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Vermont · Nonprofit

Northern Counties Health Care Inc

Northern Counties Health Care Inc (Vermont) receives grants from 16 organizations whose IRS filings report $2,208,084 to it, the largest being Northeastern Vermont Regional Hosp Inc ($1,146,527). 5 of them have funded it in more than one year.

Revenue FY2025
$36M
Funders on record
16
Grants received
$2.2M
Net assets
$27M
5/16 repeat funderspeak grant-dependency 2%
01What it does

What Northern Counties Health Care Inc does

Mission

Mission: To provide high-quality, accessible, patient-centered health care. Vision: NCHC is a key partner in building healthy families and thriving communities. Values: We pursue quality in all that we do and are committed to: Mutual Respect and Trust - working together and providing care that respects every individual's dignity, privacy, and culture. Excellence -- investing in our most valuable asset, our employees, is crucial to delivering high quality care. Teamwork and Collaboration -- working within NCHC and with community partners to provide a continuum of health care and social support. Stewardship and Spirit of Service - serving our communities with integrity and intention in all our interactions. Resilience - approaching every challenge as an opportunity to pursue creative solutions, achieve financial sustainability, and deepen our resolve.

As stated on its FY2025 Form 990.

Programs

  1. To provide primary care, dental care, behavioral health and community health services to residents in the Northeast Kingdom Region.

    $24,305,756 spentof which $55,710 as grants$21,257,512 earned by the program
    75% of program spending
  2. To provide home health, hospice and homemaker services to residents in the Northeast Kingdom Region.

    $8,228,038 spent$7,905,452 earned by the program
    25% of program spending

The 2 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $32,533,794.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($24M) Expenses 100 ($22M) Net assets 100 ($12M)2018 Revenue 103 ($25M) Expenses 106 ($23M) Net assets 109 ($13M)2019 Revenue 113 ($27M) Expenses 116 ($26M) Net assets 120 ($14M)2020 Revenue 118 ($28M) Expenses 122 ($27M) Net assets 125 ($15M)2021 Revenue 130 ($31M) Expenses 124 ($27M) Net assets 160 ($19M)2022 Revenue 154 ($37M) Expenses 137 ($30M) Net assets 212 ($25M)2023 Revenue 147 ($35M) Expenses 149 ($33M) Net assets 224 ($27M)2024 Revenue 144 ($34M) Expenses 153 ($34M) Net assets 231 ($28M)2025 Revenue 149 ($36M) Expenses 163 ($36M) Net assets 227 ($27M)
'17'18'19'20'21'22'23'24'25
Revenue (149)Expenses (163)Net assets (227)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $17M to $26M (+52%).

$15M
$16M
$17M
$17M
$26M
$28M
$29M
$30M
$29M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 15% · 2018 16% · 2019 15% · 2020 14% · 2021 23% · 2022 25% · 2023 20% · 2024 17% · 2025 14%. Grants only. Government contracts and fees sit inside program revenue.

16% of Northern Counties Health Care Inc’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.

$1.7M
’17
$1.1M
’18
$1.3M
’19
$931k
’20
$3.6M
’21
$6.3M
’22
$1.9M
’23
$407k
’24
−$596k
’25
5.0
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Christopher Towne

Chief Executive Officer

As listed on its FY2025 Form 990.

The chief executive listed changed between the FY2019 and FY2020, and between the FY2024 and FY2025 filings.

'17'18'19'20'21'22'23'24'25
Listed232022222625272521
Joined·+3+7+2+7+8+8+3+12
No longer listed·652396516
03Who funds it

Who funds it, year by year

2017 → 2023: the base held at 5 funders, grant income rose $252k → $741k.

5 of 16 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 10% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of Northern Counties Health Care Inc’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Northern Counties Health Care Inc leans on a few funders — its largest provides 52% of grant income and the top three 84%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Northern Counties Health Care Inc.

52%
largest funder
84%
top three
~3
effective funders

Largest funder’s share by year: 2017 52% · 2018 87% · 2019 91% · 2020 76% · 2021 75% · 2022 71% · 2023 66% — growing more concentrated.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

25% of Northern Counties Health Care Inc's funders are still giving 3 years after their first grant; 31% give in more than one year at all.

first grant+1y+2y+3y+4y+5y+6y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

97% of Northern Counties Health Care Inc's grant income comes from Vermont funders.

VT
NH
MA
GA

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Vermont out of state home

Funder states come from each funder’s own filing. $221k arriving through sponsors registered in 5 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Northern Counties Health Care Inc holds deeper cash reserves than three-quarters of the 2,843 health nonprofits its size.

Operating margin−2% · below the median
Months of reserve5.0mo · top quartile
Revenue growth (annualized)5% · below the median

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Government funding Northern Counties Health Care Inc receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $49.4M on record — $42.2M federal, $7.3M state.

Federal$42.2M
grants $42.2Mcontracts $0
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18
19
20
21
22
23
24
25
26
Top agencies
  • Department of Health and Human Services$42.2M
State$7.3M
09
10
11
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13
14
15
16
17
18
19
20
21
22
23
24
25
26
Top programs
  • Home Visiting$2.3M
  • MCH Planning$1.8M
  • Other Grants$1.4M
  • Other Contr and 3rd Pty Serv$947k
  • Chronic Disease Programs$579k
  • Women's Health$87k

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like Northern Counties Health Care Inc

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Vermont

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

90% of spending goes to programs.

Program 90%Management 10%Fundraising 0%

Governance

13
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

99%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

VT

Screen this organization

A dated, signed PDF of the compliance screen for Northern Counties Health Care Inc: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Northern Counties Health Care Inc?
Northern Counties Health Care Inc (Vermont) receives grants from 16 organizations whose IRS filings report $2,208,084 to it, the largest being Northeastern Vermont Regional Hosp Inc ($1,146,527). 5 of them have funded it in more than one year.
How many funders does Northern Counties Health Care Inc have?
IRS filings report 16 organizations giving $2,208,084 in grants to Northern Counties Health Care Inc, 5 of which have funded it in more than one year.
Who is the largest funder of Northern Counties Health Care Inc?
Northeastern Vermont Regional Hosp Inc is the largest funder on record, with $1,146,527 in grants. The full list of funders is on this page.
How can an organization like Northern Counties Health Care Inc find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Vermont. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 16 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing