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      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus1YearAmt>470235</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>992397</CurrentTaxYearAmt>
        <TotalAmt>1462632</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus1YearAmt>457015</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>67664</CurrentTaxYearAmt>
        <TotalAmt>524679</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus1YearAmt>927250</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1060061</CurrentTaxYearAmt>
        <TotalAmt>1987311</TotalAmt>
      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>1987311</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>927250</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1060061</CurrentTaxYearAmt>
        <TotalAmt>1987311</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <First5Years509Ind>X</First5Years509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SETH SAEUGLING</PersonNm>
        <TitleTxt>CoFounder</TitleTxt>
        <BaseCompensationFilingOrgAmt>153816</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153816</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICHITRA JAGANNATHAN</PersonNm>
        <TitleTxt>CoFounder</TitleTxt>
        <BaseCompensationFilingOrgAmt>153940</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153940</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NAOMI MARSH</PersonNm>
        <TitleTxt>Dir Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>121872</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>121872</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed and approved by the governing body before submission.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization monitors compliance with its conflict of interest policy through an annual disclosure process. Each year, the board designated person distributes a Conflict of Interest Disclosure Form to all board members via PandaDoc. Each board member is required to complete and return the form by a set deadline. The board designated person collects all completed forms, reviews any disclosed conflicts with the Board Chair, and provides a summary to the Board Chair for presentation at the next board meeting. All disclosed conflicts and any resulting board decisions including recusal requirements or other corrective steps are documented in the official board meeting minutes. Completed disclosure forms are stored in the organizations Google Drive.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>ROI previously engaged an independent third-party talent consultant to conduct compensation benchmarking for the organizations leadership roles. The consultant provided a written report with comparability data reflecting market rates for similar positions at comparable nonprofit organizations. This process was used to inform the boards compensation decisions and is documented in the consultants report on file with the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>ROI previously engaged an independent third-party talent consultant to conduct compensation benchmarking for the organizations leadership roles. The consultant provided a written report with comparability data reflecting market rates for similar positions at comparable nonprofit organizations. This process was used to inform the boards compensation decisions and is documented in the consultants report on file with the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 availability to public Part VI line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 available to public, upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents available to the public, upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in net assets is due to transition from Fiscal Agent who had custody.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other fees detail on file with the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Other expenses detail on file with the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Every year, we get a team of 4-6 graduate students from the UNC Gillings School of Global Public Health, which is the number one public health school in the country. Each Capstone project typically involves between 1,200 to 1,500 hours of graduate-level work. On the open market, this level of consulting and technical assistance could be valued between $150,000 and $250,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>