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Impact Report

2024

Overview

Impact Health is committed to ensuring every family member, friend, coworker, schoolmate, and community member living in Western North Carolina (WNC) can access healthy opportunities. Our nonprofit leads a network of over 60 human service organizations (HSOs) in this effort. We also support the care managers and NC Medicaid health plans involved in North Carolina’s Healthy Opportunities Pilot (HOP).

HOP is a groundbreaking program that uses Medicaid funds to improve access to nutritious food, safe housing, and reliable transportation. HOP also increases access to services that support safe and healthy relationships. Research indicates that these social drivers of health influence up to 80 percent of a person’s wellbeing. By addressing these critical needs, the pilot aims to improve health while reducing healthcare spending.

With an estimated
healthcare savings of over
$1,000
per member
per year,
HOP is generating significant savings
here in Western North Carolina and
reducing the need for costly medical care.
2024 was a significant year of growth and innovation for
Impact Health and the Healthy Opportunities Pilot. Here is
a snapshot of HOP’s cumulative impact in Western North
Carolina since launching services in March of 2022.
2024 was a significant year of growth and innovation for Impact Health and the Healthy Opportunities Pilot. Here is a snapshot of HOP’s cumulative impact in Western North Carolina since launching services in March of 2022.
By the

Numbers

(Key impact data March 2022 - January 2025)
60
organizations

in HSO network

10,931
HOP participants

served

283,118
HOP services

provided

$18 M
in capacity building

funds distributed to HSOs

312
full- and part-time

jobs supported

$57 M
reimbursement income

billed by HSOs

Access our latest Form 990 for detailed financial reporting.
WNC HOP

Service Delivery

January 2024 - January 2025
Participants
Services Delivered
Explore HOP services:
impacthealth.org/pilot-services
roofers working on a house

“I felt like I was drowning out here, and then ‘BAM,’ HOP stepped in and changed our lives. The roof looks better than I could ever imagine. I feel better emotionally and physically, and I’m more rested than I have been in my entire life!”

Nick
HOP Participant
Philip Cooper, chief change agent, operation gateway

“Impact Health’s support has allowed us to educate our community about Medicaid Expansion and HOP. We have been able to ensure that returning citizens get housing and transportation support. This initiative has helped us normalize the idea that mental health is health.”

Philip Cooper
Chief Change Agent,
Operation Gateway

“It’s so affirming to hear reports from HOP clients whose physicians have put them on special diets to improve medical diagnoses. They share with us that they have seen an improvement in their health as a result of receiving our healthy fruit and vegetable boxes.”

Elizabeth Willson Moss
Executive Director,
Interfaith Assistance Ministry
Read more partner stories:
impacthealth.org/partner-stories
Domain

Snapshots

HOP services delivered in 2024
2,331
WNC families

received support with finding, securing, and moving into stable housing. More received help modifying existing homes to make them safer.

icon of spoon, fork, and knife
144,595
healthy food boxes

were provided across WNC to support families’ weekly nutritional needs.

icon of car
1,001
transportation services

helped WNC residents meet nonmedical, health-related needs like accessing healthy food.

icon of adult with arm around child in a sheltering kind-of-way
354
interpersonal violence services

were delivered to support healthy relationships and effective parenting skills.

After the Storm

In the days and weeks following Hurricane Helene, community-based organizations were among the first to respond to the critical needs of WNC residents. Thanks to the generosity of philanthropic partners like Dogwood Health Trust, Impact Health was able to allocate $2.7 million in grant funding to local organizations working across the region. Impact Health’s robust network enabled rapid distribution of funds where they were most needed. WNC HOP service providers could then focus on ensuring families had access to nutritious food, safe housing, reliable transportation, and support for healthy relationships – all resources that are significantly strained during natural disasters.

Photos clockwise from top: Potable water distribution at Safe Shelter, regional food distribution by C2Life, housing repair by Community Housing Coalition of Madison County, and fresh produce distribution through UNETE.

chasity poteat rice, CEO/founder of C2Life Foundation

“Impact Health’s support was vital to our ability to respond rapidly to the nutritional needs of our neighbors impacted by the devastation of Hurricane Helene. We already had boots on the ground doing whatever we could, but the grant funding distributed rapidly by Impact Health enabled us to say, ‘let’s go!’”

Chasity Poteat Rice

CEO/Founder of C2Life Foundation

2024 - 2025

Highlights

January 2024 - January 2025

March

Inaugural WNC HSO Learning Summit at MAHEC

May

Impact Health invests $400K in WNC Community Health Workforce through yearlong collaboration

July

NC Medicaid Tailored Plan members become eligible for HOP

Impact Health establishes physician-led nonprofit clinically integrated network (Impact Primary Care Network)

September

Hurricane Helene devastates Western North Carolina

October

Impact Health distributes $670K in emergency funding from Dogwood Health Trust to 67 hurricane-impacted organizations

November

WNC HOP network supports 10K HOP participants

December

Centers for Medicare & Medicaid Services (CMS) approves North Carolina’s 1115 Waiver, authorizing HOP for another 5 years

Impact Health allocates additional hurricane relief funding to network organizations, bringing the total relief grants to $2.7M

January

2025

Impact Primary Care Network (IPCN) begins providing care management services to participating WNC practices on January 1

WNC HOP Network

60 Strong and Growing
As of December 2024, the following organizations
make up the WNC HOP network:
  • Appalachian Sustainable Agriculture Project (ASAP)
  • Asheville Buncombe Community Christian Ministry (ABCCM)
  • Asheville Buncombe Institute of Parity Achievement (ABIPA)
  • Beacon of Hope
  • Big Ivy Community Development Club
  • Blue Ridge Women in Agriculture (BRWIA)
  • Bounty & Soul
  • Burke United Christian Ministries
  • C2Life Foundation
  • Caja Solidaria
  • Children & Family Resource Center
  • Community Housing Coalition of Madison County
  • Dayspring Foundation
  • Eblen Charities
  • Eden of Abundance
  • Eliada Homes
  • Equal Plates Project
  • First United Methodist Church of Waynesville
  • Five Point Center
  • Four Square Community Action
  • Gateway Wellness Foundation
  • Haywood Christian Ministry (HCM)
  • Haywood Pathways Center
  • Haywood Street Congregation
  • Helpmate
  • HIGHTS
  • Hinton Rural Life Center
  • Homeward Bound
  • Housing Assistance Corporation
  • Interfaith Assistance Ministry
  • Land of Sky Regional Council
  • Legal Aid of North Carolina
  • Macon Program for Progress (MPP)
  • MANNA FoodBank
  • McDowell LFAC
  • Mission Ministries Alliance (MMA)
  • Mountain Housing Opportunities
  • Mountain Projects
  • Neighbors Feeding Neighbors Food Ministry
  • New Hope of McDowell
  • Our VOICE
  • Pisgah Legal Services
  • Reinvestment Partners
  • Resources, Education, Assistance, Counseling, and Housing of Macon County (REACH of Macon County)
  • Restoration House WNC
  • Rutherford Housing Partnership
  • SAFE of Transylvania County
  • Safelight
  • Share Thy Bread
  • Smart Start of Transylvania County
  • Southern Reconciliation Ministries (Reconciliation House)
  • Thrive
  • Toe River Aggregation Center Training Organization Regional (TRACTOR)
  • Transylvania Habitat for Humanity
  • W4H Asheville (Working Wheels)
  • Western North Carolina Community Health Services (WNCCHS)
  • Williams YMCA of Avery County
  • WNC from the Ground Up
  • WNC Lighthouse
  • YMCA of Western North Carolina
See our regional impact:
impacthealth.org/districts
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