Health Imperatives
Health Imperatives reported $18.9 million in revenue and $19.0 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $85.88 went to program services, $13.97 to management and general costs and $0.15 to fundraising. Its largest source of revenue was contributions and grants: 85.5% of the total. Government grants made up 76.6%. The highest compensation it reported for one person was $269,502 (PRESIDENT & CEO). 16 people received more than $100,000 in reportable compensation. Revenue rose 67% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $19MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $19MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 85.9% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 14.0% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.2% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 85.5% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 76.6% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 14.2% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $269,502 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.42% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 16 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 1.3 | 6.6 |
| Independent voting board members Part VI 1a–1b | 10 of 11 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHealth imperative's mission is to improve the health and well-being of low-income or vulnerable families and individuals in southeastern massachusetts. We believe that everyone should be healthy, safe, strong, and economically secure. Our programs improve physical and mental health while enhancing quality of life. They include: seven comprehensive sexual and reproductive health clinics; housing, shelter, counseling, and support for survivors of interpersonal violence and trafficking; harm reduction for people with substance use disorders; nutrition assistance for women, infants, and children…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PRESIDENT & CEO Director/trustee, officer, 35.00 hrs/week | $259,725 | $0 | $9,777 | $269,502 |
| CPO Highest compensated employee, 35.00 hrs/week | $185,174 | $0 | $19,073 | $204,247 |
| ASSOCIATE MEDICAL DIRECTOR Highest compensated employee, 35.00 hrs/week | $156,922 | $0 | $27,116 | $184,038 |
| VP, HR Highest compensated employee, 35.00 hrs/week | $158,200 | $0 | $9,675 | $167,875 |
| DIRECTOR OF MEDICAL SERVICES Highest compensated employee, 35.00 hrs/week | $132,611 | $0 | $27,089 | $159,700 |
| NURSE PRACTITIONER Highest compensated employee, 35.00 hrs/week | $135,454 | $0 | $9,648 | $145,102 |
| CFO (UNTIL 4/24) Officer, 35.00 hrs/week | $67,283 | $0 | $5,869 | $73,152 |
| CFO (AS OF 9/24) Officer, 35.00 hrs/week | $58,537 | $0 | $4,150 | $62,687 |
16 people received more than $100,000 in reportable compensation from Health Imperatives (Part VII, line 2). Compensation of current officers, directors and key employees totaled $330K (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b11 · 10 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18Yes
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5209
- Volunteers Part I, line 618
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses onlyIndividuals listed as contractors are left out. 4 contractors were paid more than $100,000 in all.
Private foundation grants it received
15 private foundations reported grants to Health Imperatives totaling $290K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Health Imperatives's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Health Imperatives, you can publish a response that is linked from this page.
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Of every $100 Health Imperatives spent in FY2025, $85.88 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in Massachusetts
Questions people ask
How much of Health Imperatives's spending goes to programs?
In the fiscal year ending June 30, 2025, Health Imperatives reported that 85.9% of its $19.0 million in expenses went to program services, 14.0% to management and general and 0.2% to fundraising (Form 990, Part IX).
How much does Health Imperatives pay its top executive?
The largest total compensation Health Imperatives reported for one person in the fiscal year ending June 30, 2025 was $269,502, for the role of PRESIDENT & CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Health Imperatives get its money?
Of $18.9 million in revenue in the fiscal year ending June 30, 2025, 85.5% came from contributions and grants (including 76.6% from government grants) and 14.2% from program service revenue (Form 990, Part VIII).
Is Health Imperatives a registered charity?
The IRS lists EIN 04-2609177 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202630139349303223 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202423449349301207 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202441099349300834 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202203419349300940 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202113149349306071 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202003219349313825 · read the filing
All filings for EIN 04-2609177: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.