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  • 1. Direct Relief International Annual Report 2008 1 Sixty Years of Sweeping Changes, Human Constants 2 Dedication 3 Message from the Chairman and the President & CEO 4 International Programs 14 Domestic Programs 20 Emergency Response 26 Our Partners 30 Introduction and Certification of FinancialSIXTY YEARS OF SERVICE Statements 32 Financial Statements 34 Notes to the Financials 40 Our Investors 48 Guiding Principles
  • 2. 1BOARD OF DIRECTORS Sixty Years of Sweeping Changes,FISCAL YEAR 2008CHAIRMAN Stanley C. Hatch Human ConstantsVICE CHAIRMAN James A. ShattuckSECRETARY Bruce N. AnticouniTREASURER Kenneth J. CoatesRick Beckett • Frederick P. Burrows • Jon ClarkThomas J. Cusack • Killick S. DattaErnest H. Drew • Gary Finefrock • Louise Gaylord D irect Relief International was founded in the aftermath of World War II with the simple aim of helping people in postwar Europe who were living under tremendous hardship. They were caught in challenging circumstances, asRichard Godfrey • Bert Green, M.D. history moved forward on a hopeful path from a dark period.Brandt Handley • Raye Haskell • Priscilla HigginsBrett Hodges • Tara Holbrook • Ellen Johnson Since that time, the accelerated march of progress—in science, technology, communications, health care,Lawrence Koppelman • Dorothy Largay agriculture, and economics—has been remarkable and worldwide in scale. The global tide of the human conditionDonald J. Lewis • Alixe G. Mattingly has risen, as measured by child survival, access to food and water, longevity, prosperity, and educationalRobert C. Nakasone • Natalie Orfalea opportunities.Carmen Elena Palomo • James SelbertAyesha Shaikh, M.D. • Ashley Parker Snider But humanitarian challenges persist. Poverty and poor health still reinforce each other, creating tremendousRichard Steckel, M.D. • Paul H. Turpin obstacles for an estimated one billion people. Those who are poor get sick, stay sick longer, and die earlier thanSherry Villanueva those who are not. And people who are sick tend to become poor because they cannot work and spend whatever they may have trying to access health services that are frequently sub standard.INTERNATIONAL ADVISORY BOARDCHAIRMAN Frank N. Magid Amid the sweeping changes of the last 60 years, Direct Relief has remained focused on helping those caught in the undertow of history’s rising tide. In 1948, our war-refugee founders William Zimdin and Dennis KarczagHon. Henry E. Catto • Lawrence R. Glenn provided—initially with their own funds—food, clothing, and medical aid to people living through the difficult periodE. Carmack Holmes, M.D. • S. Roger Horchow of postwar recovery in Europe. They recognized that private efforts were crucial to reach beneath the large-scaleStanley S. Hubbard • Jon B. Lovelace government-led rebuilding programs underway.Hon. John D. Macomber • Donald E. PetersenRichard L. Schall • John W. Sweetland Today, Direct Relief’s assistance is focused on health, bringing medical and financial resources (including essential medical products donated by many of the world’s leading healthcare companies) to health professionalsHONORARY BOARD serving impoverished people in communities around the world. All these resources are provided through donationsPRESIDENT EMERITUS Sylvia Karczag from private parties, not government grants. In areas where governments and global markets are either unable orDIRECTOR EMERITUS Dorothy Adams unwilling to engage, these efforts are essential to improve the health of people who are sick or hurt.PRESIDENT & CEO Thomas Tighe Despite the changed circumstances, location, scale, and techniques of our work, the humanitarian focus and attention to the efficient use of resources have remained constant. So too has the approach of supporting local efforts27 South La Patera Lane in a respectful manner and without regard to race, ethnicity, politics, religion, gender, or ability to pay.Santa Barbara, CA 93117T (805) 964-4767 Sixty years later, the simple goal of enabling people to live healthy, productive lives—regardless of the circumstances into which they are born or find themselves—remains a powerful incentive. The tremendousF (805) 681-4838 improvement in overall living standards creates a sharpened humanitarian imperative to assist those whose livesWWW .D IRECT R ELIEF .o RG remain threatened by sickness, disease, and injury that can be easily diagnosed and treated. DIRECT RELIEF ARCHIVESCOVER PHOTO : Brett WilliamsA pharmacist dispenses prescriptions from the Afghan Direct Relief medical supplies arriveInstitute of Learning’s clinic in Kabul, Afghanistan. in Addis Ababa, Ethiopia in 1984.
  • 3. Message from the Chairman 2 3 and the President & CEO O n the occasion of Direct Relief’s 60th anniversary, we are pleased to submit this report concerning our organization’s work included, in Kenya and Zimbabwe, stepped-up assistance to provide life-saving anti-retroviral therapy to thousands of activities and finances for the fiscal year ending on March 31, patients with HIV/AIDS, new partnerships to train the first 2008. generation of health workers in Southern Sudan, and the broad distribution of HIV test kits worldwide to improve public The world has undergone profound change since 1948, health responses. We continued to support national Vitamin A and so too has our organization. Unchanged, however, is that blindness prevention programs in El Salvador and Nicaragua, many people are born into deep poverty or pushed by disasters and launched a large-scale response including vaccines to Peru or historic events into situations in which they face tremendous following the devastating earthquake in August. In Asia, ongoing challenges to their lives, health, and future prospects. Similarly support to excellent partners in Cambodia, Laos, India, and unchanged is our organization’s humanitarian mission to help Sri Lanka ensured improved access and better quality health people in such situations. services for millions of people living in poverty. We are pleased to report that last year, in a tough economy, Our efforts to strengthen the health safety net in the U.S. This report is dedicated to the Direct Relief’s humanitarian assistance provided more help, also grew substantially, in partnership with 1,000 community- generations of unpaid volunteers to more people, in more places than at any time in our history. based health centers and clinics nationwide and two dozen Overall, our assistance programs increased by over 50 percent— healthcare companies. From a small pilot, this effort grew to a whose energies and generosity have funded entirely with private support. Our dedicated Board of $61 million program that furnished 3.5 million prescriptions for fueled Direct Relief International Directors and Advisory Board, in addition to devoting thousands low-income, uninsured patients last year. of hours to the organization, also demonstrated tremendous for the past 60 years, including the personal generosity through their financial support. Our 60th anniversary has renewed our deep commitment to exceptionally devoted individuals We also are pleased to report that all fundraising and service. In the most efficient, respectful, and productive manner possible, Direct Relief will continue to serve people whose who have so generously served administrative expenses incurred during the year were paid lives and health are threatened by poverty, disease, or natural by the Direct Relief Foundation, the supporting organization with distinction on the established to manage bequest proceeds, provide financial disaster. Board of Directors. stability, and finance rapid emergency response and other key Please accept our heartfelt thanks for your interest and initiatives when no other funding exists. involvement in the work of Direct Relief. The Foundation is managed by its own Board of Trustees, which is, in turn, controlled and directed by the Board of Direct Relief International, who authorized transfers to enable immediate responses to humanitarian emergencies in Peru and Kenya without jeopardizing other planned activities. In addition, Foundation transfers allowed us to self-finance a crucial information technology upgrade that is necessary for efficient, precise management of complex operations on a global scale. Because fundraising and administrative costs were fully covered by bequest proceeds in the Foundation, 100 percentSHALEECE HAAS of all donors’ contributions were devoted to our humanitarian programs described in this report. The highlights of our program STANLEY C. HATCH, THOMAS TIGHE, Chairman President & CEO
  • 4. International ProgramsH ealth has intrinsic value for every person. It is essential for people to learn, work, and make a living.Sick people cannot work, and they become poor or stay poor, and people who are poor are at higher risk ofgetting sick. Access to quality health services is integral to creating positive change for people stuck in thiscycle. Direct Relief’s aim is to strengthen existing, fragile health systems that serve people stuck in this cycle.We work hard to ensure that the healthcare professionals in impoverished communities worldwide are able tomaintain, expand, and improve health services to people. In turn, the people served have a better chance to survive, become healthy, and realize their inherenthuman potential. DANIEL ROTHENBERG While working to strengthen basic health services in resource-poor areas, Direct Relief places a highpriority on: programs serving women and children, primary health care, activities that address HIV/AIDSprevention and care, and responding to emergency situations.4 5
  • 5. 6 I N T E R N AT I O N A L P R O G R A M S “THIS PROGRAM, ALONG WITH DIRECT RELIEF’S Breaking the Cycle ANTIRETROVIRAL THERAPY DRUG PROGRAM WHICH BEGAN LAST YEAR, REPRESENTS A HUGE LEAP FORWARD IN OUR ABILITY TO HELP LOCAL HEALTH PROVIDERS IDENTIFY AND COMBAT HIV ACROSS THE GLOBE.” Helping expectant mothers protect their babies – Thomas Tighe, Direct Relief International President & CEO BRETT WILLIAMS ANNIE MAXWELL CRAIG BENDER CRAIG BENDER CRAIG BENDER E very 48 seconds, a child is infected with HIV, the virus that causes AIDS. This is a profound human tragedy whose primary cause is preventable. Without medical intervention, the chance that a mother will pass Between 2002 and 2007, Abbott donated more than 9.8 million rapid HIV tests to prevention programs throughout the developing world. Over 7.7 million pregnant women have been tested with Determine®, and along the virus to her child is as high as 30 percent, but with proper testing and therapy, this chance can be 855,000 of those women tested positive for HIV. Two million spouses and children of the pregnant women nearly eliminated. tested were also screened. Direct Relief and corporate partner Abbott are working to eliminate the barriers to the testing of In many developing countries, Direct Relief works closely with ministries of health and other major pregnant women for HIV in countries where mothers and their children face the greatest threat. In 2007, healthcare networks running prevention of mother-to-child transmission (PMTCT) programs to distribute the Direct Relief began distributing free, Abbott-donated Determine HIV rapid test kits. Sixty-nine developing ® test kits. The Rwandan Ministry of Health, one of the first to subscribe to the program, has already tested countries are eligible for the program, including all countries in Africa, where the burden of HIV is heaviest. 750,000 pregnant women. Abbott began distributing the free test kits internationally in 2002. This past year, Abbott approached In Kenya, where UNAIDS estimates 8.3 percent of adult females are HIV positive and 117,000 children Direct Relief to run the program because of Direct Relief’s track record of delivering needed supplies to those under the age of 14 are infected, Direct Relief partner Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) who can do the most good with them. has tested 177,000 expectant mothers, 8,600 of whom were HIV-positive. “This program, along with Direct Relief’s antiretroviral therapy drug program which began last year, Thanks to Direct Relief and Abbott’s partnership, HIV-positive women will have the chance to protect represents a huge leap forward in our ability to help local health providers identify and combat HIV across the their children from this devastating virus. globe,” said Thomas Tighe, Direct Relief President and CEO. The test is quick—results take 15 minutes—and requires no electricity or water, making it ideal for areas that may lack steady access to either resource. If a pregnant woman tests positive for HIV, the healthcare provider can take the necessary steps to prevent the baby from being infected with the virus.
  • 6. 8 I N T E R N AT I O N A L P R O G R A M S I N T E R N AT I O N A L P R O G R A M S 9 “COUNTER TO THE CONVENTIONAL AMERICAN UNDERSTANDING OF THE Cornerstones of Recovery TERM, HOSPICE CARE IN AFRICA IS NOT ONLY CONCERNED WITH THE CARE OF Clinical officer training helps to rebuild Southern Sudan’s healthcare system THE DYING BUT ALSO WITH PATIENTS FOUNDATION FOR HOSPICE IN UNDERGOING TREATMENT WHO HAVE THE T SUB-SAHARAN AFRICA POTENTIAL TO RETURN TO LIVING he graduates of the clinical officer training program in Southern Sudan are the cornerstones of recovery for the NORMAL LIVES.” region’s health system, which has been decimated by decades of civil war. – Dr. Mike Marks, Direct Relief Africa Medical Advisor The need for trained health workers in Southern Sudan is great: Almost 20 years of continuous war has led many of the surviving health professionals to flee the country. It is estimated there are only nine doctors for every Living with HIV/AIDS 100,000 people. Clinical officers trained to provide diagnosis and treatment and conduct basic surgical procedures are helping to fill the void. Direct Relief has joined with African Medical and Research Foundation (AMREF) to address Southern Sudan’s Hospice and palliative care bring dignity to Africans with terminal diseases priority healthcare infrastructure needs. This year, Direct Relief committed $192,000 to sponsor 30 clinical officer students at the National Health Training Institute (NHTI) in Maridi. Students began their coursework in January A n estimated 22 million people in sub-Saharan Africa live with HIV/AIDS, and for many of them access to the long-term care necessary to combat the virus is lacking. Stigma, noncompliance, and access to specialist care and 2008. The program is open to Sudanese nationals who have met preliminary health worker qualifications. Students from different ethnic groups and remote areas are actively recruited for the program, which pays for tuition, room and board, insurance, a personal stipend, and transportation. After completing the three-year course, graduates intern for medicines all impede treatment. a year at one of seven hospitals and are then required to work in their home communities for three years. For these patients, hospice and palliative-care groups represent key providers of care. These dedicated groups “The human resources for health crisis in Southern Sudan is severe,” says Dr. Peter Ngatia, AMREF Director focus on traditional end-of-life care and, increasingly, treatment to prolong and improve the quality of patients’ lives. of Capacity Building and Human Resources for Health Development. “In the next five years, it is projected that this Hospices—serving patients who usually have no income and are very poor—typically lack financial and basic material country, which has known no peace since independence from Britain in 1956, will need 1,500 clinical officers—a resources to enhance and expand their desperately needed services. tenfold increase of the current production of NHTI, the only clinical officer training school. We may not be able to achieve this, but with the generous support of Direct Relief we will double the production in the next two years.” “Counter to the conventional American understanding of the term, hospice care in Africa is not only concerned with the care of the dying, but also with patients undergoing treatment who have the potential to return to living Maridi County Hospital, within walking normal lives,” explained Dr. Mike Marks, Direct Relief ’s Africa Medical Advisor. distance of the training institute and also supported by AMREF, has the potential to become an ideal Direct Relief has forged partnerships with the Foundation for Hospices in Sub-Saharan Africa (FHSSA) and the teaching facility for the students of NHTI, but Hospice Palliative Care Association of South Africa to help provide needed resources. In Fiscal Year 2008, Direct it is woefully ill equipped. To help outfit the Relief provided close to $1 million (wholesale) worth of material, representing 467,793 courses of treatment, to hospice hospital and its satellite rural clinics, Direct partners in Kenya, South Africa, Uganda, and Zimbabwe. Relief provided medical supplies, equipment, and pharmaceuticals worth $230,000 (wholesale) in These groups provide an array of home-based care services. In addition to caring for patients, they provide care November, including exam tables, hospital beds, DR. MIKE MARKS for family members who may be watching over a sick loved one, as well as placement services and care for orphaned otoscopes, stethoscopes, and autoclaves. children. In the past year, hospice and palliative-care organizations have also begun furnishing antiretroviral drugs to patients with HIV/AIDS. On May 15, 2007, Direct Relief participated in the launch of the Diana Legacy Fund, in San Diego, California. “IN THE NEXT FIVE YEARS [SOUTHERN SUDAN] WILL NEED 1,500 CLINICAL OFFICERS—A TENFOLD The charity, which honors the memory of the late Princess Diana, was established to help bring comfort and solace INCREASE OF THE CURRENT PRODUCTION OF NHTI, THE ONLY CLINICAL OFFICER TRAINING SCHOOL. to the dying and their families in Sub-Saharan Africa. The Diana Legacy Fund supports the work of FHSSA. At the WITH THE GENEROUS SUPPORT OF DIRECT RELIEF WE WILL DOUBLE THE dedication ceremony, Direct Relief President and CEO Thomas Tighe spoke alongside Nobel Laureate Archbishop PRODUCTION [OF NHTI] IN THE NEXT TWO YEARS.” Desmond Tutu about the importance of palliative and hospice care in Africa. – Dr. Peter Ngatia, AMREF Director of Capacity Building and Human Resources for Health Development
  • 7. 10 I N T E R N AT I O N A L P R O G R A M S “MALNUTRITION IS THE CAUSE OF MOST HEALTH PROBLEMS FOUND AMONG CAMBODIAN CHILDREN. AS A NURSE EDUCATOR, I’VE SEEN FIRSTHAND THE IMPORTANCE OF THE NUTRITION AND TRAINING PROGRAMS AT AHC.” – Manila Prak, Angkor Hospital for Children Nursing Education Coordinator developed the nationally approved protocols for managing pediatric HIV/AIDS cases. Patients are treated for free if they cannot pay. While AHC serves a crucial role in pediatric medical care, the nutrition program is aimed at reducing the need for medical intervention related to malnutrition. Direct Relief, in partnership with Abbott and AHC, is working to advance this goal. Since 2003, Direct Relief has provided more than $2 million (wholesale) in medical material support to the hospital, including Abbott-donated nutritional and rehydration products to complement the nutrition DANIEL ROTHENBERG program, as well as anti-infectives, pharmaceuticals, and equipment that the hospital requested. AHC’s staff includes a nutrition-education nurse, a demonstration cook, and a gardener. The AHC team has taught 3,000 families about better nutrition, trained 270 health professionals, and conducted health assessments for more than 135,000 children. AHC has trained numerous Cambodian medical, nursing, and management personnel, Innovative Programs Feed Hope many of whom it now employs. Abbott provides medicines and nutritional supplements that help patients regain basic health and funds ongoing programs that teach families and children to grow, cook, and eat foods that will keep them healthy and well nourished. Angkor Hospital for Children in Cambodia works to end As Cambodia rebuilds a health system, which was decimated by the Khmer Rouge regime, Angkor Hospital for Children has become a source of hope for improving pediatric care throughout the country. rampant malnutrition T he smell of cooking fills the air in the courtyard of the Angkor Hospital for Children (AHC) in Siem Reap, Cambodia, where patients’ relatives are preparing lunch under the watchful eye of a nutritionist. It is part healthy-cooking demonstration, part outdoor classroom, functioning as a cafeteria—all part of an innovative, comprehensive program to combat one of Cambodia’s most pressing health issues: malnutrition in children. “ENOUGH FOOD WAS PROVIDED FOR ME AND MY GRANDCHILD, AND The U.N. estimates that 45 percent of children under the age of five in Cambodia are underweight and THE FOOD WAS MUCH BETTER THAN malnourished. AHC’s patients reflect this grim statistic. Common pediatric cases include dengue fever, dysentery, MY FOOD AT HOME: VEGETABLES, tuberculosis, HIV/AIDS, malaria, and intestinal parasites. But 66 percent of children are admitted for malnutrition and MEATS, FRUITS, AND DESSERTS. dehydration, with 10 percent of those cases severe and life threatening. EDUCATION WAS GIVEN ABOUT Established in 1999, the nonprofit AHC is a key resource of specialized pediatric care in a country with a MALNUTRITION SO I CAN FEED MY proportionately large number of young people. The hospital’s outpatient clinic treats 300 to 500 children a day. It has 24- GRANDCHILD PROPERLY.” COURTESY OF AHC hour emergency service, is one of two teaching hospitals in the country, and also provides inpatient care, intensive care, and surgical procedures. Staffed by Cambodians and visiting expatriate volunteer health professionals, the hospital has – Sorn Rai, AHC patient and grandmother I N T E R N AT I O N A L P R O G R A M S 11
  • 8. 12 I N T E R N AT I O N A L P R O G R A M S treatment for the most common diseases that accompany diabetes. By offering extensive health education and promoting healthy eating habits, the clinic works against the lifestyle trends that increase the incidence of diabetes. Outreach services strive for early detection and diagnosis, and the main clinic provides complimentary treatment for those who have developed related visual, neural, and circulatory problems. Direct Relief has supported CVCD since its inception with primary care medicines and medical supplies that aid the treatment of diabetes-related conditions. Abbott has come to CVCD’s aid with blood glucose meters and test strips critical to early detection and monitoring, allowing for control of the disease through regular clinic visits and education. The company’s philanthropic foundation has also provided cash grants to bolster the clinic’s outreach services. With this support, CVCD has gone mobile. Over 13,000 people have been screened for diabetes in eight of the nine major Bolivian cities by clinic staff in the last four years. Of those screened, CVCD discovered that 7.9 percent had previously undiagnosed cases of diabetes. Those diagnosed learned then how to properly manage their diabetes, and by living healthier lives, they have less impact on an already financially strapped public health system. DR. ELIZABETH DUARTE GOMEZ In addition to screenings, CVCD has distributed printed materials explaining diabetes management, conducted group and individual disease education using Abbott-contributed glucose meters and strips, and trained 604 health professionals (doctors, nurses, and pharmacists) on the latest diabetes detection and treatment methods. Vivir Con Diabetes At the forefront of healthier lifestyles in Bolivia “THE HAPPINESS WE FEEL N ineteen million people are estimated to have diabetes in Latin America and the Caribbean according to the International Diabetes Foundation, and that number is expected AT BEING ABLE TO GIVE TO THOSE IN NEED, WITHOUTSINCE 1982, WORRYING ABOUT WHAT IT to double to 40 million by 2025. DR. ELIZABETH DUARTE GOMEZDIRECT RELIEF COSTS, IS INDESCRIBABLE.HAS PROVIDED DIRECT RELIEF PROVIDES As daunting as these statistics are, the day-to-day reality of living with diabetes inOVER $6.8 MILLION MATERIALS FOR QUALITY an area without adequate care is far worse. Fortunately, many health complications related(WHOLESALE) IN CARE.” to diabetes can be minimized or eliminated through early detection and changes in dailyMEDICAL MATERIAL lifestyle. – Dr. Elizabeth Duarte Gomez,ASSISTANCE El Centro Vivir Con Diabetes CVCD staff conducts diabetes tests during one of its outreachTO BOLIVIA. EL and detection campaigns to the province of Cliza, Bolivia. In Bolivia—where 4.8 percent of the population is diabetic—the nonprofit El Centro Founder and DirectorCENTRO VIVIR Educational talks and medical literature about diabetes are also Vivir Con Diabetes (CVCD) works at the forefront of diabetic care in the city of Cochabamba, provided to communities visited.CON DIABETES HAS where CVCD estimates 9.4 percent of adults are suffering from diabetes. For seven years,BENEFITTED FROM the clinic has focused on lifestyle education and nutritional counseling along with providingOVER $1.3 MILLIONOF THAT AID. I N T E R N AT I O N A L P R O G R A M S 13
  • 9. Domestic Programs N onprofit, community-based health centers and clinics are the main point of access for health services for over 15 million U.S. residents. The majority of these patients have low incomes, and 40 percent have no health insurance. These centers and clinics are located in areas of high need, focus on prevention and primary care, and collectively constitute a significant portion of the country’s health safety net. Access provided by these health centers is essential for low-income people, and the care is cost-effective and serves larger public- health goals. Without these centers, already strained hospital emergency rooms often are the only alternative. Among the many challenges that confront both health centers and their uninsured patients is access to prescription medications. In partnership with health centers, clinics, and healthcare companies, Direct Relief is addressing this challenge. The result is a rapidly expanding program through which Direct Relief provides medicines and resources to nonprofit clinical providers for the benefit of low-income, uninsured patients. In Fiscal Year 2008, Direct Relief provided 3.5 million prescriptions (valued at $61 million wholesale) to more than 1,000 clinic sites in all 50 states. Having built a system for the efficient, reliable, and secure provision of needed medicines for uninsured patients, Direct Relief is working to further strengthen the safety net that catches the millions of working poor at risk of falling through the cracks. The evolution of this domestic program also has highlighted the importance of involving health centers and clinics in emergency planning, preparedness, and response. Future efforts are aimed at expanding prescription assistance and improving emergency response coordination among clinics and MARGARET MOLLOY health centers nationwide.14 15
  • 10. 16 DOMESTIC PROGRAMS Injecting Resources Into Safety-Net Clinics “WE REJECT THE NOTION THAT IF YOU’RE POOR AND Providing insulin to Americans with diabetes UNINSURED, IT’S ACCEPTABLE THAT YOU DON’T GET THE CARE AND MEDICINE YOU OR YOUR CHILD NEEDS. WE SERVE PEOPLE WHO AREN’T SERVED BY MARKETS OR GOVERNMENT.” – Thomas Tighe, Direct Relief International President & CEO D iabetes is a chronic condition that affects about 5.5 percent of the U.S. population. At the nonprofit federally qualified health centers with which Direct Relief partners, “With so many diabetic clients, this free offer is the number jumps to 6.2 percent of all patients—over of tremendous assistance,” said Veronica Flores of the 900,000 people. Sierra Health Center in Fullerton, California. “Thank you for your continuous support to ensure the health of Patients at these health centers and clinics, in underserved, indigent patients in our community.” addition to having higher incidence of diabetes, also disproportionately live in poverty (over 54 percent, Across the U.S., Direct Relief provided 65 of its compared to 12.5 percent nationally) and lack health partner clinics—serving a combined 670,000 patients insurance (40 percent, compared to 15.3 percent annually—with the donated insulin, valued at $520,000 nationally). (wholesale). Direct Relief’s domestic program with partner “I cannot begin to tell you how important this is to clinics helps people stuck in the difficult situation our clinic,” wrote Jean Diebolt, medical director at the of lacking either insurance or the means to obtain Hope Project in Tenaha, Texas. “The nearest place for medications, including those needed for chronic patients to get prescriptions filled is 10 miles away. Some conditions such as diabetes. of the patients do not have transportation or funds to afford the meds. If not for Direct Relief, some would be So when sanofi-aventis offered Direct Relief a seriously ill and medically compromised. The help we give donation of more than 17,000 cartridges of its insulin them with your donations means that they can stretch product Lantus, a medication commonly used to treat NEARLY ONE their housing and food money and don’t have to sacrifice or diabetes, it was a welcome contribution. THIRD OF make a decision whether to eat or buy medications.”NONELDERLY U.S. Lantus is a temperature-sensitive product, whichADULTS WITHOUT “YOUR DONATIONS MEAN [OUR required Direct Relief to establish a partnership with a INSURANCE PATIENTS] DON’T HAVE TO SACRIFICE OR third-party shipper specializing in temperature-controlled HAVE AT LEAST MAKE A DECISION WHETHER TO EAT OR delivery. The process is being developed in anticipation ONE CHRONIC of broader support to resource-stretched safety-net clinics BUY MEDICATIONS.” CONDITION. with sensitive medications, including vaccines. – Jean Diebolt, Hope Project Medical Director, Tenaha, Texas – Annals of InternalMedicine, Vol. 149, No. 3
  • 11. 18 DOMESTIC PROGRAMS The contents were chosen based on Direct Relief ’s analysis of product shortages following Hurricanes Katrina and Rita, and in conjunction with the Texas Blue Ribbon Commission on Emergency Preparedness and Response, convened by Governor Rick Perry in the aftermath of Katrina. “Typically, during the first 72 hours after a disaster, roads are damaged and clinics see surges in their patient loads, greatly complicating the ability of organizations like Direct Relief to assist first responders,” said Damon Taugher, Direct Relief’s director of domestic initiatives and coordinator of the organization’s response to Hurricanes Katrina and Rita. By sending modules before an emergency strikes, delivery delays are eliminated and medical professionals have the tools they need to treat the many injuries that occur the minute the disaster hits. This preparation also lessens the burden on other area healthcare providers and first responders, including hospital emergency rooms. Franklin Primary Health Center (FPHC), a hurricane module recipient, serves low-income and underinsured patients in Mobile, Alabama. FPHC was in the path of last year’s most destructive storm, Hurricane Dean. Charles White, CEO of FPHC, wrote, “Last month we observed the two year anniversary of Hurricanes Katrina and Rita, while Dean, another Category 5 storm, was threatening the Gulf of Mexico. Our preparation would not have Direct Relief staff assembles emergency been complete without your continued support and recent donation. We saw firsthand how invaluable your assistance preparedness modules was as we struggled to reopen our centers after Hurricane Katrina.” ANDREW FLETCHER bound for Gulf Coast clinics. Direct Relief will continue to distribute hurricane preparedness modules annually to support those providing care to the most vulnerable communities during an emergency. Ready TREAT 100 EMERGENCY MODULES TO PATIENTS FOR 72 HOURS INCLUDE “Our preparation [for the A proactive approach to hurricane response AMONG MANY ITEMS: hurricane season] would not have been complete without your continued support and recent P Anti-infective Biaxin tablets, glucose test donation.” kits and strips, and Pediasure for combating “This has been a great benefit for our underserved patients. Thank you for what you do.” – Charles White, CEO, Franklin dehydration, all from Abbott redictions indicated an active hurricane season in the United States this past year, citing as many as 10 potential Primary Health Center, Mobile, – Valerie Powell, Lone Star Family Health Center, Alabama hurricanes. For Direct Relief, the lessons of Hurricanes Katrina and Rita in 2005 were well learned: Emergencies can Mobic tablets for pain management from Conroe, Texas Boehringer Ingelheim strike at any time, and preparation is the best defense. EpiPens for emergency epinephrine doses from Dey Laboratories “We were very fortunate to not Based on its past and continued work with Gulf Coast health center and clinic partners, Direct Relief developed have a hurricane last season. Proventil inhalers for asthma from We distributed all of the supplies a hurricane-preparedness module specifically designed to help clinics respond to the unique characteristics of Schering-Plough from the module this first week of December 2007 to all of our clinic hurricanes and other emergencies. Anti-inflammatory Ibuprofen and sites. The supplies and medications Children’s Tylenol tablets were used for patient care; nothing was wasted.” Sixteen partner health centers and clinics received these prepositioned modules. The sites were selected for Anti-infective penicillin and doxycycline – Pati Landrum, Southeast their location, past experience with emergency response, patient populations, and capacity to treat victims during a Metformin for diabetes treatment Mississippi Rural Health Initiative, Hattiesburg, Mississippi disaster. Exam gloves Gauze bandages Stocked with enough materials to treat 100 patients for 72 hours, the modules help providers treat conditions ranging from basic trauma injuries to chronic illnesses. The contents of the modules can be easily merged into clinics’ regular inventories if not needed for emergency response. DOMESTIC PROGRAMS 19
  • 12. Emergency Response E mergencies strike resource-poor areas the hardest, quickly overwhelming already weak, financially strained health systems. Direct Relief targets these areas before emergencies take place, building relationships, protocols, and distribution channels that enable fast and efficient action when disaster strikes. In times of emergency, Direct Relief moves quickly to supply local healthcare professionals with needed medical and financial assistance to ensure they continue providing care to those affected. Because local people are the first responders, have the most at stake, and will be there for the long run, targeting our assistance to them helps avoid the duplication of efforts, wasted resources, and logistical bottlenecks. In Fiscal Year 2008, Direct Relief’s emergency response efforts provided health facilities with more than $14 million (wholesale) in emergency medical support and $1,221,000 in emergency cash assistance. These efforts involved more than 100 shipments and 23 cash grants to 18 partners in 14 countries on 4 continents, and provided 2 million courses of treatment to people struck by natural disasters and civil conflict. BRETT WILKINSON20 21
  • 13. DIRECT RELIEF ARCHIVES 1940s year history includes a long tradition of rapid emergency response and a commitment to long-term recovery. Our founders’ first aid to war-torn Europe Direct Relief’s sixty- 1970s For the support of people displaced by the Nigerian Civil War, E.M.C. Aniagu, King of the Ibo tribe, traveled to Santa Barbara to meet and thank Direct Relief framed the organization’s mission. Help founder Dennis Karczag (left). A continent away, Direct DIRECT RELIEF ARCHIVES provided to refugees of the Korean War began Relief responded to the massive May 31, 1970, over 40 years of assistance to the country. And earthquake in Peru with 30,000 pounds of more recently, Direct Relief’s work in the Gulf medical aid to assist the injured. States in the aftermath of Hurricanes Katrina 1980s and Rita provided the foundation for a domestic program that supports the healthcare safety net throughout the entire U.S. A TRADITION OF RAPID RESPONSE Direct Relief founders William Zimdin (left) and Dennis Karczag DIRECT RELIEF ARCHIVES & LONG-TERM RECOVERY Cambodian During the early 1980s, refugees fled the Khmer Rouge, seeking sanctuary in Thailand 1950s (right). Millions lived in exile without adequate resources. Direct Relief provided extensive DIRECT RELIEF ARCHIVES amounts of medical and nutritional products to Direct Relief continued to aid health facilities and refugee camps. those affected by World War II Our work in the country continues today. by providing relief parcels and In Fiscal Year 2008, Direct Relief supported financial assistance to affected Cambodian healthcare professionals with more than 800,000 courses of medical treatment, valued at over 1990s communities in Austria, Estonia, $2 million (wholesale). See page 10 for more on our recent work in Cambodia. Germany, Greece, Italy, Russia, and Yugoslavia. Aid was also extended to Chinese Civil War refugees in Hong Kong. At right, the first Direct Relief humanitarian1960s provision arrives in China. Direct Relief began focusing its work DIRECT RELIEF ARCHIVES on medical assistance. From an office Direct Relief began assistance to Tibet in 1959, and later, at the request of established in Seoul, Korea (left), the the Tibetan Department of Health of the Government-in-Exile, established organization sees to the long-term the Tibetan Refugee Tuberculosis Control and recovery of the healthcare Primary Healthcare Program, supplying essential medicines infrastructure still to Tibetan refugee settlements throughout India and Nepal. In 1996, Direct reeling from the Korean War and to the newly displaced and Relief board member Jean Hay welcomed the Dalai Lama to Santa Barbara (left). DIRECT RELIEF ARCHIVES rapidly growing refugee populations of South Vietnam. 23
  • 14. December August 2004 In response to the tsunami that forever altered life for millions of people living on the shores of the Indian Ocean, Direct Relief provided $57 million in direct aid, including over $14 million in emergency cash assistance. Our aid continues to enable local health 2007 Working alongside long-time partners the Catholic Archdiocese of Lima and the Peruvian American Medical Society, Direct Relief 8.0-magnitude responded to the August 15, 2007, earthquake in Peru with $4.2 million (wholesale) in MATT MACCALLA organizations to serve those who lost the most and have the most at specifically requested emergency supplies. stake in the long-term recovery. The Peruvian Ministry of Health informed Direct Relief that DAN SMITH With funding from Direct Relief, the Amrita Institute of the country was in need of Hepatitis B and rotavirus vaccines for theMedical Sciences (AIMS) in southwestern India equipped a telemedicine van (left) to bring care to the many people too remote, hardest hit populations. Together with Merck & Co., Inc., Direct Reliefsick, o was able to deliver $1.8 million (wholesale) worth of vaccines for the immunization of children and adults (above).communities, using video conferencing and real-time transmission of medical information to connect AIMS hospital staff withotherwise disenfranchised patients. A TRADITION OF RAPID RESPONSE & LONG-TERM RECOVERY EMERGENCIES IN FISCAL YEAR 2008August October 2005Beyond the immediate efforts of Direct Relief in the Gulf States followingHurricanes Katrina and Rita—including $4.6 million in cash grantsto clinics and health centers and over $31.8 million (wholesale) in medical products—theorganization has worked to address gaps in the health system that leave so manyuninsured and working poor Americans without care. See the section beginning on page As 2007 wildfires swept through Southern California, Direct Relief worked to support communities with resources needed for recovery through 71 shipments—including 80,000 masks for locals and emergency personnel—valued at over $1.4 million (wholesale). Direct Relief provided $560,000 in emergency SARAH WILKINSON cash assistance to clinics and firefighters, including $400,000 to the Council of14 to learn more about Direct Relief’s work in the U.S. Community Clinics on behalf of their 17 San Diego County health centers, and $50,000 to the California Department of Forestry’s Firefighters Benevolent Fund. DAMON TAUGHER October December 2005 Anticipating the massive need for long-term rehabilitative services 7.6-magnitude to treat traumatic injuries after the earthquake struck Pakistan on October 8, 2005, Direct Relief funded and continues to support the Pakistan Institute of Prosthetic and Orthotic Science (PIPOS), the country’s only The 2007 widespread civil strife that broke out in the aftermath of Kenya’s presidential election was unexpected and violent. Protests sparked by disputed election results and allegations of vote-counting impropriety gave way to fighting along political and then tribal lines. Dr. Hezron Mc’Obewa (right), director of the Kisumu, Kenya-based OGRA Foundation, aided people caught in the crossfire. prosthetic training facility and limb manufacturing center. Direct As soon as the violence broke out, Direct Relief wired $25,000 to OGRA to purchase Relief’s cash assistance established three PIPOS clinic sites in Bagh, needed medicines and fuel, organized airfreight shipments of additional emergency supplies, Balakot, and Besham (left), and covers the operating expenses for and committed more than 136,000 courses of antiretroviral medicine for patients with HIV each facility for three years. whose treatment was disrupted by the violence. Days later, Direct Relief contributed an LORI WILLIS Direct Relief has supported earthquake-affected communities additional $25,000 to help transport displaced families, supply essential medicines, andBRETT WILLIAMS in Pakistan with more than $7.5 million (wholesale) in medical support surgeons, doctors, and nurses. material, representing 1.5 million courses of treatment, and over $1 million in grants to 11 local healthcare organizations. 25
  • 15. O U R PA R T N E R S O U R PA R T N E R S Africa CAMBODIA Caribbean FISCAL YEAR 2008 SUPPORT Angkor Hospital for Children, Siem Reap Orphan Voice Cambodia, Phnom Penh = Total Wholesale Value Sihanouk Hospital Center of HOPE, Phnom Penh = Total Weight 2,078,661 51,061 lbs. 820,488 = Courses of Treatment 37,410,435 CHINA 302,960 lbs. One HEART, Lhasa 2,014,959 Rashu Township Clinic, Rashu Township LIBERIA SOUTH AFRICA Christian Aid Ministries Liberia, Monrovia Eastern Cape Hospices, Port Elizabeth 37,616 499 lbs. 117,120 ELWA Hospital, Paynesville City Tshisimane Healing Center, Soutpansberg JFK Medical Center, Monrovia Mount Sinai Surgical Team, Monrovia 49,098 7,636 lbs. 91,619 EAST TIMOR 3,814,730 89,001 lbs. 697,374 Australian Aid International, Dili 30,812,132 SUDAN 47,375 1,450 lbs. 27,434 602,415 lbs. MADAGASCAR AMREF/National Health Training Institute, Maridi DOMINICA 13,991,373 Marie Stopes Madagascar, Antananarivo 228,906 14,605 lbs. 232,917 Portsmouth Hospital, Portsmouth FIJI 94,183 4,658 lbs. 150,197 5,287,913 9,308 lbs. 76,428 Loloma Foundation, Suva TANZANIA Savusavu Community Foundation, Savusavu MALAWI Dr. Atman Hospital, Sumbawanga 1,778,870 37,366 lbs. 586,270 Huruma Designated District Hospital, Rombo Banja La Mtsogolgo, Marie Stopes Malawi, Blantyre KADERES, Karagwe DOMINICAN REPUBLIC East & College of Medicine, Blantyre Marie Stopes Tanzania, Dar es Salaam Montfort Hospital, Nchalo Mpanda District Hospital, Mpanda Batey Relief Alliance, Santo Domingo BURUNDI Mulanje Mission Hospital, Mulanje Namanyere Hospital, Namanyere Centro de Atencion Primaria, Constanza Partners in Hope Medical Centre, Lilongwe Shirati Hospital, Shirati Embassy of the Order of Malta, Santo DomingoJabe Hospital and Rohero Emergency Clinic, Bujumbura Southeast Queen Elizabeth Hospital, Blantyre Sumbawanga Regional Hospital, Sumbawanga Fundacion Cruz Jiminian, Santo Domingo 197,678 4,322 lbs. 284,731 Trinity Hospital, Limbe Tanzania Women Social Economic Development Health Care Education Partnership, Santo Domingo and Human Rights Organization, Kigoma Movimiento Socio Cultural Para Los Trabajadores, Santo Domingo 2,062,800 56,407 lbs. 748,883 Obispado de Puerto Plata, Puerto Plata 1,521,364 55,481 lbs. 3,218,487 Asia CAMEROON Patronato Benefico Oriental, La RomanaHelp Medical Foundation, Douala NIGER 10,001,684 104,610 lbs. 309,137Holy Trinity Foundation Hospital, Ekona UGANDA Galmi Hospital, GalmiKolofata District Hospital, Mora TurtleWill, Agadez AMREF Uganda, SorotiManyemen Presbyterian Hospital, Manyemen Hospice Africa Uganda, KampalaRural Community Medical Foundation, Kumba 31,538 1,310 lbs. 66,433 Jinja Municipal Council, Jinja GRENADAShemka Foundation/Quality Healthcare Unit, YaoundéSt. John of God Health Centre, Mamfe Joy Hospice, Mbale Food For the Poor, St. Georges Kitovu Mobile, Masaka NIGERIA Ministry of Health, St. Georges 875,112 26,331 lbs. 397,787 Rakai Community Based Health Project, Kampala St. Georges General Hospital, St. Georges Antof Rural Resource Development Center, Oron Rays of Hope Hospice, Jinja Victory International Ministries, Aba Rugendebara Foundation for Health, Kasese 2,973,710 12,851 lbs. 36,497 D E M. RE P U BL IC OF C ONGO Uganda Reproductive Health Bureau, Kampala 6,360,509 79,070 429 lbs. 4,709Aungba Health Zone, Aungba 4,716,329 36,956 lbs. 658,436 150,824 lbs.Project de Lutte Contre Les Handicaps Visuels, Boma 4,212,281 1,287,097 18,394 lbs. 224,287 RWANDA HAITI ZAMBIA CHF/Community HIV/AIDS Mobilization Archeveche du Cap Haitien, Cap-Haitien Angel of Mercy, Lusaka Asile Communal, Cap-Haitien ETHIOPIA Program (CHAMPS), Kigali Kala Health Center, Kawambwa Centre Medico-Social Nord Alexis, Port-Au-PrinceAddis Ababa Fistula Hospital, Addis Ababa 165,267 20,549 lbs. 1,194,254 Kasaba Mission Hospital, Mansa Christian Aid Ministries, Port-Au-PrinceThe World Family: Ethiopian Orphans and Kawambwa Hospital, Kawambwa Eglise du Nazareen d’Haiti, Port-au-Prince Medical Care, Addis Ababa Lubwe Mission Hospital, Samfya Food for the Poor, Port-Au-Prince SENEGAL Lusaka District Health Management, CIDRZ, Lusaka Hospital Justinien, Cap-Haitien 101,643 16,696 lbs. 106,845 Mambilima Mission Hospital, Mansa Clinique Seydina Issa Laye, Dakar Mariani Clinic, Port-Au-Prince Mansa General Hospital, Mansa Mt. Olive Medical Fair, Port-Au-Prince INDONESIA The Association of Villagers at N’Dem, N’Dem GHANA Mbereshi Mission Hospital, Kawambwa New Hope Ministries, Cap-Haitien 10,200 146 lbs. 36,271 Samfya Health Center, Samfya CHF International, Banda Aceh Partners in Health/Zanmi Lasante, Port-Au-PrinceBorae Health Center, Krachi St. Francis Katete Mission Hospital, Katete IBU Foundation, Meulaboh St. Jules Medical Clinic, Bourg du BorgneKings Medical Centre, Tamale St. Paul’s Mission Hospital, Nchelenge International Relief & Development, JakartaKomfo Anokye Teaching Hospital, Kumasi SIERRA LEONE Zambia Helper’s Society, Lusaka 4,904,028 109,814 lbs. 1,011,928 The Sumba Foundation, BaliNana Hima Dekyi Hospital, Dixcove Yayasan Bumi Sehat, BaliSAMORGHEP/Maranantha Maternity Clinic, Kumasi Ndegbomei Development Association, Bo 1,126,838 63,362 lbs. 1,788,912 Ndegbormei Development Organization, Bumpen 445,703 14,933 lbs. 1,746,798 929,640 47,186 lbs. 946,028 Royeima Section Community Health Center, Royeima St. John of God Catholic Hospital, Lunsar ZIMBABWE JAMAICA Taiama Health Clinic and Maternity Center, Taiama LAOS KENYA Harare Central Hospital, Harare Food for the Poor, Spanish Town Island Hospice, Harare HOPE Worldwide, Kingston Mahosot Hospital, Vientiane 2,008,547 20,962 lbs. 686,739 Muang Sing Hospital, Muang SingAMREF Kenya, Nairobi J.F. Kapnek Charitable Trust, Harare Jamaica Humanitarian Dental Mission, St. JamesKericho Regional Hospital, Kericho Ministry of Health & Child Welfare, Harare Missionaries of the Poor, Kingston Save The Children-Australia, VientianeMeru Hospice, Meru SOMALIA Population Services Zimbabwe, Harare 59,343 6,595 lbs. 308,901OGRA Foundation, Kisumu Seke Rural Home Based Care, Seke 13,902,798 65,569 lbs. 578,953St. Joseph’s Mission Hospital Nyabondo, Sondu Edna Adan Maternity and Teaching Hospital, Hargeisa Sisters of Jesus of Nazareth Clinic, Chegutu CONTINUED on next pageVIAGENCO Comprehensive Care, Mbita HAPA Hargeisa Hospital, Hargeisa St. Alberts Mission Hospital, Zambezi Valley 7,761,579 53,888 lbs. 1,693,419 1,678,564 29,675 lbs. 409,505 2,071,948 34,420 lbs. 353,540 27
  • 16. O U R PA R T N E R S O U R PA R T N E R S CONTINUED from previous page HONDURAS 14,272,380 Alabama Honduran Medical Education Network AHMEN, Limon Europe & NORTH KOREA ASIDE, El Progroso 281,740 lbs.Eugene Bell Foundation, Pyongyang Brigada de Salud/Honduras Relief Effort, Tegucigalpa 5,648,546 CEPUDO, San Pedro Sula 740,676 22,076 lbs. 112,361 Chamelecon Medical Center, San Pedro Sula Middle Club Rotario Tegucigalpa/Uniendo America, Tegucigalpa South Hacienda Cristo Salva, Santa Barbara PAPUA NEW GUINEA Honduran Health Exchange/C.P.T.R.T., TegucigalpaWewak General Hospital, Wewak Hospital Leonardo Martinez, San Pedro Sula East La Clinica Esperanza, Roatan 153,544 7,122 lbs. 51,480 Asia Proyecto Aldea Global, Tegucigalpa Siempre Unidos, San Pedro Sula PHILIPPINES 3,896,056 14,036,241 110,321 lbs. 1,411,378Holy Rosary International Medical Mission, Palawan 55,767 lbs.Philos Health, Jagna MEXICOPopulation Services Pilipinas Incorporated, Pasay City 2,701,934 AFGHANISTANReyes-Villanueva Medical Relief, Baggao AeroMedicos of Santa Barbara, Cadeje Fundacion SEE International, A.C., Ciudad Juarez Afghan Health and Development Services, Kandahar Province 375,843 2,789 lbs. 174,448 LIGA International, Mazatlan Afghan Institute of Learning, Kabul and Herat ARMENIA Potter’s Clay, Ensenada Afghan Reconstructive Surgery and Burn Center, Kabul Health Ministry of Armenia, Yerevan Aga Khan Health Services, Bamyan Provincial Hospital, Bamyan THAILAND 236,394 2,979 lbs. 48,352 Karabagh Health Ministry, Yerevan Family Health Alliance, KabulChristians Concerned for Burma, Chaing Mai Yerevan Municipality, Yerevan Jamaludin Wardak Clinic, WardakGlobal Health Access Program, Mae Sot NICARAGUA Marie Stopes Afghanistan, KabulMae Tao Clinic, Mae Sot 297,333 9,662 lbs. 2,635,878 American Nicaraguan Foundation, Managua 554,809 33,971 lbs. 1,235,620 36,622 565 lbs. 155,369 Amucobu, Managua ROMANIA Aproquen, Managua Casa de la Mujer, Metagalpa BANGLADESH SOLOMON ISLANDS Christian Aid Ministries Romania, Floresti Christian Aid Ministries, Managua Cox’s Bazar Hospital for Women and Children, Cox’s Bazar CONANCA, Hospital Infantil Manuel de Jesus Rivera, ManaguaLoloma Foundation, Honiara 3,634,732 44,336 lbs. 2,163,704 Sangkalpa Trust, Patharghata Nicaraguan Children’s Fund, Puerto Cabezas Shidhulai Swanirvar Sangstha, Dhaka 1,020,081 21,164 lbs. 77,349 9,304,257 165,243 lbs. 1,476,354 2,546,385 19,396 lbs. 940,941 WEST BANK/GAZA VIETNAM ANERA, West Bank/Gaza PERU INDIAKim Long Charity Clinic, Hue St. John’s Eye Hospital, West BankMarie Stopes Vietnam, Hanoi Archdiocese of Lima, Lima 198,610 5,923 lbs. 366,628 Amrit Davaa World Health, Tawang 364,467 7,779 lbs. 263,745 Hospital Belen de Trujillo, Trujillo Aravind Eye Hospital, Madurai Hospital Carlos Monge Medrano, Juliaca Association of Indian Physicians of Northern Ohio, Northern India Hospital de Apoyo Tambobamba, Tambobamba The George Foundation, Baliganapalli UKRAINE Hospital Departamental, Huancavelica Lata Mangeshkar Medical Foundation, Pune Latin America God’s Hidden Treasures, Kiev Hospital Guillermo Diaz de la Vega, Abancay M/s. Mata Amritanandamayi Math, Cochin Hospital Regional de Ayacucho, Ayacucho Meenakshi Mission Hospital, Madurai 64,713 5,508 lbs. 171,602 Hospital San Jose, Chincha Pasam Trust, Kodaikanal Instituto Nacional de Salud del Nino, Lima PRASAD, Ganeshpuri Ministerio de Salud, Lima Sri Narayani Hospital & Research Center, Vellore Peruvian American Medical Society, Lima Than Gaon Clinic, Tan Gaon Real Medicine Foundation Clinic, San Clemente BOLIVIA ECUADOR 6,055,596 91,875 lbs. 2,114,461 6,036,697 104,821 lbs. 3,289,629 Centro Medico Vivir con Diabetes, Cochabamba Junta de Beneficencia de Guayaquil, Guayaquil Cruz Roja, Montero Marie Stopes Bolivia, Santa Cruz de la Sierra 664,553 36,782 lbs. 2,315,009 NEPAL VENEZUELA Rio Beni Health Care Project, Rurrenabaque Adventist Development and Relief Agency, Kathmandu Turimiquire Foundation, Cumana Family Health International, Kathmandu USA 601,930 37,022 lbs. 699,278 Himalayan HealthCare, Kathmandu 12,504 117 lbs. 2,243 Shahid Gangalal National Heart Centre, Kathmandu 157,216 5,056 lbs. 556,235 EL SALVADOR Baja Project for Crippled Children, San Miguel Comite de Reconstruccion y Desarrollo, Suchitoto PAKISTAN FUDEM, San Salvador American Refugee Committee International, Bagh FUSAL, San Salvador Bethania Hospital, Sialkot O.E.F. de El Salvador, San Salvador Marafie Foundation, Baltistan Murshid Hospital and Healthcare Center, Karachi 6,832,821 77,611 lbs. 4,250,321 PIPOS, Peshawar 57,264,815 4,958,374 131,442 lbs. 801,289 731,348 lbs. GUATEMALA GUYANA 14,586,859 61,367,567 Ministry of Health, Georgetown Asociacion Nuestros Ahijados de Guatemala, ONG, Antigua 380,216 lbs. MEDICAL MISSION BOX PROGRAM Caritas Arquidiocesana, Guatemala City 667,231 22,018 lbs. Liberty University, Guatemala City To learn more about our work with 3,724,948 Presbiterio Kaqchikel, Chimaltenango 12,744 Bristol-Myers Squibb that supports doctors who Project Xela Aid, Quetzaltenango Direct Relief works with more than 1,000 clinics provide primary health care worldwide, San Marcos Health Care Project, Catarina and community health centers in every state and Puerto Rico. Santa Rosa Medical Clinic, Santa Rosa go to WWW.D IRECTR ELIEF.ORG. 18,872,186 174,435 lbs. 1,081,553 Go to WWW.DIRECTRELIEF.ORG to learn more about these safety-net providers and their dedicated efforts to keep low-income communities healthy. 29
  • 17. Introduction and in-kind material donations are also recorded in inventory upon receipt. Direct Relief’s policy is to distribute products at the earliest practicable Certification of date, consistent with sound programmatic principles. While the distribution often occurs in the same year of receipt, it may occur in the following year. An expense is recorded and inventory is reduced when the products are shipped to our partners. Near the end of Fiscal Year 2007, for example, Direct Relief received a large infusion of product donations. When that fiscal year ended, Financial Statements the product inventories that had not been “spent” were reported as “surplus.” In turn, this increase in net assets was carried forward and “spent” during the course of Fiscal Year 2008. This resulted in a decrease in net assets (or net operating “loss”) in Fiscal Year 2008 of $26.6 million which was primarily driven by a decrease in inventory as Direct Relief shipped $25.8 million more in humanitarian aid than it received in product donations.D irect Relief International had a strong Fiscal Year 2008 in all areas of our activities and finances. We received $201.2 million in publicsupport and revenue, and provided $213.94 million (wholesale) in assistance around the world. Direct Relief’s financial position and balance Administrative Expenses As explained below, the Direct Relief Foundation pays for all the administrative and fundraising expenses of the organization. In addition, our organization has adopted a strict policy to ensure that 100 percent of all designatedsheet continues to be strong thanks to steadfast support from our generous donors and Board of Directors. contributions (e.g. donations for “Hurricane Katrina”) are used only on expenses directly related to that purpose. None of those funds are used to cover any pre-existing indirect or allocated organizational costs. We have used similar policies for all of our disaster responses in the lastCash and In-Kind Contributions Direct Relief’s financial statements must account for both cash and in-kind few years, including the Indian Ocean tsunami, Hurricanes Katrina and Rita, and earthquakes in Pakistan, Peru, and China.contributions (primarily medical material resources) that are entrusted to the organization to fulfill its humanitarian mission. In Fiscal Year Consistent with this policy, all administrative expenses, including banking and credit-card processing fees associated with simply2008, 93.6 percent of our total public support and revenue of $201.2 million was received in the form of in-kind medical material and certain receiving these disaster and other designated contributions, were absorbed by the Foundation. We believe this is appropriate to honorother donated services (such as transportation services from FedEx and online advertising from Google). The previous pages precisely the clear intent of generous donors who responded to these exceptional tragedies and to preserve the maximum benefit for theexplain where and why these in-kind medical materials and other inventories were provided. victims for whose benefit the funds were entrusted to Direct Relief. 2008 Support & Revenues: $201.2 million Valuation of In-Kind Medical Materials Accounting standards require Direct Relief to use a “fair market value” 2008 Sources of Cash to value in-kind medical materials. We continue to use the wholesale prices published by independent, third-party sources for valuation $250m Support & Revenues: $12.9 million whenever possible. Specifically for pharmaceutical products, the source of and basis for product values are the “Average Wholesale Price” In-Kind (AWP), which is published in Thomson Healthcare’s Redbook. For used medical equipment, the organization determines wholesale value by 94%, $188.3m $200m Undesignated reviewing the price of similar equipment listed for sale in trade publications and on the Internet. Such valuations typically are substantiallyCash 41%, $5.3m6%, $12.9m lower than published retail prices. Because nonprofit organizations are rated on, among other things, the amount of support received, a strong $150m Bequests incentive exists to use higher valuation sources, such as retail prices, which would be permissible. However, we believe that a conservative 202 21%, $2.7m approach is best to instill public confidence and give the most accurate, easy-to-understand basis for our financial reporting. 199 188 $100m 121 Disasters Direct Relief Foundation and the Board-Restricted Investment Fund In 1998, Direct Relief’s $50m 98 Special Events 7%, $0.9m Board of Directors established a Board-Restricted Investment Fund (“BRIF,” sometimes characterized as a “quasi-endowment” in legal or 3%, $0.4m accounting terminology) to help secure the organization’s financial future and provide a reserve for future operations. The BRIF, established 4 43 Grants 21 16 13 with assets valued at $774,000, draws resources from Board-designated unrestricted bequests and gifts, returns on portfolio assets, and $0m Investment Income 16%, $2.1m CY FY FY FY FY operating surpluses (measured annually) in excess of current operational needs. There was no operating surplus for the year ended March 31, 2003 2005 2006 2007 2008 12%, $1.5m 2008. Cash Support In-Kind Support In October 2006, the Direct Relief Foundation was formed and incorporated in the State of California as a separate, wholly controlled, We recognize that merging cash and in-kind contributions in accordance with Generally Accepted Accounting Principles can be confusing supporting organization of Direct Relief International. Effective April 1, 2007, assets in the BRIF were transferred to the Foundation. Theto non-accountants. The notes following the financial statements are to assist you in understanding how our program model is financed and Foundation’s investments are managed by the Commonfund Strategic Solutions Group, an investment firm under the direction of the Board’sworks, to explain the state of our organization’s financial health, and to inform you about how we spent the money generously donated to Finance Committee, which meets monthly and oversees investment policy and financial operations.Direct Relief in 2008 by individuals, businesses, organizations, and foundations. The BRIF is authorized to distribute its portfolio assets to pay for all fundraising and administrative expenses of the organization, Direct Relief’s activities are planned and executed on an operating (or cash) budget that is approved by the Board of Directors prior to including extraordinary capital expenses, and to advance emergency disaster relief funding as determined by the President and CEO. Upon athe onset of the fiscal year. The cash budget is not directly affected by the value of in-kind medical material contributions. Cash support—as majority vote by the Board, the BRIF may also be utilized to meet other general operational costs. Thus, in Fiscal Year 2008, 100 percent of alldistinct from the value of contributed goods—is used to pay for the logistics, warehousing, transportation, program oversight, program staff donations received by the organization were directed towards programmatic activities and costs.salaries, purchasing of essential medical products, acquisition of medical products through donations, and all other program expenses. For the fiscal year ending March 31, 2008, $2.1 million was distributed from the BRIF to cover fundraising and administration costs, as When taking an annual snapshot at the end of a fiscal year, several factors can distort a realistic picture of our (or any nonprofit well as implementation costs for a new enterprise-resource planning platform.organization’s) financial health and activities. Since the purpose of this report is to inform you, we think it is important to call your attention As of March 31, 2008, the BRIF in the Foundation was valued at $46.3 million.to these factors. Finally, we note that our organization’s independently audited financial activities were also reviewed by an audit committee, two of whose members are independent accounting professionals and not directors of the organization. This additional level of independent review isTiming of Revenue Recognition and Expenses First is the timing of donations being received and the required under California law.expenditure of those donations, whether in the form of cash or in-kind medical material. Donations—including those received to conductspecific activities—are recorded as revenue when they are received or promised, even if the activities are to be conducted in a future year. The THOMAS TIGHE, BHUPI SINGH,30 President & CEO Executive Vice President & CFO 31
  • 18. RECONCILIATION OF CHANGE IN NET ASSETS TO NETCombined Statement of Activities (Direct Relief International & Direct Relief Foundation) CASH PROVIDED BY OPERATING ACTIVITIESfor the fiscal years ending March 31, 2008, and March 31, 2007 2008 2007 Change in net assets $ (26,595) $ 87,477 ADJUSTMENTS TO RECONCILE CHANGE IN NET ASSETS $ IN THOUSANDS TO NET CASH PROVIDED BY OPERATING ACTIVITIES:PUBLIC SUPPORT & REVENUE Depreciation $ 250 $ 200Public Support Change in inventory 28,263 (57,436)Contributions of goods and services $ 188,332 93.6% $ 201,823 82.6% Change in receivables (798) (8)Contributions of cash and securities—California fires 743 0.4% - 0.0% Change in prepaid expenses and other assets (65) (34)Contributions of cash and securities—other disaster relief 133 0.1% 942 0.4% Change in accounts payable and accrued expenses 112 296Contributions of cash and securities—other 10,553 5.2% 39,798 16.3% Loss on disposal of fixed assets 62 3TOTAL PUBLIC SUPPORT 199,761 99.3% 242,563 99.3% Realized gain on sale of investments (1,112) (1,189) Unrealized loss on investments 688 716RevenueEarnings from investments and other income 1,475 0.7% 1,776 0.7% NET CASH PROVIDED BY OPERATING ACTIVITIES $ 805 $ 30,025TOTAL PUBLIC SUPPORT AND REVENUE 201,236 100.0% 244,339 100.0%EXPENSES Statement of Financial Position Direct Relief Direct Relief Combined International FoundationProgram Services as of March 31, 2008, and March 31, 2007 2008 2008 2008 2007Value of medical donations shipped 213,920 136,154Inventory adjustments (expired pharmaceuticals, etc.) 2,430 7,649 ASSETSDisaster relief—California fires 575 - Current AssetsDisaster relief—other 656 5,182 Cash and cash equivalents $ 1,313 $ 2,286 $ 3,599 $ 3,177Domestic programs 1,480 824 Investments 5 43,441 43,446 43,997International programs 5,790 4,851 Inventories 53,384 - 53,384 81,647TOTAL PROGRAM SERVICES 224,851 111.7% 154,660 63.3% Other current assets 587 230 817 203Supporting Services TOTAL CURRENT ASSETS 55,289 45,957 101,246 129,024Fundraising 1,234 896Administration 1,746 1,306 Other Assets Property and equipment 4,932 - 4,932 3,961TOTAL SUPPORTING SERVICES 2,980 1.5% 2,202 0.9% Remainder unitrusts - 72 72 76TOTAL EXPENSES 227,831 113.2% 156,862 64.2% Pledged bequests - 257 257 - Other assets 17 - 17 22INCREASE (DECREASE) IN NET ASSETS $ (26,595) -13.2% $ 87,477 35.8% TOTAL OTHER ASSETS 4,949 329 5,278 4,059 TOTAL ASSETS $ 60,238 $ 46,286 $ 106,524 $ 133,083Combined Statement of Cash Flows (Direct Relief International & Direct Relief Foundation) LIABILITIES AND NET ASSETSfor the fiscal years ending March 31, 2008, and March 31, 2007 2008 2007 Current Liabilities Payables and other current liabilities $ 799 - $ 799 $ 688CASH FLOWS FROM OPERATING ACTIVITIESCash collected from public support $ 10,628 $ 40,732 Current portion of long-term debt 5 - 5 1,467Cash paid for goods and services (10,937) (11,963) TOTAL CURRENT LIABILITIES 804 - 804 2,155Dividend and interest income 1,119 1,244 Other LiabilitiesOther income (expense) (5) 12 Long-term debt 1,400 - 1,400 -NET CASH PROVIDED BY OPERATING ACTIVITIES 805 30,025 Capital lease obligation 8 - 8 17 Distribution payable 20 - 20 24CASH FLOWS FROM INVESTING ACTIVITIES Total Other Liabilities 1,428 - 1,428 41Purchase of investments (20,306) (51,310) TOTAL LIABILITIES 2,232 - 2,232 2,196Proceeds from sale of investments 21,281 17,147Purchase of capital assets (1,283) (498) NET ASSETSUnitrust distributions (4) (5) Unrestricted net assetsNET CASH USED BY INVESTING ACTIVITIES (312) (34,666) Board-Restricted Investment Fund (BRIF) - 44,265 44,265 44,192 Undesignated 54,717 1,996 56,713 84,597CASH FLOWS FROM FINANCING ACTIVITIES TOTAL UNRESTRICTED NET ASSETS 54,717 46,261 100,978 128,789Payments on mortgage (62) (52)Payments on capital lease obligation (9) (4) Temporarily restricted assets 3,289 - 3,289 2,073NET CASH USED FOR FINANCING ACTIVITIES (71) (56) Permanently restricted assets - 25 25 25 TOTAL NET ASSETS 58,006 46,286 104,292 130,887NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 422 (4,697) LIABILITIES AND NET ASSETS $ 60,238 $ 46,286 $ 106,524 $ 133,083CASH AND CASH EQUIVALENTS - BEGINNING OF YEAR 3,177 7,874CASH AND CASH EQUIVALENTS - END OF YEAR $ 3,599 $ 3,17732 33
  • 19. Notes to the Financials Fiscal Year Results Cash GrantsT he overall assistance furnished by Direct Relief in Fiscal Year 2008 was just over $216 million. Direct Relief received nogovernmental assistance. All resources were obtained from private sources. I n addition to the core medical material assistance program, Direct Relief also provided financial assistance of $2.15 million through cash grants. The vast majority of these grants (approximately $1.3 million) were made from designated contributions received in this and past fiscal years for the Indian Ocean tsunami of 2004, the Pakistan earthquake of October 2005, the Southern California Fires of In the fiscal year ending March 31, 2008, Direct Relief provided 2,353 shipments of humanitarian medical material including 2007, the Peru earthquake of August 2007, and the post-election violence of Kenya in December 2007.pharmaceuticals, medical supplies, and medical equipment. The more than 1,270 tons (just under 2,540,000 pounds) of material aidwere furnished to local health programs in 59 countries, including the United States, and had a wholesale value of $213.9 million. The The organization incurred $487,000 in tsunami cash expenditures this fiscal year, of which over $403,000 was in the formmaterials contained in these aid shipments were sufficient to provide 49.8 million courses of treatment. of cash grants to support essential recovery efforts conducted by local organizations in the affected countries and by colleague international nonprofit organizations. As of March 31, 2008, the organization had spent over 97 percent of the funds received for In addition, the organization provided $2.15 million in the form of cash grants to dozens of locally run health programs in areas tsunami relief.affected by the December 2004 Indian Ocean tsunami, the Pakistan earthquake of October 2005, the Southern California wildfiresof 2007, the Peru earthquake of August 2007, the post-election violence of Kenya in December 2007, and various other partners With funds received for the Pakistan earthquake of October 2005, the organization spent a total of $137,000, of which $127,000providing health services in other non-disaster areas. was spent in the form of cash grants. As of March 31, 2008, the organization had spent over 99 percent of the funds received for this relief effort. Expanding Assistance, Increasing Efficiency With Southern California wildfire–designated contributions, the organization incurred expenditures of $578,000, of which Value of Material Aid Provided ($ Millions) $565,000 was spent in the form of cash grants to health facilities and organizations providing direct health services to residents in the 220 50 affected areas. As of March 31, 2008, the organization had spent over 77 percent of the funds received for this relief effort. 200 45 180 Courses of Treatment (Millions) 200 40 160 180 Staffing T 35 160 140 30 hese activities were accomplished by a staff which, as of March 31, comprised 48 positions (40 full-time, 8 part-time). Measured 140 120 120 25 on an full-time equivalent (FTE) basis, the total staffing over the course of the year was 41.5. This figure is derived by dividing the 100 100 20 total hours worked by 2,080, the number of work hours by a full-time employee in one year. Two persons each working half-time, for 80 80 15 example, would count as one FTE. 60 60 10 40 20 5 Staffing (FTE): 1995 – Fiscal Year 2008 0 0 CY 96 CY 97 CY 98 CY 99 CY 00 CY 01 FY 02 CY 03 FY 05 FY 06 FY 07 FY 08 96 97 98 99 00 01 CY 02 03 02 FY 05 45 45 40 40 International Domestic Courses of Treatment In-Kind Support Received 35 35 Full-Time Equivalents Full-Time Equivalents Direct Relief–Furnished Assistance 30 30 25 25 Comparison to Previous Year’s Results 20 20A ll financial statements presented in this report show both the results for Fiscal Year 2008 and those of Fiscal Year 2007 for 15 10 15 10comparison purposes. 5 5 0 0 95 96 97 98 99 00 01 02 03 FY FY FY FY LeverageI 05 06 07 08 n Fiscal Year 2008, for every $1 contributed and spent for our core medical assistance program (excluding emergency response), In general, staff functions relate to three basic business functions: programmatic activity, resource acquisition/fundraising, andthe organization provided $36.39 worth of wholesale medical material assistance. These program expenses totaled $5.48 million. The general administration. The following sections describe the financial cost of our organizational activities, how resources are spent, andexpenditure of these funds enabled Direct Relief to furnish $199.4 million worth (wholesale value) of medical material resources to 59 how donor funds are leveraged to provide assistance to people in need throughout the world.countries for the support of ongoing health needs.34 35
  • 20. Total Expenses: 2003 – 2008 Donated Freight Program Expenses Fundraising Expenses Program Expenses Fundraising expenses also include: Disaster Response Administration Expenses I $25m $250m • The production, printing, and mailing of newsletters, the annual report, tax-receipt Fundraising Expenses: 2003 – 2008 Program Expenses (non-disaster) n Fiscal Year 2008, Direct Relief ’s cash Material Aid (Wholesale Value) 4%, $9.2m letters to contributors, fundraising solicitations, and informational materials. Total expenditures on program activities totaled Program Expenses (disaster response) $1.2m 0.9 *Other 1%, $1.2m costs$20m incurred came to approximately $87,000. 0.8 $200m $10.93 million, $2.21 million of which 0.7 0.9 2%, $3.5m Program Related 1.0 1.3 0.24 paid for salaries, related benefits (health, m Program Related $154.7 98.6 % • $8,000 in advertising and Benefits 50%, $611k Salaries & marketing costs $1.0m 98.69%, $224.9m dental, long-term disability insurance, and m Administration $1.3 .83% *Other Administration • $67,000 in expenses directly related to $150m $15m 5.9 fundraising events (of which $9,000 were Contract Services 8%, $103k retirement-plan matching contributions), m Fundraising $0.9 .57% 0.77%, $1.7m Management & Administration $1.7m 0.5 donated goods for the events) 1.2 $0.8m 0.2 Total Fundraising $1.2m and mandatory employer-paid taxes (Social m $156.9 100% Special 12.5 Events, Travel1.7 Donated Freight $0.5m • $56,000 in travel and mileage-reimbursement expenses $10m $100m 214 Security, Medicare, workers’ compensation, Fundraising & Meeting Expenses 9%, $114k 0.54%, $1.2m 0.6 • $335,000 in contract services (of which $232,000 were donated services 190 $0.6m and state unemployment insurance) for 25 0.7 0.6 Donated Goods & Services 20%, $241k 136 0.96 from Google) 12.0 9.2 119 full-time and 5 part-time employees engaged in $5m 3.0 $50m Wholesale Value of Material Aid 0.4 94 $0.4m programmatic functions. *Other 93%, $213.9m • $12,000 in supplies in support of the fundraising Etc. 7%, $87k 0.5 Printing, Postage, Mailing, staff 0.5 5.1 0.7 0.7 0.7 Management & Administration $1.7m 3.6 Fundraising $1.2m • $7,000 in outside computer Expensesrelated to fundraising 2.1 Other services 6%, $77k 1.2 0.5 Program expenses also included: *Other $0m CY FY FY FY FY $0m CY FY FY FY FY $0.2m Management & $1.7m Donated Freight $0.5m • A pro-rata portion other allocable 2003 2005of2006 2007 2008 costs (see page 39) 2006 2007 2008 2003 2005 • The value of disposed expired products Administration Fundraising $1.2m ($2.43 million) Donated Freight $0.5m It should be noted that Direct Relief does not classify any mailing expenses as $0m Total Expenses: 2003 – 2008 “jointly incurred costs”—an accounting practice that permits, for example, the expenses CY FY FY FY FY • Cash grants to partner organizations ($2.15 2003 2005 2006 2007 2008 Donated Freight million, of which $403,000 was for tsunami of a newsletter containing information about programs and an appeal for money to be Program Expenses Fundraising Expenses Donated Services relief, $127,000 for Pakistan earthquake Disaster Response Administration Expenses allocated partially to “fundraising” and partially to “public education,” which falls under relief, $565,000 for Southern California program costs. $25m $250m wildfire relief, $100,000 for relief efforts after Program Related MaterialProgram Related $154.7 m Aid (Wholesale Value) 98.6 % Salaries & Benefits 50%, $611k the violence in Kenya, and $26,000 for Peru 98.69%, $224.9m Administration $1.3 m .83%s (disasterearthquake relief) response) 0.9 Administration Contract Services 8%, $103k $20m 0.8 $200m Fundraising $0.9 m .57% 0.77%, $1.7m 0.7 0.9 Total $156.9 m 100% • Ocean/air freight and trucking for outbound 1.0 1.3 Special Events, Travel Fundraising & Meeting Expenses 9%, $114k shipments to partners and inbound product 0.54%, $1.2m $15m 5.9 $150m Donated Goods & Services 20%, $241kher donations ($1.97 million, of which $549,000 was donated)nagement & Administration $1.7m 0.5 *Other Printing, Postage, Mailing, Etc. 7%, $87k 1.2 draising $1.2m Management & Administration $1.7m • Travel for oversight and evaluation 12.5 1.7nated Freight $0.5m $10m $100m Fundraising 214$1.2m Other Expenses 6%, $77k ($372,000); contract services ($659,000, Donated Freight $0.5m 0.6 190 of which $18,000 was donated); packing 0.7 0.6 136 materials and supplies ($87,000); and 12.0 9.2 119 $5m 3.0 $50m Administrative Expenses D disposal costs for expired pharmaceuticals 0.4 94 ($32,000) 0.5 0.5 5.1 irect Relief spent a total of $1.75 million on administration. As noted earlier these expenses (other than donated services) were 3.6 • A pro-rata portion of other allocable costs 2.1 1.2 paid out of the assets of the Direct Relief Foundation. Administration is responsible for financial and human resource management, $0m $0m (see page 39) CY FY FY FY FY CY FY FY FY FY information technology, and general office management. A total of $1.03 million was for salaries, related benefits, and taxes for 10 2003 2005 2006 2007 2008 2003 2005 2006 2007 2008 full-time employees and 2 part-time employees engaged in administration and financial management. Increased administrative expenses are due to new investment in information technology and finance infrastructure, systems, and personnel. Program Related Fundraising Expenses D 98.69%, $224.9m Contract Services 18%, $310k irect Relief spent a total of $1.23 million on resource acquisition and fundraising in Fiscal Year 2008. As noted earlier, these Travel, Meetings & Conferences 3%, $60k Administration expenses (other than donated services) were paid out of the assets of the Direct Relief Foundation. A total of $610,000 was spent 0.77%, $1.7m Rent and Equipment 5%, $88k for salaries, related benefits, and taxes for 5 full-time employees and 1 part-time employee engaged in resource acquisition and Printing, Postage & Mailing 6%, $99k Fundraising fundraising. 0.54%, $1.2m Donated Goods & Services 3%, $51k Other (non-personnel) 6%, $108k Salaries & Benefits 59%, $1,028k 36 37
  • 21. Administrative expenses also included: Other Allocable Costs• $32,000 in credit card, banking, and brokerage fees D irect Relief owns and operates a 40,000–square-foot warehouse facility that serves as its headquarters and leases another 23,000–square-foot warehouse. Costs to maintain these facilities include mortgage interest, depreciation, utilities, insurance, repairs,• $74,000 for duplicating and printing, of which $9,000 was spent on producing our Fiscal Year 2007 Annual Report maintenance, and supplies. These costs are allocated based on the square footage devoted to respective functions (e.g. fundraising• $263,000 in consulting fees including information technology services ($86,000), management fees for invested assets ($98,000), and expenses described earlier include the proportional share of these costs associated with the space occupied by fundraising staff). The communication services ($46,000) cost of information technology services are primarily related to the activities of the respective functions described earlier. These costs• $39,000 in accounting fees for the annual CPA audit, payroll processing and reporting, and other financial services are allocated based on the headcount devoted to the respective functions.• $55,000 in legal fees, of which $47,000 was provided pro bono for legal representation related to general corporate matters Executive Compensation: The compensation of the CEO and the CFO was paid entirely by the Direct Relief Foundation. The• $4,000 in taxes, licenses, and permits (Direct Relief is registered as an exempt organization in each U.S. state requiring such CFO’s compensation is allocated 100 percent to administration, and the CEO’s compensation is allocated 50 percent to administration registration) and 50 percent to fundraising. The compensation of the Chief Operating Officer, who also served as the Vice President of Programs for• A pro-rata portion of other allocable costs (see next page) the majority of Fiscal Year 2008, was allocated 70 percent to programs, 20 percent to administration, and 10 percent to fundraising. “WE WORK HARD TO WISELY AND EFFICIENTLY MANAGE THE CASH AND MATERIAL RESOURCES ENTRUSTED TO US BY OUR DONORS. 100% OF ALL CONTRIBUTED DOLLARS ARE DEVOTED TO PROGRAMS.” – Bhupi Singh, Direct Relief International CFO ANDREW FLETCHER 39
  • 22. OUR INVESTORS 41 Consul General ($50,000 - $99,999) Mission Without Borders, Inc. Cambria Winery & Vineyard Ms. Sandra Nowicki Alcon Laboratories, Inc. The Cynthia and George Mitchell Catholic Healthcare West Mr. Dee Sterling Osborne American Jewish Joint Distribution Foundation Mr. and Mrs. James M. Celmayster P&G Committee, Inc. Mitsui USA Chevron Overseas Petroleum Inc. Pacific Capital Bancorp Anonymous The Henry E. and Lola Monroe Children International Paras Diamond Corp. The American Society of the Most Foundation Church of the Holy Communion The J. Douglas & Marian R. Pardee Venerable Order of the Hospital of Montecito Bank & Trust Coast Village Business Association, Inc. Foundation St. John of Jerusalem Montecito Union School Colgate-Palmolive Company Mr. Devon Patel Mrs. Elizabeth Potter Atkins Mr. and Mrs. Robert Nakasone Community Foundation Silicon Valley Mr. Austin H. Peck, Jr. Mr. and Mrs. William J. Bailey New York Mercantile Exchange Ms. Helen S. Converse Peruvian American Medical Society – BASF Corporation Charitable Foundation Mr. and Mrs. Brian Coryat Northridge, CA Mr. and Mrs. Philip M. Battaglia Mr. and Mrs. John R. Noble Mr. and Mrs. Marcus Crahan / The Julia Peruvian American Medical Society – West The James Ford Bell Foundation Oracle Corporation Stearns Dockweiler Charitable Bloomfield, MI Blue Shield of California Foundation Orfalea Family Foundation Foundation Dr. Kevin W. Plaxco and Mrs. Lisa Plaxco Boehringer Ingelheim CARES Mr. and Mrs. Frank R. Ostini / Mr. and Mrs. George Crawford The Positive Transitions Foundation Foundation The Hitching Post & Hitching Post Wines Mr. and Mrs. Leonard J. DiSanza Potter’s Clay Mrs. Beatrice (Brownie) Borden Mr. and Mrs. Fess E. Parker Dr. and Mrs. Wilton Doane Power Equipment Company Mr. James S. Bower Partnership for the Children Dr. and Mrs. Ernest H. Drew QAD Inc. Bradlees Stores, Inc. Pediatrix Charitable Fund, Inc. Mr. and Mrs. Thomas E. Everhart Qdoba Mexican Grill Bristol-Myers Squibb Company Mr. Alan R. Porter Mr. and Mrs. Ted Ewing Mr. Randy Rettig and Ms. Ashley Williams Mr. and Mrs. Joseph Byrne / Mr. John Powell and Ms. Melinda Lerner Mr. and Mrs. Brooks Firestone Lord Paul and Lady Leslie Ridley-Tree J. E. Lillian Tipton Foundation Mr. and Mrs. Michael E. Pulitzer / Dr. and Mrs. John M. Foley Mr. and Mrs. J. Paul Roston The California Endowment The Ceil and Michael E. Pulitzer Food For The Poor, Inc. RSP Architects, Ltd. California Lithuanian Credit Union Foundation Inc. Foxen Vineyard, Inc. Arthur N. Rupe Foundation Campbell & Company Inc. Reebok Human Rights Foundation Fruitful Yield Mr. and Mrs. Geoff Rusack / The Hon. and Mrs. Henry E. Catto / Mrs. Nancy Roberts Fundacion Pro-Vista, A.C. Rusack Vineyard Catto Charitable Foundation Rose Hills Foundation Josephine Herbert Gleis Foundation Salvadoran American Health Foundation Mr. Pierre P. Claeyssens Ms. Maria Rosmann The Glenlivet Single Malt Scotch Whiskey sanofi-aventis Mr. James Clendenen The San Diego Union-Tribune Godric Foundation Santa Casa de Misericordi Crescent City Relief Fund, Inc. Mr. and Mrs. Denis R. Sanan God’s Hidden Treasures Schering-Plough Corporation Mr. and Mrs. Thomas J. Cusack Mr. and Mrs. Richard L. Schall Mr. and Mrs. Lawrence L. Goodman Mr. and Mrs. Ed H. Schollmaier Mr. and Mrs. Killick Datta / GBMI Schulte Roth & Zabel LLP Mr. Myron C. Gretler Mr. and Mrs. Larry Schotz Ms. Margaret E. G. Davis Mr. and Mrs. James H. Selbert Mary Livingston Griggs and Mr. and Mrs. Howard B. Schow / Dendrite International, Inc. Seva Foundation Mary Griggs Burke Foundation The Schow Foundation DIRECT RELIEF ARCHIVES Diwaliben Mohanlal Mehta Shaker Family Charitable Foundation Mr. and Mrs. Steven R. Gumins Ms. June H. Schuerch Charitable Trust Mr. and Mrs. James A. Shattuck The Gunzenhauser-Chapin Fund Selective Insurance Mr. and Mrs. Dan Doctoroff Mr. Thomas E. Simondi Mr. and Mrs. Joseph Hardin, Jr. Seton Institute for International The Doehring Foundation Mr. and Mrs. Krishan G. Singh Mr. and Mrs. David F. Hart Development The William H. Donner Foundation, Inc. Sidhu Singh Family Foundation Mr. and Mrs. Billy R. Hearn Mohammed Shaikh, Ph.D. and Mr. and Mrs. James Drasdo Six Furlongs, LLC Hegardt Foundation Ayesha Shaikh, M.D. Mr. Grant Ehrlich / The Grant C. Ms. Angela H. Skolnick / Heron Foundation Mr. Stanley Shopkorn Ehrlich Trust The Skolnick Foundation The Hexberg Family Foundation Sisters of St. Francis of Perpetual Mr. and Mrs. Thomas P. Elsaesser Ms. Margaret H. Smith Mr. Doug Hickey Adoration Our Investors Baroness Leni Fe Bland Mr. and Mrs. Michael D. Smith Conrad N. Hilton Foundation Ms. Carol L. Skinner Mr. and Mrs. Gary Finefrock Stone Family Trust Mr. Linus Ho Smart Family Foundation, Inc. Ms. Penelope D. Foley Ms. Elizabeth Ash Strode and Mr. Gerhart Hoffmeister Spence & Chapin Services to Families Fukushima Family Fund Mr. Robert L. Douglas Honeywell Foundation St. Mary Parish Land Company Mr. and Mrs. Edward Gaylord Mr. and Mrs. John W. Sweetland Mr. and Mrs. Stanley Hubbard Mr. K. Walter Stawicki Mr. and Mrs. Allen Gersho The Thomas Collective Hutton Foundation Mr. Sheldon Stone Mr. Paul F. Glenn Mr. and Mrs. Walter J. Thomson Inamed Sunflower Foundation On the occasion of Direct Relief’s 60th anniversary, we recognize with deepest Dr. Bert Green and Ms. Alexandra Brookshire / Brookshire Green Mr. and Mrs. Michael Towbes The Towbes Group, Inc. Indo-American Eye Care Society Inc. Mr. and Mrs. J. Jerry Inskeep Mrs. Elizabeth A. Tehan Mr. and Mrs. Nicholas W. Tell, Jr. thanks the following investors, whose generosity has enabled service to millions of Foundation Alice Tweed Tuohy Foundation Mr. and Mrs. Palmer G. Jackson, Sr. Tellabs Foundation / Mr. W.T. Hammond Mr. and Mrs. Paul H. Turpin Mr. and Mrs. Richard A. Johnson Tellabs Matching Gift Fund Dr. and Mrs. Melvin H. Haskell Jr. / Union for Reform Judaism Ms. Judith Jones Ms. Lee Thomas people throughout the world. The Haskell Fund Hatch & Parent The David Vickter Foundation Weingart Foundation Jordano’s Inc. J.F. Kapnek Charitable Trust Tissue Banks International Tomchin Family Charitable Trust Mr. and Mrs. Stanley C. Hatch Wisconsin Nicaragua Partners of America Mr. and Mrs. Dennis Karczag Trumpf Inc.CASH DONORS Mr. and Mrs. Robert S. Cathcart Mr. and Mrs. Donald S. Kennedy Santa Barbara Cottage Hospital Foundation The Dorothea Haus Ross Foundation Xi’an First Teaching Hospital Karl Storz Endoscopy-America, Inc. Ukrainian Civic Center, Inc. Christian Relief Services Kind World Foundation Santa Barbara Foundation Mrs. Jean Hay and Mr. John Hay Yorba Oil Company, Ltd. Dr. and Mrs. John P. J. Kelly United Voluntary ServicesHonorary Chair ($1,000,000+) Mr. and Mrs. W. Scott Hedrick Mr. and Mrs. Chris Conway Dorothy Largay and Wayne Rosing Mr. and Mrs. C. William Schlosser/ Mrs. Elizabeth E. Kennedy United Way of Santa Barbara CountyAbbott Fund Global Emissary ($25,000 - $49,999) Mr. and Mrs. Thomas Crawford Ms. Nancy Lessner Nancy B. & C. William Schlosser Henry Schein, Inc. Mrs. Ellen Bayard Kennelly Vadasz Family FoundationMr. and Mrs. John H. Adams A.N.E.R.A. Roy R. and Laurie M. Cummins Fund Yvonne C. Lucassen Estate Family Foundation The William and Flora Hewlett Foundation Mrs. Marvel Kirby Vanech Family FoundationAnonymous Mr. and Mrs. Stephen Adams / Mr. and Mrs. John D. Curtis Mr. and Mrs. Glenn Lukos Mr. and Mrs. Pete Schmidt-Petersen Priscilla Higgins, Ph.D. and Mr. Roger Mr. Ishwan Kumar Venoco, Inc.H. Guy Di Stefano Estate Adams Family Foundation Digicel Grenada Ltd. MacDonald Family Foundation Mr. Michael Scott W. Higgins / Higgins-Trapnell Family Dr. Ralph Kuon Video Products DistributorsMr. Chip Harlow / Precision Strip African American Labor Center The Disarm Education Fund, Inc. Maine Community Foundation SigmaTel Foundation L. S. Research, Inc. Mr. and Mrs. James VillanuevaMr. and Mrs. Jon B. Lovelace Aidmatrix Dodge & Cox Martone Family Trust Mr. and Mrs. Harold Simmons / Highbourne Foundation Herbert and Gertrude Latkin Charitable VistakonM.E.G. Foundation American-Nicaraguan Foundation Peggy and Steve Dow Mayo Clinic Harold Simmons Foundation Mr. and Mrs. George Holbrook, Jr. / Foundation Mr. and Mrs. Guhan ViswanathanThe Orfalea Fund Amigos Del Peru Foundation, Inc. Mr. and Mrs. James Eiting McCormick Tribune Foundation The Sixty Four Foundation George W. Holbrook, Jr. Foundation Lebanese American Association Inc. Wallis FoundationThe Babette L. Roth Irrevocable Trust The Capital Trust Company of Delaware Estonian American Fund for R. K. Mellon Family Foundation Ms. Thelma R. Smith Mr. Erle Holm Levi Strauss Foundation Watling Foundation, Inc.Santa Barbara County Vintners’ Foundation Mrs. Carolyn Pesnell Amory Economic Education, Inc. Mentor Corporation Mr. and Mrs. Robert Sommer Mr. and Mrs. S. Roger Horchow / The Dr. and Mrs. Donald Lewis Mrs. John W. Watling, Jr. Mr. and Mrs. David H. Anderson ExxonMobil Corporation / Mercury Steinmetz Foundation Horchow Family Charitable Foundation Mr. and Mrs. Donald J. Lewis Mr. and Mrs. Harold S. WayneAmbassador of Health Anonymous ExxonMobil Foundation Music for Relief Mr. and Mrs. John Swift and the Swift Hospira Foundation Lions Clubs International Foundation Dr. and Mrs. Thomas A. Weber($100,000 - $999,999) The Anschutz Foundation FedEx New Horizons Outreach, Inc. Foundation / MSST Foundation IBM Corporation Mr. Joseph C. Lizzio Mr. and Mrs. John F. WeersingThe Allergan Foundation ARA-Charlotte Charitable Foundation Mrs. Barbara Hunter Foster / The Norcliffe Foundation Julia & Emil Synkys Lithuanian Izumi Foundation Mr. Richard E. Lunquist Wilmington Trust CompanyAmerican Jewish World Service Mr. and Mrs. Omar Arnesen / The Pacer Foundation The Nurture Foundation Foundation Ms. Wendy E. Jordan The Hon. and Mrs. John D. Macomber Mr. and Mrs. Frank M. Wilson IIIAmgen Foundation, Inc. Arnesen Family Foundation GlaxoSmithKline Foundation Osprey Foundation Tenet Healthcare Foundation Mrs. Joyce E. Joseph Mrs. Adele Mairs Wisconsin Evangelical Lutheran SynodAnonymous Mr. and Mrs. Anderson J. Arnold Global Partners for Development Pallottine Center for Apostolic Causes Mrs. Grace A. Tickner W. M. Keck Foundation Mrs. Louise F. Maison Mr. Joseph Kim-Hun WongMr. and Mrs. Bruce Anticouni Aveda Corporation Mr. and Mrs. Richard Godfrey Mr. Harold A. Parma Trust Company of the West The Klingbeil Family Mr. and Mrs. Calvin S. Marble Mr. and Mrs. George S. Writer, Jr. /The Antioch Company B & B Foundation Mr. and Mrs. Lawrence L. Goodman Mr. and Mrs. Donald E. Petersen Mr. and Mrs. George Turpin, Sr. Mr. Larry Koppelman and Mrs. Nancy Kim Margolin, M.D. Writer Family FoundationArmenian Relief Society of Western U.S.A. Bank of America Foundation, Inc. Google Pfizer, Inc. Turpin Family Charitable Foundation Walker Koppelman Marian Medical Center Foundation / Youth for Direct ReliefBD Bare Escentuals Beauty, Inc. Guyana Medical Relief, Inc. Mrs. Evans S. Pillsbury Tyco International Inc. Mr. Barry Kravitz Catholic Healthcare WestBenton Oil and Gas Company Mrs. Cornelia Barr World Health Envoy ($10,000 - $24,999) Harman International Industries Inc. Potash Corporation of Saskatchewan, Inc. U.S. Omen National Organization La Santa Casa de Misericordia MarqueeMr. and Mrs. Philip Berber Beckmen Vineyards 805 Wear Brett and Natalie Hodges / Mr. and Mrs. Alexander M. Power United Armenian Fund The Lehrer Family Foundation MLB Advanced Media LPBlue Cross of California Mr. and Mrs. Arnold Bellowe Mr. and Mrs. Stewart L. Abercrombie WWW Foundation The PRASAD Project WellPoint Foundation The Limited Service Corporation Mr. Ralph B. MontgomeryJohn G. Braun Charitable Annuity Trust Bishop Rotary Foundation ADA International, Inc. Holy Cross Society Rock Paper Scissors Foundation Mr. Cooper Williams The Linbury Trust Montgomery Street FoundationMrs. Maria Bregy Mr. and Mrs. John C. Bowen Aera Energy LLC Hy Cite Corporation Mr. and Mrs. James J. Roehrig / Nancy E. Williams Family Foundation David Livingstone Missionary Mr. Peter MortonFrancois and Sheila Johnson Brütsch The James S. Bower Foundation Alliance Bancorp Infinium Capital Management Roehrig Family Foundation Mrs. Doris A. Winkler Foundation – Tulsa, OK Samuel B. and Margaret C. MosherBush Hospital Foundation Builders Association Charity Dr. and Mrs. Ellsworth C. Alvord, Jr. International Foundation Rotary International Wood-Claeyssens Foundation MADRE FoundationCalifornia Community Foundation Henry W. Bull Foundation American Academy of Physician Assistants Mr. and Mrs. James H. Jackson / Ms. Nancy D. Russell Mr. and Mrs. Anant Yardi / Mr. and Mrs. Frank N. Magid MyFonts.com, Inc.Mr. Bruce Campbell Bunzl USA, Inc. American Friends Foundation for The Ann Jackson Family Foundation Mr. Ummul Ruthbah Yardi Systems, Inc. Mr. and Mrs. Donald Maharam NetEffectsThe Capital Group Companies Mrs. Helen Burnett Childbirth Injuries Johnson & Johnson Family of Companies San Francisco Foundation Mr. and Mrs. David Yawitz Mr. Ken Maytag / Fred Maytag Family New York Football Giants, Inc. Charitable Foundation California Association to Aid Ukraine American Service to India Mr. and Mrs. Peter O. Johnson, Sr. Santa Barbara Bank & Trust Foundation Ms. Anita C. Nonneman40
  • 23. 42 O U R I N V E S T O R S OUR INVESTORS 43Anacapa Micro Products, Inc. Center for Exchanges and Cooperation Foundation of Xiamen Zhong Shan Janssen Pharmaceutica Ms. Carol J. Melville Ms. Mary P. Renner The Tighe Family Revocable Trust Mr. and Mrs. Lucius H. AndrewMr. and Mrs. Scott S. Andersen Mr. Richard Certo Hospital Mr. Jerry E. Jageman Mercy Corps International Mr. and Mrs. Michael Riedel Ms. Mary P. Tighe and Mr. and Mrs. Kurt R. AnkerMr. Ivar E. Anderson Charitable Care Foundation Mr. Stephen Fraga Jimbo’s Natural Family, Inc. Dr. and Mrs. John B. Merritt, Jr. Mrs. Jane C. Rieffel Mr. Andrew M. Liepman AnonymousMrs. Jeanne S. Anderson / Mr. and Mrs. Steve Charton Ms. Claudia Frey John Forster Painting Mrs. Nancy S. Merritt Dr. and Mrs. Paul A. Riemenschneider Tilton Family Foundation Mr. and Mrs. Jerome V. Ansel Jeanne S. Anderson Living Trust Chase Manhattan Foundation Mr. Edward C. Friedel and Mr. John Johnson Microsoft Matching Gift Program Mr. William Rizzi and Ms. Tara Kemter Mr. David Ting and Mrs. Grace H. Ting Anthill Trading, Ltd.Anncox Foundation, Inc. Dr. Vijaya Chellapilla Ms. Patricia E. Eder Ms. Patricia Harris Johnston Midwest Chapter of Peruvian Institutions Mr. Paul A. Roberts Mr. and Mrs. Donn Tognazzini Dr. Douglas ArnoldAnner Trust Chernobyl International Ecological Fnd. Friends of the Catholic Diocese of Tororo Joint Commission Midwest Communications Mr. John Rogers and Ms. Beth Whitehead Tonto Apache Tribe Artifex Software, Inc.Mrs. Rhea Applewhite Mr. and Mrs. Robert Childress Frommer Lawrence & Haug The Karsh Family Foundation Mr. Mihail Mihailoff Mr. and Mrs. Rick Roney / The Tres Chicas Foundation Arzobispado de LimaArchstone Foundation China Connection Mildred K. Fusco Trust Nancy Katayama Foundation Inc. Milken Family Foundation The Roney Family Foundation Trinity Church Outreach Project AsemecoSteven W. Arle, M.D. and Christian Aid Ministries Mr. and Mrs. Larry Gaines Mr. Matthew J. Kaufmann and Millburn High School Mr. Chuck Rovan Mr. and Mrs. Earl A. Tripke Osama Ashouri, M.D. Mrs. Kathleen B. Arle Mr. Muhammad Chusnun Mr. Daniel J. Gainey Ms. Holly Bell Millennium Pharmaceuticals, Inc. Mr. and Mrs. Bartolomeo G. Ruspoli Mrs. Grace J. Trout Mr. and Mrs. Mohan AsnaniArmenian Association of Santa Barbara Mr. Ramsey Clark Mr. and Mrs. Walter H. Gainey Mr. and Mrs. Edward Keeling Mr. and Mrs. Laurence K. Miller Mr. David Russell and Mrs. Diane Russell Mr. Clint Turner Associated Students UCSBArmenian Cultural Society Mr. Fred Clarke Ms. Monica Gallagher Mr. and Mrs. Ernest Keet Mr. Tom Miller Russell-Stanley The Unitarian Society of Santa Barbara Association for Asian StudiesMr. Michael L. Armentrout and Mr. and Mrs. Barton E. Clemens, Jr. Mr. and Mrs. Orman Gaspar Mr. and Mrs. Brian Kelley Mr. Arthur Milligan Sagheb Family Fund University Surgical Associates Assyrian Aid Society Ms. Wenwei Yang Ms. Morgan Clendenen / Cold Heaven LLC GE Foundation Mr. Glenn Kelman Mr. and Mrs. Glen Milliman Mr. Tony Sansonetti Mr. and Mrs. John A. van Beuren Atkinson FoundationMs. Picola Arnesen / Arnesen Woodland Mr. F.A. Coard Mr. Bob Gerber and Dr. Veronica Rynn Kelso & Company Mr. and Mrs. Kendall A. Mills Santa Ynez Valley United Voluntary Ms. Marie L. Van Schie Automotive Safety Research Hills LLC Mr. and Mrs. Kenneth Coates Mr. I. Blaine Gibson Ralph & Sibyl Kerr Charitable Trust Mr. George Minot Service VPD Mr. Jerry AvaraASCCOM-U.S.A., Inc. Dr. Robert L. Coffey and Dr. Deborah North Mrs. Lillis D. Gibson Mr. and Mrs. Essam Khashoggi Miracle Ticket Fund Mr. Anthony Sarafa Mr. and Mrs. Alan Van Vliet Ayudar FoundationDr. and Mrs. Gilbert L. Ashor Mr. Mark Coleman Mr. Donald J. Girkout Mr. and Mrs. Ralph Kiewit, Jr. Missionaries of Africa Ms. Edith Sator Dr. and Mrs. Wallace Vandever Mr. Jan Erik BacklundAssociation Italy Amici di Follereau Mr. and Mrs. A. Joseph Collette Mr. and Mrs. Lawrence R. Glenn Kincaid Living Trust Ms. Patricia M. Mitchell Save Ethiopian Victims of War Dr. and Mrs. Daniel Vapnek Ms. Joan BailardMr. Joseph Atwill and Mrs. Elisa Atwill Colombian Volunteer Ladies Inc. Glens Falls Medical Missionary Mrs. Caroline Power Kindrish Trust Mitsui Comtek Corporation Ms. Phyllis Schechter Mrs. Winifred M. Vedder Mr. William BaileyAvcomm International, Inc. Mrs. Barbara Colville Global Humanitarian Services, Inc. The Kingsley Foundation Moccasin Lake Foundation, Inc. Mr. Michael G. Schmidtchen and Ventura Foods, LLC Mr. Donald BalickMr. and Mrs. Joseph W. Bailey Community Action Commission Richard and Rhoda Goldman Fund Mr. and Mrs. Robert Klausner Mrs. Erna Molnar Ms. Linda F. Thompson VIASYS Healthcare Mr. and Mrs. John W. BallenMr. Michael Baldwin Mr. Lance Connor and Ms. Nancy Werner Ms. Reba Gonzales Mr. Andrew Klavan MoneyGram Payment Systems, Inc. Mr. George E. Schoellkopf and Mr. and Mrs. Renato S. Villanueva Mrs. Elsa S. BardBaltic Subsidiary Regional Conservation, Food & Health Foundation Goodman Family Foundation Mr. and Mrs. Terry Klingman Mr. and Mrs. Parker G. Montgomery Mr. Gerald Incandela Mr. and Mrs. James Vogelzang Mrs. Gayle I. BarnardMr. Richard C. Banks Consulado General Del Ecuador Mr. and Mrs. Greg Goodman Mr. and Mrs. William C. Klintworth Marion Moore Foundation, Inc. Mr. and Mrs. Taylor E. Schollmaier Wackenhut Corporation Mr. and Ms. Daniel E. BarnettMr. and Mrs. Jeffrey Barbakow Mr. Steven Contursi Mr. Richard Goodrich Mr. and Mrs. John A. Knox-Johnston Mr. and Mrs. Robert J. Moore, Sr. Ms. Rachael Schultz Ms. Annice Waggoner Mrs. Kathleen BarrowsMrs. Lois M. Barber Mrs. Jamie Conway Mr. Martin Gore Dr. and Mrs. Joseph B. Koepfli William Morton-Smith, M.D. Mr. and Mrs. Arent H. Schuyler, Jr. Mr. Gordon Wangers Ms. Pascale BassanMs. Sara Barr Mr. and Mrs. Scott Cooper Mr. Iasu Gorfu Dr. and Mrs. J. William Kohl Mostyn Foundation Inc Sear Family Foundation Ms. Victoria R. Ward Mr. Javier BazSr. Hugo D’Amato Bassi Ms. Clarice E. Cornell and Mr. and Mrs. Robert Goulette Dr. Herbert Koteen and Mr. and Mrs. Steve Moya Mr. Marc Seidler Mr. and Mrs. James R. Warren Mr. and Mrs. Patrick L. BeachMr. and Mrs. Richard Battles Mr. Harlyn Clarke Grabbing Hands, Ltd. Mrs. Phyllis Koteen Ms. Suzanne M. Muir Mr. John M. Selig Mr. W. Wright Watling Mr. and Mrs. Frederick BeckettMs. Jocelyn C. Bauer Mr. Michael Corrigan Ms. Jennifer Greiner Kreitzberg Family Foundation Mr. John Mulder Mr. Piero Selvaggio Ms. Judith Watson Mr. and Mrs. Thomas L. BeckmenMr. and Mrs. Lance Bauer Bruce Corwin / Mr. and Mrs. Pierson M. Grieve Ms. Julie Ladner and Mr. and Mrs. Andrew Murray Ms. Denise Selz WDIO-TV Mr. and Mrs. Ralph BegleyBausch & Lomb, Inc. Metropolitan Theatres Foundation Mr. and Mrs. C. E. Bayliss Griggs Mr. Brian Fahnestock The Nagler Family Foundation Mr. Cuneyt Serdar Mr. John Weldon Ms. Mary BellBaxter International Countrywide Cares Guyanese Nurses Association of California Mr. and Mrs. William V. H. Laggren Mr. Graham Nash Seven Lakes Chapel in the Pines, Inc. Wells Fargo Foundation Belleville Activity FundBay Branch Foundation Mr. Stuart P. Coxhead, Jr. Hall FLP Mrs. Frances D. Larkin National Education Loan Network, Inc. Albert Shapiro Foundation Mrs. Walter T. Wells Mr. Rick BelluzzoBecton Dickinson Canada Inc. The Crawford Idema Family Foundation Mr. and Mrs. Mark Hamilton Mr. and Mrs. Rob S. Laskin National Heritage Foundation Mr. and Mrs. Michael Sharp WER Ms. Susan BerganMr. and Mrs. Ralph J. Begley Mr. Leigh Crawford Mr. and Mrs. Michael A. Hamilton Latham & Watkins LLP Mr. James Neitz Dr. Thomas E. Shea Mr. and Mrs. John H. Werden Berkshire Hathaway Inc.The James Ford Bell Foundation Mr. and Mrs. William Crawford Mr. and Mrs. Lawrence T. Hammett Sir Richard and Lady Latham Mr. Mark Nelkin Shirley Machine and Engineering, Inc. Westmont College Mr. and Mrs. Edward BermanMr. Marc Benioff / Crosby Family Foundation Hands Across The Andes Mr. Peter Laventhol Neoforma, Inc. The Susan Stein Shiva Foundation Westport Petroleum Inc Ms. Teresa Bernard salesforce.com foundation Mr. and Mrs. Lewis Dalessio Hannibal Industries Inc. Lazy Acres Market Mr. and Mrs. Gary L. Nett Mr. and Mrs. James L. Shobe Mr. Kevin Whelen and Mrs. Kristin Kirby Mr. and Mrs. Alexander BernsteinMr. and Mrs. Richard A. Berti Dallas Security Traders Association Mr. and Mrs. Louis Hanover Lehman Brothers Ms. Clementine M. Newman Sierra Concepts Whelen / The Kirby Foundation Bethania HospitalMrs. Rose Bethe David Michael & Co. Inc. Mr. and Mrs. Eli Harari Mr. Fredric C. Leutheuser Ms. Mary M. Newman Sierra Madre Foundation Mr. Dana White Bialis Family FoundationMr. Merle E. Betz, Jr. Mr. Thomas J. David and Mr. and Mrs. Thomas J. Harriman Ms. Susan Levin Nicaragua Medical Aid Ms. Tonia A. Simon Mr. and Mrs. Charles W. Whiting Mr. and Mrs. J. R. BiardMr. and Mrs. Robert F. Beyer Ms. Nancy Moylan Mr. and Mrs. Ken Harvey Mr. Milton C. Lewis, Jr. Nichols Foundation, Inc. Mr. and Mrs. Kenneth R. Simpson Ms. Jodi Willard Mr. and Mrs. James R. BickelMr. and Mrs. Glen E. Bickerstaff Mr. and Mrs. Joseph K. Davidson Haseki Hospital Lilybelle Foundation Mr. and Mrs. Chapin Nolen Mr. and Mrs. Bhupi Singh Nancy J. Williamson Charitable Lead Mr. and Mrs. Wilfried K. A. BielitzerBig Dog USA, Inc. Mr. and Mrs. George H. Davis, Jr. Mr. Simon Hayward Robert N. Lindquist & Associates Mr. and Mrs. Jack Norqual Novell Mr. and Mrs. Kanwaljit Singh Unitrust Mr. Richard H. BigelowBig Sky Consulting Mr. and Mrs. Robert A. Day Mr. Lawrence Hazzard Mr. Peter Lion Ms. Genevieve H. Nowlin Sister Dulce Charitable Foundation Mr. and Mrs. James K. Williams Mr. and Mrs. Jerry BiggsBison Films Mr. Charles De Marais / Pro Packing, Inc. Help Diocese of Kikwit In Zaire Ms. Sheila Lipin The NPD Group, Inc. Skyscraper Challenge Ms. Lois Willis Mr. and Mrs. Donald H. BirdsongMr. and Mrs. Tom Black Mr. and Mrs. Louis DeAngelis Helping Hearts Mrs. Judith Little / The Wm. Brian and Nuveen Investments, LLC Skyworks Solutions, Inc. Mr. and Mrs. Dennis Wilson Mr. and Mrs. Alan F. BlackMr. and Mrs. Christopher Blair Dr. Roy C. DeLamotte Ms. Beverly S. Heminway Judith A. Little Charitable Trust Oeuvres et Missions de Don Bosco Mr. Bruce Smith Mrs. Shirley Wilson Mr. and Mrs. Wiley Blair IIILeland F. Blatt Family Foundation Mr. Leslie C. Derenfeld Mr. and Mrs. Wolf Hengst Mr. Eugene Y. Loh, Jr. Office Depot William A. and Madeline Smith Wine Cask Mr. and Mrs. Robert L. BletcherMr. and Mrs. Robert F. Blecker Diodes, Inc. Dr. Karl F. Hens The LOJO Foundation O’Melveny & Myers Fund Foundation Wireless Facilities, Inc. Mr. and Mrs. Geoffrey L. BloomingdaleMr. and Mrs. Russell S. Bock Mr. and Mrs. Timothy C. Dittmann Mr. Gavin S. Herbert, Jr. Miss Mary Butler Longest OMRON Foundation, Inc. Mrs. Ashley Parker Snider and Josephine M. Wood Trust Bodhi MonasteryThe Body Shop Dr. and Mrs. Wilton A. Doane Mr. and Mrs. Henry D. Herr Lopker Family Foundation Once Upon A Time Foundation Mr. Tim Snider Mr. and Mrs. Robert Wooley Mr. William E. Boeing, Jr.Albert and Elaine Borchard Foundation Inc. Document Sciences Corporation Mr. Frederick J. Herzog Ms. Lura M. Lovell Opal Restaurant & Bar The Soener Foundation World Emergency Relief Bogen Family Charitable TrustMr. and Mrs. Edgar Bottler Mr. and Mrs. Jerome K. Doolan Mr. Peter Hilf Mrs. Hazel M. Lyon Mr. and Mrs. John Osborn Mrs. Tana Sommer-Belin World Vision Inc. Ms. Evelyn Boghrati andThe Lynde and Harry Bradley Foundation Doorae Community Movement Julian T. & Grace Hightower Foundation Marquis George MacDonald Foundation Dr. and Mrs. Sidney R. Ottman Southern California Pams Ms. Loranne Zeman Mr. Mohammad MazoojiMs. Gail L. Brainum Mr. Bruce Douglas Himalayan Healthcare, Inc. Mr. and Mrs. John Macfarlane Mr. and Mrs. Jack B. Overall Mr. and Mrs. Sterling W. Spears Mr. and Mrs. Robert Zemeckis Mr. and Mrs. Michael D. BolenBrimstone Group Mr. and Mrs. R. Chad Dreier Mr. Phillip Hobbs MacHeist LLC Mr. and Mrs. Everett Pachner Mr. and Mrs. Bruce Spector Ms. Birge K. Zimmermann and Bolling Chaplain FundDr. Bronwen G. Brindley and Mr. and Mrs. Christopher Eber Mr. and Mrs. Brian Hodges / Mr. and Mrs. Pal Maleter Pacific Coast Recycling LLC Dr. and Mrs. Norman Sprague, III / Mr. Kenneth R. Goodearl Ms. Margaret H. Bolton Mr. John L. Warren El Rescate WWW Foundation John A. Malley, M.D. PacifiCare Foundation The Caryll M.and Norman F. Sprague Dr. and Mrs. Tuenis D. Zondag Mr. and Mrs. James C. BonewaldMr. and Mrs. Daniel Brodsky Mr. Peter Ellenshaw Holborn Corporation Mr. and Mrs. Richard Mansfield Ms. Barbara L. Pagano Foundation Mr. Scott Booker President’s Council ($5,000 - $9,999)Brookstreet Securities Corporation Embassy of Ecuador Mrs. Esther M. Holm Mr. N. Boris Margolin The Pajadoro Family Foundation St. Antony Monastary-Red Sea Ms. Karen Boris A & A ComputersMr. and Mrs. Leonard Broom Mr. and Mrs. Robert L. Emery E. Carmack Holmes M.D. and Mr. and Mrs. Reuben Mark Mr. Lawrence W. Palmedo St. John of God Health Services Mr. and Mrs. Timothy P. Boris Mr. and Mrs. Henry C. AbellMr. J. Wesley Brown and Empowerment Works Inc. Mrs. Carolyn Holmes Marks Family Foundation Panama Republic of Health Ministry St. John Student Parish Mr. Matthew Bowden The ACE Foundation Mrs. Kathiann Brown The Charles Engelhard Foundation Hosford Family Foundation Mr. Randolph Marks Mr. and Mrs. Walter Parkes Stanley Group Charitable Foundation Mrs. Dotsie Bowles Acumen Solutions, Inc.Brownstein/Hyatt/Farber/Schreck Ms. Patricia M. English Hospital Margarita Ms. Audrey E. Martinson Ms. Karen Payatt Mrs. Judith Cosden Stapelmann Mr. and Mrs. Glen E. Boyles AdestaMr. and Mrs. Roland Bryan Evangelical Lutheran Synod Host Marriott L.P. Alice K. Mathis Memorial Foundation Ms. Helen L. Pedotti Starbuck Tisdale & Associates Mr. Andrew M. Braasch Dr. Denis C. AdlerMarguerite Bulf Estate F. C. Business Systems, Inc. Mr. and Mrs. Preston Hotchkis Matrixx Initiatives, Inc. Peruvian Art Society The Fran & Ray Stark Foundation Mr. A. Bruce Brackenridge Aero MedicosMr. and Mrs. Jon Bull Ms. Gina Falsetto and Mr. Warren Brown Ms. Cynthia Howard Mr. and Mrs. George L. Matthaei Philippine Medical Society of Southern Mr. and Mrs. Edward Stepanek Ms. Patti Breitman African Christian Hospitals FoundationMr. and Mrs. Frank E. Burgess Mr. and Mrs. Brian Farrell Ellen E. Howe Foundation Mr. and Mrs. Mark Mattingly California Mrs. Betty J. Stephens British Palawan TrustMs. Sharon C. Burgett Dr. Warren S. Farrell HSBC Community & Philanthropic Mr. Sanjay Motwani Mr. Lawrence Phillips Ms. E. M. Stephens African Medical & Research Foundation, Inc. Mr. William G. BroadheadBurke, Williams, & Sorensen, LLP Mr. and Mrs. Howard C. Fenton / Services Mayo Foundation for Medical Education Phoenix International Freight Services, Ltd. Marc & Eva Stern Foundation Mr. and Mrs. Kamlesh Agrawal Mr. Conley Brooks, Sr.Mr. Stephen A. Burlingame The Howard C. and Jean B. Fenton Trust Mr. and Mrs. Thomas L. Hudson and Research Picture This Television, LLC / Walter and Mae Stern Trust Mr. and Mrs. Christopher J. Ainley Brooks Family FoundationMr. Frederick P. Burrows Mr. Dean Ferguson Mrs. Mary Hulitar MAZON Celebrity Poker Showdown Mr. and Mrs. Andrew Stevenson Mr. Peter Akermann Mr. Markell BrooksMr. William S. Burtness Mr. Frank Ferguson Ms. Dorothy Humiston The Harold McAlister Charitable Foundation Mr. and Mrs. Keith B. Pitts Mr. and Mrs. Kenneth E. Stinson Mr. James Albrecht Mrs. Anita BrownDr. and Mrs. Eric K. Butler Mr. and Mrs. James R. Feutz Ms. Fredericka H. Hunter Mr. James P. McAlister and Mr. and Mrs. Wesley Poulson Ms. Ellen Strickland Ms. Henrietta Alexander Dr. Blake T. Brown and Ms. Roelanda GennMr. Robert J. Buttel and Ms. Cynthia Wright Ms. Nikola N. Filby Mrs. Alice W. Hutchins Mrs. Mari R. McAlister Project Concern International Mr. Carl A. Strunk All Saints-By-The-Sea Episcopal Church Brown Family FoundationMs. Virginia W. Cabot Mr. and Mrs. Andrew Firestone i2 Foundation, Inc. Mrs. Joan T. McCoy Public Welfare Foundation Inc. Mr. and Mrs. Selby W. Sullivan Mr. and Mrs. William H. Allaway Ms. Lori BryanCagayanos of Luzon, U.S.A. First Quadrant IEEE Foundation The Ralph H. and Ruth J. McCullough Pulitzer Publishing Company Mr. and Mrs. Richard Sulpizio Mr. and Mrs. Kent Allebrand Mr. John P. BuccieriCara Moore Calendar Mrs. June Breton Fisher Mr. and Mrs. Victor J. Illig Foundation Mrs. Elizabeth F. Putzel The Sumba Foundation Mr. Stephen Allen Mr. David L. BuellMr. James J. Callan Mr. and Mrs. Joel Fithian IMPACT Sara Miller McCune Quantum Summit Systems Inc. Dr. Raymond Aller Mr. Aris A. Buinevicius andMs. Sue Campbell Mr. Richard P. FitzGerald India Development & Mr. Barie E. McCurry Questar Corporation The Sunshine Foundation Allied Beverage Group, LLC Ms. Martha C. HorneMr. Bernard P. Caplan and Mr. John K. Fletcher Relief Fund Incorporated Mr. and Mrs. Emmett McDonough Rabobank Mrs. Betsey G. Sutton Almaden Valley Athletic Club Ms. Marlene Bulfone Dr. Stephanie Caplan Florida Emergency Physicians International Transport Solutions Mrs. C. B. McFie Mr. Raj Rajaratnam Syda Foundation - Prasad Project AmCom Insurance Services, Inc. Ms. Shelly BungeCarquest Charitable Foundation Florida Turkish-American Women’s Intuit Foundation The McIntyre Foundation Mr. and Mrs. Daniel Randopoulos / Mr. Richard B. Taylor American Endowment Foundation Mr. and Mrs. Frank BuquicchioMrs. Mary Carrigan Association Ms. Lygia M. Ionnitiu McLarand, Vasquez, Emsiek & Partners, Inc. Metson Marine Mr. Stuart Taylor American Institute for Free Labor Mr. and Mr. Patrick E. BurchCasa Esperanza Homeless Center Mr. Terence M. Flynn Islamic Center of Southern California Medical Research Foundation Mr. and Mrs. David Rasmussen Mr. and Mrs. Thomas J. Tella II Development Burch PlumbingGVRG Castagnola Family Foundation Foley Family Charitable Foundation Ms. Karen Iverson MediShare International Realogy Charitable Foundation Mr. and Mrs. William Tennity / Marilyn American Nicaraguan Foundation, Inc. Mr. Peter Burgess and Mrs. Lilla BurgessMrs. Virginia Castagnola-Hunter Ms. Margaret P. Foley Mr. and Mrs. Ric N. Jackson Mr. Cal Meeker Red Onion Saloon, Inc. Swift Tennity Foundation Anadigics, Inc. Mr. Jeffrey BurkeCharlotte Castalde Estate Mary Alice Fortin Foundation Ms. Diane Jaffee Ms. Sherry Melchiorre / Mr. Robert Reingold Mr. and Mrs. Sanu K. Thomas Andean Health & Development Ms. Kelly BurkeMr. and Mrs. Robert M. Cavenagh The Foster Charitable Trust Jaffurs Wine Cellars Sherry Melchiorre Trust Relief International Ticor Title Company of California Mr. and Mrs. John Andelin Andrew H. Burnett Foundation
  • 24. 44 O U R I N V E S T O R S OUR INVESTORS 45J. Homer Butler Foundation Ms. Lupe Diaz Dr. and Mrs. William J. Gilligan Joanne Illig Foundation Lichterman Loewenberg Foundation Mr. Dan Moore Rat’s Restaurant Mr. and Mrs. William C. SonnebornBWD Group LLC Ms. Paula Diemer Mr. Dudley J. Godfrey In the Tradition, Inc. Mr. and Mrs. John R. Light Mr. Tim Moore and Ms. Carla Montagno Raytheon Charitable Giving Mr. Robert A. SorichMr. Thomas R. Byrd Ms. Victoria Dillon Mr. Norman Godinho Indian Council for Advancement and Mary B. Light Estate Mr. and Mrs. David Morris Mr. Robert C. Reed Southern California Peruvian AmericanMrs. Francis H. Cabot Dr. and Mrs. Steven F. Dingle Mr. and Ms. Michael A. Goldberg Support of Education Lightfoot, Vandevelde, Sadowsky, Mr. Regis J. Morris Mr. and Mrs. Edward Reedy Medical Society Inc.Caliana Foundation, Inc. Divyajyot Foundation Inc. Goldsmith Seeds, Inc. Instituto de Ciencias Neurologicas Medvene & Levine Mr. and Mrs. J. Roger Morrison Regenesis Bioremediation Products Mr. and Mrs. Charles D. SpanglerCalvary Church of Pacific Palisades Mr. Ricky W. Doak Mr. and Mrs. Sidney Goldstien Instituto del Nino Quemado Mr. and Mrs. Cameron Lim Morrow Family Foundation, Inc. Mr. and Mrs. Robert S. Reif SpectraLink CorporationMr. Richard Campagna Mr. and Mrs. Timothy M. Doheny Goleta Valley Junior High School Instituto Hijas de Maria Auxiliadora Mr. Chih-Long Lin Mrs. Patricia Morrow Reiman Foundation, Inc. Mr. Bill SpencerMr. and Mrs. Ted Campbell DreamTending, LLC Ms. Ruth Gonser Interacciones Mrs. Andree Lindow Irving I. Moskowitz Foundation Mr. George Relles and Ms. B. L. Borovay Mr. Lane SpencerCarecen Edmond F. Ducommun Foundation The Goodman Family Foundation Inter-American Health Foundation Mr. and Mrs. William R. Lindsay Mr. and Mrs. Raymond E. Muñana Dr. Thomas F. Reynolds Mr. and Mrs. J. Randall SpringerCaritas Zentrale Mr. and Mrs. Tim Duggan Ms. Suzanne Gore Intercultural Nursing, Inc. Mr. and Mrs. Harrison Lingle Dr. Carol A. Munch Mr. Joshua J. Richman Sri Lanka Medical Association, NorthMr. and Mrs. Stafford K. Carr The Lillian H. & C. W. Duncan Foundation Mr. James D. Gorham International Child Resource Institute Ms. Judith Lion and Mr. John F. Luca Municipalidad Distrital de Mazamari Mr. and Mrs. Samuel F. Rickard AmericaMrs. Robert E. Carrel Mrs. Phyllis M. Dunn Dr. and Mrs. Alan J. Gottlieb International Fund Humanitarian Aid Livingstone Memorial Foundation Municipalidad Distrital de Wanchaq Mr. and Mrs. Charles E. Rickershauser, Jr. St. Hyacinth Mission FundThe Carsey-Werner Company, LLC Ms. Onda F. D’Urso Mr. Kirk Gradin IOL International The Local LLC Mr. Robert Munoz Mr. Miguel Riglos St. John of God BrothersMr. and Mrs. Juan Carlos Casas Mr. Edmund P. Duvall Mr. and Mrs. Aurelio Granda Centeno Mr. Stephen B. Ippolito Mr. and Mrs. Jacob Locker Mr. Robert E. Musgraves and Mr. Donald E. Rinaldi Stablecimiento Asistencial “Dr. Molas”Mr. and Mrs. Timothy P. Casey E Funds Mr. and Mrs. Martin A. Grano Mr. and Mrs. Robert J. Irvin Mr. Roland Lokre Ms. Joan H. Prusse Mr. Philip D. Ringer Mr. Landon StablefordCencalcom, Inc. East Brunswick Board of Education Ms. Terry Grant Mr. Gordon A. Isama The Looker Foundation The Myers Family Foundation Mr. and Mrs. Ian Ritchie Mr. Frederic E. Steck andThe Center for Democracy East Middle School Ms. Barbara Graper Ms. Lynne C. Israel Lorraine Lim Catering Mr. and Mrs. James Myerson Rivinus Family Foundation Ms. Kelly LeBrockCenter for Spiritual Living Mr. and Mrs. Eldon R. Edwards Great Clips, Inc. Mrs. Betty Isserstedt Ms. Barbara J. Lotz Mr. Michael Naify Mr. and Mrs. James B. Robertson Dr. and Mrs. Richard SteckelCentro Neurologico Educativo Mrs. Carol Eger The Green Park Foundation Margaret G. Jacobs Charitable Trust Ms. Mary Beth Loud Ms. Marian Naretto and Ms. Katherine Robin Mr. and Mrs. John SteedMr. Danny Chae El Camino Resources, LTD. Greenville Fund Mr. and Mrs. George D. Jagels, Jr. Dr. and Mrs. Jack Love Mr. John Sowden Mr. and Mrs. Charles F. Robinson Mr. Robert Steele and Ms. Nancy HaydtMr. Krishnan Chandran El Salvador Lions Club Mr. and Mrs. Bob Gregg Jain Center of Southern California Mr. Nicholas Lovejoy National Council of the Churches Mr. and Mrs. John C. Rocchio N. Alex SteinMr. and Mrs. Leslie Charles Ms. Suzanne Ellenthal Ms. Kate Gregg Mr. and Mrs. Eric Janigian Lower Merion School District Mr. Glenn Neal Mr. and Mrs. Roberto Roges Mrs. Mary Ann StewartMr. Robert E. Charles Ms. Ellen Engleman Ms. Patricia Gregory Mr. and Mrs. Conrad Janis Mr. and Mrs. Robert C. Lowes Mr. James W. Neal Mr. Francesco Rossi Stillwater Area SchoolsMr. and Mrs. Joseph Charlton The Entertainment Industry Foundation Mr. and Mrs. Brett Grimes Mr. and Mrs. Joseph E. Jannotta Mr. and Mrs. John F. Lowman William P. Neil Foundation Mr. and Mrs. Michael Royce Ms. Dee J. StoneThe Cheeryble Foundation Equity America Mortgage Services, Inc. Mr. and Mrs. Dan Grimm Mr. William M. Jenkins Mr. Lawrence Lu Nevada City Rotary Club Ms. Susan Rudnicki Dr. and Mrs. Jack StusterChurch World Service, Inc. Mr. and Mrs. Donnelly Erdman Mr. Mike Gross Dr. and Mrs. Norman Jetton Dr. and Mrs. Larry Luan New Day Marketing, Ltd. The Ryland Group, Inc. The Anna Stuurmans Revocable TrustMr. Richard Churchill Ms. Selma Ertegun Mr. Jeremy Guiles Jewish Communal Fund Mr. Louis C. Lucido Mr. and Mrs. William Nicholson S E Pipe Line Construction Co. Success Charitable FoundationCiba Vision Corporation Mr. and Mrs. Edward F. Eubanks Guinea-Bissau Association of Students The Joby Foundation Inc. Mr. Carl H. Ludwig Ms. Ruth B. Nicoll Mr. Andrew Sabin Sullivan Charitable FoundationCinergy Foundation Mr. Lance M. Evans Mr. and Mrs. Dan Gunther John A. Campbell Lumber Co. Mr. Laurence Lundblade Ms. Roberta M. Nielsson The Mortimer D. Sackler Foundation, Inc. Mr. Harold H. SullwoldCirculo Pampangueno of Southern Mr. Alan R. Ewalt Mr. Eric S. Gunther Mr. and Mrs. Craig Johnson Mrs. Kathleen W. Lundy Nigerian Eye Camp Project Dr. Stephen Sacks Mr. Jay Sung California Facultad de Medicina de la Universidad Ms. Nancy Gunzberg Johnson Ferry Baptist Church, Inc. Mr. Richard H. Lynn The NMC Foundation Mr. and Mrs. Jeff Sakihara Ms. Debra SuranCity of Bell Gardens de Tacna Guyana Mine Workers’ Union Mr. and Mrs. Norman B. Johnson The M & M Foundation Mr. John N. Nordstrom Salem High School Surgical Eye Expeditions International Inc.Ms. Patricia Clancy Mr. Jaime Fandino Ms. Helen Haas Ms. Sharyn Johnson Mr. Joseph MacDougald North American Shippers Assoc., Inc. Mr. and Mrs. Ernest J. Salomon Mr. Robert SwartzMs. Carnzu A. Clark Farheap Solutions, Inc. Mr. and Mrs. Stephen Hahn / Mr. and Mrs. Theodore C. Johnson Ms. Carole E. MacElhenny Nutritech ALL ONE PEOPLE Salvadoran American Foundation Swedish Health ServicesMr. Ernest M. Clark, Jr. Federal Express Corporation Stephen and Carla Hahn Foundation Mrs. Anne White Jones Mr. John Magnuson Mr. and Mrs. Barack Obama Samaritan’s Purse Mr. Michael SwierMs. Jenna Clemens Mr. and Mrs. Terry P. Fernandez Cynthia Diane Hall, M.D. Ms. Jophe Jones Magsingal Association of California Oblix, Inc. San Diego Asian Film Foundation SYD FranceMr. William T. Clemo Ms. Carol Ferren and Mr. Gary Overman Ms. Patricia Halloran Mr. Yu-Long Ju Mr. and Mrs. Mohammad Mahboob Mr. and Mrs. Kevin O’Connor San Juan Unified School District Symmetry Capital Management, LLCMr. John H. Clowes Mr. and Mrs. W. H. Ferry Mr. and Mrs. Dale Hampton Mr. Michael Kahan Malili & Chamugassa Parish Mr. Mike O’Connor Mr. and Mrs. Frank M. Sandy Dr. Charles TassoniClub de Leones Quito Los Olivos Mr. and Mrs. David S. Fields Mr. and Mrs. William Bradford Hamre Kaleidoscope Foundation Ms. Mary C. Maliszewski OEF de el Salvador Mr. and Mrs. Richard Sanford Ms. Rowena J. TaylorClub Rotario de Guayaquil Mr. Shareen E. Fiol Mr. and Mrs. John C. Hancock Mr. and Mrs. Vernon J. Kammerer Margerum Wine Company Office of the Governor, Province of Mr. Kurt Sanger Tea Tree TherapyClub Rotario de Medellin Fireman’s Fund Insurance Company Tom Merit Hancock Family Fund Karl Storz Imaging, Inc. Marian Community Outreach Fund Camarine Norte Mr. and Mrs. Jeff Sanguinet Mr. and Mrs. David Telleen-LawtonMr. Shane Coburn First Congregational Church of Cheshire Mr. and Mrs. Brandt Handley Dr. and Mrs. Frederic C. Kass Marin Community Foundation Oficina Nacional Managua Santa Barbara Chapter / MOWW Temple IsraelMr. Ethan Coen Mr. and Mrs. David I. Fisher Mr. and Mrs. George E. Handtmann, III Mr. Lonnie Katai The Marin School Mr. Robert Ogilvie Santa Barbara Multiple Listing Service Texas Tech UniversityMs. Wilda Coffey Mr. and Mrs. Maurice Fisher Mr. and Mrs. Christopher Hansen Mr. and Mrs. Charles B. Kaye Mariposa County Tsunami Relief Fund Dr. Bill Okerblom Santa Barbara Research Center Mrs. Jeanne ThayerColdwell Banker Dr. Werner Flacke and Dr. Joan Flacke Mr. Gregory Hansen Mr. Frederic G. Kayser Mr. and Mrs. Howard S. Marks Mr. Paul Olsen Santa Barbara Sister Cities Association Mr. Rick Theis andMr. and Mrs. Fred Coler Mr. and Mrs. John Flick Mr. and Mrs. Larry Hansen Mr. James P. Kearns Mr. and Mrs. Dean Mars Mr. and Mrs. Eric Onnen Save The Children Federation Inc. Ms. Carolyn J. JohnsonMr. and Mrs. Robert B. Colleary Mr. and Mrs. Gerald Flynn Dr. Helen Hansma Mr. Daniel Keelan Mr. and Mrs. Keith Marston Oral Health America Mr. and Mrs. Ken Saxon Mr. and Mrs. Ray ThomasCommonHealth Mr. and Mrs. James A. Folger Ms. Doris Harbison Mr. and Mrs. Bernd Keller Ms. D. Elaine Marszalek Dr. Sean O’Regan Mr. John Sayer Mr. and Mrs. J. C. ThompsonDr. David Compton Mr. and Mrs. Jerome Forkosh Mr. and Mrs. Carrell R. Harrington Mr. Donald E. Kelley, Jr. Ms. Mary Marten Organon International Mr. and Mrs. James P. Schaeffer Mr. Kjeld H. ThomsenMrs. Debra Compton Mr. and Mrs. Dennis Forster Mr. David Harris Mr. Wesley H. Kelman Mr. M. Reza Mashayeki P & J Books Export, Ltd. Schleyer Foundation Ticketmaster, LLCComputer Associates International, Inc. Mr. Stephen Forte Mr. and Mrs. Houston Harte The W. & M. Kennedy Private Family Mr. Robert M. Matthiessen P W S Family Trust David A. and Susan H. Schoenholz Ms. Anitalynn TigheConejo Valley Congregational Church Ms. Wendy Foster and Mr. Pierre LaFond Mr. and Mrs. Robert Harter, Jr. Foundation, Inc. Ms. Alice Matzkin Mr. and Mrs. Clyde Packer Foundation Ms. Louise TigheEnid Coors Foundation USA Ecador TM Mr. and Mrs. John Harvey Ms. Jill F. Kenney Max Cadet Dental Fund, Inc. Dr. and Mrs. John Padilla Mr. Devon Schudy Mrs. Patricia M. TigheCorinthian Colleges, Inc. Mr. and Mrs. Ronald J. Fox Mr. and Mrs. Gregory D. Hastings Ms. Frances Kent Mr. Timothy P. Maxwell and Pala Casino Mr. and Mrs. Arthur Schultz Ms. Adelle TiltonMr. Jack A. Cornejo Ms. Susanne A. Fox Dr. and Mrs. Newlin Hastings Ms. Kathryn Kester Ms. Adele Sommers Mr. Anthony Palmer Schwabenhof, Inc. Mr. Arthur A. TiltonCottage Health Systems Mr. George Fraise Mr. Charles Haupt Ms. Marguerite E. Kimberley Mr. Kenneth J. McCarthy Carmen Elena Palomo The Gertrude Schwartz Family Mr. J. E. TiptonCOUNTERPART Foundation, Inc. Mr. Harold R. Frank Mr. and Mrs. Richard W. Hausler The Kindergarten Unit Mr. and Mrs. George J. McCartney Pan American Health Association Philantropic Fund Matt Tirrell and Pamela LavigneMs. Thais A. Couples FRC Properties Partnership Ms. Lynn Hays Kingdon Capital Management, LLC Mr. Michael McCartney and PASMAC Scott Business Systems Mr. and Mrs. Gary R. TobeyMr. and Mrs. William R. Cowell Freeborn Mower Cooperative Services The Health Foundation Kirschner Medical Corporation Ms. Marlene Patino Mrs. Velma M. Patterson Seattle International Foundation Triarch International, Inc.Cox Communications Mr. Jeff Frey Mr. Stephen J. Hedberg Kiwanis of Santa Barbara - Suburban Mr. and Mrs. Robert E. McCoy Ms. Victoria Pauley Mr. Gordon Seay Triton Container InternationalCPP, Inc. Friends of Magic Moments Children, Inc. Mrs. Janette Hellmann Mr. Ronald Koenig Mr. Stephen McDonough Payday Today, Inc. Mr. Stephen Sefton Mr. James TrowbridgeCrane School Ms. Mary Ann Froley Dr. Ursula E. Henderson and Ms. Elizabeth Kopple Mr. Steven McDonough Mr. Charles Peck Seidman Family Foundation The Trustmark FoundationMr. Stanford T. Crapo Mr. and Mrs. Ted Funsten Mr. Wallace T. Drew Mr. and Mrs. Abner P. Korn Mr. Russell McGlothlin and Mr. Lance F. Pedriana Share and Care Foundation TSystem, Inc.Ms. Donna Crawford Mr. and Mrs. Steven N. Gange Hermandad Del Señor De Los Milagros Ms. Barbara C. Koutnik and Mrs. Katherine G. McGlothlin Mr. and Mrs. Henk Peeters Mr. Akhil Sharma Tumtum Tree FoundationMr. John V. Crawford The Leo and Eva Gans Foundation Inc. Mr. Brian F. Hershkowitz and Mr. Melbourne Smith Mr. and Mrs. Steven E. McGovern Permanent Mission of Germany to the U.N. Ms. Anaupama Sharma Mrs. Margaret V. TurneyThe Crosby Fund Mr. A. Garcia and Ms. S. Edwards Ms. Diana Miller Ms. Lynn Kravitz and Mr. John McKee Mr. Gregory Perron Shasta-Trinity Rural Indian Health Mr. George B. Turpin, Jr.Crudem Foundation Mr. Jorge Garcia Ms. Juliane Heyman Mr. Quinton R. Schubmehl Mr. Mark McKinley and Mr. and Mrs. Donald Petroni Ms. Aleyda A. Shearer Mr. and Mrs. Kenneth W. TwiggRoy E. Crummer Foundation Mr. Lee H. Garlington HHL Foundation Mr. Christopher Kriesa Mrs. Laurie D. McKinley Philippine National Bank Mr. Robert R. Short Mr. and Mrs. John TynanMr. Stephen Cummings Mr. Greg Garrison Mr. and Mrs. Roger Himovitz Mr. and Mrs. Wes P. Kuhne Mr. and Mrs. John H. McNally Dr. Linda K. Phillips Mr. and Mrs. Robertson H. Short U.S. China Peoples FriendshipCummins Engine Company Mr. William H. Gates, III Ms. Winifred W. Hirsch Mr. Eugeny Kukolevsky Mr. Robert McPhillips and Mr. and Mrs. John Pillsbury Ms. Susan Short AssociationMr. Dennis Cunningham Gators for Tsunami Relief Hixon Properties Incorporated Mr. Rahul Kumar Ms. Barbara Edmison Mr. and Mrs. Erling Pohls Ms. Joanne S. Sibley U.S. Medical Aid FoundationMrs. Christine Dahl Ms. Robyn Geddes HMS Foundation La Colina Junior High School Dr. Jay Meizlish Polish American Congress Foundation Silicon Valley Bank United Jewish Endowment FundDarling Homes Ms. Debra P. Geiger and Mr. Eliot Crowley Mr. and Mrs. Dennis A. Hobbs Lacentra-Sumerlin Foundation Mr. Richard B. Mendelsohn Ms. Clare R. Porter Herbert Simon Family Foundation Universidad Autonoma de QueretaroMr. William Davidge Gelb Consulting Group, Inc. Mr. and Mrs. Bob Hodek Laitram LLC Mrs. Ernest F. Menzies Mrs. Georgiana A. Porter Mr. and Mrs. Robert Simon Universidad Nacional de San AgustinMr. and Mrs. Don W. Davidson Lawrence M. Gelb Foundation Inc. Mr. and Mrs. Lee Holcombe Ms. Leila Lance Mequon Thiensville School District Mr. and Mrs. E. Bryson Powell Mr. Ryan Sims University of California at San FranciscoMr. Frank M. Davidson The Geneva Organization, Inc. Frederick O. Holley, M.D. and Mrs. Evelyn C. Larkin Mr. and Mrs. Richard Meurer Ms. Eleanor R. Precoda Ms. Kathy Singleton University of California at Santa BarbaraMr. John Davies Geneva Scientific Ms. Maud W. Gleason Mr. and Mrs. Charles Larsen Ms. Sarah D. Midgette The Presbyterian Church Mr. Mark H. Skolnick University of FloridaMs. Carla De Cervantes Mr. Theodore Georgas Homewood Rotary Club Dr. Kirk Larson Rev. Mihailo Mikich Mr. and Mrs. Rene J. Prestwood Mr. and Mrs. Kenneth Slaught Mr. and Mrs. Mark ValenceDe La Salle University Mrs. Roberta George Hope Through Opportunity Ms. Muriel A. Lauderdale Ms. Janet Millar Ms. Ruth Priest SLS Pro Infante et Famille Mrs. Carol Lapham ValentineDeacon Charitable Foundation George Washington High School Mr. and Mrs. Carl Hopkins Laureate Learning Systems, Inc Ms. Diane D. Miller Princess Elizabeth of Yugoslavia Foundation Mr. and Mrs. Jan E. Smit Mr. and Mrs. Winfred Van WingerdenDr. Shirley E. Dearborn Mr. and Mrs. John T. Gerig Mrs. Jinx Horgan Mr. and Mrs. Adam J. Leaderman Mrs. Elizabeth Miller Produbanco Mr. and Mrs. Brian Smith Mr. Cesar A. VasquezDecor de Paris Ms. Adelaide J. Gest Ms. Anna Lou Home Mr. Paul Leibman Ms. Clare Miner-McMahon ProFund Advisors Mr. and Mrs. Kenneth S. Smith Mr. and Mrs. Stephen W. VaughanDefined Health The J. Paul Getty Trust Mr. and Mrs. James Horst Mr. and Mrs. Mark R. Lembersky The Minneapolis Foundation Promus Hotel Corp. Ms. Lisa M. Smith Judge and Mrs. Carlos E. VelardeMr. and Mrs. James G. P. Dehlsen Mr. Allan Ghitterman and Ms. Susan J. Rose Hazel Heath Horton Philanthropic Trust Mrs. Jean Thompson Leonard Missoula International School The Protestant Episcopal Church of U.S.A. Ms. Marion B. Smith Mr. and Mrs. Robert L. Veloz, Jr.Mr. Timothy Delaney and Mr. Joseph A. Giacalone Hospital Pedro Fiorito Dr. Ilan M. Levi and Dr. Barbara Levi Mr. and Mrs. Sanjit K. Mitra Provide Care Inc. Morris S. Smith Foundation Mrs. Deanne Gillette Violich Dr. Viviane Delaney Mr. and Mrs. John M. Gibbons Mr. and Mrs. Nelson A. Howard Mr. Mark Levine Dr. Jasvant N. Modi Pullman Mr. and Mrs. Sydney Smith Virginia Masen Medical CenterDelco Electronics Mr. and Mrs. Mark W. Gibello Mrs. Karen Holmen Hubbard Michael E. and Carol S. Levine Foundation Mr. Matthew Mohebbi Mr. David A. Quam Dr. and Mrs. Julio Soares Volentine Family FoundationMr. and Mrs. R. M. Demere Ms. Adrienne Gignoux Mr. H. Scott Huizenga Mr. David Levy MOI Teaching and Referral Hospital Mr. and Mrs. Michael Quinn Society of Missionaries of Africa, Inc. Mr. and Mrs. Hubert D. Vos /The Denison Family Foundation Mrs. Lynn Gildred Humanitarian Law Project Levy, Harkins & Co. Inc. Montecito Rotary Club Mr. Pooja Raj Society of St. Charles Vos Family FoundationDetroit Bar The Giles Family Foundation Mr. and Mrs. Rob R. Hunt The Hon. and Mrs. Royce Lewellen Ms. Jan M. Montgomery Mr. and Mrs. Richard J. Ramsden Society of St. Vincent De Paul Waldorf School of Santa BarbaraThe Di Paolo Foundation Mr. Christian Gilles and Ms. Bea Hyp The Lewis Family Foundation Mr. and Mrs. Robert K. Montgomery Ms. Anthoula Randopoulos Solvang Rotary Club Foundation Mr. and Mrs. Lawrence B. WallinDr. and Mrs. A. R. Pete Diamond Ms. Jeanna R. Landru I. P. Callison & Sons Mr. Peter J. Lewis Ms. Jan N. Mooney Mr. and Mrs. Michael Rathnam Mr. Gregory Sonbuchner Ms. Joan Walsh
  • 25. 46 O U R I N V E S T O R S OUR INVESTORS 47Mr. James E. Ward Bottle Drops Medline Industries, Inc. MEDICAL FACILITIES, ORGANIZATIONS, Dr. Helfenstein Rehabilitation Institute of Santa World VisionMr. Gary Warner Bridging the Gap MedPharm, Inc. INSTITUTIONS, AND INDIVIDUALS Herban Essentials Barbara Mr. Bob YantMr. Frederick Warren Bristol-Myers Squibb Company Medtronic Neurologic Technologies PROVIDING IN-KIND SUPPORT OVER Home Diagnostics, Inc. Mr. Nathan O. Reynolds Karin Yoon, D.D.S.Mr. John L. Warren BSN Medical, Inc. - Orthopaedics GBU MedVantx, Inc. $5,000 (WHOLESALE) Hope Worldwide Rhein Medical Special thanks to the Midmark ProgramMr. and Mrs. Stephen P. Waterman Cardinal Health Foundation Mentor Corporation Africa Aid Ms. Joanne E. Horton River Valley Nursing Home Participants and to the many KiwanisMr. Jason Watts Carlsbad Technology, Inc. Merck & Company, Inc. All Saints Greek Orthodox Church Hospice Partners of the Central Coast Rochester Hearing and Speech Center Clubs, Lions Clubs, Emblem Clubs, andMr. John T. Waugh Cell-Nique Merz Pharmaceuticals, LLC Ms. Ann Allen Humanitarian Services RSVP West Valley Rotary Clubs that have supported DirectMs. Marsha Wayne Cera Products, Inc. Microflex Ms. Kimberly J. Almanza Huntington Hospital Saddleback Eye Center Relief International.Mr. and Mrs. Michael Weber Chattem, Inc. Microlife USA, Inc. Mr. Arnie Almcrantz IDA Foundation Salvation CenterMr. and Mrs. Louis Weider Cobalt Laboratories Microspecialties, Inc. Mr. Carlos Amaro Image One San Luis Trust BankMr. Mike Weir Codman & Shurtleff Midmark Corporation American Society for Microbiology Interface Children Family Services Ms. Kristine SandoeMr. and Mrs. Robert E. Weiss Colgate-Palmolive Company Miltex, Inc. American Society of Cataract and International Aid Sansum Diabetes Research InstituteMr. Adam Weissman ConMed Corporation Moldex-Metric, Inc. Refractive Surgery International Relief Team Sansum Medical ClinicMr. and Mrs. William H. Werts Covidien Mylan Laboratories, Inc. AmeriCares International International Truck and Engine Corp. Sansum-Santa Barbara MedicalMr. Arthur H. Westerfield Crosstex International Napo Pharmaceuticals Anda, Inc. Interplast FoundationMr. and Mrs. Albert Wheelon Cumberland Pharmaceuticals Naryx Pharma, Inc. Animal Urgent Care Mr. Eric Isaacs Santa Barbara Cancer FoundationMs. Teri J. Wielenga and Cure Medical Nationwide Medical/Surgical, Inc. Anonymous Isla Vista Medical Clinic Santa Barbara City College Mr. Robert Bosenmeyer CVS Corporation Navix Diagnostix, Inc. Assist International J. M. Keckler Medical Santa Barbara Cottage HospitalMr. and Mrs. Claude K. Williams Cypress Pharmaceutical, Inc. Nellcor Assistance League of Santa Barbara Jaspan Hardware Santa Barbara Eyeglass FactoryMr. and Mrs. J. Vernon Williams Den-Mat Corporation Neutrogena Corporation Bacara Resort & Spa The Jesson Family Santa Barbara HematologyMr. and Mrs. Karl E. Williams DePuy (a Johnson & Johnson Company) New Chapter Vitamins Ms. Janet Bailey Jim Hughes Company Santa Barbara Hotel GroupDr. Robert G. Williams DeRoyal Nexxus (Alberto-Culver) Dennis Baker, M.D. George Johnson, M.D. Santa Barbara Medical Foundation ClinicMr. Lee C. Willson Dey Laboratories Nisim International Mr. Richard E. Baker Kaiser Optical Services Santa Barbara Neighborhood ClinicsMr. and Mrs. David C. Wilson Drug Plastics & Glass North Safety Products Dr. Ken Barasch Kindred Pharmacy Services Santa Barbara Surgery CenterMr. Edward Wilson E. Fougera & Company Novartis Pharmaceutical Corporation Bass Enterprises Dr. Steven R. Kleen Santa Barbara Visiting Nurses AssociationThe Thomas Henry Wilson and Family East West Associates OHM Labs BEBA: Building and Enhancing J. B. Knowles Santa Ynez Cottage Hospital Foundation ETHICON Onyx Medical Corporation Bonding and Attachment Mr. and Mrs. John Knox-Johnston Santa Ynez Tribal Health ClinicMs. Yolanda O. Wilson Ethicon Endo-Surgery Ortho-McNeil, Inc. Benco Dental Ms. Linda Kovaric Savusavu Community FoundationThe Windmill Foundation Eveready Wholesale Drugs, Ltd. Ossur Richard Berkman, M.D. Scott Kozak, M.D. Ms. Mary SchaeferWishart, Norris, Henninger & Pittman evo Medical Solutions Owens and Minor Company Ms. Mary Lou Boal Dr. Ralph Kuon Mr. Art SchwartzWitness For Peace Fenwal, Inc. P&G Mr. David C. Bonnheim Noreen and John La Pointe Mr. Ron SchwartzmanMr. Jefferson Woeste and Fine Science Tools, Inc. Pfizer, Inc. J. Glenn Bradley, M.D. Mr. Norman Labrecque SEE International Mr. Bruce Cleveland FNC Medical Corporation Platinum Performance Brigham and Women’s Hospital Mr. Martin Landau Sequoia HospitalMr. Thomas R. Wolfe and Forest Laboratories, Inc. Prasco Laboratories Ms. Ashlee Bright Ms. Christine Lauer Serenity House Ms. Barbara Wallace Forest Pharmaceuticals, Inc. Professional Disposables Ms. Patricia Callahan Liga International Ayesha Shaikh, M.D.Mr. and Mrs. William J. Woods, Jr. FSC Laboratories, Inc. Progressive Medical International Camarillo Christian Church Loloma Foundation Dennis A. Shanelec, D.D.S.Mr. and Mrs. J. Taylor Woodward Fuji Photo Film USA Prometheus Laboratories Cancer Center of Santa Barbara Lucas International Shepard Eye ClinicWorking Assets GlaxoSmithKline Purdue Pharma, L.P. Cardinal Health Foundation Lynch Dental Company Silver Chair ScienceWorld Minerals Global Pharmaceuticals Quest Diagnostics Carrillo Surgery Center Mr. James Lynch Raymond Sims, M.D. Legacy SocietyMr. and Mrs. Walter Woronick Goldmax Industries Quidel Corporation, Rapid Diagnostics Mr. S. E. Castaneda Ms. Gail MacDonald Ms. Vicky SimsThe Bagley Wright Family Fund Gowllands Limited Division Ms. Anne-Marie Castleberg The Malady Family Mr. David SmithMr. Charles Yeiser GSMS Incorporated Quixtar, Inc. CCSI Communications Manatee Eye Clinic Ms. Mary J. SmithMr. and Mrs. Leonard A. Yerkes Havel’s Incorporated Reliant Pharmaceuticals Child Health Foundation Marian Community Hospital Solvang Friendship HouseMr. Cherif Youssef HDC Corporation REM Eyewear Brian Cilla, D.D.S. Ms. Jean Martin Soundview ResearchYouth with a Mission HemoCue Repro-Med Systems, Inc. Circle Bar B Guest Ranch Mr. Mark Mazzetti Southeastern Surgical Throughout our history, a number of people have createdMrs. Esther R. Yunck Hendry Telephone Products CJ Systems Aviation Group John McConnaughey, O.D. Ms. Diane Sova Rigel Pharmaceuticals, Inc. an enduring legacy by making Direct Relief International aMr. Zach Zachowski Henry Schein, Inc. Guy Clark, M.D. Timothy P. McConnell, D.D.S. St. Francis Medical Center Rona Barrett Lavender Company‘ZAD Herban Essentials Royal Chemical Rick Closson, M.D. Mr. Robert McFarland St. John’s Hospital beneficiary of their estates. You can join them.Mr. and Mrs. Steven Zahm Hi-Tech Pharmacal Company, Inc. Conejo Free Clinic Medical Teams International St. John’s Pleasant Valley Hospital Royce MedicalSergio Moctezuma Zarazua Hogil Pharmaceutical The Cones Family The Medicine Bottle Company St. John’s Regional Hospital Charitable giving can be an important way to maximize your Sage Products, Inc.Mr. Peter Zatloukal Hollister, Inc. Mr. R. Costa MedShare International St. Joseph’s Hospital Sandel Medical Industries, LLC estate planning strategy as well as to have a lasting impactZhenjiang City Red Cross Hospital Home Diagnostics, Inc. Cottage Health System Ms. Jean Menzies St. Mary’s Medical Center sanofi-aventisMr. and Mrs. Ken R. Ziegler Hospira, Inc. Country Villa Health of Novato Mercy Ships Mr. Robert Stahl on the lives of others less fortunate. A planned gift is also an Sappo Hill SoapworksMr. Stephen A. Ziskind Housechem Countrywide Michael W. Moats, M.D. Ms. Peggy Stanwood important vote of confidence in the future of Direct Relief,Mr. and Mrs. Dick Zylstra Schering-Plough Corporation Mr. Douglas Moriarity S. Steele IAPYX Medical Silverleaf Medical Products CuraScript Ms. Clarissa Morris Ms. Joan Stuster helping to ensure that the organization will continue toWe extend our heartfelt thanks to our donors Independence Medical Smith & Nephew / Orthopedics Dental Care for Children InstyMeds Corporation / RedPharm Drug Devereux School Thomas J. Morris, D.D.S. Summit Surgery Center improve the health and quality of life for people around thewho contributed $1 - $4,999, who were too Span-America Medical Systems, Inc. Integra LifeSciences Corporation Mr. Joseph Doherty William Morton-Smith, M.D. Surgical Associatesnumerous to include here by name. Spectrum Mr. Jack Mosely Tandberg Telecom AS world for years to come. Charitable gifts can be made from International Truck and Engine Corp. SRI Surgical Mr. Mack X. DoughertyWe strive for 100 percent accuracy. Invacare DreamWeaver Medical Musculoskeletal Transplant Murray Taubman, O.D. your will or from arrangements you may already have in STADA Pharmaceuticals, Inc. Kevin Myers, M.D. Ms. Nancy ThompsonIf, however, we have misspelled your name, Inverness Medical Nutritionals Group, Inc. Stryker Corporation Dr. and Mrs. Robert M. Dunn place, or you may choose to use special charitable giving toolsplease excuse us and let us know so we can Janssen DuPont Displays National Library of Medicine, NIH Ms. Barbara L. Tocchi Sucal Medical, Inc. The National Pediculosis Association Mr. and Mrs. Michael Towbes that feature current tax savings, increased income, and othercorrect our records. Jarrow Formulas, Inc. Mr. Steve Erickson SunNight Solar Mr. Joseph Naus Trading Places International benefits. Johnson & Johnson Facts and ComparisonsMANUFACTURERS AND DISTRIBUTORS Sunrise Pharmaceuticals Neonatal Services, PSC Tri-Counties Blood Bank Johnson & Johnson Consumer Companies Family HealthCare NetworkPROVIDING MEDICAL DONATIONS Sunstar Americas, Inc. Network Hardware Resale Tulare District Hospital Johnson & Johnson Medical FedEx3M Surgistar, Inc.Abbott Joseph Weintraub Inc. Tagg Industries Filipino Nurses Association New Horizons Outreach Mr. Steve Turkheimer L EGACY S OCIETY M EMBERS Fistula Foundation Newport Family Practices UCSB Central StoresAcryMed, Inc. K.V. Pharmaceutical Company Tarascon Publishing Mr. Joel Nobbe UCSB Student Health Service John H. and Dorothy Adams Richard and Kate Godfrey Kawasumi Laboratories America, Inc. Mr. Arthur FlynnAearo Company Taro Pharmaceuticals U.S.A., Inc. Nobbe Orthopedics Inc. Mr. Robert H. Uphoff Kenad SG Medical, Inc. Four Seasons Biltmore Cynthia Anner* Stanley and Betty HatchAlabama Outdoors Tea Tree Therapy Mr. Jerry O’Callahan The UPS Store # 3672 Kentec Medical, Inc. Fredericka Manor Care CenterAlcon Laboratories, Inc. Tempur-Pedic, Inc. Occhiali Valley Animal Hospital Anonymous Dick and Pat Johnson King Pharmaceuticals, Inc. Free Wheelchair MissionAlkermes, Inc. Teva Pharmaceuticals USA Ojai Valley Community Hospital Vanguard Medical Supplies, Inc. Dr. and Mrs. Gilbert L. Ashor Marvel Kirby KM Medical, Inc. Friendship HouseAllergan, Inc. Textilease Medique, Inc. Operation USA Vencor Pharmacy Laddawn Alex D. Gazaui, M.D. Belinda K. Barrington and J. Michael KoelschAllied Healthcare TG Eakin Limited Oral Health America Ventura County Medical Center Lane Instruments Corporation Gifts In Kind InternationalAltana, Inc. The Harvard Drug Group The Orion Foundation Britt D. Vinson, D.D.S. Andres Acedo del Olmo Yvonne Christine Lucassen* Leiner Health Products Global LinksAmerican Diagnostic Medicine, Inc. Ther-Rx Corporation Pacific Pain Physicians, Inc. Visiting Nurses Association LeMaitre Vascular, Inc. Globus Relief Fund Mr. Joseph Bleckel Frank B. and Marilyn MilesAmerican Health Products Corporation Titan Corporation Pacific Rim Outpatient Surgery Center Vista Del Monte Life Uniform Company God’s Hidden Treasures Mr. William S. Burtness Patricia M. MitchellAmgen Tri-anim Health Services, Inc. Pacific Suites Vitamin Angel Alliance Major Pharmaceuticals, Inc. Goleta Valley Cottage HospitalAmsino International PAMS - San Diego Vitamin Relief USA Marguerite Bulf* Mr. and Mrs. Donald E. Petersen Marlex Pharmaceuticals, Inc. Tyco Healthcare/Mallinckrodt The Goszka FamilyAnda, Inc. Jay Patel, M.D. Vita-Tech International, Inc. Marlyn Nutraceuticals, Inc. Vanguard Graham-Field, Inc. Charlotte M. Castalde* Babette L. Roth*Anonymous Mr. Chris Peltonen Mr. Arthur Waldinger Martin Roth & Co. Vaxgen Gratiot Community HospitalAnsell Healthcare Incorporated Perfecto Chacon Walgreens - Option Care Margaret E.G. Davis* Mrs. William Schlosser Mason Vitamins, Inc. Vistakon Green Meadow MissionAramco Services Company Perfusion Management Group – Dr. Joseph Z. Walker Dr. Peter M. Dearden* Grace A. Tickner* Matrixx Initiatives, Inc. Waldwick Plastics Mr. Thomas GreenAstraZeneca Jeffrey Sites Mr. Martin H. Walker Maxima Packaging & Supply Watson Pharmaceuticals, Inc. Mr. Randy Greenberg H. Guy Di Stefano* Bettine and Lawrence WallinAuburn Pharmaceuticals Pheresys Therapeutics The Wallace Family McKesson Medical-Surgical Western Scientific Co. Handpiece Trading PostBausch & Lomb Surgical Company Planned Parenthood of Santa Ms. Frances Power Weismiller Ted and Angelica Ewing McNeil Consumer & Specialty Wisconsin Pharmacal Company, LLC Mr. Tim Hatcher * DeceasedBaxter International, Inc. Barbara Ms. Christina Weisner Pharmaceuticals Wyeth HealthSouth Surgical Center Howard C. Fenton*BD Pleasant Valley Hospital Westbay Services Center Mead Johnson Nutritional Group Young Dental Heart HuggerBeaumont Products, Inc. Ms. Nancy Poor Wheelchair Foundation Medical Action Industries Zee Medical, Inc. Heart to Heart InternationalBiomet, Inc. Providence Holy Cross Medical Mr. Allyn Wilde Consult with your attorney or other tax or financial advisor before making a gift to any charity. Medical Illumination International, Inc. Zimmer Orthopedic Surgical Products Hebrew Home of Greater WashingtonBlue Ridge Medical, Inc. Ready Medical Mr. Kennedy Wilson Medical Innovations, Inc. Zooth Mr. Eric HeerBoehringer Ingelheim Cares Foundation
  • 26. Guiding Principles* Serve People. Improve the health of people living in high-need areas by strengthening fragile health systems and increasing access to quality health care. Lift from the Bottom. Pull from the Top. Working with world-class companies and institutions, bring resources to the most medically underserved communities. Build Upon What Exists. Identify, qualify, and support existing healthcare providers over the long term and serve as a catalyst for other critically needed resources. Remove Barriers. Create transparent, reliable, cost-effective channels to contribute and access essential medical resources (particularly medicines, supplies, and equipment). Our mission is to Focus on Activities with High Impact on Health. Maternal and improve the health and Child Health; Primary Care; HIV/AIDS and other Chronic Diseases; Emergency Response. lives of people affected Play to Strengths. Partner for Other Needs. Engage in activities that by poverty, disaster, and address a compelling need, and align with our core competencies and areas of excellence. Ally with an expanded network of strategic partners who are working on related causes and complementary interventions in order to leverage resources. civil unrest. Ensure Value for Money. Use technology to generate efficiencies, leverage resources, and maximize health improvement for people with every dollar spent. Maintain modest fundraising and administrative expenses. Be a Good Partner and Advocate. Give credit where due, listen carefully, and respect those whom we serve and those contributing resources. Respond Fast While Looking Ahead. In emergencies, support the immediate needs of victims by working with local partners best situated to assess, respond, and prepare for the long-term recovery. Take the High Road. Deliver aid without regard to race, ethnicity, political or religious affiliation, gender, or ability to pay. Inspire participation by earning the trust and confidence of private parties and encouraging their participation in our mission. * From Strategic Plan 2008 – 201248