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Tennessee · Nonprofit

Lwala Community Alliance

Lwala Community Alliance (Tennessee) receives grants from 65 organizations whose IRS filings report $32,285,190 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($7,131,580). 41 of them have funded it in more than one year.

Revenue FY2024
$25M
Funders on record
65
Grants received
$32M
Net assets
$29M
41/65 repeat funderspeak grant-dependency 57%
01What it does

What Lwala Community Alliance does

Mission

Unlocking the potential of communities to advance their own comprehensive wellbeing.

As stated on its FY2024 Form 990.

Programs

  1. Primary Health Care: Lwala deploys professionalized community health workers to deliver care in homes. Core to our model is the incorporation of traditional birth attendants into professionalized cadres of community health workers. We pay, train, supervise and digitally empower community health workers to extend health services to every household. We track individualized data that demonstrates high achievements on immunization coverage, skilled delivery rates and under 5 mortality. We use digital tools and data to support health decision making and accelerate training and support of health workers at scale.

    $5,608,757 spent$627,633 earned by the program
    45% of program spending
  2. Adolescents & Youth: Working with the youth to reach fellow young people, we deliver innovative adolescent and youth sexual reproductive health in and out of school. We create youth friendly spaces for accessing health services and build agency of girls and boys to make informed choices and to complete school.

    $2,118,459 spent
    17% of program spending
  3. Lwala Community Hospital - The community of Lwala, Kenya was suffering from the dual burden of high maternal mortality and HIV prevalence. Rather than wait for help to come to them, village members donated their own land, resources, labour, and expertise to build Lwala Community Hospital. Over time, the hospital has grown into a full-scale movement for community-led health-a movement poised to transform Kenya's health system. The hospital provides care to more than 88,000 patients annually and conducts delivery for more than 770 babies annually. The innovations teste at Lwala hospital are scaled up to improve quality of health care in several health facilities in Kenya.

    $1,949,853 spent
    16% of program spending
  4. External Affairs: Through bottom-up innovation, Lwala incubates and measures new programs that improve health outcomes. As a result, we have been called upon by the national Ministry of Health (MOH) to provide technical expertise to national policies, guidelines, and curricula. As these national documents are finalized, Lwala then works with the MOH to pilot, evaluate, and scale-up these approaches. We use the set policies and guidelines to strengthen the county health system and build its ability to deliver healthcare for all.

    $1,731,428 spent
    14% of program spending
  5. Clinical Training: The community of Lwala village donated land and resources to bring health care to their community and constructed the area's first health clinic.Today, the Lwala Community Hospital provides care to more than 80,000 patient visits a year.We test innovations at the Lwala hospital which we then use to improve care in hundreds of health facilities across the health system. Examples include Obstetric Hemorrhage bundle with the Non-pneumatic Antishock Garment (NASG) and neonatal resuscitation (Helping Babies Breathe) that is informing emergency obstetric care practices across Kenya.

    $1,051,008 spent
    8% of program spending

The 5 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $12,459,505.

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 ($4.5M) Expenses 100 ($1.8M) Net assets 100 ($4.6M)2018 Revenue 53 ($2.4M) Expenses 126 ($2.3M) Net assets 100 ($4.6M)2019 Revenue 82 ($3.6M) Expenses 166 ($3.0M) Net assets 113 ($5.2M)2020 Revenue 137 ($6.1M) Expenses 233 ($4.3M) Net assets 157 ($7.1M)2021 Revenue 366 ($16M) Expenses 326 ($6.0M) Net assets 377 ($17M)2022 Revenue 123 ($5.5M) Expenses 352 ($6.4M) Net assets 351 ($16M)2023 Revenue 166 ($7.4M) Expenses 438 ($8.0M) Net assets 349 ($16M)2024 Revenue 562 ($25M) Expenses 731 ($13M) Net assets 634 ($29M)
'17'18'19'20'21'22'23'24
Revenue (562)Expenses (731)Net assets (634)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 2023 to 2024, from $16M to $31M (+90%).

$4.6M
$4.6M
$5.3M
$7.3M
$17M
$16M
$16M
$31M
'17'18'19'20'21'22'23'24
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
ContributionsProgram revenueInvestmentOther

97% of Lwala Community Alliance’s revenue is contributions — more donation-reliant than the typical peer (96% for the typical peer).

This organization
Typical peer · 391 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 8 reported years ran a deficit.

$2.6M
’17
$57k
’18
$601k
’19
$1.9M
’20
$10M
’21
−$950k
’22
−$611k
’23
$12M
’24
12
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.

Board chair

Constance Shumba

Board Chair

As listed on its FY2024 Form 990.

201720182019202020212024
Listed131314141115
Joined·+0+3+2+0·
No longer listed·0223·
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 17 funders to 23 funders, grant income rose $672k → $2.5M.

19 of 65 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 48% 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 Lwala Community Alliance’s funders (the co-funder graph). Top 30 of 65 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

Lwala Community Alliance has a broad base — no single funder exceeds 22% 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

53% 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 Lwala Community Alliance.

22%
largest funder
53%
top three
~8
effective funders

Largest funder’s share by year: 2017 21% · 2018 37% · 2019 31% · 2020 18% · 2021 75% · 2022 18% · 2023 24% — growing more concentrated.

“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 Lwala Community Alliance's funders are still giving 3 years after their first grant; 63% 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

Lwala Community Alliance draws 99% of its grant income from funders outside Tennessee, across 17 states in all.

ME
WA
MN
IL
NY
MA
NJ
RI
CA
UT
MO
DE
TN
NC
DC
GA
TX

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

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

Funder states come from each funder’s own filing. $16M arriving through sponsors registered in 15 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

Lwala Community Alliance runs a healthier operating margin than three-quarters of the 363 international nonprofits its size.

Operating margin47% · top quartile
Months of reserve11.5mo · top quartile
Revenue growth (annualized)28% · top quartile

this organization peer median middle 50% of peers· 363 international nonprofits $10M–$100M, FY2024

Organizations like Lwala Community Alliance

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 Tennessee

Nationally

05Profile & governance

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

Where the money goes

93% of spending goes to programs.

Program 93%Management 5%Fundraising 2%

Governance

11
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

74%

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

Footprint & structure

Files a return copy in 1 state

TN

Part of a family of 1 related entity

  • Lwala Community Health Centre · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Lwala Community Alliance: 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 Lwala Community Alliance?
Lwala Community Alliance (Tennessee) receives grants from 65 organizations whose IRS filings report $32,285,190 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($7,131,580). 41 of them have funded it in more than one year.
How many funders does Lwala Community Alliance have?
IRS filings report 65 organizations giving $32,285,190 in grants to Lwala Community Alliance, 41 of which have funded it in more than one year.
Who is the largest funder of Lwala Community Alliance?
FIDELITY INVESTMENTS CHARITABLE GIFT FUND is the largest funder on record, with $7,131,580 in grants. The full list of funders is on this page.
How can an organization like Lwala Community Alliance find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Tennessee. 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 Lwala Community Alliance →

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 65 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