Coalition to Strengthen America's Healthcare

Legal name: Coalition to Strengthen America's Health Care

Nonprofit profile at a glance

EIN
522253225
IRS 990 coverage
2012–2024
Official website data refreshed
Aug 2026
Forms available
Form 990 2024
Location
Columbia, MD, USA
Phone
(877) 422-2349
Rating
91
Verdict
STRONG
Rating confidence
Moderate
Sector
Alliance/Advocacy Organizations

Official website

Reported finances

Revenue
$29,317,051
Expenses
$25,380,601
Assets
$11,890,443
Liabilities
$937,097

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

29 people listed

Executive titles in this filing

  • KRISTINA WEGER (EXECUTIVE DIRECTOR & TREASURER)

People named in this filing

  • BILL GASSEN (CHAIR)
  • NANCY HOWELL AGEE (CHAIR)
  • MICHAEL J ALKIRE (DIRECTOR)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The Coalition to Strengthen America’s Healthcare was formed to protect patients’ access to high-quality, life-saving healthcare — 24/7/365.

What it reported doing in 2024

The coalition kicked off 2024 with a new name and website, but the same mission of protecting and strengthening america's healthcare. In 2024, the coalition again fought to prevent billions of dollars in cuts to patient care, made possible by an expanded advocate base of 2.6 million supporters, who sent more than 173,000 letters and 3,700 stories to congress sharing why 24/7 access to lifesaving hospital care was so important to them.

Operating model

Revenue model
Donor-supported. 99% of the money available for current operations came from contributions and gifts.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 92
  • Accountability: 100
  • Sustainability: 59
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 83.7%; rating input score 84
  • Program expense ratio: 96.5%; rating input score 96
  • Fundraising efficiency: $1,079.5 raised per $1 spent on fundraising; rating input score 97; 97th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 7 of 7 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 13.4%; rating input score 74; 74th percentile among comparable filings
  • Total-asset coverage ratio: 0.47; rating input score 14; 14th percentile among comparable filings
  • Liabilities to assets ratio: 0.08; rating input score 77; 77th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 96; 96th percentile among comparable filings

Growth

  • Program expense growth: 14.5% per year; rating input score 100; 82nd percentile among comparable filings
  • Revenue growth: 16.6% per year; rating input score 100; 89th percentile among comparable filings
  • Asset growth: 0.9% per year; rating input score 100; 13th percentile among comparable filings

Details

  • What they do: 6 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 83.7% of revenue deployed · 96.5% of spending went to programs
  • Governance: 24 of 24 board members independent · 7 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $24.5M in reported program spending
  • Leadership: top reported pay $0 · 29 people listed
  • Highest-paid contractors: 5 contractors listed · $24.8M reported
  • Consistency: 20 of 20 current checks pass
  • Schedules: 4 filed schedules · includes major donors
  • Filing history: 12 filing years from 2012 to 2024
  • Contacts: How to reach this organization
  • Money network: Resolved incoming and outgoing counterparties from filed money flows.
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Total-asset coverage ratio scored 14/100.