Our Participants | Community Impact & Outcomes | Community Engagement
Governance & Leadership | Funders & Partners | Funding at a Glance
A MESSAGE FROM LEADERSHIP
Dear ETS Community,
Providing social and behavioral health services for unhoused people and those with severe substance use disorders is complex and an uphill climb—even in the most advantageous political, financial, and social environments. And that is not, at least for most of us, how we’d describe 2024.
However, the conditions Evergreen Treatment Services faces have always been challenging, and we have triumphed over them for more than 50 years. It hasn’t been easy, but we’re still here because of the collective effort of our staff and the unwavering support of our community.
Here is a snapshot of the challenges we rose to meet in 2024:
- The flood in the Seattle Clinic put a heavy strain on our team and on our patients’ recovery. Yet, we continued forward, our staff showing grit, determination, and resolve to show up for our patients and clients.
- We saw increased politicization in the spaces in which we work, driving policy choices such as the abandonment of decriminalization policies in Oregon and British Columbia. This moved public sentiment away from evidence-based solutions that—given time and sufficient resources—have proven to make meaningful differences in the lives of those we serve. At the same time, our local government continued to show up for evidence-based solutions to homelessness and substance use. We received funding from the City of Seattle and King County for building our health and recovery campus and our Treatment in Motion, mobile clinic program, respectively.
- Finally, mass homelessness across the Puget Sound continued to increase, putting a strain on our outreach efforts and ability to serve people living outside. Yet despite these challenges, ETS was able to reach even more people—over 13,000 across 312 zip codes. This represents a 7.6% increase from the previous year.
When we think about what the organization has accomplished despite the challenges it has overcome, not just in 2024, but in the 50 years we have served people in the Puget Sound region, it gives us hope that we will continue, no matter what the future brings.
This annual report puts what we do into hard numbers and data. This helps us better understand our impact and the success of our efforts alongside partners to improve the lives of our neighbors in tangible, measurable ways.
But the immeasurable matters too. The joy of a parent reuniting with a child, the pride someone bursts with when welcoming us into their home after having lived outside for decades, the relief washing through someone when they wake up safe and do not feel the drive to find and use drugs to get them through the day. We do this work for those immeasurable moments, and we will continue to do it for as long as we are needed.
While the world continues to change, ETS will be here for those we serve—in our clinics and drop-in spaces, on the streets, and in encampments—providing many paths to compassionate, relationship-based healing.
In community,
Every person who comes to ETS has a unique story and path to healing. Behind every number in this report is a person–neighbor, family member, colleague, or friend–working toward recovery, housing stability, and the possibility of a better, healthier future for themselves and the people in their lives. These stories highlight the strength of ETS participants and the care, trust, and community that make healing possible.
TESTIMONIALS
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In 2024, ETS continued to expand its impact as both a treatment provider and a trusted community partner for people navigating opioid use disorder, homelessness, and recovery. Across our programs in 2024, ETS supported over 13,000 people through compassionate, evidence-informed care, which is a 7.6% increase from 2023. Staff distributed a total of 10,044 naloxone doses.
Our clinics served nearly 5,100 patients, with 73% entering care for the first time—a significant reflection of both the urgent need for treatment and the trust ETS has fostered with our participants to provide high-quality care. Meanwhile, REACH connected with more than 8,300 people through street-based outreach, case management, housing support, and mobile health services across Seattle and King County.
These numbers tell a story of growth, resilience, and innovation in the face of the persistent fentanyl crisis. From securing stable housing to accessing lifesaving medications and recovery support, ETS staff walked alongside participants every step of the way. Each milestone reflects the strength of a holistic, person-centered approach, one that meets people where they are and honors the unique paths they take toward healing.
Watch this video released at our 2024 Roots of Recovery event to learn directly from ETS staff and participants about what this work looks like in practice, and how Treatment in Motion—our mobile clinic—brings care and hope directly into communities in Seattle and Olympia.
REACH IN 2024
Since 1996, ETS’ REACH division provides a continuum of services to support healing and recovery for people living outside in the greater Seattle area. Our four service domains (housing, outreach, integrated care, community justice) are designed for people facing overlapping, complex challenges: chronic homelessness, drug and alcohol use, serious health conditions, and significant impact from poverty, racism, and incarceration. In 2024, we served 8,300 clients–a 9.6% increase from 2023–to help them navigate the complex system of social services, and making sure to embrace their worth and humanity every step of the way. We also experienced a 69% increase in participant visits at our Belltown milieu site since 2023, reflecting the increasing demand for services, support, and safety.
CLINIC SERVICES IN 2024
Since 1973, ETS has provided evidence-informed treatment for opioid use disorder that helps individuals reclaim stability, health, and possibility in their lives. In 2024, ETS’s Clinic Services division supported 5,064 patients across 312 zip codes through a comprehensive approach of medication for opioid use disorder (MOUD), counseling, and case management. Our three brick-and-mortar clinics in Seattle, South Sound, and South King County served nearly 5,500 individuals combined. Our mobile Treatment in Motion program and jail dosing expanded access to care for hundreds more in the Puget Sound region.
Notably, 73% of patients began or re-engaged with treatment in 2024, reflecting both the urgency of the fentanyl crisis and the determination of individuals seeking recovery. To protect lives and reduce overdose risk, our clinics also distributed 5,278 naloxone doses last year. By partnering with nationally recognized researchers in this field, ETS continues to advance innovative, effective approaches to treatment, ensuring that compassionate, high-quality, and evidence-informed care reaches those who
CLINIC SERVICES DOMAINS
TREATMENT IN MOTION
Amid the devastating rise of fentanyl responsible for over 1,067 overdose deaths in King County in 2023, a 47% increase over the prior year, ETS knew that the traditional clinic model wasn’t enough. In response, ETS launched Treatment in Motion (TIM) in 2023, which brings medication, counseling, intake services, and referrals directly to communities via mobile medical vans.
In 2024, TIM expanded with a third vehicle, further extending our reach into Seattle’s Pioneer Square neighborhood, offering clients essential recovery support services, medication for opioid use disorder, on-site intakes, and referrals to additional services. That year alone, TIM served 296 clients in Shelton and 480 in Pioneer Square and Belltown. With each TIM mobile clinic, ETS is delivering life-saving care by meeting people where they are.
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In 2024, ETS expanded its community impact through education, outreach, and connection. Highlights include the expansion of Treatment in Motion, our mobile treatment unit; the 7th Annual Roots of Recovery fundraiser celebrating stories of healing; and participation in International Overdose Awareness Day, honoring lives lost and raising awareness about recovery.
TREATMENT IN MOTION: MANY PATHS TO HEALING
Treatment belongs in our communities, where our neighbors live. Our Treatment in Motion (TIM) program brings evidence-based medication for opioid use disorder, like methadone and buprenorphine, directly into Western Washington communities. In 2024, we expanded our TIM fleet to include three vehicles in Belltown, Pioneer Square, and Shelton. TIM vehicles are staffed by nurses, counselors, case managers, medical providers, and community safety specialists, all aiming to meet patients where they are—directly in their communities.
To celebrate the launch of our third TIM vehicle, ETS hosted “Healing in Community.” We gathered in Pioneer Park to hear from speakers from ETS and the City of Seattle, tour the dosing windows, and cheer on ETS staff at the ribbon cutting.
The opioid epidemic, and the introduction of cheap, fast-acting fentanyl remains a massive challenge. It is through innovative partnership, and a dedication to bringing treatment directly into our communities, that we can and will make a difference.
7TH ANNUAL ROOTS OF RECOVERY
We welcomed nearly 300 members of our community to celebrate the 7th Annual Roots of Recovery. We are so grateful to those who attended, donated, and showed up evidence-based substance use disorder and social services in Western Washington. Together, we raised $224,895 and celebrated the many paths to healing. Learn more about event highlights in our Impact Report.
EVERGREEN COMMUNITY CHAMPION AWARD: REPRESENTATIVE EMILY ALVARADO
Representative Emily Alvarado has been a tireless champion of ETS as she advocates for policies and funding that support our work. Rep. Alvarado secured $6 million in funding to transform our Seattle campus into a health and wellness center, and fought for ETS to obtain critical emergency funding following a devastating flood that disrupted services at our Seattle Clinic. We are beyond grateful to have Rep. Alvarado as a friend and supporter and were pleased to recognize her with the Evergreen Community Champion award.
KEYNOTE: SANDEEP KAUSHIK
Sandeep’s keynote emphasized the importance of breaking the stigma around methadone and other forms of evidence-based treatment. ETS plays a crucial role in supporting individuals battling substance use disorders, as Sandeep himself attested to as a former patient: “It transforms countless lives. It helped to transform mine.”
INTERNATIONAL OVERDOSE AWARENESS DAY
August 31 is International Overdose Awareness Day (IOAD), the world’s largest annual campaign to end overdose, remember those who are gone too soon, and acknowledge the lifelong grief from the loss of a loved one.
ETS hosted “Together We Can” in Westlake Park, a community remembrance event in honor of IOAD. Together, we listened to speakers with lived overdose experience, received naloxone distribution training, and gathered in solidarity—because one death by overdose is too many.
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At ETS, equity and representation are central to how we lead and serve. Our 2024 data shows that the racial and ethnic makeup of ETS staff closely reflects that of the participants we support, demonstrating our ongoing commitment to building a team that mirrors the diverse communities we serve. This section highlights the racial representation across ETS, introduces our Board of Directors, and honors a valued board member.
2024 BOARD OF DIRECTORS
ETS is guided by a dedicated Board of Directors whose leadership, expertise, and compassion strengthen our mission. Their diverse professional backgrounds and shared commitment to equity, recovery, and community well-being help ensure ETS remains a trusted provider and advocate for people on their path to healing.
Vincent Ardea, Vice-Chair
Nathan Bays, Secretary
Portia Blanchette, Treasurer
Faith Boyd
Christina Clayton, LICSW, SUDP
Miles Folks
Caitlin Fuller, Psy.D.
Eric Greening
Paul J. Ishii
Kelli Larsen
Jessica Marquardt, Chair
Steve Pickette
Beth Rubin
Felicia Salcedo
John Thein
Grace Wiener
BOARD MEMBER SPOTLIGHT: FAITH BOYD
Since 2016, ETS Board Member Faith Boyd has brought deep care, compassion, and public health expertise to her community in Tacoma and her role as a board member on ETS’s board of directors. In this Q&A, Aistė Manfredini, Communications Specialist at ETS, sat down with Faith to learn what has driven her commitment to the organization, how she has seen the organization and its mission evolve, and her hopes for the future of ETS as she departs from her role.
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Thank you to every individual, foundation, corporate sponsor, staff member, and participant who contributed to ETS during our 51st year. Your support and partnership made it possible for us to increase our annual revenue by 36 percent in 2024 from 2023! This helps us continue meeting people where they are, offering new possibilities, recovery support, and compassionate services to our community.
2024 INSTITUTIONAL FUNDERS
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In 2024, ETS’s mission was sustained by a diverse mix of funding sources, including public and private grants, individual contributions, client fees, Medicaid and Medicare reimbursements, and other revenue streams. Together, these resources generated more than $44 million in total revenue to support our programs and operations.
The majority of expenses were dedicated directly to client care through Clinic Services and REACH, which together accounted for the largest share of ETS’s annual budget. The remainder supported management, development, and infrastructure costs that keep our programs strong and sustainable.
Each dollar entrusted to ETS strengthens our capacity to deliver compassionate, evidence-informed care and create pathways to recovery and stability for thousands of people across Western Washington.
View our 2023 Annual Report
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Join Our Mission
ETS transforms the lives of individuals and their communities through innovative and effective addiction and social services. Share our efforts with your networks and give to ensure all people in the Puget Sound region can lead lives with dignity.
CAREERS
We are hiring! View available roles at ETS.