North Carolina · Nonprofit
FAMILY HEALTH INTERNATIONAL INC
FAMILY HEALTH INTERNATIONAL INC (North Carolina) receives grants from 58 organizations whose IRS filings report $223,027,558 to it, the largest being GATES FOUNDATION ($105,488,685). 37 of them have funded it in more than one year.
- Revenue FY2025
- $540M
- Funders on record
- 58
- Grants received
- $223M
- Net assets
- $157M
What Family Health International Inc does
Mission
Fhi 360 is a global development organization delivering multi-disciplinary, evidence-based approaches to improve the health and socio-economic status of millions of people in disadvantaged communities throughout the world.
As stated on its FY2025 Form 990.
Programs
Global health, nutrition, and development - fhi360's global health and nutrition programs work to strengthen health systems, particularly in resource constrained settings. These programs help prevent and manage communicable diseases and reduce neglected tropical diseases. The organization develops strategies for preventing and managing chronic disease, integrating health areas which produce efficiencies, and building consumer demand for evidence-based health products and services. The role of nutrition in preventing disease and improving health is continually evaluated and advocated.
$194,811,364 spentof which $73,238,517 as grants$23,482,904 earned by the program47% of program spendingSocial, environmental, and economic development - fhi 360 partners with communities to improve educational, social, environmental, and economic outcomes. We support youth development, workforce readiness, community resilience, sustainable management of natural resources, and agricultural productivity. Our economic development programs foster entrepreneurship, financial inclusion, and small business growth, helping individuals, families, and communities strengthen their livelihoods and expand opportunities for long-term prosperity.
$83,597,373 spentof which $31,428,082 as grants$10,076,974 earned by the program20% of program spendingHiv/aids - fhi360 provides state-of-the-art, customized interventions to address local needs and advocates for compassionate and resourced support to national governments and local communities. Programs and services are designed to change behavior, protect health, promote prevention services, build strong health systems, improve access to treatment and care, prevent mother to child hiv transmission, protect and support vulnerable children and monitor and evaluate programs. In addition to research, fhi360 has provided nearly 4 million people with counseling and testing services, and almost 1 million people with antiretroviral therapy globally.
$63,497,458 spentof which $23,871,603 as grants$7,654,095 earned by the program15% of program spendingEducation - fhi360's experts use innovative methods to improve teaching and learning in the u.s. And around the world. Programs advance educational access and promote full participation. Activities facilitate decision making by providing research, evaluation, data analysis and technical resources globally. Fhi360 also works to strengthen education in fragile states and support reform of policies and systems.
$73,381,299 spentof which $27,587,393 as grants$8,845,512 earned by the program18% of program spending
The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $415,287,494.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $279M to $319M (+14%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 89% · 2018 89% · 2019 67% · 2020 73% · 2021 79% · 2022 82% · 2023 79% · 2024 80% · 2025 75%. Grants only. Government contracts and fees sit inside program revenue.
90% of FAMILY HEALTH INTERNATIONAL INC’s revenue is contributions — more earned-revenue than three-quarters of its peers (98% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Ana Teresa Gutierrez-San Martin
Chief executive officer
Board chair
Carlos Torres
Chairman
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base narrowed from 24 funders to 18 funders, grant income fell $31M → $29M.
9 of 58 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 1% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
Left out of every figure on this page: $67M from one payer (the payer shares this organization's board, largest Family Health International Foundation); $168k from one payer (the same organization on both sides, largest Family Health International Inc). These are real filings, and they are not money FAMILY HEALTH INTERNATIONAL INC raised.
From the IRS filings of FAMILY HEALTH INTERNATIONAL INC’s funders (the co-funder graph). Top 30 of 58 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
FAMILY HEALTH INTERNATIONAL INC leans on a few funders — its largest provides 47% of grant income and the top three 74%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
46% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund FAMILY HEALTH INTERNATIONAL INC.
Largest funder’s share by year: 2017 57% · 2018 51% · 2019 43% · 2020 68% · 2021 64% · 2022 54% · 2023 47% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
38% of FAMILY HEALTH INTERNATIONAL INC's funders are still giving 3 years after their first grant; 64% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
FAMILY HEALTH INTERNATIONAL INC draws 100% of its grant income from funders outside North Carolina, across 13 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $1.5M arriving through sponsors registered in 6 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
FAMILY HEALTH INTERNATIONAL INC runs a healthier operating margin than half of the 53 international nonprofits its size.
this organization peer median middle 50% of peers· 53 international nonprofits over $100M, FY2025
Government funding FAMILY HEALTH INTERNATIONAL INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $5.5B on record.
- Agency for International Development$4.1B
- Department of Health and Human Services$945.5M
- Department of State$368.5M
- Department of Labor$30.4M
- Department of the Interior$26.0M
- Department of Defense$15.8M
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like FAMILY HEALTH INTERNATIONAL INC
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In North Carolina
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
80% of spending goes to programs.
Governance
Public support
95%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Files a return copy in 6 states
Part of a family of 18 related entities
- Fhi Solutions LLC · disregarded
- Fhi Partners LLC · disregarded
- Family Health International Foundation · exempt
- Fhi Disaster Relief Fund · exempt
- Family Health India · exempt
Screen this organization
A dated, signed PDF of the compliance screen for FAMILY HEALTH INTERNATIONAL INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds FAMILY HEALTH INTERNATIONAL INC?
- FAMILY HEALTH INTERNATIONAL INC (North Carolina) receives grants from 58 organizations whose IRS filings report $223,027,558 to it, the largest being GATES FOUNDATION ($105,488,685). 37 of them have funded it in more than one year.
- How many funders does FAMILY HEALTH INTERNATIONAL INC have?
- IRS filings report 58 organizations giving $223,027,558 in grants to FAMILY HEALTH INTERNATIONAL INC, 37 of which have funded it in more than one year.
- Who is the largest funder of FAMILY HEALTH INTERNATIONAL INC?
- GATES FOUNDATION is the largest funder on record, with $105,488,685 in grants. The full list of funders is on this page.
- How can an organization like FAMILY HEALTH INTERNATIONAL INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in North Carolina. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 58 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing