Civic Intelligence

Health Builders International

990 • Fiscal year 2023 • EIN 26-1844856

Jul 01, 2022 to Jun 30, 2023 • Filed on Nov 14, 2023

Organization Profilewww.healthbuilders.org

View Organization Page

82 Nassau Street STE 60282New York, NY 10038

(917) 310-3684

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

70th percentile

0.12x

Higher debt load relative to assets than 70% of similar nonprofits.

2023 filings • NTEE Q • $500k-$1M nonprofits • Source year 2023

Liabilities / Revenue

61st percentile

0.02x

Higher debt load relative to revenue than 61% of similar nonprofits.

2023 filings • NTEE Q • $500k-$1M nonprofits • Source year 2023

Net Margin

25th percentile

-6.1%

Higher net margin than 25% of similar nonprofits.

2023 filings • NTEE Q • $500k-$1M nonprofits • Source year 2023

Top Officer Pay

68th percentile

$44,824

Higher top officer pay than 68% of similar nonprofits.

Top officer pay equals 4.6% of source-year revenue.

2023 filings • NTEE Q • $500k-$1M nonprofits • Source year 2023

Asset Growth

14th percentile

-26%

Faster asset growth than 14% of similar nonprofits.

2023 filings • NTEE Q • $500k-$1M nonprofits • Annualized from 2022 to 2023

Revenue Growth

73rd percentile

51%

Faster revenue growth than 73% of similar nonprofits.

2023 filings • NTEE Q • $500k-$1M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets70th percentile

Assets

Down

$191,282

Down $68,924 (-26%) from 2022

Net Assets

Down

$168,553

Down $59,109 (-26%) from 2022

Liabilities

Down

$22,729

Down $9,815 (-30%) from 2022

Revenue And Expenses
Liabilities / Revenue61st percentileNet Margin25th percentile

Revenue

Up

$966,302

Up $328,367 (+51%) from 2022

Expenses

Up

$1,025,411

Up $410,174 (+67%) from 2022

Net Income

Down

-$59,109

Down $81,807 (-360%) from 2022

Historical Trend

Balance Sheet Trend

Asset Growth14th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2011: $1,064,269Liabilities 2011: $21,198Net Assets 2011: $1,043,0712011Assets 2012: $415,469Liabilities 2012: $14,315Net Assets 2012: $401,1542012Assets 2013: $894,952Liabilities 2013: $7,921Net Assets 2013: $887,0312013Assets 2014: $314,377Liabilities 2014: $20,114Net Assets 2014: $294,2632014Assets 2015: $1,519,564Liabilities 2015: $24,980Net Assets 2015: $1,494,5842015Assets 2017: $685,282Liabilities 2017: $47,695Net Assets 2017: $637,5872017Assets 2018: $337,314Liabilities 2018: $27,428Net Assets 2018: $309,8862018Assets 2019: $152,491Liabilities 2019: $128,254Net Assets 2019: $24,2372019Assets 2020: $139,363Liabilities 2020: $28,283Net Assets 2020: $111,0802020Assets 2021: $231,827Liabilities 2021: $26,863Net Assets 2021: $204,9642021Assets 2022: $260,206Liabilities 2022: $32,544Net Assets 2022: $227,6622022Assets 2023: $191,282Liabilities 2023: $22,729Net Assets 2023: $168,5532023

Highlighted filing

2023

Assets$191,282
Liabilities$22,729
Net Assets$168,553
Open 2023 Filing

Operations Trend

Revenue Growth73rd percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500K-$1.0MExpenses 2011: $1,016,3642011Expenses 2012: $1,090,9782012Revenue 2013: $1,124,752Expenses 2013: $638,875Net Income 2013: $485,8772013Revenue 2014: $551,037Expenses 2014: $472,300Net Income 2014: $78,7372014Revenue 2015: $544,460Expenses 2015: $467,351Net Income 2015: $77,1092015Revenue 2017: $683,578Expenses 2017: $1,241,701Net Income 2017: -$558,1232017Revenue 2018: $644,884Expenses 2018: $978,100Net Income 2018: -$333,2162018Revenue 2019: $516,182Expenses 2019: $803,717Net Income 2019: -$287,5352019Revenue 2020: $522,448Expenses 2020: $435,615Net Income 2020: $86,8332020Revenue 2021: $495,972Expenses 2021: $402,088Net Income 2021: $93,8842021Revenue 2022: $637,935Expenses 2022: $615,237Net Income 2022: $22,6982022Revenue 2023: $966,302Expenses 2023: $1,025,411Net Income 2023: -$59,1092023

Highlighted filing

2023

Revenue$966,302
Expenses$1,025,411
Net Income-$59,109
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Nov 14, 2023
Return Version
2022v5.0
Gross Receipts
$966,302
Mission and Program Overview

Mission

Rwanda Works fosters prosperity by improving health care delivery, identifying, incubating and commercializing competitive businesses and transforming markets on a national scale. Rwanda Works will achieve its mission by investing in profitable businesses and health care infrastr

Health Builders is a non-profit organization registered in the United States of America and in Rwanda. Health Builders strengthens health center management, improves clinical care and builds health care facilities for the rural communities in most need in Rwanda.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$202,382$129,988▼ $72,394
Savings and Temporary Cash Investments$50,276$50,325▲ $49
Land, Buildings, and Equipment, Net$7,509$7,090▼ $419
Prepaid Expenses and Deferred Charges$39$3,879▲ $3,840
Total Assets$260,206$191,282▼ $68,924
Liabilities
Accounts Payable and Accrued Expenses$32,544$22,729▼ $9,815
Total Liabilities$32,544$22,729▼ $9,815
Net Assets / Fund Balance
Net Assets With Donor Restrictions$82,995$103,809▲ $20,814
Net Assets Without Donor Restrictions$144,667$64,744▼ $79,923
Total Net Assets Fund Balance$227,662$168,553▼ $59,109
Total Liabilities and Net Assets / Fund Balance$260,206$191,282▼ $68,924

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$7,090$132,515$139,605
Compensation and Service Providers
Top Officer Pay68th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Michel MusilikareExecutive DirectorFT$44,824$44,824

Board Members and Trustees

NameTitle
Adolphe KajangweBoard Director
Albert TuyishmeBoard Director
Amber GaleoBoard Director
Andre TchouatieuBoard Director
Catalina Agui AckerBoard Director
Catarina DolstenBoard Director
Celine AudibertBoard Director
Christi StraussBoard Director
John TylerBoard Director
Lisa Aguilera de PuertaBoard Director
Nancy ReynoldsBoard Director
Ronald MusoniBoard Director
Stephen InegetBoard Director
Tori HarperBoard Director
Revenue and Support

Revenue Composition

Contributions and Grants
$965,824
Program Service Revenue
$429
Investment Income
$49
Other Revenue
$0
All Other Contributions
$965,824
Change in Net Assets
$-59,109

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table7$414,532Fair Market Value (FMV)
Total Noncash Contributions7$414,532-

Audited Revenue Reconciliation

Revenue per Audited Statements
$966,302
Total Revenue per Audited Statements
$966,302
Total Revenue per Form 990
$966,302
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$773,126
Salaries, Compensation, and Employee Benefits$252,285
Total Fundraising Expense$39,680
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$186,135$14,395$6,931$207,461
Current Officers, Directors, Trustees, and Key Employees$35,771$6,754$2,299$44,824
Travel$22,136$5,991$60$28,187
Occupancy$17,519$8,359-$25,878
Fees for Services Other-$2,555$16,379$18,934
Fees for Services Legal-$14,575-$14,575
Conferences and Meetings$660$1,637$9,374$11,671
Depreciation Depletion-$4,541-$4,541
Other Expenses$532$410$3,016$3,958
Office Expenses$1,488$1,262$738$3,488
Insurance-$2,041-$2,041
All Other Expenses$262$67$288$617
Total Functional Expenses$921,840$63,891$39,680$1,025,411

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,025,411
Total Expenses per Audited Statements$1,025,411
Total Expenses per Form 990$1,025,411
International Activity

International Summary

Offices
1
Employees
1
Spending
$977,885

International Compliance

Foreign grant records maintained
Yes
Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Sub-Saharan AfricaProgram servicesHealth Systems11$977,885
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

“Management and certain board members are required to review and approve of the 990 and the related schedules prior to submitting to respective agencies”

Conflict of interest policy compliance Part VI line 12C

“All board members and employees are immediately required to disclose any potential relationship that may give rise to a conflict of interest.”

CEO executive director top management comp Part VI line 15A

“Determination of compensation of the Executive Director includes a review and approval by the board of directors based on comparability data. The deliberation and decision making related to compensation is reflected and maintained in the minutes. Compensation levels are generally evaluated annually.”

Other officer or key employee compensation Part VI line 15B

“Determination of compensation of the Executive Director includes a review and approval by the board of directors based on comparability data. The deliberation and decision making related to compensation is reflected and maintained in the minutes. Compensation levels are generally evaluated annually.”

Governing documents etc available to public Part VI line 19

“The governing documents, policies and procedures, and the financial statements are made available upon request. The 990 and the financial statements are made available upon request and can also be obtained at Guidestar.com, which is an independent website that makes available certain nonprofit financial information.”

Filing and Contact Details

Filer

Filer Name
Health Builders International
EIN
26-1844856
Address
82 Nassau Street STE 60282, New York, NY 10038

Signing Officer

Name
Michel Musilikare
Title
Executive Direc
Phone
9082324618
Signed
2023-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2008
Legal Domicile
Ny
Voting Board Members
14
Independent Board Members
14
Employees
0
Volunteers
16

Preparer

Firm
Ketcham & Associates LLC
Address
202 Mountain Avenue, Westfield, NJ 07090
Preparer
Steven Ketcham CPA
Phone
9082324618
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IRS990/Desc0Health Builders major accomplishments include the following:1.Health Builders trained and mentored 936 healthcare providers in 52 PHC centers on RMNCH, NCDs, IPC, data and resource management. A performance assessment of the 52 Primary Healthcare (PHC) conducted by Health Builders in March 2023 showed the following results:General performance for all the 52 PHC centers supported by Health Builders has been increased from 61% in 2019 to 76% in 2022Health Builders trained and mentored healthcare providers on integrated management of childhood illnesses (IMCI). 83% of children under five years have received proper treatment for the most common childhood infectious diseases (malaria, diarrhoea and pneumonia) in 2022 compared to the baseline of 63% Health Builders trained and mentored health centers staff in leadership and governance, monitoring and evaluation, pharmaceutical and financial management. The general performance of health centers in management has improved from 55 % in 2016 to 86 % in 2022.2.The obstetric ultrasound programs impact at 31 PHC centers in Rwamagana and Nyabihu Districts is exceptional: 38,411 scans for expectant mothers have been performed and 2,028 high risk pregnancies referred after Ultrasound test since January 2020 to June 2023. In 2021 and 2022, 22, 686 scans have been performed. These mothers would otherwise have to travel more than two hours to access the service have received care at their nearest PHC centers. Previously ultrasound machines were only present at district hospitals and as a result, PHC centers had to conduct a lengthy referral process to send pregnant women to the district hospitals for ultrasound scanning. 3.Mwulire health center construction was completed and launched in May 2023: This health center will serve over 34,000 people residing in Mwulire Sector of Rwamagana District. As of August 25, 2023, 4,778 people had consulted this health center including women and children4.Completion and operation of three new health posts: Health Builders completed a pilot of three different design sizes (Small, Medium and Large) in Rulindo-a rural district in the Northern Province of Rwanda. The three health posts have been equipped and staffed, providing healthcare to the communities. As of June 2023, the three health posts have recorded in total more than 4,630 outpatient consultations, including mothers and the under-five children, effective February 2023. 5.Health Builders completed the digitalization of its M&E tool: The tool has been used in the current 2022 health centers performance assessments. It is assisting the organization in making the transition from paper to digital surveying. It is also helping the organization in safely storing data, gaining easy access to it, reducing some of the errors that occur while manually entering data and easing the process of giving feedback to health facilities as individual health center performance dashboards will be created.
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Document Assets

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Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$191,282
Liabilities
$22,729
Net assets
$168,553
Revenue
$966,302
Expenses
$1,025,411
Net income
-$59,109
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Detailed filing. Detailed filing data is available for this year.$0.19$0.02$0.17$0.97$1.03$0.06
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.26$0.03$0.23$0.64$0.62$0.02
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.23$0.03$0.20$0.50$0.40$0.09
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.14$0.03$0.11$0.52$0.44$0.09
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.15$0.13$0.02$0.52$0.80$0.29
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.34$0.03$0.31$0.64$0.98$0.33
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.69$0.05$0.64$0.68$1.24$0.56
2015Detailed filing. Detailed filing data is available for this year.$1.52$0.02$1.49$0.54$0.47$0.08
2014Detailed filing. Detailed filing data is available for this year.$0.31$0.02$0.29$0.55$0.47$0.08
2013Detailed filing. Detailed filing data is available for this year.$0.89$0.01$0.89$1.12$0.64$0.49
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.42$0.01$0.40$1.09
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.06$0.02$1.04$1.02