At the North Carolina Institute of Medicine, we bring together hundreds of North Carolinians, both virtually and in-person, to do the hard and important work of analyzing challenges in health care and health policy and identifying ways to work together to improve our state. In 2024, this work informed more than 30 recommendations across two task force reports; key findings to inform decision-making by state agencies, local elected officials, and the North Carolina General Assembly; new priorities for health and policy researchers; and countless opportunities for collaboration and partnership. We also welcomed three new members to the North Carolina Institute of Medicine Board of Directors, inducted eight new individuals with abroad range of health expertise into NCOIM membership, and celebrated 22 members of the North Carolina General Assembly for participating in the fourth cohort of the NCIOM Legislative Health Policy Fellows program.