NATIONAL ASSOCIATION OF COUNTY AND… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1985

Legal Domicile

Principal Officer

LORI FREEMAN MBA

Phone

2027835550

Tax Period

2022-07-01 to 2023-06-30

NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS, founded in 1985, is a mid-sized nonprofit in the Unknown sector that reported $81.4M in total revenue in fiscal year 2022. Revenue surged 69% from the prior year, signaling strong growth momentum.

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.

Program Service Accomplishments

Program 1

Expenses: $45,986,086 Revenue: $324,286

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.

Program 2

Expenses: $17,518,968 Revenue: $1,519,916

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.

Program 3

Expenses: $7,627,566 Revenue: $100,436

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2022)

Revenue Breakdown

Contributions & Grants $76,374,371

Program Service Revenue $4,955,941

Investment Income $19,389

Other Revenue $69,713

TOTAL REVENUE $81,419,414

Expense Breakdown

Grants Paid $0

Salaries & Benefits $18,962,110

Fundraising Expenses $0

Program Expenses $75,646,094

Other Expenses $61,266,596

TOTAL EXPENSES $80,228,706

Year-over-Year Comparison

	2022	2021	Change
Revenue	$81,419,414	$48,146,560	+0.7%
Expenses	$80,228,706	$47,365,411	+0.7%
Net Income	$1,190,708	$781,149	+0.5%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

197

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$691,565

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
MARGARET MARGY JAHN MS MPH	PRESIDENT	2.00	Officer Director	$0	$0	$0
MICHAEL KILKENNY MD MS	VICE PRESIDENT	2.00	Officer Director	$0	$0	$0
PRAMOD DWIVEDI DRPH C MS MSW MA	PRESIDENT-ELECT	2.00	Officer Director	$0	$0	$0
LISA MACON HARRISON MPH	IMMEDIATE PAST PRESIDENT	2.00	Officer Director	$0	$0	$0
JANET BERREMAN MD MPH FAAP	BOARD MEMBER	2.00	Director	$0	$0	$0
MEENAKSHI BREWSTER MD MPH	BOARD MEMBER	2.00	Director	$0	$0	$0
DAMON CHAPLIN MBA	BOARD MEMBER	2.00	Director	$0	$0	$0
NAFISSA CISSE EGBUONYE PHD MPH	BOARD MEMBER	2.00	Director	$0	$0	$0
LAWRENCE EISENSTEIN MD MPH FAC	BOARD MEMBER	2.00	Director	$0	$0	$0
KIM ENGEL MBA	BOARD MEMBER	2.00	Director	$0	$0	$0
ANDRE FRESCO MPA	BOARD MEMBER	2.00	Director	$0	$0	$0
PHILIP HUANG MD MPH	BOARD MEMBER	2.00	Director	$0	$0	$0
ROBER KIRKPATRICK MS	BOARD MEMBER	2.00	Director	$0	$0	$0
ERIKA LAUENBACH MPH	BOARD MEMBER	2.00	Director	$0	$0	$0
PATRICK MCGOUGH DNP MSHR RN CHA	BOARD MEMBER	2.00	Director	$0	$0	$0
ALAN MELNICK MDMPHCPH	BOARD MEMBER	2.00	Director	$0	$0	$0
RENAE MOCH MBA FACMPE	BOARD MEMBER	2.00	Director	$0	$0	$0
PAUL PETTIT MSL CPH	BOARD MEMBER	2.00	Director	$0	$0	$0
LISA PIVES MS	BOARD MEMBER	2.00	Director	$0	$0	$0
JULIE PRYDE MSW LSW MPH CHPA	BOARD MEMBER	2.00	Director	$0	$0	$0
JOEY SMITH	BOARD MEMBER	2.00	Director	$0	$0	$0
KRISTA WASOWSKI MSW MPH	BOARD MEMBER	2.00	Director	$0	$0	$0
KATHERINE WELLS MPH	BOARD MEMBER	2.00	Director	$0	$0	$0
BLAIRE BRYANT MPH	EX-OFFICIO	2.00	Director	$0	$0	$0
LORI FREEMAN MBA	CHIEF EXECUTIVE OFFICER	53.47	Officer	$385,709	$58,259	$443,968
JEROME CHESTER MS MBA	CHIEF FINANCIAL OFFICER	47.71	Officer	$219,256	$28,341	$247,597
BHARTESH TRIPATHI	CONTROLLER	41.63	Highest	$184,133	$36,954	$221,087
LEE LYNN	SENIOR ADVISOR, HR	42.80	Highest	$190,050	$27,096	$217,146
NICOLE SILVERMAN	CHIEF OF PROGRAMS	37.50	Highest	$200,928	$45,866	$246,794
ADRIANE CASALOTTICHIEF	GOV'T AFFAIRS&PUBLIC RELATIONS	37.50	Highest	$197,132	$40,417	$237,549
DENNIS SMALL	CHIEF OF INFORMATION TECH.	37.50	Highest	$185,482	$44,970	$230,452

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	No data	No data	No data	No data
2024	No data	No data	No data	No data
2023	$81,419,414	$80,228,706	$29,109,876	$1,190,708
2022	$48,146,560	$47,365,411	$18,288,074	$781,149
2021	$33,691,939	$33,092,589	$14,670,823	$599,350
2020	$25,874,953	$26,003,240	$11,015,647	$-128,287
2019	$22,839,052	$22,781,654	$9,910,047	$57,398
2018	$23,556,798	$23,979,502	$10,298,234	$-422,704

NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICALS