BETTER HEALTH TOGETHER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BETTER HEALTH TOGETHER (EIN 90-0997482)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-30
- IRS object ID
- 201743039349301744
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-30T15:45:08-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 WEST RIVERSIDE SUITE 700 | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 992010622 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900997482 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETTER HEALTH TOGETHER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BETT | BusinessNameControlTxt |
| Phone | 5093151260 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 271 | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID E LUHN CFO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5093151260 | PhoneNum |
| Signature | 2017-10-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BARBARA L EARNHEART | PreparerPersonNm |
| PTIN | P00240388 | PTIN |
| Phone | 5093636300 | PhoneNum |
| Preparation | 2017-10-18 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-26 | IPDt |
| IP Tm | 10:22:04 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3A69748B60C5562FF1572AE4C29EA0C331661B82 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F7FEC01EC20CA1B5D46E5CE0AEC8EC2B7989BB02 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALISON CARL WHITE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 271 | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,878,240 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BETTERHEALTHTOGETHER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | PROMOTING HEALTH OF THE REGION THROUGH COLLABORATIVE ACTION AROUND THE TRIPLE AIM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 22 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $12,907 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,081,837 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,022,081 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $923,292 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $843,252 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,000 | PYOtherRevenueAmt |
| CY Other Revenue | $12,907 | CYOtherRevenueAmt |
| PY Total Revenue | $2,007,129 | PYTotalRevenueAmt |
| CY Total Revenue | $1,878,240 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $803,943 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,033,258 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $825,798 | PYOtherExpensesAmt |
| CY Other Expenses | $790,417 | CYOtherExpensesAmt |
| PY Total Expenses | $1,629,741 | PYTotalExpensesAmt |
| CY Total Expenses | $1,823,675 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $377,388 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $54,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $641,478 | TotalAssetsBOYAmt |
| Total Assets EOY | $696,801 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $76,483 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,241 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $564,995 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $619,560 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BETTER HEALTH TOGETHER IS ORGANIZED AND OPERATED TO, WITHOUT LIMITATION, PROMOTE THE HEALTH OF ITS REGION'S RESIDENTS THROUGH COLLABORATIVE ACTION AROUND THE TRIPLE AIM (BETTER HEALTH, BETTER CARE, REDUCED COST). | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $307,471 | ExpenseAmt |
| Revenue | $315,282 | RevenueAmt |
| Desc | CHRONIC DISEASE SELF-MANAGEMENT:DISCONTINUED AT THE END OF 2016. SERVED AS A COMMUNITY LEAD ORGANIZATION TO COORDINATE THE HEALTHY COMMUNITIES OBESITY, DIABETES, HEART DISEASE AND STROKE PREVENTION EFFORTS. THIS EFFORT WAS FUNDED THROUGH A CONTRACT WITH THE WASHINGTON STATE DEPARTMENT OF HEALTH. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $307,286 | ExpenseAmt |
| Revenue | $349,126 | RevenueAmt |
| Desc | NAVIGATOR:AS A LEAD AGENCY, ASSISTS PEOPLE IN SIGNING UP FOR QUALIFIED HEALTH PLANS OR MEDICAID THROUGH THE WASHINGTON HEALTH BENEFIT EXCHANGE (HBE). SINCE ITS INCEPTION, THIS PROGRAM HAS ASSISTED OVER 130,000 INDIVIDUALS TO ENROLL AND RESULTED IN 97% OF PEOPLE IN THE REGION HAVING ACCESS TO HEALTH CARE COVERAGE. THIS EFFORT RECEIVES FUNDING FROM THE HBE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $269,671 | ExpenseAmt |
| Revenue | $178,844 | RevenueAmt |
| Desc | HEALTH, HOUSING AND HOMELESSNESS (H3, INCLUDES HOT SPOTTERS PROJECT):DISCONTINUED AT THE END OF 2016. HOT SPOTTERS ENGAGED HIGH NEEDS PATIENTS WHO PRESENTED TO EMERGENCY ROOMS AND EMERGENCY RESPONDERS WITH A COMPLEX BLEND OF SOCIAL, MEDICAL, MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES. THIS PROGRAM AIMED TO IMPROVE HEALTH OUTCOMES FOR THESE MEDICALLY VULNVERABLE INDIVIDUALS THROUGH AN INNOVATIVE PAIRING OF A COMMUNITY HEALTH WORKER AND A HOUSING SPECIALIST. THIS EFFORT RECEIVED FUNDING FROM THE CITY OF SPOKANE AND THE HEALTH SCIENCES AND SERVICE ADMINISTRATION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (5 entries)
| ExpenseExpenseAmt | DescDesc |
|---|---|
| $229,648 | ACCOUNTABLE COMMUNITIES OF HEALTH:AS LEAD FOR THE SPOKANE REGION, COORDINATES A COMMUNITY-BASED PARTNERSHIP WORKING ACROSS ALL SECTORS TO DEVELOP SHARED PRIORITIES, STRATEGIES AND ACTION PLANS TO IMPROVE HEALTH. ACH IS A KEY COMPONENT OF HEALTHIER WASHINGTON, THE STATE OF WASHINGTON'S COORDINATED EFFORT TO HELP INSURE BETTER HEALTH, BETTER CARE AND LOWER COSTS. THIS EFFORT RECEIVES GRANT FUNDING THROUGH THE WASHINGTON HEALTHCARE AUTHORITY. WORK IN THIS PROGRAM IS EXPANDING SIGNIFICANTLY IN 2017. |
| $171,762 | DENTAL EMERGENCIES NEEDING TREATMENT (DENT):A PROGRAM DESIGNED TO REDUCE UNNECESSARY EMERGENCY ROOM UTILIZATION BY PATIENTS WITH DENTAL EMERGENCIES AND TO COORDINATE A NETWORK OF ORAL HEALTH CARE PROVIDERS TO IMPROVE ACCESS, HEALTH AND REDUCE OVERALL COSTS. SINCE INCEPTION, THIS PROGRAM HAS HELPED TO INCREASE THE NUMBER OF DENTISTS ACCEPTING APPLE HEALTH BY 50% AND DECREASED ER USAGE FOR DENTAL EMERGENCIES BY 25%. |
| $92,211 | HEALTH HOMES CARE COORDINATION:DISCONTINUED AT THE END OF 2016. SUPPORTED HIGH RISK/HIGH UTILIZERS OF MEDICAID TO IMPROVE HEALTH OUTCOMES AND REDUCE COSTS. |
| $67,834 | FAMILY ASSESSMENT RESPONSE (FAR):DISCONTINUED AT THE END OF 2016. A PROGRAM OF THE WASHINGTON CHILDREN'S ADMINISTRATION, IT SOUGHT TO KEEP FAMILIES UNITED BY PROVIDING ALTERNATIVE INTERVENTIONS FOR ALLEGATIONS OF CHILD NEGLECT. COMMUNITY HEALTH WORKERS WERE PAIRED WITH A CHILDREN'S ADMINISTRATION SOCIAL WORKER TO ADDRESS NEEDS. |
| $31,069 | OTHER:MISCELLANEOUS PROGRAM COSTS TO DEVELOP OR PILOT PROGRAMS, ALL OF WHICH WERE DISCONTINUED AT THE END OF 2016. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $592,524 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $1,476,952 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 22 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JILL ANGELO CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5093217506 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 W RIVERSIDE AVE | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| ANTONY CHIANG | |||||||
| BOARD CHAIR | 0.50 | 40.00 | Yes (X) | Yes (X) | $0 | $248,800 | $35,189 |
| SHARON FAIRCHILD | |||||||
| VICE CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOM MARTIN | |||||||
| VICE CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GREG KNIGHT | |||||||
| SECRETARY | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DEAN LARSEN | |||||||
| TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PETER ADLER | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINE BARADA | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DAVID CRUMP | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| LYNN KIMBALL | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| KAI NEVALA | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| TORNEY SMITH | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JEFF THOMAS | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| PAM TIETZ | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| KRISTEN WEST FISHER | |||||||
| BOARD CHAIR - FORMER | 0.50 | 40.00 | Yes (X) | $0 | $159,898 | $12,252 | |
| DR JOEL MCCULLOUGH | |||||||
| DIRECTOR - FORMER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SUE DIETZ | |||||||
| DIRECTOR - FORMER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ALISON CARL WHITE | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 40.00 | Yes (X) | $47,766 | $100,529 | $19,917 | |
| JILL ANGELO | |||||||
| EXECUTIVE DIRECTOR | 20.00 | 40.00 | Yes (X) | $0 | $72,876 | $10,291 | |
| DAVE LUHN | |||||||
| FINANCE OFFICER | 0.50 | 40.00 | Yes (X) | $0 | $124,824 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $47,766 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $706,927 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $77,649 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMPIRE HEALTH FOUNDATION | |||||
| 1020 W RIVERSIDE AVENUE | SPOKANE | WA | 99201 | FOR PERFORMANCE OF ADMINISTRATIVE SERVIC | $204,204 |
| SPOKANE REGIONAL HEALTH DISTRICT | |||||
| 1101 W COLLEGE AVE | SPOKANE | WA | 99201 | SUBCONTRACTED SERVICES UNDER DEPARTMENT | $183,338 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $426,382 | RelatedOrganizationsAmt |
| Government Grants | $380,000 | GovernmentGrantsAmt |
| All Other Contributions | $215,699 | AllOtherContributionsAmt |
| Total Contributions | $1,022,081 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NAVIGATOR | 624190 | $349,126 | $349,126 |
| CHRONIC DISEASE SELF-M | 624190 | $315,282 | $315,282 |
| HEALTH, HOUSING AND HO | 624190 | $178,844 | $178,844 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $843,252 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PERFORMANCE OF SERVIC | Desc |
| Business | 519190 | BusinessCd |
| Total Revenue Column | $12,907 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $12,907 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,907 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,878,240 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $843,252 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,907 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,720 | TotalAmt |
| Management And General | $53,720 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $818,912 | TotalAmt |
| Program Services | $714,515 | ProgramServicesAmt |
| Management And General | $104,397 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,589 | TotalAmt |
| Program Services | $21,361 | ProgramServicesAmt |
| Management And General | $4,228 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,281 | TotalAmt |
| Program Services | $73,335 | ProgramServicesAmt |
| Management And General | $5,946 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,756 | TotalAmt |
| Program Services | $49,563 | ProgramServicesAmt |
| Management And General | $6,193 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,429 | TotalAmt |
| Program Services | $4,107 | ProgramServicesAmt |
| Management And General | $322 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,078 | TotalAmt |
| Management And General | $13,078 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,843 | TotalAmt |
| Program Services | $504,843 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,614 | TotalAmt |
| Program Services | $22,987 | ProgramServicesAmt |
| Management And General | $1,627 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,220 | TotalAmt |
| Program Services | $5,655 | ProgramServicesAmt |
| Management And General | $12,565 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,257 | TotalAmt |
| Program Services | $16,169 | ProgramServicesAmt |
| Management And General | $51,088 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,443 | TotalAmt |
| Program Services | $11,000 | ProgramServicesAmt |
| Management And General | $53,443 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,140 | TotalAmt |
| Program Services | $38,248 | ProgramServicesAmt |
| Management And General | $7,892 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,675 | TotalAmt |
| Management And General | $6,675 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,434 | TotalAmt |
| Management And General | $14,434 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,401 | TotalAmt |
| Management And General | $2,401 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROFESSIONAL/STAFF DEVE | $12,021 | $11,693 | $328 |
| PRINTING/COPYING | $8,664 | $2,452 | $6,212 |
| DUES, LICENSES AND MEMB | $1,597 | $720 | $877 |
| PUBLIC AFFAIRS | $1,200 | $0 | $1,200 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401 | TotalAmt |
| Program Services | $304 | ProgramServicesAmt |
| Management And General | $97 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,823,675 | TotalAmt |
| Program Services | $1,476,952 | ProgramServicesAmt |
| Management And General | $346,723 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $468,219 | BOYAmt |
| EOY | $583,003 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,359 | BOYAmt |
| EOY | $84,926 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,601 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $46,630 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,359 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,900 | BOYAmt |
| EOY | $26,271 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,478 | BOYAmt |
| EOY | $696,801 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,483 | BOYAmt |
| EOY | $77,241 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,483 | BOYAmt |
| EOY | $77,241 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $496,498 | BOYAmt |
| EOY | $357,540 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,497 | BOYAmt |
| EOY | $262,020 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,995 | BOYAmt |
| EOY | $619,560 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,478 | BOYAmt |
| EOY | $696,801 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $54,565 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $382,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $549,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,083,837 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,022,081 | CurrentTaxYearAmt |
| Total | $3,037,124 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $382,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $549,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,083,837 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,022,081 | CurrentTaxYearAmt |
| Total | $3,037,124 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,764,984 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,272,140 | PublicSupportTotal170Amt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $12,907 | CurrentTaxYearAmt |
| Total | $12,907 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,050,031 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,624,545 | GrossReceiptsRltdActivitiesAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,630 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,359 | DepreciationAmt |
| Book Value | $26,271 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,271 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,878,240 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,878,240 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,878,240 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,823,675 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,823,675 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,823,675 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | INCOME TAX STATUS THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT BHT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC. INCOME TAX POSITIONS MANAGEMENT EVALUATED BHT'S TAX POSITIONS AND CONCLUDED THAT EHF HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTONY CHIANG | ||||||||||||||
| BOARD CHAIR | $0 | $222,092 | $0 | $11,600 | $0 | $15,108 | $0 | $0 | $0 | $35,189 | $0 | $283,989 | $0 | $0 |
| KRISTEN WEST FISHER | ||||||||||||||
| BOARD CHAIR - FORMER | $0 | $109,767 | $0 | $0 | $0 | $50,131 | $0 | $0 | $0 | $12,252 | $0 | $172,150 | $0 | $0 |
| ALISON CARL WHITE | ||||||||||||||
| EXECUTIVE DIRECTOR | $40,669 | $79,681 | $0 | $18,048 | $7,097 | $2,800 | $0 | $0 | $5,257 | $14,660 | $53,023 | $115,189 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE USED BY RELATED ORGANIZATION. |
| PART I, LINE 4A | KRISTEN WEST RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $89,517. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | IN 2016, DISCONTINUED THE FOLLOWING PROGRAMS: H3 (INCLUDING HOTSPOTTERS), HEALTH HOMES CARE COORDINATION; FAMILY ASSESSMENT RESPONSE, AND CHRONIC DISEASE SELF-MANAGEMENT |
| FORM 990, PART VI, SECTION A, LINE 6 | EMPIRE HEALTH FOUNDATION IS THE SOLE MEMBER |
| FORM 990, PART VI, SECTION A, LINE 7A | EMPIRE HEALTH FOUNDATION, AS MEMBER, MAY APPOINT ONE-THIRD OF THE DIRECTORS (CLASS "A" DIRECTORS). |
| FORM 990, PART VI, SECTION A, LINE 7B | WITHOUT THE APPROVAL OF THE SOLE MEMBER, THE BOARD MAY NOT ADOPT/AMEND/REPEAL THE BYLAWS OR AMEND THE ARTICLES OF INCORPORATION IN ANY WAY THAT AFFECTS THE RIGHTS OR POWERS OF THE SOLE MEMBER, INCLUDING BY ADDING NEW MEMBERS. DIRECTORS MAY NOT, WITHOUT PRIOR WRITTEN CONSENT OF THE SOLE MEMBER, ASSIGN CONTRACTS TO WHICH THE ORGANIZATION IS A PARTY; AUTHORIZE THE SALE, LEASE, DISPOSITION OR EXCHANGE OF THE ORGANIZATION'S ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; ADOPT A PLAN OF MERGER OR CONSOLIDATION; AUTHORIZE THE DISSOLUTION OR THE ORGANIZATION; FILE A PETITION FOR BANKRUPTCY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR AND A BOARD MEMBER WILL REVIEW PRE-FILING AND CIRCULATE TO THE BOARD ONCE FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | WRITTEN POLICY REQUIRES THE AFFIRMATIVE DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST ANNUALLY--RESPONSES REVIEWED BY THE EXECUTIVE COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE GENERALLY NOT MADE AVAILABLE FOR PUBLIC INSPECTION. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES, VARIOUS, FOR PROGRAMS: PROGRAM SERVICE EXPENSES 50,293. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,293. DATABASE AND CASE MANAGEMENT: PROGRAM SERVICE EXPENSES 11,356. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,356. IPA COMP--ENROLLMENT: PROGRAM SERVICE EXPENSES 66,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,500. SPOKANE FD HS CONTRACT: PROGRAM SERVICE EXPENSES 48,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,000. DOH CONTRACTS: PROGRAM SERVICE EXPENSES 279,422. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,422. MEDICAL OVERSIGHT: PROGRAM SERVICE EXPENSES 12,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,000. SUPPLIES & PROGRAM INCIDENTALS: PROGRAM SERVICE EXPENSES 15,638. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,638. CLIENT TRANSPORT & STAFF MILEAGE: PROGRAM SERVICE EXPENSES 12,530. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,530. OUTREACH MARKETING EXPENSE: PROGRAM SERVICE EXPENSES 9,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,104. |
| FORM 990, PART XII, LINE 12C: | THE PROCESSES AND METHODS FOR DETERMINING THE INDEPENDENT AUDITOR ARE DETERMINED BY EMPIRE HEALTH FOUNDATION AND HAVE NOT CHANGED FROM PRIOR YEARS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMPIRE HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 W RIVERSIDE AVENUE | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263375286 | EIN |
| Primary Activities | PRIVATE FOUNDATION-HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | PRIVATE FOUNDATION | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EMPIRE HEALTH FOUNDATION | ||
| C | $426,382 | CASH VALUE |
| EMPIRE HEALTH FOUNDATION | ||
| K | $7,438 | CASH VALUE |
| EMPIRE HEALTH FOUNDATION | ||
| L | $12,907 | CASH VALUE |
| EMPIRE HEALTH FOUNDATION | ||
| M | $130,274 | CASH VALUE |
| EMPIRE HEALTH FOUNDATION | ||
| O | $73,930 | CASH VALUE |
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