Civic Intelligence

Health Builders International

990 • Fiscal year 2024 • EIN 26-1844856

Jul 01, 2023 to Jun 30, 2024 • Filed on Nov 15, 2024

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

68th percentile

0.08x

Higher debt load relative to assets than 68% of similar nonprofits.

2024 filings • NTEE Q • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

55th percentile

0.02x

Higher debt load relative to revenue than 55% of similar nonprofits.

2024 filings • NTEE Q • $1M-$5M nonprofits • Source year 2024

Net Margin

65th percentile

15%

Higher net margin than 65% of similar nonprofits.

2024 filings • NTEE Q • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

56th percentile

$40,612

Higher top officer pay than 56% of similar nonprofits.

Top officer pay equals 3.2% of source-year revenue.

2024 filings • NTEE Q • $1M-$5M nonprofits • Source year 2024

Asset Growth

92nd percentile

106%

Faster asset growth than 92% of similar nonprofits.

2024 filings • NTEE Q • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

69th percentile

31%

Faster revenue growth than 69% of similar nonprofits.

2024 filings • NTEE Q • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Up

$394,436

Up $134,230 (+52%) from 2022

Net Assets

Up

$364,190

Up $136,528 (+60%) from 2022

Liabilities

Down

$30,246

Down $2,298 (-7.1%) from 2022

Revenue

Up

$1,262,885

Up $624,950 (+98%) from 2022

Expenses

Up

$1,067,248

Up $452,011 (+73%) from 2022

Net Income

Up

$195,637

Up $172,939 (+762%) from 2022

Historical Trend

Balance Sheet Trend

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 2024: $394,436Liabilities 2024: $30,246Net Assets 2024: $364,1902024

Highlighted filing

2024

Assets$394,436
Liabilities$30,246
Net Assets$364,190

Operations Trend

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 2024: $1,262,885Expenses 2024: $1,067,248Net Income 2024: $195,6372024

Highlighted filing

2024

Revenue$1,262,885
Expenses$1,067,248
Net Income$195,637
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Nov 15, 2024
Return Version
2023v6.0
Gross Receipts
$1,262,885
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$129,988$280,728▲ $150,740
Savings and Temporary Cash Investments$50,325$100,400▲ $50,075
Land, Buildings, and Equipment, Net$7,090$6,551▼ $539
Prepaid Expenses and Deferred Charges$3,879$4,957▲ $1,078
Pledges and Grants Receivable-$1,800-
Total Assets$191,282$394,436▲ $203,154
Liabilities
Accounts Payable and Accrued Expenses$22,729$30,246▲ $7,517
Total Liabilities$22,729$30,246▲ $7,517
Net Assets / Fund Balance
Net Assets With Donor Restrictions$103,809$315,337▲ $211,528
Net Assets Without Donor Restrictions$64,744$48,853▼ $15,891
Total Net Assets Fund Balance$168,553$364,190▲ $195,637
Total Liabilities and Net Assets / Fund Balance$191,282$394,436▲ $203,154

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$6,551$137,424$143,975
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Michel MusilikareExecutive DirectorFT$40,612$40,612

Board Members and Trustees

NameTitle
Catalina Agui AckerBoard Director
Celine AudibertBoard Director
Christi StraussBoard Director
John TylerBoard Director
Laura CassidyBoard Director
Lisa Aguilera de PuertaBoard Director
Nancy ReynoldsBoard Director
Parfait UwalirayeBoard Director
Stephen InegetBoard Director
Tori HarperBoard Director
Revenue and Support

Revenue Composition

Contributions and Grants
$1,262,652
Program Service Revenue
$158
Investment Income
$75
Other Revenue
$0
All Other Contributions
$1,262,652
Change in Net Assets
$195,637

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 Table4$448,502Fair Market Value (FMV)
Total Noncash Contributions4$448,502-

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,262,885
Total Revenue per Audited Statements
$1,262,885
Total Revenue per Form 990
$1,262,885
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$817,556
Salaries, Compensation, and Employee Benefits$249,692
Total Fundraising Expense$34,518
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$182,548$18,531$8,001$209,080
Current Officers, Directors, Trustees, and Key Employees$32,489$6,092$2,031$40,612
Travel$25,438$8,077$4,925$38,440
Occupancy$16,465$9,768-$26,233
Fees for Services Other--$18,000$18,000
Fees for Services Accounting-$14,500-$14,500
Other Expenses$698$3,289$923$4,910
Depreciation Depletion-$4,909-$4,909
Conferences and Meetings$815$2,658$9$3,482
Insurance-$2,268-$2,268
Office Expenses-$1,667$581$2,248
All Other Expenses$426$204-$630
Advertising$124$8-$132
Total Functional Expenses$957,232$75,498$34,518$1,067,248

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,067,248
Total Expenses per Audited Statements$1,067,248
Total Expenses per Form 990$1,067,248
International Activity

International Summary

Offices
1
Employees
1
Spending
$1,067,248

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$1,067,248
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
2024-11-15
Discuss with paid preparer
Yes

Organization Details

Formed
2008
Legal Domicile
Ny
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
10

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) was conducted by Health Builders in March-April 2024, Top-performing facilities in various categories from each of three District in Rwanda, received awards to recognize their hard work and dedication to improving patient outcomes. Health Builders is excited to see that results show that the health center performance has been maintained or increased in many indicators despite changes in health center structure over the past two years. 2. Health Builders is partnering with SANOFI to raise awareness and equip health centers for the early detection and management of hypertension and diabetes diseases in Nyabihu District, the following are detailed achievement on NCDs program:Trained 1,892 community health workers (CHWs) and 51 health centres staff on the detection, treatment, and follow-up of hypertension and diabetes patients Provided 469 testing kits to 469 villages, each consisting of a blood pressure machine, glucometer, strips, and personal protective equipment Conducted door-to-door screenings where CHWs tested 120,568 people for hypertension and diabetes Identified 2,046 new cases, including 1,846 hypertension cases and 200 diabetes cases, all of which were enrolled in the appropriate treatment and follow-up program 3. Pioneering the use of digital tools to improve the quality of care: Health Builders with the support of the Pfizer Foundation partnered with the Ministry of Health to develop the countrys first centralized IMCI module in the national Electronic Medical Record (EMR) system using advanced technology of automated clinical algorithms assisting health professionals in clinical decision making. Our work aligns with the Governments plans to go paperless in primary healthcare.4. Training and Mentoring Nurses and Midwives on Helping Mothers and Babies Survive in 25 Rural Primary Healthcare Centers in Rulindo, Rwanda. The goal of the training was to reduce the risk of maternal and neonatal deaths. 5. Health Builders, in collaboration with Project C.U.R.E donated medical equipment and supplies worth US $ 372,168 to Rwamagana Level-two Teaching Hospital and Mwulire Health Center. In addition, in collaboration with DAK Foundation, Gould Family Foundation and Rulindo District delivered life-saving medical equipment and supplies worth US $ 76,334 including 25 ultrasound machines to the three health posts (Nkanga, Gatwa and Giko). The health posts have significantly improved access to healthcare by reducing travel times and making it easier for residents to seek timely care.6. Health Builders was recognized as the Partner of the Year ending June 2024 and was awarded a trophy and a certificate of appreciation by Rwamagana District. Health Builders is proud to be the winner of this years award.
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IRS990/MissionDesc0Health 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.
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IRS990/OtherExpensesGrp/ProgramServicesAmt24411
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IRS990/OtherExpensesGrp/TotalAmt1694127
IRS990/OtherExpensesGrp/TotalAmt25605
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IRS990/ReconcilationRevenueExpnssAmt0195637
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IRS990/ReportLandBuildingEquipmentInd0true
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0490508
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt03852852
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt075
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt013
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt026
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt018
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0158
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IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0490508
IRS990ScheduleA/Total509Grp/TotalAmt03853439
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt01262885
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0966302
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0637935
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0495972
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0490526
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt03853620
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleD/EquipmentGrp/DepreciationAmt0137424
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IRS990ScheduleD/TotalBookValueLandBuildingsAmt06551
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IRS990ScheduleD/TotalRevenuePerForm990Amt01262885
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01262885
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IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt01
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IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt0Sub-Saharan Africa
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt0Health Systems
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt0Program services
IRS990ScheduleF/BoycottCountriesInd0false
IRS990ScheduleF/ForeignCorpOwnershipInd0false
IRS990ScheduleF/ForeignPartnershipInd0false
IRS990ScheduleF/GrantRecordsMaintainedInd0true
IRS990ScheduleF/InterestInForeignTrustInd0false
IRS990ScheduleF/PassiveForeignInvestmestCoInd0false
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IRS990ScheduleF/TotalEmployeeCnt01
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IRS990ScheduleF/TransferToForeignCorpInd0false
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt04
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc0Medical equipment
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0FMV
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IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Management and certain board members are required to review and approve of the 990 and the related schedules prior to submitting to respective agencies
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1All board members and employees are immediately required to disclose any potential relationship that may give rise to a conflict of interest.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Determination 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Determination 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The 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.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.39$0.03$0.36$1.26$1.07$0.20
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