MANAGEMENT SCIENCES FOR HEALTH INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MANAGEMENT SCIENCES FOR HEALTH INC (EIN 04-2482188)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-06
IRS object ID: 202601269349302175
Schema version: 2024v5.5
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-06T14:12:01-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	991856619	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON ADVISORS LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	53 STATE STREET SUITE 1600	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02109	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042482188	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MANAGEMENT SCIENCES FOR HEALTH INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MANA	BusinessNameControlTxt
Phone	6172509500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 RIVERS EDGE DRIVE	AddressLine1Txt
City	MEDFORD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02155	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DIANNA O'SULLIVAN	PersonNm
Person Title	CONTROLLER & CFO	PersonTitleTxt
Phone	6172509500	PhoneNum
Signature	2026-05-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERIN COUTURE	PreparerPersonNm
PTIN	P01390592	PTIN
Phone	6177237900	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	MARIAN WENTWORTH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 RIVERS EDGE DRIVE	AddressLine1Txt
City	MEDFORD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02155	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$147,545,825	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MSH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	(MSH) SAVES LIVES AND IMPROVES THE HEALTH OF THE WORLD'S POOREST (SEE SCHEDULE O) AND MOST VULNERABLE PEOPLE BY CLOSING THE GAP BETWEEN KNOWLEDGE AND ACTION IN PUBLIC HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	283	TotalEmployeeCnt
Total Volunteers	11	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$166,834,600	PYContributionsGrantsAmt
CY Contributions Grants	$128,019,613	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$899,345	PYInvestmentIncomeAmt
CY Investment Income	$3,607,166	CYInvestmentIncomeAmt
PY Other Revenue	$1,109,301	PYOtherRevenueAmt
CY Other Revenue	$142,780	CYOtherRevenueAmt
PY Total Revenue	$168,843,246	PYTotalRevenueAmt
CY Total Revenue	$131,769,559	CYTotalRevenueAmt
PY Grants And Similar Paid	$30,266,704	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,969,448	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$85,496,631	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$71,223,980	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$8,374	CYTotalFundraisingExpenseAmt
PY Other Expenses	$51,148,856	PYOtherExpensesAmt
CY Other Expenses	$36,554,105	CYOtherExpensesAmt
PY Total Expenses	$166,912,191	PYTotalExpensesAmt
CY Total Expenses	$131,747,533	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,931,055	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$22,026	CYRevenuesLessExpensesAmt
Total Assets BOY	$73,661,296	TotalAssetsBOYAmt
Total Assets EOY	$58,219,103	TotalAssetsEOYAmt
Total Liabilities BOY	$32,729,444	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$21,371,034	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$40,931,852	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$36,848,069	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$35,670,684	ExpenseAmt
Grant	$11,591,192	GrantAmt
Revenue	$0	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$32,889,172	ExpenseAmt
Grant	$8,190,838	GrantAmt
Revenue	$0	RevenueAmt
Desc	SEE SCHEDUE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$23,716,143	ExpenseAmt
Grant	$3,736,950	GrantAmt
Revenue	$0	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,218,540	ExpenseAmt
Grant	$450,468	GrantAmt
Revenue	$0	RevenueAmt
Desc	WOMEN AND CHILD HEALTH, AND OTHERHEALTHY WOMEN, CHILDREN, AND ADOLESCENTS ARE THE FOUNDATION OF UNIVERSAL HEALTH COVERAGE. WORKING AT ENTRY LEVEL OF THE HEALTH SYSTEMS, MSH PARTNERS WITH COUNTRIES AND COMMUNITIES TO DEVELOP AND IMPLEMENT LOCALLY- LED SOLUTIONS TO REACH WOMEN- ACROSS THE CONTINUUM FROM PRE-PREGANCY THROUGH POSTPARTUM - AND CHILDREN - FROM BIRTH THROUGH CHLDHOOD ADOLESCENCE - WITH AFFORDABLE, HIGH-QUALITY PRIMARY CARE. WE STRENGTHEN SKILLS, KNOWLEDGE, POLICIES, AND PRACTICES THAT BRING LASTING CHANGE IN THE AVAILABILITY, QUALITY, ACCOUNTABILITY, AFFORDABILITY, AND LIFE-SAVING IMPACT OF REPRODUCTIVE, MATERNAL, NEWBORN, CHILD, AND ADOLESCENT HEALTH SERVICES, IN EVEN THE MOST VULNERABLE COMMUNITIES. MSH STRENGTHENS GOVERNANCE AS THE BACKBONE OF A SUSTAINABLE, RESPONSIVE HEALTH SYSTEMS, AND SUPPORTS EMPOWERED WOMEN IN TAKING ON LEADERSHIP AND DEMANDING ACCOUNTABILITY. WE FOSTER SUSTAINABLE INSTITUTIONAL CHANGE - STRENGTHENED LEADERSHIP, BETTER - SUPPORTED HEALTH WORKERS, PEOPLE-CENTERED CARE MODELS, AND EVIDENCE-INFORMED QUALITY IMPROVEMENT - SO THAT HEALTH SYSTEMS CAN CONSISTENTLY DELIVER HIGH-QUALITY CARE THAT IS USED AND THAT IMPROVES HEALTH OUTCOMES. WE INTRODUCE AND SCALE UP NEW INTERVENTIONS AND INNOVATIONS, INCLUDING IN HEALTH SYSTEM ORGANIATION AND FINANCING TO SUPPORT ACCESSIBLE, AFFORDABLE, SUSTAINABLE SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,218,540	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$450,468	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$93,494,539	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (1)	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	110	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	283	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	UG	ForeignCountryCd
Foreign Country	CG	ForeignCountryCd
Foreign Country	ID	ForeignCountryCd
Foreign Country	JO	ForeignCountryCd
Foreign Country	KE	ForeignCountryCd
Foreign Country	MA	ForeignCountryCd
Foreign Country	MI	ForeignCountryCd
Foreign Country	NI	ForeignCountryCd
Foreign Country	MZ	ForeignCountryCd
Foreign Country	RP	ForeignCountryCd
Foreign Country	RW	ForeignCountryCd
Foreign Country	SG	ForeignCountryCd
Foreign Country	SF	ForeignCountryCd
Foreign Country	TZ	ForeignCountryCd
Foreign Country	UP	ForeignCountryCd
Foreign Country	AF	ForeignCountryCd
Foreign Country	CM	ForeignCountryCd
Foreign Country	BG	ForeignCountryCd
Foreign Country	BN	ForeignCountryCd
Foreign Country	UV	ForeignCountryCd
Foreign Country	IV	ForeignCountryCd
Foreign Country	ET	ForeignCountryCd
Foreign Country	GT	ForeignCountryCd
Foreign Country	LI	ForeignCountryCd
Foreign Country	ML	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DIANNA O'SULLIVAN	PersonNm
Phone	6172509500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 RIVERS EDGE DRIVE	AddressLine1Txt
City	MEDFORD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02155	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN PAUL CLARK
DIRECTOR (AS OF 6/2025)	3.00	0.00	Yes (X)	$0	$0	$0
PETER BUIJS
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
MUSHTAQUE CHOWDHURY
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
BETH DEHAMEL
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
CHARLES DOCKENDORFF
DIRECTOR (THRU 12/2024)	3.00	0.00	Yes (X)	$0	$0	$0
LATANYA MAPP FRETT
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
JOHN ISAACSON
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
JOHN MASTERSON
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
W GYUDE MOORE
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
BERNARD NAHLEN
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
LESLYE OBIORA
DIRECTOR (THRU 12/2024)	3.00	0.00	Yes (X)	$0	$0	$0
MAGDA ROBALO
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
NANKHONDE KASONDE VAN DEN BROEK
DIRECTOR	3.00	0.00	Yes (X)	$0	$0	$0
MARIAN WENTWORTH
CHIEF EXECUTIVE OFFICER & PRESIDENT	40.00	0.00		$540,198	$0	$71,167	Yes (X)
GORDON KIHUGURU
VP- CHIEF FIN OFF.(THRU 4/2025)	40.00	0.00		$298,739	$0	$68,578	Yes (X)
PAUL ZIMMERMAN
GENERAL COUNSEL (THRU 6/2025)	40.00	0.00		$297,889	$0	$72,052	Yes (X)
DIANNA O'SULLIVAN
CONTROLLER AND CFO (AS OF 4/2025)	40.00	0.00		$174,974	$0	$63,343	Yes (X)
KATHRYN ERSKINE
CHIEF PEOPLE & CULTURE OFF. (AS OF 6/2025)	40.00	0.00		$0	$0	$0	Yes (X)
COLLEEN MCGUFFIN
CPO & EXECUTIVE VP	40.00	0.00		$334,059	$0	$45,370		Yes (X)
DAN SCHWARZ
VICE PRESIDENT - GHSI	40.00	0.00		$290,491	$0	$67,815		Yes (X)
STEVE MORGAN
FINANCE DIRECTOR (THRU 3/2025)	40.00	0.00		$277,881	$0	$45,699		Yes (X)
DANA SANDSTROM
VP/STRATEGY, BUS. DEV. & PARTNERSHIP	40.00	0.00		$279,616	$0	$34,918		Yes (X)
FRANCIS ABOAGYE-NYAME
PORTFOLIO DIRECTOR (THRU 4/2025)	40.00	0.00		$246,756	$0	$62,679		Yes (X)
DAVID HUMPHRIES
ASSOC. VP - COMMS. (THRU 5/2025)	40.00	0.00		$236,059	$0	$65,689		Yes (X)
ADESUWA ADETOSOYE
VICE PRESIDENT PDG (THRU 9/2024)	40.00	0.00		$237,646	$0	$55,236		Yes (X)
KAMIAR KHAJAVI
PROJECT DIRECTOR III (THRU 4/2025)	40.00	0.00		$259,045	$0	$32,527		Yes (X)
JEANNE HAUGHT
SR. DIRECTOR, OPS (TERM 7/2025)	40.00	0.00		$231,068	$0	$38,361		Yes (X)
NORIO KASAHARA
CHIEF OF PARTY, AFIAT (TERM 2/2025)	40.00	0.00		$346,124	$0	$24,233		Yes (X)
ALI RAJPOOT
FINANCE DIRECTOR (THRU 3/2025)	40.00	0.00		$281,759	$0	$26,364		Yes (X)
PAUL WAIBALE
SR PR TECH ADV INFECT (TERM 4/2025)	40.00	0.00		$176,072	$0	$0		Yes (X)
ELKE KONINGS
SR. TECH. DIR. (THRU 4/2025)	40.00	0.00		$258,039	$0	$64,239			Yes (X)
REBECCA KOHLER
CHIEF OF PARTY, SAFEMED	40.00	0.00		$330,372	$0	$56,761			Yes (X)
FLORIDE NIYUHIRE
PORTFOLIO DIRECTOR (THRU 4/2025)	40.00	0.00		$196,493	$0	$35,588			Yes (X)
ANTOINE NDIAYE
PROJECT DIRECTOR II (THRU 4/2025)	40.00	0.00		$289,295	$0	$28,056			Yes (X)
JACOB HUGHES
SR. TECH. DIR. (THRU 4/2025)	40.00	0.00		$267,053	$0	$33,641			Yes (X)
AMY BOLDOSSER-BOESCH
SENIOR TECHNICAL DIRECTOR	40.00	0.00		$254,032	$0	$36,356			Yes (X)
HENRY HAPPY NGABO
FINANCE DIRECTOR	40.00	0.00		$185,777	$0	$18,471				Yes (X)
RUDI THETARD
GLOBAL TECHNICAL LEAD (TERM 4/2025)	40.00	0.00		$211,359	$0	$36,126				Yes (X)
MATTHEW GEMEDA
ASSOCIATE VP - INTERNAL AUDIT	40.00	0.00		$243,613	$0	$29,557				Yes (X)
JOHN YANULIS
PORTFOLIO DIRECTOR	40.00	0.00		$211,804	$0	$59,817				Yes (X)
CHRISTOPHER WELCH
PORTFOLIO DIRECTOR (TERM 5/2025)	40.00	0.00		$196,166	$0	$57,757				Yes (X)
SERGE RAHARISON
PROJECT DIRECTOR III (TERM 3/2025)	40.00	0.00		$217,591	$0	$40,624				Yes (X)
KATHLEEN ALVAREZ
TALENT ACQ. SR. DIR. (TERM 4/2025)	40.00	0.00		$164,429	$0	$52,796				Yes (X)
STEPHANIE ARMAND XUEREF
PORTFOLIO DIRECTOR (TERM 5/2025)	40.00	0.00		$218,618	$0	$0				Yes (X)
SEYDOU DOUMBIA
SR. TECHN. MGR (THRU 10/2024)	40.00	0.00		$224,122	$0	$40,834				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,977,139	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,364,654	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	179	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
S&S OPEN DEV LLC
400 G STREET NE	WASHINGTON	DC	20002	CONSULTING SVCS	$712,818
THINKWELL LLC
1519 YORK RD	LUTHERVILLE	MD	21093	TECHNICAL SVCS	$386,870
GRANT THORNTON LLP
33960 TREASURY CENTER	CHICAGO	IL	606943900	AUDIT SVCS	$254,604
CDW LLC
200 N MILWAUKEE AVE	VERNON HILLS	IL	60060	COMPUTER SVCS	$206,806
BAO SYSTEMS LLC
2900 K STREET NW	WASHINGTON	DC	20007	COMPUTER SVCS	$192,958

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Government Grants	$107,612,333	GovernmentGrantsAmt
All Other Contributions	$20,407,280	AllOtherContributionsAmt
Total Contributions	$128,019,613	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,032,581	TotalRevenueColumnAmt
Exclusion	$1,032,581	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$18,350,851	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,776,266	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,574,585	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,574,585	TotalRevenueColumnAmt
Exclusion	$2,574,585	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,780	TotalRevenueColumnAmt
Related Or Exempt Func Income	$142,780	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$142,780	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,769,559	TotalRevenueColumnAmt
Related Or Exempt Func Income	$142,780	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,607,166	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,262,905	TotalAmt
Program Services	$2,262,905	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$21,706,543	TotalAmt
Program Services	$21,706,543	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,302,937	TotalAmt
Program Services	$963,196	ProgramServicesAmt
Management And General	$3,339,741	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,976,450	TotalAmt
Program Services	$36,087,395	ProgramServicesAmt
Management And General	$18,882,555	ManagementAndGeneralAmt
Fundraising	$6,500	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,426,868	TotalAmt
Program Services	$2,338,376	ProgramServicesAmt
Management And General	$1,088,094	ManagementAndGeneralAmt
Fundraising	$398	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,020,587	TotalAmt
Program Services	$3,555,838	ProgramServicesAmt
Management And General	$2,463,819	ManagementAndGeneralAmt
Fundraising	$930	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,497,138	TotalAmt
Program Services	$963,922	ProgramServicesAmt
Management And General	$1,532,670	ManagementAndGeneralAmt
Fundraising	$546	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$389,912	TotalAmt
Program Services	$107,815	ProgramServicesAmt
Management And General	$282,097	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$420,709	TotalAmt
Program Services	$131,649	ProgramServicesAmt
Management And General	$289,060	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,936,164	TotalAmt
Program Services	$6,028,336	ProgramServicesAmt
Management And General	$907,828	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,480,483	TotalAmt
Program Services	$2,731,312	ProgramServicesAmt
Management And General	$749,171	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,907,931	TotalAmt
Program Services	$1,234,880	ProgramServicesAmt
Management And General	$1,673,051	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,636,745	TotalAmt
Program Services	$1,683,457	ProgramServicesAmt
Management And General	$953,288	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,560,723	TotalAmt
Program Services	$5,877,506	ProgramServicesAmt
Management And General	$683,217	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$665,783	TotalAmt
Program Services	$536,493	ProgramServicesAmt
Management And General	$129,290	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,398	TotalAmt
Management And General	$6,398	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$400,226	TotalAmt
Program Services	$6,024	ProgramServicesAmt
Management And General	$394,202	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,037,403	TotalAmt
Program Services	$439,545	ProgramServicesAmt
Management And General	$597,858	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUBCONTRACT COSTS	$4,308,372	$4,201,192	$107,179
BAD DEBTS	$2,768,928		$2,768,928
EQUIPMENT AND SUPPLIES	$2,637,843	$2,636,916	$927
RESERVE FOR INVESTMENT	$1,390,656		$1,390,656

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,829	TotalAmt
Program Services	$1,239	ProgramServicesAmt
Management And General	$4,590	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$131,747,533	TotalAmt
Program Services	$93,494,539	ProgramServicesAmt
Management And General	$38,244,619	ManagementAndGeneralAmt
Fundraising	$8,374	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,137,204	BOYAmt
EOY	$39,554,692	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,039,354	BOYAmt
EOY	$4,648,067	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,877,901	BOYAmt
EOY	$6,460,237	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,345,181	BOYAmt
EOY	$210,543	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,587,192	BOYAmt
EOY	$1,421,755	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$731,038	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$386,652	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$408,864	BOYAmt
EOY	$344,386	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$17,197,027	BOYAmt
EOY	$75,461	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,510,556	BOYAmt
EOY	$116,750	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,558,017	BOYAmt
EOY	$5,387,212	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,661,296	BOYAmt
EOY	$58,219,103	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,236,440	BOYAmt
EOY	$8,508,017	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,806,030	BOYAmt
EOY	$5,376,745	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,686,974	BOYAmt
EOY	$7,486,272	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,729,444	BOYAmt
EOY	$21,371,034	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,630,211	BOYAmt
EOY	$33,496,978	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,301,641	BOYAmt
EOY	$3,351,092	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$40,931,852	BOYAmt
EOY	$36,848,069	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$73,661,296	BOYAmt
EOY	$58,219,103	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$22,026	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,662,380	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,443,429	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$145,214,756	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$154,193,320	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$171,171,736	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$166,834,600	CurrentTaxYearMinus1YearAmt
Current Tax Year	$128,029,613	CurrentTaxYearAmt
Total	$765,444,025	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$145,214,756	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$154,193,320	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$171,171,736	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$166,834,600	CurrentTaxYearMinus1YearAmt
Current Tax Year	$128,029,613	CurrentTaxYearAmt
Total	$765,444,025	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$765,444,025	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$209,362	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$459,493	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$694,947	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$610,464	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,032,581	CurrentTaxYearAmt
Total	$3,006,847	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$2,424	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,109,301	CurrentTaxYearMinus1YearAmt
Current Tax Year	$142,780	CurrentTaxYearAmt
Total	$1,254,505	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$769,705,377	TotalSupportAmt
Public Support CY170	0.99450	PublicSupportCY170Pct
Public Support PY170	0.99550	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	MISCELLANEOUS INCOME - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 2,424. 2023 AMOUNT: $ 0. 2024 AMOUNT: $ 142,780. VAT REFUND ADJUSTMENT - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 1,109,301. 2024 AMOUNT: $ 0.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$16,120	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$16,120	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBY DAYS: 4 ADVOCACY LETTERS: 8 TOPICS LOBBIED ON: THE FY2024, FY2025 AND FY2026 INTERNATIONAL AFFAIRS BUDGET; THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR); GLOBAL HEALTH AND NUTRITION APPROPRIATIONS AND AUTHORIZATION; GLOBAL HEALTH SECURITY APPROPRIATIONS AND AUTHORIZATIONS; GLOBAL HEALTH SYSTEM STRENGHTHENING APPROPRIATIONS AND AUTHORIZATION; GENERAL US FUNDED GLOBAL HEALTH PROGRAMMING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,241,529	BeginningYearBalanceAmt
Investment Earnings Or Losses	$171,934	InvestmentEarningsOrLossesAmt
Other Expenditures	$74,845	OtherExpendituresAmt
End Year Balance	$1,338,618	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,101,295	BeginningYearBalanceAmt
Investment Earnings Or Losses	$146,354	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,120	OtherExpendituresAmt
End Year Balance	$1,241,529	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,040,243	BeginningYearBalanceAmt
Investment Earnings Or Losses	$103,884	InvestmentEarningsOrLossesAmt
Other Expenditures	$42,832	OtherExpendituresAmt
End Year Balance	$1,101,295	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$1,018,765	ContributionsAmt
Investment Earnings Or Losses	$21,478	InvestmentEarningsOrLossesAmt
End Year Balance	$1,040,243	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$143,773	OtherCostOrOtherBasisAmt
Depreciation	$71,023	DepreciationAmt
Book Value	$72,750	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$587,265	OtherCostOrOtherBasisAmt
Depreciation	$315,629	DepreciationAmt
Book Value	$271,636	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$344,386	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
ROU LEASE ASSET	$5,283,668
OTHER ASSETS	$103,544

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,387,212	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ROU LEASE LIABILITY	Desc
Amt	$7,486,272	Amt

Field	Value	IRS element (for citing)
Total Liability	$7,486,272	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	UNCERTAIN TAX POSITIONS: UNDER ACCOUNTING STANDARDS CODIFICATION (ASC) 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN ORGANIZATION MUST RECOGNIZE THE FINANCIAL STATEMENT EFFECTS ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE ORGANIZATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX POSITIONS. THE ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEARS ENDED JUNE 30, 2025 AND 2024, THERE WERE NO MATERIAL INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENT OF ACTIVITIES RELATED TO UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	2	8	PROGRAM SERVICES	PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES	$793,478
EAST ASIA AND THE PACIFIC	2	59	PROGRAM SERVICES	PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES	$6,563,728
EUROPE (INCLUDING ICELAND & GREENLAND)	0	7	PROGRAM SERVICES	PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES	$1,230,649
MIDDLE EAST AND NORTH AFRICA	1	10	PROGRAM SERVICES	PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES	$977,609
RUSSIA AND NEIGHBORING STATES	1	28	PROGRAM SERVICES	PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES	$7,504,329
SOUTH ASIA	4	539	PROGRAM SERVICES	PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES	$13,677,170
SUB-SAHARAN AFRICA	27	924	PROGRAM SERVICES	PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES	$61,708,351
SUB-SAHARAN AFRICA	0	0	GRANTMAKING		$3,779,829
SOUTH ASIA	0	0	GRANTMAKING		$4,092,262
CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTMAKING		$285,147
EAST ASIA AND THE PACIFIC	0	0	GRANTMAKING		$625,683
SUB-SAHARAN AFRICA	0	0	INVESTMENTS		$2,736,771

Field	Value	IRS element (for citing)
Subtotal Offices	37	SubtotalOfficesCnt
Subtotal Employees	1575	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	37	TotalOfficeCnt
Total Employee	1575	TotalEmployeeCnt
Subtotal Spent	$96,235,143	SubtotalSpentAmt
Continuation Spent	$7,739,863	ContinuationSpentAmt
Total Spent	$103,975,006	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (55 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc
CENTRAL AMERICA AND THE CARIBBEAN	SEE PART V	$62,219	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
CENTRAL AMERICA AND THE CARIBBEAN	SEE PART V	$216,138	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
CENTRAL AMERICA AND THE CARIBBEAN	SEE PART V	$6,791	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
EAST ASIA AND THE PACIFIC	SEE PART V	$150,116	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
EAST ASIA AND THE PACIFIC	SEE PART V	$133,602	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
EAST ASIA AND THE PACIFIC	SEE PART V	$158,631	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
EAST ASIA AND THE PACIFIC	SEE PART V	$183,334	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SOUTH ASIA	SEE PART V	$240,993	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SOUTH ASIA	SEE PART V	$3,851,269	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$25,814	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$25,632	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$22,804	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$63,599	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$8,505	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$29,393	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$119,265	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$174,634	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$104,546	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$19,982	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$83,988	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$75,726	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$126,611	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$522,985	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$53,017	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$9,060	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$7,424	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$6,047	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$21,154	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$96,639	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$245,722	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$7,959	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$235,602	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$84,774	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$24,816	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$22,896	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$31,320	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$19,356	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$190,410	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$275,862	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$90,086	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$80,790	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$11,953	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$38,212	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$12,919	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$103,597	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$59,243	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$35,839	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$150,660	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$123,067	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$78,468	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$104,438	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$66,376	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$18,710	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$48,949	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A
SUB-SAHARAN AFRICA	SEE PART V	$13,065	ELECTRONIC FUND/WIRE TRANSFER	$0	N/A

Field	Value	IRS element (for citing)
Total501c3 Org	31	Total501c3OrgCnt
Total Other Org	24	TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (6 entries)

RegionRegionTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt	Description Of Non Cash AsstDescriptionOfNonCashAsstTxt	Valuation Method UsedValuationMethodUsedDesc
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	2380	$51,067	WIRE	$0	TRAINING	BOOK
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,	5315	$1,343,156	WIRE	$253,786	TRAINING	BOOK
MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT,	299	$34,133	WIRE	$14,731	TRAINING	BOOK
RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS,	3254	$2,210,634	WIRE	$28,407	TRAINING	BOOK
SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL,	1749	$913,168	WIRE	$221,959	TRAINING	BOOK
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,	31709	$5,375,244	WIRE	$1,149,441	TRAINING	BOOK

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	THE ORGANIZATION HAS WELL-TRAINED LOCAL AND INTERNATIONAL GRANT OFFICERS, TECHNICAL OFFICERS AND TECHNICAL STAFF WHO ARE REQUIRED TO MONITOR THE USE OF GRANT FUNDS OUTSIDE THE UNITED STATES. THIS PROCESS IS REVIEWED REGULARLY UNDER THE ORGANIZATION'S INTERNAL AUDIT FUNCTION.
PART I, LINE 3:	SPECIFIC TYPES OF PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES. AMOUNTS ARE REPORTED ON THE ACCRUAL BASIS OF ACCOUNTING.
PART II:	COLUMN (D) ITEM 1: TO IMPROVE THE HEALTH OF INDIGENOUS WOMEN OF REPRODUCTIVE AGE AND THEIR BABIES. ITEM 2: SUPPORTING COMMUNITY AND FACILITY-BASED STRATEGIES TO INCREASE INDIGENOUS WOMEN. ITEM 3: TO IMPROVE THE HEALTH OF INDIGENOUS WOMEN OF REPRODUCTIVE AGE AND THEIR BABIES. ITEM 4: LOCAL INSTITUTIONAL STRENGTHENING AND CAPACITY BUILDING. ITEM 5: ENHANCED CAPACITY FOR TB CASE FINDINGS. ITEM 6: ENHANCED CAPACITY FOR TB CASE FINDINGS & PREVENTION OF TB OPTIMIZED ITEM 7: ACTIVE TB CASE FINDING SCALED UP IN FACILITIES ITEM 8: TO PROVIDE SUPPORT FOR THE PROGRAM ITEM 9: TO CONDUCT ACTIVITIES RELATED TO AFGHAN HEALTH SURVEY (AHS) IMPLEMENTATION ITEM 10: BROKERING FINANCIAL SOLUTIONS BETWEEN PRIVATE INVESTORS AND HEALTH PROVIDERS BY EXPANDING ACCESS TO COMMERCIAL LOANS. ITEM 11: PROVIDE RECOMMENDATIONS, AND ASSIST IN THE START-UP ACTIVITIES OF THE BENIN HSS PROJECT. ITEM 12: ASSESS PROGRESS ON THE DRAFT LAW REDEFINING PRIVATE SECTOR INVESTMENTS FOR HEALTH AND IDENTIFY SUPPORT NEEDED TO FINALIZE THE LAWS. LAUNCH OF THE PRESS FUNDING FACILITATION MECHANISM FOR PSSP MEMBER ASSOCIATIONS." ITEM 13: MILESTONE 3 PAYMENT : APPUI LA MISE EN OEUVRE DES MESURES D'INTERDICTION TOTALE DE FUMER DANS LES ESPACES TOPAFA ITEM 14: N008-24/PSSP-PRESS FOR INFORMATION DE TOUS LES ACTEURS DU SECTEUR SANITAIRE PRIV DANS DIX ZONES ITEM 15: MILESTONE 4 PAYMENT : APPUI LA MISE EN OEUVRE DES MESURES D'INTERDICTION TOTALE DE FUMER DANS LES ESPACES PUBLICS ITEM 16: SUPPORT STRENGTHENING THE IMPLEMENTATION OF SMOKE-FREE LAWS IN OUAGADOUGOU ITEM 17: PROVIDE FUNDING TO CONTINUE IMPLEMENTING STRATEGIES TOWARD STRENGTHEN ENFORCEMENT OF THE POLICY ON 100 SMOKE FREE PUBLIC SPACES AND GRAPHIC HEALTH WARNINGS ON TOBACCO PRODUCTS PACKAGING IN N'DJAMENA, ABCH AND MOUNDOU PROVINCES. ITEM 18: STRENGTHEN THE IMPLEMENTATION OF SMOKE-FREE POLICY IN PUBLIC REGIONS ITEM 19: E/FY25- IMPLEMENTATION OF NATIONAL TOBACCO CONTROL POLICIES IN ACCORDANCE WITH THE WORLD HEALTH ORGANIZATION FRAMEWORK(WHO) ON TOBACCO CONVENTION (FCTC)_MILESTONE 4 - $ 19 982.40 PAYABLE ITEM 20: COMMUNITY TB CARE IN AMHARA REGION ITEM 21: COMMUNITY TB CARE IN OROMIA REGION ITEM 22: COMMUNITY TB CARE IN SIDAMA REGION, GEDIO AND HADIYA ZONES ITEM 23: SUPPORT PMDT ON COE ESTABLISHMENT , STRENGTHEN CRC, STRENGTHEN TB PROGRAM -TERTIARY HOSPITALS ITEM 24: TO SUPPORT HEALTH RESILIENCE ACTIVITY IN ETHIOPIA ITEM 25: TO PROVIDE THE SENIOR SUPPLY CHAIN INFORMATION/CONTROL TOWER ADVISOR, LEVERAGING THEIR GLOBAL FUND'S EPSS ERP AND BUSINESS PROCESS RE-ENGINEERING THROUGH MID-2024, DELOITTE-TZ PROVIDE ADDITIONAL STTA TO WILL CONTINUE TO SUPPORT EPSS CHANGE MANAGEMENT, CAPACITY STRENGTHENING AND DATA USE, COLLABORATING ACROSS SCS AND DHA TO LINK UPSTREAM AND DOWNSTREAM SYSTEMS FOR END TO END DATA VISIBILITY. ITEM 26: MAPPING COMMUNITY ORG, RESEARCH AND ADVOCACY CONTENT FOR WHA ITEM 27: IMPLEMENT PROGRAM ACTIVITIES- HEALTH SYSTEM STRENGTHENING WITHIN COUNTIES IN LIBERIA ITEM 28: IMPLEMENT PROGRAM ACTIVITIES- HEALTH SYSTEM STRENGTHENING WITHIN COUNTIES IN LIBERIA ITEM 29: IMPLEMENT PROGRAM ACTIVITIES- HEALTH SYSTEM STRENGTHENING WITHIN COUNTIES IN LIBERIA ITEM 30: IMPLEMENT PROGRAM ACTIVITIES- HEALTH SYSTEM STRENGTHENING WITHIN COUNTIES IN LIBERIA ITEM 31: PROVIDE TECHNICAL EXPERTISE IN PEDIATRICS ITEM 32: CONSTRUCTION OF WASH INFRASTRUCTURE ITEM 33: HEALTH TECHNOLOGY ITEM 34: COMMUNICATIONS ACTIVITIES TO HEALTH PROMOTION AND BEHAVIOR CHANGE ITEM 35: SUPPORT COMMUNITY MOBIIZATION ACTIVITIES ITEM 36: SUPPORT HEALT ENTER COMMUNITY HEALTH COACHING ITEM 37: MONITOR AND MENTOR HEALTH FACILITIES ON MALARIA CASE AND DATA MANAGEMENT. ITEM 38: MONITOR AND MENTOR HEALTH FACILITIES ON MALARIA CASE AND DATA MANAGEMENT. ITEM 39: MONITOR AND MENTOR HEALTH FACILITIES ON MALARIA CASE AND DATA MANAGEMENT. ITEM 40: MONITOR AND MENTOR HEALTH FACILITIES ON MALARIA CASE AND DATA MANAGEMENT. ITEM 41: SUPPORT THE IREME PROJECT'S EVALUATION AND LEARNING AGENDA AND STRATEGIC PLANNING ITEM 42: DIGITAL HEALTH ACTIVITIES ITEM 43: DISTRICT PHC LEADERSHIP DEVELOPMENT PROGRAM ITEM 44: DISTRICT PHC LEADERSHIP DEVELOPMENT PROGRAM ITEM 45: LDP, MIDPOINT REVIEW AND REPORTING ITEM 46: DISTRICT TECHNICAL ASSISTANCE PROVIDER FOR PERFORMANCE IMPROVEMENT ITEM 47: SUB AWARDEE ACT. ITEM 48: SCHOLARSHIPS FOR STUDENTS AT THREE PRIVATE RWANDAN MIDWIFERY TEACHING INSTITUTIONS ITEM 49: SCHOLARSHIPS FOR STUDENTS AT THREE PRIVATE RWANDAN MIDWIFERY TEACHING INSTITUTIONS ITEM 50: SCHOLARSHIPS FOR STUDENTS AT THREE PRIVATE RWANDAN MIDWIFERY TEACHING INSTITUTIONS ITEM 51: STUDY VISIT FROM 3 NATIONAL REGULATORY AUTHORITIES IN AFRICA ITEM 52: ASSIST IN IMPLEMENTATION OF TOBACCO CONTROL POLICIES IN ACCORDANCE WITH WHO ITEM 53: EXPENSES INCURRED ITEM 54: EXPENSES INCURRED ITEM 55: EXPENSES INCURRED ITEM 56: EXPENSES INCURRED ITEM 57: EXPENSES INCURRED ITEM 58: EXPENSES INCURRED

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
THE POPULATION COUNCIL
1 DAG HAMMARSKJOLD PLAZA	NEW YORK	NY	10017	131687001	501(C)(3)	$315,337	$0	MOBILE CLIENT OUTREACH SERVICES
CATHOLIC RELIEF SERVICES
228 W LEXINGTON STREET	BALTIMORE	MD	21201	135563422	501(C)(3)	$327,489	$0	WASH INFRASTRUCTURE AND TECHNICAL ADVICE
BRAC USA INC
110 WILLIAM STREET 18TH FLOOR	NEW YORK	NY	10038	208456741	501(C)(3)	$164,013	$0	TECHNICAL ASSISTANCE IN MNCH AND FP SERVICES
VITAL STRATEGIES INC
100 BROADWAY 4TH FLOOR	NEW YORK	NY	10005	223419667	501(C)(3)	$468,396	$0	TECHNICAL ASSISTANCE
AMERICAN ACADEMY OF PEDIATRICS
345 PARK BLVD	ITASCA	IL	60143	362275597	501(C)(3)	$203,525	$0	TECHNICAL ASSISTANCE FOR CLINICAL TRAINING
JHPIEGO (JOHN HOPKINS UNIVERSITY)
3910 KESWICK ROAD	BALTIMORE	MD	21211	520595110	501(C)(3)	$530,498	$0	DESIGN, PLAN AND IMPLEMENT FOR SBC
AMERICAN COLLEGE OF NURSE MIDWIVES
8403 COLESVILLE ROAD	SILVER SPRING	MD	20910	741685515	501(C)(3)	$30,630	$0	TECHNICAL ASSISTANCE FOR CLINICAL TRAINING
ZENYSIS TECHNOLOGIES INC
548 MARKET ST PMB 76125	SAN FRANCISCO	CA	94104	810929294	FOR PROFIT	$62,183	$0	TECHNICAL ASSISTANCE
THREE STONES INTERNATIONA
1315 HIGHLAND DR	SILVER SPRING	MD	20910	822320878	FOR PROFIT	$53,854	$0	TECHNICAL ASSISTANCE
DIMAGI INC
585 MASSACHUSETTS AVE	CAMBRIDGE	MA	02139	830343298	FOR PROFIT	$106,980	$0	TECHNICAL ASSISTANCE

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MSH HAS A POLICY IN PLACE DESCRIBING HOW GRANTS ARE MONITORED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARIAN WENTWORTH
CHIEF EXECUTIVE OFFICER & PRESIDENT	$486,892	$0	$48,920	$0	$4,386	$0	$22,267	$0	$48,900	$0	$611,365	$0	$0	$0
REBECCA KOHLER
CHIEF OF PARTY, SAFEMED	$301,739	$0	$1,980	$0	$26,653	$0	$20,726	$0	$36,035	$0	$387,133	$0	$0	$0
COLLEEN MCGUFFIN
CPO & EXECUTIVE VP	$311,219	$0	$18,239	$0	$4,601	$0	$16,805	$0	$28,565	$0	$379,429	$0	$0	$0
NORIO KASAHARA
CHIEF OF PARTY, AFIAT (TERM 2/2025)	$343,810	$0	$0	$0	$2,314	$0	$12,900	$0	$11,333	$0	$370,357	$0	$0	$0
PAUL ZIMMERMAN
GENERAL COUNSEL (THRU 6/2025)	$286,226	$0	$8,854	$0	$2,809	$0	$21,399	$0	$50,653	$0	$369,941	$0	$0	$0
GORDON KIHUGURU
VP- CHIEF FIN OFF.(THRU 4/2025)	$272,972	$0	$22,364	$0	$3,403	$0	$21,295	$0	$47,283	$0	$367,317	$0	$0	$0
DAN SCHWARZ
VICE PRESIDENT - GHSI	$275,776	$0	$14,094	$0	$621	$0	$20,832	$0	$46,983	$0	$358,306	$0	$0	$0
STEVE MORGAN
FINANCE DIRECTOR (THRU 3/2025)	$242,589	$0	$0	$0	$35,292	$0	$10,046	$0	$35,653	$0	$323,580	$0	$0	$0
ELKE KONINGS
SR. TECH. DIR. (THRU 4/2025)	$255,577	$0	$0	$0	$2,462	$0	$18,431	$0	$45,808	$0	$322,278	$0	$0	$0
ANTOINE NDIAYE
PROJECT DIRECTOR II (THRU 4/2025)	$248,108	$0	$0	$0	$41,187	$0	$17,472	$0	$10,584	$0	$317,351	$0	$0	$0
DANA SANDSTROM
VP/STRATEGY, BUS. DEV. & PARTNERSHIP	$264,082	$0	$14,671	$0	$863	$0	$19,513	$0	$15,405	$0	$314,534	$0	$0	$0
FRANCIS ABOAGYE-NYAME
PORTFOLIO DIRECTOR (THRU 4/2025)	$242,265	$0	$0	$0	$4,491	$0	$17,684	$0	$44,995	$0	$309,435	$0	$0	$0
ALI RAJPOOT
FINANCE DIRECTOR (THRU 3/2025)	$248,146	$0	$0	$0	$33,613	$0	$16,159	$0	$10,205	$0	$308,123	$0	$0	$0
DAVID HUMPHRIES
ASSOC. VP - COMMS. (THRU 5/2025)	$234,954	$0	$0	$0	$1,105	$0	$17,261	$0	$48,428	$0	$301,748	$0	$0	$0
JACOB HUGHES
SR. TECH. DIR. (THRU 4/2025)	$263,120	$0	$2,617	$0	$1,316	$0	$18,292	$0	$15,349	$0	$300,694	$0	$0	$0
ADESUWA ADETOSOYE
VICE PRESIDENT PDG (THRU 9/2024)	$217,406	$0	$0	$0	$20,240	$0	$17,036	$0	$38,200	$0	$292,882	$0	$0	$0
KAMIAR KHAJAVI
PROJECT DIRECTOR III (THRU 4/2025)	$252,057	$0	$0	$0	$6,988	$0	$15,708	$0	$16,819	$0	$291,572	$0	$0	$0
AMY BOLDOSSER-BOESCH
SENIOR TECHNICAL DIRECTOR	$250,632	$0	$2,562	$0	$838	$0	$14,329	$0	$22,027	$0	$290,388	$0	$0	$0
MATTHEW GEMEDA
ASSOCIATE VP - INTERNAL AUDIT	$233,174	$0	$7,078	$0	$3,361	$0	$17,083	$0	$12,474	$0	$273,170	$0	$0	$0
JOHN YANULIS
PORTFOLIO DIRECTOR	$209,919	$0	$0	$0	$1,885	$0	$15,368	$0	$44,449	$0	$271,621	$0	$0	$0
JEANNE HAUGHT
SR. DIRECTOR, OPS (TERM 7/2025)	$223,401	$0	$3,513	$0	$4,154	$0	$16,377	$0	$21,984	$0	$269,429	$0	$0	$0
SEYDOU DOUMBIA
SR. TECHN. MGR (THRU 10/2024)	$189,475	$0	$0	$0	$34,647	$0	$14,314	$0	$26,520	$0	$264,956	$0	$0	$0
SERGE RAHARISON
PROJECT DIRECTOR III (TERM 3/2025)	$186,956	$0	$0	$0	$30,635	$0	$7,760	$0	$32,864	$0	$258,215	$0	$0	$0
CHRISTOPHER WELCH
PORTFOLIO DIRECTOR (TERM 5/2025)	$195,176	$0	$0	$0	$990	$0	$14,282	$0	$43,475	$0	$253,923	$0	$0	$0
RUDI THETARD
GLOBAL TECHNICAL LEAD (TERM 4/2025)	$204,483	$0	$2,160	$0	$4,716	$0	$14,018	$0	$22,108	$0	$247,485	$0	$0	$0
DIANNA O'SULLIVAN
CONTROLLER AND CFO (AS OF 4/2025)	$174,576	$0	$0	$0	$398	$0	$13,351	$0	$49,992	$0	$238,317	$0	$0	$0
FLORIDE NIYUHIRE
PORTFOLIO DIRECTOR (THRU 4/2025)	$194,711	$0	$0	$0	$1,782	$0	$13,820	$0	$21,768	$0	$232,081	$0	$0	$0
STEPHANIE ARMAND XUEREF
PORTFOLIO DIRECTOR (TERM 5/2025)	$218,618	$0	$0	$0	$0	$0	$0	$0	$0	$0	$218,618	$0	$0	$0
KATHLEEN ALVAREZ
TALENT ACQ. SR. DIR. (TERM 4/2025)	$162,920	$0	$0	$0	$1,509	$0	$11,973	$0	$40,823	$0	$217,225	$0	$0	$0
HENRY HAPPY NGABO
FINANCE DIRECTOR	$162,315	$0	$0	$0	$23,462	$0	$11,362	$0	$7,109	$0	$204,248	$0	$0	$0
PAUL WAIBALE
SR PR TECH ADV INFECT (TERM 4/2025)	$176,072	$0	$0	$0	$0	$0	$0	$0	$0	$0	$176,072	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 1A:

PAYMENTS FOR TRAVEL EXPENSES AND HOUSING ALLOWANCES ARE ONLY MADE TO MSH STAFF ON INTERNATIONAL ASSIGNMENT IN ACCORDANCE WITH THE DEPARTMENT OF STATE STANDARDIZED REGULATIONS (DSSR) AS DEFINED IN THE EMPLOYEE'S TERMS OF ASSIGNMENT MSH REQUIRES QUALITY DOCUMENTATION / RECEIPTS FOR REIMBURSEMENT OF ALL EXPENSES. MSH COVERS TRAVEL FOR AN ELIGIBLE SPOUSE, DEPENDENT(S) AND ELIGIBLE STAFF ON INTERNATIONAL ASSIGNMENT IN ACCORDANCE WITH USAID OPERATIONAL POLICIES (ADS) UNDER THE REST AND RECUPERATION(R&R) TRAVEL PROGRAM AS DEFINED IN THE EMPLOYEE'S TERMS OF ASSIGNMENT.

PART I, LINE 7:

THE PURPOSE OF THE MSH LEADERSHIP INCENTIVE PLAN (THE "PLAN") IS TO PROVIDE DISCRETIONARY INCENTIVE COMPENSATION FOR ELIGIBLE EXECUTIVES AND KEY EMPLOYEES OF MANAGEMENT SCIENCES FOR HEALTH (MSH). THE PLAN IS DESIGNED TO ALIGN A PORTION OF SENIOR LEADERSHIP COMPENSATION WITH THE ACHIEVEMENT OF PERFORMANCE GOALS THAT SUPPORT MSH'S MISSION AND STRATEGIC OBJECTIVES. THE PLAN RECOGNIZES THESE KEY CONTRIBUTIONS, BUT ALSO SERVES TO ATTRACT AND RETAIN KEY STAFF WHILE FOCUSING THEIR ATTENTION AND EFFORTS ON THE AREAS THAT ARE MOST CRITICAL TO ACHIEVING MSH'S MISSION. THE PERFORMANCE GOALS ARE DEVELOPED IN CONJUNCTION WITH THE CEO AND ASSESSED BY THE CEO, OR THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE FOR THE CEO. THE INCENTIVE COMPENSATION CALCULATIONS ARE BASED ON THE LEVEL OF ATTAINMENT OF THE PERFORMANCE GOALS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1	MANAGEMENT SCIENCES FOR HEALTH (MSH) WORKS SHOULDER-TO-SHOULDER WITH COUNTRIES AND COMMUNITIES TO SAVE LIVES AND IMPROVE THE HEALTH OF THE WORLD'S POOREST AND MOST VULNERABLE PEOPLE BY BUILDING STRONG, RESILIENT, SUSTAINABLE HEALTH SYSTEMS. TOGETHER, WE SEEK TO ACHIEVE UNIVERSAL HEALTH COVERAGE - EQUITABLE, AFFORDABLE ACCESS TO HIGH-QUALITY HEALTH SERVICES FOR ALL WHO NEED THEM - EVEN IN FRAGILE, POST-CRISIS SETTINGS. FOR OVER 50 YEARS IN 150 COUNTRIES, MSH HAS PARTNERED WITH GOVERNMENTS, CIVIL SOCIETY, THE PRIVATE SECTOR, AND THOUSANDS OF HEALTH WORKERS ON LOCALLY LED SOLUTIONS THAT EXPAND ACCESS TO MEDICINES AND SERVICES, IMPROVE QUALITY OF CARE, HELP PREVENT AND CONTROL EPIDEMICS, SUPPORT INSPIRING LEADERSHIP AND TRANSPARENT GOVERNANCE, AND FOSTER INFORMED, EMPOWERED, AND HEALTHIER COMMUNITIES.
FORM 990, PART III, LINE 4A	INTEGRATED HEALTH SYSTEMS DELIVERY: PROVIDING QUALITY HEALTH CARE TO SOMEONE WHO NEEDS IT, WHEN AND WHERE THEY NEED IT, REQUIRES A COMPLEX WEB OF ORGANIZATIONS, INDIVIDUALS, PROCESSES AND ACTIONS THAT, TOGETHER, MAKE UP A HEALTH SYSTEM. UNFORTUNATELY, MANY NATIONAL HEALTH SYSTEMS DON'T WORK WELL ENOUGH FOR COUNTRIES TO ACHIEVE UNIVERSAL HEALTH COVERAGE (UHC): EFFECTIVE, EQUITABLE, AFORDABLE ACCESS TO HIGH-QUALITY ESSENTIAL HEALTH SERVICES TO EVERYONE WHO NEEDS THEM. MSH STRENGTHENS HEALTH SYSTEMS TO SUSTAINABLY AND EQUITABLY INCREASE COVERAGE OF HIGH-QUALITY, RESPONSIVE, PEOPLE-CENTERED HEALTH SERVICES WHILE PROTECTING PATIENTS, FAMILIES, COMMUNITIES, AND SOCIETIES FROM FINANCIAL HARDSHIP. APPLYING AN INTEGRATED SYSTEMS-THINKING APPROACH TO A WIDE VARIETY OF CONTEXTS - INCLUDING COUNTRIES WHERE GOVERNMENTS STRUGGLE TO DELIVER BASIC SERVICES - WHILE EVOLVING FROM CONFLICT AND FRAGILITY TO SUSTAINABILITY. MSH WORKS SIDE-BY-SIDE WITH COUNTRY STAKEHOLDERS ACROSS THE PUBLIC AND PRIVATE SECTORS TO STRENGTHEN INSTITUTIONAL GOVERNANCE, FINANCING LEADERSHIP AND ACCOUNTABILITY, SO THAT HEALTH SYSTEMS CAN EFFECTIVELY TRANSITION FROM DONOR ASSISTANCE TOWARD NATIONAL SUSTAINABILITY AND INDEPENDENCE.
FORM 990, PART III, LINE 4B	INFECTIOUS DISEASE: OUR PROGRAMS BUILD CAPACITY AT ALL LEVELS OF A HEALTH SYSTEM: FROM HOSPITAL STAFF KNOWING HOW TO PREVENT AN INFECTION, VILLAGE SENTINELS REPORTING A SUSPICIOUS DISEASE OUTBREAK, PHARMACISTS KEEPING PRODUCTS AVAILABLE, TO STRENGTHENING DISEASE SURVEILLANCE SYSTEMS, REINFORCE STRONG NATIONAL PUBLIC HEALTH SYSTEMS AND WORKFORCES, AND INTRODUCE AND SCALE NEW TOOLS TO PREVENT AND CONTROL INFECTIOUS DISEASES.
FORM 990, PART III, LINE 4C	ACCESS TO MEDICINES AND HEALTH TECHNOLOGIES: STRONG HEALTH SYSTEMS ENSURE THAT ALL COMMUNITIES AND INDIVIDUALS HAVE THE RIGHT MEDICINE, AT THE RIGHT DOSE, AT THE RIGHT TIME, AT AN AFFORDABLE COST. ACCESS TO QUALITY MEDICINES CAN IMPROVE AND SAVE LIVES. EQUALLY IMPORTANT IS THE KNOWLEDGE OF HOW TO PROPERLY USE THESE MEDICINES. MSH'S ACCESS TO MEDICINES PROGRAM BRINGS EXPERTISE AND PROVEN SOLUTIONS TO PUBLIC OFFICIALS, COMMUNITY LEADERS, AND INDIVIDUALS. WE DEVELOP STATE-OF-THE-ART TRAINING PROGRAMS AND TOOLS AND TRAIN PHARMACISTS IN SOME OF THE MOST VULNERABLE COUNTRIES IN THE WORLD TO ENABLE THEM TO RELY ON A STEADY SUPPLY OF SAFE, QUALITY MEDICINES AND TRAIN THEM HOW TO DISPENSE THEM PROPERLY. WE WORK TO EXPAND THE UNDERSTANDING OF WHAT IS REQUIRED TO DESIGN AND IMPLEMENT SUSTAINABLE MEDICINES BENEFIT PACKAGES AS A COMPONENT OF UNIVERSAL HEALTH COVERAGE - THROUGH PUBLIC AND PRIVATE HEALTH INSURANCE IN LOW-INCOME COUNTRIES. MSH'S PROGRAM ALSO SHARES GLOBAL PHARMACEUTICAL DATA ANALYTICS, ENSURES QUALITY OF MEDICINES, DEVELOPS PHARMACEUTICAL SOFTWARE, AND INNOVATES AND APPLIES PROVEN HEALTH TECHNOLOGIES.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS. THE FORM 990 IS FILED AFTER REVIEW BY MEMBERS OF THE BOARD AUDIT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REQUIRES ALL EMPLOYEES TO SIGN ITS CODE OF BUSINESS ETHICS AND CONDUCT (WHICH INCLUDES ITS CONFLICT OF INTEREST POLICY) EACH YEAR TO ACKNOWLEDGE COMPLIANCE. EMPLOYEES ARE OBLIGED TO REPORT ILLEGAL OR UNETHICAL BEHAVIOR TO THE ORGANIZATION AND WHISTLEBLOWERS ARE PROTECTED. THE ORGANIZATION'S RIGOROUS INTERNAL AUDIT PROCESS INCLUDED MONITORING OF COMPLIANCE. IN ADDITION, EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS IS REQUIRED TO SUBMIT ANNUAL FINANCIAL DISCLOSURE DOCUMENTS WHICH ARE REVIEWED BY THE GENERAL COUNSEL TO PREVENT, DETECT AND REMEDY ANY CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE MSH BOARD OF DIRECTORS (BOD) ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR THE CEO, CFO AND VICE PRESIDENTS OF EACH GROUP/OFFICE CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY, THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOD REVIEWS THE PERFORMANCE EVALUATIONS AND A COMPETITIVE COMPENSATION ANALYSIS BASED ON INDEPENDENT THIRD-PARTY MARKET DATA AND THE 990S OF PEER ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST IT IS ALSO SHARED DURING MEETINGS WITH POTENTIAL DONORS AND VIA MAILING IN RESPONSE TO DONOR REQUESTS OR INTERESTS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE FROM THE SECRETARY OF THE COMMONWEALTH OF MASSACHUSETTS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PUBLICLY AVAILABLE AS PART OF THE ORGANIZATION'S CODE OF BUSINESS ETHICS ON THE ORGANIZATION'S WEBSITE (HTTPS://MSH.ORG/CODE-OF-BUSINESS-ETHIC/). A SUMMARY OF THE FINANCIAL STATEMENTS IS MADE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT. THE 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE, MSH.ORG.
FORM 990, PART VII, SECTION A:	AFTER A REVIEW OF JOB RESPONSIBILITIES, SOME INDIVIDUALS NO LONGER MEET THE KEY EMPLOYEE CLASSIFICATION BUT STILL REMAIN WITH THE ORGANIZATION IN THE ROLE.
FORM 990, PART XI, LINE 9:	OTHER COMPREHENSIVE INCOME -1,603,034. FX LOSS -870,395. REVERSAL OF FRAUD RESERVE 30,000.
FORM 990, PART XII, LINE 2C:	THERE HAVE BEEN NO CHANGES DURING THE YEAR IN THE PROCESS FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS.
GENERAL STATEMENT	CONTRACTS WITH US GOVERNMENT AGENCIES THE ORGANIZATION'S REVENUES ARE GENERATED FROM CONTRACTS WITH THE U.S. GOVERNMENT AGENCIES, PRIMARILY THE U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID). THE PERCENTAGE OF REVENUE EARNED FROM U.S. GOVERNMENT AGENCIES WAS 84% AND 91% FOR THE YEARS ENDED JUNE 30, 2025 AND 2024, RESPECTIVELY. IN EARLY 2025 USAID TERMINATED APPROXIMATELY 86% OF IT'S PROGRAMS AND ANNOUNCED THE FULL SEPARATION OF STAFF BY SEPTEMBER 2, 2025. THIS ABRUPT TERMINATION OF FUNDING AND WITHDRAWAL OF USAID REMOVED A SIGNIFICANT PORTION OF GLOBAL HUMANITARIAN FUNDING AND RESULTED IN A MATERIAL REDUCTION IN THE ORGANIZATION'S REVENUE. AS A RESULT, THE ORGANIZATION FORECASTS REDUCTION IN REVENUE, FROM U.S GOVERNMENT SOURCES, TO 50% IN FY 2026. MANAGEMENT'S ANALYSIS OF CASH FLOW PROJECTIONS, COUPLED WITH COST REDUCTION AND RESTRUCTURING WILL BE SUFFICIENT TO SUPPORT THE ORGANIZATION TO CONTINUE ITS MISSION TO MAKE A LIFESAVING IMPACT IN ITS WORK THROUGH OTHER GOVERNMENT FUNDERS, CORPORATIONS AND FOUNDATIONS, AND EXPECTS TO BE ABLE TO REMAIN VIABLE AS A SMALLER ORGANIZATION THAN IN THE PAST AS A GOING CONCERN.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	CityForeignAddress/CityNm
MANAGEMENT SCIENCES FOR HEALTH LTDGTE
PLOT 5647565 INDEPENDENCE AVE	CBD ABUJA	NI	999999999	SEE PART VII	NI	501(C)(3)	MSH	Yes (1)
MANAGEMENT SCIENCES FOR HEALTH-SWAZILAND
110 THE NEW MALL	MBABANE	WZ	999999999	SEE PART VII	WZ	501(C)(3)	MSH	Yes (1)	DR SISHAYI

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Province Or StateForeignAddress/ProvinceOrStateNm
MEDSOURCE GROUP LIMITED
RIVAAN CTR MUGUGA BROOKSIDE DR	NAIROBI	KE	00800	SEE PART VII	KE	MSH	C	$81	$226,373	1.00000	Yes (1)
MSH INDIA HEALTH MANAGEMENT PRIVATE LTD
J-95 J-95A 3RD FLOOR RIGHT SIDE	NEW DELHI	IN	110059	SEE PART VII	IN	MSH	C	$904,541	$125,831	1.00000	Yes (1)	MOHAN GARDEN, UTT

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDSOURCE GROUP LIMITED
B	$1,390,656	CASH PAID
MSH INDIA HEALTH MANAGEMENT PRIVATE LTD
M	$904,541	EXP INCURRED

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE R, PART II:

LINE 1 - MANAGEMENT SCIENCES FOR HEALTH LTD/GTE COMPLETE ADDRESS: 2ND FLOOR, BLOCK B, A.U.J. COMPLEX, PLOT 564/565 INDEPENDENCE AVENUE, CBD ABUJA, NI. PRIMARY ACTIVITY: PROMOTION OF ADEQUATE HEALTHCARE AND PUBLIC HEALTH INTERVENTIONS. LINE 2 - MANAGEMENT SCIENCES FOR HEALTH-SWAZILAND COMPLETE ADDRESS: SUITE 110 THE NEW MALL, DR. SISHAYI ROAD, MBABANE, WZ. PRIMARY ACTIVITY: PROMOTION OF ADEQUATE HEALTHCARE AND PUBLIC HEALTH INTERVENTIONS.

SCHEDULE R PART IV:

LINE 2 - MEDSOURCE GROUP LIMITED PRIMARY ACTIVITY: GROUP PURCHASING ORGANIZATION TO IMPROVE ACCESS TO PHARMACEUTICALS. LINE 3 - MSH INDIA HEALTH MANAGEMENT PRIVATE LTD. PRIMARY ACTIVITY: MSH INDIA HEALTH MANAGEMENT PRIVATE LIMITED (MSH INDIA) IS A WHOLLY-OWNED, FOR-PROFIT SUBSIDIARY OF MSH INC. ITS MEMORANDUM OF ASSOCIATION ALLOWS IT TO PARTICIPATE IN A WIDE RANGE OF HEALTH-RELATED ACTIVITIES. IT WAS ESTABLISHED IN 2023 TO ENABLE MSH INC. TO CONDUCT ACTIVITIES IN INDIA UNDER THE HEALTH SYSTEMS FOR TUBERCULOSIS (HS4TB) CONTRACT WITH USAID. THE LOCAL REGISTRATION WAS OBTAINED IN ORDER TO COMPLY WITH INDIAS LAWS AND REGULATIONS. MSH, INC. SUBCONTRACTED WORK UNDER THE HS4TB AWARD TO MSH INDIA WHO THEN CONDUCTED HS4TB ACTIVITIES IN INDIA AND INVOICED MSH, INC. FOR ITS EXPENSES PLUS A SMALL MARKUP. THOSE ACTIVITIES WERE PRIMARILY WORKING WITH INDIAN CENTRAL AND STATE GOVERNMENT TB AUTHORITIES TO IMPROVE HOW THE LATTER PROCURES AND PAYS PRIVATE SECTOR CONTRACTORS FOR TB-RELATED DIAGNOSTIC, TREATMENT AND PUBLIC HEALTH ACTIVITIES SUCH AS ACTIVE CASE FINDING AND CONTRACT TRACING. THE HS4TB PROJECT WAS TERMINATED IN 2025. AS OF THE FILING OF THIS 990, MSH INDIA'S REGISTRATION IS IN DORMANCY.