Path

Overview

Mission

Our mission is to advance health access through innovation and partnerships. Our values These six values are essential to achieving our mission. We hold ourselves accountable to these values because they guide our behavior, decisions, and actions toward a future where good health is within reach for everyone. 1. **Respect**. We treat everyone with dignity, compassion, and appreciation.

What it reported doing in 2024

Africa regionin the africa region, we partner with countries to deliver health programs that respond to local priorities, from malaria and HIV to vaccines, emergency preparedness, and digital health. We work at every level, from communities to national governments, providing technical support that strengthens existing systems rather than creating new ones. Our focus is on sustainability, equity, and impact, while also investing in strong operations and staff support so our teams thrive across africa's diverse contexts. By combining local insight with global innovation, we help build resilient health systems and improve lives with science, technology, and trusted partnerships. Key 2024 achievements include, but are not limited to: - ethiopiapath helped reopen 14 conflict-damaged health posts, reconnecting 70,000 people to essential services.- kenyapath supported community health workers to screen over 100,000 people for tb and HIV, helped secure new legislation to sustain frontline care, and launched africa's largest ai clinical trial using large language models to support health workers with real-time decision-making. - mozambiquepath advanced a new home-based model for disability screening that tripled access to rehabilitation services for children.- multicountrypath deepened collaboration with africa centres for disease control and prevention by supporting 20 countries to improve disease surveillance through the mpox initiative and build stronger digital infrastructure for epidemic response. Path advanced integrated care for chronic diseases, supporting hypertension screening for over 5 million people in ghana, rwanda, and senegal, and launching new services for diabetes and kidney disease. Other: advocacy & public policyat path's center for advocacy and public policy, we work to ensure everyone can access the health services and innovations they need to thrive. We partner with policymakers in countries like kenya, south africa, and the united states - and on the global stage - to drive investments and policies that support primary health care, maternal and child health, immunization, and innovation. We also support local advocacy partners by translating evidence into clear messages, building coalitions, and sharing knowledge. In 2024, our efforts led to new policies, increased funding, and stronger local capacity to shape health agendas and improve health systems around the world. Key 2024 achievements include, but are not limited to: - expanding access to lifesaving health products and servicespath helped to identify high-priority medical products and build local capacity in kenya and south africa, thereby advancing regional self-reliance.path helped drive progress toward a unified regulatory environment by supporting two additional countries to ratify the african medicines agency treaty. In kenya, path worked with local officials to develop county-level tools that help track and improve primary health care services. Globally, path led a coalition of more than 40 organizations in aligning advocacy strategies for maternal and child health and contributed to new who guidance that streamlines the approval of lifesaving medical products.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Hybrid. The nonprofit split its reported program spending across 75% for direct work, and 25% for grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

Nonprofit profile at a glance

EIN
911157127
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Headquarters
Seattle, WA, USA
Phone
2062853500
Rating
86
Verdict
STRONG
Rating confidence
Standard
Sector
International Development

Official website

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 90
  • Transparency & Controls: 81
  • Accountability: 100
  • Sustainability: 37
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 89.9%; rating input score 90
  • Program expense ratio: 90.1%; rating input score 90
  • Fundraising efficiency: $206.1 raised per $1 spent on fundraising; rating input score 90; 90th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: 2 of 8 controls in place; rating input score 25
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Fail
    • Conducts field audits: Fail
    • May suspend future funding: Fail
    • Requires financial reports: Fail
    • Conducts site visits: Pass
    • Requires grant agreements: Fail
    • May require repayment: Fail
  • Grant itemization coverage: 99.9%; rating input score 100; 47th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

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
    • 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: 0.4%; rating input score 33; 33rd percentile among comparable filings
  • Total-asset coverage ratio: 1.18; rating input score 44; 44th percentile among comparable filings
  • Liabilities to assets ratio: 0.86; rating input score 14; 14th percentile among comparable filings
  • Officer compensation ratio: 1.8%; rating input score 59; 59th percentile among comparable filings

Growth

  • Program expense growth: 3.3% per year; rating input score 100; 25th percentile among comparable filings
  • Revenue growth: 4% per year; rating input score 100; 33rd percentile among comparable filings
  • Asset growth: -4.8% per year; rating input score 0; 2nd percentile among comparable filings

Details

  • What they do: 9 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 89.9% of revenue deployed · 90.1% of spending went to programs
  • Governance: 15 of 15 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $317.3M in reported program spending
  • Leadership: top reported pay $887K · 31 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $9.2M reported
  • Consistency: 42 of 42 current checks pass
  • Schedules: 11 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 14 annual filings from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 58 filed money-flow records
  • Related organizations: 43 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Leadership & pay

31 people listed

Highest reported compensation

  • NIKOLAJ JESTED GILBERT MSC (PRESIDENT AND CEO): $887,491 total reported compensation
  • KIMBERLY GREEN PHD (DIRECTOR, PRIMARY HEALTH CARE): $570,786 total reported compensation
  • ASHLEY J BIRKETT PHD (GLBL HD, BACTERIAL&PARASITIC DISEASES): $469,950 total reported compensation

Source: IRS Form 990. Selected filing: FY2024.