HISTORY

Did you used to be named Nyaya Health?

Yes. We officially changed our name publicly on March 18th, 2014 from Nyaya Health to Possible.

If you receive a donation receipt or official communications from us, it may say “Nyaya Health, doing business as Possible.” This does not impact our tax-exempt status, and all donations are still tax deductible.

Why did you change your name?

Our re-naming was about way more than a look, feel, and colors.

Instead, our team felt we had a shrinking window of opportunity to better communicate why we exist, how our healthcare model works, and use our first five years of execution and learning to define a bolder vision matched to the challenges the poor face in the current state of healthcare around the world. See our Manifesto to learn more.

Secondarily, from a practical perspective, our name was hard to spell, hard to pronounce, and hence hard to share. This reality was actually becoming more restrictive to our growth and effectiveness over time, not less. As a result, it wasn’t serving our patients as much as another name could.

Why was the organization founded?

In 2006, Yale medical student Jason Andrews and his Nepali wife Roshani Andrews traveled to rural Nepal on their honeymoon to document the lives behind the HIV crisis they had been told of. Instead, they found multiple crises in a region where 260,000 people lived without a clinician and infrastructure had been destroyed by a 10-year civil war.

In March 2006, Jason emailed his close friends at Yale Medical School, Duncan Maru and Sanjay Basu, saying he felt “wholly compelled but completely adrift” by the devastation he had seen, and a conversation about starting the organization began.

The group then met with Bibhav Acharya, an incoming medical student at Yale, and his brother Bijay Acharya, a medical student in Nepal. Together, they co-founded Nyaya Health—which is now named Possible.

When did you actually start delivering healthcare?

In 2008, our co-founders and a growing global team of leaders—from Nepal, India, and the U.S.—started delivering healthcare by transforming a grain shed into a clinic operated by Nepali clinicians with support from the Nepali government and a small sum of funding from friends and family.

TEAM CULTURE

You speak a lot about team culture. Why?

We believe great teams bring the same entrepreneurial energy to improving their culture as they do to improving their product.

Or as those at HubSpot say, “The interest rate on culture debt is high—much higher than financial debt or technology debt.”

Where can I find your For-Impact Culture Code?

You can view and share it here.

What exactly does it mean to be For-Impact?

To be clear, we are a registered 501c3 nonprofit. But we believe strongly that “nonprofit” is only a legal structure, not a way of doing things. And we don’t believe we should define ourselves in the negative by what we do not deliver.

Instead, we exist to create impact. We approach our work and growth with the same tenacity of any ambitious private sector business, but we maximize impact instead of profit. The nonprofit legal structure is the most strategic structure to solve for our patients’ needs.

DONATIONS

Is Possible a 501c3 organization?

Yes. Possible is a registered 501(c)3 organization, and your donation is tax-deductible. Our EIN is 20-3055055. You can invest in our work here.

Because we changed our name from Nyaya Health on March 18th, 2014, your donation receipt may say “Nyaya Health, doing business as Possible.”

Can I donate stock?

Yes. And the IRS provides one of its most significant tax breaks for donations of appreciated securities. To make a gift of stock, please send us an email at donations@possiblehealth.org, and we will personally assist you.

What types of donations are most useful?

For large donations, sending a check or wire transfer is preferred because there are no fees associated with checks and only a small fee associated with wire transfers. Send checks to Possible, 30 Broad Street, 9th Fl. New York, NY 10004.

The most useful online donation is a monthly recurring, unrestricted donation. They are easy to set up on our Donate page, and we are happy to help you set one up if needed. Just send us an email at donations@possiblehealth.org

Do you need donated medical supplies?

Donating medical supplies is often difficult because we work in such a remote part of Nepal, and the supply chain is most efficient when items are purchased within Nepal. But we do occasionally have needs for high-functioning, specialized equipment that would otherwise be a very large capital investment for us. If you have a proposal, please email us at donations@possiblehealth.org

 I have other questions about donating that aren’t answered here. Who can I contact?

We are happy to answer any donation questions you may have. Please send us an email at donations@possiblehealth.org

HEALTHCARE MODEL

Do you charge patients for care?

No. Data from around the world makes it clear that charging for healthcare via a fee for service model actually leads to bad outcomes for patients living in the level of poverty we work with.

Additionally, we work in a public-private partnership with the Nepali government, and free care is guaranteed as part of the Nepali constitution for patients living in poverty. So even if we thought it was a good decision for our patients to charge directly for their care, it would be illegal.

In spite of the poverty our patients live in, they voluntarily support our work through multiple means including donating land, buildings, time, and labor to support construction, and by voting to move local government funding to support additional healthcare facilities and staff.

Is your revenue model sustainable?

Many people mean many different things when using the word “sustainable.” We prefer the word “durable” instead, and we work to ensure we don’t become too reliant on any single revenue source.

We don’t have a simple revenue model where charging patients directly for service covers our costs. That is not a viable business model for a healthcare company delivering healthcare to the poor, and it’s not done that way anywhere in the world.

We, instead, are building a durable and diverse set of revenue sources. We have a growing performance-based contract with government investment at the core, supported by local community investment, individual and institutional philanthropy, crowdfunding, and research funding. Future revenue opportunities include teaching fees and health insurance.

How do you partner with Nepal’s government?

Our partnership with the Nepali government is expansive, and is based upon a contractual agreement. The idea behind durable healthcare is that a nonprofit healthcare company delivers care within the government’s infrastructure and receives funding from the government only if they deliver results. Thus, in our partnership, the Nepali government acts as a funder and regulator, and we deliver healthcare within their infrastructure.

The Nepali government currently provides land, buildings, trainings,  over 50% of our pharmaceuticals, and 90% of our community health worker network. This dramatically decreases cost and provides a platform for replication via government systems that are shared across the country. Additionally, our contract with the government is performance-based, meaning the government has committed to increase their investment as we grow and achieve better health outcomes.

How do you plan to grow?

We will replicate our hub and spoke healthcare model in other districts of Nepal. Learn more about at the Our Model page. After the earthquakes struck in April of 2015, we immediately expanded our healthcare model to Dolakha District.

What role are you playing in Nepal since the earthquakes struck in April 2015?

We are expanding our work in one of the worst-hit districts, Dolakha, where 87% of its healthcare facilities were damaged or destroyed. We signed a 10 year agreement with our government partners in Nepal to rebuild the healthcare system, which includes management of a hospital hub and the immediate reconstruction of 21 clinics. You can learn more about our rebuilding work here.

Will you expand beyond Nepal?

Our plan for the next 3-5 years is to focus intensely on scaling-up our work within Nepal. A principle of our For-Impact Culture Code is to “Think Big.” But we believe that should be balanced by focused execution. Spreading resources thin to appear big is common in impact work, but it’s dishonest and leads to low-quality impact.

Our healthcare model is relevant beyond Nepal, and we will serve markets beyond Nepal when it’s the most strategic use of our resources.

How do you measure impact?

We think it’s important to optimize for both quality and cost in measuring impact in healthcare, as described on Our Impact page.

Additionally, a core principle of our For-Impact Culture Code is to “be transparent until it hurts.” We feel we should hold ourselves to at least as high of a standard as a publicly traded company. So in the same way public companies produce quarterly earnings reports, we produce Quarterly Impact Reports, which contain detailed information on our successes and failures, along with line-by-line details on impact data and expenses.

TEAM

I am interested in working for Possible. Where can I learn more about your openings?

All of our jobs are listed on our Work With Us page, where we have openings for positions in both the U.S. (primarily New York City) and Nepal. If you don’t see a fit but still want to send us your resume, email us at talent@possiblehealth.org.

I am interested in volunteering in Nepal. Do you have any opportunities?

We are not offering any volunteer positions at this time. It’s important for us to focus all our resources on our local and full-time team members. Occasionally, we may open recruitment for an unpaid position, and it will be posted on our Work With Us page.

MEDIA + SPEAKING

I’d like to write an article about Possible or one of its team members. Who should I contact?

Thank you! Please send a quick bit of background to media@possiblehealth.org, and we will respond as quickly as we can.

How can we connect with you on social media?

You can find all the ways to connect with us our Contact Us page. Additionally, many team members keep a public profile on LinkedIn or Twitter. That’s listed as part of their bios on the Our Team page.

We need a version of Possible’s logo. Where can find that?

You can download multiple vector and non-vector versions of our logo from our organizational Dropbox here.

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