Holda S Access Life Foundation Halfa
Nonprofit profile at a glance
- EIN
- 822163637
- IRS 990-EZ coverage
- 2024–2025
- Forms available
- Form 990-EZ 2025, Form 990-N 2023
- Location
- Fulton, MD, USA
- Rating
- 82
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- International Relief
Reported finances
- Revenue
- $1,258
- Expenses
- $1,258
- Assets
- $0
Source: IRS Form 990-EZ. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
3 people listed
Executive titles in this filing
- Amy Holda Gueye (President)
People named in this filing
- Amy Holda Gueye (President)
- Zahra Barry (Accountant)
- Nafi gueye (Project Manager)
Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.
Source: IRS Form 990-EZ. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Holders Access Life Foundation HALFA is a U.S.-registered nonprofit organization dedicated to improving health equity and expanding access to lifesaving care in underserved African communities. HALFA focuses particularly on maternal health emergency preparedness preventive care community health education and the training of frontline healthcare workers. HALFAs programs combine practical clinical training with the equipment and supplies healthcare workers need to apply their skills effectively. Its maternal-health initiatives have trained frontline providers to recognize and respond to obstetric emergencies including postpartum hemorrhage preeclampsia hypertensive crises severe anemia and complications arising during home or community-based deliveries. HALFA has also supported community screening early identification of womens health conditions referral coordination patient education and follow-up care.
What it reported doing in 2025
One of HALFAs most significant accomplishments was a maternal-health intervention at a health-post clinic where the combination of provider training and essential medical supplies contributed to an 87% reduction in maternal mortality. This experience demonstrated that equipping local healthcare workers with standardized training emergency tools and clear response protocols can produce measurable and sustainable improvements in patient outcomes. Building upon this work HALFA is developing broader programs to train midwives nurses doulas community health workers and emergency-response personnel. Its expanding model includes obstetric-emergency simulation mobile preventive-health services community screening prehospital emergency response and stronger referral pathways between rural communities and healthcare facilities. HALFAs long-term objective is to build local healthcare capacity and create scalable systems that allow more people to receive timely competent and culturally responsive care close to where they live. HALFA has also been working on establishing a simulation training center and has spent most of teh year deliberating and planning this launch for 2026 27.
Operating model
- Revenue model
- Donor-supported. 100% of the money available for current operations came from contributions and gifts.
- Distribution model
- Direct operator. The filing allocates 100% 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
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Program spending has declined or grown slowly and revenue has declined or grown slowly.
Rating breakdown
- Financial Efficiency: 95
- Transparency & Controls: 82
- Sustainability: 28
- Growth: 0
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 95.4%; rating input score 95
- Program expense ratio: 95.4%; rating input score 95
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 51st percentile among comparable filings
- Major donor itemization: Limited
Sustainability
- Operating margin: 0%; rating input score 43; 43rd percentile among comparable filings
- Total-asset coverage ratio: 0; rating input score 3; 3rd percentile among comparable filings
- Liabilities to assets ratio: Limited
- Officer compensation ratio: 0%; rating input score 56; 56th percentile among comparable filings
Growth
- Program expense growth: -164.2% per year; rating input score 0; 1st percentile among comparable filings
- Revenue growth: -162.6% per year; rating input score 0; 1st percentile among comparable filings
- Asset growth: Limited
Details
- Where the money goes: 95.4% of revenue deployed · 95.4% of spending went to programs
- Governance: Filed governance answers
- Accomplishments: 1 filed program accomplishment · $1K in reported program spending
- Leadership: top reported pay $0 · 3 people listed
- Consistency: 7 of 7 current checks pass
- Schedules: 2 filed schedules
- Filing history: 2 filing years from 2024 to 2025
- Contacts: How to reach this organization
- 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 — Growth: Program expense growth scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- High — Sustainability: Total-asset coverage ratio scored 3/100.
- Moderate — Sustainability: Operating margin scored 43/100.
- Review — Sustainability: Officer compensation ratio scored 56/100.