TL;DR
- NMAC CEO Harold Phillips disputes claims of internal crisis.
- Allegations include financial misconduct and staffing issues.
- Phillips insists the organization is financially strong.
- NMAC is expanding staff and services under new leadership.
- Board supports Phillips amid scrutiny.
In a world where the fight against HIV is as crucial as ever, NMAC CEO Harold Phillips is standing his ground against a wave of criticism. Recent reports have painted a picture of turmoil within the organization, but Phillips is here to set the record straight. He’s not just defending NMAC; he’s declaring it financially sound and ready to tackle the challenges ahead.
“NMAC as an organization…we continue to deliver,” Phillips stated emphatically during an interview. He’s pushing back against claims that the organization is in crisis, insisting that nothing he has done is unethical or illegal. In fact, he’s all about strengthening the organization and its mission to support communities that are disproportionately impacted by the HIV epidemic.

So, what’s the fuss all about? An April 15 report from the Washington Blade cited anonymous sources alleging instability and financial woes at NMAC. But Phillips argues that these claims don’t reflect the true strength of the organization. “The Blade article did not characterize it in that way and really made it look like the organization was weak or crumbling, which is not true and misleading,” he said.
When pressed about NMAC’s finances, Phillips maintained that the organization is on solid ground, even if he didn’t share specific numbers. Public filings show a modest operating deficit from 2024, but Phillips is focused on the future. “We’re financially strong,” he declared, highlighting a mix of public and private partnerships that bolster the organization.
Taking the reins from longtime leader Paul Kawata in October 2025, Phillips has a rich background in public health, including directing the White House Office of National AIDS Policy. He’s no stranger to the complexities of HIV policy and advocacy, and he’s determined to navigate NMAC through these turbulent waters.
Critics have pointed fingers at a hefty $600,000 contract with an outside firm for conference operations, questioning why such work wasn’t handled in-house. Phillips explained that the growth and complexity of NMAC’s conferences necessitated this move. “Our conference staff has been really stretched in implementing the conferences as they’ve both grown in size and complexity,” he noted, emphasizing the need for specialized expertise.
The recent Biomedical HIV Prevention Summit in Chicago, which attracted over 1,200 participants, is a testament to NMAC’s evolving strategy. Phillips is keen on broadening the organization’s focus beyond just PrEP to include treatment as prevention and mental health, reflecting a more comprehensive approach to community health.
As NMAC undergoes restructuring, Phillips acknowledges that changes can be challenging. “When there is a leadership change and an organization is setting new priorities, there are often staff who are not aligned with that new mission,” he said. However, he reassured that NMAC is actively hiring and expanding its team, with plans to add 13 positions over the next five years.
The board of NMAC has voiced its unwavering support for Phillips, with board chair Lance Toma stating that they are confident in the organization’s financial position and strategic direction. This backing is crucial as NMAC faces external pressures and criticism during a pivotal moment for the communities it serves.
Phillips is committed to ensuring that staff can voice their concerns without fear of retaliation, acknowledging that communication during the transition hasn’t always been perfect. He’s making strides to improve this aspect, recognizing that clarity is key in maintaining morale and alignment within the organization.
As NMAC navigates these challenges, Phillips remains focused on the mission at hand: advocating for health equity and access to care for communities of color. “It’s unfortunate at this time that we’re having to go through this when there are so many external forces attacking communities,” he lamented. But with determination and a clear vision, Phillips is poised to lead NMAC into a future that champions the rights and health of those most affected by HIV.