irs program accomplishments · form 990 part iii · fy2025
What they reported doing
- #1 primary $140K2025 Mental Health First Aid (MHFA) HighlightsIn 2025, the Madison County Rural Health Council (MCRHC) continued to expand access to evidence-based mental health education across the region. Jamie Hagenbuch was recognized as one of only two Top Instructors in New York State for training the highest number of individuals in Mental Health First Aid.From January through December 2025, MCRHC delivered Adult MHFA, teen Mental Health First Aid (tMHFA), and Its Real: Teens and Mental Health programming across 16 school districts, training a total of 1,323 individuals. This included 223 adultseducators, school staff, parents, caregivers, and community membersand 1,100 teens. Additionally, approximately 150 middle and high school students across two districts participated in Its Real, further expanding early mental health awareness and education.These efforts strengthen a coordinated, community-wide approach to mental health by reducing stigma, promoting early identification of mental health and substance use challenges, and increasing connections to appropriate supports and resources.Over the past three years, 4,180 individuals have been trained in Mental Health First Aid through MCRHC. The ripple effect of this training is significantthrough participants workplaces, families, and community interactions, these efforts have the potential to impact an estimated 62,700 individuals.Be the 1 in 15get trained in Mental Health First Aid.
- #2 $134K2025 Doula SummaryTrained 5 new birth doulas in SeptemberTrained 12 postpartum doulas in DecemberReceived 16 birth doula referralsReceived 5 end-of-life doula referralsOverall highlights:2025 showed strong growth in both training and referrals, with a total of 17 doulas trained and 21 client referrals across services.
named programs · 5 · from sources
What they call their work
Doula Initiative
Trains and deploys birth, postpartum, and end-of-life doulas to support low-income individuals at no cost; includes client referrals and partnerships with local hospitals
GOMadison Volunteer Transportation (GMVT)
Provides free, volunteer-driven transportation to non-emergency medical appointments for Madison County residents aged 60+ who are non-Medicaid eligible; drivers are reimbursed for mileage
Madison County Token Donation Program
Provides bus tokens to community organizations and residents to improve access to public transportation for medical, employment, and social service needs
Mental Health First Aid (MHFA)
Delivers evidence-based training programs for adults, teens, and rural communities to identify, understand, and respond to mental health and substance use challenges; includes Adult MHFA, teen MHFA, and Its Real: Teens and Mental Health curricula
Travel Training
Teaches community members how to use public transit systems independently, including route navigation and scheduling
activities · 8 groups
What they do
-
Non-Emergency Medical & Essential Transportation 2 activities
- Coordinate community mobility and transportation servicesProvides mobility management services including transportation coordination, travel training, and connection to providers to improve access to healthcare and essential services in Madison County and Central New York.
- Provide volunteer-based medical transportation for seniorsOffers free, non-emergency medical transportation to Madison County residents aged 60+ who are not Medicaid-eligible through the GOMadison Volunteer Transportation program, with volunteer drivers logging thousands of miles annually.
-
-
Mental Health Education and Awareness 2 activities
- Deliver Mental Health First Aid trainingTrains community members, teens, and school staff in Mental Health First Aid; trained 1,323 individuals in 2025 alone across 16 school districts and over 4,180 in the past three years.
- Implement youth mental health awareness programsEngages middle and high school students in mental health education and awareness initiatives, including the "Its Real" program across two school districts.
-
-
Healthcare Delivery Networks and Coalitions 1 activity
- Coordinate county-wide health resource alignmentFacilitates collaboration among health care providers and organizations to align resources, services, and evidence-based practices with community health needs in Madison County.
-
-
Perinatal Support Services 1 activity
- Deliver doula services for birth, postpartum, and end-of-life careProvides birth, postpartum, and end-of-life doula support to individuals in Madison County and expanded into Oneida County, including training doulas and matching clients with trained providers.
-
-
Comprehensive Dental Care Services 1 activity
- Improve oral health access through county partnershipOperates the Oral Health Partnership of Madison County to expand access to dental and oral health care services for underserved populations.
-
-
Food Distribution and Hunger Relief 1 activity
- Operate 24/7 access cabinets for food and essentialsManages 8 Community Cares Cabinet locations offering round-the-clock access to food, hygiene products, and other essentials for individuals in need across Madison County.
-
-
Diabetes Self-Management & Prevention Programs 1 activity
- Operate National Diabetes Prevention ProgramRuns a year-long lifestyle change program for adults at high risk of type 2 diabetes in Madison County, including weekly sessions for 16 weeks followed by monthly sessions for 8 months.
-
-
Organized Running and Triathlon Events 1 activity
- Run Monday Mile community wellness programOrganizes the Monday Mile initiative to promote physical activity and community wellness in Madison County, developed in partnership with the Syracuse University Lerner Center.
-
financials · form 990 · fy2025
revenue
Total revenue$754K
Contributions & grants$737K98%
Program service revenue$00%
Investment income$17K2%
Other revenue$0
expenses
Total expenses$715K
Program expenses81%
Admin / overhead19%
Fundraising0%
Salaries & benefits$447K
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$961K
Cash$759K
Investments$0
Liabilities$207K
Net assets$755K
Liquid reserves12.7 mo
6 years on record · 2020–2025 · YoY revenue +24.1%
leadership · form 990 part vii · fy2025
Who runs it
paid leadership · 1
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| CHRISTINE PAUL | Executive Dir. | 40 | $108K |
board members · 10
- DJ RAUX — Treasurer
- Danielle Johnson — Vice President
- ERIC FAISST — BOARD MEMBER
- Felissa Koernig JD — Board member
- Liz Crofut — BOARD MEMBER
- Marla Velkey-Reger — President
- NANNETTE COWEN — Secretary
- Neal Capone — Board member
- Robyn Smith — Board member
- Sara Wall Bollinger — Board member
relationships · 25
Who they work with
- Amazon Partner — Partner for the Community Cares Cabinet Project via an Amazon Wishlist to receive in-kind donations.
- Binghamton University Partner — Nannette Cowen, Clinical Assistant Professor/Coordinator at Binghamton University, serves on the Board of Directors.
- Birnie Bus Partner — Collaborates with Birnie Bus for chartering shopping trips for senior apartments in Cazenovia.
- CBO Consortium of Upstate New York Network — Member organization working collectively to advance health equity and strengthen community health programming across upstate New York.
- CNY Community Foundation Partner — Danielle Johnson, Senior Director of Grants & Programs at CNY Community Foundation, serves on the Board of Directors.
- CRIS-CAT Partner — Partners with CRIS-CAT, which provides medical transportation via volunteer drivers for residents of Cazenovia, Fenner, and Nelson.
- Central New York Community Foundation Partner — Collaborating on a participatory budgeting initiative to invest $75,000 in Madison County
- Central New York Community Foundation Partner — Transportation partner for the Centennial Participatory Budgeting event.
- Community Action Partnership for Madison County Partner — Liz Crofut, Executive Director of Community Action Partnership for Madison County, serves on the Board of Directors.
- Crouse Community Center Partner — DJ Raux, Executive Director of Crouse Community Center, serves as Treasurer on the Board of Directors.
- DeRuyter Central School District Partner — Neal Capone, Superintendent of DeRuyter Central School District, serves on the Board of Directors.
- Excellus BCBS Partner — Robyn Smith, Senior Community Investments & Partnerships Lead at Excellus BCBS, serves on the Board of Directors.
- Hamilton Community Memorial Hospital Partner — Jeffrey E. Coakley, President & CEO of Hamilton Community Memorial Hospital, serves on the Board of Directors.
- Healthy Alliance Partner — Bruce Hathaway, Network Growth Consultant at Healthy Alliance, serves on the Board of Directors.
- ITNCountry Partner — Provides technology for ride logistics, routing, volunteer management, and reporting for the GOMadison Volunteer Transportation Program.
- Madison County Government — Partnered on transportation and health access initiatives including mobility management and doula services.
- Madison County Cornell Cooperative Extension Partner — Hosting in-person participatory budgeting events in Morrisville, NY
- Madison County Department of Health Government — Eric Faisst, Director of Madison County Department of Health, serves on the Board of Directors.
- Madison County Office for the Aging Partner — Collaborates with the Madison County Rural Health Council to support services that promote independence and access to care for older adults.
- Madison Transit Services Partner — Coordinates public transportation and shopping shuttles through Madison Transit System for multiple senior housing sites.
- Oneida County Government — Expanded doula and mental health training services to include Oneida County.
- Oneida Health Partner — Felissa Koernig, President & CEO of Oneida Health, serves on the Board of Directors.
- SWB Consulting Services Partner — Sara Wall Bollinger, Owner of SWB Consulting Services, serves on the Board of Directors.
- Smithfield Community Center Partner — Hosting the voting and celebration night for the participatory budgeting initiative in Peterboro, NY
- Syracuse University Lerner Center Partner — Collaborates with Madison County Rural Health Council to develop the Monday Miles program in Madison County.
strategies · 4
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Community Education and Stigma Reduction in Mental Healthmethodology: mental_health_education_and_stigma_reductionBy implementing mental health education programs, the organization enables early identification and access to support because reducing stigma increases help-seeking behavior and community-wide mental health literacy.
- County-Wide Coordinated Care Modelmethodology: coordinated_service_alignmentBy aligning healthcare resources, services, and evidence-based practices across the county, the organization improves community health outcomes because systemic coordination reduces duplication, fills service gaps, and enables responsive planning for rural health needs.
- Group-Based Lifestyle Coaching for Chronic Disease Preventionmethodology: group-based_lifestyle_coachingBy using group-based coaching to promote physical activity, healthy eating, and stress management, the organization reduces diabetes risk because peer-supported, community-led behavior change is more sustainable and scalable in rural populations.
- Transportation Access as Health Equity Interventionmethodology: transportation_brokerageBy connecting individuals—especially seniors and those with medical needs—to existing and volunteer-based transportation options, the organization increases access to care because mobility is a key social determinant of health and a barrier to service utilization in rural areas.