2024-11-14T17:23:49-07:00 2023-12-31 990 2023-01-01 550909719 HEALTH THROUGH WALLS INC HEAL 7865253200 12555 Biscayne Blvd Suite 955 North Miami FL 33181 Mark Andrews Treasurer 7865253200 2024-10-29 1 2023 2024-10-15 13:58:12Z John P May 13240 North Bayshore Drive North Miami FL 33181 5142824 0 X www.healththroughwalls.org X 2005 FL HtW was created to assist prisons in resource-poor countries test, treat and control the spread of contagious diseases such as HIV/AIDS, TB, Cholera, COVID-19, STIs and other emerging infectious diseases; to implement programs to eradicate malnutrition in prisons; to establish a Health Promotion Peer Education program in prisons; to modernize systems to identify contagious diseases and to implement skills training programs so that prisoners can develop a skill to use once they are released from prison. Our focus is on key populations, affected family members/sex partners and the communities in which they live. At inception, HtW was the only NGO dedicated to providing care to the prison population. 15 15 0 30 0 0 5407165 5142824 0 0 0 0 0 0 5407165 5142824 0 0 0 0 0 0 0 0 0 5106326 5328527 5106326 5328527 300839 -185703 5724971 5724971 5142824 5328527 582147 396444 HtW was created to assists prisons in resource poor countries test treat and implement measures to control and stop the spread of contagious diseases such as HIV/AIDS, other STI's, TB, Cholera, COVID-19 and other emerging infectious diseases and also to implement programs to eradicate malnutrition and provide skills training to prisoners. HtW focus is on key population affected family members and sex partners and the communities in which they live. At inception HtW was the only NGO dedicated to the care of the prison population. HtW also operates an outpatient clinic providing medical services to the poor and to released prisoners family members and sex contacts. 0 0 1916836 1968262 22415 HIV/AIDS Assistance for Prisons in Haiti objective is the control and prevention of the spread of contagious diseases in Haiti's 17 prisons. Haiti's prisons do not have a sustainable system of care and HtW through funders help to fill in many gaps that exists to prevent neglect of care of the upwards of ten thousand inmates incarcerated there and eventual death of those who are sick or who contract a deadly disease while incarcerated. HtW has over 130 full time staff including doctors, nurses, laboratory technicians, counselors, radiographers and psychiatrists who work at all locations throughout the country, in the East, North, West and South. HtW is charged with setting up a sustainable system of care providing sanitation for all the prisons and creating a clean working environment for the officers and health care workers and a healthy living environment for the prisoners. HtW implemented a WASH program to ensure clean water for drinking, cooking and showering. 722950 628350 101144 Impact Against TB and HIV is a project formed in collaboration with the Global Fund. These funds allow us to increase and improve prevention, screening and testing of HIV/AIDS and TB in 5 additional prisons in Haiti. These prisons are located outside of the metropolitan area. We also provide care and treatment services for all prisoners indentified as TB+ and HIV+. This program allows us to screen for MDRTB and negotiate and set up isolation areas for those identified. HtW is charged with renovation of prison medical offices and replacing destroyed equipment, development of a hospital ward at the PCPP-M, recruiting and training medical staff for facilities without staff, training Health Promoters and a peer education program in all the prisons. 598868 578480 25922 Klinik Solidarite was formed from an alliance with AIDS Healthcare Foundation to provide medical and laboratory services to released prisoners infected with HIV or TB, their affected family members, their sex partners and anyone else infected in the communities where they live. Klinik Solidarite also care for women who were physically abused and abandoned or orphaned children. The clinic has its own lab and clinicians, and it is located in Bourdon, Haiti. 1110307 1035106 129145 The Strengthening Haitian Activities in the Prison Environment (SHAPE) is funded by International Narcotic Law Enforcement (INL). This Task Order is implemented by Health through Walls, Inc, with two (2) subcontractors University of Florida and Emory University. The project is to assist the Haitian National Police's capacity and ability to meet the health needs of persons in Haitian prisons; improve the HNP's capacity to meet the nutritional needs of the Haitian prison population; provide the HNP with the tools to sustain the improvements in structure, sanitation and facilities made as a result of this project. 34027 49000 34027 Project ECHO: Ending HIV in Prisons is a collaboration with the Project Echo program, funded by Gilead Foundation that seeks to create a two-pronged Project ECHO learning platform in correctional settings of resource-poor countries to engage prisons systems to share best practices and learn strategies for managing, preventing, treating and ending the HIV epidemic in prisons. This free program will provide virtual training programs to both correctional clinicians and provide peer education programming to incarcerated persons with the objective to reduce new HIV infections and the eventual end to the HIV epidemic. Prisons in resource poor countries face many challenges in delivering adequate health services. The prisons often have extreme conditions of overcrowding, lack of sanitation, safety hazards, poor nutrition, and little access to health professionals. These are often the same countries with the highest prevalence of HIV infection. The ramifications of failing to identify or prevent or properly manage HIV infections pose a threat to the entire prison population, staff, visitors, and community. Incarcerated persons are a key population often missed by traditional HIV programs. HtW also has a joint program with Gilead Foundation to provide HIV management and care services in the prisons in Jamaica, Haiti and Dominican Republic. 47520 112277 32520 This project aims to deliver an integrated model of care that includes the strengthening of TB and HIV identification and treatment and screening and treatment of other illness in two Bangui prisons, namely Ngaragba and Bimbo prisons. Services will be delivered by Amici per il Centrafrica (Amici) and Health through Walls (HtW) in conjunction with the existing health and prison administration within the Central African Republic prisons and national strategic plans for health in prisons. One of the aims of this integrated partnership is to build capacity. The newly commissioned services will be integrated within the health program and include the identification, treatment, health promotion/education, and community referral (when discharge from prison occurs) for TB, HIV, malnutrition, fungal disease, skin conditions, hypertension, diabetes, chronic respiratory disease, cardiovascular diseases, and mental illness. To enhance the TB program, digital interventions are proposed. These include annual digital chest x-ray screenings, artificial intelligence (AI) for rapid x-ray interpretation, and implementation of an electronic patient management system. This project will be aligned with current partners to support the existing work being done in C.A.R. Monitoring and evaluation will help build capacity to meet the holistic health needs of the incarcerated population. 414951 190178 224773 EMERGENCY CHOLERA RESPONSE IN PLACES OF DETENTION IN HAITI. On October 2, 2022, the national authorities reported two confirmed cases of Vibrio Cholerae Port-au-Prince. This was the beginning of the rapid spread of the disease throughout the country not unlike the first appearance a decade earlier. In less than a week there were more than 50 cases and 35 deaths in the West and Central Plateau. Two days after the first confirmed case, on October 4, 2022, cases of cholera were suspected at the Prison Civile of Port-au-Prince (PCPP), the country's the largest prison in Haiti holding an average of over 4000 prisoners daily. Within two weeks, there were 944 cases and 22 deaths at the PCPP. Haiti has 18 places of detention and approximately 11,697 inmates in its facilities. Because of this rapid spread HtW requested support from international agencies to stop the spread. Immediate programmatic, material, and financial support was provided to various degrees by AHF, ICRC, INL, and USAID. HtW worked with the MOH and the DAP to set up processes for identification, isolation, treatment, and care. It took some work to establish the treatment center (TCAD) since it was already being used for something else. The biggest obstacle was adequate space to house patients, there is no triage space in several prisons, and it was necessary to transform a prison cell into a triage room or erect tents to quarantine the infected. HtW, the DAP, the MOH, ICRC and INLE strategized weekly approaches to curb the spread of the disease and minimize deaths. The project began November 1st, 2022, and ended on March 31st, 2023, and was funded by the International Committee of the Red Cross. 88326 83141 12201 General Fund: Used to buy medication and provide support for delivery of food and other HIV/essential services in resource poor countries. 394742 443030 0 Our project in Partnership with STOP TB/TB Reach is to deliver an integrated model of care that includes the strengthening of the TB care cascade, and the identification, treatment and support for persons with TB and DR-TB In three prison locations. The integrated service called CIPMATOD will be delivered and be enabled by embedding with existing health and prison administration services within Mozambique. The rationale for the Integrated partnership model is to build capacity in existing services offered to incarcerated persons and to provide additional health services. The newly commissioned services will be integrated within TB programs and include the identification, treatment, health promotion/education, and community referral (when discharge from prison occurs) for HIV/AIDS, syphilis, diabetes, chronic respiratory disease, cardlo-vascular disease, mental illness, skin conditions, and malnutrition. The establishment of an ISD model is anticipated to have positive impacts on TB treatment outcomes by focusing on a holistic and comprehensive approach. The integration of TB and HIV services provides an opportunity to address the burden of TB/HIV. The positive outcomes of service integration are to enhance efficiency, quality of care and patient satisfaction. Establishing an ISD will support the effective implementation of the Stop TB Strategy, improve HIV prevention and care, and improve health outcomes. Our service model incorporates the development of communities of clinical practice (Project ECHO) and provides training and deployment of peer educators in prison. The digital interventions include annual digital chest x-ray screenings, and artificial Intelligence (AI) for rapid x-ray readings for staff or persons with active disease released from prison during treatment. The Everwell Hub and SureAdhere patient management system will also be employed to support exceptional multi-disciplinary work, enhance medication compliance with DOT and VDOT. Some of our clinical interventions Include a medical history, screening questionnaire for TB, mental illness and depression screening, vital signs with weight and pulse oxlmetry, chest x-ray, point-of-care testing for HIV and syphilis and diabetes, and physical examination. 0 55000 55000 This project STORC project in conjunction with the Bill & Melinda Gate Foundation is a research endeavor into testing the specificity and sensitivity of tongue swabs to detect TB diseases in the absence of a sputum specimen. Health through Walls Inc. will work closely with the PI from Emory University to identify strategies for the execution of the overall research project. The Chief Executive Officer will travel to Manica Province in Mozambique to help the health service of Mozambique Prison System (SERNAP) oversee the TB screening Blitz in December 2023. HtW will provide stipends to clinical staff in order to have sufficient staffing for the screening blitz. Funds will also support transport of testing supplies and equipment, such as the portable x-ray machine. HtW will provide expertise and leadership in ensuring that the program of work is delivered to time, quality, and budget. 2089873 1967732 487666 5328527 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 CT HA JM 0 0 0 0 0 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X Mark Andrews 7865253200 12555 Biscayne Blvd Suite 955 North Miami FL 33181 Karine Duverger Chief of Party 55 0 X 207000 0 0 Ivan Calder CEO 50 0 X 109600 0 0 Mark Andrews Programs Director 40 0 X 85280 0 0 John P May President 20 0 X 48000 0 0 Pierre Dorsainvil Director 0 0 X 0 0 0 Ned Heltzer Director 3 0 X 0 0 0 Johnnie Lambert Director 0 0 X 0 0 0 Ana Viamonte Ros Director 0 0 X 0 0 0 Peter Severin Director 0.5 0 X 0 0 0 Sarita Alexander Director 1 0 X 0 0 0 Greg Ullman Director 2 0 X 0 0 0 Pedro Das Neves Vice President 0.5 0 X 0 0 0 Wendy Hoey Vice President 0.5 0 X 0 0 0 Maria Kersanach Director 0.50 0.00 X 0 0 0 Sylvester Uhaa Director 0.5 0 X 0 0 0 449880 0 0 2 0 1 0 Karine Duverger 12555 Biscayne Blvd S 955 North Miami FL 33181 Ms. Duverger is the Chief of Party for our location in Haiti. She manages 6 portfolios and 120 staff 207000 Ivan Calder 12555 Biscayne Blvd S 955 North Miami FL 33181 The CEO is responsible for overseeing the operations, finances, of the organization 109600 2 0 0 0 0 3003368 2139456 28000 5142824 0 0 0 0 0 0 0 5142824 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Health Assistance to Haitian Prisoners 1916836 1916836 0 0 Investing for Impact Against TB and HIV 722950 722950 0 0 Klinik Solidarite 558924 558924 0 0 Emergency Cholera Response in Places of Detention in Haiti 414951 414951 0 0 1714866 1714866 5328527 5328527 0 0 582147 582147 0 0 5142824 5142824 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5724971 5724971 5142824 5328527 0 0 0 0 0 0 0 5142824 5328527 X 12201 7017 569946 389427 582147 396444 5724971 5724971 -185703 0 0 0 0 0 X 1 X 0 1 1 1 X 2529104 2682185 3637727 5407165 5037727 19293908 0 0 0 0 0 0 0 0 0 0 2529104 2682185 3637727 5407165 5037727 19293908 19293908 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19293908 1 1 X Schedule A, Part I, Line 7 HtW received almost 100% of its support from governmental organization and the general public. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED Central America and the Caribbean 1 130 Program Services HtW provide quality HIV prevention and TB prevention services including testing and treatment services for prisoners. The common modality for this intervention is the medical blitz, where TB and other STIs are screened. HtW maintains maintain key health services in five prisons including the Prison Civile de Port-au-Prince, Prison Cabaret, Prison Civile Hinche, Prison Civile de Cap Haitian and Prison Civile Les Cayes, and expand HIV and related health services to Prison Civile de Jacmel, Prison Civile de Mirebalais, Prison Civile Saint-Marc, Prison Civile Port-de-Paix, Prison Civile de la Croix des Bouquets and Prison Civile de Fort Liberte. HtW provides HIV prevention, testing and treatment service to the sexual partners and families of HIV infected prisoners, to former prisoners, and within communities where large numbers of HIV+ individuals. HtW fund projects in Haiti, the Dominican Republic and Jamaica 4803939 Sub-Saharan Africa 1 3 Program Services Improve health assessment, treatment, and delivery of care to the population infected with TB and other health issues within two prisons in Bangui - Ngaragba and Bimbo prisons and create or improve upon a referral system for released prisoners infected with HIV or TB. These screening methods will include the use of AI to improve efficiencies in results reporting. 47520 Middle East and North Africa 1 20 Program Services HtW implement innovative approaches to increase the number of people diagnose and treated for tB and HIV and other tropical diseases using AI and other technologies; decreasing the time to dispense treatment and improve treatment success rates at the prisons in Malawi and Mozambique. 404742 3 153 5256201 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 Karine Duverger Chief of Party 207000 0 0 0 0 0 0 0 0 0 207000 0 0 0 Ivan Calder CEO 109600 0 0 0 0 0 0 0 0 0 109600 0 0 0 Mark Andrews Programs Director 85280 0 0 0 0 0 0 0 0 0 85280 0 0 0 John P May President 48000 0 0 0 0 0 0 0 0 0 48000 0 0 0 Schedule J, Part I, Line 3 At the annual general meeting, the board of directors review and vote on the CEO's compensation. This process typically involves basically two steps: The Board evaluates the CEO's performance and compensation package. They may consult with compensation consultants to ensure the package is competitive and aligned with industry standards. Performance Metrics: The committee assesses the CEO's performance against predefined metrics, including financial performance, strategic achievements, and other key performance indicators. Board Approval: After reviewing any recommendations, the board of directors vote on the final compensation package. This structured approach helps ensure that the CEO's compensation is fair, competitive, and aligned with the company's goals. X 12 24000 monthly rent X Airline miles 200000 2000 .10/mile X Toiletries 6000 2000 market value 0 0 1 0 Schedule M, Part I, Line 16 Rental Office Space: Office space is donated by AIDS Healthcare Foundation at their regional offices in downtown Ft. Lauderdale. The estimated cost is $2,000.00/month. The office has 2 rooms and a storage room. It also includes internet access and utilities. Form 990, Part VI, Section A, Line 2 The president and the Secretary are spouses. Form 990, Part VI, Section B, Line 11b Form 990 is emailed to all board members for review and given a set period of time for questions. Reponses are provided once the questions are received. Then members vote on accepting the 990. Form 990, Part VI, Section B, Line 12c The conflict of Interest is reviewed at our annual BOD meeting and Directors sign the provided document stating if they have a conflict or if they are compliant. Form 990, Part VI, Section B, Line 15 CEO: The CEO's compensation is voted on by the board and is reviewed annually in a session organized without the CEO. Chief of Party's compensation is determined by the donor's set pay scale for the position he/she holds. Secretary/Treasurer in the position as program director, compensation is determined by the donor's set pay scale for the position. 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 request during the tax year. Form 990, Part IX, Line 24e Test & Treat Phase 3 - Dominican Republic. Expenses: $34,027.00 SHAPE Project - Haiti. Expenses: $1,110,307.00 Using AI to identify TB - Mozambique: Expenses: $394,742.00. Improving Health Assessment & Treatment - Central African Republic. Expenses: $47,520.00. Individual Donation/President Fund. Expenses: $88,325.00 The filing is not late. An extension was requested and received.