Honorbridge

Nonprofit profile at a glance

EIN
581627444
IRS 990 coverage
2018–2025
Forms available
Form 990 2025
Location
Greenville, NC, USA
Phone
2527570090
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Kidney Disease

Official website

Reported finances

Revenue
$66,151,836
Expenses
$64,801,713
Assets
$79,904,270
Liabilities
$24,011,270

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

Leadership & pay

21 people listed

Executive titles in this filing

  • DANIELLE BUMARCH (CEO)

Highest reported compensation

  • DANIELLE BUMARCH (CEO): $554,781 total reported compensation
  • NANCY KNUDSEN (MEDICAL DIRECTOR): $411,026 total reported compensation
  • KIRK MIZELLE (CFO): $382,997 total reported compensation

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

Overview

Mission

See schedule o for mission statementthe mission of honorbridge is to build connections that save and heal lives through organ and tissue donation. During the year ending december 31, 2025 honorbridge facilitated the donation process for 339 organ donors which resulted in 906 organs being recovered for transplant and 789 lives saved. Honorbridge also manages a tissue recovery program in this service area recovering: bone, skin, veins, heart valves, and connective tissue. Honorbridge is a member of the association of organ procurement organizations and the united network of organ sharing (unos).

What it reported doing in 2025

This reporting period, honorbridge facilitated the donation process for 339 organ donors resulting in 906 organs being recovered for transplant and 789 lives saved. Honorbridge recovered bone from 787 donors, skin from 1423 donors, heart valves from 192 donors, veins and other tissues from 584 donors. Honorbridge's hospital services team conducted hospital-based education programs to improve conversion rates by implementing national organ donation process best practices. This department is responsible for implementing individualized hospital assessments and the analysis of donor potential within honorbridge's service area hospitals. Additional responsibilities of the department include implementation of ongoing quality improvement, orientation of new hospital staff and other professionals, and fostering collaborative relationships within the professional community. Efforts of this department have led several hospitals in honorbridge's service area to be recognized on a national level. Honorbridge maintains a strong commitment to public education activities designed to raise awareness and understanding about organ and tissue donation and increase the number of north carolinians registering as donors. The public education department continues working in multicultural communities to increase awareness and to provide greater access to become a registered donor. Public education has successful programs on college campuses, workplaces, and the department of motor vehicles. It has a growing social media network and conducted several successful advertising and public awareness campaigns. The department oversees a growing volunteer program that serves as a great resource for community-based activities.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
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. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 82
  • Accountability: 100
  • Sustainability: 40
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 77.1%; rating input score 77
  • Program expense ratio: 79.7%; rating input score 80
  • Fundraising efficiency: $0.45 raised per $1 spent on fundraising; rating input score 2; 2nd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 66th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 65th 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: 2%; rating input score 43; 43rd percentile among comparable filings
  • Total-asset coverage ratio: 1.23; rating input score 34; 34th percentile among comparable filings
  • Liabilities to assets ratio: 0.3; rating input score 57; 57th percentile among comparable filings
  • Officer compensation ratio: 4.6%; rating input score 24; 24th percentile among comparable filings

Growth

  • Program expense growth: 8.7% per year; rating input score 100; 63rd percentile among comparable filings
  • Revenue growth: 8.5% per year; rating input score 100; 65th percentile among comparable filings
  • Asset growth: 13% per year; rating input score 100; 81st percentile among comparable filings

Details

  • Where the money goes: 77.1% of revenue deployed · 79.7% of spending went to programs
  • Governance: 12 of 12 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $51.7M in reported program spending
  • Leadership: top reported pay $555K · 21 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.3M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 7 filing years from 2018 to 2025
  • Contacts: How to reach this organization
  • Money network: 9 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 — Financial Efficiency: Fundraising efficiency scored 2/100.
  • Moderate — Sustainability: Operating margin scored 43/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 34/100.
  • High — Sustainability: Officer compensation ratio scored 24/100.
  • Review — Sustainability: Liabilities to assets ratio scored 57/100.