Pronto International

Nonprofit profile at a glance

EIN
461318242
IRS 990 coverage
2015–2024
Forms available
Form 990 2024
Location
Seattle, WA, USA
Phone
2067550044
Rating
68
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Support Services

Reported finances

Revenue
$140,359
Expenses
$460,240
Assets
$557,145
Liabilities
$33,614

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

Leadership & pay

7 people listed

Executive titles in this filing

  • Heidi Breeze-Harris (Executive Director)
  • Susanna Cohen (Board President (from Jan 2025))
  • Dilys Walker (Board President (left board in Jan 2025))

Highest reported compensation

  • Heidi Breeze-Harris (Executive Director): $143,853 total reported compensation
  • Kimberly Calkins (Director of Curriculum): $116,058 total reported compensation

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

Overview

Mission

PRONTO International aims to optimize care during birth. We develop and implement innovative training strategies for health care providers that act as a catalyst for individual, team, and system change.

What it reported doing in 2024

In 2024-25, PRONTO International continued efforts to expand its U.S.-based work, applying lessons learned from our international programs to strengthen maternal and newborn health initiatives across diverse contexts, specifically working on obstetric and neonatal emergencies in maternity deserts. PRONTO worked to expand curricular depth by developing new modules for the Indian context and collaborating on curriculum for the U.S. on simulation to support providers caring for mothers with substance use disorders. 2024-25 brought systemic changes to the global health funding landscape. PRONTO's employees and Board of Directors spent time this year on strategic planning to identify the best ways to meet PRONTO's mission while managing rapidly changing external factors. In Kenya, PRONTO continued to support Dr. Patience Afulani's research studying the impact of training on provider burnout. In India, PRONTO continued its support for midwifery education and in-service simulation trainings with local medical colleges. In addition, PRONTO expanded its curricular offerings specific to India through local curriculum development activities. In partnership with the University of Utah, PRONTO continued its involvement in Project INSPIRE (Interprofessional Simulation Program for Clinical Resilience and Empathy), focused on caring for pregnant individuals with substance use disorders (SUD). Building on findings from Aim 1, PRONTO is helping to develop a comprehensive training package (Aim 2) that includes high-fidelity simulations, teamwork and communication exercises, and case-based learning to address stigma, bias, and respectful care. PRONTO Master Trainers-experienced across both U.S. and global settings-are facilitating a set of sessions for rural hospital clinic champions. PRONTO also supplies all simulation materials, including PartoPants and PRONTOPacks. Collaborating with the Northern New England Perinatal Quality Improvement Network, the STONE program, Dartmouth Hitchcock, and the University of Utah's LIFT Lab, PRONTO adapted its PRONTOStat curriculum and built a train-the-trainer package for EMS and Emergency Department teams responding to maternal and neonatal emergencies in maternity deserts. PRONTO co-designed the training with local partners and facilitated an interprofessional training in Concord, NH. An additional set of trainings and curriculum development activities were completed in 2024-25.

Operating model

Revenue model
Grant-funded. 61% of the money available for current operations came from government grants.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. The filing reports few safeguards for money sent abroad and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 55
  • Accountability: 84
  • Sustainability: 18
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 75.2%; rating input score 75
  • Fundraising efficiency: $3.93 raised per $1 spent on fundraising; rating input score 17; 17th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: Scored; rating input score 0
  • 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: 5 of 8 controls in place; rating input score 62
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Fail
    • 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: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -227.9%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 1.21; rating input score 46; 46th percentile among comparable filings
  • Liabilities to assets ratio: 0.06; rating input score 31; 31st percentile among comparable filings
  • Officer compensation ratio: 56.5%; rating input score 3; 3rd percentile among comparable filings

Growth

  • Program expense growth: -0.9% per year; rating input score 0; 27th percentile among comparable filings
  • Revenue growth: -8.9% per year; rating input score 0; 6th percentile among comparable filings
  • Asset growth: 6.8% per year; rating input score 100; 55th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 75.2% of spending went to programs
  • Governance: 4 of 4 board members independent · 5 of 8 filing controls reported
  • Programs: 2 filed program accomplishments · $346K in reported program spending
  • Leadership: top reported pay $144K · 7 people listed
  • Consistency: 25 of 25 current checks pass
  • Schedules: 5 filed schedules · includes major donors and foreign activity
  • Filing history: 9 filing years from 2015 to 2024
  • Contacts: How to reach this organization
  • Money network: 2 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • 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 scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 17/100.
  • Review — Accountability: Governance controls: 2 of 7 not reported.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 46/100.
  • High — Sustainability: Officer compensation ratio scored 3/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 31/100.