Financing Alliance for Health

Nonprofit profile at a glance

EIN
850976806
IRS 990 coverage
2020–2025
Forms available
Form 990 2025
Location
Bethlehem, PA, USA
Phone
8778295500
Rating
66
Verdict
SUPPORTED
Rating confidence
Standard
Sector
International Development

Official website

Reported finances

Revenue
$13,506,421
Expenses
$9,212,278
Assets
$9,015,930
Liabilities
$2,335,932

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

9 people listed

Executive titles in this filing

  • DR ANGELA GICHAGA THRU 925 (CEO)
  • SOLEINE SCOTNEY EFF 1025 (CO CEO)
  • SIZWILE SIBINDI EFF 1025 (CO CEO)

Highest reported compensation

  • DR ANGELA GICHAGA THRU 925 (CEO): $207,734 total reported compensation
  • SIZWILE SIBINDI EFF 1025 (CO CEO): $188,238 total reported compensation
  • SOLEINE SCOTNEY EFF 1025 (CO CEO): $112,310 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Financing alliance for health ("fah") is a public not-for-profit organization incorporated in the state of Iowa on march 27, 2020. In an effort to improve health for all, fah partners with governments on all steps of financing to strengthen and sustain community health systems, while leveraging primary health care to attain universal health coverage. The organization aims to serve as a faciliatator between the worlds of finance and health in global south countries so as to provide value-added and long-term embedded capacity to governments in designing and financing community health systems.

What it reported doing in 2025

Project-africa frontline first ("aff") is a collaborative initiative between the financing alliance for health, community health impact coalition, last mile health, and the community health acceleration partnership under the championship of h.e. Ellen johnson sirleaf thatwill scale and strengthen integrated and sustainable community health service delivery across 10 sub saharan african countries by 2030.through unique partnerships among governments, donors, implementers, and technical allies, aff will support the building of a highfunctioning, resilient and countryled workforce of 200,000 community health workers, who will provide 100 million people with homebased health: reducing sickness and saving lives, preventing future pandemics, accelerating economic recovery and providing dignified work for women.muso health is a sub grant to continue the work for africa frontline first. This sub grant was a condition of the gates grant. Accomplishments for 2024: in 2024, we deployed our expanded primary health financing service package with support to sierra leone to develop its national health insurance which will continue into the new year. To bolster our existing capability building interventions, we launched the first cohort of our health sytems and financing accelerator fellowship (hsfa fellowship) which is our bespoke fellowship for ministry of health and finance colleagues to be equipped with critical technical health financing skills, combined with the political savviness and advocacy capabilities to enable them to drive deep and meaningful primary health policy reforms, secure more domestic on budget resources and be effective stewards of these resources for health impact. The africa frontline first continued to strengthen community health systems in 17 countries through foundational investments that are building system's maturity to drive national ownership and transformative health impact.

Operating model

Revenue model
Donor-supported. 98% of the money available for current operations came from contributions and gifts.
Distribution model
Direct operator. The filing allocates 95% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 54
  • Transparency & Controls: 68
  • Accountability: 80
  • Sustainability: 60
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 46.8%; rating input score 47
  • Program expense ratio: 68.4%; rating input score 68
  • Fundraising efficiency: $14.46 raised per $1 spent on fundraising; rating input score 45; 45th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: 2 of 8 controls in place; rating input score 25
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Pass
    • Conducts field audits: Fail
    • May suspend future funding: Fail
    • Requires financial reports: Fail
    • Conducts site visits: Fail
    • Requires grant agreements: Fail
    • May require repayment: Fail
  • Grant itemization coverage: 100%; rating input score 100; 76th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 75%; rating input score 75; 12th percentile among comparable filings
  • Governance controls: 7 of 8 controls in place; rating input score 88
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • 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: 31.8%; rating input score 85; 85th percentile among comparable filings
  • Total-asset coverage ratio: 0.98; rating input score 28; 28th percentile among comparable filings
  • Liabilities to assets ratio: 0.26; rating input score 44; 44th percentile among comparable filings
  • Officer compensation ratio: 5.5%; rating input score 54; 54th percentile among comparable filings

Growth

  • Program expense growth: 33.9% per year; rating input score 100; 95th percentile among comparable filings
  • Revenue growth: 35.6% per year; rating input score 100; 97th percentile among comparable filings
  • Asset growth: 29.6% per year; rating input score 100; 96th percentile among comparable filings

Details

  • Where the money goes: 46.8% of revenue deployed · 68.4% of spending went to programs
  • Governance: 6 of 8 board members independent · 7 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $6.3M in reported program spending
  • Leadership: top reported pay $208K · 9 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $886K reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 7 filed schedules · includes major donors, foreign activity, and executive pay
  • Filing history: 5 filing years from 2020 to 2025
  • Contacts: How to reach this organization
  • Money network: 3 filed money-flow records
  • 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.

  • Moderate — Financial Efficiency: Mission deployment rate scored 47/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Transparency & Controls: Foreign activity oversight: 6 of 8 not reported.
  • Moderate — Financial Efficiency: Fundraising efficiency scored 45/100.
  • High — Sustainability: Total-asset coverage ratio scored 28/100.
  • Review — Accountability: Governance controls: CEO compensation review process not reported.
  • Moderate — Sustainability: Liabilities to assets ratio scored 44/100.
  • Review — Sustainability: Officer compensation ratio scored 54/100.