Sustainable Medical Missions Inc

Nonprofit profile at a glance

EIN
462039707
IRS 990 coverage
2020–2025
Forms available
Form 990 2025
Location
Cincinnati, OH, USA
Phone
5135432896
Rating
82
Verdict
STRONG
Rating confidence
Standard
Sector
International Relief

Official website

Reported finances

Revenue
$586,832
Expenses
$601,207
Assets
$304,231
Liabilities
$1,561

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

12 people listed

Executive titles in this filing

  • Doug Walouke (President)
  • David Snyder (Executive Director)

People named in this filing

  • Doug Walouke (President)
  • Eric Wittkugel (Historian)
  • Carol Snyder (Board Member)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To train and support indigenous healthcare and faith leaders in underdeveloped communities to treat Neglected Tropical Diseases NTDs and other endemic conditions affecting the poorest community members by pairing faith-based solutions with best practices

What it reported doing in 2025

Conferences were held in Bangladesh Benin Burundi Congo DRC Ghana Kenya Liberia Malawi Rwanda Tanzania Togo Uganda and Zambia for 13,073 indigenous faith and medical leaders from these nations. Despite high demand we maintained small conference sizes to ensure quality engagement. Through replication and discipleship we expanded training numbers while preserving intimate group settings. In-person conferences in Benin Burundi Kenya Ghana Liberia Malawi Rwanda Tanzania and Zambia followed a standard format with major expenses covering lodging food and transportation for participants. Conference content emphasized education and practical implementation strategies. Initial sessions covered advanced medical care processes Zero in on Zero Neglected Tropical Diseases NTDs and the role of Christian leaders in communities from medical and theological viewpoints. Advanced conferences delved into implementation tactics leadership skills and provided a platform for participants to share successes and challenges from the previous year.

Operating model

Revenue model
Donor-supported. 100% of the money available for current operations came from contributions and gifts.
Distribution model
Hybrid. The nonprofit split its reported program spending across 40% for direct work, and 60% for grants.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 81
  • Accountability: 77
  • Sustainability: 35
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 93.9%; rating input score 94
  • Program expense ratio: 91.6%; rating input score 92
  • Fundraising efficiency: $22.15 raised per $1 spent on fundraising; rating input score 58; 58th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 22nd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: 2 of 8 controls in place; rating input score 25
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Limited
    • Conducts field audits: Limited
    • May suspend future funding: Limited
    • Requires financial reports: Pass
    • Conducts site visits: Limited
    • Requires grant agreements: Limited
    • May require repayment: Limited
  • Grant itemization coverage: 100%; rating input score 100; 78th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 81.8%; rating input score 82; 22nd percentile among comparable filings
  • Governance controls: 5 of 7 controls in place; rating input score 71
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • 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: -2.4%; rating input score 24; 24th percentile among comparable filings
  • Total-asset coverage ratio: 0.51; rating input score 25; 25th percentile among comparable filings
  • Liabilities to assets ratio: 0.01; rating input score 65; 65th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 78; 78th percentile among comparable filings

Growth

  • Program expense growth: 8.9% per year; rating input score 100; 54th percentile among comparable filings
  • Revenue growth: 2.2% per year; rating input score 100; 21st percentile among comparable filings
  • Asset growth: 4.2% per year; rating input score 100; 32nd percentile among comparable filings

Details

  • Where the money goes: 93.9% of revenue deployed · 91.6% of spending went to programs
  • Governance: 9 of 11 board members independent · 5 of 7 filing controls reported
  • Programs: 4 filed program accomplishments · $551K in reported program spending
  • Leadership: top reported pay $0 · 12 people listed
  • Consistency: 44 of 45 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes major donors and foreign activity
  • Filing history: 6 filing years from 2020 to 2025
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • 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.

  • Review — Financial Efficiency: Fundraising efficiency scored 58/100.
  • High — Sustainability: Operating margin scored 24/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Sustainability: Total-asset coverage ratio scored 25/100.
  • Review — Transparency & Controls: Foreign grant itemization did not reconcile in the filed values.