2025 Annual Summary

A word from the CEO.

In a small clinic far from the centers of power, a nurse begins another long day. For decades, she has cared for people at their most vulnerable— welcoming new life, comforting the dying, standing steady through epidemics, disasters, and uncertainty. The tools around her may change, borders may shift, and technologies may advance, but her commitment remains constant: to serve, to heal, and to show up when it matters most.

Health workers like her are the backbone of global health systems. They have devoted a lifetime to caring for others. They deserve systems that care for them in return—systems that recognize their skills, validate their expertise, and help ensure they are prepared for the future, no matter where they choose to live or serve.

The world is changing rapidly. While that statement could be made in any year, 2025 has been extraordinary in both pace and scale. Geopolitical realignments, constrained international cooperation, rapid digital transformation, and shifting population demographics are reshaping how societies function and how care is delivered. Even as investment in health and human welfare faces pressure in many regions, the needs of the world’s eight billion people have not diminished.

The answers to these challenges lie with the global healthcare workforce. Nurses and allied health professionals remain essential to improving health and well-being worldwide, yet they continue to need clear pathways for education, mobility, employment, and advancement. Health systems, in turn, must build workforces that are resilient, adaptable, and future‑ready.

Against this backdrop, CGFNS International entered 2025 with a singular goal: Transform who we are so we could better serve the evolving needs of the global healthcare community, while building coalitions to help address these shared challenges together. That transformation was rooted in listening, learning, and aligning our strengths with the realities facing health workers and health systems around the world.

In February, we took a significant step forward by introducing our new name, TruMerit, and sharing an expanded mission: to advance global workforce development. Our renewed commitment is simple but powerful—to ensure nurses and other healthcare professionals can validate their knowledge and skills through trusted verification, evaluation, and certification programs, so they can provide quality care wherever they are needed or choose to serve.

To bring this mission to life, we launched new global certifications for nurses and rehabilitative care workers, announced a partnership with the International Council of Nurses to collaborate on global nursing workforce research, and strengthened our presence on the world stage to advocate for practical, collaborative solutions to workforce challenges.

We also took clear positions on critical issues shaping the future of professional mobility and trust—advocating for best practices in English language proficiency standards, education comparability in credentials evaluation, and a strong, fraud‑free posture to protect professional credentials. Alongside this policy leadership, we introduced new tools to better support health workers directly, including a partnership with EnGen to expand access to English‑language upskilling for migrating professionals.

At the same time, we continued to modernize our infrastructure—enabling secure, digital transfer of credentials from issuing authorities worldwide. These investments have led to faster turnaround times, more reliable evaluations, and best‑in‑class customer support, helping health workers navigate complex processes with greater clarity and confidence.

None of this work happens in isolation. Our progress is made possible by the dedication of our Board of Trustees, executive leadership, frontline staff, strategic partners, and a global ecosystem of stakeholders who share a commitment to strengthening the healthcare workforce. As our Board evolves in 2026, I extend my deepest gratitude to our outgoing Trustees for their bold, future‑focused leadership during this period of transformation. They leave TruMerit in strong hands, guided by a new Board Chair and newly elected leaders—experienced healthcare professionals united by a shared commitment to improving care and advancing humanity.

Power may continue to shift across the geopolitical landscape, but the need for solutions—and for organizations willing to lead with courage, integrity, and purpose—remains constant. TruMerit is not daunted by the challenges ahead.

We are grounded in hope.
We are guided by service.

And we are resolute in our commitment to the health workers who have given their lives to caring for others—today, tomorrow, and for generations to come.

Peter Preziosi, PhD, RN, CAE, FAAN
President and Chief Executive Officer
TruMerit