MedShare

Legal name: Medshare International Inc

Nonprofit profile at a glance

EIN
582433968
IRS 990 coverage
2015–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2020
Location
Decatur, GA, USA
Phone
770-803-0300
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
International Development

Official website

Reported finances

Revenue
$9,680,538
Expenses
$9,766,617
Assets
$18,046,027
Liabilities
$580,448

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

Leadership & pay

15 people listed

Executive titles in this filing

  • Stacey Koehnke (CEO/Executive Director)

Highest reported compensation

  • Stacey Koehnke (CEO/Executive Director): $250,835 total reported compensation
  • Michele Egan (Chief Development Officer): $177,382 total reported compensation
  • Karen Flayhart (Development Director): $152,625 total reported compensation

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

Overview

Mission

MedShare partners with hospitals, distributors and manufacturers to collect and redistribute high-quality surplus medical products to qualified healthcare facilities in medically underserved communities around the world.

What it reported doing in 2024

During the fiscal year 2025, the medshare mission served 166,866 patients in 43 countries through our maternal & child health program (served 14,626 mothers and babies in 10 countries), primary care program (served 4,430 healthcare professionals in 42 countries, including 187 free and charitable clinics and 130 medical mission teams), disaster preparedness and emergency relief program (served 87,500 men, women, and children across 6 countries through the help of 3,101 healthcare professionals), and infectious disease control & prevention program (served 52,830 men, women, and children across 25 countries through the help of 1,872 healthcare professionals). The biomedical equipment training and repair service supported 128 engineers, technicians and end-users in the united states this year and 2,366 volunteers sorted and inventoried supplies at our facility in Georgia. As we continue to be mission focused, we want to help more people and communities in ways that will leave a more lasting impact.

Operating model

Revenue model
Donor-supported. 94% of the money available for current operations came from contributions and gifts.
Distribution model
Grant intermediary. The nonprofit sent 66% of its reported program spending out as grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 85
  • Transparency & Controls: 64
  • Accountability: 86
  • Sustainability: 44
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 89.3%; rating input score 89
  • Program expense ratio: 88.3%; rating input score 88
  • Fundraising efficiency: $16.03 raised per $1 spent on fundraising; rating input score 53; 53rd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 94.4%; rating input score 94; 24th percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Missing
    • 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: 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: 86.9%; rating input score 87; 24th 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: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • 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: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -0.9%; rating input score 30; 30th percentile among comparable filings
  • Total-asset coverage ratio: 1.85; rating input score 59; 59th percentile among comparable filings
  • Liabilities to assets ratio: 0.03; rating input score 76; 76th percentile among comparable filings
  • Officer compensation ratio: 9.7%; rating input score 31; 31st percentile among comparable filings

Growth

  • Program expense growth: -0.9% per year; rating input score 0; 11th percentile among comparable filings
  • Revenue growth: -1.1% per year; rating input score 0; 8th percentile among comparable filings
  • Asset growth: 1.5% per year; rating input score 100; 17th percentile among comparable filings

Details

  • What they do: 6 programs and campaigns described on the official site · 3 operating locations identified
  • Where the money goes: 89.3% of revenue deployed · 88.3% of spending went to programs
  • Governance: 8 of 8 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $8.6M in reported program spending
  • Leadership: top reported pay $251K · 15 people listed · 2 of 6 pay-setting controls reported
  • Consistency: 34 of 36 current checks pass · 2 findings to review
  • Schedules: 8 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 10 filing years from 2015 to 2024
  • Contacts: How to reach this organization
  • Money network: 20 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight: 7 of 8 not reported.
  • Review — Financial Efficiency: Fundraising efficiency scored 53/100.
  • Review — Accountability: Governance controls: 2 of 8 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Moderate — Sustainability: Operating margin scored 30/100.
  • Review — Sustainability: Total-asset coverage ratio scored 59/100.
  • Moderate — Sustainability: Officer compensation ratio scored 31/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Foreign grant itemization did not reconcile in the filed values.