2025-03-07T13:10:51-05:00 2024-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2023-07-01 571140982 COMMUNITY HEALTH OF CENTRAL WASHINGTON COMM 5094524520 501 SOUTH 5TH AVENUE YAKIMA WA 98902 ANGELA GONZALEZ CEO 5094524520 2025-02-28 true true RIKKI PATCH P01472231 5092420874 2025-03-07 2023 2025-03-06 01:10:19Z ANGELA GONZALEZ 501 SOUTH 5TH AVENUE YAKIMA WA 98902 57585544 false X CHCW.ORG X 1993 WA PROVIDE ACCESS TO QUALITY HEALTHCARE THROUGH SERVICE AND EDUCATION. 15 15 491 15 179 13834381 16464482 37017644 39286136 344014 810908 395446 989130 51591485 57550656 0 0 36611834 39837691 0 91282 14980218 16243273 51592052 56080964 -567 1469692 58402760 57490071 17579473 15198738 40823287 42291333 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 40898215 39286136 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 28,154 PATIENTS, RESULTING IN 126,524 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. 4920369 RESIDENCY PROGRAM - PROVIDES EDUCATIONAL TRAINING EXPERIENCE TO FAMILY DOCTORS TO HELP EASE THE PRIMARY CARE SHORTAGE. CHCW HAD 33 RESIDENTS AND GRADUATED 11 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. 45818584 true true false false false false false false false false true false false true 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 56 0 true 491 true true true false false false false false false false false false false false X 15 15 false false true 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 GILLIAN ZUCKERMAN PHYSICIAN 40.00 X 294611 0 20793 CAITLIN HILL PROGRAM DIRE 40.00 X 283515 0 18525 ANGELA GONZALEZ CEO 40.00 X 263924 0 17334 EVE BARKER PHYSICIAN 40.00 X 252996 0 17638 GRAY DAWSON CMO 40.00 X 261329 0 0 JULIA ROBERTSON PHYSICIAN 40.00 X 235680 0 19642 WILLIAM MOULTRAY PHYSICIAN 40.00 X 228468 0 16903 ROY SIMMS PHYSICIAN 40.00 X 229312 0 16011 DESIREE ASHBROOKS CFO 40.00 X 200809 0 16067 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-MURPHY 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 2250644 142913 84 false true false SAGEMONT TAX LLC 608 SW 4TH AVE FORT LAUDERDALE FL 33315 TAX CONSULTANT 506134 PMG CREDENTIALING INC 700 SCHOOL ST PAWTUCKET RI 02860 CREDENTIALING 418719 LANGUAGE LINE SERVICES PO BOX 202564 DALLAS TX 75320 TRANSLATION 302771 AYA HEALTHCARE INC DEPT 3519 PO BOX 123519 DALLAS TX 75312 LOCUMS 280353 PREMIER PROP MAINT & CONSTRUCTION 625 KEYS RD YAKIMA WA 98901 LANDSCAPING 236099 5 12865858 3598624 16464482 NET PATIENT SERVICES 624100 39286136 39286136 39286136 810908 810908 54802 34888 19914 19914 179 19735 OTHER REVENUE 900099 528424 528424 INSURANCE PROCEEDS 900099 440792 440792 969216 57550656 39286136 179 1799859 1086339 579894 506445 31088801 27461833 3552483 74485 736013 647713 83831 4469 4251551 2985578 1261863 4110 2674987 2333841 334429 6717 133407 9313 124094 66735 66735 3857704 2928517 927933 1254 76885 9540 67345 663083 474499 188584 1814181 1729808 84373 468082 371348 96734 204217 169267 34950 210068 198183 11885 293675 214438 79237 2688587 1056178 1632409 169504 156399 13105 MEDICAL SUPPLIES 3565833 3565833 REPAIR & MAINTENANCE 1368914 400667 968247 EXCISE TAX 196740 196740 465658 328995 136416 247 56080964 45818584 10171098 91282 18858259 13084160 345284 658621 2573679 3448719 227571 161474 130365 65158 40544174 16235350 26443154 24308824 9001332 9341720 823116 6421395 58402760 57490071 5363282 5650715 415955 169076 8448366 7233966 341670 310217 3010200 1834764 17579473 15198738 X 40823287 42291333 40823287 42291333 58402760 57490071 X 1469692 -1646 X false true X true true true X 10321779 19369375 12011362 13834381 16464482 72001379 10321779 19369375 12011362 13834381 16464482 72001379 13983891 58017488 126143 116955 95183 410624 865710 1614615 8870 8870 321606 220206 235061 365311 969216 2111400 75736264 183312936 0.76600 0.77620 X PART II, LINE 10 OTHER INCOME 2,111,400 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1864410 1864410 27169136 9347236 17821900 290205 192847 97358 10274451 6695267 3579184 945972 945972 24308824 EMPLOYEE RETENTION CREDIT RECEIVABLE 5061341 ESTIMATED THIRD-PARTY SETTLEMENT 976709 FINANCE LEASE RIGHT-OF-USE ASSET 298581 OPERATING LEASE RIGHT-OF-USE-ASSET 84764 6421395 REFUNDABLE ADVANCE 1750000 OPERATING LEASE LIABILITY 84764 1834764 X 57583898 -1646 34888 33242 57550656 57550656 56115852 34888 34888 56080964 56080964 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, 2024 AND 2023, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D RENTAL EXPENSE 34,888 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSE 34,888 X X X X false false false true false false false false false GILLIAN ZUCKERMAN PHYSICIAN 294611 8742 12051 315404 CAITLIN HILL PROGRAM DIRECTOR 283515 8549 9976 302040 ANGELA GONZALEZ CEO 263924 7912 9422 281258 EVE BARKER PHYSICIAN 252996 7662 9976 270634 GRAY DAWSON CMO 261329 261329 JULIA ROBERTSON PHYSICIAN 235680 7357 12285 255322 WILLIAM MOULTRAY PHYSICIAN 228468 6927 9976 245371 ROY SIMMS PHYSICIAN 229312 6825 9186 245323 DESIREE ASHBROOKS CFO 200809 6091 9976 216876 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 2015 BOND PAYABLE WA HEALTH CARE FACILITIES AUTHORITY 911108929 2015-11-20 4230000 BUILDING REMODEL & REFUND 2008 SERIES false false false B 2016 YPA BOND WA HEALTH CARE FACILITIES AUTHORITY 911108929 2016-11-17 3440000 BUILDING PURCHASE AND REMODEL 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 3472867 4230000 84600 2957948 1187452 2016 true false true true B 1043744 3440000 68800 3371200 2017 false false true true C 547276 2500000 50000 2450000 2019 true false false false D 1838696 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 2015 BOND PAYABLE BUILDING REMODEL & REFUND 2008 SERIES PURPOSE OF ISSUE DESCRIPTION 2016 YPA BOND BUILDING PURCHASE AND REMODEL 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 2015 BOND PAYABLE 03/28/17 DATE REBATE COMPUTATION PERFORMED 2016 YPA BOND 12/06/17 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 QUEST DIAGNOSTICS. CHCW EMPLOYS A LICENSED RADIOLOGY TECHNICIAN WHO PROVIDES 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 4 THE ORGANIZATION UPDATED ITS BYLAWS DURING THE YEAR. IN THIS UPDATE, THE ORGANIZATION CHANGED THE ALLOWABLE NUMBER OF BOARD MEMBERS TO, NO FEWER THAN NINE AND NO MORE THAN TWENTY-FIVE. 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 34,888 RENTAL EXPENSE -34,888