Bush Global Health Initiative

Nonprofit profile at a glance

EIN
474585630
IRS 990 coverage
2015–2018
Forms available
Form 990 2018
Location
Washington, DC, USA
Phone
2028991026
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
International Relief

Official website

Reported finances

Revenue
$481,116
Expenses
$1,880,964
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2018. Amounts in USD.

Leadership & pay

7 people listed

Executive titles in this filing

  • GARY EDSON SEE SCHEDULE O (ACTING CEO)

Highest reported compensation

  • GARY EDSON SEE SCHEDULE O (ACTING CEO): $450,000 total reported compensation
  • HOLLY KUZMICH SEE SCHEDULE O (BOARD MEMBER): $334,768 total reported compensation
  • TRACEY STEVENS (CHIEF FINANCIAL & ADMIN. OFFICER): $188,156 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2018. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The bush global health initiative, d/b/a pink ribbon red ribbon, is an independent affiliate of the george w. Bush institute, and coordinates action to save women and girls' lives from cancer in countries where the need is greatest. By working with public-and private-sector organizations, pink ribbon red ribbon builds on the success of the u.s. President's emergency plan for AIDS relief (pepfar), and, with the ongoing commitment of the george w. Bush institute, designs and implements programs for the prevention and treatment of cervical cancer and the early detection and treatment of breast cancer.

What it reported doing in 2018

Pink ribbon red ribbon is a public-private partnership that leads coordinated action to save lives from breast and cervical cancer in low-resource settings. Through greater access to prevention and treatment, healthy women strengthen families, communities, and nations, driving global economic growth and prosperity.key achievements across all prrr programs from january to march 2018 include: - prrr programs provided via screening for cervical cancer for 9,293 women.- 675 of these women were treated with cryotherapy or leep for cervical cancer. (see schedule o for continuation)- a total of 332 women were screened for breast cancer.as a result, since inception, prrr and its partners have: - screened over half a million women for cervical cancer in botswana, ethiopia, tanzania, and zambia;- treated over 34,000 of these women for pre-cancerous lesions; - vaccinated almost 150,000 girls aged 9 to 13 against hpv through pilot programs and demonstration projects designed to pave the way for nationwide campaigns; and- screened nearly 40,000 women for breast cancer in ethiopia, tanzania, and zambia. In 2018, pink ribbon red ribbon directly provided, or worked with partners to provide, the following services: zambia:- prrr and partners continued to support zambia's cervical cancer screening and treatment program.- prrr contributed to the final draft of the susan g. Komen-sponsored roadmap for breast cancer control in zambia.tanzania:- in the first quarter of 2018, prrr supported the evaluation of implementation efforts under the national strategic plan of 2011-2016. In june of 2018, prrr contributed to the draft of the final report of the results of the "evaluation of the national cervical cancer prevention and control programme". - prrr supported the development of harmonized treatment protocols for female invasive cancers that will be released in mid-2018 and will provide national treatment guidelines, ensuring that hospitals are providing the same medicines and treatments across the spectrum of care.ethiopia:- prrr initiated and led an evaluation of implementation efforts in prrr-supported sites under the national cancer control plan of 2016-2020. The results of the evaluation will inform the development of the second five-year strategy and a broader aim of the government of ethiopia's plans to open 1,500 screen-and-treat sites.namibia:- prrr and partners also provided support to the mohss to write the first-ever cervical cancer service delivery guidelines, which were released in quarter three of 2018. Other prrr accomplishments:- pink ribbon red ribbon worked with the cdc foundation and the world health organization to help develop the first-ever harmonized toolkit for measuring impact and outcomes across country cervical cancer programs. This toolkit - "improving data for decision-making in global cervical cancer programs" - will be published in quarter four 2018.

Operating model

Revenue model
Affiliate-supported. 100% of the money available for current operations came from contributions from related organizations.
Distribution model
Grant intermediary. The nonprofit sent 84% of its reported program spending out as grants.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and the required major-donor schedule is missing or incomplete.

Rating breakdown

  • Financial Efficiency: 80
  • Transparency & Controls: 65
  • Accountability: 84
  • Sustainability: 1
  • Growth: 40

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 73.5%; rating input score 73
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: 3 of 8 controls in place; rating input score 38
    • 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: Pass
    • May require repayment: Limited
  • Grant itemization coverage: 100%; rating input score 100; 79th percentile among comparable filings
  • Major donor itemization: No; rating input score 0
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 80%; rating input score 80; 19th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • 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: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -291%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 1; 1st percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 34.9%; rating input score 8; 8th percentile among comparable filings

Growth

  • Program expense growth: 26% per year; rating input score 100; 90th percentile among comparable filings
  • Revenue growth: -44% per year; rating input score 0; 1st percentile among comparable filings
  • Asset growth: -39.5% per year; rating input score 0; 2nd percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 73.5% of spending went to programs
  • Governance: 4 of 5 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $1.4M in reported program spending
  • Leadership: top reported pay $450K · 7 people listed · 2 of 6 pay-setting controls reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 8 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 4 filing years from 2015 to 2018
  • Contacts: How to reach this organization
  • Money network: 4 filed money-flow records
  • Related organizations: 2 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 0/100.
  • High — Transparency & Controls: Major donor itemization scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 1/100.
  • High — Growth: Asset growth scored 0/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Officer compensation ratio scored 8/100.