Hospital Sisters Mission Outreach

What it reported doing in 2024

Medical Product Donations: Mission Outreach has provided leadership in industry standards development since 2002 through active collaboration with global health leaders around the world. All Mission Outreach activities are conducted as part of one major program accomplishment-medical supply and equipment donation. All revenue and expenses are related to this one major program accomplishment including but not limited to the following activities: 1) industry leadership in international healthcare strengthening through medical surplus donation including participation in the development and dissemination of donation standards and adherence to accreditation guidelines, 2) maintenance and coordination of a robust product donation network comprised of leading healthcare systems and manufacturers, 3) management of inventory reporting system providing accurate, timely reports to product donors, 4) management of on-line inventory system allowing customized shipments and all documentation necessary for international customs, 5) operation of transport service collecting medical supplies and equipment from more than 100 donor organizations, 6) qualification and participatory needs of assessment of recipient organizations, 7). management of 60,000 square feet of warehouse space supporting the storage, pulling and shipping of 120 shipments ($5 million-$6 million)of medical product aid per year, 8) biomedical engineering services including equipment sourcing, assessment, monitoring and reporting on equipment recalls, preparation and on-boarding consultation, 9) training and management of a volunteer corps that processes tens of thousands of lbs. of medical donations each month, 10) coordination of international logistics necessary for shipment of donations, 11) formative evaluation of product and processes, and 12) donor acquisition, relationship and event management to cover operational expenses to ensure a solid value for recipient organizations. Since inception, Mission Outreach has distributed approximately $106 million in medical products to equip hospitals serving the poor in 101 countries. Shipping and Handling Income and Shipping Costs Mission Outreach bills recipient organizations a handling fee for preparing a container, pallet or boxes for distribution. In addition, some recipient organizations have Mission Outreach coordinate shipping logistics. In these cases, Mission Outreach pays the shipping costs and bills the actual cost to the recipient organization. Revenue from shipping and handling income and shipping costs is recognized when Mission Outreach's performance obligations are satisfied, which occurs when once the container, pallet or box is prepared and shipped to the recipient organization. This activity is recorded on an accrual basis with unearned handling fees recorded as accrued liabilities until the performance obligations are satisfied. For the year ended June 30, 2025, shipping and handling income totaled $245,744, while shipping costs were $156,251. Donated Product Recycling Revenue Mission Outreach evaluates inventory for obsolete or low demand equipment and supplies regularly. Inventory determined to be obsolete or in low demand is sold to various recycling companies. Revenue from donated product recycling revenue is recognized when Mission Outreach's performance obligations are satisfied, which occurs when equipment and supplies are sold and the product has been transferred to the recycling company. Mission Outreach recognizes revenue from donated product recycling at a point in time, when the equipment and supplies are delivered and the title and risk of loss pass to the customer. Mission Outreach is now connected to a much larger pool of product donors and we are regularly shipping PPE specific shipments to our international partners. Other activities include: Creating a reserve of PPE to meet international needs. Reengaging our volunteer corps and creating a safe, effective space for volunteering.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 97.9%; rating input score 98
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 86.7%; rating input score 87; 2nd percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • 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: 95.8%; rating input score 96; 31st percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 60%; rating input score 60; 9th 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: -60%; rating input score 2; 2nd percentile among comparable filings
• Total-asset coverage ratio: 0.69; rating input score 25; 25th percentile among comparable filings
• Liabilities to assets ratio: 0.01; rating input score 83; 83rd percentile among comparable filings
• Officer compensation ratio: 7.3%; rating input score 40; 40th percentile among comparable filings

Growth

• Program expense growth: 4.1% per year; rating input score 100; 34th percentile among comparable filings
• Revenue growth: -0.7% per year; rating input score 0; 9th percentile among comparable filings
• Asset growth: -10.8% per year; rating input score 0; 2nd percentile among comparable filings