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Virginia · Nonprofit

THOUGHT LEADERSHIP AND INNOVATION FOUNDATION

THOUGHT LEADERSHIP AND INNOVATION FOUNDATION (Virginia) receives grants from 7 organizations whose IRS filings report $4,785,843 to it, the largest being MAYO CLINIC ($2,510,963). 3 of them have funded it in more than one year, and 64% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.

Revenue FY2025
$531k
Funders on record
7
Grants received
$4.8M
Net assets
$-7761
3/7 repeat fundersgrants exceed reported revenue in one year
01What it does

What Thought Leadership and Innovation Foundation does

Mission

Tli drives innovative thinking and action on global issues relating to health to foster transformative change and improve the health and well being of patient communities across the world.

As stated on its FY2025 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.

During the fiscal year ended june 30, 2024, thought leadership & innovation foundation began the amd program - eyes on the future. Tli is developing a resource portal for those living with age-related macular degeneration (amd), their physicians and caregivers. The goals of the portal are to improve communications, enhance trust, contribute to better disease management, and advance more efficient and cost-effective care for 22 million americans living with amd.

Its own explanation, from Schedule O of that return (Part III, line 2).

During the fiscal year ended june 30, 2024, thought leadership & innovation foundation ceased operation of the chronic disease program.

Its own explanation, from Schedule O of that return (Part III, line 3).

  1. The limb loss & preservation registry (llpr) aims to close major public health knowledge gaps that will be critical to limb loss care, refining rehabilitation approaches and guiding development of prosthetics for people living with limb loss. The llpr will enable researchers studying medical conditions that contribute to limb loss, such as diabetes, to analyze the registry of data by factors including age, gender, type of surgery and prosthesis to better support long-term care of these patients. The aim is to enhance their functionality and quality of life long-term and help enable patients to better care for themselves, work and be more active in daily life. The llpr achieved a major milestone by receiving the coveted authority to operate (ato) approval from nih in 2022, meaning that the architecture and developed software applications for the llpr meet the federal risk and authorization management program (fedramp), nist 800-53, and hipaa security requirements for a us government system. The llpr has been receiving data feeds since march 2022 and has collected data for 442,743 patients to date.

    $663,991 spent$648,951 earned by the program
    78% of program spending
  2. Autism program: tli is developing an online research gateway where physicians can easily search over 40,000 published research articles on autism and use this research to ensure that peer-reviewed medical interventions reach autistic patients. Physicians will also have access to secure and private forums to communicate and collaborate.

    $141,980 spent
    17% of program spending
  3. Amd program - eyes on the future: tli is working to implement a plan for developing a patient portal for those living with age-related macular degeneration (amd) that will collect critical patient data and provide links to resources for patients such as local support services, assistance programs for medications and insurance, and lifestyle changes that can be made to support eye health. The data collected through surveys will address current knowledge gaps that could help researchers and healthcare providers improve patient outcomes for people in the amd community and be used to help the development of research projects and guide healthcare providers for years to come. Primary goals include building the patient portal and collecting and sharing survey data through population-level analytics.

    $24,689 spent$20,000 earned by the program
    3% of program spending
  4. Grant to miff for medical research.

    $25,000 spentof which $25,000 as grants
    3% of program spending

The 4 programs described on its FY2023 Form 990, listed largest first by expense. Program spending in total: $855,660.

02The organization over time

The organization over time

Each line starts at 100 in 2018, so what you read is the shape rather than the size: 150 means half as much again as 2018, 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 = 20182018 Revenue 100 ($2.1M) Expenses 100 ($2.2M) Net assets -98 ($-95764)2019 Revenue 73 ($1.6M) Expenses 78 ($1.7M) Net assets -70 ($-68192)2020 Revenue 44 ($932k) Expenses 46 ($993k) Net assets -132 ($-129002)2021 Revenue 36 ($774k) Expenses 33 ($725k) Net assets -82 ($-80382)2022 Revenue 82 ($1.7M) Expenses 72 ($1.6M) Net assets 100 ($97k)2023 Revenue 36 ($763k) Expenses 36 ($791k) Net assets 30 ($29k)2024 Revenue 44 ($934k) Expenses 45 ($988k) Net assets -26 ($-24889)2025 Revenue 25 ($531k) Expenses 24 ($514k) Net assets -8 ($-7761)
'18'19'20'21'22'23'24'25
Revenue (25)Expenses (24)Net assets (-8)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 2019 to 2020, from $435k to $101k (−77%).

$254k
$435k
$101k
$244k
$273k
$158k
$116k
$97k
'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.

2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2018 60% · 2019 33% · 2020 2% · 2022 13% · 2023 11%. Grants only. Government contracts and fees sit inside program revenue.

85% of THOUGHT LEADERSHIP AND INNOVATION FOUNDATION’s revenue is contributions — more donation-reliant than the typical peer (82% for the typical peer).

This organization
Typical peer · 14,893 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 5 of the last 8 reported years ran a deficit.

−$44k
’18
−$150k
’19
−$61k
’20
$49k
’21
$178k
’22
−$27k
’23
−$54k
’24
$17k
’25
0.6
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.

'18'19'20'21'22'23'24'25
Listed107755644
Joined·+0+0+2+0+1+0+0
No longer listed·3040020
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 1 funder to 2 funders, grant income fell $1.3M → $855k.

3 of 7 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 64% 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 THOUGHT LEADERSHIP AND INNOVATION FOUNDATION’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

THOUGHT LEADERSHIP AND INNOVATION FOUNDATION leans on a few funders — its largest provides 52% of grant income and the top three 91%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

98% 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 THOUGHT LEADERSHIP AND INNOVATION FOUNDATION.

52%
largest funder
91%
top three
~3
effective funders

Largest funder’s share by year: 2017 100% · 2018 60% · 2019 64% · 2020 79% · 2021 100% · 2022 90% · 2023 75% — 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.

Where its funders are

64% of THOUGHT LEADERSHIP AND INNOVATION FOUNDATION's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $1.7M that is directly attributable, 100% of it comes from funders outside Virginia, across 4 states.

CA
MD
DE
KS

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

’17
’18
’19
’20
’22
’23
Virginia out of state home

Funder states come from each funder’s own filing. $3.0M arriving through sponsors registered in 3 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

THOUGHT LEADERSHIP AND INNOVATION FOUNDATION's revenue fell 75% between 2018 and 2025.

Operating margin3% · below the median
Months of reserve0.6mo · bottom quartile
Revenue growth (annualized)−18% · bottom quartile

this organization peer median middle 50% of peers· 7,883 health nonprofits $100k–$1M, FY2025

Government funding THOUGHT LEADERSHIP AND INNOVATION FOUNDATION receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $700k on record.

Federal$700k
grants $136kcontracts $564k
17
18
Top agencies
  • Department of Defense$700k

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 THOUGHT LEADERSHIP AND INNOVATION FOUNDATION

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 Virginia

Nationally

05Profile & governance

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

Where the money goes

73% of spending goes to programs.

Program 73%Management 27%Fundraising 0%

Governance

3
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990–Audited financials

Public support

50%

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

Footprint & structure

Files a return copy in 1 state

VA

Screen this organization

A dated, signed PDF of the compliance screen for THOUGHT LEADERSHIP AND INNOVATION FOUNDATION: 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 THOUGHT LEADERSHIP AND INNOVATION FOUNDATION?
THOUGHT LEADERSHIP AND INNOVATION FOUNDATION (Virginia) receives grants from 7 organizations whose IRS filings report $4,785,843 to it, the largest being MAYO CLINIC ($2,510,963). 3 of them have funded it in more than one year, and 64% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
How many funders does THOUGHT LEADERSHIP AND INNOVATION FOUNDATION have?
IRS filings report 7 organizations giving $4,785,843 in grants to THOUGHT LEADERSHIP AND INNOVATION FOUNDATION, 3 of which have funded it in more than one year.
Who is the largest funder of THOUGHT LEADERSHIP AND INNOVATION FOUNDATION?
MAYO CLINIC is the largest funder on record, with $2,510,963 in grants. The full list of funders is on this page.
How can an organization like THOUGHT LEADERSHIP AND INNOVATION FOUNDATION find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Virginia. 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 2018–2025), and the filings of 7 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