African Mission Healthcare Foundation

What it reported doing in 2025

Amh supports mission hospitals and medical clinics in the sub-saharan region of africa. It provides financial support and expertise that strengthens its mission hospital partners to serve people in greatest need. Amh's programs focus on strengthening and expanding clinical care, equipment and infrastructure, medical education, and hospital operations. In 2025, amh made investments that will make more than 2.8 million lifetime patient visits possible and approximately 474,841 direct patient visits over the twelve months. Amh also enabled a total of 6,726 surgical and corrective procedures. (continued on schedule o)amh's selected investments in equipment and infrastructure during 2025 included: completed construction of the new birthing center, installation of a new solar power system, and started construction of a new diagnostic center at rwibaale hospital in uganda; completed the remodeling and and renovation of the surgical operating room at rushoroza hospital in uganda; completed the remodeling and equipping of the laboratory at naivasha health center; started construction of a new surgical complex at nkhoma hospital in malawi; completed construction of the second phase of the hospital's training classrooms and started construction of training resident housing at kijabe hospital in kenya; started construction of a pediatric ward at in deed and truth hospital, completed remodeling of the pharmacy at sim doro clinic, and completed the equipping of the pediatric ward at st. Theresa hospital, all in in south sudan; and completed construction of a new high-dependency unit at mother of mercy teaching and referral hospital in sudan. During 2025 our investments in equipment and infrastructure totaled $2.7 million. Amh also enabled training for 558 healthcare workers through short courses, undergraduate and postgraduate programs, and anesthesia and clinical training programs. Amh's online learning platform enables training tailored for kenyan clinical officers ("cos"), medical professionals like physician assistants in the united states. In 2025, a total of 284,274 models were completed and 4,809 new users were enrolled on the online platform. Users from kenya and 17 other countries are registered. More than 100,000 feedback instances have been collected from the total enrolled users, with more than 99% indicating they had learned something

Financial Efficiency

• Mission deployment rate: 77.6%; rating input score 78
• Program expense ratio: 87.7%; rating input score 88
• Fundraising efficiency: $13.88 raised per $1 spent on fundraising; rating input score 44; 44th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • 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: 2 of 8 controls in place; rating input score 25
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Limited
  • Conducts field audits: Limited
  • May suspend future funding: Limited
  • Requires financial reports: Pass
  • Conducts site visits: Limited
  • Requires grant agreements: Limited
  • May require repayment: Limited
• Grant itemization coverage: 100%; rating input score 100; 49th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 89.5%; rating input score 89; 18th percentile among comparable filings
• Governance controls: 8 of 8 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: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 14.5%; rating input score 67; 67th percentile among comparable filings
• Total-asset coverage ratio: 2.94; rating input score 65; 65th percentile among comparable filings
• Liabilities to assets ratio: 0.04; rating input score 80; 80th percentile among comparable filings
• Officer compensation ratio: 4%; rating input score 65; 65th percentile among comparable filings

Growth

• Program expense growth: 14.4% per year; rating input score 100; 80th percentile among comparable filings
• Revenue growth: 13.9% per year; rating input score 100; 84th percentile among comparable filings
• Asset growth: 21.1% per year; rating input score 100; 91st percentile among comparable filings