2019-03-29T13:25:16-05:00 2018-06-30 930764156 NEUNER DAVIDSON & CO PO BOX 1786 ROSEBURG OR 97470 990 2017-07-01 930611783 ADAPT ADAP 5416722691 621 W MADRONE ROSEBURG OR 97470 GREGORY BRIGHAM CHIEF EXECUTIVE OFFICER 5416722691 2019-03-13 1 P01061476 5416724886 108.174.188.26 2019-03-13 15:15:01 PD P 5BD2566B6E933F2419FFD791DCB0F3D0566CEDDD 5BD2566B6E933F2419FFD791DCB0F3D0566CEDDD 2017 2019-02-21 02:37:17Z GREGORY SBRIGHAM 621 W MADRONE ROSEBURG OR 97470 28334138 0 X WWW.ADAPTOREGON.ORG X NON-PROFIT - PUBLIC BENEFIT 1971 OR PROVIDE PRIMARY CARE, BEHAVIORAL HEALTH CARE AND PREVENTIONS SERVICES. 11 11 438 0 4080 909 5923550 8395289 12361884 19605114 843 21124 5359259 296159 23645536 28317686 0 0 0 0 19049574 22992266 0 0 0 3761618 5304111 22811192 28296377 834344 21309 14706834 16559284 3973682 3828494 10733152 12730790 PROVIDE OUR COMMUNITIES OPEN ACCESS TO WORLD CLASS PRIMARY CARE, ADDICTIONS TREATMENT, AND BEHAVIOR HEALTH CARE TO PROMOTE HEALTH AND RESTORE LIVES, WITHOUT REGARD FOR THE ABILITY TO PAY. 0 0 11558191 12406576 OUTPATIENT SERVICES: EVALUATION, TREATMENT, OPIOID TREATMENT PROGRAM, TRANSITIONAL HOUSING, EDUCATION, REFERRAL AND EMERGENCY SERVICES TO INDIVIDUALS AND FAMILIES WITH DRUG, ALCOHOL AND RELATED PROBLEMS.RESIDENTIAL TREATMENT (ADULT AND YOUTH): OPERATION OF A 24 BED ADULT ALCOHOL AND DRUG TREATMENT FACILITY SERVING THIRTEEN COUNTIES, A 12 BED YOUTH ALCOHOL AND DRUG TREATMENT FACILITY SERVING SIX COUNTIES IN SOUTHWEST OREGON, AND AN 11 BED SUB-ACUTE MEDICALLY MONITORED DETOXIFICATION PROGRAM. 8727687 9724286 MENTAL HEALTH PROGRAMS & SERVICES: COMPREHENSIVE MENTAL HEALTH SERVICES INCLUDING ADULT, YOUTH AND FAMILY TREATMENT, CRISIS INTERVENTION AND EVALUATION, MOBILE MENTAL HEALTH CRISIS SERVICES, SCREENING, PSYCHOTHERAPY, THERAPEUTIC FOSTER CARE, THERAPEUTIC LEARNING CLASSROOMS AND SCHOOL-BASED PROGRAMS. SERVICES ALSO INCLUDE EARLY ASSESSMENT AND SUPPORT ALLIANCE (EASA), INDIVIDUAL PLACEMENT SUPPORT (IPS), SUPPORTED EMPLOYMENT AND ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAMS. 4921633 5990975 SOUTH RIVER COMMUNITY HEALTH CENTER (SRCHC): A PATIENT CENTERED PRIMARY CARE HOME. SRCHC PROVIDES COMMUNITY ACCESS HEALTH SERVICES PARTICULARLY TO INDIVIDUALS WITH LOWER INCOMES AND HOMELESSNESS. SRCHC OFFERS PATIENTS ACCESS TO INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES INCLUDING MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDER 173589 173589 25381100 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 70 0 438 1 1 1 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 1 1 1 0 0 OR X ADAPT 5416722691 621 MADRONE ST ROSEBURG OR 97470 TODD MUNSEY CHAIRMAN 2.00 X X 0 0 0 LEE PATERSON VICE CHAIR 2.00 X X 0 0 0 GARY WAYMAN TREASURER 2.00 X X 0 0 0 NEAL BROWN DIRECTOR 2.00 X 0 0 0 GRACE POWERS DIRECTOR 2.00 X 0 0 0 DALLAS AMER DIRECTOR 2.00 X 0 0 0 VERONICA GILLESPIE DIRECTOR 2.00 X 0 0 0 KARLA ROADY DIRECTOR 2.00 X 0 0 0 KELSEY WOOD DIRECTOR 2.00 X 0 0 0 SCOTT RUTTER DIRECTOR 2.00 X 0 0 0 TERRI LUNDY DIRECTOR 2.00 X 0 0 0 GREGORY S BRIGHAM PHD CEO 40.00 X 278288 0 40041 JOHN COLLINS NURSE PRACTITIONER 40.00 X 258119 0 34620 CURTIS ALLEN CHIEF MEDICAL OFFICER 40.00 X 245904 0 21014 GEORGE MIDDLEKAUFF LMP 40.00 X 242372 0 12138 GRANT SCHROEDER MEDICAL DIRECTOR 40.00 X 203446 0 10172 GLEN MONTEIRO INTERIM CMO 40.00 X 238259 0 25688 1466388 0 143673 6 0 1 0 ZERBACH CONSTRUCTION INC 1224 NE WALNUT PMB 291 ROSEBURG OR 97471 BUILDING CONSTRUCTION 295868 STERLING REFERENCE LABORATORIES PO BOX 17103 DENVER CO 802170103 UA TESTING LAB 137843 CHRISTOPHER SWANSON CONSTRUCTION LLC 2512 FIR ST NORTH BEND OR 97459 BUILDING REMODEL 107266 3 425 8238626 156238 13156 8395289 CLIENT FEES 624100 7925219 7925219 MEDICARE / MEDICAID 624100 7771207 7771207 MISCELLANEOUS PROGRAM 624100 3860011 3860011 FOOD STAMPS 624100 48677 48677 19605114 391 391 37185 16452 20733 20733 20733 MISCELLANEOUS 624100 296159 292079 4080 296159 28317686 19918317 4080 0 1466387 1188099 278288 17019138 15369765 1649373 780406 683828 96578 2252497 2019727 232770 1473838 1338765 135073 11000 11000 16401 9581 6820 33182 2132 31050 141013 50577 90436 85632 54839 30793 293796 134100 159696 957953 856099 101854 162308 157954 4354 16468 16468 474296 474296 265586 229592 35994 PROGRAM SUPPLIES 825403 825403 SRCHC ADAPT COMPASS BIL 461256 461256 COMMUNICATIONS 289842 249696 40146 CLIENT DRUG TESTING 214880 214880 1055095 1033043 22052 28296377 25381100 2915277 0 2880 3825 2294829 3704440 1566027 795275 2491880 3186246 4473 265697 579719 11472240 3230461 8033048 8241779 48000 48000 14706834 16559284 2374675 2267768 66007 168289 1533000 1392437 3973682 3828494 X 10733152 12730790 10733152 12730790 14706834 16559284 X 21309 1976329 X 1 X 1 X 1 1 1 X 3769606 4578811 4351701 5923550 8395289 27018957 3769606 4578811 4351701 5923550 8395289 27018957 27018957 2507 2630 8997 189390 187395 390919 27409876 0.98570 0.99890 X 1405969 1405969 8084534 1763891 6320643 1981737 1466570 515167 8241779 28485975 168289 168289 28317686 0 28317686 28296377 0 28296377 0 28296377 PART XI, LINE 2D - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED DEFERRED REVENUE 168,289. X 0 0 0 0 0 0 0 0 0 GREGORY S BRIGHAM PHD CEO 266742 0 3800 0 7746 0 20208 0 19833 0 318329 0 0 0 JOHN COLLINS NURSE PRACTITIONER 258119 0 0 0 0 0 14787 0 19833 0 292739 0 0 0 CURTIS ALLEN CHIEF MEDICAL OFFICER 245716 0 188 0 0 0 14895 0 6119 0 266918 0 0 0 GEORGE MIDDLEKAUFF LMP 242372 0 0 0 0 0 12119 0 19 0 254510 0 0 0 GRANT SCHROEDER MEDICAL DIRECTOR 183000 0 20446 0 0 0 10172 0 0 0 213618 0 0 0 GLEN MONTEIRO INTERIM CMO 237884 0 375 0 0 0 14029 0 11659 0 263947 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY DOES NOT REVIEW THE TAX RETURN. THEY REVIEW THE FINAL AUDITED FINANCIALS. FORM 990 IS PROVIDED TO THE STAFF ACCOUNTANT WHO REVIEWS FOR CORRECTNESS. ONCE APPROVED BY THE STAFF ACCOUNTANT THE CEO REVIEWS, SIGNS AND SUBMITS THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ADAPT DOES NOT REQUIRE AN ANNUAL DISCLOSURE, BUT ADDRESSES EACH CONFLICT AS IT ARISES. FORM 990, PART VI, SECTION B, LINE 15A CEO PROVIDES THE BOARD OF DIRECTORS WITH A COMPARISON OF VARIOUS COMPANY CEO SALARYS THROUGHOUT THE STATE OF OREGON. THE BOARD DOES A PERFORMANCE REVIEW AND EVALUATION OF CEO'S ACCOMPLISHMENTS AND ESTABLISHES NEW WAGE BASE. FORM 990, PART VI, SECTION C, LINE 19 ADAPT MAKES ITS ORGANIZATIONAL DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 1,976,329.