The Northern Border Regional Commission (NBRC) consists of the most distressed counties of Maine, New Hampshire, Vermont, and New York. For the purpose of the study, counties in the four states are organized into three geographies: 1) NBRC counties, 2) outlier counties that are immediately contiguous to NBRC counties but outside the jurisdiction of other federally recognized Regional Commissions or that may have similar demographic/economic challenges, and 3) neither.