2017-02-14T11:44:53-06:00 2016-06-30 930764156 NEUNER DAVIDSON COOLEY & RAPP LLC PO BOX 1786 ROSEBURG OR 97470 990 2015-07-01 930611783 ADAPT ADAP 5416722691 548 SE JACKSON ST ROSEBURG OR 97470 GREGORY BRIGHAM CHIEF EXECUTIVE OFFICER 5416722691 2017-02-08 1 P01061476 5416724886 2015 2021-01-29 14:40:06Z GREGORY SBRIGHAM 548 SE JACKSON ST ROSEBURG OR 97470 14369176 0 X WWW.ADAPTOREGON.ORG X NON-PROFIT - PUBLIC BENEFIT 1971 OR CHEMICAL DEPENDENCY TREATMENT 11 11 233 0 0 -1942 4578811 4351701 8613657 9680365 3930 2067 471766 334265 13668164 14368398 0 0 0 0 9130687 11334024 0 0 0 2709961 3583428 11840648 14917452 1827516 -549054 11120956 12081909 1805599 3326359 9315357 8755550 X PROVIDE SUBSTANCE ABUSE PREVENTION & TREATMENT, OUTPATIENT AND RESIDENTIAL TREATMENT, MENTAL HEALTH COUNSELING, AND PRIMARY CARE MEDICAL SERVICES THROUGHOUT A MULTI-COUNTY REGION OF SOUTHWESTERN OREGON. 0 0 6375645 5030619 OUPATIENT SERVICES: EVALUATION, TREATMENT, EDUCATION, REFERRAL AND EMERGENCY SERVICES TO INDIVIDUALS AND FAMILIES WITH DRUG, ALCOHOL AND RELATED PROBLEMS. 3191013 2269420 RESIDENTIAL TREATMENT (ADULT AND YOUTH): OPERATION OF 24 BED ADULT ALCOHOL AND DRUG TREATMENT FACILITY SERVING THIRTEEN COUNTIES AND 12 BED YOUTH ALCOHOL AND DRUG TREATMENT FACILITY SERVING SIX COUNTIES IN SOUTHWEST OREGON. 3262866 2716658 SOUTH RIVER COMMUNITY HEALTH CENTER: MEDICAL CENTER FOCUSED ON PROVIDING PRIMARY HEALTH CARE SERVICES TO LOWER INCOME PATIENTS. 151123 HOUSING AND RENTAL INCOME 151123 12980647 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 56 0 1 233 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 548 SE JACKSON 3 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 KEN HARRISON DIRECTOR 2.00 X 0 0 0 MO NICHOLS 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 GREGORY S BRIGHAM PHD CEO 40.00 X 271592 0 16164 JOHN GARDIN BEHAVIORAL HEALTH DIRECTOR 40.00 X 197929 0 13321 COURTNEY MCLEOD NURSE PRACTITIONER 40.00 X 140469 0 8637 JONATHAN RUSSELL PHYSICIAN'S ASSISTANT 40.00 X 137037 0 6894 SKYLER MEYER NURSE PRACTITIONER 40.00 X 138395 0 9584 TAMI MARRIOTT MEDICAL DIRECTOR 40.00 X 132979 0 6649 BRUCE PIPER FORMER CEO 40.00 X 141576 0 0 1159977 0 61249 7 0 1 0 PAYCHEX 1200 EXECUTIVE PARKWAY SUITE 300 EUGENE OR 97401 PAYROLL SERVICES 294378 CORETECH INC 250 NE GARDEN VALLEY BLVD STE 7 ROSEBURG OR 97470 IT SERVICE & SUPPORT 148790 ZERBACH CONSTRUCTION INC 1224 NE WALNUT PMB 291 ROSEBURG OR 97471 BUILDING CONSTRUCTION 123752 SYSCO PO BOX 2210 WILSONVILLE OR 97070 FOOD SERVICE 122835 4 2653 4189344 159704 4351701 MEDICARE / MEDICAID 624100 5579040 5579040 CLIENT FEES 624100 3900222 3900222 STATE GAMBLING TREATMENT REVENUE 624100 142379 142379 FOOD STAMPS 624100 42456 42456 MISCELLANEOUS PROGRAM 624100 16268 16268 9680365 1570 1570 1275 778 497 497 497 MISCELLANEOUS 624100 334265 334265 334265 14368398 10016697 0 0 271593 271593 9395889 8535967 859922 816539 722541 93998 850003 762810 87193 5600 5600 110116 40495 69621 31640 1840 29800 392575 243098 149477 61461 30151 31310 206210 115385 90825 460822 433287 27535 75121 61390 13731 257845 257845 100555 78290 22265 PROGRAM SUPPLIES 551636 551636 SUB CONTRACTS 417983 417983 STAFF EDUCATION, RECRUI 192684 180719 11965 COMMUNICATIONS 128403 106137 22266 590777 435473 155304 14917452 12980647 1936805 0 2422 2475 3289257 1751302 471640 1241069 1818171 1808461 240279 379828 9127050 2276276 5239101 6850774 60086 48000 11120956 12081909 1680246 2163869 125353 162490 1000000 1805599 3326359 X 9315357 8755550 9315357 8755550 11120956 12081909 -549054 -10753 0 X 0 1 X 1 1 1 X 3986906 4585995 3769606 4578811 4351701 21273019 3986906 4585995 3769606 4578811 4351701 21273019 21273019 6485 3472 2507 2630 8997 24091 21297110 0.99890 0.99900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1405969 1405969 6343086 1292268 5050818 71639 33823 37816 1306356 950185 356171 6850774 14405980 37137 37137 14368843 -445 -445 14368398 14917897 445 445 14917452 0 14917452 PART XI, LINE 2D - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED DEFERRED REVENUE 162,490. RECLASSIFY TEMPORARILY RESTRICTED NET ASSETS -125,353. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSET -445. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSET 445. X X 0 0 0 0 0 0 0 0 0 GREGORY S BRIGHAM PHD CEO 269996 0 0 0 1596 0 16122 0 42 0 287756 0 0 0 JOHN GARDIN BEHAVIORAL HEALTH DIRECTOR 184602 0 13327 0 0 0 13165 0 156 0 211250 0 0 0 JOHN GARDIN EMPLOYEE EMPLOYEE RETENTION LOAN X 85000 19150 0 1 1 19150 FORM 990, PART VI, SECTION B, LINE 11 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.