2022-07-01T13:47:02-05:00 2021-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2021-07-01 910903529 EVERGREEN TREATMENT SERVICES EVER 2062231482 4634 E MARGINAL WAY S C110 SEATTLE WA 981341618 DONAVAN LAM CHIEF FINANCIAL OFFICER 2062231482 2022-06-29 1 DONAVAN LAM 999009999 COLLEEN RAMIRES P01251320 4252597227 2022-06-29 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z STEPHEN WOOLWORTH PHD 4634 E MARGINAL WAY S C110 SEATTLE WA 981341618 16504736 0 X WWW.EVERGREENTREATMENT.ORG X 1973 WA TRANSFORMING INDIVIDUALS AND THEIR COMMUNITIES THROUGH EFFECTIVE ADDICTION AND SOCIAL SERVICES. 14 14 397 30 0 0 7435671 214575 31364476 16017194 631 2312 499448 256124 39300226 16490205 0 0 0 0 24137820 12574399 0 0 109118 8674330 4677454 32812150 17251853 6488076 -761648 20519067 20575417 6987996 7805994 13531071 12769423 TRANSFORMING THE LIVES OF INDIVIDUALS AND THEIR COMMUNITIES THROUGH INNOVATIVE AND EFFECTIVE ADDICTION AND SOCIAL SERVICES. 0 0 7635023 8460027 DRUG TREATMENT SERVICES (METHADONE MAINTENANCE & COUNSELING) FOR OPIATE ADDICTED PERSONS. FIVE (5) LICENSED CLINICS; APPROXIMATELY 3399 PERSONS SERVED. PROGRAM INCLUDES MEDICAID, PRIVATE INSURANCE, AND PRIVATE PAY CLIENTS. 6952255 7557167 EXTENDED CASE MANAGEMENT TO INDIVIDUALS WITH COMPLEX BEHAVIORAL CONDITIONS (REACH). OVER 106 SPECIALIZED STAFF PROVIDE OUTREACH AND INTENSIVE CASE MANAGEMENT SERVICES IN THE GREATER SEATTLE AREA THROUGH MULTIPLE PROGRAMS. APPROXIMATELY 2800 HIGH NEED INDIVIDUALS ARE ASSISTED IN GAINING ACCESS TO HOUSING, FINANCIAL SUPPORT, HEALTHCARE, MENTAL HEALTH TREATMENT, ADDICTION TREATMENT, AND OTHER SOCIAL SERVICES IDENTIFIED BY CLIENTS, NURSES AND A MENTAL HEALTH SPECIALIST PROVIDE INTEGRATED HEALTHCARE AND LINKAGES TO PRIMARY CARE SERVICES. RESEARCH PROJECTS - ETS PERIODICALLY PARTICIPATES IN A VARIETY OF OPIOID USE DISORDER TREATMENT RELATED RESEARCH PROJECTS WITH VARIOUS HEALTHCARE OR EDUCATIONAL PARTNERS. PROJECT SPONSORS HAVE INCLUDED THE NATIONAL INSTITUTE OF MENTAL HEALTH, THE NATIONAL INSTITUTE ON DRUGABUSE, AND THE UNIVERSITY OF WASHINGTON. THERE WAS NO PARTICIPATION IN RESEARCH PROJECTS DURING THE SHORT YEAR ENDING DECEMBER 31, 2021. 14587278 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 140 0 1 397 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WA X DONAVAN LAM 2069718830 4634 E MARGINAL WAY S SEATTLE WA 98134 VINCENT BRIERE BOARD CHAIR 5.00 X X 0 0 0 FAITH BOYD VICE CHAIR 5.00 X X 0 0 0 JOHN THEIN TREASURER 5.00 X X 0 0 0 MYRANDA MILLER SECRETARY 5.00 X X 0 0 0 BETSY WELLS BOARD MEMBER 5.00 X 0 0 0 PAUL ISHII BOARD MEMBER 5.00 X 0 0 0 JEANNE ANYOUZOA BOARD MEMBER 5.00 X 0 0 0 BETH RUBIN BOARD MEMBER 5.00 X 0 0 0 JODY HAGEN BOARD MEMBER 5.00 X 0 0 0 BARRY ROBINSON BOARD MEMBER 5.00 X 0 0 0 MILES FOLKS BOARD MEMBER 5.00 X 0 0 0 ARNAUD AUGERT BOARD MEMBER 5.00 X 0 0 0 FELICA SALCEDO BOARD MEMBER 5.00 X 0 0 0 JESSICA MARQUARDT BOARD MEMBER 5.00 X 0 0 0 ROSA GIMSON BOARD MEMBER (THRU 08/21) 5.00 X 0 0 0 JACK ECKREM BOARD MEMBER (THRU 07/2021) 5.00 X 0 0 0 STEVE WOOLWORTH CHIEF EXECUTIVE OFFICER 40.00 X 190808 0 21736 DONAVAN LAM CHIEF FINANCIAL OFFICER 40.00 X 147603 0 9225 LINDA KRUGER CHIEF OPERATING OFFICER 40.00 X 139733 0 15289 PAUL GREKIN MEDICAL DIRECTOR 40.00 X 263165 0 26417 MICHAEL WALKER VP OF EMPLOYEE EXPERIENCE 40.00 X 138748 0 9123 KELLEY CRAIG VP OF REACH PROGRAMS 40.00 X 124355 0 18186 CHLOE GALE VP OF POLICY & REACH STRATEGY 40.00 X 120608 0 18192 1125020 0 118168 29 0 1 0 PHYSICIAN OFFICE LAB PO BOX 8258 SPOKANE WA 99203 MEDICAL LAB AUDITING SERVICE 364234 SENSATIONAL SERVICE 13730 56TH AVE S APT G301 TUKWILA WA 98168 CONTRACT - JANITORIAL SERVICE 227799 PERKINS COIE LLP 1201 THIRD AVENUE SUITE 4900 SEATTLE WA 98101 LEGAL SERVICES 147742 VAN NESS FELDMAN LLP PO BOX 79814 BALTIMORE MD 21279 LEGAL SERVICES 137772 REDWOOD TOXICOLOGY LABORATORY PO BOX 734493 CHICAGO IL 60695 LABORATORY TEST CONFIRMATION 130770 9 27530 187045 214575 REACH CONTRACT 621400 7496290 7496290 TITLE XIX - MEDICAID 621400 5476177 5476177 TITLE XIX - MEDICARE 621400 1746575 1746575 CLIENT FEES 621400 643610 643610 DRUG TESTING 621400 603629 603629 50913 50913 16017194 75 75 900 0 900 900 900 16768 14531 2237 2237 2237 MISCELLANEOUS REVENUE 900099 255224 255224 255224 16490205 16017194 0 258436 273292 136034 137258 10001172 8705646 1252464 43062 169583 148713 19975 895 1294933 1150870 138111 5952 835419 717848 113744 3827 124840 124840 13786 13786 8100 8100 872007 458188 410541 3278 30319 5703 24162 454 97171 78229 15403 3539 241548 93444 147985 119 692852 623338 66619 2895 83041 79822 3219 13179 6596 4775 1808 137225 136457 768 313018 306849 5978 191 202969 155331 46886 752 PROGRAM SUPPLIES 1385672 1385597 75 COMMUNICATIONS 135190 122280 12625 285 326537 276333 8143 42061 17251853 14587278 2555457 109118 375348 583192 6893264 6997244 268460 67801 16739497 4208574 12602372 12530923 379623 396257 20519067 20575417 1376053 2250295 117872 117872 5494071 5437827 6987996 7805994 X 13531071 12769423 13531071 12769423 20519067 20575417 -761648 0 X 0 1 X 1 1 1 X 1155617 183423 334511 7435671 214575 9323797 22308871 26760070 27473999 31364476 16017194 123924610 99933 107246 693 14308 0 222180 23564421 27050739 27809203 38814455 16231769 133470587 0 0 0 133470587 229 1309 1099 3381 975 6993 229 1309 1099 3381 975 6993 502278 255224 757502 23564650 27052048 27810302 39320114 16487968 134235082 0.99430 0.99630 0.00010 0.00000 X PART III, SECTION A, COLUMN (E): 2021 IS A SHORT YEAR DUE TO A YEAR END CHANGE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8100 8100 0 PART II-B, LINE 1: ETS PAYS A LOBBYING FIRM TO MONITOR PROPOSED LEGISLATION IN THE WASHINGTON STATE LEGISLATURE THAT MIGHT AFFECT THE DELIVERY OF SERVICES TO PATIENTS. 4143807 4143807 5356193 29096 5327097 3697467 1936719 1760748 3542030 2242759 1299271 12530923 X 16490205 0 16490205 0 16490205 17251853 0 17251853 0 17251853 PART X, LINE 2: EVERGREEN TREATMENT SERVICES IS EXEMPT FROM FEDERAL INCOME TAX AS A NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZED A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. GOVERNMENT. THE ORGANIZATION HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 0 0 PAUL GREKIN MEDICAL DIRECTOR 263165 0 0 0 0 0 15222 0 11195 0 289582 0 0 0 STEVE WOOLWORTH CHIEF EXECUTIVE OFFICER 190808 0 0 0 0 0 3751 0 17985 0 212544 0 0 0 DONAVAN LAM CHIEF FINANCIAL OFFICER 147603 0 0 0 0 0 0 0 9225 0 156828 0 0 0 LINDA KRUGER CHIEF OPERATING OFFICER 139733 0 0 0 0 0 5252 0 10037 0 155022 0 0 0 FORM 990, PART I, LINE 6: EVERGREEN TREATMENT SERVICES USES VOLUNTEERS TO SERVE ON ITS BOARD OF DIRECTORS AND RELATED BOARD COMMITTEES. PERIODICALLY, VOLUNTEERS ARE ALSO USED TO PERFORM A VARIETY OF OTHER NEEDED BUSINESS ACTIVITIES AS SUCH VOLUNTEERS BECOME AVAILABLE TO ETS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND SCHEDULE B WILL BE REVIEWED BY THE CHIEF FINANCIAL OFFICER. ONCE APPROVED, THE FORM 990 AND THE SCHEDULE B IS ROUTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR COMMENT. ANY FEEDBACK RECEIVED DURING THE REVIEW PROCESS IS INCORPORATED INTO THE FINAL VERSION THAT GETS FILED WITH THE INTERNAL REVENUE SERVICE. COPIES ARE THEN MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS AND THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C EVERGREEN TREATMENT SERVICES (ETS) REQUIRES THAT ALL OFFICERS, DIRECTORS AND EXECUTIVE STAFF COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT. ADDITIONALLY, ETS' CHIEF EXECUTIVE AND EXECUTIVE STAFF HAVE THE RESPONSIBILITY OF MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST FOR POSSIBLE DISCLOSURE TO THE BOARD OF DIRECTORS IN ORDER TO DEAL WITH POTENTIAL OR ACTUAL CONFLICTS. IN THE EVENT A CONFLICT IS DETERMINED TO EXIST, THE MOST COMMON MONITORING AND ENFORCEMENT METHOD INVOLVES EXCLUDING THE INDIVIDUAL WITH CONFLICT FROM PARTICIPATING IN THE DISCUSSION AND ALL DECISIONS AND VOTES AFFECTING THE AREA OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION OF ETS' CHIEF EXECUTIVE INCLUDES COMPARABLE COMPENSATION INFORMATION SUCH AS THE ANNUAL UNITED WAY SURVEY AS WELL AS REVIEW OF COMPENSATION FOR SIMILARLY QUALIFIED PEOPLE IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS. FINAL COMPENSATION IS SUBJECT TO REVIEW AND APPROVAL OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 EVERGREEN TREATMENT SERVICES ("ETS") MAKES FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST. ETS ALSO PROVIDES COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC AS REQUIRED.