Thinkwell Institute

“In 2024, health systems insight (hsi) directors, trustees, officers, and key employees did not have any family relationship with any other director, trustee, officer or key employee. We acknowledge the following business relationships existed but made progress in resolving them. In 2024, dai hozumi also served as ceo of thinkwell, llc. In the same year, thinkwell llc employed three individuals as officers or key employees: matt boxshall, marie-jeanne offosse, and jennifer flinn at some point. Hsi's management removed the business relationship of matt boxshall and marie-jeanne offosse by making them direct employees of hsi (matt boxshall in may 2024 and marie-jeanne offosse in june 2024). Anne musuva was a hsi board director and was an employee of thinkwell kenya, a thinkwell llc affiliate but she resigned from the board membership in march 2024. Dai hozumi and jennifer flinn remained as employees of thinkwell llc throughout 2024, but their employment with thinkwell llc ended in march 2025. Thereafter, they were employed directly by hsi, and we have thus we successfully resolved any business relationship.”

“Filer continued in the filing year, as it had in prior tax years, to purchase management services from thinkwell llc 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.”

“The organization did not have any committees during 2024.”

“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.”

“Health systems insight's 2023 year form 990 (filed in august 2025), noted that vast board development efforts were undertaken in both the 2023 year and the first half of 2024 to reverse the organization having insufficient independent directors to manage its access of shared staff and services from its founder's company, thinkwell llc. The resulting revamped board is comprised solely of individuals independent of that llc. By such action, thinkwell llc's status as a "related organization" (due to it having been a "parent entity" of the filer under the form 990's applicable definitions) was severed in the 2024 year. The new board adopted a set of bylaws on july 16, 2024, which mandates that a conflict of interest policy be adopted. The policy adopted is applicable to officers, directors, members of committees of the board, and employees. It specifically defines conflicts of interest (including competing financial interests or fiduciary duties); requires that conflicts be disclosed; and requires that the conflicted person be recused from any decision-making with regard to the matter.”

“The organization made its governing documents, conflict of interest policy and financial statements available to the public upon written request.”