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85 Cents of Every Dollar: How Nivaran Foundation Manages an $18M Healthcare Budget

A detailed look at how we allocate donor funds across Project Sanjeevani and Project Vidya to maximize impact in Nepal

85 Cents of Every Dollar: How Nivaran Foundation Manages an $18M Healthcare Budget

Managing $18 million in donor funds across 52 districts requires discipline, transparency, and a relentless focus on outcomes. Here is how we do it.

The Nivaran Foundation manages substantial resources on behalf of our donors. Phase I of Project Sanjeevani alone carries an $18 million budget to deliver 304 health camps across five provinces in Nepal. With that scale comes an obligation to account for every dollar with precision and integrity.

How We Allocate Funds

Our fund allocation model is designed to keep the maximum possible share of every donation working directly for communities in Nepal:

  • 85% goes directly to programs. This funds our two core initiatives: Project Sanjeevani (healthcare) and Project Vidya (education). It covers medical team deployment, pharmaceutical supplies, diagnostic equipment, teacher training programs, scholarships, and school infrastructure improvements.

  • 10% covers administration. This includes coordination between our Boston, Massachusetts office and our Kathmandu operations center, financial reporting systems, compliance, and staff.

  • 5% supports fundraising. A lean investment in donor outreach and communications that sustains the pipeline of resources our programs depend on.

We benchmark ourselves against industry standards. The Better Business Bureau recommends nonprofits allocate at least 65% to programs. We consistently deliver 85%.

What the Budget Actually Funds

Behind the percentages are real costs that translate directly into patient care and educational outcomes:

  • 24 technical medical teams comprising general practitioners, eye specialists, dentists, and ENT specialists deployed across 52 districts.

  • Diagnostic equipment and supplies including lab testing kits, portable X-ray and ultrasound machines, dental instruments, and ophthalmic tools.

  • Camp logistics covering transportation, site setup, patient registration systems, and community outreach in remote municipalities.

  • Education infrastructure through Project Vidya, funding teacher training for technology-integrated classrooms, student scholarships, and school facility upgrades.

Financial Oversight and Reporting

We maintain rigorous financial controls at every level:

  • Annual Financial Reports: Comprehensive revenue and expenditure statements published each fiscal year and available to any donor upon request.

  • Independent Audits: Third-party financial reviews ensure our reported figures are accurate and our practices meet regulatory standards.

  • IRS Compliance: As a 501(c)(3) organization (EIN: 41-2656587), we file annual returns with the IRS and maintain full compliance with federal nonprofit regulations.

  • Program-Level Tracking: Each health camp generates itemized expense reports tied to patient outcomes, allowing us to calculate cost-per-patient and cost-per-service metrics.

Sustainable Funding for Long-Term Programs

Project Sanjeevani is a multi-phase initiative spanning over a decade. Phase I (2025-2027) focuses on health camps. Future phases will establish permanent health centers and district hospitals. This long-term vision requires sustainable funding, which is why we diversify our revenue across individual donors, institutional grants, and community fundraising.

We do not over-rely on any single funding source. This protects program continuity and ensures that the communities we serve are not left without care if any one revenue stream fluctuates.

Your Right to Ask Questions

We welcome financial inquiries from current and prospective donors. If you want to understand how a specific donation was used, request a copy of our annual report, or discuss our budget in detail, our team is available at partnerships@nivaranfoundation.org.

Financial responsibility is not a marketing message for us. It is a commitment to the 61,200 patients we aim to serve and the donors who make that possible. Support our mission with confidence that your contribution is managed with care.

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Distance is the disease. Your support helps us bring healthcare and education to communities where access still depends on geography.

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Nivaran Foundation News Desk

Nivaran Foundation runs mobile health and education programs in Nepal's rural regions, where the nearest doctor or classroom can be hours away.

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