International Eye Foundation

What it reported doing in 2024

Eye hospital leadership, management, and sustainability program: ief's sightreach leadership, management, and sustainability program integrates advanced clinical eye care with leadership, management, and sustainability practices to promote a social-entrepreneurial approach to eye care delivery. Ief assists private, social, and public sector eye hospitals in designing and implementing strategies that improve availability, access, efficiency, quality of care, revenue, capacity, and long-term financial sustainability. Since 1999, ief has partnered with more than 73 eye hospitals and clinics across 23 countries. (continued on schedule o, page 39) together they have increased access to high-volume, low-cost services, examined more than 11 million individuals, performed over 735,000 treatments and surgeries, and generated a net positive revenue while serving all income groups, including the poorest. Ief's expertise covers training and mentoring hospital teams in change management, program design, implementation, and evaluation. The foundation is broadening its support to include expanding vision centers, standardizing monitoring systems, and assessing advanced diagnostic equipment, including artificial intelligence (ai) technologies.a. Strengthening primary eye care services in india from march 2023 to february 2025.the alcon foundation awarded a $375,000 grant (2023-2025) to expand collaboration among the ief, susrut eye foundation & research center, siliguri hospital, rotary eye hospital udhampur, bansara hospital, other subsidiaries, and vision centers in the north, along with three additional hospitals: lv prasad eye institute, aravind eye hospital, and dr. Shroff's charity eye hospital. This program focuses on three main areas: 1) strengthening monitoring processes and standardizing indicators to evaluate the effectiveness of 20 vision center (vc) services, 2) enabling seven vision centers to use advanced diagnostic equipment and assessing the cost-effectiveness of those centers with such technology, and 3) supporting susrut hospital in serving as a regional resource center to continue certificate course training and act as a certification hub for hospitals.objective 1) - improve monitoring, evaluation, and learning for 20 vision centers by establishing standardized indicators, monitoring systems, and a collaborative learning agenda. This activity supports a working group of seven hospital partners in planning, evaluating, and standardizing existing data collection systems to assess the effectiveness of vc screening and referral processes. It also aims to implement screening procedures to identify and refer patients with diabetic retinopathy and glaucoma suspects to secondary and tertiary hospitals.objective 2) - enhance seven vision centers to deliver sub-specialty care at the community level by closing the geographical gap between primary and higher levels through technology. Each partner hospital is installing advanced fundus cameras with artificial intelligence capabilities and virtual reality headsets to boost its tele-ophthalmology services at its vision centers. This will help ophthalmic technicians identify diabetic retinopathy and early glaucoma suspects for referral to their base hospitals. Hospitals train their optometrists and community health workers to operate the new systems. A sub-objective is to evaluate the effectiveness of advanced equipment, including ai-enabled fundus cameras, virtual perimetry devices, and telemedicine capabilities, in detecting, referring, and improving follow-up care for diabetic retinopathy (dr) and glaucoma at the primary care level. The telemedicine component will support remote consultations with specialists, enable timely referral management, and facilitate patient follow-up through virtual monitoring, thereby bringing specialist expertise to underserved areas. The study will compare outcomes between technology-enabled centers (tec), which use these tools, and non-tec centers. Addit

Financial Efficiency

• Mission deployment rate: 29.9%; rating input score 30
• Program expense ratio: 12.1%; rating input score 12
• Fundraising efficiency: $1.06 raised per $1 spent on fundraising; rating input score 6; 6th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 26th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: 2 of 8 controls in place; rating input score 25
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Fail
  • Conducts site visits: Pass
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 70%; rating input score 70; 46th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 8 of 8 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: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -37.3%; rating input score 8; 8th percentile among comparable filings
• Total-asset coverage ratio: 2.78; rating input score 67; 67th percentile among comparable filings
• Liabilities to assets ratio: 0.02; rating input score 41; 41st percentile among comparable filings
• Officer compensation ratio: 18%; rating input score 21; 21st percentile among comparable filings

Growth

• Program expense growth: -17.8% per year; rating input score 0; 6th percentile among comparable filings
• Revenue growth: -12.9% per year; rating input score 0; 4th percentile among comparable filings
• Asset growth: -2.6% per year; rating input score 0; 16th percentile among comparable filings