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National Alliance of State and Territorial AIDS Directors

EIN 91-1568650 · Washington, DC

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

LegitimacyPassesRegistration and standingFinancial healthGood70 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

NASTAD'S MISSION IS TO ADVANCE THE HEALTH AND DIGNITY OF PEOPLE LIVING WITH AND IMPACTED BY HIV/AIDS, VIRAL HEPATITIS, AND INTERSECTING EPIDEMICS BY STRENGTHENING GOVERNMENTAL PUBLIC HEALTH AND LEVERAGING COMMUNITY PARTNERSHIPS.

Income
$25.7 million
Spending
$24.1 million
Spent on programs
86%
Reserves
3.2 months of spending
Largest source of income
government grants, 82%
Employees
79
Volunteers
24
Highest pay
$318,854, executive director

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

Financial health

Good: 70 out of 100. Higher than 57% of charities in its peer group (health care, $10m to $100m).

  • Reserves

    20 of 35

    Spendable reserves would cover 3.2 months of spending.

  • Debt

    5 of 20

    It owes 50% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 6% of income.

  • Income trend

    15 of 15

    Income rose 3% on the year before.

  • Spending floor

    15 of 15

    86% of spending went to programs and raising each dollar of donations cost 1 cents.

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

Governance

Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, $10m to $100m).

  • Independent board

    25 of 25

    29 of 29 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 September 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 (5)
  1. $15.5 million spent. SYNDEMIC APPROACHES:PREVENTION: NASTAD'S HIV PREVENTION AND SURVEILLANCE ACTIVITIES ARE PRIMARILY FUNDED THROUGH A CDC COOPERATIVE AGREEMENT TO CONDUCT CAPACITY BUILDING/TECHNICAL ASSISTANCE WHERE (TA) ACTIVITIES AND COMMUNICATION IN SUPPORT OF STATE AND LOCAL HEALTH DEPARTMENT HIV PREVENTION PROGRAMS FUNDED THROUGH CDC'S HIV PREVENTION AND SURVEILLANCE COOPERATIVE AGREEMENT FUNDING FOR HEALTH DEPARTMENTS. ADDITIONALLY, NASTAD HAS RECEIVED FUNDING FROM CDC THROUGH CSTLTS TO DEVELOP A LEARNING COMMUNITY REGARDING HIV CLUSTER DETECTION AND RESPONSE. NASTAD IS IN ITS THIRD YEAR OF FUNDING THROUGH A FIVE YEAR SUBAWARD FROM EMORY UNIVERSITY FOR A CDC NATIONAL HIV SELF-TESTING PROJECT CALLED TOGETHER TAKE ME HOME.VIRAL HEPATITIS: THROUGH A COOPERATIVE AGREEMENT WITH FUNDING FROM THE CDC'S DIVISION OF VIRAL HEPATITIS (THROUGH THE CSTLTS FUNDING MECHANISM) NASTAD HAS A (VIRTUAL) TECHNICAL ASSISTANCE (TA) CENTER (HEPTAC) TO SUPPORT HEALTH DEPARTMENT HEPATITIS PROGRAMS WITH THE PREVENTION, SURVEILLANCE, AND LABORATORY ACTIVITIES. THE PROGRAM INCLUDES SUPPORTING HEALTH DEPARTMENT HEPATITIS PREVENTION AND SURVEILLANCE PROGRAMS WITH TAILORED TECHNICAL ASSISTANCE AND OTHER MODALITIES INCLUDING VIRTUAL LEARNING COMMUNITIES. ADDITIONALLY, NASTAD IS FUNDED FOR ANOTHER COOPERATIVE AGREEMENT WITH CDC'S DIVISION OF VIRAL HEPATITIS: NATIONAL VIRAL HEPATITIS EDUCATION, AWARENESS, AND CAPACITY BUILDING FOR COMMUNITIES AND PROVIDERS (HEPNET). FINALLY, NASTAD'S HEPATITIS PROGRAM ALSO INCLUDES PARTICIPATION AND LEADERSHIP IN THE NATIONAL VIRAL HEPATITIS ROUNDTABLE AND PROMOTION OF FEDERAL PROGRAMS THAT ADDRESS HEPATITIS A (HAV) AND HEPATITIS B (HBV) VACCINE FOR HIGH-RISK ADULTS, PREVENTION OF HCV, CHRONIC HBV AND HCV AND HIV HCV CO INFECTION. THIS PROGRAM IS SUPPORTED BY BOTH THE MEMBERSHIP AND CORPORATE DONORS.DRUG USER HEALTH: SINCE SEPTEMBER 30, 2022 NASTAD HAS BEEN IMPLEMENTING A FIVE YEAR COOPERATIVE WITH CDC'S DVH FOR STRENGTHENING OVERDOSE PREVENTION PROGRAM THROUGH WHICH NASTAD PROVIDES DIRECT FUNDING TO OVERDOSE PREVENTION PROGRAM THROUGHOUT THE US.IN AUGUST OF 2024, NASTAD RECEIVED FUNDING THROUGH CDC'S PHIW (FORMALLY CSTLTS) FOR TWO OVERDOSE PREVENTION RELATED PROJECTS. ADDITIONALLY, NASTAD IS A MULTI-YEAR SUBAWARD FROM THE AMERICAN ACADEMY OF ADDITION PSYCHIATRY TO IMPLETMENT SAMHSA OPIOD RESPONSE NETWORK (ORN) FUNDING.
  2. $4.3 million spent. STRENGTHENING PUBLIC HEALTH SYSTEMS:HEALTH CARE ACCESS: NASTAD IS IN THE THIRD YEAR OF A FIVE-YEAR COOPERATIVE AGREEMENT WITH HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO PROVIDE TECHNICAL ASSISTANCE (TA) FOR AIDS DRUG ASSISTANCE PROGRAMS (ADAP) AND RYAN WHITE PART B PROGRAMS. PROGRAM ACTIVITIES INCLUDE A FOCUS ON ADAP CLINICAL QUALITY, AS WELL AS TA TO ADAPS ON VARIOUS ISSUES INCLUDING IMPLEMENTATION OF THE AFFORDABLE CARE ACT (ACA), INSURANCE PURCHASING, INTEGRATED PLANNING, FINANCIAL FORECASTING, IMPLEMENTING QUALITY MEASURES AND NEW DATA COLLECTION ACTIVITIES, DEVELOPING, AND DISSEMINATING VARIOUS MATERIALS, AND IMPLEMENTING AND MONITORING DRUG PRICING AGREEMENTS. NASTAD HAS AN ONGOING PROJECT SUPPORTED BY CORPORATE DONORS TO MONITOR AND ASSESS THE STATUS OF STATE ADAPPS AUTHORIZED UNDER PART B OF THE RYAN WHITE PROGRAM.CBA: IN ADDITION TO PRODUCING THAT NATIONAL ADAP MONITORING PROJECT ANNUAL REPORT, THE PROGRAM PROVIDES TA TO STATE ADAPS REGARDING VARIOUS PROGRAMMATIC AND FISCAL ISSUES. NASTAD ALSO CONVENES AND SUPPORTS THE WORK OF AN ADAP CRISIS TASK FORCE, MADE UP OF STATE AIDS DIRECTORS AND ADAP COORDINATORS WORKING ON BEHALF OF ALL STATE HIV/AIDS PROGRAMS TO IMPROVE THE FISCAL STATUS OF STATE ADAP PROGRAMS. THIS PROGRAM IS SUPPORTED BY NASTAD'S MEMBERSHIP.HEALTH SYSTEMS INTEGRATION: NASTAD HAS TWO COOPERATIVE AGREEMENTS WITH HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). ONE IS SERVICE AS THE SYSTEMS COORDINATION PROVIDER (SCP) FOR HRSA'S ENDING THE HIV EPIDEMIC (EHE) INITIATIVE. THE SECOND COOPERATIVE AGREEMENT FOR A SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE (SPNS) INITIATIVE: BUILDING CAPACITY TO IMPROVE COLLECTING AND REPORTING VIRAL SUPPRESSION DATA TO THE MEDICAID ADULT CORE SET.
  3. $706,993 spent. ORGANIZATIONAL EXCELLENCE: NATIONAL HIV AND HEPATITIS TECHNICAL ASSISTANCE MEETING: FOR MANY YEARS, NASTAD CONVENED A TECHNICAL ASSISTANCE MEETING EACH YEAR FOR HIV PREVENTION, CARE INCLUDING ADAP COORDINATORS, HEPATITIS, AND DRUG USER HEALTH STAFF.IT WAS SUPPORTED THROUGH CORPORATE CONTRIBUTIONS. THE FINAL TA MEETING WAS HELD IN OCTOBER 2024 AND WILL BE REPLACED WITH AN EVERY OTHER YEAR MEETING, NAMED TRANSPIRE. THE FIRST TRANSPIRE MEETING WILL BE HELD 9/30/2026.ANNUAL MEETING: NASTAD CONVENES AN ANNUAL MEETING OF THE GENERAL MEMBERSHIP EACH SPRING, SUPPORTED BY THE MEMBERSHIP AND CORPORATE DONORS. THIS PROGRAM INCLUDES ALL ACTIVITIES IN SUPPORT OF THE ANNUAL MEETING THAT ARE NOT DIRECTLY SUPPORTED BY OTHER PROGRAMS.
  4. $272,466 spent. POLICY AND LEGISLATIVE AFFAIRS: NASTAD'S POLICY AND LEGISLATIVE AFFAIRS PROGRAM TRANSLATES STATE CONCERNS REGARDING HIV/AIDS AND HEPATITIS CARE, TREATMENT, AND PREVENTION PROGRAMS INTO SOUND FEDERAL POLICY. STAFF MEMBERS DEVELOP STRATEGIES TO INCREASE AND AFFECT THE DIRECTION OF FUNDING FOR STATE PUBLIC HEALTH PROGRAMS RELATED TO ACCESS TO PREVENTION AND CARE PROGRAMS FOR PERSONS AT RISK FOR AND INFECTED WITH HIV AND HEPATITIS. NASTAD ALSO PLAYS A KEY ROLE IN SHAPING HIV AND HEPATITIS POLICY THROUGH ITS LEADERSHIP IN NUMEROUS FEDERAL COALITIONS, INCLUDING THE FEDERAL AIDS POLICY PARTNERSHIP INCLUDING ITS SUBGROUPS OF THE HEALTHCARE ACCESS WORK GROUP, RYAN WHITE WORK GROUP, PREVENTION.
  5. $74,947 spent. HEALTH EQUITY: NASTAD RECEIVES FUNDING FROM NON-FEDERAL SOURCES TO SUPPORT ITS MINORITY LEADERSHIP PROGRAM (MLP) AS WELL AS TO DEVELOP RESOURCES SUCH AS A HEALTH EQUITY TOOLKIT AND HEALTH EQUITY ASSESSMENT FOR HEALTH DEPARTMENTS.ACTION COMMITTEE AND THE AIDS BUDGET AND APPROPRIATIONS COMMITTEE; HEPATITIS APPROPRIATIONS PARTNERSHIP; AND THE NATIONAL VIRAL HEPATITIS ROUNDTABLE. THIS PROGRAM IS SUPPORTED BY BOTH THE MEMBERSHIP AND CORPORATE DONORS. THIS POLICY WORK INCLUDES A SPECIFIC FOCUS ON AFFORDABLE CARE ACT (ACA) IMPLEMENTATION POLICIES WORKING PRIMARILY THROUGH COALITIONS LISTED ABOVE AS WELL AS RESEARCH ACTIVITIES RELATED TO THE ACA.

Source: Form 990 for the year ending September 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 September 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 November 1993.

    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.