Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 01-01-2024 , and ending 12-31-2024
BCheck if applicable:
CName of organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
383 DORCHESTER AVENUE 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BOSTON, MA02127
D Employer identification number

27-1414646
E Telephone number

G Gross receipts $ 246,126,879
F Name and address of principal officer:
DR NEIL SHAH
383 DORCHESTER AVENUE 300
BOSTON,MA02127
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.CLINTONHEALTHACCESS.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 2009
M State of legal domicile: AR
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE CLINTON HEALTH ACCESS INITIATIVE, INC. (CHAI) IS A GLOBAL HEALTH ORGANIZATION THAT ENVISIONS A WORLD IN WHICH EVERYONE IS ABLE TO LIVE A HEALTHY AND FULFILLING LIFE. WE ARE COMMITTED TO SAVING LIVES AND IMPROVING HEALTH OUTCOMES BY ENABLING THE GOVERNMENT AND PRIVATE SECTOR TO STRENGTHEN AND SUSTAIN QUALITY HEALTH SYSTEMS.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 197
6 Total number of volunteers (estimate if necessary) ............. 6 38
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 221,270,590 242,128,005
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,190,449 3,838,556
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 192,261 156,210
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 224,653,300 246,122,771
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 30,237,599 35,558,386
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) 113,270,012 118,575,859
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 11,140 0
b Total fundraising expenses (Part IX, column (D), line 25) 3,307,297    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 82,084,535 89,483,161
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 225,603,286 243,617,406
19 Revenue less expenses. Subtract line 18 from line 12....... -949,986 2,505,365
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 160,736,489 177,238,535
21 Total liabilities (Part X, line 26)............. 149,709,650 163,707,305
22 Net assets or fund balances. Subtract line 21 from line 20..... 11,026,839 13,531,230
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: FOR OVER 20 YEARS, CHAI'S MISSION HAS BEEN TO SAVE LIVES AND IMPROVE HEALTH OUTCOMES IN LOW-AND MIDDLE-INCOME COUNTRIES AROUND THE WORLD. WE DO THIS BY ENABLING THE GOVERNMENT AND PRIVATE SECTOR TO STRENGTHEN AND SUSTAIN QUALITY HEALTH SYSTEMS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 89,856,957 including grants of $ 11,744,688 ) (Revenue $   )
OUR PROGRAMS AIM TO SAVE LIVES AND REDUCE THE BURDEN OF DISEASE, WHILE HELPING GOVERNMENTS CREATE SUSTAINABLE HEALTH SYSTEMS. WE OPERATE IN OVER 35 COUNTRIES AND SUPPORT MORE THAN 20 DIFFERENT HEALTH PROGRAMS. THE VAST MAJORITY OF OUR STAFF ARE LOCATED IN THE COUNTRIES WHERE WE WORK, OVERSEEING IMPLEMENTATION AND MANAGING RELATIONSHIPS WITH PARTNER GOVERNMENTS. THE TEAMS ON THE GROUND ARE COMPLEMENTED BY A GLOBAL TEAM OF SCIENCE, BUSINESS, AND TECHNICAL EXPERTS SUPPORTING THE ENTIRE ORGANIZATION AND BY MANAGEMENT, FINANCE, AND HUMAN RESOURCE TEAMS. INFECTIOUS DISEASES: SEE SCHEDULE O FOR CONTINUATIONFOR YEARS, FOUR INFECTIOUS DISEASES DROVE MOST ILLNESS AND DEATH WORLDWIDE: HIV, HEPATITIS, TUBERCUOSIS (TB), AND MALARIA. COVID-19 HIGHLIGHTED HOW QUICKLY EMERGING INFECTIOUS THREATS CAN OVERWHELM HEALTH INFRASTRUCTURE AND DISRUPT ESSENTIAL SERVICES FOR THESE ENDEMIC DISEASES. CHAI BUILT ON OUR FOUNDATIONAL WORK IN HIV TO ADDRESS THESE DISEASES WHILE EXPANDING OUR FOCUS TO PANDEMIC PREPAREDNESS, ENSURING COUNTRIES ARE BETTER EQUIPPED TO RESPOND TO FUTURE OUTBREAKS. CENTRAL TO THIS PREPAREDNESS IS STRENGHTENING ACCESS TO MEDICAL OXYGEN, A CRITICAL INTERVENTION THAT PROVED ESSENTIAL DURING COVID-19 AND REMAINS VITAL FOR TREATING SEVERE PNEUMONIA, TUBERCULOSIS, AND OTHER RESPIRATORY CONDITIONS.A CORE COMPONENT OF THIS WORK HAS BEEN STRENGTHENING ACCESS TO MEDICAL OXYGEN IN HEALTHCARE FACILITIES AND HOSPITALS IN LOW- AND MIDDLE-INCOME COUNTRIES THROUGH UPDATING INFRASTRUCTURE (I.E. BUILDING PRESSURE SWING ADSORPTION (PSA) PLANTS; SUPPORTING BEDSIDE DELIVERY OF LIQUID OXYGEN), KEEPING OXYGEN EQUIPMENT UP AND RUNNING FOR ITS FULL LIFESPAN, AND PROVIDING HEALTH WORKERS WITH THE RIGHT TOOLS, PROCESSES, AND PRACTICES TO SAVE LIVES.AT THE SAME TIME WE CONTINUE TO WORK ON THE DISEASE AREAS THAT WE HAVE FOCUSED ON FOR DECADES, INCLUDING HIV.FOR EXAMPLE, OUR WORK TO INTRODUCE AFFORDABLE, MORE PALATABLE HIV TREATMENTS FOR CHILDREN. THERE HAVE BEEN VAST IMPROVEMENTS IN PEDIATRIC HIV TREATMENT IN RECENT YEARS, INCLUDING THE RAPID DEVELOPMENT AND INTRODUCTION OF GENERIC PEDIATRIC DTG TABLETS, WHICH DISSOLVE IN WATER AND TASTE LIKE STRAWBERRIES DRAMATICALLY INCREASING CHILDREN'S ADHERENCE TO THEIR TREATMENT REGIMEN.
4b (Code:   ) (Expenses $ 33,670,724 including grants of $ 11,960,418 ) (Revenue $   )
WOMEN AND CHILDREN'S HEALTH: SEE SCHEDULE O FOR CONTINUATIONWOMEN AND CHILDREN SUFFER THE GREATEST BURDEN FROM DISEASE GLOBALLY. CHAI HAS SIGNIFICANTLY INCREASED ACCESS TO RECOMMENDED TREATMENTS FOR DIARRHEA AND PNEUMONIA, THE LARGEST KILLERS OF CHILDREN UNDER FIVE; MADE CRITICAL VACCINES THAT PROTECT AGAINST CHILDHOOD ILLNESSES MORE AFFORDABLE; IS COMBATTING CHRONIC MALNUTRITION; AND IS DRAMATICALLY AND SUSTAINABLY REDUCING MATERNAL AND NEWBORN DEATHS AND PROVIDING ACCESS TO WOMEN'S HEALTH SERVICES.FOR EXAMPLE, WHEN CHAI BEGAN OUR DIARRHEA PROGRAM IN 2012, ONLY ONE-THIRD OF CHILDREN THAT NEEDED LIFESAVING ORAL REHYDRATION SOLUTIONS (ORS) RECEIVED IT. ZINC USAGE RATES WERE EVEN WORSE. THROUGH CHAI'S MARKET SHAPING WORK, WE HELPED REDUCE THE AVERAGE COST OF ZINC/ORS TREATMENT BY 42 PERCENT. WORKING WITH PARTNERS IN INDIA, KENYA, NIGERIA, AND UGANDA, WE ALSO INCREASED THE PERCENTAGE OF CHILDREN WITH DIARRHEA RECEIVING ZINC/ORS FROM LESS THAN ONE PERCENT TO 24 PERCENT.ANOTHER STRONG EXAMPLE IS CHAI'S WORK TO SAVE THE LIVES OF WOMEN AND NEWBORNS. CHAI HAS DEVELOPED AN INTEGRATED, WOMEN AND NEWBORN, HEALTH STRATEGY THAT HAS CONTRIBUTED TO SUSTAINED AND SIGNFICANT REDUCTIONS IN DEATH IN COUNTRIES WHERE WE WORK. THIS APPROACH WAS FIRST PILOTED IN ETHIOPIA, BEFORE BEING TESTED AT SCALE IN NIGERIA, WHERE WE SAW A NEARLY 40 PERCENT REDUCTION IN MATERNAL MORTALITY AND A 43 PERCENT REDUCTION IN NEWBORN DEATHS IN A 12- MONTH PERIOD IN TARGET STATES OF NORTHERN NIGERIA. THE PROGRAM HAS BEEN ROLLED OUT MORE RECENTLY IN ZAMBIA AND UGANDA WITH SIMILAR RESULTS.
4c (Code:   ) (Expenses $ 47,525,427 including grants of $ 9,220,778 ) (Revenue $   )
ACHIEVING UNIVERSAL COVERAGE: SEE SCHEDULE O FOR CONTINUATIONCHAI'S FOUNDING MISSION AND ULTIMATE GOAL IS TO HELP COUNTRIES CREATE HIGH-QUALITY, SUSTAINABLE HEALTHCARE SYSTEMS. TO ACHIEVE THIS, WE WORK WITH GOVERNMENTS TO STRENGTHEN NATIONAL FINANCING SYSTEMS AND TO BUILD SUFFICIENT PHYSICAL INFRASTRUCTURE TO DELIVER HEALTH SERVICES. THROUGH THIS WORK CHAI HAS SUPPORTED GOVERNMENTS TO SECURE OVER $4 BILLION FOR HEALTH SYSTEMS STRENGTHENING, IMPROVED DATA BASED DECISION MAKING, INCREASED SYSTEM EFFICIENCIES, AND REDUCED COSTS.
(Code:   ) (Expenses $ 49,706,147 including grants of $ 2,632,503 ) (Revenue $   )
NON-COMMUNICABLE DISEASES:NON-COMMUNICABLE DISEASES (NCDS) SUCH AS HEART DISEASE, CANCER, CHRONIC RESPIRATORY DISEASE, AND DIABETES ARE THE LEADING CAUSE OF DEATH GLOBALLY, EXCEEDING ALL COMMUNICABLE DISEASE DEATHS COMBINED. IN ADDITION TO OUR NCD PROGRAM, WHICH SUPPORTS GOVERNMENTS TO STRENGTHEN AND IMPLEMENT THEIR NCD PREVENTION AND CONTROL STRATEGIES, CHAI IS PARTNERING WITH GOVERNMENTS TO STRENGTHEN CANCER CARE SYSTEMS BY SOLVING CRITICAL SYSTEMIC GAPS. WE BELIEVE BY WORKING IN CLOSE COLLABORATION WITH PARTNER GOVERNMENTS AND BY ANCHORING A SUITE OF TRANSFORMATIONAL INTERVENTIONS, WE CAN DRAMATICALLY IMPROVE SURVIVAL RATES OF CANCER PATIENTS IN LOW- AND MIDDLE-INCOME COUNTRIES.CROSS-CUTTING EXPERTS: CHAI WORKS WITH GOVERNMENTS AND COMPANIES AROUND THE WORLD TO FUNDAMENTALLY CHANGE THE ECONOMICS OF GLOBAL HEALTH. USING A HOLISTIC, BUSINESS-MINDED APPROACH TO SECURE LOWER PRICES FOR KEY COMMODITIES SUCH AS MEDICATION AND DIAGNOSTICS, IMPROVE LABORATORIES, AND CONNECT DECISION-MAKERS WITH THE HIGH-QUALITY EVIDENCE THEY NEED TO INFORM HEALTH POLICY IN LOW- AND MIDDLE-INCOME COUNTRIES, CHAI HELPS PATIENTS ACCESS THE CARE AND TREATMENT THEY NEED. OUR SCIENCE AND BUSINESS EXPERTS WORK ACROSS THE ORGANIZATION TO SUPPORT OUR PROGRAM AND COUNTRY TEAMS. CHAI WORKS ON BOTH THE SUPPLY AND DEMAND SIDES OF THE MARKET TO LOWER COSTS AND INCREASE AVAILABILITY OF THE BEST HEALTH PRODUCTS FOR LOW-AND MIDDLE-INCOME COUNTRIES. WORKING WITH THE PUBLIC AND PRIVATE SECTORS, WE HELP SHAPE MARKETS AND REALIZE SAVINGS FOR DRUGS, DEVICES, AND DIAGNOSTICS IN ALL AREAS OF OUR WORK. CHAI HAS NEGOTIATED OVER 140 GLOBAL AGREEMENTS TO LOWER THE PRICES OF CRITICAL MEDICATIONS AND OTHER HEALTH TOOLS BY 50-90 PERCENT. TWENTY-SEVEN MILLION PEOPLE LIVING WITH HIV HAVE BEEN REACHED BY ONE SUCH AGREEMENT LOWERING THE COST OF THE OPTIMAL HIV TREATMENT TLD, A SAVINGS OF OVER $500 MILLION. THROUGH THE GLOBAL HEALTH SCIENCES TEAM, CHAI AIMS TO REDUCE COSTS, IMPROVE QUALITY, AND INCREASE ACCESS TO TREATMENT BY HELPING TO DEVELOP LESS EXPENSIVE AND MORE EFFECTIVE VERSIONS OF CRITICAL MEDICATIONS FOR ADULTS AND CHILDREN; DEVELOPING TECHNIQUES AND TECHNOLOGIES THAT ADVANCE OUR UNDERSTANDING AND MANAGEMENT OF DISEASES; AND IMPROVE PATIENT CARE. THIS WORK HAS HELPED ACCELERATE BY OVER TWO YEARS DEVELOPMENT, MANUFACTURE, REGULATORY APPROVAL, AND COMMERCIALIZATION OF KEY PEDIATRIC HIV PRODUCTS, AND SAVED BILLIONS IN COSTS TO GOVERNMENTS FOR CRITICAL TREATMENTS.SEVERAL NEW PROGRAMS HAVE ALSO BEEN ADDED TO CHAI'S PORTFOLIO IN RECENT YEARS, SIGNIFICANTLY, ASSISTIVE TECHNOLOGY.
4d Other program services (Describe in Schedule O.)
(Expenses $ 49,706,147 including grants of $ 2,632,503 ) (Revenue $   )
4e Total program service expenses220,759,255
Form 990 (2024)
Form 990 (2024)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
List of Attached Documents:
// Content
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
List of Attached Documents:
// Content
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
List of Attached Documents:
// Content
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
41
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
197
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: BM , UV , CB , CM , CA , CG , ET , FR , GH , HA , IN , ID , KE , LA , LT , LI , MI , ML , MZ , NI , PP , RW , SG , SF , SL , WZ , TZ , UG , UK , VM , ZA , ZI
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
Yes
 
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
CA , CT , FL , IL , MA , NJ , NY , PA , WA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
JOSHUA CHU383 DORCHESTER AVENUE 300   BOSTON,MA02127 (617) 774-0110
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

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

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

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) LUIS ALBERTO MORENO......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(2) RAYMOND G CHAMBERS......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(3) WILLIAM J CLINTON......................................................................
BOARD MEMBER
 5.00
.................
0.00 		X           0 0 0
(4) CHELSEA CLINTON......................................................................
BOARD MEMBER
 10.00
.................
0.00 		X           0 0 0
(5) OPHELIA DAHL......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(6) ALIKO DANGOTE......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(7) BRUCE LINDSEY......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(8) DR MARK DYBUL......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(9) JOY PHUMAPHI......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(10) DAME SALLY DAVIES......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(11) ALAN SCHWARTZ......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(12) ROBERT W SELANDER......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(13) TIMOTHY AA STILES......................................................................
BOARD MEMBER
 3.00
.................
0.00 		X           0 0 0
(14) ANN VENEMAN......................................................................
BOARD MEMBER
 1.00
.................
0.00 		X           0 0 0
(15) DR NEIL BUDDY SHAH......................................................................
CHIEF EXECUTIVE OFFICER
 40.00
.................
0.00 		    X       532,048 0 37,921
(16) JOSHUA CHU......................................................................
CHIEF OPERATING OFFICER
 40.00
.................
0.00 		    X       352,018 0 26,196
(17) RASHA HIBRI......................................................................
CHIEF FINANCIAL OFFICER
 40.00
.................
0.00 		    X       407,213 0 48,689
Form 990 (2024)
Form 990 (2024)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) SAMANTHA DIAMOND........................................................................
VP, HEALTH SYSTEMS & NCDS
 40.00
.......................0.00 		      X     218,873 0 52,419
(19) DAVID RIPIN........................................................................
EVP, INFECTIOUS DISEASES/CSO
 40.00
.......................0.00 		      X     312,861 0 57,660
(20) DR OLUFUNKE FASAWE........................................................................
VP, INTEGRATIONS, CD
 40.00
.......................0.00 		      X     223,376 0 22,913
(21) GERALD MACHARIA........................................................................
VP, EAST & SOUTHERN AFRICA/COUNTRY
 40.00
.......................0.00 		      X     218,175 0 26,560
(22) CAROLYN AMOLE........................................................................
VP, HIV, HEPATITIS AND TB
 40.00
.......................0.00 		      X     206,746 0 51,166
(23) DR RAHEL BELETE........................................................................
VP, CD
 40.00
.......................0.00 		      X     177,287 0 22,319
(24) CAITLIN GLOVER........................................................................
VP, WOMEN & NEWBORN HEALTH
 40.00
.......................0.00 		      X     199,963 0 53,930
(25) ZACHARY KATZ........................................................................
VP, CHILD HEALTH
 40.00
.......................0.00 		      X     263,847 0 23,939
(26) JUSTIN COHEN........................................................................
VP, GLOBAL MALARIA & NTDS
 40.00
.......................0.00 		      X     217,628 0 43,482
(27) NEEL LAKHANI........................................................................
VP, INNOVATION
 40.00
.......................0.00 		        X   204,053 0 48,954
(28) PAUL DOMANICO........................................................................
GLOBAL HEALTH RESEARCH FELLOW
 40.00
.......................0.00 		        X   216,749 0 44,522
(29) TREVOR PETER........................................................................
SR. DIRECTOR, GLOBAL DIAGNOSTICS
 40.00
.......................0.00 		        X   194,652 0 50,212
(30) YANN LE TALLEC........................................................................
SR. DIRECTOR, VACCINES
 40.00
.......................0.00 		        X   227,380 0 46,395
(31) RAPHAEL HURLEY........................................................................
SR. DIRECTOR, HEALTH FINANCING
 40.00
.......................0.00 		        X   220,755 0 26,670
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 4,393,624 0 683,947
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 199
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
GLOBAL HUMAN ACCESS RESOURCES LIMITED

STE 118 ADAMAWA PLAZA
ABUJA    
NI 		INFORMATION SYSTEMS 474,869
LUBOMBO SPATIAL DEVELOPMENT INITIATIVE

10 VICTORIA ROAD
LORENZTVILLE,JOHANNESBURG, GAU  
SF 		PROGRAMMATIC SUPPORT 405,000
WHITE CORAL CONSULTING DMMC

UNIT NO F29 DMMC BUSINESS CENTRE
DUBAI    
AE 		EMPLOYMENT MANAGEMENT 333,928
PT MAHAKARYA ADI INDONESIA

CHUBB SQUARE LANTAI 8
JI MH THAMRIN JAKARTA PUSAT   10230
ID 		DIGITAL INNOVATION 324,729
AMAN SIWACH F-3

GRAFIKON PARADISE NIBM ROAD
KONDHWA PUNE    
IN 		PROGRAMMATIC SUPPORT 253,700
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 19
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 83,472,000
f All other contributions, gifts, grants, and similar amounts not included above1f 158,656,005
g Noncash contributions included in lines 1a - 1f:$ 1g 783,092
h Total. Add lines 1a-1f....... 242,128,005
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....  
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 3,842,664     3,842,664
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a    
b Less: rental expenses 6b    
c Rental income or (loss) 6c    
d Net rental income or (loss).......        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a    
b Less: cost or other basis and sales expenses 7b 4,108  
c Gain or (loss) 7c -4,108  
d Net gain or (loss)......... -4,108     -4,108
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..        
OtherRevenueMiscAmt
Business Code
11a MISCELLANEOUS REVENUE 900099 156,210     156,210
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... 156,210
12 Total revenue. See instructions..... 246,122,771 0 0 3,994,766
Form 990 (2024)
Form 990 (2024)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 6,059,667 6,059,667
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. ............. 29,498,719 29,498,719
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 3,804,411 2,362,880 886,197 555,334
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........ 80,876,075 69,982,224 9,312,258 1,581,593
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,122,713 4,517,236 528,145 77,332
9 Other employee benefits ....... 23,631,701 21,096,104 2,150,354 385,243
10 Payroll taxes ........... 5,140,959 4,347,488 655,492 137,979
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 3,305,996 332,258 2,973,107 631
c Accounting ........... 773,632 493,967 279,623 42
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) 14,601,472 13,393,925 1,020,239 187,308
12 Advertising and promotion ....        
13 Office expenses ....... 5,409,422 5,359,519   49,903
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 2,391,333 1,948,353 441,249 1,731
17 Travel ............ 23,063,758 22,036,653 804,833 222,272
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 11,194,115 10,999,119 135,861 59,135
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 82,629 38,680 43,949  
23 Insurance ... 366,994 329,346 35,865 1,783
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 SUPPLIES 24,188,526 24,130,839 54,373 3,314
b PRINTING & PUBLICATIONS 1,375,213 1,238,225 118,389 18,599
c POSTAGE & SHIPPING 1,225,616 1,225,609 5 2
d EQUIP RENTAL & MAINT. 455,180 455,118 62  
e All other expenses 1,049,275 913,326 110,853 25,096
25 Total functional expenses. Add lines 1 through 24e 243,617,406 220,759,255 19,550,854 3,307,297
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).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 14,272,378 2 11,200,882
3 Pledges and grants receivable, net ...... 19,691,121 3 21,042,446
4 Accounts receivable, net ............. 5,437,254 4 10,173,278
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 ...... 2,100,893 9 7,244,413
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,336,708
b Less: accumulated depreciation 10b 2,917,999 350,142 10c 418,709
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 ........... 118,884,701 15 127,158,807
16 Total assets. Add lines 1 through 15 (must equal line 33)... 160,736,489 16 177,238,535
Liabilities 17 Accounts payable and accrued expenses ..... 16,161,223 17 20,138,395
18 Grants payable ...   18  
19 Deferred revenue ......... 132,526,959 19 142,320,323
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 1,021,468 25 1,248,587
26 Total liabilities. Add lines 17 through 25.. 149,709,650 26 163,707,305
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 9,868,754 27 9,542,914
28 Net assets with donor restrictions ........... 1,158,085 28 3,988,316
Organizations that do not follow FASB ASC 958, check here right arrow 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 ........... 11,026,839 32 13,531,230
33 Total liabilities and net assets/fund balances ........ 160,736,489 33 177,238,535
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
246,122,771
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
243,617,406
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
2,505,365
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
11,026,839
5
Net unrealized gains (losses) on investments ...............
5
-974
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
13,531,230
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2024)
Form 990 (2024)
Additional Data


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

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number

27-1414646
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 197,783,983 220,310,106 224,637,713 221,270,590 242,128,005 1,106,130,397
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 3 197,783,983 220,310,106 224,637,713 221,270,590 242,128,005 1,106,130,397
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) .. 627,231,986
6 Public support. Subtract line 5 from line 4. 478,898,411
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
7 Amounts from line 4.. 197,783,983 220,310,106 224,637,713 221,270,590 242,128,005 1,106,130,397
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 321,178 149,437 215,528 3,182,094 3,842,664 7,710,901
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.).. 39,034 63,329 48,813 192,261 156,210 499,647
11 Total support. Add lines 7 through 10 1,114,340,945
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
42.980 %
15
15
40.360 %
16a
33 1/3% support test—2024. 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
b
33 1/3% support test—2023. 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—2024. 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
b
10%-facts-and-circumstances test—2023. 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
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. 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
b
33 1/3 % support tests—2023. 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
20
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) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
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 2024 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-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, 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 2024. 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 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2024


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number

27-1414646
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 ......... Right Arrow $  
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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
CLINTON HEALTH ACCESS INITIATIVE INC
  		Employer identification number
27-1414646
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
CLINTON HEALTH ACCESS INITIATIVE INC
  		Employer identification number

27-1414646
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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
CLINTON HEALTH ACCESS INITIATIVE INC
  		Employer identification number

27-1414646
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 (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (Rev. 1-2025)
Additional Data


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

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow 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.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number

27-1414646
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements   466,638 466,638 0
d Equipment ....   2,870,070 2,451,361 418,709
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 418,709
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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.)right arrow  
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.)right arrow  
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)ASSETS LIMITED AS TO USE FOR PROGRAMMATIC PURPOSES 125,887,489
(2)RIGHT OF USE ASSET 1,271,318
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 127,158,807
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  
LEASE LIABILITY 1,248,587








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 1,248,587
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) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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 ....... 1 246,374,820
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a -974
b Donated services and use of facilities ......... 2b 253,023
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d ..................... 2e 252,049
3 Subtract line 2e from line 1.................. 3 246,122,771
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 246,122,771
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 ........... 1 243,870,429
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a 253,023
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d.................... 2e 253,023
3 Subtract line 2e from line 1................... 3 243,617,406
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 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 243,617,406
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: CHAI ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. CHAI HAS IDENTIFIED ITS TAX STATUS AS A TAX EXEMPT ENTITY AND ITS DETERMINATION OF ITS REVENUES BEING RELATED OR UNRELATED AS ITS ONLY SIGNIFICANT TAX POSITIONS AND HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. CHAI'S U.S. FEDERAL AND STATE INCOME TAX RETURNS ARE GENERALLY OPEN FOR EXAMINATION FOR THREE YEARS FOLLOWING THE FILING OF THE RELATED RETURN. CHAI'S FOREIGN TAX RETURNS ARE SUBJECT TO EXAMINATION BY LOCAL GOVERNMENT AUTHORITIES UNDER APPLICABLE LOCAL LAW. CHAI IS NOT AWARE OF ANY MATERIAL PENDING TAX ISSUES WITH U.S. OR OTHER AUTHORITIES THAT WOULD IMPACT RECORDED AMOUNTS IN THESE CONSOLIDATED FINANCIAL STATEMENTS.
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right arrow Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right arrow Attach to Form 990.Right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number

27-1414646
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTS HEALTH 1,245,918
CENTRAL AMERICA AND THE CARIBBEAN 5 38 PROGRAM SERVICES HEALTH 3,156,842
EAST ASIA AND THE PACIFIC 0 0 GRANTS HEALTH 3,150,313
EAST ASIA AND THE PACIFIC 11 221 PROGRAM SERVICES HEALTH 13,531,121
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTS HEALTH 3,881,250
EUROPE (INCLUDING ICELAND & GREENLAND) 1 42 PROGRAM SERVICES HEALTH 3,349,062
MIDDLE EAST AND NORTH AFRICA 0 0 GRANTS HEALTH 1,107,202
MIDDLE EAST AND NORTH AFRICA 0 2 PROGRAM SERVICES HEALTH  
NORTH AMERICA 0 0 GRANTS HEALTH 17,597
NORTH AMERICA 0 14 PROGRAM SERVICES HEALTH  
SOUTH ASIA 0 0 GRANTS HEALTH 3,751,410
SOUTH ASIA 1 181 PROGRAM SERVICES HEALTH 11,475,565
SUB-SAHARAN AFRICA 0 0 GRANTS HEALTH 16,345,030
SUB-SAHARAN AFRICA 24 1,004 PROGRAM SERVICES HEALTH 154,452,460
           
           
           
3a Sub-total .... 17 303 29,421,708
b Total from continuation sheets to Part I ... 25 1,199 186,042,062
c Totals (add lines 3a and 3b) 42 1,502 215,463,770
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
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)
CENTRAL AMERICA AND THE CARIBBEAN HEALTH 67,577 WIRE 0    
CENTRAL AMERICA AND THE CARIBBEAN HEALTH 24,552 WIRE 0    
CENTRAL AMERICA AND THE CARIBBEAN HEALTH 591,801 WIRE 0    
CENTRAL AMERICA AND THE CARIBBEAN HEALTH 387,623 WIRE 0    
CENTRAL AMERICA AND THE CARIBBEAN HEALTH 162,250 WIRE 0    
CENTRAL AMERICA AND THE CARIBBEAN HEALTH 12,000 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 43,790 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 30,094 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 30,002 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 10,000 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 39,840 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 709,164 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 54,189 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 19,442 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 5,068 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 5,602 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 157,127 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 43,131 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 23,094 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 9,696 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 18,550 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 30,283 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 216,120 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 150,000 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 17,570 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 7,650 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 61,815 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 310,682 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 53,011 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 18,884 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 9,557 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 52,369 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 84,362 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 94,050 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 74,042 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 38,931 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 45,962 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 47,512 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 238,930 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 6,693 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 14,053 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 234,760 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 122,585 WIRE 0    
EAST ASIA AND THE PACIFIC HEALTH 7,427 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 5,939 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 296,338 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 127,002 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 185,371 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 250,475 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 518,651 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 15,553 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 5,159 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 10,957 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 58,801 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 139,662 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 84,701 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 42,580 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 57,589 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 343,932 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 490,978 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 23,350 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 19,853 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 157,369 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 6,300 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 589,523 WIRE 0    
EUROPE (INCLUDING ICELAND & GREENLAND) HEALTH 443,000 WIRE 0    
MIDDLE EAST AND NORTH AFRICA HEALTH 60,559 WIRE 0    
MIDDLE EAST AND NORTH AFRICA HEALTH 43,592 WIRE 0    
MIDDLE EAST AND NORTH AFRICA HEALTH 1,003,051 WIRE 0    
NORTH AMERICA HEALTH 17,597 WIRE 0    
SOUTH ASIA HEALTH 746,811 WIRE 0    
SOUTH ASIA HEALTH 1,215,914 WIRE 0    
SOUTH ASIA HEALTH 5,037 WIRE 0    
SOUTH ASIA HEALTH 141,000 WIRE 0    
SOUTH ASIA HEALTH 6,500 WIRE 0    
SOUTH ASIA HEALTH 5,580 WIRE 0    
SOUTH ASIA HEALTH 137,906 WIRE 0    
SOUTH ASIA HEALTH 250,000 WIRE 0    
SOUTH ASIA HEALTH 10,782 WIRE 0    
SOUTH ASIA HEALTH 73,237 WIRE 0    
SOUTH ASIA HEALTH 66,973 WIRE 0    
SOUTH ASIA HEALTH 82,482 WIRE 0    
SOUTH ASIA HEALTH 6,000 WIRE 0    
SOUTH ASIA HEALTH 948,879 WIRE 0    
SOUTH ASIA HEALTH 40,342 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 10,222 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 35,879 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 124,648 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 58,948 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 187,500 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 17,122 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 120,232 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 8,349 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 30,234 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 36,510 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 5,236 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 15,500 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 10,966 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 5,342 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 11,978 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 125,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 80,032 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 21,726 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 387,500 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 49,023 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 26,751 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 54,493 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 120,805 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 30,234 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 111,943 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 99,083 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 250,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 200,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 169,521 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 905,605 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 50,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 39,769 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 35,507 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 53,171 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 200,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 9,593 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 5,408 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 30,234 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 1,804,619 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 6,242 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 599,517 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 68,237 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 29,840 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 24,590 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 6,569 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 108,585 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 400,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 86,932 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 850,726 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 47,157 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 3,824,254 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 10,628 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 5,344 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 1,069,082 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 25,793 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 28,208 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 23,622 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 12,290 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 15,079 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 336,053 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 60,061 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 80,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 273,818 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 5,388 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 45,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 85,392 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 13,771 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 36,884 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 37,811 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 11,164 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 48,883 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 200,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 124,999 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 17,677 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 84,919 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 20,451 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 6,494 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 11,352 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 27,206 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 199,993 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 397,676 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 44,244 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 9,588 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 125,000 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 173,015 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 6,911 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 47,891 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 7,215 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 156,977 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 384,460 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 224,850 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 57,930 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 36,732 WIRE 0    
SUB-SAHARAN AFRICA HEALTH 19,801 WIRE 0    
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
0
3 Enter total number of other organizations or entities .......................MediumBullet
180
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)Page 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) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART I, LINE 2: FOR GRANTS OUTSIDE THE U.S., EVERY MONTH EACH COUNTRY OR PROGRAM TEAM REQUESTS ITS CASH NEEDS FROM THE GLOBAL CHAI OFFICE IN BOSTON. AFTER THE AMOUNTS ARE VERIFIED, THE FUNDS ARE DISBURSED TO THE COUNTRY OR PROGRAM TEAMS. AT THE END OF EACH MONTH, THE EXPENSES FOR EACH TEAM ARE REVIEWED TO EVALUATE HOW FUNDING WAS USED AND ACCOUNTED.
SCHEDULE F, PART II, LINE 3: THE GRANTEES COUNTED ON LINE THREE CONSIST OF GOVERNMENT MINISTRIES OF HEALTH, HOSPITALS, AND OTHER ORGANIZATIONS IN FURTHERANCE OF CHAI'S MISSION TO SAVE LIVES. MANY OF THE GRANTEES MAY BE RECOGNIZED AS CHARITABLE ORGANIZATIONS WITHIN THEIR LOCAL COUNTRY.
SCHEDULE F, PART IV, LINE 6: FORM 5713 IS REQUIRED TO BE FILED WHEN AN ORGANIZATION HAS OPERATIONS WITH A NATIONAL OF A BOYCOTTING COUNTRY. FOR THIS PURPOSE, LEBANON IS CONSIDERED A BOYCOTTING COUNTRY. BEGINNING IN 2020, CHAI EMPLOYS ONE INDIVIDUAL WHO IS A NATIONAL OF LEBANON.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) (Rev. 1-2025)
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Schedule I
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number
27-1414646
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) PATHFINDER INTERNATIONAL
9 GALEN STREET SUITE 217
WATERTOWN,MA02472 		53-0235320 501(C)(3) 903,858 0     HEALTH
(2) POPULATION SERVICES INTERNATIONAL
1120 19TH STREET NM SUITE 600
WASHINGTON,DC20036 		56-0942853 501(C)(3) 673,595 0     HEALTH
(3) INNOVATIONS FOR POVERTY ACTION
1701 RHODE ISLAND AVE NW 3RD FLOOR
WASHINGTON,DC20036 		06-1660068 501(C)(3) 530,387 0     HEALTH
(4) JOHN HOPKINS UNIVERSITY
1615 THANMES STREET
BALTIMORE,MD21231 		23-7424444 501(C)(3) 324,829 0     HEALTH
(5) PROGRAM FOR APPROPRIATE TECHNOLOGY IN HEALTH
2201 WESTLAKE AVENUE
SEATTLE,WA83717 		91-1157127 501(C)(3) 191,159 0     HEALTH
(6) ENGENDER HEALTH INC
505 9TH STREET NW
WASHINGTON,DC20004 		13-1623838 501(C)(3) 349,907 0     HEALTH
(7) CATHOLIC RELIEF SERVICES - UNITED STATES CONFERENCE OF CATHOLIC BISHOPS
228 W LEXINGTON ST
BALTIMORE,MD212013443 		13-5563422 501(C)(3) 344,914 0     HEALTH
(8) IPAS
300 MARKET STREET SUITE 134
CHAPEL HILL,NC27516 		56-1071085   459,885 0     HEALTH
(9) INTERCHURCH MEDICAL ASSISTANCE INC
1730 M STREET SUITE 1100
WASHINGTON,DC20036 		52-2112460 501(C)(3) 650,872 0     HEALTH
(10) FAMILY HEALTH INTERNATIONAL
2224 E NC HWY 54
DURHAM,NC27713 		23-7413005 501(C)(3) 228,501 0     HEALTH
(11) THE RAND CORPORATION
1776 MAIN STREET PO BOX 2138
SANTA MONICA,CA90401 		95-1958142 501(C)(3) 156,245 0     HEALTH
(12) ELIZABETH GLAZER PEDIATRIC AIDS FOUNDATION DBA EGPAF
1140 CONNECTICUT AVE NW SUITE 200
WASHINGTON,DC20036 		95-4191698 501(C)(3) 180,697 0     HEALTH
(13) TALAMUS HEALTH INC
900 SOUTH FIGUEOA STREET 1901
LOS ANGELES,CA90015 		47-4722744   177,342 0     HEALTH
(14) TRUSTEES OF COLUMBIA UNIVERSITY
PO BOX 29789
NEW YORK,NY10087 		13-5598093 501(C)(3) 171,190 0     HEALTH
(15) MALARIA NO MORE
2341 EASTLAKE AVENUE EAST SUITE 200
SEATTLE,WA98102 		20-5664575 501(C)(3) 108,952 0     HEALTH
(16) DIMAGI INC
585 MASSACHUSETTS AVENUE SUITE 3
CAMBRIDGE,MA02139 		83-0343298   102,431 0     HEALTH
(17) ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND DBA TULANE UNIVERSITY
6823 ST CHARLES AVENUE
NEW ORLEANS,LA70123 		72-0723889 501(C)(3) 50,000 0     HEALTH
(18) BEHAVIORAL IDEAS LAB INC DBA IDEAS42
80 BROAD STREET FLOOR 30
NEW YORK,NY10004 		27-1678009 501(C)(3) 48,733 0     HEALTH
(19) LINKSBRIDGE SPC
808 FIFTH AVENUE NORTH
SEATTLE,WA98109 		26-3067893   26,000 0     HEALTH
(20) TECHCHANGE INC
1226 9TH ST NW SUITE 200
WASHINGTON,DC20001 		27-3358772   15,000 0     HEALTH
(21) BIOME GLOBAL HEALTH VENTURES DBA BGHV
2101 FOURTH AVENUE SUITE 1950
SEATTLE,WA98121 		30-0213137 501(C)(3) 13,043 0     HEALTH
(22) DEVELOPMENTEXCOM INC DBA DEVEX
1341 CONNECTICUT AVENUE NW SUITE 2
WASHINGTON,DC20036 		04-3524272   11,000 0     HEALTH
(23) EAU CLAIRE CONSULTING LLC
214 W FILLMORE AVE
EAU CLAIRE,WI54701 		84-4923440   11,000 0     HEALTH
(24) CAMBRIDGE PRINTING COMPANY
47 SEVENTH STREET
CAMBRIDGE,MA02141 		04-3340848   9,971 0     HEALTH
(25) SABOT IMPACT ADVISORS
455 MAGELLAN AVE
SAN FRANCISCO,CA94116 		88-2875184   6,000 0     HEALTH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
16
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: FOR GRANTS INSIDE THE U.S., EVERY MONTH EACH PROGRAM TEAM REQUESTS ITS CASH NEEDS THROUGH TREASURY TEAM FOR REVIEW BEFORE ACCOUNTS PAYABLE PROCESSING. AFTER AMOUNTS ARE VERIFIED, THEY ARE DISBURSED TO PROGRAM TEAMS. AT THE END OF EACH MONTH, THE EXPENSES FOR EACH TEAM ARE REVIEWED TO EVALUATE HOW FUNDS WERE USED AND ACCOUNTED.
Schedule I (Form 990) Rev. 1-2025



Additional Data


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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number

27-1414646
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1DR NEIL BUDDY SHAH
CHIEF EXECUTIVE OFFICER 		(i)

(ii)		 532,048
-------------
0 		0
-------------
0 		0
-------------
0 		11,366
-------------
0 		26,555
-------------
0 		569,969
-------------
0 		0
-------------
0
2RASHA HIBRI
CHIEF FINANCIAL OFFICER 		(i)

(ii)		 407,213
-------------
0 		0
-------------
0 		0
-------------
0 		20,452
-------------
0 		28,237
-------------
0 		455,902
-------------
0 		0
-------------
0
3JOSHUA CHU
CHIEF OPERATING OFFICER 		(i)

(ii)		 352,018
-------------
0 		0
-------------
0 		0
-------------
0 		16,396
-------------
0 		9,800
-------------
0 		378,214
-------------
0 		0
-------------
0
4DAVID RIPIN
EVP, INFECTIOUS DISEASES/CSO 		(i)

(ii)		 312,861
-------------
0 		0
-------------
0 		0
-------------
0 		18,343
-------------
0 		39,317
-------------
0 		370,521
-------------
0 		0
-------------
0
5ZACHARY KATZ
VP, CHILD HEALTH 		(i)

(ii)		 216,227
-------------
0 		0
-------------
0 		47,620
-------------
0 		22,755
-------------
0 		1,184
-------------
0 		287,786
-------------
0 		0
-------------
0
6YANN LE TALLEC
SR. DIRECTOR, VACCINES 		(i)

(ii)		 227,380
-------------
0 		0
-------------
0 		0
-------------
0 		22,125
-------------
0 		24,270
-------------
0 		273,775
-------------
0 		0
-------------
0
7SAMANTHA DIAMOND
VP, HEALTH SYSTEMS & NCDS 		(i)

(ii)		 218,873
-------------
0 		0
-------------
0 		0
-------------
0 		13,102
-------------
0 		39,317
-------------
0 		271,292
-------------
0 		0
-------------
0
8PAUL DOMANICO
GLOBAL HEALTH RESEARCH FELLOW 		(i)

(ii)		 216,749
-------------
0 		0
-------------
0 		0
-------------
0 		13,843
-------------
0 		30,679
-------------
0 		261,271
-------------
0 		0
-------------
0
9JUSTIN COHEN
VP, GLOBAL MALARIA & NTDS 		(i)

(ii)		 217,628
-------------
0 		0
-------------
0 		0
-------------
0 		11,580
-------------
0 		31,902
-------------
0 		261,110
-------------
0 		0
-------------
0
10CAROLYN AMOLE
VP, HIV, HEPATITIS AND TB 		(i)

(ii)		 206,746
-------------
0 		0
-------------
0 		0
-------------
0 		10,425
-------------
0 		40,741
-------------
0 		257,912
-------------
0 		0
-------------
0
11CAITLIN GLOVER
VP, WOMEN & NEWBORN HEALTH 		(i)

(ii)		 199,963
-------------
0 		0
-------------
0 		0
-------------
0 		13,344
-------------
0 		40,586
-------------
0 		253,893
-------------
0 		0
-------------
0
12NEEL LAKHANI
VP, INNOVATION 		(i)

(ii)		 203,251
-------------
0 		0
-------------
0 		802
-------------
0 		9,223
-------------
0 		39,731
-------------
0 		253,007
-------------
0 		0
-------------
0
13RAPHAEL HURLEY
SR. DIRECTOR, HEALTH FINANCING 		(i)

(ii)		 216,263
-------------
0 		0
-------------
0 		4,492
-------------
0 		16,870
-------------
0 		9,800
-------------
0 		247,425
-------------
0 		0
-------------
0
14DR OLUFUNKE FASAWE
VP, INTEGRATIONS, CD 		(i)

(ii)		 121,716
-------------
0 		0
-------------
0 		101,660
-------------
0 		20,332
-------------
0 		2,581
-------------
0 		246,289
-------------
0 		0
-------------
0
15TREVOR PETER
SR. DIRECTOR, GLOBAL DIAGNOSTICS 		(i)

(ii)		 194,652
-------------
0 		0
-------------
0 		0
-------------
0 		11,072
-------------
0 		39,140
-------------
0 		244,864
-------------
0 		0
-------------
0
16GERALD MACHARIA
VP, EAST & SOUTHERN AFRICA/COUNTRY 		(i)

(ii)		 198,341
-------------
0 		0
-------------
0 		19,834
-------------
0 		14,283
-------------
0 		12,277
-------------
0 		244,735
-------------
0 		0
-------------
0
17DR RAHEL BELETE
VP, CD 		(i)

(ii)		 177,287
-------------
0 		0
-------------
0 		0
-------------
0 		19,502
-------------
0 		2,817
-------------
0 		199,606
-------------
0 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
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
PART I, LINE 1A STAFF MEMBERS WHO ARE ENROLLED IN THE CHAI DOMESTIC MEDICAL PLAN ARE ELIGIBLE FOR REIMBURSEMENT OF THEIR GYM MEMBERSHIP FOR UP TO $250 PER CALENDAR YEAR. THE REIMBURSEMENT IS CONSIDERED TAXABLE INCOME. CHAI APPLIES A TAX 'GROSS UP' ON RELOCATION ALLOWANCE PAYMENTS IN ORDER TO ENSURE THAT THE EMPLOYEE RECEIVES THE FULL BENEFIT OF THE ALLOWANCE, WITHOUT THE IMPACT OF TAXATION. CHAI PROVIDES HOUSING ALLOWANCES TO TWO KEY EMPLOYEES, WHICH ARE TREATED AS TAXABLE WAGES.
PART I, LINE 4A ONE KEY EMPLOYEE RECEIVED A PAYMENT IN RELATION TO THEIR CONTRACTUAL SEPARATION AGREEMENT AND THE AMOUNT IS TREATED AS TAXABLE WAGES.
Schedule J (Form 990) (Rev. 1-2025)

Additional Data


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

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number

27-1414646
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 1 478,850 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies . X 1 304,242 FMV
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2024)
Schedule M (Form 990) (2024)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, COLUMN (B): THE NUMBER SHOWN IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.
Schedule M (Form 990) (2024)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number

27-1414646
Return Reference Explanation
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: CHAI IS A GLOBAL HEALTH ORGANIZATION COMMITTED TO SAVING LIVES AND IMPROVING HEALTH OUTCOMES IN LOW- AND MIDDLE-INCOME COUNTRIES BY ENABLING THE GOVERNMENT AND PRIVATE SECTOR TO STRENGTHEN AND SUSTAIN QUALITY HEALTH SYSTEMS. CHAI WAS FOUNDED IN 2002 WITH A TRANSFORMATIONAL GOAL: HELP SAVE THE LIVES OF MILLIONS OF PEOPLE LIVING WITH HIV/AIDS. TODAY, ALONG WITH HIV, WE WORK WITH PARTNERS TO PREVENT AND TREAT INFECTIOUS DISEASES SUCH AS COVID-19, MALARIA, TUBERCULOSIS, AND HEPATITIS; ADDRESS NON-COMMUNICABLE DISEASES SUCH AS CANCER, DIABETES, AND HYPERTENSION; IMPACT WOMEN'S AND CHILDREN'S HEALTH BY ACCELERATING THE ROLLOUT OF LIFESAVING VACCINES, REDUCING MATERNAL, INFANT, AND CHILD MORTALITY, COMBATING CHRONIC MALNUTRITION, AND INCREASING ACCESS TO WOMEN'S HEALTH SERVICES. CHAI IS ALSO WORKING TO INCREASE ACCESS TO ASSISTIVE TECHNOLOGY, ADDRESS CLIMATE CHANGE IN OUR WORK, AND STRENGTHEN HEALTH SYSTEMS. WE OPERATE IN OVER 35 COUNTRIES AROUND THE WORLD AND MORE THAN 140 COUNTRIES HAVE ACCESS TO CHAI-NEGOTIATED DEALS ON MEDICATIONS, DIAGNOSTICS, VACCINES, AND OTHER HEALTH TOOLS.
FORM 990, PART I, LINE 5: THE NUMBER REPORTED ON PART I, LINE 5 REFLECTS THE NUMBER OF PEOPLE REPORTED ON FORM W-3. CHAI EMPLOYS 1,683 PEOPLE AROUND THE GLOBE.
FORM 990, PART VI, SECTION A, LINE 2 WILLIAM J. CLINTON AND CHELSEA V. CLINTON HAVE A FAMILY RELATIONSHIP. BUSINESS RELATIONSHIP: BRUCE LINDSEY, A BOARD MEMBER OF CHAI IS EMPLOYED BY THE BILL, HILLARY AND CHELSEA CLINTON FOUNDATION ("THE FOUNDATION"), WHERE BOTH WILLIAM J. CLINTON AND CHELSEA CLINTON SERVE AS DIRECTORS. CHAI BYLAWS STATE THAT THE BOARD OF DIRECTORS GOVERNANCE STRUCTURE SHALL CONSIST OF BETWEEN 9 AND 15 MEMBERS, ALL OF WHOM ARE ELECTED BY THE BOARD AS A WHOLE. THREE OF CHAI'S CURRENT 13 BOARD MEMBERS ALSO SERVE ON THE FOUNDATION'S BOARD.
FORM 990, PART VI, SECTION A, LINE 5 DURING THE FISCAL YEAR ENDED DECEMBER 31, 2024, CHAI RECEIVED A WHISTLEBLOWER REPORT ALLEGING POTENTIAL CONFLICTS OF INTEREST BY EMPLOYEES IN ONE OF ITS COUNTRY PROGRAM OFFICES. CHAI PROMPTLY INITIATED AN INDEPENDENT INVESTIGATION LED BY INTERNATIONAL AND LOCAL LEGAL COUNSEL, WITH ASSISTANCE FROM FORENSIC ACCOUNTING SPECIALISTS. THE INVESTIGATION SUBSTANTIATED THE ALLEGATIONS. WHILE THE QUALITY AND APPROPRIATENESS OF THE SERVICES RENDERED WERE DEEMED CONSISTENT WITH PROGRAMMATIC STANDARDS, CHAI MANAGEMENT TOOK IMMEDIATE ACTION TO ADDRESS GOVERNANCE AND COMPLIANCE RISKS. MEASURES IMPLEMENTED INCLUDED: - TERMINATION OF ALL CONTRACTS OF IMPLICATED VENDORS AND EMPLOYEES - RESTRUCTURING OF KEY ROLES WITHIN THE AFFECTED COUNTRY OFFICE - MODIFICATIONS TO THE CORPORATE GOVERNANCE STRUCTURE AND STRENGTHENING OF INTERNAL CONTROLS
FORM 990, PART VI, SECTION B, LINE 11B CHAI'S SENIOR FINANCE MANAGER AND ASSISTANT CONTROLLER COLLECTED AND CONSOLIDATED INFORMATION AFTER THE ANNUAL STATUTORY AUDIT WAS COMPLETED. THE RETURN IS PREPARED BY AN EXTERNAL ACCOUNTING ADVISOR. CHAI'S INTERNATIONAL CONTROLLER, COMMUNICATIONS DIRECTOR, LEGAL COUSEL AND TWO OFFICERS REVIEW FORM 990, WHICH IS SUBSEQUENTLY REVIEWED BY THE AUDIT COMMITTEE, WHICH THEN MAKES A RECOMMENDATION FOR APPROVAL TO THE BOARD TO EITHER APPROVE OR REJECT THE FORM. THE BOARD OF DIRECTORS RECEIVES A FINAL COPY VIA EMAIL BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C INTERESTED PERSONS MUST DISCLOSE ANY TRANSACTION OR ARRANGEMENT WHICH RESULTS IN A CONFLICT OF INTEREST. CHAI EMPLOYEES MUST DICLOSE ANY CONFLICT OF INTEREST TO CHAI'S ETHICS TEAM, WHICH REVIEWS THE DISCLOSURE AND IMPLEMENTS MITIGATION PLANS IN CONSULTATION WITH LEADERSHIP AND CHAI'S GENERAL COUNSEL, IN ACCORDANCE WITH CHAI'S NEW CONFLICT OF INTEREST POLICY. CHAI TAKES APPROPRIATE DISCIPLINARY ACTIONS WITH RESPECT TO ANY EMPLOYEE WHO HAS VIOLATED THE CONFLICT OF INTEREST POLICY. THE BOARD MEETS AND REVIEWS ANY CONFLICT OF INTEREST RELATED TO CHAI LEADERSHIP AND TAKES APPROPRIATE DISCIPLINARY ACTION WITH RESPECT TO ANY OFFICERS, KEY EMPLOYEES OR COMMITTEE MEMBERS, AND ALL OTHERS WHO ARE PERMITTED TO VOTE AT BOARD OF DIRECTOR MEETINGS.
FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO, OTHER OFFICERS AND SENIOR MANAGEMENT IS DETERMINED BY REVIEWING INFORMATION CONCERNING COMPARABLE SALARY LEVELS FOR COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS. THEIR CURRENT COMPENSATION LEVELS WERE DETERMINED IN CONJUNCTION WITH THE SEARCH FIRM'S RECOMMENDATIONS OF MARKET COMPENSATION WHICH IS COMPARABLE TO THEIR POSITIONS. THE BOARD OF DIRECTORS REVIEWED THE PROPOSED COMPENSATION LEVELS AND APPROVED THEM. IN 2024, THE OFFICERS RECEIVED COLA ADJUSTMENTS WHICH WERE APPLICABLE TO ALL EMPLOYEES BASED ON THEIR BASE LOCATION.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, COLUMN (B) IN THIS SECTION WE REPORT AN AVERAGE OF CONTRACTED HOURS. HOWEVER, ACROSS THE ORGANIZATION, MANY PEOPLE IN CHAI WORK AN AVERAGE OF 50 HOURS PER WEEK.
FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES, LINE 7: CHAI IS AN OPERATING CHARITY. CHAI'S STAFF DIRECTLY IMPLEMENTS PROGRAMS AND THEIR SALARIES ARE DEDICATED TO THAT WORK. OUT OF THE TOTAL FUNCTIONAL EXPENSES OF $80.9 MILLION (OTHER SALARIES AND WAGES), $70 MILLION (87 PERCENT) ARE DIRECTLY RELATED TO CARRYING OUT PROGRAMS TO SAVE LIVES; $9.3 MILLION (11 PERCENT) ARE FOR GENERAL MANAGEMENT AND $1.6 MILLION (2 PERCENT) ARE DIRECTED TO FUNDRAISING.
FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES, LINE 17: CHAI'S MISSION IS TO SAVE LIVES AND REDUCE THE BURDEN OF DISEASE. TO DO SO WITH MAXIMUM IMPACT, WE CHOOSE TO WORK IN THE REGIONS OF COUNTRIES WHERE THE BURDEN OF DISEASE IS THE GREATEST AND MOST LIVES ARE BEING LOST. THESE AREAS ARE OFTEN VERY RURAL AND REMOTE AREAS OF COUNTRIES, FAR FROM CAPITAL CITIES. OUR WORK TO SUPPORT MINISTRIES OF HEALTH TO STRENGTHEN THEIR HEALTH SYSTEMS ENTAILS SIGNIFICANT FIELD WORK, TO WORK ALONGSIDE STATE, DISTRICT AND LOCAL HEALTH OFFICIALS AND HEALTH CARE WORKERS AND TO TRAIN AND MENTOR LOCAL HEALTH PROFESSIONALS SUCH AS DOCTORS, NURSES AND COMMUNITY HEALTH WORKERS. FOR MAXIMUM IMPACT, THESE EDUCATIONAL ACTIVITIES ARE OFTEN CARRIED OUT ONSITE AT DISTRICT HOSPITALS OR PRIMARY HEALTH CARE CENTERS. COSTS ASSOCIATED WITH THESE TRAININGS AND MEETINGS ARE INCLUDED IN THIS CATEGORY AS WELL AS TRAVEL COSTS OF MENTORS AND PROGRAM MANAGERS, AND COSTS TO COLLECT DATA IN THE FIELD TO MONITOR AND EVALUATE PROGRAM EFFECTIVENESS. AROUND 90 PERCENT OF CHAI'S FUNDING IS DEDICATED DIRECTLY TO PROGRAMS TO SAVE LIVES. IN ADDITION, CHAI HAS NEGOTIATED OVER 140 AGREEMENTS THAT HAVE DRAMATICALLY LOWERED THE PRICE AND INCREASED THE AVAILABILITY OF DRUGS, DIAGNOSTICS, VACCINES AND OTHER HEALTH PRODUCTS IN LOW-AND MIDDLE-INCOME COUNTRIES. THE TRAVEL ASSOCIATED WITH NEGOTIATIONS WITH COMPANIES AROUND THE WORLD TO NEGOTIATE THESE AGREEMENTS IS ALSO INCLUDED IN THIS CATEGORY.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
CLINTON HEALTH ACCESS INITIATIVE INC
 
Employer identification number

27-1414646
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
(1) CLINTON HEALTH ACCESS INITIATIVE AUSTRALIA
UNIT 7 61 WALTERS DRIVE
OSBORNE PARK   WA 6017
AS
HEALTH AS 0 0 CLINTON HEALTH ACCESS INITIATIVE
 
(2) CLINTON HEALTH ACCESS INITIATIVE-BOTSWANA
GRANT THORNTON BUSINESS SERVICE PTY
FAIRGROUNDS GABORONE    
BC
HEALTH BC 0 335 CLINTON HEALTH ACCESS INITIATIVE
 
(3) CLINTON HEALTH ACCESS INITIATIVE RDC
DE LA PAIX GAL PRES APP 22 NO 1
DEMOCRATIC REP OF CONGO    
CG
HEALTH CG 5,865,011 1,906,647 CLINTON HEALTH ACCESS INITIATIVE
 
(4) CLINTON HEALTH ACCESS INITIATIVE FRANCE
6 AVENUE FRANKLIN D ROOSEVELT
PARIS   75008
FR
HEALTH FR 0 460,266 CLINTON HEALTH ACCESS INITIATIVE
 
(5) CLINTON HEALTH ACCESS INITIATIVE - GHANA
NO 5 FINCHLEY COURT
AJIRIGANOR,ACCRA  
GH
HEALTH GH 3,288,129 165,522 CLINTON HEALTH ACCESS INITIATIVE
 
(6) WILLIAM J CLINTON FOUNDATION INDIA
26 OKHLA INDUSTRIAL ESTATE PHASE II
NEW DELHI    
IN
HEALTH IN 14,331,952 6,888,564 CLINTON HEALTH ACCESS INITIATIVE
 
(7) CLINTON HEALTH ACCESS INITIATIVE INDIA PRIVATE LIMITED COMPANY
261 BASEMENT OKHLA PHASE III
NEW DELHI    
IN
HEALTH IN 0 0 CLINTON HEALTH ACCESS INITIATIVE
 
(8) CLINTON HEALTH ACCESS INITIATIVE
3RD FLOOR TIMAU PLAZA ARGWINGS KO
NAIROBI    
KE
HEALTH KE 11,488,739 1,339,651 CLINTON HEALTH ACCESS INITIATIVE
 
(9) CLINTON HEALTH ACCESS INITIATIVE
MAQALIKA DR PHOROROS RESIDENCE
MASERU    
LT
HEALTH LT 2,960,764 313,426 CLINTON HEALTH ACCESS INITIATIVE
 
(10) CLINTON HEALTH ACCESS INITIATIVE
7 GANGES STREET
MAITAMA DISTRICT ABUJA    
NI
98-1316363 		HEALTH NI 24,530,194 502,070 CLINTON HEALTH ACCESS INITIATIVE
 
(11) CLINTON HEALTH ACCESS INITIATIVE-SOUTH AFRICA
1166 FRANCIS BAARD STREET BLOCK B
PRETORIA GAUTENG    
SF
HEALTH SF 6,203,190 853,610 CLINTON HEALTH ACCESS INITIATIVE
 
(12) CLINTON HEALTH ACCESS INITIATIVE UGANDA LIMITED
PLOT 8 MAYO CLOSE KOLOLO PO BOX
KAMPALA    
UG
HEALTH UG 4,485,862 242,414 CLINTON HEALTH ACCESS INITIATIVE
 
(13) CLINTON HEALTH ACCESS INITIATIVE - UK
3RD FLOOR 1 ASHLEY ROAD
ALTRINCHAM   WA14 2DT
UK
HEALTH UK 0 0 CLINTON HEALTH ACCESS INITIATIVE
 
(14) CLINTON HEALTH ACCESS INITIATIVE
PO BOX 6080
MBABANE,KINGDOM OF ESWATIH100
WZ
98-1316357 		HEALTH WZ 1,783,753 1,887 CLINTON HEALTH ACCESS INITIATIVE
 
(15) CLINTON HEALTH ACCESS INITIATIVE SWITZERLAND
A GENEVE RUE DE-CANDOLLE 20 1205
SZ
HEALTH SZ 0 0 CLINTON HEALTH ACCESS INITIATIVE
 
(16) CLINTON HEALTH ACCESS INITIATIVE ZIMBABWE
BLOCK 4 ARUNDEL OFFICE PARK NORFO
MT PLEASANT,HARARE  
ZI
HEALTH ZI 4,277,545 341,771 CLINTON HEALTH ACCESS INITIATIVE
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)CLINTON HEALTH ACCESS INITIATIVE CANADA
C/O ILER CAMPBELL 150 STREET 7TH
TORONTO,ONTARIOM5V 3E3
CA
HEALTH CA     CLINTON HEALTH ACCESS INITIATIVE INC
 
Yes
 












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No












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












Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) (Rev. 1-2025)

Additional Data


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