2023-11-13T17:18:44-06:00 2022-12-31 930900579 MCDONALD JACOBS PC 520 SW YAMHILL ST STE 500 PORTLAND OR 97204 990 2022-01-01 462164971 SOUTHWEST WASHINGTON REGIONAL HEALTH ALLIANCE SOUT 3608287319 2404 E MILL PLAIN BLVD B VANCOUVER WA 98661 NICHOLE PEPPERS EXECUTIVE DIRECTOR 3608287319 2023-11-10 1 NICHOLE PEPPERS XXX-XX-XXXX 1 KARIN S WANDTKE P00172715 5032270581 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SOUTHWEST WASHINGTON ACCOUNTABLE COMMUNITY OF HEALTH NICHOLE PEPPERS 2404 E MILL PLAIN BLVD B VANCOUVER WA 98661 10898359 0 X WWW.SOUTHWESTACH.ORG X 2013 WA WE BRING PARTNERS TOGETHER TO CREATE EQUITABLE, SUSTAINABLE SYSTEMS CHANGE THAT REDUCES COST AND IMPROVES WHOLE-PERSON WELLNESS FOR ALL. 9 9 20 20 0 0 9053852 10829584 0 0 616 68425 433 350 9054901 10898359 4246422 4294575 0 0 1388147 1318342 0 0 0 2247224 3433956 7881793 9046873 1173108 1851486 20152275 22446781 858515 1301535 19293760 21145246 X SOUTHWEST WASHINGTON ACCOUNTABLE COMMUNITY OF HEALTH (SWACH) IS A LOCAL NONPROFIT WORKING TO IMPROVE HEALTH IN SOUTHWEST WASHINGTON. WE BRING TOGETHER COMMUNITY MEMBERS AND OTHER EXPERTS TO ADDRESS OUR REGION'S MAJOR HEALTH CHALLENGES. THROUGH INNOVATIVE PARTNERSHIPS AND LOCAL RESOURCES, WE'RE WORKING TO CREATE LASTING CHANGES AND IMPROVE WHOLE-PERSON WELLNESS FOR ALL. 0 0 3734334 THE HEALTHCONNECT HUB CONNECTS ANYONE IN SOUTHWEST WASHINGTON TO THE CARE THEY NEED THROUGH A TRUSTED, TRAINED, HIGHLY SKILLED COMMUNITY-BASED WORKFORCE THAT PROVIDES ONE-ON-ONE SUPPORT TO ACHIEVE THEIR HEALTH GOALS. THE HEALTHCONNECT HUB SUPPORTS THIS COMMUNITY-BASED WORKFORCE AND THE NETWORK OF AGENCIES THAT EMPLOY THEM. PARTNER AGENCIES AND RESOURCES ARE ALIGNED TO SUPPORT A COMMON GOAL: TO PROVIDE THE RIGHT CARE TO PEOPLE ACROSS SOUTHWEST WASHINGTON WHEN AND HOW THEY NEED IT. 3378329 3378329 SWACH PARTICIPATED IN AND LED MULTIPLE APPROACHES TO SUPPORT OUR COMMUNITY THROUGH THE PANDEMIC. CARECONNECT WASHINGTON (CCWA) PROVIDES MORTGAGE OR RENT ASSISTANCE, GROCERIES, AND ADDITIONAL FINANCIAL SUPPORT TO HOUSEHOLDS WITH POSITIVE COVID-19 CASES. AS A RESULT OF THE GRANT, SWACH PROVIDED $1.1 MILLION IN DIRECT HOUSING ASSISTANCE TO 945 HOMES, AND $375,000 WORTH OF GROCERY ASSISTANCE TO 1,300 HOMES. 854111 854111 SWACH PROVIDED COVID-19 VACCINE OUTREACH WORK FUNDED BY HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). WITH ADDITIONAL SUPPORT FROM MOLINA HEALTHCARE AND AMERIGROUP, WE CONTINUED TO REACH OUT TO BIPOC, UNHOUSED, AND OTHER MEDICALLY UNDERREPRESENTED POPULATIONS TO PROVIDE INFORMATION AND ACCESS TO CURRENT VACCINE OPTIONS. AS A RESULT OF THE GRANT, SWACH REACHED 73,000 COMMUNITY MEMBERS THROUGH VACCINE AWARENESS EFFORTS, AND HELPED FACILITATE THE ADMINISTRATION OF 1,057 VACCINE DOSES. 62135 62135 THE EQUITY AND COLLABORATIVE IMPACT (ECI) TEAM CONTINUES TO CHAMPION HEALTH EQUITY THROUGH PARTNERSHIPS AND INNOVATIVE PROGRAMMING. THROUGH A PARTNERSHIP WITH BEACON HEALTH OPTIONS, THE ECI TEAM SUCCESSFULLY INSTALLED FIVE NALOXONE VENDING MACHINES ACROSS THE REGION AND SUPPORTS THE ONGOING DISTRIBUTION OF NALOXONE TO THOSE THAT NEED IT, FREE OF CHARGE. 62135 62135 8028909 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 334 0 20 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X EDDIE GALLAGHER 3606283919 2404 E MILL PLAIN BLVD B VANCOUVER WA 98661 DAWN TOLOTTI PRESIDENT 2.00 X X 0 0 0 ROBB KIMMES VICE PRESIDENT 2.00 X X 0 0 0 KEVIN WITTE TREASURER 2.00 X X 0 0 0 ANDY TUCKER TRUSTEE 1.00 X 0 0 0 WORKU NEGUSSIE TRUSTEE 1.00 X 0 0 0 SUSAN STEARNS TRUSTEE 1.00 X 0 0 0 QUINTON HAROLD TRUSTEE 1.00 X 0 0 0 ANDREA PRUIETT TRUSTEE 1.00 X 0 0 0 MATANIA OSBORN TRUSTEE 1.00 X 0 0 0 KARYN KAMEROFF TRUSTEE 1.00 X 0 0 0 ADRIANA LINARES TRUSTEE 1.00 X 0 0 0 TAMARA CISSEL TRUSTEE 1.00 X 0 0 0 NICHOLE PEPPERS EXECUTIVE DIRECTOR 40.00 X 150000 0 10932 ERIC MCNAIR SCOTT PROGRAM DIRECTOR 40.00 X 119714 0 13550 269714 0 24482 2 0 1 0 PROVIDENCE HEALTH & SERVICES (CORE) PO BOX 5977 PORTLAND OR 97228 PROGRAM EVALUATION 1035933 ASP 3150 RICHARDS RD SUITE 150 BELLEVUE WA 98005 FINANCE AND ACCOUNT SUPPORT 114208 2 10801584 28000 10829584 68425 68425 OTHER INCOME 900099 350 350 350 10898359 0 0 68775 X 2800626 2800626 1493949 1493949 160932 111152 49780 935995 646470 289525 31486 21747 9739 106281 73406 32875 83648 57774 25874 4099 3598 501 37277 32721 4556 1559096 1191476 367620 82024 37869 44155 92258 12295 79963 72252 7752 64500 68208 52879 15329 38371 29747 8624 5028 5028 PROGRAM SERVICES DIRECT 1448848 1448848 26495 6600 19895 9046873 8028909 1017964 0 17365611 20635069 2098669 713502 648314 997508 2467 1280 37214 21956 27154 808 0 26346 0 51120 20152275 22446781 856114 1250006 2401 0 51529 858515 1301535 X 19168169 21083053 125591 62193 19293760 21145246 20152275 22446781 1851486 0 X X 0 1 X 1 1 1 X 438364 13347640 5772949 9053852 10829584 39442389 438364 13347640 5772949 9053852 10829584 39442389 8292294 31150095 25827 109139 35650 616 68425 239657 3069 433 350 3852 39685898 0.78490 0.99660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 27154 808 26346 26346 OPERATING LEASE LIABILITY 51529 51529 X PART X, LINE 2: THE ORGANIZATION FOLLOWS THE PROVISIONS OF FASB ASC TOPIC 740 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS TOPIC. 1 BRIDGEVIEW RESOURCE CENTER 505 OMAHA WAY VANCOUVER WA 98661 57861 0 MEDICAID TRANSFORMATION PROJECT CLARK COWLITZ FIRE AND RESCUE 911 N 65TH AVE RIDGEFIELD WA 98642 911701275 MUNICIPAL ENTITY 233000 0 MEDICAID TRANSFORMATION COLUMBIA RIVER MENTAL HEALTH SERVICES 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 910609138 501(C)(3) 85021 0 MEDICAID TRANSFORMATION COMMUNITY FOUNDATION OF SW WASHINGTON 610 ESTHER ST 201 VANCOUVER WA 98660 911246778 501(C)(3) 150000 0 MEDICAID TRANSFORMATION COUNCIL FOR THE HOMELESS 2500 MAIN ST VANCOUVER WA 98660 912001828 501(C)(3) 149387 0 MEDICAID TRANSFORMATION;COVID-19 RESPONSE EMPLOWER FAMILY FOCUSED SERVICES 1014 MAIN STREET VANCOUVER WA 98660 501(C)(3) 25000 0 MEDICAID TRANSFORMATION FOUNDATION FOR VANCOUVER PUBLIC SCHOOLS 2901 FALK RD VANCOUVER WA 98661 910971800 501(C)(3) 10000 0 MEDICAID TRANSFORMATION HOUSING AUTHORITY OF THE CITY OF VANCOUVER WASHINGTON 2500 MAIN ST VANCOUVER WA 98660 916000981 LOCAL GOVERNMENT 191323 0 MEDICAID TRANSFORMATION IDEAL OPTIONS PLLC 5615 DUNBARTON AVE PASCO WA 99301 455513274 501(C)(3) 25000 0 MEDICAID TRANSFORMATION CLARK COUNTY LATINO YOUTH 14204 NE SALMON CREEK AVE VANCOUVER WA 98686 405000 0 MEDICAID TRANSFORMATION; COVID-19 RESPONSE LIFELINE CONNECTIONS PO BOX 1678 VANCOUVER WA 98668 910787084 501(C)(3) 97016 0 MEDICAID TRANSFORMATOIN; COVID-19 RESPONSE LUTHERAN COMMUNITY SERVICES NORTHWEST 4040 S 188TH ST SUITE 300 SEATAC WA 98188 930386860 501(C)(3) 218289 0 MEDICAID TRANSFORMATION PROJECT ODYSSEY WORLD INTERNATIONAL EDUCATION SERVICES PO BOX 1051 VANCOUVER WA 98661 203905057 501(C)(3) 19500 0 MEDICAID TRANSFORMATION; COVID-19 RESPONSE OUTSIDERS INN 5301 NE 56TH AVE VANCOUVER WA 98661 813259312 501(C)(3) 70304 0 COVID-19 RESPONSE; MEDICAID TRANSFORMATION SEA-MAR COMMUNITY HEALTH CENTERS 1040 SOUTH HENDERSON ST SEATTLE WA 98108 911020139 501(C)(3) 97583 0 MEDICAID TRANSFORMATION; COVID-19 RESPONSE SHARE INC 2306 NE ANDRESEN RD VANCOUVER WA 98661 911205119 501(C)(3) 81169 0 MEDICAID TRANSFORMATION; PATHWAYS CARE COORDINATION; COVID-19 RESPONSE SKAMANIA COUNTY 710 SW ROCK CREEK DR STEVENSON WA 98648 916001363 LOCAL GOVERNMENT 165348 0 MEDICAID TRANSFORMATOIN; COVID-19 RESPONSE SKYLINE PUBLIC HOSPITAL PO BOX 1625 WHITE SALMON WA 98672 911355848 501(C)(3) 154425 0 COVID-19 RESPONSE; MEDICAID TRANSFORMATION SOUTHWEST WASHINGTON RECOVERY COALITION PO BOX 869 OMAK WA 98841 473302528 501(C)(3) 15000 0 MEDICAID TRANSFORMATION THE NEXT DOOR 965 TUCKER RD HOOD RIVER OR 97031 930600421 501(C)(3) 33057 0 MEDICAID TRANSFORMATION; COVID-19 RESPONSE VANCOUVER HOUSING AUTHORITY 2500 MAIN ST VANCOUVER WA 98660 916000981 LOCAL GOVERNMENT 33000 0 MEDICAID TRANSFORMATION WASHINGTON GORGE ACTION PROGRAMS 115 W STUEBEN BINGEN WA 98605 910793062 501(C)(3) 335146 0 MEDICAID TRANSFORMATION WHITE SALMON VALLEY SCHOOL DISTRICT PO BOX 157 WHITE SALMON WA 98672 911034509 LOCAL GOVERNMENT 81800 0 COVID-19 RESPONSE; MEDICAID TRANSFORMATION YWCA CLARK COUNTY 3609 MAIN ST VANCOUVER WA 98663 910569882 501(C)(3) 47605 0 MEDICAID TRANSFORMATION CHILD AND ADOLESCENT CLINIC 971 11TH AVENUE LONGVIEW WA 98632 911139057 19530 0 MEDICAID TRANSFORMATION GROCERY ASSISTANCE 945 307811 RENT/MORTGAGE ASSISTANCE 1300 1175966 UTILITY/OTHER ASSISTANCE 20 10172 PART I, LINE 2: DETAILED INVOICES AND EXPENSE BACK UP REQUIRED FOR PAYMENT. PERIODIC REPORTING REQUIRED AND MONITORED BY PROGRAM DIRECTOR. WITH NEW PARTNER CONTRACTS, PARTNERS ARE REQUIRED TO COMPLETE QUARTERLY REPORTS MONITORED BY MULTIPLE SWACH STAFF. PAYMENT IS ISSUED ONCE REPORT IS REVIEWED AND PROGRESS IS CONFIRMED. SCHEDULE I, PART III, COLUMN (B) BASED ON NUMBER OF HOUSEHOLDS OR INDIVIDUALS. X X X 0 0 0 0 0 0 0 0 0 NICHOLE PEPPERS EXECUTIVE DIRECTOR 150000 0 0 0 0 0 4500 0 6432 0 160932 0 0 0 PART I, LINE 4 BARB WEST - $135,187.46 STAFF RECEIVED SEVERANCE DUE TO INVOLENTARY SEPARATION FROM THE ORGANIZATION FORM 990, PART VI, SECTION A, LINE 1A EXECUTIVE COMMITTEE IS MADE UP OF BOARD PRESIDENT, VICE PRESIDENT, TREASURER, AND SECRETARY. SAME AUTHORITY AS BOT EXCEPT MAY NOT CHANGE BYLAWS, APPOINT OR REMOVE MEMBERS OR OFFICERS, OR MAKE CHANGES TO THE STATUS OF THE CORPORATION OR ITS PROPERTY OR ASSETS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 IS E-MAILED TO THE BOARD MEMBERS FOR REVIEW BEFORE BEING FINALIZED AND SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO REVIEW POLICY AND DISCLOSE ANY CONFLICTS ANNUALLY IN WRITING. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD APPROVES THE EXECUTIVE DIRECTOR SALARY BEFORE OFFER. THE EXECUTIVE COMMITTEE APPROVES THE FINANCE DIRECTOR SALARY BEFORE OFFER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 1,116,318. MANAGEMENT AND GENERAL EXPENSES 357,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,473,474. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 75,158. MANAGEMENT AND GENERAL EXPENSES 10,464. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,622. PART XII LINE 2C THE PROCESS FOR FINANCIAL STATEMENT OVERSIGHT HAS NOT CHANGED FROM THE PRIOR YEAR.