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      <Form990PartVIISectionAGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>34513</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>13848</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>60763</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>12627</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>30523</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES AND LICENSES</Desc>
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      <OtherExpensesGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedBasisGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS USING A STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2022 AND 2021, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <CityNm>YAKIMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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      <RecipientTable>
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          <CityNm>UNION GAP</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98901</ZIPCd>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BENTON -FRANKLIN COMMUNITY HEALTH ALLIANCE</BusinessNameLine1Txt>
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          <AddressLine1Txt>7102 W OKANOGAN PL</AddressLine1Txt>
          <CityNm>KENNEWICK</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99336</ZIPCd>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLUE MOUNTAIN COUNSELING</BusinessNameLine1Txt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <CityNm>ELLENSBURG</CityNm>
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          <ZIPCd>98926</ZIPCd>
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      <RecipientTable>
        <RecipientBusinessName>
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        <USAddress>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF THE DIOCESE OF YAKIMA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2139 VAN GIESEN ST</AddressLine1Txt>
          <CityNm>RICHLAND</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99352</ZIPCd>
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        <RecipientEIN>911370404</RecipientEIN>
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        <CashGrantAmt>171087</CashGrantAmt>
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        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF WALLA WALLA FIRE AND AMBULANCE DEPARTMENT</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>15 NORTH 3RD AVENUE</AddressLine1Txt>
          <CityNm>WALLA WALLA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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        <RecipientEIN>916001290</RecipientEIN>
        <IRCSectionDesc>CITY OF WALLA WALLA</IRCSectionDesc>
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        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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        <USAddress>
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          <CityNm>CONNELL</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99326</ZIPCd>
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      <RecipientTable>
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          <CityNm>DAYTON</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99328</ZIPCd>
        </USAddress>
        <RecipientEIN>910741968</RecipientEIN>
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        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>COMMUNITY HEALTH ASSOCIATION OF SPOKANE</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>CLARKSTON</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99403</ZIPCd>
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        <CashGrantAmt>54934</CashGrantAmt>
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        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
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          <AddressLine1Txt>1806 W LINCOLN AVE</AddressLine1Txt>
          <CityNm>YAKIMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98902</ZIPCd>
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        <RecipientEIN>571140982</RecipientEIN>
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          <AddressLine1Txt>1520 KELLY PL STE 235</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99362</ZIPCd>
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        <RecipientEIN>911043304</RecipientEIN>
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          <AddressLine1Txt>401 FORT ROAD</AddressLine1Txt>
          <CityNm>TOPPENISH</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98948</ZIPCd>
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        <RecipientEIN>910576806</RecipientEIN>
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        <CashGrantAmt>20000</CashGrantAmt>
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        <USAddress>
          <AddressLine1Txt>101 W INDIANA AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99208</ZIPCd>
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          <AddressLine1Txt>6701 DEMOCRACY BLVD</AddressLine1Txt>
          <CityNm>BETHESDA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20817</ZIPCd>
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        <RecipientEIN>260726375</RecipientEIN>
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          <AddressLine1Txt>415 N MORAIN ST</AddressLine1Txt>
          <CityNm>KENNEWICK</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <AddressLine1Txt>206 SOUTH 10TH AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <AddressLine1Txt>446 PATAHA ST</AddressLine1Txt>
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          <AddressLine1Txt>949 MAIN ST</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>HERITAGE UNIVERSITY</BusinessNameLine1Txt>
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          <AddressLine1Txt>3240 FORT ROAD</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>IDEAL BALANCE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8514 W GAGE BLVD STE G</AddressLine1Txt>
          <CityNm>KENNEWICK</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>IDEAL OPTION PLLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2609 RIVER RD</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <AddressLine1Txt>3900 S ZINTEL WAY</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <AddressLine1Txt>70 ATLANTIC AVE</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <AddressLine1Txt>919 S 2ND AVE</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <AddressLine1Txt>534 S 3RD AVE 16</AddressLine1Txt>
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          <AddressLine1Txt>2280 SR 821</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <AddressLine1Txt>PO BOX 719</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>TRI CITIES COMMUNITY HEALTH</BusinessNameLine1Txt>
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          <AddressLine1Txt>3180 W CLEARWATER SUITES AB</AddressLine1Txt>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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          <StateAbbreviationCd>WA</StateAbbreviationCd>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1221 HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>CLARKSTON</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99403</ZIPCd>
        </USAddress>
        <RecipientEIN>910545036</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>218038</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPPER KITTITAS MEDIC ONE (KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT NO 2)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 E 1ST ST CLE ELUM WA 98922</AddressLine1Txt>
          <CityNm>CLE ELUM</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98922</ZIPCd>
        </USAddress>
        <RecipientEIN>911096237</RecipientEIN>
        <IRCSectionDesc>KITTITAS COUNTY</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WALLA WALLA CLINIC INC PS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 W TIETAN ST</AddressLine1Txt>
          <CityNm>WALLA WALLA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99362</ZIPCd>
        </USAddress>
        <RecipientEIN>910862542</RecipientEIN>
        <CashGrantAmt>51874</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>314 W MAIN STREET</AddressLine1Txt>
          <CityNm>WALLA WALLA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99362</ZIPCd>
        </USAddress>
        <RecipientEIN>916001381</RecipientEIN>
        <IRCSectionDesc>WALLA WALLA COUNTY</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YAKIMA NEIGHBORHOOD HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12 S 8TH ST</AddressLine1Txt>
          <CityNm>YAKIMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98901</ZIPCd>
        </USAddress>
        <RecipientEIN>910928817</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>208064</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YAKIMA VALLEY COUNCIL ON ALCOHOLISM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>120 S 3RD ST</AddressLine1Txt>
          <CityNm>YAKIMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98901</ZIPCd>
        </USAddress>
        <RecipientEIN>910755984</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>59369</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YAKIMA VALLEY FARM WORKERS CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1120 W ROSE ST</AddressLine1Txt>
          <CityNm>WALLA WALLA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99362</ZIPCd>
        </USAddress>
        <RecipientEIN>911019392</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>251642</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2811 TIETON DR</AddressLine1Txt>
          <CityNm>YAKIMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98902</ZIPCd>
        </USAddress>
        <RecipientEIN>910567263</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>88153</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY HEALTHCARE SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>38</Total501c3OrgCnt>
      <TotalOtherOrgCnt>14</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GCACH MAINTAINS TRACKING TOOLS TO MONITOR THE PROVIDERS. THESE TOOLS LIST OUT GRANTEE INFORMATION INCLUDING THE AWARD, AWARD DATES AND REQUIRED MILESTONES. THE MILESTONES AND AWARD AMOUNTS ARE WRITTEN IN CONTRACTS SIGNED BY THE PROVIDERS AND GCACH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND A COPY OF THE 990 IS PROVIDED TO THE BOARD FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO A CONFLICT. IF A CONFLICT OF INTEREST ARISES IT IS SUBJECT TO REVIEW AND IS DISCUSSED AT THE MONTHLY BOARD MEETINGS. A PERSON MAY NOT VOTE ON A TRANSACTION IN WHICH THEY HAVE A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY IS SUBJECT TO APPROVAL YEARLY BY THE BOARD OR COMPENSATION COMMITTEE AND IS DETERMINED USING SALARY SURVEYS OF LIKE POSITIONS IN THE HEALTHCARE MARKET IN THE LOCAL AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
