2026-04-17T10:39:43-05:00 2025-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2024-10-01 020503184 North Country Health Consortium Inc NORT 6032593700 260 Cottage Street C Littleton NH 03561 Lauren Pearson Executive Director 6032593700 2026-04-16 1 1 Joseph R Byrne P01289281 2077752387 2026-04-16 2024 2025-03-06 01:10:19Z Lauren Pearson 260 Cottage Street C Littleton NH 03561 3173835 0 X www.nchcnh.org X 1997 NH Leading innovative collaboration to improve the health status of Northern New Hampshire. 13 12 38 40 0 0 3037215 2936353 191269 167551 13269 -147851 0 0 3241753 2956053 4400 11640 0 0 2360994 2392862 0 0 0 1018274 897125 3383668 3301627 -141915 -345574 1767759 1485520 501460 564795 1266299 920725 X Leading innovative collaboration to improve the health status of Northern New Hampshire. 0 1 2553885 11640 167551 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 impact achieved through cross-cutting programs.Key accomplishments included co-facilitation of a regional Rural Health Equity ECHO series focused on addressing social drivers of health, engaging partners across sectors in identifying and addressing health disparities. The Organization also led and participated in emergency preparedness activities, supported by its Public Health Emergency Preparedness (PHEP) program, and maintained a Medical Reserve Corps unit to strengthen regional readiness.The Organization expanded access to care through initiatives such as the Mobile Clinic and Community Health Worker programs, addressing barriers related to geography, transportation, and socioeconomic factors. Public health outreach included participation in community events, health education campaigns, and targeted initiatives addressing mental health, chronic disease, and preventive care.Through strategic partnerships with healthcare providers, public health agencies, and community-based organizations, the Organization improved coordination of services, enhanced access to care, and advanced health equity across the region. 2553885 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 23 0 1 38 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 NH X Tracy Page 6032593700 260 Cottage Street C Littleton NH 03561 Kenneth Gordon President 1.00 0.00 X X 0 0 0 Margo Sullivan Vice President 1.00 0.00 X X 0 0 0 Ann Duffy Treasurer 1.00 0.00 X X 0 0 0 Karen Woods Secretary 1.00 0.00 X X 0 0 0 Greg Cook Director 1.00 0.00 X 0 0 0 Jamie D'Alessandro Director 1.00 0.00 X 0 0 0 Edward Duffy Director 1.00 0.00 X 0 0 0 Kristina Fjield-Sparks Director 1.00 0.00 X 0 0 0 Amanda Farnsworth Director 1.00 0.00 X 0 0 0 Suzanne Gaetjens-Oleson Director 1.00 0.00 X 0 0 0 Tiffany Haynes Director 1.00 0.00 X 0 0 0 Michael Peterson Director 1.00 0.00 X 0 0 0 Jeanne Robillard Director 1.00 0.00 X 0 0 0 Lauren Pearson Executive Director 40.00 0.00 X 105951 0 738 Tracy Page Director of Finance 40.00 0.00 X 77621 0 15780 183572 0 16518 1 0 0 0 Wolters Kluwer Health UpToDate 230 Third Avenue Waltham MA 02451 Software Services 107854 1 140434 2102782 693137 2936353 Program Service Fees 611430 167292 167292 Miscellaneous Revenue 611430 259 259 167551 4930 4930 65001 217782 -152781 -152781 -152781 2956053 167551 0 -147851 11640 11640 200090 200090 1756396 1530910 225486 24598 20371 4227 267557 223424 44133 144221 113826 30395 5817 5817 52126 52126 9557 2988 6569 48257 40661 7596 100444 76450 23994 97641 18711 78930 81446 78812 2634 67480 44476 23004 14349 7924 6425 Site Expenses 295555 295555 Staff Training 65563 62371 3192 Miscellaneous Expenses 57288 24486 32802 Equipment and Maintenan 1602 1280 322 3301627 2553885 747742 0 X 699253 748124 603979 472607 62216 62997 273020 237781 320501 35239 81810 166553 1767759 1485520 230134 178512 187593 218935 83733 167348 501460 564795 X 1266299 920725 1266299 920725 1767759 1485520 -345574 0 X 0 1 X 1 1 1 X 5861761 3733787 3242694 3037215 2936353 18811810 5861761 3733787 3242694 3037215 2936353 18811810 465318 18346492 4431 1058 2954 13269 4930 26642 18838452 1431084 0.97390 0.98200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 137656 129365 8291 135364 108416 26948 35239 Operating Lease Liability 162068 Finance Lease Liability 5280 167348 X 2956053 0 2956053 0 2956053 3301627 0 3301627 0 3301627 Part X, Line 2: The Organization is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and is not classified as a private foundation. However, income from certain activities not directly related to the Organization's tax-exempt purpose is subject to taxation as unrelated business income. The Organization had no unrelated business income activity subject to taxation for the years ended September 30, 2025 and 2024. The Organization has adopted the provisions of Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Subtopic 740-10, Income TaxesOverall. FASB ASC Subtopic 740-10 prescribes a recognition threshold and measurement attributable for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return, and provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition. Based on management's evaluation, management has concluded that there were no significant uncertain tax positions requiring recognition in the financial statements at September 30, 2025 and 2024. Although the Organization is not currently the subject of a tax examination by the Internal Revenue Service or the State of New Hampshire, the Organization's tax years ended September 30, 2022 through September 30, 2025 are open to examination by the taxing authorities under the applicable statute of limitations. 1 Educational/Training Financial Assistance 3 2500 Heating Fuel Financial Assistance 3 829 Emergency Shelter Financial Assistance 14 6761 Live, Learn & Play Stipend 2 1500 Driver's License Reinstatement 1 50 Part I, Line 2: The scope of work for grants made by NCHC are for specific purposes as outlined in grants NCHC receives from its grantors. An MOU detailing scope of work between NCHC and grantees is signed and kept on file. Program Manager and/or Program Director is responsible for monitoring, assuring, and documenting that the grantee fully executes the scope of work, at which time approval to pay the grantee is provided to the finance office for remittance. Dhaniele Duffy Family Member of Ann Duffy, Board Treasurer 64544 Employment 0 Form 990, Part III, line 3 During FY25, the Organization ceased operations of its Mobile Clinic Program. Preparations were made within the reporting year to transition the program, including beginning the process of selling the mobile clinic van assets. In place of the mobile clinic, the Organization developed a restructured approach focused on chronic disease prevention and management. The new initiative is designed to deliver the same preventative health services previously provided by the Mobile Clinic - such as screenings, health education, and outreach through alternative community-based strategies. This transition ensures continued access to preventative care for underserved populations while optimizing resources and expanding the Organization's capacity to address chronic disease regionally. By reallocating assets and staff expertise from the mobile clinic to the chronic disease program, the Organization aims to strengthen population health outcomes, enhance preventive care delivery, and maintain alignment with its mission of improving community health across Northern New Hampshire. Form 990, Part VI, Section A, line 6 The Organization has a class of members. Please refer to the Form 990, Part VI, line 7a narrative response on Schedule O for further details. Form 990, Part VI, Section A, line 7a Membership in the corporation is open to any individual, organization, professional association, government body, business, or foundation demonstrating support for the corporation and its purposes and upon paying the annual membership fee. Membership will continue so long as payment of the annual membership fee is current. Each member has one vote in corporate matters and one vote on all matters to be considered by the members, and the vote of a majority of the members present at any properly constituted meeting shall be necessary to adopt proposals. An annual meeting of the members is held on a date during November as designated by the Board of Directors, at which members shall elect the Board of Directors. Form 990, Part VI, Section A, line 8b No committees may act on behalf of the governing body. The Organization does maintain committees that report to the Board, including the Nominating Committee, Ad Hoc Membership Committee, Finance Committee, Development Committee, and Strategic Planning Committee. Form 990, Part VI, Section B, line 11b Executive management engages a public accounting firm to prepare the annual 990. Once the 990 is completed, it is reviewed by management and provided to the Board of Directors for approval prior to filing with the IRS. Form 990, Part VI, Section B, line 12c All Board members and key employees are required to complete a conflict of interest statement at time of appointment/hire. The statement is then re-signed annually, for review by the Board President/Chair and Executive Director for any potential conflicts. The completed forms are confidentially held in the Human Resources office and/or secured SharePoint site. If the perception of a conflict of interest arises with a member of the Board during any meeting, that member recuses him/herself from all discussion and voting by leaving the room/Zoom meeting. Form 990, Part VI, Section B, line 15 Executive Leadership and HR perform periodic market review analyses of compensation, based upon comparable criteria of organizations of similar size, expertise, and location/regionality (including both non-profit and for-profit sectors) for all positions within the organization. The most recent market review occurred during the Fall of 2023. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: North Country Health Consortium, Inc. 260 Cottage St., Suite C Littleton, NH 03561 EIN: 02-0503184 North Country Health Consortium, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). North Country ACO 260 Cottage Street Suite C Littleton NH 03561 454130146 ACO Formed for Health Centers Benefiting medicare participants NH 501(c)(3) Line 7 North Country Health Consortium Inc 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0