Voluntary Health Organizations vs. Charities: What’s the Difference & Which Should You Support?

Voluntary Health Organizations (VHOs) are specialized nonprofits dedicated to addressing specific diseases or health conditions through a three-pronged approach: research funding, patient support services, and advocacy work. 

These organizations often emerge from grassroots efforts by patients, families, and medical professionals who recognize gaps in traditional healthcare systems.

For example, the Cystic Fibrosis Foundation was founded in 1955 by parents of children with CF who were frustrated by the lack of research investment. Today, it’s credited with developing life-changing therapies like Trikafta, which has improved lung function for 90% of CF patients. Unlike general charities, VHOs maintain a razor-sharp focus on their specific health condition, allowing them to drive targeted progress that larger organizations might overlook.

VHOs are disease-specific groups with three pillars:

• Research (Fund clinical trials, drug development
• Direct Services (Support groups, medical equipment loans)
• Advocacy (Lobby for insurance/policy changes)

Example: The Cystic Fibrosis Foundation helped develop Trikafta, a drug that improved lung function by 40%+.

General health charities cast a wider net, addressing broad health and humanitarian needs rather than focusing on a single disease or condition. Organizations like the American Red Cross and Direct Relief provide essential services, including disaster response, blood donation networks, and the distribution of medical supplies to underserved regions globally.

While these charities perform critical work, their approach differs fundamentally from VHOs. Where a VHO might fund a clinical trial for a rare cancer, a general health charity is more likely to establish mobile clinics in war zones or distribute vaccines during outbreaks. The trade-off is breadth versus depth—charities reach more people, but VHOs often achieve more specialized breakthroughs for their specific communities.

General health charities focus on:

✔ Disaster relief (Red Cross)

✔ Basic needs (feeding the hungry)

✔ Broad awareness (Mental Health America)

Key Difference:

VHOs = Disease-specific solutions

Charities = Immediate relief for all

Key Differences 

Factor Voluntary Health Org General Health Charity

Focus Specific diseases (e.g., ALS) Broad issues (e.g., hunger)

Check IRS Form 990 (ProPublica’s nonprofit explorer)

Look for peer-reviewed study citations (Prove research funding works)

Ask: "What percentage of donations fund overhead?" (Under 25% is ideal)

Red Flags:

❌ No clinical trial partnerships listed

❌ CEO salaries over $300,000/year for small orgs

Pro Tip: Donate to local VHO chapters—they often have lower overhead.

• JDRF (Type 1 diabetes) – 94% Charity Navigator score
• ALS Association – Funds 100+ clinical trials
• National Organization for Rare Disorders (NORD) – Helps 25M+ patients
• Lupus Research Alliance – 89% to research
• Parkinson’s Foundation – Free genetic testing programs

Q: Can I donate to both types of organizations?

A: Yes! Many split gifts (e.g., 70% to VHO, 30% to general charity).

Q: Which type has more transparency?

A: VHOs—they must publish clinical trial results to keep funding.

Q: Do VHOs help internationally?

A: Some do (e.g., MSF), but most focus on U.S. policy changes.

Set Up Recurring Donations (VHOs rely on steady funding)

Volunteer Skills (Graphic design? Help with their brochures!)

"$100 to the CF Foundation helped develop drugs that added DECADES to lives like mine."

— Ryan W., cystic fibrosis patient