In a pivotal meeting on January 2, 2025, the Tamworth NH Selectmen discussed the funding request from the Tamworth Community Nursing Association (TCNA), which has seen a significant reduction for the first time in a decade. The TCNA is asking for $75,000, a decrease from previous years, reflecting a shift in their budget strategy as they aim to stabilize their financial footing while continuing to provide essential nursing services to the community.

The TCNA's funding model relies on three main sources: an endowment, grants, and town affiliation, with each contributing roughly one-third to their budget. In 2024, they reported over 2,000 home visits, serving approximately 350 residents, many of whom require repeated assistance. The organization has recently completed a building project that has allowed them to expand their services, including community programming and health education initiatives.

However, the discussion revealed concerns among selectmen regarding the sustainability of TCNA's funding model. Some members expressed apprehension about the large funding request, especially in light of rising property taxes that are straining residents' finances. They questioned what would happen if the town were to deny the funding, emphasizing the need for TCNA to explore alternative revenue streams, such as charging for certain services or expanding fundraising efforts.

Board members acknowledged the importance of TCNA's services but stressed the necessity for a more robust business model to ensure long-term viability. They suggested that TCNA consider implementing a sliding scale for service fees, which could help alleviate the financial burden on taxpayers while still providing care to those in need.

As the meeting concluded, TCNA representatives expressed optimism about their future, highlighting recent technological advancements and a new electronic record system that could enhance service delivery. They reiterated their commitment to serving the community and adapting to the evolving needs of residents.

The outcome of this funding request will be closely watched, as it not only impacts TCNA's operations but also reflects broader economic challenges facing the Tamworth community. The selectmen's decision will be crucial in determining how the town supports essential health services while balancing fiscal responsibility.