2024-01-08T18:24:30-05:00 2023-06-30 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2022-07-01 571140982 COMMUNITY HEALTH OF CENTRAL WASHINGTON COMM 5094524520 501 SOUTH 5TH AVENUE YAKIMA WA 98902 ANGELA GONZALEZ CEO 5094524520 2023-12-22 true ANGELA GONZALEZ 999009999 false THOMAS DINGUS P00951009 5092420874 2024-01-08 2022 2023-04-26 12:10:37Z ANGELA GONZALEZ 501 SOUTH 5TH AVENUE YAKIMA WA 98902 51627960 false X CHCW.ORG X 1993 WA PROVIDE ACCESS TO QUALITY HEALTHCARE THROUGH SERVICE AND EDUCATION. 15 15 483 15 -16847 12011362 13834381 38910712 37017644 25647 344014 239841 395446 51187562 51591485 0 0 32893007 36611834 0 90433 12944094 14980218 45837101 51592052 5350461 -567 57582212 58402760 16726483 17579473 40855729 40823287 X TO PROVIDE HEALTH CARE AND TREATMENT FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE IN THE COMMUNITIES SERVED AND A PROGRAM TO TRAIN FAMILY PHYSICIANS TO CARE FOR MEDICALLY UNDERSERVED AND OTHER NEEDY PEOPLE. false false 38150018 37017644 PATIENT CARE - COMMUNITY HEALTH OF CENTRAL WASHINGTON PROVIDES COMPREHENSIVE PRIMARY CARE, MEDICAL AND DENTAL SERVICES TO UNDERSERVED PEOPLE IN YAKIMA AND KITTITAS COUNTIES. SERVICE IS PROVIDED REGARDLESS OF THE ABILITY TO PAY. LOW INCOME INDIVIDUALS AND FAMILIES MAY APPLY TO RECEIVE SERVICES ON A DISCOUNTED FEE BASIS. PATIENT CARE ACTIVITIES - CHCW SERVED 27,671 PATIENTS, RESULTING IN 118,660 VISITS AT OUR 5 MEDICAL CLINICS, 1 DENTAL CLINIC, SENIOR RESIDENTIAL CARE SERVICES AND OUR SENIOR SMILES PROGRAM THIS YEAR. SEE CONTINUATION ON SCHEDULE O. 5081458 RESIDENCY PROGRAM - PROVIDES EDUCATIONAL TRAINING EXPERIENCE TO FAMILY DOCTORS TO HELP EASE THE PRIMARY CARE SHORTAGE. CHCW HAD 33 RESIDENTS AND GRADUATED 10 FAMILY PHYSICIANS THIS YEAR. SUPERVISORY TEACHING OF RESIDENTS - RESIDENTS PROVIDE MEDICAL SERVICES TO PATIENTS UNDER THE DIRECT SUPERVISION OF FACULTY. FACULTY REVIEW RESIDENTS' ASSESSMENT OF COMPLIANT AND TREATMENT PLANS AND PROVIDE FEEDBACK TO RESIDENTS. THE PURPOSE IS TO FURTHER RESIDENTS' MEDICAL SKILLS AND TO ENSURE QUALITY OF CARE. SUPERVISION OCCURS IN THE CLINIC, HOSPITAL AND OTHER SETTINGS. SEE CONTINUATION ON SCHEDULE O. 43231476 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false true 53 0 483 true true true false false false false false false false false false false false X 15 15 false false false false false false false true true false true true true true true true true true true true false X DESIREE ASHBROOKS 5095746125 501 S 5TH AVENUE YAKIMA WA 98902 CAITLIN HILL PROGRAM DIR 40.00 X 269443 0 26735 GILLIAN ZUCKERMAN PHYSICIAN 40.00 X 264689 0 3606 ANGELA GONZALEZ CEO 40.00 X 258992 0 26030 ROBERT WAGENECK PHYSICIAN 40.00 X 250277 0 29572 EVE BARKER PHYSICIAN 40.00 X 229996 0 24524 MARK BAUER PHYSICIAN 40.00 X 228278 0 25389 CARLIN MILLER PHYSICIAN 40.00 X 213418 0 23528 DESIREE ASHBROOKS CFO 40.00 X 200358 0 22797 BRANDON ISAACS PROG DIR THR 40.00 X 184203 0 1790 MICHAEL SCHAFFRINNA CMO THRU JUL 40.00 X 160990 0 16086 ELIZABETH HERRES MILLER CHAIR 1.00 X X 0 0 0 DOUG BAULT VICE CHAIR 1.00 X X 0 0 0 NOEL MOXLEY VICE CHAIR 1.00 X X 0 0 0 KRISTEN LARSON MD AT LARGE 1.00 X X 0 0 0 STEPHEN LITCHFIELD DO MEMBER 1.00 X 0 0 0 ROSEMARY LEIVA MEMBER 1.00 X 0 0 0 JIM SIMMONS MEMBER 1.00 X 0 0 0 RODGER BRACCHI MD MAMBER 1.00 X 0 0 0 CHARLES GOLL MEMBER 1.00 X 0 0 0 NEVEAH MITCHELL MEMBER 1.00 X 0 0 0 ROBIN REED MEMBER 1.00 X 0 0 0 FATIMA ANDRACA MEMBER 1.00 X 0 0 0 GINGER NEWMAN MEMBER 1.00 X 0 0 0 ELESE WASHINES MEMBER 1.00 X 0 0 0 DOUG ELLISON MEMBER 1.00 X 0 0 0 2260644 200057 67 true true false BARTON ASSOCIATES INC PO BOX 417844 BOSTON MA 02241 LOCUM 770796 PREMIER PROPERTY MAINT & CONST 625 KEYS ROAD YAKIMA WA 98901 MAINTENANCE 205023 INSIGHT MEDICAL GROUP PA PO BOX 392798 PITTSBURG PA 15251 TELEHEALTH 149240 STUDIO 99 MULTIMEDIA 2807 W WASHINGTON AVENUE YAKIMA WA 98903 MULTIMEDIA 125005 4 10798533 3035848 13834381 NET PATIENT SERVICES 624100 37017644 37017644 37017644 344014 344014 66610 36475 30135 30135 -16847 46982 OTHER REVENUE 900099 365311 365311 365311 51591485 37017644 -16847 756307 1054468 306309 748159 29488384 26661656 2754785 71943 1311515 1176033 131166 4316 2196665 1974915 217682 4068 2560802 2278168 276141 6493 55782 1320 54462 65141 65141 4001313 2937071 1061039 3203 90400 5845 84555 633316 444573 188743 1336294 1089228 247066 519546 409527 110019 280710 207503 73207 311496 270707 40789 366473 261278 105195 2113069 1200765 912304 164978 152286 12692 MEDICAL SUPPLIES 2854309 2854309 REPAIR & MAINTENANCE 1371672 451709 919963 LICENSES, DUES & SUBSCRIP 359071 305510 53561 EXCISE TAX 143358 143358 313290 99406 213474 410 51592052 43231476 8270143 90433 24369247 18858259 249608 345284 4004844 2573679 218817 227571 77986 130365 41972691 15529537 24977211 26443154 3684499 9001332 823116 57582212 58402760 4939961 5363282 226500 415955 9618022 8448366 192000 341670 1750000 3010200 16726483 17579473 X 40855729 40823287 40855729 40823287 57582212 58402760 X -567 -31875 X false true X true true true X 12990483 10321779 19369375 12011362 13834381 68527380 12990483 10321779 19369375 12011362 13834381 68527380 13554796 54972584 145289 126143 116955 95183 410624 894194 5553 8870 14423 243864 321606 220206 235061 365311 1386048 70822045 171323808 0.77620 0.96960 X PART II, LINE 10 OTHER INCOME 1,386,048 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1864410 1864410 27125458 8532749 18592709 257487 168787 88700 12266731 6828001 5438730 458605 458605 26443154 REFUNDABLE ADVANCE 1750000 ESTIMATED THIRD-PARTY SETTLEMENT 1125688 OPERATING LEASE LIABILITY 134512 3010200 X 51596085 -31875 36475 4600 51591485 51591485 51628527 36475 36475 51592052 51592052 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2023 AND 2022, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D RENTAL EXPENSE 36,475 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSE 36,475 X X X X false false false true false false false false false CAITLIN HILL PROGRAM DIR THRU SEP 269443 16161 10574 296178 GILLIAN ZUCKERMAN PHYSICIAN 264689 3606 268295 ANGELA GONZALEZ CEO 258992 15527 10503 285022 ROBERT WAGENECK PHYSICIAN 250277 16015 13557 279849 EVE BARKER PHYSICIAN 229996 13950 10574 254520 MARK BAUER PHYSICIAN 228278 13649 11740 253667 CARLIN MILLER PHYSICIAN 213418 12942 10586 236946 DESIREE ASHBROOKS CFO 200358 12156 10641 223155 BRANDON ISAACS PROG DIR THRU JAN 22 184203 1608 182 185993 MICHAEL SCHAFFRINNA CMO THRU JUL 22 160990 9666 6420 177076 SCHEDULE J, PAGE 1, PART I, LINE 5A THE ORGANIZATION COMPENSATES SOME OF THE PHYSICIANS, INCLUDING SOME OF THE SITE DIRECTORS, BASED ON THEIR INDIVIDUAL PRODUCTIVITY. A 2016 YPA BOND WA HEALTH CARE FACILITIES AUTHORITY 911108929 2016-11-17 3440000 BUILDING PURCHASE AND REMODEL false false false B 2015 BOND PAYABLE WA HEALTH CARE FACILITIES AUTHORITY 911108929 2015-11-20 4230000 BUILDING REMODEL & REFUND 2008 SERIES false false false C 2018 BOND PAYABLE WASHINGTON HEALTH CARE AUTHORITY 911108929 2018-04-13 2500000 BUILDING PURCHASE AND REMODEL false false false D 2019 ADMIN BOND PAYABLE WA HEALTH CARE FACILITIES AUTHORITY 911108929 2019-07-01 4000000 BUILDING PURCHASE AND REMODEL false false false A 890537 3440000 68800 3371200 2017 false false true true B 2960547 4230000 84600 2957948 1187452 2016 true false true true C 447871 2500000 50000 2450000 2019 true false false false D 1445860 4000000 80000 3920000 2019 false false false false A false false false false false false true B false false false false false false true C false false false false false false true D false false false false false false true A false false true true false false false false true B false false true true false false false false true C false true false false true false false false true D false true false false true false false false true A true B true C true D true PURPOSE OF ISSUE DESCRIPTION 2016 YPA BOND BUILDING PURCHASE AND REMODEL PURPOSE OF ISSUE DESCRIPTION 2015 BOND PAYABLE BUILDING REMODEL & REFUND 2008 SERIES PURPOSE OF ISSUE DESCRIPTION 2018 BOND PAYABLE BUILDING PURCHASE AND REMODEL PURPOSE OF ISSUE DESCRIPTION 2019 ADMIN BOND PAYABLE BUILDING PURCHASE AND REMODEL DATE REBATE COMPUTATION PERFORMED 2016 YPA BOND 12/06/17 DATE REBATE COMPUTATION PERFORMED 2015 BOND PAYABLE 03/28/17 FORM 990, PART III FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT CONTINUED DIRECT PATIENT CARE MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED PHYSICIANS, FAMILY PRACTICE RESIDENTS, EMPLOYED MID-LEVEL PROVIDERS (PHYSICIANS ASSISTANTS AND NURSE PRACTITIONERS), AND CERTIFIED NURSING STAFF. PROVISION OF CARE IS RENDERED UNDER THE DIRECTION OF THE MEDICAL DIRECTOR. MEDICAL SERVICES INCLUDE ACUTE PRIMARY CARE (FAMILY PRACTICE, INTERNAL MEDICINE, AND PEDIATRICS), PREVENTIVE CARE, OBSTETRICS, GYNECOLOGY, PRIMARY CARE PROCEDURES, MINOR SURGERIES, BEHAVIORAL HEALTH, VACCINATIONS AND HEALTH CONSULTATIONS. SERVICES ARE PROVIDED IN THE CLINIC, HOSPITAL, NURSING HOMES, AND HOME SETTINGS. ORAL HEALTH ARE PROVIDED TO THE COMMUNITY IN GENERAL BY BOARD CERTIFIED DENTISTS AND EMPLOYED HYGIENISTS. ANCILLARY SERVICES - ANCILLARY SERVICES INCLUDE DIAGNOSTIC LABORATORY, RADIOLOGY AND PHARMACY. ANCILLARY SERVICES ARE PROVIDED ON-SITE FOR A MORE COMPREHENSIVE, EFFICIENT PROVISION OF CARE. LABORATORY SERVICES ARE SUB-CONTRACTED TO INTERPATH THROUGH FEBRUARY 2023, QUEST DIAGNOSTICS MARCH-JUNE 2023. CHCW EMPLOYS A LICENSED RADIOLOGY TECHNICIANS WHO PROVIDE PHARMACY SERVICES. CHCW IS THE SOLE PROVIDER OF WIC IN KITTITAS COUNTY. SUPPORT SERVICES - SUPPORT SERVICES INCLUDE BILLING, ADMINISTRATION, REFERRAL COORDINATION, PATIENT EDUCATION AND MEDICAL RECORDS. THESE SERVICES ARE NOT REIMBURSABLE BUT ARE PROVIDED FOR THE BENEFIT OF PATIENTS IN THE COURSE OF PROVIDING PATIENT SERVICES. EMPLOYED STAFF PROVIDE ALL SUPPORT SERVICES. FORM 990, PART III, LINE 4B - SECOND ACCOMPLISHMENT CONTINUED DIRECT RESIDENT TEACHING - DIRECT TEACHING INCLUDES PRESENTATIONS, DIDACTICS, SPEAKERS, SMALL GROUP DISCUSSIONS, LECTURES, AND HANDS-ON WORKSHOPS. DIRECT TEACHING IS DESIGNED TO FURTHER WORKSHOPS. DIRECT TEACHING IS DESIGNED TO FURTHER BIOMEDICAL, PSYCHOSOCIAL, AND PRACTICAL KNOWLEDGE IN A CLASSROOM AND/OR INTERACTIVE SETTING. DIRECT RESIDENT TEACHING MEETS THE ACCREDITATION REQUIREMENTS OUTLINED BY THE AMERICAN COLLEGE OF GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. MOST DIRECT EDUCATIONAL ACTIVITIES OCCUR IN THE CLINIC AND HOSPITAL SETTING BY FACULTY AND ARE PROVIDED BY INVITED GUESTS. RESIDENT ADVISING - EACH RESIDENT IS ASSIGNED A FACULTY ADVISOR. ADVISORS PROVIDE FEEDBACK ON RESIDENT KNOWLEDGE AND PERFORMANCE, INFORMATION RESOURCES, CAREER COUNSELING, AND OTHER AREAS OF ADVICE AS IT AFFECTS RESIDENTS' SUCCESS WITHIN THE PROGRAM. RESIDENTS AND ADVISORS MEET ON AN INTERIM BASIS THROUGHOUT THEIR ACADEMIC PROGRAM. RESIDENT SUPERVISION AND OBSERVATION AT NON-CLINIC SITES - RESIDENTS ROTATE TO NON-CHCW SITES TO OBSERVE AND LEARN FROM PROVIDERS IN MEDICAL AND SURGICAL SPECIALTIES. RESIDENTS' INTERACT UNDER THE DIRECT SUPERVISION OF THE ATTENDING SPECIALIST FOR PURPOSES OF FURTHERING RESIDENTS' MEDICAL KNOWLEDGE AND EXPERIENCE. FORM 990, PAGE 6, PART VI, LINE 1A THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS COMPRISED OF THE CHAIR, THE TWO VICE CHAIRS, AND ONE OTHER DIRECTOR. BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS THE FULL AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT FOR THE FOLLOWING: TO AMEND, ALTER OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; APPOINT OR REMOVE ANY MEMBER OF A COMMITTEE OR THE BOARD; TO ADOPT A PLAN OF MERGER OR CONSOLIDATION; TO AUTHORIZE THE SALE, LEASE OR EXCHANGE OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS; TO AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION OR ADOPT A PLAN FOR THE DISTRIBUTION OF THE ORGANIZATION'S ASSETS; AND TO AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD THAT BY ITS TERMS PROVIDES THAT AMENDMENT, ALTERATION OR REPEAL BY A COMMITTEE CANNOT HAPPEN. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, CONTRACTORS, AGENTS, OFFICERS AND BOARD MEMBERS. THE POLICY IS DISSEMINATED AT STAFF MEETINGS AND DISCUSSED AT LEADERSHIP MEETINGS, WITH A CONTINUED HEIGHTENED AWARENESS OF CONFLICTS AND WHAT THEY LOOK LIKE FOR STAFF. IF A DIRECTOR HAS A CONFLICT OF INTEREST WITH REGARDS TO A MATTER UNDER CONSIDERATION BY THE BOARD, THE DIRECTOR DISCLOSES THE CIRCUMSTANCES AND ABSTAINS FROM THE DISCUSSION AND ANY VOTE ON THE MATTER. FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS. OTHER TYPES OF CONSULTING AND RESEARCH ARE DONE IF NECESSARY. THE PROCESS WAS MOST RECENTLY CONDUCTED IN 2022. FORM 990, PAGE 6, PART VI, LINE 15B SEE PART VI, SECTION B, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 RENTAL EXPENSE 36,475 RENTAL EXPENSE -36,475