2020-11-12T10:09:43-06:00 2019-12-31 930900579 MCDONALD JACOBS PC 520 SW YAMHILL ST STE 500 PORTLAND OR 97204 990 2019-01-01 462164971 SOUTHWEST WASHINGTON REGIONAL HEALTH ALLIANCE SOUT 3608287319 2404 E MILL PLAIN BLVD VANCOUVER WA 98661 ROXANNE WOLFE PRESIDENT 3608287319 2020-11-09 1 KARIN S WANDTKE P00172715 5032270581 50.204.228.78 2020-11-09 16:41:58 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C4E4E4B196B361B4C91B4D2D24F4AFE6B180FF3 2019 2021-01-29 14:40:06Z SOUTHWEST WASHINGTON ACCOUNTABLE COMMUNITY OF HEALTH ROXANNE WOLFE 2404 E MILL PLAIN BLVD VANCOUVER WA 98661 13456779 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. 15 15 20 35 0 0 438364 13347233 0 0 25827 109546 3069 0 467260 13456779 2574469 10296991 0 0 618290 1518686 0 0 0 810027 1591665 4002786 13407342 -3535526 49437 23798044 27746295 162470 4061284 23635574 23685011 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 3651268 1405903 SOUTHWEST WASHINGTON REGIONAL HEALTH ALLIANCE ESTABLISHED PARTNERSHIPS WITH 19 CLINICAL PARTNERS AND 8 COMMUNITY BASED PARTNERS TO TRANSFORM HEALTH CARE ACROSS THREE COUNTIES: CLARK, KLICKITAT AND SKAMANIA. 1174197 1048118 THE HEALTHY LIVING COLLABORATIVE (HLC) PROGRAM SUPPORTED CROSS SECTOR WORK FOCUSED ON COMMUNITY ENGAGEMENT AND HEALTH POLICY AND SYSTEMS WORK. COMMUNITY ENGAGEMENT EFFORTS PRIMARILY FOCUS ON FIVE COMMUNITY HEALTH WORKER PROGRAMS. HLC SUPPORTS POLICY AND SYSTEMS WORK AT THE ORGANIZATIONAL, LOCAL, AND STATE LEVEL. 6485522 7777208 INTERGOVERNMENTAL TRANSFER (IGT) CONTRIBUTION TO THE STATEWIDE SHARED INVESTMENT POOL TO SUPPORT SPECIFIC DOMAIN 1 SERVICES FROM DESIGNATED PROVIDERS ACROSS ALL NINE ACCOUNTABLE COMMUNITY OF HEALTH (ACH) REGIONS. 1126794 65762 HEP C CURES PROJECT; OPIOID TASK FORCE; AND A CARE COORDINATION SYSTEM WHICH LINKS CLIENTS AND FAMILIES WITH APPROPRIATE CAREGIVERS AND SOCIAL SUPPORT AGENCIES. 1126794 65762 12437781 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 21 0 20 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X SUSAN CRANDALL 3608287319 2404 E MILL PLAIN BLVD VANCOUVER WA 98661 ROXANNE WOLF PRESIDENT 2.00 X X 0 0 0 SHARON CROWELL MD VICE PRESIDENT 2.00 X X 0 0 0 KAREN STRAL SECRETARY 2.00 X X 0 0 0 KEVIN WITTE TREASURER 2.00 X X 0 0 0 LES BURGER MD TRUSTEE 1.00 X 0 0 0 DAVE EDWARDS TRUSTEE 1.00 X 0 0 0 DANIEL FONTOURA TRUSTEE 1.00 X 0 0 0 JON HERSEN TRUSTEE 1.00 X 0 0 0 DAVID KELLY TRUSTEE 1.00 X 0 0 0 STEVE KUTZ TRUSTEE 1.00 X 0 0 0 LAUREL LEE TRUSTEE 1.00 X 0 0 0 KIRBY RICHARDS LCSW TRUSTEE 1.00 X 0 0 0 JOHN MOREN TRUSTEE 1.00 X 0 0 0 ROBB KIMMES TRUSTEE 1.00 X 0 0 0 CHRIS WHEELOCK TRUSTEE 1.00 X 0 0 0 BARBARA WEST EXECUTIVE DIRECTOR 40.00 X 169615 0 6833 SUSAN CRANDALL DIR OF FINANCE/HR 40.00 X 101285 0 13529 THOMAS MCNAIR SCOTT DIRECTOR OF CCL 40.00 X 115376 0 12513 386276 0 32875 3 0 1 0 PROVIDENCE HEALTH (CORE) PO BOX 5977 PORTLAND OR 97228 CONSULTING 313134 UNCOMMON SOLUTIONS 812 DECATUR ST W OLYMPIA WA 98502 CONSULTING 233888 2 13101892 245341 13347233 109546 109546 13456779 0 0 109546 10296991 10296991 291262 194744 96518 1008535 674327 334208 28776 19240 9536 91288 61037 30251 98825 66076 32749 1393 1393 7600 7600 1204162 941633 262529 41507 22827 18680 181067 80901 100166 62484 1147 61337 84411 74281 10130 2365 2365 6676 3184 3492 13407342 12437781 969561 0 20491750 21329567 2959003 2993026 203579 3358503 14868 2120 128844 63079 23798044 27746295 162470 4061284 162470 4061284 X 23567676 23649861 67898 35150 23635574 23685011 23798044 27746295 49437 0 X X 0 1 X 1 0 X 526287 3399 32110068 438364 13347640 46425758 526287 3399 32110068 438364 13347640 46425758 46425758 18 29168 25827 109139 164152 4083 3069 7152 46597062 1071769 0.99630 0.99810 X PART II, SHORT YEAR EXPLANATION: THE ORGANIZATION CHANGED ACCOUNTING PERIODS IN 2018, FROM JUNE 30TH TO DECEMBER 31ST. A SHORT YEAR RETURN WAS FILED FOR THE TAX YEAR BEGINNING 07/01/18 AND ENDING 12/31/18. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 13467861 11082 11082 13456779 0 13456779 13418424 11082 11082 13407342 0 13407342 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 CARE COORDINATION SYSTEMS 75 EAST MARKET ST AKRON OH 44308 461234542 NA 56000 PATHWAYS CARE COORDINATION CHILD AND ADOLESCENT CLINIC 971 11TH AVENUE LONGVIEW WA 98632 911139057 NA 187523 MEDICAID TRANSFORMATION CHILDRENS CENTER 13500 SE 7TH ST VANCOUVER WA 98683 911459420 501(C)(3) 183750 MEDICAID TRANSFORMATION CHILDRENS HOME SOCIETY OF WASHINGTON 220 EASTMONT AVE SUITE B EAST WENATCHEE WA 98802 910575955 501(C)(3) 164191 MEDICAID TRANSFORMATION COLUMBIA GORGE HEALTH COUNCIL 511 WASHINGTON ST STE 101 THE DALLES OR 97058 460911202 501(C)(3) 5000 COLLABORATIVE COMMUNITY HEALTH ASSESSMENT COLUMBIA RIVER MENTAL HEALTH SERVICES 6926 NE FOURTH PLAIN BLVD VANCOUVER WA 98661 910609138 501(C)(3) 154830 MEDICAID TRANSFORMATION COMMUNITY FOUNDATION OF SOUTHWEST WASHINGTON 610 ESTHER ST SUITE 201 VANCOUVER WA 98660 911246778 501(C)(3) 10000 HOUSING HEALTH & INNOVATION PROJECT COMPREHENSIVE HEALTHCARE 402 S 4TH AVE PO BOX 959 YAKIMA WA 98907 911043304 501(C)(3) 272500 MEDICAID TRANSFORMATION CONSUMER VOICES ARE BORN 1601 E FOURTH PLAIN BLVD VANCOUVER WA 98661 911727234 501(C)(3) 166428 PATHWAYS CARE COORDINATION/COMMUNITY HEALTH WORKERS COUNCIL FOR THE HOMELESS 2500 MAIN ST VANCOUVER WA 98660 912001828 501(C)(3) 67500 MEDICAID TRANSFORMATION COWLITZ INDIAN TRIBE 1044 11TH AVE LONGVIEW WA 98632 911265477 LOCAL GOVERNMENT 203750 MEDICAID TRANSFORMATION FAMILY SOLUTIONS INC 1014 MAIN STREET VANCOUVER WA 98660 912171585 501(C)(3) 296250 MEDICAID TRANSFORMATION FOUNDATION FOR HEALTHY GENERATIONS 419 3RD AVENUE WEST SEATTLE WA 98119 916186093 501(C)(3) 37500 PATHWAYS CARE COORDINATION FREE CLINIC OF SW WASHINGTON 4100 PLOMONDON STREET VANCOUVER WA 98661 911707542 501(C)(3) 5512 COMMUNITY HEALTH WORKERS HOUSING AUTHORITY OF THE CITY OF VANCOUVER WASHINGTON 2500 MAIN ST VANCOUVER WA 98660 916000981 LOCAL GOVERNMENT 620000 MEDICAID TRANSFORMATION KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST 500 NE MULTNOMAH ST PORTLAND OR 97232 930798039 501(C)(3) 332500 MEDICAID TRANSFORMATION KLICKITAT VALLEY HEALTH 310 S ROOSEVELT GOLDENDALE WA 98620 916001738 501(C)(3) 278250 MEDICAID TRANSFORMATION LEGACY SALMON CREEK HOSPITAL 1120 NW 20TH AVE SUITE 108 PORTLAND OR 97209 331065485 501(C)(3) 262500 MEDICAID TRANSFORMATION LIFELINE CONNECTIONS PO BOX 1678 VANCOUVER WA 98668 910787084 501(C)(3) 274560 MEDICAID TRANSFORMATION LUTHERAN COMMUNITY SERVICES NORTHWEST 4040 S 188TH ST SUITE 300 SEATAC WA 98188 930386860 501(C)(3) 71250 MEDICAID TRANSFORMATION MID-COLUMBIA FAMILY PHYSICIANS PS PO BOX 1519 BINGEN WA 98672 911152824 NA 206248 MEDICAID TRANSFORMATION PROVIDENCE HEALTH AND SERVICES-WASHINGTON 1801 LIND AVE SW RENTON WA 98057 510216586 501(C)(3) 160129 MEDICAID TRANSFORMATION PUBLIC HOSPITAL DISTRICT NO 2 OF KLICKITAT COUNTY PO BOX 99 WHITE SALMON WA 98672 916000960 LOCAL GOVERNMENT 221250 MEDICAID TRANSFORMATION ROSE MEDICAL GROUPS PC 18 NW 20 AVE BATTLE GROUND WA 98604 810799249 NA 231919 MEDICAID TRANSFORMATION SEA-MAR COMMUNITY HEALTH CENTERS 1040 SOUTH HENDERSON ST SEATTLE WA 98108 911020139 501(C)(3) 332096 MEDICAID TRANSFORMATION/PATHWAYS CARE COORDINATION SHARE INC 2306 NE ANDRESEN RD VANCOUVER WA 98661 911205119 501(C)(3) 37500 MEDICAID TRANSFORMATION SKAMANIA COUNTY 710 SW ROCK CREEK DR STEVENSON WA 98648 916001363 LOCAL GOVERNMENT 325095 MEDICAID TRANSFORMATION/PATHWAYS CARE COORDINATION SOUTHWEST WASHINGTON COUNCIL OF GOVERNMENTS ON AGING AND DISABILITIES 201 NE 73RD ST VANCOUVER WA 98665 800884907 LOCAL GOVERNMENT 37500 MEDICAID TRANSFORMATION WASHINGTON GORGE ACTION PROGRAM 115 W STUEBEN BINGEN WA 98605 910793062 501(C)(3) 210184 PATHWAYS CARE COORDINATION WASHINGTON STATE UNIVERSITY 11768 WESTAR LN BURLINGTON WA 98233 916001108 501(C)(3) 22500 MEDICAID TRANSFORMATION WHITE SALMON VALLEY EDUCATION FOUNDATION PO BOX 2311 WHITE SALMON WA 98672 760817766 501(C)(3) 56250 MEDICAID TRANSFORMATION 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. X X 0 0 0 0 0 0 0 0 0 BARBARA WEST EXECUTIVE DIRECTOR 169615 0 0 0 0 0 5088 0 1745 0 176448 0 0 0 KIRBY RICHARDS BOARD MEMEBER 325095 KIRBY RICHARDS IS THE SKAMANIA COUNTY COMMUNITY HEALTH DIRECTOR 0 DAVID KELLY BOARD MEMEBER 37500 DAVID KELLY IS THE EXECUTIVE DIRECTOR OF AREA AGENCY ON AGING & DISABILITIES OF SW WA (AADSWA) 0 ROBB KIMMES BOARD MEMEBER 221250 ROBB KIMMES IS THE CEO OF SKYLINE HOSPITAL- AGENCIES ARE CONTRACTED PARTNERS 0 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 EXECUTIVE DIRECTOR SALARY BEFORE OFFER. THE EXECUTIVE COMMITTEE APPROVES FINANCE DIRECTOR SALARY BEFORE OFFER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUST. PART XII LINE 2C THE PROCESS FOR FINANCIAL STATEMENT OVERSIGHT HAS NOT CHANGED FROM THE PRIOR YEAR.