.78 /sf
Key Clarifications:
1) Above prices do not include Washington St. Sales Tax
2) Construction Costs only included. Soft costs including design, permits, etc. not included.
Rising Strong West Master Plan 78
Rising Strong West - Skyway Site : Seattle, WA
Catholic Housing Services
12/2/2021
Detailed Breakdown - Sitework
43,874 sf
1 Surveying/Public Protection/Traffic Control Quantity Unit Unit Price Total Cost
Survey & Layout 1 LS 15,000.00 15,000
Traffic Control 1 LS 3,000.00 3,000
Subtotal: $18,000
2 Excavation Quantity Unit Unit Price Total Cost
Mobilization 1 LS 20,000.00 20,000
Clearing & Grubbing 43,874 SF 0.35 15,356
On Site Cut to Fill 4,875 CY 8.00 38,999
Misc. Import/Export 1,625 CY 25.00 40,624
Prep & 4" Gravel Site Sidewalks 3,038 SF 1.50 4,557
Import Fill at Wall Backfill Ton 25.00
Erosion Control & Temporary Detention 1 LS 6,000.00 6,000
Storm Water Detention/Treatment 1 LS 25,000.00 25,000
Fine Grade Asphalt Paving 11,003 SF 0.35 3,851
Fine Grade Landscaping 17,233 SF 0.50 8,617
Fine Grade Building Pads 12,600 SF 0.35 4,410
Excavate for Vertical Curbing 647 LF 5.00 3,235
Haul Roads/Laydown Area Ton 15.00
Street Sweeping 10 Trip 500.00 5,000
Subtotal: $175,649
3 Site Utilities Quantity Unit Unit Price Total Cost
Storm Drain
Piping 260 LF 50.00 13,000
CBs 4 EA 2,500.00 10,000
Detention Allowance 1 LS 50,000.00 50,000
Tie In at Road 1 LS 10,000.00 10,000
Other 1 LS 10,000.00 10,000
Sanitary Sewer
Piping 150 LF 65.00 9,750
Manhole 1 EA 5,000.00 5,000
Tie In at Road 1 EA 10,000.00 10,000
Rising Strong West Master Plan 79
Water
Fire/Domestic Excavation/Cut/Patch 1 LS 25,000.00 25,000
Fire/Domestic Tie in by SPU
Fire Line 150 LF 125.00 18,750
Domestic Line 150 LF 65.00 9,750
DDC Vault 1 EA 30,000.00 30,000
Power/Low Voltage
Trenching 150 LF 25.00 3,750
Power/Cable/Phone Conduits 1,200 LF 10.00 12,000
Power Vault 1 EA 3,500.00 3,500
Install Vault 1 LS 5,000.00 5,000
Misc. Cut/Patch 1 LS 5,000.00 5,000
Pole Lights 3 EA 4,000.00 12,000
Subtotal: $242,500
4 Demolition Quantity Unit Unit Price Total Cost
Building Demolition 2,000 SF 8.00 16,000
Hazardous Material Abatement 1 LS 5,000.00 5,000
Subtotal: $21,000
5 Retaining Walls Quantity Unit Unit Price Total Cost
Segmental Walls 800 SF 35.00 28,000
Layout 200 LF 3.00 600
Import for Backfill 213 Tons 30.00 6,400
Subtotal: $35,000
6 Asphalt Paving Quantity Unit Unit Price Total Cost
Paving (3" AC over 6" Rock) 12,600 SF 5.55 69,930
Subtotal: $69,930
7 Pavement Markings & Signs Quantity Unit Unit Price Total Cost
Striping/Signs 1 LS 3,000.00 3,000
Subtotal: $3,000
Rising Strong West Master Plan 80
8 Site Concrete Quantity Unit Unit Price Total Cost
Cast In Place Curbs 647 LF 30.00 19,410
Site Sidewalks 3,038 SF 10.00 30,380
Concrete Stairs 80 LFR 70.00 5,600
Trash Enclosure Pads 400 SF 12.00 4,800
Trash Enclosure Footings 3 CY 600.00 1,956
Subtotal: $62,146
9 Landscaping & Irrigation Quantity Unit Unit Price Total Cost
All Landscaping & Irrigation 17,233 SF 8.00 137,864
Subtotal: $137,864
10 Site Amenities Quantity Unit Unit Price Total Cost
Street Benches 2 EA 1,200.00 2,400
Bike Racks 2 EA 800.00 1,600
Trash Receptacles 1 EA 800.00 800
Subtotal: $4,800
11 Masonry Quantity Unit Unit Price Total Cost
8" Split Face Gray Block - Trash Corral 267 SF 35.00 9,333
Rebar Supply 267 SF 2.00 533
Subtotal: $9,867
12 Structural Steel & Misc. Metals Quantity Unit Unit Price Total Cost
Trash Gates 1 LS 3,500.00 3,500
Subtotal: $3,500
Rising Strong West Master Plan 81
13 Allowances / Other Quantity Unit Unit Price Total Cost
Permits & Fees LS by owner
Testing & Inspections LS by owner
Subtotal:
14 General Conditions Quantity Unit Unit Price Total Cost
Job Expense 190,289
Subtotal: $190,289
15 Insurance & Bonds Quantity Unit Unit Price Total Cost
Insurance 1.30 % 12,656
Builder's Risk Gap Insurance 0.13 % 1,282
B & O Tax ( State ) 0.471 % 4,651
B & O Tax ( Local ) 0.222 % 2,203
Management Software % 0
Material Escalation Excluded
Performance/Payment Bonds 15,580
Subtotal: $36,372
16 Overhead & Profit 7.00 % 70,694
17 Contingency 10.00 % 108,061
Total Construction Costs : $1,188,670
Rising Strong West Master Plan 82
Rising Strong West - Skyway Site : Seattle, WA
Catholic Housing Services
12/2/2021
Detailed Breakdown - New Building
12,600 sf
1 Surveying/Public Protection/Traffic Control Quantity Unit Unit Price Total Cost
Survey & Layout - Bldg. 12,600 SF 0.15 1,890
Subtotal: $1,890
2 Excavation Quantity Unit Unit Price Total Cost
Gravel at S.O.G. 280 Ton 40.00 11,189
Footing Excavation & Backfill 12,600 SF 2.00 25,200
Subtotal: $36,389
3 Site Amenities Quantity Unit Unit Price Total Cost
Play Area 1 EA 50,000.00 50,000
Other Misc. Amenities 1 LS 5,000.00 5,000
Subtotal: $55,000
4 Building Concrete Quantity Unit Unit Price Total Cost
Foundations/Slabs - Std. 12,600 SF 20.00 252,000
Retaining Walls 261 LF 200.00 52,200
Subtotal: $304,200
5 Structural Steel & Misc. Metals Quantity Unit Unit Price Total Cost
Misc. Steel 12,600 SF 1.50 18,900
Subtotal: $18,900
6 Rough Carpentry Quantity Unit Unit Price Total Cost
Framing 12,600 SF 40.00 504,000
Subtotal: $504,000
Rising Strong West Master Plan 83
7 Finish Carpentry Quantity Unit Unit Price Total Cost
Kitchen Base Cabinetry/Tops 48 LF 396.25 19,020
Kitchen Wall Cabinetry 72 LF 200.00 14,400
Restroom Counters/Supports 84 LF 300.00 25,200
Lav Cabinets/Tops - Units 96 LF 330.00 31,680
Office Cabinets 6 EA 1,500.00 9,000
Other Misc. Millwork 1 LS 25,000.00 25,000
Subtotal: $124,300
8 Roofing Quantity Unit Unit Price Total Cost
Composite Shingle Roofing 15,860 SF 6.50 103,088
Subtotal: $103,088
9 Sheetmetal Quantity Unit Unit Price Total Cost
Gutters 560 LF 25.00 14,000
Downspouts 20 EA 320.00 6,400
Wall Flashing 538 SF 15.00 8,070
Subtotal: $28,470
10 Skylights Quantity Unit Unit Price Total Cost
Skylights 6 EA 2,500.00 15,000
Subtotal: $15,000
11 Caulking Quantity Unit Unit Price Total Cost
General Building Caulking 12,600 SF 0.15 1,890
Subtotal: $1,890
12 Doors & Hardware Quantity Unit Unit Price Total Cost
Doors/Frames/Hardware 60 EA 3,500.00 210,000
Subtotal: $210,000
Rising Strong West Master Plan 84
13 Glass & Glazing Quantity Unit Unit Price Total Cost
Vinyl Windows 43 EA 1,440.00 61,920
Storefront at Entry 300 SF 100.00 30,000
Subtotal: $91,920
14 Metal Studs & Sheetrock Quantity Unit Unit Price Total Cost
Partition Wall - GWB 1,576 LF 65.00 102,440
Perimeter Walls - GWB 538 LF 25.00 13,450
Drywall Ceilings - GWB 12,600 SF 4.00 50,400
Temporary Heat 12,600 SF 1.50 18,900
Subtotal: $185,190
15 Acoustical Quantity Unit Unit Price Total Cost
Suspended Ceilings - Office/Community 1,898 SF 6.00 11,388
Suspended Ceilings - Corridors 2,479 SF 6.00 14,874
Subtotal: $26,262
16 Insulation Quantity Unit Unit Price Total Cost
Exterior Walls 5,380 SF 1.25 6,725
Roof Insulation 12,600 SF 2.00 25,200
Sound Insulation 15,760 SF 1.00 15,760
Firestopping/Firesafing 12,600 SF 1.00 12,600
Subtotal: $60,285
17 Siding Quantity Unit Unit Price Total Cost
Cement Board Siding incl. WRB 3,790 SF 28.00 106,120
Soffits 1,345 SF 25.00 33,625
Subtotal: $139,745
Rising Strong West Master Plan 85
18 Floor Coverings Quantity Unit Unit Price Total Cost
LVT 6,467 SF 5.00 32,335
Carpet Tile - Corridors 2,479 SF 5.00 12,395
Carpet Tile - Office/Community 1,898 SF 5.00 9,490
Ceramic Tile - Floors 1,188 SF 15.00 17,820
Ceramic Tile - Walls 2,568 SF 20.00 51,360
Shower Tile 12 EA 5,000.00 60,000
Concrete Floor Sealer 568 SF 0.50 284
Rubber Base 3,690 LF 2.75 10,148
Floor Prep. 12,600 SF 0.50 6,300
Subtotal: $200,132
19 Paint & Wall Coverings Quantity Unit Unit Price Total Cost
Interior Walls & Ceilings Paint 49,500 SF 1.75 86,625
Siding/Soffit Paint 5,135 SF 2.00 10,270
Doors & Frames 60 EA 200.00 12,000
Misc Exterior Painting 1 LS 5,000.00 5,000
Subtotal: $113,895
20 Toilet Accessories Quantity Unit Unit Price Total Cost
Accessory Sets 15 EA 1,000.00 15,000
Subtotal: $15,000
21 Toilet Partitions Quantity Unit Unit Price Total Cost
Stalls 15 EA 1,000.00 15,000
Urinal Screens 3 EA 350.00 1,050
Subtotal: $16,050
Rising Strong West Master Plan 86
22 Other Specialties Quantity Unit Unit Price Total Cost
Fire Extinguishers 6 EA 250.00 1,500
Lockers 48 EA 200.00 9,600
Knox Boxes 1 EA 400.00 400
Window Blinds 43 EA 150.00 6,450
Subtotal: $17,950
23 Residential Appliances Quantity Unit Unit Price Total Cost
Refrigerators 6 EA 3,500.00 21,000
Freezers 6 EA 3,500.00 21,000
Ranges 6 EA 1,500.00 9,000
Range Hoods 6 EA 250.00 1,500
Microwaves 6 EA 300.00 1,800
Dishwashers 6 EA 750.00 4,500
Office Appliances 1 LS 2,050.00 2,050
Install 37 EA 150.00 5,550
Subtotal: $66,400
24 Building Plumbing Quantity Unit Unit Price Total Cost
Plumbing incl. Waste/Water/Vent
Shower Plumbing 12 EA 5,000.00 60,000
Tubs 3 EA 6,500.00 19,500
Toilets 18 EA 3,500.00 63,000
Sinks - Restrooms 15 EA 3,000.00 45,000
Floor Drains 9 EA 1,500.00 13,500
Room Sinks 24 EA 3,000.00 72,000
Other
Water Risers/Heaters/Pumps/Other Plumbing 12,600 SF 15.00 189,000
Subtotal: $462,000
Rising Strong West Master Plan 87
25 HVAC Quantity Unit Unit Price Total Cost
VRF System 48 tons 10,000.00 480,000
DOAS 12,600 SF 30.00 378,000
Kitchen Exhaust 8 EA 750.00 6,000
Restroom Exhaust 9 EA 750.00 6,750
Other 12,600 SF 5.00 63,000
Subtotal: $933,750
26 Fire Protection Quantity Unit Unit Price Total Cost
Sprinkler Riser & 5' Out 1 LS 7,500.00 7,500
Shell Sprinkler System 12,600 SF 5.00 63,000
Drop Head @ Ceilings 4,377 SF 2.00 8,754
Attic Sprinklers 12,600 SF 3.00 37,800
Subtotal: $117,054
27 Electrical Quantity Unit Unit Price Total Cost
All Electrical/Low Voltage 12,600 SF 50.00 630,000
Primary to Bldg.: in site
Subtotal: $630,000
28 Allowances / Other Quantity Unit Unit Price Total Cost
Permits & Fees LS by owner
Testing & Inspections LS by owner
Subtotal:
Rising Strong West Master Plan 88
29 General Conditions Quantity Unit Unit Price Total Cost
Job Expense 1,088,099
Subtotal: $1,088,099
30 Insurance & Bonds Quantity Unit Unit Price Total Cost
Insurance 1.30 % 72,369
Builder's Risk Gap Insurance 0.13 % 7,331
B & O Tax ( State ) 0.471 % 26,595
B & O Tax ( Local ) 0.222 % 12,594
Management Software % 0
Material Escalation Excluded
Performance/Payment Bonds 89,088
Subtotal: $207,978
31 Overhead & Profit 7.00 % 404,239
32 Contingency 10.00 % 617,907
Total Construction Costs : $6,796,982
Rising Strong West Master Plan 89
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