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North Carolina Harm Reduction Inc

EIN 20-3452075 · Wilmington, NC

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthGood75 out of 100GovernanceGood85 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

ENCOURAGE AND MOTIVATE THE IMPLEMENTATION OF HARM REDUCTION INTERVENTIONS, PUBLIC HEALTH STRATEGIES, DRUG POLICY TRANSFORMATION, AND JUSTICE REFORM IN NORTH CAROLINA AND THE AMERICAN SOUTH THROUGH LEADERSHIP, ADVOCACY, RESOURCE AND POLICY DEVELOPMENT, AND EDUCATION.

Income
$4.1 million
Spending
$3.8 million
Spent on programs
90%
Reserves
1.8 months of spending
Largest source of income
fees for its services, 53%
Employees
22
Volunteers
100
Highest pay
$73,616, coo & grants manager

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Good: 75 out of 100. Higher than 60% of charities in its peer group (mental health, $1m to $10m).

  • Reserves

    10 of 35

    Spendable reserves would cover 1.8 months of spending.

  • Debt

    20 of 20

    It owes 0% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 8% of income.

  • Income trend

    15 of 15

    Income rose 74% on the year before.

  • Spending floor

    15 of 15

    90% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Good: 85 out of 100. Higher than 41% of charities in its peer group (mental health, $1m to $10m).

  • Independent board

    25 of 25

    6 of 6 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    0 of 10

    Did not give the board a copy of this return before filing it.

  • Pay set independently

    0 of 5

    Reports no independent review process for its chief executive's pay.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, 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)
  1. $3.5 million spent. DURING 2024, THE NORTH CAROLINA HARM REDUCTION COALITION SERVED OVER 5,668 PEOPLE WITH LIFE SAVING OVERDOSE PREVENTION SERVICES. WE FURTHER MADE OVER 16,919 CONTACTS WITH THOSE INDIVIDUALS, REFLECTING A DEPTH OF RELATIONSHIP WITH THESE FOLKS. NCHRC TAKES A HEALTH HUB MODEL TO ITS SERVICES, PROVIDING NUMEROUS ON SITE AND WRAP AROUND SUPPORT SERVICES THAT ARE UNIQUE TO EACH SITES MODELS AND NEEDS. THESE RANGE FROM ON SIGHT FOOD PANTRIES, PHYSICIAN AND NURSING TEAMS, HYGIENE AND SHOWER ACCESS, ONSIGHT THERAPY, CASE MANAGEMENT, AND LINKAGES TO EVIDENCE BASED TREATMENT, MOUD PRESCRIBING, PEER SUPPORT, POST OVERDOSE RESPONSE, HOUSING SERVICES, AND MORE. NCHRC DISTRIBUTED OVER 16,000 NALOXONE KITS IN 2024. NCHRC ALSO FORMED A FIRST IN THE NATION PARTNERSHIP WITH THE NORTH CAROLINA DHHS TO BE THE STATEWIDE PURCHASER FOR NALOXONE AND OTHER HARM REDUCTION SUPPLIES FOR ORGANIZATIONS ACROSS THE STATE. NCHRC ALSO OPERATES A MAIL-BASED NALOXONE DISTRIBUTION PROGRAM LASTLY NCHRC CONTINUES TO BE A THOUGHT LEADER IN THE SPACE, TRAINING STATE AND LOCAL PARTNERS ON HOW TO BEST COMBAT THE OVERDOSE EPIDEMIC. IT IS REGULARLY INVITED TO CONSULT, AND CO-OPERATES THE NORTH CAROLINA TECHNICAL ASSISTANCE CENTER.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. 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 October 13, 2026.

  2. 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 November 6, 2026.

  3. 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 October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since January 2006.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. 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 November 4, 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.