HESPERIAN HEALTH GUIDES

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1962

Legal Domicile

Principal Officer

SARAH SHANNON

Phone

5108451447

Tax Period

2024-07-01 to 2025-06-30

HESPERIAN HEALTH GUIDES, founded in 1962, is a community nonprofit in the International Affairs sector that reported $1.9M in total revenue in fiscal year 2024. Revenue decreased 11% compared to the prior year. Expenses of $2.6M exceeded revenue, resulting in a 40% operating deficit.

Mission

HESPERIAN HEALTH GUIDES DEVELOPS AND DISTRIBUTES HEALTH INFORMATION RESOURCES THAT HELP ALL PEOPLE TAKE GREATER CONTROL OVER THEIR HEALTH. HESPERIAN MATERIALS, INCLUDING THE CLASSIC WHERE THERE IS NO DOCTOR, ARE AVAILABLE IN 86 LANGUAGES AND IN PRINT AND DIGITAL FORMATS.

Program Service Accomplishments

Program 1

Expenses: $1,401,576 Revenue: $9,353

CREATING BOOKS, APPS AND ONLINE HEALTH RESOURCES IN MANY LANGUAGES: HESPERIAN CREATES NEW MATERIALS ACROSS ISSUE AREAS OF CRITICAL IMPORTANCE TO PHYSICAL AND PSYCHOLOGICAL WELL-BEING, INCLUDING...

CREATING BOOKS, APPS AND ONLINE HEALTH RESOURCES IN MANY LANGUAGES: HESPERIAN CREATES NEW MATERIALS ACROSS ISSUE AREAS OF CRITICAL IMPORTANCE TO PHYSICAL AND PSYCHOLOGICAL WELL-BEING, INCLUDING PRIMARY HEALTH CARE; REPRODUCTIVE, ENVIRONMENTAL, AND CHILDREN'S HEALTH; LIVING WITH CHRONIC ILLNESS AND DISABILITIES; AND WORKERS' HEALTH AND SAFETY. THIS YEAR, HESPERIAN DEVELOPED AND PRODUCED BOOKS AND APPS AND ONLINE RESOURCES IN FIVE PROGRAM AREAS: WOMEN'S REPRODUCTIVE HEALTH AND RIGHTS, MENTAL HEALTH, WORKERS HEALTH AND SAFETY, ENVIRONMENTAL JUSTICE AND HEALTH, AND EPILEPSY AND SEIZURES. WE UPDATED MEDICAL INFORMATION IN OUR OTHER PUBLICIATIONS AND OUR MULTI-LINGUAL REPRODUCTIVE HEALTH APPS TO EXTEND REPRODUCTIVE HEALTH INFORMATION AND SERVICES TO ADOLESCENTS AND YOUNG WOMEN.

Program 2

Expenses: $529,217 Revenue: $12,228

HEALTH OUTREACH: HESPERIAN RESOURCES ARE USED IN 221 COUNTRIES AND TERRITORIES, WE PURSUE MANY STRATEGIES TO ENSURE WE REACH THE MOST UNDERSERVED COMMUNITIES. THIS YEAR HESPERIAN USED SOCIAL MEDIA TO REACH OVER 66 MILLION PEOPLE WORLDWIDE WITH CRITICAL REPRODUCTIVE HEALTH INFORMATION. WEBINARS, PRINTED POSTCARDS, FLYERS, WHATSAPP MESSAGES AND MANY OTHER CREATIVE STRATEGIES DEVELOPED WITH PARTNERS SHARED VITAL HEALTH INFORMATION GLOBALLY. HESPERIAN'S REPRODUCTIVE HEALTH APPS, IN 11 LANGUAGES WERE USED IN 164 COUNTRIES. HESPERIAN'S ONLINE HEALTH INFORMATION IS NOW AVAILABLE IN 48 LANGUAGES ON OUR HEALTHWIKI, A MOBILE-FRIENDLY PLATFORM ACCESSIBLE EVEN IN LOCATIONS WITH LOW BANDWIDTH AND USED BY 687,000+ PEOPLE THIS YEAR. HESPERIAN DISTRIBUTED FREE BOOKS TO SEED HEALTH LIBRARIES IN 26 COUNTRIES. HESPERIAN STAFF SUPPORTED 150 PARTNERS WORKING ON ADAPTATIONS OF HESPERIAN MATERIALS.

Program 3

Expenses: $260,367 Revenue: $229,449

FULFILLMENT: FULFILLS ORDERS FOR USERS OF HESPERIAN BOOKS WORLDWIDE, INCLUDING BOOKS DONATED TO COMMUNITY HEALTH WORKERS THROUGH HESPERIAN'S GRATIS BOOK PROGRAM. FULFILLMENT COSTS INCLUDE POSTAGE AND...

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $1,596,764

Program Service Revenue $247,956

Investment Income $31,418

Other Revenue $3,300

TOTAL REVENUE $1,879,438

Expense Breakdown

Grants Paid $190,917

Salaries & Benefits $1,719,707

Fundraising Expenses $239,117

Program Expenses $2,191,160

Other Expenses $725,064

TOTAL EXPENSES $2,635,688

Year-over-Year Comparison

	2024	2023	Change
Revenue	$1,879,438	$2,110,057	-0.1%
Expenses	$2,635,688	$2,436,980	+0.1%
Net Income	$-756,250	$-326,923	+1.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✓ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$128,290

Total Directors

$418,890

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
BILL LANKFORD	CO-CHAIR	1.00	Officer Director	$0	$0	$0
EVA HARRIS	BOARD MEMBER	1.00	Director	$0	$0	$0
SUSAN WEISSERT	CO-CHAIR	1.00	Officer Director	$0	$0	$0
SARAH SHANNON	EXECUTIVE DIRECTOR	40.00	Officer Director	$125,851	$2,439	$128,290
MELISSA SMITH	BOARD MEMBER	1.00	Director	$0	$0	$0
GARRETT BROWN	SECRETARY	1.00	Officer Director	$0	$0	$0
PURNIMA MANE	BOARD MEMBER	1.00	Director	$0	$0	$0
TRUPTHI BASAVARAJ	BOARD MEMBER	1.00	Director	$0	$0	$0
SARAH JANE HOLCOME	BOARD MEMBER	1.00	Director	$0	$0	$0
SAMANTHA HEEP	TREASURER	1.00	Officer Director	$0	$0	$0
LEIGH HAYNES	BOARD MEMBER	1.00	Director	$0	$0	$0
OLADELE A OGUNSEITAN	BOARD MEMBER	1.00	Director	$0	$0	$0
PAULINE BUTCHER	BOARD MEMBER EMERITUS	1.00	Director	$0	$0	$0
ELLEN VOR DER BRUGGE	BOARD MEMBER EMERITUS	1.00	Director	$0	$0	$0
LARRY KRESSLEY	BOARD MEMBER EMERITUS	1.00	Director	$0	$0	$0
GRACE MAHER	BOARD MEMBER	1.00	Director	$0	$0	$0
LINDA SPANGLER	BOARD MEMBER EMERITUS	1.00	Director	$0	$0	$0
JESSICA BARRERA	BOARD MEMBER	40.00	Director	$58,521	$0	$58,521
SHAWN PHILLIPS	BOARD MEMBER	40.00	Director	$46,579	$8,865	$55,444
NASRULLAH AMIRZAI	BOARD MEMBER	40.00	Director	$78,928	$9,179	$88,107
PAULA WORBY	BOARD MEMBER	40.00	Director	$69,850	$18,678	$88,528

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$1,879,438	$2,635,688	$2,822,172	$-756,250
2024	$2,110,057	$2,436,980	$3,521,627	$-326,923
2023	$1,911,311	$2,365,311	$3,848,717	$-454,000
2022	$2,276,473	$1,999,593	$4,285,742	$276,880
2021	$2,942,048	$1,706,634	$4,011,112	$1,235,414
2020	$2,953,702	$1,497,774	$2,924,158	$1,455,928
2019	$2,071,125	$1,396,243	$1,375,526	$674,882
2018	$1,600,283	$1,622,237	$719,041	$-21,954