Health Alliance International

Nonprofit profile at a glance

EIN
943047981
IRS 990 coverage
2012–2021
Forms available
Form 990 2021, Form 990-EZ 2021
Location
Seattle, WA, USA
Phone
2065438486
Rating
82
Verdict
STRONG
Rating confidence
Moderate
Sector
International Development

Reported finances

Revenue
$8,275,089
Expenses
$8,680,656
Assets
$1,404,017
Liabilities
$1,404,017

Source: IRS Form 990. Selected filing: tax year 2021. Amounts in USD.

Leadership & pay

16 people listed

Executive titles in this filing

  • James Pfeiffer (Executive Director)
  • Anne Evens (Board President)
  • Allan Paulson (Board Vice President)

Highest reported compensation

  • Tara Krumenacker (Director of Finance): $177,084 total reported compensation
  • Tracy Woodman (Deputy Director): $153,039 total reported compensation
  • Manish Kala (Director of Human Resources): $129,629 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2021. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

HAI promotes policies and implements programs that strengthen government primary health care and foster social, economic, and health equity for all. HAI envisions a just world that promotes health and well-being, including universal access to quality health care.

What it reported doing in 2021

In 2021, after more than 20 years of Health Alliance International Timor-Leste (HAI-TL) expanding the reach of evidence-based maternal and newborn child health (MNCH) interventions in partnership with Timor-Leste's Ministry of Health and National Institute of Health, HAI's presence in country came to a close at the end of September 2021. HAI-TL's former programs continued seamlessly under new local NGO leadership, part of HAI's intentional commitment to support the decolonization of global health through the promotion of increased local NGO control of donor-directed resources. HAI is grateful to its former funders for their universal support of this local-NGO transition.

Operating model

Revenue model
Grant-funded. 81% of the money available for current operations came from government grants.
Distribution model
Hybrid. The nonprofit split its reported program spending across 76% for direct work, and 24% for grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 87
  • Transparency & Controls: 72
  • Accountability: 100
  • Sustainability: 13
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 86.9%; rating input score 87
  • Program expense ratio: 84.8%; rating input score 85
  • Fundraising efficiency: $1,069.16 raised per $1 spent on fundraising; rating input score 97; 97th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd 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: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: 1 of 8 controls in place; rating input score 12
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Limited
    • Conducts field audits: Limited
    • May suspend future funding: Limited
    • Requires financial reports: Limited
    • Conducts site visits: Limited
    • Requires grant agreements: Limited
    • May require repayment: Limited
  • Grant itemization coverage: 100%; rating input score 100; 71st 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; 63rd 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: -4.9%; rating input score 13; 13th percentile among comparable filings
  • Total-asset coverage ratio: 0.16; rating input score 4; 4th percentile among comparable filings
  • Liabilities to assets ratio: 1; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 6.2%; rating input score 42; 42nd percentile among comparable filings

Growth

  • Program expense growth: 4.5% per year; rating input score 100; 49th percentile among comparable filings
  • Revenue growth: 4.8% per year; rating input score 100; 47th percentile among comparable filings
  • Asset growth: 2.2% per year; rating input score 100; 24th percentile among comparable filings

Details

  • Where the money goes: 86.9% of revenue deployed · 84.8% of spending went to programs
  • Governance: 12 of 12 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $7.4M in reported program spending
  • Leadership: top reported pay $177K · 16 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $1.7M reported
  • Consistency: 47 of 47 current checks pass
  • Schedules: 8 filed schedules · includes major donors, foreign activity, and executive pay
  • Filing history: 10 filing years from 2012 to 2021
  • Contacts: How to reach this organization
  • Money network: 7 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.

  • High — Sustainability: Operating margin scored 13/100.
  • High — Sustainability: Total-asset coverage ratio scored 4/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.
  • Moderate — Sustainability: Officer compensation ratio scored 42/100.