National Health Council Inc

Nonprofit profile at a glance

EIN
131624107
IRS 990 coverage
2011–2025
Forms available
Form 990 2025
Location
Washington, DC, USA
Phone
2027853910
Rating
83
Verdict
STRONG
Rating confidence
Moderate

Official website

Reported finances

Revenue
$6,305,181
Expenses
$7,455,272
Assets
$6,369,635
Liabilities
$4,232,637

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

28 people listed

Executive titles in this filing

  • Randall Rutta (Chief Executive Officer)

Highest reported compensation

  • Randall Rutta (Chief Executive Officer): $555,050 total reported compensation
  • Susan Gaffney (EVP Membership Dev and Events): $284,776 total reported compensation
  • Linda Beza (SVP Finance and Administration): $278,277 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide a united voice for people with chronic diseases and disabilities.

What it reported doing in 2025

Member Services: With an expanded member base, the NHC strengthen its role by providing leadership, information, and support to members through policy and advocacy initiatives, legislative/regulatory activities, engagement with health agencies, amplifying patient voices, and technical support through various projects. In 2025, this work included: Expanded member collaboration via NHC Connect, a members-only online platform. Three new communities launched to enhance collaboration and resource-sharing among NHC members, focusing on health equity, research, and patient engagement. The NHC has continued to create several avenues for guiding artificial intelligence (AI) technology use in health care. In 2025, the NHC advanced its patient partnership in health AI and technology by launching the Patient Experience Innovation Center (PXI). PXI provides a new resource to support patient-informed, business-centric health AI development and use. The NHC promoted health equity through the new Connect community, newsletters, and hosting Health Equity Affinity Group meetings and quarterly lunch-and-learns to share work from NHC partner organizations. The NHC advanced health equity through listening sessions, promoting patient-centered research, value assessment, and evidence generation, publishing studies on unmet needs and patient experiences, and supporting chronic disease prevention messaging reaching millions. Expanded the NHCs reach through social media, publications, congressional briefings, and targeted campaigns such as the Trusted Messenger campaign elevating patient stories. Efforts focused on expanding access, affordability, and patient engagement in health policy; advocated on federal issues including drug pricing, AI, Medicaid, and research funding. Provided technical support through member projects, including the Patient Organization (PO) Standards of Excellence Certification program, Washington Representatives Retreat, and the Washington Reps Summer Meeting, Affinity Group educational webinars and meetings, Annual Revenue and Compensation surveys, and monthly policy action teams. In addition, the NHC staff participated in panels, task forces, advisory committees, and presentations in collaboration with governmental, business/industry, and other health care sector organizations.

Operating model

Revenue model
Donor-supported. 64% 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. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 76
  • Transparency & Controls: 89
  • Accountability: 100
  • Sustainability: 13
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 87.6%; rating input score 88
  • Program expense ratio: 74%; rating input score 74
  • Fundraising efficiency: $6.28 raised per $1 spent on fundraising; rating input score 20; 20th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • 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; 63rd 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: -18.2%; rating input score 5; 5th percentile among comparable filings
  • Total-asset coverage ratio: 0.85; rating input score 29; 29th percentile among comparable filings
  • Liabilities to assets ratio: 0.66; rating input score 11; 11th percentile among comparable filings
  • Officer compensation ratio: 26.7%; rating input score 10; 10th percentile among comparable filings

Growth

  • Program expense growth: 6.1% per year; rating input score 100; 42nd percentile among comparable filings
  • Revenue growth: 5.8% per year; rating input score 100; 43rd percentile among comparable filings
  • Asset growth: 8.1% per year; rating input score 100; 50th percentile among comparable filings

Details

  • Where the money goes: 87.6% of revenue deployed · 74% of spending went to programs
  • Governance: 21 of 21 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $5.5M in reported program spending
  • Leadership: top reported pay $555K · 28 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $967K reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 10 filing years from 2011 to 2025
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • 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.
  • 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 — Financial Efficiency: Fundraising efficiency scored 20/100.
  • High — Sustainability: Operating margin scored 5/100.
  • High — Sustainability: Total-asset coverage ratio scored 29/100.
  • High — Sustainability: Officer compensation ratio scored 10/100.
  • High — Sustainability: Liabilities to assets ratio scored 11/100.