2025-08-11T10:56:17-05:00 2023-12-31 911194016 CLARK NUBER PS 10900 NE 4TH ST STE 1400 BELLEVUE WA 98004 990 2023-01-01 474007262 HEALTH SYSTEMS INSIGHT HEAL 2029822740 1319 F ST NW SUITE 301 PMB 247 WASHINGTON DC 20004 DAI HOZUMI CEO 8572056666 2025-08-08 0 MEGAN R RYAN P00737884 4254544919 2025-08-08 2023 2025-03-06 01:10:19Z X DAI HOZUMI 1319 F ST NW SUITE 301 PMB 247 WASHINGTON DC 20004 9318910 0 X WWW.THINKWELL.INSTITUTE X 2015 AZ SEE SCHEDULE O. 3 2 0 2 0 0 8780039 9285880 0 0 11 33030 82612 0 8862662 9318910 583681 446589 0 0 5154703 6348075 0 0 326384 2346411 2830555 8084795 9625219 777867 -306309 4886950 5139896 3967573 4131625 919377 1008271 X SEE SCHEDULE O ENTRY FOR PART I, LINE 1. 1 1 5859073 241360 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. 1046316 175718 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. 488761 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. 53810 29511 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. 112863 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. 34732 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. 181960 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. 19854 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. 107606 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. 158819 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. 6777 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. 676421 29511 8070571 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1 X 7 0 0 0 1 RP UV ID UG 0 0 0 0 0 0 0 0 0 0 X 3 2 1 1 1 1 0 0 0 1 0 1 1 1 1 1 1 0 1 0 0 0 0 AZ X JENNIFER FLINN 2029822740 1319 F ST NW STE 301 PMB 247 WASHINGTON DC 20004 MANASSEH GIHANA WANDERA BOARD MEMBER EFF 6/23 1.00 0.00 X 0 0 0 ANGELITA GREGORIO-MEDEL BOARD MEMBER EFF 6/23 1.00 0.00 X 0 0 0 IVA DUJUROVIC BOARD MEMBER THRU 1/23 1.00 0.00 X 0 0 0 YOGESH RAJKOTIA BOARD MEMBER THRU 1/23; SR. FELLOW 16.00 24.00 X 40608 81016 20875 ANNE MUSUVA BOARD MEMBER/REGIONAL DIRECTOR 40.00 0.00 X 70381 56166 7000 DAI HOZUMI PRESIDENT & CHIEF EXECUTIVE OFFICER 16.00 24.00 X 47455 94677 5360 LAURA BOONSTOPPEL PROJECT DIRECTOR 40.00 0.00 X 165591 0 3443 MATT BOXSHALL PROGRAM DIRECTOR 40.00 0.00 X 99342 79278 0 JENNIFER FLINN MANAGING DIRECTOR, AGILITY 24.00 16.00 X 64556 85862 3610 NIRMALA RAVISHANKAR SENIOR FELLOW 40.00 0.00 X 89674 71562 3224 MARIE-JEANNE N'GBESSO COUNTRY DIRECTOR 40.00 0.00 X 87216 69601 1200 ILEANA DIACONESCU TECHNICAL ADVISOR 40.00 0.00 X 103928 0 5594 ANOOJ PATTNAIK DEPUTY PROGRAM DIRECTOR 40.00 0.00 X 72940 58208 2623 RHODA BENNET TALENT MANAGER 40.00 0.00 X 63869 50969 805 MURSALEENA ISLAM PROGRAM DIRECTOR 32.00 8.00 X 63702 63545 4071 GILLIAN TURNER TECHNICAL DIRECTOR 40.00 0.00 X 69887 55772 0 1039149 766656 57805 2 0 1 1 THINKWELL LLC 5800 DEAL PLACE CHEVY CHASE MD 20815 STAFFING AND SERVICES 3287835 BERKELEY RESEARCH GROUP 2200 POWELL ST SUITE 1200 EMERYVILLE CA 94608 FINANCIAL SERVICES 133396 2 9285880 9285880 33030 33030 9318910 0 0 33030 446589 446589 1999930 1313971 477859 208100 2004889 1831958 139207 33724 113810 96517 13921 3372 1637342 1483089 110688 43565 592104 467982 90021 34101 492097 279587 212510 43424 33310 10114 243562 191062 52500 152671 150129 2542 601539 600743 796 257864 247957 9907 581718 490959 87379 3380 349247 332648 16457 142 PAYROLL SERVICES 96511 92320 4191 MEDICAL EXPENSES 9329 9329 VEHICLE MAINTENANCE 2421 2421 172 172 9625219 8070571 1228264 326384 769064 51608 80836 3959817 526821 0 67661 26271 3254377 878548 64860 43137 123331 180515 4886950 5139896 414880 374781 3010421 3575677 542272 181167 3967573 4131625 X 0 0 0 0 919377 1008271 919377 1008271 4886950 5139896 X -306309 126333 268870 X 0 0 0 X 5059748 5920914 8625983 8780039 9285880 37672564 5059748 5920914 8625983 8780039 9285880 37672564 33548509 4124055 20864 17774 11028 11 33030 82707 37755271 0.10920 0.10650 X 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 PAYABLE TO BRANCH OFFICES 181167 181167 0 EAST ASIA AND THE PACIFIC 2 16 PROGRAM SERVICES STRATEGIC PURCHASING FOR PRIMARY HEALTH CARE (SP4PHC) PROJECT 1043617 EUROPE (INCLUDING ICELAND & GREENLAND) 1 4 PROGRAM SERVICES IMMUNIZATION HUB 629595 SOUTH ASIA 3 11 PROGRAM SERVICES STRATEGIC PURCHASING FOR PRIMARY HEALTH CARE (SP4PHC) PROJECT 778393 SUB-SAHARAN AFRICA 2 12 PROGRAM SERVICES STRATEGIC PURCHASING FOR PRIMARY HEALTH CARE (SP4PHC) PROJECT 1947323 EAST ASIA AND THE PACIFIC 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION N/A 123078 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION N/A 285583 SOUTH ASIA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION N/A 37928 EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING N/A 1388 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 FUNDRAISING N/A 67434 SOUTH ASIA 0 0 FUNDRAISING N/A 214359 SUB-SAHARAN AFRICA 0 0 FUNDRAISING N/A 1242 8 43 0 0 8 43 4846905 283035 5129940 SUB-SAHARAN AFRICA VACCINE COSTING RESEARCH 68150 WIRE 0 EAST ASIA AND THE PACIFIC VACCINE COSTING RESEARCH 20296 WIRE 0 SOUTH ASIA VACCINE COSTING RESEARCH 35932 WIRE 0 SUB-SAHARAN AFRICA VACCINE COSTING RESEARCH 19480 WIRE 0 SUB-SAHARAN AFRICA VACCINE COSTING RESEARCH 7151 WIRE 0 EAST ASIA AND THE PACIFIC VACCINE COSTING RESEARCH 22360 WIRE 0 SUB-SAHARAN AFRICA BASELINE STUDY 79960 WIRE 0 EAST ASIA AND THE PACIFIC HEALTH IMPACT STUDY 11683 WIRE 0 EAST ASIA AND THE PACIFIC HEALTH IMPACT STUDY 13712 WIRE 0 EAST ASIA AND THE PACIFIC HEALTH IMPACT STUDY 8382 WIRE 0 SUB-SAHARAN AFRICA HEALTH IMPACT STUDY 78981 WIRE 0 SUB-SAHARAN AFRICA HEALTH IMPACT STUDY 31861 WIRE 0 EAST ASIA AND THE PACIFIC HEALTH IMPACT STUDY 46645 WIRE 0 2 12 0 0 0 0 0 0 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. X 1 1 0 0 0 0 0 0 0 0 0 MATT BOXSHALL PROGRAM DIRECTOR 99342 79278 0 0 0 0 0 0 0 0 99342 79278 0 0 LAURA BOONSTOPPEL PROJECT DIRECTOR 165591 0 0 0 0 0 0 0 3443 0 169034 0 0 0 NIRMALA RAVISHANKAR SENIOR FELLOW 89674 71562 0 0 0 0 1793 1431 0 0 91467 72993 0 0 MARIE-JEANNE N'GBESSO COUNTRY DIRECTOR 83879 66938 0 0 3337 2663 0 0 667 533 87883 70134 0 0 JENNIFER FLINN MANAGING DIRECTOR, AGILITY 64556 85862 0 0 0 0 1549 2061 0 0 66105 87923 0 0 DAI HOZUMI PRESIDENT & CHIEF EXECUTIVE OFFICER 47455 94677 0 0 0 0 759 1515 1030 2056 49244 98248 0 0 YOGESH RAJKOTIA BOARD MEMBER THRU 1/23; SR. FELLOW 40608 81016 0 0 0 0 650 1296 6320 12609 47578 94921 0 0 ANOOJ PATTNAIK DEPUTY PROGRAM DIRECTOR 72940 58208 0 0 0 0 1459 1164 0 0 74399 59372 0 0 ANNE MUSUVA BOARD MEMBER/REGIONAL DIRECTOR 70381 56166 0 0 0 0 3525 2813 368 294 74274 59273 0 0 MURSALEENA ISLAM PROGRAM DIRECTOR 63702 63545 0 0 0 0 2038 2033 0 0 65740 65578 0 0 GILLIAN TURNER TECHNICAL DIRECTOR 69887 55772 0 0 0 0 0 0 0 0 69887 55772 0 0 RHODA BENNET TALENT MANAGER 63869 50969 0 0 0 0 0 0 442 363 64311 51332 0 0 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. THINKWELL LLC SEE PART V SEE PART V 0 YOGESH ROJKOTIA SEE PART V SEE PART V 0 27086 SEE PART V SEE PART V SEE PART V X 3921490 878548 0 0 0 878548 THINKWELL LLC 35% CONTROLLED ENTITY OF CEO/FOUNDER 3476273 SEE PART V 0 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. 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. THINKWELL LLC 5800 DEAL PLACE CHEVY CHASE MD 20815 452324600 HEALTH SYSTEMS DEVELOPMENT MD N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 AS NOTED IN FILER'S 2022 FORM 990 ACCOMPANYING REASONABLE CAUSE STATEMENT, CORRECTIONS TO THE FILER'S FINANCIAL RECORDS AND SYSTEMS WERE REQUIRED AS A PREREQUISITE TO PREPARING A COMPLETE AND ACCURATE RETURN ON THAT YEAR. SIMILAR WORK EFFORT WAS REQUIRED IN FINALIZING THE 2023 YEAR'S RECORDS. EFFORTS ON BOTH FRONTS EXTENDED THROUGHOUT 2024, DELAYING COMPLETION AND SUBMISSION OF THE 2022 FORM 990 UNTIL MAY 7, 2025. FINAL PROOFING OF THE 2023 YEAR'S FINANCIAL STATEMENTS AND COMPLETION OF THIS 2023 FORM 990 WAS THEREAFTER CONDUCTED AS EXPEDITIOUSLY AS POSSIBLE BUT COULD NOT BE COMPLETED UNTIL THE VERY END OF JULY/BEGINNING OF AUGUST.