Usagainstalzheimer's Action
Nonprofit profile at a glance
- EIN
- 271538205
- IRS 990 coverage
- 2015–2025
- Forms available
- Form 990 2025
- Location
- Washington, DC, USA
- Phone
- 2024105199
- Rating
- 88
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Public Health Program (Includes General Health and Wellness Promotion Services)
Reported finances
- Revenue
- $13,615,641
- Expenses
- $9,492,303
- Assets
- $4,618,021
- Liabilities
- $147,029
Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
4 people listed
People named in this filing
- GEORGE VRADENBURG (CHAIRMAN)
- JILL LESSER (SECRETARY & TREASURER)
- NANCY ZIRKIN (BOARD MEMBER)
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 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Usagainstalzheimer's action is a relentless advocacy force committed to ending alzheimer's disease. We press for greater urgency from government, industry, and the scientific community in the drive for effective treatments, prevention, and ultimately a cure. We accomplish this through determined leadership, collaborative advocacy, and strategic investments.
What it reported doing in 2025
Since our founding in 2010, usagainstalzheimer's action has worked with people and organizations across sectors to achieve milestones, including:-advocating for family caregivers by supporting the bipartisan credit for caregiving act, introduced in congress to provide up to $5,000 in federal tax relief for caregiving expenses such as home safety modifications, transportation, and respite care. -joining almost 50 patient advocacy organizations in calling for an immediate halt to federal funding and staffing cuts that threaten progress in alzheimer's and dementia prevention, research, care, and treatment. The coalition warned that reductions across key health agencies could undermine decades (continued on schedule o)of bipartisan investment and slow advances that millions of patients and families depend on. Policymakers were pressed to engage patients, caregivers, researchers, and advocates before implementing further cuts that could jeopardize public health and scientific progress.-supporting bipartisan reintroduction of the concentrating on high-value alzheimer's needs to get to an end (change) act, a major step toward improving early detection, diagnosis, and treatment of alzheimer's disease and related dementias. -advocating to protect medicaid as a critical lifeline for people with alzheimer's and related dementias, warning that proposed restrictions could limit access to essential long-term care for millions. The organization has urged congress through public statements and direct engagement to preserve and strengthen medicaid and ensure equitable access to care for aging americans.-increasing federal investment in alzheimer's research. Usagainstalzheimer's action played a key role in helping hold the budget for ad/adrd research steady at the national institutes of health (nih) in calendar year 2025. As a respected advocate, usagainstalzheimer's action has helped drive increases in nih ad/adrd spending from $968 million a decade earlier to nearly $3.8 billion in 2025.
Operating model
- Revenue model
- Donor-supported. 100% 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: 81
- Transparency & Controls: 92
- Accountability: 100
- Sustainability: 64
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 68.8%; rating input score 69
- Program expense ratio: 98.5%; rating input score 99
- Fundraising efficiency: $218.41 raised per $1 spent on fundraising; rating input score 90; 90th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 64th 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; 64th 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: 30.3%; rating input score 84; 84th percentile among comparable filings
- Total-asset coverage ratio: 0.49; rating input score 12; 12th percentile among comparable filings
- Liabilities to assets ratio: 0.03; rating input score 82; 82nd percentile among comparable filings
- Officer compensation ratio: 0%; rating input score 96; 96th percentile among comparable filings
Growth
- Program expense growth: 32.3% per year; rating input score 100; 94th percentile among comparable filings
- Revenue growth: 34.5% per year; rating input score 100; 97th percentile among comparable filings
- Asset growth: 41.2% per year; rating input score 100; 98th percentile among comparable filings
Details
- Where the money goes: 68.8% of revenue deployed · 98.5% of spending went to programs
- Governance: 3 of 3 board members independent · 7 of 7 filing controls reported
- Programs: 1 filed program accomplishment · $9.4M in reported program spending
- Leadership: top reported pay $0 · 4 people listed
- Highest-paid contractors: 3 contractors listed · $9M reported
- Consistency: 27 of 27 current checks pass
- Schedules: 2 filed schedules · includes major donors
- Filing history: 10 filing years from 2015 to 2025
- Contacts: How to reach this organization
- 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 12/100.