Form 990 for tax year 2023

Totals

Total revenue

$224,653,300

Total expenses

$225,603,286

Contributions and grants received

$221,270,590

Grants paid

$30,237,599

Program service revenue

$0

Investment income

$3,190,449

Other revenue

$192,261

Total assets, end of year

$160,736,489

Total liabilities, end of year

$149,709,650

Net assets or fund balances, end of year

$11,026,839

Program services expenses (Part IX)

$209,512,855

Management and general expenses

$15,461,813

Fundraising expenses

$628,618

Program service expenses (Part III)

$209,512,855

Program services were 92.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2023

• OUR PROGRAMS AIM TO SAVE LIVES AND REDUCE THE BURDEN OF DISEASE, WHILE HELPING GOVERNMENTS CREATE SUSTAINABLE HEALTH SYSTEMS. WE OPERATE IN OVER 35 COUNTRIES AND SUPPORT MORE THAN 20 DIFFERENT HEALTH PROGRAMS. THE VAST MAJORITY OF OUR STAFF ARE LOCATED IN THE COUNTRIES WHERE WE WORK, OVERSEEING IMPLEMENTATION AND MANAGING RELATIONSHIPS WITH PARTNER GOVERNMENTS. THE TEAMS ON THE GROUND ARE COMPLEMENTED BY A GLOBAL TEAM OF SCIENCE, BUSINESS, AND TECHNICAL EXPERTS SUPPORTING THE ENTIRE ORGANIZATION AND BY MANAGEMENT, FINANCE, AND HUMAN RESOURCE TEAMS. INFECTIOUS DISEASES: SEE SCHEDULE O FOR CONTINUATIONINFECTIOUS DISEASES: FOR YEARS, FOUR INFECTIOUS DISEASES DROVE MOST ILLNESS AND DEATH WORLDWIDE: HIV, HEPATITIS, TUBERCUOSIS (TB), AND MALARIA. IN 2020, A NEW ILLNESS, COVID-19, WAS ADDED TO THIS LIST.EARLY ON, THE PANDEMIC BROUGHT MANY HEALTH SYSTEMS TO THEIR KNEES, AND IT CONTINUES TO EXPOSE AND EXACERBATE INEQUITIES THAT ALREADY EXISTED BETWEEN COUNTRIES, PEOPLE, AND ACCESS TO BASIC HEALTH SERVICES. IN 2023, CHAI CONTINUED TO SUPPORT COUNTRIES' LONGTERM RESPONSE TO COVID-19 AND STRENGTHEN HEALTH SYSTEM RESLIENCE TO PREPARE FOR FUTURE PANDEMICS.A CORE COMPONENT OF THIS WORK HAS BEEN STRENGTHENING ACCESS TO MEDICAL OXYGEN IN HEALTHCARE FACILITIES AND HOSPITALS IN LOW- AND MIDDLE-INCOME COUNTRIES THROUGH UPDATING INFRASTRUCTURE (I.E. BUILDING PRESSURE SWING ADSORPTION (PSA) PLANTS; SUPPORTING BEDSIDE DELIVERY OF LIQUID OXYGEN), KEEP OXYGEN EQUIPMENT UP AND RUNNING FOR ITS FULL LIFESPAN AND PROVIDING HEALTH WORKERS WITH THE RIGHT TOOLS, PROCESSES, AND PRACTICES TO SAVE LIVES.AT THE SAME TIME WE CONTINUE TO WORK ON THE DISEASE AREAS THAT WE HAVE FOCUSED ON FOR DECADES, INCLUDING HIV AND ADVANCED HIV DISEASE.FOR EXAMPLE, OUR WORK TO INTRODUCE AFFORDABLE, MORE PALATABLE HIV TREATMENTS FOR CHILDREN. THERE HAVE BEEN VAST IMPROVEMENTS IN PEDIATRIC HIV TREATMENT IN RECENT YEARS, INCLUDING THE RAPID DEVELOPMENT AND INTRODUCTION OF GENERIC PEDIATRIC DOLUTEGRAVIR TABLETS, WHICH DISSOLVE IN WATER AND TASTE LIKE STRAWBERRIES, DRAMATICALLY INCREASING CHILDREN'S ADHERENCE TO THEIR TREATMENT REGIMEN. CHAI IS WORKING WITH PARTNERS TO DRIVE THE DEVELOPMENT AND INTRODUCTION OF MORE GENERIC VERSIONS OF BEST-IN-CLASS CHILDREN'S MEDICATIONS.

  Expenses $112,926,895 · Grants $15,231,978

• WOMEN & CHILDREN'S HEALTH: SEE SCHEDULE O FOR CONTINUATIONWOMEN & CHILDREN'S HEALTH: WOMEN AND CHILDREN SUFFER THE GREATEST BURDEN FROM DISEASE GLOBALLY. CHAI HAS SIGNIFICANTLY INCREASED ACCESS TO RECOMMENDED TREATMENTS FOR DIARRHEA AND PNEUMONIA, THE LARGEST KILLERS OF CHILDREN UNDER FIVE; MADE CRITICAL VACCINES THAT PROTECT AGAINST CHILDHOOD ILLNESSES MORE AFFORDABLE; IS COMBATTING CHRONIC MALNUTRITION; AND IS DRAMATIALLY AND SUSTAINABLY REDUCING MATERNAL AND NEWBORN DEATHS AND ENSURING WOMEN HAVE ACCESS TO THE TOOLS THEY NEED TO SAFELY PLAN THER FAMILIES TO IMPROVE HEALTH OUTCOMES AND ECONOMIC WELLBEING.FOR EXAMPLE, WHEN CHAI BEGAN OUR DIARRHEA PROGRAM IN 2012, ONLY ONE-THIRD OF CHILDREN THAT NEEDED LIFESAVING ORAL REHYDRATION SOLUTIONS (ORS) RECEIVED IT. ZINC USAGE RATES WERE EVEN WORSE. THROUGH CHAI'S MARKET SHAPING WORK, WE HELPED REDUCE THE AVERAGE COST OF ZINC/ORS TREATMENT BY 42 PERCENT. WORKING WITH PARTNERS IN INDIA, KENYA, NIGERIA, AND UGANDA, WE ALSO INCREASED THE PERCENTAGE OF CHILDREN WITH DIARRHEA RECEIVING ZINC/ORS FROM LESS THAN ONE PERCENT TO 24 PERCENT.ANOTHER STRONG EXAMPLE IS CHAI'S WORK TO SAVE THE LIVES OF WOMEN AND NEWBORNS. CHAI HAS DEVELOPED AN INTEGRATED MATERNAL, NEWBORN, AND REPRODUCTIVE HEALTH STRATEGY THAT HAS CONTRIBUTED TO SUSTAINED AND SIGNFICANT REDUCTIONS IN DEATH IN COUNTRIES WHERE WE WORK. THIS APPROACH WAS FIRST PILOTED IN ETHIOPIA, BEFORE BEING TESTED AT SCALE IN NIGERIA, WHERE WE SAW A NEARLY 40 PERCENT REDUCTION IN MATERNAL MORTALITY AND A 43 PERCENT REDUCTION IN NEWBORN DEATHS IN A 12- MONTH PERIOD IN TARGET STATES OF NORTHERN NIGERIA. THE PROGRAM HAS BEEN ROLLED OUT MORE RECENTLY IN ZAMBIA AND UGANDA WITH SIMILAR RESULTS.

  Expenses $30,233,497 · Grants $7,313,068

• NON-COMMUNICABLE DISEASES: SEE SCHEDULE O FOR CONTINUATIONNON-COMMUNICABLE DISEASES (NCDS) SUCH AS HEART DISEASE, CANCER, CHRONIC RESPIRATORY DISEASE, AND DIABETES ARE THE LEADING CAUSE OF DEATH GLOBALLY, EXCEEDING ALL COMMUNICABLE DISEASE DEATHS COMBINED.IN ADDITION TO OUR NCD PROGRAM, WHICH SUPPORTS GOVERNMENTS TO STRENGTHEN AND IMPLEMENT THEIR NCD PREVENTION AND CONTROL STRATEGIES, CHAI IS PARTNERING WITH GOVERNMENTS TO STRENGTHEN CANCER CARE SYSTEMS BY SOLVING CRITICAL SYSTEMIC GAPS. WE BELIEVE BY WORKING IN CLOSE COLLABORATION WITH PARTNER GOVERNMENTS AND BY ANCHORING A SUITE OF TRANSFORMATIONAL INTERVENTIONS, WE CAN DRAMATICALLY IMPROVE SURVIVAL RATES OF CANCER PATIENTS IN LOW- AND MIDDLE-INCOME COUNTRIES. FOR EXAMPLE, OVER THE LAST FOUR YEARS, WE HAVE HELPED SHAPE GLOBAL MARKETS TO RAPIDLY EXPAND ACCESS TO HIGH-QUALITY TOOLS TO SCREEN AND TREAT CERVICAL PRE-CANCER, INCLUDING HUMAN PAPILLOMAVIRUS (HPV) TESTS AND THERMAL ABLATION DEVICES.

  Expenses $31,790,496 · Grants $3,027,802

• CHAI'S FOUNDING MISSION AND ULTIMATE GOAL IS TO HELP COUNTRIES CREATE HIGH-QUALITY, SUSTAINABLE HEALTHCARE SYSTEMS THAT PROVIDE UNIVERSAL HEALTH COVERAGE FOR ALL PEOPLE. TO ACHIEVE THIS, WE WORK WITH GOVERNMENTS TO STRENGTHEN NATIONAL FINANCING SYSTEMS, INCLUDING ESTABLISHING NATIONAL HEALTH INSURANCE PLANS, THAT CAN BE SUSTAINED FOR YEARS TO COME. WE ALSO HELP DEVELOP SYSTEMS TO EDUCATE HEALTHCARE PROFESSIONALS AT ALL LEVELS AND TO BUILD SUFFICIENT PHYSICAL INFRASTRUCTURE TO DELIVER HEALTH SERVICES. THROUGH THIS WORK CHAI HAS SUPPORTED GOVERNMENTS TO SECURE OVER US$4 BILLION FOR HEALTH SYSTEMS STRENGTHENING, IMPROVED DATA BASED DECISION MAKING, INCREASED SYSTEM EFFICIENCIES, AND REDUCED COSTS. CHAI HAS HELPED GOVERNMENTS SUSTAINABLY TRAIN AND DEPLOY THOUSANDS OF HEALTH WORKERS IN THE COUNTRIES WHERE WE WORK TO IMPROVE LIFESAVING CARE AND REDUCE GAPS IN THE HEALTH SYSTEM.

  Expenses $27,138,104 · Grants $1,798,909

• CROSS-CUTTING EXPERTS: CHAI WORKS WITH GOVERNMENTS AND COMPANIES AROUND THE WORLD TO FUNDAMENTALLY CHANGE THE ECONOMICS OF GLOBAL HEALTH. USING A HOLISTIC, BUSINESS-MINDED APPROACH TO SECURE LOWER PRICES FOR KEY COMMODITIES SUCH AS MEDICATION AND DIAGNOSTICS, IMPROVE LABORATORIES, AND CONNECT DECISION-MAKERS WITH THE HIGH-QUALITY EVIDENCE THEY NEED TO INFORM HEALTH POLICY IN LOW- AND MIDDLE-INCOME COUNTRIES, CHAI HELPS PATIENTS ACCESS THE CARE AND TREATMENT THEY NEED. OUR SCIENCE AND BUSINESS EXPERTS WORK ACROSS THE ORGANIZATION TO SUPPORT OUR PROGRAM AND COUNTRY TEAMS.CHAI WORKS ON BOTH THE SUPPLY AND DEMAND SIDES OF THE MARKET TO LOWER COSTS AND INCREASE AVAILABILITY OF THE BEST HEALTH PRODUCTS FOR LOW-AND MIDDLE-INCOME COUNTRIES. WORKING WITH THE PUBLIC AND PRIVATE SECTORS, WE HELP SHAPE MARKETS AND REALIZE SAVINGS FOR DRUGS, DEVICES, AND DIAGNOSTICS IN ALL AREAS OF OUR WORK. CHAI HAS NEGOTIATED OVER 140 GLOBAL AGREEMENTS TO LOWER THE PRICES OF CRITICAL MEDICATIONS AND OTHER HEALTH TOOLS BY 50-90 PERCENT. TWENTY-SEVEN MILLION PEOPLE LIVING WITH HIV HAVE BEEN REACHED BY ONE SUCH AGREEMENT LOWERING THE COST OF THE OPTIMAL HIV TREATMENT TENOFOVIR DISOPROXIL, LAMIVUDINE AND DOLUTEGRAVIR, A SAVINGS OF OVER $500 MILLION. THROUGH THE GLOBAL HEALTH SCIENCES TEAM, CHAI AIMS TO REDUCE COSTS, IMPROVE QUALITY, AND INCREASE ACCESS TO TREATMENT BY HELPING TO DEVELOP LESS EXPENSIVE AND MORE EFFECTIVE VERSIONS OF CRITICAL MEDICATIONS FOR ADULTS AND CHILDREN; DEVELOPING TECHNIQUES AND TECHNOLOGIES THAT ADVANCE OUR UNDERSTANDING AND MANAGEMENT OF DISEASES; AND IMPROVE PATIENT CARE. THIS WORK HAS HELPED ACCELERATE BY OVER TWO YEARS DEVELOPMENT, MANUFACTURE, REGULATORY APPROVAL AND COMMERCIALIZATION OF KEY PEDIATRIC HIV PRODUCTS, AND SAVED BILLIONS IN COSTS TO GOVERNMENTS FOR CRITICAL TREATMENTS. SEVERAL NEW PROGRAMS HAVE ALSO BEEN ADDED TO CHAI'S PORTFOLIO IN RECENT YEARS, SIGNIFICANTLY, CLIMATE CHANGE AND ASSISTIVE TECHNOLOGY.

  Expenses $4,282,854 · Grants $2,650,057

• INNOVATION

  Expenses $3,141,009 · Grants $215,785

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

• CATHOLIC RELIEF SERVICES - UNITED STATES CONFERENCE OF CATHOLIC BISHOPS

  $1,114,706

  HEALTH

• UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL

  $741,335

  HEALTH

• PATHFINDER INTERNATIONAL

  $563,520

  HEALTH

• ASSIST INTERNATIONAL INC

  $510,000

  HEALTH

• POPULATION SERVICES INTERNATIONAL

  $449,220

  HEALTH

• ENGENDERHEALTH INC

  $399,630

  HEALTH

• COUPA SOFTWARE INC

  $375,200

  HEALTH

• ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND DBA TULANE UNIVERSITY

  $346,050

  HEALTH

• JOHNS HOPKINS UNIVERSITY

  $230,599

  HEALTH

• LIFE TECHNOLOGIES CORPORATION

  $156,700

  HEALTH

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• CLINTON HEALTH ACCESS INITIATIVE CANADA

  HEALTH · CA · controlled entity

  Directly controlled by CLINTON HEALTH ACCESS INITIATIVE INC

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Provenance

Return type

form_990

Tax year

2023

Filed

14 November 2024

IRS schema version

2023v5.1

Source object

202443209349306079

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.