Hope Beyond Hope, Inc.

Transcription

1 Hope Beyond Hope, Inc. General Information Contact Information nprofit Address Hope Beyond Hope, Inc Harding Road Suite 307 Nashville, TN Phone (615) Fax Web Site Web Site At A Glance Year of Incorporation

2 Mission & Impact Statements Mission Hope Beyond Hope works to positively effect how all people are understood and cared for by: acting as a convener of individuals who believe and strive for the health of all people and seek ways to improve health care; reforming medication philanthropy to increase the supply, access and network of how and where people can obtain their medication; creating new constructs, in collaboration with stakeholders, to acquire and leverage data to improve the health of individuals and society; providing a platform for stakeholders to continue an open dialogue. Background In 2003, Dr. Bruce Wolf created The Dispensary of Hope, a 501c3 nonprofit Dispensary of Hope was conceived and designed to become the first national entity licensed and regulated to receive and distribute excess drug samples and large amounts of medications previously earmarked for destruction. Thus far, over $25,000,000 of medication has been collected from the systematic pick up of excess drug samples donated by over 1300 physicians and clinics.one day, the Dispensary of Hope was offered ten million pills of an over-produced medication and one million of another pill. These staggering offers were juxtaposed upon the reality that there were over 20,000 drugs/dosages/formulations used in America. In 2009, Dr. Wolf left the Dispensary of Hope and created Hope Beyond Hope (HBH) initially to try and reclaim the vast reservoirs of over produced and unused medications in America. In March of 2011, Hope Beyond Hope convened a two-day strategy session, The Summit of Hope, to discuss potential reservoirs and other aspects of medication philanthropy. In discussions with stakeholders before and during the Summit, reservoirs were no longer seen as the main priority. Other ideas emerged that helped HBH formulate a broader, more inclusive vision to facilitate the underserved population s access to medication, as well as lead to a better understanding of the spectrum of the indigent. With the increasing costs and demands of health care and its reforms, Hope Beyond Hope gradually evolved its thinking to consider and plan for the entire population, while maintaining its focus on the most needy. HBH proceeds on a trajectory to design and implement various health care improvements/solutions, while remaining open to health care reform, innovation and collaboration. Impact 1. Hope Beyond Hope was selected for its idea to create a "medication price transparency engine"and participated over 4 months in the Social Accelerator Cohort, jointly lead/sponsored by the Nashville Entrepreneur Center and Center for n Profit Management.2. Hope Beyond Hope created a for profit entity, Milligram Inc, to execute its concept of a medication price transparency engine. 3. 8/5/16HBH has focused the last year on developing and launching its for-profit spinoff, Milligram. Milligram is a web-based and mobile application that is a transparency engine that enables patients and clinicians see the cost of prescribed medications and their alternatives at over 65,000 pharmacies in the country. With Milligram, HBH hopes to change how medication is accessed in the country and thereby increase compliance and adherence with medication regimens. This will lead to better health care outcomes, lower health care spend, and improved quality of life. Needs Our most pressing needs are finances to fund our ideas. Milligram could also use in-kind services in legal areas and in marketing. Volunteers could also help in introducing the Milligram platform to consumers, including seniors, and to clinics and physician offices. Other ways to donate, support, or volunteer We would be happy to receive any donations. We can receive donations by check or via PayPal through our website: Service Categories Primary Organization Category Health Care / Health Support 2

3 Areas of Service Areas Served TN - Davidson Milligram (our for profit business) will initially market its product to consumers and clinicians in Middle Tennessee and is currently beta test its technology locally in a large multi specialty clinic. Milligram's vision is that its capabilities will ultimately be available to help all Americans. CEO Statement 8/5/16 Medication costs continue to escalate and everyone is increasingly becoming underinsured. HBH's forprofit spinoff, Milligram, is poised for financial success which will hopefully help fund the ideas and programs of HBH in the coming year. 3

4 Programs Programs medication price transparency engine Description Difficulty paying for health care, including prescription drugs and other medical bills, remains the top financial problem for American households. A number of studies in the last two years demonstrate that because of this burden, one-third to one-half of patients (even higher for those without health care coverage) do not take medication as prescribed. Up to one-quarter never fill prescriptions at all. Such lapses lead to unnecessary disease progression, disease complications, reduced functional abilities, a lower quality of life, and even possibly premature death. Down stream costs are estimated at $100-$250 billion dollars in health costs annually. Our proposed Medication Cost Transparency Engine (MCTE) is a software application that will enable patients and providers to "see" how much medicines cost and locate them within their geographic area. It will have enhanced functionality to examine the impact of multiple factors to find the most affordable medications, perform medication reconciliation, check for drug-drug interactions, and maximize adherence. Population Served,, universal process Description This concept promises to design and implement a universal PAP application and auditform, with a web-based, cloud-based infrastructure that will remove impediments and greatly improve efficiency of PAP. The applications will be received and processed at a national clearinghouse that will simplify and streamline processes for clinicians, clinics and hospitals, and pharmaceutical companies. This innovation will also increase access for patients, deliver more efficient care, lead to better health of individuals, and lower health care costs for hospitals and governments. To see more detail about the components of the Universal Process, click on the links below: // Population Served,, 4

5 pharmacy home Description Medicines are essential in the equation of health. We propose a pharmacy home (PH) for the sickest and costliest patients, indigent or underinsured, the 5% who account for 50% of all health care costs. The PH will: create a pharmacy benefit manager for the underserved, devise an intelligent formulary, provide medication free or at minimal cost, perform medication reconciliation, screen for drug-drug interactions, reduce poly-pharmacy, facilitate linkage to manufacturers' assistance programs, evolve a network of access points (initially with a single national pharmacy chain), enable education, communicate with hospitals and clinics, and work to improve medication compliance and adherence. PH systems will be interoperable with the patient's medical home to promote a holistic understanding of and better outcomes for the patient. Sustained by in-kind donations from pharmacy and manufacturers and funding by hospitals that will realize a decrease in uncompensated care, the PH can then expand. Population Served,, health management collaborative for the indigent Description Healthcare is (too) expensive and threatening the viability of hospitals, hospital systems, state and federal governments. This fact drives us to construct a solution to this problem in a world of constrained (not unlimited) resources. Our goal is to form an organization similar to an HMO that we have termed a health management collaborative (HMC). The HMC will be, in part, an insurance organization that will process claims data for those who have no insurance and collate essential data on patient utilization and outcomes. Likely, a single commercial insurance company or a government entity (CMS) will serve as the clearinghouse for such information. There are other examples of health information exchanges (HIE) across the country that attempt to acquire and manage data, often amongst competi- tors, to increase efficiency and decrease costs. Our vision is that similar infrastructure would be expanded to capture and track: encounters in clinics, EDs, and hospitals; utilization and results of diagnostic tests; prescribed medications. Such a system will help eliminate waste and redundancies. Criteria necessary for testing and treatment might also be built-in. The data obtained from the HMC will serve to identify and better understand the uninsured and self-pay populations. Once those populations are isolated, then case or population management may be brought to bear to try and improve health of individuals and the community in a more cost-effective manner. Case management in our model is based on the premise that a holistic understanding of a patient must necessarily address social context. The solution to health is more than medical. Medical home is their home, their community. Simply, the community must be the extended case management team. In our model, the point person will likely be a clinician who will oversee and coordinate a cadre of volunteers from both the healthcare and lay communities. Population Served,, CEO Comments Milligram has had to engage data partners, create and evolve the programming of its technology, create a smartphone app and find and contract/engage partners. All has been accomplished and all are moving forward. 5

6 Governance Board Chair Board Chair Dr. Bruce Wolf Term Sept 2009 to Dec Board Members Name Affiliation Status richard galentino Voting Kate Payne RN, JD nvoting Les Wilkinson JD The Martin Companies Voting Board Demographics - Ethnicity African American/Black 0 Asian American/Pacific Islander 0 Caucasian 5 Hispanic/Latino 0 Native American/American Indian 0 Other 0 0 Board Demographics - Gender Male 4 Female 1 Unspecified 0 Governance Board Term Lengths 0 Board Term Limits 0 Board Meeting Attendance % 0% Written Board Selection Criteria? Written Conflict of Interest Policy? Under Development Percentage Making Monetary Contributions 25% Percentage Making In-Kind Contributions 100% Constituency Includes Client Representation Number of Full Board Meetings Annually 1 CEO Comments 6

7 We plan to expand our board, as our programs activate in the future, to be more diverse. We intend to include women and minorities. 7

8 Management Executive Director/CEO Executive Director Dr. Bruce L. Wolf Term Start Oct Experience In 2003, Dr. Wolf founded and headed the Dispensary of Hope ( that now supplies medication to over 70 indigent clinics in 17 states. Staff Full Time Staff 0 Part Time Staff 2 Volunteers 0 Contractors 0 Retention Rate 100% Plans & Policies Does the organization have a documented Fundraising Plan? Does the organization have an approved Strategic Plan? Under Development In case of a change in leadership, is a Management Succession plan in place? Does the organization have a Policies and Procedures Plan? Does the organization have a ndiscrimination Policy? Under Development Does the organization have a Whistle Blower Policy? Does the organization have a Document Destruction Policy? 8

9 Financials Fiscal Year Fiscal Year Start Jan Fiscal Year End Dec Projected Revenue $0.00 Projected Expenses $ Endowment Value $0.00 Endowment Spending Percentage (if selected) 0% Detailed Financials Revenue and Expenses Total Revenue Total Expenses Revenue Sources Foundation and Corporation Contributions Government Contributions $0 $0 $0 Federal State Local Unspecified Individual Contributions Indirect Public Support Earned Revenue Investment Income, Net of Losses Membership Dues Special Events Revenue In-Kind Other

10 Expense Allocation Program Expense Administration Expense Fundraising Expense Payments to Affiliates Total Revenue/Total Expenses Program Expense/Total Expenses Fundraising Expense/Contributed Revenue Assets and Liabilities Total Assets Current Assets Long-Term Liabilities Current Liabilities Total Net Assets Short Term Solvency Current Ratio: Current Assets/Current Liabilities Long Term Solvency Long-Term Liabilities/Total Assets Top Funding Sources Top Funding Source & Dollar Amount Second Highest Funding Source & Dollar Amount Third Highest Funding Source & Dollar Amount Capital Campaign Is the organization currently conducting a Capital Campaign for an endowment or the purchase of a major asset? Capital Campaign Goal $0.00 State Charitable Solicitations Permit TN Charitable Solicitations Registration Yes - Expires June 2016 Organization Comments We do not have a product, as of yet, to sell. We have ideas that can change how health care is delivered in the United States but no funding mechanism except fundraising. We have spun off a for-profit company, Milligram, whose success we anticipate will fund the other projects. 10

11 GivingMatters.com Financial Comments This organization filed a 990-N form with the IRS, which does not provide specific financial information. Most small tax-exempt organizations whose annual gross receipts are normally $50,000 or less ($25,000 for tax years ending after December 31, 2007 and before December 31, 2010) are required to electronically submit Form 990-N, also known as the e-postcard, unless they choose to file a complete Form 990 or Form 990-EZ instead.comment Provided by Jessica Musman, 3/5/15 Created Copyright 2019 The Community Foundation of Middle Tennessee 11