Oregon Community Health Workers Assoc

What it reported doing in 2024

For the year ended June 30, 2025, ORCHWA operated the following programs:(i) Community Education Worker (CEW) Program: The CEW Program is a Portland-metro-based collaborative of culturally specific organizations. Within the collaborative ORCHWA serves as the backbone and fiscally responsible organization, and serves to support the CHW workforce and their employees at CEW Partnering organizations, in providing linguistically specific and culturally centered services to communities. The CEW Program strives to decrease inequities in educational outcomes and increase the success of children from infancy to six years of age.(ii) Workforce Development & Training: ORCHWA is a State of Oregon-approved CHW training site, this training site approval allows the provision of state-recognized training for the CHW workforce across the state. Under this program, ORCHWA provides a 90-hour foundational training for Oregon residents to become certified CHWs. Additionally, ORCHWA offers workforce development and educational opportunities for CHWs to complete continuing education units (CEUs) required to maintain CHW state certification. (iii) Policy and Advocacy: ORCHWA has a rich history of engaging in policy and advocacy efforts both in the state and national arena. Policy and advocacy have been foundational in our work and pivotal in amplifying the voice of CHWs, increasing recognition of the workforce, promoting sustainable payment for CHW services, and increasing inclusion of CHWs in workforce-related policy and legislation.(iv) Technical Assistance & Education: ORCHWA offers technical assistance to community-based organizations, health systems, CCOs, and other interested parties to support partnership with and integration of CHWs, and the development of CHW programs. Technical assistance services range from hourly support to contracted and bundled services, CHW program review, and recommendation development. ORCHWA promotes activities, and the development of, programs conducive to the retention of the CHW workforce including livable wages, appropriate and aligned scope of practice, full reimbursement for services, and environments that engage in promising practices to support professional development and decrease workforce burnout. Accordingly, ORCHWA staff serve on various committees and workgroups, are invited to speak on panels, develop educational material, and record webinars.(v) CHW Collaborative Network (2CN): ORCHWA is developing centralized and shared infrastructure to enable Medicaid payment, for community-based CHW services, on behalf of community-based organizations to reduce the administrative burden for small, CHW employing, community-based organizations. The development of 2CN will increase community-based CHW workforce stability through an aligned, developed, infrastructure to enable payment for community-based community health worker service. The 2CN infrastructure will be replicable, scalable, and allow for geographic-specific individualization/customization. As part of a blended funding model, billing under 2CN will increase the sustainability and stability of the workforce, while increasing community access to CHW member/individual-centered services ultimately part of a strategy to support broader health and wellness of Oregonians most impacted by health inequities.(vi) Fiscal Sponsorship: As of July 2022, ORCHWA began providing fiscal sponsorship for the Indigenous Health Equity Institute (IHEI). In the role of fiscal sponsor, ORCHWA administers various back office administrative support including human resources, financial reporting and fiscal oversight.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 88%; rating input score 88
• Fundraising efficiency: $83.73 raised per $1 spent on fundraising; rating input score 85; 85th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 13th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: 79.7%; rating input score 80; 21st percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 6 of 8 controls in place; rating input score 86
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Limited
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Fail
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -22.7%; rating input score 6; 6th percentile among comparable filings
• Total-asset coverage ratio: 0.49; rating input score 17; 17th percentile among comparable filings
• Liabilities to assets ratio: 0.26; rating input score 38; 38th percentile among comparable filings
• Officer compensation ratio: 3.8%; rating input score 62; 62nd percentile among comparable filings

Growth

• Program expense growth: 16.1% per year; rating input score 100; 80th percentile among comparable filings
• Revenue growth: 12.5% per year; rating input score 100; 76th percentile among comparable filings
• Asset growth: 24% per year; rating input score 100; 89th percentile among comparable filings