Usagainstalzheimer's

Nonprofit profile at a glance

EIN
450672514
IRS 990 coverage
2015–2025
Forms available
Form 990 2025
Location
Washington, DC, USA
Phone
2024105199
Rating
77
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Fund Raising and/or Fund Distribution

Official website

Reported finances

Revenue
$19,588,127
Expenses
$16,282,885
Assets
$13,757,675
Liabilities
$676,999

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

Leadership & pay

15 people listed

Executive titles in this filing

  • VIVIAN S VASALLO (VICE PRESIDENT, EARLY DETECTION)
  • KELLY M O'BRIEN (V.PRESIDENT, PREVENTION (END 11/25))

Highest reported compensation

  • RUSSELL PAULSEN (CHIEF OPERATING OFFICER): $378,516 total reported compensation
  • LYNN M CRONEBERGER (CHIEF DEVELOPMENT OFFICER): $241,005 total reported compensation
  • MICHAEL JOHN CLEARY (CHIEF FINANCIAL OFFICER): $236,666 total reported compensation

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

Overview

Mission

Usagainstalzheimer's is engaged in a relentless pursuit to end alzheimer's, the sixth leading killer in america. Our work centers on prevention, risk reduction, early detection and diagnosis, and access to treatments all regardless of gender, race, (continued on sch o) or ethnicity. Because alzheimer's disproportionately affects women, black communities, and latino communities, equity is embedded throughout our work to ensure that those most impacted by the disease have access to the information, care, resources, and opportunities they need. To achieve our mission, we elevate the voices of patients and caregivers while bringing together leaders from government, science, healthcare, the private sector, and allied organizations-the people who put the "us" in usagainstalzheimer's.

What it reported doing in 2025

Usagainstalzheimer's has worked across sectors to achieve important milestones, including:-advancing more representative clinical trials by convening a multi-sector committee of experts to improve the generalizability of alzheimer's disease clinical trials. Launched in november 2025, the initiative developed participant enrollment goals and guidance to help ensure clinical trial populations better reflect those most affected by alzheimer's disease.-expanding access to brain health resources via brainguide, a free online brain health platform, which surpassed one million visitors nationwide in 2025. (continued on schedule o) approximately 500,000 individuals completed the platform's memory questionnaire, taking an important first step toward understanding their cognitive health and seeking appropriate follow-up care.-promoting brain health equity through its center for brain health equity, which expanded access to trusted brain health information for communities disproportionately impacted by alzheimer's disease, reaching more than three million black and latino individuals through culturally tailored outreach and education efforts.-driving change by helping to advance the bipartisan reintroduction of the concentrating on high-value alzheimer's needs to get to an end act (change) act, legislation designed to improve early detection and alzheimer's care. The organization also continued advocating for robust federal investment in alzheimer's research and public health programs, supporting policies that accelerate scientific progress and improve outcomes for patients and families.-mobilizing the business community through the business collaborative for brain health (bcbh), which convened more than 200 leaders from business, research, healthcare, and innovation sectors at the houston roundtables in 2025. These discussions generated new cross-sector strategies to advance brain health and helped launch 'project metis', an initiative aimed at establishing houston as a global leader in brain health innovation.

Operating model

Revenue model
Donor-supported. 96% of the money available for current operations came from contributions and gifts.
Distribution model
Direct operator. The filing allocates 99% 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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 71
  • Accountability: 89
  • Sustainability: 52
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 72.8%; rating input score 73
  • Program expense ratio: 87%; rating input score 87
  • Fundraising efficiency: $15.97 raised per $1 spent on fundraising; rating input score 48; 48th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 88.2%; rating input score 88; 3rd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Missing
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: 1 of 8 controls in place; rating input score 12
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Fail
    • Conducts field audits: Fail
    • May suspend future funding: Fail
    • Requires financial reports: Fail
    • Conducts site visits: Fail
    • Requires grant agreements: Fail
    • May require repayment: Fail
  • Grant itemization coverage: 99%; rating input score 99; 42nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: No; rating input score 0

Accountability

  • Independent voting board: 88.9%; rating input score 89; 17th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 16.9%; rating input score 71; 71st percentile among comparable filings
  • Total-asset coverage ratio: 0.84; rating input score 24; 24th percentile among comparable filings
  • Liabilities to assets ratio: 0.05; rating input score 77; 77th percentile among comparable filings
  • Officer compensation ratio: 10%; rating input score 25; 25th percentile among comparable filings

Growth

  • Program expense growth: 7.9% per year; rating input score 100; 57th percentile among comparable filings
  • Revenue growth: 7.5% per year; rating input score 100; 60th percentile among comparable filings
  • Asset growth: 11.2% per year; rating input score 100; 72nd percentile among comparable filings

Details

  • Where the money goes: 72.8% of revenue deployed · 87% of spending went to programs
  • Governance: 8 of 9 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $14.2M in reported program spending
  • Leadership: top reported pay $379K · 15 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $8.2M reported
  • Consistency: 36 of 38 current checks pass · 2 findings to review
  • Schedules: 10 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 10 filing years from 2015 to 2025
  • Contacts: How to reach this organization
  • Money network: 14 filed money-flow records
  • Related organizations: 8 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.

Key Signals

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

  • High — Transparency & Controls: Foreign activity oversight: 7 of 8 not reported.
  • Moderate — Financial Efficiency: Fundraising efficiency scored 48/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 24/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • High — Sustainability: Officer compensation ratio scored 25/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.