Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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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.") .. | 7,287,744 | 14,038,458 | 7,964,418 | 10,267,758 | 6,105,517 | 45,663,895 |
| 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 | 7,287,744 | 14,038,458 | 7,964,418 | 10,267,758 | 6,105,517 | 45,663,895 |
| 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).. | 32,802,874 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 12,861,021 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 7,287,744 | 14,038,458 | 7,964,418 | 10,267,758 | 6,105,517 | 45,663,895 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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 | 45,663,895 | |||||
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.) | ||||||
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.).. | ||||||
| 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) |
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| 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 | ||||
| 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. |
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| 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. |
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|
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. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 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..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS: | PROGRAM BUILDING HEALTH SYSTEMS RESEARCH CONSORTIUM - IN SUCCESSION TO THE THEME PAPER STUDY (DISCUSSED ABOVE) SEVERAL RESEARCH TOPICS EMERGED. THE GATES FOUNDATION FELT THAT THESE TOPICS NEED MORE SCIENTIFIC EXPLORATION. ACCESS HEALTH WORKED TO IDENTIFY AND CONTACT ACADEMICIANS AND RESEARCHERS, WHO COULD CONDUCT HIGHLY SCIENTIFIC RESEARCH TO ANSWER THESE RESEARCH QUESTIONS. WE CONDUCTED TWO ORIENTATION WORKSHOPS WITH THE ACADEMICIANS IN THE AREAS OF HEALTH FINANCING AND ORGANIZATION AND DELIVERY OF CARE, TO A DISCUSS AND FINALIZE THE IDENTIFIED AREAS OF RESEARCH. WE FINALIZED THE RESEARCH AREAS AND SHARED A REQUEST FOR PROPOSAL WITH THE IDENTIFIED ACADEMICIANS. WE RECEIVED SIX PROPOSALS FROM INSTITUTE OF ECONOMIC GROWTH, INDIAN SCHOOL OF BUSINESS, INDIAN INSTITUTE OF PUBLIC HEALTH BHUBANESHWAR, ADMINISTRATIVE STAFF COLLEGE OF INDIA, FACULTY OF MANAGEMENT STUDIES, AND INSTITUTE OF PUBLIC HEALTH. A TECHNICAL ADVISORY COMMITTEE WAS FORMULATED, AND THEY REVIEWED THE PROPOSALS. PRESENTLY, WE HAVE FINALIZED FIVE OF THESE PROPOSALS BASED ON THE SCORE PROVIDED BY THE TECHNICAL COMMITTEE AND CONTRACTS HAVE BEEN ISSUED TO THE ACADEMIC INSTITUTES. WE ARE TO START THE RESEARCH IN PARTNERSHIP WITH THESE ACADEMICIANS. AYUSHMAN BHARAT - THE GOVERNMENT OF INDIA ANNOUNCED AYUSHMAN BHARAT IN 2018. AYUSHMAN BHARAT A MAJOR HEALTH SECTOR REFORM AIMS AT MAKING INTERVENTIONS IN PRIMARY, SECONDARY, AND TERTIARY CARE SYSTEMS, COVERING BOTH PREVENTIVE AND PROMOTIVE HEALTH, TO ADDRESS HEALTHCARE HOLISTICALLY. THE PROGRAM INCLUDES TWO MAJOR HEALTH INITIATIVES NAMELY, HEALTH AND WELLNESS CENTERS AND PRADHAN MANTRI JAN AROGYA YOJNA (PM-JAY). THE PM-JAY WILL COVER OVER 10 CRORE (ONE HUNDRED MILLION) POOR AND VULNERABLE FAMILIES (APPROXIMATELY 50 CRORE (FIVE HUNDRED MILLION) BENEFICIARIES) PROVIDING COVERAGE UP TO 5 LAKH RUPEES ($7,100) PER FAMILY PER YEAR FOR SECONDARY AND TERTIARY CARE HOSPITALIZATION. ACCESS HEALTH INTERNATIONAL CONVENES A PLATFORM OF TECHNICAL RESOURCES AND EXPERTISE TO SUPPORT STATE GOVERNMENTS TO INCREASE THE LIKELIHOOD OF SUCCESSFUL IMPLEMENTATION OF PM-JAY. THE PLATFORM WORKS WITH INTERESTED STATE GOVERNMENTS WHO REQUIRE STRATEGIC SUPPORT TO CONTEXTUALIZE DESIGN AND IMPLEMENT THE STRUCTURES AND PROCESSES FOR GOVERNANCE AND MANAGEMENT. CAPACITY BUILDING - ACCESS HEALTH ENGAGES, SUPPORTS, AND STRENGTHEN COMPETENCIES, CREDIBILITY AND CONFIDENCE OF HEALTHCARE PRACTITIONERS, POLICY MAKERS AND NATIONAL AND STATE LEVEL INSTITUTIONS TOWARDS BUILDING LONG TERM CAPACITIES IN HEALTH SYSTEMS AND CONTRIBUTING TOWARDS IMPROVED HEALTH OUTCOMES FOR THE PEOPLE OF INDIA. PHC RAJASTHAN - THE GOVERNMENT OF RAJASTHAN HAS RECENTLY UNDERTAKEN THE TASK OF ENSURING BETTER PERFORMANCE OF ITS HEALTHCARE SYSTEM, WHICH FALLS BELOW THE INDIAN AVERAGE ON MANY COUNTS. IN ADDITION TO GOVERNMENT FINANCED HEALTH INSURANCE UNDER THE BHAMASHAH SWASTHYA SCHEME, THE GOVERNMENT OF RAJASTHAN HAS BEEN ACTIVELY SUPPORTING THE USE OF TECHNOLOGY, INNOVATION AND PROCESS REENGINEERING TO PROMOTE BETTER HEALTH OUTCOMES BY STRENGTHENING PRIMARY CARE AND ENSURING GOOD GOVERNANCE BY WAY OF BETTER ACCOUNTABILITY AND TRANSPARENCY. TO THIS END, THE ACCESS HEALTH INTERNATIONAL IN 2016, ENGAGED THE BOSTON CONSULTING GROUP TO HELP THE GOVERNMENT OF RAJASTHAN IN REVITALIZING ITS PRIMARY CARE SYSTEM. THIS IS BEING DONE THROUGH STAFF AND INFRASTRUCTURAL GAP FIXING OF 295 PRIMARY HEALTH CENTERS IN THE FIRST PHASE (OF A TOTAL OF ABOUT 2100), SYSTEM STRENGTHENING(E.G., VIA HR PROCESSES, MANAGEMENT INFORMATION SYSTEMS AND PROCESS REDESIGN) AND DISEASE-SPECIFIC INTERVENTIONS (E.G., TO REDUCE NEO-NATAL MORTALITY FROM THE CURRENT 3.2%).THESE TRANSFORMED PRIMARY HEALTH CENTERS WERE RELABELED AS ADARSH PRIMARY HEALTH CENTERS, AND HAVE HELPED INCREASE UTILIZATION AND AVAILABILITY OF CARE WITHIN THE PUBLIC PRIMARY CARE SYSTEM IN RAJASTHAN. IN ADDITION, COMMUNITY STRENGTHENING IS ALSO PLAYING A CRITICAL ROLE, E.G., VIA TARGETED INFORMATION AND EDUCATION CAMPAIGNS AND FEEDBACK MECHANISMS. WHILE THE ENGAGEMENT HAS ACHIEVED SIGNIFICANT SUCCESSES, THE SELECTED FACILITIES WERE NOT AMONGST THE WORST PERFORMING FACILITIES IN THE STATE. NOW, THE OBJECTIVE IS TO SCALE UP THE EXPERIENCES FROM THE ADARSH INITIATIVE TO ALL PRIMARY HEALTH CENTERS IN THE STATE BY EARLY 2019. THIS WOULD ENTAIL ADDRESSING STRUCTURAL, PROCEDURAL, AND MONITORING FUNCTIONS WITHIN THE PUBLIC HEALTH SYSTEM, WHILE ENSURING SUSTAINABILITY OF THE CHANGES UNDERTAKEN. TO ELICIT BROADER SYSTEMS ACCOUNTABILITY AND ENSURE SUSTAINABILITY, THE BOSTON CONSULTING GROUP AND ACCESS HEALTH INTERNATIONAL WILL WORK TOGETHER TO DEVELOP A MODEL TO IMPROVE ACCOUNTABILITY THROUGH A TOP DOWN, LOW TOUCH APPROACH, TO STRENGTHEN THE PRIMARY HEALTH SYSTEM. WITH BOSTON CONSULTING GROUP'S FIELD KNOWLEDGE IN RAJASTHAN, AND ACCESS HEALTH'S INVOLVEMENT IN DRIVING ACCOUNTABILITY IN OTHER STATES IN INDIA, THE TWO ORGANIZATIONS WOULD WORK IN TANDEM AND SYNERGIZE THEIR EFFORTS TO DEFINE THE PREREQUISITES FOR ENSURING ACCOUNTABLE PRIMARY CARE. THE OUTCOME WOULD INCLUDE A FRAMEWORK OR GUIDE FOR MONITORING PRIMARY HEALTHCARE PERFORMANCE AND ACCOUNTABILITY, WHICH WILL BE REPLICATED FROM RAJASTHAN, IN A STATE WHERE ADEQUATE POLITICAL BUY IN FOR CHANGE EXISTS. FINALLY, TO ADDRESS THE HIGH BURDEN OF NEONATAL DEATH IN RAJASTHAN, ACCESS HEALTH INTERNATIONAL WILL PROVIDE KNOWLEDGE SUPPORT TO THE BOSTON CONSULTING GROUP ON DEVELOPING CHANGE PACKAGES FOR REDUCING NEONATAL DEATHS IN THE STATE. THESE CHANGE PACKAGES HAVE BEEN DEVISED BASED ON ACCESS HEATH'S EXPERIENCES IN OTHER STATES ON CAPACITY BUILDING OF HEALTH WORKERS ON QUALITY IMPROVEMENT PROCESSES THROUGH EVIDENCE-BASED PRACTICE. THE QUALITY IMPROVEMENT PROCESSES WILL FOCUS ON THE THREE MAIN CAUSES OF NEONATAL MORTALITY VIZ. SEPSIS, BIRTH ASPHYXIA AND COMPLICATIONS OF PREMATURITY. THIS CHANGE PACKAGE HAS BEEN TAKEN UP BY THE GOVERNMENT OF TELANGANA, UNDER THE AMBIT OF THE AAROGYASRI SCHEME, AND WILL SERVE AS AN ADDITIONAL TOOL TO FURTHER THE EFFORTS OF THE BOSTON CONSULTING GROUP IN DRIVING DOWN NEONATAL DEATHS IN THE STATE. ACCESS HEALTH INTERNATIONAL WILL ALSO PROVIDE TECHNICAL ASSISTANCE IN DEVELOPING SOLUTIONS FOR IMPROVING HOME BASED NEWBORN CARE, REFERRAL OF SMALL AND SICK NEWBORNS AND FOLLOW UP OF 'SPECIAL CARE NEWBORN UNITS' GRADUATES IN THE COMMUNITY THROUGH TESTED ACCOUNTABILITY MECHANISMS. SUSTAINABILITY OF THIS INITIATIVE WILL BE ENSURED THROUGH IDENTIFYING AND CAPACITATING LOCAL INSTITUTIONS, WHO WILL ENGAGE WITH LOCAL STAKEHOLDERS IN AN ONGOING MANNER TO ENSURE THE SUCCESS OF THIS INTERVENTION. FINALLY, ACCESS HEALTH AND BCG WILL EXPLORE OPTIONS OF TESTING THIS ACCOUNTABILITY MECHANISM OUTSIDE RAJASTHAN, ESPECIALLY AROUND PHC TRANSFORMATION. ONE OPTION WILL BE TESTING THIS HYPOTHESIS OF TRANSFORMING PHCS VIA TOP-DOWN ACCOUNTABILITY IN A DIFFERENT STATE, WHERE THERE IS SIGNIFICANT POLITICAL BUY IN - THIS WILL BE DONE BY DIVERTING SOME RESOURCES FROM RAJASTHAN TO THE OTHER STATE, AT THE END OF THE FIRST YEAR OF THE GRANT PERIOD. TECHNICAL SUPPORT NITI AYOG - THE GOAL OF THE HEALTH SYSTEM DESIGN PORTFOLIO IS TO MOBILIZE MOMENTUM TOWARDS EFFORTS WHICH REDUCE OUT OF POCKET EXPENDITURE AND INCREASE MINIMUM QUALITY ACCESS (INPATIENT AND OUTPATIENT) TO LOWER- AND MIDDLE-INCOME POPULATION OF INDIA. THERE ARE TWO KEY PILLARS OF THIS GRANT, BOTH VERY CLOSELY LINKED TO THE GOALS. RISK POOLING: CREATING POLICIES FOR RISK POOLING (ESI, REGULATORY FRAMEWORK ACROSS ALL RISK POOLS, INNOVATIONS ON RISK POOL) ALL LOOK TO INCREASING POOLED FUNDS AND DIRECTLY REDUCING OUT OF POCKET EXPENDITURE OF THE POPULATION. THIS IS THROUGH THE TWIN MECHANISM OF IMPROVING EFFICIENCY OF EXISTING POOLS ESI, COMMERCIAL INSURANCE THROUGH GOVERNANCE AND REGULATORY REFORMS, WHICH IN TURN COULD LEAD TO MORE FUNDS BEING DEPLOYED TO THESE. AS WELL AS CREATING INNOVATIONS AND POLICIES FOR EXPANSION OF ESI, AND OTHER CONTRIBUTORY MECHANISMS. THIS WOULD CREATE A ROADMAP FOR REDUCING OUT OF POCKET EXPENDITURE IN INDIA. |
| FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS: | PRIVATE SECTOR: THIS SEEKS TO CREATE MORE INVESTMENT IN SUPPLY OF CARE FOR AYUSHMAN BHARAT BENEFICIARIES IN SMALLER TOWNS, SEMI URBAN AREAS THROUGH POLICY SUPPORT (TAX INCENTIVES, OTHER SUPPORT ETC). THIS WOULD EFFECTIVELY AID IN INCREASING ACCESS WITH MINIMUM QUALITY. THIS WILL ALSO AIM AT CREATING PILOTS TO HELP FIELD TEST POTENTIAL STRATEGIES FOR AGGREGATION OF THE FRAGMENTED PROVIDER LANDSCAPE. THIS GRANT IS A FOLLOW UP TO THE NITI THEME PAPERS WORK WHICH HAS ALREADY HAPPENED AND BUILDS ON THIS WORK. THIS IS COMPLEMENTARY TO THE NHA/PMJAY WORK AND WILL HELP CREATE MORE SUPPLY FOR PMJAY. THROUGH THE WORK ON REGULATORY FRAMEWORK AND ESI THERE WOULD ALSO BE CONVERGENCE/STANDARDIZATION EFFORT ACROSS NHA/PMJAY/OTHER PURCHASERS, WHICH IS ONE OF THE LONG-TERM VISIONS OF AYUSHMAN BHARAT. A ROADMAP TO INCREASE MORE POOLED FUNDS, WOULD EASE THE FUNDING CONSTRAINT FOR BOTH THE LEGS OF AYUSHMAN BHARAT IN THE MEDIUM-LONG TERM TO A CERTAIN DEGREE. THIS INVESTMENT HAS BEEN REQUESTED BY NITI AND IS ALSO A KEY PRIORITY FOR OUR STRATEGY TO ENABLER THE ECOSYSTEM AROUND AYUSHMAN BHARAT. HEALTH SYSTEMS TRANSFORMATION PLATFORM - UNDER THIS GRANT, ACCESS HEALTH INTERNATIONAL WILL COLLABORATE WITH A MANAGEMENT CONSULTANT TO ENSURE STATE-WIDE IMPROVEMENT OF THE PRIMARY HEALTH SYSTEM IN SELECT STATES OF INDIA AND ENSURE SUSTAINABILITY OF OUTCOMES. THE FOLLOWING WILL BE ADDRESSED: 1. DESIGN OF A DEEP PERFORMANCE ACCOUNTABILITY SYSTEM (AND IMPLEMENT IT FOR TWO CADRES GIVEN THE PRACTICAL CONSTRAINTS OF IMPLEMENTING IN ANNUAL CYCLES) 2. IMPROVING GOVERNANCE AT THE LAST MILE (TO ENHANCE ACCOUNTABILITY) 3. STRENGTHENING KEY SYSTEMS AND PROCESSES TO PROVIDE ACCURATE AND REAL-TIME DATA. KEY SYSTEMS WILL BE ADDRESSED TO ENABLE TARGET SETTING AT ALL LEVELS, NEAR REAL-TIME DATA CAPTURE OF HEALTH OUTCOMES/ OUTPUTS AND INPUTS, DATA VALIDATION (TO ENSURE ACCURACY OF THE DATA) AND ANALYTICS-VISUALIZATION (TO BE ABLE TO CREATE DASHBOARDS ON SYSTEM PERFORMANCE). 4. DIGITIZATION OF HR PROCESSES TO INCREASE TRANSPARENCY AND PRODUCTIVITY PERFORMANCE MANAGEMENT OF INDIVIDUALS REQUIRES ROBUST PERSONNEL DATA AND DISCIPLINE IN PEOPLE PROCESSES. CONSEQUENTLY, SELECT HR SYSTEMS AND PROCESSES WILL NEED TO BE DIGITIZED (E.G., TRANSFERS, PROMOTIONS, LEAVES), IN LINE WITH REFORMED POLICIES AND PROCESSES. 5. REFINEMENT OF THE FINANCE AND BUDGETING SYSTEM IT WILL BE CRITICAL TO ENSURE THAT THE ALLOCATION AND RE-ALLOCATION OF FUNDS BASED ON NEED AND PROGRESS DURING A YEAR IS ALIGNED TO BEST SERVE THE STATE. CONSEQUENTLY, THE CURRENT PROCESSES AND SYSTEM WILL BE STUDIED AND REDESIGNED AS REQUIRED. 6. DRUG SUPPLY CHAIN AUTOMATION TO ENSURE HIGH AVAILABILITY OF DRUGS AT ALL INSTITUTIONS: DRUG AVAILABILITY IS A CRITICAL INPUT FOR ROBUST PRIMARY HEALTH CARE. TOWARDS THIS END, THE PERFORMANCE OF THE DRUG SUPPLY CHAIN CAN LEAPFROG VIA DIGITAL REIMAGINATION. FOR EXAMPLE, AUTOMATION OF THE ENTIRE SUPPLY CHAIN (PROCUREMENT, INVENTORY MANAGEMENT, CONSUMPTION TRACKING, INDENTATION, DISTRIBUTION) WILL BE CONSIDERED 7. ORGANIZATION STRENGTHENING, SPECIFICALLY IN TERMS OF A PERFORMANCE MANAGEMENT AND ANALYTICS CELL (PMAC)- IN ORDER TO ENSURE LONGER-TERM SUSTAINABILITY OF PERFORMANCE ACCOUNTABILITY (POST CONSULTANT'S SUPPORT FOR SETTING UP THE SYSTEMS), A TEAM WILL BE REQUIRED THAT CAPTURES, MONITORS, MAINTAINS AND SUPPORTS DATA-BASED PERFORMANCE MONITORING AND REVIEWS. A PERFORMANCE MANAGEMENT AND ANALYTICS CELL WILL BE DESIGNED, SET UP AND ENABLED. THIS WILL INCLUDE ANY ASSOCIATED TENDERING PROCESSES AND/ OR HIRING AS WELL AS BUILDING THE CAPACITY OF THE PMAC. METLIFE FOUNDATION PROJECT TITLE: FINTECH FOR HEALTH INNOVATION PLATFORM - AS HEALTHCARE COSTS RISE IN ASIA, ACCESS HEALTH HAS IDENTIFIED A NEED TO TURN TO INNOVATIVE FINANCING MODELS OUTSIDE OF TRADITIONAL PUBLIC / INSURANCE MODELS TO ADDRESS GAPS IN COVERAGE, FUNDING, AND ACCESS. THIS GRANT WILL ENABLE ACCESS HEALTH TO BUILD A FINTECH4HEALTH PLATFORM THAT WILL FACILITATE PARTNERSHIPS BETWEEN FINTECHS AND HEALTH ORGANIZATIONS IN FIVE METLIFE ASIA MARKETS TO DEVELOP HIGH QUALITY HEALTH FINANCING SOLUTIONS TO HELP LOW- AND MODERATE-INCOME PEOPLE AVOID FINANCIAL HARDSHIPS DUE TO EMERGENCY EXPENSES AND ON-GOING CARE. PMJAY 2 - PRADHAN MANTRI JAN AROGYA YOJNA IS DEDICATED PROGRAM FOR INSURANCE SCHEME PROGRAM ASSIGNED FOR IMPLEMENTATION IN 5 STATE IN INDIA. FHR SUPPLEMENTARY - DETERMINE THE OPTIMAL ENGAGEMENT MODEL, RESEARCH AREAS AND PARTNERS TO BUILD/STRENGTHEN CAPACITY FOR SPECIFIC HEALTH POLICY AND FINANCE RESEARCH TOPICS IN INDIA AND ORGANIZE CONSULTATIONS ON HEALTH POLICY ISSUES IN INDIA. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE DRAFT FORM 990 IS PREPARED AT THE END OF THE AUDIT OF THE FINANCIAL STATEMENTS BY OUR INDEPENDENT EXTERNAL AUDITORS. THE DRAFT FORM 990 IS THEN EMAILED TO ALL OFFICERS OF THE ORGANIZATION AND DIRECTORS OF THE BOARD. ALL BOARD DIRECTORS AND THE PRESIDENT OF THE ORGANIZATION OFFICIALLY APPROVE FORM 990 TO BE FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ACCESS HEALTH INTERNATIONAL, INC. (THE "CORPORATION") REQUIRES THAT EACH BOARD MEMBER, OFFICER, AND KEY EMPLOYEE (INCLUDING EACH COUNTRY MANAGING DIRECTOR) ANNUALLY (1) REVIEW THE CORPORATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); (2) DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND (3) ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF SUCH POLICY. THE INFORMATION PROVIDED ON THE FORM SHALL BE AVAILABLE FOR INSPECTION BY MEMBERS OF THE BOARD AND THE CORPORATION'S LEGAL COUNSEL, BUT SHALL OTHERWISE BE HELD IN CONFIDENCE EXCEPT WHEN, AFTER CONSULTATION WITH THE APPLICABLE BOARD MEMBER, OFFICER OR KEY EMPLOYEE, THE BOARD DETERMINES THAT THE CORPORATION'S BEST INTEREST WOULD BE SERVED BY DISCLOSURE. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR KEY EMPLOYEES AND OFFICERS IS DECIDED BY THE BOARD OF DIRETORS OF THE ORGANIZATION AFTER COMPARATIVE ANALYSIS OF COMPENSATION STRUCTURES FOR SIMILARLY SKILLED CANDIDATES ACCORDING TO THE PLACE OF WORK OF OTHER INTERNATIONAL DEVELOPMENT ORGANIZATIONS (E.G. UN AGENCIES, DONOR ORGANIZATIONS AND FOR-PROFIT CONSULTING ORGANIZATIONS). |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PRROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 879,755. MANAGEMENT AND GENERAL EXPENSES 274,075. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,153,830. PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 3,007,616. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,007,616. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 1,052,710. MANAGEMENT AND GENERAL EXPENSES 281,980. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,334,690. |
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