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        <EmployeeCnt>129</EmployeeCnt>
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        <ExplanationTxt>All sub-recipient organizations undergo a pre-award survey by HAI staff. This survey identifies financial and programmatic strengths and weaknesses of the organization. If the organization meets the requirements of the survey, a sub-agreement is awarded. All sub-recipients are also approved by our donors. HAI field staff monitor compliance of program activities and financial requirements agreed to in the sub-agreement. HAI staff performs on-site monitoring of subrecipients during the life of the sub-award. A final evaluation is completed to review performance under the sub-agreement annually.</ExplanationTxt>
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        <ExplanationTxt>The HAI board of directors voted to dissolve the organization on November 15, 2021. The Washington State Attorney General approved the plan of disposition on December 22, 2021. The liquidation of the organization will not be completed until 2022. HAI disposed all of the fixed assets on the balance sheet as of 12/31/2021. Only those assets controlled by HAI and disposed of as part of the liquidation plan are included in Schedule N. The majority of the fixed assets were purchased with grant funds and subject to award terms directing the disposal of assets to be determined and/or approved by the grantor at the end of the grant term. HAI considers these assets to be disposed in the ordinary course of the organizations exempt activities and not part of the organization's liquidation since these are standard grants terms. The total undepreciated book value of all assets at the time of disposition was $222,877. Of that total, grantor controlled assets were $146,276. $77,237 was disposed at the direction of the Centers for Disease Control, $61,465 was disposed of at the direction of the University of Washington for various pass-thru grants from the National Institute of Health and $7,574 was disposed at the direction of ABT Associates. The distribution of assets to CSM and HAMNASA was included in the disposition plan approved by the Washington State Attorney General and the HAI board of directors. Additional assets of insignificant value were disposed through public auction, sale or destruction due to obsolescence following HAI's disposal policy. HAI did not incur related transaction expenses over $10,000 in 2021.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>On 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 de Mozambique (CSM) and Associacao Hamutuk 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. Management anticipates the dissolution of HAI will be materially complete by April 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2021, Health Alliance International completed its project supported by Global-to-Local to expand upon current notions of "glocal" by developing and disseminating a case study from the collaborative work of Health Alliance International, The University of Washington Department of Anthropology, and The Somali Health Board's Mama AMAAN project -- an innovative perinatal care program run by and serving the Somali Community in South Seattle/King Country, WA. Also in 2021, HAI received funding from the Vatheuer Family Foundation to support HAI's organizational transformation to fund new local NGOs in the countries where HAI formerly worked. These local NGOs now employ all of HAI's former staff in country and are led and governed by the communities they serve. They are headed by HAI's former country directors in each location. HAI is grateful to its former funders for their universal support of this local-NGO transition. HAI is now in the process of formal voluntary corporate dissolution which will be completed by end of April 2022.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>The payroll for HAI headquarters staff is hosted through the University of Washington for employee benefit purposes. The University of Washington is responsible for the majority of the W-3 filing. HAI does limited payroll outside of the services provided by the UW and filed Form W-3 for one employee for the calendar year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Director of Finance prepares the 990 form. The 990 form is then reviewed and approved by the Finance Committee members of the Board of Directors. Prior to filing, the report is distributed to all the members of the HAI Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>A COI policy covering all HAI staff and Board members requires disclosure of any conflicts of interest (real or perceived) to the HAI Board of Directors Executive Committee for evaluation and appropriate resolution. An annual conflict of interest questionnaire must be completed by all board members, all Directors and finance staff at HAI's headquarters office, and by each HAI Country Director. HAI management and HR annually reinforces the COI policy and collects updated COI questionnaires. Depending upon the type and extent of the conflict of interest, a Board Member may be asked to abstain from voting on certain activities or an employee will not be able to participate in certain grant activities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The payroll for HAI headquarters staff is hosted through the University of Washington for employee benefit purposes. HAI relies on annual market surveys to determine an appropriate range of compensation. Our current procedure is to propose salary based on our analysis of market surveys and submit that information to the University of Washington compensation department for their review and approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The audited financial statements, governing documents, and conflict of interest policy for HAI are available to the public upon request. HAI will transmit these documents either electronically, or by hard copy to the address provided by the interested party.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24a - 24d</FormAndLineReferenceDesc>
        <ExplanationTxt>Transition Contributions are unique to the grant transfer activities to Comite para a Saude de Mozambique (CSM) and Associacao Hamutuk Nasaun Saudavel (HAMNASA). These contributions are specifically to facilitate the transfer of grants from HAI in coordination with donors. This includes $134,299 for a Fixed Amount Award where milestones invoiced exceeded costs incurred by HAI. Those excess funds were transferred to HAMNASA to cover the remaining costs to complete the scope of work under the new grant to HAMNASA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Net assets in liquidation will be used to satisfy outstanding liabilities of HAI as of December 31, 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>As 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. As a practical expedient, HAI elected to adopt the liquidation basis at the end of the quarter, December 31, 2021. It has been determined that this later adoption date does not result in any material impact to the financial information being presented.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>