Institute for Healthcare Improvement

Nonprofit profile at a glance

EIN
383017223
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Boston, MA, USA
Phone
6173014800
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$57,342,452
Expenses
$58,865,940
Assets
$161,692,830
Liabilities
$28,470,775

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

Leadership & pay

38 people listed

Executive titles in this filing

  • DONALD BERWICK (FORMER CEO, DIRECTOR)
  • KEDAR MATE (CEO (ENDED 1/25))
  • MELISSA PANAGIDES-BUSCH (INTERIM CEO & COO (BEG 12/24))
  • NANA TWUM-DANSO (SENIOR VICE PRESIDENT)
  • CAMILLE BURNETT (VICE PRESIDENT, HEALTH EQUITY)
  • CATHLEEN DUFFY (VICE PRESIDENT, FINANCE)

Highest reported compensation

  • KEDAR MATE (CEO (ENDED 1/25)): $939,927 total reported compensation
  • PIERRE BARKER (CHIEF SCIENTIFIC OFFICER): $527,202 total reported compensation
  • AMY HOSFORD-SWAN (CHIEF FIN/ADMIN OFFICER): $515,008 total reported compensation

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

Overview

Mission

Please refer to ihi's mission statement as outlined on schedule o.

What it reported doing in 2024

Professional development programsprofessional development programs, conferences, and other educational offerings support individuals and organizations to develop internal capacity and infrastructure for quality improvement, patient safety, leadership, joy in work and well-being, and health equity. Ihi's programs offer healthcare and other professionals many opportunities to learn the latest improvement ideas, connect with like-minded colleagues, and generate momentum for change in their organizations.ihi patient safety congressthis annual conference brings together people who are passionate about ensuring that safe care is equitably provided for all. The congress is designed for committed healthcare professionals who continue to shape smarter, safer care for patients wherever it's provided from the hospital to outpatient settings to the home.international forums on quality and safety in healthcare ihi partners with organizations in different regions of the world to bring large conferences to healthcare leaders, clinicians, and improvers. Ihi, sometimes in partnership with local organizations, currently holds forums in europe, the middle east, asia, australia, and latin america. Participants of international forums take part in a multitude of sessions that range from the basic disciplines of quality improvement to the latest thinking on how to improve quality and safety.ihi leadership alliance and health improvement alliance europe an exclusive leadership initiative for ambitious healthcare leaders and their teams, the us-based, europe-based, and australia-based allicances aims to deliver great healthcare and high value today and innovate for the emerging health and healthcare models of tomorrow.

Operating model

Revenue model
Earned-program. 67% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 99% 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. Expenses are high relative to revenue and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 73
  • Transparency & Controls: 77
  • Accountability: 96
  • Sustainability: 38
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 84%; rating input score 84
  • Program expense ratio: 78.9%; rating input score 79
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th 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: 2 of 8 controls in place; rating input score 25
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Limited
    • Conducts field audits: Limited
    • May suspend future funding: Limited
    • Requires financial reports: Pass
    • Conducts site visits: Limited
    • Requires grant agreements: Limited
    • May require repayment: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 92.9%; rating input score 93; 42nd 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: -2.7%; rating input score 17; 17th percentile among comparable filings
  • Total-asset coverage ratio: 2.75; rating input score 73; 73rd percentile among comparable filings
  • Liabilities to assets ratio: 0.18; rating input score 72; 72nd percentile among comparable filings
  • Officer compensation ratio: 13.9%; rating input score 1; 1st percentile among comparable filings

Growth

  • Program expense growth: 4% per year; rating input score 100; 31st percentile among comparable filings
  • Revenue growth: 4.3% per year; rating input score 100; 35th percentile among comparable filings
  • Asset growth: 5.3% per year; rating input score 100; 39th percentile among comparable filings

Details

  • Where the money goes: 84% of revenue deployed · 78.9% of spending went to programs
  • Governance: 13 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $46.4M in reported program spending
  • Leadership: top reported pay $940K · 38 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.8M reported
  • Consistency: 37 of 37 current checks pass
  • Schedules: 8 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 41 filed money-flow records
  • Related organizations: 17 filed related-organization links
  • 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 — Sustainability: Operating margin scored 17/100.
  • High — Sustainability: Officer compensation ratio scored 1/100.