Thriving Together

What Thriving Together does

Thriving Together NCW is a regional nonprofit backbone organization headquartered in East Wenatchee, Washington, that advances health and wellbeing across Chelan, Douglas, Grant, and Okanogan counties in North Central Washington. Operating with 1–10 employees and governed by a volunteer board, the organization unifies a partner network spanning healthcare providers, behavioral health agencies, community-based nonprofits, tribal organizations, libraries, and educational institutions. Its methodology is grounded in the Vital Conditions Framework, which directs resources upstream toward root causes of community health challenges rather than downstream symptoms. The organization was originally established in 2017 as the North Central Accountable Community of Health (NCACH) to lead Medicaid transformation efforts and was rebranded to Thriving Together NCW on February 6, 2023, to reflect its expanded, holistic mission.

The organization's service portfolio includes the Vital Conditions Network coalition, the North Central Community Care Hub (a care coordination entry point operated in partnership with Action Health Partners and Advance), grant funding programs (Vital Conditions Grants, Cross-Sector Collaborations grants), training programs (Recovery Coach Academy, Mental Health First Aid, Motivational Interviewing, De-Escalation & Conflict Resolution, Wellness Leadership Retreat), monthly learning sessions, an annual Summit, a Legislative Advocacy Fellowship (2026–2027 cohort), and a Data & Reports platform hosting the NCW Wellbeing Survey and a shared measurement inventory. The organization does not develop proprietary technology products — its core "platform" is the human-coordinated partner network and the convening infrastructure that links grant funding, training, and care coordination across the region.

Thriving Together NCW's business model is that of a pass-through nonprofit: it secures grant funding from state, foundation, and governmental sources (disbursing over $11M to partners during 2017–2021) and redistributes a portion through competitive grant rounds to clinical, community-based, and tribal partners. Direct revenue from program fees is immaterial — most services are free to nonprofit partners, with a small handful of training workshops charging modest fees ($25 for Motivational Interviewing; $150 standard / $100 discounted for the Wellness Leadership Retreat) and a no-cost conference room available to area nonprofits. The organization earns recognition through industry awards (2024 Mary Selecky Friend of Rural Health Award to its Director of Clinical Integration, Wendy Brzezny) rather than commercial pricing power.

Name

Thriving Together

Legal name

Thriving Together NCW

Website

https://thrivingtogether.org

Company type

Private

Founded year

2023

Operating status

Operating

Headcount range

1–10 employees

Short description

Thriving Together NCW is a nonprofit backbone organization that unifies healthcare, social service, tribal, and education partners across four North Central Washington counties, distributing grant funding and coordinating care using the Vital Conditions Framework and the North Central Community Care Hub.

Ownership category

akta.pro rank

Headquarters

HQ city

East Wenatchee

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Grant Funding and Disbursements: Thriving Together NCW secures and distributes grant funding to clinical, community-based, and tribal partners. From 2017-2021, the organization disbursed over $11 million to partners engaged in Medicaid transformation and health system improvements across the four-county region. Funding opportunities are released on an ongoing basis aligned with the region's emerging strategic priorities.
2. Medicaid Transformation Project: Originally established as North Central Accountable Community of Health (NCACH), the organization was initially driven by Medicaid transformation initiatives. The Medicaid Transformation Project was extended through 2022, supporting regional health system improvements.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

Thriving Together NCW operates as a regional backbone organization that advances health and wellbeing across four North Central Washington counties (Chelan, Douglas, Grant, Okanogan) by unifying partners, distributing grant funding, coordinating care, and delivering training programs. The organization convenes healthcare providers, community-based organizations, and tribal partners to address upstream social determinants of health using the Vital Conditions Framework, and operates the North Central Community Care Hub as a centralized entry point for individuals seeking coordinated health and social services.

Product overview

Thriving Together NCW operates as a regional collaborative organization focused on advancing health and wellbeing in North Central Washington (Chelan, Douglas, Grant, and Okanogan counties). Rather than a single unified software product, the organization offers a portfolio of programs and services including the Vital Conditions Network (a coalition supporting upstream health solutions), the North Central Community Care Hub (care coordination connecting individuals to services), training programs (Recovery Coach Academy, Mental Health First Aid, Motivational Interviewing, De-Escalation & Conflict Resolution), grant funding programs (Vital Conditions Grants, Sponsorship & Event Assistance), educational programming (Learning Sessions on Vital Conditions topics), a Legislative Advocacy Fellowship, a Data & Reports platform with shared measurement inventory, and conference room reservations for nonprofits.

Differentiator

Problem solved

Functional benefit

Products and services

• Vital Conditions Network A coalition of partners across North Central Washington working to advance health and wellbeing using the Vital Conditions framework, which addresses root causes of community health challenges through upstream solutions.
• North Central Community Care Hub (CCH)

Quantifiable outcome

• Over $11 million disbursed to partners 2017-2021
• +5 more outcomes

Named customers11 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

25 partnerships are on record, tiered supporting, important, core and legacy.

• Northumberland County CouncilsupportingStrategic or Co-development Partner · 1 July 2026Partnership through Work Smart Live Well Berwick Network, designed to improve access to jobs, skills, and wellbeing support for residents and businesses in North Northumberland.
• Wenatchee River InstituteimportantStrategic or Co-development Partner · 1 January 2025Received $30,000 through the 2025 Vital Conditions Grant to continue the Traveling Naturalist in the Classroom program, bringing environmental education to fourth and fifth graders across the region. Serves nearly 700 students with special attention to schools serving low-income communities and students of color.
• Sustainable NCWimportantStrategic or Co-development Partner · 1 January 2025Awarded $20,000 through the 2025 Vital Conditions Grant for their Empowering Sustainable Change through Education and Engagement project. Partnership focuses on reducing waste, environmental education, and sustainability initiatives including the Waste Wizard tool.
• NAMI North Central WashingtonimportantStrategic or Co-development Partner · 1 January 20252025 Vital Conditions Grant supported NAMI NCWA's expansion into Grant and Okanogan counties, deepening outreach, strengthening partnerships, and creating more opportunities for community members to engage. Partnership includes advocacy support for legislative engagement.
• Methow At HomeimportantStrategic or Co-development Partner · 1 January 20252025 Vital Conditions Grant funding is helping Methow At Home strengthen and expand their Community of Care Project, supporting volunteer training in dementia support, help at home, and social respite care. Partnership enhances outreach and care coordination for older adults in the Methow Valley.
• Blue Sky MindsimportantStrategic or Co-development Partner · 1 January 2025Thriving Together NCW supported the launch of the NCW Food Council to strengthen local food systems across the region. Blue Sky Minds' work has the capacity to impact nearly 300,000 community members. Partnership includes support for gleaning programs and Indigenous food sovereignty initiatives.
• Action Health PartnerscoreStrategic or Co-development PartnerAction Health Partners is a core operational partner in the North Central Community Care Hub, collaborating with Thriving Together NCW and Advance to provide coordinated health and social services. AHP brings expertise in care coordination and direct service delivery, helping provide comprehensive plans of care for individuals seeking support through the Hub.
• AdvancecoreStrategic or Co-development PartnerAdvance is a core operational partner in the North Central Community Care Hub, collaborating with Thriving Together NCW and Action Health Partners. The organization provides recovery coaching, peer support, and workforce development services. Last year, approximately 500 individuals were connected to inpatient treatment through their efforts.
• NCW Tech AllianceimportantStrategic or Co-development PartnerPartnership to address digital equity and bridge the digital divide in North Central Washington. Brings resources and training opportunities to help ensure fair access to telehealth and digital services for rural communities where approximately 20% of residents lack reliable internet access.
• NCW LibrariesimportantStrategic or Co-development PartnerPartnership to create teleconference spaces at select library branches across the region. Libraries serve as trusted community spaces helping close digital access gaps. Teleconference rooms available at Curlew, George, Leavenworth, and Warden branches.
• North Central Accountable Community of Health (historical)legacyStrategic or Co-development PartnerThriving Together NCW was formerly known as North Central Accountable Community of Health (NCACH). The rebranding was approved by the Governing Board on February 6, 2023, to better reflect the organization's holistic approach to health and wellness beyond Medicaid transformation.
• Chelan Douglas Community Action CouncilimportantStrategic or Co-development PartnerCross-Sector Collaborations grant awarded to support CDCAC's capital campaign for a new 20,000 sq ft facility including food pantry and commercial kitchen. Organization serves 7,000 visitors monthly through food distribution at approximately 20 sites.
• Ingenium Digital Health AdvisorssupportingTechnology or IntegrationPartnership to advance telehealth capabilities in North Central Washington. Worked with clinical partners to optimize telehealth systems and establish new access points in schools, libraries, and fire stations.
• Big Bend Community CollegesupportingStrategic or Co-development PartnerCollaboration to establish a Bachelor of Applied Science Degree in Behavioral Health, increasing the region's behavioral health workforce while providing a local, accessible education pathway. Partnership includes Wenatchee Valley College.
• Wenatchee Valley CollegesupportingStrategic or Co-development PartnerCollaboration with Big Bend Community College to develop a Bachelor of Applied Science Degree in Behavioral Health to address workforce shortages in rural behavioral health.
• CAFÉ (Community for the Advancement of Family Education)supportingStrategic or Co-development PartnerPartnership with NAMI NCWA to host a monthly bilingual support group, merging mental health support models with CAFÉ's deep connections to culturally diverse communities in North Central Washington.
• Methow Valley School DistrictsupportingStrategic or Co-development PartnerLocal high school students can earn volunteer credit by helping older adults with yard work and projects through Methow At Home partnerships, creating intergenerational connections.
• Western Washington University's Sustainability Pathways programsupportingStrategic or Co-development PartnerPartnership creating opportunities for students to engage with Methow At Home and contribute to community programs, strengthening connections across generations.
• Okanogan County Community Action CouncilsupportingStrategic or Co-development PartnerBlue Sky Minds collaborated with Okanogan County Community Action Council, Washington Gleaning Network, and local farmers on the gleaning program that rescues surplus produce and shares it with families in need.
• Confederated Tribes of the Colville ReservationsupportingStrategic or Co-development PartnerPartnership with Blue Sky Minds on revitalization of Inchelium Red Garlic, a culturally important Indigenous food. Initiative supports food sovereignty, intergenerational learning, and Tribal-led agriculture across the Colville Reservation.
• Room OnesupportingStrategic or Co-development PartnerSocial service organization in Methow Valley celebrating 25 years of advocacy for health and wellbeing. Partnership supports community events and block celebrations.
• Chelan Douglas Land TrustsupportingStrategic or Co-development PartnerPartnership supporting conservation efforts and the Mindful Mondays series of outdoor mindfulness sessions as part of CDLT's 40th anniversary celebration, advancing the Thriving Natural World vital condition.
• The Center for Alcohol and Drug TreatmentsupportingStrategic or Co-development PartnerPartnership through Alano Club membership program. The Center purchased Alano Club memberships so patients can participate in activities, with several patients subsequently registering for their own memberships.
• Alano Club of WenatcheesupportingStrategic or Co-development PartnerThriving Together NCW supported Alano Club's 25th anniversary block party and continues partnership through recovery initiatives. The club provides a safe environment for individuals seeking addiction recovery.
• Columbia Valley Community HealthsupportingStrategic or Co-development PartnerHealthcare partner providing services at Pinnacles Prep through Mobile Connect Clinic, offering sports physicals, immunizations, and well-child exams at the school campus.

Scale indicators8 records

Recent moves7 records

Expansion highlights5 records

Others

• Prevention Institute: Prevention Institute is a national nonprofit that develops frameworks and tools (including upstream health equity approaches similar to the Vital Conditions framework used by Thriving Together NCW) and partners with backbone organizations to advance community wellbeing. Thematically and methodologically adjacent rather than a direct competitor.

Direct peers

• North Sound Accountable Community of Health: North Sound ACH serves a five-county region in northwest Washington as a backbone organization convening clinical, community, and tribal partners for Medicaid transformation and whole-person health. Directly comparable in ACH model and rural/mixed regional delivery.
• Cascade Pacific Action Alliance: Cascade Pacific Action Alliance is a Washington State ACH serving a multi-county region, convening health, behavioral health, and social service partners to drive Medicaid transformation and community health. Directly comparable to Thriving Together NCW as a regional ACH with a similar multi-county footprint.
• Southwest Washington Accountable Community of Health: Southwest Washington ACH convenes partners across Cowlitz, Clark, Klickitat, Skamania, and Wahkiakum counties to advance Medicaid transformation and community health. Comparable to Thriving Together NCW in ACH backbone structure, multi-county regional focus, and grant-disbursing role.
• Better Health Together: Better Health Together is a Washington State Accountable Community of Health serving the Spokane region, functioning as a backbone/convener organization for cross-sector health initiatives. It is the closest operational peer to Thriving Together NCW (formerly NCACH) given the shared ACH model, Medicaid transformation history, and multi-county regional structure.
• Olympic Community of Health: Olympic Community of Health is a Washington State ACH serving the Olympic Peninsula, functioning as a backbone organization to align health and social service partners around Medicaid transformation. Comparable to Thriving Together NCW in rural regional focus and ACH-driven backbone structure.
• Elevate Health: Elevate Health is the Accountable Community of Health for Pierce County, Washington, coordinating cross-sector partners to advance whole-person health and health equity. Directly comparable to Thriving Together NCW in backbone/ACH model and mission alignment.
• HealthierHere: HealthierHere is the Accountable Community of Health for King County, Washington, coordinating cross-sector partners to advance health equity and Medicaid transformation. Highly comparable to Thriving Together NCW in backbone function, though operating in a much larger urban/suburban market.

Regional players

• United Way of Chelan and Douglas Counties: United Way of Chelan and Douglas Counties operates in the same North Central Washington region as Thriving Together NCW, convening nonprofit partners and distributing funds to advance community health and wellbeing. A regional peer with overlapping funder/convener role but operating in the broader United Way model.

Emerging players

• Foundation for Healthy Generations: Foundation for Healthy Generations is a Washington-based nonprofit that works to improve health equity through community partnerships and policy advocacy. Comparable to Thriving Together NCW in regional health equity and policy advocacy orientation, though operating at a state level rather than multi-county regional backbone.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/thrivingtogetherncw
• LinkedInlinkedin.com/company/thrivingtogetherncw

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Thriving Together