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safeguard the organization's finances, such as requiring two authorized signatures on all checks exceeding $5,000; requiring Board approval for any expense greater than $25,000; giving access to bank accounts to only select, authorized staff; utilizing purchase requisitions that require CFO approval; entering all purchases greater than $5,000 as assets rather than expenses; and tracking all assets to ensure accountability. The accounting/grants analyst conducts monthly bank reconciliations, which are reviewed by the CFO. Oversight is provided by the CEO and Board that actively reviews monthly and quarterly financial statements, and the annual audit. The CFO is responsible for ensuring the tracking and reporting of the Coalition's finances and financial health to the Board of Directors and the Board is responsible for approving the audit and financial statements as well as determining the long-term strategic direction of the organization in relation to its financial standing. The Coalition sustains its operations and programs through responsible fiscal management and active efforts to build revenue from private and public revenue streams. This revenue mix of member fees, regional contracts for ACA-related implementation and enrollment outreach, and private grants have supported programmatic areas such as OERU, EHR and meaningful use, and adoption of PCMH requirements. The financial management and control policies of the organization provide accurate and complete information about all financial transactions related to each project including expenditures of grant funds and cost share expenses, and achieve consistency and efficiency across a multitude of projects and funding streams. The Coalition considers HEAL-OC interventions and activities to be low risk due to reliance on existing clinical infrastructures and personnel. The Coalition's accounting and internal controls are compliant with federal requirements organization -wide and appropriate for