North Carolina · Nonprofit
Nantahala Health Foundation
Nantahala Health Foundation (North Carolina) receives grants from 5 organizations whose IRS filings report $15,866,929 to it, the largest being ANC HEALTHCARE INC ($15,087,459). 4 of them have funded it in more than one year.
- Revenue FY2025
- $674k
- Funders on record
- 5
- Grants received
- $16M
- Net assets
- $14M
What Nantahala Health Foundation does
Mission
Improving health and well-being for those living in westernmost North Carolina.
As stated on its FY2025 Form 990.
Programs
1. Grantmaking - Youth and Young Adult Wellbeing NHF awarded grants and provided capacity-building support organizations working to improve the health and wellbeing of youth and young adults in Western North Carolina. Funded initiatives addressed key social determinants of health, including educational access, economic stability and mental health. Supported projects expanded educational opportunities, delivered mental and behavioral health services, and promoted healthy lifestyles, contributing to improved outcomes for young people across the region. Total Grants Awarded: $254,800
$678,415 spentof which $419,616 as grants$5,000 earned by the program100% of program spending2. Grantmaking - Emergency Food Security NHF awarded and administered emergency grants to strengthen food security in response to the national SNAP benefit freeze. Funding supported Western North Carolina organizations in addressing an anticipated increase in food insecurity and helped local food banks and pantries meet heightened community demand for nutritious food during a period of economic disruption. Total Grants Awarded: $115,000
3. Grantmaking - Disaster Response and Recovery Efforts Following Hurricane Helene Following Hurricane Helene, NHF provided grant funding and capacity-building support to organizations engaged in disaster response and recovery efforts. Supported activities included housing restoration, emergency food assistance, trauma-informed counseling, crisis support, psychoeducation for affected individuals, and emergency preparedness. These efforts focused on stabilizing impacted communities and strengthening long-term community resilience. Total Grants Awarded: $49,816 . Accomplishment #4: Leadership Program for Capacity Building is described on Schedule O.
The 3 programs described on its FY2025 Form 990, listed largest first by expense. Program spending in total: $678,415.
The organization over time
Each line starts at 100 in 2019, so what you read is the shape rather than the size: 150 means half as much again as 2019, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $3.6M to $8.8M (+149%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2025 4%. Grants only. Government contracts and fees sit inside program revenue.
16% of Nantahala Health Foundation’s revenue is contributions — more earned-revenue than three-quarters of its peers (82% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 7 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Lori A Bailey
Executive Director
Board chair
Roger Plemens
Chairperson
As listed on its FY2025 Form 990.
Who funds it, year by year
2019 → 2023: the base broadened from 1 funder to 3 funders, grant income fell $350k → $69k.
1 of 5 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 0% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of Nantahala Health Foundation’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
Nantahala Health Foundation leans on a few funders — its largest provides 95% of grant income and the top three 100%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
95% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Nantahala Health Foundation.
Largest funder’s share by year: 2019 100% · 2020 100% · 2021 96% · 2022 89% · 2023 73% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Where its funders are
Nantahala Health Foundation draws 95% of its grant income from funders outside North Carolina, across 2 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $28 arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
Nantahala Health Foundation's revenue fell 87% between 2019 and 2025.
this organization peer median middle 50% of peers· 7,883 health nonprofits $100k–$1M, FY2025
Government funding Nantahala Health Foundation receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $25k on record.
- Appalachian Regional Commission$25k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like Nantahala Health Foundation
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In North Carolina
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
77% of spending goes to programs.
Governance
Public support
72%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Files a return copy in 1 state
Screen this organization
A dated, signed PDF of the compliance screen for Nantahala Health Foundation: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds Nantahala Health Foundation?
- Nantahala Health Foundation (North Carolina) receives grants from 5 organizations whose IRS filings report $15,866,929 to it, the largest being ANC HEALTHCARE INC ($15,087,459). 4 of them have funded it in more than one year.
- How many funders does Nantahala Health Foundation have?
- IRS filings report 5 organizations giving $15,866,929 in grants to Nantahala Health Foundation, 4 of which have funded it in more than one year.
- Who is the largest funder of Nantahala Health Foundation?
- ANC HEALTHCARE INC is the largest funder on record, with $15,087,459 in grants. The full list of funders is on this page.
- How can an organization like Nantahala Health Foundation find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in North Carolina. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2019–2025), and the filings of 5 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing