Who we are and what we do

Truth Initiative® is America’s largest non-profit public health organization dedicated to making tobacco use a thing of the past. We speak, seek and spread the truth about tobacco through education, tobacco-control research and policy studies, and community activism and engagement.


We’ve helped bring teen cigarette use down from 23 percent in 2000 to 6 percent in 2016. We’re proud of that success, but our work won’t stop until we achieve a culture where all youth and young adults reject tobacco.


Known previously as American Legacy Foundation, we were established as part of the 1998 Master Settlement Agreement between major U.S. tobacco companies and 46 U.S. states, the District of Columbia and five territories.


our history


Marketing and communications leader Robin Koval becomes CEO and president, succeeding public health leader Cheryl G. Healton, DrPH, and overseeing a major reinvestment in the truth campaign.


truth taps into youth interest in gaming with the Flavor Monsters mobile game inspired by the fact that although candy-flavored cigarettes are illegal, there are still more than 45 tobacco-flavored products.


Our report, “A Hidden Epidemic: Tobacco Use and Mental Illness,” highlights the high levels of tobacco use and nicotine dependence among people with mental illnesses. It explains how organizations supporting people with mental illness can help them quit.

annual reporting

Truth Initiative is a 501(c)(3) non-profit organization. The organization regularly produces reports that highlight our activities and achievements and the progress we’ve made in reaching our goals. You can access our annual progress reports and financial statements here in PDF format.

join our team

Check out our job openings if you are committed to working toward a future free of tobacco. We encourage you to get in touch whether you’re an experienced leader in your field or just starting out after school.

Partnering with Truth Initiative

We’ve worked with established corporations along with startups just getting off the ground, and we’re always looking for creative solutions that lead to mutually beneficial outcomes.

Learn more