2016-11-10T17:59:48-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 601 WEST RIVERSIDE SUITE 700 SPOKANE WA 992010622 990 2015-01-01 900997482 BETTER HEALTH TOGETHER BETT 5093217500 PO BOX 271 SPOKANE WA 99210 DAVID E LUHN CFO CFO 5093217500 2016-11-10 1 BARBARA L EARNHEART P00240388 5093636300 2016-11-09 2015 2017-02-10 21:41:12Z ALISON CARL WHITE PO BOX 271 SPOKANE WA 99210 2007129 0 X WWW.BETTERHEALTHTOGETHER.ORG X 2013 WA 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), WORKING WITH OTHER COLLABORATIVES AROUND THE STATE TO MAKE WASHINGTON THE HEALTHIEST STATE. THIS MISSION IS FURTHERED THROUGH ACTIVITIES DESIGNED TO PROMOTE HEALTH IN WASHINGTON THROUGH EDUCATING INDIVIDUALS AND THE PUBLIC, AS WELL AS A VARIETY OF OTHER CHARITABLE ACTIVITIES. 14 13 20 1 0 0 549206 1081837 286004 923292 0 0 0 2000 835210 2007129 0 0 0 0 542148 803943 0 0 0 571223 825798 1113371 1629741 -278161 377388 218254 641478 30647 76483 187607 564995 X 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). 1 0 311362 434767 NAVIGATOR (FORMERLY IPAN):AS A LEAD AGENCY, ASSISTING PEOPLE IN SIGNING UP FOR QUALIFIED HEALTH PLANS THROUGH THE WASHINGTON HEALTH BENEFIT EXCHANGE (HBE) OR THROUGH MEDICAID EXPANSION. WITHIN THE FIRST TWO YEARS THIS EFFORT HAS RESULTED IN ENROLLING MORE THAN 100,000 PARTICIPANTS IN COUNTIES ACROSS EASTERN WASHINGTON, BRINGING THE PERCENTAGE OF THE TOTAL POPULATION IN THAT AREA COVERED BY HEALTH INSURANCE TO 95%. THIS PROGRAM BENEFITS FROM FUNDING FROM THE HBE. 171253 DENTAL EMERGENCIES NEEDING TREATMENT (DENT):A PROJECT 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 COSTS FOR THIS POPULATION. THROUGH 2015, THIS PROGRAM HANDLED 4,500 REFERALS, AND IN 2015 ACHIEVED A 93% SUCCESS RATE IN SCHEDULING APPOINTMENTS. THE NUMBER OF PARTICIPATING DENTISTS HAS GROWN FROM 22 TO 69. THIS PROGRAM IS FUNDED PRINCIPALLY THROUGH PRIVATE CONTRIBUTIONS. 268162 183126 HEALTH, HOUSING AND HOMELESSNESS (H3, INCLUDES HOT SPOTTERS PROJECT):HOT SPOTTERS ENGAGE HIGH NEED PATIENTS WHO PRESENT TO EMERGENCY ROOMS AND EMERGENCY RESPONDERS WITH A COMPLEX BLEND OF SOCIAL, MEDICAL, MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES. THIS PROGRAM AIMS TO IMPROVE HEALTH OUTCOMES FOR MEDICALLY VULNERABLE INDIVIDUALS THROUGH AN INNOVATIVE PAIRING OF A COMMUNITY HEALTH WORKER AND HOUSING SPECIALIST. 67163 HEALTH HOMES CARE COORDINATION:SUPPORTS HIGH RISK/HIGH UTILIZERS OF MEDICAID TO IMPROVE HEALTH OUTCOMES AND REDUCE COSTS. 63384 FAMILY ASSESSMENT RESPONSE (FAR):A PROGRAM OF THE THE WASHINGTON CHILDREN'S ADMINISTRATION, IT SEEKS TO KEEP FAMILIES UNITED BY PROVIDING ALTERNATIVE INTERVENTIONS FOR ALLEGATIONS OF CHILD NEGLECT. COMMUNITY HEALTH WORKERS ARE PAIRED WITH A CHILDREN'S ADMINISTRATION SOCIAL WORKER TO ADDRESS MEDICAL NEEDS. 184686 ACCOUNTABLE COMMUNITIES OF HEALTH (ACH):AS LEAD FOR THE SPOKANE REGION, COORDINATES A COMMUNITY-BASED PARTNERSHIP WORKING ACROSS ALL SECTORS TO DEVELOP SHARED PRIORITY, STRATEGIES AND ACTION PLANS TO IMPROVE HEALTH. ACH IS A KEY COMPONENT OF HEALTHIER WASHINGTON, THE STATE'S COORDINATED EFFORT TO HELP ENSURE BETTER HEALTH, BETTER CARE AND LOWER COSTS. THIS EFFORT RECEIVES FUNDING THROUGH THE WASHINGTON HEALTH CARE AUTHORITY 287844 307399 CHRONIC DISEASE SELF MANAGEMENT:SERVING AS A COMMUNITY LEAD ORGANIZATION TO COORDINATE THE HEALTHY COMMUNITIES OBESITY, DIABETES, HEART DISEASE AND STROKE PREVENTION PROGRAMS. THIS EFFORT IS FUNDED THROUGH A CONTRACT WITH THE WASHINGTON STATE DEPARTMENT OF HEALTH 47835 OTHER (IN DEVELOPMENT):MISCELLANEOUS PROGRAM COSTS TO DEVELOP PILOT PROGRAMS, WHICH MAY OR MAY NOT BE LAUNCHED IN THE FUTURE 650912 307399 1401689 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 1 0 0 0 1 19 0 1 20 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 1 0 0 1 1 1 1 0 0 0 1 1 1 0 0 0 0 0 WA X EMPIRE HEALTH FOUNDATION 5093151260 1020 W RIVERSIDE AVE SPOKANE WA 99201 KRISTEN WEST FISHER CHAIR 1.00 40.00 X X 0 131972 48836 SHARON FAIRCHILD VICE CHAIR 0.50 X X 0 0 0 DEAN LARSEN TREASURER 0.50 X X 0 0 0 KAI NEVALA BOARD MEMBER 0.50 X 0 0 0 CHRISTINE BARADA BOARD MEMBER 0.50 X 0 0 0 DAVID CRUMP BOARD MEMBER 0.50 X 0 0 0 SUE DIETZ BOARD MEMBER 0.50 X 0 0 0 JOEL MCCULLOUGH MD BOARD MEMBER 0.50 X 0 0 0 GREG KNIGHT BOARD MEMBER 0.50 X 0 0 0 JEFF THOMAS BOARD MEMBER 0.50 X 0 0 0 LYNN KIMBALL BOARD MEMBER 0.50 X 0 0 0 PAM TIETZ BOARD MEMBER 0.50 X 0 0 0 PETER ALDER BOARD MEMBER 0.50 X 0 0 0 TOM MARTIN BOARD MEMBER 0.50 X 0 0 0 ALISON CARL WHITE EXECUTIVE DIRECTOR 40.00 X 115305 0 19729 DAVID LUHN CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 117981 35827 115305 249953 104392 1 0 1 0 SPOKANE REGIONAL HEALTH DISTRICT 1101 W COLLEGE AVE SPOKANE WA 99201 SUBCONTRACTED SERVICES UNDER DEPARTMENT 125183 1 635103 282740 163994 1081837 VENDOR SERVICE CONTRAC 900099 923292 923292 923292 MISCELLANEOUS REVENUE 900099 2000 2000 2000 2007129 925292 0 0 X 135034 91810 43224 529446 502377 27069 10036 7889 2147 69439 66955 2484 59988 54092 5896 4601 2105 2496 2541 2541 540039 537763 2276 7456 6156 1300 26007 4139 21868 83024 60300 22724 30590 2063 28527 34503 21739 12764 38400 38400 9862 9862 1985 1985 CLIENT TRANSPORT & STAF 29265 29265 CLIENT SUPPLIES & INCID 14068 14068 ALL OTHER EXPENSES 2248 387 1861 EMPLOYMENT SCREENING & 1209 581 628 1629741 1401689 228052 0 147484 468219 66833 142359 36825 5925 3937 30900 218254 641478 30647 76483 30647 76483 X 122621 496498 64986 68497 187607 564995 218254 641478 377388 0 X X 0 1 X 1 0 X 382000 549206 1083837 2015043 572000 286000 923293 1781293 954000 835206 2007130 3796336 275000 489500 635103 1399603 572000 286000 414697 1272697 847000 775500 1049800 2672300 1124036 954000 835206 2007130 3796336 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36825 5925 30900 30900 X 2007130 0 2007130 0 2007130 1629741 0 1629741 0 1629741 PART X, LINE 2: MANAGEMENT EVALUATED BHT'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 0 0 KRISTEN WEST FISHER CHAIR 0 119667 0 10000 0 2305 0 29261 0 19575 0 180808 0 0 DAVID LUHN CHIEF FINANCIAL OFFICER 0 105484 0 10000 0 2497 0 18200 0 17627 0 153808 0 0 FORM 990, PART III, LINE 2 CHRONIC DISEASE SELF-MANAGEMENT: PROVIDING TOOLS FOR SELF-MANAGEMENT OF CHRONIC CONDITIONS SUCH AS HEART DISEASE AND DIABETES. ACH--DESIGN AND IMPLEMENTATION WORK AROUND ACCOUNTABLE COMMUNITIES OF HEALTH. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED IN 2015 AFFECTING THE MEMBER'S ABILITY TO APPOINT BOARD MEMBERS (RESULTING IN DECONSOLIDATION FROM EMPIRE HEALTH FOUNDATION ON 7/31/2016). AMENDMENTS INCLUDE: 1. THE NUMBER OF DIRECTORS WAS EXPANDED FROM "A MINIMUM OF FIVE" TO A FIXED AMOUNT OF 15. 2. BOARD MEMBERS WERE DIVIDED INTO TWO CLASSES, EACH WITH THE SAME VOTING RIGHTS: CLASS A (APPOINTED BY THE MEMBER) AND CLASS B (ELECTED BY THE BOARD) 3. THE NUMBER OF DIRECTORS APPOINTED/ELECTED BY THE MEMBER WAS REDUCED FROM 100% TO 33.33% OF THE TOTAL OF 15. 4. THE TERM OF ANY GIVEN DIRECTOR (CLASS A OR CLASS B) WAS REVISED FROM ONE YEAR TO 3 YEARS. 5. THE PROVISION FOR THE REMOVAL OF DIRECTORS WAS CHANGED FROM UNLIMITED ABILITY BY THE MEMEBER TO REMOVE ANY DIRECTOR TO UNLIMITED ABILITY TO REMOVE ONLY ITS CLASS A APPOINTEES. REMOVALS OF A CLASS B DIRECTOR CAN NOW ONLY BE ACCOMPLISHED BY A 2/3RD MAJORITY VOTE OF ALL DIRECTORS. 6. ALL OTHER SPECIAL POWERS PREVIOUSLY HELD BY THE MEMBER REMAIN INTACT POST-CHANGE: ABILITY TO AMEND/REPEAL BYLAWS, AMEND ARTICLES OF INCORPORATION, CONTRACT ASSIGNMENT, MERGE/CONSOLIDATE/DISSOLVE/LIQUIDATE-ALL OF THESE STILL REQUIRE THE CONSENT OF THE 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 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 ORGANIZATIONS ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; ADOPT A PLAN OF MERGER OR CONSOLIDATION; AUTHORIZE THE DISSOLUTION OF THE ORGANIZATION OR FILE A PETITION FOR BANKRUPTCY. FORM 990, PART VI, SECTION B, LINE 11 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 VARIOUS CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 152,872. MANAGEMENT AND GENERAL EXPENSES 2,276. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 155,148. DATABASE AND CASE MANAGMENT: PROGRAM SERVICE EXPENSES 16,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,250. SUBCONTRACTS UNDER NAVIGATOR PROGRAM: PROGRAM SERVICE EXPENSES 119,051. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,051. SUBCONTRACTS UNDER CHRONIC DISEASE MANAGEMENT PROGRAM: PROGRAM SERVICE EXPENSES 205,590. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,590. SUBCONTRACT UNDER HOTSPOTTERS PROGRAM: PROGRAM SERVICE EXPENSES 44,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,000. 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. EMPIRE HEALTH FOUNDATION 1020 W RIVERSIDE AVENUE SPOKANE WA 99201 263375286 PRIVATE FOUNDATION-HEALTH WA 501(C)(3) PRIVATE FOUNDATION YES 0 FAMILY IMPACT NETWORK 1020 W RIVERSIDE AVENUE SPOKANE WA 99201 471405203 PUBLIC CHARITY-HEALTH WA 501(C)(3) 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 EMPIRE HEALTH FOUNDATION C 619250 CASH VALUE