Project HOPE

What it reported doing in 2025

GLOBAL HEALTH PROGRAMS: PROJECT HOPE WORKED IN 25+ COUNTRIES AND TERRITORIES IN 2025 TO ADDRESS THE MOST PRESSING HEALTH NEEDS OF VULNERABLE POPULATIONS. WE WORK WITHIN EXISTING HEALTH SYSTEMS TO EMPOWER HEALTH WORKERS AND PROVIDE THE SOLUTIONS COMMUNITIES NEED MOST. WE UTILIZE EVIDENCE-BASED STRATEGIES TO PROVIDE DIRECT HEALTH CARE SERVICES, EQUIPPING CLINICS AND HOSPITALS, AND TRAINING LOCAL HEALTH CARE WORKERS IN THE AREAS OF INFECTIOUS AND NON-COMMUNICABLE DISEASES, PANDEMIC PREPAREDNESS AND RESPONSE, AND MATERNAL, NEONATAL, AND CHILD HEALTH. PROJECT HOPE PARTNERS WITH CORPORATIONS, FOUNDATIONS, UNIVERSITIES, MINISTRIES OF HEALTH, AND LOCAL PUBLIC HEALTH ORGANIZATIONS TO UNDERSTAND THE GREATEST NEEDS FACING LOCAL COMMUNITIES AND DELIVER SOLUTIONS THAT IMPROVE THEIR HEALTH AND WELL-BEING. In 2025, Project Hope reached nearly 5 million people worldwide and reached over 3.6 million people affected by disasters and humanitarian crises. Project Hope provided direct medical services to more than 3.1 million patients. We reached more than 1.4 million women, infants, and children through programs aimed at reducing mortality and improving survival (reproductive, maternal, neonatal, and child health services). Project Hope screened or tested more than 1.1 million individuals for TB, HIV, diabetes, hypertension, and other diseases. Project Hope reached over 37,000 people living with HIV. We trained more than 34,000 health workers to enhance quality of care and donated $53.1 million in essential equipment, medicines, and medical supplies.

Financial Efficiency

• Mission deployment rate: 81.5%; rating input score 82
• Program expense ratio: 84.5%; rating input score 85
• Fundraising efficiency: $8.86 raised per $1 spent on fundraising; rating input score 25; 25th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 65th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: 1 of 8 controls in place; rating input score 12
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Fail
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 100%; rating input score 100; 78th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 96%; rating input score 96; 26th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4%; rating input score 53; 53rd percentile among comparable filings
• Total-asset coverage ratio: 0.57; rating input score 18; 18th percentile among comparable filings
• Liabilities to assets ratio: 0.25; rating input score 60; 60th percentile among comparable filings
• Officer compensation ratio: 2.2%; rating input score 57; 57th percentile among comparable filings

Growth

• Program expense growth: -5% per year; rating input score 0; 9th percentile among comparable filings
• Revenue growth: -3.3% per year; rating input score 0; 3rd percentile among comparable filings
• Asset growth: 1.3% per year; rating input score 100; 7th percentile among comparable filings