Clinton Health Access Initiative Inc

“William j. Clinton and chelsea v. Clinton have a family relationship. Business relationship: bruce lindsey, a board member of chai is employed by the bill, hillary and chelsea clinton foundation ("the foundation"), where both william j. Clinton and chelsea clinton serve as directors. Chai bylaws state that the board of directors governance structure shall consist of between 9 and 15 members, all of whom are elected by the board as a whole. Three of chai's current 13 board members also serve on the foundation's board.”

“During the fiscal year ended december 31, 2024, chai received a whistleblower report alleging potential conflicts of interest by employees in one of its country program offices. Chai promptly initiated an independent investigation led by international and local legal counsel, with assistance from forensic accounting specialists. The investigation substantiated the allegations. While the quality and appropriateness of the services rendered were deemed consistent with programmatic standards, chai management took immediate action to address governance and compliance risks. Measures implemented included: - termination of all contracts of implicated vendors and employees - restructuring of key roles within the affected country office - modifications to the corporate governance structure and strengthening of internal controls”

“Chai's senior finance manager and assistant controller collected and consolidated information after the annual statutory audit was completed. The return is prepared by an external accounting advisor. Chai's international controller, communications director, legal cousel and two officers review form 990, which is subsequently reviewed by the audit committee, which then makes a recommendation for approval to the board to either approve or reject the form. The board of directors receives a final copy via email before filing.”

“Interested persons must disclose any transaction or arrangement which results in a conflict of interest. Chai employees must diclose any conflict of interest to chai's ethics team, which reviews the disclosure and implements mitigation plans in consultation with leadership and chai's general counsel, in accordance with chai's new conflict of interest policy. Chai takes appropriate disciplinary actions with respect to any employee who has violated the conflict of interest policy. The board meets and reviews any conflict of interest related to chai leadership and takes appropriate disciplinary action with respect to any officers, key employees or committee members, and all others who are permitted to vote at board of director meetings.”

“The compensation of the ceo, other officers and senior management is determined by reviewing information concerning comparable salary levels for comparable positions at similar organizations. Their current compensation levels were determined in conjunction with the search firm's recommendations of market compensation which is comparable to their positions. The board of directors reviewed the proposed compensation levels and approved them. In 2024, the officers received cola adjustments which were applicable to all employees based on their base location.”

“The governing documents and financial statements are made available to the public upon request.”

“In this section we report an average of contracted hours. However, across the organization, many people in chai work an average of 50 hours per week.”

“Chai is a global health organization committed to saving lives and improving health outcomes in low- and middle-income countries by enabling the government and private sector to strengthen and sustain quality health systems. Chai was founded in 2002 with a transformational goal: help save the lives of millions of people living with hiv/aids. Today, along with hiv, we work with partners to prevent and treat infectious diseases such as covid-19, malaria, tuberculosis, and hepatitis; address non-communicable diseases such as cancer, diabetes, and hypertension; impact women's and children's health by accelerating the rollout of lifesaving vaccines, reducing maternal, infant, and child mortality, combating chronic malnutrition, and increasing access to women's health services. Chai is also working to increase access to assistive technology, address climate change in our work, and strengthen health systems. We operate in over 35 countries around the world and more than 140 countries have access to chai-negotiated deals on medications, diagnostics, vaccines, and other health tools.”

“The number reported on part i, line 5 reflects the number of people reported on form w-3. Chai employs 1,683 people around the globe.”

“Chai is an operating charity. Chai's staff directly implements programs and their salaries are dedicated to that work. Out of the total functional expenses of $80.9 million (other salaries and wages), $70 million (87 percent) are directly related to carrying out programs to save lives; $9.3 million (11 percent) are for general management and $1.6 million (2 percent) are directed to fundraising.”

“Chai's mission is to save lives and reduce the burden of disease. To do so with maximum impact, we choose to work in the regions of countries where the burden of disease is the greatest and most lives are being lost. These areas are often very rural and remote areas of countries, far from capital cities. Our work to support ministries of health to strengthen their health systems entails significant field work, to work alongside state, district and local health officials and health care workers and to train and mentor local health professionals such as doctors, nurses and community health workers. For maximum impact, these educational activities are often carried out onsite at district hospitals or primary health care centers. Costs associated with these trainings and meetings are included in this category as well as travel costs of mentors and program managers, and costs to collect data in the field to monitor and evaluate program effectiveness. Around 90 percent of chai's funding is dedicated directly to programs to save lives. In addition, chai has negotiated over 140 agreements that have dramatically lowered the price and increased the availability of drugs, diagnostics, vaccines and other health products in low-and middle-income countries. The travel associated with negotiations with companies around the world to negotiate these agreements is also included in this category.”