The Collaborative for Advancing Rural Excellence and Equity (CARE2) is a federally funded five-year program with the UNH ECHO Hub in collaboration with our partners, MCD Global Health, to provide two Project ECHO series annually on the topics of aging and substance use to care teams in New Hampshire, Maine, Vermont, and North Country New York. The Annual Report Evaluation Highlights from CARE2 Project Year 1 was developed to serve as a quantitative and qualitative review of our program’s impact across Cohort 1 of both of our ECHO programs: Project ECHO: Aging, Community, & Equity and the Substance Use Disorder (SUD) ECHO.