Evergreen Treatment Services

What Evergreen Treatment Services does

Evergreen Treatment Services (ETS) is a Seattle-based nonprofit healthcare organization founded in 1973 that provides evidence-based substance use treatment and street-based outreach services to adults in Western Washington. Its core clinical offering is Medications for Opioid Use Disorder (MOUD), delivered through methadone and buprenorphine-based treatment protocols at three fixed clinic locations in Seattle (interim), Renton (South King County), and Olympia (South Sound), supplemented by four mobile Treatment in Motion units serving King and Mason Counties. The REACH program adds a street-based case management layer that provides relationship-centered outreach, mental and primary healthcare referrals, and housing support to adults experiencing homelessness throughout the Puget Sound region.

The organization's underlying service model is relationship-centered and accessibility-driven: ETS meets patients where they are, delivering daily dosing and comprehensive recovery support rather than transactional clinical visits. Its primary customer segments are adults with substance use disorders and adults living outside, both characterized by complex needs spanning clinical, behavioral, and social service domains. As a nonprofit, ETS generates revenue through a combination of healthcare service delivery (likely insurance, Medicaid/Medicare reimbursement, and sliding-scale arrangements given the absence of public pricing), charitable donations (including a recurring GEM Monthly Giving Program and an annual Roots of Recovery Gala), and grants from public and private funders.

Operationally, ETS is currently executing a major capital project: construction of a new permanent clinic at 1700 Airport Way S in Seattle, with interim operations centralized at 317 S. Bennett St. The organization reports serving nearly 3,000 people daily across its combined clinic, mobile, and outreach channels. ETS has no parent company, no disclosed funding rounds, and no public listing; ownership and governance are governed by nonprofit structures typical of community healthcare providers.

Name

Evergreen Treatment Services

Legal name

Evergreen Treatment Services

Website

https://evergreentx.org

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

101–250 employees

Short description

Evergreen Treatment Services is a Seattle-based nonprofit founded in 1973 that delivers medications for opioid use disorder at three fixed clinics and four mobile units across Western Washington, plus REACH street-based outreach and case management for adults experiencing homelessness throughout the Puget Sound region.

Ownership category

akta.pro rank

Product category

Substance Use Disorder Treatment Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Outpatient Mental Health and Substance Abuse Centers (62142), Individual and Family Services (6241), Emergency and Other Relief Services (624230)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Social Services (8300)

akta.pro primary industry

Medication-Assisted Treatment (MAT) & Opioid Treatment Programs (OTPs) (HLAFACAG)

akta.pro secondary industries

Outpatient Substance Use Treatment Programs (IOP/PHP/OP) (HLAFACAF), Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO), Mobile & Street Medicine Primary Care Programs (HLAFAGAH), Substance Use Disorder Prevention & Recovery Services (BPAGACAE)

Keywords

• Substance use treatment
• Opioid use disorder medication
• Mobile health clinics
• Street-based outreach
• Addiction recovery services

Headquarters

HQ city

Seattle

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Marketing or Sales

Revenue model

1. Healthcare Services Revenue: As a substance use treatment provider, ETS generates revenue through healthcare service delivery including medications for opioid use disorder, clinical services, and street-based outreach programs. The organization appears to be funded through a combination of healthcare reimbursement, grants, and charitable donations based on the presence of a Donate page and multiple funder acknowledgments.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Evergreen Treatment Services provides Medications for Opioid Use Disorder (MOUD), including methadone and buprenorphine-based treatments, delivered through three fixed clinic locations in King and Thurston Counties and four Treatment in Motion mobile clinics. The organization also operates the REACH program, offering street-based case management and outreach services to adults experiencing homelessness across the Puget Sound region, complemented by referrals for mental health, primary care, and housing support.

Product overview

Evergreen Treatment Services (ETS) operates as a substance use treatment and street-based outreach organization offering a unified portfolio of healthcare services. The core offering centers on medications for opioid use disorder (methadone and buprenorphine-based treatments) delivered through three fixed clinic locations (Seattle, South King County, and South Sound) and four mobile Treatment In Motion units. The REACH program provides street-based case management and outreach services for individuals experiencing homelessness. Services are integrated, including mental and primary health care referrals, housing support, and relationship-centered outreach, all designed to meet participants where they are in their recovery journey.

Differentiator

Problem solved

Functional benefit

Brands

• REACH: Street-based case management and outreach services for adults living outside, operating throughout the Puget Sound region.
• Treatment In Motion (TIM)

Products and services

• Medications for Opioid Use Disorder (MOUD)

Quantifiable outcome

• Serves nearly 3,000 people daily

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• BayMark Health Services: Large national operator of opioid treatment programs and addiction medicine clinics (including the former BAART Programs), competing directly with ETS in the MOUD outpatient segment with similar medication-assisted treatment offerings.
• Ideal Option: Outpatient provider of medications for opioid use disorder (buprenorphine and others) operating multi-site clinics across the Pacific Northwest and other states, directly comparable to ETS's core MOUD clinic model.
• BrightView Health: Outpatient addiction treatment provider offering medication-assisted treatment, counseling, and case management across multiple states, closely mirroring ETS's integrated outpatient SUD model.
• CleanSlate Centers: Multi-state outpatient addiction medicine practice specializing in medication-assisted treatment for opioid and alcohol use disorders, comparable in service mix and clinic-based delivery model.
• Community Medical Services: Operates outpatient opioid treatment programs including mobile dosing units in multiple states, directly comparable to ETS's Treatment in Motion mobile clinics and fixed-site MOUD services.

Broad incumbents

• Acadia Healthcare: Large publicly traded behavioral health provider with residential and outpatient substance use programs nationwide; offers overlapping capabilities but is a much broader portfolio operator rather than a regional MOUD specialist.
• CRC Health Group: Large national network of residential and outpatient substance use and behavioral health treatment programs, comparable as a multi-modality SUD provider but operating at a much broader geographic and service scope than ETS.
• Hazelden Betty Ford Foundation: Established national nonprofit addiction treatment organization offering inpatient, outpatient, and recovery services; comparable as a long-tenured nonprofit SUD provider but operates at significantly larger national scale and scope.

Regional players

• Sound Health: Behavioral health organization providing outpatient mental health and substance use treatment across the Puget Sound region, comparable as a regional peer serving overlapping King and surrounding county populations.
• Valley Cities Behavioral Health Care: King County-based behavioral health provider serving individuals with mental health and substance use disorders, directly comparable as a regional peer operating in ETS's core King County market.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Evergreen Treatment Services