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HEALTH ALLIANCE INTERNATIONAL: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEALTH ALLIANCE INTERNATIONAL (EIN 94-3047981)
Tax period
2022-01-01 to 2022-04-30
Filed
2022-05-02
IRS object ID
202201229349200440
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-02T13:46:33-07:00ReturnTs
Tax Period End2022-04-30TaxPeriodEndDt
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN943047981EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH ALLIANCE INTERNATIONALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone2065438486PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13980 15th Ave NE UW Box 351620AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98195ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTara KrumenackerPersonNm
Person TitleDirector of FinancePersonTitleTxt
Phone4257742293PhoneNum
Signature2022-05-01SignatureDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer1TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Last Submission Rqr OOB1LastSubmissionRqrOOBCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website Addresshealthallianceinternational.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$24,819GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$24,664ContributionsGiftsGrantsEtcAmt
Program Service Revenue$0ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$155InvestmentIncomeAmt
Sale Of Assets Gross$0SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Gaming Gross Income$0GamingGrossIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Other Revenue Total$0OtherRevenueTotalAmt
Total Revenue$24,819TotalRevenueAmt
Grants And Similar Amounts Paid$24,368GrantsAndSimilarAmountsPaidAmt
Benefits Paid To Or For Members$0BenefitsPaidToOrForMembersAmt
Salaries Other Comp Empl Bnft$264,342SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$78,637FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$1,386OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$684PrintingPublicationsPostageAmt
Other Expenses Total$25,266OtherExpensesTotalAmt
Total Expenses$394,683TotalExpensesAmt
Excess Or Deficit For Year-$369,864ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$369,864OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$1,214,757BOYAmt
EOY$0EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$189,260BOYAmt
EOY$0EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,404,017BOYAmt
EOY$0EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,404,017BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeHAI promotes policies and implements programs that strengthen government primary health care and foster social, economic, and health equity for all. HAI envisions a just world that promotes health and well-being, including universal access to quality health care.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc Accom2022 Program activities were limited to wrapping up foreign obligations from 4th quarter 2021.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$23,633ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$23,633TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (14 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Tracy Woodman
Deputy Director40$77,875$7,682$0
James Pfeiffer
Executive Director0.5$2,083$0$0
Anne Evens
Board President0.5$0$0$0
Allan Paulson
Board Vice President0.5$0$0$0
Marlow Kee
Treasurer0.5$0$0$0
Mohamed Ali
Secretary0.5$0$0$0
Asqual Getaneh
Board Member0.5$0$0$0
Terri Kitto
Board Member0.5$0$0$0
Liz Mogford
Board Member0.5$0$0$0
Bryan Murphy-Eustis
Board Member0.5$0$0$0
Jo Anne Myers-Ciecko
Board Member0.5$0$0$0
Risho Sapano
Board Member0.5$0$0$0
Kate Thorson
Board Member0.5$0$0$0
Julie West
Board Member0.5$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved EtcYes (1)OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Form1120 Pol Filed0Form1120PolFiledInd
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJames Pfeiffer Executive DirectorPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13980 15th Ave NEAddressLine1Txt
Address Line2UW Box 351620AddressLine2Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98195ZIPCd
FieldValueIRS element (for citing)
Phone2065438486PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign Financial Account CntryIVForeignFinancialAccountCntryCd
Foreign Financial Account CntryMZForeignFinancialAccountCntryCd
Foreign Financial Account CntryTTForeignFinancialAccountCntryCd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1University of WashingtonBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 NE Campus ParkwayAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98195ZIPCd
FieldValueIRS element (for citing)
Service TypePayroll and TechnologyServiceTypeTxt
Compensation$181,344CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,535,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,236,464CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,698,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,455,993CurrentTaxYearMinus1YearAmt
Current Tax Year$24,664CurrentTaxYearAmt
Total$50,950,737TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,535,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,236,464CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,698,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,455,993CurrentTaxYearMinus1YearAmt
Current Tax Year$24,664CurrentTaxYearAmt
Total$50,950,737TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$50,950,737PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,315CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,810CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,800CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,966CurrentTaxYearMinus1YearAmt
Current Tax Year$155CurrentTaxYearAmt
Total$33,046TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,982CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,305CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,577CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$27,803TotalAmt
FieldValueIRS element (for citing)
Total Support$51,011,586TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99881PublicSupportCY170Pct
Public Support PY1700.8624PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part II, Line 1Due to the timing of this return, and as allowed by IRS guidance, the 2021 form was used because the 2022 IRS form 990 is not yet published. Because of this, Columns 2017 through 2021 are actually data from 2018 through 2022. Section C Line 14 represents the 2022 percentage and Section C Line 15 represents the 2021 percentage.
Schedule A, Part II, Line 10None

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCash ContributionAssetsDistriOrExpnssPaidDesc
Distribution2022-04-22DistributionDt
Fair Market Value Of Asset$24,368FairMarketValueOfAssetAmt
Method Of FMV DeterminationActual cash USDMethodOfFMVDeterminationTxt

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Comite para a Saude de Mozambique (CSM)BusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1Praceta Caetano Viegas No 67AddressLine1Txt
CityMaputoCityNm
CountryMZCountryCd
FieldValueIRS element (for citing)
IRC SectionForeign NGOIRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor0DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule N, Part I, Line 1Remaining cash at the completion of the dissolution was distributed as approved in the disposition plan approved by the Board of Directors and the Attorney General's office of the State of Washington. All fixed assets were disposed in 2021 and reported on Schedule N on 2021 990. HAI did not incur related transaction expenses in excess of $10,000 for 2022. Accountant fees were paid to Clark Nuber PS, for the final 2021 audits (conducted in 2022) but these costs are considered normal operating costs of compliance and not related to the dissolution of the organization.
Schedule N, Part I, Line 2Currently, no officer, director or key employee of HAI has plans to contract with the transferee organizations. Some staff have expressed an interest in providing additional transition support on a voluntary basis or may contract for a short-term engagement with the transferee organizations to assist if new grants are awarded and the organization desires their assistance. There is no obligation for the transferee organizations to engage former HAI employees and any contract would be subject to the usual procurement selection and engagement practices.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990-EZ, Header, Line GAs a result of the HAI Board of Director's vote on November 15, 2021 to dissolve the organization, HAI changed its basis of accounting from the going concern basis to the liquidation basis of accounting in 2021.
Form 990-EZ, Part I, Line 10Contribution detail included on Schedule N
Form 990-EZ, Part I, Line 16Other Expenses include phone, internet, computer services, vehicle fuel/maintenance, bank fees, regulatory IRB fees, miscellaneous expenses, write-offs, and foreign exchange losses.
Form 990-EZ, Part I, Line 20Reversal of 2021 liability accrual for liquidation expenses anticipated for 2022.
Form 990-EZ, Part IVRegular payroll for HAI headquarters staff is hosted through the University of Washington for employee benefit purposes. HAI pays UW a flat benefit rate based on UW provisional NICRA rate, so individual compensation for health and pension benefits is estimated.
Form 990-EZ, Part V, Line 36On November 15, 2021, the Board of Directors voted to dissolve Health Alliance International (HAI) in recognition and support of the international movement towards locally managed NGOs directly receiving donor funding. Prior to this decision, HAI successfully negotiated with current donors to transfer all existing grants to new, local organizations HAI has been helping to establish in Mozambique and Timor. These organizations, Comite para a Saude do Mozambique (CSM) and Associacao Humutuk Nasaun Saudavel (HAMNASA), run by local employees, will continue to implement projects to support sustainable public health systems as a legacy of HAI's mission, vision and values. The majority of grants transitioned at the end of September 2021 and all operations of HAI were completed in January 2022. The final steps of organizational wrap up and dissolution were completed in 2022.
Form 990-EZ, Part V, Line 42bMost foreign bank accounts were closed in 2021 and the remaining accounts were closed in 2022.
Form 990-EZ, Part V, Line 42cAll foreign offices of HAI were closed in 2021.
Form 990-EZ, Part VI, Line 50Because the organization dissolved mid-year, no employees exceeded the reportable threshold in 2022.