Health Systems Insight

Nonprofit profile at a glance

EIN
474007262
IRS 990 coverage
2016–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-EZ 2015
Location
Washington, DC, USA
Phone
2029822740
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
International Development

Official website

Reported finances

Revenue
$8,715,677
Expenses
$8,741,651
Assets
$6,746,076
Liabilities
$5,504,109

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

14 people listed

Executive titles in this filing

  • DAI HOZUMI (PRESIDENT & CEO)

Highest reported compensation

  • LAURA BOONSTOPPEL (PROJECT DIRECTOR): $209,449 total reported compensation
  • MATT BOXSHALL (PROGRAM DIRECTOR): $187,621 total reported compensation
  • MARIE-JEANNE N'GBESSO (COUNTRY DIRECTOR): $165,109 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Health Systems Insight partners with national and subnational leaders, local institutions, and development partners to generate clear, evidence-based insight that supports sound policy, strong management, and long-term system performance.

What it reported doing in 2024

The sp4phc phase 2 project aims to improve how governments allocate resources for primary health care services and manage performance. The project works to: (1) catalyze foundational reforms to strengthen purchasing arrangements for phc services, (2) strengthen government purchasing for innovative and effective service delivery models, and (3) leverage learnings to advocate for transformational reforms at local, national, and global levels. In 2024, health systems insight teams made substantial progress across six countries, supporting reforms in health financing, resource allocation, and performance management. Key accomplishments included influencing indonesia's integrated phc reform and provider payment mechanisms, strengthening kenya's transition to the social health authority with improved facility readiness and supplies budget execution, advancing burkina faso's gratuit program cost controls through tariff harmonization (achieving a 21% reduction in total claims), and shaping major policy reforms in pakistan for community health workers and facility governance that secured significant government budget allocations.

Operating model

Revenue model
Donor-supported. 96% of the money available for current operations came from contributions and gifts.
Distribution model
Direct operator. The filing allocates 92% 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 - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 81
  • Transparency & Controls: 68
  • Accountability: 82
  • Sustainability: 27
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 83%; rating input score 83
  • Program expense ratio: 82.4%; rating input score 82
  • Fundraising efficiency: $24.86 raised per $1 spent on fundraising; rating input score 65; 65th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd 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: 4 of 8 controls in place; rating input score 50
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Pass
    • Conducts field audits: Pass
    • May suspend future funding: Limited
    • Requires financial reports: Pass
    • Conducts site visits: Limited
    • Requires grant agreements: Limited
    • May require repayment: Limited
  • Grant itemization coverage: 99.8%; 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; 63rd percentile among comparable filings
  • Governance controls: 5 of 9 controls in place; rating input score 56
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -0.3%; rating input score 32; 32nd percentile among comparable filings
  • Total-asset coverage ratio: 0.77; rating input score 29; 29th percentile among comparable filings
  • Liabilities to assets ratio: 0.82; rating input score 10; 10th percentile among comparable filings
  • Officer compensation ratio: 17%; rating input score 16; 16th percentile among comparable filings

Growth

  • Program expense growth: 25.2% per year; rating input score 100; 90th percentile among comparable filings
  • Revenue growth: 25.1% per year; rating input score 100; 92nd percentile among comparable filings
  • Asset growth: 15.9% per year; rating input score 100; 76th percentile among comparable filings

Details

  • What they do: 8 programs and campaigns described on the official site · 9 operating locations identified
  • Where the money goes: 83% of revenue deployed · 82.4% of spending went to programs
  • Governance: 4 of 4 board members independent · 5 of 9 filing controls reported
  • Programs: 9 filed program accomplishments · $7.2M in reported program spending
  • Leadership: top reported pay $209K · 14 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $4.3M reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 6 filed schedules · includes major donors, foreign activity, and executive pay
  • Filing history: 8 filing years from 2016 to 2024
  • Contacts: How to reach this organization
  • Money network: 11 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

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

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 4 of 9 not reported.
  • Moderate — Sustainability: Operating margin scored 32/100.
  • High — Sustainability: Total-asset coverage ratio scored 29/100.
  • High — Sustainability: Liabilities to assets ratio scored 10/100.
  • High — Sustainability: Officer compensation ratio scored 16/100.