About Us
Open books, including the awkward pages
Every figure below comes from accounts audited by Kestrel & Vaughn LLP. Where a programme missed its target, the report says so on the same page as the successes.
Independent assurance
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4-star rated
Charity Navigator, nine consecutive years.
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Independently audited
Kestrel & Vaughn LLP, unqualified opinion since 2011.
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Registered charity
No. 1099887, filed accounts current.
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IATI publisher
Programme data published to the open standard.
Financial year 2025
Where your money goes
Total expenditure of $253.2M across five categories. We report fundraising and administration separately rather than folding either into programme costs, which is why our programme ratio is lower than some organisations claim.
Health programmes Emergency response Research & evaluation Fundraising Administration
- Health programmes
- 74% $187.4M
- Clinical services, medicines, salaries for frontline health workers and the supply chain that reaches them.
- Emergency response
- 9% $22.8M
- Standing surge capacity, pre-positioned supplies and active deployments.
- Research & evaluation
- 6% $15.2M
- Independent evaluation, open data publication and the field research that decides what we fund next.
- Fundraising
- 7% $17.7M
- The cost of raising the next year of funding. We report this separately rather than folding it into programmes.
- Administration
- 4% $10.1M
- Finance, legal, audit, safeguarding and the governance functions that keep us accountable.
Where it comes from
No single funder holds more than 9% of our income
Concentration is a governance risk, not just a financial one. A funder large enough to close a programme by withdrawing is a funder large enough to shape what the programme says. We cap any single source at 10% of annual income.
That is the main reason we ask individuals for monthly gifts: many small, predictable commitments are the least conflicted money we can take.
- Individual donors
- 41%
- Institutional & government grants
- 33%
- Foundations
- 19%
- Corporate partnerships
- 7%
Percentages are of $261.0M total income for the year ended 31 December 2025. The surplus over expenditure was held as restricted emergency reserve.
Downloads
Annual reports & audited accounts
Four years of full statements. Each includes the auditor's opinion, programme results by country, and a section on targets we did not meet.
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Download PDF
2025 Annual Report & Audited Accounts Latest
Full financial statements, programme results by country, and an independent auditor’s opinion from Kestrel & Vaughn LLP.
PDF · 3 KB 1 pages
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Download PDF
2024 Annual Report & Audited Accounts
Includes the restated figures for our Horn of Africa programme following the 2024 scope review.
PDF · 3 KB 1 pages
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Download PDF
2023 Annual Report & Audited Accounts
The first year our programme spend ratio passed 70%, and the year we missed our WASH functionality target.
PDF · 3 KB 1 pages
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Download PDF
2022 Annual Report & Audited Accounts
Covers the post-pandemic restructure of our supply chain and the closure of two country programmes.
PDF · 3 KB 1 pages
Need something not published here — a country-level breakdown, or a grant agreement? Ask, and we will send it.
Contact our finance team