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Massachusetts · Nonprofit

INSTITUTE FOR HEALTHCARE IMPROVEMENT

INSTITUTE FOR HEALTHCARE IMPROVEMENT (Massachusetts) receives grants from 61 organizations whose IRS filings report $89,597,859 to it, the largest being GATES FOUNDATION ($23,745,697). 35 of them have funded it in more than one year.

Revenue FY2025
$57M
Funders on record
61
Grants received
$90M
Net assets
$133M
35/61 repeat funderspeak grant-dependency 21%
01What it does

What Institute for Healthcare Improvement does

Mission

Please refer to ihi's mission statement as outlined on schedule o.

As stated on its FY2025 Form 990.

Programs

  1. Program service accomplishments:ihi maintains a variety of closely aligned, strategic relationships with organizations in regions around the world, including the u.s., the united kingdom, sweden, denmark, qatar, australia, brazil, and ethiopia. Contracted services are focused on achieving strategic objectives, system-level improvement, and capability building.

    $13,978,041 spent$22,783,525 earned by the program
    30% of program spending
  2. Professional development programsprofessional development programs, conferences, and other educational offerings support individuals and organizations to develop internal capacity and infrastructure for quality improvement, patient safety, leadership, joy in work and well-being, and health equity. Ihi's programs offer healthcare and other professionals many opportunities to learn the latest improvement ideas, connect with like-minded colleagues, and generate momentum for change in their organizations.ihi patient safety congressthis annual conference brings together people who are passionate about ensuring that safe care is equitably provided for all. The congress is designed for committed healthcare professionals who continue to shape smarter, safer care for patients wherever it's provided from the hospital to outpatient settings to the home.international forums on quality and safety in healthcare ihi partners with organizations in different regions of the world to bring large conferences to healthcare leaders, clinicians, and improvers. Ihi, sometimes in partnership with local organizations, currently holds forums in europe, the middle east, asia, australia, and latin america.…

    $13,424,482 spent$10,314,733 earned by the program
    29% of program spending
  3. Program service accomplishments:ihi received and expended funds for a variety of purposes in the pursuit of its mission across the world. These included programs to improve maternal and newborn health services; improve the care of older adults; integrate health equity of access, treatments, and outcomes; combat burnout and increase joy in work and well-being in the workforce; enhance quality improvement skills; and encourage communication about end-of-life values and preferences. These efforts contribute to ihi's growing knowledge or responsive and resilient system designs that can dramatically improve patient care and safety.

    $12,767,865 spentof which $491,941 as grants
    27% of program spending
  4. National forum:held each december, this major conference on improvement in healthcare draws nearly 5,000 participants from around the world who attend hundreds of workshops, spotlight and keynote sessions, and special interest meetings.innovation:at the center of ihi's work is the creation and testing of new ideas - ideasnovel concepts for improving patient care. Ihi works intensely with cutting-edge organizations to test and prototype unique models and new solutions to old problems. This is the innovation engine that fuels much of ihi's content development work.

    $6,274,139 spent$4,422,788 earned by the program
    14% of program spending

The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $46,444,527.

02The organization over time

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.

100 = 20172017 Revenue 100 ($54M) Expenses 100 ($46M) Net assets 100 ($95M)2018 Revenue 103 ($56M) Expenses 124 ($57M) Net assets 105 ($100M)2019 Revenue 117 ($64M) Expenses 132 ($61M) Net assets 108 ($103M)2020 Revenue 95 ($51M) Expenses 123 ($57M) Net assets 99 ($94M)2021 Revenue 94 ($51M) Expenses 101 ($46M) Net assets 127 ($121M)2022 Revenue 197 ($107M) Expenses 114 ($53M) Net assets 140 ($132M)2023 Revenue 96 ($52M) Expenses 149 ($69M) Net assets 125 ($119M)2024 Revenue 137 ($74M) Expenses 158 ($73M) Net assets 135 ($128M)2025 Revenue 105 ($57M) Expenses 128 ($59M) Net assets 140 ($133M)
'17'18'19'20'21'22'23'24'25
Revenue (105)Expenses (128)Net assets (140)Peer revenue range

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 $118M to $150M (+27%).

$113M
$121M
$122M
$118M
$150M
$160M
$155M
$168M
$162M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

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.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 6% · 2018 1% · 2019 2% · 2020 4% · 2021 11% · 2022 2% · 2023 3% · 2024 1% · 2025 3%. Grants only. Government contracts and fees sit inside program revenue.

22% of INSTITUTE FOR HEALTHCARE IMPROVEMENT’s revenue is contributions — more earned-revenue than three-quarters of its peers (96% for the typical peer).

This organization
Typical peer · 156 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 9 reported years ran a deficit.

$8.4M
’17
−$1.2M
’18
$2.8M
’19
−$5.1M
’20
$4.7M
’21
$55M
’22
−$16M
’23
$1.6M
’24
−$1.5M
’25
6.6
months of
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.

'17'18'19'20'21'22'23'24'25
Listed353836364040364138
Joined·+7+5+11+17+10+3+7+4
No longer listed·47111310727
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 11 funders to 25 funders, grant income rose $9.3M → $11M.

11 of 61 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 16% 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 INSTITUTE FOR HEALTHCARE IMPROVEMENT’s funders (the co-funder graph). Top 30 of 61 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

INSTITUTE FOR HEALTHCARE IMPROVEMENT has a broad base — no single funder exceeds 27% of grant income, and it takes 3 funders to reach half.

the vertical line marks half of all grant income — 3 funders to its left

34% 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 INSTITUTE FOR HEALTHCARE IMPROVEMENT.

27%
largest funder
58%
top three
~7
effective funders

Largest funder’s share by year: 2017 45% · 2018 52% · 2019 35% · 2020 36% · 2021 49% · 2022 35% · 2023 33% — 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

43% of INSTITUTE FOR HEALTHCARE IMPROVEMENT's funders are still giving 3 years after their first grant; 57% give in more than one year at all.

first grant+1y+2y+3y+4y+5y+6y

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

INSTITUTE FOR HEALTHCARE IMPROVEMENT draws 94% of its grant income from funders outside Massachusetts, across 23 states in all.

WA
MT
MN
IL
MI
NY
MA
IA
OH
PA
NJ
CA
CO
VA
MD
DE
AZ
TN
NC
DC
GA
TX
FL

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Massachusetts out of state home

Funder states come from each funder’s own filing. $15M arriving through sponsors registered in 10 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.

04Its place in the field

Against its field

INSTITUTE FOR HEALTHCARE IMPROVEMENT is better cushioned than half of the 63 civil rights nonprofits its size.

Operating margin−3% · bottom quartile
Months of reserve6.6mo · above the median
Revenue growth (annualized)1% · bottom quartile

this organization peer median middle 50% of peers· 63 civil rights nonprofits $10M–$100M, FY2025

Government funding INSTITUTE FOR HEALTHCARE IMPROVEMENT receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $7.6M on record — $7.5M federal, $54k state.

Federal$7.5M
grants $1.5Mcontracts $6.0M
17
18
19
20
21
22
23
24
25
Top agencies
  • Department of Defense$5.0M
  • Department of Health and Human Services$2.0M
  • Department of Veterans Affairs$474k
State$54k
10
13
19
22
24
By state
  • VT$32k
  • OR$20k
  • MA$2k

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 INSTITUTE FOR HEALTHCARE IMPROVEMENT

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 Massachusetts

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

79% of spending goes to programs.

Program 79%Management 21%Fundraising 0%

Governance

14
board members
93%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

40%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

MA

Part of a family of 1 related entity

  • Institute for Healthcare Improvement Middleeast LLC · disregarded

Screen this organization

A dated, signed PDF of the compliance screen for INSTITUTE FOR HEALTHCARE IMPROVEMENT: 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.

A paid feature, included from the $75 plan up. Sign in to download.

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 INSTITUTE FOR HEALTHCARE IMPROVEMENT?
INSTITUTE FOR HEALTHCARE IMPROVEMENT (Massachusetts) receives grants from 61 organizations whose IRS filings report $89,597,859 to it, the largest being GATES FOUNDATION ($23,745,697). 35 of them have funded it in more than one year.
How many funders does INSTITUTE FOR HEALTHCARE IMPROVEMENT have?
IRS filings report 61 organizations giving $89,597,859 in grants to INSTITUTE FOR HEALTHCARE IMPROVEMENT, 35 of which have funded it in more than one year.
Who is the largest funder of INSTITUTE FOR HEALTHCARE IMPROVEMENT?
GATES FOUNDATION is the largest funder on record, with $23,745,697 in grants. The full list of funders is on this page.
How can an organization like INSTITUTE FOR HEALTHCARE IMPROVEMENT find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Massachusetts. 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 61 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 22, 2026. What this page cannot tell you · view filing