The Association of State and Territorial Health Officials (ASTHO) is a national nonprofit organization representing the public health agencies of the United States, the District of Columbia, the five U.S. territories, and the freely associated states. Based in Arlington, Virginia, ASTHO represents approximately 120,000 public health professionals employed across these jurisdictions. The organization was founded in 1942 and operates as a 501(c)(3) tax-exempt entity.
Financial Overview
From 2024 IRS Form 990-PF · View filing
Total Assets
$18.8M
-16.7% YoY
Annual Giving
$2.1M
-76.9% YoY
Grant Count
21
-65.0% YoY
Avg Grant Size
$100K
-33.9% YoY
Mission & Focus Areas
ASTHO's mission is to support, equip, and advocate for state and territorial health officials in their efforts to advance the public's health and well-being. The organization provides leadership support and capacity building to position state and territorial health officials as chief health strategists in their jurisdictions.
Primary program areas include:
Community Health and Disease Prevention — The organization provides leadership support and capacity building across three distinct but coordinated population areas: family and child health; maternal and infant health; and chronic disease. ASTHO mobilizes members across the country through capacity building, technical assistance, policy development, and innovation initiatives. The team provides a robust continuum of technical assistance designed to support state and territorial health agencies with the development, implementation, and evaluation of programmatic and performance areas.
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Geographic Focus
Where this funder awards grants
ASTHO serves all U.S. states, the District of Columbia, the five U.S. territories, and the freely associated states.
Grant Distribution by State
States
Cities
Financial History
Multi-year comparison from IRS filings
Fiscal Year 2024:
- Total Revenue: $74,995,897
- Total Expenses: $75,376,132
- Total Assets: $18,777,230
- Total Liabilities: $8,910,000
Staffing: The organization employed 377 staff members as of 2024.
Audit Findings: An independent audit commissioned by the organization for the fiscal year ending September 2024 identified a significant deficiency in internal controls. The audit identified a deficiency in internal financial or governance controls that could limit the organization's ability to track and report financial data reliably. This deficiency is less severe than a material weakness but warrants attention from management.
| Metric | 2024 | 2023 | 2022 |
|---|---|---|---|
| Total Assets | $18,777,230 | $22,537,555 | $21,830,301 |
| Revenue | $74,995,897 | $70,338,793 | $56,395,443 |
| Expenses | $75,376,132 | $70,535,966 | $54,928,980 |
| Qualifying Distributions | — | — | — |
| Net Investment Income | $204,501 | $44,050 | $27,828 |
| Distributable Amount | — | — | — |
Giving Over Time
Total grant dollars and number of grants per year
Grant Insights
How this funder distributes its grants
Top Recipients
Top 10 recipients in 2024
Grant Size Distribution
194 grants across all recorded years
Giving History
Grant recipients and amounts by year
Among its reported 2024 grants, the largest include Comptroller of Maryland Dba Maryland Department of Health ($615,000), Department of Vermont Health Access ($321,213), Big Cities Health Coalition Astho-phip ($124,306).
| Recipient | Purpose | Amount |
|---|---|---|
| COMPTROLLER OF MARYLAND DBA MARYLAND DEPARTMENT OF HEALTH BALTIMORE, MD | STATE ENVIRONMENTAL HEALTH DIRECTORS PEER NETWORK SUPPORTING CAPACITY BUILDING AND COLLABORATION | $615,000 |
| DEPARTMENT OF VERMONT HEALTH ACCESS WATERBURY, VT | COVID-19 IMMUNIZATION DATA EXCHANGE, ADVANCEMENT & SHARING (IDEAS) LEARNING COMMUNITY WITH THE AIM OF ADVANCING IMMUNIZATION INFORMATION SYSTEM (IIS) AND HEALTH INFORMATION EXCHANGE (HIE) | $321,213 |
| BIG CITIES HEALTH COALITION ASTHO-PHIP TAKOMA PARK, MD | IMPROVING OVERDOSE SURVEILLANCE AND PREVENTION CAPACITY AND READINESS OF OVERDOSE DATA TO ACTION: STATE AND LOCAL RECIPIENTS | $124,306 |
| COMMUNITY ACTION PARTNERSHIP OF KERN BAKERSFIELD, CA | ONC IMMUNIZATION DATA EXCHANGE, ADVANCEMENT AND SHARING (IDEAS) | $105,000 |
| COMMUNITY ACTION PROGRAM FOR CENTRAL ARKANSAS CONWAY, AR | NATIONAL INFRASTRUCTURE FOR MITIGATING THE IMPACT OF COVID-19 WITHIN RACIAL AND ETHNIC MINORITY COMMUNITIES | $100,000 |
| ENRICHMENT SERVICES PROGRAM INC COLUMBUS, GA | NATIONAL INFRASTRUCTURE FOR MITIGATING THE IMPACT OF COVID-19 WITHIN RACIAL AND ETHNIC MINORITY COMMUNITIES | $100,000 |
| COMMONWEALTH OF MASSACHUSETTS BOSTON, MA | ONC IMMUNIZATION DATA EXCHANGE, ADVANCEMENT AND SHARING (IDEAS) | $90,000 |
| COMMONWEALTH OF MASSACHUSETTS DPH BOSTON, MA | ONC IMMUNIZATION DATA EXCHANGE, ADVANCEMENT AND SHARING (IDEAS) | $84,493 |
| CNMI COMMONWEALTH HEALTHCARE CORP SAIPAN, MP | PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES | $75,000 |
| GUAM'S ALTERNATIVE LIFESTYLE ASSOCIATION HAGATNA, GU | PUBLIC HEALTH COLLABORATIVE TO IMPROVE CARDIOVASCULAR HEALTH OUTCOMES | $75,000 |
Leadership & Key People
Officers and directors from IRS filings
Compensation Overview
From 2024 IRS filing
From 2024 filing
| Name | Title | Hours | Compensation |
|---|---|---|---|
| STEVEN STACK | PRESIDENT, KY | 2.5 | — |
| SCOTT HARRIS | PRESIDENT-ELECT, AL | 1.5 | — |
| ALEXIA HARRIST | IMMEDIATE PAST PRESIDENT, WY | 1.5 | — |
| PAULA NICKELSON PAST | PRESIDENT, REGION VII DIRECTOR, MO | 1.5 | — |
| MANISHA JUTHANI | SECRETARY-TREASURER, CT | 1 | — |
| MARK LEVINE | REGION I DIRECTOR, VT | 1 | — |
| CARLOS MELLADO LOPEZ | REGION II DIRECTOR, PR | 1 | — |
| DEBRA BOGEN | REGION III DIRECTOR, PA | 1 | — |
| SUSAN KANSAGRA | REGION IV DIRECTOR, NC | 1 | — |
| ELIZABETH HERTEL | REGION V DIRECTOR, MI | 1 | — |
| JENNIFER SHUFORD | REGION VI DIRECTOR, TX | 1 | — |
| IHSAN AZZAM | REGION IX DIRECTOR, NV | 1 | — |
| UMAIR A SHAH | REGION X DIRECTOR, WA | 1 | — |
| ESTHER L MUNA CNMI | USAPI REPRESENTATIVE | 1 | — |
| JUSTA E ENCARNACION USVI | ATLANTIC REPRESENTATIVE | 1 | — |
| PAMELA PONTONES | SENIOR DEPUTY REPRESENTATIVE, IN | 1 | — |
| RICHARD HAMBURG SAFE STATES | AFFILIATE COUNCIL REPRESENTATICE | 1 | — |
| MYLYNN TUFTE | ALUMNI SOCIETY REPRESENTATIVE, ND | 1 | — |
| MICHAEL ROBERT FRASER | CHIEF EXECUTIVE OFFICER | 37.5 | $515,478 |
| ZARNAAZ BASHIR | DEPUTY CEO | 37.5 | $275,741 |
| JOHN T LANE | CHIEF PROGRAM OFFICER | 37.5 | $269,234 |
| AMBER N WILLIAMS | SENIOR VICE PRESIDENT | 37.5 | $262,143 |
| ADAM D STALEY | SENIOR VICE PRESIDENT | 37.5 | $271,288 |
| CAROLYN MULLEN | SENIOR VICE PRESIDENT | 37.5 | $270,036 |
| KIMBERLEE WYCHE ETHERIDGE | SENIOR VICE PRESIDENT | 37.5 | $256,185 |
| LINDSEY MYERS | VICE PRESIDENT | 37.5 | $212,945 |
| MARCUS G PLESCIA | SENIOR VICE PRESIDENT | 37.5 | $333,020 |
| KARL ENSIGN | VICE PRESIDENT | 37.5 | $214,868 |
| CHRISTINE MACKIE | VICE PRESIDENT | 37.5 | $224,757 |
| JAMIE PINA | VICE PRESIDENT | 37.5 | $170,469 |
| JAN TAYLOR | VICE PRESIDENT | 37.5 | $226,626 |
Recent News & Activity
Recent developments and announcements
ASTHO has been recognized for achieving Age-Friendly Public Health Systems recognition, reflecting the organization's commitment to advancing public health infrastructure and initiatives that support aging populations and communities.
Public Health Infrastructure GrantSubject Areas
Focus areas based on grantmaking activity
Frequently Asked Questions
What does Association of State and Territorial fund?
ASTHO's mission is to support, equip, and advocate for state and territorial health officials in their efforts to advance the public's health and well-being. The organization provides leadership support and capacity building to position state and territorial health officials as chief health strategists in their jurisdictions. Primary program areas include: **Community Health and Disease Prevention** — The organization provides leadership support and capacity building across three distinct but c…
Where does Association of State and Territorial make grants?
ASTHO serves all U.S. states, the District of Columbia, the five U.S. territories, and the freely associated states.
What size grants does Association of State and Territorial award?
In 2024, Association of State and Territorial awarded 21 grants totaling $2.1M — an average of about $100K per grant, based on its IRS Form 990 filings.
What is Association of State and Territorial's EIN?
Association of State and Territorial's EIN (Employer Identification Number) is 35-1044487. IRS Form 990 filing data is available on this page for 2019–2024.
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Data last updated June 2026. Sourced from IRS Form 990-PF filings. Research dossier generated April 2026.
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