Form 990 for tax year 2023

Totals

Total revenue

$3,241,753

Total expenses

$3,383,668

Contributions and grants received

$3,037,215

Grants paid

$4,400

Program service revenue

$191,269

Investment income

$13,269

Other revenue

$0

Total assets, end of year

$1,767,759

Total liabilities, end of year

$501,460

Net assets or fund balances, end of year

$1,266,299

Program services expenses (Part IX)

$2,602,297

Management and general expenses

$781,371

Fundraising expenses

$0

Program service expenses (Part III)

$2,602,297

Program services were 76.9% 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 · 2023

• North Country Health Consortium (NCHC), founded in 1997, operates as a regional partnership focused on improving the health status of Northern New Hampshire through coordinated efforts with health and human service providers. NCHC works to reduce health disparities and strengthen systems of care across this rural region.NCHC advanced its mission through strategic growth and innovative programming in response to evolving community needs. As the demands of the COVID-19 pandemic subsided, the organization expanded its focus to include workforce development, substance use prevention and recovery, public health emergency preparedness, and initiatives addressing the social determinants of health.NCHC's work continues to receive recognition at both the state and national levels for its collaborative, community-centered approach. Grounded in data-driven planning, NCHC aligns its services with the region's Community Health Improvement Plan to ensure responsive, impactful, and sustainable outcomes.Workforce Education & Training:In FY2023, North Country Health Consortium (NCHC) reinforced its commitment to workforce development, particularly through expanding the Community Health Worker (CHW) program. Two CHW training cohorts were completed, graduating 47 CHWs with competencies in chronic disease management, substance use disorder, and the social determinants of health. Additionally, a statewide CHW awareness campaign was launched using radio, digital marketing, and public transportation signage to elevate awareness of the CHW profession.NCHC convened a statewide CHW stakeholder committee that meets monthly to identify and evaluate sustainable reimbursement mechanisms for CHW services. NCHC also collaborated with New Hampshire Healthy Families on a care coordination pilot to provide targeted case management services to 20 managed care members per month.Serving as the Northern New Hampshire Area Health Education Center (NNH AHEC), NCHC continued to facilitate rural-focused professional development and pipeline initiatives. In FY23, NNH AHEC delivered continuing education to over 1,700 professionals, supported 182 high school students through career exploration programming, and hosted 19 students during the North Country Scholars Weekend. The center also launched an Advisory Council of 14 health professionals to inform strategic planning and educational alignment.Substance Misuse and Prevention:In alignment with regional substance misuse prevention goals, NCHC coordinated programming across the full continuum of care prevention, early intervention, treatment, and recovery. The organization facilitated 318 substance use disorder training events and played a leadership role in promoting recovery-friendly workplaces, resulting in six North Country employers adopting Recovery Friendly Workplace designation.The "North Country Recovers Together" regional workgroup was launched to convene quarterly, engaging multi-sector stakeholders to address challenges such as housing instability, transportation, and mental health support for those in recovery.As the lead contractor for the Grafton County Drug Treatment Court, NCHC supported 32 participants in FY2023, celebrating 6 program graduations. Additionally, harm reduction efforts included the distribution of 250 SaveOneLife kits containing naloxone and related supplies, along with the installation of 55 Naloxboxes across the region.In partnership with Legal603, NCHC organized its first annulment clinic, helping 9 individuals receive legal assistance to expunge criminal recordsan important step toward securing housing and employment.Community/Public Health Program:In FY2023, NCHC expanded its public health initiatives to strengthen emergency preparedness, climate resilience, and community-wide health planning. Through the Public Health Emergency Preparedness (PHEP) program, NCHC conducted or participated in 220 trainings and events, distributed over 3,000 COVID-19 test kits, and deployed emergency supplies to regional warming shelters.NCHC updated its Community Health Assessment (CHNA) and finalized a new Community Health Improvement Plan (CHIP) outlining a 3-year strategy to address identified health priorities, including chronic disease, oral health, behavioral health, and health equity. The CHNA was informed by subregional needs assessments, ensuring that data reflected the unique demographics of Northern New Hampshire.As part of its oral health strategy, NCHC provided education to Head Start staff and families in multiple communities, facilitated a resident-focused session at Maple Lodge (a transitional housing program for adults with mental illness), and supported school-based oral health programming in partnership with the NH Oral Health Coalition.NCHC engaged with state and federal policymakers throughout the year to highlight the role of regional public health systems and advocate for policy that supports community resilience, particularly in underserved rural areas.

  Expenses $2,602,297 · Grants $4,400 · Revenue $191,269

As filed on the 2023 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

2023

Filed

4 August 2025

IRS schema version

2023v6.0

Source object

202502239349302070

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

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