Creating equitable, community-oriented health improvements in Southwest Washington by working with nonprofits, community organizations, healthcare providers, and local leaders to improve health, equity, well-being, and access to care.
Southwest Washington Regional Health Alliance’s largest recent grants show a clear pattern: it uses Medicaid transformation funding to support care coordination, community-based services, and health infrastructure across Southwest Washington. Washington Gorge Action Programs in Bingen received $728,626 in 2024 and $636,416 in 2025 for Medicaid Transformation Project Pathways and Community Impact Project work, while Vancouver Housing Authority received $548,919 in 2025 for Medicaid Transformation Project Pathways. The foundation’s recent awards also include support for Lifeline Connections, Share Inc, YWCA Clark County, and Columbia River Mental Health Services, indicating a consistent emphasis on health-related access points rather than one narrow service line. Its stated commitment is to health equity, with a focus on Clark, Klickitat, and Skamania counties and Tribal and Native communities. The grant record aligns with that framing: the alliance funds organizations working on community health improvement, HRSN navigation, harm reduction, substance use recovery, reentry support, rural health, and community health worker capacity. Several awards are tied to partnership-based projects, including collaborative work with local housing, behavioral health, and county-serving organizations.
Health-related social needs and care coordination are central to the alliance’s giving. It awarded $548,919 to Vancouver Housing Authority for Medicaid Transformation Project Pathways, linking housing systems to health access. A separate $236,000-plus pattern is visible in community-based pathway grants to health and human service organizations such as Lifeline Connections and Share Inc, both tied to Medicaid transformation work. Behavioral health and substance use response is another clear theme. The alliance gave $286,603 to Youth and Family Link in 2025 for Medicaid Transformation MCAW / Comagine, and its active Klickitat County opioid funding supports treatment, prevention, recovery, and harm reduction. It also funded Clark County Latino Youth for Medicaid Transformation and COVID-19 Response, showing overlap between public health and equity-focused service delivery. The funder also backs community resilience and equity infrastructure through partners such as the Community Foundation of Southwest Washington under its Social Justice Resiliency Fund.
$4.3M
$28.9M
$14.9M
$8.6M
Most grants fall between $33K and $218K, with a median of $114K.
25th Percentile
$33K
Median
$114K
75th Percentile
$218K
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Typical awards are mid-sized to large: the 25th percentile is $33,000, the median is $113,562, and the 75th percentile is $218,289. The recent record shows repeated support to the same organizations across multiple years, including Washington Gorge Action Programs, Vancouver Housing Authority, Lifeline Connections, Share Inc, Youth and Family Link, and Sea-mar Community Health Centers. That points to sustained, program-linked funding rather than isolated one-off grants. Southwest Washington Regional Health Alliance is a public charity and a regular funder, with ad hoc and capacity-building grants appearing alongside programmatic awards. Several active opportunities are RFPs or RFAs, and at least some accept unsolicited proposals.
Grantmaking is overwhelmingly local and concentrated in Washington, with 93% of grants going to recipients in the HQ state. The strongest city-level pattern is Vancouver, which appears repeatedly through recipients such as Vancouver Housing Authority, Share Inc, Outsiders Inn, YWCA Clark County, and Columbia River Mental Health Services. Other recurring Washington locations include Bingen, Longview, Goldendale, Stevenson, Ridgefield, and White Salmon. The recipient-country distribution is entirely U.S.-based, with 82 grants all going to U.S. organizations.
The alliance funds community health and equity work through Medicaid transformation, health-related social needs navigation, community health workers, harm reduction, substance use prevention and recovery, reentry support, supportive housing, and rural health. Its active programs also include medical respite, opioid settlement funding, and collaborative community-led projects.
Its grant-size profile is mid-sized to large. The 25th percentile is $33,000, the median grant is $113,562, and the 75th percentile is $218,289. Recent awards also include several grants well above $300,000.
Yes. Several organizations appear more than once in the recent grants list, including Washington Gorge Action Programs, Vancouver Housing Authority, Lifeline Connections, Share Inc, Youth and Family Link, and Sea-mar Community Health Centers. That suggests ongoing relationships and multi-year support for specific Medicaid transformation and community health projects.
Yes. The Klickitat County Opioid Settlement Funds and the Medical Respite Funding opportunity both accept unsolicited applications, and the HealthConnect Network Expansion RFA also accepts unsolicited proposals. Other active programs listed, including the Social Justice Resiliency Fund and the Collaborative Funding Model, do not accept unsolicited applications.
Most grants go to Washington recipients, and 93% of grants are made to organizations in the HQ state. Vancouver shows up frequently among recipients, along with Bingen, Longview, Goldendale, Stevenson, Ridgefield, and White Salmon.
2025
Source: IRS Form 990-PF, fiscal year 2025.
Current and upcoming funding from Southwest Washington Regional Health Alliance that your nonprofit may be able to apply for.
Who can apply: Events should uplift and support the community in some way. Applicants may describe how they would like SWACH to participate and provide additional support.
Deadline: No specific deadline stated; the current funding page states that there are no open funding opportunities.
Who can apply: Requests must support programmatic work, not events; be mission-aligned in Clark, Skamania, and/or Klickitat counties; and work to eliminate racial and health disparities.
Deadline: Applications are reviewed once each quarter, starting in July.
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Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| WASHINGTON GORGE ACTION PROGRAMS | BINGEN, WA | $636,416 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS & COMMUNITY IMPACT PROJECT |
| VANCOUVER HOUSING AUTHORITY | VANCOUVER, WA | $548,919 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| LUTHERAN COMMUNITY SERVICES NORTHWEST | SEATAC, WA | $401,690 | 2025 | MEDICAID TRANSFORMATION PATHWAYS |
| SHARE INC |
| VANCOUVER, WA |
| $391,179 |
| 2025 |
| MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| OUTSIDERS INN | VANCOUVER, WA | $322,188 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| YOUTH AND FAMILY LINK | LONGVIEW, WA | $286,603 | 2025 | MEDICAID TRANSFORMATION MCAW / COMAGINE |
| SEA-MAR COMMUNITY HEALTH CENTERS | SEATTLE, WA | $234,009 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| LIFELINE CONNECTIONS | VANCOUVER, WA | $166,206 | 2025 | MEDICAID TRANSFORMATION PATHWAYS |
| COMMUNITY FOUNDATION OF SW WASHINGTON | VANCOUVER, WA | $150,000 | 2025 | MEDICAID TRANSFORMATION PROJECT SOCIAL JUSTICE RESILIENCY FUND |
| COLUMBIA RIVER MENTAL HEALTH SERVICES | VANCOUVER, WA | $146,892 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| PEACEHEALTH FAMILY MEDICINE SOUTHWEST | HGOLDENDALE, WA | $124,248 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| CHILDRENS HOME SOCIETY OF WASHINGTON | VANCOUVER, WA | $113,407 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| FOURTH PLAIN FORWARD | VANCOUVER, WA | $102,812 | 2025 | DOH HEAL ACT |
| YWCA CLARK COUNTY | VANCOUVER, WA | $94,852 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| CLARK COUNTY LATINO YOUTH DBA LATINO LEADERSHIP NW | BATTLE GROUND, WA | $86,147 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| CLARK-COWLITZ FIRE RESCUE | RIDGEFIELD, WA | $80,000 | 2025 | CARES COLLABRATIVE |
| CITY OF CAMAS | VANCOUVER, WA | $77,482 | 2025 | CARES COLLABORATIVE |
| BRIDGEVIEW RESOURCE CENTER | VANCOUVER, WA | $73,963 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| THE NEXT DOOR | HOOD RIVER, OR | $66,307 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| SKAMANIA COUNTY COMMUNITY HEALTH | STEVENSON, WA | $56,071 | 2025 | MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT |
| THE FOUNDATION | VANCOUVER, WA | $25,000 | 2025 | MEDICAID TRANSFORMATION PROJECT AD HOC CAPACITY BUILDING FUNDING |
| PLAY FRONTIER | CARSON, WA | $25,000 | 2025 | MEDICAID TRANSFORMATION PROJECT AD HOC CAPACITY BUILDING FUNDING |
| ODYSSEY WORLD INTERNATIONAL EDUCATION SERVICES | VANCOUVER, WA | $25,000 | 2025 | MEDICAID TRANSFORMATION PROJECT AD HOC CAPACITY BUILDING FUNDING |
| CLARK COUNT FIRE DISTRICT 3 | BRUSH PRAIRIE, WA | $24,912 | 2025 | CARES COLLABORATIVE |
| HAPS | OMAK, WA | $20,000 | 2025 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| WASHINGTON GORGE ACTION PROGRAMS | BINGEN, WA | $728,626 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS & COMMUNITY IMPACT PROJECT |
| LIFELINE CONNECTIONS | VANCOUVER, WA | $536,327 | 2024 | MEDICAID TRANSFORMATION PATHWAYS |
| PEACEHEALTH FAMILY MEDICINE SOUTHWEST | HGOLDENDALE, WA | $372,743 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| THE NEXT DOOR | HOOD RIVER, OR | $362,780 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| KLICKITAT VALLEY HEALTH | GOLDENDALE, WA | $347,891 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| VANCOUVER HOUSING AUTHORITY | VANCOUVER, WA | $313,933 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| YWCA CLARK COUNTY | VANCOUVER, WA | $302,678 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| OUTSIDERS INN | VANCOUVER, WA | $295,000 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| YOUTH AND FAMILY LINK | LONGVIEW, WA | $265,245 | 2024 | MEDICAID TRANSFORMATION MCAW / COMAGINE |
| SHARE INC | VANCOUVER, WA | $255,387 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| SEA-MAR COMMUNITY HEALTH CENTERS | SEATTLE, WA | $248,415 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| ODYSSEY WORLD INTERNATIONAL EDUCATION SERVICES | VANCOUVER, WA | $210,548 | 2024 | MEDICAID TRANSFORMATION PROJECT AD HOC CAPACITY BUILDING FUNDING |
| CULTURESEED | WHITE SALMON, WA | $200,000 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| SKAMANIA COUNTY COMMUNITY HEALTH | STEVENSON, WA | $176,341 | 2024 | MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT |
| COLUMBIA RIVER MENTAL HEALTH SERVICES | VANCOUVER, WA | $171,477 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| COMMUNITY FOUNDATION OF SW WASHINGTON | VANCOUVER, WA | $165,000 | 2024 | MEDICAID TRANSFORMATION PROJECT SOCIAL JUSTICE RESILIENCY FUND |
| COUNCIL FOR THE HOMELESS | VANCOUVER, WA | $145,256 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| CHILD AND ADOLESCENT CLINIC | VANCOUVER, WA | $128,819 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| BRIDGEVIEW RESOURCE CENTER | VANCOUVER, WA | $123,153 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| IDEAL OPTIONS PLLC | PASCO, WA | $113,562 | 2024 | MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT |
| SKYLINE PUBLIC HOSPITAL | WHITE SALMON, WA | $113,175 | 2024 | MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT |
| CHILDRENS HOME SOCIETY OF WASHINGTON | VANCOUVER, WA | $100,000 | 2024 | MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT |
| CLARK COUNTY LATINO YOUTH DBA LATINO LEADERSHIP NW | BATTLE GROUND, WA | $94,286 | 2024 | MEDICAID TRANSFORMATION PROJECT PATHWAYS |
| WHITE SALMON VALLEY SCHOOL DISTRICT | WHITE SALMON, WA | $69,300 | 2024 | MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT |
| EMPOWER FAMILY FOCUSED SERVICES | VANCOUVER, WA | $25,000 | 2024 | MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT |
WASHINGTON GORGE ACTION PROGRAMS
$636,416MEDICAID TRANSFORMATION PROJECT PATHWAYS & COMMUNITY IMPACT PROJECT
VANCOUVER HOUSING AUTHORITY
$548,919MEDICAID TRANSFORMATION PROJECT PATHWAYS
OUTSIDERS INN
$322,188MEDICAID TRANSFORMATION PROJECT PATHWAYS
SEA-MAR COMMUNITY HEALTH CENTERS
$234,009MEDICAID TRANSFORMATION PROJECT PATHWAYS
MEDICAID TRANSFORMATION PROJECT SOCIAL JUSTICE RESILIENCY FUND
MEDICAID TRANSFORMATION PROJECT PATHWAYS
PEACEHEALTH FAMILY MEDICINE SOUTHWEST
$124,248MEDICAID TRANSFORMATION PROJECT PATHWAYS
MEDICAID TRANSFORMATION PROJECT PATHWAYS
MEDICAID TRANSFORMATION PROJECT PATHWAYS
CLARK-COWLITZ FIRE RESCUE
$80,000CARES COLLABRATIVE
CITY OF CAMAS
$77,482CARES COLLABORATIVE
BRIDGEVIEW RESOURCE CENTER
$73,963MEDICAID TRANSFORMATION PROJECT PATHWAYS
SKAMANIA COUNTY COMMUNITY HEALTH
$56,071MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT
THE FOUNDATION
$25,000MEDICAID TRANSFORMATION PROJECT AD HOC CAPACITY BUILDING FUNDING
PLAY FRONTIER
$25,000MEDICAID TRANSFORMATION PROJECT AD HOC CAPACITY BUILDING FUNDING
ODYSSEY WORLD INTERNATIONAL EDUCATION SERVICES
$25,000MEDICAID TRANSFORMATION PROJECT AD HOC CAPACITY BUILDING FUNDING
CLARK COUNT FIRE DISTRICT 3
$24,912CARES COLLABORATIVE
HAPS
$20,000MEDICAID TRANSFORMATION PROJECT PATHWAYS
WASHINGTON GORGE ACTION PROGRAMS
$728,626MEDICAID TRANSFORMATION PROJECT PATHWAYS & COMMUNITY IMPACT PROJECT
PEACEHEALTH FAMILY MEDICINE SOUTHWEST
$372,743MEDICAID TRANSFORMATION PROJECT PATHWAYS
KLICKITAT VALLEY HEALTH
$347,891MEDICAID TRANSFORMATION PROJECT PATHWAYS
VANCOUVER HOUSING AUTHORITY
$313,933MEDICAID TRANSFORMATION PROJECT PATHWAYS
OUTSIDERS INN
$295,000MEDICAID TRANSFORMATION PROJECT PATHWAYS
SEA-MAR COMMUNITY HEALTH CENTERS
$248,415MEDICAID TRANSFORMATION PROJECT PATHWAYS
ODYSSEY WORLD INTERNATIONAL EDUCATION SERVICES
$210,548MEDICAID TRANSFORMATION PROJECT AD HOC CAPACITY BUILDING FUNDING
SKAMANIA COUNTY COMMUNITY HEALTH
$176,341MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT
MEDICAID TRANSFORMATION PROJECT PATHWAYS
MEDICAID TRANSFORMATION PROJECT SOCIAL JUSTICE RESILIENCY FUND
CHILD AND ADOLESCENT CLINIC
$128,819MEDICAID TRANSFORMATION PROJECT PATHWAYS
BRIDGEVIEW RESOURCE CENTER
$123,153MEDICAID TRANSFORMATION PROJECT PATHWAYS
IDEAL OPTIONS PLLC
$113,562MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT
SKYLINE PUBLIC HOSPITAL
$113,175MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT
MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT
MEDICAID TRANSFORMATION PROJECT PATHWAYS
WHITE SALMON VALLEY SCHOOL DISTRICT
$69,300MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT
EMPOWER FAMILY FOCUSED SERVICES
$25,000MEDICAID TRANSFORMATION PROJECT COMMUNITY IMPACT PROJECT
