Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 145,214,756 | 154,193,320 | 171,171,736 | 166,834,600 | 128,029,613 | 765,444,025 |
| 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 | 145,214,756 | 154,193,320 | 171,171,736 | 166,834,600 | 128,029,613 | 765,444,025 |
| 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) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 765,444,025 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 145,214,756 | 154,193,320 | 171,171,736 | 166,834,600 | 128,029,613 | 765,444,025 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 209,362 | 459,493 | 694,947 | 610,464 | 1,032,581 | 3,006,847 |
| 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.).. | 2,424 | 1,109,301 | 142,780 | 1,254,505 | ||
| 11 | Total support. Add lines 7 through 10 | 769,705,377 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS INCOME - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 2,424. 2023 AMOUNT: $ 0. 2024 AMOUNT: $ 142,780. VAT REFUND ADJUSTMENT - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 1,109,301. 2024 AMOUNT: $ 0. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1 | MANAGEMENT SCIENCES FOR HEALTH (MSH) WORKS SHOULDER-TO-SHOULDER WITH COUNTRIES AND COMMUNITIES TO SAVE LIVES AND IMPROVE THE HEALTH OF THE WORLD'S POOREST AND MOST VULNERABLE PEOPLE BY BUILDING STRONG, RESILIENT, SUSTAINABLE HEALTH SYSTEMS. TOGETHER, WE SEEK TO ACHIEVE UNIVERSAL HEALTH COVERAGE - EQUITABLE, AFFORDABLE ACCESS TO HIGH-QUALITY HEALTH SERVICES FOR ALL WHO NEED THEM - EVEN IN FRAGILE, POST-CRISIS SETTINGS. FOR OVER 50 YEARS IN 150 COUNTRIES, MSH HAS PARTNERED WITH GOVERNMENTS, CIVIL SOCIETY, THE PRIVATE SECTOR, AND THOUSANDS OF HEALTH WORKERS ON LOCALLY LED SOLUTIONS THAT EXPAND ACCESS TO MEDICINES AND SERVICES, IMPROVE QUALITY OF CARE, HELP PREVENT AND CONTROL EPIDEMICS, SUPPORT INSPIRING LEADERSHIP AND TRANSPARENT GOVERNANCE, AND FOSTER INFORMED, EMPOWERED, AND HEALTHIER COMMUNITIES. |
| FORM 990, PART III, LINE 4A | INTEGRATED HEALTH SYSTEMS DELIVERY: PROVIDING QUALITY HEALTH CARE TO SOMEONE WHO NEEDS IT, WHEN AND WHERE THEY NEED IT, REQUIRES A COMPLEX WEB OF ORGANIZATIONS, INDIVIDUALS, PROCESSES AND ACTIONS THAT, TOGETHER, MAKE UP A HEALTH SYSTEM. UNFORTUNATELY, MANY NATIONAL HEALTH SYSTEMS DON'T WORK WELL ENOUGH FOR COUNTRIES TO ACHIEVE UNIVERSAL HEALTH COVERAGE (UHC): EFFECTIVE, EQUITABLE, AFORDABLE ACCESS TO HIGH-QUALITY ESSENTIAL HEALTH SERVICES TO EVERYONE WHO NEEDS THEM. MSH STRENGTHENS HEALTH SYSTEMS TO SUSTAINABLY AND EQUITABLY INCREASE COVERAGE OF HIGH-QUALITY, RESPONSIVE, PEOPLE-CENTERED HEALTH SERVICES WHILE PROTECTING PATIENTS, FAMILIES, COMMUNITIES, AND SOCIETIES FROM FINANCIAL HARDSHIP. APPLYING AN INTEGRATED SYSTEMS-THINKING APPROACH TO A WIDE VARIETY OF CONTEXTS - INCLUDING COUNTRIES WHERE GOVERNMENTS STRUGGLE TO DELIVER BASIC SERVICES - WHILE EVOLVING FROM CONFLICT AND FRAGILITY TO SUSTAINABILITY. MSH WORKS SIDE-BY-SIDE WITH COUNTRY STAKEHOLDERS ACROSS THE PUBLIC AND PRIVATE SECTORS TO STRENGTHEN INSTITUTIONAL GOVERNANCE, FINANCING LEADERSHIP AND ACCOUNTABILITY, SO THAT HEALTH SYSTEMS CAN EFFECTIVELY TRANSITION FROM DONOR ASSISTANCE TOWARD NATIONAL SUSTAINABILITY AND INDEPENDENCE. |
| FORM 990, PART III, LINE 4B | INFECTIOUS DISEASE: OUR PROGRAMS BUILD CAPACITY AT ALL LEVELS OF A HEALTH SYSTEM: FROM HOSPITAL STAFF KNOWING HOW TO PREVENT AN INFECTION, VILLAGE SENTINELS REPORTING A SUSPICIOUS DISEASE OUTBREAK, PHARMACISTS KEEPING PRODUCTS AVAILABLE, TO STRENGTHENING DISEASE SURVEILLANCE SYSTEMS, REINFORCE STRONG NATIONAL PUBLIC HEALTH SYSTEMS AND WORKFORCES, AND INTRODUCE AND SCALE NEW TOOLS TO PREVENT AND CONTROL INFECTIOUS DISEASES. |
| FORM 990, PART III, LINE 4C | ACCESS TO MEDICINES AND HEALTH TECHNOLOGIES: STRONG HEALTH SYSTEMS ENSURE THAT ALL COMMUNITIES AND INDIVIDUALS HAVE THE RIGHT MEDICINE, AT THE RIGHT DOSE, AT THE RIGHT TIME, AT AN AFFORDABLE COST. ACCESS TO QUALITY MEDICINES CAN IMPROVE AND SAVE LIVES. EQUALLY IMPORTANT IS THE KNOWLEDGE OF HOW TO PROPERLY USE THESE MEDICINES. MSH'S ACCESS TO MEDICINES PROGRAM BRINGS EXPERTISE AND PROVEN SOLUTIONS TO PUBLIC OFFICIALS, COMMUNITY LEADERS, AND INDIVIDUALS. WE DEVELOP STATE-OF-THE-ART TRAINING PROGRAMS AND TOOLS AND TRAIN PHARMACISTS IN SOME OF THE MOST VULNERABLE COUNTRIES IN THE WORLD TO ENABLE THEM TO RELY ON A STEADY SUPPLY OF SAFE, QUALITY MEDICINES AND TRAIN THEM HOW TO DISPENSE THEM PROPERLY. WE WORK TO EXPAND THE UNDERSTANDING OF WHAT IS REQUIRED TO DESIGN AND IMPLEMENT SUSTAINABLE MEDICINES BENEFIT PACKAGES AS A COMPONENT OF UNIVERSAL HEALTH COVERAGE - THROUGH PUBLIC AND PRIVATE HEALTH INSURANCE IN LOW-INCOME COUNTRIES. MSH'S PROGRAM ALSO SHARES GLOBAL PHARMACEUTICAL DATA ANALYTICS, ENSURES QUALITY OF MEDICINES, DEVELOPS PHARMACEUTICAL SOFTWARE, AND INNOVATES AND APPLIES PROVEN HEALTH TECHNOLOGIES. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS. THE FORM 990 IS FILED AFTER REVIEW BY MEMBERS OF THE BOARD AUDIT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL EMPLOYEES TO SIGN ITS CODE OF BUSINESS ETHICS AND CONDUCT (WHICH INCLUDES ITS CONFLICT OF INTEREST POLICY) EACH YEAR TO ACKNOWLEDGE COMPLIANCE. EMPLOYEES ARE OBLIGED TO REPORT ILLEGAL OR UNETHICAL BEHAVIOR TO THE ORGANIZATION AND WHISTLEBLOWERS ARE PROTECTED. THE ORGANIZATION'S RIGOROUS INTERNAL AUDIT PROCESS INCLUDED MONITORING OF COMPLIANCE. IN ADDITION, EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS IS REQUIRED TO SUBMIT ANNUAL FINANCIAL DISCLOSURE DOCUMENTS WHICH ARE REVIEWED BY THE GENERAL COUNSEL TO PREVENT, DETECT AND REMEDY ANY CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE MSH BOARD OF DIRECTORS (BOD) ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR THE CEO, CFO AND VICE PRESIDENTS OF EACH GROUP/OFFICE CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY, THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOD REVIEWS THE PERFORMANCE EVALUATIONS AND A COMPETITIVE COMPENSATION ANALYSIS BASED ON INDEPENDENT THIRD-PARTY MARKET DATA AND THE 990S OF PEER ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST IT IS ALSO SHARED DURING MEETINGS WITH POTENTIAL DONORS AND VIA MAILING IN RESPONSE TO DONOR REQUESTS OR INTERESTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE FROM THE SECRETARY OF THE COMMONWEALTH OF MASSACHUSETTS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PUBLICLY AVAILABLE AS PART OF THE ORGANIZATION'S CODE OF BUSINESS ETHICS ON THE ORGANIZATION'S WEBSITE (HTTPS://MSH.ORG/CODE-OF-BUSINESS-ETHIC/). A SUMMARY OF THE FINANCIAL STATEMENTS IS MADE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT. THE 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE, MSH.ORG. |
| FORM 990, PART VII, SECTION A: | AFTER A REVIEW OF JOB RESPONSIBILITIES, SOME INDIVIDUALS NO LONGER MEET THE KEY EMPLOYEE CLASSIFICATION BUT STILL REMAIN WITH THE ORGANIZATION IN THE ROLE. |
| FORM 990, PART XI, LINE 9: | OTHER COMPREHENSIVE INCOME -1,603,034. FX LOSS -870,395. REVERSAL OF FRAUD RESERVE 30,000. |
| FORM 990, PART XII, LINE 2C: | THERE HAVE BEEN NO CHANGES DURING THE YEAR IN THE PROCESS FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. |
| GENERAL STATEMENT | CONTRACTS WITH US GOVERNMENT AGENCIES THE ORGANIZATION'S REVENUES ARE GENERATED FROM CONTRACTS WITH THE U.S. GOVERNMENT AGENCIES, PRIMARILY THE U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID). THE PERCENTAGE OF REVENUE EARNED FROM U.S. GOVERNMENT AGENCIES WAS 84% AND 91% FOR THE YEARS ENDED JUNE 30, 2025 AND 2024, RESPECTIVELY. IN EARLY 2025 USAID TERMINATED APPROXIMATELY 86% OF IT'S PROGRAMS AND ANNOUNCED THE FULL SEPARATION OF STAFF BY SEPTEMBER 2, 2025. THIS ABRUPT TERMINATION OF FUNDING AND WITHDRAWAL OF USAID REMOVED A SIGNIFICANT PORTION OF GLOBAL HUMANITARIAN FUNDING AND RESULTED IN A MATERIAL REDUCTION IN THE ORGANIZATION'S REVENUE. AS A RESULT, THE ORGANIZATION FORECASTS REDUCTION IN REVENUE, FROM U.S GOVERNMENT SOURCES, TO 50% IN FY 2026. MANAGEMENT'S ANALYSIS OF CASH FLOW PROJECTIONS, COUPLED WITH COST REDUCTION AND RESTRUCTURING WILL BE SUFFICIENT TO SUPPORT THE ORGANIZATION TO CONTINUE ITS MISSION TO MAKE A LIFESAVING IMPACT IN ITS WORK THROUGH OTHER GOVERNMENT FUNDERS, CORPORATIONS AND FOUNDATIONS, AND EXPECTS TO BE ABLE TO REMAIN VIABLE AS A SMALLER ORGANIZATION THAN IN THE PAST AS A GOING CONCERN. |
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| Software Version: |