North Country Health Consortium
Public records show a registered, tax-exempt organization in good standing.
What it says it does
Leading innovative collaboration to improve the health status of Northern New Hampshire.
- Income
- $3.0 million
- Spending
- $3.3 million
- Spent on programs
- 77%
- Reserves
- 3.2 months of spending
- Largest source of income
- government grants, 71%
- Employees
- 38
- Volunteers
- 40
- Highest pay
- $106,689, executive director
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 59 out of 100. Higher than 31% of charities in its peer group (health care, $1m to $10m).
Reserves
20 of 35Spendable reserves would cover 3.2 months of spending.
Debt
10 of 20It owes 38% of what it owns.
Living within its means
4 of 15Spending exceeded income by 12% of income.
Income trend
10 of 15Income fell 9% on the year before.
Spending floor
15 of 1577% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 67% of charities in its peer group (health care, $1m to $10m).
Independent board
25 of 2512 of 13 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $2.6 million spent. 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.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending September 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since June 1999.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.