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Holler Harm Reduction

EIN 85-2949706 · Marshall, NC

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

LegitimacyPassesRegistration and standingFinancial healthWeak44 out of 100GovernanceStrong97 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

Holler Harm Reduction supports safe use to reduce the rates of overdose infectious diseases, and injection-related infections.

Income
$633,132
Spending
$745,911
Spent on programs
89%
Reserves
0.3 months of spending
Largest source of income
donations and private grants, 71%
Employees
8
Volunteers
9
Highest pay
$66,391, executive director

Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Weak: 44 out of 100. Higher than 16% of charities in its peer group (mental health, $250k to $1m).

  • Reserves

    4 of 35

    Spendable reserves would cover 0.3 months of spending.

  • Debt

    20 of 20

    It owes 2% of what it owns.

  • Living within its means

    0 of 15

    Spending exceeded income by 18% of income.

  • Income trend

    5 of 15

    Income fell 17% on the year before.

  • Spending floor

    15 of 15

    89% of spending went to programs and raising each dollar of donations cost 2 cents.

Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 97 out of 100. Higher than 91% of charities in its peer group (mental health, $250k to $1m).

  • Independent board

    25 of 25

    5 of 5 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

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    12 of 15

    Its accounts were reviewed or compiled by an independent accountant, but not audited.

  • 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, 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 (3)
  1. $662,090 spent. During 2025, Holler Harm Reduction successfully distributed over 224,000 sterile syringes to over 1,300 unique participants over the course of 3,043 meetings. To combat local overdoses, 5,486 doses of Narcan/naloxone were distributed and assisted in reversing over 60 overdoses in our community. Holler staff provided 476 wound care sessions and 36 referrals to other resources in the community.
  2. Further, HHR was able to successfully bring on one new peer distributor to join the outreach team. From 2024 to 2025, HHR saw an over 30% increase in number of unique participants and an over 40% increase in alternate ingestion kits, showing a trend towards safer methods of ingestion than injection. We, as an organization continue to grow, to meet the growing need.
  3. 2025 Statistics: Needles Distributed: 224,370 Naloxone Distributed: 5,486 Alternate Ingestion Kits: 4,805 Peer Distro Events: 1,076 Total Meetings: 3,043 Unique Participants: 1,350 Overdose Reversals Report: 64 Community Referrals: 36 Wound Care Sessions: 476 Office Exchanges: 435

Source: Form 990 for the year ending December 31, 2025, 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 October 13, 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 2025.

    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 September 2021.

    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 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.