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National Association of County and City Health Officials

EIN 52-1426663 · Washington, DC

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthWeak32 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

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.

Income
$62.3 million
Spending
$62.4 million
Spent on programs
90%
Reserves
0.8 months of spending
Largest source of income
government grants, 88%
Employees
222
Volunteers
19
Highest pay
$479,568, chief executive officer

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Weak: 32 out of 100.

  • Reserves

    4 of 35

    Spendable reserves would cover 0.8 months of spending.

  • Debt

    5 of 20

    It owes 74% of what it owns.

  • Living within its means

    8 of 15

    Spending exceeded income by 0% of income.

  • Income trend

    0 of 15

    Income fell 39% on the year before.

  • Spending floor

    15 of 15

    90% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100.

  • Independent board

    25 of 25

    19 of 19 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (6)
  1. $35.6 million spent. 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.
  2. $6.9 million spent. 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.
  3. $6.4 million spent. 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.
  4. $4.8 million spent. MEMBERSHIP DUES
  5. $1.6 million spent. ALL OTHER GRANT PROGRAMS
  6. $712,134 spent. ADVOCACY

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending June 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since February 1986.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.