BETTER HEALTH TOGETHER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BETTER HEALTH TOGETHER (EIN 90-0997482)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-12
IRS object ID
201533169349304388
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-11-12T18:25:12-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1601 WEST RIVERSIDE SUITE 700AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP992010622ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900997482EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETTER HEALTH TOGETHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETTBusinessNameControlTxt
Phone5093217500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 271AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALISON CARL WHITEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5093217500PhoneNum
Signature2015-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBARBARA L EARNHEARTPreparerPersonNm
PTINP00240388PTIN
Phone5093636300PhoneNum
Preparation2015-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALISON CARL WHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 271AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$835,210GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BETTERHEALTHTOGETHER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionBETTER 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.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$382,000PYContributionsGrantsAmt
CY Contributions Grants$549,206CYContributionsGrantsAmt
PY Program Service Revenue$572,000PYProgramServiceRevenueAmt
CY Program Service Revenue$286,004CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$954,000PYTotalRevenueAmt
CY Total Revenue$835,210CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$127,033PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$542,148CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$361,199PYOtherExpensesAmt
CY Other Expenses$571,223CYOtherExpensesAmt
PY Total Expenses$488,232PYTotalExpensesAmt
CY Total Expenses$1,113,371CYTotalExpensesAmt
PY Revenues Less Expenses$465,768PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$278,161CYRevenuesLessExpensesAmt
Total Assets BOY$614,331TotalAssetsBOYAmt
Total Assets EOY$218,254TotalAssetsEOYAmt
Total Liabilities BOY$148,563TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,647TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$465,768NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$187,607NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBETTER 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.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$610,684ExpenseAmt
Grant$0GrantAmt
Revenue$286,000RevenueAmt
DescIN-PERSON ASSISTOR LEAD AGENCY (IPAN):AS LEAD AGENCY, ASSISTING PEOPLE IN SIGNING UP FOR HEALTH INSURANCE AVAILABLE THROUGH THE HEALTH BENEFIT EXCHANGE OR MEDICAID EXPANSION. GOAL WAS TO ENROLL 10,000 PREVIOUSLY UNINSURED BY DECEMBER 31, 2014. TO DATE, THE PROGRAM HAS ENROLLED IN EXCESS OF 80,000 PREVIOUSLY UNINSURED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$53,826ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescDENTAL EMERGENCIES NEEDING TREATMENT (DENT):A PILOT PROJECT DESIGNED TO REDUCE UNNECESSARY EMERGENCY ROOM UTILIZATION FOR DENTAL EMERGENCIES AND TO COORDINATE A NETWORK OF ORAL HEALTH CARE PROVIDERS TO IMPROVE ACCESS, HEALTH, AND REDUCE COSTS FOR THIS POPULATON. FUNDING WAS ALSO RECEIVED IN 2013 BUT PROGRAM WORK WAS NOT COMMENCED UNTIL 2014. RECEIVED 1,160 PATIENT REFERRALS IN 2014 AND SCHEDULED 701 (60%) WITH A PARTICIPATING DENTIST.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$50,098ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescHEALTH, HOUSING AND HOMELESSNESS (H3 PROJECT):SEEKS TO REDUCE RE-HOSPITALIZATIONS AND IMPROVE HEALTH OUTCOMES FOR MEDICALLY VULNERABLE HOMELESS INDIVIDUALS BY FINDING SUITABLE HOUSING AND PROVIDING WRAPAROUND CLIENT SERVICES TO SUPPORT WELL-BEING.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$48,787$0$0HEALTH HOMES CARE COORDINATION INITIATIVE:SUPPORTS HIGH RISK/HIGH UTILIZERS OF MEDICAID TO IMPROVE HEALTH AND HEALTH CARE OUTCOMES AND REDUCE COSTS.
$29,588$0$0FAMILY ASSESSMENT RESPONSE (FAR):A CHILD PROTECTIVE SERVICES ALTERNATIVE TO INVESTIGATIONS OF LOW TO MODERATE RISK REPORTS OF CHILD MALTREATMENT, WHICH SUPPORTS FAMILY RESILIENCE AND CHILD SAFETY.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$78,375TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$792,983TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID LUHNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5093151260PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11020 W RIVERSIDE AVEAddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KRISTEN WEST FISHER
CHAIR0.0040.00Yes (X)Yes (X)$0$118,845$22,384
SHARON FAIRCHILD
VICE CHAIR0.50Yes (X)Yes (X)$0$0$0
DEAN LARSEN
TREASURER0.50Yes (X)Yes (X)$0$0$0
CHRISTINE BARADA
BOARD MEMBER0.50Yes (X)$0$0$0
DAVID CRUMP
BOARD MEMBER0.50Yes (X)$0$0$0
SUE DIETZ
BOARD MEMBER0.50Yes (X)$0$0$0
JOEL MCCULLOUGH MD
BOARD MEMBER0.50Yes (X)$0$0$0
GREG KNIGHT
BOARD MEMBER0.50Yes (X)$0$0$0
JEFF THOMAS
BOARD MEMBER0.50Yes (X)$0$0$0
PAM TIETZ
BOARD MEMBER0.50Yes (X)$0$0$0
TOM MARTIN
BOARD MEMBER0.50Yes (X)$0$0$0
ALISON CARL WHITE
EXECUTIVE DIRECTOR40.00Yes (X)$64,620$0$15,852
DAVID LUHN
CHIEF FINANCIAL OFFICER0.0040.00Yes (X)$0$110,089$10,216
DEANNA DAVIS
FORMER EXECUTIVE DIRECTOR40.00Yes (X)$62,879$0$12,558
FieldValueIRS element (for citing)
Total Reportable Comp From Org$127,499TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$228,934TotReportableCompRltdOrgAmt
Total Other Compensation$61,010TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$50,000GovernmentGrantsAmt
All Other Contributions$499,206AllOtherContributionsAmt
Total Contributions$549,206TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescVENDOR SERVICE CONTRACDesc
Business900099BusinessCd
Total Revenue Column$286,000TotalRevenueColumnAmt
Related Or Exempt Func Income$286,000RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4TotalRevenueColumnAmt
Exclusion$4ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$286,004TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$835,210TotalRevenueColumnAmt
Related Or Exempt Func Income$286,000RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$127,499TotalAmt
Management And General$127,499ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$302,834TotalAmt
Program Services$276,513ProgramServicesAmt
Management And General$26,321ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,454TotalAmt
Program Services$38,603ProgramServicesAmt
Management And General$33,851ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$39,361TotalAmt
Program Services$26,115ProgramServicesAmt
Management And General$13,246ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,357TotalAmt
Management And General$2,357ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$455,245TotalAmt
Program Services$421,872ProgramServicesAmt
Management And General$33,373ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,400TotalAmt
Program Services$900ProgramServicesAmt
Management And General$4,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$26,893TotalAmt
Program Services$4,286ProgramServicesAmt
Management And General$22,607ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$25,683TotalAmt
Program Services$167ProgramServicesAmt
Management And General$25,516ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,031TotalAmt
Program Services$6,401ProgramServicesAmt
Management And General$12,630ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,860TotalAmt
Program Services$5,316ProgramServicesAmt
Management And General$7,544ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,484TotalAmt
Program Services$2,467ProgramServicesAmt
Management And General$5,017ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,127TotalAmt
Management And General$2,127ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,579TotalAmt
Management And General$1,579ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TRAINING & OUTREACH COS$6,828$5,815$1,013
EXCISE TAXES$4,290$4,290
MEMBERSHIPS, DUES AND L$978$978
ALL OTHER EXPENSES$468$238$230

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,113,371TotalAmt
Program Services$792,983ProgramServicesAmt
Management And General$320,388ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$131,017BOYAmt
EOY$147,484EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$477,416BOYAmt
EOY$66,833EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,701LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,764LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,098BOYAmt
EOY$3,937EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$800BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$614,331BOYAmt
EOY$218,254EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$148,563BOYAmt
EOY$30,647EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$148,563BOYAmt
EOY$30,647EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$370,768BOYAmt
EOY$122,621EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$95,000BOYAmt
EOY$64,986EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$465,768BOYAmt
EOY$187,607EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$614,331BOYAmt
EOY$218,254EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$278,161ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$382,000CurrentTaxYearMinus1YearAmt
Current Tax Year$549,206CurrentTaxYearAmt
Total$931,206TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$572,000CurrentTaxYearMinus1YearAmt
Current Tax Year$286,000CurrentTaxYearAmt
Total$858,000TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$954,000CurrentTaxYearMinus1YearAmt
Current Tax Year$835,206CurrentTaxYearAmt
Total$1,789,206TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,789,206PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$954,000CurrentTaxYearMinus1YearAmt
Current Tax Year$835,206CurrentTaxYearAmt
Total$1,789,206TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,701OtherCostOrOtherBasisAmt
Depreciation$2,764DepreciationAmt
Book Value$3,937BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,937TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S TAX RETURNS FOR ALL PERIODS SINCE 2013 MAY BE SUBJECT TO EXAMINATION BY U.S. TAX AUTHORITIES.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GREG KNIGHT EXECUTIVE DIRECTOR RU
BOARD MEMBER$48,500ORGANIZATION PAID RURAL RESOURCES AN AGGREGATE AMOUNT IN A SERIES OF 3 PAYMENTS IN 2014 PURSUANT TO A CONTRACT TO PROVIDE IN-PERSON NETWORK ASSISTOR SERVICES0
PEG KOPKINS CEO CHAS
BOARD MEMBER (RESIGNED IN 2014)$30,421ORGANIZATION PAID CHAS AN AGGREGATE AMOUNT IN A SERIES OF 2 PAYMENTS IN 2014 PURSUANT TO A CONTRACT TO PROVIDE IN-PERSON NETWORK ASSISTOR OUTREACH SERVICES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2HEALTH HOMES CARE COORDINATION INITIATIVE: SUPPORTS HIGH RISK/HIGH UTILIZERS OF MEDICAID TO IMPROVE HEALTH AND HEALTH CARE OUTCOMES AND REDUCE COSTS. FAMILY ASSESSMENT RESPONSE (FAR) INITIATIVE: IS A CHILD PROTECTIVE SERVICES ALTERNATIVE TO INVESTIGATIONS OF LOW TO MODERATE RISK REPORTS OF CHILD MALTREATMENT, WHICH SUPPORTS FAMILY RESILIENCE AND CHILD SAFETY. H3 (HEALTH, HOUSING AND HOMELESSNESS) PROJECT: SEEKS TO REDUCE RE-HOSPITALIZATIONS AND IMPROVE HEALTH OUTCOMES FOR MEDICALLY VULNERABLE HOMELESS INDIVIDUALS BY FINDING SUITABLE HOUSING AND PROVIDING WRAPAROUND CLIENT SERVICES TO SUPPORT WELL-BEING.
FORM 990, PART VI, SECTION A, LINE 3WITH RESPECT TO URGENT ACTION: THE EXECUTIVE COMMITTEE IS REQUIRED TO AND SHALL EXERCISE AT SUCH TIME ALL POWERS OF THE BOARD IN THE MANGEMENT OF THE BUSINESS AND AFFAIRS OF THE ORGANIZATION, EXCEPT AS DESIGNATED BY WASHINGTON LAW MUST BE UNDERTAKEN BY THE ENTIRE BOARD OR THAT THE BOARD ITSELF HAS DESIGNATED AS NOT SUBJECT TO AMENDMENT, ALTERATION OR REPEAL BY THE COMMITTEE. COMPOSITION OF THE EXECUTIVE COMMITTEE IS AT LEAST 4 BOARD MEMBERS (CHAIR, VICE CHAIR, SECRETARY AND TREASURER) AND MAY ALSO INCLUDE THE IMMEDIATE PAST CHAIR IF STILL SERVING. OTHER BOARD MEMBERS MAY BE APPOINTED AT THE DISCRETION OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 6A SINGLE MEMBER--A NONPROFIT CORPORATION WITH SOLE RIGHTS TO APPOINT ALL BOARD MEMBERS (IE, CLASS A BOARD MEMBERS).
FORM 990, PART VI, SECTION A, LINE 7AA SINGLE MEMBER--A NONPROFIT CORPORATION WITH SOLE RIGHTS TO APPOINT ALL BOARD MEMBERS (IE, CLASS A BOARD MEMBERS).
FORM 990, PART VI, SECTION A, LINE 7BTO AMEND THE ARTICLES OF INCORPORATION, THE BOARD OF DIRECTORS MUST ADOPT A RESOLUTION SETTING FORTH THE PROPOSED AMENDMENT AND DIRECTING THAT IT BE SUBMITTED TO A VOTE AT A MEMBER MEETING. BEFORE ARTICLES OF AMENDMENT MAY BE FILED WITH THE SECRETARY OF STATE OF THE STATE OF WASHINGTON, THE PROPOSED AMENDMENT MUST BE ADOPTED BY THE MEMBER IN ACCORDANCE WITH THE PROCEDURE SET OUT IN SECTION 24.03.165 OF THE WASHINGTON NONPROFIT CORPORATION ACT. NOTWITHSTANDING ANY OTHER PROVISION OF THESE BYLAWS, THE DIRECTORS MAY NOT ADOPT, AMEND, OR REPEAL THESE BYLAWS, OR AMEND THE ARTICLES OF INCORPORATION, IN ANY WAY THAT AFFECTS THE RIGHTS OR POWERS OF THE MEMBER, INCLUDING BY THE ADDITION OF NEW MEMBERS, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MEMBER. FURTHER, THE DIRECTORS MAY NOT, WITHOUT PRIOR WRITTEN CONSENT OF THE MEMBER, ASSIGN TO ANY PARTY ANY CONTRACT TO WHICH THE CORPORATION IS A PARTY; AUTHORIZE THE SALE, LEASE, DISPOSITION, OR EXCHANGE OF THE CORPORATION'S ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; ADOPT A PLAN OF MERGER OR CONSOLIDATION, OR AUTHORIZE THE DISSOLUTION OF THE CORPORATION OR THE FILING OF ANY PETITION IN THE NATURE OF A BANKRUPTCY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED AT THE NEXT BOARD MEETING AFTER FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL DISCLOSURE STATEMENT; REVIEW BY BOARD OF MATERIAL TRANSACTIONS AND AGREEMENTS, INCLUDING DETERMINATION OF "FAIR AND REASONABLE" IF A POTENTIAL CONFLICT IS IDENTIFIED. CONFLICTED MEMBER IS NOT ALLOWED TO VOTE OR BE PRESENT FOR SUCH REVIEW AND DISCUSSION.
FORM 990, PART VI, SECTION B, LINE 15BANNUAL REVIEW BY THE EXECUTIVE COMMITTEE, INCLUDING COMPARISONS FOR LIKE POSITIONS IN OTHER NON-PROFITS.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE GENERALLY NOT MADE AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART IX, LINE 11GSUBCONTRACTED IN-PERSON ASSISTOR SERVICES: PROGRAM SERVICE EXPENSES 415,611. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 415,611. TEMPORARY HELP, HIRING FEES AND EMPLOYMENT SCREENING: PROGRAM SERVICE EXPENSES 186. MANAGEMENT AND GENERAL EXPENSES 6,468. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,654. CONSULTING AND GRANTWRITING FOR VARIOUS PROGRAMS, INCLUDING PRE-ARWARD: PROGRAM SERVICE EXPENSES 6,075. MANAGEMENT AND GENERAL EXPENSES 19,772. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,847. BOARD CONSULTING AND DESIGN OF BOARD MATERIALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,133. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,133.
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

FieldValueIRS element (for citing)
Business Name Line1EMPIRE HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 244AddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99210ZIPCd
FieldValueIRS element (for citing)
EIN263375286EIN
Primary ActivitiesGRANT MAKING FOUNDATIONPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusPRIVATE FOUNDATIONPublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1EMPIRE HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$489,500InvolvedAmt
Method Of Amount DeterminationCASH VALUEMethodOfAmountDeterminationTxt

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