North Country Health Consortium Inc

What it reported doing in 2024

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

Financial Efficiency

• Mission deployment rate: 82.2%; rating input score 82
• Program expense ratio: 77.4%; rating input score 77
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 20th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 92.3%; rating input score 92; 23rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -11.7%; rating input score 12; 12th percentile among comparable filings
• Total-asset coverage ratio: 0.45; rating input score 15; 15th percentile among comparable filings
• Liabilities to assets ratio: 0.38; rating input score 28; 28th percentile among comparable filings
• Officer compensation ratio: 6.1%; rating input score 47; 47th percentile among comparable filings

Growth

• Program expense growth: 2.3% per year; rating input score 100; 23rd percentile among comparable filings
• Revenue growth: 6.4% per year; rating input score 100; 51st percentile among comparable filings
• Asset growth: 4.8% per year; rating input score 100; 34th percentile among comparable filings