Accessmatters

What it reported doing in 2024

Supporting a healthcare provider network: accessmatters provides specialized support for network partner organizations working in the community. The organization anchors a broad network of over 100 healthcare provider organizations and sites that provide community-based sexual and reproductive health care, assisting them with program support, training, quality management, data management, and guidance on best practices in care and service delivery. In fy2025, accessmatters' title x family planning program supported a network of healthcare provider organizations that collectively served over 61,000 people living at or near the federal poverty level with confidential, high-quality, patient-centered health and reproductive health services. These services included the following: affordable fda-approved birth control, pregnancy planning, breast and cervical cancer screening, testing and treatment for sexually transmitted infections (stis), HIV testing, and referrals for other critical services such as prenatal care, substance use disorder treatment, and primary care. In addition to providing adolescent health services through the title x family planning health centers, accessmatters manages a statewide network of health resource centers that serve young people in schools and communities across select counties in Pennsylvania. Accessmatters also administers the adolescent health initiative (ahi), which provides evidence-based sexuality education and healthcare referrals to youth living at or near the federal poverty level in philadelphia. In fy2025, accessmatters' programs collectively served over 26,000 youth aged 13-24. Accessmatters manages the ryan white part d HIV network in philadelphia and serves over 687 women, infants, children, and youth who are living with HIV with comprehensive, family-centered primary care and support services; the Pennsylvania breast and cervical cancer early detection program in southeastern Pennsylvania region, reaching over 4,336 uninsured or underinsured people in fy2025 with early detection and treatment services; and the Pennsylvania perinatal partnership, a collaborative group of perinatal and family health professionals and organizations who partner to improve health outcomes for people who are pregnant or postpartum and their children through education, advocacy, and collaboration. Accessmatters engages with partners in fields such as substance use disorder (sud) treatment and other health and social services. Accessmatters' substance abuse and mental health services project included a network of one sud treatment provider and two HIV prevention and treatment clinics. The network provided comprehensive HIV and sud assessments, screenings, and referrals for 1,151 people in fy2025.

Financial Efficiency

• Mission deployment rate: 81.5%; rating input score 81
• Program expense ratio: 81.5%; rating input score 81
• Fundraising efficiency: $375.1 raised per $1 spent on fundraising; rating input score 93; 93rd percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 17th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • 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: Limited
• Grant itemization coverage: 99.9%; rating input score 100; 39th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th 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: 0.1%; rating input score 33; 33rd percentile among comparable filings
• Total-asset coverage ratio: 0.27; rating input score 6; 6th percentile among comparable filings
• Liabilities to assets ratio: 0.92; rating input score 9; 9th percentile among comparable filings
• Officer compensation ratio: 7.4%; rating input score 33; 33rd percentile among comparable filings

Growth

• Program expense growth: 1.9% per year; rating input score 100; 19th percentile among comparable filings
• Revenue growth: -0.7% per year; rating input score 0; 6th percentile among comparable filings
• Asset growth: -0.8% per year; rating input score 0; 8th percentile among comparable filings