Yakima Valley Farm Workers Clinic

Yakima Valley Farm Workers Clinic (doing business as Yakima Valley Farm Workers Clinic Admin), a tax-exempt nonprofit federally qualified health center (FQHC) headquartered in Toppenish, Washington, acts as a prime recipient of federal grants for graduate medical education, behavioral health and primary care expansion, and community health services delivery to underserved and migrant agricultural worker populations in central Washington and Oregon. The organization does not hold federal contracts; all federal engagement flows through grant awards as prime recipient (55% of recent awards) and sub-recipient under state grantees (45%).

The grant portfolio centers on the Department of Health and Human Services (HHS), which funds 54 of 99 tracked awards across HRSA, the Administration for Children and Families, and subordinate bureaus. The top five funding sources by award count — HRSA bureaus, USDA Food and Nutrition Service, HHS Administration for Children and Families, and HHS HRSA Bureau of Health Professionals — account for 71% of recent awards. HRSA's Bureau of Health Professionals funds the Teaching Health Center Graduate Medical Education Payment Program, supporting two accredited residency programs: the Sollus Northwest Family Medicine Residency (established 2013 at YVFWC's Grandview Medical-Dental Center, affiliated with Pacific Northwest University of Health Sciences and University of Washington) and the Northwest Dental Residency (established 2006, providing advanced education in general dentistry with CODA accreditation). A March 2026 THC GME award runs through June 2029. HRSA's Bureau of Primary Health Care funds the FY 2024 Behavioral Health Services Expansion program (awarded September 2024, completing August 2026), which supports recruitment and training of mental health workers, substance use disorder professionals, and certified peer counselors to expand mental health and medication-assisted opioid use disorder treatment access across YVFWC's service area. USDA Food and Nutrition Service funds WIC Client Services contracts and breastfeeding peer counselor programs, channeled through sub-awards from Washington State Department of Health. HHS Administration for Children and Families funds the Spanish-Language Parenting Education Program (awarded September 2021, completing September 2026), which develops child abuse prevention and family support initiatives for migrant and Native American children. Recent sub-recipient work includes home visiting services under the Department of Children, Youth, and Families, weatherization services under Washington State Department of Commerce (Low Income Home Energy Assistance Program and Bipartisan Infrastructure Law funding), WIC client services under Washington State Department of Health, 21st Century Community Learning Centers under the Superintendent of Public Instruction, and refugee social services under Washington State Department of Social and Health Services. Obligated federal dollars across all awards total one billion dollars. Activity accelerated sharply from four awards in 2022 and 2023 each to twenty-two in 2024, with fourteen in 2025 and nine year-to-date in 2026. Five awards face ultimate completion within the next twenty-four months.