2025-08-12T11:35:41-07:00 2024-09-30 823726482 Rising Sun Accounting PO Box 25726 Seattle WA 98165 990 2023-10-01 461318242 PRONTO INTERNATIONAL PRON 2067550044 5419 Greenwood Ave N Seattle WA 98103 Heidi Breeze-Harris Executive Director 2067550044 2025-04-03 1 1 Marci Nakano P02473205 2063543920 2025-04-03 2023 2025-03-06 01:10:19Z Heidi Breeze-Harris 5419 Greenwood Ave N Seattle WA 98103 494479 0 X prontointernational.org X 2013 WA PRONTO International aims to optimize care during birth. We develop and implement innovative training strategies for health care providers that act as a catalyst for individual, team, and system change. 4 4 2 4 0 0 425034 473074 0 0 841 9178 1206 -1090 427081 481162 0 0 0 0 306624 270753 0 0 21660 355834 296876 662458 567629 -235377 -86467 1000904 882427 71315 39015 929589 843412 PRONTO International aims to optimize care during birth. We develop and implement innovative training strategies for health care providers that act as a catalyst for individual, team, and system change. 0 0 432825 0 0 In 2023-24, PRONTO International concluded several key global partnerships and expanded its U.S.-based work, applying lessons learned from our international programs to strengthen maternal and newborn health initiatives across diverse contexts. Global Project Closures and Contributions: PRONTO completed two major USAID-funded projects: In Mozambique, PRONTO concluded a five-year engagement as a subawardee of FHI360 under the Alcancar Project, which focused on simulation training and sustainability in the Nampula and Zambezia provinces. In addition to the required close-out processes, PRONTO submitted a detailed cost analysis, sustainability recommendations in a comprehensive manual, and multimedia assets-including film, audio, and webinars-to support local advocacy. All materials were delivered in both English and Portuguese. In Niger, PRONTO closed out its participation in the Kulawa Project as a subawardee of Save the Children. Additionally, in Kenya, PRONTO supported Dr. Patience Afulani on her NIH-funded research studying the impact of training on provider burnout. In India, PRONTO continued its support for midwifery education and in-service simulation trainings with local medical colleges. Bringing Global Lessons to U.S. Maternal Health Initiatives: In 2023-24, PRONTO deepened its U.S. engagement, bringing simulation-based training and teamwork strategies from global settings to address maternal health needs domestically. Utah: Project INSPIRE- In partnership with the University of Utah, PRONTO continued its involvement in Project INSPIRE (Interprofessional Simulation Program for Clinical Resilience and Empathy), focused on caring for pregnant individuals with substance use disorders (SUD). Building on findings from Aim 1, PRONTO is helping to develop a comprehensive training package (Aim 2) that includes high-fidelity simulations, teamwork and communication exercises, and case-based learning to address stigma, bias, and respectful care. PRONTO Master Trainers-experienced across both U.S. and global settings-are facilitating 2-5 day train-the-trainer sessions for University of Utah staff and rural hospital clinic champions. PRONTO also supplies all simulation materials, including PartoPants and PRONTOPacks. New Jersey: Midwifery Preceptor Training Pilot-In partnership with Rutgers University and the University of Utah, PRONTO piloted a new curriculum to strengthen midwifery preceptorship through two training events. The program integrates the concept of an educational time out and includes simulation supplies, adapted curriculum, training teams, and remote coaching. The collaboratively designed training aims to increase New Jersey-based midwives' confidence and effectiveness as preceptors, particularly during high-stress clinical events. New Hampshire: Interprofessional Training for Maternity Deserts-Collaborating with the Northern New England Perinatal Quality Improvement Network, the STONE program, Dartmouth Hitchcock, and the University of Utah's LIFT Lab, PRONTO adapted its PRONTOStat curriculum and built a train-the-trainer package for EMS and Emergency Department teams responding to maternal and neonatal emergencies in maternity deserts. PRONTO co-designed the training with local partners and facilitated an interprofessional training in Concord, NH, while also assessing feasibility and acceptability for future scale-up. Washington State: Smooth Transitions Initiative-In its home state, PRONTO partnered with Smooth Transitions, an initiative focused on interprofessional training to improve transfers from licensed midwives to hospitals. PRONTO adapted its PRONTOStat curriculum to reflect the local context and conducted two joint trainings in Lacey and Bellingham with midwives, EMS, and fire department partners. The process was documented to assess feasibility and inform potential statewide expansion. 0 0 0 . 0 0 0 432825 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 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 1 8 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1 0 0 X Heidi Breeze-Harris 2067550044 5419 Greenwood Ave N Seattle WA 98103 Heidi Breeze-Harris Executive Director 40 0 X 137221 0 0 Dilys Walker Board President 5 0 X X 0 0 0 Susanna Cohen Board Secretary 5 0 X X 0 0 0 Cindy Anderson Board Treasurer 5 0 X X 0 0 0 Marc Auerbach Board Member 2 0 X 0 0 0 137221 0 0 1 0 0 0 0 0 0 0 0 5370 467704 0 473074 0 9178 0 0 9178 0 0 0 0 0 0 0 0 0 0 0 0 0 12227 13317 -1090 -1090 0 0 0 481162 -1090 0 9178 X 142293 78778 52132 11383 105665 87900 9312 8453 22795 12409 8562 1824 461 461 7181 7181 175994 161456 14538 27117 17451 9666 2119 298 1821 10481 10466 15 63255 63255 386 386 1918 1918 7964 426 7538 567629 432825 113144 21660 684596 741329 251660 117012 29685 555 25481 13217 3250 6000 9588 5274 6232 4314 1000904 882427 71315 39015 71315 39015 X 715064 827907 214525 15505 929589 843412 1000904 882427 X -86467 0 0 0 290 0 X 0 0 0 X 750205 916074 1218437 425034 473074 3782824 750205 916074 1218437 425034 473074 3782824 128895 3653929 2 0 3595 841 9178 13616 3796440 69461 0.96246 0.96870 X Schedule A, Part III, Line 1 The organization changed its accounting period in 2022 from calendar year to a September 30th fiscal year-end. The 2022 column includes the full fiscal year (October 1, 2022 through September 30, 2023). Contributions reported in the short-year filing (Jan 1, 2022 - Sept 30, 2022) are included in 2021 and all previous years are January 1 - December 31. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 9588 5274 4314 0 0 0 0 4314 South Asia 0 1 Program Services PRONTO continues to develop opportunities for the sustainable implementation of simulation and team training in midwifery and in-service settings in various states in India. 131368 Sub-Saharan Africa 0 0 Program Services PRONTO worked in Mozambique to bring simulation and team training in the management of maternal and neonatal emergencies to the frontline clinical providers who need the practice the most. We deployed our train-the-trainer model to ensure sustainability. We also used simulation and team training as a method for introducing new technology and guidelines into practice to help clinical providers fill the know-do gap in their training vs. their actual practice. 208813 0 1 340181 0 0 0 0 0 0 Schedule F, Part I, Line 3 The expenditures reported on Schedule F, Part I, Line 3 are on the accrual basis of accounting. Form 990, Part I, Line 6 There were four uncompensated board members who served during the 23-24 Fiscal Year. Form 990, Part VI, Section A, Line 8b PRONTO International does not have any board committees or subcommittees. Form 990, Part VI, Section B, Line 11b A draft of the form 990 is reviewed by the paid preparer, as well as an outside CPA firm and the Executive Director. It is then provided to all board members via email prior to submitting the return with the Internal Revenue Service. Form 990, Part VI, Section B, Line 12c Annually, every board member is required to complete a conflict of interest questionnaire. If a potential conflict of interest arises, it is reviewed by the disinterested board members who then determine if an actual conflict of interest exists. If a conflict of interest does exist, the governing board shall determine by majority vote of the disinterested directors whether the transaction or arrangement is in PRONTO International's best interest, and whether it is fair and reasonable. Form 990, Part VI, Section B, Line 15 The compensation for the Executive Director is set by the board of directors, all of whom are independent, using data on compensation rates for comparable positions. This process was last undertaken in 2024. There are no other paid officers or key employees. Form 990, Part VI, Section C, Line 19 PRONTO International's governing documents, conflict of interest policy, and financial statements are available upon request. In addition PRONTO International's Form 990's are available on public websites such as candid.org. Form 990, Part IX, Line 11g Program Sustainability-$89,232; PRONTO Trainers-$39,610; Training & Implementation-$39,729; Translation Services-$7,139; Advertising/Marketing-$284 Form 990, Part XI, Line 8 Reconciling adjustment from prior year net assets balance.