CELEBRATING • of INNOVATION 25 YEARS and IMPACT

1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 ANNUAL REPORT LIVES, Twenty-five years ago, was founded to support a tiny health clinic serving a destitute squatter settlement in rural . Today, the community- REVITALIZING COMMUNITIES, based approach used in Cange has helped to transform global health, and Partners In Health continues to provide high-quality to poor people in Haiti and TRANSFORMING GLOBAL HEALTH. nine other countries, including the .

Cover: A community health worker vaccinates a woman in rural Haiti. Above: Pregnant women stay at a mothers’ waiting house to deliver their babies in a clinic with skilled attendants. Photo by Jon Lascher Photo by Charles Howes EXECUTIVE DIRECTOR’S MESSAGE

Dear Friends,

In 2012, we celebrated our 25th year In 25 years, we’ve treated millions of patients and proved that at Partners In Health. As we look back complex treatments can be delivered effectively in settings of across the span of a quarter-century, poverty. We’ve developed the infrastructure necessary to deliver and I are proud of what high-quality care: hospitals and community health facilities and PIH has accomplished in Haiti, , the pharmacies, supply chains, and medical technologies to , and beyond, as a beacon of support them. Globally, we’ve insisted that we look more closely what is possible in to the poor. at the notion of cost, whether for a drug or an intervention, when it We feel lucky to still be doing this work impedes the delivery of lifesaving care. together alongside many of our original partners. Most of all, we are grateful for the PIH —for the parish in whose attic Friends often ask me what is in store for PIH’s next 25 years. Paul slept during medical school, for the gradeschoolers hosting You’ll read about some exciting new projects in this annual report, fundraising bake sales, for all of you donors, partners, friends—for but the core of our innovation—this year, over the last 25 years, the extraordinary community whose support, in all senses of the and going forward—is bringing high-quality health care to the word, has made the work of these 25 years possible. poor, overcoming the challenges posed by staggering burdens of disease, remote geographies, lack of basic infrastructure, and This year, we formalized the Global Health Delivery Partnership— scarce resources. Year in, year out, we persevere. We are codifying the collaboration among Partners In Health, Brigham and Women’s the health care model that has proved what’s possible in poor Hospital, and that integrates global health communities around the world. And together with communities, education, service, training, and research. In July, President Clinton governments, and many, many partners, we are transforming the joined us in Rwanda for the inauguration of the Cancer Center of landscape of global health. Excellence at Butaro Hospital, the first center for comprehensive cancer care in rural East Africa. More recently, we celebrated the completion of Hôpital Universitaire de (HUM) in Haiti with our friend and Partners In Health co-founder, Dr. . Jim visited HUM in his new role as President of the World

Bank Group—a remarkable appointment, and heartening for all of us committed to breaking the cycle of poverty and disease. Executive Director, Partners In Health

4 Left: A patient receives treatment at the Butaro Cancer Center of Excellence, opened this year in Rwanda. 1 Photo by Aubrey Davis TABLE of CONTENTS OUR MISSION

25 YEARS OF INNOVATION AND IMPACT...... 5 Our mission is to provide a preferential option for

SITES...... 8 the poor in health care. By establishing long-term Haiti...... 8 relationships with sister organizations based in Dominican Republic ...... 11 settings of poverty, Partners In Health strives to achieve Rwanda...... 12 ...... 14 two overarching goals: to bring the benefits of modern ...... 16 medical science to those most in need of them and Peru ...... 18 to serve as an antidote to despair. We draw on the Mexico ...... 19 resources of the world’s leading medical and academic Russia ...... 20 Kazakhstan ...... 21 institutions and on the lived experience of the world’s Navajo Nation, U.S...... 22 poorest and sickest communities. At its root, our Boston, Mass., U.S...... 23 mission is both medical and moral. It is based on PROGRAMS ...... 24 solidarity, rather than charity alone. When our patients Medical Informatics ...... 24 are ill and have no access to care, our team of health Monitoring, Evaluation, & Quality ...... 25 Advocacy & Policy ...... 26 professionals, scholars, and activists will do whatever Training ...... 27 it takes to make them well—just as we would do if a Research ...... 28 member of our own or we ourselves were ill. Partner Projects ...... 29

FINANCIAL REVIEW...... 30 Letter from Vice President of Finance ...... 30 • Financial Snapshot ...... 31 Statements of Activities ...... 32 Balance Sheets ...... 33 Post-Earthquake Spending ...... 34 Thank You to Our Supporters ...... 35 Governance ...... 39

2 Right: This year, PIH/Inshuti Mu Buzima celebrated the opening of the Cancer Center of Excellence at Butaro Hospital. 3 Photo by Matt Craven 25 YEARS of INNOVATION and IMPACT

Through partnerships with Harvard Medical School, Brigham and Women’s Hospital, communities, governments, and other organizations, Partners In Health has served millions of poor patients, tackling diseases that others deemed too expensive and too difficult to treat. Time and again, we’ve proven the quality and efficacy of integrated, community-based care. We’ve been a leader in the movement that helped to catalyze initiatives such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, and PEPFAR, the U.S. President’s Emergency Plan for AIDS Relief, which have invested billions of dollars in global health.

This year, as we celebrate 25 years of innovation and impact, we have seen the theme of transformation extend through new projects realized with the help of our partners. In Haiti, for example, we delivered an oral cholera vaccine and completed construction of Hôpital Universitaire de Mirebalais; in Rwanda, we opened the Cancer Center of Excellence at Butaro Hospital. •

4 Left: Dr. Abelardo Vidaurreta examines a patient in Chiapas, Mexico. 5 Photo by Balam-ha’ Carrillo 25 YEARS of INNOVATION and IMPACT

TREATING “UNTREATABLE” DISEASE IN PERU “In developing countries, people with multidrug-resistant TACKLING ROOT CAUSES OF DISEASE STRENGTHENING HEALTH SYSTEMS When Partners In Health uncovered an epidemic of multidrug- tuberculosis usually die, because effective treatment is The risk of disease skyrockets when people cannot afford adequate Two years after PIH began work in Rwanda, 2,000 HIV patients resistant tuberculosis (MDR-TB) in 1995 in Lima, Peru, the World often impossible in poor countries.” food, clean water, and other necessities. To address these root were enrolled in therapy; a derelict hospital was transformed to Health Organization (WHO) called for treating only non-resistant —WHO, 1996 causes of disease, PIH prescribes food, water filters, and economic serve more than 200 patients a day; and hundreds of community TB in poor countries. PIH/Socios En Salud pioneered a treatment assistance. In Haiti, we treat malnutrition with Nourimanba, a health workers were employed to care for patients in their homes. “Findings from a series of projects have clearly strategy including daily home visits by community health workers. fortified peanut paste that PIH produces locally to benefit the Based on this progress, the Ministry of Health asked PIH to help it After documenting outstanding cure rates, PIH pressed for demonstrated that MDR-TB can be effectively treated economy. Health care company Abbott and the nonprofit Abbott bring community-based care to all rural districts. As this initiative changes in global policies. In 2006, the WHO called for universal in low-income countries.” Fund have donated $6.5 million and their expertise to build a new strengthened the health system, Rwanda achieved a staggering 50 access to treatment for MDR-TB. —WHO, 2006 Nourimanba production facility that will expand production. percent drop in under-5 child mortality in just five years.

1987 Navajo Nation: PIH begins support of the 2000 COPE project in the southwest United States. 2011

Dominican Republic: Building on previous 2002 Lesotho: PIH launches a 2009 work, PIH establishes a cross-border new project in Lesotho in clinical care program for HIV patients. 2006 southern Africa, bringing 1994 Boston/Haiti: Partners PIH and Harvard primary care and HIV With the Rwandan government, PIH opens In Health (PIH) is In Haiti, Zanmi Lasante launches Medical School win a and TB testing and a teaching hospital in Butaro that brings founded in Boston by its comprehensive women’s health treatment to two clinics high-quality care and medical education to 1990 $44.7 million Gates Ophelia Dahl, Paul program, Pwojè Sante Fanm. Foundation grant to fight Boston: PIH’s Prevention and high in the mountains. the entire East Africa region. Farmer, Jim Kim, Todd drug-resistant TB. Access to Care and Treatment McCormack, and project (PACT) begins offering Peru: PIH’s sister Thomas J. White to In Haiti, Zanmi Lasante’s care to HIV patients in Boston. support Zanmi Lasante, organization, Socios En A gift from Thomas J. White HIV Equity Initiative PIH begins the Maternal founded in Haiti in 1983. Salud, is established establishes the Program is one of the first in Zanmi Lasante is one of the first Mortality Reduction 1997 in Carabayllo, a in Infectious Disease and the world to provide projects to receive funding from Program in Lesotho, shantytown on the Social Change at Harvard antiretroviral therapy in the Global Fund to Fight AIDS, tripling the number of outskirts of Lima. Medical School. resource-poor settings. Tuberculosis and Malaria. facility-based deliveries. 1987 2012

PIH and its Haitian sister Drug-resistant TB patients in Peru Russia: PIH assumes Malawi: PIH begins work Kazakhstan: PIH expands Mexico: PIH launches a new project to organization, Zanmi Lasante, complete treatment with cure responsibility for improving clinical in Neno District, Malawi, the accompaniment strengthen primary health care in Mexico. launch a community-based rates of 80 percent, leading the care at the TB project in Tomsk, launching testing and model of TB care. PIH completes Hôpital Universitaire de

program for treating tuberculosis. WHO to revise recommendations Siberia. 2007 treatment programs for HIV. for treating drug-resistant TB. PIH and Zanmi Lasante Mirebalais: a center of medical excellence respond to a 7.0 and a major in building back In Haiti, Zanmi Lasante initiates earthquake in Haiti with better after the earthquake in Haiti. a pilot program to provide lifesaving emergency PIH and Socios En Salud antiretroviral therapy to 50 AIDS care and a plan to launch a community- patients. strengthen Haiti’s public based treatment health system.

program for patients 2001 1989 with drug-resistant TB

1996 in Carabayllo. Rwanda: PIH expands to sub-

Saharan Africa, bringing community- 2012 based HIV treatment and primary PIH co-founder Paul Farmer wins a 2005 care to two districts in rural Rwanda. MacArthur “genius grant” and uses it to 1998 establish the Institute for Health and Social 2010

1993 Justice, PIH’s research and advocacy arm.

6 7 HAITI/ ZANMI LASANTE

issued a recommendation in August 2012 to make the vaccine universally available in Haiti and the Dominican Republic, based in BY THE NUMBERS large part on their review of data from this collaborative project.

Launched clinical education programs for and nursing CHOLERA IN CONTEXT staff: Responding to the Ministry of Health’s call to decentralize medical and nursing training and to train and retain Haitian clinicians Haiti There have been 609,526 cases in the public health sector, PIH/ZL launched a family medicine of cholera during the first two years of an residency and continuing education program for nursing staff in 2011. ongoing cholera epidemic. Partnering with Haiti’s national medical school, in January 2012 PIH/ ZL welcomed the first class of six residents to the program, based at U.S. There has not been a major outbreak Hôpital Saint Nicolas in St. Marc. The continuing nursing education of cholera since 1911. program has improved the quality of patient care and is setting a new standard of practice for nursing professionals in Haiti. Made possible through the support of the Clinton Bush Haiti Fund and other OUR WORK IN HAITI generous donors, the clinical education program in St. Marc strives to meet the ultimate goal of retaining well-trained physicians and PIH/ZL has treated approximately 17% of nursing professionals in Haiti’s public medical system. all cholera cases nationwide since the beginning of the epidemic.

PIH/ZL launched Haiti’s first public PIH/ZL provided nearly 13,000 facility- based deliveries of babies in 2012, HAITI • Zanmi Lasante comprehensive and integrated breast an increase of nearly one-third since 2010.

cancer program. Patient visits: 2.68 million PIH/Zanmi Lasante (PIH/ZL) continued our commitment to helping Haiti recover from the 2010 earthquake, Continued to offer comprehensive women’s health services: completing construction of Hôpital Universitaire de Poverty and disease affect women disproportionately, and PIH/ZL Mirebalais, delivering Haiti’s first cholera vaccinations, and has worked to offer high-quality services to women for 25 years. providing care in 2.68 million patient encounters. Today, Pwojè Sante Fanm offers comprehensive, community-based health care in rural areas home to 250,000 women. This year, the project worked to reduce maternal and infant deaths by providing mothers’ waiting houses, safe spaces near the hospital where women can stay before their due dates, ensuring access to health CONTINUING PIONEERING WORK services when labor starts.

Delivered the cholera vaccine for the first time in Haiti: Since the delivered the required two doses of the vaccine to participants. Developed Haiti’s first public comprehensive breast cancer beginning of the cholera outbreak in Haiti, PIH/ZL has been at Of those who received the first dose, 91 percent also successfully program: Leveraging existing health programs and in partnership the forefront of advocating for a comprehensive response to the received their second dose two weeks later—an outstanding with the Ministry of Health, PIH/ZL launched Haiti’s first public epidemic, including case-finding and treatment, improvement in completion rate. Coverage in the community was high enough comprehensive and integrated breast cancer program within the water and sanitation, and vaccination against the disease. In 2012, that even unvaccinated individuals will be somewhat protected area PIH/ZL serves. So far, the program has screened and treated STAFF working with the Haitian Ministry of Health, PIH/ZL vaccinated from cholera, the result of an effect known as herd immunity. hundreds of women, trained doctors and nurses in breast cancer 1,291 clinical staff approximately 50,000 people against cholera, mostly in the Despite initial skepticism about use of the vaccine by the detection and treatment, including chemotherapy and surgery, and country’s Artibonite region. PIH/ZL community health workers international community, the Pan American Health Organization integrated breast cancer awareness into health education efforts. 2,162 non-clinical staff 2,428 community health workers

8 Above: A community health worker conducts community outreach during the oral cholera vaccine project. SITES SITES 9 Photo by Jon Lascher HAITI/ ZANMI LASANTE

HÔPITAL UNIVERSITAIRE DE MIREBALAIS

DOMINICAN REPUBLIC • Socios En Salud

PIH/Socios En Salud (PIH/SES) began its first cross-border HIV program focusing on migrants and other vulnerable

BUILDING BACK BETTER: NATIONAL PUBLIC TEACHING HOSPITAL COMPLETE people on the border between Haiti and the Dominican

After the 2010 earthquake destroyed much of Haiti’s largest Republic. With the Dominican government, SES has Hôpital public teaching hospital and nursing school in Port-au-Prince, improved HIV prevention and treatment services. Universitaire de the Ministry of Health asked PIH/ZL to scale up plans for a Hôpital Universitaire de Mirebalais (HUM) Mirebalais will small community hospital in Mirebalais. The result is Hôpital HUM Catchment Area provide advanced, Universitaire de Mirebalais (HUM)—a 205,000-square foot, Mirebalais high-quality care DOMINICAN Port-au-Prince REPUBLIC to an area of 3.3 300-bed teaching hospital that will train the next generation HAITI IMPROVING CARE ON THE BORDER of Haitian health professionals in comprehensive and million people. specialized health care services. When opened in early 2013, Conducted outreach to prevent the spread and stigma of HIV: two new CD4 machines provided by SES, hospital staff can now the hospital will employ as many as 800 Haitians, including “This hospital is the culmination of a dream Each month, SES conducted educational sessions in communities monitor the immune systems of HIV-positive patients—a key tool 175 community health workers, and see an estimated 500 dating back a quarter-century, and underlines within Elias Piña, a province in the Dominican Republic. Staff led for assessing patients’ need for antiretroviral therapy. SES medical discussions on HIV transmission, demonstrated proper condom staff and community health workers also have worked to provide patients daily when all ambulatory services are open. Based our commitment to the country and people on a July 2012 review of publicly available information on use, and offered voluntary counseling and testing to allow people community-based support, which has helped patients stay in care. solar hospitals worldwide, HUM is the largest solar-powered of Haiti, which is stronger than ever after the to learn their HIV status and enroll in treatment, if necessary. hospital in the world to produce more than 100 percent of its earthquake.” Expanded our reach through new partnerships: To tackle the root energy needs during peak daylight hours. — DR. PAUL FARMER Improved HIV/AIDS care: PIH/SES staff worked with the causes of disease and improve access to psychosocial support, SES Dominican Ministry of Health’s HIV unit to deliver high-quality forged new partnerships with satellite primary care clinics run by The hospital features: High-Quality Care For Less care for HIV patients. PIH/SES equipped clinicians with training the Ministry of Health and two local organizations. Through these • Emergency room and six operating rooms and supplies to help them provide medical and psychosocial collaborations, SES is able to provide food to reduce malnutrition • Three ambulatory wings for outpatients PIH/ZL constructed HUM at a cost of counseling and medications, including antiretroviral therapy. With and meet the diverse health needs of our patients. • Medical and neonatal intensive care units $56,000 per bed. It can cost $750,000 to • 24 labor and delivery beds $1,000,000 per bed to build a hospital in • Digital radiology platform including the only CT BY THE NUMBERS scanner in the public sector in Haiti the U.S. (The Times). In 2012, 13,517 people were Since PIH/SES launched in 2010, the reached through community- number of patients receiving HIV Above: Aerial view of Hôpital Universitaire de Mirebalais under construction. care and treatment has increased Photo by bec rollins based prevention activities. Before PIH/SES, there were none. by more than 140%.

10 SITES SITES Above: A SES staff member carries a water purification system to the home of a pregnant woman receiving HIV treatment. 11 Photo by Antonio Nunez RWANDA

Continued mentorship of nurses with excellent results: In Rwanda, the vast majority of care is delivered by nurses at BY THE NUMBERS community health centers. Initiated in 2010, the Mentorship, Enhanced Supervision, and Quality Improvement program is designed to improve the quality of care through intensive training, CANCER CARE IN CONTEXT mentoring, and supervision of health center nurses across many types of care. Two years into the program, there has been an Rwanda For a population of nearly 11 impressive increase in the quality of care provided to patients. million people, there are only a few trained Rwandan oncologists (Rwandan Embassy).

U.S. For a population of 311 million people, PIH/IMB aims to eliminate there are an estimated 12,000 trained preventable neonatal deaths in the oncologists (American Society of Clinical Oncology). areas it serves by the end of 2013. OUR WORK IN RWANDA

A 2012 study found that 92% of PIH/ Launched initiative to protect vulnerable newborns: In Rwanda, IMB HIV patients were still actively a disproportionate number of child deaths occur in the first engaged in care two years after they were month of life. In response, PIH/IMB began work in communities, enrolled, compared to 70 percent in other health centers, and hospitals to train community health workers parts of Africa (Rich M, et al. 2012). RWANDA • Inshuti Mu Buzima (CHWs), nurses, equip facilities, and develop protocols for care integrated with monitoring and evaluation. PIH/IMB opened a Between 2005 and 2011, mortality new neonatal unit at Kirehe Hospital and broke ground for a fully of children under 5 years old PIH/Inshuti Mu Buzima (PIH/IMB) continued to work in equipped neonatal facility at Rwinkwavu Hospital. PIH/IMB aims to eliminate preventable neonatal deaths in the areas it serves by declined 65% in two districts that close partnership with the Rwandan Ministry of Health on the end of 2013. PIH/IMB serves. projects, including the Cancer Center of Excellence at Facility-based Deliveries Hosted Global Health Delivery course for global health leaders: Butaro Hospital, that have an impact well beyond In 2011, almost two-thirds of pregnant women delivered their In February, PIH/IMB’s Center for Training and Operational babies in clinics with skilled providers, instead of at home. the communities directly served. Research in Rwinkwavu hosted a session of the Harvard Medical 100 School course in Global Health Effectiveness. Thirty global health 80 90% leaders from across Rwanda, , and the U.S. gathered to learn from each other and leading academics from Harvard and the 60 65% Rwandan Ministry of Health. Participants learned from Rwandan 40

LEVERAGING PARTNERSHIPS FOR SCALE at health facilities 39% expert implementers and analyzed case studies in global health 20

Began providing comprehensive cancer care: Recognizing the PIH/IMB inaugurated the Cancer Center of Excellence at Butaro created by the Global Health Delivery Project and published by delivering of women Percentage 2005 2011 2013 growing burden of cancer in the developing world, PIH/IMB Hospital, with former U.S. President in attendance. Harvard Business Publishing. The course will be offered regularly (target) Source: Rwanda Demographic and Health Survey, S. Kayonza and Kirehe districts (all five-year estimates) launched an ambitious plan to bring comprehensive cancer care to global health leaders across Africa and around the world. to rural east Africa in collaboration with the Rwandan Ministry The Center offers preventive care, pathology-based diagnosis, of Health and the Harvard-affiliated Dana-Farber/Brigham and chemotherapy, surgery, referral for radiotherapy, follow-up, and STAFF Women’s Cancer Center. In March, 61 Rwandan doctors and palliative care, as well as social and economic support. The Center nurses from 10 hospitals participated in a seven-day training is a national referral facility, and PIH/IMB has contributed to 638 clinical staff on cancer diagnostics and care with 22 expert trainers. In July, national policy and implementation planning on cancer care. 1,036 non-clinical staff 2,659 PIH/IMB-supported CHWs

12 Above: A cancer patient receives IV fluids before chemotherapy at Butaro Hospital. SITES SITES 13 Photo by Aubrey Davis LESOTHO

Reached children with comprehensive care: Lesotho has one of the highest child mortality rates in the world—about one of every BY THE NUMBERS nine children dies before age 5, according to the 2009 Lesotho Demographic and Health Surveys—yet PIH/L clinics were not seeing many children for illness. In response, PIH/L this year began MATERNAL HEALTH IN CONTEXT conducting outreach to families with young children. Through a door-to-door survey, PIH/L sought to identify every child 5 years Lesotho 1 in 62 women will die during old and younger in the areas our clinics serve. The survey helped pregnancy or childbirth (UN). explain why so few children visited the clinics: out of the 7,655 children included in the survey, one in three reported traveling U.S. 1 in 2,100 women will die during five or more hours to reach the nearest center, often by foot, and pregnancy or childbirth (UN). at least 9 percent had lost one or both parents. PIH/L community health workers tried to reach all these children with services, including screening, testing, and treatment for HIV, TB, and OUR WORK IN LESOTHO malnutrition, as well as immunization, deworming, and nutritional supplements. PIH/L also provides services to children not During the scale-up of PIH/L’s maternal identified via this survey, which suggests that families from beyond health program, deliveries in facilities PIH/L catchment areas are bringing their children for care. increased 150% over the previous year.

Family planning visits increased The PIH/L multidrug-resistant 38% over the previous year as PIH/L continued to expand family planning services. LESOTHO • Bo-Mphato Litšebeletsong tsa Bophelo tuberculosis program is a model for A recent field other nations in Africa. study showed PIH/Lesotho (PIH/L) works to improve the health of that 20% of eight remote mountain communities, providing integrated the patients services for maternal and child health as well as HIV and Continued to expand capacity to cure MDR-TB: PIH/L developed PIH/L serves and now manages the national program to treat MDR-TB in walk six or tuberculosis, while managing the national program to partnership with the Lesotho Ministry of Health, treating more more hours treat multidrug-resistant tuberculosis (MDR-TB). than 770 patients throughout the country since 2007. It continues to their local to be a model for other nations in Africa, particularly in treating health facility, a significant barrier to health patients who are sick with both MDR-TB and HIV. This year PIH/L care that PIH/L community health workers hosted the international meeting of TB CARE, a USAID-funded help overcome. COMPREHENSIVE CARE IN THE HIGHLANDS project to address tuberculosis worldwide; contributed to a managers’ guide for drug-resistant TB; and provided training and Improved quality of the maternal health program: PIH/L PIH/L increased its capacity to provide emergency obstetric care technical assistance to clinicians and program managers from continued its success in providing comprehensive care during by renovating an operating room at Mamohau Hospital and hiring Malawi, , and Cameroon, among other countries. PIH/L pregnancy, in childbirth, and after delivery to save the lives of an obstetrician-gynecologist and nurse-anesthetist. All seven completed construction of a new national TB reference laboratory women and newborns in the country’s challenging mountainous primary clinics established mothers’ waiting houses, which provide that will expand capacity in the country to diagnose MDR-TB. terrain. This year, PIH/L supported training for nurse-midwives on women a place to stay before their due dates so they can avoid PIH/L also published a peer-reviewed paper about its treatment of STAFF neonatal resuscitation and using ultrasound as part of antenatal journeys on foot to health facilities during labor. PIH/L expanded children with MDR-TB, showing that nearly 90 percent of pediatric care to help identify risk factors and give women a first glimpse of access to family planning by making supplies available at all clinic patients were successfully treated—a success rate among the 81 clinical staff their babies. To prevent needless deaths in complicated deliveries, areas, dramatically increasing uptake over the past year. highest in the world. 112 non-clinical staff 2,011 community health workers

14 Above: Three women and their babies receive care at a PIH/L clinic. SITES SITES 15 Photo by Susan Sayers MALAWI

for tuberculosis, diagnosing and treating its first two patients with multidrug-resistant tuberculosis. BY THE NUMBERS

HIV IN CONTEXT During a typhoid outbreak in Neno, PIH/APZU provided the Ministry Malawi More than one in 10 adults is HIV-positive (WHO). of Health with critical information U.S. Less than one in 200 adults is HIV- needed to contain the outbreak. positive (CDC).

OUR WORK IN MALAWI Mapped health conditions and health care delivery with geographic information system: In Neno, a rural area loosely Over 97% of children treated in the connected by difficult mountain roads, a key challenge is knowing APZU-supported malnutrition program in where patients live and how to reach them. Using a geographic Neno were cured in the second half of 2011, information system (GIS), PIH/APZU has collected location data compared to 89% nationally. for more than 185 communities, enabling staff to map information about patients and incidence of illness across the entire district. 284,098 outpatient visits across During a typhoid outbreak in northwestern Neno, for example, 13 facilities MALAWI • Abwenzi Pa Za Umoyo PIH/APZU provided the Ministry of Health with information critical to containing the outbreak. PIH/APZU plans to build on In 2012, PIH/APZU provided HIV testing its GIS capacity to map populations at risk, plan and target health and counseling to 50% more of its interventions, and allocate resources across the district. Working in the poor, rural Neno District of Malawi, PIH/ target population than the national HIV program. Abwenzi Pa Za Umoyo (PIH/APZU) has made significant Hosted World TB Day and World HIV Day in Neno: HIV continues progress in caring for people with tuberculosis and HIV to be a highly stigmatized illness in Malawi, meaning many people while expanding community programs and implementing are reluctant to be tested for fear of the social consequences. PIH/ APZU counters this stigma through wide-reaching community high-tech solutions to the challenges of rural health care. programs that promote health messages and include HIV testing. In 2012, PIH/APZU hosted World TB Day and World HIV Day events, which brought together 10,000 people from Neno and beyond. The highlight of the event was a special appearance by the REACHING THE MOST VULNERABLE Black Missionaries, a popular music group in Malawi.

Expanded access to antiretroviral therapy: In 2011, the Malawian Introduced a rapid diagnostic machine for tuberculosis: Launched Palliative Care Program: Supported by The Diana, Ministry of Health adopted ambitious guidelines to expand access Tuberculosis remains one of the leading causes of death Princess of Wales Memorial Fund, the Palliative Care Program to antiretroviral treatment, including the initiation of lifelong associated with HIV/AIDS, and diagnosis of tuberculosis in HIV- provides dignified end-of-life care to HIV and cancer patients treatment for HIV-positive pregnant and breastfeeding women. positive patients can take months, causing patients’ health to in their homes, where they can spend their last days with their PIH/APZU helped the Ministry of Health expand access to worsen and treatment to be less effective. In early 2012, APZU families. PIH/APZU screens all palliative care patients for STAFF treatment across Neno, increasing the number of treatment sites introduced rapid tuberculosis testing to Neno District Hospital psychosocial and economic needs during this vulnerable time. from one in 2007 to 13 in 2012, making care available to more than with the GeneXpert® machine, which produces a test result in PIH/APZU has supported more than 100 patients since the 54 clinical staff 5,000 patients. under two hours. PIH/APZU used the machine to test 170 patients program began in January 2012. 184 non-clinical staff 637 village health workers

16 Above: Village health workers at Neno Parish Health Center prepare packages of an antibiotic for HIV patients. SITES SITES 17 Photo by Victoria Smith PERU • Socios En Salud MEXICO • Compañeros En Salud

Since 1996, PIH/Socios En Salud (PIH/SES) has pioneered Building on two decades of partnerships in Chiapas, PIH’s the treatment of multidrug-resistant tuberculosis (MDR- newest sister organization, Compañeros en Salud (PIH/ TB) in poor communities. PIH/SES continues to provide CES), launched in February 2012. PIH/CES works to social support and clinical care to MDR-TB patients and has improve primary health care in the sierra of Chiapas, one of expanded its work in training, research, and education. the poorest regions of Mexico.

IMPROVING CARE FOR TUBERCULOSIS STRENGTHENING COMMUNITY CLINICS

Provided support to MDR-TB patients: PIH/SES continued to Conducted public education campaigns on tuberculosis: Began innovative effort to strengthen services in rural clinics: Trained a cadre of community health workers: In a pilot project, provide food packages, housing, supplementary clinical care, and PIH/SES continued public education on tuberculosis prevention In partnership with the Mexican Ministry of Health, PIH/CES PIH/CES trained four community health workers to accompany 23 psychological support to MDR-TB patients. The work covered 31 of and treatment through mass communication in Lima. PIH/SES added staff and equipment to revitalize underperforming rural patients with diseases such as diabetes, hypertension, epilepsy, 49 districts in Lima and 10 provinces outside the capital. advertised in public places and on the radio, organized plays and clinics, providing high-quality health care to vulnerable people who and depression—common health problems in Chiapas. Based on competitions, and produced advertisements for television. previously had no reliable health services. The program began with patient improvement, PIH/CES plans to expand the program. Expanded the training of community health workers: PIH/SES a pilot project in two rural clinics and plans to expand to 10 clinics. continued to train MDR-TB community health workers, adding Participated in three research projects on tuberculosis: Screened communities for chronic diseases: PIH/CES medical workshops on emotional support to courses on nutrition, the right PIH/SES has taken a lead role in tuberculosis research designed Partnered with medical programs in Mexico and the U.S.: To students and community health workers reached all to health care, and first aid. PIH/SES also conducted a course for to improve care by implementing three studies funded by the U.S. train the next generation of Mexican health professionals in global in two communities to screen for diabetes, hypertension, and doctors on diagnosis, treatment, and care of pediatric tuberculosis National Institutes of Health. This year, PIH/SES enrolled 19,000 health and social medicine, PIH/CES has built partnerships that epilepsy, and to identify risk factors for other diseases such as and led educational workshops for former TB patients enrolled in participants from 90 health centers in one study, and an additional recruit Mexican and American medical residents and doctors to tuberculosis and asthma. About 50 patients initiated treatment an income-generation program. 1,418 participants from 89 health centers in another study. mentor young physicians completing a social service year in Chiapas. after being diagnosed with a chronic disease or classified as at risk.

75% of PIH/SES patients were An estimated 4.6 million PIH/CES had about 1,900 PIH/CES screened 681 people successfully treated, compared people reached by radio patient visits in five for conditions including diabetes, to 68% nationally—an exceptional with TB prevention messages in months of operation in two hypertension, epilepsy, tuberculosis, achievement because PIH/SES patients face Lima, a city of nearly 8 million. communities of 3,000 people. and asthma. About 4.5% of people were significant treatment challenges. diagnosed with one or more condition.

18 Above: A PIH/SES worker teaches high school students how to identify and prevent tuberculosis. SITES SITES Above: A PIH/CES staffer examines a young patient during a door-to-door case-finding campaign. 19 Photo by PIH/SES Photo by Alejandro Hernandez Olvera RUSSIA • Партнеры во имя Здоровья KAZAKHSTAN • Денсаулық үшін серіктестер

Now in its eleventh year, PIH/Russia (PIH/R) continues to PIH/Kazakhstan (PIH/KZ) worked to improve its direct expand its work treating multidrug-resistant tuberculosis care to patients with multidrug-resistant tuberculosis (MDR-TB) in Tomsk, Russia, partnering with the Russian (MDR-TB), developed a close partnership with PIH/Russia, Health Care Foundation and launching a fellowship to train and expanded its role as an expert advisor on effective tuberculosis health care providers. treatment of MDR-TB across the country.

SHARING MDR-TB EXPERTISE EXPANDING LIFESAVING CARE

Marked five years of high-quality care for tuberculosis:The the development of drug-resistant tuberculosis in seven regions Developed national TB policy with the Ministry of Health: Guided the creation of two patient-centered treatment programs: Sputnik Program, named for the Russian word for “traveling in Russia. PIH/R trains physicians, social workers, medical school PIH/KZ played a leading role in improving the national response to PIH/KZ provided expertise on community-based treatment of MDR- companion,” targets tuberculosis patients at risk for dropping out professors, and Russian Ministry of Health employees in the drug-resistant tuberculosis. In close partnership with the National TB to help create effective treatment programs in two oblasts. The of care. To address factors such as poverty, homelessness, HIV, importance of social support to successful tuberculosis treatment. Tuberculosis Program, PIH/KZ contributed to the development of programs, which deliver social support and home-based treatment and substance abuse, the Sputnik Program hires and trains nurses a new national policy to improve treatment of MDR-TB. to retain patients in care, are now being expanded nationwide. to deliver treatment, food, and social support in patients’ homes Launched the MDR-TB Fellowship Training Program: This year, throughout the two-year treatment period. PIH/R launched the first MDR-TB Fellowship Training Program Gained expertise from PIH/Russia: Clinical leaders of regional Employed research findings to improve care: Using the results of in Tomsk, Russia, which trains clinicians to effectively manage tuberculosis programs in 10 oblasts of Kazakhstan received an operational study on MDR-TB care, PIH/KZ developed a new Partnered with the Russian Health Care Foundation: Building on MDR-TB patient care. Through a competitive process, the program training at PIH/Russia’s Tomsk Tuberculosis Center of Excellence. reporting and evaluation tool to better track adherence to treatment, the Sputnik Program’s work with vulnerable patients, PIH/R began selected four clinicians from Tajikstan, Kyrgyzstan, Kazakhstan, Through 10 other trainings in Kazakhstan, 150 doctors, clinical improve drug management, and take action on gaps in care. the five-year TB Control Project with the Russian Health Care and Ukraine to participate in the intensive four-week course. leaders, and nurses learned about clinical and programmatic Foundation to reduce tuberculosis illness and death, and to prevent management of MDR-TB, including the patient-centered approach.

PIH/Russia provided training Patients who began TB treatment PIH/KZ trained representatives PIH/KZ provided home-based treatment to representatives of 4 prior to joining the Sputnik Project saw from 10 of Kazakhstan’s for nearly 50% of its multi-drug- countries, including Tajikstan, their adherence to treatment 14 districts. resistant TB patients, ensuring that these Kyrgyzstan, Kazakhstan, and increase from 58.6% to 81.4% high-risk patients receive the support they need Ukraine. under the program (Taran D, et al. 2013). to complete treatment.

20 Above: Two Russian tuberculosis specialists study an x-ray in the Tomsk hospital. Note: PIH/R numbers and information relate SITES SITES Above: PIH/KZ physicians attend an MDR-TB training in Tomsk, Russia. 21 Photo by Viktoriya Livchits to calendar year 2011, not PIH fiscal year 2012. Photo by Askar Yedilbayev NAVAJO NATION • COPE UNITED STATES • PACT

In 2011, PIH began supporting the Community Outreach The Boston-based Prevention and Access to Care and and Patient Empowerment (COPE) Project, which works to Treatment (PACT) project continues to provide direct improve health in the sovereign Navajo Nation. COPE works services to HIV patients, while also providing technical with Navajo Nation Community Health Representatives assistance to other health systems and advocating for the (CHRs) to respond to chronic diseases. role of community health workers (CHWs) in the U.S.

CONNECTING PATIENTS TO CARE SPECIALIZING IN COMPLEX PATIENT CARE

Expanded to five Service Units in the Navajo Nation: Project COPE employees. To improve care, COPE strengthens communication Continued direct service to HIV patients in Boston: PACT continued New York State’s federally funded HIV/AIDS programs on patient is a collaboration among PIH, Brigham and Women’s Hospital, between providers and CHRs through face-to-face meetings and to train and mobilize CHWs to improve the health of Greater Boston’s adherence. Working with the COPE Project in the Navajo Nation, the Navajo Nation Community Health Representative Outreach increased access to the IHS Electronic Health Record. most complex AIDS cases. PACT CHWs continue to narrow the PACT provided training on enhancing CHW capacity to improve Program, and the Indian Health Service (IHS). At the invitation of disparity in health care outcomes for poor patients, many of whom outcomes among patients with HIV and diabetes. PACT continues the Navajo Nation Division of Health, COPE expanded from serving Identified barriers to accessing healthy foods in Navajo Nation: are of color and homeless, by improving health care at a reduced to receive requests for training and technical assistance from health two Service Units to five. COPE facilitates monthly training sessions The entire Navajo Nation is classified by the U.S. Department of cost to Medicaid. centers, departments of health, accountable care organizations, and for the CHRs in each Service Unit to help them conduct one-on-one Agriculture as a “food desert,” an area without access to fresh, insurance companies. health education. The trainings use materials developed by COPE healthy, or affordable foods. Because of the impact of diet on Provided training and technical assistance to expand CHW roles that focus on chronic disease management. health, COPE worked with CHRs starting in June 2012 on a needs in complex patient care: This year PACT leveraged its firsthand Participated in CHW advocacy activities: PACT remained at the assessment that used participatory, community-based methods experience caring for complex and vulnerable patients in Boston to forefront of advocating for CHW integration into the U.S. health Connected community care to clinic-based care: COPE works to to identify barriers to accessing healthy foods in the Crownpoint help diverse organizations integrate CHWs into their care teams. care system to promote health equity, cost containment, quality integrate clinic-based IHS providers and the CHRs, who are tribal Service Unit. The results will inform COPE’s future work. PACT trained CHWs and supervisors in ’ and improvement, and management and prevention of chronic disease.

In Navajo Nation, 23% of the adult COPE supports the Two years after enrolling 80% of PACT HIV patients population has diabetes, four entire 118-member staff in the PACT program, visited their health care provider times the prevalence of the disease in of the Navajo Nation CHR patients demonstrated a at least once every three months, the U.S. non-Hispanic white population. Outreach Program with training 60% decrease in indicating high engagement in HIV care and supplies. hospitalization costs. despite being a high-risk population.

22 Above: Community Health Representative Marie Begay checks on patients each day. SITES SITES Above: PACT patient Jackson swallows his HIV medication in his Boston apartment. 23 Photo by bec rollins Photo courtesy of the Boston Globe MEDICAL INFORMATICS MONITORING, EVALUATION, & QUALITY

From monitoring patients to tracking the movement of medical supplies, accurate The Monitoring, Evaluation, and Quality (MEQ) team is dedicated to helping PIH information systems are crucial to delivering high-quality health care. This year, use data to improve the care we deliver, demonstrate our impact, and share lessons the Medical Informatics team made it easier for staff to enter and access patient learned across sites and with the world. This year the team continued to educate staff and inventory information and joined with other organizations to improve health across PIH on how to capture and leverage data to increase effectiveness. information technology.

CREATING INFORMATION SYSTEMS EVALUATING AND IMPROVING IMPACT

Medical Informatics brought together 115 storage facilities in Port-au-Prince, Haiti. Deployed medical record system in Haiti: Measured quality of care across sites: Built capacity on the ground for Created new ways to capture data: The PIH Medical Informatics team created participants from 21 countries in an annual Warehouse staff now can track incoming This year the MEQ team continued to measurement and improvement: PIH continues to map service delivery an intuitive Electronic Medical Record meeting to work on improving OpenMRS, and outgoing shipments to PIH-supported help project sites gather data and evaluate As part of its commitment to improving using Geographic Information Systems (EMR) system to replace paper registration an open-source EMR pioneered at PIH sites hospitals in Haiti and manage inventory. HIV care by using a common set of quality of care, the MEQ team implemented to better understand the challenges of at the Lacolline Hospital primary care that is now used in 49 countries. metrics across programs in Haiti, Rwanda, a series of quality improvement trainings access to health care. At the invitation clinic in Haiti, registering more than 11,000 Collaborated to improve quality of data: Lesotho, and Malawi. The reports have this year. The centerpiece of these efforts of the Hilton Foundation, the MEQ team patients in the first five months. The system Piloted inventory management software: Medical Informatics helped PIH/Abwenzi helped to share best practices across sites was the first PIH MEQ summit, hosted by published a report on “Geo-Monitoring enables staff to register patients, issue ID After a successful pilot at the PIH Miami Pa Za Umoyo medical staff in Malawi and have served as a platform from which PIH/Inshuti Mu Buzima in Rwinkwavu, and Evaluation” as an example of a good cards, and record data for patient visits. The warehouse, the Medical Informatics review more than 5,000 HIV-patient to document success and initiate quality Rwanda. Representing six PIH countries, and promising practice for nonprofits. results will inform work on the system for team continued to deploy and improve its records to identify ways to improve patient improvement activities. The MEQ team is more than 20 members of the cross-site Other MEQ innovations include employing Hôpital Universitaire de Mirebalais. supply chain and inventory management care. In Rwanda, the Medical Informatics now working to expand cross-site reports MEQ community joined for a weeklong community health workers to conduct software, OpenBoxes. Working with PIH’s team assisted the HIV nurse mentoring to other key service areas, including workshop with the theme of “Integrating surveys using mobile technology. Hosted Fifth OpenMRS Meeting: International Operations team, Medical program in using patient records to more tuberculosis, maternal and child health, Quality Improvement with Monitoring and In October 2011, in , Rwanda, Informatics deployed OpenBoxes at three rigorously evaluate their work. and community health worker outreach. Evaluation.”

24 Above: Registrars at Lacolline Hospital register patients with PIH’s point-of-care OpenMRS system. PROGRAMS PROGRAMS Above: PIH MEQ Director Dr. Lisa Hirschhorn and nurse Brian Mkwinda conduct a quality improvement training in Malawi. 25 Photo by Evan Waters Photo by James Keck ADVOCACY & POLICY TRAINING

Every year PIH directly serves millions of people, but ending needless deaths A core PIH objective is to strengthen local capacity at our project sites to address globally requires changing minds and policy. The Institute for Health and Social complex health care challenges. This year PIH training teams tackled topics ranging Justice (IHSJ) educates communities and policymakers about PIH’s human rights- from cancer care to hygiene and worked to amplify PIH best practices by making based approach to global health and international development. health care training tools freely available.

ADVOCATING FOR JUST POLICY BUILDING CAPACITY FOR HIGH-QUALITY CARE

Delivered our social justice message to Plan for AIDS Relief (PEPFAR) and Built partnerships with coalitions: Expanded community health workers’ Trained teams on HIV, cancer, and training modules on chronic diseases, communities and Congress: PIH leaders increased for the Global Fund to Fight PIH magnifies our policy and advocacy skills to treat a range of diseases: noncommunicable diseases: PIH/Inshuti including diabetes and heart failure. gave more than 94 talks, lectures, and AIDS, Tuberculosis and Malaria. efforts through coalitions on global health In partnership with the , Mu Buzima trained Rwandan Ministry presentations in communities around the and development. This year PIH became the Haitian Ministry of Health, and of Health HIV program directors and Spread knowledge through publications world. In addition, the IHSJ team held 18 Promoted cholera response: To advance a member of the Joint Action Learning other partners, PIH organized trainings managers using PIH’s HIV curriculum, and technical exchange: The training meetings with congressional staff. PIH/Zanmi Lasante’s work, the IHSJ Initiative on a Framework Convention for for a Development Agent which is being scaled up nationally. As team continued to distribute free training organized a cholera briefing on Capitol Global Health, the TB Roundtable, CORE program in Haiti that is being piloted for part of the opening of the Cancer Center materials online, including the PIH Called on PIH supporters to ask Congress Hill in January 2012 with representatives Group, Frontline Health Worker Coalition, national expansion. Newly introduced of Excellence at Butaro Hospital, the PIH/ Program Management Guide (www. to sustain funding for HIV: In December from the Centers for Disease Control and and the Women and NCDs Coalition. training included health topics such IMB training teams—in collaboration with pih.org/pmg). PIH organized technical 2011, PIH launched a grassroots letter- Prevention, the Pan-American Health PIH is also a member of the Modernizing as vaccinations, nutrition, diarrheal clinicians from the Ministry of Health exchange calls with nascent, like-minded writing campaign to Congress to sustain Organization, PEPFAR, the Center for Foreign Assistance Network, Haiti disease, family planning, cholera, and Dana-Farber/Brigham and Women’s nongovernmental organizations. Content global funding for HIV/AIDS. In just a few Economic and Policy Research, and Advocacy Working Group, and Hilton reproductive health, and hygiene, as Cancer Center—supported the planning from these calls will be made available on days, our supporters sent 7,363 letters to Zanmi Lasante. PIH/ZL staff promoted Laureates Coalition. well as broader topics such as human and delivery of a major training on cancer www.pih.org. 445 members of Congress. Funding was a comprehensive response to cholera at rights, communication skills and behavior care for Rwandan clinicians. PIH/IMB also sustained for the President’s Emergency three other briefings on cholera. change, and community mobilization. helped to create and deliver several nurse

26 Above: Women march to Hôpital Universitaire de Mirebalais in Haiti on International Women’s Day. PROGRAMS PROGRAMS Above: Dr. Sughra Raza of Brigham and Women’s Hospital conducts a breast biopsy training in Rwanda. 27 Photo by bec rollins Photo by Adam Amoroso RESEARCH PARTNER PROJECTS

IMPROVING CARE WITH SCIENCE

The PIH approach to health care delivery is rooted in compassion and grounded in science. Through the Global Health Delivery Partnership, PIH works with Brigham and Women’s Hospital (BWH) and Harvard Medical School (HMS) to integrate our research, teaching, and service in a feedback loop that continuously improves our work.

Evaluated the impact of a cholera vaccine campaign in Haiti: Led by Studied TB rates among children: Dr. Mercedes Becerra Dr. Louise Ivers, a BWH and PIH’s senior health and policy of HMS published a study showing that children in Lima, Peru, who advisor, the PIH/Zanmi Lasante team delivered cholera vaccinations are exposed to multidrug-resistant tuberculosis (MDR-TB) in their to approximately 45,000 people with 91 percent of these individuals households are 30 times more likely to develop TB than children in receiving the required two doses—an­ outstanding completion rate. the general population, highlighting the need for prompt treatment Monitoring is under way to determine the project’s effectiveness. of children exposed to MDR-TB.

Studied mental health support to HIV-affected youth in Haiti: Documented success treating pediatric MDR-TB in Lesotho: PIH/L Researchers from HMS and PIH/ZL developed, implemented, examined a cohort of 19 children who started MDR-TB treatment Expanding our shared efforts, these and evaluated an intervention to provide psychosocial support for between 2007 and 2011 and found that 88 percent completed Mission Partners work to implement HIV-affected youth and their caregivers in central Haiti. This study treatment, showing the success of starting treatment early based on the PIH model across the globe. demonstrated improved psychosocial functioning in both groups. symptoms, rather than waiting for drug susceptibility tests.

BURUNDI / Village Health Works In 2006, Village Health Works was founded to bring high-quality SELECTED PUBLICATIONS health care to a rural Burundi community. The Kigutu Health Center now provides care for HIV/AIDS, malaria, tuberculosis, These PIH Supported Projects work in malnutrition, and mental health issues. pragmatic solidarity with historically

BOOKS Franke MF, Stulac SN, Rugira IH, Rich ML, Bucyibaruta JB, Drobac marginalized communities. PC, Iyamungu G, Bryant CM, Binagwaho A, Farmer P, Mukherjee JS. / Tiyatien Health Farmer P. Haiti After the Earthquake [paperback edition]. New York: High human immunodeficiency virus-free survival rate of infants Founded by refugees of Liberia’s civil war, Tiyatien Health is PublicAffairs, 2011. born to human immunodeficiency virus-positive mothers in an building a network of frontline health workers, and employing GUATEMALA / Equipo Técnico de Educación en integrated program to decrease child mortality in rural Rwanda. villagers to deliver health care in remote communities. Salud Comunitaria (ETESC) ARTICLES Pediatr Infect Dis J. 2011 Jul;30(7):614-616. Founded by refugees of the Guatemalan civil war in 1996, Alsan MM, Westerhaus M, Herce M, Nakashima K, Farmer P. / Project Muso ETESC provides legal accompaniment, environmental health Poverty, global health, and infectious disease: lessons from Haiti and Rich M, Miller AC, Niyigena P, Franke MF, Niyonzima JB, Socci A, Project Muso works with women in slums on the outskirts of interventions, and health care outreach in rural communities. Rwanda. Infect Dis Clin North Am. 2011 Sep; 25(3):611-22, ix. Drobac P, Hakizamungu M, Mayfield A, Ruhayisha R, Epino H, Stulac Bamako to help them fight crises of health and poverty by offering S, Cancedda C, Karamaga A, Niyonzima S, Yarbrough C, Fleming education, microfinance, and health services. MEXICO / Equipo de Apoyo en Salud y Educación Franke MF, Robins JM, Mugabo J, Kaigamba F, Cain LE, Fleming JG, J, Amoroso C, Mukherjee J, Murray M, Farmer P, Binagwaho A. Comunitaria (EAPSEC) Murray MB. Effectiveness of early antiretroviral therapy initiation Excellent clinical outcomes and high retention in care among adults NEPAL / Nyaya Health Since 1989, PIH has collaborated with EAPSEC to address social to improve survival among HIV-infected adults with tuberculosis: a in a community-based HIV treatment program in rural Rwanda. J Nyaya Health operates a hospital and mobile health care services determinants of health in Chiapas and to train hundreds of health retrospective cohort study. PLoS Med. 2011 May;8(5):e1001029. Acquir Immune Defic Syndr. 2012 Mar 1;59(3):e35-42. in Achham—one of the poorest regions in South Asia—with an all- workers to offer health education, provide health care services, and Nepali staff and supervision from volunteer public health clinicians. serve as a link to more advanced clinical services. A full list of research publications can be found at www.pih.org/2012pubs.

28 PROGRAMS PARTNER PROJECTS Above: Dr. Paul Farmer conducts rounds at Nyaya Health-supported Bayalpata Hospital in Nepal. 29 Photo by bec rollins FULFILLING COMMITMENTS FINANCIAL SNAPSHOT

A LETTER FROM THE VICE PRESIDENT OF FINANCE REVENUE BY SOURCE REVENUE BY SOURCE FY2012 FY2008 - FY2012 Marking Partners In Health’s 25th anniversary this year sparked the U.S. Government and Rwandan Ministry of Health to upgrade (DOLLARS IN MILLIONS) a range of emotions—excitement about such an extraordinary the medical and nursing professions in a comprehensive way Gifts in Kind & Other Income $160 milestone, humility in acknowledging how much work remains to be according to Rwanda’s national plan. The goal of HRH is to position 5% done, and anticipation of what the next 25 years might bring. the Rwandan Government to sustain the improved health workforce $140 From the beginning, our mission of providing high-quality health on its own without foreign aid after eight years. $120 care to the poor was linked inextricably to the goal of building Governments & capacity and inspiring others to do the same. We have tried hard to In fiscal year 2012, we raised $101 million in revenue. This Multilaterals $100 leverage our by involving partners in our work—other 25% Individuals reflects 15 percent growth over fiscal year 2011 and 17 percent & Family $80 NGOs, the public sector, and multilaterals—and in partnership, compounded annual growth since fiscal year 2009. This growth Foundations 42% $60 worked to raise the awareness of the inequities of health care is largely attributable to an investment in our development and around the world. We are heartened that development assistance communications efforts, which have raised the public profile of Foundations $40 for health nearly quintupled over the decades spanning 1990 to PIH and compelled many more people and institutions to provide & Corporations 28% $20 2010, to more than $26 billion, according to the Institute for Health funding for our work. We ended fiscal year 2012 with $121 million Metrics and Evaluation. During that time, PIH has also grown in in expenses, resulting in a deficit of $20 million. This anticipated FY2008 FY2009 FY2010 FY2011 FY2012 scale, albeit in millions rather than billions of dollars, expanding from deficit reflects the planned spend-down of Haiti funds raised in our first site in Cange, Haiti, to sites in nine more countries. fiscal year 2010 and 2011. Now that these funds are fully spent, we Individuals & Family Foundations & Governments & Gifts in Kind & Foundations Corporations Multilaterals Other Income have started to reduce overall spending to levels consistent with This year also marks our third and final year of expending the $123 anticipated revenue. million raised for Haiti in the 18 months following the January 2010 earthquake. Although much of these funds were spent on Looking forward to fiscal year 2013 and beyond, we are focusing on EXPENSES BY PROGRAM EXPENSES BY PROGRAM emergency relief in the immediate aftermath of the earthquake, developing the systems and management capacity necessary to FY2008 - FY2012 we have deliberately invested about 20 percent in strengthening ensure we are expending resources in a manner well-aligned with 1% FY2012 1% (DOLLARS IN MILLIONS) Haiti’s health care system. The best example of this is the national our organizational strategy. Our aim is to invest in activities that 1% 3% $140 public teaching hospital we have built in Mirebalais, Haiti. Hôpital will lead to an overall expansion in global health funding and thus DevelopmentAdmin. &Other 3% $120 Universitaire de Mirebalais (HUM) will not only provide millions of enable more poor people to receive high-quality health care. We 8% 7% people with access to high-quality care, but will also help to train the believe this expansion will result from close partnerships with the $100 next cadre of Haitian doctors and nurses. And, by providing tertiary governments of countries in which we work, and from innovations $80 care services in the Central Plateau, we bolster the PIH model of that improve the efficacy of care delivery in resource-poor settings. Haiti 52% Lesotho $60 community-based care provided by community health workers, We are grateful for your continued support of Partners In Health, 6% local clinics, and district hospitals with a referral facility to handle which makes our work possible, and we hope that the next 25 years Peru $40 6% more complex cases. We plan to open the doors in early 2013. are just as transformative as the first 25 have been. Rwanda $20 12% Similarly, we continued our focus on strengthening the public health system in Rwanda, opening the Cancer Center of Excellence at FY2008 FY2009 FY2010 FY2011 FY2012 Butaro Hospital, and working with the Ministry of Health to renovate Haiti 52% Malawi 3% Communications & Haiti Malawi Communications & and expand facilities at the Kirehe District Hospital. We were Advocacy 1% Advocacy Rwanda 12% Russia & Rwanda Russia & Kazakhstan 3% Administration & Kazakhstan Administration & gratified by the launch of the groundbreaking program, Rwanda Ann Quandt Development 7% Development Peru 6% USA/PACT, Mexico & Peru USA/PACT, Mexico & Human Resources for Health (HRH), which is a joint effort between Vice President of Finance Other 8% Other Lesotho 6% Guatemala 1% Lesotho Guatemala Medical Informatics 1% Medical Informatics

30 FINANCIAL REVIEW FINANCIAL REVIEW 31 STATEMENTS OF ACTIVITIES BALANCE SHEETS

FOR THE YEAR ENDED JUNE 30: AS OF JUNE 30: REVENUE (Dollars in thousands) 2012 2011 2010 ASSETS (Dollars in thousands) 2012 2011 2010

Contributions and grants: Cash and cash equivalents 5,946 7,899 4,476

Individuals and family foundations 42,861 39,596 83,546 Contributions receivable 2,556 825 2,106

Foundations and corporations 27,806 19,900 46,039 Grants and other receivables 6,978 7,687 11,687

Governments, multilaterals, & research institutions 25,365 23,220 17,428 Prepaid expenses and other assets 712 535 311

Other income 4,462 4,450 4,770 Investments, at fair 28,470 46,971 71,510

Gifts in kind and contributed services 485 351 175 Property and equipment, 2,934 2,886 3,047

Total revenue 100,979 87,517 151,958 Total assets 47,596 66,803 93,137

EXPENSES (Dollars in thousands) LIABILITIES AND NET ASSETS Program services 112,896 109,642 86,328 (Dollars in thousands) Development 4,172 3,793 3,042 LIABILITIES: Administration 3,806 3,153 2,507 Accounts payable and accrued expenses 5,454 4,380 3,312

Total expenses 120,874 116,588 91,877 Amounts owed – fiscal agencies - 513 391

Total liabilities 5,454 4,893 3,703 Excess/(shortfall) of revenue over expense (19,895) (29,071) 60,081 NET ASSETS: Unrestricted: Investment income, net 523 1,446 569 Foreign translation adjustments 3 399 298

Undesignated 12,893 8,165 9,686 Change in net assets (19,372) (27,625) 60,650 Board-designated: Thomas J. White Fund 13,970 17,374 15,382 Foreign currency translation adjustments (396) 101 57 Total unrestricted net assets 26,866 25,938 25,366 Net assets at beginning of year 61,910 89,434 28,727 Temporarily restricted 15,276 35,972 64,068 Net assets at end of year 42,142 61,910 89,434 Total net assets 42,142 61,910 89,434

Total liabilities and net assets 47,596 66,803 93,137 At Partners In Health, over 93 percent of expenditures in fiscal year 2012 went directly to program activities. Revenue includes contributions from PIH Canada, an organization established in Canada in 2010 to support the movement for global health equity.

32 FINANCIAL REVIEW FINANCIAL REVIEW 33 POST-EARTHQUAKE SPENDING THANK YOU to OUR SUPPORTERS

Partners In Health would like to thank each and every one of our financial supporters, who make our work possible. PIH lists the Partners, Solidarity, and Leadership Circles in the electronic version of our Annual Report, which can be found at www.pih.org/pages/ annual-reports.

Individuals, Scott and Laura Malkin Tomas Da Veiga Pereira Foundation, Inc. Family Foundations, The P.I. Garden Fund Ophelia Dahl and Lisa Frantzis The Frances Lear Foundation and Organizations Pendergrast Family Fund Anita Davidson and Robert Friedman Kate Lear Ted and Karen Philip Robert and Rita Davis Richard Ledes and Kathryn Jaharis The Shippy Foundation Laura DeBonis and Scott Nathan The Lester Fund FOUNDERS CIRCLE Source of Hope Foundation DeLaCour Family Foundation ($1,000,000 and above) Ker and Michael Thompson Direct Relief International Richard and Terry Lubman Walton Family Foundation, Inc. Marco Drago Timothy Lynch Anonymous Michael and Barbara Eisenson Malcolm and Dana McAvity Artists for Haiti The Charles Engelhard Foundation Elizabeth McCarthy and Brian O’Leary Bob and Mary Grace Heine SUSTAINERS CIRCLE First Presbyterian Church of Elizabeth Moran Al and Diane Kaneb ($25,000 to $99,999) Greenwich Christine and Patrick Murray 11th Hour Project, a program of The Robert Friede Melani and Randal Nardone Three years after the January 2010 earthquake in Haiti, PIH has spent the $123 Schmidt Family Foundation Anonymous (23) Gannon Family Foundation Network for Good Charlotte and Herbert Wagner Patricia Allen Chris and Susan Gifford The O’Connor Family Foundation million in funds raised for Haiti, just as we committed to do. Our 25 years in Haiti Andy and Consuelo Fund GlobalGiving Foundation Daniel Preysman positioned us to provide swift disaster relief and create sustainable improvements to VISIONARIES CIRCLE The Anonymous - NMF Fund of Mark J. Gordon Foundation Coastal Community Foundation of SC Arthur Rabin ($100,000 to $999,999) GreaterGood.org Jim and Karen Ansara The Ranzetta Family Charitable Fund Haiti’s public health care system. Alva Greenberg Benjamin Auspitz Red Mountain Fund Anonymous (12) The Michael T. Gregg Charitable Fund Alexis Baird The Ripple Foundation Aid for Africa Frederic and Jeanne Groos Bridget B. Baird Maureen and Michael Ruettgers PIH also responded to an unanticipated Arcade Fire Addie Guttag SPENDING IN HAITI The Cameron and Jane Baird The Ryan Charitable Trust epidemic of cholera, pioneering the FY2009 – FY2012 Robert and Anne Bass Foundation Marc Haas Foundation Daniel Sanders implementation of a cholera vaccine that Joshua & Anita Bekenstein Charitable The Baobab Fund Daniel Haines Satter Foundation (DOLLARS IN MILLIONS) Fund, a Donor Advised Fund of John and Beverly Barry Bambi Hatch has provided evidence for a scale-up of Combined Jewish Philanthropies Carlo & Micol Schejola Foundation $70 Baskin Family Foundation Howard H. Hiatt, MD Cherylann Schieber and Alan Barton the vaccine, now recommended by the Carrollton School of the Sacred Heart Brad and Terrie Bloom James and Anna Hoag Segal Family Foundation $61.9 Melissa Cole . In addition to providing $60.7 The Blue Foundation Hope for Poor Children Foundation The Shifting Foundation $60 Jack and Eileen Connors Joshua Blum Thomas Hsu emergency medical care in settlement Annie Dillard and Robert Richardson The Spector Fund at the Boston Canadian Baptist Ministries u James C. Hudspeth, MD Foundation camps and increasing rehabilitative and Eric and Barbara Dobkin Cathedral of the Sacred Heart of Jesus Hurvis Charitable Foundation Stephanie H. and David A. Spina $50 $47.7 Wes and Lynn Edens Family Foundation mental health services, we designed and The Cedar Street Foundation Joanna and Jonathon Jacobson Care for Earthquake Victims Samuel and Maryann Ellsworth The Spurlino Foundation built Hôpital Universitaire de Mirebalais Michael Chastain The Jaharis Family Foundation, Inc. The Episcopal Diocese of Upper $40 JustGive.org Mark and Mary Ellen Stinski (HUM). Scheduled to open in 2013, HUM Mental Health & Psychosocial Child Relief International/Andrew and Foundation Services Bonnie Weiss Stephen Kaufer and Lisa Howe is the cornerstone of our efforts to rebuild FACE AIDS Valerie and Paul Street Christ Church of Greenville Steven and Kathryn Keefer HUM Construction Jacob Friedman Charitable Fund William O. Sweeney Haiti’s public health and medical education $30 Leroy and Lucy Close Barry and Connie Hershey Nancy and Rick Kelleher $24.6 Jean C. Tempel systems—prerequisites to achieving high- Cholera Brian and Karen Conway Kirk Humanitarian Reid Hoffman and Michelle Yee University of Notre Dame Pierre Cremieux and Denise Jarvinen Jill Kirshner quality health care for and by Haitians. $20 Infrastructure Robert Houk The Williams Foundation Theodore Cross Family Charitable Robert and Ardis James Foundation The Komera Project Agriculture & Water Foundation Wish for Haiti Lesley and William King Barbara Kravitz The chart to the right illustrates how the Moira Cullen Younger Family Fund $10 Education, Housing, & Theo and Wendy Kolokotrones Barrie and Kevin Landry Social Support Diane Currier and William Mayer reach and depth of our work expanded Legacy Venture Member The Randi and Clifford Lane from pre-earthquake fiscal year 2009 to Hospitals & Health Centers

fiscal year 2012. FY2009 FY2010 FY2011 FY2012 This list reflects contributions of $10,000 and above made during Partners In Health’s 2012 fiscal year, from u PIH Canada Donor July 1, 2011, through June 30, 2012. The totals include the value of gifts in kind and matches by employers.

34 Above: A system of 1,800 solar panels will power Hôpital Universitaire de Mirebalais. FINANCIAL REVIEW 35 Photo by John Chew THANK YOU TO OUR SUPPORTERS (CONTINUED) THANK YOU TO OUR SUPPORTERS (CONTINUED)

ADVOCATES CIRCLE Do A Little Fund Matthew and Kathryn Kamm Dwight and Lynne Morris Charles and Susan Tilford ($10,000 to $24,999) Stephanie Dodson Kaufman Family Foundation Richard P. and Claire Morse Lee and Joanne Travers Steven Dorfman Nannerl and Robert Keohane Foundation Treatment Action Group Mushett Family Foundation, Inc. PLANNED GIVING Anonymous (28) Marcia and J. Peter Dowd The Kerrigan Family Charitable Trinity Church Foundation Howard and Patsy Norton Mitchell Adams and Kevin Smith The DuGan Family Trust Tubercle.org Steve Kessel and Sibyl Frankenburg Noteworthy AIDS Action Committee Mary and Robert Eccles The Valley Fund Olga Khroustaleva Ralph E. Ogden Foundation Victor Ambros and Rosalind Lee Ecosystems Tech Transfer Inc. The Van Dyke Family Fund Tracy and Frances Kidder The Oliver Stewardship Foundation TOM’S CIRCLE Mary and Thomas Amory Joan Egrie Vitalogy Foundation Kathryn and Richard Kimball Leon and Helen Oliver Thomas E. Anderson, Ph.D. Mr. Hikmet Ersek and Nayantara Dilip Wagle and Darshana Shanbhag PIH co-founder Tom White (1920 – 2011) created a lasting legacy Ghosh-Ersek The Kirby Family Foundation The Omega Foundation Robert and Michelle Atchinson George Wasserman Family Jorge Espinosa Ceron Knafel Family Foundation J.M. and Jane O’Neal Foundation for the organization. Our work remains a testament to his belief The George & Dorothy Babare Family Foundation Paul and Didi Farmer Family Sid R. Knafel Rowan T. O’Riley Family Foundation Susan Weatherley in a preferential option for the poor. It is our pleasure to recognize Foundation Inc. Steven Backes David and Ginger Komar Joon and Caroline Pahk David and Leslie Weiland the individuals below as members of Tom’s Circle. Like Tom White, James Feldman and Natalie Wexter Matthew and Margaret Balitsaris Krcmar Family Foundation Pamela Parker Weiss Family Foundation Luis Miguel Fernández they ensure future generations will be equipped to fight disease and Maile and John Bay Stan and Susan Krcmar Antonella Pavese Jennie Weiss Block Finnegan Family Foundation poverty. Kimberly Bayless Emily Kunreuther The Perkins Hunter Foundation Laurie Weiss Nuell Leslie Fleming Joshua Bazell Anna Lane Teresa Perkins Betty West Mending Fund Joyce and William Fletcher Berwind Fund Kevin and Lisa Lange The Leslie Peter Foundation Thomas West and Wendy Mezilis Members of Tom’s Circle support us by naming PIH in their will, retirement plan, life insurance Elizabeth Floor Becky Bilodeau-Dewey Margaret P. Langlykke Fund Petunia Foundation Michael and Elizabeth White David Frankel policy, or through other planned gifts. For more information about leaving a legacy gift Susan Black Ira N. Langsan & Lillian Langsan Renaissance Charitable Kevin and Eileen White Jascha Franklin-Hodge Philanthropic Fund of the Jewish Foundation, Inc. Mary White to PIH, or if you would like to be listed as a member of Tom’s Circle, please contact us at Dr. Sally Blower and Dr. Nelson Communal Fund Freimer Samuel Freilich G. Herbert and Marguerite Repass Marcin Wichary [email protected] or (617) 384-5465. Gladys & Ralph Lazarus Foundation Dr. Lisa Boardman Friends of Indus Hospital Rhode Island Hospital Mary and Donald Wieckowicz John Lazarus The Boye Foundation, Inc. Donald B. Fries Walter and Judy Rich Ann Wiedie and Keith Hartt Leaves of Grass Fund Frank Brenninkmeyer Harry Gaines David Romeo James Williams Anonymous (7) William Garmany Maurice Meslans and David and Anne Lee Margaret Holyfield Susan Breyer Sunil and Julia Garg Robert and Betty Romer Yale University Robert and Maureen Aievoli Mr. and Mrs. John A. Gilmartin Michael Gerstenzang LeFort-Martin Fund at The Larry and Clarice Roth Dick Anderson Jim Goodridge and Joan Riley Hermine S. Muskat, Ed.D. Timothy Broas Community Trust Teresa K. Yamana Mr. and Mrs. Robert Geyer Keith and Laura Rothman Professor Barbara Ann Banoff The Michael T. Gregg Charitable Fund Marian Parmenter William and Jenny Butler Jaime Lester and Cathleen Heffernan Megan Zorn and Ulrich Mok GlobalGiving UK Rottman Family Charitable Foundation Gene Bernardi Irene Guman Donna Pignatelli Catherine and Paul Buttenwieser Paul Li Foundation Robert and Francine Goldfarb Thomas and Marianne Saccardi Nancy Binder Alexandra M.C. Hansen * Mary Rafferty The Llewellyn Foundation Dyami and Heather Caliri Grandchildren’s Fund at the Sand Dollar Fund PARTNERS CIRCLE Linda Brandenberger Jack Hicks Annie Scarff The Teresa Luchsinger Giving Fund Michael and Ronda Callister Goldman Fund David and Yolande Salter ($5,000 to $9,999) H. Warren Buckner * Tamara Keta Hodgson Jill Shallenberger James and Heather Magliozzi Calvert Social Investment Foundation Richard and Goldman Fund Haun Saussy and Olga Solovieva Peter H. Burian Reid Hoffman and Michelle Yee Jack Shaughnessy Des Magner Elizabeth and Nathaniel Carr Renee and Nathaniel Goodspeed SC Ministry Foundation Anonymous (33) Ellen Bush Ronald Hunnings and Lisa Fromartz Reverend Thomas R. Smith Tom and Nancy Maher Patrick and Carolyn Carr Gary L. Gottlieb and Derri Shtasel Mark Shannon and Cynthia Kerr Louis & Anne Abrons Foundation, Inc. Sally Butler Bernard Hyland and Drs. Mark and Mary Ellen Stinski James Maier Karl Case Juraj and Eva Gottweis James and Paula Shaud Henry Abrons and Li-Hsia Wang Sara and John Cashion Kathleen McGurrin Deanne Stone Tristin and Martin Mannion Henry D. Chu, M.D. Maria Gutierrez and Gabriel Orozco The Russell and Julia Shepard Richard Abrons Ingrid Christiansen Walter Johnson and Joanne Leslie Denise Szabo and Thomas Booth Jonathan Mark and Donna Sakson Bryn Clovis Foundation Eric Gutstein Giving Fund Actions for Boston Community Marian Clarke * Clair Kaplan Kenneth Tager Nancy Peery Marriott Foundation, Inc. Development, Inc. William Coady and Irfan Ali Maggie Gyllenhaal and Peter Silver Mountain Foundation for Emily Dalgarno Grace Kelly Zoe Taylor Sarsgaard Mattis Family Foundation the Arts Terry and Kent Ainsworth Charles Collins and Anne Childs Douglas and Carolyn Davis Susan Kitazawa Ron and Janet Thompson Gene and Nancy Haller Orin McCluskey Ross Sinclaire & Associates, Inc. AKC Fund, Inc. Margaret Congleton Beverley Davis Rolf Kuehni Jennifer Tiffany Linda M. Hanson Sarah Singh Peter C. Alderman Foundation Connaughton Charitable Fund at the Patricia Devitt Katherine and Benjamin Lacey Beth and John van Bladel Boston Foundation The Hellman Family Foundation The Thomas C. McConnell and Rachael Solem Aliski Family Fund Elaine LaChapelle Gretchen Van Gessel Latricia Turner Fund George and Mary Ferger Julie Cook Dr. Judith Hellman Nancy and George Soule Donald Allen Carolyn and Robert Lohman Dan and June Walcott Denise and Mike McFall Elissa Fernandez Brian Cooper and Marguerite Murphy Julie and Bayard Henry Finnegan Southey American Society of Plastic Surgeons Barbara Lovett Marue Walizer The Christopher McKown and Abigail Leslie Fleming Rosemary and Tom Costello Jerre and Nancy Hitz Spurlino Family Fund IV Brian Anderson Johnson Fund Clare Forbes Rebecca Lowe and Sam Bertron, III Ward * and Margaret * Warner Emmett Coyne Philip & Rebecca Hochman James and Heather Spurlino David Anderson Jennifer Mackey Hollace Westfeldt Foundation Sally and Matthew McShea Dayve Forman Carrie Dagres St. Cecilia’s Parish/Father John Unni The Apatow Family Foundation, Inc. Lewis and Dina Marcus Mary H. White, MD Leonard and Jean Holder Maurice Meslans and Margaret Don Foxworthy and Sharon Siwiec Phillippe Daniel and Martha McGaw Holyfield Christopher and Anne Stack Arcturus Fund Wendy and Stanley Marsh Karin Whittemore Lawrence Hui John and Gioia Frelinghuysen Michael Davidson Mark and Goldi Miller Thomas Stahl and Bo-Kyung Julie Kim Kristin and Boyd Ashdown Barbara and Stephen Massey Priscilla H. Wilson The Hunter-White Foundation Harry H. Gaines and Debra A. Carrier Duncan Dee and Mary O’Neill u The Miller-Wehrle Family Foundation Margaret Stavropoulos Laura Ballance Ann McDonnell, African Gems Travel Emerald Young Almon and Marjorie Ives Emily Garlin Alexandra DeLaite and Tom Kuo Leo Model Foundation, Inc. Jim and Debby Stein Sharpe William & Karin Banks Foundation Mr. and Mrs. J. Atwood Ives DelBene Family Fund Peter Model Marilyn and Eugene Stein Sundance Banks and Claudia Dierkes- The Richard & Natalie Jacoff Trevor and Anne-Marie Strohman Banks Paul and Mary Ellen DeNoon Foundation, Inc. Kenneth and Harle Montgomery Foundation Maxwell and Ann Sturgis Robert and Marcia Barnes Timothy Diggins Amy Judd and William Paly * Deceased A. Morris and Ruth Williams Dr. Claire Barnett DMMN Foundation Tailored for Education Roger and Dawn Kafker Lisa Barrett

u PIH Canada Donor

36 37 THANK YOU TO OUR SUPPORTERS (CONTINUED) THANK YOU TO OUR SUPPORTERS (CONTINUED)

William and Debbie Becker Jason and Danielle Connor The Hallett Family Charitable Fund Elizabeth Marks Dayton Pickett John and Jean Smith The Donald and Susan Wilson Fund Irwin Belk Educational Foundation Tim and Elizabeth Beeton Nancy Cornelius Kimberly Halley Richard E. and Nancy P. Marriott Janine Poreba John and Jean Smith Fund at the Princeton Area Community Paolo Bellomo Foundation Alexander Benenson Beverly Cowart Nicolas Hamatake Foundation The Posel Foundation Margaret Snowden Albert & Pamela Bendich Charitable Fiona Wilson and Tor Archer Eric Berger Crafting Africa’s Future Barry Hayes Mutt Fund Robert and Margaret Marshall Ellen Posel and Stephen Gockley Arne and Ruth Sorenson Trust David Winner Matthew Berger Fife Cragin Charitable Trust C. Michael and Susan Hazard Mr. and Mrs. Scott B. Martin Fund Frances Posel Irene and Jose Souto Amy Bensinger Thomas Martin Linda C. Wisnewski & William Peter Berg John Bernstein Dan Crawford Bonnie Hechtkopf Gretchen Preston Dr. George Spellman and Ellen Collatos Family Foundation Jerry and Elizabeth Mason Spellman Melissa Berman Mark Berryman Fund Irene and Charles Creecy Angela and Thomas Heigle Karen Quinn Joel Wittenberg and Mary Ann Ek Darrin and Shaula Massena Hans Spiller Channing and Marie Bete Black Dog Foundation Gerald and Jeanne Curtis Patricia and William Higgins Virginia Rath Judith H. Wofsy Michael and Julie Mayer Jocelyn Spragg 2010 Trust Bettacchi Family Fund The Estate of Asenath S. Blake Cushman Foundation Hilltop Foundation Jake Rattner Wonder Fund of The Community Elizabeth and Frank Blake Arlyn Cypen Elizabeth Holmes Susan Mayer Rebold Family Fund State of Washington Foundation Serving Richmond and Francis and Jennifer Blesso Central Virginia Laird and Sara Bloom Douglas and Carolyn Davis Bryan Hotaling Edith McBean Matthew Rebold Elizabeth Steele and Scott Hammond The Blum Fund for Good of The Duncan Work Philadelphia Foundation Joshua and Amy Boger Julia Dayton Eberwein and Jeffrey Robert Houghton Ashlie and Steven McConnell Redlich Horwitz Foundation The Abdalla Stern Fund Barbara E. Workman Matthew Bonds and Molly Norton Bonnaroo Musical Festival Eberwein Edward W. Hoyt The Betsy McCormack Fund Jeremy Reff Andrew and Joy Stillman The Worrall Family Charitable Fund James and Emily Bost Mark Borba Delori Family Fund Matthew Huber Christopher and Kathy McCormack George and Marina Reiser Chris and Hanna Stirling Palm Daniel and Brienne Wright David Boyd Roy Bourgeois Charles W. Dietrich Diana Hunt Sam McVeety Frank M. Reuter Donald Stirling and Mary Sundberg Stirling Katherine Wyly Julia Boyer Thomas and Elisabeth Boyle The Difference Principle Foundation Todd and Tatiana James David Mendels and Leila Yassa Jeni Reynolds Mary Stobie Charitable Gift Fund Leila Yassa and David Mendels Fund Cheryl Bradley Carrie and Derek Braddock Robert Downing and Susan Zeman The Matthew and Donna Johnson The Menzin Family Fund, a Donor Michael L. Rich, M.D. Doylestown United Methodist Church Charitable Fund Advised Fund of Combined Jewish John and Lou Stolzenberg Fund Susan Youngsman John A.K. Bradley Steve and Marijo Brantner Philanthropies Dee Dee Ricks The Ducommun and Gross Family Kelly S. Johnson Diana Strumbos Zeiterion Theatre, Inc. Ida Braun Bresky Foundation Toby Merk Eric and Maria Rieders Foundation Christopher Suozzo Benjamin Zotto Charles Breunig Patrick Briody Kevin Johnson and Barbara Miner Sheila and Ted Riley Jillian Dunham Fund Luke Messac The Swan Trust Michael and Jane Bronson Rick and Betsy Bronson Jonathan Jones Robert Ritchie Christina Eisenbeis and Ralph Martin John Middleton Eleanor Swan Anna and Leger Brosnahan Jennifer Brown Neerja and Hemant Kairam John Jefferson Rix PARTNERS CIRCLE The Elias Foundation The Midvale Foundation James and Caroline Taylor The Brown Family Fund Patrick Brown Audrey Kalmus and Eric Zimmerman RME Fund ($2,500 – $4,999) Phoebe Ellsworth Milam Fund Third Street Foundation Hilary Brown and Charles Read H.W. Buckner 1986 Charitable Lead The KAP Foundation, Inc. Liz Romney Haseena Enu Leonard F. Milgate Trust Darren Thomas Richard Bruce Trust Arthur M. Kaplan & R. Duane Perry Jed Rose Anonymous (20) Farber Fund Robert and Catherine Miller Charitable David Thompson and Judy Jesiolowski Naomi Bruinius Sheilah and Matthew Burnham Family Arnold Kas Foundation Debra Rosenberg Stephen and Helene Abelman Fund Sharon Fay and Maxine Schaffer Family Kearsarge Gift Fund Michael and Julie Throne Fund Dan Buckley and Johanna Kelly Foundation Million Moms Fund Paul Rosenstiel and Janis Masaoka Pulkit Agrawal Ellen Bush Kimberly Keller Rachel Tiven Jarrod Buckley Jeremy Feigelson The Honorable Mark C. W. Montigny Rotary Club of Greenville Salwa Eltigani Ali Jason Bushman Antoinette L. Kelly TJ Family Fund Kevin Buckley Jonathan Feintuch Sung and Carolyn Moon Carol Russell All Movement for Seva Sara Cady Suzanne Kelsey and Kenneth Siegert Angelo J. Tomedi, M.D. Thomas F. Bumol Gary and Elizabeth Felicetti Michael S. Morton Georgina and Thomas Russo Pilar and Sergio Alvarez-Mena Carita Foundation Patrick Kenny TP Legacy Fund Patricia Burda and Joseph Guerra J. Edgar and Veronica Fennie Tracey and Gregory Morzano Gardner Russo & Gardner and Semper Patrick and Jeannine Alwell Tom and Ann Carr John Kern and Valerie Hurley Vic Partners Nathan Treadwell and Elise Schuster Douglas and Patricia Burns Carol Fier, RN, MSN Joia S. Mukherjee American Society of Tropical Cars4Charities Scott Keske Rutgers Presbyterian Church The Jenine and Itamar Turner-Trauring Medicine Sarah K. Butler Fund First United Methodist Church Thomas and Judith Munzig Fund Debbie Carson and Michael Reilly The Peter King and Tara Morgan-King The Mortimer D. Sackler Foundation, Anderegg Family Foundation John Butterly The Folia Fund Susan B. Murphy Itamar Turner-Trauring Jack and Margaret Caveney Fund Inc. Chris and David Anderson Carola Cadley and Margaret Lange Fordham University Music for Relief Twin Cities Christian Foundation Centerbridge Foundation Janet Kinnane and Conrad Smith Jill and Attila Safari Nathalie and James Andrews Craig Calhoun Sidney E. Frank Foundation Jessica and Charles Myers Charitable Gene Ulrich The Bruce Cerullo and Kristen Lynch- John Knight Gift Fund SafariKids Fund Foundation John Campbell Cerullo Family Fund Frankel Family Foundation University of Minnesota Betsy Krieger Fund Elizabeth Needham and Peter Mark The Schley Family Charitable Fund Dr. Molly E. Andrews Rashida Caraway John Chaves, MD and Karen Peter Frankel Daniela Vasquez Elizabeth Ann Krug Revocable Trust Mary and Bob Neimy Evander and Judith Schley Nilgun Antmen Lauren and Hank Cardwell McIlvena, MD David Fuhr Jonathan and Lisa Vipperman Karin and David Kuhns Evelyn B. Newell Fred Seigel Armand Antommaria and Cali Lisa and J. Richard Carlson Andre Chavez The Furman Family Fund Audrey Vizzard Matheny Eileen Laber Catherine Newman Stephen C. Senna Ellie Carmody Timothy Chow Thomas Gamble Jeff and Rachel Vogel Bennett Applegate Lee & Luis Lainer Family Foundation Stephen and Cynthia O’Brien Charitable Frederick Seykora Ian Carnathan Marilyn Clements Gloria Arellano Sherrill Girard The Lane Family Fund of the Fund William Shafarman and Judith The Theodore A. Von Der Ahe, Jr.Trust Eleanor and Charles Carr Helen Cleveland Joseph Atterbury Give Back Foundation Community Foundation of Tompkins Karalyn Ohara Schneider Brian and Jennifer Vosburgh Ellen Carr Martin Cobb County Emily Bailey Arthur Gleckler Tamara Olsen Sriram Shamasunder Jane Wang Elizabeth Carver The Judith and Edwin Cohen Global Impact Stephen Langdon John J. Shaughnessy Estate of Ward K. Warner and Bonner Barnes Foundation O’Toole Reetz Family Fund Bonnie Cashin Fund Wendy Gordon Howard Langer and Barbara Jaffe Robert Short and Emer Dooley Margaret G. Warner Tanya Barnett and Jay Geck Gary and Lori Cohen Armangul Ozat and Joseph McIntyre Wendy Cebula Reet Lawhon Mary Warren and Stanley Case Barrette Family Fund of the New Joel Goulder Randall Palmer Short-Dooley Family Foundation Naida Jan Chalupny and Mark Lee Marjorie T. Coleman and William R. James and Katherine Ledwith Elizabeth Webber Hampshire Charitable Foundation Coleman Robert and Sarah Greenhill The Panama Street Fund Dr. Abby Shuman Lisa Chamberlain Stuart Licht The Weil Foundation Barrington Public Schools Robert Collins Gay and John Greer Pastuszenski Family Fund Ben Sigelman Betty Chapman Elizabeth and Joseph Bascom Ellen Grobman David Lowe Simonet Family Fund Robert Wenz Mr. Steven Collins Matthew D. Pearson Charitable Foundation Lewis Cheney Mike Grossman Charitable Lead Trust The Gracey Luckett Bradley Charitable Thomas Sims and Elva Mendoza Betty West Mending Fund Cherida Collins Smith Lead Unitrust Peil Charitable Trust Christina and Charles Bascom Jenny Chow Grove Hill Medical Center James Slavin and Monica Mottolese David and Sherrie Westin The Edward Colston Foundation, Inc. Patricia E. Macgowan Fund Jacques Perold and Amy Boesky Carolyn W. and Charles T. Beaird Christ Lutheran Church Foundation Stephen and Melissa White Commonwealth of Massachusetts Richard Grudzinski Alice Smith Family Foundation James Christensen and Leslie Gray MacKay Family Fund Carol White Joan and Bob Cone Lisa Gruenberg and Martin Carmichael Allen Perrel Ida Burnis Smith Lydia Bean Gallagher Mark Family Fund Dena Willmore Haimes Family Foundation Chris and Kathy Perretta Bryan Begley Melanie C. Chuen

u PIH Canada Donor

38 39 THANK YOU TO OUR SUPPORTERS (CONTINUED) THANK YOU TO OUR SUPPORTERS (CONTINUED)

Youngme Chung R. Bradford Evans Kenneth and Linda Heitz Judith and Donald Kinley Barbara Massey Constance W. Packard Max and Jeanne Rosen Alan Su Carmine and E. Eileen Civitello Rebecca and Paul Evans Joanne Hemenway Christina Kirk Larry Mayer Parish of Christ Church Alice and Steven Rosenberg Sun Hill Foundation Kim A. Clausing Bonnie, Kate and Bill Ewall Gerald Hershkowitz Nicholas Klein Bruce Mays and Cynthia Maltbie Stephen and Cynthia Peck William and Sandra Rosenfeld Joshua Suskewicz JoAnna and Samuel Cline Paul Ezelle Karen Hescock Richard A. Koffman McCaffrey Family Foundation Kim Pedersen Kenneth Ross Margaret D. Sweeney Clovis Foundation John Failor Cyrus and Anna Highsmith Joann Koonce Carolyn McCarthy Eric Penanhoat Richard Ross Alexandra & Martin Symonds Ellen Codd and Vincent Aloyo Sherry Fardie Roderick Hills Frederic F. Korn Larry McClung Richard Petersen Rotary Club of Brooksville Foundation, Inc. Sanford Cohen David and Joan Fay Margaret and Michael Hinzman Doug Kreeger Martha McDade Timothy and Elaine Peterson Dr. Shelley Roth and Dr. Jed The Taff Family Fund Douglas Coker Steven and Paula Fee Keta Tamara Hodgson Lisa J. Kunstadter Thomas McDonald Carolyn Pettit Weissberg Carol Taff Rebecca Cole and Peter Jhon Eric Feldman and Naomi Sugar Drs. Mike and Donna Hoffman Jane Kurson Doneen McDowell Kathryn Peyton and Tyler Brown The Marcia and Philip Rothblum Dennis and Susan Talbot Foundation Advised Fund at Aspen Kevin and Martha Tansey Loring and Louise Conant Jeanne and Peter Fellowes Robin and Brad Holmgren Thomas Kvinge and Tracy Smith Vincent Memoli Carl and Betty Pforzheimer Community Foundation Ramie Targoff Ted Constan and Alison Franklin Linda Felver Frank Holowach and Pam Williams William Labov Mending Kids International Doantam Phan George and Mary Rotter Constan Heike Fischer and James Washburn Paul Holtzman and Carol Steiker John Lamonica Merrill Family Charitable Foundation, Paul and Adrienne Phillips Ben & Kate Taylor Charitable The Jim and Patty Rouse Charitable Foundation Judy and David Covin Edmond Fitzgibbon Howe Family Fund at The Lang Foundation Inc. Piedmont Community Church Foundation William L. Taylor Vicki and David Craver Joseph P. Flanagan Foundation John Lang Owen Messac Clare Pierson and Peter Humphrey Dana and Cheryl Rowan James Terrell Alice and Ron Curtin Richard Flaster and Alice Mead Charles and Joan Howe Juan Lang Talia Milgrom-Elcott Fund George Ruttinger and Camille Larson Liz Terry David Cushing Marie and Harold Fouts Joel and Barbara Huber Wendy Lang Henry and Beatrice Miller Fund Donna Pignatelli John Ryan and Jenny Scheu Bradley and Donna Dahl Lam Hui and Shuk Lee of The Foundation for Enhancing Maria T. Pitaro Kimberly and John Thacker Adam Fox Roger Langsdorf Communities on behalf of Linda Miller Barbara Rylko-Bauer and Daniel Bauer Tobias Danforth Andrew Huibers and Martha Man, Malcolm Pittman Peter Thomas John and Gioia Frelinghuysen Fund The Larson Legacy Leslie Miller Paul and Carolyn Sax The Darling Fund of The Philadelphia MD Lois Anne Polan Kevin Thompson Evelyn Frost Kathleen and Lee Larson The Milner Family Foundation Walter and Leona Schmitt Family Foundation Kimberly Hult and Robert Pasnau Olga Pomar Foundation Patricia and Mark Thompson Cecile Fruman Debra and Daniel Laufer MissionFish Dartmouth College Barbara Humphreys Terri Potts Robert Schoen and Nancy Bernstein Three Generations’ Fund James Fulks Christopher Le Mon and Rachel Taylor Gale Mondry and Bruce Cohen Alan J. Davino Zita Hung Price Family Charitable Fund Daniel Schreiber Alfred and Maria Tiberi Anita Gajdecki and Stephen Blyth Lance Lee Luke and Claire Mongoven Martha Davis Fund Emily Hurstak PS 89 Liberty School Frank and Ruah Schwamb Catherine Todd John Galvin Douglas Lemle Feliz Montpellier Chad DeChant Lucy Jane Hurt Trust Jairaj Puthenveettil Timothy and Brigitte Searchinger Jennifer Tom and Philip Wong The Joseph and Anna Gartner Suzanne Lerner Stephen Morris and Julie Kelman Mary DeChant Foundation Jane Hurt Rick Pyfer Contee Seely Daniel Toomey Margaret Lester Harold and Julie Morse Michael and Sheryl DeGenring Daniel Gavarkavich Rosemary Hyson Erika Rabeni Jo-Ann Seiquist Anne Trainor Kent Elisabeth R. Levy Dana Mulhauser Alan Del Castillo, M.D. Irina Gelmanova The Ironwood Foundation Luvh Rakhe Stuart Semmel and Tina Lu John Trepp Fund Brooke Liddle The Michael and Kimberley Mumford Lulu Delacre George and Mary Irvin Michael and Stephanie Senn Tubercle.org Nathan Gerbe Katrina Ligett Charitable Fund Blaine Randolph Christopher Deutsch Anna Jardine Margaret Seton and Joseph Jacobson Barbara and Castellano Turner Lewis and Barbara Gershman Allison Linden Craig Murphy and JoAnne Yates Krishna Rangarajan John and Julia DeVoy Bernice Jenkins Foundation Samir Shah Ingeborg and Arthur Uhlir Theodore and Andrea Giletti James and Margie Lindsey Martin Murphy Gregory and Jan Ranger Anne Dewitt Nathan Jennato Robert and Anne Shapiro Ullmann Family Foundation John Gillette Benjamin Link and Becky Genberg Patricia Murphy Ann and Don Rathjen Dickey Fund Jocarno Fund Dorothy and Mark Shaw Family Mary Underwood Giving Assets, Inc. David Link and Margaret Ross Charles & Gail Muskavitch Foundation Helen Ratico Andrew Dinardo Jason Johnson Flex Fund Charitable Fund Todd Underwood David Glasser Abe Littenberg Foundation, Inc. Gary and Kary Myers Fund of the Joanne Rauscher Mary Dixon Drake Jason and Helen Johnson Greater Cincinnati Foundation John Sherry University of , Los Angeles Janet Lynne Golden and Eric Schneider Laura Livesay John Raveret Meritxell Donadeu Philip Johnson and Donna Gordon Mary Ellen Mylrea Marina Shevelev The University of Michigan Jeffrey Goldfaden James Lockard Niranjan Ravindran Debra Donaldson and Brian Kelley Steve and Rosemarie Johnson Stephen Nathan Jerry Silbert Andrea and Michael Urban Good Samaritan United Methodist Charles Logan The Rawlings Family Charity Cecilia and Kenneth Dorger Church Philip Johnston National Air Traffic Controllers Bernardo and Lucia Silva Rachel and Bettylou Valentine Mary Loibl Luke and Julie Rawlings Kurt Dorschel Gorlitz Foundation, LTD Kayt Jones Association Jason Simmons Tricia Vanacore Jean Lootz Emily and Greg Redinbo Timothy Dorsey Christine Grady and James Joye Shabari Nayak The Sippel-Farb Family Fund Vargo Family Charitable Fund Justin Low Romany and Robin Redman Douglas County School District Phyllis and Mary Lou Grady Martha Juskewycz Karen Nelson and Daniel Greenberg Mary R. Sive Fund Brigid Vaughan Edward and Diane Lowenstein Jan Reifler The Duffy Family Fund of the GRAM Charitable Foundation Peggy and Mike Kanaga Mark Niehaus Lisa Skylar Beatriz Veliz The Lubin Family Foundation Dale Reiger Community Foundation of Lois Greenfield Jaejoon Kang Kate Nikkel Carole Smarth and Tim Johnson Joel Wachman Deborah Lynch Sarah Remes Catherine Dunlay Laura Grier Scott Kauffman Nadim Nimeh Colin and Julia Smith The Woodward Walsh Foundation Donna and Paul Lynchfischer The Renaissance Foundation Mary B. Dunn Charitable Trust G. Anne Guenzel Ginny and Mathew Keator Elaine Nonneman Mary Smith-Fawzi and Wafaie Fawzi Joseph Walters The Lynton Starfish Fund Alissa Reyzin Diana and Olivier Durantel Michael Haddad Family Foundation Elizabeth Keeley Kathleen and James Nulty Scott Snell Barbara and Mitchell Wand Sarah M. Lyons Marian and Michael Rieders Michael Eckhardt Hale Foundation Dennis and Elizabeth Keenan Alan Nurkse Garry and Jean Snipes Richard Warner Meghan Macguire Nina Ritter Judy Edersheim and Nicole Danforth Keith Hammonds and Jacqueline Dyer John Keith Paul and Karen Nyirjesy Naomi Sobel Alisse Waterston and Howard Robin Macilroy and William Spears Catherine Rivi Robert Eisenach Kimberley Harding and Joshua Bernoff Scott Kennedy John O’Brien David and Ellie Sosnovik Horowitz Patricia Malanuk Peter and Beverley Robbins The Daniel E. Eisenbud Charitable The Hardwick Family Fund Al and Rita Kay Kent Vania O’Connor Jolie Souto Clyde Watson Fund Stuart and Kathryn Malcolm Emerson B. Robinson Elizabeth Harper Kessler Family Foundation Richard O’Dwyer and Katharine Joseph and Irene Souto J. Michael Watt and Nancybeth Watt Elmo Foundation Timon and Lori Malloy Pickering William Robinson Elizabeth Harris Michele and Howard Kessler Sonia St. Charles Faron and Jill Webb Peter and Mary Ann Emanuel Lynn Mandel-Hall Fund Mae Oda and Michael Sullivan Roche Servicios S.A. Michael Harris Rae Jeanne Kier Christine Stanton and Mitch Douglas and Tara Weckstein Jean English Janeen C. Manuel David Ogrin and Vicki Cherkas Heidemarie Rochlin Wasterlain Janet and Richard Hart Jongsoo Kim Carolyn and William Wheatley The Episode Foundation Paul and Margaret Marrkand Marion Olena Christine and Douglas Rohde Paul Steinfurth Harvey Family Foundation Myung and Jong Kim John and Lisa Williams Equiposingular Jeanette R. Martone Sara Oren Patricia E. Roos Brian Stoler George and Marina Hatch Fund Hunter King Robert Williams Daniel Erat William Mascioli Cate Oswald Frances Rosen Kate Strully Eliza Hatch Mary King and Drew Devereux Michael Wilson and Susan Greenleaf

u PIH Canada Donor

40 41 THANK YOU TO OUR SUPPORTERS (CONTINUED) THANK YOU TO OUR SUPPORTERS (CONTINUED)

Priscilla and Rodney Wilson Matteo Alioto Chris Baio Mercedes Becerra and Salmaan Paul and Katherine Blount Edie Brickell Cinta Burgos Lawrence and Jacqueline Castagnola Charitable Fund David and Joanne Alkire The Stephen W. and Susan M. Baird Keshavjee Carla Blumenkranz Daniel and Carol Bricklin Peter H. Burian Elizabeth A. Castelli Priscilla Wilson Herbert Allen Foundation Foundation Daniel and Stephanie Becker Thomas Blumenthal Susan and Roland Bridges Michael Burks Lisa Catapano Donald and Susan Wilson Allison Allen and Christopher Jones Lucy Baird Pat and Clarke and Barbara Blynn Marilyn Briefs Leonard and Melissa Burman G.Thomas Cator Andrew Winders John Allen Bajada Fund John Beckham Richard S. Bobrow Bette Briggs Cheryl Burns Joan T. Cave The Harold A. Winstead Charitable Mary Beth Allen Jeannie Baker Justin Beeber Nancy Bodmer Preston Briggs and Marya Silvernale Christopher and Patricia Burns Allen J. Cavicchi Foundation Trust Mary Louise Alley-Crosby Marjorie and Jefferson Baker Erin Beeler David Bodnick Paul Brillinger Kristina Burns Gary K. Cawood Evans Witt and Amy Sabrin Peter Alliata Sharen Baker Debra and John Beeson Barbara Bogard Jean Brinich and Martin Langlois William and Mary Burtis Courtney Cazden Charitable Gift Fund Kelvin Woelk and Jennifer Gaines Susan W. Almy Nick and Maura Balaban Beggs Family Foundation, Inc. Marcella Bohn John Brink Jennifer J. Burtner Richard and Nancy Celio Peter Wood Alpert & Alpert Foundation The Balch Family Fund Curtis H. Behrent Pamela Bolen Jonathan and Susan Britt Robert Busch Thomas Cerny Carolyn Woodard Nancy Alpert Charles and Ann Balch Janis Bellack Andrew Bolster Tanja and Michael Britton Xenia Bustle Katharine and James Chace Ann Woodward Alpha Omega Alpha Honor Medical Claudia Balderston Estate of Macky Bennett Jacques and Carole Bonnet-Eymard Paul Broadbent P. Elaine Butler and Christopher Cook Jim Chalat Charles Woodward Society Richard Baldy Anne Bennett Anne Berry Bonnyman Thomas M. Brod, M.D. Richard Butler and Georganne Doty Laura Chambers-Kersh Jane Wu Altman-Stiller Foundation Mary Jo Bane and Kenneth Winston Marsha E. Bennett Ann Bonte Julian and Lois Brodsky Timothy and Linda Butler Julia Chambliss and Floyd Fowler Deborah and Ryan Wubben Robert L. Amdur Daniel Baneman Patricia Benoit and Lewis Kornhauser David Bor and Henrietta Barnes Daniel Broockmann Charles Butt Ronald Champagne Laurance Yahia Amer/Manning Fund Anurag Bansal John D. Benson Michael Borck Traci Brooks Breck and Margaret Byers Paul Chan and Katie Lorand Ethan Yake Anne Anderson Joyce Banzhaf Richard and Barbara Bentz John Borgman James and Barbara Bross Kevin Byrne and Patricia Repik-Byrne Waifun Chan Susan Yates and Frederick Mertz Elizabeth A. Anderson Joe Baranowski Christopher Bentzel Matthew A. Borgman The Brothers Industry Fund C & J Charitable Foundation Fund Chan-Lorand Jubilee Fund Jody Yelland Geoffrey Anderson Robert and Bridget Barber Michael Benz Elizabeth and Jay Boris The Brown Family Foundation, Ltd. Luis Caceres Fay M. Chandler Sabine Zerarka Katherine and Dyche Anderson Steven Barg The Berean Fund Robert Borofsky Alex Brown and Karen Weisgerber Elizabeth W. Cady Curtis and Jody Chang Maria Anderson Katie Barker Joel Berger Alexandrea Borstein Douglas Bradley Brown and Mary Ulrickson Gary and Christine Cahn Linda Chang PARTNERS CIRCLE Eleanor Andrews Megan Barnard Daniel Bergey and Christalee Bieber Erika Bourguignon Christine A. Brown Kelly and Scott Cain Michael Chang and Barbara Wessen ($1,000 – $2,499) Amy S. Anthony Fund Barnds Family Charitable Fund Mary Berle The Richard Bowe and Karen Nemeth Darcey Brown Margaret Cain Chang Susan and Michael Anzaldi David Barnes Max Bermann Charitable Gift Fund Hayden Brown Kathryn Caldwell Pi-Chuan Chang Anonymous (37) Elizabeth Apfelberg Fund John E. Barnes Vania Bernatsky and Chris Eberhardt Dawn Bowen Kathryn and David Brown William and Virginia Caldwell Yuchiao Chang Todd Aagaard Katia Apollon Melanie Barnes Rhonda Berney Stephen and Frances Bowers Lisa Brown Alan Calkins M. Elaine and William Chapman Kimberley Aalfs and Christopher Barbara Appel Irrevocable Living Trust Patricia Barnes-McConnell Nicole Bernhard-Lee Robert and Susan Bowser Lorraine Brown Christy Cameron Kathy Charles-Christian and Claudius Needham Charitable Fund Christian Esther Aranda Brian and Dianne Baroody The Adam F. Berrey Fund Matthew Boyce Richard Brown Camp Chrysalis Ann Abad Carolyn Charron Tim Arata Leggat Barr Fund David Berson and Jessica Straus Hadley Boyd Sherrod Brown and Connie Schultz Elizabeth Campbell Maria Abadie Benjamin and Caroline Charrow Stephen Arbour Geraldine and William Barr Jessica and Naiff Bethoney Mary Ann Boyd Tom Brown Joanna Campbell Zohra Abassi The Cheek Family Foundation Joe Arcidicono The Barra Foundation Uppanda and Dileep Bhat Daniel and Gloria Boylan William W. Brown John Campbell J. M. Kofi Abbensetts Leslie and Marilyn Cheek Joshua B. Arend The Barrer and Nichols Family Amy Bilkey Berton Bradley Jeffrey Browne John Canaday The Stuart R. Abelson Charitable Gift Charitable Fund Shu-Ling Chen Antonio and Conchy Argiz Shira Billet Jane Brady Michelle Browner The Canali Family Charitable Fund Fund William Barron Shui Tai Cheng Ludmilla Aristilde Alan Binnie Nancy and John Braitmayer Greg Bruch Charles Canali Jesse Abelson Andrew and Maria Barry Nick and Andrea Chermayeff ML Armstrong Benjamin Birnbaum Stephen Brake Edwin and Diane Bruere Carlos Capellan Pauline Abernathy and Bill Craig Sheridan Bartlett Chernoff Fund of the Rockefeller Gail Arnold Kelly Bishop Nancy Branberg and Andy White Melanie Brunt and Hugh Joseph Charles Carberry Rolando Acevedo Amy Barton Family Fund Pamela Arthun Asaf and Elizabeth Bitton John Brand Ariel Bruzzone Carelton-Willard Village Residents Carol Achtman and Paul Armel James and Kathryn Bartsch The Howard and Jacqueline Chertkof Patricia Arthur Black Dog Cafe Greg Brandner Sharlene Bryant Association Foundation Karen Adam Edward Finlay and Marilyn Ashby Kent and Lyndal Black Allan Brandt and Shelly Greenfield Steven Carhart Stephen Chertkof and Elizabeth Jerome Adams Lawrence Buc Doris Ashkin Baskes Family Foundation Blacksburg United Methodist Church Joanna D. Brandt Brian and Rima Carlson Cullen Margaret and John Adams Jordyn Buchanan The Lorrie and Stuart Ashman Daniel and Allison Baskes Ralph Blackwood Sherry and Paul Brandt-Rauf Craig Carlson Dr. Su Lo-Rong Chiang Robert Adams Thomas and Judith Buck Charitable Fund Donna Bass Constance Blade Matthew Brandwein Eric Carlson and Celeste Siade Lucy Chie Adams-Swenson Family Fund William and Mary Buckley Foundation Jonathan Atkeson Marian Bass and Jeffrey Albert Rebecca and Wesley Blair Catherine Brannen Arthur A Carota, Jr. The Children’s School of Oak Park Kiku Adatto and Michael Sandel Dorcas Buckser Zur Attias Pauline Bassett and Elena Katz- Timothy and Patricia Blank William M. Brannon Ralph Carpenter Kim Chillag Adlib Foundation of the Boston Bassett Mr. and Mrs. Lawrence Buell Fund Tim Austin The Jeanne Blaustein and Peter Bokor Shirley Brashler Mary Carr Nicholas Chim and Kathy Lin Foundation Paula Baudhuin Ethan Bueno de Mesquita and The Award Fund Fund Tassie Brautigam Rebecca Bueno De Mesquita Milder Stephen Carr Mel Chin and Helen K. Nagge Zahra Afsharinejad Steven and Joanne Bauer Anne and John Ayanian Max Blaya and Margarita Sahli-Blaya Eric Braverman Charles and Mary Bueter Darren Carroll Phyllis Chock Maria Aguilar Rebecca and Nathan Baumgardner David and Barbara Ayars Blessed Sacrament Catholic Church Eva Breitenbach Buhrmaster Family Foundation Erin Carroll Cathy Chou Caroline Ahonen and Remy Vasquez Mark Bauwens Dr. David Babbott and Meredith Babbott Veronica Blette Farah Brelvi and William Ball The Bullaughey Family Charitable William Carroll and Kathleen Kern Nancy and Gary Christensen Alex-Handrah Aime Bayless Charitable Fund Walt and Elizabeth Bachman Fund Michael Blim Rebecca Bremermann Fund Ronald and Judith Carter Roger and Anne Christian Tony and Sharon Albers Kathi Bayne Louise Backer and Nicholas Ciciretti Joshua Bloch Katharine Bullitt Dr. Jeffrey L. Christie and Mrs. Sarah Albert John Brennan/Fran Sullivan Charity James and Suzanne Cartreine Elliott Badgley Foundation George and Barbara Beal Christopher and Catherine Block Fund Mary Bunting Deborah L. Christie Philip Alcabes Sara Case Eva Bading Carol Beasley Jill Block and Wade Rubinstein David and Janice Bressoud Dr. and Mrs. E. Earl Burch William Christie C. N. Alexander Daniel Casey and Dolores Connolly Martha Baer and Sara Miles Catherine Beattie Harold Blondin Lenhart and Pamela Vern and Mary Brethour Trudy Burdette Shana Chrystie Nicole Alger and Zack Karabell Peter Cashion Partha Bagchi and Phyllis Shapiro Susan and John Beatty Lenhart Blondin Mathew Brevard and Julie Ann The Burdick Faulkner Charitble Fund Leslie Chung Aliber Family Gift Fund Ted Cassman and Elizabeth Reynolds Sibylle Baier Roy E. Beaty Barry R. Bloom Cunningham Lalor and Patricia Burdick Margaret Ciavarella

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Stephanie Ciccarelli Stephen and Wendi Cook Debbie Dalzell and Mark Wilson Lisa Dobberteen Shiva Eftekhari Thomas M. Feeley Foscue Foundation Bose George Stephanie Citron Christopher Cook and Jane Cote-Cook Natalie Dandekar Elizabeth Dodd Edmond Eger and Lynn Spitler Fund The J.E. Fehsenfeld Family Foundation Ellen and James Foster Michael and Elizabeth Germain Paul W. Clark Family Foundation Mark Coolican and Susan Blotzer Dandelion Fund Christopher Doeblin Elliott Eggleston Kaaren Fehsenfeld Jennifer Foster Yvette and Neil Gerrans Cecil Clark Anne Cooper Kelly Daughtry Sarah and Christopher Dole Anne Ehrlich William and Cecile Fehsenfeld Foster Goss Family Susanne Gerson Colleen Clark Meghan Cope David Davidson Natalie Dolgireff Barbara Ehrlich Mark Feierstein Justin and Sara Fox Gerster Living Trust Paul Clark Lynn Corbett Janet and William Davidson Julie Doll Ted Eimon Stephen Fein Mary and Paul Fox John and Pamela Gerstmayr Robin and Judith Clark Mr. and Mrs. Paul Corbin Scott Davidson Thomas Domingues Gerry and Gail Eiselman Daniel Feinberg and Holly Scheider Pamela Fox A. Mark Gibbel Dorothy and Frederic Clarke Corbins In Action Fund Barbara D. Davis Christopher Donahue Charles Elkan and Janet Friday Glen Feinberg Don Foxworthy and Sharon Siewick Angelia Gibson Miriam Clasby Corbitt Charitable Gift Fund Bradley Davis and Janis Provisor William Donald Carol Ellis Justin Feinberg Shirley and Michael Francis Matthew Giere Arthur and Willa Clausing Shawn and Lisa Corcoran Douglas and Dorothy Davis Kenneth Donoghue Elizabeth and John Ellis R. Leon Feinstein Zephyr Frank Theo and Daniel Giesy Nicholas Clifford Susan Corcoran Laura and Tyler Davis The Donovan Foundation Jane and John Ellis Paul and Peg Feiss-McKenna David Frankel Elaine Gifford Stanford Clinton Robert and Karen Corder Laurel Davis Alan Donovan B. Lynne and John Ellison David J. Fekete Marc Franklin Richard Gilberg Gregory and Anne Clites Cynthia Cornell Charitable Gift Fund Marc and Elizabeth Davis Thomas Dooley Peter Elsbach The David J. Feldman Fund Allan Fraser Daniel Gilbert James Clower Delia Coronel Robert Davis Janice Dorizensky Patricia and Harris Elvebak Rae Felthouse Jack & Pauline Freeman Foundation James Gilbert Codman Square Health Center, Inc Kip Corriveau Sally and Robert Davis George Dorsey and Gail Burns Elizabeth and Kirk Emge Joshua Fenton Margaret and Richard Freije Karlyn Gilbert Elizabeth Coe Julia Cort Thomas Davis Emily Douglas Stephen Emond Linda Ferguson James French Karoline Gilbert Robert Coffey Cory Family Fund William and Mary Davis Ann M. Down Candace Emsiek Marialice Ferguson Lauren Frenette Donald Gilligan and Regina Maniscalo Andrew and Carolyn Coffin Sharon and Paul Coss Mark Day Eugenie and Samuel Doyle David & Margaret Engel Family Brandon and Maria Ferrante Fresh Pond Trust James Gilligan George Cogan and Fannie Allen Robert and Julie Couch The Carl de Boor Advised Fund Kevin and Wendi Drace Foundation Jill Ferris Alan Fressle Daniel Gillmor David Cohen Judyth Coughlin Amory De Roulet Stacy and Dan Dranginis Thomas Entrikin and Janet David R. Ferry Elissa Freud and Steven Willis Peter Gilman and Margaret Lemone McCracken David Cohen and Gretchen Elsner- Joan Coulter Pittman Fund of Coastal Alexandra De Saint Phalle Suzanne and Kenneth Drenth Danielle Feuillan and Lee Benaka Friedman Charitable Fund Gilmartin Family Charitable Trust Ellen Epstein and Ian Brownell Sommer Community Foundation of SC Sallie and Bernard DeBar Bitsy Dripps Jeremy Fiala Barbara Friedman Margot Gilna Robert Erck Laura A. Cohen Brent Couzens-Schultz Baumgartel DeBeer Family Fund Barbara Drye Terry Field Lance Friedmann Eric and Emma Gimon Mark Erickson Laurie Cohen Margaret Covert and Brian Eberman Deboeck Family Foundation Michelle Duane Joyce and Robert Fieldsteel Friends of Disabled Adults and Neil and Danielle Gindlesberger Kathryn Eriksson Mary Louise and Bruce Cohen Lillian and Norton Cowart Guido and Hennie Deboeck Rod Dubitsky Laura B. Filkins Children Michael Gipps James and Barbara Eroncig Deborah Cowley and Mark Dexter Beth and Gregory Debor Janet and Rob Duboff-Berkeley David Fillingame Froese Family Foundation Natasha Giraudie Jean Ervin Sharon Cohen Beverly Cox Robin Deck Laura and Thomas Dudgeon Janet and John Fine Daniel P. Froomkin and Paige M. Susan Gladin and Peter Kramer Ray Escoffier Fitzgerald Stuart Cohen and Anne Lucas Andrew Craig Laura Deforge Brooke Dudley Jeff Finken Eric Glass Clare Esparolini Lilyan E. Fulginiti Jonathan Cohn and Jeanne Raisler Barbara Craig Anna Dehn Vivian Duenas Mary Finlay Richard Glass Karan K. Estwick Richard Fuller Marian J. Cole Kirsti Craig Lucy Del Giorgio Kate Duffield Michael and Amanda Finlon James R. Glenn John Eugene Freda Fung Carl Coleman Dwight and Loretto Crane Melissa Del Rosario Debi Duke Durlyn Finnie Michaela and James Glenn Suzanne M. Eveillard Matthew J. Gabel Michael Coleman Loann Crane Alfred DeMaria and Susan Case Clay Dukes First Church in Wenham William Glenn Susan and Terence Evens Shonette and Paul Gable Natalia Collier and Adam Brown Martin and Deloris Crane Bridget DeMouy Cecilia Dunn Congregational Allan and Marilyn Glick Philanthropic James and Cathleen Everett Kathleen Gaffney The Katherine Collins Fund Elizabeth Crawford Victoria Dennis Kathryn Dunn First Church Of Christ in New Haven Fund Caroline L. 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Comeau James Fakonas Mary Gallivan Peter Crimp and Paula Cullenberg Linda DeYoung and Douglass Marlow Christopher Duskin Nessan Fitzmaurice and Frances Nancy Gold Hope and John Comerford Giselle Falkenberg and Betty Viereck McCaughan Ruth Gallo Kevin Croke and Judith Colburn Ravinder Dhillon Alex Dworak Drs. Joan and Alfred Goldberg David and Karen Condren Bryan Faller Elizabeth and Jonathan Fitzpatrick Robert Gamble James and Sherrie Croker Carmen Diaz Padron Anna and Garrison Dyer Lynda and Richard Goldberg David Cone and Kellie Stoddart Lynn and Sam Falletta Cornelia Flagg Keller Helen Ganotis Corinne Cronenwett The Dickson Family Gift Fund William Dylewsky and Kimberley Mark A. Goldberg and Ursula Kaiser Matthew Cone and Anna Bardone- Richard Cronin Davies Carla and Timothy Fallon Eric Flamm Dr. Judith Gans and Dr. Jospeh Kalt Rita Goldberg Cone Virginia A. Dierker Joan Crouthamel Paul John Eakin Calla Fankhanel Teal Flanigan David and Josie Gardner Edward and Marjorie Goldberger Congregational Church of Weston Mark and Julianne Dieterich Michael Crowley Sandra and Gil Eakins Stacey and Peter Farley Marie Fleischer Jill Garling Foundation Jean Conley and Steve Tripoli Dig Wines Frances Crutchfield Michael and Victoria Earls Nancy Lee Farrand Trust Thomas L. and Ann Fleming Temple Gaubatz Family Fund The Golden Family Fund Connecther Claire Dileo Donor Advised Fund Cathy, Edward, and Thomas Cullen Grant Easter Suzanne Farver James E. Gauch The William and Linda Goldman Fund Martin Connor Rebecca Dillingham and Colin Joan and John Fleming Culver Family Foundation Learmonth Nancy Ebb and Gary Ford Carolyn Fast Mary Gaylord Erica Goldman Nicholas D. Constan Jon Flescher Joseph Cunningham Marc DiNardo and Elizabeth Drum Farah Ebrahimi and Eric Griffith Fund Winifred and Thomas Faust Marion and Ronald Gehrke Robert Goldspink Phyllis and Samuel D. Constan Hussey Fletcher Gift Fund John and Mary Curley Mark Dionne and Cynthia Mason James and Elaine Ebzery Melissa Favreault Chris and Margaret Geisler Andrew and Patricia Goldstein Family Dianne Conte Neal Flint Foundation Alan Curtis and Gail Eagan Kendra and Paul Dipaola Steven P. Echter Christopher and Ann Fay Lawrence V. Gelber Linda and Kenneth Coogle Lindsay Flynn Steven Goldstein Edward H. and Dawn L. D’Alelio Fund Jane R. Dixon Charitable Fund David Edelson Federman Family Fund The Fred Gellert Family Foundation John Cook Dr. Henri R. Ford James Goltz Emily Dalgarno Catherine and Dave Dixon Ruth Ann Edney Daniel Federman, M.D. Karen and Peter Gelzinis Nancy Cook Ned Forrester Judith Golub John and Dianne Daly Janet Dixon Gabrielle and Selden Edwards Feeley and Driscoll, PC Charitable Sharon and Anthony Genovese Patricia Cook Foundation Monica Fortner Geographic Expeditions/Living Planet Gonzaga University School of Trust Fund

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Byron and Mary Jo Good Martin Gugino Jonathan Hargreaves Thomas S. and Sally S. Henderson Rolf Hollstein Mary Frances Irvin Jo Jones Ann Kempski Elizabeth Good Angle and Frank King Dan and Jan Guilbert Joseph M. Harney Foundation Thomas and Grace Holmes Lydia Irwin Karen and Jeffrey Jones Frank Kendall Lisa Goode Alexander and Emily Guimaraes Dr. John K. Harper Lucia Henderson Craig Holt Susan R. Irwin Kimberly and Brett Jones Nancy and Brian Kendall Susan Goodell Gulrich Charitable Gift Fund John Harrington Charles and Jennifer Henery Kelsey Holt and Brian Holt Suzy Iverson Mark Jones Helen and David Kenney James Goodman Betty Gumbel-Hibbs Julia Harrington Sara Mrsny and Robert Henig Paul Holte Holly Ivey Joanne Jordan William and Anne Kenney Sarita Gopal and David Chavern Kenneth Gunn The Harris Family Charitable Fund Leslie Henriques and Ray Riegert Erika Holzer Deone Jackman John and Nasreen Jordan Jennifer Kenning Paul Goranson Janet Gurtner Adam Harris Tom Henry Leslie Homer Howell E. Jackson/Elizabeth V. Foote Jaffe Jorgensen Family Charitable Brooks Keogh Carolyn Gordon Dianne Gustafson and Claus Hamann Bruce Harris and Jeannette Alexich Cassis Henry David Homyak Fund Fund Bonnie Kepplinger Jill R. Gordon Nina and Ray Gustin James Harris Sarah and J. Charles Henry Paul and Nadine Hooker Richard S. Jackson III Jeffrey I. Joseph Jean Kershner Michael Gordon David Guy and Gemma Galli Suzanne Harris Gregory Herbert Perry and Dennis Hooks Sally Jackson Kate Judd and Robert Miller Carl E. Kessler Family Foundation Thomas and Margaret Gorrie Karin Guzman Wendell Harry Boyd Herforth Hopkins Charitable Gift Fund Mike Jacobellis The June Foundation Steven Ketcham Dana Gould Raymond Guzy and Martha Holman Steven Hart Judith Herm Nancy Hopp John Jacobi and MaryEllen McVeigh Marc June Katharine E. Ketron Ryan Gould Ira and Virginia Haas Marilyn Hartig Skip and Meg Herman Family Steven and Moira Hoskins Anne Jacobs Donna Jung Farhad Khosravi Foundation David Goulder and Marlene Salon Linda Hacker Teresa Hartle Fred and Donna Hostettler Ramona Jacobs and Charles Charles and Mary Juster Alex Kiagiri Edward and Mary Herman Christianson Marc Gourevitch Teresa Hadly Elissa R. Hart-Mahan Brian R. Houghtaling Allison Kade Vasudevan Kidambi Kathleen and Christopher Hern Adam Jacobson Margaret Grady Peter Haffner The Charles M. and Mary L. Hartman Toni Houghton Max Kagan Family Foundation Brian Kidd Karen Herold and Mark Isaacson Helen Jacoby and Peter Cannavo Thomas Graham Stacy Hagen and Andrew Paterson Fund Howard Family Fund Leslie Kagan and Robert Coulam Robert M. Kieckhefer Mary Louise Hartman Margaret Herold George Jackson and Marva Peace- Nikki Kagan Bennett Grau Carla Hagler William and Gwen Howard Jackson James Kilbreth Alexandra Harvey and John Nelson George Herr Julie Kageler Ireta Graube Harvey Haines James Howe Felipe Jain Angela and Stephen Kilcullen Kathryn and Kurt Harvey Georgia and John Herring John Kahler Michele and Samuel Graves Donna Hale Sarah Howell Daniel James Charles and Nancy Killeen Christopher and Sarah Hashikawa Francoise Herrmann James Kainz Daniel Greaney Hale-Donovan Family Foundation Jacqueline and Greg Howorth Rebecca James Anne Marie Kim David Haskell and Sarah Vance The Thomas and Ellen Herron Family Michelle Kaiser Alice Green and Charles Touhey William M. Hales Foundation Fund Samuel and Alison Hoxie John Jameson Owen Kim Janice Hassenfeld Otto and Mary Jo Kaiser Amanda Green Richard Haley Jill Herzig Patricia and A.J. Hoyt Gwenwyn Janett Seung and Anna Kim Mary Beth Hastings The Kalan Foundation Jack and Emily Green Christopher and Sherrie Hall Diana Hess Michelle Hsu Nina Janopaul and Bartlett Naylor Dan R. Kimberlain Ezra Hausman Jeffrey Kalan Virginia Green Jeanne and Gerry Hall Theodore and Patricia Heuchling Wen Hsu Michael and Maryanne Janson Laura Kimberly Marvin Greenberg and Kendra Lyle and Lisbeth Hall The Peter O. and Alice E. Hausmann Julie Hubbard Robert Kalayjian F. Kincaid Perot Family Charitable Fund Paul and Melissa Hewett-Marx Nuriya Janss Briechle Nancy and Raymond Hall Matthew Huber Catherine Kallal Jean and Richard Kindleberger Margaret Ann Hawkins William and Flora Hewlett Foundation John Jarcho and Jean Cummings Martha and David Greenburg Paula and Van Hall Benoit Hudson The Morton and Merle Kane Family Katharine King Fund of the Liberty Hill Hawley Family Foundation, Inc. Philip and Ann Heymann Julie and William Jarosz Philanthropic Fund Laura Greene Timothy Hall Albert Hudspeth Foundation N. and K. Hawley Mr. Carl Hiaasen and Quinn Hiaasen Pamela Jarvis Norman and Cynthia Kane Patricia Greene Beatrice Hallac Kenneth Hui Brian King Susan and John Hayes Evelyn Higginbotham Maria Jasin Veenu Kang Bruce Gregg Susan and Gary Halling Emma Huitric Jonathan King The Cordell and Ava Haymon Fund Duncan Hill Mark Jaszberenyi Ed and Ann Kania Alex Gregory David Halperin David Hull and Natalie Glance Patricia King Martha Hayward John Hill Marie and Mihira Jayasekera Mickey Kann Gillian M. Gregory Hamill Family Foundation Franklin Hull Paul King Samuel Hayward Mary Ann and Jeffrey Hill Muriel Jean-Jacques Nancy Kanwisher and John Rubin Katherine Gregory Ian and Cristen Hamilton Sandra Hunt Suzanne King Sharon A. Hayward Benjamin and Francine Hiller Merritt Jenkins Shelly Kapoor Laurie Gregory Cheryl Hamlin Carolyn Hunter William King Christine G. Hayworth Alan J. Himsl Aylette Jenness Carelle Karimimanesh Kristie Griffin Helen Hamman and Peter Isakson David Hunter Sharon Kinoshita Evelyn Hazlett-Stein and Denny John Hines John and Maura Jennings Caroline Karnes The Stanley N. Griffith and Ann E. Lisa Hancock-Rehrig Margaret Hunter and Reede Stockton Charles Kinsey Schauffler Gift Fund Hazlett Stein Ramona and Richard Hinkle Frederick and Jane Jensen Margaret Kary Hand/Eye Fund, Ltd. Cathy L. Hurwit Katrinka Kip James Griffith Ina Heafitz Armin and Esther Hirsch Foundation Jon and Erin Jensen Carole and Christian Kasper Philip and Maureen Handel Ali Husseini Margaret Kirby Hugh and Shana Griffiths Sprole Heaps David and Margaret Hirsch Joseph and Nancy Jerardi The KASTIA Foundation Jean Handy Robert and Glenda Hutton Fund Marc and Phyllis Kirschner Griffiths-Wennrich Family Fund Peregrine Heard Leonard Hirshan Family Foundation Deborah Jerome Walter Katkovsky Sarah and Ken Handy Alice Hwang Joseph & Jacqueline Kirshbaum Tracy Grinnell Sarah Heard Sarah Hirshan Jeanne Jew and Steve Roseman Laura and Joel Katz Memorial Fund of the Liberty Hill Melissa and Frank Hanenberger Ellen Hynes Gregg H. Grinspan Stephen O. Heard Adam Hitch Oksik Jo Rick Katz Foundation Robin Hanes James Iglehart and Elizabeth Barbara Griswold Joseph and Jean Hearst Kalon Ho Marie A. Johantgen Joann Kauffman The Kisner-Garcia Family Charitable Barbara Hanna Armstrong Fund Richard Grodecki Walter and Marie Heath Kenneth Hochkeppel Alicia Johnson Ira J. Kaufman Family Foundation, Lynne Hansen Ilyas Iliya Susan Kitazawa Brianna Grohman David Hegarty Elizabeth and Jonathan Hochman Bryan Johnson Stephen and Lori Kaufman Laura Hanson and David Cecelski Prairie Community Foundation Sissel Kjelstrup, M.D. Charles Groppe and Jennifer Hays Kris Heggenhougen Jody Hoffer Gittell - Jerry and Judy Stone Donor Advised Christopher Johnson and Holiday Noel Kaufman and Nicole Grindle Pamela and Karl Hanson Phelan-Johnson Katherine Klein and John Gomperts Gregory and Wendy Gross Scott Heiferman Ross N. Hoffman and Dorothy D. Fund Charles D. Kay William Hapgood Crawford Charitable Giving Fund Diana E. Johnson Joan Kleinberg Elizabeth Grossman and Matthew Marilyn and John Heilman Immanuel Presbyterian Church Michael Kazhdan Davis Anne Happel Holliday Heine William Hoffman Important Gifts, Inc. Harriet Johnson Carol Kearns Stephen and Angela Groth Family Judith Haran Sandra Heinle Gerhart Hoffmeister Leonard Inderlee Katherine and Jeffrey Johnson Daniel J. Keller Thomas Klemond Giving Account Harbin Family Fund Joy Heising Mary Hogan David Ingram and Melanye Melanye Lynn Johnson Daniel Kellogg Miriam Klempner Diana Grove Avril Harcourt Mary Ellen Heisler Tracey Hohman and Ira Silverman Finister Rebecca Johnson Braden Kelly Kathryn Kline Adam Grumbach and Jamie Bloom Daniel Hardie and Alice McMahon Rachel and Shai Held Kate Holiday Judith Ingram Susan M. Johnson Grace Kelly Thomas Klitgaard and Kyle Staver Dean Gruner James and Anne Harding Clarence E. Heller Charitable Thomas Holland Roger Inhorn William and Jennifer Johnson James Kelly Elise A. Klysa Jeffrey Guay Robert Hardy and Susan McDonald Foundation Joyce Holleman The Integra Foundation, Inc. Jacqueline Jones Luke Kelly Jill Kneerim

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Kate Knepper James and Elizabeth LaRowe The Michel and Magda Levy Fund Stacy Lundin Joseph and Phyllis Markoff Marion McInnes and Wayne Glausser Gayle and Michael Miller The Mount Sinai Medical Center Rachel Knight Anne Larsen Daniel Lew Christopher Luo Nancy Lurie Marks Chris McKellar Janet Miller Jason Much Sarah and Glen Knock Tamara Larsen Mary and L. James Lewis David Luther Alexis Marquet The McKelvey Family Charitable Fund Judy Miller John Mudd Erik and Sarah Knutzen Lisa A. Larson Thornton C. Lewis Lutheran Episcopal Ministry at MIT Becki Marsh and Winthrop Gross John K. McKelvey June Miller Jenny Mudge Peter Kochansky Sam Larson Willa Lewis Lutz Charitable Gift Fund Will A. Marsh Patricia McKenna Katherine Miller Fredrich S. Mueller Nicole Koehler James Larus and Diana Stone Lauren Lexton Ali W. Lutz Melissa Marshall Katherine McKittrick Ross and Nancy Miller Leon Muffett Anne and Paul Koeppe Miles and Elizabeth Lasater The Lichtenstein Foundation, Inc. John C. Lutz Martin Family Foundation Richard McLaughry Todd Miller and Viviann Kuehl Patricia Mukherjee Joe Kolar and Kathy Sullivan William Laskin Kirk and Carol Lider Frances Lyman Martin Fund Kathryn McLean Tollie Miller Dr. Ann Mullally Susan and Warren Kolar Christian Lassonde Judith Lidsky William Lyman Alison and Sean Martin Betty and Marshall McMahon Jane, Stacy, and Scott Miller Fund Christopher Muller R.J. Kolesar Candace Latham Jon Liebergall Lynch and Lapedes Family Fund Steven and Shannon Martin Mark and Betty McMahon Milletti Charitable Fund Joseph Muller Sarah K. Konrad Christopher Latham Alicia Lieberman Ann-Marie Lynch Mariana and Emilio Martinez Christy McMillin Daniel Mills Michael and Stephanie Mulligan Deborah and William Kopacz Marie G. 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Myers Natarajan Krishnaswami Bob and Karen Lee Barbara and James Linder Andrea Machmeier Peter Mayock Richard Meisler Elaine Mittell and Doug Poutasse Todd Mytkowicz The Krupman Family Foundation, Inc. Caron Lee Mary Lou Lindholm Theresa Mack Anne Mazer Frank Meissner Winifred and Michael Mohr Thane Naberhaus and Christine Charlotte Kuh and Roy Radner Horim Lee Charles A. Lingo Malcolm and Linda MacLaren The Mazur Family Foundation Shepherd Melanie Jane Monahan Blackshaw Mohan Kumar Patricia Lee Kathleen Lingo MacLaury Donor Advised Fund Laura Mazzola Theo + Lisa Melas-Kyriazi Family Fund The Wade and Sally Monroe Family Jennifer and Suneeel Nagda Fund Nishant Kumar Ryan Lee Christopher Linn and Patricia Kellison Mokshay and Marylea Madiman Jon McAlister The Harold and Marilyn Melcher Irum and Aurangzeb Nagy Foundation John and Mari Montague Joel Kurtzberg Sandra and Bruce Lefenfeld Loretto Lippert Peter R. Maggs David McCallie Judy and Roy Nakadegawa Lars and Liv Mellemseter Caroline and Socorro Montano Blanche Kushner Elliot and Frances Lehman Adam Lisagor Lisa and James Magnusson Douglas and Rebecca McCarron Hani Nakhoul Nola A. Mellstrom Warren Montgomery Mignonne La Chapelle Sophia and Jonas Lehmann Kerby Littauer Charitable Fund Peggy A. Mahony Robert McCarthy Laura Nasatir Louis Menand Patricia Moody and Michael Thun Katherine and Benjamin Lacey Jennifer Leider Michelle Litvin Hellene Maier Stephanie and Carter McClelland Greg Nash Frank J. 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Mank Foundation Robert McGarry Henry Meyer John Morris Sabina Netto Richard and Abigail Lanoix Craig Leva Lovinger Family Foundation Elizabeth Manlove Mike McGibbon Noah Meyerson and Hester Morrison Family Foundation New Society Fund Thomas Lanter Levine Charitable Lead Trust Lanz Lowen Dawn Mann Grippando Arthur and Betty Jo McGrade Morrison Family Foundation Robert and Sierra Newell Anita M. LaPlaca Daniel Levine Susan Lowery Elliott Manning Judith Mich Sarah and Michael McGrath Parker Morse Roger Newell Jean and John Laragh Howard and Irene Levine Hans and Marion Loyda Lea J. Mannion Peter and Betty Michelozzi Wanda McGraw Ruth I. Morton Fund Lisa Newlin and Allan Cave Luke and Stephen Largess Karen Levine Loyola University Chicago The Grace R. and Alan D. Marcus Jeremy Mikola Foundation David McGrew Moscow Philanthropic Fund William and Louisa Newlin Don Larkin and Maria Freeman Matthew Levine and Gillian Webster Chia-Chen Lu The Suzanne T. and Frank W. Millard Margolin Charitable Fund John P. McGuire Foundation, Inc. Eric and Janice Mosley Georgia L. Newman William Larkin Shira Levine Martin and Cheryl Luchtefeld Kenneth Ludwa Kim Margolin Kathleen and James McGuire Diane and I. William Millen Mother Jones Fund of the Peace Michael Newman Catherine Larned William Levine Development Fund Timothy P. Lundergan Fund Rich Margolin Melissa and John McInerney Blake Miller Newton Family Fund Kenneth and Nancy Larner The Levy/Klim Gift Fund Kathryn Mouber Jeanne Markel and Chris Wedge William and Marcia McInerney Cynthia Miller Virginia Newton

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Dennis Nguyen John Olson Morgan Paulus Amy Post-Grady William J. Reiser Paul Rosenbaum and Rocio Villasenor David G. Salten Fund Phillip Schuman Tahir Niazi Carol Olwell Mary Payne and James Brookeman David and Jane Potrykus Rene Renard Rosenbaum Steinberg Family The Shelly L. & Mark J. Saltzman David Schwartz Judith Nichols and Peter Barrer Anne O’Malley Scott Payne and Mary Cosgrove Jonathan and Maggie Potter Heidi Restivo Foundation Philanthropic Fund Patricia Schwartz Raelyn Nicholson Christine and Adam O’Malley David and Cary Paynter Anne Poulsen Joe and Sarah Rhatigan John Rosenberg Keith Salvata Burwell Sciulli Fund Frances Niles Christopher and Stephanie O’Neill Peace Development Fund Daniel and Carol Powers Tamara Ribas Rosenbluth Family Foundation Samantha, Becky, Mark Foundation R. Michael Scott Family Fund Mark and Mary Jo Nissen Orcas Island Community Foundation Irja Peck Lynn and John Pownall Richard J. Ricard Dr. Margaret Rosenfeld and Dr. Daniel Carol Sams Don and Mary Scott S. Weld Thomas Nissley Orion Fund, an advised fund of Silicon Jennifer Penney Gitanjali and G. M. Prabhu Joseph H. Rice Fund Margie San Souci Richard and Suzanne Scriven Samantha Rosman Joan Nissman and Morton Abromson Valley Community Foundation Louis Pepi Robert Pranzatelli Mark and Helen Rice Peter Sanborn Pamela Scuderi Charles and Marianna Ross Scott Nitowski Sarah Ormond and Scott Roberts Pepin Woods Charitable Foundation Ronald Prater Lisa and Marc Richard Diego Sanchez-Elia Seabrook Foundation Donna Ross James Noble Eileen and Brian O’Rourke Thomas Perdue Anna Prestezog Gary Richardson John Sandberg Marjorie Seawell Anne and Paul Rossi Patricia Noel Patricia Pearl O’Rourke Perkins Family Fund Thomas and Theresa Pretlow Kevin Richardson Kimberli Sandberg Susie Seawell Stephen and Cathy O’Rourke Rotary Club of Pacific Grove Richard and Julia Sanders Patricia Noguchi Ann Perko Greg Price Wendy Riches Charitable Fund, Inc. Seekers Church Mary Orr and George Saterson Carol Sandstrom and Christopher Pat Nolan The Perlman Family Foundation, Inc. Wayne Price Louise Richman Rotary District 7750 Seeley Family Foundation Kelly and Jeffrey Orringer Small Anne Noonan The Perlmutter Family Foundation Robert and Ellen Primeau David Ricketts Melissa and Rich Rothman Leslie Seeman Benjamin Orvedal Jay Sandvos Kathleen Noonan and Jonathan Frank Pernell Foundation Prince Charitable Trusts Larry Ricksen Michael Rothman Jacob Segal Lipson Suzanne Osetek Charles and Sarah Sanford Charles M. Perrella Charitable Fund Diana Rigg Sonia S. Rothschild Jill and Bradford Seibert H. Gerald and Linda Nordberg David Osgood Frederic Sanford Irene Perrella Derrick Pringle John Rinaldo Rothstein Foundation James and Elizabeth Seley Daniel Norman Amanda Osta Karthik Sankaran Daniel and Susan Perry Marcy and Mark Probst Joshua Ring Philanthropic Fund Emily Rowan Gary Sernovitz Harriet Norman Christine Ostrowski Robert Sanoff H. Bradlee and Virginia Perry Joe and Emilie Pryor Alexander and Lori Riseman Lewis and Esther Rowland Marion Seymour Peter Norman Judith Ostrowsky Ommeed Sathe Lino Pertile William Pughe Mario Rivera Joseph Ruby Noah Shachtman Sara Norman Robert and Joanne O’Toole Julia Satriano John Peters Dr. Elmer and Rebecca Purcell Steven Rivers Amanda L. Ruch Edward Shanahan and Deirdre Redden Henry Norris Otten Foundation Jane Saul Dawn Peterson Anna Purdum Ana-Maria Rizzuto Mary Lou Ruch Lisa Shanahan Julie Norris Amy E. Ouellette Robb and Betty Saunders Fred Peterson Kathy and George Putnam Mary A. Roach Anastasia Rudman Patricia Norris Our Lady of the Mississippi Abbey Yu-Lin Wang Saussy Mark and Katherine Petrich Myrna Putziger Richard Robbins Kim S. Rueben Robyn Shapiro Joseph Norton Gordon and Lorris Owades Valerie C. Scanlon Lorin and Violeta Phenis The Quaker Hill Foundation Frances and Ralph Roberto Andreas Rued Ruth Shapiro Carline Nurnberger Owens Family Fund Patricia and Stephen Scarborough David Phillips and Carla Levy Kathleen and Edward Quinn Kendall Robins Steven Ruggles Jane Share and Roger Stix Anne and David Nuss John E. Paap Scarsdale Congregational Church Anthony and Marigrace Piazza Bahman Rabii Andrew Robinson Lloyd Runser Gary Sharpe Robert and Frances Nye Jane and Charles Pak Richard Schaetzl David Piazza Mary Rabion Harrison Robinson Stephen Ruoss and Alison Chubb Roger Sharpe Thomas O’Brien Georgia N. Papathomas Suzanne Schafer Katharine and B. Donovan Picard Susan and Carl Racine David M. Roccosalva Katie Rush Sharpless Fund Peter O’Callaghan and Jocelyne Roy The Richard and Rhonda Papert BJ and Mark Schaffer Robert and Anne Pickart Mary Rafferty Peter Roche Elisabeth Russell Kevin and Elizabeth Shaughnessy Mayra Ochoa Charitable Fund Jan Schakowsky and Robert Creamer James and Elizabeth Pickman Neel Rai Rockefeller Family Fund, Inc. Naomi Rutenberg and Robert Burn Michael Shaughnessy Julie Ocko Gerard and Suzanne Papin Lou Scharpf David R. Pickut David and Catherine Rainwater Hays and Linda Rockwell Charitable Michael Ruthberg Lea Shaver The O’Connor Foundation The Pappas Family Charitable Fund Foundation Bob and Lisa Schatz The Pierce Family Charitable Richard and Cynthia Randall Francie Rutherford David Shaw John O’Connor Vincent Paquet Foundation Lynn and Nathaniel Rockwell Ellen and Auden Schendler Liz Rantz Catherine Ryan Harriet Shaw Patricia O’Connor Elsie Paris Mark Pierce Janice E. Rodgers Charitable Gift Fund The Ryan and Scheu Family Charitable Donella Rapier and Andy Pickett Peter Ryan Fund Henry and Kathryn Shaw The Odell/Kemp Fund Paul Park Tasha Pierce Nathan A. Rodgers Linda and Rex Rarden Kathleen and Donald Rynbrandt Walter and Tracy Schier Susan Shaw Joseph and Katherine O’Donnell Rachel Park The Pillemer Charitable Gift Fund Sherry and William Rogers Fund Irit Rasooly Ruth Ryser Wendy Schiller Jeff Shea Neil O’Donnell and Christine Motley Margaret Parker Fund of the Community Leslie Pinnell of the Essex County Community Foundation of New Jersey Joan K. Rastegar Foundation Ruth Saada Schlesinger Family Fund Susan Shea Herbert and Virginia Oedel Amy Pitser Barnhardt Foxhall and Helen Parker Reach Out To Haiti Andrea Rogers Daniel Saccardi Peter and Cynthia Schliemann Chris Shearer Martha and George Oetzel Joanne and Charles Pittman Sheryl Parker Joseph Reddy Philip Rogers and Susan Edwards Sanford and Susan Sacks Daniel Schlozman Hilary Sheehan Hugh and Patricia O’Kane Family Jon and Bea Plasse Foundation Ann Parker-Way Rebecca Reddy Roklen Foundation Samer Sadek Dennis Schmalz Carol Shepherd Foundation Beatrice Plasse Sean Paroff Vishnu Reddy Anne Rolland Stephen and Lorna Safe Georgette Schmidt Michele Sherry Kathleen O’Kane and Brendan Tobin Donald Plowman Edward Parson and Jill Horwitz Chris and Mary Redford Terry Lynn Rolleri Robert Sage Robert and Alice Schmidt Seana Shiffrin Patrick Okane Cecilia Plum Rebecca J. Parsons Peter Redmond Edward Rollins Emily H. Sagor Barbara S. Schmitter The Shifra Philanthropic Fund of the O’Keefe Family Foundation Philip Plumbo Jewish Community Foundation of Valerie and Thomas Pascale Carole and Ken Reed Theodore Romer The Saint Paul Foundation Peter Schnall Dorothy O’Keefe Poets for the Planet Fund Greater Kansas City Vicki and Bruce Pate Molly Reed Florence Rood Saint Andrew’s Church Coleen and Kent Schneider Michael Olabisi Daniel Pohlig Dr. Jan Shifren Uptal Patel Kathy Reese Larry Rood and Leah Curry-Rood Saint Andrew’s Episcopal Church Steven Schnur John O’Laughlin Richard and Anita Pollack Beata Shih Shyamalan Pather Mary L. Reichley John and Clare Roop Saint Joseph’s Abbey Thalassa Scholl Rachel Oldham Alexander and Harriet Pollatsek Jeanne and Wesley Shirk Anne L. Pattee Dr. Cynthia Reichman and Mr. Michael The Wanda Root Charitable Fund Saint Mark’s Evangelical Lutheran Dana Schonberg Lorne Olfman William Polonsky Reichman Venkataraman Shivakumar William and Elizabeth Patterson Trust Rosati Family Charitable Fund Church of Asheville, NC Sheryl and Jonathan Schreiber Laurie Olinder Elizabeth Polter Linda Reida David and David Shook Joanne Patton Jennifer and Charles Rose Saint Matthew’s Episcopal Church Nan Schubel Jean Olive-Lammers John R. Poole Donald Reilly and Katherine Domoto Richard and Diana Shore Charitable Joyce Patton John Rose Lillian W. Sakkas Donald M. Schug Fund Antonio Oliver William Pope Elizabeth Reilly Oliver Patton and Barbara Vangelder Barbara Rosen Joan Salim and Peter Terry The Schulein Family Fund Nancy Short Daniel Ollendorf and Carolyn Conte Dr. Robert T. Porter John Reilly The Paul and Margo Charitable Fund Dennis Rosen Cynthia Salmon Sasha E. Schulman William Short Katherine Olney and David Rosemary Porter Robert and Charlotte Reischauer Kleinschmidt Thomas and Virginia Paulick Brenda Rosenbaum Denis Salmon Margaret Schultz John and Joan Shulman

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50 51 THANK YOU TO OUR SUPPORTERS (CONTINUED) THANK YOU TO OUR SUPPORTERS (CONTINUED)

Deborah A. Siegele Saint Paul Foundation Stiller Family Charitable Foundation Robert and Mary Jo Swiggett Cathleen Towey Rama P. Vemulapalli Robert Weierbach Aileen Williamson Julie Sierra Sosense David Stiller Andrew and Sandra Swinburne The Townley Family Fund Julia and John Ver Ploeg Paul Weinberg and Mary Fago Eric Williamson Alan and Susan Silberberg Ernest J. Sota Jane Stiller Debra Szarka Marcia Trainer Ann l. Vercoutere Weinberg/Newton Family Foundation Douglas and Diane Willson Marc Silver John Souto Reede Stockton Jill Szawara Christopher Transue David Vine Jonathan and Deborah Weiner Chris Wilson Scott and Shana Silveri Ruth and John Souza Anne Stoddard Ramon Tabtiang Marjorie Traub The Arthur Vining Davis Foundation Weingarten Family Foundation Christopher Wilson Carol Silverman Elizabeth Spalding and Eric LeBlanc Peter Stoddard Michael J. Taeckens Cal Treger Laura Voisinet and Mark Becker Nicholas Weininger Martha and David Wilson Karen Silverman The Girardeau A. Spann Charitable Fund Janet T. Stone Bill Taft Fred A. Trenkle Judd Volino and Julia Kazaks Diann and Thomas Weinman Mary Wilson Kibbe Miriam Silverman Dr. Jean G. Spaulding Jerry and Judith Stone Bushra Taha Tara and David Tresner-Kirsch Ellen Wade Robert Weis Wilson-Dalzell Family Foundation, Helme Silvet Robert H. Spencer Laura Stone Jeffrey Tai Elizabeth N. Trexler Erika Wagner Fred and Joan Weisman an advised fund of Silicon Valley Community Foundation Cheryl Simon Mr. Timothy Sperry and Ms. Lynne Margaret Stone Susan and Peter Talbot William Trimble and Anna Margolis Larry C. Wah Bruce and Ivy Weiss Winchester Unitarian Society Deborah Simons Tirrell Thomas Stone and Valerie Stone Franco Tamanini Trinity Episcopal Church David and Jeanne Waite Jeffrey Weiss The Windbrook Fund Michael Singer Edward J. Spiegel Michael Stowe Gary R. Tanigawa Triskeles Foundation’s All One Family Jina Wakimoto Rachael Weiss Stuart and Nancy Winston Singing Field Foundation Joan Spiegel Alice Stowell Eva Tank-Nielsen Fund Steve Walch and Linda Williams Dr. Steve Weiss Mark Winther and Jane Holzka Jennifer Singler and Gregory Wolfe Art Spiegelman and Francoise Mouly Bob and Mary Ellen Straskulic Fund Nathan Tannenbaum Foundation, Inc. Anne Troutman Dan and June Walcott Robert J. Weissman Family Fund Brian Wire Bennie Singleton Debra Spindel Jerry and Dianne Straus Everett and Lora Tarbox Nancy Trowbridge Jane Waldfogel Weld Family Fund Thomas Wisdom Liz and Dave Sippin Gayle and Charles Spurr Robert and Ruth Straus The Tate Family Fund Trubrador Foundation John Waldron and Kathryn Gonzales Christopher and Kathleen Weld Erin and Matthew Wise Jane and Jim Sisco Perkins Janet St. Goar and Joseph Donovan Andrew and Thelma Strauss Louise M. Tate Randall True Walkabout Foundation Charlotte Wells Mary Withington Benjamin Wiley Sittler St. John’s Episcopal Church Marc Street Marta and Geoffrey Taylor Stephen Truslow Walker Family Fund Mona and Wade Wells Elizabeth Witt Frank Siwiec St. John’s Presbyterian Church Michael and Kathleen Stringer Heidi and Richard Taylor Louis Anthony Tucciarone Bob and Gail Walker Paula and Ronald Wepprich Sarah Witt Skidmore College St. Mark’s School Anne and Bruce Strohm Terrill Taylor Pete and Mary Anne Tulipana Karen Walker and Richard Derby Maureen S. Wesolowski Roma Wittcoff Nicole Skinner St. Thomas More Newman Center William and Ann Strong Sherry Teachnor and Michael McCrory The Christy Turlington Burns Lorraine Walker Michael R. Wessels Charitable Foundation Teri Wittenberger Amie Slate Anne Stack and Tim Dunnbier Jonathan Strongin and Ellen Seely Peter Teague Thomas Walker Edward Weston Rebecca Turner Chapman Robert and Doris Wohlfort Randolph Slaughter Bette B. Stacy Lucy Stroock The Teamtrio Fund Walnut Acres Foundation, Inc. Jeannette Westwood Allison Turner Robert and Joyce Wolcott Mitchell Slep Levi Stahl and Stacey Shintani Alice Stroup Teasdale Family Fund Joni Walser and Andrew Church Jennifer Weyler Kathleen Turner and John Wedgwood Marshall and Katharine Wolf Charles Sloan Illene and Carl Stahr Christine Stubbs Raman Tenneti Diana and Christopher Walsh Roberta Whalen The Turnip Fund Laura Wolfe Ann and John Slocum Andrea Stambaugh Student Senate of Valhalla, SNMA Jerold Terhune Terri L. Walsh Bonnie M. Wheaton Betty M. Twarog Angela Wolle Deborah Slotpole Myles Standish David C. Stuesse Mary Terrall Emily Walton Marilee Wheeler Ann Twiggs and William Shaffer Jackie Ling Wong Shawn Slywka Nathaniel Stankard Joan Sturgis Sarah Thomas Audrey Walton-Hadlock Nicole Wheeler Katherine M. Tynan Marie Wong SMI Foundation Vincent and Mary Stanton David Stutzman Sasha Thomas Mr. Mark Walzman and Ms. Patti Corwith White Eric Undersander Wesley Wong Austin Smith Richard Starfield Shirley Su Susan Thomas O’Neill Fund Peter and Diana White Stephen and Beverly Unger Barbara J. Wood Elizabeth and S. T. Smith Carl E. Stark Ricardo Suarez Diana Thomas Childress Fund The Wanamaker Charitable Fund Andrea and Larry Whitehead Union College Dan Wood Erik Smith Elizabeth Starling Eleanor Sudler and Walter Littell Martha Thompson Kingree Grace Wang Nancy Whitlock University of Massachusetts, Amherst Margaret Wood James Smith Richard Starr and Carla Rappaport Sherry Suisman Caroline Thompson Yiling Wang Whitman Family Foundation Rachel Unkefer Richard Wood and Deborah Garnick Jill Smith and Leon Green John Stauffer Brendan Sullivan Donald J. Thompson Yunyuan Wang Serena Whitridge Ann Untalan Woodcock Charitable Fund Kathleen Smith Katherine Stavisky and Jon Verhey Lydia Sullivan Kelvin and Susan Thompson Denise Ward and Frank Hemmert Stephani and Andrew Whittaker Sheri Urowsky Betsey and Scott Wood-Prince Nicki and Mike Smith The Stebbins Fund, Inc. Robert Sullivan Barrie Thorne Claudia Warner Douglas R. Wholey Jessica Vacek The Woods Foundation Mary and Raoul Smith Brian and Maria Steck Thomas and Ann Sullivan Beau and Leslie Thorne Suzanne and David Warner Wichita Falls Area Community James and Debra Vail Priscilla and Ward Woods Samuel E. Smith Barbara Steen-Elton Eric Summers Lisa G. Thorne Margaret Warwick Foundation - John Hirschi Donor Maite Vail Advised Endowment Fund Woodstock Morning Rotary Sharon D. Smith Christopher Steevens Karen Sundin Henry and Kathy Thornhill Anmol and Jennifer Wassan Nathan Stehouwer Shalini Vajjhala Kathleen S. Wasserman The Allayne & Douglas Wick Terry Woodward Stanley Smith Jeffrey Sung Paul E. Thurston Foundation Bali Stein Daryoosh Vakhshoori Amy Watson Yvonne E. Woolf Stephen Smith Spyros and Astha Svoronos Laura L. Tiberti Marilyn and Mark Wieas Carolyn and Eric Stein Richard and Mina Jane Van Dyne Jennifer Watson Nancy Workman Trellan Smith and Daniel Taylor Beverly Swain Jodi Tillinger Regina Wiedenski Thomas C. Steinmetz Heidi Van Horn Muriel Watson Madison and Mary Wright Snowriders Fund Diana Swancutt Kate Tilney and Fred Kaemmer Robert Wiegert Gail Steketee Susan Van Metre The Richard and Charline Watts Fund Sally Wright Linda Snyder and Steven Kadish Mark Swanson Jason Ting James Wilcox Kim Stepanski Lauren Van Nostrand Bret Waugh Timothy Wyant Daniel and Geraldine Soba Matt Swanson Arthur Tipton Julie Wilcox John Stephens and Arianne Groth John Van Pelt and Sharon Quintenz Barry and Elsa Waxman Timothy Wycoff and Susan West Ronald and Claire Sobson Marlene Swartz TisBest Charity Gift Cards James Wilhite Cynthia Stern Howard A. Van Vleck Foundation Martha S. Weaver Kelly Wypych Eliott and Cynthia Socci Cameron Swearingen John Todaro Joshua Wilkes George Stern Jennifer Van Wormer Barry Webb Rachel Wysoker Elizabeth Soffer William and Susan Sweeney Suzanne Tofalo Betsy and Gary Willcuts Howard and Fredi Stevenson David Vance Carol Webster and Christine Enterline Trudy Wyss Julia Solorzano James Sweet Gregg Tolliver Allen and Beth Williams Laura Stevenson and Franklin Reeve Peter Vanden Bosch Ellen Webster Marie-Helene and Victor Yalom Katherine and Stephen Somers Julian Sweet Gail and Edward Tomberg Doug and Beth Williams Caroline Stewart David Vanderhooft Maia Wechsler and Edward Hernstadt Yelena Yasinnik Mark Somers Sweetland Family Fund Martha Tompkins Elinor and Robert Williams Craig Stewart The Peter and Lee Vandermark Fund Daniel Wechter Kahlil Yearwood Johannes Sommerfeld, Ph.D. Catherine Sweetser Michael and Ann Tomsho Elizabeth Williams Jane Stewart Monika and Anurag Varma Josiah Wedgwood Rahel Yirsaw Chris Sonne Patricia Swenson Heather Williams Patricia and Gerard Stewart Andrew Varrieur Beverly Weems Luke Yoder Carla Soracco Paul and Patricia Swenson Wing-Hang Tong Jacquelyn C. Williams Laura E. Stiglin Fernando Vega Steven A. Wegmann Mark and Katherine Young The Soran Family Foundation of The The Dave and Martha Swift Charitable Jeffrey Tornheim Marty Williams Foundation Mary Lou Velasquez Nicholas Zavos and Charlotte Gibson

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52 53 THANK YOU TO OUR SUPPORTERS (CONTINUED) THANK YOU TO OUR SUPPORTERS (CONTINUED)

Robin Zeitz Immunization Foundation The Red Hot Organization University Research Corporation, LLC Dymin Steel Inc. IMEC Carpenters Thompson Consultants Inc. Elias and Alice Zelkha Elton John AIDS Foundation The Foundation U.S. Agency for International EF Foundation for Foreign Study InPro Corporation Nicholas Clark Architects LTD ThoughtWorks, Inc. Elaine Zelnik Epic Systems Corporation Schulte Roth & Zabel, LLP Development Emsco Group Instrumentarium Dental Notifier The Timberland Company Amy and Yuanhui Zhang Fairfield County Community Foundation Schwab Charitable Fund U.S. Centers for Disease Control and Brian Eno International Brotherhood for Olympus Corporation of the Americas Trane Prevention Dana Ziebel Fidelity Charitable Gift Fund The Seattle Foundation Everson Distributing Electrical Workers Organogenesis Inc. Trinity Building and Construction World Bank Alan Zients Fiduciary Trust Company The Seth Sprague Educational and Fanning & Associates International Union of Painters and Payne-Bouchier Management Company World Health Organization Allied Trades District Council No. 35 David Zimmerman Fragomen, Del Rey, Bernsen and Loewy, Charitable Foundation Fiandre Peter Agoos of Agoos D-Zines Trinity Wall Street Church J. & M. Brown Company, Inc. Edward and I. Zinn LLP Silicon Valley Community Foundation The Fineline Project CURE Laurel True Russell James Kai Zinn The Friedland Foundation S.J.M. Limited Key Institutional Contributors Fire-End & Croker Corporation Quantum Engineering Co., P.C. U.S. Centers for Disease Control and J.C. Cannistraro, LLC Prevention Paul Zintl and Lisa Frost GE Skoll Foundation Forbo Raco Brigham and Women’s Hospital John Penney Construction Company USG Foundation, Inc. Mrs. Marshall L. Zissman Give Bars, LLC Southport International Holdings Friends of Disabled Adults and Red Star Construction Company, LLC Dana-Farber/Brigham and Women’s Donna Karan W.W. Contractors Corp. Philanthropic Fund GlaxoSmithKline Starr International Foundation Children Regent Surgical Health Cancer Center Kleinfelder Waggener Edstrom Worldwide Zuckerman-Kanner Gift Fund Goldman, Sachs & Co. Sterling Stamos Capital Management The Furniture Trust Roche Palo Alto LLC LLP Dana-Farber Cancer Institute Rita Knorr Waltham Children’s Hospital Kristel J. Zuppan Google Inc. Fuji Roche Servicios S.A. Summer Star Foundation for Nature, Harvard Medical School Paul Kurtz Windover Construction LLC Grasshopper, Inc. F.W. Webb Company Severn Trent Services Art & Humanity, Inc. Partners HealthCare Latricrete Wolters Kluwer Green Mountain Coffee Roasters Mala Gaonkar Shawmut Construction Corporations T & J Meyer Family Foundation Francoise LeBrun Zurn Industries, LLC The Greif Charitable Trust Limited In-Kind Gifts GE Shepley Bulfinch and Foundations Legacy Office Solutions Hewlett-Packard Company TOMS Shoes Global Healing Southboro Medical Group 3D Systems Corporation M. Cohen and Sons, Inc. Anonymous (6) ICAP North America Inc. The True Colours Trust and The Greater Lawrence Family Health Southwire Company Diana, Princess of Wales Memorial Abbott Point of Care, Inc. Center Mark Richey Woodworking Abbott Fund Interactive Sciences Inc. Spectrum Sign Company Fund, as part of the Waterloo Mary Allen Harrington Bros Corp. Marr Scaffolding Company Abbott Laboratories Irene S. Scully Family Foundation Coalition St. Boniface Haiti Foundation Alpha Packaging, Inc. Health Central Park Massachusetts General Hospital The Adolf H. Lundin Charitable Izumi Foundation The United Nations Foundation St. Cecilia’s Parish / Father John Unni Foundation American Breast Care, LP Heath Ceramics McKesson Corporation J.C. Cannistraro, LLC Universal Studios Stanley Black and Decker Advent International American Standard Brands Tom Heitzman Medical Missions For Children Jeff Gordon Children’s Foundation Urban Zen Foundation Steris Corporation Airline Ambassadors International Ann Clark Architects Henry Schein Cares Foundation, Inc. MEP Services, LLC Jewish Communal Fund Value Retail Stryker American Jewish Joint Architectural Ceramics Hewlett-Packard Company Ministère de la Santé Publique et de Johnson & Johnson Vanguard Charitable Endowment Sullivan & McLaughlin Companies Committee Barco Honeywell Fire Systems Group la Population Journey Charitable Foundation Program Systems Censor American Jewish World Service BeaconMedaes Hubbell Wiring Device-Kellems & Mold-Rite Plastics, Inc. The Kalamazoo Community Foundation Western Union Foundation Thomas & Betts Richard Beaupre Hubbell Premise Wiring New England Regional Council of Keystone Group, LP W.K. Kellogg Foundation Avon Foundation for Women Becton, Dickinson and Company Lance Armstrong Foundation W.T. Rich Company, Inc. Barr Foundation Troy and Joe Bickford Live Nation Working Assets/CREDO BNSF Foundation Bingham McCutchen LLP Logical Innovations, LLC Working Assets/CREDO Grantmaking BNY Mellon Wealth Management Fund of Tides Foundation Blue State Digital The Lynch Foundation GOVERNANCE Bohemian Foundation World of Wonder Boston Children’s Hospital M-A-C AIDS Fund Castle Concerts LTD WXRT-Chicago Bulfinch Boston Realty, Inc. Maverick Capital Foundation Chicago Community Foundation The Yawkey Foundation Burndy McCue Corporation BOARD OF TRUSTEES OFFICERS Christadelphian Meal-A-Day Fund of Yoga for Haiti Central Ceilings Mead Witter Foundation, Inc the Americas ZBI Employee Allocated Gift Fund Cerro Flow Products, LLC The Medtronic Foundation Jody Adams Jonny Dorsey Scott Malkin Ophelia Dahl, Executive Director CKEW Foundation Chambers Street Wines Merge Media Ltd. Joelle Adler Lynn Edens Michael Masters Paul Farmer, Chief Strategist The Clinton Bush Haiti Fund Cheviot Corporation Microsoft Government, José (Joe) Almeida Paul English Anne McCormack Club Penguin Chicago Faucet Morgan Stanley Smith Global Karen Keating Ansara Paul Farmer, Chair G Todd McCormack G Jennifer K. Brown, Chief Engagement Officer Combined Jewish Philanthropies Multilateral, Impact Funding Trust, Inc Children’s Voices in the Wind Bob Atchinson Gary Gottlieb G Elizabeth G. Nabel Ken Himmelman, Chief Program Officer Community Foundation of Eastern and Other Grants The Morton K. and Jane Blaustein Citrix G Connecticut Jaime Bayona Danny Greenberg Dan Nova Cynthia Maltbie, Chief Human Resources Officer Foundation, Inc. Codman Square Health Center The Conrad N. Hilton Foundation Fonds d’Assistance Economique Marjorie Benton Antoinette Hays Ted Philip G Joia Mukherjee, Chief Medical Officer National Philanthropic Trust et Sociale Commercial Insulation of Wilmington, G Covidien Donald Berwick Robert Heine Steve Reifenberg Ted Philip, Chief Operating Officer The New York Community Trust Inc FXB USA Timothy Broas Howard Hiatt E Joe Rhatigan Ann Quandt, Vice President of Finance and Treasurer The Crown Family Copley Wolff Design Group Northrop Grumman Systems Global Fund to Fight AIDS, Deerfield Partnership Foundation Paul Buttenwieser Joanne Kagle Marika Anthony Shaw Joe Rhatigan, Chair, Global Health Delivery Partnership Corporation Tuberculosis and Malaria Covidien Delany, Siegel, Zorn and Associates, Edward Cardoza Albert Kaneb G Lawrence N. Shulman Cassia van der Hoof Holstein, Chief Partnership Integration Officer OneXOne Inc. Pamela L. Crutchfield Inc. Carole Carney Diane Kaneb G Bryan Stevenson G David Whalen, Chief Development Officer Open Society Foundations University Regenstrief Currier Law Office Digicel Foundation Régine Chassagne Jeffrey Swartz Paul Zintl, Deputy Director Operation Blessing Institute, Inc. Dal Tile Discovery Life Sciences, Inc. Lesley King G Rien van Gendt Operation Blessing International International Development Research Daniel Saulnier, P.E. Doris Duke Charitable Foundation Centre Jack Connors, Jr. G Fr. Fritz Lafontant E Loune Viaud Diane Currier, Esq., Clerk The Overbrook Foundation David Wilson, Corwin & Corwin LLP ElectricAid PATH Ophelia Dahl G Becky Levin Charlotte Wagner G The Peter and Carmen Lucia Buck DePuy Orthopedics The Eli Lilly and Company Foundation Foundation, Inc. Pathfinder International Stephanie Dodson Mark Levin The Difference Principle Foundation The ELMA Philanthropies Positive Action for Children Fund Russia Healthcare Foundation Direct Relief International G Governors E Emeritus Members As of March 7, 2013 The ELMA Vaccines and Project 7 International, Inc. UNICEF

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54 55 2012 ANNUAL REPORT

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