Form 990 for tax year 2024

Totals

Total revenue

$2,956,053

Total expenses

$3,301,627

Contributions and grants received

$2,936,353

Grants paid

$11,640

Program service revenue

$167,551

Investment income

-$147,851

Other revenue

$0

Total assets, end of year

$1,485,520

Total liabilities, end of year

$564,795

Net assets or fund balances, end of year

$920,725

Program services expenses (Part IX)

$2,553,885

Management and general expenses

$747,742

Fundraising expenses

$0

Program service expenses (Part III)

$2,553,885

Program services were 77.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2024

• During the reporting year, the Organization advanced its mission to improve health outcomes and strengthened systems of care across Northern New Hampshire through coordinated, evidence-informed initiatives. Programming focused on workforce education and training, substance misuse prevention, and community/public health, with services delivered across predominantly rural and underserved regions. Program activities accounted for a significant majority of organizational expenditures, reflecting a strong commitment to direct community impact.Workforce Education and TrainingThe Organization made substantial contributions to strengthening the regional health and human services workforce, with approximately 33% of program expenditures dedicated to workforce education and training activities. Through its Area Health Education Center (AHEC) and related programs, the Organization maintained accreditation to provide continuing medical and nursing education, ensuring ongoing access to high-quality professional development within the region.During the year, the Organization delivered multiple evidence-based training initiatives, including coaching and supervision training for healthcare leaders to improve workforce retention and effectiveness. Partnerships with state and national organizations enabled the delivery of these trainings at no cost to participants, reducing barriers to access. Additionally, the Organization convened workforce development events such as the North Country Weekend program, engaging medical students and faculty and promoting rural healthcare career pathways.New programming included the integration of Community Health Worker (CHW) and Doula services, providing one-on-one support to pregnant individuals through pregnancy and up to one year postpartum. The Organization also expanded CHW services to address increasing demand among individuals with chronic disease, particularly in rural areas, where access gaps resulted in documented waitlists for services. Collectively, these efforts strengthened workforce capacity, improved provider skills, and expanded access to care for vulnerable populations.Substance Misuse PreventionThe Organization demonstrated leadership in substance misuse prevention and recovery through comprehensive, community-based strategies. Approximately 49% of program expenditures supported substance misuse and community health programming, reflecting the scale and priority of this work.The Organization supported prevention coalitions and initiatives, including the development of the North Country Community of Prevention Practices to Educate and Reduce Stigma (NC COPES), a youth-focused initiative aimed at reducing stigma and empowering young people to lead prevention efforts in their communities. Additional prevention programming included public education campaigns, safe prescription disposal initiatives such as the "Dealer at Your Door" program, and widespread distribution of harm reduction resources, including over 800 safe sex kits to prevent the spread of infectious disease.Community engagement efforts reached diverse populations through public events, media campaigns (including regional television and radio), and educational programming addressing substance use and recovery. The Organization also provided naloxone administration training and supported recovery-oriented systems, including the Grafton County Drug Treatment Court, where 8 participants successfully graduated, demonstrating measurable progress in recovery outcomes.These coordinated efforts increased awareness, reduced stigma, expanded access to prevention resources, and strengthened community capacity to address substance misuse.Community Health and Public Health InitiativesThe Organization played a central role in advancing community health and public health system coordination through its Public Health Network and related initiatives. Approximately 8% of program expenditures supported public health network activities, with additional impact achieved through cross-cutting programs.Key accomplishments included co-facilitation of a regional Rural Health Equity ECHO series focused on addressing social drivers of health, engaging partners across sectors in identifying and addressing health disparities. The Organization also led and participated in emergency preparedness activities, supported by its Public Health Emergency Preparedness (PHEP) program, and maintained a Medical Reserve Corps unit to strengthen regional readiness.The Organization expanded access to care through initiatives such as the Mobile Clinic and Community Health Worker programs, addressing barriers related to geography, transportation, and socioeconomic factors. Public health outreach included participation in community events, health education campaigns, and targeted initiatives addressing mental health, chronic disease, and preventive care.Through strategic partnerships with healthcare providers, public health agencies, and community-based organizations, the Organization improved coordination of services, enhanced access to care, and advanced health equity across the region.

  Expenses $2,553,885 · Grants $11,640 · Revenue $167,551

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• North Country ACO

  501(c)(3) · ACO Formed for Health Centers Benefiting medicare participants · NH · controlled entity

  Directly controlled by North Country Health Consortium Inc

Provenance

Return type

form_990

Tax year

2024

Filed

16 April 2026

IRS schema version

2024v5.5

Source object

202631079349300313

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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