TY 2020 Form 990

(A)
Name and title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W-2/1099-MISC)

(E)
Reportable compensation from related organizations (W-2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(1) Heidi Breeze-Harris......................................................................
Executive Director

40
.................
0

129,100

10,896

(2) Dilys Walker......................................................................
Board President

5
.................
0

(3) Susanna Cohen......................................................................
Board Vice President

5
.................
0

(4) Jen Fahey......................................................................
Board Secretary

2
.................
0

(A)
Name and title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W-2/1099-MISC)

(E)
Reportable compensation from related organizations (W-2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Pronto International

Employer identification number

46-1318242

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	760,333	526,521	969,726	765,277	750,205	3,772,062
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	760,333	526,521	969,726	765,277	750,205	3,772,062
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..						82,508
6	Public support. Subtract line 5 from line 4.						3,689,554

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..	760,333	526,521	969,726	765,277	750,205	3,772,062
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	1	2	56	1	2	62
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10						3,772,124

Gross receipts from related activities, etc. (see instructions) ..................

207,118

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

97.811 %

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

99.998 %

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20012124
Software Version:	v1.00

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Pronto International

Employer identification number

46-1318242

Return Reference	Explanation
Form 990, Part I, Line 6	Volunteers: There were three uncompensated board members who served during 2020. In addition one other volunteer storage unit cleaning, packing, and inventory.
Form 990, Part III, Line 2	In 2020, the organization started the following programs, as a result of the organization's growing operations and client base: Madagascar, Malawi, Niger.
Form 990, Part III, Line 3	In 2020, the organization wrapped up the following programs: East Africa Sustainability, Preterm Birth Initiative, and Timor-Leste.
Form 990, Part VI, Section A, Line 8b	PRONTO International does not have any board committees or subcommittees.
Form 990, Part VI, Section B, Line 11b	A draft of the form 990 is reviewed by the paid preparer, as well as an outside CPA firm and the Executive Director. It is then provided to all board members via email prior to submitting the return with the Internal Revenue Service.
Form 990, Part VI, Section B, Line 12c	Annually, every member of the board is required to complete a conflict of interest questionnaire. If a potential conflict of interest arises, it is reviewed by the disinterested board members who then determine if an actual conflict of interest exists. If a conflict of interest does exist, the governing board shall determine by majority vote of the disinterested directors whether the transaction or arrangement is in PRONTO International's best interest, and whether it is fair and reasonable.
Form 990, Part VI, Section B, Line 15	The compensation for the Executive Director is set by the board of directors, all of whom are independent, using data on compensation rates for comparable positions. This process was last undertaken in July 2019. There are not other paid officers or key employees.
Form 990, Part VI, Section C, Line 19	PRONTO International's governing documents, conflict of interest policy, and financial statements are available upon request. In addition, PRONTO International's Form 990s are available on public websites such as candid.org.
Form 990, Part IX, Line 11g	Program Sustainability: $64,000; Miscellaneous Program Services: $46,672; PRONTO Trainers: $33,244; Curriculum Development: $7,899; Graphic Design: $1,477; HR & Employee Development: $1,245
Form 990, Part X, Line 24	PPP Loan Payable: $58,339; Full Forgiveness Received in 2021

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20012124
Software Version:	v1.00

1	Briefly describe the organization’s mission or most significant activities: PRONTO International aims to optimize care during birth. We develop and implement innovative training strategies for health care providers that act as a catalyst for individual, team, and system change.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	3
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	4
6	Total number of volunteers (estimate if necessary) .............	6	5
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	765,277	750,205
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1	2
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	15,301	40,649
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	780,579	790,856
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	301,217	395,667
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 26,737
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	425,401	386,412
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	726,618	782,079
19	Revenue less expenses. Subtract line 18 from line 12.......	53,961	8,777
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	627,207	712,526
21	Total liabilities (Part X, line 26).............	48,201	124,743
22	Net assets or fund balances. Subtract line 21 from line 20.....	579,006	587,783

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	Signature of officer	Date

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4a	(Code: ) (Expenses $ 122,568 including grants of $ 0 ) (Revenue $ 0 )
	Uttar Pradesh, India: In 2020 PRONTO continued the collaboration with India Health Action Trust (IHAT) to provide simulation training to 204 facilities in the 25 high priority districts (HPDs). Because of the Covid pandemic, which put all our activities on hold since March 2020, we worked on developing virtual training modules, which could be delivered remotely. In August 2020, we trained 7 IHAT simulation supervisors virtually. Based on the success of this training, we conducted virtual training for two batches of nurse mentors (32 in each batch). Once the restrictions were eased, we conducted in-person training of 7 simulation supervisors.

4b	(Code: ) (Expenses $ 119,769 including grants of $ 0 ) (Revenue $ 0 )
	Malawi: Advancing Postpartum Hemorrhage Care (APPHC) is a one-time catalytic investment from U. S. Agency for International Development (USAID) to generate and test solutions that address key barriers to PPH prevention, detection, and treatment, and to advance the use of related evidence. In Malawi, there has been on-going interest in improving the management of obstetric complications through mentoring approaches. The USAID-supported bilateral ONSE project has supported building the mentoring workforce within the MOH to promote health systems strengthening and MNH (among other health areas). Therefore, one of the APPHC interventions was structured around the development and testing of a simulation and team mentorship approach to improve provider knowledge, skills, and communication improve the identification, management and treatment of PPH. For this intervention, PRONTO International designed and conducted simulation-based training for healthcare provider teams using an innovative, evidence-based approach to help learners move from knowledge to practice in the management of maternal and newborn emergencies. In addition to strengthening individual provider skills and knowledge, the sessions strengthen teamwork, communications, inter-professional collaboration, and respectful maternity care (RMC). The main objectives of the simulation mentorship were to build capacity and confidence in managing obstetric conditions and complications, and help providers reflect on their work, manage stress, and feel respected in their roles in order to reduce potential burnout, improve motivation and support frontline health providers to manage PPH. The global COVID-19 pandemic introduced unexpected challenges to the APPHC effort, and as such the implementation of the PRONTO intervention was redesigned with dedicated training to delivering care in the context of COVID-19. The seven PRONTO intervention facilities in Zomba were purposively selected to provide representation from primary, secondary, and tertiary care facilities, while ensuring sufficient numbers of providers and deliveries to meet sample size requirements for the larger implementation research. The original 14 mentors who participated in the initial PRONTO Simulation Facilitator in-person course in March 2020 also completed a digital course on PRONTO's learning platform, 'PRONTOLearn,' to familiarize themselves with the elements of simulation and facilitation after the 6-month pause due to COVID-19. Mentors also received three coaching calls and feedback reports from the PRONTO Master Trainers. These calls were provided for the mentors to have the chance to discuss challenges and successes in running simulation in their facilities, for Master Trainers to provide feedback and advice, and for the PRONTO team to orient mentors to the next PRONTO SimPackTM in the implementation progression. The coaching calls were interspersed between simulation sessions. This PRONTO simulation intervention, while disrupted by COVID-19, generated important learnings. The mentors demonstrated self-motivation and dedication to the simulation and facilitation process, and expressed a desire to continue running simulation in their facilities. Their passion and commitment during the challenges of COVID-19 are an encouraging testament to the potential for sustaining the program in Zomba and expanding to other districts in Malawi, with contributions from these mentors. The pandemic provided an opportunity to test remote synchronous and asynchronous learning. Once the in-person PRONTO simulation and facilitation training occurred, rapid learning cycle were introduced so that learners could add more simulation content and grow their skills. A sustainable simulation and team communication program in Malawi is possible, and can be an important and useful tool for providers in frontline facilities as they work to improve their management of maternal and neonatal emergencies and the provision of respectful maternity care. The issues of facility administration engagement in supporting simulation and team training at the facility-level along with issues of incentives and investigating whether the CPD point system could be tailored for participation in simulation are two of the most important considerations moving forward. All mentors reported that the coaching calls and mentor reports were useful. They suggested that if given the opportunity to continuing to receive simulation learning support like this, they would make time to continue. Mentors reported that the combination of mentor-pair specific feedback reports and group coaching calls were each valuable in different ways and complemented one another. Mentors reported interest in running simulations on additional material such as preeclampsia/eclampsia. Throughout this intervention, it became clear to PRONTO the power of peer-to-peer support in encouraging mentors, providing lessons learned, and answering questions. We believe that establishing local champions that carry forward this sense of teamwork will be important for sustainability. These individuals could even work their way into master trainers continue to grow the scale of their impact. Some mentors were identified as being particularly qualified for this local champion role. The evidence from qualitative and quantitative data suggest that facility-based simulations can improve the quality of obstetric care by reinforcing clinical practices, communication and teamwork. This will not only improve the capacity of providers but will also be a way of sustaining the activities, in the absence of project-driven incentives. Some teamwork activities involved close contact of participants. These activities should be modified to remove some components that involve physical contact (or short distance interaction) to suit the current environment of social distancing to reduce potential spread of COVID-19.

4c	(Code: ) (Expenses $ 106,032 including grants of $ 0 ) (Revenue $ 0 )
	Mozambique: The Alcancar project in Mozambique is primed by FHI360 and funded through a cooperative agreement with USAID. PRONTO International is a sub on the project. The goal of Alcancar project in Mozambique is to support the Government of the Republic of Mozambique (GRM) to prevent maternal, neonatal and child mortality. The geographic focus is the 23 districts of Nampula Province, with a focus on using best practices in quality improvement (QI) to enable health facility and district teams to identify, test and scale health system improvements and to achieve consistent, sustainable delivery of high-quality, human- centered clinical maternal, newborn and child (MNCH) care. PRONTO's design of project - year 2 (which spanned PRONTO's fiscal year 2020 - 2021) simulation and team training activities is driven by the goal of moving the Alcancar mentors on a stair-stepped pathway to Mastery as PRONTO Trainers. Since the COVID-19 pandemic began PRONTO has been building new ways to deliver training content and as such we have been in a rapid cycle of implementation, iteration, growth, and learning. Since the development and submission of PRONTO's Y2 program design in September 2020, our team facilitated two virtual training activities in Malawi and Nigeria. These trainings gave us insight into some project amendments we carried out during Y2 simulation and team training program for Alcancar . We believe these amendments enhanced the learning of the Alcancar mentors during Y2. PRONTO's 2020 training in Nigeria was a hybrid training with the learners gathering together in one location and PRONTO's master trainers connecting synchronously through virtual channels. The learners in Nigeria were at an introductory level. The Malawi program's mentors were at a more advanced level similar to the Alcancar Mentors. For these mentors we developed a program of learning cycles where PRONTO Master Trainers provided intermittent "coaching" calls, lasting 1-2 hours each, along with video reflection and analysis of simulations and debriefs from the mentors. With a more advanced cohort we found the learning cycle of introducing curriculum and concepts via video calls and then offering intermittent virtual coaching calls based on the results of video coding of previously conducted simulation was extremely effective in engendering practice change and improvement. The biggest changes to the Alcancar program was that the mentors received additional coaching and video reports and the new pre-term birth curriculum was covered in coaching calls and through video coding and video and coaching feedback rather than through an in-person training event. The end result for the mentors was the same as our original design - moving all mentors to the same point on a path to being PRONTO Master Trainers. The new simulation content that was taught to facilitators in PY2: 1) SimPackTM 11: Preterm (30 weeks) premature rupture of membranes (PPROM) - no delivery (COACHING CALL #1) 2) SimPackTM 12: Preterm (36 weeks) birth of a non-vigorous baby (COACHING CALL #1) 3) COVID SimPackTM (now called SimPackTM 13): COVID-19 suspected patient in early labour (no delivery) (COACHING CALL #1) 4) COVID SimPackTM (now called SimPackTM 14): COVID-19 positive patient with spontaneous vaginal delivery of a non-vigorous baby (COACHING CALL #1) 5) SimPackTM 15 (formerly SimPackTM 13): Preterm (31 weeks) placenta praevia (no birth) (COACHING CALL #2) 6) SimPackTM 16 (formerly SimPackTM 14): Spontaneous preterm (32 weeks) birth with chorioamnionitis of a non-vigorous baby (COACHING CALL #2) PRONTO International teaches simulation and team training in a range of content areas related to healthy pregnancy, intrapartum and post-partum care. PRONTO's teaching methods include in-person training, synchronous virtual training, and asynchronous learning modules delivered in a range of formats. Each format includes various assessments of skills and knowledge for the learner at different levels. PRONTO's asynchronous learning modules are assets and intellectual property that come in a range of forms including videos that are delivered to mentors over the PRONTO Learning Academy - our virtual training portal. Learning modules vary in length and most have a concomitant quiz or assessment associated. Mentors are enrolled in PRONTO's learning academy and are able to access and view the modules as learning tools for the duration of the contracted project. To build the mentors toward Master Trainer skill level, after the mentors have submitted both simulation and debrief videos and accompanying self-assessment forms, each mentor was given access to 6 PRONTO training modules as "pre-work" to be completed virtually, via the PRONTO Learning Academy. The pre-work included watching and completing various video modules on topics of advanced facilitation and debriefing and focuses on the facilitator's growth. Additionally, a Knowledge Assessment is also administered virtually as part of this pre-work. Based on the inputs the PRONTO team analyzed the data and offered two methods of providing feedback to mentors to encourage their growth: 1. Mentor reports - From the coded videos, the PRONTO team prepared individualized mentor reports providing detailed feedback to each mentor on areas they were performing well in, and areas in which they could improve for future learnings. 2. Synchronous calls - The PRONTO team provided live coaching in a 90-minute Zoom call format during which best practices and thematic areas that were emerging from the video coding and self-efficacy forms were discussed. This feedback loop was designed to provide ongoing support and as near "real time" feedback as possible given the realities of COVID, to encourage rapid practice improvement on behalf of the mentors. PRONTO provided this feedback loop to mentors at 3 different time points in PY3. In order to undertake the above-described observation and feedback process, the following preparatory training activities were undertaken: 1. Train the mentors, technical coordinators, stakeholders, and PRONTO in-country consulting team how to use cameras for the purpose of video coding. 2. Train the mentors, technical coordinators, stakeholders, and PRONTO in-country consulting team how to capture video correctly for the purposes of video coding. 3. Train an in-country PRONTO Portuguese-speaking consultant based at UniLurio how to code videos for simulation and debriefing fidelity. 4. Hire and train a set of in-country Portuguese-speaking consultants who could work directly with the Alcancar team in an effort to create efficiency and clarity for this complex set of time points and implementation activities. Once the preparatory training activities were completed, the mentors facilitated simulation according to the implementation schedule from Alcancar . The three time points in PY3 included: 1. Two-Day Training in Nampula - June 7-8, 2021 (originally described as "Coaching Call 1") This training included an additional training on camera use, how to capture videos, the introduction of the PRONTO Preterm Birth curriculum, and additional SimPackTM simulation scenarios, and a coaching call with Maya Johnson (PRONTO Master Trainer) on the first time point videos submitted by mentors. 2. Coaching Call 2 - July 28, 2021 3. Coaching Call 3 - Sept 22, 2021 All coaching calls were recorded and sent as video files to the Alcancar team as part of our sharing products designed to inform and improve implementation in real time. Specialized low-tech simulation supplies designed to run preterm birth scenarios were procured and shipped as part of PY2.

	(Code: ) (Expenses $ 102,612 including grants of $ 0 ) (Revenue $ 0 )
	Bihar, India: In 2020, PRONTO International continued a long-standing collaboration with CARE India in Bihar. PRONTO continued to support the nurse mentoring program called AMANAT Jyoti, where 80 Nurse Mentor Supervisors (NMS) trained approximately 1,000 AMANAT mentors in 375 Primary Health Care Centers. These mentors were Auxiliary Nurse Midwives (ANMs) and General Nurse Midwives (GNMs). In March 2020, the Indian government announced a complete shutdown in the country in response to the Covid pandemic. All PRONTO trainings were put on hold as only the essential workers were allowed to continue their work. Keeping the uncertainty of the pandemic in mind, PRONTO team worked to put together a virtual module of our Simulation Facilitation Training. We developed a hybrid training model, where ~40% of our training material could be taught remotely over a virtual platform and the hands-on simulation training would be done in-person. We conducted virtual training for all 80 NMSs and 20 CEmONC mentors in August. By December 2020, we were allowed to travel to facilities and conduct in-person trainings. We conducted our in-person training in 3 group sessions for all NMSs and CEmONC mentors. PRONTO conducted Fidelity Monitoring as the NMSs trained the AMANAT mentors and who then trained their peer mentors. PRONTO team was also requested by the Government of Bihar to conduct Respectful Maternity Care (RMC) training in district hospitals, as part of a national initiative, LaQshya, to strengthen the quality of care around labor. PRONTO conducted RMC training in 6 district hospitals for nurses, doctors, and support staff to sensitize them to providing respectful care to the pregnant mother and their companions as they come to the facility. PRONTO continued its work on the Sustained Engagement platform and conducted a pilot of three modules with about 100 NMS in 2020. PRONTO made its first foray into pre-service arena by training 99 nurse tutors for Christian Medical Association of India (CMAI), which operates 400 nursing colleges in India. The nurse tutors were trained on how simulation could be incorporated into their curriculum. Simulation has been shown to be effective education tool to increase the self-confidence of students in their clinical skills.

	(Code: ) (Expenses $ 92,846 including grants of $ 0 ) (Revenue $ 0 )
	Nigeria: In 2020, PRONTO continued its maternal and newborn health activities in partnership with Clinton Health Access Initiative (CHAI) in Niger State, Nigeria. In January 2020, PRONTO conducted an Advanced Simulation Facilitator Training (ASFT) in Minna, Nigeria. The training brought together 30 participants (20 project mentors and 10 representatives from the Niger State government) to build upon their existing skills in simulation and team-training, teach advanced debriefing concepts, discuss solutions for existing implementation challenges, and introduce a more clinically complex curriculum. Following the ASFT, the project mentors began utilizing the more clinically complex PRONTO simulation and team-training curriculum during their regular mentorship visits at health facilities in Niger State, aimed at increasing healthcare provider confidence in managing obstetric and neonatal emergencies, promoting respectful maternity care, and forming cohesive interprofessional healthcare provider teams. Immediately following the SFT training, PRONTO conducted a Simulation Assistant Training (SAT). The SAT brought together 26 healthcare providers from intervention facilities to train them to assist Simulation Facilitators while running simulation and teamwork activities in their health facilities. The training introduced simulation and team-training and taught the Simulation Assistants to facilitate teamwork activities, set-up for simulation, and prepare the patient actress. The goal of this training was to provide valuable, facility-based support to the Simulation Facilitators, while also priming the Simulation Assistants to transition into the role of Simulation Facilitator at the project's conclusion. In September 2020, PRONTO conducted a Video Coding Training with two Nigerian counterparts familiar with the project in Niger State. The 3-day training introduced video coding as a monitoring and evaluation tool and transferred monitoring and evaluation skills to these two individuals, teaching them to use video coding to monitor and evaluate program fidelity. In December 2020, as part of project sustainability efforts, PRONTO conducted a Simulation Facilitator Training. This training took the 26 existing facility-based Simulation Assistants trained in January 2020 and introduced them to additional skillsets needed to be full Simulation Facilitators with the ability to run simulations and team-training independently once the project concluded. Due to the COVID-19 pandemic, this training was a hybrid training, with the participants coming together in Minna, Nigeria and PRONTO trainers joining virtually from Kenya and the United States. Together with the support of Nigeria-based Peer Facilitators, PRONTO's Master Trainers facilitated sessions on simulation and debriefing skills and gave feedback during the participants' hands on practice.

	(Code: ) (Expenses $ 59,097 including grants of $ 0 ) (Revenue $ 0 )
	Madagascar: The Advancements in Postpartum Hemorrhage Care (APPHC) Partnership, led by Breakthrough Research and the HEARD Project, supports USAID's objective of assuring high-quality, respectful and accessible essential maternity services provision within and beyond the context of COVID-19 by: 1. Generating and testing solutions to address key implementation barriers for PPH prevention and treatment; and 2. Advancing effective implementation of interventions, strategies, and innovations that can strengthen existing care for PPH prevention and treatment. The 2019-20 APPHC implementation research study in Madagascar introduced and tested a provider support approach that addresses provider vulnerabilities and strengthens mentorship for CSB-level providers. The approach included a mentorship model using highly realistic simulation enhanced with a Virtual Mentor and a set of tools to support the provider in the management of PPH. In this pilot study, our partners at UCSF implemented this approach in 20 CSBs in 2 regions.: 10 CSBs in Vatovavy Fitovinany (V7V) region: interventions included PPH simulation, VM, and provider support tools.; 10 CSBs in Atsinanana region: interventions included PPH simulation and VM... A total of 31 providers across both regions participated in the study. UCSF trained 13 mentors (10 primary and 3 backup) who each traveled to two of the 20 CSBs to provide PPH simulation training experiences within the facilities. A patient actress accompanied each mentor to act as the woman experiencing PPH. Mentors used simulation materials provided by PRONTO International to make the PPH simulation as realistic as possible, such as special pants for the actress, fake blood, and a small white board for the mentor to communicate silently during the simulation. During the PPH simulation, providers were invited to "talk" to a hands-free, voice-only chatbot that asked questions and gave recommendations based on the patient's condition. This chatbot, called Virtual Mentor (VM), worked as an application on a mobile tablet device and communicated in French.

	(Code: ) (Expenses $ 46,531 including grants of $ 0 ) (Revenue $ 0 )
	Niger: In 2020, PRONTO was awarded a subcontract on the USAID-funded Kulawa project in Niger, which aims to improve health, family planning, and nutrition outcomes in the Maradi, Zinder, and Tillaberi regions. PRONTO is a technical partner on the project who will provide expertise in capacity strengthening and team training approaches to improve quality of care. Over the course of the 5-year project, PRONTO will implement an EmONC simulation and team-training mentoring model at the district and facility level. Our goal is to leave each district with a sustainable model that allows providers to access continuous, hands-on learning and improvement using PRONTO's in-situ simulation and team training methodology and our simulation supplies designed for limited-resource settings. The first 6 months of the project (June - December) were used for project planning purposes. During this period, PRONTO set up the necessary internal frameworks and controls for the project, oriented project partners to PRONTO's work, conducted work planning alongside project partners, contributed to the monitoring, evaluation, and learning plan, and assisted in recruitment and hiring of in-country project staff.

	(Code: ) (Expenses $ 15,604 including grants of $ 0 ) (Revenue $ 0 )
	PRONTOPacks: Excluding program-related purchases, PRONTO sold 2 PRONTOPacksTM, 4 PartoPantsTM, and 18 individual simulation supplies in 2020. All of 2020's sales were to hospitals and universities within the United States.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 316,690 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses665,059

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	0
d	Related organizations		1d	0
e	Government grants (contributions)		1e	226,000

f	All other contributions, gifts, grants, and similar amounts not included above		1f	524,205

g	Noncash contributions included in lines 1a - 1f:$		1g	0

h Total. Add lines 1a-1f.......		750,205

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	129,100	0	10,896

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		0

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2	0	0	2
4 Income from investment of tax-exempt bond proceeds			0	0	0	0
5 Royalties...........			0	0	0	0
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)	0	0	7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	41,752
b	Less: cost of goods sold ..		10b	5,070
c	Net income or (loss) from sales of inventory..			36,682	36,682	0	0
Business Code			Miscellaneous Revenue
11a	Refund of Conference Registration		900099	3,967	0	0	3,967
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,967
12	Total revenue. See instructions.....			790,856	36,682	0	3,969

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	139,996	99,018	34,934	6,044
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	226,307	203,290	7,308	15,709
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........	29,364	22,734	4,807	1,823
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,535	2,423	1,112
c	Accounting ...........	11,298	135	11,163
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	154,537	147,655	4,245	2,637
12	Advertising and promotion ....	513			513
13	Office expenses .......	33,633	30,858	2,775
14	Information technology ......	21,118	9,107	12,011
15	Royalties ..
16	Occupancy ...........	12,211	1,806	10,405
17	Travel ............	74,374	74,341	22	11
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,611	1,611
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	1,501		1,501
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Program Supplies & Expenses	72,081	72,081	0	0
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	782,079	665,059	90,283	26,737
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		385,364	1	641,091
2	Savings and temporary cash investments .........		1,101	2	1,101
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		233,804	4	68,216
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............		6,938	8	2,118
9	Prepaid expenses and deferred charges ......			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 33)...		627,207	16	712,526

17	Accounts payable and accrued expenses .....	48,201	17	66,404
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24	58,339
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	48,201	26	124,743

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	368,006	27	276,769
28	Net assets with donor restrictions ...........	211,000	28	311,014
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	579,006	32	587,783
33	Total liabilities and net assets/fund balances ........	627,207	33	712,526

Name of organization Pronto International

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Name of organization Pronto International		Employer identification number 46-1318242

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)


Name of organization Pronto International			Employer identification number 46-1318242
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	South Asia	0	1	Program Services	In India, PRONTO is partnered with various organizations to integrate PRONTO's simulation and team training methods into nurse mentoring programs in the states of Bihar and Uttar Pradesh. PRONTO's train-the-trainer method creates simulation facilitators who are able to run high-fidelity, low-cost simulations on the management of maternal and neonatal emergencies at the facility level. PRONTO works with partners to develop implementation schedules to conduct facility-based simulations within health facilities. PRONTO provided a simulation and team-training curriculum for facilitators to follow during their intervention which allows participants to conduct simulations in labor wards, operating theaters, or other spaces where clinical emergencies occur. In the pre-service setting, PRONTO trained nurse tutors in nursing colleges run by Christian Medical Association of India in India. The tutors were trained on how to incorporate simulation as a teaching tool in their nursing curriculum.	225,180
	Sub-Saharan Africa	0	0	Program Services	In 2020, PRONTO worked in Madagascar, Malawi, Mozambique, Niger, and Nigeria to bring simulation and team training in the management of maternal and neonatal emergencies to the frontline clinical providers who need the practice the most. We deployed our train-the-trainer model in an effort to ensure greatest sustainability. We also used simulation and team training as a method for introducing new technology and guidelines into practice to help clinical providers fill the know-do gap in their training vs their actual practice.	424,276















3a	Sub-total ....
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	1			649,456

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

ReturnReference	Explanation
Schedule F, Part I, Line 3	The expenditures reported on Schedule F, Part I, Line 3 are on the Accrual Basis of accounting.