North Sound ACH
Legal name: North Sound Accountable Community of Health
Nonprofit profile at a glance
- EIN
- 814680689
- IRS 990 coverage
- 2017–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Bellingham, WA, US
- Phone
- (360) 543-8858
- Rating
- 68
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Public Health Program (Includes General Health and Wellness Promotion Services)
Reported finances
- Revenue
- $25,847,401
- Expenses
- $12,521,045
- Assets
- $64,854,039
- Liabilities
- $5,181,919
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
24 people listed
Executive titles in this filing
- LIZ BAXTER (CEO)
Highest reported compensation
- LIZ BAXTER (CEO): $260,135 total reported compensation
- NICOLE WILLIS (COO): $178,019 total reported compensation
- HALLIE PRITCHETT (CHIEF EQUITY OFFICER): $136,275 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
North Sound ACH exists to create a just and inclusive culture and the necessary conditions required for all community members to thrive.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Mixed. Its operating money came from several sources; no one source provided a clear majority.
- Distribution model
- Hybrid. The nonprofit split its reported program spending across 54% for direct work, and 46% for grants.
The verdict
SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and program spending has declined or grown slowly.
Rating breakdown
- Financial Efficiency: 48
- Transparency & Controls: 77
- Accountability: 95
- Sustainability: 82
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 36.9%; rating input score 37
- Program expense ratio: 81.8%; rating input score 82
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.8%; rating input score 94; 17th percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 98.5%; rating input score 99; 30th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 51.6%; rating input score 94; 94th percentile among comparable filings
- Total-asset coverage ratio: 5.18; rating input score 85; 85th percentile among comparable filings
- Liabilities to assets ratio: 0.08; rating input score 77; 77th percentile among comparable filings
- Officer compensation ratio: 7.7%; rating input score 32; 32nd percentile among comparable filings
Growth
- Program expense growth: -2.9% per year; rating input score 0; 5th percentile among comparable filings
- Revenue growth: 4.3% per year; rating input score 100; 38th percentile among comparable filings
- Asset growth: 16.2% per year; rating input score 100; 83rd percentile among comparable filings
Details
- What they do: 4 programs and campaigns described on the official site · 5 operating locations identified
- Where the money goes: 36.9% of revenue deployed · 81.8% of spending went to programs
- Governance: 18 of 18 board members independent · 8 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $10.2M in reported program spending
- Leadership: top reported pay $260K · 24 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1M reported
- Consistency: 33 of 34 current checks pass · 1 finding to review
- Schedules: 7 filed schedules · includes major donors, grants, and executive pay
- Filing history: 8 filing years from 2017 to 2024
- Contacts: How to reach this organization
- Money network: 42 filed money-flow records
- Related organizations: 36 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Moderate — Financial Efficiency: Mission deployment rate scored 37/100.
- High — Growth: Program expense growth scored 0/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- Moderate — Sustainability: Officer compensation ratio scored 32/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.