2025-12-09T17:11:19-06:00 2025-03-31 390859910 BAKER TILLY ADVISORY GROUP LP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2024-04-01 911323282 WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH WASH 3607869722 101 CAPITAL WAY NORTH 200 OLYMPIA WA 98501 DAVE PEARSON CEO 3607869722 2025-12-01 1 1 EMINA O CRESSWELL P01217304 4252597227 2025-12-01 2024 2025-03-06 01:10:19Z DAVE PEARSON 101 CAPITAL WAY NORTH 200 OLYMPIA WA 98501 7045408 0 X WWW.WACOMMUNITYHEALTH.ORG X 1985 WA TO STRENGTHEN AND ADVOCATE FOR WASHINGTON'S COMMUNITY HEALTH CENTERS TO BUILD HEALTHCARE ACCESS. 28 28 40 28 0 0 3165889 2990701 1779966 2267759 56060 105414 249513 300066 5251428 5663940 89543 97361 0 0 3128171 3618627 0 0 0 1948273 2304771 5165987 6020759 85441 -356819 5098662 4973671 1355767 1567173 3742895 3406498 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, 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 2396376 90801 2332523 WORKFORCE:THE ASSOCIATION PROVIDES TRAINING AND LEARNING MEETINGS TO SUPPORT HEALTH CENTERS IN ADDRESSING WORKFORCE SHORTAGES, IMPLEMENTING INNOVATIVE HEALTH PROFESSION TRAINING PROGRAMS, AND UNDERSTANDING LEGISLATIVE UPDATES. THE ASSOCIATION ADMINISTERED A REGISTERED APPRENTICESHIP PROGRAM IN MEDICAL ASSISTING THROUGH MARCH 2025. FROM APRIL 1, 2024 TO MARCH 31, 2025, THERE WERE 8 ACTIVE MEDICAL ASSISTANT APPRENTICESHIP COHORTS, AND 312 APPRENTICES WERE ENROLLED. MEDICAL ASSISTING APPRENTICESHIP PROGRAM HAS A COMPLETION RATE OF 81% WITH 1,400 STUDENTS GRADUATED OR ON TRACK TO GRADUATE SINCE INCEPTION. THE MA PROGRAM HAD AN OVERALL CERTIFICATION EXAM PASS RATE OF 94.5% 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 8 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 11 STATES.DURING 2024-2025 THE ASSOCIATION DEEPENED ITS IDENTITY AS THE SW REGIONAL AREA HEATLH EDUCATION CENTER (SW AHEC). THE SW AHEC SUPPORTED 29 SECOND YEAR AND 39 FIRST YEAR AHEC SCHOLARS, WHICH PREPARES A SKILLED PRIMARY CARE WORKFORCE IN RURAL AND UNDERSERVED COMMUNITIES. THE SW AHEC ALSO PLACED 17 MEDICAL STUDENTS IN THE RURAL UNDERSERVED OPPORTUNITIES PROGRAM, ALLOWING THE STUDENTS TO WORK ALONGSIDE GENERAL OR PEDIATRIC PHYSICIAN PRECEPTORS PROVIDING HEALTH CAREWITHIN RURAL AND URBAN UNDERSERVED COMMUNITIES. THE SW AHEC ALSO SUPPORTED MANY COMMUNITY-BASED HEALTH CAREER PROMOTION AND PREPARATION ACTIVITIES THROUGHOUT THE REGION THAT IMPACTED 198 YOUTH, 68 AHEC SCHOLARS, AND OVER 50 HEALTH CARE PROVIDERS. 810663 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, AND ADVANCED LEGISLATIVE CONVERSATIONS ON VALUE BASED PAYMENT. 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. 483169 365 CARE IMPROVEMENT & INNOVATION:THE ASSOCIATION WORKS WITH FEDERALLY QUALIFIED HEALTH CENTERS TO PROVIDE TECHNICAL ASSISTANCE, TRAINING, AND LEARNING OPPORTUNITIES FOR QUALITY IMPROVEMENT STAFF, MEDICAL DIRECTORS, PHARMACISTS, BEHAVIORAL HEALTH PROVIDERS, DENTAL DIRECTORS, EMERGENCY PREPAREDNESS MANAGERS, HR PROFESSIONALS, AND CLINICAL CARE TEAMS. SOME ACCOMPLISHMENTS FOR THE YEAR ENDED DECEMBER 31, 2024 INCLUDED: CONVENED 6 SESSIONS OF BUILDING SKILLS IN SEXUAL HEALTH SERIES TO FOCUS ON COMPREHENSIVE SEXUAL HEALTH SKILLS AND HIV/STI DIAGNOSIS, TREATMENT, AND PREVENTION. CONVENED 3 MEDICAL DIRECTOR LEARNING MEETINGS FOCUSED ON CLINICAL OPERATIONS, OPTIMIZING PATIENT ACCESS, AND INNOVATIVE CARE MODELS. CONVENED 3 HUMAN RESOURCES LEARNING MEETINGS FOCUSED ON A.I. IN THE HEALTHCARE WORKFORCE, RECRUITMENT AND RETENTION, AND THE AHEC PROGRAM. CONVENED 3 PHARMACY LEARNING MEETINGS FOCUSED ON THE 340B PROGRAM, WORKFORCE ISSUES, AND PHARMACY REGULATIONS AND OPERATIONS. CONVENED 3 BEHAVIORAL HEALTH LEARNING MEETINGS FOCUSED ON CLINICAL PRACTICES, LOAN REPAYMENT PROGRAMS, CONTINUITY OF CARE, AND OPIOID USE DISORDER. CONVENED 4 LEARNING MEETINGS FOR FINANCIAL OPERATIONS LEADERS TO PROMOTE FINANCIAL RESILIENCY AND SHARE PROMISING PRACTICES IN REVENUE CYCLE MANAGEMENT. CONVENED 3 DENTAL LEARNING MEETINGS FOCUSED ON PREVENTIVE ORAL CARE, DENTAL WORKFORCE, AND ORAL HEALTH OPERATIONAL ISSUES. CONVENED 2 EMERGENCY PREPAREDNESS LEARNING 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. PARTNERED WITH NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION TO HOST AN INTEGRATED CARE CONFERENCE SERIES FOCUSED ON BEHAVIORAL HEALTH AND PRIMARY CARE INTEGRATION AND COLLABORATION ON COMMON CONDITIONS. PARTNERED WITH UNIVERSITY OF WASHINGTON COLONOSCOPY OUTREACH FOR RURAL COMMUNITIES PROGRAM TO PROVIDE PATIENT NAVIGATION TOWARD COLONOSCOPY COMPLETION. HOSTED A UDS REPORTING TRAINING SERIES TO SUPPORT HEALTH CENTER STAFF IN SUBMITTING ACCURATE AND TIMELY DATA. 248620 6560 234937 HEALTH ACCESS:THE ASSOCIATION PROVIDED TECHNICAL ASSISTANCE, TRAINING, AND LEARNING OPPORTUNITIES FOR HEALTH CENTER STAFF TO INCREASE HEALTH ACCESS. IN ADDITION, THE ASSOCIATION PARTICIPATED ON MULTIPLE STATEWIDE WORKGROUPS TO SUPPORT CHC PRACTICES THAT REACH WASHINGTON'S MOST UNDERSERVED POPULATIONS. SOME ACCOMPLISHMENTS FOR THE YEAR ENDED DECEMBER 31, 2024, INCLUDED: CONVENED 2 OUTREACH & ENROLLMENT LEARNING MEETINGS FOCUSED ON MEDICAID OPEN ENROLLMENT AND OUTREACH CHALLENGES.CONVENED 2 COMMUNITY HEALTH WORKER LEARNING MEETINGS FOCUSED ON SHARING BEST PRACTICES FOR CHW PROGRAMS AMONG PEERS. HOSTED TRAINING TO SPREAD HEALTH CENTER PRACTICES IN ADDRESSING FOOD AND HOUSING INSECURITY AND SUPPORTING PATIENT DIGITAL NAVIGATION. PURCHASING:WORKED WITH OVER 100 FEDERALLY QUALIFIED HEALTH CLINICS IN WASHINGTON, OREGON, IDAHO AND ALASKA TO HELP BRING THEM BETTER PRICES FOR GOODS AND SERVICES. 248620 6560 234937 3938828 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 14 0 1 40 1 0 0 0 0 0 0 0 0 0 0 0 0 X 28 28 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KRISTINA ALNAJJAR 3607869722 101 CAPITAL WAY NORTH 200 OLYMPIA WA 98501 JENNIFER KREIDLER-MOSS PRESIDENT (THRU 04/24) 1.00 X X 0 0 0 MICHAEL MAXWELL PRESIDENT 1.00 X X 0 0 0 DESIREE SWEENEY VICE PRESIDENT (THRU 04/24) 1.00 X X 0 0 0 RASHAD COLLINS VICE PRESIDENT 1.00 X X 0 0 0 ANGELA GONZALEZ SECRETARY 1.00 X X 0 0 0 JOE VESSEY TREASURER 1.00 X X 0 0 0 TONI LODGE REPRESENTATIVE AT LARGE 1.00 X X 0 0 0 LISA YOHALEM 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 VAZASKIA CROCKRELL DIRECTOR 1.00 X 0 0 0 DIANA WHITE-MESSING 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 JENNIFER GRIFFITH DIRECTOR 1.00 X 0 0 0 RHONDA HAUFF DIRECTOR 1.00 X 0 0 0 JESUS HERNANDEZ 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 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 KRISTY NEEDHAM DIRECTOR 1.00 X 0 0 0 ROBERT MARSALLI CHIEF EXECUTIVE OFFICER (THRU 02/25) 40.00 X 161249 0 38918 LAURA DALE DIRECTOR OF FINANCE 40.00 X 118928 0 11986 COURTNEY SMITH CHIEF STRATEGY OFFICER 40.00 X 103301 0 34316 KRISTINA ALNAJJAR CHIEF OPERATIONS OFFICER 40.00 X 135685 0 4137 ALYSSA PATRICK DIRECTOR OF POLICY AND ADVOCACY 40.00 X 114929 0 12048 634092 0 101405 5 0 1 0 0 439155 1791009 760537 2990701 TRAINING PROGRAMS 541900 2267759 2267759 2267759 105332 105332 1381550 1379000 2468 2550 -2468 82 82 GROUP PURCHASING PROGRAM 561000 222073 222073 BAD DEBT RECOVERY 900099 63171 63171 OTHER INCOME 900099 14822 14822 300066 5663940 2567825 0 105414 9560 9560 87801 87801 385741 192871 192870 2465704 1584447 881257 68357 43829 24528 446148 295868 150280 252677 147239 105438 40145 11745 28400 85768 85768 137098 137098 433750 293015 140735 2932 2932 60501 29231 31270 219489 99506 119983 135214 135214 71339 60389 10950 96100 39999 56101 40432 1894 38538 11447 11447 OTHER FEES 728138 727932 206 PROGRAM SUPPLIES 173484 173377 107 B&O TAXES 61322 0 61322 MISCELLANEOUS EXPENSES 7612 95 7517 6020759 3938828 2081931 0 1879416 1355013 1641895 2419756 233221 348321 308266 376066 101740 105013 197598 77917 152535 119681 414600 0 366989 249821 5098662 4973671 426136 472275 550899 834670 378732 260228 1355767 1567173 X 3742895 3406498 3742895 3406498 5098662 4973671 -356819 20422 0 X 0 1 X 1 1 1 X 2233296 2229958 2549285 3165889 2990701 13169129 2233296 2229958 2549285 3165889 2990701 13169129 2332211 10836918 6006 1499 26950 56060 105332 195847 567850 255112 301280 249513 300066 1673821 15038797 8418626 0.72060 0.74150 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROUP PURCHASING PROGRAM - 2020 AMOUNT: $ 567,850. 2021 AMOUNT: $ 255,112. 2022 AMOUNT: $ 282,442. 2023 AMOUNT: $ 223,935. 2024 AMOUNT: $ 222,073. OTHER INCOME - 2022 AMOUNT: $ 18,838. 2023 AMOUNT: $ 25,578. 2024 AMOUNT: $ 14,822. BAD DEBT RECOVERY - 2024 AMOUNT: $ 63,171. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 137098 0 137098 0 4588709 0 4725807 0 386290 0 96573 0 0 0 350588 385831 408299 386290 1531008 2296512 98349 79500 84500 137098 399447 87647 96458 102075 96573 382753 574130 124646 50005 74641 72952 27912 45040 119681 RIGHT OF USE ASSET 249821 249821 RIGHT OF USE LIABILITY 260228 260228 X 5677470 20422 56279 76701 5600769 63171 63171 5663940 6013867 56279 56279 5957588 63171 63171 6020759 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, 2025 AND 2024. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT RECOVERY 63,171. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT RECOVERY 63,171. 1 IOWA PRIMARY CARE ASSOCIATION 500 SW 77TH STREET SUITE 300 DES MOINES IA 50309 421311646 501(C)(3) 6560 0 FOR CONTINUED ADMINISTRATIVE AND PROGRAMMATIC SUPPORT OF THE NATIONAL PCA HUB 1 0 STUDENT SUPPORT 32 8251 BOOK LAPTOPS FOR MEDICAL ASSISTANT APPRENTICES STUDENT STIPENDS 642 79550 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 (THRU 02/25) 146644 0 13585 0 1020 0 30500 0 8418 0 200167 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDES ALL EMPLOYEES, INCLUDING THE CEO, WITH A MONTHLY STIPEND OF $35 TOWARDS HEALTH CLUB DUES. 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 SEVEN 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 28 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. 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 2024. 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.