Form990
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Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
VITAL STRATEGIES INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
100 BROADWAY 4TH FL
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK, NY10005
D Employer identification number

22-3419667
E Telephone number

G Gross receipts $ 148,966,499
F Name and address of principal officer:
WALLACE D'SOUZA
100 BROADWAY 4TH FL
NEW YORK,NY10005
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.VITALSTRATEGIES.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1995
M State of legal domicile: NJ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: WE ARE A LEADING GLOBAL PUBLIC HEALTH ORGANIZATION AND A TRUSTED PARTNER OF GOVERNMENTS AND CIVIL SOCIETY ORGANIZATIONS AROUND THE WORLD. VITAL STRATEGIES HELPS GOVERNMENTS STRENGTHEN THEIR PUBLIC HEALTH SYSTEMS TO CONTEND WITH THE MOST IMPORTANT AND DIFFICULT HEALTH CHALLENGES. WE DESIGN SOLUTIONS THAT CAN SCALE RAPIDLY AND IMPROVE THE LIVES OF MILLIONS OF PEOPLE.IN 2021, IT WAS EASY TO DESPAIR AS THE WORLD REELED FROM THE EFFECTS OF A PANDEMIC THAT RAGED ON. IN CITIES AND COUNTRIES AROUND THE WORLD, VITAL STRATEGIES WORKED WITH LEADERS WHO WERE ABLE TO SEE BEYOND THE IMMEDIATE CRISIS OF COVID-19 AND ACT TO STRENGTHEN THEIR SYSTEMS FOR THE FUTURE. WE SUPPORTED ADVANCES IN HEALTH POLICY AND PRACTICE IN AREAS WHERE PROGRESS HAD STALLED FOR YEARS. AND WE SAW PEOPLE AND INSTITUTIONS WHO HAD NOT PREVIOUSLY PRIORITIZED PUBLIC HEALTH RECOGNIZE THAT IT IS EVERYONE'S MANDATE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 18
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 317
6 Total number of volunteers (estimate if necessary) ............. 6 19
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 180,721,926 108,771,648
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 491,764 354,367
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 1,645
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 181,213,690 109,127,660
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 74,357,471 80,045,981
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) 33,936,044 42,773,516
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,363,060    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 48,935,286 40,204,416
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 157,228,801 163,023,913
19 Revenue less expenses. Subtract line 18 from line 12....... 23,984,889 -53,896,253
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 219,704,054 177,082,851
21 Total liabilities (Part X, line 26)............. 10,836,259 19,168,535
22 Net assets or fund balances. Subtract line 21 from line 20..... 208,867,795 157,914,316
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: OUR MISSION IS TO WORK IN PARTNERSHIP TO REIMAGE EVIDENCE-BASED, LOCALLY DRIVEN POLICIES AND PRACTICES TO ADVANCE PUBLIC HEALTH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 72,057,230 including grants of $ 33,992,957 ) (Revenue $ 0 )
RESOLVE TO SAVE LIVES:IN 2021 RESOLVE TO SAVE LIVES CONTINUED TO MAKE SIGNIFICANT PROGRESS TOWARDS ADVANCING THE INITIATIVE'S TWO MAIN GOALS OF SAVING 100 MILLION LIVES FROM CARDIOVASCULAR DISEASE AND PREVENTING EPIDEMICS. GIVEN COVID-19, RTSL CONTINUED TO SCALE UP PANDEMIC RESPONSE EFFORTS IN THE US AND GLOBALLY. PROGRAM HIGHLIGHTS FROM RESOLVE'S CORE PROGRAM AREAS ARE DESCRIBED BELOW.CARDIOVASCULAR HEALTH: VITAL STRATEGIES DRIVES EFFORTS TO REDUCE GLOBAL SODIUM INTAKE, ELIMINATE ARTIFICIAL TRANS FAT FROM THE FOOD SUPPLY AND IMPROVE BLOOD PRESSURE CONTROL, ESPECIALLY IN LOW- AND MIDDLE-INCOME COUNTRIES. THESE PROGRAMS CAN SAVE AN ESTIMATED 100 MILLION LIVES OVER THE NEXT 30 YEARS. VITAL STRATEGIES COLLABORATED WITH THE WORLD HEALTH ORGANIZATION (WHO) TO RELEASE A STANDARD PROTOCOL FOR TREATING HIGH BLOOD PRESSURE THAT USES FEWER MEDICATIONS AND FIXED DOSAGES SIMPLIFYING DECISION-MAKING FOR CARE PROVIDERS, EXPANDING THE NUMBER OF PATIENTS WHO CAN BENEFIT, AND HELPING CLINICS BETTER MANAGE THEIR WORKLOADS AND MAINTAIN THEIR DRUG INVENTORY. IN FOUR YEARS, WE HAVE SUPPORTED PROGRAMS AND POLICIES IN 31 COUNTRIES AND IMPROVED CARE OF MORE THAN 7 MILLION PEOPLE LIVING WITH HYPERTENSION.TRANS FAT:ARTIFICIAL TRANS FAT IS A TOXIC CHEMICAL THAT INCREASES THE RISK OF HEART ATTACK AND STROKE. IT WAS ESTIMATED TO CAUSE MORE THAN 500,000 DEATHS EVERY YEAR BEFORE RESOLVE TO SAVE LIVES TOOK ACTION. TRANS FAT CAN BE REPLACED WITH HEALTHIER FATS AND OILS WITHOUT CHANGING THE TASTE OR INCREASING THE COST OF FOOD. WE PARTNERED WITH WHO TO EVELOP AND LAUNCH REPLACE, AN INITIATIVE TO ELIMINATE ARTIFICIAL TRANS FAT FROM THE GLOBAL FOOD SUPPLY BY PROVIDING GOVERNMENTS WITH THE TOOLS TO REGULATE TRANS FAT IN THE FOOD SUPPLY. SINCE THE REPLACE INITIATIVE WAS ANNOUNCED IN 2018, 3.1 BILLION PEOPLE HAVE GAINED THE PROTECTION OF BEST PRACTICE TRANS FAT ELIMINATION POLICIES. SIMPLE:AS PART OF OUR EFFORTS TO SUPPORT THE SCALING OF A COUNTRYWIDE HYPERTENSION CONTROL INITIATIVE, WE WORKED WITH PARTNERS IN INDIA TO DEVELOP THE REVOLUTIONARY SIMPLE APP. SIMPLE IS A FREE, FAST, OPEN-SOURCE ELECTRONIC HEALTH RECORD THAT REPLACES PAPER RECORDS, MAKING IT FASTER AND EASIER FOR PROVIDERS TO TRACK PATIENTS' BLOOD PRESSURE AND MEDICATIONS. BY MAY 2022, SIMPLE WAS BEING USED IN MORE THAN 10,000 PUBLIC HEALTH FACILITIES IN INDIA, BANGLADESH, ETHIOPIA AND SRI LANKA TO MANAGE MORE THAN 2 MILLION PATIENTS, AND ITS ADOPTION CONTINUES TO SPREAD. SIMPLE SAVES HEALTH CARE WORKERS HOURS EVERY WEEK TAKING JUST 16 SECONDS FOR PROVIDERS TO UPDATE EACH PATIENT'S INFORMATION AND EMPOWERS DOCTORS AND PROGRAM MANAGERS TO IMPROVE PROGRAMS CONTINUOUSLY.PREVENT EPIDEMICS:THREE YEARS BEFORE THE THE EMERGENCE OF SARS-COV-2, RESOLVE TO SAVE LIVES HAD ALREADY SET OUT TO STRENGTHEN EPIDEMIC PREPAREDNESS AND PREVENTION AROUND THE WORLD. IN 2018, WE CREATED PREVENTEPIDEMICS.ORG, A WEBSITE THAT SHEDS LIGHT ON MORE THAN 7,000 PREPAREDNESS GAPS IN 114 COUNTRIES. WE THEN PARTNERED WITH COUNTRIES TO FILL THESE GAPS. THE 15 COUNTRIES IN AFRICA WHERE WE FOCUSED MUCH OF OUR DIRECT SUPPORT IMPROVED THEIR PREPAREDNESS BY 27% INCLUDING FOUR COUNTRIES COVERING MORE THAN A QUARTER OF AFRICA'S POPULATION. WE SIMPLIFY AND IMPROVE PROCESSES TO ACCELERATE IMPLEMENTATION. ONE EXAMPLE IS OUR COLLABORATION WITH WHO ON BENCHMARKS.ORG. BENCHMARKS.ORG ENABLES COUNTRIES TO QUICKLY DEVELOP DETAILED ACTION PLANS AND GAIN ACCESS TO INTERNATIONAL FUNDING EARMARKED FOR EPIDEMIC PREPAREDNESS. THE WEBSITE IS CURRENTLY BEING TESTED, AND MORE THAN 15 COUNTRIES ACROSS AFRICA AND ASIA HAVE BEGUN USING IT TO ACCELERATE THEIR PROGRESS. COVID-19 RESPONSE:WHEN COVID-19 BEGAN SPREADING WORLDWIDE, WE QUICKLY SHIFTED TO SUPPORT THE GLOBAL RESPONSE, ADDING STAFF AND EXTENDING ASSISTANCE TO MORE THAN 60 COUNTRIES. WE ADVOCATED FOR BROADER ACCESS TO COVID-19 VACCINES, DIAGNOSTICS, TREATMENTS, PROTECTIONS FOR HEALTH CARE WORKERS AND OTHER POLICIES THAT STRENGTHEN THE SYSTEMS NEEDED TO FIND AND STOP HEALTH THREATS. WE PROVIDED $6.1 MILLION IN RAPID RESPONSE GRANTS TO 34 COUNTRIES. THESE TIMELY, SMALL GRANTS ALLOWED GOVERNMENTS TO SURGE SUPPORT WHERE NEEDED FROM TRAINING, TO CONTACT TRACING, TO FUEL FOR THE TRANSPORT OF INVESTIGATION TEAMS AND LAB SAMPLES. WE TRAINED MORE THAN 42,000 HEALTH CARE WORKERS ACROSS MORE THAN 8,400 HEALTH CENTERS IN 22 COUNTRIES TO SAFELY TREAT COVID-19 PATIENTS. WE PROVIDED SUPPORT TO TURN ON AN ADDITIONAL 280 COVID-19 MOLECULAR TESTING LABS IN AFRICA. WE PRODUCED MORE THAN 750 COMMUNICATION PRODUCTS IN 25 LANGUAGES, INCLUDING TECHNICAL GUIDANCE, COMMUNICATION CAMPAIGNS AND EDITORIALS. MANY OF OUR RESOURCES WERE ADOPTED BY THE WHO, AFRICA CDC AND GOVERNMENTS AROUND THE WORLD.
4b (Code:   ) (Expenses $ 21,479,996 including grants of $ 14,477,268 ) (Revenue $ 0 )
TOBACCO CONTROL: IN SOME COUNTRIES, IT TOOK DECADES OF WORK TO BUILD MOMENTUM, BUT TARGETED CAMPAIGNS, ALONGSIDE BI PARTNER EFFORTS, LED TO SUPPORT FOR COMPREHENSIVE TOBACCO CONTROL INCLUDING HISTORICAL SMOKE-FREE AND TAPS POLICY IN MEXICO AND UKRAINE. CAMPAIGNS ALSO PLANTED THE SEEDS FOR A COMPREHENSIVE NATIONAL WIN IN INDIA. CRITICAL ADVANCES ALSO OCCURRED IN INDONESIA, THE PHILIPPINES, BANGLADESH AND TURKEY CONCERNING TAXES, PACK WARNINGS AND ENFORCEMENT. IN CHINA, OUR SUPPORT WAS EVIDENT FROM NEW CHINA CDC DATA THAT SHOWS THAT 15% OF THE POPULATION (213 MILLION PEOPLE) ARE NOW COVERED BY FCTC-COMPLIANT SMOKE-FREE LAWS. DUE TO NEW INVESTMENTS MADE IN COUNTRY THIS YEAR, WE ANTICIPATE SEVERAL ADDITIONAL MPOWER POLICIES IN 2022, NOT ONLY IN INDIA, BUT ALSO IN BANGLADESH, INDONESIA, THE PHILIPPINES AND VIETNAM FROM TAX INCREASES TO SMOKE-FREE CITIES AND BEACHES. AS ALWAYS, WHILE PUSHING FOR MPOWER, WE WILL ALSO BE VIGILANTLY PROTECTING WHAT TOBACCO ADVOCATES HAVE ACHIEVED IN BRAZIL, TURKEY AND ELSEWHERE AND FIGHT BACK AGAINST INDUSTRY MEDDLING AND EFFORTS TO HOOK NEW CUSTOMERS: CHILDREN.VITAL STRATEGIES' PARTNERSHIPS WITH GOVERNMENTS AND RESEARCH-BASED MESSAGING, WHICH FOCUSED ON THE HARMS CAUSED BY TOBACCO AND ENCOURAGE BEHAVIOR CHANGE, REACHED ALMOST 2 BILLION PEOPLE IN 2021. FIFTEEN NATIONAL AND SUBNATIONAL POLICIES WERE STRENGTHENED VIA 83 INTEGRATED CAMPAIGNS IN 11 PRIORITY COUNTRIES. OUR OUTREACH ALSO RECEIVED 1,074 PRESS MENTIONS IN NOTABLE MEDIA OUTLETS INCLUDING THE TELEGRAPH AND CNN. 2021 BROUGHT 15 IMPRESSIVE MPOWER ACHIEVEMENTS ACROSS 9 COUNTRIES: INDONESIA IMPLEMENTED A 12% AVERAGE INCREASE IN EXCISE TAXES ON ALL TOBACCO PRODUCTS IN LATE 2021. IN TURKEY, GROUNDWORK HAS BEEN SET FOR A CIGARETTE TAX INCREASE IN JANUARY 2022. SIX NEW REGIONS ADDED OR TIGHTENED SMOKE-FREE REGULATIONS, WHICH NOW PROTECT ALMOST 200 MILLION PEOPLE. THESE REGULATIONS ARE NOW IMPLEMENTED IN ALL OF MEXICO AND UKRAINE AS PART OF NEW COMPREHENSIVE TOBACCO CONTROL LAWS; THE CITIES OF XINING AND HANGZHOU, CHINA; AND PUBLIC SPACES IN BANDUNG AND JAKARTA, INDONESIA.FOUR COUNTRIES REGULATED ENDS, ADDITIVES, AND FLAVORS. UKRAINE'S NEW LAW NOW REGULATES E-CIGARETTE PRODUCTS THE SAME AS CONVENTIONAL TOBACCO PRODUCTS, AND MEXICO'S NEW SMOKE-FREE LAW INCLUDES BANS ON NEW PRODUCTS IN PUBLIC PLACES. THE PHILIPPINES IS NOW THE FIRST COUNTRY TO HAVE HEALTH WARNINGS ON ALL ENDS PRODUCTS. SIMILARLY, AFTER A TEN-YEAR STRUGGLE, BRAZIL BANNED FLAVORS AND ADDITIVES IN ALL TOBACCO PRODUCTS. TWO COUNTRIES WILL HAVE STRONGER PACK WARNINGS ON TOBACCO PRODUCTS. PACK WARNINGS INCREASED TO 92.5% OF THE PACKAGE IN TURKEY, TYING WITH TIMOR-LESTE FOR THE LARGEST IN THE WORLD. IN THE PHILIPPINES AS WELL, VITAL HELPED THE MOH TO CREATE NEW PACK WARNING LABELS FOR CIGARETTES. THREE COUNTRIES IMPLEMENTED A TAPS BAN, WHICH NOW PROTECTS MILLIONS INCLUDING YOUTH. IN MEXICO AND UKRAINE, TAPS BANS ARE INCLUDED IN THE COUNTRIES' NEW COMPREHENSIVE LAWS. UKRAINE'S LAW NOW PROTECTS CITIZENS FROM TOBACCO ADVERTISING, INCLUDING FOR E-CIGARETTES. IN JAKARTA, INDONESIA, THE NEW LAW INCLUDES A TAPS BAN THAT PREVENTS ADVERTISING AT ALL POINT-OF-SALE SITES. IN INDIA, THE STATE OF JHARKHAND AMENDED ITS LAW, IN LINE WITH AN ANTICIPATED NEW NATIONAL COTPA LAW, TO INCLUDE BANS ON SMOKELESS TOBACCO AND SPITTING.IN BANGLADESH, WE SUPPORTED THREE POLICY WINS, INCLUDING NEW GOVERNMENT GUIDELINES TO IMPLEMENT TOBACCO CONTROL FUNDS AND ACTIVITIES AT THE LOCAL LEVEL, AS WELL AS AN EARMARKING MECHANISM FOR FUNDS FOR TOBACCO CONTROL ENFORCEMENT. A TOTAL OF 35 MASS MEDIA CAMPAIGNS AND 48 SOCIAL MEDIA CAMPAIGNS ACROSS PRIORITY COUNTRIES SET THE STAGE FOR STRONGER POLICIES, SUPPORTED ENFORCEMENT AND CESSATION, AND ENCOURAGED CONCERNS ABOUT THE HARMS OF E-CIGARETTES. OUR ENERGIZED BASE OF SOCIAL MEDIA SUPPORTERS GREW TO 1.8 MILLION.
4c (Code:   ) (Expenses $ 17,810,326 including grants of $ 7,017,722 ) (Revenue $ 0 )
DATA FOR HEALTH PROGRAMS:SUCCESSFULLY COMPLETED WORKPLAN DEVELOPMENT ACTIVITIES IN ETHIOPIA, INDONESIA, ZIMBABWE AND BEGAN ENGAGEMENT IN BOLIVIA AND KENYA. CRVS CONTINUED ITS WORK IN ENSURING THAT A GREATER NUMBER OF BIRTH AND DEATH RECORDS ARE COUNTED AS PART OF ITS PUBLIC HEALTH SYSTEMS IMPROVEMENT OBJECTIVE. OVER THE LIFE OF THE INITIATIVE, THE CUMULATIVE NUMBER OF DEATH RECORDS IMPROVED OR NEWLY COUNTED IN COUNTRIES RECEIVING INITIATIVE SUPPORT INCREASED FROM 448,000 IN 2015 TO 13,400,000 IN 2021. SPECIFICALLY, FROM 2020 TO 2021, THE NUMBER OF DEATHS INCREASED FROM 3,684,000 TO 3,780,000. SIMILARLY, THE CUMULATIVE NUMBER OF BIRTHS RECORDS IMPROVED OR NEWLY REGISTERED IN FOCUS COUNTRIES INCREASED FROM 282,000 IN 2017 TO 7,933,000 IN 2021, WITH THEIR BEING A SMALL DECREASE FROM 2020 (2,396,000) TO 2021 (2,395,000). ADDITIONALLY, IN 2021, SEVERAL COUNTRIES MADE SIGNIFICANT PROCESS IN THE FIVE AREAS OF OPTIMUM CRVS SYSTEM FUNCTIONING. AT BASELINE, SIX FOCUS COUNTRIES HAD BIRTH OR DEATH REGISTRATION SYSTEMS (TWO OF THE FIVE AREAS) CHARACTERIZED AS 'EXCELLENT' BEST PRACTICE SYSTEMS. BY 2021, ANOTHER SIX COUNTRIES ATTAINED THAT SYSTEMS STATUS. IN TERMS OF CAUSES OF DEATH, TWO COUNTRIES POSSESSED EXCELLENT FACILITY CAUSE OF DEATH ASSIGNMENT SYSTEMS AND NO COUNTRIES HAD THAT STATUS FOR COMMUNITY CAUSES OF DEATH. SPECIFICALLY IN 2021, FIVE COUNTRIES ESTABLISHED ALL BEST PRACTICES IN FACILITY CAUSE OF DEATH SYSTEMS AND FIVE FOR COMMUNITY DEATHS. VITAL STATISTICS PRODUCTION AND USE SAW FIVE COUNTRIES MOVE FROM 'POOR OR 'IMPROVING' TO 'GOOD, AND ONE COUNTRY (COLOMBIA) MOVED FROM IMPROVING TO 'EXCELLENT.' DATA IMPACT HAS TRAINED MORE THAN 6,000 GOVERNMENT OFFICIALS, DRIVEN THE DEVELOPMENT OF 87 DATA REPORTS, 31 POLICY BRIEFS, 39 PUBLIC HEALTH BULLETIN ISSUES AND IMPLEMENTED 18 DIGITAL SOLUTIONS. THESE EFFORTS HAVE RESULTED IN 22 INSTITUTIONAL CHANGES AND 24 POLICY OR PROGRAMMATIC CHANGES. A HIGHLIGHT OF 2021 WAS THE CONTINUATION OF THE SUCCESSFUL DATA TO POLICY (D2P) PROGRAM IN 2021 AFTER WORKSHOPS WERE DISRUPTED DUE TO COVID IN 2020. AS A RESULT OF D2P WORKSHOPS, 18 POLICY BRIEFS WERE DEVELOPED AND 2 WERE IMPLEMENTED. IN CHINA'S SHANDONG PROVINCE, THE WEIFANG HEALTH COMMISSION HAS ACCEPTED THE BRIEF'S RECOMMENDATIONS FOR 2-STAGE COLORECTAL CANCER SCREENING: FOBT+ RISK QUESTIONNAIRE FOLLOWED BY FREE COLONOSCOPY FOR THOSE TESTING POSITIVE IN THE FIRST STAGE). THE NEW SCREENING PROGRAM IS NOW BEING IMPLEMENTED BY 123 HOSPITALS IN WEIFANG AMONG RESIDENTS WITH EMPLOYEE HEALTH INSURANCE AS PART OF A 5-YEAR PILOT. FOLLOWING THE PILOT, THE PROGRAM WILL BE EXPANDED TO THE ENTIRE POPULATION. ADDITIONALLY, IN MYANMAR THE NATIONAL AIDS PROGRAM HAS ADOPTED THE POLICY BRIEF RECOMMENDATION TO PROVIDE SYPHILIS TREATMENT BY MIDWIVES AT PRIMARY HEALTH CARE CENTERS AS PART OF ITS TREATMENT GUIDELINES.AS PART OF OUR CANCER REGISTRY ACTIVITY, VITAL SUPPORTED THE PRODUCTION OF THE FIRST-EVER DHIS2 MODULE FOR NON-COMMUNICABLE DISEASES AND THE FIRST-EVER POPULATION-BASED REGISTRY-LED SURVIVAL ANALYSIS IN RWANDA. IN TANZANIA, VITAL ALSO HELPED TO CREATE TWO NEW PBCRS AND ENHANCED TWO EXISTING PBCRS, ENHANCED GOVERNANCE AND INSTITUTIONALIZATION BY SUPPORTING MOH CENTRAL COORDINATION UNIT FOR CANCER REGISTRATION AND STRENGTHENED DEMAND FOR DATA, LEADING TO FIRST EVER USE OF POPULATION-BASED CANCER DATA IN ANNUAL HEALTH SECTOR REVIEW AND RENEWED EMPHASIS ON CANCER RISK FACTOR RESEARCH AND SCREENINGS. VITAL STARTED COLLABORATING WITH THE NATIONAL CANCER INSTITUTE, MINISTRY OF HEALTH ON POPULATION-BASED CANCER REGISTRATION IN MID-2021 AND SUPPORTED THE FIRST-EVER NATIONAL STANDARD OPERATING PROCEDURES FOR CANCER REGISTRATION IN VIETNAM. LASTLY, IN MOZAMBIQUE, ZIMBABWE, AND SRI LANKA, WORK PLANS WERE APPROVED IN LATE 2021.
(Code:   ) (Expenses $ 35,513,208 including grants of $ 24,558,034 ) (Revenue $ 0 )
OTHER PROGRAM SERVICES INCLUDE:- AIR POLLUTION AND HEALTH- CHILDHOOD LEAD POISONING PREVENTION- CIVIL REGISTRATION AND VITAL STATISTICS- FOOD POLICY- OVERDOSE PREVENTION- PARTNERSHIP FOR HEALTHY CITIES- RESEARCH- ROAD SAFETY
4d Other program services (Describe in Schedule O.)
(Expenses $ 35,513,208 including grants of $ 24,558,034 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet146,860,760
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
Yes
 
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or 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? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
167
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
317
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletSN , BR
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
19
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
18
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
NJ , NY
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletWALLACE D'SOUZA100 BROADWAY 4TH FL   NEW YORK,NY10005 (212) 500-5724
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JOSE LUIS CASTRO......................................................................
PRESIDENT & CEO
 20.00
.................
20.00 		X   X       299,945 296,615 24,409
(2) THOMAS FRIEDEN PRESIDENT......................................................................
CEO - RESOLVE TO SAVE LIVES
 40.00
.................
0.00 		    X       515,830 0 52,888
(3) WALLACE D'SOUZA......................................................................
CFO
 40.00
.................
0.00 		    X       321,119 0 43,395
(4) ADAM KARPATI......................................................................
SVP PUBLIC HEALTH PROGRAMS
 40.00
.................
0.00 		      X     290,667 0 45,795
(5) IRA D RUSEN......................................................................
SR. VP RESEARCH & DEV.
 40.00
.................
0.00 		      X     302,420 0 23,513
(6) CHRISTINA CHANG......................................................................
EXECUTIVE VP & DEPUTY CEO
 40.00
.................
0.00 		      X     271,216 0 51,555
(7) AMANDA MCCLELLAND......................................................................
SENIOR VP, RESOLVE
 40.00
.................
0.00 		        X   283,866 0 33,546
(8) TAMAR RENAUD......................................................................
COO
 40.00
.................
0.00 		        X   266,825 0 40,350
(9) SANDRA MULLIN......................................................................
SR. VP. COMMUNICATION
 40.00
.................
0.00 		      X     277,337 0 26,352
(10) SARA HERSEY......................................................................
SR. TECHNICAL ADVISOR
 40.00
.................
0.00 		        X   273,182 0 21,356
(11) PHILIP SETEL......................................................................
VP & DIRECTOR, CRVS
 40.00
.................
0.00 		        X   242,108 0 52,285
(12) DANIEL SCHAEFER......................................................................
CTO
 40.00
.................
0.00 		        X   237,092 0 55,798
(13) DANIEL KASS......................................................................
SR. VP ENVIRONMENTAL HEALTH
 40.00
.................
0.00 		      X     262,259 0 27,414
(14) ANDREW RENDEIRO......................................................................
SVP & CHIEF STRATEGY OFFICER
 40.00
.................
0.00 		      X     230,245 0 19,074
(15) LOUIS JAMES DE VIEL CASTEL......................................................................
CHAIRPERSON
 2.00
.................
0.00 		X   X       0 0 0
(16) HELEN AGERUP......................................................................
VICE CHAIR FOR OPERATIONS
 3.00
.................
0.00 		X   X       0 0 0
(17) MASAE KAWAMURA......................................................................
VICE CHAIR FOR PROGRAMS
 3.00
.................
0.00 		X   X       0 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ERIC ROSENBAUM........................................................................
SECRETARY THRU 2/21, TRUSTEE
 2.00
.......................0.00 		X   X       0 0 0
(19) RAM KOPPAKA MD........................................................................
SECRETARY
 3.00
.......................0.00 		X   X       0 0 0
(20) SCOTT HALSTEAD........................................................................
TREASURER THRU 2/21, TRUSTEE
 2.00
.......................0.00 		X   X       0 0 0
(21) MARC SZNAJDERMAN........................................................................
TREASURER
 4.00
.......................0.00 		X   X       0 0 0
(22) DAVID A CAPUTO........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(23) FRANK G COLELLA........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(24) DR MARY-ANN ETIEBET........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(25) ROSLYN FEDER........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(26) DR LISA FITZPATRICK........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(27) MARK FOLEY........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(28) BRUCE MANDELL........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(29) RENEE RIDZON........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(30) JACK SALVO........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(31) NEIL W SCHLUGER........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(32) DEAN SCHRAUFNAGEL........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(33) RICHARD SHEPRO........................................................................
TRUSTEE - UNTIL 12/21/21
 2.00
.......................0.00 		X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 4,074,111 296,615 517,730
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet143
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
IPSOS PUBLIC AFFAIRS

301 MERRITT 7
NORWALK,CT068511070 		SURVEY SERVICES 929,056
OBVIOUS VENTURES PRIVATE LIMITED

LEVEL 2 RAHEJA PARAMOUNT 138 RESID
BENGALURU,KARNATAKA560025
IN 		DESIGN & MOBILE APP SERVICES 831,622
AFRICA HR SOLUTIONS LTD

6TH FL DIAS PIER BUILDING
CAUDAN,PORT LOUIS  
MR 		EMPLOYER OF RECORD SERVICES 817,604
WORKFOR SWITZERLAND AG

NUSCHELERSTRASSE 35 8001
ZURICH    
SZ 		OUTSOURCING AND HR SERVICES 811,778
GEOMETER LLC

548 MARKET STREET PMB 24284
SAN FRANCISCO,CA94104 		TECH CONSULTING 632,400
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet61
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 4,540,460
f All other contributions, gifts, grants, and similar amounts not included above1f 104,231,188
g Noncash contributions included in lines 1a - 1f:$ 1g 1,213,839
h Total. Add lines 1a-1f.......MediumBullet 108,771,648
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet  
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 354,367     354,367
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   39,838,839 7a
b Less: cost or other basis and sales expenses   39,838,839 7b
c Gain or (loss)   0 7c
d Net gain or (loss).........MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
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..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a OTHER REVENUE 900099 1,645     1,645
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 1,645
12 Total revenue. See instructions.....MediumBullet 109,127,660 0 0 356,012
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 23,282,686 23,282,686
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 51,246 51,246
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 56,712,049 56,712,049
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 3,083,974 2,289,404 705,802 88,768
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........ 31,431,358 23,322,332 7,205,323 903,703
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,247,534 929,944 281,328 36,262
9 Other employee benefits ....... 4,660,178 3,665,714 848,150 146,314
10 Payroll taxes ........... 2,350,472 1,752,102 530,048 68,322
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 412,188 204,898 207,290  
c Accounting ........... 64,405 41,295 23,110  
d Lobbying ........... 195,000 195,000    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 50,740   50,740  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 27,486,025 24,752,678 2,675,589 57,758
12 Advertising and promotion .... 3,854,774 3,835,671 19,103  
13 Office expenses ....... 390,358 193,205 197,153  
14 Information technology ...... 442,900 217,093 225,807  
15 Royalties ..        
16 Occupancy ........... 2,761,956 2,132,705 571,040 58,211
17 Travel ............ 984,669 914,836 69,833  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 80,562 67,908 12,654  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 221,145 15,789 205,356  
23 Insurance ... 344,484 105,883 238,601  
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 SUBSCRIPTIONS AND FEES 1,203,151 960,294 242,651 206
b ADMIN./PROGRAM COSTS 726,879 571,403 155,344 132
c PROJECT SUPPLIES/EQUIP. 641,172 455,458 184,649 1,065
d REPAIRS AND MAINTENANCE 175,115 60,682 113,403 1,030
e All other expenses 168,893 130,485 37,119 1,289
25 Total functional expenses. Add lines 1 through 24e 163,023,913 146,860,760 14,800,093 1,363,060
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 9,725,448 1 7,306,180
2 Savings and temporary cash investments ......... 140,330,174 2 82,837,160
3 Pledges and grants receivable, net ...... 44,856,164 3 67,437,745
4 Accounts receivable, net .............   4  
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 ............   8  
9 Prepaid expenses and deferred charges ...... 840,210 9 965,061
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,598,676
b Less: accumulated depreciation 10b 1,223,619 1,550,500 10c 1,375,057
11 Investments—publicly traded securities . 20,956,398 11 14,296,391
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .. 0 13 110,331
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 1,445,160 15 2,754,926
16 Total assets. Add lines 1 through 15 (must equal line 33)... 219,704,054 16 177,082,851
Liabilities 17 Accounts payable and accrued expenses ..... 5,342,948 17 9,883,318
18 Grants payable ... 0 18 8,045,854
19 Deferred revenue ......... 3,033,411 19 217,840
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D 220,032 21 0
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  
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 2,239,868 25 1,021,523
26 Total liabilities. Add lines 17 through 25.. 10,836,259 26 19,168,535
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... -1,507,309 27 -523,645
28 Net assets with donor restrictions ........... 210,375,104 28 158,437,961
Organizations that do not follow FASB ASC 958, check here MediumBullet 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 ........... 208,867,795 32 157,914,316
33 Total liabilities and net assets/fund balances ........ 219,704,054 33 177,082,851
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
109,127,660
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
163,023,913
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-53,896,253
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
208,867,795
5
Net unrealized gains (losses) on investments ...............
5
7,306
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
2,935,468
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
157,914,316
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
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.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(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
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 174,982,107 80,596,112 218,901,094 180,721,926 108,771,648 763,972,887
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 3 174,982,107 80,596,112 218,901,094 180,721,926 108,771,648 763,972,887
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) .. 376,163,654
6 Public support. Subtract line 5 from line 4. 387,809,233
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
7 Amounts from line 4.. 174,982,107 80,596,112 218,901,094 180,721,926 108,771,648 763,972,887
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 209,043 286,026 777,683 491,764 354,367 2,118,883
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.).. 9,196 28,518 41,947   1,645 81,306
11 Total support. Add lines 7 through 10 766,173,076
12
12
 
13
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
14
14
50.620 %
15
15
55.150 %
16a
b
17a
b
18
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) 2021

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on 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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on 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.
9c
 
 
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
 
 
b
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) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on 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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
 
 
b
Did the activities described on 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.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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 2021 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-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 9,196. 2018 AMOUNT: $ 25,639. 2019 AMOUNT: $ 41,947. 2021 AMOUNT: $ 1,645. FEES - 2018 AMOUNT: $ 2,879.
Schedule A (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
VITAL STRATEGIES INC
  		Employer identification number
22-3419667
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
VITAL STRATEGIES INC
  		Employer identification number

22-3419667
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) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
VITAL STRATEGIES INC
  		Employer identification number

22-3419667
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2021)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...................... 0  
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 208,153  
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 208,153  
d Other exempt purpose expenditures ............................................................................... 161,401,960  
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 161,610,113  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................................................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................ 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		6,000,000
c Total lobbying expenditures 3,480 0 122,421 208,153 334,054
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))		 1,500,000
f Grassroots lobbying expenditures 0 0 0 0  
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990) 2021


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements   1,348,380 455,819 892,561
d Equipment ....   1,250,296 767,800 482,496
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,375,057
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,021,523
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 112,742,690
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a 7,306
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 3,607,724
e Add lines 2a through 2d ..................... 2e 3,615,030
3 Subtract line 2e from line 1.................. 3 109,127,660
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 109,127,660
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 163,696,169
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 1,260,616
e Add lines 2a through 2d.................... 2e 1,260,616
3 Subtract line 2e from line 1................... 3 162,435,553
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 588,360
c Add lines 4a and 4b..................... 4c 588,360
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 163,023,913
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART IV, LINE 2B: AS OF THE BEGINNING OF THE TAX YEAR, THE ORGANIZATION HAD AN ESCROW ACCOUNT LIABILITY FOR FUNDS HELD ON BEHALF OF THE NORTH AMERICAN REGION CHARTER OF THE UNION FOR WHICH IT WAS ACTING AS FIDUCIARY FISCAL AGENT. AS OF DECEMBER 31, 2021, THE BALANCE OF THE ACCOUNT WAS ZERO AND THE ORGNAIZATION IS NO LONGER REPORTING AN ESCROW ACCOUNT LIABILITY.
PART X, LINE 2: VITAL STRATEGIES, INC. RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT VITAL STRATEGIES, INC. HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. VITAL STRATEGIES, INC. IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2018.
PART XI, LINE 2D - OTHER ADJUSTMENTS: REVERSAL OF GRANT EXPENSES 2,408,074. REVENUE ATTRIBUTABLE TO CONSOLIDATED ENTITY 1,199,650.
PART XII, LINE 2D - OTHER ADJUSTMENTS: FOREIGN CURRENCY EXCHANGE LOSS 184,723. EXPENSES ATTRIBUTABLE TO CONSOLIDATED ENTITY 1,075,893.
PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN PROVISION FOR UNCOLLECTIBLE GRANTS RECEIVABLE 588,360.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated 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
SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPEINTS LOCATED IN REGION   11,818,972
EAST ASIA AND THE PACIFIC 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION   9,959,023
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION   29,981,069
NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION   750,437
SOUTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION   4,202,548
SUB-SAHARAN AFRICA 1 42 PROGRAM SERVICES DATA FOR HEALTH, OBESITY PREVENTION, PARTNERSHIP FOR HEALTHY CITIES, RESOLVE, ROAD SAFETY 622,546
EAST ASIA AND THE PACIFIC 1 105 PROGRAM SERVICES DATA FOR HEALTH, OVERDOSE PREVENTION, HEALTHY CITIES, RESOLVE AND OTHER PROGRAMS. 1,737,528
EUROPE (INCLUDING ICELAND & GREENLAND) 0 19 PROGRAM SERVICES DATA FOR HEALTH, TOBACCO CONTROL, AND OTHER PROGRAMS. 566,321
NORTH AMERICA 0 30 PROGRAM SERVICES DATA FOR HEALTH, OBESITY PREVENTION, RESOLVE, AND OTHER PROGRAMS. 439,827
SOUTH AMERICA 0 59 PROGRAM SERVICES DATA FOR HEALTH, PARTNERSHIP FOR HEALTHY CITIES, OBSESITY PREVENTION, AND OTHER PROGRAMS. 811,489
           
           
           
           
           
           
           
3a Sub-total .... 2 166 59,638,444
b Total from continuation sheets to Part I ... 0 89 1,251,316
c Totals (add lines 3a and 3b) 2 255 60,889,760
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
EAST ASIA AND THE PACIFIC OVERDOSE PREVENTION (OPIOID) 6,003 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC ROAD SAFETY 6,069 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC PARTNERSHIP FOR HEALTHY CITIES 6,251 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 10,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 12,500 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL NON MASS MEDIA 18,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC DATA FOR HEALTH 18,700 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL NON MASS MEDIA 19,389 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC DATA FOR HEALTH 19,478 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC DATA FOR HEALTH 19,650 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL NON MASS MEDIA 20,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 25,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL NON MASS MEDIA 26,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 29,102 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TREAT TB 29,387 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC PARTNERSHIP FOR HEALTHY CITIES 30,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL NON MASS MEDIA 30,750 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 32,928 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC PARTNERSHIP FOR HEALTHY CITIES 37,500 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC PARTNERSHIP FOR HEALTHY CITIES 38,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL NON MASS MEDIA 38,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC PARTNERSHIP FOR HEALTHY CITIES 40,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC PARTNERSHIP FOR HEALTHY CITIES 42,500 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC DATA FOR HEALTH 43,291 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL NON MASS MEDIA 50,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC ROAD SAFETY 50,409 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC STREAM TB 52,194 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL 55,109 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC ROAD SAFETY 57,940 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC PARTNERSHIP FOR HEALTHY CITIES 65,000 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 75,691 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 82,833 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC STREAM TB 108,392 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC STREAM TB 121,069 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC DATA FOR HEALTH 128,984 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 133,148 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 135,910 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL 142,671 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 152,398 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 168,578 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC PARTNERSHIP FOR HEALTHY CITIES 184,752 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC ENVIRONMENTAL HEALTH 189,346 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC DATA FOR HEALTH 199,131 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC ROAD SAFETY 232,612 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 253,755 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 339,562 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC STREAM TB 398,748 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC TOBACCO CONTROL NON MASS MEDIA 833,105 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC RESOLVE 2,248,027 WIRE TRANSFER 0    
EAST ASIA AND THE PACIFIC DATA FOR HEALTH 2,390,543 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) DATA FOR HEALTH 7,250 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) ENVIRONMENTAL HEALTH 10,894 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) PARTNERSHIP FOR HEALTHY CITIES 12,480 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) RESOLVE 15,000 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) STREAM TB 16,155 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) RESOLVE 18,268 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) PARTNERSHIP FOR HEALTHY CITIES 24,032 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) PARTNERSHIP FOR HEALTHY CITIES 39,336 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) RESOLVE 45,100 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) PARTNERSHIP FOR HEALTHY CITIES 51,596 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) PARTNERSHIP FOR HEALTHY CITIES 69,440 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) OBESITY PREVENTION 73,888 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) STREAM TB 81,389 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) TREAT TB 88,993 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) DATA FOR HEALTH 93,338 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) ROAD SAFETY 93,750 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) RESOLVE 126,876 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) TREAT TB 127,058 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) DATA FOR HEALTH 145,200 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) TREAT TB 161,577 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) RESOLVE 181,403 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) STREAM TB 192,970 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) STREAM TB 218,938 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) TREAT TB 229,715 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) RESOLVE 245,100 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) INVESTIGATIVE JOURNALISM 262,500 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) STREAM TB 281,123 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) RESOLVE 308,000 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) TREAT TB 310,426 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) PARTNERSHIP FOR HEALTHY CITIES 420,637 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) STREAM TB 511,731 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) TREAT TB 553,595 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) ROAD SAFETY 623,344 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) STREAM TB 666,657 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) REDUCE TOBACCO USE - STOP WATCHDOG 2,261,228 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) RESOLVE 7,565,342 WIRE TRANSFER 0    
EUROPE (INCLUDING ICELAND & GREENLAND) TOBACCO CONTROL 12,384,000 WIRE TRANSFER 0    
NORTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 5,066 WIRE TRANSFER 0    
NORTH AMERICA RESOLVE 14,000 WIRE TRANSFER 0    
NORTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 15,000 WIRE TRANSFER 0    
NORTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 31,670 WIRE TRANSFER 0    
NORTH AMERICA TOBACCO CONTROL NON MASS MEDIA 40,000 WIRE TRANSFER 0    
NORTH AMERICA RESOLVE 62,500 WIRE TRANSFER 0    
NORTH AMERICA RESOLVE 67,324 WIRE TRANSFER 0    
NORTH AMERICA TOBACCO CONTROL NON MASS MEDIA 70,000 WIRE TRANSFER 0    
NORTH AMERICA RESOLVE 70,769 WIRE TRANSFER 0    
NORTH AMERICA RESOLVE 75,000 WIRE TRANSFER 0    
NORTH AMERICA OBESITY PREVENTION 81,593 WIRE TRANSFER 0    
SOUTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 10,000 WIRE TRANSFER 0    
SOUTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 10,000 WIRE TRANSFER 0    
SOUTH AMERICA REGISTRATION EQUALITY 14,078 WIRE TRANSFER 0    
SOUTH AMERICA OBESITY PREVENTION 15,000 WIRE TRANSFER 0    
SOUTH AMERICA REGISTRATION EQUALITY 15,915 WIRE TRANSFER 0    
SOUTH AMERICA TOBACCO CONTROL 18,713 WIRE TRANSFER 0    
SOUTH AMERICA TREAT TB 27,349 WIRE TRANSFER 0    
SOUTH AMERICA OBESITY PREVENTION 38,941 WIRE TRANSFER 0    
SOUTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 39,887 WIRE TRANSFER 0    
SOUTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 40,000 WIRE TRANSFER 0    
SOUTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 42,646 WIRE TRANSFER 0    
SOUTH AMERICA DATA FOR HEALTH 48,950 WIRE TRANSFER 0    
SOUTH AMERICA DATA FOR HEALTH 49,100 WIRE TRANSFER 0    
SOUTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 49,979 WIRE TRANSFER 0    
SOUTH AMERICA PARTNERSHIP FOR HEALTHY CITIES 50,000 WIRE TRANSFER 0    
SOUTH AMERICA TOBACCO CONTROL NON MASS MEDIA 55,000 WIRE TRANSFER 0    
SOUTH AMERICA DATA FOR HEALTH 69,590 WIRE TRANSFER 0    
SOUTH AMERICA RESOLVE 76,983 WIRE TRANSFER 0    
SOUTH AMERICA DATA FOR HEALTH 80,936 WIRE TRANSFER 0    
SOUTH AMERICA ROAD SAFETY 90,582 WIRE TRANSFER 0    
SOUTH AMERICA STREAM TB 99,965 WIRE TRANSFER 0    
SOUTH AMERICA OBESITY PREVENTION 120,000 WIRE TRANSFER 0    
SOUTH AMERICA OBESITY PREVENTION 150,000 WIRE TRANSFER 0    
SOUTH AMERICA OBESITY PREVENTION 150,000 WIRE TRANSFER 0    
SOUTH AMERICA OBESITY PREVENTION 220,000 WIRE TRANSFER 0    
SOUTH AMERICA DATA FOR HEALTH 221,435 WIRE TRANSFER 0    
SOUTH AMERICA DATA FOR HEALTH 264,817 WIRE TRANSFER 0    
SOUTH AMERICA RESOLVE 287,520 WIRE TRANSFER 0    
SOUTH AMERICA MAYOR'S CHALLENGE 342,103 WIRE TRANSFER 0    
SOUTH AMERICA DB_DATA FOR HEALTH - VITAL BRAZIL 344,338 WIRE TRANSFER 0    
SOUTH AMERICA ROAD SAFETY 687,282 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA PARTNERSHIP FOR HEALTHY CITIES 7,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 7,286 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 7,904 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 10,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 10,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA ROAD SAFETY 11,216 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 15,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 19,855 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 23,813 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 24,984 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 26,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 30,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 30,745 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA PARTNERSHIP FOR HEALTHY CITIES 30,974 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 31,930 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 37,294 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA PARTNERSHIP FOR HEALTHY CITIES 37,370 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 37,382 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA PARTNERSHIP FOR HEALTHY CITIES 39,600 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 40,597 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA TREAT TB 41,130 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 41,233 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 43,850 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 44,051 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA OBESITY PREVENTION 49,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 49,782 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 49,965 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA PARTNERSHIP FOR HEALTHY CITIES 53,300 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 53,991 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA TREAT TB 54,589 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 59,324 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA PARTNERSHIP FOR HEALTHY CITIES 59,946 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 60,817 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 62,500 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 62,772 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA STREAM TB 63,834 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA TREAT TB 66,434 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 66,503 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 70,896 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 71,933 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 75,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA OBESITY PREVENTION 80,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 85,500 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 89,793 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 98,894 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA STREAM TB 117,302 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 127,052 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 131,624 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA DRIVEN HEALTH POLICY 149,466 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 160,040 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 191,761 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 200,000 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 219,819 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 316,899 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA STREAM TB 339,878 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 397,876 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 437,773 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA DATA FOR HEALTH 456,170 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 599,500 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 1,112,202 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 1,162,486 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 1,440,953 WIRE TRANSFER 0    
SUB-SAHARAN AFRICA RESOLVE 2,388,616 WIRE TRANSFER 0    
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 .......MediumBullet
95
3 Enter total number of other organizations or entities .......................MediumBullet
60
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
OBESITY PREVENTION NORTH AMERICA 1 7,749 WIRE TRANSFER      
DATA FOR HEALTH SOUTH AMERICA 1 1,169 WIRE TRANSFER      
OBESITY PREVENTION EUROPE 1 28,381 WIRE TRANSFER      
RESOLVE EAST ASIA AND THE PACIFIC 2 2,138 WIRE TRANSFER      
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART I, LINE 2: VITAL STRATEGIES IS BOTH A RECIPIENT AND ISSUER OF GRANT FUNDING. THE ORGANIZATION MAINTAINS A GRANT FUNDING MONITORING SYSTEM TO EFFECTIVELY MONITOR AND REPORT RESULTS OF GRANT FUNDING ISSUED TO RECIPIENTS. THE DIRECT MANAGEMENT OF FUNDS IS THE RESPONSIBILITY OF THE PROGRAM OFFICERS AND GRANTS MANAGER FOR THE RESPECTIVE CONTRACT OR AGREEMENT. ALL GRANTS MANAGERS REVIEW COMPLETION OF SCOPE OF WORK DELIVERABLES VIA EMAIL FOLLOW-UP, SCHEDULED CHECK-IN PHONE CALLS AT KEY PROJECT INTERVALS AND QUARTERLY SITE VISITS PRIOR TO SIGNING OFF ON SUBMITTED INVOICES. FOR GRANTEES, FINANCE REQUIRES AND REVIEWS QUARTERLY FINANCIAL REPORTS TO VALIDATE AND RECONCILE REPORTED EXPENSES. THESE REPORTS ARE FIRST REVIEWED BY GRANTS MANAGERS PRIOR TO BEING REVIEWED BY THE FINANCE TEAM. SPECIFICALLY, WE HAVE 3 MECHANISMS IN PLACE: SITE VISITS (BY VARIOUS PROGRAM TEAM MEMBERS INCLUDING PHARMACISTS FOR TREAT TB/STREAM, TECHNICAL OFFICERS, GRANTS MANAGERS), FINANCIAL REPORTS, TECHNICAL REPORTS. CONSULTANTS, VENDORS AND GRANTEES ARE SELECTED IN PARTNERSHIP WITH CITY AND/OR COUNTRY GOVERNMENT PARTNERS AND KEY INITIATIVE PARTNERS. FOR CONSULTANTS, ALL AFFILIATED PARTIES AGREE ON A SCOPE OF WORK AND THE CONSULTANT POSITION IS EITHER POSTED OR SHARED WITH KEY PARTNERS TO DEVELOP A WIDE POOL OF INDIVIDUAL'S CANDIDATES. CONSULTANTS ARE THEN INTERVIEWED IN ACCORDANCE TO THE AGREED-UPON INTERVIEW FORMAT AND SELECTED FOR EACH POSITION. VENDORS ARE SELECTED EITHER VIA A BIDDING PROCESS OR VIA SOLE SOURCE SELECTION BASED ON INTERNAL CITY/COUNTRY OR INITIATIVE PARTNER EXPERIENCE. GRANTEES ARE USUALLY IDENTIFIED WITH THE ASSISTANCE OF INTERNAL CITY/COUNTRY PARTNERS FOR A SPECIFIC PURPOSE BASED ON DOLLAR AMOUNT BEING CHARGED AND THE ANTICIPATED SCOPE OF WORK. WHERE POSSIBLE, THE GRANTEES FOR BOTH INITIATIVES ARE THE IDENTIFIED CITY/GOVERNMENT PARTNERS THEMSELVES ELSE, THEY ARE IDENTIFIED WITH THE ASSISTANCE OF INTERNAL CITY/COUNTRY PARTNERS FOR A SPECIFIC PURPOSE BASED ON THE ANTICIPATED SCOPE OF WORK. VITAL STRATEGIES THEN REVIEWS THE OPTIONS AND DECIDES WITH ASSISTANCE FROM ALL AFFILIATED PARTNERS, WHO IS THE BEST GRANTEE OPTION FOR THE SPECIFIC SCOPE OF WORK.
PART I, LINE 3: EXPENDITURES ARE RECOGNIZED UNDER THE ACCRUAL BASIS OF ACCOUNTING.
PART III ACCOUNTING METHOD:  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2021
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number
22-3419667
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ABUNDANT COMMUNITY RECOVERY SERVICES
20102 HARPER AVE
HARPER WOODS,MI48225 		45-4510361   50,000 0     OVERDOSE PREVENTION (OPIOID)
(2) AIM ANGELS IN MOTION
9883 COWDEN ST
PHILADELPHIA,PA19115 		47-3173897 501(C)(3) 60,000 0     OVERDOSE PREVENTION (OPIOID)
(3) ALIMA USA INC
ONE WHITEHALL STREET 2ND FLOOR
NEW YORK,NY10004 		26-0397519 501(C)(3) 46,741 0     RESOLVE
(4) ASIAN PACIFIC ISLANDER AMERICAN VOTE-MICHIGAN
111 E KIRBY ST
DETROIT,MI48202 		26-4514751 501(C)(3) 50,000 0     OVERDOSE PREVENTION (OPIOID)
(5) AVIGO HEALTH LLC
1717 PENNSYLVANIA AVE NW STE 1025
WASHINGTON,DC20006 		81-4072941   26,000 0     DATA FOR HEALTH
(6) BETHANY CHRISTIAN SERVICES OF CENTRAL PENNSYLVANIA
1681 CROWN AVENUE SUITE 201
LANCASTER,PA17601 		38-2899285 501(C)(3) 50,000 0     OVERDOSE PREVENTION (OPIOID)
(7) BUCKS COUNTY DRUG & ALCOHOL COMMISSION INC
55 EAST COURT STREET 4TH FLOOR
DOYLESTOWN,PA18901 		23-2449485 501(C)(3) 50,000 0     OVERDOSE PREVENTION (OPIOID)
(8) CAMPAIGN FOR TOBACCO FREE KIDS
1400 I STREET NW SUITE 1200
WASHINGTON,DC20005 		52-1969967 501(C)(3) 3,006,887 0     RESOLVE
(9) CDC FOUNDATION
600 PEACHTREE STREET NE SUITE 1000
ATLANTA,GA30308 		58-2106707 501(C)(3) 493,459 0     RESOLVE
(10) CENTER FOR PUBLIC HEALTH LAW RESEARCH AT TEMPLE UNIVERSITY BEASLEY SCHOOL O
1819 NORTH BROAD STREET SUITE 300
BARRACK HALL
PHILADELPHIA,PA19122 		23-1365971 501(C)(3) 50,000 0     OVERDOSE PREVENTION (OPIOID)
(11) CHESTER COUNTY DEPARTMENT OF DRUG AND ALCOHOL SERVICES
601 WESTTOWN ROAD SUITE 325 PO BOX
2747
WEST CHESTER,PA19380 		23-6003040 CHESTER COUNTY, PA 35,500 0     OVERDOSE PREVENTION (OPIOID)
(12) CLINTON HEALTH ACCESS INITIATIVE INC
383 DORCHESTER AVE SUITE 400
BOSTON,MA02127 		27-1414646 501(C)(3) 151,179 0     DATA FOR HEALTH
(13) COLUMBIA UNIVERSITY
615 WEST 131ST STREET 3RD FL
NEW YORK,NY10027 		13-5598093 501(C)(3) 138,048 0     RESOLVE
(14) COMAGINE HEALTH
10700 MERIDIAN AVE N SUITE 300
SEATTLE,WA98133 		91-1072875 501(C)(3) 132,660 0     OVERDOSE PREVENTION (OPIOID)
(15) COMMUNITY FOUNDATION FOR SOUTHEAST MICHIGAN
333 WEST FORT STREET SUITE 2010
DETROIT,MI48226 		38-2530980 501(C)(3) 520,098 0     OVERDOSE PREVENTION (OPIOID)
(16) CONSEQUENT LABS LLC
12995 NORTH ORACLE ROAD SUITE
141-181
TUCSON,AZ85739 		85-3379646   50,000 0     RESOLVE
(17) CORE COMMUNITY ORGANIZED RESPONSE EFFORT
6464 W SUNSET BLVD SUITE 530
LOS ANGELES,CA90028 		27-1703237 501(C)(3) 174,250 0     RESOLVE
(18) COUNTY OF FRANKLIN
340 NORTH SECOND STREET
CHAMBERSBURG,PA17201 		23-6003024 FRANKLIN COUNTY, PA 203,359 0     OVERDOSE PREVENTION (OPIOID)
(19) DETROIT RECOVERY PROJECT
1121 E MCNICHOLS
DETROIT,MI48203 		43-2078767 501(C)(3) 500,000 0     OVERDOSE PREVENTION (OPIOID)
(20) EHEALTH AFRICA
1200 G STREET NW SUITE 800
WASHINGTON,DC20005 		81-4503438 501(C)(3) 48,236 0     RESOLVE
(21) FAVOR WESTERN PA
736 LINCOLN ST
BOLIVAR,PA15923 		84-3747792 501(C)(3) 20,558 0     OVERDOSE PREVENTION (OPIOID)
(22) GAUDENZIA INC
106 W MAIN STREET
NORRISTOWN,PA19401 		23-1706895 501(C)(3) 50,000 0     OVERDOSE PREVENTION (OPIOID)
(23) GEORGETOWN UNIVERSITY
37TH AND O STREETS NW
WASHINGTON,DC20057 		53-0196603 501(C)(3) 122,406 0     OBESITY PREVENTION
(24) HARM REDUCTION MICHIGAN
867 EAST 8TH STREET
TRAVERSE CITY,MI49686 		81-2744973 501(C)(3) 150,000 0     OVERDOSE PREVENTION (OPIOID)
(25) HEALTH FEDERATION OF PHILADELPHIA
123 SOUTH BROAD STREET SUITE 650
PHILADELPHIA,PA19109 		23-2244355 501(C)(3) 20,672 0     OVERDOSE PREVENTION (OPIOID)
(26) HEALTH RESEARCH INC
RIVERVIEW CENTER 150 BROADWAY SUITE
560
MENANDS,NY12204 		14-1402155 501(C)(3) 1,097,367 0     RESOLVE
(27) HENRY FORD HEALTH SYSTEM
1 FORD PLACE
DETROIT,MI48202 		38-1357020 501(C)(3) 20,000 0     OVERDOSE PREVENTION (OPIOID)
(28) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE
NEW YORK,NY100296574 		13-6171197 501(C)(3) 49,996 0     RESOLVE
(29) INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT (WORLD BANK)
1818 H STREET NW
WASHINGTON,DC20433 		98-0002549 501(C)(3) 500,000 0     RESOLVE
(30) JOHNS HOPKINS UNIVERSITY
12529 COLLECTIONS CENTER DRIVE
CHICAGO,IL60693 		52-0595110 501(C)(3) 65,059 0     OBESITY PREVENTION
(31) JOURNALISM DEVELOPMENT NETWORK
4401A CONNECTICUT AVENUE NW 321
WASHINGTON,DC200082358 		26-0898750 501(C)(3) 450,000 0     INVESTIGATIVE JOURNALISM
(32) LAST MILE HEALTH
PO BOX 130122
BOSTON,MA02113 		26-1401736 501(C)(3) 365,750 0     RESOLVE
(33) LEGAL ACTION CENTER OF THE CITY OF NEW YORK INC
225 VARICK STREET 4TH FLOOR SUITE
402
NEW YORK,NY10014 		13-2756320 501(C)(3) 45,000 0     OVERDOSE PREVENTION (OPIOID)
(34) MATERNITY CARE COALITION
2000 HAMILTON STREET SUITE 205
PHILADELPHIA,PA19130 		23-2200410 501(C)(3) 116,665 0     OVERDOSE PREVENTION (OPIOID)
(35) METROPOLITAN ORGANIZING STRATEGY ENABLING STRENGTH
220 BAGLEY STE 420
DETROIT,MI48226 		38-3357583 501(C)(3) 37,500 0     OVERDOSE PREVENTION (OPIOID)
(36) MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES
235 S GRAND AVE SUITE 800 FEDERAL
REPORTING
LANSING,MI48933 		38-6000134 STATE OF MICHIGAN 915,000 0     OVERDOSE PREVENTION (OPIOID)
(37) MICHIGAN PUBLIC HEALTH INSTITUTE
2436 WOODLAKE CIRCLE SUITE 300
OKEMOS,MI48864 		38-2963835 501(C)(3) 29,111 0     OVERDOSE PREVENTION (OPIOID)
(38) MOTHERING JUSTICE
622 WALNUT STREET
ROYAL OAK,MI48073 		45-3740989 501(C)(3) 151,889 0     OVERDOSE PREVENTION (OPIOID)
(39) MUSO INCO
3254 19TH STREET 2ND FLOOR
SAN FRANCISCO,CA94110 		20-3171837 501(C)(3) 222,591 0     RESOLVE
(40) NATIONAL ACADEMY OF SCIENCES
2101 CONSTITUTION AVENUE NW
WASHINGTON,DC204180007 		53-0196932 501(C)(3) 225,000 0     RESOLVE
(41) NEIGHBORHOOD SERVICE ORGANIZATION
882 OAKMAN BLVD SUITE C
DETROIT,MI48238 		38-1561624 501(C)(3) 123,970 0     OVERDOSE PREVENTION (OPIOID)
(42) NEW JERSEY HARM REDUCTION COALITION
156 PITNEY ROAD
ABSECON,NJ08201 		85-4099652 501(C)(3) 343,563 0     OVERDOSE PREVENTION (OPIOID)
(43) NEXT HARM REDUCTION
65 WEST 90TH STREET 25G
NEW YORK,NY10024 		83-1333112 501(C)(3) 39,882 0     OVERDOSE PREVENTION (OPIOID)
(44) NOVETTA INC
7921 JONES BRANCH DR SUITE 500
MCLEAN,VA22102 		52-2004115   334,360 0     RESOLVE
(45) PAN AMERICAN HEALTH ORGANIZATION - PAHO
525 23RD STREET NW
WASHINGTON,DC20037 		52-1804954 501(C)(3) 1,665,417 0     DATA FOR HEALTH AND RESOLVE
(46) PANORAMA GLOBAL
2101 4TH AVENUE SUITE 2100
SEATTLE,WA98121 		81-4204119 501(C)(3) 25,000 0     RESOLVE
(47) PATH
2201 WESTLAKE AVENUE SUITE 200
SEATTLE,WA98121 		91-1157127 501(C)(3) 510,378 0     RESOLVE
(48) PENNSYLVANIA INSTITUTIONAL LAW PROJECT
718 ARCH STREET SUITE 304S
PHILADELPHIA,PA19106 		23-2811857 501(C)(3) 75,039 0     OVERDOSE PREVENTION (OPIOID)
(49) PENNSYLVANIA SHERIFFS ASSOCIATION
2426 N 2ND STREET
HARRISBURG,PA17110 		23-1320650 501(C)(6) 44,370 0     OVERDOSE PREVENTION (OPIOID)
(50) PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH
1401 JFK BOULEVARD ROOM 1380
PHILADELPHIA,PA19102 		23-6003047 CITY OF PHILADELPHIA 32,221 0     PARTNERSHIP FOR HEALTHY CITIES
(51) PREVENTION POINT PHILADELPHIA
166 WEST LEHIGH AVENUE LOWER LEVEL
PO BOX 60990
PHILADELPHIA,PA19133 		23-2663699 501(C)(3) 99,720 0     OVERDOSE PREVENTION (OPIOID)
(52) PREVENTION POINT PITTSBURGH
460 MELWOOD AVE SUITE 205
PITTSBURGH,PA15213 		25-1852314 501(C)(3) 126,041 0     OVERDOSE PREVENTION (OPIOID)
(53) PROJECT HOPE FOUNDATION
255 CARTER HALL LANE
MILLWOOD,VA22646 		53-0242962 501(C)(3) 1,483,319 0     RESOLVE
(54) PROJECT SAFE
535 DOCK SUITE 112
TACOMA,WA98402 		91-1435394 501(C)(3) 122,252 0     OVERDOSE PREVENTION (OPIOID)
(55) QUINTILES (IQVIA)
4820 EMPEROR BOULEVARD
DURHAM,NC27703 		56-1323952   2,513,377 0     STREAM TB
(56) RESEARCH FOUNDATION OF CUNY
230 W 41 STREET 7TH FLOOR
NEW YORK,NY10036 		13-1988190 501(C)(3) 73,714 0     OVERDOSE PREVENTION (OPIOID)
(57) RUTH ELLIS CENTER INC
77 VICTOR STREET HIGHLAND PARK
DETROIT,MI48203 		38-3501697 501(C)(3) 50,000 0     OVERDOSE PREVENTION (OPIOID)
(58) SELF INC
1211 CHESTNUT STREET SUITE 205
PHILADELPHIA,PA19107 		23-2650217 501(C)(3) 37,500 0     OVERDOSE PREVENTION (OPIOID)
(59) SEX WORKERS OUTREACH PROJECT
340 S LEMON AVE 7566
WALNUT,CA91789 		26-2264638 501(C)(3) 85,614 0     OVERDOSE PREVENTION (OPIOID)
(60) DAVE PURCHASE PROJECT
535 DOCK STREET SUITE 112
TACOMA,WA98402 		91-1435394 501(C)(3) 7,500 0     FOR SOL COLLECTIVE - OVERDOSE PREVENTION (OPIOID)
(61) SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (SCPMG)
2706 MEDIA CENTER DRIVE LOCKBOX
741134
LOS ANGELES,CA900651733 		95-1750445   60,483 0     RESOLVE
(62) SOUTHWEST DETROIT COMMUNITY JUSTICE CENTER
2026 LAWNDALE
DETROIT,MI48209 		46-2780452 501(C)(3) 164,789 0     OVERDOSE PREVENTION (OPIOID)
(63) THE ASPEN INSTITUTE INC
2300 N STREET NW SUITE 700
WASHINGTON,DC20037 		84-0399006 501(C)(3) 12,500 0     RESOLVE
(64) THE BENEVOLENT SOCIETY
6100 14TH STREET
DETROIT,MI48208 		85-2831854 501(C)(3) 50,000 0     RESOLVE
(65) THE DETROIT ASSOCIATION OF BLACK ORGANIZATIONS INC
12048 GRAND RIVER AVENUE
DETROIT,MI48204 		47-3081843 501(C)(3) 55,000 0     RESOLVE
(66) THE GRAND RAPIDS RED PROJECT
401 HALL ST SE
GRAND RAPIDS,MI49507 		38-3414580 501(C)(3) 291,973 0     OVERDOSE PREVENTION (OPIOID)
(67) THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
3838 N RURAL STREET
INDIANAPOLIS,IN46205 		35-6005697 MARION COUNTY, PA 300,000 0     RESOLVE
(68) THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA
30 N THIRD STREET SUITE 600
HARRISBURG,PA17101 		25-1767436 501(C)(6) 46,442 0     OVERDOSE PREVENTION (OPIOID)
(69) THE OHIO STATE UNIVERSITY
1960 KENNY ROAD
COLUMBUS,OH432101016 		31-6025986 501(C)(3) 47,397 0     RESOLVE
(70) THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
615 WEST 131ST STREET 3RD FL
NEW YORK,NY10027 		13-5598093 501(C)(3) 1,607,109 0     RESOLVE
(71) THE UNITED NATIONS POPULATION FUND
605 3RD AVENUE 4TH FLOOR
NEW YORK,NY10158 		13-3996346 501(C)(3) 27,000 0     DATA FOR HEALTH
(72) THOMAS JEFFERSON UNIVERSITY
833 CHESTNUT STREET SUITE 900
PHILADELPHIA,PA19107 		23-1352651 501(C)(3) 148,971 0     OVERDOSE PREVENTION (OPIOID)
(73) TIDES CENTERMICHIGAN ACTION EDUCATION FUND
PO BOX 399385
SAN FRANCISCO,CA94139 		94-3213100 501(C)(3) 224,966 0     OVERDOSE PREVENTION (OPIOID)
(74) TRUSTEES OF INDIANA UNIVERSITY
400 E 7TH STREET POPLARS 501
BLOOMINGTON,IN47405 		35-6001673 501(C)(3) 125,400 0     RESOLVE
(75) UNITED NATIONS DEVELOPMENT PROGRAMME THE (UNDP)
UNITED NATIONS STATISTICS
DIVISION/DEPARTMENT OF ECONOMIC AND
NEW YORK,NY10017 		13-2626199 501(C)(3) 98,500 0     DATA FOR HEALTH
(76) UNIVERSITY OF PITTSBURGH
116 ATWOOD STREET SUITE 201
PITTSBURGH,PA15260 		25-0965591 501(C)(3) 117,042 0     DATA FOR HEALTH AND OVERDOSE PREVENTION (OPIOID)
(77) UNIVERSITY OF WASHINGTON
4300 ROOSEVELT WAY NE BOX 354965
SEATTLE,WA98105 		91-6001537 STATE OF WASHINGTON 53,267 0     RESOLVE
(78) URBAN CREATORS
2315 N 11TH STREET
PHILADELPHIA,PA19133 		46-4004947 501(C)(3) 37,500 0     OVERDOSE PREVENTION (OPIOID)
(79) WAKE COUNTY
301 S MCDOWELL ST
RALEIGH,NC27601 		56-6000347 WAKE COUNTY, NC 290,000 0     RESOLVE
(80) WARREN CONNER DEVELOPMENT COALITION DBA EASTSIDE COMMUNITY NETWORK
4401 CONNER
DETROIT,MI48215 		38-2561225 501(C)(3) 50,000 0     OVERDOSE PREVENTION (OPIOID)
(81) WASHTENAW COUNTY SHERIFFS OFFICE
2201 HOGBACK RD
ANN ARBOR,MI48105 		38-6004894 WASHTENAW COUNTY, MI 100,000 0     OVERDOSE PREVENTION (OPIOID)
(82) WELLNESS AIDS SERVICES INC
311 E COURT ST
FLINT,MI48502 		38-2674052 501(C)(3) 86,746 0     OVERDOSE PREVENTION (OPIOID)
(83) YALE UNIVERSITY
25 SCIENCE PARK 150 MUNSON STREET
PO BOX 208327
NEW HAVEN,CT065208327 		06-0646973 501(C)(3) 505,233 0     TREAT TB
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
76
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
8
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) OVERDOSE PREVENTION AND OTHER PROGRAMMATIC GRANTS 5 51,246      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: VITAL STRATEGIES IS BOTH A RECIPIENT AND ISSUER OF GRANT FUNDING. THE ORGANIZATION MAINTAINS A GRANT FUNDING MONITORING SYSTEM TO EFFECTIVELY MONITOR AND REPORT RESULTS OF GRANT FUNDING ISSUED TO RECIPIENTS. THE DIRECT MANAGEMENT OF FUNDS IS THE RESPONSIBILITY OF THE PROGRAM OFFICERS AND GRANTS MANAGER FOR THE RESPECTIVE CONTRACT OR AGREEMENT. ALL PROGRAM OFFICERS AND GRANTS MANAGERS REVIEW COMPLETION OF SCOPE OF WORK DELIVERABLES VIA EMAIL FOLLOW-UP, SCHEDULED CHECK-IN PHONE CALLS AT KEY PROJECT INTERVALS AND QUARTERLY SITE VISITS PRIOR TO SIGNING OFF ON SUBMITTED INVOICES. FOR GRANTEES, FINANCE REQUIRES AND REVIEWS QUARTERLY FINANCIAL REPORTS TO VALIDATE AND RECONCILE REPORTED EXPENSES. THESE REPORTS ARE FIRST REVIEWED BY GRANTS MANAGERS PRIOR TO BEING REVIEWED BY THE FINANCE TEAM. SPECIFICALLY, WE HAVE 3 MECHANISMS IN PLACE: SITE VISITS (BY VARIOUS PROGRAM TEAM MEMBERS INCLUDING PHARMACISTS FOR TREAT TB/STREAM, TECHNICAL OFFICERS, GRANTS MANAGERS), FINANCIAL REPORTS, TECHNICAL REPORTS. CONSULTANTS, VENDORS AND GRANTEES ARE SELECTED IN PARTNERSHIP WITH CITY AND/OR COUNTRY GOVERNMENT PARTNERS AND KEY INITIATIVE PARTNERS. SELECTION IS BASED ON PARTNER EXPERIENCE AND DOLLAR EXPENSES VALUE. FOR CONSULTANTS, ALL AFFILIATED PARTIES AGREE ON A SCOPE OF WORK AND THE CONSULTANT POSITION IS EITHER POSTED OR SHARED WITH KEY PARTNERS TO DEVELOP A WIDE POOL OF INDIVIDUAL'S CANDIDATES. CONSULTANTS ARE THEN INTERVIEWED IN ACCORDANCE TO THE AGREED-UPON INTERVIEW FORMAT AND SELECTED FOR EACH POSITION. VENDORS ARE SELECTED EITHER VIA A BIDDING PROCESS OR VIA SOLE SOURCE SELECTION BASED ON COST TO THE ORGANIZATION AND AND/OR INITIATIVE PARTNER EXPERIENCE. GRANTEES ARE USUALLY IDENTIFIED WITH THE ASSISTANCE OF INTERNAL CITY/COUNTRY PARTNERS FOR A SPECIFIC PURPOSE BASED ON THE ANTICIPATED SCOPE OF WORK. WHERE POSSIBLE, THE GRANTEES FOR BOTH INITIATIVES ARE THE IDENTIFIED CITY/GOVERNMENT PARTNERS THEMSELVES ELSE, THEY ARE IDENTIFIED WITH THE ASSISTANCE OF PARTNERS FOR A SPECIFIC PURPOSE BASED ON THE ANTICIPATED SCOPE OF WORK. VITAL STRATEGIES THEN REVIEWS THE OPTIONS AND DECIDES WITH ASSISTANCE FROM ALL AFFILIATED PARTNERS, WHO IS THE BEST GRANTEE OPTION FOR THE SPECIFIC SCOPE OF WORK.
Schedule I (Form 990) 2021



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1JOSE LUIS CASTRO
PRESIDENT & CEO 		(i)

(ii)		 280,937
-------------
296,615 		0
-------------
0 		19,008
-------------
0 		10,336
-------------
0 		12,614
-------------
1,459 		322,895
-------------
298,074 		0
-------------
0
2THOMAS FRIEDEN PRESIDENT
CEO - RESOLVE TO SAVE LIVES 		(i)

(ii)		 515,830
-------------
0 		0
-------------
0 		0
-------------
0 		11,572
-------------
0 		41,316
-------------
0 		568,718
-------------
0 		0
-------------
0
3WALLACE D'SOUZA
CFO 		(i)

(ii)		 302,135
-------------
0 		0
-------------
0 		18,984
-------------
0 		11,600
-------------
0 		31,795
-------------
0 		364,514
-------------
0 		0
-------------
0
4ADAM KARPATI
SVP PUBLIC HEALTH PROGRAMS 		(i)

(ii)		 271,683
-------------
0 		0
-------------
0 		18,984
-------------
0 		11,600
-------------
0 		34,195
-------------
0 		336,462
-------------
0 		0
-------------
0
5IRA D RUSEN
SR. VP RESEARCH & DEV. 		(i)

(ii)		 302,420
-------------
0 		0
-------------
0 		0
-------------
0 		20,000
-------------
0 		3,513
-------------
0 		325,933
-------------
0 		0
-------------
0
6CHRISTINA CHANG
EXECUTIVE VP & DEPUTY CEO 		(i)

(ii)		 251,716
-------------
0 		0
-------------
0 		19,500
-------------
0 		11,072
-------------
0 		40,483
-------------
0 		322,771
-------------
0 		0
-------------
0
7AMANDA MCCLELLAND
SENIOR VP, RESOLVE 		(i)

(ii)		 283,866
-------------
0 		0
-------------
0 		0
-------------
0 		11,371
-------------
0 		22,175
-------------
0 		317,412
-------------
0 		0
-------------
0
8TAMAR RENAUD
COO 		(i)

(ii)		 247,825
-------------
0 		0
-------------
0 		19,000
-------------
0 		10,816
-------------
0 		29,534
-------------
0 		307,175
-------------
0 		0
-------------
0
9SANDRA MULLIN
SR. VP. COMMUNICATION 		(i)

(ii)		 258,337
-------------
0 		0
-------------
0 		19,000
-------------
0 		12,073
-------------
0 		14,279
-------------
0 		303,689
-------------
0 		0
-------------
0
10SARA HERSEY
SR. TECHNICAL ADVISOR 		(i)

(ii)		 273,182
-------------
0 		0
-------------
0 		0
-------------
0 		10,927
-------------
0 		10,429
-------------
0 		294,538
-------------
0 		0
-------------
0
11PHILIP SETEL
VP & DIRECTOR, CRVS 		(i)

(ii)		 242,108
-------------
0 		0
-------------
0 		0
-------------
0 		9,933
-------------
0 		42,352
-------------
0 		294,393
-------------
0 		0
-------------
0
12DANIEL SCHAEFER
CTO 		(i)

(ii)		 237,092
-------------
0 		0
-------------
0 		0
-------------
0 		9,858
-------------
0 		45,940
-------------
0 		292,890
-------------
0 		0
-------------
0
13DANIEL KASS
SR. VP ENVIRONMENTAL HEALTH 		(i)

(ii)		 242,759
-------------
0 		0
-------------
0 		19,500
-------------
0 		7,878
-------------
0 		19,536
-------------
0 		289,673
-------------
0 		0
-------------
0
14ANDREW RENDEIRO
SVP & CHIEF STRATEGY OFFICER 		(i)

(ii)		 230,245
-------------
0 		0
-------------
0 		0
-------------
0 		9,503
-------------
0 		9,571
-------------
0 		249,319
-------------
0 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 1 1,213,839 AVG. SELLING PRICE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2021)
Schedule M (Form 990) (2021)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, COLUMN (B): VITAL STRATEGIES IS REPORTING THE NUMBER OF CONTRIBUTORS IN COLUMN (B).
Schedule M (Form 990) (2021)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B VITAL STRATEGIES USES AN OUTSIDE ACCOUNTANT TO PREPARE ITS FORM 990. AFTER THE FORM 990 HAS BEEN PREPARED, IT IS REVIEWED BY MANAGEMENT. FOLLOWING THAT REVIEW, A COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE FOR THEIR REVIEW AND APPROVAL. ONCE THE AUDIT COMMITTEE APPROVES THE RETURN, THE FORM 990 IS DISTRIBUTED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND APPROVAL. ONCE THE RETURN IS APPROVED BY THE BOARD OF TRUSTEES IT IS FILED ELECTRONICALLY WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C VITAL STRATEGIES HAS IN PLACE A CONFLICT OF INTEREST POLICY, WHICH ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, EMPLOYEES, INTERNS, AND VOLUNTEERS MUST REVIEW UPON JOINING THE ORGANIZATION. VITAL STRATEGIES ANNUALLY MONITORS AND ENFORCES THE POLICY VIA A CONFLICT OF INTEREST DISCLOSURE FORM, WHICH ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, EMPLOYEES, INTERNS, AND VOLUNTEERS MUST COMPLETE IN ORDER TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES WHICH THEY BELIEVE COULD CONTRIBUTE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. MEMBERS OF THE BOARD OF TRUSTEES AND PRESIDENT AND CEO'S FORMS ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD; IF THE PRESIDENT AND CEO AND THE EXECUTIVE COMMITTEE ARE UNABLE TO ESTABLISH WHETHER A CONFLICT OF INTEREST EXITS, THE MATTER IS REFERRED TO THE AUDIT COMMITTEE. EMPLOYEES, INTERNS AND VOLUNTEERS SUBMIT THEIR FORM TO THE HR DEPARTMENT AND ADDITIONAL REVIEW BY THE LEGAL DEPARTMENT MAY BE NEEDED; ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS REPORTED TO THE PRESIDENT AND CEO AND IF THE PRESIDENT AND CEO IS UNABLE TO DETERMINE IF A CONFLICT OF INTEREST EXISTS, THE MATTER IS REFERRED TO THE AUDIT COMMITTEE. IF AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL(S) INVOLVED ARE NOT ALLOWED TO VOTE OR BE PART OF ANY DISCUSSIONS OR DECISIONS ABOUT ANY SUCH TRANSACTIONS THAT RELATE TO THE CONFLICT OF INTEREST UNTIL SUCH TIME AS THERE IS NO LONGER A CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15A THE MANAGEMENT PERFORMANCE COMMITTEE OF THE BOARD, CONSISTING OF INDEPENDENT BOARD MEMBERS, CONDUCTS PERIODICAL REVIEW AND APPROVAL PROCESS OF THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE COMMITTEE ASSESSES THE REASONABLENESS OF THE COMPENSATION THROUGH THE ENGAGEMENT OF AN EXTERNAL FIRM WHO REVIEWS THE PRESIDENT/CEOS COMPENSATION AGAINST COMPARABLE ORGANIZATIONS. THE COMMITTEE RECOMMENDS THE TOTAL COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER TO THE BOARD FOR APPROVAL. THE MANAGEMENT PERFORMANCE COMMITTEE IS INFORMED BY THE PRESIDENT & CEO ON AN ANNUAL BASIS OF THE ORGANIZATION'S COMPENSATION STRATEGY AND THE PROCESS UTILIZED TO DETERMINE IF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE REWARDED APPROPRIATELY FOR THEIR CONTRIBUTIONS TO THE ORGANIZATION'S GROWTH AND PERFORMANCE. THE MANAGEMENT PERFORMANCE COMMITTEE IS ALSO INFORMED OF THE COMPENSATION PAID TO EACH NEW OFFICER AND KEY EMPLOYEE OF THE ORGANIZATION AND ITS AFFILIATES. A BENCHMARKING STUDY IS CONDUCTED EVERY TWELVE TO TWENTY-FOUR MONTHS TO DETERMINE THAT THE COMPENSATION BEING PAID TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE IN LINE WITH INDUSTRY STANDARDS. THE STUDY INCLUDES INDEPENDENT SURVEYS OF NEW YORK CITY BASED NON-PROFIT COMPENSATION PRACTICES AS WELL AS INTERNATIONAL NON-PROFIT ORGANIZATIONS WITH HEADQUARTERS IN THE UNITED STATES. THIS PROCESS LAST OCCURRED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19 VITAL STRATEGIES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. VITAL STRATEGIES ALSO POSTS ITS FORM 990 AND AUDITED FINANCIAL STATEMENTS ON ITS WEBSITE.
FORM 990, PART IX, LINE 11G TECHNICAL/ ADMINISTRATIVE PROJECT CONSULTANTS: PROGRAM SERVICE EXPENSES 18,461,263. MANAGEMENT AND GENERAL EXPENSES 1,679,637. FUNDRAISING EXPENSES 38,788. TOTAL EXPENSES 20,179,688. PROGRAM IMPLEMENTATION SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 5,913,012. MANAGEMENT AND GENERAL EXPENSES 413,724. FUNDRAISING EXPENSES 17,061. TOTAL EXPENSES 6,343,797. TRANSLATION, ACCOUNTING TEMPS, PROJECT MGMT SERVICES: PROGRAM SERVICE EXPENSES 316,430. MANAGEMENT AND GENERAL EXPENSES 566,568. FUNDRAISING EXPENSES 1,896. TOTAL EXPENSES 884,894. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 61,973. MANAGEMENT AND GENERAL EXPENSES 15,660. FUNDRAISING EXPENSES 13. TOTAL EXPENSES 77,646.
FORM 990, PART XI, LINE 9: FOREIGN CURRENCY EXCHANGE LOSS -171,162. INCREASE IN PROVISION FOR RECOVERY OF UNCOLLECTIBLE PLEDGES/GRANTS 588,360. REVERSAL/RESCINSION OF GRANT EXPENSES 2,408,074. CHANGE IN NET ASSETS OF SUBSIDARY INCLUDED IN CONSOLIDATED FIN. STATEMENTS 110,196.
FORM 990, PART XI, LINE 2C: VITAL STRATEGIES HAS AN AUDIT COMMITTEE WHICH IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND THE OVERSIGHT OVER THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
VITAL STRATEGIES INC
 
Employer identification number

22-3419667
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)FONDS DE DOTATION VITAL STRATEGIES
67 RUE DU VOLGA
PARIS   75020
FR
PARTNERSHIP DEVELOPMENT & FUNDRAISING IN EUROPE FOR STRATEGIC PROJECTS FR 501(C)(3)   VITAL STRATEGIES INC
 
Yes
 












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) VITAL STRATEGIES INDIA SERVICES PRIVATE LIMITED

ANNEXE BUILDING GROUND FLOOR B-4 G
NEW DELHI,DELHI  
IN
INTERNATIONAL PUBLIC HEALTH IN VITAL STRATEGIES INC
  		C 1,199,650 511,048 99.990 % Yes  












Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) FONDS DE DOTATION VITAL STRATEGIES

 B 2,640,823 COST
(2) FONDS DE DOTATION VITAL STRATEGIES

 D 796,764 COST
(3) VITAL STRATEGIES INDIA SERVICES PL

 D 386,823 COST
(4) VITAL STRATEGIES INDIA SERVICES PL

 M 1,199,650 COST


Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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