2026-05-06T14:12:01-05:00 2025-06-30 991856619 GRANT THORNTON ADVISORS LLC 53 STATE STREET SUITE 1600 BOSTON MA 02109 990 2024-07-01 042482188 MANAGEMENT SCIENCES FOR HEALTH INC MANA 6172509500 200 RIVERS EDGE DRIVE MEDFORD MA 02155 DIANNA O'SULLIVAN CONTROLLER & CFO 6172509500 2026-05-06 1 1 ERIN COUTURE P01390592 6177237900 2024 2025-03-06 01:10:19Z X MARIAN WENTWORTH 200 RIVERS EDGE DRIVE MEDFORD MA 02155 147545825 0 X WWW.MSH.ORG X 1971 MA (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. 11 11 283 11 0 0 166834600 128019613 0 0 899345 3607166 1109301 142780 168843246 131769559 30266704 23969448 0 0 85496631 71223980 0 0 8374 51148856 36554105 166912191 131747533 1931055 22026 73661296 58219103 32729444 21371034 40931852 36848069 X SEE SCHEDULE O 0 0 35670684 11591192 0 SEE SCHEDULE O 32889172 8190838 0 SEE SCHEDUE O 23716143 3736950 0 SEE SCHEDULE O 1218540 450468 0 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. 1218540 450468 0 93494539 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 110 0 1 283 1 0 1 UG CG ID JO KE MA MI NI MZ RP RW SG SF TZ UP AF CM BG BN UV IV ET GT LI ML 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 AL AR CA FL GA HI IL KS KY MD MA MI MN MS NH NJ NM NY NC OR PA RI SC TN VA WV WI ND X X X DIANNA O'SULLIVAN 6172509500 200 RIVERS EDGE DRIVE MEDFORD MA 02155 X JOHN PAUL CLARK DIRECTOR (AS OF 6/2025) 3.00 0.00 X 0 0 0 PETER BUIJS DIRECTOR 3.00 0.00 X 0 0 0 MUSHTAQUE CHOWDHURY DIRECTOR 3.00 0.00 X 0 0 0 BETH DEHAMEL DIRECTOR 3.00 0.00 X 0 0 0 CHARLES DOCKENDORFF DIRECTOR (THRU 12/2024) 3.00 0.00 X 0 0 0 LATANYA MAPP FRETT DIRECTOR 3.00 0.00 X 0 0 0 JOHN ISAACSON DIRECTOR 3.00 0.00 X 0 0 0 JOHN MASTERSON DIRECTOR 3.00 0.00 X 0 0 0 W GYUDE MOORE DIRECTOR 3.00 0.00 X 0 0 0 BERNARD NAHLEN DIRECTOR 3.00 0.00 X 0 0 0 LESLYE OBIORA DIRECTOR (THRU 12/2024) 3.00 0.00 X 0 0 0 MAGDA ROBALO DIRECTOR 3.00 0.00 X 0 0 0 NANKHONDE KASONDE VAN DEN BROEK DIRECTOR 3.00 0.00 X 0 0 0 MARIAN WENTWORTH CHIEF EXECUTIVE OFFICER & PRESIDENT 40.00 0.00 X 540198 0 71167 GORDON KIHUGURU VP- CHIEF FIN OFF.(THRU 4/2025) 40.00 0.00 X 298739 0 68578 PAUL ZIMMERMAN GENERAL COUNSEL (THRU 6/2025) 40.00 0.00 X 297889 0 72052 DIANNA O'SULLIVAN CONTROLLER AND CFO (AS OF 4/2025) 40.00 0.00 X 174974 0 63343 KATHRYN ERSKINE CHIEF PEOPLE & CULTURE OFF. (AS OF 6/2025) 40.00 0.00 X 0 0 0 COLLEEN MCGUFFIN CPO & EXECUTIVE VP 40.00 0.00 X 334059 0 45370 DAN SCHWARZ VICE PRESIDENT - GHSI 40.00 0.00 X 290491 0 67815 STEVE MORGAN FINANCE DIRECTOR (THRU 3/2025) 40.00 0.00 X 277881 0 45699 DANA SANDSTROM VP/STRATEGY, BUS. DEV. & PARTNERSHIP 40.00 0.00 X 279616 0 34918 FRANCIS ABOAGYE-NYAME PORTFOLIO DIRECTOR (THRU 4/2025) 40.00 0.00 X 246756 0 62679 DAVID HUMPHRIES ASSOC. VP - COMMS. (THRU 5/2025) 40.00 0.00 X 236059 0 65689 ADESUWA ADETOSOYE VICE PRESIDENT PDG (THRU 9/2024) 40.00 0.00 X 237646 0 55236 KAMIAR KHAJAVI PROJECT DIRECTOR III (THRU 4/2025) 40.00 0.00 X 259045 0 32527 JEANNE HAUGHT SR. DIRECTOR, OPS (TERM 7/2025) 40.00 0.00 X 231068 0 38361 NORIO KASAHARA CHIEF OF PARTY, AFIAT (TERM 2/2025) 40.00 0.00 X 346124 0 24233 ALI RAJPOOT FINANCE DIRECTOR (THRU 3/2025) 40.00 0.00 X 281759 0 26364 PAUL WAIBALE SR PR TECH ADV INFECT (TERM 4/2025) 40.00 0.00 X 176072 0 0 ELKE KONINGS SR. TECH. DIR. (THRU 4/2025) 40.00 0.00 X 258039 0 64239 REBECCA KOHLER CHIEF OF PARTY, SAFEMED 40.00 0.00 X 330372 0 56761 FLORIDE NIYUHIRE PORTFOLIO DIRECTOR (THRU 4/2025) 40.00 0.00 X 196493 0 35588 ANTOINE NDIAYE PROJECT DIRECTOR II (THRU 4/2025) 40.00 0.00 X 289295 0 28056 JACOB HUGHES SR. TECH. DIR. (THRU 4/2025) 40.00 0.00 X 267053 0 33641 AMY BOLDOSSER-BOESCH SENIOR TECHNICAL DIRECTOR 40.00 0.00 X 254032 0 36356 HENRY HAPPY NGABO FINANCE DIRECTOR 40.00 0.00 X 185777 0 18471 RUDI THETARD GLOBAL TECHNICAL LEAD (TERM 4/2025) 40.00 0.00 X 211359 0 36126 MATTHEW GEMEDA ASSOCIATE VP - INTERNAL AUDIT 40.00 0.00 X 243613 0 29557 JOHN YANULIS PORTFOLIO DIRECTOR 40.00 0.00 X 211804 0 59817 CHRISTOPHER WELCH PORTFOLIO DIRECTOR (TERM 5/2025) 40.00 0.00 X 196166 0 57757 SERGE RAHARISON PROJECT DIRECTOR III (TERM 3/2025) 40.00 0.00 X 217591 0 40624 KATHLEEN ALVAREZ TALENT ACQ. SR. DIR. (TERM 4/2025) 40.00 0.00 X 164429 0 52796 STEPHANIE ARMAND XUEREF PORTFOLIO DIRECTOR (TERM 5/2025) 40.00 0.00 X 218618 0 0 SEYDOU DOUMBIA SR. TECHN. MGR (THRU 10/2024) 40.00 0.00 X 224122 0 40834 7977139 0 1364654 179 1 1 0 S&S OPEN DEV LLC 400 G STREET NE WASHINGTON DC 20002 CONSULTING SVCS 712818 THINKWELL LLC 1519 YORK RD LUTHERVILLE MD 21093 TECHNICAL SVCS 386870 GRANT THORNTON LLP 33960 TREASURY CENTER CHICAGO IL 606943900 AUDIT SVCS 254604 CDW LLC 200 N MILWAUKEE AVE VERNON HILLS IL 60060 COMPUTER SVCS 206806 BAO SYSTEMS LLC 2900 K STREET NW WASHINGTON DC 20007 COMPUTER SVCS 192958 14 107612333 20407280 128019613 1032581 1032581 18350851 15776266 2574585 2574585 2574585 142780 142780 142780 131769559 142780 0 3607166 2262905 2262905 21706543 21706543 4302937 963196 3339741 54976450 36087395 18882555 6500 3426868 2338376 1088094 398 6020587 3555838 2463819 930 2497138 963922 1532670 546 389912 107815 282097 420709 131649 289060 6936164 6028336 907828 3480483 2731312 749171 2907931 1234880 1673051 2636745 1683457 953288 6560723 5877506 683217 665783 536493 129290 6398 6398 400226 6024 394202 1037403 439545 597858 SUBCONTRACT COSTS 4308372 4201192 107179 BAD DEBTS 2768928 2768928 EQUIPMENT AND SUPPLIES 2637843 2636916 927 RESERVE FOR INVESTMENT 1390656 1390656 5829 1239 4590 131747533 93494539 38244619 8374 10137204 39554692 8039354 4648067 23877901 6460237 1345181 210543 3587192 1421755 731038 386652 408864 344386 17197027 75461 1510556 116750 0 0 7558017 5387212 73661296 58219103 17236440 8508017 6806030 5376745 8686974 7486272 32729444 21371034 X 37630211 33496978 3301641 3351092 40931852 36848069 73661296 58219103 X 22026 -1662380 -2443429 X X 0 1 X 1 1 1 X 145214756 154193320 171171736 166834600 128029613 765444025 145214756 154193320 171171736 166834600 128029613 765444025 765444025 209362 459493 694947 610464 1032581 3006847 2424 1109301 142780 1254505 769705377 0.99450 0.99550 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 16120 0 0 16120 0 PART II-B, LINE 1: 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. 1241529 171934 74845 1338618 1101295 146354 6120 1241529 1040243 103884 42832 1101295 0 1018765 21478 1040243 1.00000 0 0 143773 71023 72750 587265 315629 271636 344386 ROU LEASE ASSET 5283668 OTHER ASSETS 103544 5387212 ROU LEASE LIABILITY 7486272 7486272 X PART X, LINE 2: 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. 1 CENTRAL AMERICA AND THE CARIBBEAN 2 8 PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES 793478 EAST ASIA AND THE PACIFIC 2 59 PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES 6563728 EUROPE (INCLUDING ICELAND & GREENLAND) 0 7 PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES 1230649 MIDDLE EAST AND NORTH AFRICA 1 10 PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES 977609 RUSSIA AND NEIGHBORING STATES 1 28 PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES 7504329 SOUTH ASIA 4 539 PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES 13677170 SUB-SAHARAN AFRICA 27 924 PROGRAM SERVICES PROVIDING INTERNATIONAL HEALTH SYSTEMS SERVICES 61708351 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 3779829 SOUTH ASIA 0 0 GRANTMAKING 4092262 CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTMAKING 285147 EAST ASIA AND THE PACIFIC 0 0 GRANTMAKING 625683 SUB-SAHARAN AFRICA 0 0 INVESTMENTS 2736771 37 1575 0 0 37 1575 96235143 7739863 103975006 CENTRAL AMERICA AND THE CARIBBEAN SEE PART V 62219 ELECTRONIC FUND/WIRE TRANSFER 0 N/A CENTRAL AMERICA AND THE CARIBBEAN SEE PART V 216138 ELECTRONIC FUND/WIRE TRANSFER 0 N/A CENTRAL AMERICA AND THE CARIBBEAN SEE PART V 6791 ELECTRONIC FUND/WIRE TRANSFER 0 N/A EAST ASIA AND THE PACIFIC SEE PART V 150116 ELECTRONIC FUND/WIRE TRANSFER 0 N/A EAST ASIA AND THE PACIFIC SEE PART V 133602 ELECTRONIC FUND/WIRE TRANSFER 0 N/A EAST ASIA AND THE PACIFIC SEE PART V 158631 ELECTRONIC FUND/WIRE TRANSFER 0 N/A EAST ASIA AND THE PACIFIC SEE PART V 183334 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SOUTH ASIA SEE PART V 240993 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SOUTH ASIA SEE PART V 3851269 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 25814 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 25632 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 22804 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 63599 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 8505 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 29393 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 119265 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 174634 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 104546 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 19982 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 83988 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 75726 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 126611 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 522985 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 53017 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 9060 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 7424 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 6047 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 21154 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 96639 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 245722 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 7959 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 235602 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 84774 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 24816 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 22896 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 31320 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 19356 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 190410 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 275862 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 90086 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 80790 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 11953 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 38212 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 12919 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 103597 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 59243 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 35839 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 150660 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 123067 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 78468 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 104438 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 66376 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 18710 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 48949 ELECTRONIC FUND/WIRE TRANSFER 0 N/A SUB-SAHARAN AFRICA SEE PART V 13065 ELECTRONIC FUND/WIRE TRANSFER 0 N/A 31 24 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 2380 51067 WIRE 0 TRAINING BOOK EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 5315 1343156 WIRE 253786 TRAINING BOOK MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 299 34133 WIRE 14731 TRAINING BOOK RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, 3254 2210634 WIRE 28407 TRAINING BOOK SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 1749 913168 WIRE 221959 TRAINING BOOK SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 31709 5375244 WIRE 1149441 TRAINING BOOK 1 0 1 0 0 0 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 1 THE POPULATION COUNCIL 1 DAG HAMMARSKJOLD PLAZA NEW YORK NY 10017 131687001 501(C)(3) 315337 0 MOBILE CLIENT OUTREACH SERVICES CATHOLIC RELIEF SERVICES 228 W LEXINGTON STREET BALTIMORE MD 21201 135563422 501(C)(3) 327489 0 WASH INFRASTRUCTURE AND TECHNICAL ADVICE BRAC USA INC 110 WILLIAM STREET 18TH FLOOR NEW YORK NY 10038 208456741 501(C)(3) 164013 0 TECHNICAL ASSISTANCE IN MNCH AND FP SERVICES VITAL STRATEGIES INC 100 BROADWAY 4TH FLOOR NEW YORK NY 10005 223419667 501(C)(3) 468396 0 TECHNICAL ASSISTANCE AMERICAN ACADEMY OF PEDIATRICS 345 PARK BLVD ITASCA IL 60143 362275597 501(C)(3) 203525 0 TECHNICAL ASSISTANCE FOR CLINICAL TRAINING JHPIEGO (JOHN HOPKINS UNIVERSITY) 3910 KESWICK ROAD BALTIMORE MD 21211 520595110 501(C)(3) 530498 0 DESIGN, PLAN AND IMPLEMENT FOR SBC AMERICAN COLLEGE OF NURSE MIDWIVES 8403 COLESVILLE ROAD SILVER SPRING MD 20910 741685515 501(C)(3) 30630 0 TECHNICAL ASSISTANCE FOR CLINICAL TRAINING ZENYSIS TECHNOLOGIES INC 548 MARKET ST PMB 76125 SAN FRANCISCO CA 94104 810929294 FOR PROFIT 62183 0 TECHNICAL ASSISTANCE THREE STONES INTERNATIONA 1315 HIGHLAND DR SILVER SPRING MD 20910 822320878 FOR PROFIT 53854 0 TECHNICAL ASSISTANCE DIMAGI INC 585 MASSACHUSETTS AVE CAMBRIDGE MA 02139 830343298 FOR PROFIT 106980 0 TECHNICAL ASSISTANCE 7 3 PART I, LINE 2: MSH HAS A POLICY IN PLACE DESCRIBING HOW GRANTS ARE MONITORED. X X 1 1 X X X X 0 0 0 0 0 0 0 1 0 MARIAN WENTWORTH CHIEF EXECUTIVE OFFICER & PRESIDENT 486892 0 48920 0 4386 0 22267 0 48900 0 611365 0 0 0 REBECCA KOHLER CHIEF OF PARTY, SAFEMED 301739 0 1980 0 26653 0 20726 0 36035 0 387133 0 0 0 COLLEEN MCGUFFIN CPO & EXECUTIVE VP 311219 0 18239 0 4601 0 16805 0 28565 0 379429 0 0 0 NORIO KASAHARA CHIEF OF PARTY, AFIAT (TERM 2/2025) 343810 0 0 0 2314 0 12900 0 11333 0 370357 0 0 0 PAUL ZIMMERMAN GENERAL COUNSEL (THRU 6/2025) 286226 0 8854 0 2809 0 21399 0 50653 0 369941 0 0 0 GORDON KIHUGURU VP- CHIEF FIN OFF.(THRU 4/2025) 272972 0 22364 0 3403 0 21295 0 47283 0 367317 0 0 0 DAN SCHWARZ VICE PRESIDENT - GHSI 275776 0 14094 0 621 0 20832 0 46983 0 358306 0 0 0 STEVE MORGAN FINANCE DIRECTOR (THRU 3/2025) 242589 0 0 0 35292 0 10046 0 35653 0 323580 0 0 0 ELKE KONINGS SR. TECH. DIR. (THRU 4/2025) 255577 0 0 0 2462 0 18431 0 45808 0 322278 0 0 0 ANTOINE NDIAYE PROJECT DIRECTOR II (THRU 4/2025) 248108 0 0 0 41187 0 17472 0 10584 0 317351 0 0 0 DANA SANDSTROM VP/STRATEGY, BUS. DEV. & PARTNERSHIP 264082 0 14671 0 863 0 19513 0 15405 0 314534 0 0 0 FRANCIS ABOAGYE-NYAME PORTFOLIO DIRECTOR (THRU 4/2025) 242265 0 0 0 4491 0 17684 0 44995 0 309435 0 0 0 ALI RAJPOOT FINANCE DIRECTOR (THRU 3/2025) 248146 0 0 0 33613 0 16159 0 10205 0 308123 0 0 0 DAVID HUMPHRIES ASSOC. VP - COMMS. (THRU 5/2025) 234954 0 0 0 1105 0 17261 0 48428 0 301748 0 0 0 JACOB HUGHES SR. TECH. DIR. (THRU 4/2025) 263120 0 2617 0 1316 0 18292 0 15349 0 300694 0 0 0 ADESUWA ADETOSOYE VICE PRESIDENT PDG (THRU 9/2024) 217406 0 0 0 20240 0 17036 0 38200 0 292882 0 0 0 KAMIAR KHAJAVI PROJECT DIRECTOR III (THRU 4/2025) 252057 0 0 0 6988 0 15708 0 16819 0 291572 0 0 0 AMY BOLDOSSER-BOESCH SENIOR TECHNICAL DIRECTOR 250632 0 2562 0 838 0 14329 0 22027 0 290388 0 0 0 MATTHEW GEMEDA ASSOCIATE VP - INTERNAL AUDIT 233174 0 7078 0 3361 0 17083 0 12474 0 273170 0 0 0 JOHN YANULIS PORTFOLIO DIRECTOR 209919 0 0 0 1885 0 15368 0 44449 0 271621 0 0 0 JEANNE HAUGHT SR. DIRECTOR, OPS (TERM 7/2025) 223401 0 3513 0 4154 0 16377 0 21984 0 269429 0 0 0 SEYDOU DOUMBIA SR. TECHN. MGR (THRU 10/2024) 189475 0 0 0 34647 0 14314 0 26520 0 264956 0 0 0 SERGE RAHARISON PROJECT DIRECTOR III (TERM 3/2025) 186956 0 0 0 30635 0 7760 0 32864 0 258215 0 0 0 CHRISTOPHER WELCH PORTFOLIO DIRECTOR (TERM 5/2025) 195176 0 0 0 990 0 14282 0 43475 0 253923 0 0 0 RUDI THETARD GLOBAL TECHNICAL LEAD (TERM 4/2025) 204483 0 2160 0 4716 0 14018 0 22108 0 247485 0 0 0 DIANNA O'SULLIVAN CONTROLLER AND CFO (AS OF 4/2025) 174576 0 0 0 398 0 13351 0 49992 0 238317 0 0 0 FLORIDE NIYUHIRE PORTFOLIO DIRECTOR (THRU 4/2025) 194711 0 0 0 1782 0 13820 0 21768 0 232081 0 0 0 STEPHANIE ARMAND XUEREF PORTFOLIO DIRECTOR (TERM 5/2025) 218618 0 0 0 0 0 0 0 0 0 218618 0 0 0 KATHLEEN ALVAREZ TALENT ACQ. SR. DIR. (TERM 4/2025) 162920 0 0 0 1509 0 11973 0 40823 0 217225 0 0 0 HENRY HAPPY NGABO FINANCE DIRECTOR 162315 0 0 0 23462 0 11362 0 7109 0 204248 0 0 0 PAUL WAIBALE SR PR TECH ADV INFECT (TERM 4/2025) 176072 0 0 0 0 0 0 0 0 0 176072 0 0 0 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. 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. MANAGEMENT SCIENCES FOR HEALTH LTDGTE PLOT 5647565 INDEPENDENCE AVE CBD ABUJA NI 999999999 SEE PART VII NI 501(C)(3) MSH 1 MANAGEMENT SCIENCES FOR HEALTH-SWAZILAND 110 THE NEW MALL DR SISHAYI MBABANE WZ 999999999 SEE PART VII WZ 501(C)(3) MSH 1 MEDSOURCE GROUP LIMITED RIVAAN CTR MUGUGA BROOKSIDE DR NAIROBI KE 00800 SEE PART VII KE MSH C 81 226373 1.00000 1 MSH INDIA HEALTH MANAGEMENT PRIVATE LTD J-95 J-95A 3RD FLOOR RIGHT SIDE NEW DELHI MOHAN GARDEN, UTT IN 110059 SEE PART VII IN MSH C 904541 125831 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 MEDSOURCE GROUP LIMITED B 1390656 CASH PAID MSH INDIA HEALTH MANAGEMENT PRIVATE LTD M 904541 EXP INCURRED 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.