TY 2021 Form 990

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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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

ACCESS HEALTH INTERNATIONAL INC

Employer identification number

26-3709070

Part I

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

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

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

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

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

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

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

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

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

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

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

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 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)		(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.") ..	14,038,458	7,964,418	10,267,758	6,105,517	1,942,638	40,318,789
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	14,038,458	7,964,418	10,267,758	6,105,517	1,942,638	40,318,789
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) ..						28,316,419
6	Public support. Subtract line 5 from line 4.						12,002,370

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	14,038,458	7,964,418	10,267,758	6,105,517	1,942,638	40,318,789
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10						40,318,789

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

29.770 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

28.160 %

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990) 2021

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Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 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)		(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.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990) 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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).

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

Did one or more disqualified persons (as defined 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.

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.

10a

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

10a

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

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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

11a

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

11b

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

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

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

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

Did the activities described 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.

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

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

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

Schedule A (Form 990) 2021

Page 6

Part V

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

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

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

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

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

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

Schedule A (Form 990) 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
ACCESS HEALTH INTERNATIONAL, INC. QUALIFIES AS A PUBLICLY SUPPORTED ORGANIZATION UNDER IRC 170(B)(1 )(A)(VI) BECAUSE IT SATISFIES THE FACTS AND CIRCUMSTANCES TEST SET FORTH IN TREAS. REG. 1.170A-9(F)(3). FIRST, THE ORGANIZATION SATISFIES THE THRESHOLD CRITERIA IN THE REGULATIONS; IT NORMALLY RECEIVES AT LEAST 10% OF ITS SUPPORT FROM THE GENERAL PUBLIC, AND IT CARRIES ON A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC. IN ADDITION, THE ORGANIZATION MEETS THE FOLLOWING FACTORS ENUMERATED IN THE REGULATION AS BEING INDICATIVE OF PUBLIC SUPPORT:PERCENTAGE OF FINANCIAL SUPPORT (TREAS. REG. 1.170A-9(F)(3)(111)(A)) - DURING THE FIVE-YEAR PERIOD ENDING ON DECEMBER 31, 2021, THE PORTION OF THE ORGANIZATION'S SUPPORT THAT QUALIFIES AS ELIGIBLE PUBLIC SUPPORT IS 29.77% (SEE SCHEDULE A), WHICH EXCEEDS THE 10% THRESHOLD. SOURCES OF SUPPORT (TREAS. REG. 1.170A-9(F)(3)(111)(B)) - THE ORGANIZATION RECEIVES ITS PUBLIC SUPPORT FROM OTHER ENTITIES; IT DOES NOT DEPEND ON A SINGLE ORGANIZATION FOR CONTRIBUTIONS. THE ORGANIZATION IS INDEPENDENT OF ITS CORPORATE CONTRIBUTORS.REPRESENTATIVE GOVERNING BODY (TREAS. REG. 1.170A-9(F)(3)(111)(C)) - THE ORGANIZATION IS GUIDED BY A VOLUNTEER BOARD OF COMMUNITY MEMBERS. THESE INDIVIDUALS REPRESENT INTERESTS OF THE GENERAL PUBLIC THAT THE ORGANIZATION SERVES AND THEY ENSURE THAT THE ORGANIZATION OPERATES FOR THE INTERESTS OF THE GENERAL PUBLIC AS OPPOSED TO THE PERSONAL OR PRIVATE INTERESTS OF ANY PARTICULAR DONOR.AVAILABILITY OF PUBLIC SERVICES, PUBLIC PARTICIPATION IN PROGRAMS OR POLICIES (TREAS. REG. 1.170A-9(F)(3)(111)(D)) - OVER THE PAST FIVE TAX YEARS, THE ORGANIZATION HAS BEEN ADDRESSING THE PROBLEM OF ACCESS TO QUALITY AFFORDABLE HEALTHCARE. ACCESS HEALTH FOSTERS INNOVATIVE SOLUTIONS TO THE GREATEST HEALTH CHALLENGES OF OUR DAY BY ACTING AS A KNOWLEDGE ADVISORY, AND IMPLEMENTATION PARTNER ON HEALTH TO GOVERNMENTS AND THE PRIVATE SECTOR. ACCESS HEALTH WORK INCLUDES, BUT IS NOT LIMITED TO, EDUCATIONAL INITIATIVES AND PROGRAMS AIMED AT UNDERSTANDING THE ISSUES UNDERLYING HEALTHCARE, THE COMPLEXITIES ASSOCIATED THEREWITH, AND HEALTH SYSTEMS BEST PRACTICES. ACCESS HEALTH ALSO DEVELOPS UNIQUE PARTNERSHIPS AND NETWORKS TO SHARE BEST PRACTICES AND TO IMPLEMENT INNOVATIVE PROGRAMS AND PROJECTS THROUGHOUT THE WORLD. ACCESS HEALTH'S CURRENT AND ANTICIPATED ACTIVITIES FALL INTO THREE CORE AREAS: CONDUCTING PRACTICAL, EVIDENCE-BASED RESEARCH; CULTIVATING UNIQUE PARTNERSHIPS AND NETWORKS FOR HEALTH, AND FOSTERING HEALTH INNOVATION.

Facts And Circumstances Test

ACCESS HEALTH INTERNATIONAL, INC. QUALIFIES AS A PUBLICLY SUPPORTED ORGANIZATION UNDER IRC 170(B)(1 )(A)(VI) BECAUSE IT SATISFIES THE FACTS AND CIRCUMSTANCES TEST SET FORTH IN TREAS. REG. 1.170A-9(F)(3). FIRST, THE ORGANIZATION SATISFIES THE THRESHOLD CRITERIA IN THE REGULATIONS; IT NORMALLY RECEIVES AT LEAST 10% OF ITS SUPPORT FROM THE GENERAL PUBLIC, AND IT CARRIES ON A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC. IN ADDITION, THE ORGANIZATION MEETS THE FOLLOWING FACTORS ENUMERATED IN THE REGULATION AS BEING INDICATIVE OF PUBLIC SUPPORT:PERCENTAGE OF FINANCIAL SUPPORT (TREAS. REG. 1.170A-9(F)(3)(111)(A)) - DURING THE FIVE-YEAR PERIOD ENDING ON DECEMBER 31, 2021, THE PORTION OF THE ORGANIZATION'S SUPPORT THAT QUALIFIES AS ELIGIBLE PUBLIC SUPPORT IS 29.77% (SEE SCHEDULE A), WHICH EXCEEDS THE 10% THRESHOLD. SOURCES OF SUPPORT (TREAS. REG. 1.170A-9(F)(3)(111)(B)) - THE ORGANIZATION RECEIVES ITS PUBLIC SUPPORT FROM OTHER ENTITIES; IT DOES NOT DEPEND ON A SINGLE ORGANIZATION FOR CONTRIBUTIONS. THE ORGANIZATION IS INDEPENDENT OF ITS CORPORATE CONTRIBUTORS.REPRESENTATIVE GOVERNING BODY (TREAS. REG. 1.170A-9(F)(3)(111)(C)) - THE ORGANIZATION IS GUIDED BY A VOLUNTEER BOARD OF COMMUNITY MEMBERS. THESE INDIVIDUALS REPRESENT INTERESTS OF THE GENERAL PUBLIC THAT THE ORGANIZATION SERVES AND THEY ENSURE THAT THE ORGANIZATION OPERATES FOR THE INTERESTS OF THE GENERAL PUBLIC AS OPPOSED TO THE PERSONAL OR PRIVATE INTERESTS OF ANY PARTICULAR DONOR.AVAILABILITY OF PUBLIC SERVICES, PUBLIC PARTICIPATION IN PROGRAMS OR POLICIES (TREAS. REG. 1.170A-9(F)(3)(111)(D)) - OVER THE PAST FIVE TAX YEARS, THE ORGANIZATION HAS BEEN ADDRESSING THE PROBLEM OF ACCESS TO QUALITY AFFORDABLE HEALTHCARE. ACCESS HEALTH FOSTERS INNOVATIVE SOLUTIONS TO THE GREATEST HEALTH CHALLENGES OF OUR DAY BY ACTING AS A KNOWLEDGE ADVISORY, AND IMPLEMENTATION PARTNER ON HEALTH TO GOVERNMENTS AND THE PRIVATE SECTOR. ACCESS HEALTH WORK INCLUDES, BUT IS NOT LIMITED TO, EDUCATIONAL INITIATIVES AND PROGRAMS AIMED AT UNDERSTANDING THE ISSUES UNDERLYING HEALTHCARE, THE COMPLEXITIES ASSOCIATED THEREWITH, AND HEALTH SYSTEMS BEST PRACTICES. ACCESS HEALTH ALSO DEVELOPS UNIQUE PARTNERSHIPS AND NETWORKS TO SHARE BEST PRACTICES AND TO IMPLEMENT INNOVATIVE PROGRAMS AND PROJECTS THROUGHOUT THE WORLD. ACCESS HEALTH'S CURRENT AND ANTICIPATED ACTIVITIES FALL INTO THREE CORE AREAS: CONDUCTING PRACTICAL, EVIDENCE-BASED RESEARCH; CULTIVATING UNIQUE PARTNERSHIPS AND NETWORKS FOR HEALTH, AND FOSTERING HEALTH INNOVATION.

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2021

Name of the organization

ACCESS HEALTH INTERNATIONAL INC

Employer identification number

26-3709070

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 ACCESS HEALTH INTERNATIONAL INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization ACCESS HEALTH INTERNATIONAL INC		Employer identification number 26-3709070

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 ACCESS HEALTH INTERNATIONAL INC			Employer identification number 26-3709070
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

ACCESS HEALTH INTERNATIONAL INC

Employer identification number

26-3709070

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

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.

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

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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
d	Equipment ....	41,013	31,225	9,788
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				9,788

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.)

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.)

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.)...........

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.)
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

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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
ACCESS HEALTH INTERNATIONAL INC

Employer identification number

26-3709070

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

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? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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
	SOUTH ASIA	1		PROGRAM SERVICES	RESEARCH AND DOCUMENTATION OF GOOD PRACTICES IN HEALTHCARE SERVICES AND FINANCING	75,177
	EAST ASIA AND THE PACIFIC	1		PROGRAM SERVICES	RESEARCH AND DOCUMENTATION OF GOOD PRACTICES IN HEALTHCARE SERVICES AND FINANCING.	217,006















3a	Sub-total ....	2	0			292,183
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	2	0			292,183

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)

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

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)

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

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 III ACCOUNTING METHOD:

Schedule F (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

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

ACCESS HEALTH INTERNATIONAL INC

Employer identification number

26-3709070

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .....

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? ....

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1WILLIAM ALAN HASELTINE PRESIDENT AND CHAIR	(i) (ii)	203,964 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	203,964 ------------- 0	0 ------------- 0

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:

- TIN:

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

ACCESS HEALTH INTERNATIONAL INC

Employer identification number

26-3709070

Return Reference	Explanation
FORM 990, PART III, LINE 2	LED BY PSI INDIA, PROJECT SAMAGRA WILL OPERATE IN PARTNERSHIP WITH THE GOVERNMENT OF INDIA, USAID, AND LOCAL AND PRIVATE SECTOR STAKEHOLDERS TO CREATE AN AFFORDABLE, EQUITABLE AND RESPONSIVE URBAN HEALTH ECOSYSTEM FOR VULNERABLE AND POOR URBAN POPULATIONS. THIS GRANT WAS AWARDED IN LATE APRIL 2020 AND MAKES IT POSSIBLE FOR PSI AND PARTNERS TO DELIVER QUALITY PREVENTIVE, PROMOTIVE, AND CURATIVE PRIMARY HEALTHCARE FOR THOSE UNDERSERVED POPULATIONS WHO NEED IT MOST. THE SAMAGRA PROJECT WILL WORK TO IMPROVE ACCESS TO INEXPENSIVE HEALTH SERVICES AND TACKLE THE BARRIERS RELATED TO THE SOCIAL DETERMINANTS OF HEALTH. MORE SPECIFICALLY, THE PROJECT AIMS TO INCREASE THE USE OF MODERN CONTRACEPTIVES, CASE DETECTION FOR TUBERCULOSIS (TB) AND MULTIDRUG-RESISTANT TB (MDR-TB). IT ALSO AIMS TO IMPROVE MATERNAL AND CHILD HEALTH CARE COVERAGE TO INCLUDE ANTENATAL CARE (ANC), INTRA-NATAL, AND POSTNATAL CARE (PNC) IN THESE POPULATIONS, ALONG WITH IMPROVING IMMUNIZATION RATES.
FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS:	TECHNICAL SUPPORT NITI AYOG - THE GOAL OF THE HEALTH SYSTEM DESIGN PORTFOLIO IS TO MOBILIZE MOMENTUM TOWARDS EFFORTS WHICH REDUCE OUT OF POCKET EXPENDITURE AND INCREASE MINIMUM QUALITY ACCESS (INPATIENT AND OUTPATIENT) TO LOWER- AND MIDDLE-INCOME POPULATION OF INDIA. THERE ARE TWO KEY PILLARS OF THIS GRANT, BOTH VERY CLOSELY LINKED TO THE GOALS. RISK POOLING: CREATING POLICIES FOR RISK POOLING (ESI, REGULATORY FRAMEWORK ACROSS ALL RISK POOLS, INNOVATIONS ON RISK POOL) ALL LOOK TO INCREASING POOLED FUNDS AND DIRECTLY REDUCING OUT OF POCKET EXPENDITURE OF THE POPULATION. THIS IS THROUGH THE TWIN MECHANISM OF IMPROVING EFFICIENCY OF EXISTING POOLS ESI, COMMERCIAL INSURANCE THROUGH GOVERNANCE AND REGULATORY REFORMS, WHICH IN TURN COULD LEAD TO MORE FUNDS BEING DEPLOYED TO THESE. AS WELL AS CREATING INNOVATIONS AND POLICIES FOR EXPANSION OF ESI, AND OTHER CONTRIBUTORY MECHANISMS. THIS WOULD CREATE A ROADMAP FOR REDUCING OUT OF POCKET EXPENDITURE IN INDIA. PRIVATE SECTOR: THIS SEEKS TO CREATE MORE INVESTMENT IN SUPPLY OF CARE FOR AYUSHMAN BHARAT BENEFICIARIES IN SMALLER TOWNS, SEMI URBAN AREAS THROUGH POLICY SUPPORT (TAX INCENTIVES, OTHER SUPPORT ETC). THIS WOULD EFFECTIVELY AID IN INCREASING ACCESS WITH MINIMUM QUALITY. THIS WILL ALSO AIM AT CREATING PILOTS TO HELP FIELD TEST POTENTIAL STRATEGIES FOR AGGREGATION OF THE FRAGMENTED PROVIDER LANDSCAPE. THIS GRANT IS A FOLLOW UP TO THE NITI THEME PAPERS WORK WHICH HAS ALREADY HAPPENED AND BUILDS ON THIS WORK. THIS IS COMPLEMENTARY TO THE NHA/PMJAY WORK AND WILL HELP CREATE MORE SUPPLY FOR PMJAY. THROUGH THE WORK ON REGULATORY FRAMEWORK AND ESI THERE WOULD ALSO BE CONVERGENCE/STANDARDIZATION EFFORT ACROSS NHA/PMJAY/OTHER PURCHASERS, WHICH IS ONE OF THE LONG-TERM VISIONS OF AYUSHMAN BHARAT. A ROADMAP TO INCREASE MORE POOLED FUNDS, WOULD EASE THE FUNDING CONSTRAINT FOR BOTH THE LEGS OF AYUSHMAN BHARAT IN THE MEDIUM-LONG TERM TO A CERTAIN DEGREE. THIS INVESTMENT HAS BEEN REQUESTED BY NITI AND IS ALSO A KEY PRIORITY FOR OUR STRATEGY TO ENABLER THE ECOSYSTEM AROUND AYUSHMAN BHARAT. HEALTH SYSTEMS TRANSFORMATION PLATFORM - UNDER THIS GRANT, ACCESS HEALTH INTERNATIONAL WILL COLLABORATE WITH A MANAGEMENT CONSULTANT TO ENSURE STATE-WIDE IMPROVEMENT OF THE PRIMARY HEALTH SYSTEM IN SELECT STATES OF INDIA AND ENSURE SUSTAINABILITY OF OUTCOMES. THE FOLLOWING WILL BE ADDRESSED: 1. DESIGN OF A DEEP PERFORMANCE ACCOUNTABILITY SYSTEM (AND IMPLEMENT IT FOR TWO CADRES GIVEN THE PRACTICAL CONSTRAINTS OF IMPLEMENTING IN ANNUAL CYCLES) 2. IMPROVING GOVERNANCE AT THE LAST MILE (TO ENHANCE ACCOUNTABILITY) 3. STRENGTHENING KEY SYSTEMS AND PROCESSES TO PROVIDE ACCURATE AND REAL-TIME DATA KEY SYSTEMS WILL BE ADDRESSED TO ENABLE TARGET SETTING AT ALL LEVELS, NEAR REAL-TIME DATA CAPTURE OF HEALTH OUTCOMES/ OUTPUTS AND INPUTS, DATA VALIDATION (TO ENSURE ACCURACY OF THE DATA) AND ANALYTICS-VISUALIZATION (TO BE ABLE TO CREATE DASHBOARDS ON SYSTEM PERFORMANCE). 4. DIGITIZATION OF HR PROCESSES TO INCREASE TRANSPARENCY AND PRODUCTIVITY PERFORMANCE MANAGEMENT OF INDIVIDUALS REQUIRES ROBUST PERSONNEL DATA AND DISCIPLINE IN PEOPLE PROCESSES. CONSEQUENTLY, SELECT HR SYSTEMS AND PROCESSES WILL NEED TO BE DIGITIZED (E.G., TRANSFERS, PROMOTIONS, LEAVES), IN LINE WITH REFORMED POLICIES AND PROCESSES. 5. REFINEMENT OF THE FINANCE AND BUDGETING SYSTEM IT WILL BE CRITICAL TO ENSURE THAT THE ALLOCATION AND RE-ALLOCATION OF FUNDS BASED ON NEED AND PROGRESS DURING A YEAR IS ALIGNED TO BEST SERVE THE STATE. CONSEQUENTLY, THE CURRENT PROCESSES AND SYSTEM WILL BE STUDIED AND REDESIGNED AS REQUIRED. 6. DRUG SUPPLY CHAIN AUTOMATION TO ENSURE HIGH AVAILABILITY OF DRUGS AT ALL INSTITUTIONS: DRUG AVAILABILITY IS A CRITICAL INPUT FOR ROBUST PRIMARY HEALTH CARE. TOWARDS THIS END, THE PERFORMANCE OF THE DRUG SUPPLY CHAIN CAN LEAPFROG VIA DIGITAL REIMAGINATION. FOR EXAMPLE, AUTOMATION OF THE ENTIRE SUPPLY CHAIN (PROCUREMENT, INVENTORY MANAGEMENT, CONSUMPTION TRACKING, INDENTATION, DISTRIBUTION) WILL BE CONSIDERED 7. ORGANIZATION STRENGTHENING, SPECIFICALLY IN TERMS OF A PERFORMANCE MANAGEMENT AND ANALYTICS CELL (PMAC) IN ORDER TO ENSURE LONGER-TERM SUSTAINABILITY OF PERFORMANCE ACCOUNTABILITY (POST CONSULTANT'S SUPPORT FOR SETTING UP THE SYSTEMS), A TEAM WILL BE REQUIRED THAT CAPTURES, MONITORS, MAINTAINS AND SUPPORTS DATA-BASED PERFORMANCE MONITORING AND REVIEWS. A PERFORMANCE MANAGEMENT AND ANALYTICS CELL WILL BE DESIGNED, SET UP AND ENABLED. THIS WILL INCLUDE ANY ASSOCIATED TENDERING PROCESSES AND/ OR HIRING AS WELL AS BUILDING THE CAPACITY OF THE PMAC. METLIFE FOUNDATION PROJECT TITLE: FINTECH FOR HEALTH INNOVATION PLATFORM - AS HEALTHCARE COSTS RISE IN ASIA, ACCESS HEALTH HAS IDENTIFIED A NEED TO TURN TO INNOVATIVE FINANCING MODELS OUTSIDE OF TRADITIONAL PUBLIC / INSURANCE MODELS TO ADDRESS GAPS IN COVERAGE, FUNDING AND ACCESS. THIS GRANT WILL ENABLE ACCESS HEALTH TO BUILD A FINTECH4HEALTH PLATFORM THAT WILL FACILITATE PARTNERSHIPS BETWEEN FINTECHS AND HEALTH ORGANIZATIONS IN FIVE METLIFE ASIA MARKETS TO DEVELOP HIGH QUALITY HEALTH FINANCING SOLUTIONS TO HELP LOW- AND MODERATE-INCOME PEOPLE AVOID FINANCIAL HARDSHIPS DUE TO EMERGENCY EXPENSES AND ON-GOING CARE. PMJAY 2 - PRADHAN MANTRI JAN AROGYA YOJNA IS DEDICATED PROGRAM FOR INSURANCE SCHEME PROGRAM ASSIGNED FOR IMPLEMENTATION IN 5 STATES IN INDIA FHR SUPPLEMENTARY - DETERMINE THE OPTIMAL ENGAGEMENT MODEL, RESEARCH AREAS AND PARTNERS TO BUILD/STRENGTHEN CAPACITY FOR SPECIFIC HEALTH POLICY AND FINANCE RESEARCH TOPICS IN INDIA AND ORGANIZE CONSULTATIONS ON HEALTH POLICY ISSUES IN INDIA.
FORM 990, PART VI, SECTION B, LINE 11B	THE DRAFT FORM 990 IS PREPARED AT THE END OF THE AUDIT OF THE FINANCIAL STATEMENTS BY OUR INDEPENDENT EXTERNAL AUDITORS. THE DRAFT FORM 990 IS THEN EMAILED TO ALL OFFICERS OF THE ORGANIZATION AND DIRECTORS OF THE BOARD. ALL BOARD DIRECTORS AND THE PRESIDENT OF THE ORGANIZATION OFFICIALLY APPROVE FORM 990 TO BE FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ACCESS HEALTH INTERNATIONAL, INC. (THE "CORPORATION") REQUIRES THAT EACH BOARD MEMBER, OFFICER, AND KEY EMPLOYEE (INCLUDING EACH COUNTRY MANAGING DIRECTOR) ANNUALLY (1) REVIEW THE CORPORATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); (2) DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND (3) ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF SUCH POLICY. THE INFORMATION PROVIDED ON THE FORM SHALL BE AVAILABLE FOR INSPECTION BY MEMBERS OF THE BOARD AND THE CORPORATION'S LEGAL COUNSEL, BUT SHALL OTHERWISE BE HELD IN CONFIDENCE EXCEPT WHEN, AFTER CONSULTATION WITH THE APPLICABLE BOARD MEMBER, OFFICER OR KEY EMPLOYEE, THE BOARD DETERMINES THAT THE CORPORATION'S BEST INTEREST WOULD BE SERVED BY DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR KEY EMPLOYEES AND OFFICERS IS DECIDED BY THE BOARD OF DIRETORS OF THE ORGANIZATION AFTER COMPARATIVE ANALYSIS OF COMPENSATION STRUCTURES FOR SIMILARLY SKILLED CANDIDATES ACCORDING TO THE PLACE OF WORK OF OTHER INTERNATIONAL DEVELOPMENT ORGANIZATIONS (E.G. UN AGENCIES, DONOR ORGANIZATIONS AND FOR-PROFIT CONSULTING ORGANIZATIONS).
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER PRROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 121,932. MANAGEMENT AND GENERAL EXPENSES 15,965. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,897. PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 1,510,586. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,510,586. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 1,224,123. MANAGEMENT AND GENERAL EXPENSES 281,816. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,505,939.

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach 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

ACCESS HEALTH INTERNATIONAL INC

Employer identification number

26-3709070

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?
(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	Yes	No
(1)ACCESS HEALTH INTERNATIONAL SOUTHEAST ASIA LIMITED 90 EU TONG SEN STREET 059811 SN	AFFORDABLE HEALTH CARE	SN	EXEMPT FOREIGN		ACCESS HEALTH INTERNATIONAL INC	Yes

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

Cat. No. 50135Y

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	(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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

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?
(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	Yes	No
(1) HEALTH ADVISORY INTERNATIONAL INC 1016 FIFTH AVENUE SUITE 11A/C NEW YORK,NY10028	INACTIVE	DE	ACCESS HEALTH INTERNATIONAL INC	C			100.000 %	Yes
(2) ASK HEALTH CONSULTING COMPANY LTD ROOM 501-14 NO 628 HONGQIAO ROAD SHANGHAI CH	BUSINESS & HEALTH INFORMATION CONSULTING	CH	ACCESS HEALTH INTERNATIONAL INC	C	1,226,828	363,758	100.000 %	Yes
(3) QUALITY HEALTHCARE ACCESS PRIVATE LIMITED H NO 275 SHRI RAM NAGAR G T ROAD NEW DELHI 110032 IN	HEALTHCARE SERVICES	IN	ACCESS HEALTH INTERNATIONAL INC	C	783,140	289,348	100.000 %	Yes

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

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) QUALITY HEALTHCARE ACCESS PRIVATE LIMITED (INDIA)	L	709,097	ACTUAL
(2) ACCESS HEALTH INTERNATIONAL SOUTHEAST ASIA LIMITED	L	1,214,495	ACTUAL

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)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

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

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE ACCESS TO AFFORDABLE QUALITY HEALTHCARE
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	4
6	Total number of volunteers (estimate if necessary) .............	6	7
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,105,517	1,942,638
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	6,105,517	1,942,638
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	542,488	547,366
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 14,234
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	6,342,023	3,679,570
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	6,884,511	4,226,936
19	Revenue less expenses. Subtract line 18 from line 12.......	-778,994	-2,284,298
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	12,514,413	10,269,818
21	Total liabilities (Part X, line 26).............	657,181	696,884
22	Net assets or fund balances. Subtract line 21 from line 20.....	11,857,232	9,572,934

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,049,562 including grants of $ ) (Revenue $ )
	DIGITAL HEALTH - A ROBUST AND EFFECTIVE INFORMATION SYSTEM IS A PREREQUISITE TO A WELL-FUNCTIONING HEALTH SYSTEMAND A NECESSARY BUILDING BLOCK FOR UNIVERSAL HEALTH COVERAGE. THIS IS ESPECIALLY TRUE FOR INDIA, WHERE THE NEED TO INTEGRATE SYSTEMS IN A FEDERAL CONTEXT AND ACROSS DIFFERENT COMPONENTS OF THE HEALTH SYSTEM (PUBLIC, PRIVATE AND BETWEEN NATIONAL DISEASE CONTROL PROGRAMS) IS A PARAMOUNT CONCERN. THE GOVERNMENT OF INDIA RECOGNIZES THE NEED FOR ESTABLISHING AN INTEGRATED DIGITAL HEALTH PLATFORM FOR THE COUNTRY, PARTICULARLY IN THE CONTEXT OF THE LARGE SCALE AND AMBITIOUS AYUSHMAN BHARAT PROGRAM. WHILE IT HAS EXPRESSED INTENT TO PROCEED WITH A DIGITAL HEALTH PLATFORM, THE GOVERNMENT HAS YET TO CONCEPTUALIZE THE SCOPE, SCALE, AND SYSTEM ARCHITECTURE FOR EXECUTION. ACCESS HEALTH, WORKING CLOSELY WITH PARTNERS, WILL SUPPORT THE CREATION OF A HARMONIZED ROADMAP FOR A COMPREHENSIVE AND INTEGRATED DIGITAL HEALTH PLATFORM FOR INDIA. IN PARTNERSHIP WITH A STRATEGY CONSULTING FIRM, ACCESS HEALTH WILL STEER FORWARD THIS AGENDA BY CONVENING PARTNERS, ASSESSING NEEDS, DEFINING PRIORITY STEPS, BUILDING CAPACITY, AND LAYING THE GROUNDWORK FOR A UNIFIED DIGITAL HEALTH SYSTEM ARCHITECTURE. ACCESS HEALTH WILL WORK CLOSELY WITH STRATEGIC AND TECHNICAL PARTNERS, WITHIN CENTRAL AND STATE GOVERNMENTS, THE PRIVATE SECTOR AND ACADEMIA, TO ACHIEVE THIS GOAL. ACCESS HEALTH WILL ENGAGE A STRATEGY CONSULTING FIRM WITH PRIOR EXPERTISE IN DIGITAL HEALTH WORK AT THE OUTSET TO ASSESS READINESS FOR THE DIGITAL HEALTH INITIATIVE AND CREATE A MANAGEMENT FRAMEWORK TO DELIVER ON ITS GOALS. THIS WILL ENABLE ACCESS HEALTH TO BUILD ITS INTERNAL TEAM AND CAPACITY TO RESPOND TO THE LONGER-TERM NEEDS OF THE GRANT. ASSUMING THERE IS BUY-IN TO PROCEED WITH THE DIGITAL HEALTH AGENDA, WHICH WILL BE DETERMINED BY MARCH 2019, ACCESS HEALTH AND THE CONSULTANTS WILL CO-DESIGN A CONDUCIVE IMPLEMENTATION STRUCTURE AND PLAN AND PREPARE THE EXECUTION OF THE GRANT. SPECIFICALLY, THE STRATEGY CONSULTANTS WILL LEAD THE DIAGNOSTIC EXERCISE TO DETERMINE THE BUY-IN AND SCOPE FOR THE DIGITAL HEALTH PLATFORM IN INDIA, VALIDATE AND/OR MODIFY THE TECHNICAL PRIORITIES OR "ACTIVITIES" OUTLINED IN THIS PROPOSAL", DEFINE CRITICAL MILESTONES AND GOALS FOR EACH ACTIVITY, AND DESIGN A MANAGEMENT FRAMEWORK THAT WILL SUPPORT ACCESS HEALTH IN TAKING OVER RESPONSIBILITY FOR THE GRANT.IN PARALLEL WITH THIS INITIAL SCOPING EXERCISE, WE WILL BEGIN IMPLEMENTATION OF THREE ACTIVITIES, WHICH WILL COMPRISE PHASE 1, AND BE THE FOCUS OF YEAR 1: CONVENING PARTNERS, ALIGNING ON AGENDA AND PRELIMINARY ROADMAP, ESTABLISHING BASELINE KNOWLEDGE AND BUILDING CAPACITY. THE SECOND FOUR ACTIVITIES, UNDER PHASE 2, ARE MORE TECHNICAL IN SCOPE AND WILL SERVE AS A FOUNDATION UPON WHICH THE SYSTEM ARCHITECTURE FOR DIGITAL HEALTH WILL BE ESTABLISHED. PREPARATION FOR PHASE 2 ACTIVITIES WILL BEGIN IN YEAR 1 AND WILL CONTINUE FOR THE DURATION OF THE GRANT. 1. GOVERNANCE SUPPORT FOR THE DIGITAL HEALTH STRATEGY, 2. LANDSCAPE ASSESSMENTS ON HEALTH INFORMATION SYSTEMS AND HEALTH DATA,3. CAPACITY BUILDING AND KNOWLEDGE EXCHANGE ON HEALTH INFORMATICS, 4. SETTING UP A NATIONAL HEALTH DATA DICTIONARY AND MASTER REGISTRIES5. SUPPORTING THE DESIGN OF A MODERN PROVIDER INFORMATION SYSTEM ("HOSPITAL INFORMATION SYSTEM"), 6. SUPPORTING THE DESIGN OF A UNIVERSAL PAYER PLATFORM ("HEALTH INSURANCE INFORMATION SYSTEM"), AND7. GATHERING CONSENSUS AND PLANNING FOR ELECTRONIC HEALTH RECORD / PERSONAL HEALTH RECORDIN TERMS OF EXECUTION, ACCESS HEALTH WILL ENSURE CROSS LEARNING BETWEEN ALL SEVEN ACTIVITIES, ENSURE PARTICIPATION AND ALIGNMENT OF DIFFERENT STAKEHOLDER GROUPS, AND DRAW ON SPECIALIZED TECHNICAL EXPERTISE FROM PARTNERS AND CONSULTANTS WITHIN AND OUTSIDE INDIA AS NEEDED. WE WILL ALSO CAREFULLY BALANCE THE PRIORITIES OF THE CENTRAL GOVERNMENT WITH THOSE OF THE STATES, ENSURING THAT WE CAPITALIZE ON EFFECTIVE SYSTEMS THAT ARE ALREADY IN USE.

4b	(Code: ) (Expenses $ 72,570 including grants of $ ) (Revenue $ )
	THEME PAPERS - ACCESS HEALTH INTERNATIONAL WAS COMMISSIONED BY THE GATES FOUNDATION TO CONDUCT AND COORDINATE RESEARCH ACTIVITIES IN COLLABORATION WITH INTERNATIONAL RESEARCHERS AND OTHER LOCAL STAKEHOLDERS. THIS EXERCISE WAS EXECUTED OVER A PERIOD OF 18 MONTHS, WITH THEMATIC AREAS OF HEALTH FINANCING, ORGANIZATION AND DELIVERY OF CARE, STRATEGIC PURCHASING, AND DIGITAL HEALTH. WE CONDUCTED BOTH SECONDARY AND PRIMARY RESEARCH TO UNDERSTAND THE CHALLENGES AND SOLUTIONS FOR HEALTH SYSTEMS IN INDIA. THE EVIDENCE GENERATED FROM THIS BODY OF WORK GENERATED A SERIES OF RESEARCH AREAS WHICH NEED FURTHER STUDY AND EXPLORATION. ACCESS HEALTH HAS WORKED ON CONSOLIDATING THE FINDINGS OF THIS PROJECT IN THE FORM OF A BOOK.

4c	(Code: ) (Expenses $ 674,105 including grants of $ ) (Revenue $ )
	PROGRAM BUILDING HEALTH SYSTEMS RESEARCH CONSORTIUM - IN SUCCESSION TO THE THEME PAPER STUDY (DISCUSSED ABOVE) SEVERAL RESEARCH TOPICS EMERGED. THE GATES FOUNDATION FELT THAT THESE TOPICS NEED MORE SCIENTIFIC EXPLORATION. ACCESS HEALTH WORKED TO IDENTIFY AND CONTACT ACADEMICIANS AND RESEARCHERS, WHO COULD CONDUCT HIGHLY SCIENTIFIC RESEARCH TO ANSWER THESE RESEARCH QUESTIONS. WE CONDUCTED TWO ORIENTATION WORKSHOPS WITH THE ACADEMICIANS IN THE AREAS OF HEALTH FINANCING AND ORGANIZATION AND DELIVERY OF CARE, TO A DISCUSS AND FINALIZE THE IDENTIFIED AREAS OF RESEARCH. WE FINALIZED THE RESEARCH AREAS AND SHARED A REQUEST FOR PROPOSAL WITH THE IDENTIFIED ACADEMICIANS. WE RECEIVED SIX PROPOSALS FROM INSTITUTE OF ECONOMIC GROWTH, INDIAN SCHOOL OF BUSINESS, INDIAN INSTITUTE OF PUBLIC HEALTH BHUBANESHWAR, ADMINISTRATIVE STAFF COLLEGE OF INDIA, FACULTY OF MANAGEMENT STUDIES, AND INSTITUTE OF PUBLIC HEALTH. A TECHNICAL ADVISORY COMMITTEE WAS FORMULATED, AND THEY REVIEWED THE PROPOSALS. PRESENTLY, WE HAVE FINALIZED FIVE OF THESE PROPOSALS BASED ON THE SCORE PROVIDED BY THE TECHNICAL COMMITTEE AND CONTRACTS HAVE BEEN ISSUED TO THE ACADEMIC INSTITUTES. WE ARE TO START THE RESEARCH IN PARTNERSHIP WITH THESE ACADEMICIANS.AYUSHMAN BHARAT - THE GOVERNMENT OF INDIA ANNOUNCED AYUSHMAN BHARAT IN 2018. AYUSHMAN BHARAT A MAJOR HEALTH SECTOR REFORM AIMS AT MAKING INTERVENTIONS IN PRIMARY, SECONDARY, AND TERTIARY CARE SYSTEMS, COVERING BOTH PREVENTIVE AND PROMOTIVE HEALTH, TO ADDRESS HEALTHCARE HOLISTICALLY. THE PROGRAM INCLUDES TWO MAJOR HEALTH INITIATIVES NAMELY, HEALTH AND WELLNESS CENTERS AND PRADHAN MANTRI JAN AROGYA YOJNA (PM-JAY). THE PM-JAY WILL COVER OVER 10 CRORE (ONE HUNDRED MILLION) POOR AND VULNERABLE FAMILIES (APPROXIMATELY 50 CRORE (FIVE HUNDRED MILLION) BENEFICIARIES) PROVIDING COVERAGE UP TO 5 LAKH RUPEES ($7,100) PER FAMILY PER YEAR FOR SECONDARY AND TERTIARY CARE HOSPITALIZATION. ACCESS HEALTH INTERNATIONAL CONVENES A PLATFORM OF TECHNICAL RESOURCES AND EXPERTISE TO SUPPORT STATE GOVERNMENTS TO INCREASE THE LIKELIHOOD OF SUCCESSFUL IMPLEMENTATION OF PM-JAY. THE PLATFORM WORKS WITH INTERESTED STATE GOVERNMENTS WHO REQUIRE STRATEGIC SUPPORT TO CONTEXTUALIZE DESIGN AND IMPLEMENT THE STRUCTURES AND PROCESSES FOR GOVERNANCE AND MANAGEMENT.CAPACITY BUILDING - ACCESS HEALTH ENGAGES, SUPPORTS, AND STRENGTHEN COMPETENCIES, CREDIBILITY AND CONFIDENCE OF HEALTHCARE PRACTITIONERS, POLICY MAKERS AND NATIONAL AND STATE LEVEL INSTITUTIONS TOWARDS BUILDING LONG TERM CAPACITIES IN HEALTH SYSTEMS AND CONTRIBUTING TOWARDS IMPROVED HEALTH OUTCOMES FOR THE PEOPLE OF INDIA.PHC RAJASTHAN - THE GOVERNMENT OF RAJASTHAN HAS RECENTLY UNDERTAKEN THE TASK OF ENSURING BETTER PERFORMANCE OF ITS HEALTHCARE SYSTEM, WHICH FALLS BELOW THE INDIAN AVERAGE ON MANY COUNTS. IN ADDITION TO GOVERNMENT FINANCED HEALTH INSURANCE UNDER THE BHAMASHAH SWASTHYA SCHEME, THE GOVERNMENT OF RAJASTHAN HAS BEEN ACTIVELY SUPPORTING THE USE OF TECHNOLOGY, INNOVATION AND PROCESS REENGINEERING TO PROMOTE BETTER HEALTH OUTCOMES BY STRENGTHENING PRIMARY CARE AND ENSURING GOOD GOVERNANCE BY WAY OF BETTER ACCOUNTABILITY AND TRANSPARENCY.TO THIS END, THE ACCESS HEALTH INTERNATIONAL IN 2016, ENGAGED THE BOSTON CONSULTING GROUP TO HELP THE GOVERNMENT OF RAJASTHAN IN REVITALIZING ITS PRIMARY CARE SYSTEM. THIS IS BEING DONE THROUGH STAFF AND INFRASTRUCTURAL GAP FIXING OF 295 PRIMARY HEALTH CENTERS IN THE FIRST PHASE (OF A TOTAL OF ABOUT 2100), SYSTEM STRENGTHENING(E.G., VIA HR PROCESSES, MANAGEMENT INFORMATION SYSTEMS AND PROCESS REDESIGN) AND DISEASE-SPECIFIC INTERVENTIONS (E.G., TO REDUCE NEO-NATAL MORTALITY FROM THE CURRENT 3.2%).THESE TRANSFORMED PRIMARY HEALTH CENTERS WERE RELABELED AS ADARSH PRIMARY HEALTH CENTERS, AND HAVE HELPED INCREASE UTILIZATION AND AVAILABILITY OF CARE WITHIN THE PUBLIC PRIMARY CARE SYSTEM IN RAJASTHAN. IN ADDITION, COMMUNITY STRENGTHENING IS ALSO PLAYING A CRITICAL ROLE, E.G., VIA TARGETED INFORMATION AND EDUCATION CAMPAIGNS AND FEEDBACK MECHANISMS.WHILE THE ENGAGEMENT HAS ACHIEVED SIGNIFICANT SUCCESSES, THE SELECTED FACILITIES WERE NOT AMONGST THE WORST PERFORMING FACILITIES IN THE STATE. NOW, THE OBJECTIVE IS TO SCALE UP THE EXPERIENCES FROM THE ADARSH INITIATIVE TO ALL PRIMARY HEALTH CENTERS IN THE STATE BY EARLY 2019. THIS WOULD ENTAIL ADDRESSING STRUCTURAL, PROCEDURAL, AND MONITORING FUNCTIONS WITHIN THE PUBLIC HEALTH SYSTEM, WHILE ENSURING SUSTAINABILITY OF THE CHANGES UNDERTAKEN. TO ELICIT BROADER SYSTEMS ACCOUNTABILITY AND ENSURE SUSTAINABILITY, THE BOSTON CONSULTING GROUP AND ACCESS HEALTH INTERNATIONAL WILL WORK TOGETHER TO DEVELOP A MODEL TO IMPROVE ACCOUNTABILITY THROUGH A TOP DOWN, LOW TOUCH APPROACH, TO STRENGTHEN THE PRIMARY HEALTH SYSTEM. WITH BOSTON CONSULTING GROUP'S FIELD KNOWLEDGE IN RAJASTHAN, AND ACCESS HEALTH'S INVOLVEMENT IN DRIVING ACCOUNTABILITY IN OTHER STATES IN INDIA, THE TWO ORGANIZATIONS WOULD WORK IN TANDEM AND SYNERGIZE THEIR EFFORTS TO DEFINE THE PREREQUISITES FOR ENSURING ACCOUNTABLE PRIMARY CARE. THE OUTCOME WOULD INCLUDE A FRAMEWORK OR GUIDE FOR MONITORING PRIMARY HEALTHCARE PERFORMANCE AND ACCOUNTABILITY, WHICH WILL BE REPLICATED FROM RAJASTHAN, IN A STATE WHERE ADEQUATE POLITICAL BUY IN FOR CHANGE EXISTS.FINALLY, TO ADDRESS THE HIGH BURDEN OF NEONATAL DEATH IN RAJASTHAN, ACCESS HEALTH INTERNATIONAL WILL PROVIDE KNOWLEDGE SUPPORT TO THE BOSTON CONSULTING GROUP ON DEVELOPING CHANGE PACKAGES FOR REDUCING NEONATAL DEATHS IN THE STATE. THESE CHANGE PACKAGES HAVE BEEN DEVISED BASED ON ACCESS HEATH'S EXPERIENCES IN OTHER STATES ON CAPACITY BUILDING OF HEALTH WORKERS ON QUALITY IMPROVEMENT PROCESSES THROUGH EVIDENCE-BASED PRACTICE. THE QUALITY IMPROVEMENT PROCESSES WILL FOCUS ON THE THREE MAIN CAUSES OF NEONATAL MORTALITY VIZ. SEPSIS, BIRTH ASPHYXIA AND COMPLICATIONS OF PREMATURITY. THIS CHANGE PACKAGE HAS BEEN TAKEN UP BY THE GOVERNMENT OF TELANGANA, UNDER THE AMBIT OF THE AAROGYASRI SCHEME, AND WILL SERVE AS AN ADDITIONAL TOOL TO FURTHER THE EFFORTS OF THE BOSTON CONSULTING GROUP IN DRIVING DOWN NEONATAL DEATHS IN THE STATE. ACCESS HEALTH INTERNATIONAL WILL ALSO PROVIDE TECHNICAL ASSISTANCE IN DEVELOPING SOLUTIONS FOR IMPROVING HOME BASED NEWBORN CARE, REFERRAL OF SMALL AND SICK NEWBORNS AND FOLLOW UP OF 'SPECIAL CARE NEWBORN UNITS' GRADUATES IN THE COMMUNITY THROUGH TESTED ACCOUNTABILITY MECHANISMS. SUSTAINABILITY OF THIS INITIATIVE WILL BE ENSURED THROUGH IDENTIFYING AND CAPACITATING LOCAL INSTITUTIONS, WHO WILL ENGAGE WITH LOCAL STAKEHOLDERS IN AN ONGOING MANNER TO ENSURE THE SUCCESS OF THIS INTERVENTION.FINALLY, ACCESS HEALTH AND BCG WILL EXPLORE OPTIONS OF TESTING THIS ACCOUNTABILITY MECHANISM OUTSIDE RAJASTHAN, ESPECIALLY AROUND PHC TRANSFORMATION. ONE OPTION WILL BE TESTING THIS HYPOTHESIS OF TRANSFORMING PHCS VIA TOP-DOWN ACCOUNTABILITY IN A DIFFERENT STATE, WHERE THERE IS SIGNIFICANT POLITICAL BUY IN - THIS WILL BE DONE BY DIVERTING SOME RESOURCES FROM RAJASTHAN TO THE OTHER STATE, AT THE END OF THE FIRST YEAR OF THE GRANT PERIOD.

	(Code: ) (Expenses $ 1,900,192 including grants of $ ) (Revenue $ )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,900,192 including grants of $ ) (Revenue $ )
4e	Total program service expenses3,696,429

(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
(A) Name and title
(1) WILLIAM ALAN HASELTINE...................................................................... PRESIDENT AND CHAIR	10.00 .................	X	X		203,964	0	0
(2) JOHN-MICHAEL LIND...................................................................... DIRECTOR	5.00 .................	X			0	0	0
(3) BLAISE GUERRAND-HERMES...................................................................... DIRECTOR	5.00 .................	X			0	0	0
(4) ROBERT HORMATS...................................................................... DIRECTOR	5.00 .................	X			0	0	0
(5) K RANGA KRISHNAN...................................................................... DIRECTOR	5.00 .................	X			0	0	0
(6) JEFFREY S LEHMAN...................................................................... DIRECTOR	5.00 .................	X			0	0	0
(7) RAGHUNATH A MASHELKAR...................................................................... DIRECTOR	5.00 .................	X			0	0	0
(8) MARGARET CROTTY...................................................................... DIRECTOR	5.00 .................	X			0	0	0
(9) BISWAJEET CHATTERJEE...................................................................... SECRETARY & TREASURER	56.00 .................		X		110,633	0	0
(10) ANNA DIRKSEN...................................................................... COMMUNICATIONS DIRECTOR	40.00 .................			X	137,494	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	452,091	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
JONATHAN GRUBER, 83 PLEASANT ST LEXINGTON,MA02421	CONSULTING	150,000




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 1

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

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,942,638

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

h Total. Add lines 1a-1f.......		1,942,638

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

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(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).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
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..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			1,942,638	0	0	0

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	314,597	231,705	74,711	8,181
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........	200,225	147,468	47,550	5,207
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........	32,544	23,969	7,729	846
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	21,429	18,948	2,481
c	Accounting ...........	40,924	36,186	4,738
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,154,422	2,856,641	297,781
12	Advertising and promotion ....
13	Office expenses .......	55,102	31,681	23,421
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	2,038	1,459	579
17	Travel ............	88,956	65,135	23,821
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	4,182		4,182
23	Insurance ...	8,026	2,864	5,162
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	COMMUNICATIONS	243,775	219,657	24,118
b
c
d
e	All other expenses	60,716	60,716
25	Total functional expenses. Add lines 1 through 24e	4,226,936	3,696,429	516,273	14,234
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			4,000,929	1	4,889,591
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			8,053,381	3	5,169,415
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 ......				9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	41,013
b	Less: accumulated depreciation	10b	31,225	7,708	10c	9,788
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			452,395	15	201,024
16	Total assets. Add lines 1 through 15 (must equal line 33)...			12,514,413	16	10,269,818

17	Accounts payable and accrued expenses .....	657,181	17	696,884
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	657,181	26	696,884

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,414,069	27	1,670,971
28	Net assets with donor restrictions ...........	10,443,163	28	7,901,963
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	11,857,232	32	9,572,934
33	Total liabilities and net assets/fund balances ........	12,514,413	33	10,269,818

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