Naccho

Legal name: National Association of County and City Health Officals

Nonprofit profile at a glance

EIN
521426663
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Washington, DC, USA
Phone
202-783-5550
Rating
85
Verdict
STRONG
Rating confidence
Moderate

Official website

Reported finances

Revenue
$62,267,559
Expenses
$62,362,591
Assets
$19,155,201
Liabilities
$14,094,809

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

Leadership & pay

26 people listed

Executive titles in this filing

  • MICHAEL KILKENNY MD MS (PRESIDENT)
  • DAMON CHAPLIN MBA (PRESIDENT-ELECT)
  • PATRICK MCGOUGH DNP MSHR RN CHA (VICE PRESIDENT)
  • PRAMOD DWIVEDI DRPH C MS (IMMEDIATE PAST PRESIDENT)
  • LORI FREEMAN MBA (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • LORI FREEMAN MBA (CHIEF EXECUTIVE OFFICER): $479,568 total reported compensation
  • JEROME CHESTER MS MBA (CHIEF FINANCIAL OFFICER): $289,910 total reported compensation
  • NICOLE SILVERMAN (CHIEF OF PROGRAMS): $264,041 total reported compensation

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

Overview

Mission

NACCHO seeks to improve the public's health while adhering to a set of core values: fairness, excellence, participation, respect, integrity, leadership, science & innovation. Our Motivation: People…We are committed to the mission and vision of health and security for all people in their communities through public health policies and services. NACCHO is the only organization dedicated to serving every local health department in the nation. NACCHO serves 3000 local health departments and is the leader in providing cutting-edge, skill-building, professional resources and programs, seeking health equity, and supporting effective local public health practice and systems. Learn More About Our Mission Applying With NACCHO.

What it reported doing in 2024

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.

Operating model

Revenue model
Grant-funded. 88% of the money available for current operations came from government grants.
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. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 80
  • Transparency & Controls: 89
  • Accountability: 100
  • Sustainability: 21
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 90%; rating input score 90
  • Program expense ratio: 89.9%; rating input score 90
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.2%; rating input score 26; 26th percentile among comparable filings
  • Total-asset coverage ratio: 0.31; rating input score 10; 10th percentile among comparable filings
  • Liabilities to assets ratio: 0.74; rating input score 20; 20th percentile among comparable filings
  • Officer compensation ratio: 3.3%; rating input score 33; 33rd percentile among comparable filings

Growth

  • Program expense growth: 14.2% per year; rating input score 100; 86th percentile among comparable filings
  • Revenue growth: 8.7% per year; rating input score 100; 71st percentile among comparable filings
  • Asset growth: 11.2% per year; rating input score 100; 75th percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site
  • Where the money goes: 90% of revenue deployed · 89.9% of spending went to programs
  • Governance: 19 of 19 board members independent · 9 of 9 filing controls reported
  • Programs: 6 filed program accomplishments · $56.1M in reported program spending
  • Leadership: top reported pay $480K · 26 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $6M reported
  • Consistency: 31 of 32 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 2 filed related-organization links
  • 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

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

  • High — Sustainability: Operating margin scored 26/100.
  • High — Sustainability: Total-asset coverage ratio scored 10/100.
  • High — Sustainability: Liabilities to assets ratio scored 20/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Officer compensation ratio scored 33/100.