Order of Malta Worldwide Relief Malteser International Americas

What it reported doing in 2025

In 2025, mia's work continued to focus primarily in six countries (colombia, venezuela, haiti, mexico, peru and the united states), but due to the sudden cessation of u.s. Government funding from USAID and the state department's bureau of population, refugees and migration (bprm), the reach of our programs to those in need was reduced from over 515,000 individuals served in 2024 to fewer than 100,000 in 2025. The impact was felt largely in our services in colombia. *continued on schedule oadditionally, mia provided financial support to our mi affiliate, facilitating critical aid to ukraine, romania, and gaza. Mia's projects are concentrated in four main areas: healthcare, both physical and psychosocial; water, sanitation and hygiene (wash); nutrition and food security; and emergency response and risk preparedness. Some of mia's key projects are described below: colombia: healthcare, nutrition and wash early in 2025, mia's activities in colombia were dramatically reduced by the termination of USAID and u.s. State department funding for foreign humanitarian aid. This resulted in the complete closure of our mobile health brigades; refugee and migrant healthcare clinics; pediatric and family malnutrition projects; and programs to provide ecomonic empowerment of the indigenous wayuu population. The loss of more than $4.7mn in contracts affected more than 64,223 beneficiaries directly and 229,313 indirectly. Our in-country staff was reduced from 100 to 5 almost immediately.in an effort to further our mission of serving the poor and vulnerable in colombia, mia is working with various partners, most specifically the order of malta's colombian association, to find ways to stage smaller projects in the near term.venezuela: healthcaremedical supplies and hospital equipment: $200,000 funding, reaching 12,000+ beneficiaries. Project supported 2 hospitals (maternity and pediatric) and 37 mobile clinics to improve healthcare capacity and increase regular consultations in the poorest sections of maracaibo. Activities include training on up-to-date protocols and providing much needed medicines and medical supplies.haiti: healthcare, nutrition, food security and economic empowermentin haiti, mia has 3 projects: a. An agriculture project in nippes educating and funding 7,185 households to grow produce and raise animal stock for food and delivery to the local market, indirectly benefiting 60,295 individuals.b. A mangrove project which regenerates the coastal areas in nippes by mitigating against soil erosion.c. Pediatric nutrition: 1mn over 3 years, funded by germany's bmz, benefiting 2,256 children. This project provides regular nutrition treatments for malnourished children in 7 health centersperu: healthcare and nutritionpartnering with the order of malta peru, mia provides services to the young and elderly at risk in the rural areas around lima and piura who are exposed to poverty, affected by chronic malnutrition, and who receive insufficient healthcare. Services include meals, healthcare and protection against dengue fever. Total beneficiaries: 356mexico: healthcarein collaboration with the order of malta mexico, mia supports mothers living with HIV while safeguarding their young children aged 0-24 months. The primary goal is to prevent transmission of HIV and break the cycle of poverty and marginalization. In 2025, 52 mothers were trained in parenting and coping with their illness. This initiative helped to create a health-promoting environment for a total of 163 mothers, fathers and siblings at risk of HIV.management: at the end of 2025, mia management took the prudent step of reducing its headquarter staff structure in response to the significant loss of u.s government funding last year. The mia board has proactively stepped in to ensure that mia's financial controls, governance, accountability and risk assessment capabilities remain unaffected by those changes.

Financial Efficiency

• Mission deployment rate: 78.2%; rating input score 78
• Program expense ratio: 70.2%; rating input score 70
• Fundraising efficiency: $5.48 raised per $1 spent on fundraising; rating input score 17; 17th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 18th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 0%; rating input score 0; 8th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 93.8%; rating input score 94; 25th 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: -11.4%; rating input score 9; 9th percentile among comparable filings
• Total-asset coverage ratio: 0.47; rating input score 15; 15th percentile among comparable filings
• Liabilities to assets ratio: 0.57; rating input score 13; 13th percentile among comparable filings
• Officer compensation ratio: 10.7%; rating input score 31; 31st percentile among comparable filings

Growth

• Program expense growth: 16.9% per year; rating input score 100; 79th percentile among comparable filings
• Revenue growth: 16.2% per year; rating input score 100; 82nd percentile among comparable filings
• Asset growth: 15.6% per year; rating input score 100; 75th percentile among comparable filings