Southwest Washington Regional Health Alliance
Southwest Washington Regional Health Alliance, which identifies itself as Southwest Washington Accountable Community of Health (SWACH), is a public charity based in Vancouver, Washington. It supports community-based organizations and partnerships working to improve health equity and whole-person well-being in Southwest Washington.
Key facts about Southwest Washington Regional Health Alliance
In short: Southwest Washington Regional Health Alliance gave $4.3M across 25 grants in 2024 (avg $171K), mostly in Washington. 20% of 2024 grantees were new. Source: 2024 IRS Form 990.
- EIN
- 46-2164971
- Latest 990 filing
- Form 990, 2024
- Annual giving (2024)
- $4,279,303
- Grants made (2024)
- 25
- Average grant
- $171,172
- Median grant
- $102,812
- New grantees (estimate)
- 20% first-time grantees (5 of 25, 2024)
- Total assets
- $28,926,909
- Primary geography
- Washington (98% of itemized 2024 grant dollars)
- How to apply
- No opportunities are currently listed as open. Full details ↓
- Deadline
- The past rural-health RFP deadline was February 14, 2025.
Data from IRS Form 990, 2024; updated October 2026. New grantees are estimated by matching recipient names across years (methodology). Application details from Grantable's research on the foundation's public materials; confirm on its website before applying.
Financial Overview
From 2024 IRS Form 990 · View filing
Total Assets
$28.9M
+43.0% YoY
Annual Giving
$4.3M
-28.6% YoY
Grant Count
25
-21.9% YoY
Avg Grant Size
$171K
-8.7% YoY
Is Southwest Washington Regional Health Alliance open to new grantees?
20%
first-time grantees, 2024
In 2024, 5 of 25 grantees (20%) were first-time recipients. First grants averaged $51K; repeat grants $201K. How we count
Medians: $25K first-time, $136K repeat.
Estimate from itemized grant lists in IRS Form 990 filings (2020–2024). Recipient names are matched across years, so a renamed or misspelled grantee can look new; grants to individuals are left out. Methodology.
Mission & Focus Areas
SWACH’s stated mission is to pursue health equity and uplift communities in Clark, Klickitat, and Skamania counties through partnership and innovation, addressing barriers to well-being and supporting sustainable initiatives that promote health and wellness. Its priorities include community-driven outcomes, equitable systems change, and supporting community partners and members.
The 2024 filing describes the HealthConnect Hub as connecting people across Southwest Washington with care through a trained community-based workforce that provides one-on-one support. The filing also describes SWACH’s naloxone vending-machine program, including a Clark County Jail location opened in 2024 that provides free naloxone to people with justice-system involvement.
The 2024 grants largely supported Medicaid Transformation Project Pathways and related work. The grantees’ own descriptions illustrate the range of organizations supported: Washington Gorge Action Programs describes itself as a human-service organization addressing basic needs; SHARE says it works on equitable access to housing and food stability; and Outsiders Inn describes peer-led homelessness services and shelter programs with a recovery-focused model. Other recipients include Youth and Family Link, which works to connect children and families with resources, and behavioral-health and community-health organizations.
Grantmaking
In 2024, SWACH reported 25 grants totaling $4,279,303. Grant amounts ranged from $20,000 to $636,416, with a median of $102,812. The largest awards included $636,416 to Washington Gorge Action Programs for Medicaid Transformation Project Pathways and Community Impact Project; $548,919 to Vancouver Housing Authority for Medicaid Transformation Project Pathways; $401,690 to Lutheran Community Services Northwest for Medicaid Transformation Pathways; and $391,179 to SHARE for Medicaid Transformation Project Pathways. Other large awards included $322,188 to Outsiders Inn and $286,603 to Youth and Family Link.
SWACH also partners with the Community Foundation of Southwest Washington as a significant funder of the Social Justice Resiliency Fund. The fund supports rapid-response work addressing challenges affecting historically marginalized and underserved communities in Clark, Cowlitz, and Skamania counties, including operating support, systems-change and advocacy work, and organizational capacity-building for equity work.
The funding page lists no open opportunities. Past opportunities include a rural-health RFP issued January 6, 2025, with applications due February 14, 2025. It allowed applications by online form, Word document, or video, with a budget required; applications were to be reviewed by a selection committee of community members. A Klickitat County opioid-settlement RFP released October 6, 2025, offered $288,655 total for eligible organizations serving Klickitat County and projects aligned with approved opioid-settlement strategies. The listed priorities included treatment access, prevention, harm reduction, and recovery support.
Review Cycle
The past rural-health RFP deadline was February 14, 2025. The past Klickitat County opioid-settlement RFP deadline was October 31, 2025, at 5 p.m.
How to Apply
No opportunities are currently listed as open. The past rural-health RFP accepted applications by form, Word document, or video, with a budget submission. The past Klickitat County RFP was limited to organizations serving that county with projects aligned to approved opioid-settlement strategies.
Open Grants
1 open opportunity from Southwest Washington Regional Health Alliance
Ready to take the next step with Southwest Washington Regional Health Alliance?
Geographic Focus
Where this funder awards grants
SWACH states that it works in Clark, Klickitat, and Skamania counties. Its 2024 grant dollars went primarily to Washington recipients (98%) and also to Oregon recipients (2%). The Klickitat County opioid-settlement RFP was restricted to organizations serving Klickitat County.
Grant Distribution by State
Share of 2024 grant dollars across all 25 itemized grants.
States
Cities
Giving Over Time
Total grant dollars and number of grants per year
From 2020 to 2024, annual grant giving ranged from $1.5M (2021) to $8.3M (2020). In 2024 it made 25 grants totaling $4.3M.
Grant Insights
How this funder distributes its grants
Top Recipients
Top 10 recipients in 2024
The largest 2024 recipient was Washington Gorge Action Programs ($636K). Together the top 10 received $3.3M.
Grant Size Distribution
125 grants across all recorded years
The most common grant size was in the $100–250K range: 39 grants of 125 (31%).
Giving History
Grant recipients and amounts by year
| Recipient | Purpose | Amount |
|---|---|---|
| Washington Gorge Action Programs Bingen, WA | Medicaid Transformation Project Pathways & Community Impact Project | $636,416 |
| Vancouver Housing Authority Vancouver, WA | Medicaid Transformation Project Pathways | $548,919 |
| Lutheran Community Services Northwest Seatac, WA | Medicaid Transformation Pathways | $401,690 |
| Share Inc Vancouver, WA | Medicaid Transformation Project Pathways | $391,179 |
| Outsiders Inn Vancouver, WA | Medicaid Transformation Project Pathways | $322,188 |
| Youth and Family Link Longview, WA | Medicaid Transformation McAw / Comagine | $286,603 |
| Sea-Mar Community Health Centers Seattle, WA | Medicaid Transformation Project Pathways | $234,009 |
| Lifeline Connections Vancouver, WA | Medicaid Transformation Pathways | $166,206 |
| Community Foundation of SW Washington Vancouver, WA | Medicaid Transformation Project Social Justice Resiliency Fund | $150,000 |
| Columbia River Mental Health Services Vancouver, WA | Medicaid Transformation Project Pathways | $146,892 |
Financial History
Multi-year comparison from IRS filings
| Filing year | Assets | Revenue | Expenses | Grants |
|---|---|---|---|---|
| 2024 | $28,926,909 | $14,935,654 | $8,578,832 | $4,279,303 |
| 2023 | $20,232,995 | $7,440,397 | $10,082,915 | $5,997,442 |
| 2022 | $22,446,781 | $10,898,359 | $9,046,873 | $2,800,364 |
| Metric | 2024 | 2023 | 2022 |
|---|---|---|---|
| Total Assets | $28,926,909 | $20,232,995 | $22,446,781 |
| Revenue | $14,935,654 | $7,440,397 | $10,898,359 |
| Expenses | $8,578,832 | $10,082,915 | $9,046,873 |
| Net Investment Income | $633,184 | $390,848 | $68,425 |
Data update history
When this profile's IRS filing data changed on Grantable
- Updated Form 990 for fiscal year 2020 (received by the IRS November 15, 2021)
- Updated Form 990 for fiscal year 2021 (received by the IRS November 15, 2022)
- Updated Form 990 for fiscal year 2022 (received by the IRS November 13, 2023)
- Updated Form 990 for fiscal year 2023 (received by the IRS November 14, 2024)
- Updated Form 990 for fiscal year 2024 (received by the IRS November 10, 2025)
- IRS filings on file for fiscal years 2020–2024
Leadership & Key People
Leadership team and compensation from IRS filings
The 2024 filing lists Andy Tucker as president, Tamara Cissel as vice president, Jackie Esperance as treasurer, and Dawn Tolotti as secretary. Trustees listed were Adriana Linares, Andrea Pruett, Quinton Harold, Susan Stearns, Karyn Kameroff, and Kathie Olson.
Southwest Washington Regional Health Alliance is led by Nichole Peppers, Executive Director on filings since 2022; 5 of 17 officers listed in 2024 are compensated.
Officers on the 2024 filing
Nichole Peppers
Executive Director
On filings since 2022
40 hrs/week
$150K (2022) → $198K (2024)
Andy Tucker
President
Trustee → Vice President, 2023
Vice President → President, 2024
On filings since 2020
2 hrs/week
No compensation reported
Edward Gallagher
Director of Finance & Operations
On filings since 2023
40 hrs/week
$127K (2023) → $140K (2024)
Michelle Ahmed
Director of Healthconnect Hub
On filings since 2023
40 hrs/week
$101K (2023) → $123K (2024)
Ashley Gaffney
Director of Community Health Improvement
New on the 2024 filing
40 hrs/week
$116K (2024)
Andrea Pruett
Trustee
On filings since 2021
1 hr/week
No compensation reported
Quinton Harold
Trustee
On filings since 2021
1 hr/week
No compensation reported
Susan Stearns
Trustee
On filings since 2021
1 hr/week
No compensation reported
Adriana Linares
Trustee
On filings since 2022
1 hr/week
No compensation reported
Karyn Kameroff
Trustee
On filings since 2022
1 hr/week
No compensation reported
Erinn Quinn
Trustee
New on the 2024 filing
1 hr/week
No compensation reported
Kathie Olson
Trustee
New on the 2024 filing
1 hr/week
No compensation reported
Rebecca O'Brien
Trustee
New on the 2024 filing
1 hr/week
No compensation reported
Ryan Carrillo
Senior Communications Officer
New on the 2024 filing
40 hrs/week
$106K (2024)
Dawn Tolotti
Secretary
President → Trustee, 2023
Trustee → Secretary, 2024
On filings since 2020
1 hr/week
No compensation reported
Tamara Cissel
Vice President
Trustee → Vice President, 2024
On filings since 2022
2 hrs/week
No compensation reported
Jackie Esperance
Treasurer
On filings since 2023
2 hrs/week
No compensation reported
Former officers (23)
- Former: Eric McNair Scott (2020–2023) — Program Director
- Former: Robb Kimmes (2020–2023) — President
- Former: Nichole Webster (2021–2023) — Executive Director
- Former: Worku Negussie (2021–2023) — Trustee
- Former: Matania Osborn (2022–2023) — Secretary
- Former: Sarah Dryfoos-Guss (2023) — Director of Equity & Collaborative Impact
- Former: Kevin Witte (2020–2022) — Treasurer
- Former: Barbara West (2020–2021) — Former Executive Director
- Former: Connie Mom-Chhing (2020–2021) — Trustee
- Former: David Kelly (2020–2021) — Trustee
- Former: Karen Stral (2020–2021) — Secretary
- Former: Kirby Richards Lcsw (2020–2021) — Trustee
- Former: Steve Kutz (2020–2021) — Trustee
- Former: Alanna Hein (2021) — Interim Director
- Former: Jason Burton (2021) — Interim Director of Finance
- Former: Kimberly Lepin (2021) — Transformation Improvement Director
- Former: Sarah Brewer (2021) — Trustee
- Former: Daniel Fontoura (2020) — Trustee
- Former: John Moren (2020) — Trustee
- Former: Jon Hersen (2020) — Trustee
- Former: Molly Haynes (2020) — Deputy Director
- Former: Roxanne Wolf (2020) — President
- Former: Susan Crandall (2020) — Director of Finance
Data from IRS Form 990 filings, 2020–2024. "On filings since" is the earliest filing we hold that lists the person; hours are average hours per week as reported.
Compensation Overview
From 2024 IRS filing
The highest reported compensation on the 2024 filing was $198K, to Nichole Peppers (Executive Director). 5 officers or directors reported compensation on that filing.
Contact
Mailing address: 311 W 11Th St B, Vancouver, WA 98660
Phone: (360) 828-7319
Frequently asked questions about Southwest Washington Regional Health Alliance
How much does Southwest Washington Regional Health Alliance give each year?
Southwest Washington Regional Health Alliance gave $4.3M across 25 grants in 2024, according to its 2024 IRS Form 990. In 2023 it gave $6.0M across 32 grants.
What is Southwest Washington Regional Health Alliance's typical grant size?
Southwest Washington Regional Health Alliance's median grant in 2024 was $102,812, and its average grant was $171,172, across 25 grants on its 2024 IRS Form 990. Organizations receiving their first grant from Southwest Washington Regional Health Alliance that year got $51K on average.
Where does Southwest Washington Regional Health Alliance give grants?
Southwest Washington Regional Health Alliance gives mostly in Washington: 98% of the grant dollars itemized on its 2024 IRS Form 990 went to recipients there. The most frequent recipient cities were Vancouver, WA (13 grants).
Does Southwest Washington Regional Health Alliance give general operating support?
Not in 2024: none of the 25 grants with a stated purpose on Southwest Washington Regional Health Alliance's 2024 IRS Form 990 were described as general or operating support. Recurring purposes include "Medicaid Transformation Project Pathways" (12 grants).
Who are Southwest Washington Regional Health Alliance's largest grantees?
Southwest Washington Regional Health Alliance's largest 2024 grantees include Washington Gorge Action Programs ($636,416), Vancouver Housing Authority ($548,919) and Lutheran Community Services Northwest ($401,690), according to its 2024 IRS Form 990. Together they received 37% of its itemized 2024 grant dollars.
How large is Southwest Washington Regional Health Alliance?
Southwest Washington Regional Health Alliance reported $28.9M in total assets on its 2024 IRS Form 990. Its revenue that year was $14.9M.
What does Southwest Washington Regional Health Alliance fund?
SWACH’s stated mission is to pursue health equity and uplift communities in Clark, Klickitat, and Skamania counties through partnership and innovation, addressing barriers to well-being and supporting sustainable initiatives that promote health and wellness. See mission & focus areas ↑
How do I apply for a grant from Southwest Washington Regional Health Alliance?
No opportunities are currently listed as open. Eligibility and process details are in the grantmaking section of this profile. See how to apply ↑
What is Southwest Washington Regional Health Alliance's EIN?
Southwest Washington Regional Health Alliance's EIN (Employer Identification Number) is 46-2164971. IRS Form 990 filing data is available on this page for 2020–2024.
Data last updated October 2026. Sourced from IRS Form 990 filings. Research dossier generated October 2026.
Here's the math on researching Southwest Washington Regional Health Alliance by hand.
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