Washington, D.C. · Nonprofit
NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS
NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS (Washington, D.C.) receives grants from 17 organizations whose IRS filings report $3,796,832 to it, the largest being ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS ($1,545,828). 11 of them have funded it in more than one year.
- Revenue FY2025
- $62M
- Funders on record
- 17
- Grants received
- $3.8M
- Net assets
- $5.1M
What National Association of County and City Health Officals does
Mission
The national association of county and city health officials' (naccho) mission is to be a leader, partner, catalyst, and voice for local public health departments in order to ensure the conditions that promote equity and health, to combat disease, and to lengthen and improve the quality of all lives.
As stated on its FY2025 Form 990.
Programs
Community health - naccho's community and environmental health programs assist local health departments to promote health and prevent disease in communities. This is achieved by providing resources, tools, technical assistance and training. Programs include those in the areas of maternal, child, and adolescent health, access to primary care and mental health, injury prevention, traffic safety, food safety, climate change, birth defects prevention, disability and health, chronic disease prevention, tobacco control, immunization, infectious disease prevention and control, and hiv and sexually transmitted infection (sti) prevention.
$35,592,688 spent$175,176 earned by the program63% of program spendingPreparedness - 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.
$6,937,664 spent$500 earned by the program12% of program spendingPublic 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.
$6,407,417 spent$4,820 earned by the program11% of program spendingMembership dues
$4,841,432 spent$4,946,825 earned by the program9% of program spendingAll other grant programs
$1,564,233 spentof which $12,500 as grants$684,850 earned by the program3% of program spendingAdvocacy
$712,134 spent1% of program spending
The 6 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $56,055,568.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 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 2024 to 2025, from $35M to $19M (−46%).
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: 2017 78% · 2018 81% · 2019 78% · 2020 89% · 2021 91% · 2022 93% · 2023 93% · 2024 94% · 2025 88%. Grants only. Government contracts and fees sit inside program revenue.
89% of NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS’s revenue is contributions — more donation-reliant than the typical peer (26% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 3 of the last 9 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 Freeman Mba
Chief executive officer
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 2 funders to 5 funders, grant income rose $181k → $811k.
1 of 17 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 9% 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 NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS’s funders (the co-funder graph). Top 16 of 17 funders by total. 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
NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS leans on a few funders — its largest provides 41% of grant income and the top three 64%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
90% 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 NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS.
Largest funder’s share by year: 2017 97% · 2018 93% · 2019 44% · 2020 47% · 2021 61% · 2022 53% · 2023 79% — 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.
How long its funders stay
29% of NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS's funders are still giving 3 years after their first grant; 65% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS draws 91% of its grant income from funders outside Washington, D.C., across 11 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $344k 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
NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS has grown faster than half of the 95 unclassified nonprofits its size.
this organization peer median middle 50% of peers· 95 unclassified nonprofits $10M–$100M, FY2025
Government funding NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $403.3M on record.
- Department of Health and Human Services$401.5M
- Executive Office of the President$1.2M
- Department of Homeland Security$402k
- Department of Justice$150k
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 NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS
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 Washington, D.C.
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
90% of spending goes to programs.
Governance
Public support
100%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Files a return copy in 6 states
Part of a family of 1 related entity
- The Foundation for the Public's Health · exempt
Screen this organization
A dated, signed PDF of the compliance screen for NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS: 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 NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS?
- NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS (Washington, D.C.) receives grants from 17 organizations whose IRS filings report $3,796,832 to it, the largest being ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS ($1,545,828). 11 of them have funded it in more than one year.
- How many funders does NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS have?
- IRS filings report 17 organizations giving $3,796,832 in grants to NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS, 11 of which have funded it in more than one year.
- Who is the largest funder of NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS?
- ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS is the largest funder on record, with $1,545,828 in grants. The full list of funders is on this page.
- How can an organization like NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Washington, D.C.. 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 2017–2025), and the filings of 17 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