NASTAD

What NASTAD does

NASTAD (National Alliance of State & Territorial AIDS Directors) is a Washington, DC-based non-partisan non-profit association founded in 1992 that represents public health officials who administer HIV and hepatitis programs across the United States. Its membership encompasses all 50 U.S. states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, seven directly CDC-funded local jurisdictions (Baltimore, Chicago, Los Angeles County, Houston, New York City, Philadelphia, and San Francisco), and six U.S. Pacific Island jurisdictions — a footprint that, combined with its 57 Phase 1 Ending the HIV Epidemic (EHE) jurisdiction support role, gives it near-universal reach across governmental HIV/hepatitis program administration.

The organization does not build proprietary technology platforms in the conventional sense. Its core offerings are resource-based: the National ADAP Formulary Database (a publicly searchable state-by-state medication coverage reference covering HIV antiretrovirals, hepatitis B/C treatments, and vaccines), the TakeMeHome free HIV self-testing program operated in partnership with Building Healthy Online Communities and Emory University, the PrEP/PEP Access Microsite, the National RWHAP Part B and ADAP Monitoring Project (an annual longitudinal dataset of program budgets, expenditures, client demographics, and outcomes), the State Specific Self-Testing Services Map, and a content library of issue briefs, toolkits, and webinar series. The organization also delivers direct technical assistance and capacity building to member health departments.

NASTAD's business model is non-commercial. It is funded primarily through federal cooperative agreements — chiefly as a CDC-funded Capacity Building Assistance Provider, an HRSA-funded ADAP technical assistance provider, a CDC PS19-1906 Component A national partner for EHE, and an HRSA-20-089 Systems Coordination Provider. All services, resources, and membership benefits are provided at no cost to member health departments. The downstream ADAP ecosystem NASTAD supports received $900.3M in federal funding for FY2026 (with NASTAD advocating for $1.075B in FY2027), but those funds flow through state-administered AIDS Drug Assistance Programs, not through NASTAD's own books. ADAP rebate revenue (51% of overall ADAP budgets in FY2024) is an ecosystem-level structural dependency rather than a NASTAD revenue stream.

Name

NASTAD

Legal name

National Alliance of State & Territorial AIDS Directors

Website

https://nastad.org

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

101–250 employees

Short description

NASTAD is a non-profit association representing public health officials who administer HIV and hepatitis programs across all 50 U.S. states, territories, and major local jurisdictions, delivering federally-funded technical assistance, advocacy, capacity building, and curated data resources at no cost to member health departments.

Ownership category

akta.pro rank

Product category

Public Health Association Services

NAICS

Business Associations (813910), Administration of Public Health Programs (92312)

SIC

Services-Membership Organizations (8600)

akta.pro industry

PRIMARYHLAJAKAN

Global Health Research, Evidence & Technical Assistance Organizations

Healthcare & Life Sciences/Public Health, Government & Regulators/Global Health & Development Agencies (NGOs/Multilaterals)

SECONDARYBPAIACAK

Local Public Health & Human Services Administration

Business & Public Services/Public Sector & Government Administration/Local/Municipal Government Administration

Keywords

• Public health association
• HIV program administration
• Hepatitis program support
• AIDS drug assistance
• Health department capacity building

Headquarters

HQ city

Washington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Federal Cooperative Agreements and Grants: NASTAD is primarily funded through cooperative agreements with federal agencies including CDC and HRSA. The organization receives funding as a CDC-funded Capacity Building Assistance (CBA) Provider, HRSA funding for ADAP technical assistance, and CDC PS19-1906 Component A funding as a national partner for Ending the HIV Epidemic initiatives.
2. ADAP Rebate Revenue: ADAPs utilize drug rebates as a significant funding source. In FY2024, drug rebates comprised 51% of overall ADAP budgets. This rebate revenue is critical for program solvency but exposes programs to structural risks related to 340B Drug Pricing Program dynamics.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

NASTAD is a non-partisan non-profit association representing public health officials who administer HIV and hepatitis programs in the U.S. It delivers technical assistance, capacity building, policy advocacy, and resource dissemination (including the National ADAP Formulary Database, the National RWHAP Part B and ADAP Monitoring Project, and the TakeMeHome self-testing program) to state, territorial, and local health departments across all 50 states, DC, Puerto Rico, the U.S. Virgin Islands, and Pacific Island jurisdictions.

Product overview

NASTAD is a non-profit public health organization that does not operate traditional software products. Its offerings consist primarily of publicly accessible databases, programs, resource libraries, and technical assistance services focused on HIV/AIDS, viral hepatitis, and related public health topics. The core offerings include the National ADAP Formulary Database (a searchable state-by-state medication coverage resource), the TakeMeHome free HIV self-testing program, the PrEP/PEP Access microsite, and the National RWHAP Part B and ADAP Monitoring Project with annual reports. These are supplemented by educational resources including issue briefs, fact sheets, toolkits, webinars, the EHE Spotlight Video Series, and interactive maps for state-specific self-testing services. NASTAD also provides direct technical assistance and capacity building support to health departments. All offerings are resource-based rather than technology platform-based, with no APIs or SDKs.

Differentiator

Problem solved

Functional benefit

Products and services

• National ADAP Formulary Database A publicly available, searchable online database providing state-by-state coverage details for AIDS Drug Assistance Programs (ADAPs), covering HIV antiretroviral treatments, opportunistic infection medications, hepatitis B and C treatments, substance use treatment medications, and vaccines.
• TakeMeHome HIV Self-Testing Program A free rapid HIV self-testing program offering at-home HIV tests delivered by mail to residents in participating jurisdictions, launched with Building Healthy Online Communities (BHOC) and Emory University.
• PrEP/PEP Access Microsite A comprehensive microsite providing resources on PrEP and PEP access, including state assistance programs, preventive service coverage, telePrEP resources, third-party telePrEP programs, and long-acting injectable PrEP information.
• National RWHAP Part B and ADAP Monitoring Project

Quantifiable outcome

• 87% viral suppression rate achieved among ADAP clients served, compared to 67% national rate for all diagnosed with HIV
• +2 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Ten partnerships are on record, tiered core and major.

• Building Healthy Online Communities (BHOC)coreStrategic or Co-development Partner · 1 March 2020NASTAD partnered with Building Healthy Online Communities (BHOC) to launch the TakeMeHome program in March 2020, offering free rapid HIV self-tests to residents in 17 jurisdictions. The program continues to provide at-home testing options and has expanded to include additional STI testing services.
• Association of Public Health Laboratories (APHL)coreStrategic or Co-development PartnerNASTAD partnered with APHL to develop the Self-Testing Toolkit for HIV, viral hepatitis, and STI testing. This toolkit helps health departments and public health laboratories decide how to incorporate self-testing as a public health strategy.
• National Coalition of STD Directors (NCSD)coreGTM or Marketing PartnerNASTAD partners with NCSD to provide comprehensive technical assistance and support to Phase 1 EHE jurisdictions. NCSD serves as one of the national TA providers alongside CSTE and NACCHO for the Ending the HIV Epidemic initiative.
• Council of State and Territorial Epidemiologists (CSTE)coreGTM or Marketing PartnerNASTAD partners with CSTE to provide comprehensive technical assistance and support to Phase 1 EHE jurisdictions. CSTE contributes to the monthly EHE newsletter and HIV Data Best Practices webinar series.
• National Association of County and City Health Officials (NACCHO)coreGTM or Marketing PartnerNASTAD partners with NACCHO to provide comprehensive technical assistance and support to Phase 1 EHE jurisdictions. NACCHO collaborates on the monthly EHE newsletter distribution to jurisdictions.
• University of Washington/Fred Hutch Center for AIDS Research (RAISE Hub)coreStrategic or Co-development PartnerNASTAD collaborates with the RAISE Hub (Research Alliance in Implementation Science to End HIV) to advance implementation of EHE initiatives. The partnership includes monthly webinars on implementation science topics and support for EHE-funded implementation research projects.
• JSI Research & Training Institute, Inc. (JSI)majorStrategic or Co-development PartnerJSI partners with NASTAD as part of the HRSA-20-089 Systems Coordination Provider project to support RWHAP grantees in coordinating EHE activities and bringing non-traditional stakeholders to the table.
• Association of State Health Officials (ASTHO)majorStrategic or Co-development PartnerASTHO partners with NASTAD on the HRSA-20-089 Systems Coordination Provider project to assist health departments in engaging new health system stakeholders for EHE efforts.
• Southern AIDS Coalition (SAC)majorStrategic or Co-development PartnerSouthern AIDS Coalition partners with NASTAD on the HRSA-20-089 Systems Coordination Provider project for EHE implementation support.
• Cicatelli Associates, Inc. (CAI)coreStrategic or Co-development PartnerCAI serves as the Technical Assistance Provider (TAP) for the EHE initiative and coordinates closely with NASTAD as the Systems Coordination Provider. CAI provides TA to health departments on implementation of work plan activities.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• NMAC (National Minority AIDS Council): NMAC is a national nonprofit working on HIV/AIDS in communities of color. Comparable as a federally funded HIV-focused nonprofit providing TA, capacity building, and policy advocacy, though its member base is community-based organizations rather than government health officials.
• Council of State and Territorial Epidemiologists (CSTE): CSTE represents applied public health epidemiologists and is a core EHE TA partner with NASTAD. Comparable as a nonprofit association providing TA and convening services for state/territorial public health professionals, focused on surveillance and data.
• National Coalition of STD Directors (NCSD): NCSD represents directors of STD programs and is a core NASTAD EHE TA partner. It is highly comparable as a nonprofit association providing federal TA, capacity building, and policy advocacy for sexually transmitted infection programs at the state/local level.
• Association of Public Health Laboratories (APHL): APHL represents public health laboratories and is a NASTAD partner on the Self-Testing Toolkit for HIV, viral hepatitis, and STI testing. Comparable as a nonprofit membership association serving a defined public health professional community with federal cooperative agreement funding.
• National Association of County and City Health Officials (NACCHO): NACCHO represents local health officials and is a core NASTAD EHE TA partner. It serves the same public health official constituency at the city/county level, with comparable federal funding flows and TA delivery models for HIV and infectious disease programs.
• American Academy of HIV Medicine (AAHIVM): AAHIVM is a nonprofit professional association for HIV care providers. Comparable as a national membership association in the HIV space with policy advocacy and provider education programs, though its constituency is clinicians rather than government program administrators.
• Association of State and Territorial Health Officials (ASTHO): ASTHO represents state and territorial public health officials broadly and is a core NASTAD partner on HRSA-20-089 Systems Coordination. It is directly comparable as a nonprofit membership association serving state health officials, with overlapping HIV/hepatitis policy and federal funding advocacy.
• Southern AIDS Coalition (SAC): SAC is a core NASTAD partner on HRSA-20-089 Systems Coordination for EHE. Comparable as a nonprofit focused on HIV advocacy and capacity building in the U.S. South, with overlapping member base of state/local HIV program administrators and federal funding reliance.

Emerging players

• Cicatelli Associates, Inc. (CAI): CAI is the HRSA-funded Technical Assistance Provider for the EHE initiative and a core NASTAD partner. Comparable as a federally funded TA provider for HIV programs, though CAI is a private nonprofit training/TA firm rather than a membership association.
• JSI Research & Training Institute, Inc. JSI is a major NASTAD partner on HRSA-20-089 Systems Coordination for EHE. Comparable as a federally funded public health TA provider working with RWHAP grantees, though JSI is a private research and consulting firm rather than a membership association.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/NASTAD
• Facebookfacebook.com/NASTAD

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about NASTAD