North Sound Accountable Community of Health
Public records show a registered, tax-exempt organization in good standing.
What it says it does
NORTH SOUND ACH EXISTS TO CREATE A JUST AND INCLUSIVE CULTURE AND THE NECESSARY CONDITIONS FOR ALL COMMUNITY MEMBERS TO THRIVE.
- Income
- $25.8 million
- Spending
- $12.5 million
- Spent on programs
- 82%
- Reserves
- 57.2 months of spending
- Largest source of income
- government grants, 52%
- Employees
- 42
- Volunteers
- 18
- Highest pay
- $260,135, ceo
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
Strong: 100 out of 100. Higher than 93% of charities in its peer group (health care, $10m to $100m).
Reserves
35 of 35Spendable reserves would cover 57.2 months of spending.
Debt
20 of 20It owes 8% of what it owns.
Living within its means
15 of 15Income exceeded spending by 52% of income.
Income trend
15 of 15Income rose 91% on the year before.
Spending floor
15 of 1582% 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
Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 2518 of 18 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 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)
- $10.2 million spent. NORTH SOUND ACH EXISTS TO CREATE A JUST AND INCLUSIVE CULTURE AND THE NECESSARY CONDITIONS REQUIRED FOR ALL COMMUNITY MEMBERS TO THRIVE. WE SERVE OVER ONE MILLION RESIDENTS IN FIVE COUNTIES: SNOHOMISH, SKAGIT, ISLAND, SAN JUAN, AND WHATCOM, ALONGSIDE EIGHT TRIBAL NATIONS: LUMMI NATION, NOOKSACK INDIAN TRIBE, SAMISH INDIAN NATION, SAUK-SUIATTLE INDIAN TRIBE, STILLAGUAMISH TRIBE OF INDIANS, SWINOMISH INDIAN TRIBAL COMMUNITY, TULALIP TRIBES, AND UPPER SKAGIT INDIAN TRIBE. NORTH SOUND ACH ADVANCES A JUST, INCLUSIVE, AND COLLABORATIVE CULTURE BY PARTNERING WITH A NETWORK OF REGIONAL AND LOCAL ORGANIZATIONS, WORKING TOGETHER ON THE VITAL CONDITIONS NECESSARY FOR INDIVIDUAL AND COLLECTIVE WELL-BEING. REGIONAL INVESTMENTS ARE WELL COORDINATED TO ENSURE MEASURABLE IMPROVEMENT IN WELL-BEING AT A POPULATION-WIDE LEVEL, AND FOR HISTORICALLY MARGINALIZED GROUPS. IN 2024, NORTH SOUND ACH INVESTED $4.5 MILLION TO PARTNERS FOR EQUITABLE, SOLUTIONS-BASED PROJECTS; THE PROPOSALS WERE REVIEWED AND FUNDING DISTRIBUTED BY A REVIEW COMMITTEE, COMPOSED OF COMMUNITY MEMBERS AND STAFF FROM PARTNER ORGANIZATIONS WITH LIVED EXPERIENCE. THESE PARTNERS MAKE UP THE COLLABORATIVE ACTION NETWORK, WHICH HAS GROWN FROM 50 ORGANIZATIONS IN 2022, TO 120 BY THE END OF 2023, AND TO 222 PARTNERS AS OF THE END OF 2024. OUR CARE COORDINATION HUB GREW FROM TWO AGENCIES TO NINE DURING 2024, MEETING OUR GOAL OF HAVING AGREEMENTS WITH PARTNERS IN ALL FIVE COUNTIES. FINALLY, WE COMMITTED TO A FRAMEWORK OF STORYTELLING, TO ELEVATE AND UPLIFT COMMUNITY VOICES. WE FEATURE THE EXPERIENCES AND WORK OF THOSE FROM THE COMMUNITY ONTO OUR PODCAST, VIRTUAL LEARNING SERIES, AT STATE AND NATIONAL CONFERENCE PRESENTATIONS, AND INVEST IN CAPACITY BUILDING FROM OUR PARTNERS' OWN WORK IN STORYTELLING AND DOCUMENTARY MEDIA.
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
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.
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 October 13, 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 October 13, 2026.
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.
How long has it been tax-exempt? Passed.
Recognized by the IRS since April 2018.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 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 21, 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.