BETTER HEALTH TOGETHER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BETTER HEALTH TOGETHER (EIN 90-0997482)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202013219349306236
- Schema version
- 2019v5.1
- 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 | 2020-11-16T10:44:38-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | 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 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | 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 | 5093217500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1209 W 1ST AVENUE | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALISON POULSEN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5093217500 | PhoneNum |
| Signature | 2020-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2020-11-15 | 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 | 2020-11-15 | IPDt |
| IP Tm | 19:59:57 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 32BF7EAB22DEFAF25B84558E1ABCE2756C2E0534 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | ALISON POULSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1209 W 1ST AVENUE | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,936,004 | 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 18 | TotalEmployeeCnt |
| Total Volunteers | 61 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,336,456 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,181,971 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $339,981 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,685,602 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $66,863 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,600 | PYOtherRevenueAmt |
| CY Other Revenue | $1,568 | CYOtherRevenueAmt |
| PY Total Revenue | $3,678,037 | PYTotalRevenueAmt |
| CY Total Revenue | $20,936,004 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,159,747 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $997,141 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,216,739 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,055,032 | PYOtherExpensesAmt |
| CY Other Expenses | $2,143,842 | CYOtherExpensesAmt |
| PY Total Expenses | $3,052,173 | PYTotalExpensesAmt |
| CY Total Expenses | $16,520,328 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $625,864 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,415,676 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,754,110 | TotalAssetsBOYAmt |
| Total Assets EOY | $32,815,325 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,992,974 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $540,100 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $761,136 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,275,225 | 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 | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,740,323 | ExpenseAmt |
| Grant | $13,142,455 | GrantAmt |
| Revenue | $15,277,228 | RevenueAmt |
| Desc | ACCOUNTABLE COMMUNITIES OF HEALTH:AS LEAD FOR THE SPOKANE REGION, ACCOUNTABLE COMMUNITIES OF HEALTH 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 EXPANDED SIGNIFICANTLY IN 2018 AND 2019. FUNDING IS FROM A MEDICAID 115 WAIVER MANAGED BY THE HEALTH CARE AUTHORITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $199,717 | ExpenseAmt |
| Grant | $209 | GrantAmt |
| Revenue | $303,376 | RevenueAmt |
| Desc | NAVIGATOR:AS A LEAD AGENCY, NAVIGATOR 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 150,000 INDIVIDUALS TO ENROLL AND HAS 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 | $104,998 | ExpenseAmt |
| Grant | $17,083 | GrantAmt |
| Revenue | $104,998 | RevenueAmt |
| Desc | HEALTHY KIDS:BHT SERVES RESIDENTS OF A SEVEN-COUNTY RURAL/URBAN MIX GEOGRAPHIC REGION OF EASTERN WASHINGTON (EWA), PROVIDING OUTREACH, ENROLLMENT, AND RENEWAL RESOURCES TO SUPPORT UNINSURED, ELIGIBLE CHILDREN AND ADULTS IN APPLYING FOR AND ENROLLING IN MEDICAID AND CHIP. EWA IS ALSO HOME TO A VARIETY OF POPULATIONS, WHO EXPERIENCE MARKED HEALTH DISPARITIES, INCLUDING AMERICAN INDIAN/ALASKA NATIVE, HISPANIC, MARSHALLESE, RURAL, AND LOW-INCOME, AT-RISK YOUTH AND THEIR FAMILIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $15,045,038 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 18 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIM HEATH CPACFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5093217500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1209 W 1ST AVENUE | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 | |||||||
| VICE CHAIR (THROUGH JULY 2019) | 0.50 | 40.00 | Yes (X) | Yes (X) | $0 | $247,940 | $37,227 |
| ALISON M POULSEN | |||||||
| EXECUTIVE DIRECTOR | 0.00 | 40.00 | Yes (X) | $0 | $163,540 | $34,218 | |
| KIM HEATH | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $46,809 | $0 | $7,558 | |
| KURTIS ROBINSON | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $1,725 | $0 | $0 | |
| SHARON FAIRCHILD | |||||||
| CHAIR | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PAM TIETZ | |||||||
| DIRECTOR & VICE CHAIR | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KAI NEVALA | |||||||
| TREASURER | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PETER ADLER | |||||||
| SECRETARY | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TOM MARTIN | |||||||
| PAST CHAIR (THROUGH NOV 2019) | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ALISON BOYD-BALL | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID CRUMP | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JAC DAVIES | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JULIE HONEKAMP | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TRACY KIEFFER | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LYNN KIMBALL | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR LUIS MANRIQUEZ | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE MANUS | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN MCCARTHY | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RICKI PEONE | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BLAKE READING | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TORNEY SMITH | |||||||
| DIRECTOR (THROUGH NOV 2019) | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JEFF THOMAS | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| AARON WILSON | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $48,534 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $411,480 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $79,003 | 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 (5 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 | ADMINISTRATIVE AND EMPLOYEE LEASE | $326,299 |
| PROVIDENCE HEALTH & SERVICES | |||||
| PO BOX 5977 | PORTLAND | OR | 97228 | CONSULTING SERVICES | $296,810 |
| DIANA BIANCO DBA ARTEMIS CONSULTING | |||||
| 4332 NE 25TH AVE | PORTLAND | OR | 97211 | CONSULTING SERVICES | $244,650 |
| HEALTH MANAGEMENT ASSOCIATES INC | |||||
| 120 N WASHINGTON SQ STE 705 | LANSING | MI | 48933 | CONSULTING SERVICES | $181,916 |
| U OF WA - AIMS CENTER | |||||
| 1959 NE PACIFIC ST BOX 356560 | SEATTLE | WA | 98195 | CONSULTING SERVICES | $136,482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,500 | RelatedOrganizationsAmt |
| Government Grants | $5,136,971 | GovernmentGrantsAmt |
| All Other Contributions | $42,500 | AllOtherContributionsAmt |
| Total Contributions | $5,181,971 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PORTAL REVENUE | 624190 | $15,277,228 | $15,277,228 |
| NAVIGATOR | 624190 | $303,376 | $303,376 |
| HEALTHY KIDS | 624190 | $104,998 | $104,998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,685,602 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,863 | TotalRevenueColumnAmt |
| Exclusion | $66,863 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 624190 | BusinessCd |
| Total Revenue Column | $1,568 | TotalRevenueColumnAmt |
| Exclusion | $1,568 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,568 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,936,004 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,685,602 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $68,431 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,159,747 | TotalAmt |
| Program Services | $13,159,747 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,367 | TotalAmt |
| Management And General | $54,367 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $844,611 | TotalAmt |
| Program Services | $612,686 | ProgramServicesAmt |
| Management And General | $231,925 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,081 | TotalAmt |
| Program Services | $35,777 | ProgramServicesAmt |
| Management And General | $19,304 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,975 | TotalAmt |
| Program Services | $121,787 | ProgramServicesAmt |
| Management And General | $52,188 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,705 | TotalAmt |
| Program Services | $60,598 | ProgramServicesAmt |
| Management And General | $28,107 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,059 | TotalAmt |
| Program Services | $6,000 | ProgramServicesAmt |
| Management And General | $100,059 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,648 | TotalAmt |
| Program Services | $8,691 | ProgramServicesAmt |
| Management And General | $25,957 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,292 | TotalAmt |
| Management And General | $103,292 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,436,725 | TotalAmt |
| Program Services | $922,210 | ProgramServicesAmt |
| Management And General | $514,515 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,360 | TotalAmt |
| Program Services | $8,100 | ProgramServicesAmt |
| Management And General | $1,260 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,434 | TotalAmt |
| Program Services | $3,960 | ProgramServicesAmt |
| Management And General | $40,474 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,526 | TotalAmt |
| Program Services | $9,605 | ProgramServicesAmt |
| Management And General | $117,921 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,885 | TotalAmt |
| Program Services | $23,748 | ProgramServicesAmt |
| Management And General | $20,137 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,748 | TotalAmt |
| Program Services | $40,360 | ProgramServicesAmt |
| Management And General | $26,388 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,668 | TotalAmt |
| Management And General | $5,668 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,299 | TotalAmt |
| Program Services | $4,284 | ProgramServicesAmt |
| Management And General | $13,015 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEALS | $61,209 | $13,666 | $47,543 |
| TELECOMMUNICATIONS | $22,525 | $2,568 | $19,957 |
| MISCELLANEOUS | $14,581 | $14,581 | |
| COMPUTERS | $9,866 | $366 | $9,500 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,017 | TotalAmt |
| Program Services | $10,885 | ProgramServicesAmt |
| Management And General | $29,132 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,520,328 | TotalAmt |
| Program Services | $15,045,038 | ProgramServicesAmt |
| Management And General | $1,475,290 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,097,140 | BOYAmt |
| EOY | $22,011,330 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $511,346 | BOYAmt |
| EOY | $10,713,546 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,956 | BOYAmt |
| EOY | $89,328 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $46,630 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,630 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,668 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,121 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,754,110 | BOYAmt |
| EOY | $32,815,325 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,881 | BOYAmt |
| EOY | $540,100 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,682,093 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,992,974 | BOYAmt |
| EOY | $540,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $761,136 | BOYAmt |
| EOY | $32,275,225 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $761,136 | BOYAmt |
| EOY | $32,275,225 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,754,110 | BOYAmt |
| EOY | $32,815,325 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,415,676 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $27,098,413 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| 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 Minus4 Years | $1,083,837 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,022,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $464,604 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,336,456 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,181,971 | CurrentTaxYearAmt |
| Total | $11,088,949 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,083,837 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,022,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $464,604 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,336,456 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,181,971 | CurrentTaxYearAmt |
| Total | $11,088,949 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $903,205 | SubstantialContributorsTotAmt |
| Public Support Total170 | $10,185,744 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $6,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,863 | CurrentTaxYearAmt |
| Total | $74,713 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $12,907 | CurrentTaxYearMinus3YearsAmt |
| Total | $12,907 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $800 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $1,568 | CurrentTaxYearAmt |
| Total | $2,368 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,178,937 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $18,094,890 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.91120 | PublicSupportCY170Pct |
| Public Support PY170 | 0.76750 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME | ExplanationTxt |
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 | $46,630 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (66 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PROVIDENCE HEALTH & SERVICES | |||||||
| 982 E COLUMBIA AVE | COLVILLE | WA | 99114 | 320260353 | 501(C)(3) | $770,900 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| MULTICARE HEALTH SYSTEM | |||||||
| PO BOX 3649 | SPOKANE | WA | 99220 | 911352172 | 501(C)(3) | $753,400 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| COMMUNITY HEALTH ASSOCIATION OF SPOKANE | |||||||
| 203 N WASHINGTON STREET STE 300 | SPOKANE | WA | 99201 | 911641797 | 501(C)(3) | $743,600 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| FRONTIER BEHAVIORAL HEALTH | |||||||
| 107 S DIVISON | SPOKANE | WA | 99202 | 910853801 | 501(C)(3) | $739,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| KAISER PERMANENTE OF WASHINGTON | |||||||
| 601 UNION ST STE 3100 | SEATTLE | WA | 981011374 | 910511770 | 501(C)(3) | $460,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| LINCOLN HOSPITAL | |||||||
| 10 NICHOLLS ST | DAVENPORT | WA | 99122 | 910758051 | GOVERNMENT | $397,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| NEWPORT COMMUNITY HOSPITAL | |||||||
| 714 W PINE ST | NEWPORT | WA | 99156 | 910541383 | GOVERNMENT | $331,800 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| NEW HEALTH PROGRAMS ASSOCIATION | |||||||
| PO BOX 808 | CHEWELAH | WA | 99109 | 911053847 | 501(C)(3) | $321,250 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| STEVENS COUNTY | |||||||
| 165 E HATHORNE AVE | COLLVILLE | WA | 99114 | 916001372 | GOVERNMENT | $312,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| YAKIMA VALLEY FARM WORKERS CLINIC | |||||||
| PO BOX 190 | TOPPENISH | WA | 98948 | 911019392 | 501(C)(3) | $290,400 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO | |||||||
| 1117 TIETON DR | YAKIMA | WA | 98902 | 916071384 | 501(C)(3) | $290,200 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| THE NATIVE PROJECT | |||||||
| 1803 W MAXWELL | SPOKANE | WA | 99201 | 911462366 | 501(C)(3) | $277,700 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| LUTHERAN COMMUNITY SERVICES NORTHWEST | |||||||
| 4040 S 188TH ST STE 300 | SEATAC | WA | 98188 | 930386860 | 501(C)(3) | $275,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SPOKANE REGIONAL HEALTH DISTRICT | |||||||
| 1101 W COLLEGE AVE | SPOKANE | WA | 99201 | 911527532 | GOVERNMENT | $268,317 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| COLUMBIA BASIN HEALTH ASSOCIATION | |||||||
| 1515 E COLUMBIA STREET | OTHELLO | WA | 99344 | 910896701 | 501(C)(3) | $260,209 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SPOKANE ADDICTION RECOVERY CENTERS | |||||||
| 812 S WALNUT | SPOKANE | WA | 99204 | 910793707 | 501(C)(3) | $257,917 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SPOKANE TEACHING HEALTH CENTER | |||||||
| PO BOX 244 | SPOKANE | WA | 99210 | 464139065 | 501(C)(3) | $245,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SPOKANE PUBLIC SCHOOL DISTRICT #81 | |||||||
| 200 N BERNARD ST | SPOKANE | WA | 99201 | 916001582 | GOVERNMENT | $205,200 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| NEW HORIZON COUNSELING SERVICES | |||||||
| PO BOX 4627 | SPOKANE | WA | 99220 | 911113010 | 501(C)(3) | $205,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| YFA CONNECTIONS | |||||||
| PO BOX 3344 | SPOKANE | WA | 99220 | 237049675 | 501(C)(3) | $205,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| CHILDRENS HOME SOCIETY OF WASHINGTON | |||||||
| 12360 LAKE CITY WAY NE STE 450 | SEATTLE | WA | 98125 | 910575955 | 501(C)(3) | $172,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| LINCOLN COUNTY HEALTH DEPARTMENT | |||||||
| PO BOX 152 | DAVENPORT | WA | 99122 | 916001352 | GOVERNMENT | $146,900 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| EXCELSIOR YOUTH CENTER | |||||||
| 3754 INDIAN TRAIL RD | SPOKANE | WA | 99208 | 911189908 | 501(C)(3) | $106,100 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SPOKANE TREATMENT AND RECOVERY SERVICES | |||||||
| 312 W 8TH AVE | SPOKANE | WA | 99204 | 911108762 | 501(C)(3) | $99,800 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| PASSAGES | |||||||
| 1002 N SUPERIOR ST | SPOKANE | WA | 99202 | 272831224 | 501(C)(3) | $98,600 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SUNSHINE TERRACE | |||||||
| 10410 E 9TH AVE | SPOKANE VALLEY | WA | 99016 | 910741217 | $98,600 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH | |
| PIONEER HUMAN SERVICES | |||||||
| 7440 W MARGINAL WAY S | SEATTLE | WA | 98108 | 910791552 | 501(C)(3) | $91,300 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| PARTNERS WITH FAMILIES & CHILDREN | |||||||
| 1321 W BROADWAY | SPOKANE | WA | 99201 | 680576560 | 501(C)(3) | $89,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| PEND OREILLE COUNTY COUNSELING SERVICES | |||||||
| PO BOX 5055 | NEWPORT | WA | 99156 | 916001357 | GOVERNMENT | $89,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| ADAMS COUNTY | |||||||
| 425 E MAIN STREET SUITE 600 | OTHELLO | WA | 99344 | 916001294 | GOVERNMENT | $86,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| COLVILLE NATION COMMUNITY HEALTH CENTERS | |||||||
| PO BOX 290 | INCHELIUM | WA | 99138 | 841688724 | GOVERNMENT | $80,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| DAYBREAK YOUTH SERVICES | |||||||
| 960 E THIRD AVE | SPOKANE | WA | 99203 | 911083936 | 501(C)(3) | $79,200 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| CATHOLIC CHARITIES OF SPOKANE | |||||||
| PO BOX 2253 | SPOKANE | WA | 992102253 | 910569880 | 501(C)(3) | $79,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| INSTITUTE FOR FAMILY DEVELOPMENT | |||||||
| 34004 16TH AVE S STE 200 | FEDERAL WAY | WA | 98003 | 910941053 | 501(C)(3) | $79,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| RIVERSIDE RECOVERY CENTER | |||||||
| 3710 N MONROE ST | SPOKANE | WA | 99205 | 200559564 | $79,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH | |
| LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 | |||||||
| PO BOX 368 | ODESSA | WA | 99159 | 916001722 | GOVERNMENT | $78,375 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| AMERICAN INDIAN COMMUNITY CENTER | |||||||
| 610 E NORTH FOOTHILLS DRIVE | SPOKANE | WA | 99207 | 910822523 | 501(C)(3) | $77,084 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| EAST ADAMS RURAL HOSPITAL 1 | |||||||
| 903 SOUTH ADAMS | RITZVILLE | WA | 99169 | 916001963 | GOVERNMENT | $74,209 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| KALISPEL TRIBE OF INDIANS | |||||||
| PO BOX 39 | USK | WA | 99180 | 910875018 | GOVERNMENT | $63,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| HIP OF SPOKANE DBA COMMUNITY-MINDED ENTERPRISES | |||||||
| PO BOX 48150 | SPOKANE | WA | 99228 | 911764236 | 501(C)(3) | $61,533 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SPOKANE TRIBE OF INDIANS | |||||||
| PO BOX 100 | WELLPINIT | WA | 99040 | 910606339 | GOVERNMENT | $52,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| RURAL RESOURCES | |||||||
| 956 S MAIN ST | COLVILLE | WA | 99114 | 910793447 | 501(C)(3) | $40,200 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| AMERICAN BEHAVIORAL HEALTH SYSTEMS INC | |||||||
| PO BOX 141106 | SPOKANE VALLEY | WA | 992141106 | 911824793 | $39,750 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH | |
| NORTHEAST WASHINGTON EDUCATIONAL DISTRICT 101 | |||||||
| 4202 S REGAL ST | SPOKANE | WA | 99223 | 910948293 | GOVERNMENT | $27,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| GREATER SPOKANE COUNTY MEALS ON WHEELS | |||||||
| PO BOX 14278 | SPOKANE VALLEY | WA | 99214 | 911042546 | 501(C)(3) | $20,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SPOKANE NEIGHBORHOOD ACTION PARTNERS | |||||||
| 3102 W FT GEORGE WRIGHT DR | SPOKANE | WA | 99224 | 911311127 | 501(C)(3) | $66,870 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| THE CAH NETWORK | |||||||
| 714 W PINE ST | NEWPORT | WA | 99156 | 201501680 | $17,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH | |
| NORTHEAST TRI COUNTY HEALTH DISTRICT | |||||||
| 240 E DOMINION AVE | COVILLE | WA | 99114 | 911358169 | GOVERNMENT | $16,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| CITY OF SPOKANE | |||||||
| 808 W SPOKANE FALLS BLVD | SPOKANE | WA | 99201 | 916001280 | GOVERNMENT | $12,900 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| INLAND NORTHWEST HEALTH SERVICES COMMUNITY WELLNESS | |||||||
| PO BOX 469 | SPOKANE | WA | 992100469 | 911307555 | 501(C)(3) | $12,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| PEND OREILLE FIRE 3 | |||||||
| 325272 HWY 2 | NEWPORT | WA | 99156 | 911610000 | GOVERNMENT | $12,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| VOLUNTEERS OF AMERICA OF EASTERN WASHINGTON AND NORTHERN IDAHO | |||||||
| 525 W 2ND AVE | SPOKANE | WA | 99201 | 910577131 | 501(C)(3) | $10,200 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| CONFEDERATED TRIBES OF THE COLVILLE RESERVATION | |||||||
| PO BOX 150 | NESPELEM | WA | 99155 | 910557683 | GOVERNMENT | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| DAVENPORT PHARMACY INC | |||||||
| PO BOX 67 | DAVENPORT | WA | 99122 | 910971491 | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH | |
| FAMILY CRISIS NETWORK | |||||||
| PO BOX 944 | NEWPORT | WA | 99156 | 911248443 | 501(C)(3) | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| NEWPORT SCHOOL DISTRICT | |||||||
| PO BOX 70 | NEWPORT | WA | 99156 | 911036287 | GOVERNMENT | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| NORTHEAST COMMUNITY CENTER ASSOCIATION | |||||||
| 4001 N COOK ST | SPOKANE | WA | 99207 | 911196071 | 501(C)(3) | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SECOND HARVEST | |||||||
| 1234 E FRONT AVE | SPOKANE | WA | 99202 | 237173826 | 501(C)(3) | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SMILE SPOKANE | |||||||
| 23403 E MISSION AVE 104 | LIBERTY LAKE | WA | 99019 | 208248281 | 501(C)(3) | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| SPOKANE HOUSING AUTHORITY | |||||||
| 55 W MISSION AVE | SPOKANE | WA | 99201 | 910965156 | GOVERNMENT | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| YMCA OF THE INLAND NW | |||||||
| 1126 N MONROE | SPOKANE | WA | 99201 | 910827958 | 501(C)(3) | $10,000 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| MID-CITY CONCERNS | |||||||
| 1222 W 2ND AVE | SPOKANE | WA | 99201 | 910833015 | 501(C)(3) | $8,125 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| PEER SEATTLE | |||||||
| 1520 BELLEVUE AVE | SEATTLE | WA | 98122 | 911327257 | 501(C)(3) | $7,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| REARDAN EDWALL SCHOOL DISTRICT | |||||||
| 215 E SPOKANE ST | REARDAN | WA | 99029 | 916001623 | GOVERNMENT | $7,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| WASHINGTON STATE UNIVERSITY | |||||||
| 11768 WESTAR LN | BURLINGTON | WA | 98233 | 916001108 | GOVERNMENT | $7,500 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| AGING & LONG TERM CARE OF EASTERN WASHINGTON | |||||||
| 1222 N POST STREET | SPOKANE | WA | 99201 | 911017706 | GOVERNMENT | $10,400 | MEDICAID TRANSFORMATION EFFORTS AS AN ACH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 61 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART II, LINE 2 | FormAndLineReferenceDesc |
| Explanation | BEFORE PAYMENTS ARE MADE ON THE CONTRACTS TO PARTNERS THROUGH THE PORTAL, STAFF ON THE PROGRAM TEAMS, WHO WORK CLOSELY WITH BHT'S PARTNERS, MAKE SURE THEY HAVE EARNED THE PAYMENTS, WHICH IS DONE THROUGH REPORTING. THIS REPORTING IS EMBEDDED IN BHT'S ANNUAL REPORTING, KNOWN AS SAR REPORTS, THAT DETERMINE HOW MUCH THE BHT ACH REGION EARNS. PART OF THE WAIVER FUNDS EARNED ARE RELATED TO PAY-FOR-PERFORMANCE, SO IT IS IMPORTANT THAT BHT'S PARTNERS ARE DOING WHAT THEY SAY THEY ARE GOING TO. THESE PERFORMANCE DOLLARS ARE DETERMINED ON A LAG. FOR EXAMPLE, 2018 PERFORMANCE DOLLARS AREN'T DETERMINED UNTIL 2020/2021. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 (2 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 | ||||||||||||||
| VICE CHAIR (THROUGH JULY 2019) | $0 | $247,940 | $0 | $0 | $0 | $0 | $0 | $37,227 | $0 | $0 | $0 | $285,167 | $0 | $0 |
| ALISON M POULSEN | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $163,540 | $0 | $0 | $0 | $0 | $0 | $34,218 | $0 | $0 | $0 | $197,758 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ARE USED BY EMPIRE HEALTH FOUNDATION, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF OFFICERS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | HEALTHY KIDS: BHT SERVES RESIDENTS OF A SEVEN-COUNTY RURAL/URBAN MIX GEOGRAPHIC REGION OF EASTERN WASHINGTON (EWA), PROVIDING OUTREACH, ENROLLMENT, AND RENEWAL RESOURCES TO SUPPORT UNINSURED, ELIGIBLE CHILDREN AND ADULTS IN APPLYING FOR AND ENROLLING IN MEDICAID AND CHIP. EWA IS ALSO HOME TO A VARIETY OF POPULATIONS, WHO EXPERIENCE MARKED HEALTH DISPARITIES, INCLUDING AMERICAN INDIAN/ALASKA NATIVE, HISPANIC, MARSHALLESE, RURAL, AND LOW-INCOME, AT-RISK YOUTH AND THEIR FAMILIES. ACCOUNTABLE COMMUNITIES OF HEALTH: FUNDING IS FROM A MEDICAID 115 WAIVER MANAGED BY THE HEALTH CARE AUTHORITY. |
| 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 OF THE ORGANIZATION; FILE A PETITION FOR BANKRUPTCY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CFO AND EXECUTIVE DIRECTOR REVIEWED THE RETURN PRIOR TO FILING AND CIRCULATED 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 B, LINE 15 | BHT'S OFFICERS ARE LEASED OR OTHERWISE SHARED EMPLOYEES OF THE MEMBER AND SUBJECT TO THE COMPENSATION PRACTICES OF THE MEMBER. THE MEMBER'S PROCESS INCLUDIES BENCHMARKING SALARY OF COMPARABLE POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE GENERALLY NOT MADE AVAILABLE FOR PUBLIC INSPECTION. |
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 | HEALTH-RELATED PROGRAMS AND GRANTS | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | PRIVATE FOUNDATION | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| 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 | 0 | 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 | 0 | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |