Fenway Health

Overview

Mission

Rooted in the LGBTQIA+ community and racial justice, Fenway Health provides and advocates for compassionate, equitable healthcare, research, and education—empowering people from all walks of life to live, love, and thrive freely. Fenway Health’s Mission, Vision, and Values reflect what we’ve learned and what we hope to achieve. Our priorities are to support our team, protect our mission, and expand care for those too often left behind. No organization succeeds alone, and that’s especially true for Fenway. Everything we do—care, research, education, advocacy—is grounded in our mission. And none of it happens without you. Your support and partnership makes our work possible. Together, we advance. Together, we heal. Together, we rise.

What it reported doing in 2024

Medical & pharmacy services - at fenway health, we believe that health care is a right, not a privilege. In every department, our staff is dedicated to meeting the needs of everyone who walks through our doors through integrated personal and compassionate care, regardless of their ability to pay. We offer a wide range of ever-growing services for the entire family within our clinical divisions, including medical, pharmacy, behavioral health, dental, vision, HIV/sti screening, women's health, transgender health, alternative insemination and obstetrics and the violence recovery program. Our care and services are available at three boston locations. Fenway health is affiliated with beth israel deaconess medical center and all physicians hold faculty appointments at harvard medical school. We are accredited by the joint commission on accreditation of healthcare organizations.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The nonprofit carried out 100% of its reported program work directly.
  • Includes noncash contributions: Reported contributions include donated property or goods.

Nonprofit profile at a glance

EIN
042510564
IRS 990 coverage
2009–2024
Website reviewed
Jul 2026
Forms available
Form 990 2024, Form 990-T 2024
Headquarters
Boston, MA, United States
Rating
84
Verdict
STRONG
Rating confidence
Moderate
Sector
Health

Official website

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The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The website gives limited detail about important organizational relationships and available reserves provide a limited financial cushion.

Rating breakdown

  • Financial Efficiency: 80
  • Transparency & Controls: 83
  • Accountability: 94
  • Sustainability: 62
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 79.7%; rating input score 80
  • Program expense ratio: 80.3%; rating input score 80
  • Fundraising efficiency: $66.16 raised per $1 spent on fundraising; rating input score 79; 79th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
  • Pay-setting controls: 6 of 6 controls in place; rating input score 100
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100
  • Public monitoring controls: 1 of 8 controls in place; rating input score 12
  • Public policy transparency: 2 of 7 controls in place; rating input score 29
  • Public financial transparency: 2 of 5 controls in place; rating input score 40
  • Impact reporting controls: 3 of 7 controls in place; rating input score 43
  • Public relationship transparency: No; rating input score 0

Accountability

  • Independent voting board: 100%; rating input score 100; 76th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
  • Public governance controls: 2 of 4 controls in place; rating input score 50
  • Zakat policy transparency: Limited

Sustainability

  • Operating margin: 15.9%; rating input score 83; 83rd percentile among comparable filings
  • Operating reserve ratio: 1.12; rating input score 43; 43rd percentile among comparable filings
  • Liabilities to assets ratio: 0.35; rating input score 50; 50th percentile among comparable filings
  • Officer compensation ratio: 2.9%; rating input score 40; 40th percentile among comparable filings

Growth

  • Program expense growth: 3.3% per year; rating input score 100; 25th percentile among comparable filings
  • Revenue growth: 6.2% per year; rating input score 100; 54th percentile among comparable filings
  • Asset growth: 5.8% per year; rating input score 100; 43rd percentile among comparable filings

Details

  • What they do: 8 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 79.7% of revenue deployed · 80.3% of spending went to programs
  • Governance: 18 of 18 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $76.5M in reported program spending
  • Leadership: top reported pay $508K · 28 people listed · 6 of 6 pay-setting controls reported
  • Consistency: 35 of 35 current checks pass
  • Schedules: 8 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 16 annual filings from 2009 to 2024
  • Money network: 9 filed money-flow records
  • Related organizations: 2 filed related-organization links