Pan-African Academy of Christian Surgeons (PAACS)

What it reported doing in 2024

In january 2025, 51 new residents and fellows began training with paacs, bringing the total number in training to 186. Each paacs trainee is expected to be the surgeon or primary assistant on approximately 200-300 cases per year. We estimate that combined they surgically impacted over 46,500 individuals. Each one is an opportunity to pray and share the gospel.we now have partnerships with 21 mission hospitals, including our new general surgery program which began in january 2025 at aic kapsowar hospital in kenya. We also launched our second obstetrics and gynecology program in 2025, this one at aic kijabe hospital in kenya. These two new programs bring paacs to 28 total training programs across 12 african countries. (continued on schedule o)we also celebrated the graduation of 31 new paacs surgeons, increasing our alumni network to 187, who are now serving in 25 countries. These excellent surgeons, from diverse regions across the continent, are using their skills to make significant impacts in their communities and to spread the gospel through their work. Form 990, part v, line 2a: pan-african academy of christian surgeons does not file any w-2s as all employees are outsourced from a professional employment organization. Pan-african academy of christian surgeons reimburses the professional employment organization for the employees' compensation and the reimbursements are reported on 990 part vii, section a and 990 part ix, lines 5-10.

Financial Efficiency

• Mission deployment rate: 40.8%; rating input score 41
• Program expense ratio: 71.8%; rating input score 72
• Fundraising efficiency: $11.92 raised per $1 spent on fundraising; rating input score 43; 43rd percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 13th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: 3 of 8 controls in place; rating input score 38
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Pass
  • Conducts field audits: Limited
  • May suspend future funding: Limited
  • Requires financial reports: Limited
  • Conducts site visits: Limited
  • Requires grant agreements: Pass
  • May require repayment: Limited
• Grant itemization coverage: 85.4%; rating input score 85; 23rd 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: 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: 48%; rating input score 92; 92nd percentile among comparable filings
• Total-asset coverage ratio: 3.54; rating input score 77; 77th percentile among comparable filings
• Liabilities to assets ratio: 0.01; rating input score 86; 86th percentile among comparable filings
• Officer compensation ratio: 14.6%; rating input score 19; 19th percentile among comparable filings

Growth

• Program expense growth: 15.3% per year; rating input score 100; 78th percentile among comparable filings
• Revenue growth: -4.4% per year; rating input score 0; 4th percentile among comparable filings
• Asset growth: 14.5% per year; rating input score 100; 73rd percentile among comparable filings