Trust for America's Health

What Trust for America's Health does

Trust for America's Health (TFAH) is a non-profit, non-partisan public health policy, research, and advocacy organization headquartered at 1730 M St NW, Suite 900 in Washington, DC. The organization produces annual flagship research reports covering obesity (State of Obesity, continuous since 2004), deaths of despair from alcohol, drugs, and suicide (Pain in the Nation, co-produced with Well Being Trust since 2017), and U.S. emergency preparedness (Ready or Not). It complements these with state-specific data pages for all 50 states plus the District of Columbia and discrete programmatic initiatives, principally the Age-Friendly Public Health Systems (AFPHS) initiative — which has conferred recognition on 59 state and local health departments and 154 individual practitioners — and the Promoting Health and Cost Control in States (PHACCS) effort. TFAH also serves as the named managing partner of the Public Health Communications Collaborative, a no-cost messaging and training resource for state and local health departments whose newsletter reaches more than 38,000 opted-in subscribers and whose website has logged over 1.2 million page views since 2020.

TFAH's business model is that of a 501(c)(3) public charity with IRS federal tax ID 52-2257066, funded entirely through philanthropic grants and donations from charitable foundations and individual donors. The organization explicitly does not accept government or industry funding, a positioning it treats as a credibility differentiator in non-partisan policy work. It does not sell commercial products or services; all reports, policy briefs, and state fact sheets are distributed free of charge via tfah.org. Marketing and distribution operate through content marketing (annual reports and policy briefs), an email digest (Wellness and Prevention Digest), webinars and briefings, the AFPHS podcast launched in April 2026, a LinkedIn presence for leadership, and an extensive coalition footprint that includes participation in the Coalition for Health Funding, the CDC Coalition, the Common Health Coalition, the National Alliance for Nutrition and Activity, and the Age-Friendly Ecosystem Collaborative, among roughly a dozen others.

Its principal stakeholder audiences are federal, state, and local government health officials; legislators and policymakers; healthcare systems and hospitals; public health and community-based organizations; and public health communicators. TFAH engages directly with federal agencies including CDC, FDA, SAMHSA, HHS, and USDA on data analysis, policy recommendations, and program design, and works with state-level associations such as ASTHO, NACCHO, the Big Cities Health Coalition, and the National Governors Association. Operationally, the firm is led by President and CEO Dr. J. Nadine Gracia with a workforce of 11-50 employees and a hybrid work model out of its Washington, DC headquarters.

Name

Trust for America's Health

Legal name

Trust for America's Health

Website

https://tfah.org

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Trust for America's Health (TFAH) is a non-profit, non-partisan public health policy, research, and advocacy organization in Washington, DC. It produces annual flagship reports on obesity, substance misuse and suicide, and emergency preparedness, plus initiatives like Age-Friendly Public Health Systems, serving federal, state, and local public health officials.

Ownership category

akta.pro rank

Product category

Public Health Policy Advocacy

NAICS

Social Advocacy Organizations (8133), Grantmaking and Giving Services (81321)

SIC

Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

International & Global Public Health Aid Administration (Government Donors) (HLAJALAO)

Keywords

• Public health policy
• Health policy advocacy
• Public health research
• Health data analysis
• Nonprofit health reports

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, Others

Revenue model

1. Philanthropic Grants and Donations: TFAH operates as a 501(c)(3) tax-exempt nonprofit organization funded entirely through philanthropic grants and donations. The organization explicitly states it takes no government or industry funding, relying on charitable foundations and individual donors to fund its operations and programs.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels9 records

Core offering

Trust for America's Health (TFAH) is a 501(c)(3) nonprofit public health policy, research, and advocacy organization that produces annual flagship reports (State of Obesity, Pain in the Nation, Ready or Not) with state-level data for all 50 states and D.C., operates programs such as the Age-Friendly Public Health Systems (AFPHS) initiative and the Public Health Communications Collaborative (PHCC), and conducts policy advocacy to strengthen U.S. public health funding, preparedness, and equity. All reports and policy briefs are made freely available on tfah.org; the organization is funded entirely through philanthropic grants and donations and takes no government or industry funding.

Product overview

Trust for America's Health (TFAH) is a non-profit, non-partisan public health policy, research, and advocacy organization that offers a portfolio of research reports and policy programs rather than a unified tech product. The core offerings include the annual State of Obesity Report Series, Pain in the Nation Report Series (tracking alcohol, drug, and suicide deaths), and Ready or Not emergency preparedness reports. TFAH also operates initiatives such as Age-Friendly Public Health Systems (AFPHS) and Promoting Health and Cost Control in States (PHACCS), plus policy briefs on topics like caregiving. The organization manages the Public Health Communications Collaborative (PHCC), providing communications resources to health departments. All products are informational/policy-focused publications rather than software platforms or modules.

Differentiator

Problem solved

Functional benefit

Products and services

• State of Obesity Report Series Annual report tracking U.S. adult and childhood obesity rates by state, race, gender, and age, paired with policy recommendations and state-specific fact sheets for policymakers, public health officials, and advocates.
• Pain in the Nation Report Series Annual analysis tracking deaths from alcohol, drugs, and suicide ('deaths of despair') and providing policy recommendations to address substance misuse and mental health crises, for federal and state policymakers, public health officials, and advocates.
• Ready or Not: Protecting the Public's Health from Diseases, Disasters, and Bioterrorism Annual report evaluating the nation's and each state's readiness for public health emergencies — including infectious disease outbreaks, natural disasters, and bioterrorism — for federal and state policymakers and emergency preparedness officials.
• Age-Friendly Public Health Systems (AFPHS) Initiative Initiative providing guidance, the 6Cs Framework, and a recognition status program for state and local health departments to embed healthy aging in public health practice. Includes tools and technical assistance for healthy aging programs.
• Promoting Health and Cost Control in States (PHACCS) Initiative focused on promoting health and controlling costs at the state level through evidence-based policy interventions targeting chronic disease prevention and prevention-focused public health investments.
• Public Health Infrastructure Reports Reports analyzing public health funding levels, workforce trends, and infrastructure needs across federal, state, and local jurisdictions, including impacts of federal funding changes on public health capacity.
• Public Health's Roles in Supporting Informal and Family Caregivers (Policy Brief) Policy brief published in 2025 defining the role of public health agencies in supporting informal and family caregivers, with recommendations aligned to the AFPHS Framework.
• Public Health Communications Collaborative (PHCC) Partnership providing no-cost messaging resources, communications toolkits, and training to state and local health departments for public health messaging and crisis communications, including addressing misinformation. TFAH serves as a managing partner.

Quantifiable outcome

• 59 state and local health departments earned Age-Friendly Public Health Systems Recognition Status through TFAH's initiative
• +5 more outcomes

Named customers10 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

26 partnerships are on record, tiered core, major and minor.

• Well Being Trust (WBT)coreStrategic or Co-development PartnerTFAH and Well Being Trust co-produce the Pain in the Nation report series examining substance misuse and suicide trends. The partnership, launched in 2017, combines TFAH's public health policy expertise with WBT's mental health focus to produce authoritative annual analyses of 'deaths of despair' data and policy recommendations.
• Public Health Communications Collaborative (PHCC)coreStrategic or Co-development PartnerTFAH is a managing partner of PHCC, a collaborative that provides no-cost messaging resources and communications training to state and local health departments. PHCC was established during the COVID-19 pandemic and now addresses issues including H5N1 Bird Flu, Mpox, extreme heat, and vaccine confidence. TFAH helps lead this initiative with over 38,000 newsletter subscribers and 1.2 million page views.
• Coalition for Health FundingmajorStrategic or Co-development PartnerTFAH participates in the Coalition for Health Funding, a coalition of organizations advocating for increased federal investment in public health programs.
• CDC CoalitionmajorStrategic or Co-development PartnerTFAH participates in the CDC Coalition, working with other public health organizations to support CDC funding and policy priorities.
• Common Health CoalitionmajorStrategic or Co-development PartnerTFAH participates in the Common Health Coalition, a partnership dedicated to improving the nation's health system through innovative partnerships between healthcare and public health. TFAH President and CEO Dr. J. Nadine Gracia serves as Strategic Advisory Council Co-chair and Steering Committee member.
• Well-Being Working GroupminorStrategic or Co-development PartnerTFAH participates in the Well-Being Working Group as part of its coalition work on mental health and well-being policy.
• Injury and Violence Prevention NetworkminorStrategic or Co-development PartnerTFAH participates in the Injury and Violence Prevention Network as part of its substance misuse and suicide prevention work.
• National Alliance for Nutrition and ActivityminorStrategic or Co-development PartnerTFAH participates in the National Alliance for Nutrition and Activity, a coalition focused on nutrition policy and physical activity promotion.
• Coalition to Stop FluminorStrategic or Co-development PartnerTFAH participates in the Coalition to Stop Flu, advocating for increased flu vaccination and influenza preparedness.
• Adult Vaccine Access CoalitionminorStrategic or Co-development PartnerTFAH participates in the Adult Vaccine Access Coalition, working to improve adult vaccination rates through policy advocacy.
• Age-Friendly Ecosystem CollaborativecoreStrategic or Co-development PartnerTFAH launched the Age-Friendly Ecosystem Collaborative to continuously engage organizations and sectors central to healthy aging, supporting the Age-Friendly Public Health Systems initiative.
• National Alliance to Impact the Social Determinants of HealthminorStrategic or Co-development PartnerTFAH participates in this coalition focused on addressing the non-medical drivers of health to improve health outcomes.
• National Commission on Climate and Workforce HealthminorStrategic or Co-development PartnerTFAH participates in the National Commission on Climate and Workforce Health, addressing the intersection of climate change and public health workforce impacts.
• National Council on Environmental Health & EquityminorStrategic or Co-development PartnerTFAH participates in the National Council on Environmental Health & Equity, working on environmental health and equity policy.
• U.S. Centers for Disease Control and Prevention (CDC)coreStrategic or Co-development PartnerTFAH works with CDC on data analysis, policy recommendations, and public health initiatives. TFAH analyzed CDC data for its annual reports and worked with CDC Coalition to advocate for CDC funding and programs.
• U.S. Food and Drug Administration (FDA)majorStrategic or Co-development PartnerTFAH engages with FDA on food policy and nutrition labeling recommendations, including advocating for front-of-package labeling requirements to help consumers make informed food choices.
• Substance Abuse and Mental Health Services Administration (SAMHSA)majorStrategic or Co-development PartnerTFAH works with SAMHSA on substance misuse and suicide prevention policy and programs, including advocacy for mental health services covered by insurance on par with physical health coverage.
• U.S. Department of Agriculture (USDA)majorStrategic or Co-development PartnerTFAH engaged with USDA on nutrition policy, contributing to policy wins including updates to school meals formulas and WIC benefit food packages that aligned with TFAH recommendations.
• Association of State and Territorial Health Officials (ASTHO)majorStrategic or Co-development PartnerTFAH works with ASTHO to advance policies and garner support for public health programs at the national level.
• National Association of County and City Health Officials (NACCHO)majorStrategic or Co-development PartnerTFAH collaborates with NACCHO on public health policy and advocacy initiatives.
• Big Cities Health CoalitionmajorStrategic or Co-development PartnerTFAH works with the Big Cities Health Coalition on public health policy and data sharing.
• National Governors AssociationmajorStrategic or Co-development PartnerTFAH engages with the National Governors Association to advance policies and programs that improve Americans' health at the state level.
• U.S. Department of Health and Human Services (HHS)coreStrategic or Co-development PartnerTFAH co-hosted the 2024 National Healthy Aging Symposium with HHS's Office of Disease Prevention and Health Promotion, bringing together speakers across all levels of government, philanthropy, academia, nonprofits, and community-based organizations on healthy aging topics.
• National Association of Community Health Workers (NACHW)majorStrategic or Co-development PartnerTFAH works with NACHW on community health worker policy and advocacy, referencing the association's definition and framework for CHWs in its publications.
• Visión y Compromiso (VyC)minorStrategic or Co-development PartnerTFAH's article on community health workers featured Visión y Compromiso, a California-based organization providing leadership training and advocacy for promotoras. VyC's network arranged nearly 50,000 COVID-19 testing and vaccine appointments and developed cultural humility training for nearly 10,000 contact tracers.
• Common Health CoalitionmajorStrategic or Co-development PartnerTFAH serves as a member of the Common Health Coalition's Challenge initiative, which showcases community health worker programs and offers Catalyst Awards funding to organizations integrating CHWs. Dr. J. Nadine Gracia serves as the Coalition's Strategic Advisory Council Co-chair and Steering Committee member.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• American Public Health Association (APHA): APHA is the largest professional association of public health professionals in the U.S., producing policy statements, the American Journal of Public Health, and advocacy on federal public health funding — directly comparable to TFAH's policy research and advocacy mission.
• Kaiser Family Foundation (KFF): KFF is a major nonprofit health policy research and polling organization producing trusted analyses on public health, healthcare financing, and state-level data — highly comparable to TFAH's independent research and policy brief model.
• de Beaumont Foundation: de Beaumont focuses on strengthening public health practice and workforce, producing research and tools for state and local health departments — a closely comparable funder-and-producer of public health practice resources.
• Robert Wood Johnson Foundation (RWJF): RWJF is the largest U.S. philanthropy focused on health, funding state and national efforts on health equity, obesity, and public health infrastructure — a peer philanthropic and advocacy organization with overlapping focus areas.
• Milbank Memorial Fund: Milbank is a nonprofit that publishes evidence-based analyses on population health and state health policy, often convening state health leaders — closely analogous to TFAH's evidence-based advocacy on state public health.
• Public Health Institute (PHI): PHI is a nonprofit that conducts public health research, policy, and programs domestically and globally, often partnering with CDC and state agencies — comparable to TFAH as a research-to-policy intermediary.
• National Academy for State Health Policy (NASHP): NASHP is a nonpartisan forum of state policymakers developing health policy across states, producing comparative state analyses on public health, aging, and chronic disease — directly comparable to TFAH's state-level policy research approach.

Broad incumbents

• CDC Foundation: The CDC Foundation connects CDC with philanthropy to extend public health programs and emergency response capacity — a broader, government-adjacent peer that complements TFAH's CDC-focused advocacy and partnerships.
• Commonwealth Fund: Commonwealth Fund is a large foundation supporting independent health policy research on healthcare system performance, health equity, and coverage — a broader incumbent in the health policy research space where TFAH operates.

Emerging players

• ChangeLab Solutions: ChangeLab Solutions is a nonprofit that creates policy tools for healthier, more equitable communities across topics including nutrition, housing, and health equity — a smaller peer with overlapping social-determinants advocacy focus.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/HealthyAmerica1
• LinkedInlinkedin.com/company/trust-for-americas-health

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Trust for America's Health