When too little sugar hurts, we help.

aka CHI   |   Glen Ridge, NJ   |
GuideStar Charity Check


EIN: 20-3068945


CHI is a leading international nonprofit dedicated to improving the lives of children and adults living with congenital hyperinsulinism (HI). CHI is dedicated to improving the lives of babies, children, and adults affected by HI. CHI provides education, information, and support to families of diagnosed children and adults living with the condition. CHI works to promote knowledge and awareness of the disorder as it leads to timely diagnosis and decreases death and brain damage, better care, and better neurological outcomes. CHI supports research and development for a better understanding of the condition, leading to a better quality of life, better treatments and management of the condition, and ultimately, a cure.

Ruling year info


Chief Executive Officer

Julie Raskin

Main address

PO Box 135

Glen Ridge, NJ 07028 USA

Show more contact info



Subject area info

Genetic conditions and birth defects

Population served info

People with diseases and illnesses

NTEE code info

Alliance/Advocacy Organizations (G01)

IRS subsection

501(c)(3) Public Charity

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

Tax forms



Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Congenital Hyperinsulinism (HI) is a rare disease and the most frequent cause of severe, persistent hypoglycemia in newborn babies and children. HI occurs in approximately 1/28,000 births in most countries. About 60% of babies with HI develop hypoglycemia during the first month of life. An additional 30% will be diagnosed later in the first year and the remainder after that. With early treatment and aggressive prevention of hypoglycemia, brain damage can be prevented. However, brain damage can occur in children with HI if their condition is not recognized or if treatment is ineffective in the prevention of hypoglycemia. CHI works to create awareness, provide support, and advance research to improve the lives of those impacted by congenital hyperinsulinism and other rare hypoglycemia disorders globally. Together with our international partners, CHI dares to imagine a cure and a world without brain damage and death due to hypoglycemia.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

HI Global Registry

CHI conducts the HI Global Registry (HIGR) research project. HIGR provides a convenient online platform for the HI patient community to share their experiences of living with HI. By participating in the HI Global Registry, the patient community helps themselves and researchers better understand HI to advance better treatments, a potential cure, and more timely and accurate diagnoses.

Population(s) Served

CHI launched the CHI Centers of Excellence designation application process to recognize
multi-disciplinary clinical and research centers in the field of congenital hyperinsulinism. In 2021, six centers were granted the designation. This program aims to make it easier for patient families to access care at leading hospitals, encourage patient-focused standards at the leading hospitals, foster a pipeline of expert clinicians and researchers, and encourage collaboration among researchers, clinicians, and patient leaders and advocates.

Population(s) Served

CHI launched the Collaborative Research Network to create a prioritized research agenda for the development of faster and more accurate diagnoses, new evidence-based treatments and cures, standardized clinical guidelines, and increased and improved access to treatment, medication, devices, and supplies. This ambitious project includes seven working groups focused on different aspects of the agenda, comprised of 57 leading researchers, clinicians, and patient advocates from 16 countries.

Population(s) Served

CHI is part of the Million Dollar Bike Ride grant program with the University of Pennsylvania's Center for Orphan Diseases; a pilot research grant is offered each year for an innovative, preclinical or clinical study with the potential to lead to a better HI treatment, a cure for HI, or improvement in the quality of life for those affected by HI.

Population(s) Served

CHI increases awareness of HI to improve timely diagnosis among the public and medical personnel who have a direct opportunity to detect it to decrease adverse neurological outcomes and death. To that end, CHI spreads awareness of HI with ongoing campaigns on social media, the CHI website and blog, CHI posters in 25 languages, CHI brochures, through direct mail and email, and at meetings and conferences. CHI provides educational resources and holds conferences and meetings on HI for patients, families, medical professionals, school personnel, and rare disease industry members.

Population(s) Served

CHI hosts two international conferences each year that are open to the entire (HI) community, including patients, families, medical professionals, school personnel, and rare disease industry members. Usually, one is in the United States, and one is in Europe, but they are open to anyone with HI living anywhere in the world.

Population(s) Served

Congenital Hyperinsulinism International has partnered with researchers at the University of Exeter to fund the Open Hyperinsulinism Genes Project, an international genetic testing program. As a part of our joint initiative, CHI covers the costs of genetic testing for individuals who would otherwise be unable to receive genetic screening, regardless of their location in the world. This partnership is helping to ensure that there are no barriers for individuals diagnosed with this condition.

Population(s) Served

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of HI Global Registry participants.

This metric is no longer tracked.
Totals By Year
Related Program

HI Global Registry

Type of Metric

Input - describing resources we use

Direction of Success


Number of research papers published.

This metric is no longer tracked.
Totals By Year
Related Program

Congenital Hyperinsulinism Awareness

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success


Number of participants attending course/session/workshop

This metric is no longer tracked.
Totals By Year
Related Program

Congenital Hyperinsulinism Conferences

Type of Metric

Output - describing our activities and reach

Direction of Success


Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

Congenital Hyperinsulinism International's goal are to ensure:
Universal newborn screenings so that no infant dies or suffers preventable neurological damage from congenital hyperinsulinism.

Expanded global access to existing diagnostic tools and treatment.

Convenient and accurate ways to accurately measure blood sugar levels.

Providing support to congenital hyperinsulinism families around the world.

Facilitating a patient-led collaborative research network.

Providing patient-powered research and support for the development of cures and effective treatments that do not have serious side effects for all individuals with congenital hyperinsulinism.

Raising awareness of congenital hyperinsulinism to ensure all relevant medical professionals have the knowledge they need to diagnose and treat their patients with this condition.

The designation of Congenital Hyperinsulinism Centers of Excellence provides HI families with a roadmap for where to get expert multidisciplinary care for their children.

An ever-growing robust patient registry that: tracks the experience of living with congenital hyperinsulinism throughout life from the patient and caregiver perspective; includes evidence of the effects of living with congenital hyperinsulinism and its consequences; includes physician-reported information and medical records to complement the patient-reported information; is linked to a biorepository; is a continually evolving major source of knowledge for researchers around the world.

CHI has:
Built an international HI patient community of over 2,000 people, connecting families across borders, removing barriers, & helping to alleviate devastating isolation.

Consulted on, distributed & encouraged the adoption of the Pediatric Endocrine Society Hypoglycemia Guidelines.

Established an HI Global Registry as a critical research tool serving as a foundation for an HI Natural History Study reported by those who live with the disease.

Produced & managed 31 International Conferences in 9 countries for medical professionals, clinicians, scientists, researchers, drug companies & families, accelerating the pace of shared knowledge & information.

Invested $700,000 & 10 pilot research grants to help better understand the causes & possible treatments & therapies for HI.

Partnered with researchers at the University of Exeter to fund the Open Hyperinsulinism Genes Project, an international genetic testing program that has completed tests for 894 individuals from 61 countries on 5 continents who would otherwise have been unable to receive it.

Designed & implemented the first-ever Centers of Excellence Program for HI that has awarded six medical institutions with this designation for delivering the highest levels of multi-disciplinary care to HI patients & their families, as well as ongoing commitments to research & collaboration.

Formed a Collaborative Research Network (CRN) to fill gaps in research & advocacy. It is comprised of patient advocates, family members, physicians, researchers, clinicians, & patient organizations from 18 countries to accelerate research & cures for HI. Since 2020, CRN members have published 194 articles on HI in the areas of genetics, treatment & management, monitoring & technology, screening & diagnostics, guidelines & education, patient experience & quality of life, & policy & access, including the first International Guidelines for the Diagnosis and Management of Hyperinsulinism. Convening this level of expertise has already resulted in additional collaboration, including an HI nurses working group, and an increased focus in the community for newborn screening and CGM use.

Actively informs the patient community about clinical research opportunities (researchers always need patient participation) without endorsing specific studies and encouraging physician and healthcare provider approval in advance of such participation.

Developed critical partnerships with prominent healthcare and industry leaders in biotechnology and pharmaceuticals to help advance research, studies, and /or clinical trials for new HI treatments.

Identified, aggregated, wrote, and distributed critical content to the community, including peer-reviewed publications, data from its HI Global Registry, and new knowledge from its combined networks.

Produced a Patient/Family Resource Tool Kit on its website to help families cope with daily life while awaiting new therapies and treatments.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We shared information about our current feedback practices.
  • How is your organization using feedback from the people you serve?

    To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To understand people's needs and how we can help them achieve their goals

  • Which of the following feedback practices does your organization routinely carry out?

    We collect feedback from the people we serve at least annually, We take steps to ensure people feel comfortable being honest with us, We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive, We share the feedback we received with the people we serve

  • What challenges does the organization face when collecting feedback?


Fiscal year: Jan 01 - Dec 31

Revenue vs. expenses:  breakdown

SOURCE: IRS Form 990 info
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.

Liquidity in 2022 info

SOURCE: IRS Form 990


Average of 719.34 over 10 years

Months of cash in 2022 info

SOURCE: IRS Form 990


Average of 22.1 over 10 years

Fringe rate in 2022 info

SOURCE: IRS Form 990


Average of 8% over 10 years

Funding sources info

Source: IRS Form 990

Assets & liabilities info

Source: IRS Form 990

Financial data

SOURCE: IRS Form 990


Revenue & expenses

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

Fiscal year ending: cloud_download Download Data


Balance sheet

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

The balance sheet gives a snapshot of the financial health of an organization at a particular point in time. An organization's total assets should generally exceed its total liabilities, or it cannot survive long, but the types of assets and liabilities must also be considered. For instance, an organization's current assets (cash, receivables, securities, etc.) should be sufficient to cover its current liabilities (payables, deferred revenue, current year loan, and note payments). Otherwise, the organization may face solvency problems. On the other hand, an organization whose cash and equivalents greatly exceed its current liabilities might not be putting its money to best use.

Fiscal year ending: cloud_download Download Data


Financial trends analysis Glossary & formula definitions

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

This snapshot of CONGENITAL HYPERINSULINISM INTERNATIONAL’s financial trends applies Nonprofit Finance Fund® analysis to data hosted by GuideStar. While it highlights the data that matter most, remember that context is key – numbers only tell part of any story.

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Business model indicators

Profitability info 2018 2019 2020 2021 2022
Unrestricted surplus (deficit) before depreciation -$25,083 $137 $257,983 $349,016 $428,570
As % of expenses -6.6% 0.0% 55.6% 64.6% 51.4%
Unrestricted surplus (deficit) after depreciation -$26,472 -$3,196 $254,649 $347,072 $428,570
As % of expenses -6.9% -0.6% 54.4% 64.1% 51.4%
Revenue composition info
Total revenue (unrestricted & restricted) $355,579 $466,689 $707,807 $888,439 $1,262,625
Total revenue, % change over prior year -24.6% 31.2% 51.7% 25.5% 42.1%
Program services revenue 31.1% 48.0% 34.8% 40.5% 64.4%
Membership dues 0.0% 0.0% 0.0% 0.0% 0.0%
Investment income 0.0% 0.0% 0.0% 0.0% 0.0%
Government grants 0.0% 0.0% 0.0% 4.0% 0.0%
All other grants and contributions 68.6% 51.9% 65.2% 55.5% 35.5%
Other revenue 0.3% 0.1% 0.0% 0.0% 0.2%
Expense composition info
Total expenses before depreciation $380,662 $491,168 $464,363 $539,884 $834,055
Total expenses, % change over prior year 35.8% 29.0% -5.5% 16.3% 54.5%
Personnel 47.0% 38.7% 48.4% 63.6% 47.5%
Professional fees 4.2% 3.3% 11.5% 3.6% 8.1%
Occupancy 1.4% 1.5% 1.6% 1.4% 0.6%
Interest 0.0% 0.0% 0.0% 0.0% 0.0%
Pass-through 19.8% 27.9% 20.2% 16.2% 10.5%
All other expenses 27.5% 28.5% 18.2% 15.3% 33.4%
Full cost components (estimated) info 2018 2019 2020 2021 2022
Total expenses (after depreciation) $382,051 $494,501 $467,697 $541,828 $834,055
One month of savings $31,722 $40,931 $38,697 $44,990 $69,505
Debt principal payment $0 $0 $0 $0 $0
Fixed asset additions $0 $0 $0 $0 $0
Total full costs (estimated) $413,773 $535,432 $506,394 $586,818 $903,560

Capital structure indicators

Liquidity info 2018 2019 2020 2021 2022
Months of cash 17.6 13.8 27.4 24.3 21.7
Months of cash and investments 17.6 13.8 27.4 24.3 21.7
Months of estimated liquid unrestricted net assets 16.9 13.0 20.3 25.2 22.5
Balance sheet composition info 2018 2019 2020 2021 2022
Cash $559,833 $563,598 $1,060,523 $1,093,945 $1,510,108
Investments $0 $0 $0 $0 $0
Receivables $50,000 $21,487 $21,865 $79,802 $116,060
Gross land, buildings, equipment (LBE) $0 $0 $0 $0 $0
Accumulated depreciation (as a % of LBE) 0.0% 0.0% 0.0% 0.0% 0.0%
Liabilities (as a % of assets) 1.3% 1.8% 25.1% 0.7% 2.8%
Unrestricted net assets $535,594 $532,398 $787,047 $1,134,119 $1,562,689
Temporarily restricted net assets $74,616 N/A N/A N/A N/A
Permanently restricted net assets $0 N/A N/A N/A N/A
Total restricted net assets $74,616 $50,000 $35,461 $35,000 $35,000
Total net assets $610,210 $582,398 $822,508 $1,169,119 $1,597,689

Key data checks

Key data checks info 2018 2019 2020 2021 2022
Material data errors No No No No No


The people, governance practices, and partners that make the organization tick.

Letter of Determination is not available for this organization
Form 1023/1024 is not available for this organization

Chief Executive Officer

Julie Raskin

Number of employees

Source: IRS Form 990


Officers, directors, trustees, and key employees

SOURCE: IRS Form 990

Show data for fiscal year
Compensation data
Download up to 5 most recent years of officer and director compensation data for this organization

There are no highest paid employees recorded for this organization.


Board of directors
as of 02/15/2024
SOURCE: Self-reported by organization
Board of directors data
Download the most recent year of board of directors data for this organization
Board chair

Laura Sullivan

no affilitation

Term: 2024 - 2026

Julie Sheldon

Mason Smith

Erin Greaves

Pam Williams

Sheila Bose

Trudy Ward

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes

Organizational demographics

SOURCE: Self-reported; last updated 2/13/2024

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.


The organization's leader identifies as:

Race & ethnicity
Gender identity

Race & ethnicity

Gender identity

Transgender Identity

Sexual orientation


No data