American Leprosy Missions Inc

What it reported doing in 2024

Neglected diseases: hope rises international serves people affected by leprosy and other neglected tropical diseases (ntds), including buruli ulcer, lymphatic filariasis, and yaws. More than one billion people globally are affected by ntds, which disproportionately impact the poorest and most marginalized communities and often result in chronic pain, disability, stigma, and social exclusion.hope and healing: founded in 1906, hope rises international works to express christ's love by supporting healing of body and spirit and restoring dignity and hope to individuals and communities affected by ntds. The organization partners with christian hospitals, local nonprofits, ministries of health, and research institutions to implement evidence-based, scalable programs that strengthen health systems, expand access to diagnosis and care, and address the physical, emotional, and spiritual consequences of disease.program activities and impact: during fiscal year 2025, hope rises international supported programs and partnerships in more than 30 countries across africa, asia, latin america, and the pacific, reaching individuals and communities affected by ntds through prevention, detection, treatment, disability care, and rehabilitation services.key program accomplishments in fy2025 included: 61,635 suspected ntd cases screened 9,963 patients admitted, receiving leprosy consultations, or receiving care for ntds 3,873 health workers trained. 352 pastors, clergy, and lay leaders trained to support case detection, community awareness and stigma reduction 3,539 disability AIDS provided to support morbidity management and improve quality of life 437 life-changing surgeries performed for individuals affected by ntd-related complications.in addition, hope rises international supported the delivery of $6.6 million in medicines and medical supplies, as well as advanced diagnostic and vaccine research. Through these programs, hope rises international improved access to essential health services for underserved populations, strengthened local health systems, reduced preventable disability, and supported holistic recovery for individuals affected by neglected tropical diseases. The organization's work contributes to improved health outcomes, increased community awareness, reduced stigma, and greater dignity and social inclusion, bringing hope to people living with or affected by ntds.

Financial Efficiency

• Mission deployment rate: 84.8%; rating input score 85
• Program expense ratio: 75.1%; rating input score 75
• Fundraising efficiency: $4.76 raised per $1 spent on fundraising; rating input score 19; 19th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • 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: Pass
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 100%; rating input score 100; 41st 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: -9.1%; rating input score 11; 11th percentile among comparable filings
• Total-asset coverage ratio: 0.92; rating input score 33; 33rd percentile among comparable filings
• Liabilities to assets ratio: 0.09; rating input score 76; 76th percentile among comparable filings
• Officer compensation ratio: 7%; rating input score 36; 36th percentile among comparable filings

Growth

• Program expense growth: 1.2% per year; rating input score 100; 15th percentile among comparable filings
• Revenue growth: 2.7% per year; rating input score 100; 23rd percentile among comparable filings
• Asset growth: 1.6% per year; rating input score 100; 16th percentile among comparable filings