The inaugural class of 2012 is made up of 75 students. The first class, whom started in August 2008, had an average undergraduate GPA of 3.42 and mean MCAT score of 25.45. The class of 2013, also compromised of 75 students, had an average undergraduate GPA of 3.44 and mean MCAT score of 26.79. Students will perform two years of didactic training, followed by two years of clinical rotations in off-site communities. Pre-requisites for the program include a bachelor's degree or higher from an accredited institution, 12 semester hours of Biology, 8 semester hours of Inorganic Chemistry, 8 semester hours of Organic Chemistry, 8 semester hours of Physics, 6 semester hours of English, and completion of the MCAT exam. Due to accreditation, the school cannot currently accept international applicants.

The school currently has 14 sites for clinical rotations over the five-state region of Alaska, Idaho, Montana, Oregon, and Washington. Rather than all of the students receiving their clinical training in Yakima, students are able to go to many parts of the Northwestern United States to receive hands-on training, often near to their homes.

The mission statement of the school is "...to train, educate and encourage scientific research for health professionals who will provide high-quality health care to all communities of the Pacific Northwest, particularly underserved populations." The institution currently holds provisional accreditation from the Commission on Osteopathic College Accreditation (COCA). Once the school graduates the inaugural class, it will be eligible for full accreditation.