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      <ActivityOrMissionDesc>TO STRENGTHEN AND ADVOCATE FOR WASHINGTON'S COMMUNITY HEALTH CENTERS TO BUILD HEALTHCARE ACCESS.</ActivityOrMissionDesc>
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      <MissionDesc>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 &amp; 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.</MissionDesc>
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      <Desc>WORKFORCE AND HEALTHCARE APPRENTICESHIPS THE WORKFORCE COMMITTEE IS APPRISED OF MAINLY HR PROFESSIONALS AND ADMINISTRATIVE LEADERSHIP REPRESENTING OUR CHC PARTNERS. THE PURPOSE OF THE WORKFORCE COMMITTEE IS 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 UNDERSTANDING IMPLICIT BIAS, STRATEGIES TO ADDRESS WORKFORCE SHORTAGES, COMPREHENSIVE WORKFORCE PLAN DEVELOPMENT, READINESS TO TRAIN ASSESSMENT TOOL (RTAT) ASSISTANCE, AND EMPLOYEE ENGAGEMENT. THE ASSOCIATION ADMINISTERED A REGISTERED APPRENTICESHIP PROGRAM IN MEDICAL ASSISTING THROUGH MARCH 2022. FROM APRIL 1, 2021, MARCH 31, 2022, THERE WERE 14 ACTIVE MEDICAL ASSISTANT APPRENTICESHIP COHORTS, 101 APPRENTICES COMPLETED THE YEAR-LONG PROGRAM IN THIS PERIOD, AND 348 APPRENTICES WERE ENROLLED. MEDICAL ASSISTING APPRENTICESHIP PROGRAM HAS A COMPLETION RATE OF 87.3% WITH 685 STUDENTS GRADUATED OR ON TRACK TO GRADUATE SINCE INCEPTION. THE MA PROGRAM HAD AN OVERALL CERTIFICATION EXAM PASS RATE OF 98.25% FOR THIS PERIOD. THE ASSOCIATION ALSO OFFERS A DENTAL ASSISTING STANDALONE PROGRAM THAT IS AVAILABLE TO ALL COMMUNITY HEALTH CENTERS. THE YEAR 2021-2022 SAW EXPANDED PARTNERSHIPS WITH AREA HEALTH EDUCATION CENTERS AND THE NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION TO FIND AREAS OF POTENTIAL COLLABORATION. THE ASSOCIATION'S HEALTHCARE APPRENTICESHIP PROGRAMS HAVE BEEN RECOGNIZED NATION-WIDE AND CONSULTATION WORK, INCLUDING CURRICULUM LICENSING, FOR OUT OF STATE ORGANIZATIONS BEGAN. THE IN-REACH MA CURRICULUM IS NOW BEING USED IN 3 STATES WITH PLANS FOR EXPANSION. THE ASSOCIATION HAS ALSO PARTNERED WITH AN APPRENTICE PROGRAM SPONSOR WITHIN THE STATE TO OFFER BEVAHIORAL HEALTH APPRENTICESHIP OPTIONS FOR COMMUNITY HEALTH CENTERS.</Desc>
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        <Desc>CARE IMPROVEMENT &amp; INNOVATIONTHE ASSOCIATION FACILITATES WORK WITH FEDERALLY QUALIFIED HEALTH CENTERS TO PROVIDE COACHING SUPPORT AND TRAINING OPPORTUNITIES FOR QUALITY IMPROVEMENT STAFF, MEDICAL DIRECTORS, PHARMACISTS, BEHAVIORAL HEALTH PROVIDERS, DENTAL DIRECTORS, EMERGENCY PREPAREDNESS MANAGERS AND CLINICAL CARE TEAMS. ACCOMPLISHMENTS FOR THE YEAR ENDED MARCH 31, 2022, INCLUDED: 1. CONVENED 6 CLINICAL QUALITY WORKGROUP MEETINGS TO FOCUS ON PATIENT SAFETY, STANDARD HEALTH MEASURES AND IMPROVING HYPERTENSION, DIABETES, AND CHILDHOOD IMMUNIZATIONS. 2. CONVENED 11 MEDICAL DIRECTOR ROUNDTABLE MEETINGS FOCUSED ON COVID-19 UPDATES AND HOW COVID-19 IMPACATED CARE MANAGEMENT STRATEGIES. 3. CONVENVED 5 PHARMACY LEARNING NETWORK MEETINGS FOCUSED ON PHARMACY REGULATIONS AND OPERATIONS. 4. CONVENED 3 BEHAVIORAL HEALTH LEARNING NETWORK MEETINGS FOCUSED ON INCREASED DEMAND FOR TELEHEALTH SERVICES AND REMOTE ACCESS.5. CONVENED 4 DENTAL LEARNING NETWORK MEETINGS FOCUSED ON WORKFORCE SHORTAGES AND CHANGES IN STATE PROGRAM SPECIFICS6. HELD EMERGENCY PREPAREDNESS WORKGROUPS AND WEBINARS TO IDENTIFY AND ADDRESS EMERGENCY PREPAREDNESS NEEDS AT HEALTH CENTERS AND DEBRIEF PANDEMIC RESPONSE. 5. PROVIDED 2 TEAM BASED CARE LEARNING SERIES 6. PARTNERED WITH UNIVERSITY OF WASHINGTON COLONOSCOPY OUTREACH FOR RURAL COMMUNITIES PROGRAM9. PROVIDED TECHNICAL ASSISTANCE TO SUPPORT THE PATIENT CENTERED MEDICAL HOME MODEL AND CONNECTED PEERS FOR TECHNICAL ASSISTANCE AS REQUESTED BY HEALTH CENTERS.</Desc>
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        <Desc>POLICY AND ADVOCACYIN 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 COVID-19 RELIEF TO QUALIFYING HEALTH CENTERS AND PROVIDED CONSISTENT AND CONSIDERABLE TECHNICAL ASSISTANCE TO COMMUNITY HEALTH CENTERS IN UNDERSTANDING AND ACCESSING FEDERAL AND STATE COVID-19 RESOURCES FOR REIMBURSEMENT, TELEHEALTH IMPLEMENTATION, TESTING, AND FISCAL RELIEF.</Desc>
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        <Desc>HEALTH EQUITY &amp; HEALTH ACCESSTHE ASSOCIATION PROVIDED TRAINING FOR HEALTH CENTERS TO DEVELOP ORGANIZATIONAL HEALTH EQUITY GOALS, INCREASE ACCESS TO CARE FOR AGRICULTURAL WORKERS AND THEIR FAMILIES, SUPPORT ENROLLMENT IN HEALTH COVERAGE, CODIFY ENABLING SERVICES, SUPPORT COMMUNITY HEALTH WORKERS, AND SCREEN FOR SOCIAL NEEDS. THE ASSOCIATION FACILITATED WORKGROUP CALLS THAT PROVIDED PEER NETWORKING OPPORTUNITIES FOR HEALTH CENTER STAFF TO SHARE BEST PRACTICES AND CHALLENGES AND IDENTIFY TRAINING NEEDS. IN ADDITION, THE ASSOCIATION PARTICIPATED ON MULTIPLE STATEWIDE WORKGROUPS TO SUPPORT CHC PRACTICES THAT REACH WASHINGTON'S MOST VULNERABLE POPULATIONS. 1. CONVENED 4 OUTREACH AND ENROLLMENT LEARNING NETWORK MEETINGS FOCUSED ON CHANGES TO ENROLLMENT IN THE STATE MEDICAID PROGRAM AND END OF PUBLIC HEALTH EMERGENCY.2. CONVENED 5 COMMUNITY HEALTH WORKER LEARNING NETWORK MEETINGS FOCUSED ON STRENGTHENING INTEGRATION WITH CARE TEAM AND BEST PRACTICES FOR SUPERVISOR TRAINING.THE ASSOCIATIONCONVENED HEALTH CENTERS IN A LEARNING GROUP TO SUPPORT SOCIAL NEEDS SCREENING AT COMMUNITY HEALTH CENTERS THROUGH A PARTNERSHIP WITH KAISER. THIS GROUP MET 6 TIMES IN THE FISCAL YEAR.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BARTOLO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERESITA BATAYOLA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA BERSCHAUER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JIM COFFEE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TJ COSGROVE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID FLENTGE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANA FOX</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NIEVES GOMEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA GONZALEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JESUS HERNANDEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA HAUFF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JODI JOYCE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ESTHER LUCERO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARLOS OLIVARES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TOM SARGENT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GAELON SPRADLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DESIREE SWEENEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDY TAYLOR</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MEREDITH VAUGHN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE VESSEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA YOHALEM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC GRIFFITH DIR OF FINANCE</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ProgramServiceRevenueGrp>
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        <Desc>OTHER INCOME</Desc>
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        <ExclusionAmt>257001</ExclusionAmt>
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        <ManagementAndGeneralAmt>82000</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>649352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>338947</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>119839</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49947</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>75133</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>20431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17731</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>15784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13697</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>98349</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>929580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>266662</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>93492</TotalAmt>
        <ProgramServicesAmt>75620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17872</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>46518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13050</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>13503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2151</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>31500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3996</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1612</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5865</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1654</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>134767</ProgramServicesAmt>
        <ManagementAndGeneralAmt>384</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>30505</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2537</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>19731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3143</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>566</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3145047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>849373</ManagementAndGeneralAmt>
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        <EOYAmt>2948484</EOYAmt>
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        <EOYAmt>992694</EOYAmt>
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        <EOYAmt>697636</EOYAmt>
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        <EOYAmt>24414</EOYAmt>
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        <EOYAmt>32665</EOYAmt>
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        <EOYAmt>4695893</EOYAmt>
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        <EOYAmt>479987</EOYAmt>
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        <EOYAmt>694595</EOYAmt>
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        <EOYAmt>1174582</EOYAmt>
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        <EOYAmt>3181684</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>339627</EOYAmt>
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        <EOYAmt>3521311</EOYAmt>
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        <EOYAmt>4695893</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>1557488</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1475994</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2233296</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>2233296</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1718277</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>8821</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>6006</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1499</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>141892</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>159042</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>567850</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>255502</CurrentTaxYearAmt>
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      <GrossReceiptsRltdActivitiesAmt>5469517</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.86780</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME GROUP PURCHASING PROGRAM</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>98349</FilingOrganizationsTotalAmt>
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      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>3896071</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
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      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>349721</FilingOrganizationsTotalAmt>
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      <GrassrootsNontaxableGrp>
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        <CurrentYearMinus1Amt>257460</CurrentYearMinus1Amt>
        <CurrentYearAmt>349721</CurrentYearAmt>
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        <CurrentYearMinus1Amt>70000</CurrentYearMinus1Amt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>6189</DepreciationAmt>
        <BookValueAmt>27791</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>17784</DepreciationAmt>
        <BookValueAmt>4874</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3966227</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>150000</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>150000</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4116227</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3994420</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAD TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRIBUTIONS WITH DONOR RESTRICTIONS 150,000.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WA SCHOOL-BASED HEALTH ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 9565</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98109</ZIPCd>
        </USAddress>
        <RecipientEIN>450937382</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOOL-BASED HEALTH CENTERS LEARNING COLLABORATIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH ASSOCIATION OF SPOKANE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>611 N IRON BRIDGE WAY</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99202</ZIPCd>
        </USAddress>
        <RecipientEIN>911641797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>JOBS FOR THE FUTURE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PENINSULA COMMUNITY HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 960</AddressLine1Txt>
          <CityNm>BREMERTON</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98337</ZIPCd>
        </USAddress>
        <RecipientEIN>943079770</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>81209</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SAFETY NET VACCINE EQUITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH CARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1148 BROADWAY SUITE 100</AddressLine1Txt>
          <CityNm>TACOMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98402</ZIPCd>
        </USAddress>
        <RecipientEIN>911349657</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>65000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SAFETY NET VACCINE EQUITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SEA MAR COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1040 S HENDERSON</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98108</ZIPCd>
        </USAddress>
        <RecipientEIN>911020139</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>134556</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SAFETY NET VACCINE EQUITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YAKIMA VALLEY FARM WORKERS CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>518 W FIRST AVENUE</AddressLine1Txt>
          <CityNm>TOPPENISH</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98948</ZIPCd>
        </USAddress>
        <RecipientEIN>911019392</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>134556</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SAFETY NET VACCINE EQUITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHPOINT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>955 POWELL AVENUE SW</AddressLine1Txt>
          <CityNm>RENTON</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98057</ZIPCd>
        </USAddress>
        <RecipientEIN>910884412</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>134556</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SAFETY NET VACCINE EQUITY</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>7</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ONLY GRANTS WERE FLOW-THROUGH FUNDS PROVIDED TO MEMBER FQHCS IN THE STATE OF WASHINGTON. FOLLOW-UP REPORTS AND FREQUENT COLLABORATION BETWEEN THE ORGANIZATIONS ENSURED APPROPRIATE USE OF GRANTED FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MARSALLI</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>165000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18012</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>187962</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES ALL EMPLOYEES, INCLUDING THE CEO, WITH A MONTHLY STIPEND OF $25 TOWARDS HEALTH CLUB DUES. STARTING IN MARCH 2020, IN RESPONSE TO THE COVID PANDEMIC, THE ORGANIZATION CONVERTED THIS BENEFIT TO A WORK-FROM-HOME INTERNET SUBSIDY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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) LOOK-ALIKES AND NOT-FOR-PROFIT 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 WAS REVIEWED BY THE CEO AND FINANCE MANAGER. THE 990 WAS THEN PROVIDED TO THE FULL BOARD FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ONE SELF OR FOR ANOTHER, A MEMBER BRINGS THE ISSUE DIRECTLY TO THE FLOOR OF THE NEXT BOARD MEETING FOR RESOLUTION BY THE ENTIRE GROUP. ALSO, 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 SIGNS A STATEMENT TO AFFIRM THEIR COMPLIANCE AND UNDERSTANDING WITH THE CONFLICTS OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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 LOWER-MIDDLE RANGE. THE CEO REVIEWED AND APPROVED COMPENSATION FOR OTHER KEY EMPLOYEES, INCLUDING THE DIRECTOR OF FINANCE &amp; OPERATIONS AND THE DIRECTOR OF PROGRAMS, IN ACCORDANCE WITH THE PROFESSIONALLY DEVELOPED SALARY SCALES. THE REVIEW PROCESS LAST OCCURRED IN 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 929,580. MANAGEMENT AND GENERAL EXPENSES 266,662. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,196,242.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AMENDED FORM 990:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS BEING AMENDED TO REFLECT THE ISSUED AUDITED FINANCIAL STATEMENTS. THE FOLLOWING PARTS, SCHEDULES, LINES, ETC., ARE UPDATED AS A RESULT OF THE AMENDMENT: - FORM 990, PAGE 1, BOXES B AND G - FORM 990, PART I, LINES 8-9, 11-12 AND 17-22 - FORM 990, PART III, LINE 4A AND 4E - FORM 990, PART VIII, LINES 1E-1F, 1H, 2A-2B, 2G, 11B, 11E AND 12 - FORM 990, PART IX, LINES 11G, 13, 16-17, 19, 24A-24B, 24D AND 25 - FORM 990, PART X, LINES 4, 16-17, 19, 26-28 AND 32-33 - FORM 990, PART XI, LINES 1-3 AND 10 - SCHEDULE A, PART II, LINES 1, 4, 6-7, 11-12 AND 14 - SCHEDULE B, PART I - SCHEDULE C, PART II-A, LINES 1D-1G, 2A-2B AND 2D-2E - SCHEDULE D, PART VI, LINES 1C-1D - SCHEDULE D, PART XI, LINES 1, 3, 4B AND 5 - SCHEDULE D, PART XII, LINES 1, 3 AND 5</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
