Health Systems Insight
Public records show a registered, tax-exempt organization in good standing.
Points to look into
- It reported an excess benefit transaction with an insider.
- It reported loans to or from officers, directors or other insiders.
These come from the organization's own tax return. There may be a good explanation; ask the charity.
What it says it does
SEE SCHEDULE O ENTRY FOR PART I, LINE 1.
- Income
- $8.7 million
- Spending
- $8.7 million
- Spent on programs
- 82%
- Reserves
- 1.7 months of spending
- Largest source of income
- donations and private grants, 96%
- Employees
- 0
- Volunteers
- 3
- Highest pay
- $209,449, project director
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 45 out of 100. Higher than 10% of charities in its peer group (international, $1m to $10m).
Reserves
10 of 35Spendable reserves would cover 1.7 months of spending.
Debt
2 of 20It owes 82% of what it owns.
Living within its means
8 of 15Spending exceeded income by 0% of income.
Income trend
10 of 15Income fell 6% on the year before.
Spending floor
15 of 1582% of spending went to programs and raising each dollar of donations cost 4 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 72 out of 100. Higher than 24% of charities in its peer group (international, $1m to $10m).
Independent board
18 of 254 of 4 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
9 of 15Its accounts were reviewed or compiled by an independent accountant, but not audited.
No reported misuse
0 of 10Reports at least one of: diversion of assets, excess benefits, loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (9)
- $5.6 million spent. THE SP4PHC PHASE 2 PROJECT AIMS TO IMPROVE HOW GOVERNMENTS ALLOCATE RESOURCES FOR PRIMARY HEALTH CARE SERVICES AND MANAGE PERFORMANCE. THE PROJECT WORKS TO: (1) CATALYZE FOUNDATIONAL REFORMS TO STRENGTHEN PURCHASING ARRANGEMENTS FOR PHC SERVICES, (2) STRENGTHEN GOVERNMENT PURCHASING FOR INNOVATIVE AND EFFECTIVE SERVICE DELIVERY MODELS, AND (3) LEVERAGE LEARNINGS TO ADVOCATE FOR TRANSFORMATIONAL REFORMS AT LOCAL, NATIONAL, AND GLOBAL LEVELS. IN 2024, HEALTH SYSTEMS INSIGHT TEAMS MADE SUBSTANTIAL PROGRESS ACROSS SIX COUNTRIES, SUPPORTING REFORMS IN HEALTH FINANCING, RESOURCE ALLOCATION, AND PERFORMANCE MANAGEMENT. KEY ACCOMPLISHMENTS INCLUDED INFLUENCING INDONESIA'S INTEGRATED PHC REFORM AND PROVIDER PAYMENT MECHANISMS, STRENGTHENING KENYA'S TRANSITION TO THE SOCIAL HEALTH AUTHORITY WITH IMPROVED FACILITY READINESS AND SUPPLIES BUDGET EXECUTION, ADVANCING BURKINA FASO'S GRATUIT PROGRAM COST CONTROLS THROUGH TARIFF HARMONIZATION (ACHIEVING A 21% REDUCTION IN TOTAL CLAIMS), AND SHAPING MAJOR POLICY REFORMS IN PAKISTAN FOR COMMUNITY HEALTH WORKERS AND FACILITY GOVERNANCE THAT SECURED SIGNIFICANT GOVERNMENT BUDGET ALLOCATIONS.
- $1.0 million spent. THIS PROJECT ESTABLISHED A HUB TO GENERATE ECONOMIC EVIDENCE ON VACCINE DELIVERY COSTS IN LOW- AND MIDDLE-INCOME COUNTRIES, INITIALLY FOCUSING ON COVID-19 VACCINATION AND LATER SHIFTING TO REACHING ZERO-DOSE CHILDREN, WHILE BUILDING CAPACITY THROUGH THE IMMUNIZATION ECONOMICS COMMUNITY OF PRACTICE. IN 2024, THE PROJECT COMPLETED ALL 5 COVID-19 VACCINE DELIVERY COSTING STUDIES ACROSS VIETNAM, BANGLADESH, MOZAMBIQUE, CTE D'IVOIRE, AND UGANDA, PUBLISHING 3 COUNTRY REPORTS AND 2 PEER-REVIEWED MANUSCRIPTS WITH DATA FROM 203+ SITES. HEALTH SYSTEMS INSIGHT UPDATED THE IMMUNIZATION DELIVERY COST CATALOGUE WITH 607 NEW UNIT COSTS FROM 62 STUDIES AND LAUNCHED A REDESIGNED COMMUNITY OF PRACTICE WEBSITE WITH 800+ SEARCHABLE RESOURCES THAT GREW ITS LINKEDIN FOLLOWING TO OVER 4,000. THE ZERO-DOSE COSTING WORK OBTAINED ETHICAL APPROVALS AND COMPLETED OR NEARLY COMPLETED DATA COLLECTION IN ETHIOPIA, PAKISTAN, AND NIGERIA, WHILE SECURING FOLLOW-ON GAVI FUNDING FOR THE COMMUNITY OF PRACTICE THROUGH 2025.
- $275,812 spent. THE KENYA QUALITY ECOSYSTEM PROJECT WAS AWARDED IN LATE 2022, BUT ACTIVITIES DIDN'T BEGIN IN EARNEST UNTIL JANUARY 2023. HEALTH SYSTEMS INSIGHT HAS PARTNERED WITH JACARANDA HEALTH FOR THIS PROJECT. HEALTH SYSTEMS INSIGHT SUPPORTS ENSURING AVAILABILITY AND SUSTAINABILITY OF FINANCING FOR MATERNAL AND CHILD HEALTH PROGRAMS THROUGH POLICY IMPROVEMENTS AND STRENGTHENING CAPACITY OF FINANCIAL MANAGEMENT IN FOUR COUNTIES IN KENYA. WE HAVE INITIATED PILOT TESTING OF INTERVENTIONS TO INCREASE FINANCIAL RESOURCES AND CAPACITY BUILDING OF FINANCIAL DATA CLERKS TO IMPROVE ACCURACY AND AVAILABILITY OF FINANCIAL DATA. THIS WORK CONTINUED THROUGH 2024.
- $77,918 spent. IN 2024, THIS PROJECT CHANGED COURSE BY ATTACHING FELLOWS TO THE SP4PHC PHASE 2 PROJECT TO SUPPORT SPECIFIC RESEARCH PROJECTS THAT THE GOALS OF SP4PHC PHASE 2, AS WELL AS CONTINUE TO HONOR THE MEMORY OF SAMYA ROSE STUMO. THIS APPROACH HAS RESULTED IN MORE SUSTAINABLE RESEARCH BY THE FELLOWS AND HELPED THEM ACHIEVE TANGIBLE IMPACT.
- $166,739 spent. THE MOZAMBICAN MINISTRY OF HEALTH ENGAGED HEALTH SYSTEMS INSIGHT (USING EXTERNAL DONOR FUNDS) TO FINALIZE AND DISSEMINATE THE NATIONAL HEALTH FINANCING STRATEGY AND SUPPORT PREPARATION OF THE COUNTRY'S HEALTH SECTOR STRATEGIC PLAN, 2025 - 2034. IN ADDITION, HEALTH SYSTEMS INSIGHT IS CREATING A CONDUCIVE ENVIRONMENT FOR SUCCESSFUL STRATEGIC PLAN IMPLEMENTATION. THE STRATEGY AND THE PLAN ARE CRITICAL POLICY AND STRATEGIC DOCUMENTS TO MOBILIZE DOMESTIC RESOURCES FOR ITS HEALTH SYSTEMS, ENSURE SUSTAINABILITY, AND SET A STRATEGIC DIRECTION FOR THE NEXT 10 YEARS. IN 2024, THE PROJECT PROVIDED THE KEY EVIDENCE BASE FOR THE STRATEGIC PLANNING AND SUPPORTED PLANNING WITH THE MINISTRY AND ITS STAKEHOLDERS.
- $23,132 spent. DESPITE HIGH DISEASE BURDEN OF CERVICAL CANCER IN KENYA AND THE AVAILABILITY OF COST-EFFECTIVE HPV VACCINE, THE COUNTRY IS STRUGGLING WITH ITS HPV VACCINE PROGRAM IMPLEMENTATION. AWARDED IN LATE 2024, THIS PROJECT SUPPORTS THE GOVERNMENT OF KENYA BY COSTING CERVICAL CANCER PREVENTION, PRODUCING AN OPERATIONAL PLAN FOR VACCINATION, AS WELL AS DEVELOPING AN INVESTMENT CASE AND ADVOCACY STRATEGY TO IMPROVE THE VACCINE COVERAGE IN KENYA.
- $53,099 spent. THIS PROJECT'S GOALS INCLUDE DEVELOPING AND IMPLEMENTING A PILOT OF A HEALTH FINANCING FRAMEWORK IN MONGOLIA AND ZAMBIA TO INCREASE UNDERSTANDING OF THE KEY FINANCING-RELATED CHALLENGES THAT HINDER THE AVAILABILITY AND AFFORDABILITY OF ESSENTIAL BREAST CANCER MEDICINES. IN ADDITION, IT SUPPORTS IN-COUNTRY STAKEHOLDERS IN SOLVING CRITICAL CHALLENGES IDENTIFIED DURING THE PILOT BY ANALYZING CHALLENGES AND REPORTING KEY RECOMMENDATIONS FOR STAKEHOLDERS.
- $42,830 spent. THIS PROJECT IMPROVES THE FINANCING AND ACCESSIBILITY OF COMPREHENSIVE SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS (SRHR) SERVICES BY INTEGRATING THEM INTO THE COUNTRY'S COMPREHENSIVE OUTPATIENT BENEFITS PACKAGE - PART OF THE NATION'S UNIVERSAL HEALTH CARE. IN 2024, WE CONDUCTED AN ANALYSIS OF THE SRHR SERVICE STANDARDS, MAPPED EXISTING SERVICE PROVIDERS, AND ANALYZED THE COST OF KEY SERVICES.
- $7,322 spent. UNDER THIS AWARD, TWI EXPLORED PAYMENT SYSTEMS FOR PRIMARY HEALTH CARE THAT BLEND DIFFERENT PROVIDER PAYMENT METHODS WITH THE AIM OF INTEGRATION OF DIFFERENT LEVELS OF CARE, CONTAINING COSTS, AND PRIORITIZING WELLNESS OF THE POPULATION. THE PROJECT PRODUCED AN ANALYTICAL REPORT TO FACILITATE THE STAKEHOLDER DELIBERATION ON THIS CRITICAL TOPIC.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since November 2015.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.