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Nantahala Health Foundation

EIN 83-2682447 · Franklin, NC

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

LegitimacyPassesRegistration and standingFinancial healthGood73 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

Improving health and well-being for those living in westernmost North Carolina.

Income
$674,118
Spending
$882,177
Spent on programs
77%
Reserves
Over 10 years of spending
Largest source of income
investment income, 82%
Employees
2
Volunteers
12
Highest pay
$132,028, executive director

Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Good: 73 out of 100. Higher than 42% of charities in its peer group (health care, $250k to $1m).

  • Reserves

    35 of 35

    Spendable reserves would cover more than ten years of spending.

  • Debt

    20 of 20

    It owes 0% of what it owns.

  • Living within its means

    0 of 15

    Spending exceeded income by 31% of income.

  • Income trend

    10 of 15

    Income fell 8% on the year before.

  • Spending floor

    8 of 15

    77% of spending went to programs and raising each dollar of donations cost 40 cents.

Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 92% of charities in its peer group (health care, $250k to $1m).

  • Independent board

    25 of 25

    12 of 12 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 December 31, 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 (3)
  1. $678,415 spent. 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
  2. 2. 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. 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.

Source: Form 990 for the year ending December 31, 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 December 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 May 2019.

    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.

  7. Could it be confused with another charity? Worth knowing.

    A much larger organization has a similar name: Foundation Health LLC (Fairbanks, AK), EIN 81-3021580. If that is the one you meant, check the EIN before giving.

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