Last Mile Health
Last Mile Health reported $21.6 million in revenue and $27.0 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $77.77 went to program services, $16.27 to management and general costs and $5.96 to fundraising. Its largest source of revenue was contributions and grants: 95.2% of the total. The highest compensation it reported for one person was $256,172 (CHIEF EXECUTIVE OFFICER). 21 people received more than $100,000 in reportable compensation. Revenue rose 4% 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 $27MFor 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 $22MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 77.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 16.3% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 6.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.08 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 95.2% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.7% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 0.0% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $256,172 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.95% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 21 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 9.1 | 6.6 |
| Independent voting board members Part VI 1a–1b | 12 of 12 | 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 expenseLast Mile Health saves lives in the world's most remote communities. The organization partners with governments to design, scale, strengthen, and sustain high-quality community health systems, which empower teams of community and frontline health workers to bring life-saving primary healthcare to the world's most remote communities
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 |
|---|---|---|---|---|
| CHIEF EXECUTIVE OFFICER Officer, 40.0 hrs/week | $249,008 | $0 | $7,164 | $256,172 |
| PRESIDENT & CHIEF PROGRAMS OFFICER Officer, 40.0 hrs/week | $229,638 | $0 | $17,053 | $246,691 |
| CFOO Officer, 40.0 hrs/week | $196,766 | $0 | $8,180 | $204,946 |
| CHIEF TECHNICAL OFFICER Officer, 40.0 hrs/week | $194,445 | $0 | $8,407 | $202,852 |
| CO-EXECUTIVE DIRECTOR, AFRICA FRONTLINE FIRST Highest compensated employee, 40.0 hrs/week | $169,019 | $0 | $5,071 | $174,090 |
| MANAGING DIRECTOR, PARTNERSHIPS & COMMUNICATION Highest compensated employee, 40.0 hrs/week | $160,864 | $0 | $12,833 | $173,697 |
| MANAGING DIRECTOR, MERL Highest compensated employee, 40.0 hrs/week | $151,076 | $0 | $9,893 | $160,969 |
| SENIOR DIRECTOR, PARTNERSHIPS Highest compensated employee, 40.0 hrs/week | $144,764 | $0 | $6,620 | $151,384 |
21 people received more than $100,000 in reportable compensation from Last Mile Health (Part VII, line 2). Compensation of current officers, directors and key employees totaled $960K (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–1b12 · 12 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 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 555
- Volunteers Part I, line 612
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| ONA SYSTEMS Software & app dev. | $337,042 |
| INSOURCE SERVICES It consultancy | $147,888 |
| NATHANI LAW PRACTICE LLC Legal services | $147,880 |
| BDO USA Audit & tax services | $101,522 |
Individuals listed as contractors are left out. 5 contractors were paid more than $100,000 in all.
Private foundation grants it received
18 private foundations reported grants to Last Mile Health totaling $1.3M 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 Last Mile Health's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Last Mile Health, you can publish a response that is linked from this page.
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Of every $100 Last Mile Health spent in FY2025, $77.77 went to programs. The full breakdown, from its IRS Form 990:
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Questions people ask
How much of Last Mile Health's spending goes to programs?
In the fiscal year ending June 30, 2025, Last Mile Health reported that 77.8% of its $27.0 million in expenses went to program services, 16.3% to management and general and 6.0% to fundraising (Form 990, Part IX).
How much does Last Mile Health pay its top executive?
The largest total compensation Last Mile Health reported for one person in the fiscal year ending June 30, 2025 was $256,172, for the role of CHIEF EXECUTIVE OFFICER (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Last Mile Health get its money?
Of $21.6 million in revenue in the fiscal year ending June 30, 2025, 95.2% came from contributions and grants (including 0.7% from government grants) and 0.0% from program service revenue (Form 990, Part VIII).
Is Last Mile Health a registered charity?
The IRS lists EIN 26-1401736 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 202631359349305343 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202521359349310002 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202421359349310122 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202311359349316376 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202221329349306672 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101269349303115 · read the filing
All filings for EIN 26-1401736: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.