2025-12-18T13:37:59-05:00 2025-06-30 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-07-01 571140982 COMMUNITY HEALTH OF CENTRAL WASHINGTON COMM 5094524520 501 SOUTH 5TH AVENUE YAKIMA WA 98902 ANGELA GONZALEZ CEO 5094524520 2025-12-18 true true RIKKI PATCH P01472231 5092420874 2025-12-18 2024 2025-03-06 01:10:19Z ANGELA GONZALEZ 501 SOUTH 5TH AVENUE YAKIMA WA 98902 55020036 false X CHCW.ORG X 1993 WA PROVIDE ACCESS TO QUALITY HEALTHCARE THROUGH SERVICE AND EDUCATION. 10 10 496 10 2539 16464482 11796898 39286136 40929419 810908 1487914 989130 773035 57550656 54987266 0 0 39837691 37658118 0 91680 16243273 14856481 56080964 52514599 1469692 2472667 57490071 57887940 15198738 13253065 42291333 44634875 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 38838366 40929419 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 29,008 PATIENTS, RESULTING IN 121,848 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. 5218805 RESIDENCY PROGRAM - PROVIDES EDUCATIONAL TRAINING EXPERIENCE TO FAMILY DOCTORS TO HELP EASE THE PRIMARY CARE SHORTAGE. CHCW HAD 34 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. 44057171 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 60 0 true 496 true true true false false false false false false false false false false false X 10 10 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 GILLIAN ZUCKERMAN PHYSICIAN 40.00 X 310853 0 24579 GRAY DAWSON CMO (ENDED 7 40.00 X 297279 0 11407 EVE BARKER PHYSICIAN 40.00 X 292230 0 18192 KRISTINA BOWEN PHYSICIAN 40.00 X 261295 0 20349 ANGELA GONZALEZ CEO 40.00 X 254297 0 17386 JULIA ROBERTSON PHYSICIAN 40.00 X 254233 0 20885 WILLIAM MOULTRAY PHYSICIAN 40.00 X 252433 0 16954 CAITLIN HILL PROGRAM DIRE 40.00 X 239581 0 13108 RISHI MISTRY CMO (BEG. 7/ 40.00 X 216282 0 16301 DESIREE ASHBROOKS CFO 40.00 X 193921 0 15225 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 ROGER BRACCHI MD 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 2572404 174386 78 false true false TRI-PLY CONSTRUCTION LLC 106 W PINE ST YAKIMA WA 98902 CONSTRUCTION 549006 SAGEMONT TAX LLC 608 SW 4TH AVE FORT LAUDERDALE FL 33315 TAX CONSULTANT 506134 PMG CREDENTIALING INC 700 SCHOOL ST PAWTUCKET RI 02860 CREDENTIALING 294647 MD ALLY 300 W 57TH ST 40TH FLOOR NEW YORK NY 10019 TELEHEALTH 289532 LANGUAGE LINE SERVICES PO BOX 202564 DALLAS TX 75320 TRANSLATION 261871 10 7626865 4170033 11796898 NET PATIENT SERVICES 624100 40519084 40519084 OTHER PROGRAM REVENUE 900099 410335 410335 40929419 1487914 1487914 55044 32770 22274 22274 2539 19735 INSURANCE PROCEEDS 900099 490203 490203 OTHER REVENUE 900099 260558 260558 750761 54987266 40929419 2539 2258410 1048170 561028 487142 28922586 25861967 2982713 77906 708104 627099 78498 2507 4407428 3439704 963582 4142 2571830 2278166 286826 6838 47514 47514 102678 102678 3542073 3251030 291043 27904 3290 24614 790361 577800 212274 287 240323 90372 149951 505978 389350 116628 185763 159810 25953 206794 197166 9628 267219 194566 72653 2803964 1108366 1695598 173947 169976 3971 MEDICAL SUPPLIES 4424752 4424752 REPAIR & MAINTENANCE 1157900 383467 774433 EXCISE TAX 210039 210039 169272 129223 40049 52514599 44057171 8365748 91680 13084160 15123335 658621 1320872 3448719 3354626 161474 147379 65158 406051 40443869 17258261 24308824 23185608 9341720 9780102 6421395 4569967 57490071 57887940 5650715 5040156 169076 188630 7233966 5985279 310217 208676 1834764 1830324 15198738 13253065 X 42291333 44634875 42291333 44634875 57490071 57887940 X 2472667 -129125 X false true X true true true X 19369375 12011362 13834381 16464482 11796898 73476498 19369375 12011362 13834381 16464482 11796898 73476498 15887540 57588958 116955 95183 410624 865710 1507649 2996121 220206 235061 365311 969216 750761 2540555 79013174 193163618 0.72890 0.76600 X PART II, LINE 10 OTHER INCOME 2,540,555 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1864410 1864410 28033035 10215438 17817597 290205 209845 80360 9567238 6832978 2734260 688981 688981 23185608 ESTIMATED THIRD-PARTY SETTLEMENT 4319081 FINANCE LEASE RIGHT-OF-USE ASSET 170562 OPERATING LEASE RIGHT-OF-USE-ASSET 80324 4569967 REFUNDABLE ADVANCE 1750000 OPERATING LEASE LIABILITY 80324 1830324 X 54890911 -129125 32770 -96355 54987266 54987266 52547369 32770 32770 52514599 52514599 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, 2025 AND 2024, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D RENTAL EXPENSE 32,770 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSE 32,770 X X X X false false false true false false false false false GILLIAN ZUCKERMAN PHYSICIAN 310853 9744 14835 335432 GRAY DAWSON CMO (ENDED 7/24) 297279 7151 4256 308686 EVE BARKER PHYSICIAN 292230 8852 9340 310422 KRISTINA BOWEN PHYSICIAN 261295 8070 12279 281644 ANGELA GONZALEZ CEO 254297 7616 9770 271683 JULIA ROBERTSON PHYSICIAN 254233 7913 12972 275118 WILLIAM MOULTRAY PHYSICIAN 252433 7614 9340 269387 CAITLIN HILL PROGRAM DIRECTOR 239581 7271 5837 252689 RISHI MISTRY CMO (BEG. 7/24) 216282 6533 9768 232583 DESIREE ASHBROOKS CFO 193921 5885 9340 209146 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 4001302 4230000 84600 2957948 1187452 2016 true false true true B 1202147 3440000 68800 3371200 2017 false false true true C 651269 2500000 50000 2450000 2019 true false false false D 2243507 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 11B A COPY OF THE FORM 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 FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 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 32,770 RENTAL EXPENSE -32,770