Path

What it reported doing in 2025

Africa regionin the africa region, we partner with countries to deliver health programs that respond to local priorities, from malaria and HIV to vaccines, epidemic preparedness and response, and digital health and artificial intelligence. We work at every level, from communities to nationwide programs, strengthening existing health systems rather than creating new ones. Our focus is on sustainability and impact, while optimizing operations and staff support. By combining local insight with global innovation, we help build resilient health systems and improve lives. 2025 achievements include, but are not limited to: - mozambiquepath supported the scale-up of self-injectable contraceptives across 143 health facilities in southern mozambique, reaching more than 63,000 contraceptive visits and expanding women's access to family planning.- nigeriapath helped strengthen community-based health care in nigeria by training more than 700 community health workers in 2025 to expand access to early diagnosis and treatment.- tanzaniapath helped implement a biometric fingerprint system across approximately 3,600 health facilities in tanzania, improving continuity of HIV care through secure patient identification. - multicountrypath supported malaria vaccine rollout across eight countries, helping ministries of health plan, introduce, and deliver vaccines to millions of children in high-burden settings. Path supported a digital cold chain monitoring system built on the national dhis2 platform in senegal, helping ensure vaccines remain safe and effective through real-time temperature monitoring. Other: advocacy and public policyat path's center for advocacy and public policy, we work to ensure everyone can access the health services and innovations they need to thrive. We partner with policymakers in countries such as kenya, south africa, and the united states and on the global stage to drive investments and policies that support primary health care, maternal and child health, immunization, and innovation. We also support local advocacy partners by translating evidence into clear messages, building coalitions, and sharing knowledge. In 2025, our efforts led to new policies, increased funding, and stronger local capacity to shape health agendas and improve health systems around the world. 2025 achievements include, but are not limited to: - expanding access to lifesaving health products and services in africapath supported kenya to develop its first local health products manufacturing policy, a key step in advancing regional self-reliance.path helped drive progress toward a unified regulatory environment by supporting two additional countries to ratify the african medicines agency treaty. In kenya, path worked with the national government to pilot a tool to measure the effectiveness of its new primary health care network system. In nyamira county, we supported development and adoption of a law to protect funding for health products and technologies. To advance maternal, newborn, and child health and immunization in africa, path led co-creation efforts with key regional and global partners, resulting in unified advocacy strategies to guide partner efforts.

Financial Efficiency

• Mission deployment rate: 90.4%; rating input score 90
• Program expense ratio: 90.5%; rating input score 91
• Fundraising efficiency: $199.29 raised per $1 spent on fundraising; rating input score 86; 86th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 66th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • 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: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Fail
  • Conducts site visits: Pass
  • Requires grant agreements: Pass
  • May require repayment: Fail
• Grant itemization coverage: 99.9%; rating input score 100; 54th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 100%; rating input score 100; 65th 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: 0.4%; rating input score 32; 32nd percentile among comparable filings
• Total-asset coverage ratio: 1.19; rating input score 33; 33rd percentile among comparable filings
• Liabilities to assets ratio: 0.84; rating input score 16; 16th percentile among comparable filings
• Officer compensation ratio: 1.9%; rating input score 63; 63rd percentile among comparable filings

Growth

• Program expense growth: 2.9% per year; rating input score 100; 22nd percentile among comparable filings
• Revenue growth: 3.5% per year; rating input score 100; 29th percentile among comparable filings
• Asset growth: -4.2% per year; rating input score 0; 3rd percentile among comparable filings