Washington, D.C. · Nonprofit
HEALTH SYSTEMS INSIGHT
HEALTH SYSTEMS INSIGHT (Washington, D.C.) receives grants from 8 organizations whose IRS filings report $50,453,324 to it, the largest being GATES FOUNDATION ($49,833,787). 5 of them have funded it in more than one year.
- Revenue FY2024
- $8.7M
- Funders on record
- 8
- Grants received
- $50M
- Net assets
- $1.2M
What Health Systems Insight does
Mission
Note: the organization, Health Systems Insight (formerly thinkwell institute) is referenced throughout this schedule o as "thinkwell institute," "thinkwell, "institute, or organization"/"filer" as its name change only had required filings' documents returned the 2nd half of july when this return was close to being filed. Thinkwell supports low- and middle-income countries and global partners through deep, courageous thinking to make high quality healthcare affordable through building capacity of government and academic institutions in partner countries for analysis of health system data, evidence-based policy recommendations, and facilitation of stakeholder dialogues. We ensure that health finance, human, and commodity resources are effectively and efficiently allocated and used for high quality healthcare by strengthening financial management practices, information technology, and training. Thinkwell institute actively partners with ministries of health of countries such as indonesia, kenya, the philippines, and burkina faso.
As stated on its FY2023 Form 990.
Programs
On its FY2023 return the organization reported starting a significant new program and a significant change in how it conducts a program.
The kenya quality ecosystem project started in january 2023 with funding from merck for mothers and elma foundation. Thinkwell institute has partnered with jacaranda health for this project. Thinkwell institute supports ensuring availability and sustainability of financing for maternal and child health programs through policy improvements and strengthening capacity of financial management in four counties in kenya. We have initiated pilot testing of interventions to increase financial resources and capacity building of financial data clerks to improve accuracy and availability of financial data.
Its own explanation, from Schedule O of that return (Part III, line 2).
The strategic purchasing for primary health care (sp4pc) phase 1 project ended.
Its own explanation, from Schedule O of that return (Part III, line 3).
The strategic purchasing for primary health care (sp4phc) project phase 2 is an initiative which aims to support country governments in burkina faso, kenya, indonesia, the philippines, uganda, and pakistan to improve primary health care (phc) outcomes by (1) catalyzing and accelerating country-level foundational reforms to strengthen purchasing arrangements for phc services, (2) strengthening government purchasing arrangements for service delivery models that are innovative and effective, and (3) leveraging learnings to advocate for transformational reforms to strengthen strategic purchasing for phc at local, national, and global levels. In 2023, the project achieved the following: a) the burkina faso ministry of health to strengthen their digital health plan and implementation of free maternal and newborn services, b) in indonesia, we assisted the ministry of health to set up the phc consortium by organizing sub-national governments, academic institutions, and development partners to facilitate transformation of the government primary healthcare, c) we successfully supported kenya's county governments in increasing their subsidies of national health insurance premium for…
$5,859,073 spentof which $241,360 as grants73% of program spendingThe overarching objective for the immunization hub grant is to generate high-quality economic evidence in the delivery of essential health services to priority groups, including covid-19 vaccines. The hub will bring together global and country level institutions to provide: (1) rapid economic evidence to support the sustainable roll-out of covid-19 vaccines, (2) generate key economic evidence on the delivery and integration of essential health services to reach priority populations, and lastly (3) strengthen capacity at local research institutes to generate demand-driven and actionable evidence to inform improvements to the efficiency of essential health service delivery.
$1,046,316 spentof which $175,718 as grants13% of program spendingEspcov projected addressed health financing and public health management bottlenecks, which constrained the delivery of covid-19 and essential health services in bangladesh. The project collaborated with the bangladesh ministry of health and family welfare and the ministry of finance to identify bottlenecks of financial flows that directly affected service delivery at the health facilities. We supported the improvements in financial policies and administrative procedures to ensure that funding were available to serve patients at the community level. The project also supported use of financial resources to scale-up the use of covid-19 vaccine.
$488,761 spent6% of program spendingAs low- and middle-income countries implement covid-19 vaccines, costing evidence for the delivery of covid-19 vaccines in lmic is urgently needed. This project focused on producing rapid costing analyses. Given the global urgency to generate this evidence, a pragmatic and opportunistic approach was taken to such an analysis. The project conducted a retrospective, bottom-up costing study that estimated the financial and economic costs of delivery covid-19 vaccines to inform global and national policy makers and stakeholders.
$53,810 spentof which $29,511 as grants1% of program spendingThe samya stumo fellowship seeks to identify and nurture young women from across the globe to co-create transformative global health projects with thinkwell. In 2023, we enrolled six fellows from the philippines, bangladesh, burkina faso, kenya (2 fellows), and indonesia. Their project areas encompassed from a control of schistosomiasis, a community health for pregnant women, obstetric fistula, and waste management. In addition to support to their technical areas, the program provided a year-long capacity building program in entrepreneurship, program management, and fund raising.
$112,863 spent1% of program spendingAs part of the 'scale-up cervical cancer elimination with secondary prevention strategy' (success) project, funded by unitaid, and delivered through a consortium approach led by expertise france, uicc engaged thinkwell as consultant. Thinkwell assessed the status of health financing for cervical cancer elimination in each of the four project countries: guatemala, philippines, burkina faso and ivory coast. Thinkwell also identified context-specific challenges, opportunities and practical steps that can be taken to drive forward progress.
$34,732 spent0% of program spendingThe kenya quality ecosystem project started in january 2023 with funding from merck for mothers and elma foundation. Thinkwell institute has partnered with jacaranda health for this project. Thinkwell institute supports ensuring availability and sustainability of financing for maternal and child health programs through policy improvements and strengthening capacity of financial management in four counties in kenya. We have initiated pilot testing of interventions to increase financial resources and capacity building of financial data clerks to improve accuracy and availability of financial data.
$181,960 spent2% of program spendingExploring possible use cases for digital infrastructure to support improved public financial management of health financing reforms and, in turn, improve health system performance. Related research studies on health system performance improvements with other funders.
$19,854 spent0% of program spendingHewlett foundation mental health program: the grant program supported thinkwell institute to conduct the landscape analysis of availability of mental health services in low- and middle-income countries.
$107,606 spent1% of program spendingUnicef bangladesh economic analysis of investment in life-course vaccination in bangladeshthe project supported the bangladesh government and its stakeholders in determining the strategy to mobilize investments to expand immunization program to ensure sustainability of immunization program and meet the government health goals. Thinkwell institute conducted an economic analysis and developed an investment case in immunization programs for equitable and quality access to immunization, elimination of measles-rubella, and introduciton of new vaccines against infectious diseases.
$158,819 spent2% of program spendingWho searo landscape analysis of domestic financing fpr tuberclosis in south-east asia countries. Southeast asia is the world's most tb-affected region. The objective of the project is to improve financial resource availability for tb control programs in southeast asian countries. Thinkwell institute conducted analysis of three countries in the region to understand opportunities, barriers, and potential strategies to strengthen domestic tb financing, thereby reduce the reliance on external funding and ensure sustainable reduction of the disease occurrence.
$6,777 spent0% of program spending
The 11 programs described on its FY2023 Form 990, listed largest first by expense. Program spending in total: $8,070,571.
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 2021 to 2022, from $7.8M to $4.9M (−38%).
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: 2019 11% · 2020 6% · 2021 4%. Grants only. Government contracts and fees sit inside program revenue.
96% of HEALTH SYSTEMS INSIGHT’s revenue is contributions — about as donation-reliant as the typical peer (97% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 5 of the last 8 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
Dai Hozumi
President & CEO
As listed on its FY2024 Form 990.
The chief executive listed changed between the FY2022 and FY2023 filings.
Who funds it, year by year
2017 → 2023: the base broadened from 1 funder to 4 funders, grant income rose $3.0M → $10M.
4 of 8 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 0% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
From the IRS filings of HEALTH SYSTEMS INSIGHT’s funders (the co-funder graph). 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
HEALTH SYSTEMS INSIGHT leans on a few funders — its largest provides 99% of grant income and the top three 100%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
Largest funder’s share by year: 2017 100% · 2018 100% · 2019 99% · 2020 100% · 2021 100% · 2022 97% · 2023 98% — 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
40% of HEALTH SYSTEMS INSIGHT's funders are still giving 3 years after their first grant; 63% 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
HEALTH SYSTEMS INSIGHT draws 99% of its grant income from funders outside Washington, D.C., across 4 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $78k arriving through sponsors registered in 4 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
HEALTH SYSTEMS INSIGHT has grown faster than three-quarters of the 1,607 international nonprofits its size.
this organization peer median middle 50% of peers· 1,607 international nonprofits $1M–$10M, FY2024
Organizations like HEALTH SYSTEMS INSIGHT
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 Washington, D.C.
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
82% of spending goes to programs.
Governance
Public support
10%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Files a return copy in 1 state
Screen this organization
A dated, signed PDF of the compliance screen for HEALTH SYSTEMS INSIGHT: 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 HEALTH SYSTEMS INSIGHT?
- HEALTH SYSTEMS INSIGHT (Washington, D.C.) receives grants from 8 organizations whose IRS filings report $50,453,324 to it, the largest being GATES FOUNDATION ($49,833,787). 5 of them have funded it in more than one year.
- How many funders does HEALTH SYSTEMS INSIGHT have?
- IRS filings report 8 organizations giving $50,453,324 in grants to HEALTH SYSTEMS INSIGHT, 5 of which have funded it in more than one year.
- Who is the largest funder of HEALTH SYSTEMS INSIGHT?
- GATES FOUNDATION is the largest funder on record, with $49,833,787 in grants. The full list of funders is on this page.
- How can an organization like HEALTH SYSTEMS INSIGHT find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Washington, D.C.. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Health Systems Insight →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 8 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