The Association of State and Territorial Health Officials (ASTHO) is a nonprofit based in Arlington, Virginia, and is classified as a public charity. Founded in 1942, it supports the work of state and territorial public health officials and the development of public health policy nationwide.
Key facts about Association of State and Territorial Health Officials
In short: Association of State and Territorial Health Officials gave $6.5M across 37 grants in 2025 (avg $177K), top state Georgia. 46% of 2025 grantees were new. Source: 2025 IRS Form 990.
- EIN
- 35-1044487
- Latest 990 filing
- Form 990, 2025
- Annual giving (2025)
- $6,533,443
- Grants made (2025)
- 37
- Average grant
- $176,580
- Median grant
- $165,000
- New grantees (estimate)
- 46% first-time grantees (17 of 37, 2025)
- Total assets
- $29,080,975
- Primary geography
- Georgia (18% of itemized 2025 grant dollars)
Data from IRS Form 990, 2025; updated September 2026. New grantees are estimated by matching recipient names across years (methodology).
Financial Overview
From 2025 IRS Form 990 · View filing
Total Assets
$29.1M
+54.9% YoY
Annual Giving
$6.5M
+210.2% YoY
Grant Count
37
+76.2% YoY
Avg Grant Size
$177K
+76.1% YoY
Is Association of State and Territorial Health Officials open to new grantees?
46%
first-time grantees, 2025
In 2025, 17 of 37 grantees (46%) were first-time recipients. First grants averaged $189K; repeat grants $166K. How we count
Medians: $141K first-time, $170K repeat.
Estimate from itemized grant lists in IRS Form 990 filings (2019–2025). Recipient names are matched across years, so a renamed or misspelled grantee can look new; grants to individuals are left out. Methodology.
Mission & Focus Areas
ASTHO’s stated mission is to support, equip, and advocate for state and territorial health officials in advancing the public’s health and well-being. Its program areas include population health strategies and innovation; health security, including preparedness and infectious and environmental health; and community health and disease prevention, including family and child health, maternal and infant health, and chronic disease.
The organization’s 2025 grants show support for projects involving public health infrastructure and workforce, environmental health, maternal and neonatal care, viral hepatitis, preparedness, informatics, and island-jurisdiction health. Grantees include public agencies, universities, professional and nonprofit organizations, and service providers. For example, the National Center for Healthy Housing, which received $375,000 in 2025, describes its mission as “Transforming lives by transforming housing.” Enrichment Services Program Inc., which received $40,000, says it works to improve families’ quality of life through education, training, comprehensive services, and advocacy.
Grantmaking
In filing year 2025, ASTHO reported 37 itemized grants totaling $6,533,443. Grants ranged from $12,825 to $806,262, with a median of $165,000.
The largest listed grant was $806,262 to the National Association of Chronic Disease Directors for expanding the Non-Communicable Disease Collaborative in the Islands. Other large awards included $375,000 to the National Center for Healthy Housing for capacity building and technical assistance for unfunded CLPPP; $365,000 to the University of North Carolina at Chapel Hill for maternal and neonatal risk-appropriate care; and $350,000 to the American College of Preventive Medicine for strengthening public health infrastructure, workforce, and data systems.
ASTHO’s filing describes a process in which program staff identify subrecipients through an RFP. Payments are tied to performance milestones, and a grants manager reviews and approves invoices for compliance with award terms.
ASTHO’s Funding & Collaboration Opportunities page lists a Long COVID capacity-building opportunity for up to three state or territorial health agencies. Eligible applicants must have an active SAM.gov registration and be in good standing with ASTHO. The listed submission deadline is September 28, 2026, at 11:59 p.m. ET. The page also lists a Foundational Capabilities capacity-building opportunity for direct Public Health Infrastructure Grant recipients at the state, big-city, and county levels; its May 22, 2026 deadline has passed.
Ready to take the next step with Association of State and Territorial Health Officials?
Geographic Focus
Where this funder awards grants
ASTHO supports public health leaders in states, Washington, D.C., the U.S. territories, and the Freely Associated States. Its website identifies the five U.S. territories as American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands, and the three Freely Associated States as the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.
In 2025, the largest reported shares of grant dollars by recipient state were Georgia (18%), Maryland (12%), Virginia (12%), Washington, D.C. (7%), and Washington (6%). A listed 2025 grant also supported the Commonwealth of the Northern Mariana Islands.
Grant Distribution by State
Share of 2025 grant dollars across all 37 itemized grants.
States
Cities
Giving Over Time
Total grant dollars and number of grants per year
From 2019 to 2025, annual grant giving ranged from $2.1M (2024) to $9.2M (2022). In 2025 it made 37 grants totaling $6.5M.
Grant Insights
How this funder distributes its grants
Top Recipients
Top 10 recipients in 2025
The largest 2025 recipient was National Association of Chronic Disease Directors ($806K). Together the top 10 received $3.6M.
Grant Size Distribution
208 grants across all recorded years
The most common grant size was under $50K: 61 grants of 208 (29%).
Giving History
Grant recipients and amounts by year
| Recipient | Purpose | Amount |
|---|---|---|
| National Association of Chronic Disease Directors Decatur, GA | Expanding the Non-Communicable Disease Collaborative in the Islands | $806,262 |
| National Center for Healthy Housing Inc Columbia, MD | Providing Capacity Building and Ta for Unfunded CLPPP | $375,000 |
| University of North Carolina at Chapel Hill Chapel Hill, NC | Maternal and neonatal risk-appropriate care: assessment, analysis, and action | $365,000 |
| American College of Preventive Medicine Washington, DC | Strengthening U.S. public health infrastructure, workforce and data systems | $350,000 |
| Orion Heathcare Services Inc DBA Wanderly Miami, FL | Perform staffing services to the association for state and territorial health officials (ASTHO) | $341,626 |
| Washington Department of Health Olympia, WA | Planning for national and state viral hepatitis elimination programs | $327,841 |
| Nat'l Foundation for the Centers for Disease Control and Prevention Atlanta, GA | Strengthening U.S. public health infrastructure, workforce and data systems | $285,000 |
| State Tennessee Department of Health Nashville, TN | Admin for Strategic Preparedness and Response (Aspr) | $250,000 |
| Comptroller of Maryland DBA Maryland Department of Health Baltimore, MD | State environmental health directors peer network - supporting capacity building and collaboration | $250,000 |
| Guidehouse Inc McLean, VA | Joint Public Health Informatics Taskforce | $246,208 |
Financial History
Multi-year comparison from IRS filings
| Filing year | Assets | Revenue | Expenses | Grants reported |
|---|---|---|---|---|
| 2025 | $29,080,975 | $72,754,622 | $70,481,527 | $6,533,443 (37 grants) |
| 2024 | $18,777,230 | $74,995,897 | $75,376,132 | $2,106,109 (21 grants) |
| 2023 | $22,537,555 | $70,338,793 | $70,535,966 | $9,104,339 (60 grants) |
| Metric | 2025 | 2024 | 2023 |
|---|---|---|---|
| Total Assets | $29,080,975 | $18,777,230 | $22,537,555 |
| Revenue | $72,754,622 | $74,995,897 | $70,338,793 |
| Expenses | $70,481,527 | $75,376,132 | $70,535,966 |
| Net Investment Income | $173,300 | $204,501 | $44,050 |
Data update history
When this profile's IRS filing data changed on Grantable
- Updated Form 990 for fiscal year 2019 (received by the IRS August 17, 2020)
- Updated Form 990 for fiscal year 2020 (received by the IRS August 15, 2021)
- Updated Form 990 for fiscal year 2021 (received by the IRS August 12, 2022)
- Updated Form 990 for fiscal year 2022 (received by the IRS August 14, 2023)
- Updated Form 990 for fiscal year 2023 (received by the IRS August 8, 2024)
- Updated Form 990 for fiscal year 2024 (received by the IRS June 18, 2025)
- Added Form 990 for fiscal year 2025 (received by the IRS August 3, 2026)
- IRS filings on file for fiscal years 2019–2024
Leadership & Key People
Leadership team and compensation from IRS filings
The 2025 filing lists Manisha Juthani as president; Daniel Edney as president-elect; Scott Harris as immediate past president; Kathleen Toomey as past president; and Brannon Traxler as secretary-treasurer. It also lists Robert Goldstein, James McDonald, Debra Bogen, Sameer Vohra, and Jennifer Shuford as regional directors.
Association of State and Territorial Health Officials is led by Joseph Kanter, Chief Executive Officer on the 2025 filing; 14 of 33 officers listed in 2025 are compensated.
Officers on the 2025 filing
Joseph Kanter
Chief Executive Officer
New on the 2025 filing
37.5 hrs/week
$334K (2025)
Manisha Juthani
President
Secretary-Treasurer → President, 2025
On filings since 2024
2.5 hrs/week
No compensation reported
Ihsan Azzam
Region Ix Director
Region Ix Representative → Region Ix Director, 2024
On filings since 2020
1 hr/week
No compensation reported
Alexia Harrist
Region Viii Director
Region Viii Representative → Immediate Past President, 2024
Immediate Past President → Region Viii Director, 2025
On filings since 2021
1.5 hrs/week
No compensation reported
Debra Bogen
Region III Director
On filings since 2024
1 hr/week
No compensation reported
Jennifer Shuford
Region Vi Director
On filings since 2024
1 hr/week
No compensation reported
James McDonald
Region II Director
New on the 2025 filing
1 hr/week
No compensation reported
Robert Goldstein
Region I Director
New on the 2025 filing
1 hr/week
No compensation reported
Robert Kruse
Region Vii Director
New on the 2025 filing
1.5 hrs/week
No compensation reported
Sameer Vohra
Region V Director
New on the 2025 filing
1 hr/week
No compensation reported
Tao Sheng Kwan-Gett
Region X Director
New on the 2025 filing
1 hr/week
No compensation reported
Amber N. Williams
Senior Vice President
Chief Program Officer → Senior Vice President, 2021
On filings since 2019
37.5 hrs/week
$190K (2019) → $217K (2025)
Carolyn Mullen
Senior Vice President
Chief Program Officer → Senior Vice President, 2021
On filings since 2019
37.5 hrs/week
$199K (2019) → $283K (2025)
Christine Mackie
Vice President
Chief Program Officer → Vice President, 2022
On filings since 2019
37.5 hrs/week
$163K (2019) → $236K (2025)
Jan Taylor
Vice President
Senior Director → Vice President, 2023
On filings since 2019
37.5 hrs/week
$154K (2019) → $261K (2025)
Karl Ensign
Vice President
Chief Program Officer → Vice President, 2023
On filings since 2019
37.5 hrs/week
$159K (2019) → $234K (2025)
Marcus G. Plescia
Senior Vice President
Chief Medical Officer → Senior Vice President, 2022
On filings since 2019
37.5 hrs/week
$250K (2019) → $303K (2025)
Michael Robert Fraser
Former Chief Executive Officer
Chief Executive Officer → Former Chief Executive Officer, 2025
On filings since 2019
37.5 hrs/week
$361K (2019) → $156K (2025)
Zarnaaz Bashir
Deputy CEO
Chief Program Officer → Deputy CEO, 2021
On filings since 2019
37.5 hrs/week
$160K (2019) → $337K (2025)
Adam D. Staley
Senior Vice President
Chief Program Officer → Senior Vice President, 2021
On filings since 2020
37.5 hrs/week
$172K (2020) → $282K (2025)
John T. Lane
Chief Program Officer
On filings since 2021
37.5 hrs/week
$177K (2021) → $282K (2025)
Kimberlee Wyche Etheridge
Senior Vice President
On filings since 2023
37.5 hrs/week
$243K (2023) → $268K (2025)
Lindsey Myers
Vice President
On filings since 2023
37.5 hrs/week
$200K (2023) → $226K (2025)
Avia G. Mason
Vice President
New on the 2025 filing
37.5 hrs/week
$223K (2025)
Scott Harris
Immediate Past President
Region IV Representative & Immediate Past President → President-Elect, 2024
President-Elect → Immediate Past President, 2025
On filings since 2019
1.5 hrs/week
No compensation reported
Esther L. Muna Cnmi
Usapi Representative
Territory Director → Usapi Representative, 2023
On filings since 2022
1 hr/week
No compensation reported
Justa E. Encarnacion Usvi
Atlantic Representative
Territory Director → Atlantic Representative, 2023
On filings since 2022
1 hr/week
No compensation reported
Brannon Traxler
Secretary-Treasurer
New on the 2025 filing
1 hr/week
No compensation reported
Cassie Cochran
Senior Deputy Representative
New on the 2025 filing
1 hr/week
No compensation reported
Daniel Edney
President-Elect
New on the 2025 filing
1.5 hrs/week
No compensation reported
Dora Anne Mills
Alumni Society Representative
New on the 2025 filing
1 hr/week
No compensation reported
Kathleen Toomey
Past President
New on the 2025 filing
1.5 hrs/week
No compensation reported
Scott Becker Safe States
Affiliate Council Representative
New on the 2025 filing
1 hr/week
No compensation reported
Former officers (56)
- Former: Mark Levine (2019–2024) — Region I Director
- Former: Mylynn Tufte (2019–2024) — Alumni Society Representative
- Former: Steven Stack (2021–2024) — President
- Former: Jamie Pina (2022–2024) — Vice President
- Former: Richard Hamburg Safe States (2022–2024) — Affiliate Council Representatice
- Former: Carlos Mellado Lopez (2024) — Region II Director & President
- Former: Elizabeth Hertel (2024) — Region V Director
- Former: Pamela Pontones (2024) — Senior Deputy Representative
- Former: Paula Nickelson Past (2024) — President & Region Vii Director
- Former: Susan Kansagra (2024) — Region IV Director
- Former: Umair A. Shah (2024) — Region X Director
- Former: Alexia Harrist Wy (2022–2023) — Immediate Past President
- Former: Carlos Mellado Lopez Pr (2022–2023) — Region II Director
- Former: Debra Bogen Pa (2022–2023) — Region III Director
- Former: Elizabeth Hertel Mi (2022–2023) — Region V Drector
- Former: Ihsan Azzam Nv (2022–2023) — Region Ix Director
- Former: Mark Levine Vt (2022–2023) — Region I Director
- Former: Mylynn Tufte Alum-Nd (2022–2023) — Alumni Society Representative
- Former: Paula Nickelson Mo (2022–2023) — Past President & Region Vii Director
- Former: Scott Harris Al (2022–2023) — President-Elect
- Former: Steven J. Stack Ky (2022–2023) — President
- Former: Jennifer Shuford Tx (2023) — Region Vi Director
- Former: Manisha Juthani Ct (2023) — Secretary-Treasurer
- Former: Pamela Pontones In (2023) — Senior Deputy Representative
- Former: Susan Kansagra Nc (2023) — Region IV Director
- Former: Umair A. Shah Wa (2023) — Region X Director
- Former: Anne Zink Ak (2022) — President
- Former: Elke Shaw-Tulloch Id (2022) — Region X Director
- Former: Joseph Kanter La (2022) — Region Vi Director
- Former: Nirav Shah Me (2022) — Past President
- Former: Pam Pontones In (2022) — Senior Deputies Representative
- Former: Dawn Richardson (2019–2021) — Senior Director
- Former: Elke Shaw-Tulloch (2019–2021) — Region X Representative
- Former: Howard A. Zucker (2019–2021) — Region II Representative
- Former: James S. Blumenstock (2019–2021) — Chief Program Officer
- Former: John W. Hellerstedt (2019–2021) — Region Vi Representative
- Former: Mary Ann Cooney (2019–2021) — Chief Program Officer
- Former: Nicole Alexander-Scott (2019–2021) — Past President
- Former: Nirav D. Shah (2019–2021) — President
- Former: Norm Oliver (2019–2021) — Region III Representative
- Former: Esther L. Muna (2020–2021) — Territory Representative
- Former: Anne Zink (2021) — President-Elect
- Former: Justa Encarnacion (2021) — Territory Representative
- Former: Lee Norman (2021) — Region Vii Representative
- Former: John Mericsko (2019–2020) — COO
- Former: Rachel Levine (2019–2020) — President
- Former: Randall W. Williams (2019–2020) — Region Vii Representative
- Former: Gerrit T. Bakker (2020) — Senior Director
- Former: Greg Holzman (2020) — Region Viii Representative
- Former: Martha K. Yeide (2020) — Senior Director
- Former: Amy Acton (2019) — Region V Representative
- Former: Bruce S. Anderson (2019) — Region Ix Representative
- Former: Diane Coontz (2019) — Chief Program Officer
- Former: Elizabeth Harper Gould (2019) — Senior Director
- Former: John Wiesman (2019) — Past President
- Former: Nathaniel Smith (2019) — President
Data from IRS Form 990 filings, 2019–2025. "On filings since" is the earliest filing we hold that lists the person; hours are average hours per week as reported.
Compensation Overview
From 2025 IRS filing
The highest reported compensation on the 2025 filing was $337K, to Zarnaaz Bashir (Deputy CEO). 14 officers or directors reported compensation on that filing.
Contact
Mailing address: 2231 Crystal Drive 450, Arlington, VA 22202
Phone: (202) 371-9090
Website: https://astho.org
Frequently asked questions about Association of State and Territorial Health Officials
How much does Association of State and Territorial Health Officials give each year?
Association of State and Territorial Health Officials gave $6.5M across 37 grants in 2025, according to its 2025 IRS Form 990. In 2024 it gave $2.1M across 21 grants.
What is Association of State and Territorial Health Officials's typical grant size?
Association of State and Territorial Health Officials's median grant in 2025 was $165,000, and its average grant was $176,580, across 37 grants on its 2025 IRS Form 990. Organizations receiving their first grant from Association of State and Territorial Health Officials that year got $189K on average.
Where does Association of State and Territorial Health Officials give grants?
Association of State and Territorial Health Officials's top state is Georgia, with 18% of the grant dollars itemized on its 2025 IRS Form 990. The next largest states were Maryland (12%) and Virginia (12%). The most frequent recipient cities were Washington, DC (2 grants), Bismarck, ND (2 grants) and Philadelphia, PA (2 grants).
Does Association of State and Territorial Health Officials give general operating support?
Not in 2025: none of the 37 grants with a stated purpose on Association of State and Territorial Health Officials's 2025 IRS Form 990 were described as general or operating support. Recurring purposes include "Operationalizing Fhir in Public Health Data Exchange" (4 grants).
Who are Association of State and Territorial Health Officials's largest grantees?
Association of State and Territorial Health Officials's largest 2025 grantees include National Association of Chronic Disease Directors ($806,262), National Center for Healthy Housing Inc ($375,000) and University of North Carolina at Chapel Hill ($365,000), according to its 2025 IRS Form 990. Together they received 24% of its itemized 2025 grant dollars.
How large is Association of State and Territorial Health Officials?
Association of State and Territorial Health Officials reported $29.1M in total assets on its 2025 IRS Form 990. Its revenue that year was $72.8M.
What does Association of State and Territorial Health Officials fund?
ASTHO’s stated mission is to support, equip, and advocate for state and territorial health officials in advancing the public’s health and well-being. See mission & focus areas ↑
How do I apply for a grant from Association of State and Territorial Health Officials?
Association of State and Territorial Health Officials has no public application process in the sources Grantable reviewed. Check astho.org for current guidelines, or contact the foundation directly before submitting a request.
What is Association of State and Territorial Health Officials's EIN?
Association of State and Territorial Health Officials's EIN (Employer Identification Number) is 35-1044487. IRS Form 990 filing data is available on this page for 2019–2025.
Data last updated September 2026. Sourced from IRS Form 990 filings. Research dossier generated September 2026.
Here's the math on researching Association of State and Territorial Health Officials by hand.
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