Southwest Washington Accountable Community of Health

What Southwest Washington Accountable Community of Health does

Southwest Washington Accountable Community of Health (SWACH) is a nonprofit regional health organization founded in 2015 and headquartered at 311 W 11th St in Vancouver, Washington. It operates as one of Washington's designated Accountable Communities of Health under the Medicaid 1115 Demonstration Waiver, serving Clark, Klickitat, and Skamania counties. SWACH runs three core programs: the HealthConnect Hub, a care coordination network of 17+ Community-Based Organizations (including Sea Mar, Legacy Salmon Creek, Lifeline Connections, YWCA, Vancouver Housing Authority, and Council for the Homeless) deploying Community-Based Workers to connect individuals with physical health, behavioral health, and social services; the Equity and Collaborative Impact (ECI) department, which leads community engagement and advocacy (Coffee Hours, Coffee Tour, Community Voice & Equity Committee, advocacy days); and the Community Health Improvement (CHI) department, launched February 2024 to address rural health networks, opioid and substance use disorder, and community paramedicine.

Name

Southwest Washington Accountable Community of Health

Legal name

Southwest Washington Accountable Community of Health

Website

https://southwestach.org

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

Southwest Washington Accountable Community of Health (SWACH) is a Vancouver, Washington-based nonprofit Accountable Community of Health serving Clark, Klickitat, and Skamania counties. It coordinates care through its HealthConnect Hub partner network, runs rural harm reduction and equity programs, and administers regional opioid settlement funds.

Ownership category

akta.pro rank

Product category

Community Health Coordination

NAICS

Individual and Family Services (6241), Other Individual and Family Services (624190), Emergency and Other Relief Services (624230)

SIC

Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

Local Public Health & Human Services Administration (BPAIACAK)

Keywords

• Community health coordination
• Care coordination services
• Harm reduction programs
• Health equity advocacy
• Opioid response programs

Headquarters

HQ city

Vancouver

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Transformation Project (MTP 2.0) Waiver Funding: SWACH's primary funding mechanism is the Medicaid Transformation Project 2.0, a five-year renewal of the 1115 Medicaid Waiver between the Washington Health Care Authority (HCA) and the Centers for Medicare & Medicaid Services (CMS). This waiver funds SWACH's work addressing health-related social needs (HRSN), behavioral health supports, and sustaining community hubs. The waiver began after the initial MTP ended on June 30, 2023.
2. HRSA Rural Communities Opioid Response Program (RCORP) Funding: Federal grant funding through the Health Resources and Services Administration's Rural Communities Opioid Response Program, awarded to expand local overdose prevention, harm reduction, and recovery support efforts across Klickitat and Skamania counties. Activities include increasing naloxone and fentanyl test strip availability, expanding wraparound care coordination through the HealthConnect Hub, and developing the Community Asset Map.
3. Clark County Opioid Abatement Council Funding: SWACH received over $50,000 from the Clark County Opioid Abatement Council to support the network of Narcan vending machines, provide medical and harm reduction supplies, and implement youth prevention training in Clark County.
4. Klickitat Opioid Settlement Funds Administration: SWACH serves as the pass-through administrator and fund distributor for Klickitat Opioid Settlement Funds, convening and facilitating the Klickitat County Opioid Abatement Council (OAC) application and selection process, then distributing funds to selected recipients including Goldendale Firefighters Association, Klickitat County Department of Corrections, Klickitat Valley Health, One Community Health, The Next Door, and Washington Gorge Action Programs.
5. HealthConnect Network Partner Funding: SWACH provides funding and support to Community-Based Organizations through the HealthConnect Hub network. Partner agencies receive funding for Community-Based Worker and Supervisor positions, training, technical assistance, networking and workforce development opportunities, and administrative support. New expansion partners (Latino Leadership NW, The Foundation, Sakura 39ers Youth Association, Thrive2Survive, Janus Youth Programs) were awarded funding through a competitive process.
6. Social Justice Resiliency Fund Partnership: SWACH partners as a significant funder of the Social Justice and Resiliency Fund, administered by the Community Foundation of Southwest Washington, which provides rapid-response funding to organizations led by Black, Indigenous, or People of Color, culturally specific organizations, and coalitions focused on systemic change, policy, advocacy, and capacity building.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

SWACH is a nonprofit Accountable Community of Health that coordinates care, distributes grant and opioid settlement funds, and operates harm-reduction programs across Clark, Klickitat, and Skamania counties in Southwest Washington. It runs the HealthConnect Hub (care coordination via a network of Community-Based Organizations), the Equity and Collaborative Impact department (community engagement, advocacy, and Tribal liaison work), and Community Health Improvement (rural health, opioid response, and naloxone access). All services are provided free of charge to community members, funded through federal and state grants, Medicaid waiver dollars, and pass-through opioid settlement funds.

Product overview

SWACH operates as a nonprofit regional organization offering a coordinated suite of community health programs and services. The core offerings include the HealthConnect Hub (care coordination network), Community Health Improvement (CHI - rural health and opioid response), and Equity and Collaborative Impact (ECI - community engagement and advocacy). Additional products include a network of naloxone vending machines for harm reduction and an interactive Community Asset Map for resource navigation. These programs work together to advance health equity and whole-person wellness across Clark, Klickitat, and Skamania counties.

Differentiator

Problem solved

Functional benefit

Brands

• HealthConnect Hub: A network connecting anyone in Southwest Washington to care through community-based workforce providing one-on-one support to achieve health goals.
• Equity and Collaborative Impact (ECI)
• Community Health Improvement (CHI)

Products and services

• HealthConnect Hub A network of Community-Based Organizations providing care coordination services that connects any community member in Southwest Washington to resources spanning physical health, behavioral health, and social services through referrals and Community-Based Workers. Services are free and confidential with no referral required.
• Equity and Collaborative Impact (ECI) Department leading efforts to build and sustain collaborative partnerships to promote health equity and whole-person wellness in Southwest Washington through regional community engagement, coalition building, and strategic technical assistance. Includes the Coffee Hours, Coffee Tour, and Tribal liaison work.
• Community Health Improvement (CHI) Department aiming to improve health equity and access to quality healthcare that integrates behavioral and physical health across Southwest Washington while strengthening a robust rural health network. Handles opioid and substance use disorder initiatives and the HRSA RCORP program.
• Naloxone Vending Machine Network Network of free naloxone vending machines across Clark, Klickitat, and Skamania counties providing free naloxone (both intranasal and intramuscular) and other harm reduction materials at partner sites including hospitals, recovery centers, county jails, and rural health clinics. Distribution is expanding through new 24/7 outdoor kiosk placements.
• Community Asset Map Interactive digital map and directory of community resources across Clark, Klickitat, and Skamania counties that helps residents, partners, and professionals find services, programs, and places that support health and well-being. Categories include healthcare, behavioral health, recovery, housing, food, transportation, and community events. Partners can submit new assets via a contribution form.

Quantifiable outcome

• Over 2,400 naloxone kits distributed through the vending machine network between 2023 and 2025
• +4 more outcomes

Named customers17 records

Segments9 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature2 records

Partnerships

36 partnerships are on record, tiered core, flagship and minor.

• Latino Leadership NWcoreStrategic or Co-development Partner · 15 June 2026Awarded HealthConnect Hub partner in June 2026 network expansion focused on serving youth and individuals re-entering the community after incarceration, with emphasis on language access given that language barriers are among the biggest barriers to care.
• The Foundation (Washington)coreStrategic or Co-development Partner · 15 June 2026Awarded HealthConnect Hub partner in June 2026 network expansion serving priority populations.
• Sakura 39ers Youth AssociationcoreStrategic or Co-development Partner · 15 June 2026Awarded HealthConnect Hub partner in June 2026 network expansion focused on serving youth and young adults.
• Thrive2SurvivecoreStrategic or Co-development Partner · 15 June 2026Awarded HealthConnect Hub partner in June 2026 network expansion serving individuals in need.
• Janus Youth ProgramscoreStrategic or Co-development Partner · 15 June 2026Awarded HealthConnect Hub partner in June 2026 network expansion focused on serving youth and individuals re-entering the community after incarceration.
• Coalition of Accountable Communities of HealthflagshipStrategic or Co-development Partner · 24 March 2026SWACH's former Executive Director Nichole Peppers transitioned on January 1, 2026 to become the first Executive Director of the Coalition of Accountable Communities of Health — a statewide coalition of Washington's ACHs. SWACH remains connected through its ongoing participation in the Coalition's leadership and statewide ACH coordination.
• Multicultural Community Advisory Workforce (MCAW)minorStrategic or Co-development Partner · 31 December 2025MCAW was a cohort of local leaders, cultural brokers, and partner organizations that supported community health across Southwest Washington from 2021 to 2025. Funded by a federal HRSA grant, MCAW members included Ruby Sparks (Youth and Family Link), Phung Ojala, Irina Kofova, Olena Lupyn, Tareva Narruhn, and Bridgette Fahnbulleh. MCAW was sunset at the close of 2025 due to a changing funding landscape.
• Clark County Jail ServicescoreStrategic or Co-development Partner · 26 March 2024Clark County Jail Services partnered with SWACH and Carelon to install a naloxone vending machine in the jail's public lobby. The jail also issues naloxone to all corrections officers, provides MOUD treatment, and issues naloxone at release. Over 53% of the jail population experiences OUD compared to 7% of the general non-incarcerated population.
• Carelon Behavioral HealthcoreGTM or Marketing PartnerSWACH partners with Carelon to provide naloxone vending machines across Clark, Klickitat, and Skamania counties. Carelon supports the network as a key behavioral health partner enabling the free distribution of naloxone and harm reduction materials at partner sites.
• Washington Gorge Action Programs (WAGAP)coreStrategic or Co-development PartnerWAGAP is a HealthConnect Integrated Partner agency providing social services in Klickitat County. WAGAP is a recipient of Klickitat Opioid Settlement Funds for Recovery Training and Support, and WAGAP organized the El Grito Festival in White Salmon where SWACH tabled.
• Share (Vancouver)coreStrategic or Co-development PartnerShare is a HealthConnect Integrated Partner providing syringe access, disposal, wound care, safer sex supplies, and outreach services in Clark County. Share's naloxone kiosks are included in SWACH's interactive map of public access sites.
• Lutheran Community Services NorthwestcoreStrategic or Co-development PartnerLutheran Community Services is a HealthConnect Integrated Partner agency providing behavioral health and social services in Southwest Washington.
• YWCA Clark CountycoreStrategic or Co-development PartnerYWCA Clark County is a HealthConnect Integrated Partner agency and hosts community-based workforce events for SWACH. YWCA provides services for women, children, and families in Clark County.
• Sea Mar Community Health CenterscoreStrategic or Co-development PartnerSea Mar Community Health Centers is a HealthConnect Integrated Partner providing integrated physical health, behavioral health, and social services at federally qualified health center sites.
• Skamania County Community HealthcoreStrategic or Co-development PartnerSkamania County Community Health is a HealthConnect Integrated Partner and county health department providing community health services in rural Skamania County.
• Lifeline ConnectionscoreStrategic or Co-development PartnerLifeline Connections is a HealthConnect Integrated Partner providing mental health and substance use disorder services. Hosts a naloxone vending machine at its VA Campus location in Vancouver.
• Vancouver Housing AuthoritycoreStrategic or Co-development PartnerVancouver Housing Authority is a HealthConnect Integrated Partner providing housing support and services in Clark County, addressing housing stability as a social determinant of health.
• Outsiders InncoreStrategic or Co-development PartnerOutsiders Inn is a HealthConnect Integrated Partner providing recovery housing and support services in Clark County. Won the 2025 HealthConnect Community Innovation award.
• Council for the HomelesscoreStrategic or Co-development PartnerCouncil for the Homeless is a HealthConnect Integrated Partner coordinating with SWACH on the Regional Housing Forum and Housing and Homelessness Advocacy Day.
• Area Agency on Aging and DisabilitiescoreStrategic or Co-development PartnerArea Agency on Aging and Disabilities is a HealthConnect Integrated Partner serving seniors and people with disabilities in Clark County.
• The Next Door, Inc.coreStrategic or Co-development PartnerThe Next Door is a HealthConnect Integrated Partner serving the Columbia Gorge region and is a recipient of Klickitat Opioid Settlement Funds for the Columbia Gorge Pride Alliance (CGPA) Opioid Community Prevention project.
• Bridgeview Resource CentercoreStrategic or Co-development PartnerBridgeview Resource Center connects low-income individuals and families to resources for self-reliance, including housing, healthcare, education, and employment. Added as a HealthConnect Hub expansion partner.
• The Child and Adolescent CliniccoreStrategic or Co-development PartnerThe Child and Adolescent Clinic is a HealthConnect Hub expansion partner focused on advancing patient-centered medical home, behavioral health integration, and addressing social determinants of health for children and families.
• Columbia River Mental Health Services (CRMHS)coreStrategic or Co-development PartnerCRMHS is a HealthConnect Hub expansion partner providing tailored mental health, behavioral health, and substance abuse disorder services in the region.
• The Free Clinic of Southwest WashingtoncoreStrategic or Co-development PartnerThe Free Clinic of Southwest Washington is a HealthConnect Hub expansion partner providing free, compassionate, quality healthcare for community members unable to obtain services elsewhere.
• One Community HealthcoreStrategic or Co-development PartnerOne Community Health is a free naloxone vending machine site and HRSA RCORP partner providing Mobile Health and Recovery Services for rural Klickitat County. Also hosts naloxone kiosk at its Northshore location in Stevenson (Skamania County).
• Klickitat Valley HealthcoreStrategic or Co-development PartnerKlickitat Valley Health is a free naloxone vending machine site, a recipient of Klickitat Opioid Settlement Funds for Community Wellness Advocacy, and a key partner in rural healthcare access in Klickitat County.
• Washington State University Elson S. Floyd College of MedicineminorStrategic or Co-development PartnerWSU Medical School invited SWACH's Community Health Improvement Specialist Janyce Richardson to deliver naloxone training to medical students for the second consecutive year (2025-2026), reflecting growing interest from academic medical settings to incorporate harm reduction education.
• Native Action Network (NAN)coreStrategic or Co-development PartnerSWACH partners with NAN — a statewide Native-led advocacy organization founded by Washington State Senator Claudia Kaufman — to advance policy for Medicaid waiver recognition and reimbursement of Tribal healing practices. Through this partnership, SWACH supports legislation to make Tribal healing services more sustainable and accessible.
• Washington Low Income Housing Alliance (WLIHA)coreStrategic or Co-development PartnerSWACH partners closely with WLIHA around housing justice. SWACH hosted WLIHA's 2026 Community Housing Forum in Vancouver as part of WLIHA's statewide listening tour. WLIHA coordinates advocacy days and policy efforts on housing stability.
• Council for the Homeless, Odyssey World International, Southwest Washington Equity Coalition (SWEC)coreStrategic or Co-development PartnerThese four organizations (including SWACH) partnered to coordinate the trip to Housing and Homelessness Advocacy Day 2026 at the Washington State Capitol, supporting community member participation and centering lived experience in policy conversations.
• Community Foundation of Southwest WashingtonminorStrategic or Co-development PartnerSWACH partners as a significant funder of the Social Justice and Resiliency Fund, administered by the Community Foundation of Southwest Washington, which provides rapid-response grants to BIPOC-led organizations and coalitions focused on systemic change and equity work.
• Washington State Health Care Authority (HCA)flagshipStrategic or Co-development PartnerThe HCA is SWACH's primary state government partner for the Medicaid Transformation Project 2.0 (MTP 2.0), the five-year 1115 Medicaid Waiver renewal that funds much of SWACH's operations and programs including the HealthConnect Hub and care coordination.
• Washington State Department of HealthminorStrategic or Co-development PartnerThe Washington State Department of Health partners with SWACH on overdose education and naloxone distribution, including the Overdose Education and Naloxone Distribution program that supplies naloxone to the Clark County Jail.
• Other Accountable Communities of Health (ACHs) in Washington StatecoreStrategic or Co-development PartnerSWACH collaborates with peer ACHs across Washington State on shared policy goals, 1115 waiver monitoring, and systems-level work. The Coalition of Accountable Communities of Health (led by former SWACH ED Nichole Peppers) formalizes this collaboration.
• Youth and Family LinkminorStrategic or Co-development PartnerYouth and Family Link is a partner organization whose Community-Based Worker Ruby Sparks was part of the MCAW cohort, providing outreach, education, navigation, and culturally rooted wellness activities including laughter yoga and dance-for-health programs.

Scale indicators11 records

Recent moves10 records

Expansion highlights7 records

Direct peers

• Cascade Pacific Action Alliance: Washington State ACH serving Cowlitz, Grays Harbor, Lewis, Mason, Pacific, Thurston, and Wahkiakum counties. Directly comparable ACH structure serving a mix of rural and urban counties, including Cowlitz which borders SWACH's Clark County.
• Better Health Together: Designated Accountable Community of Health for Eastern Washington under the same state Medicaid 1115 waiver framework. Directly comparable as a regional ACH administering care coordination, hub networks, and opioid response funding across multiple counties.
• North Sound Accountable Community of Health: Designated ACH serving Island, San Juan, Skagit, Snohomish, and Whatcom counties in Washington. Same ACH model, same MTP 2.0 waiver funding source, and overlapping programs in care coordination, behavioral health, and opioid response.
• Greater Columbia Accountable Community of Health: Designated ACH for Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Walla Walla, and Yakima counties in southeastern Washington. Closely comparable rural-heavy ACH using MTP 2.0 waiver for care coordination and opioid response.
• King County Accountable Community of Health: Designated ACH for King County, the largest ACH region in Washington. Operates with the same MTP 2.0 waiver mechanics, though with materially larger budget and partner network; useful for scaling benchmarks.
• Pierce County Accountable Community of Health: Designated ACH for Pierce County, Washington operating under the same state 1115 Medicaid waiver. Closely comparable in scope and revenue model (waiver-funded care coordination and equity programs).

Broad incumbents

• Community Health Network of Washington: Washington State association of community health centers, many of which are HealthConnect Hub partners (e.g., Sea Mar). Overlapping mission in serving Medicaid priority populations and a comparable statewide footprint in community health delivery.

Others

• Coalition of Accountable Communities of Health: Statewide coalition of Washington's ACHs, now led by SWACH's former Executive Director Nichole Peppers. Not a direct competitor but a peer ecosystem organization that coordinates ACH policy and statewide advocacy.
• Washington State Health Care Authority: SWACH's primary state government partner and the entity that administers the MTP 2.0 1115 waiver. Not a peer competitor but the upstream funder whose policy decisions directly shape SWACH's funding and scope.

Regional players

• Oregon Health Authority: Oregon's state Medicaid and public health agency, where SWACH staffer Gabe Heredia previously helped establish an equity-centered COVID vaccine concerns program. Adjacent rather than competing, but provides a regional comparison point for how cross-state Medicaid transformation is administered.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Instagraminstagram.com/swach.us
• Xx.com/swach_org

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Southwest Washington Accountable Community of Health