2021-02-24T18:40:32-07:00 2020-06-30 990 2019-07-01 043567502 PARTNERS IN HEALTH A NONPROFIT CORPORATION PART 8578805100 800 Boylston St Suite 300 Boston MA 02199 Megan Carbone Chief Financial Officer 8578805151 2021-02-24 2019 2022-09-23 18:48:47Z Sheila Davis 800 Boylston Street Suite 300 Boston MA 02199 231612138 0 X www.pih.org X 2001 MA Partners In Health's mission is to provide a preferential option for the poor in health care. Through its work in Haiti, Africa, Peru, Mexico, Kazakhstan, and Navajo Nation, PIH strives to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair. 17 16 274 20 0 0 151712655 210922294 403704 599091 1190937 1218301 1235750 1009878 154543046 213749564 50406156 52003689 0 0 40756239 55268402 1170667 1925990 8664230 54958447 61921062 147291509 171119143 7251537 42630421 96301767 143157081 23793467 28719116 72508300 114437965 Partners In Health's mission is to provide a preferential option for the poor in health care. Through its work in Haiti, Africa, Peru, Mexico, Kazakhstan, and Navajo Nation, PIH strives to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair. 0 0 45739375 35838396 0 Together with our Haitian sister organization, Zanmi Lasante (ZL), Partners In Health (PIH) has worked hand in hand with the Ministry of Public Health and Population (MSPP) for over 30 years, providing high quality primary, secondary and tertiary care services to a catchment population of over 3.8 million people. PIH/ZL is able to achieve this through a network of 10 health centers, 5 hospitals, and 1 national university teaching hospital and with the help of over 2,500 community health workers (CHWs). In areas such as HIV, TB, malnutrition, cancer care, non-communicable diseases, neonatology, mental health and maternal health, PIH continues to introduce innovations to improve access to comprehensive, patient-centered high quality care while working to train the next generation of specialty nurses and doctors through University Hospital Mirebalais. By pioneering smart investments in healthcare delivery in Haiti, PIH/ZL has changed the lives of millions of people. This year alone PIH/ZL conducted 68,997 outpatient antenatal visits for pregnant women, conducted 21,256 facility-based deliveries of which 4,115 were caesarian sections for more at-risk pregnancies. Through the University Hospital Mirebalais oncology program, PIH/ZL provided care and treatment to over 250 oncology patients from throughout Haiti, with the large majority of cases being cervical and breast cancers. Collectively the 2,500 CHWs made 247,124 home visits to patients' homes in the two provinces in which PIH/ZL work. At the end of June 2020, 12,353 HIV patients were actively receiving care and treatment through PIH/ZL supported facilities and an additional 1100 patients with tuberculosis were treated. In the same period, PIH/ZL provided inpatient care to 23,842 patients hospitalized throughout our network of 15 facilities. As of end of June 2020, there were 1,642 active patients receiving ongoing mental health care, and an additional 2,604 patients enrolled in management of chronic illnesses such as diabetes and hypertension. Throughout the year, PIH/ZL provided graduate medical education to 113 residents through University Hospital Mirebalais and Saint Marc Hospital in internal medicine, obstetrics and gynecology, general surgery, pediatrics, emergency medicine, and family medicine. 20274425 144014 0 Together with our Rwandan sister organization, Inshuti Mu Buzima (IMB), Partners In Health (PIH) focuses on bringing high-quality health care to three rural districts that previously had some of the country's worst health outcomes. This year with the Ministry of Health (MOH), PIH/IMB provided primary and secondary care services to a population of roughly 1,000,000 through three hospitals and 44 health centers, with the help of nearly 6,000 community health workers. In areas such as cancer care, non-communicable diseases, neonatology, and maternal health, PIH continues to introduce innovations that are tested, refined, and taken to scale nationally. By pioneering smart investments in healthcare delivery in Rwanda, PIH/IMB has changed the lives of millions of people. This year alone PIH/IMB supported 19,930 patients in managing chronic illnesses including 2,695 oncology patients; 7,324 patients with non-communicable diseases (such as hypertension, diabetes or heart disease); and 9,911 patients with HIV. In the past year, three IMB-supported hospitals had 441,240 outpatient visits and 33,041 hospitalizations. Additionally, CHWs conducted 671,783 visits to patients. PIH collaborates with the MOH to deliver mental health care through a health center nurse training model called MESH Mental Health. After being scaled to all 19 health centers in Burera District, this model was scaled up to 3 additional districts. The team enrolled 2,484 new patients into the mental health program and conducted over 19,000 mental health visits across the four districts. 16888221 3666947 0 Partners In Health (PIH)'s domestic strategy includes three major programs: health system strengthening in Navajo Nation, a US Public Health Accompaniment Unit (USPHAU) to assist states, cities and communities in building a more equitable and comprehensive public health response to COVID-19, and the Community Tracing Collaborative (CTC) project in Massachusetts to investigate all positive COVID-19 cases, reach out to contacts of confirmed cases and connect both cases and contacts to resources. A majority of the expenditures here are related to the CTC project. The CTC project was launched in April 2020 by Governor Charlie Baker's COVID-19 Command Center. PIH works in close partnership with the Command Center, the Massachusetts Department of Public Health, the Commonwealth Health Insurance Connector Authority (CCA), and technology partner Accenture to support 351 local health departments and over 100 institutions of higher education in Massachusetts. Between April 2020 and June 2020, PIH hired and onboarded a peak workforce of approximately 1,900. PIH staffed the CTC call lines seven days a week, 12 hours a day, and developed approximately 40 protocols to ensure safety and quality. By June 2020, PIH reached more than 42,600 individuals who tested positive for COVID-19 and their contacts and placed over 300,000 phone calls. PIH provides an accompaniment model to help vulnerable cases and contacts sustain safe quarantine or isolation: by June 2020, approximately 100 Care Resource Coordinators (CRCs) with social work, nursing, public health and other backgrounds connected individuals to existing services for food, housing, medication and safety. 7,623 Massachusetts residents were referred to CRCs, with 74% connected to support (33% for food referrals). 71087238 12354332 599091 In addition to the programs listed, PIH has programs in Peru, Sierra Leone, Lesotho, Malawi, Liberia, Kazakhstan, Mexico, Ethiopia, and Navajo Nation. Major expenditures in other programs include those for endTB, research, electronic medical records, monitoring and evaluation, and mental health. 71087238 12354332 599091 153989259 1 1 0 1 0 0 0 0 1 1 1 0 0 0 0 1 0 1 0 1 1 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 98 0 1 274 1 0 1 CA ET HA KZ LI LT MI MX PE RW SL 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 AK AL AR CA CO CT FL GA HI IL KS KY LA MA MD ME MI MN MS NC ND NH NJ NM NY OH OK OR PA RI SC TN UT VA WA WI WV X X Megan Carbone 8578805228 800 Boylston St Suite 300 Boston MA 02199 Sheila Davis President and Chief Executive Officer 40 0 X 272469 0 13439 Francesco De Flaviis Chief Marketing & Communications Officer 40 0 X 232755 0 15353 Lori Silver General Counsel/ Clerk 40 0 X 215560 0 19678 Kathleen McDonnell Sr Director of Development 40 0 X 202376 0 20483 John Malcolm Chief of Development 40 0 X 216599 0 4554 Scott Garrepy Senior Development Officer 40 0 X 177883 0 16166 Megan Carbone Chief Financial Officer 40 0 X 170306 0 10539 David Mayo Chief Information Officer 40 0 X 171470 0 5868 Dr Joia Mukherjee Chief Medical Officer 40 0 X 133550 0 42736 Dr Gary L Gottlieb Chief Executive Officer/ Director 40 0 X 107692 0 3700 Ophelia Dahl Chair of Board of Directors 30 0 X X 0 0 0 Dr Paul Farmer Director 30 0 X 0 0 0 Anita Bekenstein Director 1 0 X 0 0 0 Michael Choe Director/ Treasurer 1 0 X X 0 0 0 Pierre Cremieux Director 2 0 X 0 0 0 Kurt DelBene Director 1 0 X 0 0 0 Anne Dinning Director 1 0 X 0 0 0 Kebba Jobarteh Director 1 0 X 0 0 0 Joanne Kagle Director 1 0 X 0 0 0 Jim Yong Kim Director 1 0 X 0 0 0 Lesley King Director 8 0 X 0 0 0 Todd McCormack Director 5 0 X 0 0 0 Dan Nova Director 1 0 X 0 0 0 Max Stone Director 3 0 X 0 0 0 Charlotte Wagner Director 1 0 X 0 0 0 David Walton Director 1 0 X 0 0 0 Michelle Morse Director 1 0 X 0 0 0 Dede Orraca-Cecil Director 1 0 X 0 0 0 1900660 0 152516 36 1 1 1 RKD Group LLC 3400 Waterview Parkway Suite 250 Richardson TX 75080 Fundraising/Marketing 2682838 Build Health International 100 Cummings Center Suite 120H Beverly MA 01915 Architecture/Construction 1657356 Blue State Digital 101 Avenue of Americas 12th Floor New York NY 10013 Fundraising/Marketing 1475728 Brigham and Women's Hospital 75 Francis St Boston MA 02115 Medical Professional Services 1407773 ROKO Construction PO Box 323 Kigali RW Construction 1392742 18 0 0 0 2047194 43183361 165691739 10679180 210922294 UGHE Tuition Revenue 813311 599091 599091 0 0 0 0 0 0 599091 1020103 0 0 1020103 0 0 0 0 0 0 0 0 571907 0 543859 0 28048 0 28048 0 0 28048 17516913 0 17308838 9877 208075 -9877 198198 0 0 198198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Peru clinical services for COVID diagnosis 813311 235204 0 0 235204 Donor expense reimbursements 813311 225111 0 0 225111 VAT refund 813311 83285 0 0 83285 438230 0 0 438230 981830 213749564 599091 0 2228179 5207277 5207277 22600 22600 46773812 46773812 1065870 164930 900940 61725 61725 46153041 40309794 4430367 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174859782 914374 0 0 2826265 3740639 171119143 0 0 0 171119143 Schedule D, Part IV, Line 2b Partners In Health serves as a custodian for several small partner organizations that have a common mission of breaking the cycle of disease and poverty but have not yet completed the process to register as 501(c)(3) organizations. PIH provides services including receiving revenue and paying expenses. Schedule D, Part V, Line 4 The PIH endowment, established during fiscal year 2016, is a grouping of several endowment funds, including the Ophelia Dahl Endowment, designed to provide long term funding for both general operations and specific initiatives. Schedule D, Part X, Line 2 PIH is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code (the "Code"), and is generally exempt from income taxes at both a Federal and state level. Affiliates are likewise exempt from income taxes as per the laws of the respective countries. PIH is required to assess uncertain tax positions and has determined that there were no such positions that required recognition in the consolidated financial statements. Schedule D, Part XI, Line 2d Local revenue received in Partners in Health Lesotho, Mexico and Canada is consolidated in audited financial statement but excluded from the Form 990. Schedule D, Part XI, Line 4b Amount included rental expenses of $543,859 which are being subtracted from total revenue in Part VIII on the Form 990, and inter-organization wire transfer from Partners in Health Canada of $ 2,047,193, which is considered revenue in the Form 990. Schedule D, Part XII, Line 2d Amount included $2,064,839 local expenses incurred in foreign organizations and $217,567 foreign currency translation adjustment that are excluded from the Form 990, and rental expenses of $543,859 which are reported on Part VIII revenue but excluded from Part IX from the Form 990. 1 Central America and the Caribbean 1 22 Grantmaking 35172020 Sub-Saharan Africa 2 0 Grantmaking 6015113 Europe (including Iceland and Greenland) 0 0 Grantmaking 2675019 North America (including Canada and Mexico, but not the United States) 1 0 Grantmaking 1652920 Middle East and North Africa 0 0 Grantmaking 1186065 South Asia 0 0 Grantmaking 39427 South America 1 0 Grantmaking 33248 5 22 46773812 Central America and the Caribbean Healthcare 35139020 Wire 0 Sub-Saharan Africa Healthcare 5761769 Wire 0 Europe (including Iceland and Greenland) Healthcare 2675019 Wire 0 North America (including Canada and Mexico, but not the United States) Healthcare 1652920 Wire 0 Middle East and North Africa Healthcare 1186065 Wire 0 Sub-Saharan Africa Healthcare 72218 Wire 0 Sub-Saharan Africa Healthcare 58596 Wire 0 Sub-Saharan Africa Healthcare 50372 Wire 0 Sub-Saharan Africa Healthcare 35904 Wire 0 South America Healthcare 33248 Wire 0 Sub-Saharan Africa Healthcare 23578 Wire 0 South Asia Healthcare 18638 Wire 0 Central America and the Caribbean Healthcare 12000 Wire 0 Sub-Saharan Africa Healthcare 11873 Wire 0 South Asia Healthcare 9538 Wire 0 South Asia Healthcare 7015 Wire 0 16 0 Social Assistance Central America and the Caribbean 1 21000 Wire 0 1 0 1 1 0 0 Schedule F, Part I, Line 2 Partners In Health makes grants to organizations outside the United States of America in partnership toward the common mission of breaking the cycle of poverty and disease. Prior to awarding any grant, the PIH grants management and compliance team reviews information about the potential recipient's internal processes for grants management and compliance, as well as financial statements, audit reports, and bank account information. On an ongoing basis, PIH finance staff review budgets, invoices and financial reports, and perform periodic checks of recipient's backup documentation of ledger entries and PIH clinical/programs staff review recipient's work plans, deliverables and programmatic reports. X X X X X X 1 Blue State Digital Inc 260 Charles Street 4th Floor Waltham MA 02453 Digital engagement consulting 0 0 1604248 -1604248 RKD Group LLC 3400 Waterview Parkway Suite 250 Richardson TX 75080 Direct mail - consultation and design 0 6239997 300000 5939997 Telefund Inc PO Box 120557 Boston MA 02112 Phone solicitation 0 73720 21742 51978 6313717 1925990 4387727 All States 1 Massachusetts League of Community Health Centers Inc 40 Court St 10th Floor Boston MA 02108 042507409 501(c)3 1839603 0 Support for COVID-19 community tracing collaborative work in Massachusetts. Community Outreach & Patient Empowerment (COPE) 3710 Maya Drive Gallup NM 87301 465551998 501(c)3 1524702 0 For various health system strengthening projects in Navajo Nation. President & Fellows of Harvard College 1033 Massachusetts Avenue Third Floor Cambridge MA 02138 042103580 501(c)3 1307463 0 UNITAID sub-grantee for directing certain aspects of preparation and implementation of endTB research at various PIH international sites and support for increased access to universal non-communicable disease care. Brigham and Women's Hospital 75 Francis Street Boston MA 02115 042312909 501(c)3 320238 0 Sub-grantee for various health system strengthening projects in Navajo Nation and support for Hepatitis C research in Rwanda. Grassroot Soccer Inc 15 Labanon Street Hanover NH 03755 431957920 501(c)3 87777 0 Global Affairs Canada sub-grantee for community health technical assistance activities in Malawi. Stanford University 3145 Porter Drive Palo Alto CA 94144 941156365 501(c)3 48554 0 Support for Hepatitis C research in Rwanda. Boston Medical Center Corporation 660 Harrison Avenue Gambro Building 2nd Floor Boston MA 02118 043314093 501(c)3 29666 0 Support for increased access to universal non-communicable disease care. Dine College PO Box C-12 Tsaile AZ 86556 860215931 501(c)3 23431 0 CDC sub-grantee for health system strengthening project in Navajo Nation. Northwestern University 633 Clark Street Room G-547 Evanston IL 60208 362167817 501(c)3 11836 0 Conduct research on how and why selected exemplar countries have decreased under-5 mortality. The Regents of the University of California San Francisco 300 frank H Ogawa Palaza 5th Floor Oakland CA 94612 946036493 501(c)3 10716 0 UNITAID sub-grantee for directing certain aspects of preparation and implementation of endTB research at various PIH international sites. 10 0 Social Assistance 1 13000 0 Social Assistance 1 9600 0 Schedule I, Part I, Line 2 Partners In Health makes grants to organizations in partnership toward the common mission of breaking the cycle of poverty and disease. Prior to awarding any grant, the PIH grants management and compliance team reviews information about the potential recipient's internal processes for grants management and compliance as well as financial statements, audit reports and bank account information. On an ongoing basis, PIH finance staff reviews budgets, invoices and financial reports and perform periodic checks of recipients' backup documentation for ledger entries; PIH clinical/programs staff review recipient's work plans, deliverables and programmatic reports. X 0 1 X X X 0 0 0 0 0 0 0 1 0 Sheila Davis President and Chief Executive Officer 272469 0 0 0 0 0 7821 0 5618 0 285908 0 0 0 Francesco De Flaviis Chief Marketing & Communications Officer 232755 0 0 0 0 0 554 0 14799 0 248108 0 0 0 John Malcolm Chief of Development 216599 0 0 0 0 0 0 0 4554 0 221153 0 0 0 Lori Silver General Counsel/ Clerk 165560 0 50000 0 0 0 4731 0 14947 0 235238 0 0 0 Kathleen McDonnell Sr Director of Development 202376 0 0 0 0 0 5153 0 15330 0 222859 0 0 0 Scott Garrepy Senior Development Officer 177883 0 0 0 0 0 5549 0 10617 0 194049 0 0 0 David Mayo Chief Information Officer 171470 0 0 0 0 0 5143 0 725 0 177338 0 0 0 Megan Carbone Chief Financial Officer 170306 0 0 0 0 0 5154 0 5385 0 180845 0 0 0 Dr Gary L Gottlieb Chief Executive Officer/ Director 107692 0 0 0 0 0 3231 0 469 0 111392 0 0 0 Dr Joia Mukherjee Chief Medical Officer 133550 0 0 0 0 0 0 0 42736 0 176286 0 0 0 Schedule J, Part I, Line 1a Dr. Paul Farmer (Director) travels extensively on behalf of PIH for fundraising purposes and to advise on clinical strategies and health care efforts. PIH has provided Dr. Farmer and his team with an ATM card and a petty cash account for periodic withdrawals. Schedule J, Part I, Line 1b See explanation - Schedule J, Part I, Line 1a Schedule J, Part I, Line 7 From time to time, at the recommendation of senior management and HR, the CEO will approve performance-based bonuses to key employees. Schedule J, Part II Dr. Joia Mukherjee, Chief Medical Officer, receives compensation from Brigham & Women's Hospital (BWH), an unrelated organization. Amount represents PIH's payments for Dr. Mukherjee's services as an Officer. Didi Bertrand Dr. Paul Farmer's Spouse 61725 Compensation for Services 0 X 100651 Fair Value X 277 4112453 Fair Value X 165 6434546 Fair Value X IT Equipment 6 31530 Fair Value 0 0 1 1 Schedule M, Part I, Line 9 PIH counted security contributions by the number of donations made to PIH. PIH received 277 security donations in FY20. Schedule M, Part I, Line 20 PIH counted drug and medical supply contributions by the number of donations made to PIH. PIH received 165 donations in FY20. Schedule M, Part I, Line 32b PIH engages with CARS, a 501(c)(3) organization that solicits vehicle donations to benefit PIH. PIH does not receive the donated vehicles, but instead cash proceeds from CARS once the vehicle is sold. Form 990, Part VI, Section B, Line 11b The Form 990 is prepared by finance staff and is reviewed carefully by the PIH Chief Financial Officer and Legal Department. The Form 990 is then reviewed by CBIZ MHM,LLC., PIH's tax advisor. A complete draft of the Form 990 is then reviewed by the PIH Chief Executive Officer. This draft is then provided to the Audit Committee for their review with the exception of Schedule B. Finally, the Form 990 is provided to the full Board of Directors prior to filing, with the exception of Schedule B. Any and all questions and comments are addressed by the PIH Chief Financial Officer, who engages CBIZ & MHM in the discussion whenever relevant or necessary. Form 990, Part VI, Section B, Line 12c Each year, all PIH officers and Board members are required to review the Organization's conflict of interest policy and indicate their compliance in writing. Throughout the year, PIH senior leadership reviews major contracts and expenditures. Any arrangements or expenditures that might give rise to a conflict of interest either in fact or appearance would be raised to the Executive Committee and the Board of Directors for discussion and disposition. The Board reserves the right to disallow any such transactions, arrangements, or other working relationship and/or to ask the interested person to remove themselves from any discussion or vote in the matter. The Board shall determine the existence of a conflict of interest by a majority vote of the disinterested directors. Form 990, Part VI, Section B, Line 15 The Compensation Committee of the Board of Directors, none of whose members have a conflict of interest, is charged with reviewing the proposed compensation of PIH's CEO. Comparability data for similarly qualified persons in functionally comparable positions at similarly situated organizations are prepared by the Organization and reviewed by the Compensation Committee before forming its conclusions. The deliberation and decision are documented in the minutes contemporaneously. Form 990, Part VI, Section C, Line 19 Partners In Health posts a copy of its annual report, audited financial statements, and Form 990, with the exception of Schedule B, on its website and provides copies to anyone who inquires. PIH also provides a copy of its Articles of Organization, its by-laws, and its conflict of interest policy on its website for any interested party to view. Form 990, Part XI, Line 9 Amount represents the foreign currency translation adjustments in net assets for statement of financial position accounts using exchange rates in effect at year end. Partners In Health Liberia LLC 615 South DuPont Highway Dover DE 19901 Healthcare DE 2091945 579382 Partners In Health A Nonprofit Corporation PIH Universities of Global Health Equity LLC 615 South DuPont Highway Dover DE 19901 Health Education DE 0 0 Partners In Health A Nonprofit Corporation University of Global Health Equity (UGHE) Ltd Kigali Heights Plot 772 KG 7 Ave 5th Floor Kigali RW 981528439 Health Education RW 16359238 13286202 Partners In Health A Nonprofit Corporation Abwenzi Pa Za Umoyo Partners In Health Malawi PO Box 56 Neno Boma Neno District MI 624200 Healthcare MI 976136 455914 Partners In Health a Nonprofit Corporation Partners In Health Sierra Leone LLC 615 South DuPont Highway Dover DE 19901 Healthcare DE 8514093 346582 Partners in Health A Nonprofit Corporation Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho) New Europa 438 Pope John Paul Maseru LT Healthcare LT Partners In Health 1 PIH Partners In Health Canada 890 Yonge St Suite 603 Toronto Ontario CA M4W3P4 Healthcare CA Partners In Health 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho) b 5761769 Amount is determined based on fiscal year budget proposal from site, budget review, revision, and PIH Board approval. Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho) l 484489 Amount represents payments processed by PIH Boston to contractors performing their jobs at country sites. Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho) l 414062 PIH Boston raises funds for all country sites. These expenses are allocated based on the proportion that the site expenses bear to the total program expenses across all sites. Bo Mphato Litsebeletsong Tsa Bophelo (Lesotho) o 3930980 Amount represents HR costs paid by PIH Boston to employees performing their jobs for related organization. PIH Partners In Health Canada o 378768 This amount represents HR costs (excluding consultant) paid by PIH Boston to employees performing their jobs at sites. PIH Partners In Health Canada p 91323 Amount represents salary and benefits paid by a related organization to an employee performing her job for PIH Boston. PIH Partners In Health Canada c 2047194 Amount is determined based on grant budget and memorandum of understanding between PIH sites and the related organization. Schedule R, Part I Development Staff at PIH in Boston raise funds for all country sites. For purposes of Schedule R, these expenses have been allocated based on the proportion that the site expenses bear to the total program expenses across all sites.