American Leprosy Missions

The information on this page was last updated 2/23/2024. If you see errors or omissions, please email: [email protected]


American Leprosy Missions is the oldest and largest Christian organization in the United States dedicated to CURING and CARING for people affected by leprosy and related diseases.

Since 1906, American Leprosy Missions has provided holistic care to more than FOUR MILLION of the world's most neglected people including medical treatment and training, disease mapping and management, community development and pioneering research.

Contact information

Mailing address:
American Leprosy Missions
One Alm Way
Greenville, SC 29601


Phone: 800-543-3135

Email: [email protected]

Organization details

EIN: 135562163

CEO/President: Bill Simmons

Chairman: Alan Terwilliger

Board size: 9


Ruling year: 1955

Tax deductible: Yes

Fiscal year end: 06/30

Member of ECFA: Yes

Member of ECFA since: 1981


More than one billion men, women and children are affected by neglected tropical diseases (NTDs), including leprosy and Buruli ulcer. These diseases affect the poorest and most neglected people and can lead to profound pain and suffering, lifelong disabilities, increased poverty, stigma and isolation.

For more than 100 years, the organization has acted as a channel of Christ's love, helping people suffering from these terrible diseases be healed and restored to lives of dignity and hope.

Today, American Leprosy Missions continues to lead a global fight against NTDs, working to cure and care for those affected, and actually end these devastating diseases in our time.

Mission statement

American Leprosy Missions exists to serve as a channel of Christ's love to persons affected by leprosy and related diseases, helping them to be healed in body and spirit and restored to lives of dignity and hope.

Statement of faith

Donor confidence score

Show donor confidence score details

Transparency grade


To understand our transparency grade, click here.

Financial efficiency ratings

Sector: Relief and Development

CategoryRatingOverall rankSector rank
Overall efficiency rating1096 of 110285 of 86
Fund acquisition rating1083 of 110385 of 86
Resource allocation rating1051 of 110382 of 86
Asset utilization rating939 of 110272 of 86

Financial ratios

Funding ratiosSector median20222021202020192018
Return on fundraising efforts Return on fundraising efforts =
Fundraising expense /
Total contributions
Fundraising cost ratio Fundraising cost ratio =
Fundraising expense /
Total revenue
Contributions reliance Contributions reliance =
Total contributions /
Total revenue
Fundraising expense ratio Fundraising expense ratio =
Fundraising expense /
Total expenses
Other revenue reliance Other revenue reliance =
Total other revenue /
Total revenue
Operating ratiosSector median20222021202020192018
Program expense ratio Program expense ratio =
Program services /
Total expenses
Spending ratio Spending ratio =
Total expenses /
Total revenue
Program output ratio Program output ratio =
Program services /
Total revenue
Savings ratio Savings ratio =
Surplus (deficit) /
Total revenue
Reserve accumulation rate Reserve accumulation rate =
Surplus (deficit) /
Net assets
General and admin ratio General and admin ratio =
Management and general expense /
Total expenses
Investing ratiosSector median20222021202020192018
Total asset turnover Total asset turnover =
Total expenses /
Total assets
Degree of long-term investment Degree of long-term investment =
Total assets /
Total current assets
Current asset turnover Current asset turnover =
Total expenses /
Total current assets
Liquidity ratiosSector median20222021202020192018
Current ratio Current ratio =
Total current assets /
Total current liabilities
Current liabilities ratio Current liabilities ratio =
Total current liabilities /
Total current assets
Liquid reserve level Liquid reserve level =
(Total current assets -
Total current liabilities) /
(Total expenses / 12)
Solvency ratiosSector median20222021202020192018
Liabilities ratio Liabilities ratio =
Total liabilities /
Total assets
Debt ratio Debt ratio =
Debt /
Total assets
Reserve coverage ratio Reserve coverage ratio =
Net assets /
Total expenses


Balance sheet
Receivables, inventories, prepaids$258,490$249,548$217,859$218,742$227,263
Short-term investments$6,022,089$6,449,012$7,102,516$4,217,103$4,464,600
Other current assets$0$0$0$0$0
Total current assets$7,317,880$7,817,347$8,637,641$10,351,635$10,028,882
Long-term investments$6,536,172$7,665,613$6,008,716$6,151,134$6,085,392
Fixed assets$58,620$69,039$105,675$116,518$122,761
Other long-term assets$21,013$29,298$34,221$5,621$8,284
Total long-term assets$6,615,805$7,763,950$6,148,612$6,273,273$6,216,437
Total assets$13,933,685$15,581,297$14,786,253$16,624,908$16,245,319
Payables and accrued expenses$282,022$309,645$291,661$196,169$162,950
Other current liabilities$148,296$51,720$434,668$167,851$0
Total current liabilities$430,318$361,365$726,329$364,020$162,950
Due to (from) affiliates$0$0$0$0$0
Other long-term liabilities$115,829$117,876$129,205$134,329$142,685
Total long-term liabilities$115,829$117,876$129,205$134,329$142,685
Total liabilities$546,147$479,241$855,534$498,349$305,635
Net assets20222021202020192018
Without donor restrictions$6,001,146$6,516,843$6,605,815$8,713,791$8,647,824
With donor restrictions$7,386,392$8,585,213$7,324,904$7,412,768$7,291,860
Net assets$13,387,538$15,102,056$13,930,719$16,126,559$15,939,684
Revenues and expenses
Total contributions$11,464,728$21,870,469$10,661,623$13,465,316$19,277,069
Program service revenue$0$0$0$0$0
Membership dues$0$0$0$0$0
Investment income$311,022$528,420$249,708$249,907$262,044
Other revenue($61,757)($34,571)($165,468)($149,225)($170,623)
Total other revenue$249,265$493,849$84,240$100,682$91,421
Total revenue$11,713,993$22,364,318$10,745,863$13,565,998$19,368,490
Program services$7,827,602$18,940,313$8,745,315$10,383,401$11,626,455
Management and general$746,052$1,271,495$1,066,377$664,133$544,186
Total expenses$11,380,719$23,262,270$12,923,612$13,527,531$14,487,875
Change in net assets20222021202020192018
Surplus (deficit)$333,274($897,952)($2,177,749)$38,467$4,880,615
Other changes in net assets$0$0$0$0$0
Total change in net assets$333,274($897,952)($2,177,749)$38,467$4,880,615


David W SimmonsPresident/CEO$232,294
Kenneth WilsonExec VP Strategy and Ops$140,918
James OehrigVP of Integral Mission$138,693
Beverly H ElmoreVP of Finance & Treasurer$136,406
Stefanie WeilandExec VP Programs$132,700
Sarah HesshausVP of Bus. Process & Comm.$117,532

Compensation data as of: 6/30/2022

Response from ministry

No response has been provided by this ministry.

The information below was provided to MinistryWatch by the ministry itself. It was last updated 2/23/2024. To update the information below, please email: [email protected]


1906 - Thomas Bailey comes to New York seeking a stronger base of support for the London-based Mission to Lepers in India and the East. At his urging, The Committee for the U.S.A. of the Mission to Lepers in India and the East, the organization that would become American Leprosy Missions, is founded in New York City by a group of seven ministers, mission executives and businessmen. The meeting takes place in the home of William Jay Schieffelin in New York City.

For a timeline, visit:

Program accomplishments

53,628 people screened for NTDs
5,759 health workers trained in NTD prevention and treatment
9,823 NTD cases identified
$2,487,209 worth of critical medicines and medical supplies sent to the Philippines.
$11,479 worth of medication and treatment for NTDs and other conditions
3,309 people affected by NTDs participated in self-care training
131 surgeries for people affected by leprosy
3,410 prostheses and footwear manufactured
10,022 students and teachers in Nepal educated about WASH and NTDs