Trust for Americas Health

What it reported doing in 2024

In 2024, Trust for Americas Health (TFAH) continued to advance its mission to promote optimal health for every person and community and make the prevention of illness and injury a national priority. As a nonprofit, nonpartisan public health policy, research, and advocacy organization, TFAH envisions a nation that values the health and well-being of all and where prevention and health equity are foundational to policymaking at all levels of society. Across the range of public health issues TFAH addressed, including public health emergency preparedness, public health funding, obesity and chronic disease prevention, infectious disease, substance misuse and suicide, healthy aging, health equity, social determinants of health, and prevention, TFAH promoted public health policies that affect the entire nation, with an emphasis on how such policies and programs can promote healthy individuals and communities regardless of geography.TFAH maintains and enhances its work with partners on high-impact health issues. Throughout its efforts, TFAH is also committed to advancing health equity and addressing the social determinants of health, which are the conditions in which people are born, grow, work, live, and age, including through collaborative, multisectoral approaches. TFAHs work is guided by values of equity, independence, evidence-based, trust, partnerships, innovation, and financial stewardship.TFAHs projects focused on advancing an evidence-based public health system that is ready to meet the challenges and opportunities of the 21st century. TFAH successfully published evidence-based reports; developed and advanced effective policy recommendations and approaches; hosted policy convenings on national and state-focused policy issues; convened learning collaboratives; spearheaded targeted initiatives and outreach; collaborated with partners at the national, state, local, tribal, and territorial levels; and produced educational resources.Among TFAHs accomplishments in 2024: TFAH hosted an in-person and livestream event featuring the release of its Blueprint for6 Strengthening Public Health for the Next Administration and Congress at the National Press Club in Washington, DC. This report is the fifth in a series of reports TFAH publishes every four years to inform the incoming Congress and Administration of key, national public health issues and to advance evidence-informed, actionable recommendations to promote and protect the publics health. The 2024 Blueprint report provided the Administration and Congress taking office in 2025 a policy roadmap to improve the nations health outcomes and bolster its economic and national security by strengthening the public health system. The report includes recommendations across six priority areas and was authored after consultation with over 45 public health officials, experts, and organizations. The event featured highlights from the report as well as engaging conversations with high-profile speakers, including The Honorable Michael O. Leavitt, 20th Secretary of Health and Human Services (2005 to 2009) and former Governor of Utah, and The Honorable Kathleen Sebelius, 21st Secretary of Health and Human Services (2009 to 2014) and former Governor of Kansas.TFAH planned and hosted a congressional briefing and national webinar on its release of Ready or Not 2024: Protecting the Publics Health from Disease, Disasters, and Bioterrorism. This annual report identifies strengths and gaps in national and state preparedness to protect residents health during emergencies and makes recommendations to strengthen the nations public health system and improve emergency readiness. As the nation experiences an increasing number of infectious disease outbreaks and extreme weather events, the report found that while emergency preparedness has improved in some areas, policymakers are not heeding the lessons of past emergencies, funding cuts, and health misinformation, putting decades of progress at risk. During the bri

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 80.2%; rating input score 80
• Fundraising efficiency: $9.02 raised per $1 spent on fundraising; rating input score 34; 34th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Missing
  • 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: -35.5%; rating input score 3; 3rd percentile among comparable filings
• Total-asset coverage ratio: 3.1; rating input score 74; 74th percentile among comparable filings
• Liabilities to assets ratio: 0.06; rating input score 67; 67th percentile among comparable filings
• Officer compensation ratio: 31.4%; rating input score 5; 5th percentile among comparable filings

Growth

• Program expense growth: 5.7% per year; rating input score 100; 44th percentile among comparable filings
• Revenue growth: 9.2% per year; rating input score 100; 65th percentile among comparable filings
• Asset growth: 12% per year; rating input score 100; 66th percentile among comparable filings