TY 2023 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MANASSEH GIHANA WANDERA...................................................................... BOARD MEMBER EFF 6/23	1.00 ................. 0.00	X				0	0	0
(2) ANGELITA GREGORIO-MEDEL...................................................................... BOARD MEMBER EFF 6/23	1.00 ................. 0.00	X				0	0	0
(3) IVA DUJUROVIC...................................................................... BOARD MEMBER THRU 1/23	1.00 ................. 0.00	X				0	0	0
(4) YOGESH RAJKOTIA...................................................................... BOARD MEMBER THRU 1/23; SR. FELLOW	16.00 ................. 24.00	X				40,608	81,016	20,875
(5) ANNE MUSUVA...................................................................... BOARD MEMBER/REGIONAL DIRECTOR	40.00 ................. 0.00	X				70,381	56,166	7,000
(6) DAI HOZUMI...................................................................... PRESIDENT & CHIEF EXECUTIVE OFFICER	16.00 ................. 24.00		X			47,455	94,677	5,360
(7) LAURA BOONSTOPPEL...................................................................... PROJECT DIRECTOR	40.00 ................. 0.00			X		165,591	0	3,443
(8) MATT BOXSHALL...................................................................... PROGRAM DIRECTOR	40.00 ................. 0.00			X		99,342	79,278	0
(9) JENNIFER FLINN...................................................................... MANAGING DIRECTOR, AGILITY	24.00 ................. 16.00			X		64,556	85,862	3,610
(10) NIRMALA RAVISHANKAR...................................................................... SENIOR FELLOW	40.00 ................. 0.00			X		89,674	71,562	3,224
(11) MARIE-JEANNE N'GBESSO...................................................................... COUNTRY DIRECTOR	40.00 ................. 0.00			X		87,216	69,601	1,200
(12) ILEANA DIACONESCU...................................................................... TECHNICAL ADVISOR	40.00 ................. 0.00				X	103,928	0	5,594
(13) ANOOJ PATTNAIK...................................................................... DEPUTY PROGRAM DIRECTOR	40.00 ................. 0.00				X	72,940	58,208	2,623
(14) RHODA BENNET...................................................................... TALENT MANAGER	40.00 ................. 0.00				X	63,869	50,969	805
(15) MURSALEENA ISLAM...................................................................... PROGRAM DIRECTOR	32.00 ................. 8.00				X	63,702	63,545	4,071
(16) GILLIAN TURNER...................................................................... TECHNICAL DIRECTOR	40.00 ................. 0.00				X	69,887	55,772	0

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

HEALTH SYSTEMS INSIGHT

Employer identification number

47-4007262

Part I

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	5,059,748	5,920,914	8,625,983	8,780,039	9,285,880	37,672,564
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	5,059,748	5,920,914	8,625,983	8,780,039	9,285,880	37,672,564
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) ..						33,548,509
6	Public support. Subtract line 5 from line 4.						4,124,055

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..	5,059,748	5,920,914	8,625,983	8,780,039	9,285,880	37,672,564
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	20,864	17,774	11,028	11	33,030	82,707
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10						37,755,271

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

10.920 %

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

10.650 %

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. 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—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

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

Schedule A (Form 990) 2023

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

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

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

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

Section A. All Supporting Organizations

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

10a

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

10a

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

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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

11a

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

11b

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

11c

Section B. Type I Supporting Organizations

Yes

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

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

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

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

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

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

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

Schedule A (Form 990) 2023

Page 6

Part V

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

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

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

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

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

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

Schedule A (Form 990) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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
1.THE ORGANIZATION HAS INCREASED GOVERNMENT GRANTS, AND CONTINUES TO SEEK GOVERNMENT GRANTS TO FUND THE ORGANIZATION'S PROGRAM SERVICES. THE ORGANIZATION RECEIVES A HIGH PERCENTAGE OF TOTAL SUPPORT FROM AN UNRELATED PRIVATE FOUNDATION. THE GRANTS RECEIVED FROM THIS FOUNDATION ARE CRITICAL TO THE OPERATIONS OF THE ORGANIZATION. ON A YEARLY BASIS, THE ORGANIZATION IS REQUIRED TO SUBMIT A FINANCIAL REPORTING PACKAGE INCLUDING THE NATURE AND EXTENT OF COSTS UNDER THE GRANTS RECEIVED. 2.THE ORGANIZATION PROVIDES SERVICES DIRECTLY FOR THE BENEFIT OF THE GENERAL PUBLIC ON A CONTINUOUS BASIS INCLUDING INCREASING ACCESS TO LIFE SAVING VACCINES AND CONTRACEPTIVE SERVICES AMONG VULNERABLE POPULATIONS AND AFFORDABLE HIGH-QUALITY PRIMARY HEALTHCARE IN LOW- AND MIDDLE-INCOME COUNTRIES. THE ORGANIZATION HAS INCREASED ITS PRESENCE IN MULTIPLE UNDERDEVELOPED COUNTRIES INCLUDING KENYA, BURKINA FASO, THE PHILIPPINES, INDONESIA, MOZAMBIQUE, AND ZAMBIA AND HAS BEGUN EFFORTS TO IDENTIFY ADDITIONAL NEEDS IN THESE REGIONS.3.THE ORGANIZATION IS ORGANIZED AND OPERATED TO ATTRACT NEW AND ADDITIONAL PUBLIC OR GOVERNMENTAL SUPPORT ON A CONTINUOUS BASIS. THE ORGANIZATION IS ACTIVELY SOLICITING FUNDS BY INCREASING COMMUNITY AWARENESS THROUGH ITS WEBSITE AND SOCIAL MEDIA. THE ORGANIZATION HAS ALSO INCREASED FUNDING AND INVESTED ADDITIONAL RESOURCES INTO ITS BUSINESS DEVELOPMENT DEPARTMENT TO IDENTIFY AND APPLY FOR GRANTS FROM NEW SOURCES. IN 2023, WE MADE STRATEGIC EFFORTS TO DIVERSIFY FUNDING SOURCES BY TARGETING NEW DONORS; GOVERNMENT AND PUBLIC DONORS SUCH AS WORLD HEALTH ORGANIZATION, WORLD BANK, UNITED NATIONS CHILDREN'S FUND (UNICEF), GAVI, UGAND GOVERNMENT MINISTRY OF HEALTH, THE GLOBAL FUND FOR AIDS, TB, AND MALARIA, AND US GOVERNMENT MILLENIMUM CHALLENGE CORPORATION . WE SYSTEMATIZED INFORMATION COLLECTION ON NEW BUSINESS OPPORTUNITIES, AND TRAINED PROGRAM EXPERTS IN PROPOSAL DESIGNS AND WRITING. AS OF DECEMBER 2023, WE WERE AWAITING RESULTS OF SEVEN PROPOSALS.

Facts And Circumstances Test

1.THE ORGANIZATION HAS INCREASED GOVERNMENT GRANTS, AND CONTINUES TO SEEK GOVERNMENT GRANTS TO FUND THE ORGANIZATION'S PROGRAM SERVICES. THE ORGANIZATION RECEIVES A HIGH PERCENTAGE OF TOTAL SUPPORT FROM AN UNRELATED PRIVATE FOUNDATION. THE GRANTS RECEIVED FROM THIS FOUNDATION ARE CRITICAL TO THE OPERATIONS OF THE ORGANIZATION. ON A YEARLY BASIS, THE ORGANIZATION IS REQUIRED TO SUBMIT A FINANCIAL REPORTING PACKAGE INCLUDING THE NATURE AND EXTENT OF COSTS UNDER THE GRANTS RECEIVED. 2.THE ORGANIZATION PROVIDES SERVICES DIRECTLY FOR THE BENEFIT OF THE GENERAL PUBLIC ON A CONTINUOUS BASIS INCLUDING INCREASING ACCESS TO LIFE SAVING VACCINES AND CONTRACEPTIVE SERVICES AMONG VULNERABLE POPULATIONS AND AFFORDABLE HIGH-QUALITY PRIMARY HEALTHCARE IN LOW- AND MIDDLE-INCOME COUNTRIES. THE ORGANIZATION HAS INCREASED ITS PRESENCE IN MULTIPLE UNDERDEVELOPED COUNTRIES INCLUDING KENYA, BURKINA FASO, THE PHILIPPINES, INDONESIA, MOZAMBIQUE, AND ZAMBIA AND HAS BEGUN EFFORTS TO IDENTIFY ADDITIONAL NEEDS IN THESE REGIONS.3.THE ORGANIZATION IS ORGANIZED AND OPERATED TO ATTRACT NEW AND ADDITIONAL PUBLIC OR GOVERNMENTAL SUPPORT ON A CONTINUOUS BASIS. THE ORGANIZATION IS ACTIVELY SOLICITING FUNDS BY INCREASING COMMUNITY AWARENESS THROUGH ITS WEBSITE AND SOCIAL MEDIA. THE ORGANIZATION HAS ALSO INCREASED FUNDING AND INVESTED ADDITIONAL RESOURCES INTO ITS BUSINESS DEVELOPMENT DEPARTMENT TO IDENTIFY AND APPLY FOR GRANTS FROM NEW SOURCES. IN 2023, WE MADE STRATEGIC EFFORTS TO DIVERSIFY FUNDING SOURCES BY TARGETING NEW DONORS; GOVERNMENT AND PUBLIC DONORS SUCH AS WORLD HEALTH ORGANIZATION, WORLD BANK, UNITED NATIONS CHILDREN'S FUND (UNICEF), GAVI, UGAND GOVERNMENT MINISTRY OF HEALTH, THE GLOBAL FUND FOR AIDS, TB, AND MALARIA, AND US GOVERNMENT MILLENIMUM CHALLENGE CORPORATION . WE SYSTEMATIZED INFORMATION COLLECTION ON NEW BUSINESS OPPORTUNITIES, AND TRAINED PROGRAM EXPERTS IN PROPOSAL DESIGNS AND WRITING. AS OF DECEMBER 2023, WE WERE AWAITING RESULTS OF SEVEN PROPOSALS.

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2023

Name of the organization

HEALTH SYSTEMS INSIGHT

Employer identification number

47-4007262

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

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

Special Rules

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

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

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

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization HEALTH SYSTEMS INSIGHT

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization HEALTH SYSTEMS INSIGHT		Employer identification number 47-4007262

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization HEALTH SYSTEMS INSIGHT			Employer identification number 47-4007262
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

HEALTH SYSTEMS INSIGHT

Employer identification number

47-4007262

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

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

Number of states where property subject to conservation easement is located right arrow

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

Yes No

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

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

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

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) 2022

Page 2

Part III

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

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

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

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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

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

Yes

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

3a(i)

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

3a(ii)

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

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..		0

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PAYABLE TO BRANCH OFFICES	181,167








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	181,167
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) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
HEALTH SYSTEMS INSIGHT

Employer identification number

47-4007262

Part I

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

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	EAST ASIA AND THE PACIFIC	2	16	PROGRAM SERVICES	STRATEGIC PURCHASING FOR PRIMARY HEALTH CARE (SP4PHC) PROJECT	1,043,617
	EUROPE (INCLUDING ICELAND & GREENLAND)	1	4	PROGRAM SERVICES	IMMUNIZATION HUB	629,595
	SOUTH ASIA	3	11	PROGRAM SERVICES	STRATEGIC PURCHASING FOR PRIMARY HEALTH CARE (SP4PHC) PROJECT	778,393
	SUB-SAHARAN AFRICA	2	12	PROGRAM SERVICES	STRATEGIC PURCHASING FOR PRIMARY HEALTH CARE (SP4PHC) PROJECT	1,947,323
	EAST ASIA AND THE PACIFIC	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	123,078
	SUB-SAHARAN AFRICA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	285,583
	SOUTH ASIA	0	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	N/A	37,928
	EAST ASIA AND THE PACIFIC	0	0	FUNDRAISING	N/A	1,388
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	FUNDRAISING	N/A	67,434
	SOUTH ASIA	0	0	FUNDRAISING	N/A	214,359
	SUB-SAHARAN AFRICA	0	0	FUNDRAISING	N/A	1,242






3a	Sub-total ....	8	43			4,846,905
b	Total from continuation sheets to Part I ...	0	0			283,035
c	Totals (add lines 3a and 3b)	8	43			5,129,940

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

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.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance
SUB-SAHARAN AFRICA	VACCINE COSTING RESEARCH	68,150	WIRE	0
EAST ASIA AND THE PACIFIC	VACCINE COSTING RESEARCH	20,296	WIRE	0
SOUTH ASIA	VACCINE COSTING RESEARCH	35,932	WIRE	0
SUB-SAHARAN AFRICA	VACCINE COSTING RESEARCH	19,480	WIRE	0
SUB-SAHARAN AFRICA	VACCINE COSTING RESEARCH	7,151	WIRE	0
EAST ASIA AND THE PACIFIC	VACCINE COSTING RESEARCH	22,360	WIRE	0
SUB-SAHARAN AFRICA	BASELINE STUDY	79,960	WIRE	0
EAST ASIA AND THE PACIFIC	HEALTH IMPACT STUDY	11,683	WIRE	0
EAST ASIA AND THE PACIFIC	HEALTH IMPACT STUDY	13,712	WIRE	0
EAST ASIA AND THE PACIFIC	HEALTH IMPACT STUDY	8,382	WIRE	0
SUB-SAHARAN AFRICA	HEALTH IMPACT STUDY	78,981	WIRE	0
SUB-SAHARAN AFRICA	HEALTH IMPACT STUDY	31,861	WIRE	0
EAST ASIA AND THE PACIFIC	HEALTH IMPACT STUDY	46,645	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 .......	2
3	Enter total number of other organizations or entities .......................	12

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 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) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

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:	PRIOR TO AWARD, THINKWELL INSTITUTE (FILER'S NAME UNTIL 7/10/2025) ENSURES A THOROUGH PRE-AWARD SELECTION AND DUE DILIGENCE PROCESS IS UNDERTAKEN. THIS INCLUDES RECEIPT OF PAST PERFORMANCE REFERENCES, COPIES OF AUDITED FINANCIAL STATEMENTS, AND OTHER SUPPORTING DOCUMENTATION DEMONSTRATING THE EXPERIENCE OF THE ORGANIZATION. POST AWARD, SUBGRANTEES SUBMIT PERIOD FINANCIAL AND NARRATIVE REPORTS ALONG WITH PROGRAM DELIVERABLES. THE PROGRAM AND TECHNICAL TEAMS MONITOR THE PROGRESS OF DELIVERABLES VERY CLOSELY AND WILL NOT APPROVE INVOICES FOR PAYMENT IF THE DELIVERABLES ARE INCOMPLETE OR NOT AT THE QUALITY REQUIRED. IF DELIVERABLES ARE APPROVED BY THE PROGRAM AND TECHNICAL TEAM, THE FINANCE & ACCOUNTING TEAM REVIEWS THE INVOICES PRIOR TO FINAL APPROVAL AND PAYMENT FOR COMPLIANCE WITH THE AWARD. NECESSARY PROVISIONS FROM ORIGINATING FUNDERS, SUCH AS EXPENDITURE RESPONSIBILITY REQUIREMENTS, ARE FLOWED DOWN TO SUBGRANTEES AS REQUIRED.

Schedule F (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
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

2023

Open to Public Inspection

Name of the organization

HEALTH SYSTEMS INSIGHT

Employer identification number

47-4007262

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

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? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

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

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

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

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

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

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

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MATT BOXSHALL PROGRAM DIRECTOR	(i) (ii)	99,342 ------------- 79,278	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	99,342 ------------- 79,278	0 ------------- 0
2LAURA BOONSTOPPEL PROJECT DIRECTOR	(i) (ii)	165,591 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	3,443 ------------- 0	169,034 ------------- 0	0 ------------- 0
3NIRMALA RAVISHANKAR SENIOR FELLOW	(i) (ii)	89,674 ------------- 71,562	0 ------------- 0	0 ------------- 0	1,793 ------------- 1,431	0 ------------- 0	91,467 ------------- 72,993	0 ------------- 0
4MARIE-JEANNE N'GBESSO COUNTRY DIRECTOR	(i) (ii)	83,879 ------------- 66,938	0 ------------- 0	3,337 ------------- 2,663	0 ------------- 0	667 ------------- 533	87,883 ------------- 70,134	0 ------------- 0
5JENNIFER FLINN MANAGING DIRECTOR, AGILITY	(i) (ii)	64,556 ------------- 85,862	0 ------------- 0	0 ------------- 0	1,549 ------------- 2,061	0 ------------- 0	66,105 ------------- 87,923	0 ------------- 0
6DAI HOZUMI PRESIDENT & CHIEF EXECUTIVE OFFICER	(i) (ii)	47,455 ------------- 94,677	0 ------------- 0	0 ------------- 0	759 ------------- 1,515	1,030 ------------- 2,056	49,244 ------------- 98,248	0 ------------- 0
7YOGESH RAJKOTIA BOARD MEMBER THRU 1/23; SR. FELLOW	(i) (ii)	40,608 ------------- 81,016	0 ------------- 0	0 ------------- 0	650 ------------- 1,296	6,320 ------------- 12,609	47,578 ------------- 94,921	0 ------------- 0
8ANOOJ PATTNAIK DEPUTY PROGRAM DIRECTOR	(i) (ii)	72,940 ------------- 58,208	0 ------------- 0	0 ------------- 0	1,459 ------------- 1,164	0 ------------- 0	74,399 ------------- 59,372	0 ------------- 0
9ANNE MUSUVA BOARD MEMBER/REGIONAL DIRECTOR	(i) (ii)	70,381 ------------- 56,166	0 ------------- 0	0 ------------- 0	3,525 ------------- 2,813	368 ------------- 294	74,274 ------------- 59,273	0 ------------- 0
10MURSALEENA ISLAM PROGRAM DIRECTOR	(i) (ii)	63,702 ------------- 63,545	0 ------------- 0	0 ------------- 0	2,038 ------------- 2,033	0 ------------- 0	65,740 ------------- 65,578	0 ------------- 0
11GILLIAN TURNER TECHNICAL DIRECTOR	(i) (ii)	69,887 ------------- 55,772	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	69,887 ------------- 55,772	0 ------------- 0
12RHODA BENNET TALENT MANAGER	(i) (ii)	63,869 ------------- 50,969	0 ------------- 0	0 ------------- 0	0 ------------- 0	442 ------------- 363	64,311 ------------- 51,332	0 ------------- 0

Schedule J (Form 990) 2023

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

MARIE-JEANNE N'GBESSO RECEIVED A HOUSING ALLOWANCE AS PER ORGANIZATIONAL POLICY, AS SHE IS A THIRD-COUNTRY NATIONAL BASED IN BURKINA FASO FOR WORK. SHE IS THE ONLY INDIVIDUAL THAT FALLS INTO THIS CATEGORY OF BEING BASED IN ANOTHER COUNTRY OUTSIDE HER HOME COUNTRY (COTE D'IVOIRE) DURING THE YEAR 2023. THE ORGANIZATION REQUIRES THAT THE EMPLOYEE FILE TAXES IN BURKINA FASO AND COTE D'IVOIRE AS REQUIRED BY LAW, AND THIS BENEFIT WOULD BE TREATED AS TAXABLE IF REQUIRED BY LOCAL LABOR LAWS.

COMPENSATION FROM AN UNRELATED ORGANIZATION

THINKWELL LLC PAYS THE COMPENSATION FOR CERTAIN INDIVIDUALS WHO PROVIDE SERVICES TO THINKWELL INSTITUTE (FILER'S NAME UNTIL 7/11/2025). THE LLC IS A RELATED ORGANIZATION TO THINKWELL INSTITUTE FROM JANUARY 1, 2023 THROUGH JUNE 11, 2023. FROM JUNE 12, 2023 THROUGH DECEMBER 31, 2023, THINKWELL LLC IS AN UNRELATED ORGANIZATION. DAI HOZUMI, YOGESH RAJKOTIA, MATT BOXSHALL, JENNIFER FLINN, NIRMALA RAVISHANKAR, ANNE MUSUVA, ANOOJ PATTNAIK, RHODA BENNET, MURSALEENA ISLAM AND GILLIAN TURNER WERE PAID BY THINKWELL LLC AND THUS RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION FOR SERVICES PROVIDED TO THE FILING ORGANIZATION FROM JUNE 13, 2023 THROUGH DECEMBER 31, 2023. SEE SCHEDULE O, PART VI, LINE 3, FOR EXPLANATION OF PART VII-A'S COL. D BEING SITE OF DISCLOSURE FOR AMOUNTS UNRELATED ORGANIZATIONS PAID THOSE PROVIDING SERVICES TO FILER.

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

HEALTH SYSTEMS INSIGHT

Employer identification number

47-4007262

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Relationship between disqualified person and organization	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person		(c) Description of transaction	Yes	No
(1) THINKWELL LLC	SEE PART V	SEE PART V		No
(2) YOGESH ROJKOTIA	SEE PART V	SEE PART V		No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

27,086

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) SEE PART V	SEE PART V	SEE PART V		X	3,921,490	878,548		No		No		No



Total ............... $						878,548

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) THINKWELL LLC	35% CONTROLLED ENTITY OF CEO/FOUNDER	3,476,273	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART I, EXCESS BENEFIT TRANSACTIONS:	COLUMN (A): THINKWELL LLCCOLUMN (B): 35% CONTROLLED ENTITY OF YOGESH ROJKOTIA, CEO/FOUNDER/BOARD MEMBERCOLUMN (C): CODE SEC. 7872 IMPUTED INTEREST ON INTEREST-FREE ADVANCES ($108,344 ACCRUED IN 2023; CUMULATIVE ACCRUED INTEREST OF $357,193 REPORTED AS LOAN ON PART II, FOLLOWING).COLUMN (A): YOGESH ROJKOTIACOLUMN (B): CEO, FOUNDER, BOARD MEMBER THRU JANUARY 2023COLUMN (C): CODE SEC. 7872 IMPUTED INTEREST ON INTEREST-FREE ADVANCES ($108,344 ACCRUED IN 2023; CUMULATIVE ACCRUED INTEREST OF $357,193 REPORTED AS LOAN ON PART II, FOLLOWING).
SCHEDULE L, PART II, LOANS TO AND/OR FROM INTERESTED PERSONS:	COLUMN (A): THINKWELL LLC AND YOGESH ROJKOTIA (JOINTLY AND SEVERALLY)COLUMN (B): 35% CONTROLLED ENTITY OF CEO/FOUNDER AND CEO/FOUNDER, RESPECTIVELYCOLUMN (C): UNSCHEDULED ADVANCES TAKEN FOR FUTURE SERVICES BY WHICH FILER ACCESSED STAFFING AND SYSTEMS NECESSARY FOR ITS MANAGEMENTS AND PROGRAMMATIC OPERATIONS
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	COLUMN (A): THINKWELL LLCCOLUMN (B): 35% CONTROLLED ENTITY OF CEO/FOUNDERCOLUMN (C): $4,197,000COLUMN (D): ACCESSING STAFFING AND SYSTEMS NECESSARY FOR MANAGEMENT AND PROGRAMMATIC OPERATIONS (OTHER THAN I.T. SERVICES)
SCHEDULE L, PARTS I, II, AND IV:	THIS RETURN'S SCHEDULE L, PART II REFLECTS THE CORRECTED DISCLOSURES THE INSTITUTE MADE ON ITS 2022 990 (IN PART II AS WELL AS PART V) TO REFLECT THAT FUNDS PROVIDED TO THE INSTITUTE'S PARENT ORGANIZATION, THINKWELL LLC, WHICH HAD BEEN CHARACTERIZED AS "PREPAYMENTS" AGAINST FUTURE REIMBURSEMENT OF CHARGES BY THE LLC (RELATING TO THE LLC STAFFING THE INSTITUTE'S OPERATIONS AND PROVIDING VARIOUS OPERATIONAL SYSTEMS FOR THE INSTITUTE'S USE) WERE IN FACT LOANS. AS NOTED ON THE 2022 FILING, THE "PREPAYMENTS" WERE ACCORDED SUCH TREATMENT BY THE INSTITUTE'S AUDIT FIRMS IN THEIR ISSUANCE OF INDEPENDENT OPINIONS ON THE INSTITUTE'S FINANCIAL STATEMENTS, AND THAT TREATMENT WAS REPRESENTED ON THE INSTITUTE'S 2017 THRU 2021 FORMS 990. IN ACCORD WITH THE 2022 990'S REPORTING, THIS RETURN AGAIN NOTES THE FAILURE TO CHARGE AND RECEIVE FAIR MARKET VALUE INTEREST ON THESE LOANS COMPRISED AN "EXCESS BENEFIT TRANSACTION" UNDER THE IRC SECTION 4958 EXCISE TAX SCHEME BENEFITING BOTH THE INSTITUTE'S FOUNDER AND CEO/TREASURER, YOGESH ROJKOTIA, ACROSS THE 2017 - 2023 YEARS. SCHEDULE L'S PART I REPORTS BOTH ROJKOTIA AND THINKWELL LLC AS PERSONS "IN SUBSTANTIAL INFLUENCE OVER" THE INSTITUTE'S AFFAIRS AND THUS "DISQUALIFIED PERSONS" UNDER IRC SEC. 4958. PART I OF SCHEDULE L REPORTS BOTH THINKWELL LLC AND ROJKOTIA HAVING RECEIVED "EXCESS BENEFITS" VIA NO-INTEREST LOANS BEING PROVIDED TO THEM BY THE INSTITUTE ACROSS SEVEN TAX YEARS, 2017 THROUGH 2023. THE AMOUNT OF SUCH LOANS' "EXCESS BENEFIT" HAS BEEN CALCULATED FOR EACH OF THOSE YEARS BY IMPUTING FAIR MARKET VALUE INTEREST AT NO LESS THAN THE RATE SET OUT IN THE APPLICABLE FEDERAL RATES (EACH PRIOR TAX YEARS' INTEREST CALCULATION HAS BEEN RUN FORWARD THROUGH 12/31/2023 TO ACCOMMODATE REQUISITE SEMI-ANNUAL COMPOUNDING OF INTEREST; CALCULATIONS HERE TRACK THE MANDATES SET OUT IN HTTPS://WWW.IRS.GOV/PUB/IRS-TEGE/EOTOPICE03.PDF, "INTERMEDIATE SANCTIONS (IRC 4958) UPDATE"). THE TOTAL INTEREST THAT WAS CALCULATED AS REQUIRED-TO-BE-IMPUTED IN FAVOR OF FAIR MARKET VALUE EXCHANGE REALIZED BY THE INSTITUTE ON THE NO-INTEREST LOANS MADE VIA ADVANCED FUNDS ACROSS THE AFFECTED TAX YEARS, 2017 THROUGH 2023, IS AS SHOWN IN PART II'S COLUMN (F) $357,193.ALSO, AND AS NOTED IN THE 2022 990, REPRESENTATIONS ON PRIOR YEARS' FILINGS WITH RESPECT TO SCHEDULE L PART IV CONSISTENTLY CLAIMED THAT BUSINESS TRANSACTIONS BETWEEN THE INSTITUTE AND THINKWELL LLC (THE LLC PROVIDING "CONTRACTUAL MANAGEMENT SERVICES" TO THE INSTITUTE) WERE PROPERLY MANAGED AND INCORRECTLY CHARACTERIZED THE MANAGEMENT SERVICES CONTRACT. WHILE THE 2016 - 2021 FORMS 990 STATED THAT "THE BOARD OF DIRECTORS CONDUCTED A FORMAL BID PROCESS, RECUSING YOGESH RAJKOTIA FROM THE MEETING DURING THE PROCESS. THE TRANSACTION WAS CONDUCTED AT ARM [SIC] LENGTH." THE INSTITUTE'S CURRENT BOARD AND MANAGERS HAVE NEVER FOUND ANY DOCUMENTATION TO SUPPORT THOSE ASSERTIONS. THE CLEAN-UP OF BACK YEARS' ERRORS HAS BEEN UNDERTAKEN BY THE FILER'S DEDICATED MANAGEMENT TEAM, WHO BROUGHT THEIR CONCERNS IN 2023 FORWARD TO OUTSIDE COUNSEL AND BY THE CURRENT INDEPENDENT BOARD WHO HAS OVERSEEN MANAGEMENT'S EXPEDITED EFFORTS TO REPAIR AND PROTECT THE ORGANIZATION. THE MANAGEMENT TEAM INITIATED BOTH INTENSIVE REVIEWS IN 2022 OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SUPPORTING RECORDS DOCUMENTATION ON THE 2019-2021 YEARS AND BOARD DEVELOPMENT EFFORTS IN FAVOR OF SECURING A TRULY INDEPENDENT BOARD, BOTH OF WHICH WERE FULLY REALIZED IN THE 2023 YEAR. IN 2023, THE TEAM INITIATED A FULL REVIEW OF THE 2022 YEAR'S FINANCIAL STATEMENTS AND UNDERLYING ACCOUNTING. THE ENTIRETY OF THEIR RESULTS AND FINDINGS WERE PRESENTED TO THE INSTITUTE'S BOARD IN FEBRUARY 2024; AND THE BOARD AND MANAGEMENT TEAM THEN EXHAUSTIVELY UNDERTOOK CORRECTIONS TO ENSURE THAT THE 2023 FINANCIALS DID NOT BRING OVER ANY SYSTEMATIC ERRORS THAT ALLOWED ERRANT REPORTING ON THE 2017 - 2022 YEARS. THERE HAVE BEEN A VAST AMOUNT OF IMPROVEMENTS TO THE ORGANIZATION'S INTERNAL CONTROLS AND OPERATIONAL PROTOCOLS ACROSS THE 2024 YEAR TO THE PRESENT DATE. IN 2025, THE INSTITUTE HIRED ON ITS OWN EMPLOYEES TO PERFORM THE INSTITUTE'S ACCOUNTING AND ENSURE COMPLIANCE WITH GRANT OBLIGATIONS AS WELL AS OVERSEE CONTRACTORS' PERFORMANCE, ENDING THE HISTORIC PRACTICE BY WHICH SUCH PERSONNEL WERE JOINTLY EMPLOYED BY THE LLC AND THE INSTITUTE.

Schedule L (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

HEALTH SYSTEMS INSIGHT

Employer identification number

47-4007262

Return Reference	Explanation
FORM 990, PART I, LINE 1:	NOTE: THE ORGANIZATION, HEALTH SYSTEMS INSIGHT (FORMERLY THINKWELL INSTITUTE) IS REFERENCED THROUGHOUT THIS SCHEDULE O AS "THINKWELL INSTITUTE," "THINKWELL, "INSTITUTE, OR ORGANIZATION"/"FILER" AS ITS NAME CHANGE ONLY HAD REQUIRED FILINGS' DOCUMENTS RETURNED THE 2ND HALF OF JULY WHEN THIS RETURN WAS CLOSE TO BEING FILED. THINKWELL SUPPORTS LOW- AND MIDDLE-INCOME COUNTRIES AND GLOBAL PARTNERS THROUGH DEEP, COURAGEOUS THINKING TO MAKE HIGH QUALITY HEALTHCARE AFFORDABLE THROUGH BUILDING CAPACITY OF GOVERNMENT AND ACADEMIC INSTITUTIONS IN PARTNER COUNTRIES FOR ANALYSIS OF HEALTH SYSTEM DATA, EVIDENCE-BASED POLICY RECOMMENDATIONS, AND FACILITATION OF STAKEHOLDER DIALOGUES. WE ENSURE THAT HEALTH FINANCE, HUMAN, AND COMMODITY RESOURCES ARE EFFECTIVELY AND EFFICIENTLY ALLOCATED AND USED FOR HIGH QUALITY HEALTHCARE BY STRENGTHENING FINANCIAL MANAGEMENT PRACTICES, INFORMATION TECHNOLOGY, AND TRAINING. THINKWELL INSTITUTE ACTIVELY PARTNERS WITH MINISTRIES OF HEALTH OF COUNTRIES SUCH AS INDONESIA, KENYA, THE PHILIPPINES, AND BURKINA FASO.
FORM 990, PART III, LINE 2	THE KENYA QUALITY ECOSYSTEM PROJECT STARTED IN JANUARY 2023 WITH FUNDING FROM MERCK FOR MOTHERS AND ELMA FOUNDATION. THINKWELL INSTITUTE HAS PARTNERED WITH JACARANDA HEALTH FOR THIS PROJECT. THINKWELL INSTITUTE SUPPORTS ENSURING AVAILABILITY AND SUSTAINABILITY OF FINANCING FOR MATERNAL AND CHILD HEALTH PROGRAMS THROUGH POLICY IMPROVEMENTS AND STRENGTHENING CAPACITY OF FINANCIAL MANAGEMENT IN FOUR COUNTIES IN KENYA. WE HAVE INITIATED PILOT TESTING OF INTERVENTIONS TO INCREASE FINANCIAL RESOURCES AND CAPACITY BUILDING OF FINANCIAL DATA CLERKS TO IMPROVE ACCURACY AND AVAILABILITY OF FINANCIAL DATA.
FORM 990, PART III, LINE 3	THE STRATEGIC PURCHASING FOR PRIMARY HEALTH CARE (SP4PC) PHASE 1 PROJECT ENDED.
FORM 990, PART VI, SECTION A, LINE 2	THE FILER UNDERTOOK REASONABLE EFFORTS TO FIND FAMILY OR BUSINESS RELATIONSHIPS BETWEEN PART VII-A REPORTED BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES. HOWEVER, FILER'S "OLD GUARD" DIRECTORS (YOGESH RAJKOTIA, THE OWNER AND CEO OF THINKWELL LLC, AND IVA DJUROVIC, A FORMER EMPLOYEE OF THINKWELL LLC WHO THEREAFTER BECAME A CONSULTANT TO BOTH THINKWELL LLC AND THE INSTITUTE) WHO RESIGNED IN LATE JANUARY 2023, FAILED (AS THEY HAD WITH RESPECT TO THE 2022 RETURN) TO PROVIDE RESPONSES TO FILER'S QUESTIONNAIRE. ACCORDINGLY, FILER IS UNABLE TO FURTHER DETAIL THEIR FAMILY RELATIONSHIPS OR BUSINESS RELATIONSHIPS ASIDE FROM NOTING THAT YOGESH RAJKOTIA WAS THE EMPLOYER, VIA THINKWELL LLC, OF ALL INDIVIDUALS NOTED IN PART VII-A (EXCEPT FOR LAURA BOONSTOPPEL AND ILEANA DIACONESCU) THROUGHOUT THE FILING YEAR. (DJUROVIC IN PRIOR YEARS HAD A BUSINESS RELATIONSHIP WITH RAJKOTIA FIRST AS AN EMPLOYEE OF, AND IN 2022 AS A CONTRACTOR TO, THINKWELL LLC. WE ARE AWARE THAT HER CONTRACTOR AGREEMENT WITH THE LLC ENDED IN JANUARY 2023 SO THAT INDEED THEY DID HAVE A BUSINESS RELATIONSHIP IN THE 2023 YEAR.
FORM 990, PART VI, SECTION A, LINE 3	FILER CONTINUED IN THE FILING YEAR, AS IT HAD IN PRIOR TAX YEARS, TO PURCHASE MANAGEMENT SERVICES FROM THINKWELL LLC (A RELATED ORGANIZATION THROUGH JULY 11, 2023) BY WHICH IT ACCESSED VIRTUALLY ALL OF ITS STAFF, AS WELL AS VARIOUS OPERATIONAL SYSTEMS AND OTHER SERVICES NECESSARY TO MANAGE THE FILER'S ACTIVITIES AND OPERATIONS, FROM THE LLC. PART VII-A REPORTS INDIVIDUALS WHO WERE THUS ON THINKWELL LLC'S PAYROLL WHILE CONCOMITANTLY SERVING THINKWELL INSTITUTE. FOR EACH SUCH INDIVIDUAL, IN ACCORD WITH THE PART VII-A AND SCHEDULE J INSTRUCTIONS, DISCLOSURE IS MADE OF THE NUMBER OF HOURS OF SERVICES EACH INDIVIDUAL PROVIDED TO THE INSTITUTE AND TO THE LLC, AND THE COMPENSATION THEY WERE PAID FOR SUCH SERVICES AS FOLLOWS: COLUMN D REPORTS COMPENSATION PROVIDED BY THINKWELL LLC FOR THE INDIVIDUAL'S SERVICES TO THE INSTITUTE, IN THE CASE OF INDIVIDUALS WHO WERE NOT ON THE INSTITUTE'S PAYROLL (SIGNIFIED BY -0- IN COL. E), AS THOUGH PAID DIRECTLY BY FILER, FOR THE PERIOD OF THE YEAR IN WHICH THINKWELL LLC WAS AN UNRELATED ORGANIZATION (JULY 12-DECEMBER 31). COLUMN E REPORTS THE ENTIRETY OF COMPENSATION THE INDIVIDUAL RECEIVED FROM THE LLC FOR SERVICES TO BOTH ENTITIES FOR THE PERIOD OF THE YEAR IN WHICH THE LLC WAS A RELATED ORGANIZATION (JANUARY 1 JULY 11). THE PORTION OF SUCH COMPENSATION ATTRIBUTABLE TO SERVICES THE INDIVIDUAL PROVIDED TO THE INSTITUTE IS NOT SEPARATELY SHOWN BUT CAN BE DETERMINED BY MULTIPLYING THE AMOUNT OF COMPENSATION BY THE PERCENTAGE "NUMBER OF HOURS PER WEEK SHOWN IN COL. B'S TOP ROW OVER 40 HOURS". COLUMN F REPORTS NONTAXABLE BENEFITS FOLLOWING THE PRIOR COLUMNS' REPORTING METHODS.
FORM 990, PART VI, SECTION A, LINE 4	THE ORGANIZATION'S GOVERNING DOCUMENTS WERE AMENDED TO REFLECT A NAME CHANGE. THE ARTICLES OF AMENDMENT EFFECTUATING THE NAME CHANGE WERE FILED ON 7/11/2025 AND ARE INCLUDED AS PART OF THIS RETURN.
FORM 990, PART VI, SECTION A, LINE 5	IN SEPTEMBER 2023, THE INSTITUTE'S OUTSIDE FINANCIAL CONSULTANT INFORMED LEGAL COUNSEL AND INSTITUTE'S SENIOR FINANCE STAFF-PERSON THAT HIS REVIEW OF THE INSTITUTE'S AND THINKWELL LLC'S FINANCIAL TRANSACTIONS APPEARED TO BE DISCORDANT WITH RESPECT TO THE "PREPAID ADVANCES" PROVIDED BY THE INSTITUTE TO THE LLC. THE INSTITUTE'S LEGAL COUNSEL THEN REPORTED THAT THE INSTITUTE HAD NEVER DISCLOSED THOSE AMOUNTS AS LOANS TO THE LLC UPON SCHEDULE L, PART II. IT WAS THEREAFTER CONFIRMED THAT NO INTEREST HAD BEEN ASSIGNED AS PAYABLE UPON THE AMOUNTS ADVANCED. LEGAL COUNSEL OPINED THAT FAILURE TO CAPTURE FAIR MARKET VALUE INTEREST ON THE "PREPAID ADVANCES" WHICH WERE EQUIVALENT TO LOANS COMPRISED AN AUTOMATIC EXCESS BENEFIT TRANSACTION UNDER IRC SECTION 4958. THE INSTITUTE'S 2022 FILED 990 CORRECTED THE PRIOR REPORTING YEARS' 990S ERROR IN FAILING TO SHOW FUNDS "ADVANCED" TO THE LLC AS A LOAN ON SCHEDULE L, PART II, AND BOTH THE 2022 990 AND THIS RETURN REPORT THE NO-INTEREST LOAN AS AN EXCESS BENEFIT TRANSACTION ON SCHEDULE'S PART I. AT YEAR-END 2022 THE CUMULATIVE UNPAID INTEREST TOTALED $248,849, AND SINCE THIS FACT WAS ONLY UNCOVERED IN 2023, THIS FILING REPORTS SAME AS A "SIGNIFICANT DIVERSION OF ASSETS," ALONG WITH THE ADDITIONAL MAGNITUDE OF INTEREST REQUIRED ON THE UNPAID LOAN BALANCES IN 2023, $108,344.
FORM 990, PART VI, SECTION A, LINE 8B	THE ORGANIZATION DID NOT HAVE ANY COMMITTEES DURING 2023.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 AND RELATED DOCUMENTS ARE PREPARED BY A NATIONALLY RECOGNIZED, INDEPENDENT ACCOUNTING FIRM WITH DEEP EXPERIENCE IN THE NONPROFIT SECTOR. THE DRAFT FORM 990 IS THOROUGHLY REVIEWED BY MANAGEMENT AND EXTERNAL COUNSEL PRIOR TO FINALIZATION. THE COMPLETED 990 IS THEN SHARED WITH THE BOARD OF DIRECTORS FOR A FINAL REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12	THE APPRECIATION OF IMPROPER CONFLICT OF INTEREST MANAGEMENT CAME TO LIGHT FULLY IN THE COURSE OF 2023 AS FILER'S MANAGEMENT STAFF UNCOVERED PROBLEMATIC RECORDKEEPING AND LEARNED OF GOVERNANCE ISSUES STEMMING FROM THE RELATIONSHIP BETWEEN THINKWELL LLC AND THE INSTITUTE. AS NOTED ABOVE, FILER'S "OLD GUARD" DIRECTORS HAD RESIGNED IN JANUARY 2023 AND IN THEIR PLACE APPOINTED A SOLE DIRECTOR WHO, WITHIN FIVE AND A HALF MONTHS, HAD RECRUITED TWO NEW, AND INDEPENDENT DIRECTORS, BOTH OF WHOM WERE KNOWLEDGEABLE IN INTERNATIONAL NGO OPERATIONS AND HAD DEEP EXPERIENCE IN DEVELOPMENT ASSISTANCE FOR HEALTHCARE. ADDITIONALLY RECRUITED IN 2023 WAS AN INDIVIDUAL WITH FINANCIAL MANAGEMENT EXPERTISE WHO AGREED TO BE AN ADVISOR (AND ULTIMATELY A DIRECTOR, JOINING THE BOARD IN 2024). IN THE 2023 YEAR, THE INSTITUTE'S TOP MANAGEMENT STAFF FOCUSED ON ENSURING BOTH THAT THINKWELL LLC'S OBLIGATIONS IN PROVIDING MANAGEMENT SERVICES TO THE INSTITUTE WERE BEING PROPERLY MET, AND THAT PRIOR YEAR AND CURRENT YEAR FINANCIAL TRANSACTIONS WITH RESPECT TO THOSE INTERSECTIONS WERE ACCURATELY RECORDED. THOSE EFFORTS FUELED BOTH THE 2022 990'S CORRECTIVE REPORTING AS WELL THIS YEAR'S FILING. FILER'S BOARD HAD, AND MAINTAINS TO THE PRESENT DAY, COMPLETE CONFIDENCE IN THE INSTITUTE'S TOP MANAGEMENT STAFF DAI HOZUMI AND JENNIFER FLINN EACH OF WHOM WERE INTENSIVELY INVOLVED IN UNCOVERING THE AFOREMENTIONED ISSUES AND WHO TOGETHER SAW TO THE ACCOMPLISHMENT, OVERSEEN BY THE INSTITUTE'S INDEPENDENT BOARD, OF THE REPAIR WORK NOTED IN THIS FILING WHILE CO-EMPLOYED BY THINKWELL LLC AND THE INSTITUTE. BOTH HOZUMI AND FLINN MOVED TO DIRECT EMPLOYMENT WITH THE INSTITUTE ON MARCH 1, 2025, THE FORMER NOW CONTINUING HIS ROLE AS THE INSTITUTE'S PRESIDENT AND CEO (WITH NO RESPONSIBILITIES TO SERVE THE LLC), AND THE LATTER AS THE INSTITUTE'S CHIEF OPERATING OFFICER (AND PROVIDING, VIA THE INSTITUTE, A SMALL AMOUNT OF TIME TO THE LLC TO ASSIST WITH FINANCIAL RECORDKEEPING ON ITS SIDE).
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MADE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC	IVA DUJUROVIC - 5800 DEAL PLACE, CHEVY CHASE, MD 20815. YOGESH RAJKOTIA - 5800 DEAL PLACE, CHEVY CHASE, MD 20815.
FORM 990, PART XI, LINE 9:	CODE SEC. 7872 INTEREST ACCRUED 357,193. PRIOR YEAR INTERCOMPANY ELIMINATIONS -88,323.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

HEALTH SYSTEMS INSIGHT

Employer identification number

47-4007262

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) THINKWELL LLC 5800 DEAL PLACE CHEVY CHASE,MD20815 45-2324600	HEALTH SYSTEMS DEVELOPMENT	MD	N/A				No			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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

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

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

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

Yes

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

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

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

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

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	2
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	2
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,780,039	9,285,880
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11	33,030
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	82,612	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	8,862,662	9,318,910
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	583,681	446,589
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)	5,154,703	6,348,075
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 326,384
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,346,411	2,830,555
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	8,084,795	9,625,219
19	Revenue less expenses. Subtract line 18 from line 12.......	777,867	-306,309
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,886,950	5,139,896
21	Total liabilities (Part X, line 26).............	3,967,573	4,131,625
22	Net assets or fund balances. Subtract line 21 from line 20.....	919,377	1,008,271

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 5,859,073 including grants of $ 241,360 ) (Revenue $ )
	THE STRATEGIC PURCHASING FOR PRIMARY HEALTH CARE (SP4PHC) PROJECT PHASE 2 IS AN INITIATIVE WHICH AIMS TO SUPPORT COUNTRY GOVERNMENTS IN BURKINA FASO, KENYA, INDONESIA, THE PHILIPPINES, UGANDA, AND PAKISTAN TO IMPROVE PRIMARY HEALTH CARE (PHC) OUTCOMES BY (1) CATALYZING AND ACCELERATING COUNTRY-LEVEL FOUNDATIONAL REFORMS TO STRENGTHEN PURCHASING ARRANGEMENTS FOR PHC SERVICES, (2) STRENGTHENING GOVERNMENT PURCHASING ARRANGEMENTS FOR SERVICE DELIVERY MODELS THAT ARE INNOVATIVE AND EFFECTIVE, AND (3) LEVERAGING LEARNINGS TO ADVOCATE FOR TRANSFORMATIONAL REFORMS TO STRENGTHEN STRATEGIC PURCHASING FOR PHC AT LOCAL, NATIONAL, AND GLOBAL LEVELS. IN 2023, THE PROJECT ACHIEVED THE FOLLOWING: A) THE BURKINA FASO MINISTRY OF HEALTH TO STRENGTHEN THEIR DIGITAL HEALTH PLAN AND IMPLEMENTATION OF FREE MATERNAL AND NEWBORN SERVICES, B) IN INDONESIA, WE ASSISTED THE MINISTRY OF HEALTH TO SET UP THE PHC CONSORTIUM BY ORGANIZING SUB-NATIONAL GOVERNMENTS, ACADEMIC INSTITUTIONS, AND DEVELOPMENT PARTNERS TO FACILITATE TRANSFORMATION OF THE GOVERNMENT PRIMARY HEALTHCARE, C) WE SUCCESSFULLY SUPPORTED KENYA'S COUNTY GOVERNMENTS IN INCREASING THEIR SUBSIDIES OF NATIONAL HEALTH INSURANCE PREMIUM FOR LOW-INCOME HOUSEHOLDS, D) IN PAKISTAN, WE HELPED PROVINCIAL GOVERNMENTS IN MANAGEMENT OF PRIVATE SECTOR ENGAGEMENTS FOR EFFICIENT HEALTH FACILITY MANAGEMENTS, E) WE ASSISTED THE UGANDA GOVERNMENT TO IMPLEMENT PERFORMANCE-BASED INCENTIVES TO IMPROVE AVAILABILITY AND QUALITY OF SERVICES, AND F) IN THE PHILIPPINES, WE COMPLETED OUR COUNTRY-BASED PROJECT ACTIVITIES.

4b	(Code: ) (Expenses $ 1,046,316 including grants of $ 175,718 ) (Revenue $ )
	THE OVERARCHING OBJECTIVE FOR THE IMMUNIZATION HUB GRANT IS TO GENERATE HIGH-QUALITY ECONOMIC EVIDENCE IN THE DELIVERY OF ESSENTIAL HEALTH SERVICES TO PRIORITY GROUPS, INCLUDING COVID-19 VACCINES. THE HUB WILL BRING TOGETHER GLOBAL AND COUNTRY LEVEL INSTITUTIONS TO PROVIDE: (1) RAPID ECONOMIC EVIDENCE TO SUPPORT THE SUSTAINABLE ROLL-OUT OF COVID-19 VACCINES, (2) GENERATE KEY ECONOMIC EVIDENCE ON THE DELIVERY AND INTEGRATION OF ESSENTIAL HEALTH SERVICES TO REACH PRIORITY POPULATIONS, AND LASTLY (3) STRENGTHEN CAPACITY AT LOCAL RESEARCH INSTITUTES TO GENERATE DEMAND-DRIVEN AND ACTIONABLE EVIDENCE TO INFORM IMPROVEMENTS TO THE EFFICIENCY OF ESSENTIAL HEALTH SERVICE DELIVERY.

4c	(Code: ) (Expenses $ 488,761 including grants of $ ) (Revenue $ )
	ESPCOV PROJECTED ADDRESSED HEALTH FINANCING AND PUBLIC HEALTH MANAGEMENT BOTTLENECKS, WHICH CONSTRAINED THE DELIVERY OF COVID-19 AND ESSENTIAL HEALTH SERVICES IN BANGLADESH. THE PROJECT COLLABORATED WITH THE BANGLADESH MINISTRY OF HEALTH AND FAMILY WELFARE AND THE MINISTRY OF FINANCE TO IDENTIFY BOTTLENECKS OF FINANCIAL FLOWS THAT DIRECTLY AFFECTED SERVICE DELIVERY AT THE HEALTH FACILITIES. WE SUPPORTED THE IMPROVEMENTS IN FINANCIAL POLICIES AND ADMINISTRATIVE PROCEDURES TO ENSURE THAT FUNDING WERE AVAILABLE TO SERVE PATIENTS AT THE COMMUNITY LEVEL. THE PROJECT ALSO SUPPORTED USE OF FINANCIAL RESOURCES TO SCALE-UP THE USE OF COVID-19 VACCINE.

	(Code: ) (Expenses $ 53,810 including grants of $ 29,511 ) (Revenue $ )
	AS LOW- AND MIDDLE-INCOME COUNTRIES IMPLEMENT COVID-19 VACCINES, COSTING EVIDENCE FOR THE DELIVERY OF COVID-19 VACCINES IN LMIC IS URGENTLY NEEDED. THIS PROJECT FOCUSED ON PRODUCING RAPID COSTING ANALYSES. GIVEN THE GLOBAL URGENCY TO GENERATE THIS EVIDENCE, A PRAGMATIC AND OPPORTUNISTIC APPROACH WAS TAKEN TO SUCH AN ANALYSIS. THE PROJECT CONDUCTED A RETROSPECTIVE, BOTTOM-UP COSTING STUDY THAT ESTIMATED THE FINANCIAL AND ECONOMIC COSTS OF DELIVERY COVID-19 VACCINES TO INFORM GLOBAL AND NATIONAL POLICY MAKERS AND STAKEHOLDERS.

	(Code: ) (Expenses $ 112,863 including grants of $ ) (Revenue $ )
	THE SAMYA STUMO FELLOWSHIP SEEKS TO IDENTIFY AND NURTURE YOUNG WOMEN FROM ACROSS THE GLOBE TO CO-CREATE TRANSFORMATIVE GLOBAL HEALTH PROJECTS WITH THINKWELL. IN 2023, WE ENROLLED SIX FELLOWS FROM THE PHILIPPINES, BANGLADESH, BURKINA FASO, KENYA (2 FELLOWS), AND INDONESIA. THEIR PROJECT AREAS ENCOMPASSED FROM A CONTROL OF SCHISTOSOMIASIS, A COMMUNITY HEALTH FOR PREGNANT WOMEN, OBSTETRIC FISTULA, AND WASTE MANAGEMENT. IN ADDITION TO SUPPORT TO THEIR TECHNICAL AREAS, THE PROGRAM PROVIDED A YEAR-LONG CAPACITY BUILDING PROGRAM IN ENTREPRENEURSHIP, PROGRAM MANAGEMENT, AND FUND RAISING.

	(Code: ) (Expenses $ 34,732 including grants of $ ) (Revenue $ )
	AS PART OF THE 'SCALE-UP CERVICAL CANCER ELIMINATION WITH SECONDARY PREVENTION STRATEGY' (SUCCESS) PROJECT, FUNDED BY UNITAID, AND DELIVERED THROUGH A CONSORTIUM APPROACH LED BY EXPERTISE FRANCE, UICC ENGAGED THINKWELL AS CONSULTANT. THINKWELL ASSESSED THE STATUS OF HEALTH FINANCING FOR CERVICAL CANCER ELIMINATION IN EACH OF THE FOUR PROJECT COUNTRIES: GUATEMALA, PHILIPPINES, BURKINA FASO AND IVORY COAST. THINKWELL ALSO IDENTIFIED CONTEXT-SPECIFIC CHALLENGES, OPPORTUNITIES AND PRACTICAL STEPS THAT CAN BE TAKEN TO DRIVE FORWARD PROGRESS.

	(Code: ) (Expenses $ 181,960 including grants of $ ) (Revenue $ )
	THE KENYA QUALITY ECOSYSTEM PROJECT STARTED IN JANUARY 2023 WITH FUNDING FROM MERCK FOR MOTHERS AND ELMA FOUNDATION. THINKWELL INSTITUTE HAS PARTNERED WITH JACARANDA HEALTH FOR THIS PROJECT. THINKWELL INSTITUTE SUPPORTS ENSURING AVAILABILITY AND SUSTAINABILITY OF FINANCING FOR MATERNAL AND CHILD HEALTH PROGRAMS THROUGH POLICY IMPROVEMENTS AND STRENGTHENING CAPACITY OF FINANCIAL MANAGEMENT IN FOUR COUNTIES IN KENYA. WE HAVE INITIATED PILOT TESTING OF INTERVENTIONS TO INCREASE FINANCIAL RESOURCES AND CAPACITY BUILDING OF FINANCIAL DATA CLERKS TO IMPROVE ACCURACY AND AVAILABILITY OF FINANCIAL DATA.

	(Code: ) (Expenses $ 19,854 including grants of $ ) (Revenue $ )
	EXPLORING POSSIBLE USE CASES FOR DIGITAL INFRASTRUCTURE TO SUPPORT IMPROVED PUBLIC FINANCIAL MANAGEMENT OF HEALTH FINANCING REFORMS AND, IN TURN, IMPROVE HEALTH SYSTEM PERFORMANCE. RELATED RESEARCH STUDIES ON HEALTH SYSTEM PERFORMANCE IMPROVEMENTS WITH OTHER FUNDERS.

	(Code: ) (Expenses $ 107,606 including grants of $ ) (Revenue $ )
	HEWLETT FOUNDATION MENTAL HEALTH PROGRAM: THE GRANT PROGRAM SUPPORTED THINKWELL INSTITUTE TO CONDUCT THE LANDSCAPE ANALYSIS OF AVAILABILITY OF MENTAL HEALTH SERVICES IN LOW- AND MIDDLE-INCOME COUNTRIES.

	(Code: ) (Expenses $ 158,819 including grants of $ ) (Revenue $ )
	UNICEF BANGLADESH ECONOMIC ANALYSIS OF INVESTMENT IN LIFE-COURSE VACCINATION IN BANGLADESHTHE PROJECT SUPPORTED THE BANGLADESH GOVERNMENT AND ITS STAKEHOLDERS IN DETERMINING THE STRATEGY TO MOBILIZE INVESTMENTS TO EXPAND IMMUNIZATION PROGRAM TO ENSURE SUSTAINABILITY OF IMMUNIZATION PROGRAM AND MEET THE GOVERNMENT HEALTH GOALS. THINKWELL INSTITUTE CONDUCTED AN ECONOMIC ANALYSIS AND DEVELOPED AN INVESTMENT CASE IN IMMUNIZATION PROGRAMS FOR EQUITABLE AND QUALITY ACCESS TO IMMUNIZATION, ELIMINATION OF MEASLES-RUBELLA, AND INTRODUCITON OF NEW VACCINES AGAINST INFECTIOUS DISEASES.

	(Code: ) (Expenses $ 6,777 including grants of $ ) (Revenue $ )
	WHO SEARO LANDSCAPE ANALYSIS OF DOMESTIC FINANCING FPR TUBERCLOSIS IN SOUTH-EAST ASIA COUNTRIES. SOUTHEAST ASIA IS THE WORLD'S MOST TB-AFFECTED REGION. THE OBJECTIVE OF THE PROJECT IS TO IMPROVE FINANCIAL RESOURCE AVAILABILITY FOR TB CONTROL PROGRAMS IN SOUTHEAST ASIAN COUNTRIES. THINKWELL INSTITUTE CONDUCTED ANALYSIS OF THREE COUNTRIES IN THE REGION TO UNDERSTAND OPPORTUNITIES, BARRIERS, AND POTENTIAL STRATEGIES TO STRENGTHEN DOMESTIC TB FINANCING, THEREBY REDUCE THE RELIANCE ON EXTERNAL FUNDING AND ENSURE SUSTAINABLE REDUCTION OF THE DISEASE OCCURRENCE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 676,421 including grants of $ 29,511 ) (Revenue $ )
4e	Total program service expenses8,070,571

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,039,149	766,656	57,805

(A) Name and business address	(B) Description of services	(C) Compensation
THINKWELL LLC 5800 DEAL PLACE CHEVY CHASE,MD20815	STAFFING AND SERVICES	3,287,835
BERKELEY RESEARCH GROUP 2200 POWELL ST SUITE 1200 EMERYVILLE,CA94608	FINANCIAL SERVICES	133,396



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 2

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

f	All other contributions, gifts, grants, and similar amounts not included above		1f	9,285,880

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

h Total. Add lines 1a-1f.......		9,285,880

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

3 Investment income (including dividends, interest, and othersimilar amounts) ......			33,030			33,030
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
c	Gain or (loss)	7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			9,318,910	0	0	33,030

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	446,589	446,589
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,999,930	1,313,971	477,859	208,100
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........	2,004,889	1,831,958	139,207	33,724
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	113,810	96,517	13,921	3,372
9	Other employee benefits .......	1,637,342	1,483,089	110,688	43,565
10	Payroll taxes ...........	592,104	467,982	90,021	34,101
11	Fees for services (non-employees):
a	Management ......	492,097	279,587	212,510
b	Legal .........	43,424	33,310	10,114
c	Accounting ...........	243,562	191,062	52,500
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)
12	Advertising and promotion ....
13	Office expenses .......	152,671	150,129	2,542
14	Information technology ......	601,539	600,743	796
15	Royalties ..
16	Occupancy ...........	257,864	247,957	9,907
17	Travel ............	581,718	490,959	87,379	3,380
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	349,247	332,648	16,457	142
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...
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	PAYROLL SERVICES	96,511	92,320	4,191
b	MEDICAL EXPENSES	9,329	9,329
c	VEHICLE MAINTENANCE	2,421	2,421
d
e	All other expenses	172		172
25	Total functional expenses. Add lines 1 through 24e	9,625,219	8,070,571	1,228,264	326,384
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		769,064	1	51,608
2	Savings and temporary cash investments .........		80,836	2	3,959,817
3	Pledges and grants receivable, net ......		526,821	3	0
4	Accounts receivable, net .............		67,661	4	26,271
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 .......
			3,254,377	5	878,548
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 ......		64,860	9	43,137
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........		123,331	15	180,515
16	Total assets. Add lines 1 through 15 (must equal line 33)...		4,886,950	16	5,139,896

17	Accounts payable and accrued expenses .....	414,880	17	374,781
18	Grants payable ...		18
19	Deferred revenue .........	3,010,421	19	3,575,677
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	542,272	25	181,167
26	Total liabilities. Add lines 17 through 25..	3,967,573	26	4,131,625

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	919,377	31	1,008,271
32	Total net assets or fund balances ...........	919,377	32	1,008,271
33	Total liabilities and net assets/fund balances ........	4,886,950	33	5,139,896

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