National Association of County and City Health Officials is a 501(c)(3) organization based in Washington, District of Columbia, registered in 1986, with $101,875,146 in FY2023 revenue. CharityIndex grades it B+, and it directs about 94% of spending to programs.
Revenue (FY2023)
$101.9M
▲ 25.1% vs prior year
Unknown median: $232K
Expenses (FY2023)
$101.3M
Net assets
$5.2M
Employees
223
Rated on 4 of 4 criteria.
Held down by its weakest criterion — a strong score on one criterion can't hide a weak one.
How the rating works →Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For National Association of County and City Health Officials: 94% to programs · $0 to raise $100 earns a A+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For National Association of County and City Health Officials: 1 mo reserves · +1% margin earns a C+ on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For National Association of County and City Health Officials: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For National Association of County and City Health Officials: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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To improve the health of communities by strengthening and advocating for local health depts.
Preparedness - naccho collects and creates tools and resources for, and provides information, training, and technical assistance to, local health departments. these activities enhance the readiness of local health departments to respond to public health emergencies and other disasters. naccho also serves as a conduit through which local input can inform policy and practice on issues related to public health preparedness at the national level.
Public health and infrastructure systems - naccho works collaboratively with key partners and local health departments to assess and assure services to people and the conditions in which people live to protect and promote public health for their communities. naccho provides training, research, tools and technical assistance to improve local health department capacity and effectiveness in areas such as informatics, community systems strategic planning, health equity and social justice, native american health, workforce development, international health, and accreditation.
Revenue grew from $25.6M (FY2013) to $101.9M (FY2023) across 11 reported years.
Financial snapshot
Operating margin
0.5%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$35.2M
Total liabilities
$30.1M
Net assets
$5.2M
Salaries & benefits
$24.1M
24% of expenses
Board members
20
20 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $101,875,146▲25.1% | $101,343,506▲26.3% | $5,156,514▲13.4% | $35,210,613▲21.0% | 990 |
| 2022 | $81,419,414▲69.1% | $80,228,706▲69.4% | $4,547,200▲38.2% | $29,109,876▲59.2% | 990 |
| 2021 | $48,146,560▲42.9% | $47,365,411▲43.1% | $3,290,217▲17.7% | $18,288,074▲24.7% | 990 |
| 2020 | $33,691,939▲30.2% | $33,092,589▲27.3% | $2,796,135▲36.4% | $14,670,823▲33.2% | 990 |
| 2019 | $25,874,953▲13.3% | $26,003,240▲14.1% | $2,050,223▼4.1% | $11,015,647▲11.2% | 990 |
| 2018 | $22,839,052▼3.0% | $22,781,654▼5.0% | $2,137,346▲5.6% | $9,910,047▼3.8% | 990 |
| 2017 | $23,556,798▼4.8% | $23,979,502▼2.4% | $2,024,482▼16.3% | $10,298,234▲10.9% | 990 |
| 2016 | $24,731,738▼10.7% | $24,569,151▼12.2% | $2,419,826▲7.8% | $9,282,554▲10.1% | 990 |
| 2015 | $27,709,106▲16.3% | $27,993,578▲15.1% | $2,245,578▼12.9% | $8,429,660▲0.6% | 990 |
| 2014 | $23,832,649▼7.0% | $24,329,243▼3.9% | $2,579,583▼16.0% | $8,382,723▲13.0% | 990 |
| 2013 | $25,638,929 | $25,327,217▼5.9% | $3,072,702▲12.6% | $7,416,156▲5.1% | 990 |
| 2012 | — | $26,908,704▼3.4% | $2,729,078▲10.5% | $7,057,469▲10.0% | 990 |
| 2011 | — | $27,843,953▼3.7% | $2,468,981▲3.2% | $6,415,339▲12.5% | 990 |
| 2010 | — | $28,911,924▲2.8% | $2,393,421▲5.4% | $5,704,437▼16.5% | 990 |
| 2009 | — | $28,122,952 | $2,270,300 | $6,832,789 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Lori Freeman Mba — $391,022 (0.39% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Lori Freeman Mba | Chief Executive Officer | 53.5 | $391,022 |
| Jerome Chester Ms Mba | Chief Financial Officer | 47.7 | $250,224 |
| Lee Lynn | Senior Advisor, Hr | 42.8 | $218,004 |
| Bhartesh Tripathi | Controller | 41.6 | $213,064 |
| Nicole Silverman | Chief of Programs | 37.5 | $213,064 |
| Dennis Small | Chief of Information Tech. | 37.5 | $208,657 |
| Adriane Casalottichief | Gov't Affairs&public Relations | 37.5 | $204,402 |
| Alan Melnick Mdmphcph | Board Member | 2 | — |
| Blaire Bryant Mph | Ex-officio | 2 | — |
| Damon Chaplin Mba | Vice President | 2 | — |
| Erika Lauenbach Mph | Board Member | 2 | — |
| Janet Berreman Md Mph Faap | Board Member | 2 | — |
| Joey Smith | Board Member | 2 | — |
| Katherine Wells Mph | Board Member | 2 | — |
| Kim Engel Mba | Board Member | 2 | — |
| Krista Wasowski Msw Mph | Board Member | 2 | — |
| Lisa Pives Ms | Board Member | 2 | — |
| Margaret Margy Jahn Ms Mph | Immediate Past President | 2 | — |
| Meenakshi Brewster Md Mph | Board Member | 2 | — |
| Michael Kilkenny Md Ms | President-elect | 2 | — |
| Contractor | Services | Paid |
|---|---|---|
| The Mosaic Group Inc | Program Support | $1,389,636 |
| University of Washington | Program Support | $1,019,428 |
| Deloitte Consulting LLP | Program Support | $857,908 |
| Human Impact Partners | Program Support | $816,373 |
| Apic Consulting Services Inc | Program Support | $715,674 |
32 grants to National Association of County and City Health Officials totaling $3.3M, reported by foundations on their Schedule I filings — showing the 15 most recent.
1 grant totaling $393K in FY2016. All grants made by National Association of County and City Health Officials →
| Recipient | Purpose | Amount |
|---|---|---|
| Foundation For the Publics Health | Program support | $392,680 |
Explore more
Data for National Association of County and City Health Officials (EIN 52-1426663) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.