West African Stroke Initiative Inc

Nonprofit profile at a glance

EIN
922431199
IRS 990 coverage
2024–2025
Forms available
Form 990 2025
Location
Minneapolis, MN, USA
Phone
6314664355
Rating
60
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Brain Disorders

Official website

Reported finances

Revenue
$49,756
Expenses
$57,257
Assets
$157
Liabilities
$3,000

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

Leadership & pay

4 people listed

Executive titles in this filing

  • Uchenna Okafo (CEO & Co-Founder)

People named in this filing

  • Uchenna Okafo (CEO & Co-Founder)
  • Onome H Osokpo (CSOO & Co-Founder)
  • Mary Okafo (Director)

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

The primary mission of West African Stroke Initiative Inc.(WASI) is to facilitate world-class comprehensive stroke care, including evidence-based culturally attuned care transitions in West Africa for stroke patients and their caregivers

What it reported doing in 2025

(1) WASI hosted five Grand Rounds on the following: New Frontiers in Acute Mechanical Thrombectomy, From the Brain to the Pelvis, Diagnostic Cerebral Angiography, ICU Management in Neurointervention, and Paediatric Neurointervention: VOGM (2) WASI presented at five national and international conferences: AfriHealth Conference and Exhibition in Port-Harcourt, Nigeria; Nigerian Academy of Neurological Surgeons, Enugu, Nigeria; Nigerian Stroke Leaders Summit, Lagos, Nigeria; African Stroke Organization Conference, Nairobi, Kenya; Society of Vascular and Interventional Neurology Conference in Orlando Florida. (3) The WASI team completed three endovascular treatments, including a Pial AV fistula and a Caroticocarvernous fistula and provided practical hands-on opportunities for the WASI fellows

Operating model

Revenue model
Earned-program. 79% of the money available for current operations came from fees and other program revenue.
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 - Most voting board members are independent and program spending has grown recently. A relatively small share of total spending goes to programs and the filing reports few safeguards for money sent abroad.

Rating breakdown

  • Financial Efficiency: 51
  • Transparency & Controls: 55
  • Accountability: 88
  • Sustainability: 26
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 59.7%; rating input score 60
  • Program expense ratio: 51.9%; rating input score 52
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd 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; 64th 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: -15.1%; rating input score 38; 38th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 6; 6th percentile among comparable filings
  • Liabilities to assets ratio: 19.11; rating input score 0; 0th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 58; 58th percentile among comparable filings

Growth

  • Program expense growth: 176.1% per year; rating input score 100; 99th percentile among comparable filings
  • Revenue growth: 150.5% per year; rating input score 100; 100th percentile among comparable filings
  • Asset growth: -187% per year; rating input score 0; 0th percentile among comparable filings

Details

  • Where the money goes: 59.7% of revenue deployed · 51.9% of spending went to programs
  • Governance: 4 of 4 board members independent · 5 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $30K in reported program spending
  • Leadership: top reported pay $0 · 4 people listed
  • Consistency: 17 of 17 current checks pass
  • Schedules: 4 filed schedules · includes major donors and foreign activity
  • Filing history: 2 filing years from 2024 to 2025
  • Contacts: How to reach this organization
  • 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: Program expense ratio scored 52/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • Moderate — Sustainability: Operating margin scored 38/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • High — Sustainability: Total-asset coverage ratio scored 6/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 0/100.
  • Review — Sustainability: Officer compensation ratio scored 58/100.