2024-10-08T11:00:17-05:00 2024-03-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2023-04-01 911323282 WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH WASH 3607869722 101 CAPITAL WAY NORTH 200 OLYMPIA WA 98501 ROBERT MARSALLI CEO 3607869722 2024-10-04 1 0 EMINA O CRESSWELL CPA P01217304 4252597227 2024-10-04 2023 2024-10-15 13:58:12Z ROBERT MARSALLI 101 CAPITAL WAY NORTH 200 OLYMPIA WA 98501 5251428 0 X WWW.WACOMMUNITYHEALTH.ORG X 1985 WA TO STRENGTHEN AND ADVOCATE FOR WASHINGTON'S COMMUNITY HEALTH CENTERS TO BUILD HEALTHCARE ACCESS. 27 27 37 32 0 0 2549285 3165889 1995854 1779966 26950 56060 301280 249513 4873369 5251428 66900 89543 0 0 2326240 3128171 0 0 0 2323489 1948273 4716629 5165987 156740 85441 5547115 5098662 1902056 1355767 3645059 3742895 X THE MISSION OF WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH IS TO STRENGTHEN AND ADVOCATE FOR WASHINGTON'S COMMUNITY HEALTH CENTERS (CHCS) AS THEY BUILD HEALTHCARE ACCESS, INNOVATION, AND VALUE. THE ASSOCIATION PROVIDES TRAINING AND TECHNICAL ASSISTANCE SUPPORT IN THE FOLLOWING AREAS: WORKFORCE, HEALTH EQUITY, OUTREACH & ENROLLMENT, DATA, CLINICAL, QI, ORAL HEALTH, BEHAVIORAL HEALTH, AND POLICY/ADVOCACY. THE ASSOCIATION'S WORK IS GOVERNED BY ITS BOARD OF DIRECTORS AND VARIOUS COMMITTEES COMPRISED OF CHC STAFF. 0 0 1988712 56543 1779966 WORKFORCE:LEARNING NETWORK APPRISED OF MAINLY HR PROFESSIONALS AND ADMINISTRATIVE LEADERSHIP REPRESENTING OUR FEDERALLY QUALIFIED HEALTH CENTER PARTNERS. THE PURPOSE OF THE WORKFORCE LEARNING NETWORKS TO PROVIDE FIELD UPDATES, SOLICIT STRATEGIC GUIDANCE, AND PROMOTE PEER LEARNING FOR CURRENT WORKFORCE INITIATIVES THAT DIRECTLY IMPACT CHC RECRUITMENT, RETENTION AND DEVELOPMENT. TRAINING AND PEER LEARNING TOPICS INCLUDED STRATEGIES TO ADDRESS WORKFORCE SHORTAGES, INNOVATIVE HEALTH PROFESSION TRAINING PROGRAMS, AND LEGISLATIVE UPDATES. THE LEARNING NETWORK MET 4 TIMES THIS YEAR.THE ASSOCIATION ADMINISTERED A REGISTERED APPRENTICESHIP PROGRAM IN MEDICAL ASSISTING THROUGH MARCH 2024. FROM APRIL 1, 2023 TO MARCH 31, 2024, THERE WERE 10 ACTIVE MEDICAL ASSISTANT APPRENTICESHIP COHORTS, AND 386 APPRENTICES WERE ENROLLED. MEDICAL ASSISTING APPRENTICESHIP PROGRAM HAS A COMPLETION RATE OF 83% WITH 1,194 STUDENTS GRADUATED OR ON TRACK TO GRADUATE SINCE INCEPTION. THE MA PROGRAM HAD AN OVERALL CERTIFICATION EXAM PASS RATE OF 98% FOR THIS PERIOD. THE ASSOCIATION ALSO OFFERS A DENTAL ASSISTING TRAINING PROGRAM THAT IS AVAILABLE TO ALL COMMUNITY HEALTH CENTERS, THERE WERE 2 ACTIVE DENTAL ASSISTANT COHORTS AND 14 WERE ENROLLED. THE ASSOCIATION ALSO OFFERS A MEDICAL ASSISTING PREAPPRENTICESHIP PROGRAM THAT IS AVAILABLE TO HIGH SCHOOL STUDENTS, THERE WAS 1 ACTIVE PRE-APPRENTICESHIP COHORT AND 13 WERE ENROLLED. THE ASSOCIATION'S HEALTHCARE APPRENTICESHIP PROGRAMS CONTINUE TO BE RECOGNIZED NATION-WIDE AND CONSULTATION WORK, INCLUDING CURRICULUM LICENSING, FOR OUT OF STATE ORGANIZATIONS CONTINUES TO GROW. THE IN-REACH CURRICULUM IS NOW BEING USED IN 10 STATES WITH PLANS FOR EXPANSION. DURING 2023-2024 THE ASSOCIATION DEEPENED ITS IDENTITY AS THE SW REGIONAL AREA HEATLH EDUCATION CENTER (SW AHEC). THE SW AHEC SUPPORTED 25 SECOND YEAR AND 31 FIRST YEAR AHEC SCHOLARS, WHICH PREPARES A DIVERSE AND SKILLED PRIMARY CARE WORKFORCE IN RURAL AND UNDERSERVED COMMUNITIES. THE SW AHEC ALSO PLACED 21 MEDICAL STUDENTS IN THE RURAL UNDERSERVED OPPORTUNITIES PROGRAM, ALLOWING THE STUDENTS TO WORK ALONGSIDE GENERAL OR PEDIATRIC PHYSICIAN PRECEPTORS PROVIDING HEALTH CARE WITHIN RURAL AND URBAN UNDERSERVED COMMUNITIES. THE SW AHEC ALSO SUPPORTED MANY COMMUNITY-BASED HEALTH CAREER PROMOTION AND PREPARATION ACTIVITIES THROUGHOUT THE REGION THAT IMPACTED 170 YOUTH, 56 AHEC SCHOLARS, AND OVER 50 HEALTH CARE PROVIDERS. 411764 0 0 CARE IMPROVEMENT & INNOVATION:THE ASSOCIATION WORKS WITH FEDERALLY QUALIFIED HEALTH CENTERS TO PROVIDE TECHNICAL ASSISTANCE, TRAINING, AND PEER LEARNING OPPORTUNITIES FOR QUALITY IMPROVEMENTSTAFF, MEDICAL DIRECTORS, PHARMACISTS, BEHAVIORAL HEALTH PROVIDERS, DENTAL DIRECTORS, EMERGENCY PREPAREDNESS MANAGERS, HR PROFESSIONALS, ANDCLINICAL CARE TEAMS. ACCOMPLISHMENTS FOR THE YEAR ENDED MARCH 31, 2024, INCLUDED:CONVENED 5 SESSIONS OF A LEADERS LEARNING CIRCLE TO PROMOTE TRAUMA INFORMED LEADERSHIP SKILLS.CONVENED 8 SESSIONS OF BUILDING SKILLS IN SEXUAL HEALTH SERIES TO FOCUS ON COMPREHENSIVE SEXUAL HEALTH SKILLS AND HIV/STI DIAGNOSIS, TREATMENT, AND PREVENTION.CONVENED 2 CLINICAL QUALITY WORKGROUP MEETINGS TO FOCUS ON STRENGTHENING QI PROGRAMS, UDS MODERNIZATION, AND RESOURCE SHARING BETWEEN PEERS.CONVENED 4 MEDICAL DIRECTOR LEARNING NETWORK MEETINGSFOCUSED ON RETENTION STRATEGIES FOR THE CLINICAL CARE TEAM, OPTIMIZING PATIENT ACCESS, COLLABORATIVE DRUG THERAPY AGREEMENTS, CARE MODELS, AND MEDICAL INCIDENT REPORTING.CONVENED 10 HUMAN RESOURCES LEARNING NETWORK MEETINGS FOCUSED ON VISA PROGRAMS, LEAVE LAWS, CREDENTIALING AND PRIVELEGING, AND SHARING HR BEST PRACTICES AND RESOURCES AMONG PEERS.CONVENED 4 PHARMACY LEARNING NETWORK MEETINGS FOCUSED ON THE 340B PROGRAM, WORKFORCE ISSUES, AND PHARMACY REGULATIONS AND OPERATIONS.CONVENED 3 BEHAVIORAL HEALTH LEARNING NETWORK MEETINGS FOCUSED ON WORKFORCE ISSUES, BILLING BEST PRACTICES, AND INTEGRATED CARE OPERATIONS.CONVENED 4 DENTAL LEARNING NETWORK MEETINGS FOCUSED ON PREVENTIVE ORAL CARE, MEDICAID DENTAL EXPANSION, AND ORAL HEALTH OPERATIONAL AND STAFFING ISSUES.CONVENED 2 EMERGENCY PREPAREDNESS LEARNING NETWORK MEETINGS FOCUSED ON ADDRESSING EMERGENCY PREPAREDNESS NEEDS AT HEALTH CENTERS, BASIC BUSINESS CONCEPTS, AND EP COALITION ENGAGEMENT.PARTNERED WITH UPSTREAM USA TO PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO HEALTH CENTERS TO IMPROVE THE PROVISION OF PATIENT-CENTERED, NONCOERCIVE ACCESS TO CONTRACEPTION.CONVENED A CONTRACEPTIVE CARE LEARNING COLLABORATIVE FOR EDUCATION AROUND QI EFFORTS, PATIENT-CENTERED EDUCATION, AND PREGNANCY INTENTION SCREENING.PARTNERED WITH UNIVERSITY OF WASHINGTON COLONOSCOPY OUTREACH FOR RURAL COMMUNITIES PROGRAM TO PROVIDE PATIENT NAVIGATION TOWARD COLONOSCOPY COMPLETION.HOSTED A MOTIVATIONAL INTERVIEWING TRAINING AND PRACTICE SERIES FOR SPANISHSPEAKING STAFF AT HEALTH CENTERS. 699470 0 0 POLICY AND ADVOCACY:IN THE LAST FISCAL YEAR, THE ASSOCIATION'S POLICY AND ADVOCACY TEAM HAS CONTINUED TO ADVOCATE FOR THE REAUTHORIZATION OF THE FEDERAL COMMUNITY HEALTH CENTER FUND AND THE PROTECTION OF WASHINGTON'S HEALTHCARE SAFETY NET SYSTEM, SECURED CAPITAL FUNDS FOR DENTAL CLINIC EXPANSIONS, SECURED INCREASED FUNDING FOR HEALTH PROFESSIONS LOAN REPAYMENT PROGRAMS, AND EXPANSION OF HEALTH INSURANCE COVERAGE TO INDIVIDUALS REGARDLESS OF IMMIGRATION STATUS. THE ASSOCIATION POLICY AND ADVOCACY TEAM PROVIDED CONSISTENT AND CONSIDERABLE TECHNICAL ASSISTANCE TO COMMUNITY HEALTH CENTERS IN UNDERSTANDING FEDERAL AND STATE PROGRAMS, OPERATIONALIZING POLICY AND REGULATORY CHANGES, AND NAVIGATING THE POLICY AND REGULATORY ENVIRONMENT. 188271 33000 0 HEALTH EQUITY AND HEALTH ACCESS:THE ASSOCIATION PROVIDED TECHNICAL ASSISTANCE, TRAINING, AND PEER LEARNING OPPORTUNITIES FOR HEALTH CENTER STAFF TO INCREASE HEALTH ACCESS AND PROMOTE HEALTH EQUITY. IN ADDITION, THE ASSOCIATION PARTICIPATED ON MULTIPLE STATEWIDE WORKGROUPS TO SUPPORT CHC PRACTICES THAT REACH WASHINGTON'S MOST VULNERABLE POPULATIONS. ACCOMPLISHMENTS FOR THE YEAR ENDED MARCH 31, 2024, INCLUDED:CONVENED 2 OUTREACH & ENROLLMENT LEARNING NETWORK MEETINGS FOCUSED ON MEDICAID UNWIND AND OPEN ENROLLMENT.CONVENED 2 COMMUNITY HEALTH WORKER LEARNING NETWORK MEETINGS FOCUSED ON SHARING BEST PRACTICES FOR CHW PROGRAMS AMONG PEERS, ALZHEIMER'S TRAINING, AND A PROMOTORAS INTENSIVE WORKSHOP IN SPANISH.CONVENED 6 SOCIAL DETERMINANTS OF HEALTH LEARNING NETWORK MEETINGS TO SUPPORT SOCIAL NEEDS SCREENING AT COMMUNITY HEALTH CENTERS, FOCUSING ON USING Z CODES, CLOSING THE REFERRAL LOOP, AND PROMOTING HEALTH CENTER SDOH INNOVATIONS.HOSTED TRAINING TO INCREASE ACCESS TO CARE FOR AGRICULTURAL WORKERS THROUGH IMPROVED UDS REPORTING.HOSTED A WEBINAR PROMOTING HEALTH CENTER LEADERSHIP AND EXCELLENCE IN PROMOTING HEALTH EQUITY FOR AMERICAN INDIANS IN WASHINGTON STATE.HOSTED A TRAINING FOR HEALTH CENTERS TO UNDERSTAND NEW HEALTHCARE COVERAGE OPPORTUNITIES FOR UNDOCUMENTED IMMIGRANTS IN WASHINGTON STATE. 188271 33000 0 3288217 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 1 37 1 0 0 0 0 0 0 0 0 0 0 0 0 X 27 27 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAURA DALE 3607869722 101 CAPITAL WAY NORTH 200 OLYMPIA WA 98501 JENNIFER KREIDLER-MOSS PRESIDENT 1.00 X X 0 0 0 DESIREE SWEENEY VICE PRESIDENT 1.00 X X 0 0 0 ANGELA GONZALEZ SECRETARY 1.00 X X 0 0 0 JOE VESSEY FINANCE COMMITTEE CHAIR/TREASURER 1.00 X X 0 0 0 MICHAEL MAXWELL REPRESENTATIVE AT LARGE 1.00 X X 0 0 0 TONI LODGE REPRESENTATIVE AT LARGE 1.00 X X 0 0 0 MARY BARTOLO DIRECTOR 1.00 X 0 0 0 SHEILA BERSCHAUER DIRECTOR 1.00 X 0 0 0 JIM COFFEE DIRECTOR 1.00 X 0 0 0 RASHAD COLLINS DIRECTOR 1.00 X 0 0 0 VAZASKIA CROCKRELL DIRECTOR 1.00 X 0 0 0 DAVID FLENTGE DIRECTOR 1.00 X 0 0 0 DANA FOX DIRECTOR 1.00 X 0 0 0 NIEVES GOMEZ DIRECTOR 1.00 X 0 0 0 JESUS HERNANDES DIRECTOR 1.00 X 0 0 0 RHONDA HAUFF DIRECTOR 1.00 X 0 0 0 JODI JOYCE DIRECTOR 1.00 X 0 0 0 ESTHER LUCERO DIRECTOR 1.00 X 0 0 0 MANUEL NAVARRO DIRECTOR 1.00 X 0 0 0 KRISTY NEEDHAM DIRECTOR 1.00 X 0 0 0 KELLI NOMURA DIRECTOR 1.00 X 0 0 0 GAELON SPRADLEY DIRECTOR 1.00 X 0 0 0 BRANDY TAYLOR DIRECTOR 1.00 X 0 0 0 CHRISTY TROTTER DIRECTOR 1.00 X 0 0 0 AARON WILSON DIRECTOR 1.00 X 0 0 0 DEBRA WULFF DIRECTOR 1.00 X 0 0 0 LISA YOHALEM DIRECTOR 1.00 X 0 0 0 ROBERT MARSALLI CHIEF EXECUTIVE OFFICER 40.00 X 184415 0 14696 LAURA DALE DIRECTOR OF FINANCE 40.00 X 123776 0 12877 COURTNEY SMITH CHIEF STRATEGY OFFICER 40.00 X 143442 0 23516 KRISTINA ALNAJJAR CHIEF OPERATIONS OFFICER 40.00 X 145000 0 6680 596633 0 57769 4 0 1 0 0 430660 1314250 1420979 3165889 TRAINING PROGRAMS 541900 1779966 1779966 1779966 56060 56060 GROUP PURCHASING PROGR 561000 223935 223935 OTHER INCOME 900099 25578 25578 249513 5251428 1779966 0 305573 X 33000 33000 56543 56543 332934 98369 234565 2158192 1489715 668477 60386 43175 17211 330768 186288 144480 245891 162288 83603 105843 37790 68053 150576 150576 84500 84500 527236 427532 99704 9407 5628 3779 73224 14674 58550 171153 108057 63096 109061 109061 86701 63742 22959 91701 32952 58749 23084 23084 8718 8718 PROGRAM SUPPLIES 226989 226557 432 OTHER FEES 217407 217407 B&O TAXES 62673 62673 5165987 3288217 1877770 0 3260482 1879416 984880 1641895 111696 233221 894187 308266 77397 101740 195580 43045 26408 152535 414600 192065 366989 5547115 5098662 391611 426136 1311737 550899 198708 378732 1902056 1355767 X 3645059 3742895 3645059 3742895 5547115 5098662 85441 12395 0 X 0 1 X 1 1 1 X 1475994 2233296 2229958 2549285 3165889 11654422 1475994 2233296 2229958 2549285 3165889 11654422 1800374 9854048 11564 6006 1499 26950 56060 102079 159042 567850 255112 301280 249513 1532797 13289298 7237888 0.74150 0.80690 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROUP PURCHASING PROGRAM - 2019 AMOUNT: $ 159,042. 2020 AMOUNT: $ 567,850. 2021 AMOUNT: $ 255,112. 2022 AMOUNT: $ 282,442. 2023 AMOUNT: $ 223,935. OTHER INCOME - 2022 AMOUNT: $ 18,838. 2023 AMOUNT: $ 25,578. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 84500 0 84500 0 5081487 0 5165987 0 408299 0 102075 0 0 0 257460 350588 385831 408299 1402178 2103267 70000 98349 79500 84500 332349 64365 87647 96458 102075 350545 525818 124646 25998 98648 70934 17047 53887 152535 RIGHT OF USE ASSET 366989 366989 RIGHT OF USE LIABILITY 378732 378732 X 5312823 12395 49000 61395 5251428 0 5251428 5214987 49000 49000 5165987 0 5165987 PART X, LINE 2: THE ASSOCIATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS INCOME AS DEFINED UNDER IRC SECTION 511 THROUGH 515. THE ASSOCIATION FOLLOWS FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. ASC 740-10 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNITION, INTEREST, PENALTIES AND DISCLOSURES REQUIRED. MANAGEMENT DOES NOT BELIEVE THAT THE ASSOCIATION HAS AN UNCERTAIN TAX POSITION AS OF AND FOR THE YEARS ENDED MARCH 31, 2024 AND 2023. 1 SEATTLE INDIAN HEALTH BOARD 611 12TH AVE S SEATTLE WA 98144 910869056 501(C)(3) 11000 0 CAMBIA FOUNDATION HEALTHY PEOPLE, HEALTHY COMMUNITIES FUNDING TO MEET RECOVERY AND RESILIENCY NEEDS OF PROVIDERS AND THOSE SERVED MOST IMPACTED BY THE COVID-19 PANDEMIC. LAKE ROOSEVELT COMMUNITY HEALTH CENTER 11665 S HWY 21 KELLER WA 99140 841688724 501(C)(3) 11000 0 CAMBIA FOUNDATION HEALTHY PEOPLE, HEALTHY COMMUNITIES FUNDING TO MEET RECOVERY AND RESILIENCY NEEDS OF PROVIDERS AND THOSE SERVED MOST IMPACTED BY THE COVID-19 PANDEMIC. NATIVE PROJECT 1803 W MAXWELL AVE SPOKANE WA 99201 911462366 501(C)(3) 11000 0 CAMBIA FOUNDATION HEALTHY PEOPLE, HEALTHY COMMUNITIES FUNDING TO MEET RECOVERY AND RESILIENCY NEEDS OF PROVIDERS AND THOSE SERVED MOST IMPACTED BY THE COVID-19 PANDEMIC. 3 0 STUDENT SUPPORT 50 11843 BOOK LAPTOPS FOR MEDICAL ASSISTANT APPRENTICES STIPENDS 447 44700 STIPENDS FOR MEDICAL ASSISTANT APPRENTICES PART I, LINE 2: BENEFICIARIES OF FLOW-THROUGH FUNDS ARE IDENTIFIED BY ALIGNMENT OF ORGANIZATIONAL MISSION. FOLLOW UP REPORTS AND FREQUENT COLLABORATION BETWEEN ORGANIZATIONS ENSURE APPROPRIATE USE OF FUNDS. X 0 1 X X X X X X 0 0 0 0 0 0 0 1 0 ROBERT MARSALLI CHIEF EXECUTIVE OFFICER 172975 0 11440 0 0 0 5532 0 9164 0 199111 0 0 0 COURTNEY SMITH CHIEF STRATEGY OFFICER 143442 0 0 0 0 0 4303 0 19213 0 166958 0 0 0 KRISTINA ALNAJJAR CHIEF OPERATIONS OFFICER 145000 0 0 0 0 0 4350 0 2330 0 151680 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDES ALL EMPLOYEES, INCLUDING THE CEO, WITH A MONTHLY STIPEND OF $25 TOWARDS HEALTH CLUB DUES. THIS WAS UPDATED TO $35 PER MONTH IN CALENDAR YEAR 2023. PART I, LINE 7 BONUSES ARE NON-FIXED PAYMENTS. THEY ARE AWARDED TO STAFF FOR MERIT/PERFORMANCE AND/OR RETENTION ON A CASE-BY-CASE BASIS. THE CEO BONUS IS CALCULATED ANNUALLY BASED ON A BOARD OF DIRECTORS' EVALUATION. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF SIX ELECTED OFFICERS PLUS THE IMMEDIATE PAST PRESIDENT OF THE BOARD OF DIRECTORS. THE PRESIDENT WILL ONLY VOTE WHEN NECESSARY TO BREAK A TIE UNLESS THE VOTE IS SECRET. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE THE AUTHORITY AS DELEGATED BELOW: 1. ENSURE THAT THE BOARD ACTIONS AND DECISIONS ARE CARRIED OUT 2. REPORT TO THE BOARD ON PROGRESS OF BOARD INITIATED ACTIVITIES AND ACTION TAKEN BY THE EXECUTIVE COMMITTEE 3. MAKE DECISIONS REGARDING PROGRAMS, POLICIES, AND FINANCES OF THE ORGANIZATION BETWEEN ANNUAL AND BOARD MEETINGS 4. ADDRESS BUSINESS, MANAGEMENT, AND BOARD ISSUES REQUIRING ATTENTION BETWEEN BOARD MEETINGS 5. SERVE AS THE SCREENING COMMITTEE FOR HIRING OF THE CEO 6. EVALUATE THE CEO 7. WHEN INDICATED, SUSPEND THE CEO FOR JUST CAUSE IN ACCORDANCE WITH ESTABLISHED PERSONNEL POLICIES 8. PERFORM OTHER BUSINESS AS DETERMINED BY THE BOARD OF DIRECTORS 9. ASSIGN RESPONSIBILITIES TO THE COMMITTEES AS NECESSARY, AND 10. ACT AS THE PERSONNEL COMMITTEE FOR THE BOARD AND AUTHORIZE A VOTE BY ELECTRONIC MAIL. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATIONAL MEMBERSHIP IS AVAILABLE TO PROJECTS IN WASHINGTON FUNDED UNDER SECTION 330 OF THE PUBLIC HEALTH SERVICE ACT OR TITLE V OF THE INDIAN HEALTH CARE IMPROVEMENT ACT, AND/OR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOKALIKES AND NOTFORPROFIT CORPORATIONS THAT HAVE THE EXPLICIT PRIMARY PURPOSE OF PROVIDING PRIMARY HEALTH CARE TO UNDERSERVED PEOPLE, PROVIDE SERVICES TO CLIENTS WITHOUT REGARD FOR A PERSON'S ABILITY TO PAY, ARE ACTIVELY ENGAGED IN OPERATING A PRIMARY HEALTH CARE PROGRAM, AND ARE GOVERNED BY A 51% OR MORE CONSUMER MAJORITY BOARD. FORM 990, PART VI, SECTION A, LINE 7A VOTING MEMBERS ARE FEDERALLY QUALIFIED HEALTH CENTER ORGANIZATIONS. VOTING MEMBERS EACH APPOINT ONE REPRESENTATIVE TO SERVE ON THE BOARD OF DIRECTORS, USUALLY THEIR OWN CEO. THESE 27 CEOS CONSTITUTE THE GOVERNING BOARD APPOINTED BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS REVIEWED BY THE CEO AND FINANCE MANAGER. THE 990 IS PROVIDED ELECTRONICALLY TO THE FULL BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS ARE ALL CEOS OF FEDERALLY QUALIFIED HEALTH CENTERS WHO HAVE SERVED TOGETHER FOR MANY YEARS AND ARE FAMILIAR WITH EACH OTHERS BUSINESS DEALINGS WHEN POTENTIAL CONFLICTS ARISE EITHER FOR ONESELF OR FOR ANOTHER, A MEMBER BRINGS THE ISSUE DIRECTLY TO THE FLOOR OF THE NEXT BOARD MEETING FOR RESOLUTION BY THE ENTIRE GROUP. IN ADDITION, MANY SENIOR STAFF HAVE ACCESS TO VARIOUS CORPORATE OFFICERS AND HAVE INSTRUCTIONS TO BRING CONFLICT ISSUES DIRECTLY TO BOARD MEMBERS WITH WHOM THEY HAVE CONTACT, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS ANNUALLY SIGN A STATEMENT TO AFFIRM THEIR COMPLIANCE AND UNDERSTANDING WITH THE CONFLICTS OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROFESSIONALLY DEVELOPED SALARY SCALES WERE CREATED SPECIFICALLY FOR THE ASSOCIATION. A SALARY SCALE WAS USED AS A STARTING POINT IN DETERMINING THE CEO'S COMPENSATION. THE CEO AND BOARD OF DIRECTORS NEGOTIATED A SALARY IN THE LOW TO LOWERMIDDLE RANGE. THE CEO REVIEWED AND APPROVED COMPENSATION FOR OTHER KEY EMPLOYEES, IN ACCORDANCE WITH THE PROFESSIONALLY DEVELOPED SALARY SCALES. THE REVIEW PROCESS OCCURS EVERY 2 YEARS AND LAST OCCURRED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G TRAINING PROGRAMS INSTRUCTORS: PROGRAM SERVICE EXPENSES 251,662. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,662. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 175,870. MANAGEMENT AND GENERAL EXPENSES 99,704. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 275,574.