2026-07-15T11:21:12-07:00 2025-12-31 990 2025-01-01 550909719 HEALTH THROUGH WALLS INC HEAL 7865253200 12555 Biscayne Blvd Suite 955 North Miami FL 33181 Mark Andrews Treasurer 7865253200 2026-07-02 2025 2025-03-06 01:10:19Z John P May 12555 Biscayne Blvd 955 North Miami FL 33181 3914642 0 X www.healththroughwalls.org X 2005 FL HtW's mission is to strengthen health systems and improve the well-being of incarcerated and marginalized individuals be delivering equitable, evidence-driven care. we leverage innovative technologies, including artificial intelligence and integrated electronic health records, to expand access to HIV, TB and primary health services; enhance clinical decision-making; and ensure continuity of care across facilities and communities. Through compassionate engagement, rigorous compliance, and strategic partnerships, we empower health teams, advance human dignity and build sustainable pathways to healthier futures. At inception, HtW was the only NGO dedicated to providing care to the prison population. 13 13 0 50 0 0 3672362 3914642 0 0 0 0 0 0 3672362 3914642 3311680 0 0 0 555744 0 0 0 0 9368 4347377 3876792 4347377 -204430 -432735 4059092 4059092 3914642 4347377 144450 -288285 X 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 incorporates the use of A.I technologies to speedily identify diseases and Electronic records to manage them once they are identified. 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. 1 1 947701 134870 129563 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. Success of the HAP Program: Universal HIV Screening & Early Detection: The HAP program has been one of Haiti's most successful prison based health initiatives because it achieved something rare in correctional settings: consistent, system wide HIV screening. * Routine entry screening, mass campaigns, and provider initiated testing dramatically increased case detection. * In several facilities, screening coverage reached 80-100% of the incarcerated population. * Early detection reduced late stage presentations and improved treatment outcomes. This level of coverage is exceptional in low resource prison systems. 2. Reliable Access to ART & Continuity of Care Before HAP, incarcerated people often went months or years without access to antiretroviral therapy. The program changed that. * ART became consistently available in all 17 prisons. * Treatment interruptions dropped sharply. * Viral suppression rates improved because patients were initiated quickly and monitored regularly. * HAP established discharge planning, ensuring people leaving prison were linked to community clinics. Continuity of care is one of the strongest indicators of program success. 3. Integration of TB/HIV Services Haiti's prisons have some of the highest TB rates in the region. HAP's integration of HIV and TB services has been a major achievement. * Co infection screening became routine. * TB treatment and DOTS were strengthened. * Staff were trained to identify TB symptoms early and refer appropriately. This integration reduced mortality and improved case management for the most vulnerable patients. 4. Strong Peer Educator Network One of HAP's most innovative and successful components is its peer educator model. * Incarcerated individuals were trained to deliver HIV education, support adherence, and reduce stigma. * Peer educators became trusted messengers, increasing program reach. * This model improved health literacy and created a culture of support inside facilities. Peer led programming is widely recognized as a best practice in prison health. 5. Reduction in Stigma & Increased Health-Seeking Behavior HAP's education campaigns - posters, group sessions, peer outreach - significantly reduced stigma around HIV. * More people voluntarily sought testing. * Patients were more willing to start and continue ART. * Staff attitudes toward HIV care improved. This cultural shift is one of the program's most important long term successes. 6. Strengthened Health Workforce & Training HAP invested heavily in training prison nurses, physicians, and administrative staff. * Staff became proficient in HIV testing, counseling, ART management, and confidentiality protocols. * Facilities developed stronger internal capacity rather than relying solely on external partners. This workforce development is a major sustainability win. 7. Data Systems & Monitoring Improvements Even before EHRs, HAP improved record keeping and reporting. * Standardized registers and monitoring tools were introduced. * Facilities began tracking HIV indicators more consistently. * Data quality improved, enabling better planning and donor reporting. As you move toward AI supported EHRs, this foundation becomes even more valuable. 8. Alignment With National HIV Strategy HAP's success is partly due to its alignment with MSPP and PEPFAR priorities: * Provider initiated testing * Rapid linkage to ART * Differentiated service delivery * Community continuity of care This alignment ensured strong government support and long term donor investment. 9. Impact on Public Health Beyond Prison Walls Because thousands of people cycle in and out of Haiti's prisons each year, HAP's success has broader public health implications: * Reduced community transmission * Better linkage to care post release * Improved national HIV case management Prison health is community health - and HAP strengthened both. Concise Summary The HAP program succeeded because it delivered consistent HIV screening, reliable ART access, integrated TB/HIV care, peer led education, strong staff training, and improved data systems across Haiti's prisons. It reduced stigma, improved treatment outcomes, and strengthened national public health efforts. 641235 641977 628 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. 2030758 2057971 376 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. Since the closure of USAID, AHF have doubled its funding in Haiti, helping to stave off hunger, starvation and death. 19123 0 19123 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. This program ended in 2025. 50707 6600 44107 Screening, Testing and Treating in C.A.R. 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. 56113 101179 0 General Fund: Used to buy medication and provide support for delivery of food and other HIV/essential services in resource poor countries. -422 48924 -49346 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. This project ended in 2025. 602162 923121 0 Closing thegap in TB, HIV & Malaria Care for Haiti's Prisons and Community. To bridge this gap and lay the ground for a more robust response to HIV, TB and Malaria, complementary interventions are urgently needed especially in 6 prisons not covered by current Health Programs. Our intervention will be mainly concentrated among detainees, released prisoners, and their families who form the most vulnerable and most at-risk population groups as a continuum linkage of care from the prisons to the community to address the Gap in Tuberculosis, Malaria, and HIV in a patient centered gender approach. Our overarching goal is to establish an integrated healthcare program aimed at enhancing access to comprehensive TB, HIV, and malaria care within Haiti's prison system while extending these vital services to the communities, and family members of incarcerated individuals. The project seeks to bridge the healthcare gap by ensuring equitable access to quality medical services and education and reducing the prevalence and impact of these diseases among incarcerated persons and the community. Our direct beneficiaries will be the incarcerated persons in a primary place, and correctional agents in all 17 prisons where HtW is implemented its Health services. Persons deprived of liberty (PDL) are part of key populations with specific needs. HIV, Syphilis, other STIs, Malaria, and TB are of major concern for people detained in prisons and other closed settings. Haiti's prisons are among the most overcrowded in the world. Overcrowding contributes to the spread of infectious diseases through various pathways. 727683 1079824 13884 4347377 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 HA 0 0 0 0 0 0 X 13 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X Mark Andrews 7865253200 12555 Biscayne Blvd Suite 955 North Miami FL 33181 Karine Duverger Chief of Party 45 0 X X 30000 0 0 Ivan Calder CEO 45 0 X 22000 0 0 Mark Andrews Programs Director 40 0 X 15500 0 0 Jessica Roquemore Ms. 28 0 X 9235 0 0 John P May President 15 0 X 8000 0 0 Edwin Prophete Dr. 40 0 X 6800 0 0 Maritza Cine Human Resource Manager - Haiti 36 0 X 5000 0 0 Pierre Dorsainvil Director 0.05 0 X 0 0 0 Ned Heltzer Director 0 0 X 0 0 0 Johnnie Lambert Director 0.05 0 X 0 0 0 Ana Viamonte Ros Director 0.05 0 X 0 0 0 Greg Ullman Director 0.05 0 X 0 0 0 Pedro Das Neves Vice President 1 0 X 0 0 0 Wendy Hoey Vice President 1 0 X 0 0 0 Sylvester Uhaa Director 1 0 X 0 0 0 Dorin Muresan Mr 1 0 X 0 0 0 Daryl Bhurney Mr 1 0 X 0 0 0 Sarah Alexander Ms 0 0 X 0 0 0 Elizabeth Gondles Dr 0.5 0 X 0 0 0 96535 0 0 0 0 0 0 0 0 0 0 0 825771 3088871 0 3914642 0 0 0 0 0 0 0 0 0 0 0 3914642 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 0 0 0 Health Assistance to Haitian Prisoners 947701 947701 0 0 Project ECHO 19123 19123 0 0 Investing for Impact against TP & HIV 641235 641235 0 0 All Other Program Expenses 2739318 2739318 0 0 0 0 0 0 4347377 4347377 0 0 144450 144450 0 0 3914642 3914642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4059092 4059092 3914642 4347377 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3914642 4347377 X 0 45066 144450 -333351 144450 -288285 4059092 4059092 -432735 0 0 0 0 0 X 1 X 1 1 1 1 X 3637727 5407165 5037727 3672361 3914642 21669622 0 0 0 0 0 0 3637727 5407165 5037727 3672361 3914642 21669622 21669622 0 0 0 0 0 0 0 0 0 21669622 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED Central America and the Caribbean 1 25 Program Services Health through Walls (HtW) is a nonprofit organization involved in providing health care services in Haiti's prisons for the past 14 years. The current prison population is estimated at 11,300. HtW provides quality HIV/AIDS treatment services for prisoners, including TB prevention, screening, and treatment at five prisons already supported by PEPFAR. Each prison has the services of a physician who has received specialty training in HIV care and treatment. Each has nurses and a support team who regularly attend training programs and updates to maintain current knowledge on HIV and TB care and treatment. Patients receive treatments according to the national norms and protocols. HtW employs an HIV Care Manager for the prisons who follows the progress of patients and schedules them regularly for laboratory testing, examinations, and medication adherence checks. The HIV Care Manager also monitors patients to ensure clinical stability and adherence to treatment. 2191098 Sub-Saharan Africa 0 0 Program Services Health through Walls provides health care services in prisons in Malawi and Mozambique. For the past 10 years. HtW has conducted a feeding program in the Malawi prisons. HtW in partnership with Emory Rollins School of Medicine provide quality HIV/AIDS treatment services for prisoners, including TB prevention, screening, and treatment. Each prison has nurses and a support team who regularly attend training programs and updates to maintain treatment standards on HIV and TB care. HtW employs an HIV Care Manager for the prisons who follows the progress of patients and schedules them regularly for laboratory testing, examinations, and medication adherence checks. The HIV Care Manager also monitors patients to ensure clinical stability and adherence to treatment. 69830 Europe (including Iceland and Greenland) 0 1 Program Services In conjunction with the Romanian Prison Service and support from the AIDS Healthcare Foundation, HtW provides HIV/AIDS treatment services for prisoners, TB prevention, screening, and treatment and Hep B & C screening at all the facilities in Romania. The medical and support team work with the NAP staff to ensure prisoners receive treatments according to the national norms and protocols. HtW employs an HIV Care Manager for the prisons who follows the progress of patients and schedules them regularly for laboratory testing, examinations, and medication adherence checks after testing and identifying any infection. 160000 1 26 2420928 0 0 0 0 0 0 Form 990, Part III, Line 2 USAID was Haiti's largest donor, providing 65% of all humanitarian funding in 2024. The January 2025 executive order from the Trump administration suspended virtually all U.S foreign aid, halting 80% of American funded programs in Haiti, including the HAPH program administered by Health through Walls. Stop-work orders were issued within days, and most USAID staff were placed on administrative leave by February of that year. This meant that programs didn't just lose funding, they lost the personnel and administrative machinery required to operate. Form 990, Part III, Line 3 The HAP program, funded by USAID was terminated because the funding agency was closed by the government. 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 had 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. This program saved thousands of lives and help treat many people infected by contagious diseases and provided HIV medication to thousands of people living with HIV. Form 990, Part VI, Section A, Line 2 The president and the secretary are spouses Form 990, Part VI, Section B, Line 11b The completed Form 990 and the annual financial report completed by the auditors are sent to the Board Members for their review. Form 990, Part VI, Section B, Line 12c Health Through Walls maintains a structured, ongoing process to regularly and consistently monitor and enforce compliance with its Conflict of Interest Policy. Each year, all board members, officers, and key employees are required to review the organization's Conflict of Interest Policy and complete an updated disclosure statement identifying any actual, potential, or perceived conflicts. These disclosures are collected, reviewed, and retained as part of the organization's governance records. The Board of Directors reviews the policy annually and reaffirms its applicability to all individuals in positions of authority. Any disclosed conflicts are evaluated by the Executive Committee or an independent subset of the Board to determine whether a conflict exists and, if so, what actions are necessary to manage or eliminate it. Individuals with a disclosed conflict are not permitted to participate in discussions or votes related to the matter in question, and this recusal is documented in the meeting minutes. In addition to the annual disclosure process, Health Through Walls enforces compliance throughout the year by requiring board members and officers to promptly report any new conflicts that arise. The organization incorporates conflict of interest review into board meeting agendas, major financial decisions, procurement processes, and compensation determinations. Meeting minutes consistently document disclosures, recusals, and the Board's determinations to ensure transparency and accountability. The organization's governance procedures, including annual disclosures, documented reviews, and mandatory recusal, ensure that the Conflict of Interest Policy is actively enforced and that decisions are made solely in the best interest of the organization and its charitable mission. Form 990, Part VI, Section B, Line 15 All officer compensation is determined by the donor organization. The rules they set in their grant is followed. Compensation for the CEO is voted on by a committee created fort his sole purpose. Form 990, Part VI, Section C, Line 19 Health Through Walls makes its Conflict of Interest Policy, governing documents, and financial statements available to the public to ensure transparency and accountability. These materials are posted on the organization's website for public access. In addition, copies of any of these documents are made available upon request through our administrative office. This approach ensures that members of the public, donors, partners, and regulatory agencies can readily obtain information about the organization's governance practices and financial stewardship. The filing is not late. IRS granted a 6 month extension