Intermed International Inc

What it reported doing in 2025

Nepal fund - this fund was established in 1963 when the organization first initiated medical assistance programs in nepal focused on providing medical care, healthcare worker training, equipment and supplies, medical surveys, and material support to hospitals and rural clinics. The organization's nepal programs have since expanded to include sponsoring an orphanage for homeless and abandoned children, construction of an eye clinic in bhakundebesi, construction of a full-service eye hospital in dhalkebar, and significant expansion of our healthcare worker training programs. Construction of the full-service eye hospital in dhalkebar nepal, southern terai district, was completed in 2022 and has been fully operational through 2025 providing care to thousands of local villagers. In 2025, the organization made substantial enhancements to the dhalkebar eye hospital through the purchase of a state-of-the art surgical microscope, a yag laser and a brand new 30 passenger bus to provide transportation for patients residing in remote areas. Throughout 2025, free-of-cost outreach clinics were held twice a month in outlying areas in the dhalkebar and janakpurdam areas. The organization's ongoing "gift of sight" program continues to prevent blindness and restore vision in outlying villages and also provide equipment to local care providers. The organization has worked cooperatively with operation restore sight in 2025 to bring teams of USA-based ophthalmic specialists in a "knowledge exchange" program for local eye care providers and to consult and treat complex cases in both the dhalkebar and banepa areas.ongoing programs in nepal include: orphanage eco-home one of the organization's major initiatives has been the support of homeless and abandoned children. This led to the organization helping develop and construct an orphanage eco-home in the sankhu area, outside the kathmandu valley. The organization has continued to support these "at risk" children throughout 2025, providing ongoing funding for operations, food, supplies, private school education and warm winter clothing items. The organization's nutrition enhancement program provides nutritious meals and benefits the children through on-site production of eggs, goat milk and vegetables. The "urgent need" for these children is assistance with everyday items such as food, healthcare, clothing, school uniforms, shoes, as well as blankets and coats for the cold winter months. The organization also supplements school fees and education expenses of children through sponsorship via designated donations. December 31, 2025 and 2024female healthcare worker training program beginning in 2019, the organization organized and funded the first formal training programs for female healthcare workers in the banepa and sankhu districts, outside of kathmandu. These volunteers serve as the front-line community healthcare and social workers, often traveling by foot along rugged trails to provide care in outlying villages. Prior to these training programs they had received little, if any, medical training or instruction. The organization has organized and run an ongoing series of professionally instructed intensive training programs for these women including all training materials plus a modest stipend to facilitate meals and transportation during training. Upon successful completion of the course, the organization provides each healthcare worker with a comprehensive portable medical kit. Based on the tremendous success of this training program, the organization continued to organize and fund this program throughout 2025 and successfully expanded it to include its first training program in the terai region, with plans to continue this specialized training in the future. The organization is actively seeking funds to expand this program.bhakundebesi eye clinic the organization funded the construction of a new satellite eye clinic in the village of bhakundebesi, which opened in december 2017, and has continued t

Financial Efficiency

• Mission deployment rate: 64.1%; rating input score 64
• Program expense ratio: 68%; rating input score 68
• Fundraising efficiency: $6.61 raised per $1 spent on fundraising; rating input score 27; 27th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: 0 of 8 controls in place; rating input score 0
  • Claims monitoring procedures: Fail
  • Requires narrative reports: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Fail
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 100%; rating input score 100; 81st percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 87.5%; rating input score 88; 26th percentile among comparable filings
• Governance controls: 4 of 9 controls in place; rating input score 44
  • Conflict-of-interest policy: Fail
  • Whistleblower policy: Fail
  • Document-retention policy: Fail
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: 13.2%; rating input score 62; 62nd percentile among comparable filings
• Total-asset coverage ratio: 1.53; rating input score 52; 52nd percentile among comparable filings
• Liabilities to assets ratio: 0.02; rating input score 34; 34th percentile among comparable filings
• Officer compensation ratio: 26.2%; rating input score 13; 13th percentile among comparable filings

Growth

• Program expense growth: -4.3% per year; rating input score 0; 17th percentile among comparable filings
• Revenue growth: -5.8% per year; rating input score 0; 8th percentile among comparable filings
• Asset growth: -4.2% per year; rating input score 0; 11th percentile among comparable filings