back cover front cover TOC   Annual Report

Annual Report 2008

1 Introduction 2 Dedication 3 Message from the Chairman and the President & CEO

 4 International Programs

1948. 14 Domestic Programs SINCE . 20 Emergency Response WORLD 26 Our Partners BETTER . 30 Introduction and Certification of Financial PEOPLE

SIXTY YEARS OF SERVICE Statements HEALTHY 32 Financial Statements

34 Notes to the Financials 40 Our Investors NTERNATIONAL

I 48 Principles ELIEF R IRECT D 3

PRESIDENT & CEO Thomas Tighe

INTERNATIONAL ADVISORY BOARD CHAIRMAN Frank N. Magid What does

Hon. Henry E. Catto • Lawrence R. Glenn E. Carmack Holmes, M.D. • S. Roger Horchow 60 years mean? Stanley S. Hubbard • Jon B. Lovelace Hon. John D. Macomber • Donald E. Petersen Richard L. Schall • John W. Sweetland WWII to the war in Iraq. Civil Rights to Go Green. TB to HIV. Radio to the internet. The earth to the moon to the quark. BOARD OF DIRECTORS FISCAL YEAR 2008 Poverty begets poor health. Poor health begets poverty. CHAIRMAN Stanley C. Hatch VICE CHAIRMAN James A. Shattuck Sweeping changes and confounding constants of the last 60 years. SECRETARY Bruce N. Anticouni TREASURER Kenneth J. Coates Direct Relief, too, has changed. In 1948, its immigrant founders,

Rick Beckett • Frederick P. Burrows • Jon Clark William Zimdin and Dennis Karczag, provided people in Europe dev- Thomas J. Cusack • Killick S. Datta astated by World War II with food, clothing, and medical aid, recog- Ernest H. Drew • Gary Finefrock • Louise Gaylord nizing that equal amounts of energy and resources would be needed Richard Godfrey • Bert Green, M.D. to restore the continent as those spent ravaging it. Now Direct Relief Brandt Handley • Raye Haskell • Priscilla Higgins aligns healthcare professionals in the most impoverished communi- Brett Hodges • Tara Holbrook • Ellen Johnson ties on Earth with medical resources from the most trusted manu- Lawrence Koppelman • Dorothy Largay facturers – resources necessary to bring health to the sick. Donald J. Lewis • Alixe G. Mattingly Robert C. Nakasone • Natalie Orfalea But Direct Relief is also constant. Just as it was in 1948, humanitar- Carmen Elena Palomo • James Selbert ian assistance is provided respectfully by working with indigenous Ayesha Shaikh, M.D. • Ashley Parker Snider groups, carefully through tailored support, and without regard to Richard Steckel, M.D. • Paul H. Turpin ethnicity, politic, religion, gender, or ability to pay. Sherry Villanueva For Direct Relief, 60 years of humanitarian support means honoring

HONORARY BOARD our founders’ ethic – recognizing where there is need and how we PRESIDENT EMERITUS Sylvia Karczag can help. Be it maternal mortality in Malawi or diabetes in the DIRECTOR EMERITUS Dorothy Adams United States, response to an earthquake in Peru or the AIDS pandemic, Direct Relief remains nimble through the shifting context of global health and steadfast in its commitment to a healthier 27 South La Patera Lane world. Santa Barbara, CA 93117 T (805) 964-4767 F (805) 681-4838 WWW.DIRECTRELIEF.oRG

COVER PHOTO: Brett Williams A pharmacist dispenses prescriptions from the Afghan Institute of Learning’s clinic in Kabul, Afghanistan. Direct Relief medical supplies arrive in Addis Ababa, Ethiopia in 1984. 2 Message from the Chairman and the President & CEO

Direct Relief exists for the simple, humanitarian purpose by Mr. Frank Magid were again essential to all our of helping people whose health and lives are threatened organization’s activities over the dynamic period covered by poverty, endemic diseases, natural disasters, or civil by this report. con ict. Our work in Fiscal Year 2007 reached 862 healthcare On a day-to-day basis, ful lling our mission in a dynamic partners in 59 countries, including the U.S., where we world involves complex activities in many functional expanded a program to strengthen nonpro t health areas – strategic planning, information technology, centers and clinics and allow low-income, uninsured  nancial management, governance, fundraising, persons to receive prescription medicines free of charge. operations, international logistics, and public health and market analysis. We think investors in our organization Highlights of this year’s efforts are detailed in this report should know how seriously we take these issues, and and on our website. Included are pro les of our work in that we spend signi cant time and resources to improve Central America, where Direct Relief collaborated with our performance. But we push hard on these business local partners and the government in El Salvador to aspects of our work because they are means to the greater initiate a nationwide Vitamin A distribution program end of serving people in a more ef cient, thoughtful, and to combat preventable blindness among children. In For 60 years of meaningful way. Africa, we launched new partnerships to support hospices that are providing critical care for people and families volunteer service, In  nancial terms, Fiscal Year 2007 was marked by the struggling with the effects of HIV/AIDS, provided new highest level of support, over $240 million in cash and surgical suites at key referral hospitals, and supplied this report is in-kind material and services, since our founding in delivery equipment for midwives and health professionals 1948 – all from private sources. We received increased handling thousands of births. In Asia, Direct Relief dedicated to our support for our humanitarian efforts from individuals, continued to support excellent community-based health foundations, service groups, dozens of the world’s leading services in areas still recovering from the 2004 tsunami Board of Directors healthcare companies, and other corporations, such as and the 2005 Pakistan earthquake, as well as innovative FedEx and Google. programs serving people facing hardships in Cambodia, Laos, Nepal, and Papua New Guinea. In addition, Direct Relief received an unanticipated and unprecedented gift from the estate of Mr. H. Guy Di As we approach our 60th anniversary, we remain deeply Stefano, a long-time donor. This gift, which has been committed to serving people in the most ef cient, placed in a separate, supporting organization wholly respectful manner possible. controlled by Direct Relief’s Board of Directors, will be used to expand our assistance programs, establish a Please accept our heartfelt thanks for your interest and fund for rapid emergency response, and strengthen our involvement in the work of Direct Relief International. information technology backbone that is increasingly important to expanding our assistance.

Moreover, with this gift we also will pay all our organization’s overhead expenses of administration and fundraising, which have historically been among the lowest of any U.S. nonpro t organization, and in recent years have often been covered by personal gifts from our Board of Directors and members of our Advisory Board. This means that every dollar we receive in support will be applied directly to programmatic efforts.

The leadership, guidance, and generosity of our all- STANLEY C. HATCH, THOMAS TIGHE, 4)"-&&$&)""4 volunteer Board of Directors and Advisory Board led Chairman President & CEO *OUFSOBUJPOBM1SPHBNT

International Programs

Health has intrinsic value for every person. It is essential for people to learn, work, and make a living. Sick people can’t work, and they get poor or stay poor; and people who are poor are at higher risk of getting sick. Access to quality health services is integral to creating positive change for people stuck in this cycle.

Direct Relief is a support organization, aimed to strengthen existing, fragile health systems that serve people who are poor. We work hard to ensure that the healthcare professionals in impoverished communities worldwide are able to maintain, expand, and improve health services to people.

In turn, the people served have a better chance to survive, become healthy, and realize their inherent human potential.

While working to strengthen basic health services in resource-poor areas, Direct Relief places a high priority on focused programs serving women and children, and people with HIV/AIDS. %"/*&-305)&/#&3(

5 6 */5&3/"5*0/"-130(3".4 i5)*4130(3". "-0/(8*5)%*3&$53&-*&'4 "/5*3&5307*3"-5)&3"1:%36(%*453*#65*0/ 130(3".#&(6/-"45:&"3 3&13&4&/54")6(& Breaking the Cycle -&"1'038"3%*/063"#*-*5:50)&-1-0$"- )&"-5)1307*%&34*%&/5*':"/%$0.#"5)*7 )FMQJOH)*71PTJUJWFNPUIFSTQSPUFDUUIFJSCBCJFT "$30445)&(-0#&w o5IPNBT5JHIF %JSFDU3FMJFG*OUFSOBUJPOBM1SFTJEFOU$&0 #3&558*--*".4 "##055 "##055 "##055 "//*&."98&--

Every 48 seconds, a child is infected with HIV, the virus that causes AIDS. This is a making it ideal for areas that may lack steady access to either resource. If a pregnant woman profound human tragedy whose primary cause is preventable. Without medical intervention, tests positive for HIV, the healthcare provider can begin free therapy to prevent the baby the chance that a mother will pass along the virus to her child is as high as 30 percent, but from being infected with the virus. with proper testing and antiretroviral therapy, this chance can be nearly eliminated. Between 2002 and 2007, Abbott donated more than 9.8 million rapid HIV tests to Direct Relief and medical material donor Abbott are acting to eliminate the barriers to prevention programs throughout the developing world. Over 7.7 million pregnant women testing in countries where mothers and their children face the greatest threat. In 2007, on have been tested with Determine®, and 855,000 of those women tested positive for HIV. Two behalf of Abbott, Direct Relief began distributing free Determine® HIV rapid test kits in 69 million spouses and children of the pregnant women tested were also screened. developing countries, including all countries in Africa, where the burden of HIV is heaviest. In many developing countries, Direct Relief works closely with ministries of health and Abbott has been distributing the free test kits internationally since 2002; it approached other major healthcare networks to distribute the test kits. The Rwandan Ministry of Health, Direct Relief to run the program because of Direct Relief’s track record of delivering needed one of the rst to subscribe to the program, has already tested 750,000 pregnant women, supplies to those who can do the most good with them. returning 38,000 positive results.

“This program, along with Direct Relief’s antiretroviral therapy drug distribution In Kenya, where UNAIDS estimates 8.3 percent of adult females are HIV positive and program begun last year, represents a huge leap forward in our ability to help local health 117,000 children under 14 are infected, Direct Relief partner Elizabeth Glaser Pediatric AIDS providers identify and combat HIV across the globe,” said Thomas Tighe, Direct Relief Foundation has tested 177,000 expectant mothers, 8,600 of whom were HIV-positive. President and CEO. Thanks to Direct Relief and Abbott’s partnership, HIV-positive women will have the The test is quick – results take 15 minutes – and requires no electricity or water, chance to protect their babies from this devastating virus. 8 */5&3/"5*0/"-130(3".4 9

i$0 6 / 5 & 3  50  5 ) &  $0 / 7 & / 5 * 0 / " -  " . & 3 * $" /  6/%&345"/%*/(0'5)&5&3. )041*$&$"3&*/ "'3*$"*4/050/-:$0/$&3/&%8*5)5)&$"3&0' Architects of Recovery 5)&%:*/(#65"-408*5)1"5*&/546/%&3(0*/( 53&"5.&/5"/%8)0)"7&5)&105&/5*"-503&563/ 50-*7*/(/03."--*7&4w

o  % S  .JLF  .B S L T  % J S FD U  3FM JFG  "G S JD B  .FE JD B M  "EW JTPS  $ MJOJDBMPæD FSUSBJOJO H IFMQ TU PSFCVJME 4")"3"/"'3*$" '06/%"5*0/'03)041*$&*/46# 4PVUIFSO4 VEBOTIF BMUIDBSFTZ TU FN

Living with HIV/AIDS The graduates of the clinical ofcer training program in southern Sudan are the architects of recovery for the )PTQJDFBOEQBMMJBUJWFDBSFCSJOHEJHOJUZUP"GSJDBOTXJUIUFSNJOBMEJTFBTFT region’s health system, decimated by decades of civil war. The need for trained health workers in Southern Sudan An estimated 22 million people in sub-Saharan Africa live with HIV/AIDS, and for many of is great: Among the population, estimated at between 9.7 them access to the long-term care necessary to combat the virus is lacking. Stigma, noncompliance, and 12 million, there is only one doctor for every 100,000 resistant strains of the virus, and problems with access to specialist care all impede treatment. %3.*,&."3,4 people. For every 1,000 live births, 250 infants and more than 20 mothers die. Clinical ofcers trained to assume the role of a physician – providing diagnosis and For these patients, hospice and palliative-care groups represent a key provider of care. These treatment, conducting surgical procedures, and educating communities – are helping to ll the void. dedicated groups focus on traditional end-of-life care and, increasingly, treatment to prolong and improve the quality of patients’ lives. Hospices – serving patients who usually have no income and In partnership with African Medical and Research Foundation (AMREF) and the Ministry of are very poor – typically lack nancial and basic material resources to enhance and expand their Health, Direct Relief committed $192,000 to sponsor 30 clinical ofcer students at the National Health services. Training Institute (NHTI) in Maridi, who began their coursework in January 2008. The program is open to Sudanese nationals who have met preliminary health worker qualications. Students from different Direct Relief has forged partnerships with the Foundation for Hospices in Sub-Saharan Africa ethnic groups and remote areas are actively recruited for the program, which pays for tuition, room and the Hospice Palliative Care Association of South Africa to help provide needed resources. In and board, insurance, a personal stipend, and transportation. After completing the three-year course, Fiscal Year 2008, Direct Relief sent $938,338 (wholesale) worth of material, representing 467,793 graduates intern for a year at one of seven hospitals, and are then required to work in their communities courses of treatment, to hospice partners in Kenya, South Africa, Uganda, and Zimbabwe. for three years.

“Counter to the conventional American understanding of the term, hospice care in Africa is not “The Human Resources for Health (HRH) Crisis in Southern Sudan is only concerned with the care of the dying, but also with patients undergoing treatment and who severe,” says Dr. Peter Ngatia. “In the next ve years, it is projected that this have the potential to return to living normal lives,” explained Dr. Mike Marks, Direct Relief’s Africa country, which has known no peace since independence from Britain in 1956, Medical Advisor. i*/5)&/&95'*7& will need 1,500 clinical ofcers – a tenfold increase of the current production :&"34 <4065)&3/ of NHTI, the only clinical ofcer training school. We may not be able to These groups provide an array of services. In addition to caring for patients, they provide care for 46%"/>8*--/&&% achieve this, but with the generous support of Direct Relief we will double the family members who may be watching over a sick loved one, as well as placement services and care  $-*/*$"- production in the next two years.” for orphaned children. In the past year, hospice and palliative-care organizations have also begun 0''*$&34o"5&/'0-% furnishing antiretroviral drugs to patients with HIV/AIDS. */$3&"4&0'5)& Maridi County Hospital, within walking distance of the training institute $633&/5130%6$5*0/ and also operated by AMREF, has the potential to become an ideal teaching On May 15, 2007, Direct Relief participated in the launch of the Diana Legacy Fund, in San 0'/)5* 5)&0/-: facility for the students of NHTI, but it has been woefully ill equipped. To help Diego, . The charity, which honors the memory of the late Princess Diana, was established 4$)00-8*5)5)& outt the hospital and its satellite rural clinics, Direct Relief provided medical ( & / & 3 0 6 4  4 6 1 1 0 35  to bring comfort and solace to the dying and their families; it supports the work of the Foundation supplies, equipment, and pharmaceuticals worth $230,000 (wholesale) in 0'%*3&$53&-*&'8& for Hospices in Sub-Saharan Africa. At the dedication ceremony, Direct Relief President and CEO November 2007. Specically requested aid will be provided on an ongoing basis, 8*--%06#-&5)& Thomas Tighe spoke alongside Nobel laureate Archbishop Desmond Tutu about the importance of with a plan for two similar donations of medical material per year. palliative and hospice care. 130%6$5*0/*/5)& /&955 80:&"34 w o  % S  1 FUF S  /H BU JB  " . 3 & '  % J S FD UP S  PG  $B Q BD JUZ  #V J ME J O H  B O E  )V N B O  3FTPV S D FT  GP S  )FB MU I  %FW FMP Q N F O U   *OUFSOBUJPOBM1SPHBNT

10 */5&3/"5*0/"-130(3".4

i."-/653*5*0/*45)&$"64&0'.045 )&"-5)130#-&.4'06/%".0/($".#0%*"/$)*-%3&/ "4"/634&&%6$"503 *7&4&&/'*345)"/%5)&*.1035"/$& 0'5)&/653*5*0/"/%53"*/*/(130(3".4"5")$w o.BOJMB1SBL "OHLPS)PTQJUBMGPS$IJMESFO/VSTJOH&EVDBUJPO$PPSEJOBUPS

care, intensive care, and surgical units. Patients are treated for free if they cannot pay, and indeed, often the cost of transportation to the hospital is prohibitive for many families with sick children.

In partnership with Abbott and AHC, Direct Relief is working to alleviate this staggering problem. Since 2003, Direct Relief has provided more than $2 million (wholesale) of medical material support to the hospital, including Abbott-donated nutritional and rehydration products to complement the nutrition program, as well as anti-infectives and pharmaceuticals that the hospital requested.

Abbott provides medicines and nutritional supplements that help patients regain basic health and funds ongoing programs that teach families and children to grow, cook, and eat foods that

.340"/%40 will keep them healthy and well nourished. AHC’s staff includes a nutrition-education nurse, a demonstration cook, and a gardener. The AHC team has taught 3,000 families about better nutrition, trained 270 health professionals, and conducted health assessments for more than Innovative Programs Feed Hope 135,000 children. AHC has trained numerous Cambodian medical, nursing, and management personnel, many of whom it now employs.

"OHLPS)PTQJUBMGPS$IJMESFOJO$BNCPEJBXPSLTUPFOE As Cambodia rebuilds its health system, decimated during the Khmer Rouge regime, Angkor SBNQBOUNBMOVUSJUJPO Hospital for Children has become a source of hope for improving pediatric care throughout the country.

The smell of cooking lls the air in the courtyard of the Angkor Hospital for Children (AHC) in Siem Reap, Cambodia, where patients’ relatives are preparing lunch. The healthy foods purchased daily by the hospital for needy families – sh, meat, vegetables – are part of an innovative, comprehensive program to combat one of Cambodia’s most alarming health issues: malnutrition in i&/06()'00%8"41307*%&% children. '03.&"/%.:(3"/%$)*-% "/% 5)&'00%8"4.6$)#&55&35)"/ According to the United Nations Development Program, 45 percent of children under age ve in .:'00%"5)0.&7&(&5"#-&4  Cambodia are underweight and deprived of micronutrients. The patients seen at Angkor Hospital .&"54 '36*54 "/%%&44&354 for Children conrm this grim statistic. While the hospital sees plenty of cases of dengue fever, &%6$"5*0/8"4(*7&/"#065 dysentery, tuberculosis, HIV/AIDS, malaria, and intestinal parasites, 66 percent of children are ."-/653*5*0/40*$"/'&&%.: admitted for malnutrition and dehydration, and 10 percent of those cases are severe. (3"/%$)*-%1301&3-:w

Established in 1999, and one of two teaching hospitals in the country, AHC provides outpatient o4PSO3BJ ")$QBUJFOUBOE care to 300 to 500 children a day, plus 24-hour emergency service. Its facilities include inpatient HSBOENPUIFS

*/5&3/"5*0/"-130(3".4 11 Vivir Con Diabetes

"UUIF'PSFGSPOUPG)FBMUIJFS-JGFTUZMFTJO#PMJWJB diabetes. Outreach services strive for early detection and diagnosis, and the main clinic provides complimentary treatment for those who’ve developed related visual, neural, and circulatory problems.

Direct Relief has supported CVCD since its inception with primary care medicines and medical supplies that aid the treatment of diabetes-related conditions. %3&-*;"#&5)%6"35&(0.&; Abbott has come to CVCD’s aid with blood $7$%TUBåDPOEVDUEJBCFUFTUFTUTXJUI"CCPUUEPOBUFE glucose meters and test strips critical to QSPEVDUTEVSJOHPOFPG$7$%TPVUSFBDIBOEEFUFDUJPO early detection and monitoring, allowing DBNQBJHOTUPUIFQSPWJODFPG$MJ[B #PMJWJB&EVDBUJPOBMUBMLT BOENFEJDBMMJUFSBUVSFBCPVUEJBCFUFTBSFBMTPQSPWJEFEUP for control of the disease through regular DPNNVOJUJFTWJTJUFE clinic visits and education. The company’s philanthropic foundation has also provided cash grants to bolster the clinic’s outreach services.

With Abbott’s and Direct Relief’s help,

%3&-*;"#&5)%6"35&(0.&; CVCD has gone mobile. Over 13,000 people have been screened for diabetes in eight of the nine major Bolivian cities by clinic staff Nineteen million people are estimated to have diabetes in Latin America and the Caribbean in the last four years. Of those screened, according to the International Diabetes Foundation, and that number is expected to double to 40 CVCD discovered that 7.9 percent had i5)&)"11*/&448&'&&- "5#&*/("#-&50(*7& million by 2025. previously undiagnosed cases of diabetes. Those diagnosed learned from the outset 505)04&*//&&% 8*5)065 8033:*/("#0658)"5*5$0454  As daunting as these statistics are, the day-to-day realities of living how to properly manage their diabetes, *4*/%&4$3*#"#-& with diabetes in an area without adequate care are far worse. Fortunately, and by living healthier lives, they have less 4*/$&  the many health complications related to diabetes can be minimized or impact on an already nancially strapped %*3&$53&-*&'"/%"##0551307*%& %*3&$53&-*&' eliminated entirely through early detection and changes in daily lifestyle. public health system. ."5&3*"-4'0326"-*5:$"3&w )"41307*%&% o&MJ[BCFUI%VBSUF(PNF[ .%  07&3.*--*0/ In Bolivia – where 4.8 percent of the population is diabetic – the In addition to screenings, CVCD has &M$FOUSP7JWJS$PO%JBCFUFT 8)0-&4"-& */ nonprot El Centro Vivir Con Diabetes (CVCD) works at the forefront of distributed printed materials explaining 'PVOEFSBOE%JSFDUPS .&%*$"-."5&3*"- diabetic support in the city of Cochabamba, where CVCD estimates 9.4 diabetes management, conducted group and "44*45"/$& percent of adults are suffering from diabetes. For seven years, the clinic individual disease education using Abbott- 50#0-*7*"&- $&/5307*7*3 has focused on lifestyle education and nutritional counseling along with contributed glucose meters and strips, and $0/%*"#&5&4)"4 providing treatment for the most common diseases that accompany diabetes. trained 604 health professionals (doctors, #&/&'*55&%'30. By offering extensive health education and promoting healthy eating habits, nurses, and pharmacists) on the latest 07&3.*--*0/ the clinic works against the lifestyle trends that increase the incidence of diabetes detection and treatment methods. 0'5)"5"*% */5&3/"5*0/"-130(3".4 13 Domestic Programs

Millions of people in the United States would go without healthcare if it weren’t for the clinic partners Direct Relief supports. We provide medicines and resources to community health centers, free clinics, and nonprot community clinics that treat low-income, uninsured patients who often struggle to pay for health care and have limited access to treatment.

In Fiscal Year 2008, Direct Relief provided 3.5 million prescriptions (valued at approximately $70 million wholesale) to more than 1,000 healthcare providers treating at-risk patients. From insulin for the chronically ill to emergency modules for hurricane prone communities, Direct Relief seeks new ways to strengthen the safety-net that catches the millions of working-poor who have fallen through the cracks.

Looking forward, we are continuing our efforts to create a program that puts any donated drug within reach of any uninsured American who would be otherwise unable to afford it. 15 ."3("3&5.0--0: %PNFTUJD1SPHBNT *OTVMJO

16 %0.&45*$130(3".4

Injecting Resources into Safety-Net Clinics

1SPWJEJOHJOTVMJOUPEJBCFUJD"NFSJDBOT i:063%0/"5*0/4.&"/<0631"5*&/54>%0/5)"7& 504"$3*'*$&03.",&"%&$*4*0/8)&5)&350&"5 03#6:.&%*$"5*0/4w o+FBO%JFCPMU )PQF1SPKFDU.FEJDBM%JSFDUPS 5FOBIB 5FYBT Diabetes affects about 5.5 percent of the U.S. population, but at Direct Relief’s Federally Qualied Health Center partner clinics, that number jumps to 6.2 percent. Patients seen at these clinics are often Across the U.S., 65 Direct Relief partner poor and uninsured, without the means clinics – serving a combined 670,000 patients to access affordable medications. annually – received the donated insulin, Through U.S. health centers and valued at over $520,000 (wholesale). clinics, Direct Relief assists people who “I cannot begin to tell you how important do not qualify for private or government- this is to our clinic,” said Jean Diebolt, medical sponsored insurance programs, and cannot director at the Hope Project in Tenaha, afford their necessary medications – including . “The nearest place for patients to get those for chronic conditions like diabetes. prescriptions lled is 10 miles [away]. Some of So when sano-aventis offered Direct the patients do not have transportation or funds Relief a donation of more than 17,000 cartridges to afford the meds. If not for Direct Relief, some of its insulin product Lantus, a medication would be seriously ill and medically compromised. commonly used to treat diabetes, it would fulll The help that we give them with your donations a great need for our partner clinics’ patients. means they can stretch their housing and food money [and] don’t have to sacrice or make a “With so many diabetic clients, this decision whether to eat or buy medications.” free offer is of tremendous assistance to our /&"3-:0/& clients,” said Veronica Flores, of the Sierra Since Lantus is temperature-sensitive, 5)*3%0' Health Center in Fullerton, California. Direct Relief established a partnership with /0/&-%&3-:64 “Thank you for your continuous support to a third-party shipper that specializes in "%6-548*5)065 ensure the health of underserved, indigent temperature-controlled delivery. This system */463"/$& populations in our community.” can be used in subsequent deliveries of sensitive )"7&"5-&"45 medications, broadening the possibility for future 0/&$)30/*$ support to resource-challenged U.S. clinics. $0/%*5*0/ o"OOBMTPG*OUFSOBM .FEJDJOF 7PM /P Prepositioning Peace of Mind

18 %0.&45*$130(3".4

“Typically, during the rst 72 hours after a disaster, roads are damaged and clinics see surges in their patient loads, greatly complicating the ability of aid organizations like Direct Relief to assist rst responders,” said Damon Taugher, Direct Relief’s director of domestic initiatives and coordinator of the organization’s response to Katrina and Rita.

By sending modules before an emergency strikes, delivery delays are eliminated and medical professionals have the tools they need to treat the many injuries that occur from the minute response begins. This preparation also lessens the burden on other area healthcare providers and rst responders, including hospital emergency rooms.

Franklin Primary Health Center (FPYC), a hurricane module recipient, serves low-income %JSFDU3FMJFGTUBå QSFQBSFTFNFSHFODZ and underinsured patients in Mobile, Alabama. FPHC was in the path of 2007’s most potentially QSFQBSFEOFTTNPEVMFT destructive storm, Hurricane Dean. XJUIQSPEVDUT BOETVQQPSUGSPN #PFISJOHFS*OHFMIFJN  Charles White, CEO of FPHC, wrote “Last month we observed the two year anniversary of %FZ-BCPSBUPSJFT BOE 1m[FS BNPOHPUIFST  Hurricanes Katrina and Rita, while Dean, another Category 5 storm, was threatening the Gulf of CPVOEGPS(VMG$PBTU DMJOJDT Mexico. Our preparation would not have been complete without your continued support and your recent donation. We saw rsthand how invaluable your assistance was as we struggled to reopen "/%3&8'-&5$)&3 our centers after .”

Ready From Minute One Direct Relief will continue to distribute hurricane preparedness modules annually to support those providing care to the most vulnerable communities during an emergency. "1SPBDUJWF"QQSPBDIUP)VSSJDBOF1SFQBSFEOFTT

&.&3(&/$:.0%6-&45053&"5 redictions indicated an active 2007 hurricane season in the United States, citing as many as 10 1"5*&/54'03)0634*/$-6%&% P “Our preparation [for the 2007 potential hurricanes. For Direct Relief, the lessons of Hurricanes Katrina and Rita in 2005 were ".0/(."/:*5&.4 hurricane season] would not have been complete without well learned: Emergencies can strike at any time, and preparation is the best defense. your continued support and your "OUJJOGFDUJWF#JBYJOUBCMFUT HMVDPTFUFTU recent donation.” LJUTBOETUSJQT BOE1FEJBTVSFGPSDPNCBUJOH “This has been a great benet for our underserved EFIZESBUJPO BMMGSPN"CCPUU patients. Thank you for what you do.” – Charles White, CEO, Franklin Based on its past and continued work with Gulf Coast health center and clinic partners, Direct Primary Health Center, Mobile, – Valerie Powell, Lone Star Family Health Center, Alabama Relief developed a hurricane preparedness module specically designed to help clinics respond to .PCJDUBCMFUTGPSQBJONBOBHFNFOUGSPN Conroe, Texas #PFISJOHFS*OHFMIFJN the unique characteristics of hurricanes and other emergencies. &QJ1FOTGPSFNFSHFODZFQJOFQISJOF EPTFTGSPN%FZ-BCPSBUPSJFT “We were very fortunate to not Selected for their location, past experience with emergency response, patient populations, and have a hurricane last season. 1SPWFOUJMJOIBMFSTGPSBTUINBGSPN We distributed all of the supplies capacity to treat victims during a disaster, 16 partner health centers and clinics received these 4DIFSJOH1MPVHI from the module this rst week of December 2007 to all of our clinic prepositioned modules. "OUJJOnBNNBUPSZ*CVQSPGFOBOE sites. The supplies and medications $IJMESFOT5ZMFOPMUBCMFUT were used for patient care; nothing was wasted.” "OUJJOGFDUJWFQFOJDJMMJOBOEEPYZDZDMJOF Stocked with enough materials to treat 100 patients for 72 hours, the modules help providers – Pati Landrum, Southeast Mississippi Rural Health treat conditions ranging from basic trauma injuries to chronic conditions. They can also be easily .FUGPSNJOGPSEJBCFUFTUSFBUNFOU Initiative, Hattiesburg, Mississippi

merged into clinics’ regular inventories if not needed for emergency response. &YBNHMPWFT

(BV[FCBOEBHFT The contents were chosen based on analysis of product shortages following Hurricanes Katrina and Rita, and in conjunction with Direct Relief’s participation on the Texas Blue Ribbon Commission on Emergency Preparedness and Response, convened by Governor Rick Perry in the aftermath of Katrina. Emergency Response

Disasters often hit resource-poor areas the hardest, quickly overwhelming often already compromised health systems. Direct Relief targets these areas before emergencies take place, building relationships and supply lines that will help us work efciently and effectively when disaster strikes.

In times of emergency, Direct Relief moves quickly to supply local healthcare professionals with needed medical and nancial assistance to ensure they continue providing care to those affected. Because local people are the rst responders, have the most at stake, and will be there for the long run, targeting our assistance to them will help avoid the duplication of efforts, wasting resources, and logistical bottlenecks.

In Fiscal Year 2008, Direct Relief was able to provide health facilities responding to emergencies with over $14 million (wholesale) in emergency medical support and $1,221,000 in emergency cash assistance. This effort of over 100 shipments and 23 grants reached 18 partners in 14 countries on four continents, and provided two million courses of treatment to people struck by natural disasters and civil conict.

21 #3&558*-,*/40/ Direct Relief’s response to natural disasters and civil unrest has long yielded sustained medical support  to compromised health systems, T often spanning decades after the initial emergency. Our founders’ rst shipments to war-torn Europe framed the organization’s mission. Help provided to refugees of the Korean War catalyzed over 40 years of assistance to the country. And more recently, Direct Relief’s work in the Gulf States in the aftermath of Hurricane Katrina provided the foundation for a domestic program that has since supported the healthcare safety-nets of every state in the U.S. EMERGENCY RESPONSE 07&35)&:&"34 T During the early 1980s, %JSFDU3FMJFGGPVOEFST Cambodian 8JMMJBN;JNEJO MFGU  refugees ed the Khmer Rouge BOE%FOOJT,BSD[BH to Thailand (left). Millions lived in exile without adequate resources. Direct Relief provided thousands of pounds of Direct Relief continues to aid medical and nutritional products to health

those affected by WWII by facilities and refugee camps. Our work in  providing relief parcels and the country didn’t end with the collapse of $BNCPEJBOSFGVHFF DBNQ 5IBJMBOE nancial assistance to affected T the Khmer Rouge, and in Fiscal Year 2008 communities in Greece, Italy, Austria, Yugoslavia, Direct Relief supported Cambodian healthcare professionals with over 800,000 courses of medical treatment, Germany, Russia, and Estonia. Aid is also extended valued at over $2 million (wholesale). See page ___ for more on our recent work in Cambodia. to Chinese Civil War refugees in Hong Kong. At left, the rst Direct Relief humanitarian provision arrives in China. Shortly after the Dalai Lama ed the Chinese occupation of Tibet in 1959, and at the request of the Tibetan Department of Health of the Government- Direct Relief focuses its work to in-Exile, Direct Relief established the Tibetan medical assistance. From an ofce Refugee Tuberculosis Control and Primary established in Seoul, Korea, the Healthcare Program, supplying anti-tuberculosis T organization sees to the long- and other essential drugs to Tibetan refugee settlements recovering healthcare throughout Indian and Nepal for the next three decades. infrastructure still reeling Here, Direct Relief board from the Korean War member emeritus Jean (right) and to the newly displaced Hay welcomes the Dalai and rapidly growing refugee Lama to Santa Barbara populations of South Vietnam. T in 1996. EMERGENCY RESPONSE 07&35)&:&"34 %FDFNCFS "VHVTU

In response to the tsunami that forever altered life for millions of people in coastal communities on the Indian Ocean, Working alongside longtime partners the Catholic Archdiocese Direct Relief has provided $57 million in direct aid, including  of Lima and the Peruvian American Medical Society, Direct  over $14 million in emergency cash assistance, and continues Relief responded to the August 15, 2007, 8.0-magnitude to enable local health organizations serve those who both lost earthquake in Peru with $4.2 million (wholesale) in the most and have the most at stake in long-term recovery. specically requested emergency supplies.

With funding from Direct Relief, the Amrita Institute of The Peruvian Ministry of Health informed Direct Relief that Medical Science (AIMS) in southwestern India equipped a telemedicine van (right) to bring care to the many people the country was in need of Hepatitis B and rotavirus vaccines among the hardest hit populations. Together with too remote, sick, or poor to get to a hospital. In two years, the van has brought state-of-the-art care to 40,000 people Merck & Co., Inc., Direct Relief was able to deliver $1.8 million (wholesale) worth of vaccines to the Ministry for in tsunami-affected communities, using video conferencing and real-time transmission of medical information to immunization of children and adults (left). connect AIMS hospital staff with otherwise disenfranchised patients. "VHVTU 0DUPCFS As wildres swept through Southern California, Direct Relief Beyond the immediate and short-term efforts of Direct Relief in the Gulf States worked to support residents with resources needed for recovery following hurricanes Katrina and Rita – including $4.6 million in through 71 shipments – including over 80,000 masks for  cash grants to clinics and health centers and over $31.8 million (wholesale)  locals and emergency personnel – valued at over $1.4 million in medical products – the organization has worked to address the structural (wholesale). Over $560,000 in emergency cash assistance gaps in the health system that leave so many uninsured and working poor was provided to clinics and reghters, including $400,000 to Americans without care. See the section beginning on page ___ to learn more the Council of Community Clinics on behalf of their 17 San about Direct Relief’s work in the U.S. Diego County health centers, and $50,000 to the California Department of Forestry’s Fireghters Benevolent Fund. 0DUPCFS %FDFNCFS Anticipating the massive need for rehabilitative services to treat the many traumatic injuries after the 7.6-magnitude The widespread civil strife that broke out in the aftermath of Kenya’s earthquake struck Pakistan on October 8, 2005, Direct  December 27, 2007, presidential election was unexpected and violent. Relief funded and continues to support the Pakistan Institute Protests sparked by disputed election results and allegations of vote- of Prosthetic and Orthotic Science (PIPOS), the country’s only  counting impropriety gave way to ghting along political and then tribal prosthetic training facility and limb manufacturing center. lines. Dr. Hezron Mc’Obewa (left), director of the Kisumu, Kenya-based Direct Relief’s cash assistance established three PIPOS clinic OGRA Foundation, aided people from all groups caught in the crossre. sites in Bagh, Balakot, and Besham (left), and covers the operating expenses for each facility for three years. The day violence broke out, Direct Relief wired $10,000 to OGRA to purchase needed medicines and fuel, organized airfreight shipments of additional emergency supplies, and committed In all, Direct Relief has supported Pakistan earthquake- more than 136,000 courses of antiretroviral medicine for patients with HIV whose treatment was disrupted by the affected communities with over $7.5 million (wholesale) in medical material, representing 1.5 million courses of violence. Soon after, Direct Relief contributed an additional $100,000 to help transport displaced families, supply treatment, and over $1 million in grants to 11 local healthcare organizations. essential medicines, and support surgeons, doctors and nurses.

0VS1BSUOFST

 0631"35/&34

FISCAL YEAR 2008 SUPPORT

Africa = Total Wholesale Value = Total Weight = Courses of Treatment

LIBERIA SOUTH AFRICA Christian Aid Ministries , Monrovia Eastern Cape Hospices, Port Elizabeth ELWA Hospital, Paynesville City Tshisimane Healing Center, Soutpansberg Imani House Clinic, Monrovia JFK Medical Center, Monrovia 49,098 7,636 lbs. 91,619 Mount Sinai Surgical Team, Monrovia

30,812,132 3,814,730 89,001 lbs. 697,374 SUDAN  602,415 lbs. AMREF/National Health Training Institute, Maridi $'! $!&!!(   $'!  '   !& 13,991,373 MADAGASCAR 228,906 14,605 lbs. 232,917 $(%&&$%'"#'    Marie Stopes Madagascar, Antananarivo  %'! %'#%$(#'% & 94,183 4,658 lbs. 150,197 TANZANIA Dr. Atman Hospital, Sumbawanga MALAWI Huruma Designated District Hospital, Rombo KADERES, Karagwe Banja La Mtsogolgo, Marie Stopes Tanzania, Dar es Salaam Marie Stopes Malawi, Blantyre Mpanda District Hospital, Mpanda BURUNDI College of Medicine, Blantyre Namanyere Hospital, Namanyere Montfort Hospital, Nchalo Shirati Hospital, Shirati Jabe Hospital and Rohero Emergency Clinic, Bujumbura Mulanje Mission Hospital, Mulanje Sumbawanga Regional Hospital, Sumbawanga 197,678 4,322 lbs. 284,731 Partners in Hope Medical Centre, Lilongwe Tanzania Women Social Economic Development Queen Elizabeth Hospital, Blantyre and Human Rights Organization, Kigoma Trinity Hospital, Limbe CAMEROON 1,521,364 55,481 lbs. 3,218,487 2,062,800 56,407 lbs. 748,883 Help Medical Foundation, Douala Holy Trinity Foundation Hospital, Ekona UGANDA Kolofata District Hospital, Mora NIGER Manyemen Presbyterian Hospital, Manyemen AMREF Uganda, Soroti Rural Community Medical Foundation, Kumba Galmi Hospital, Galmi Hospice Africa Uganda, Kampala Shemka Foundation/Quality Healthcare Unit, Yaoundé TurtleWill, Agadez Jinja Municipal Council, Jinja St. John of God Health Centre, Mamfe Joy Hospice, Mbale 31,538 1,310 lbs. 66,433 Kitovu Mobile, Masaka 875,1120 26,331 lbs. 397,787 Rakai Community Based Health Project, Kampala Rays of Hope Hospice, Jinja NIGERIA Rugendebara Foundation for Health, Kasese DEM. REPUBLIC OF CONGO Antof Rural Resource Development Center, Oron Uganda Reproductive Health Bureau, Kampala Aungba Health Zone, Aungba Victory International Ministries, Aba 4,716,329 36,956 lbs. 658,436 Project de Lutte Contre Les Handicaps Visuels, Boma 79,070 429 lbs. 4,709 1,287,097 18,394 lbs. 224,287 ZAMBIA RWANDA ETHIOPIA Angel of Mercy, Lusaka CHF/CHAMP, Kigali Kala Health Center, Kawambwa Addis Ababa Fistula Hospital, Addis Ababa Kasaba Mission Hospital, Mansa The World Family: Ethiopian Orphans and 165,267 20,549 lbs. 1,194,254 Kawambwa Hospital, Kawambwa Medical Care, Addis Ababa Lubwe Mission Hospital, Samfya Lusaka District Health Management, CIDRZ, Lusaka 101,643 16,696 lbs. 106,845 SENEGAL Mambilima Mission Hospital, Mansa Mansa General Hospital, Mansa Clinique Seydina Issa Laye, Dakar Mbereshi Mission Hospital, Kawambwa GHANA The Association of Villagers at N’Dem, N’Dem Samfya Health Center, Samfya Borae Health Clinic, Somewhere 10,200 146 lbs. 36,271 St. Francis Katete Mission Hospital, Katete Kings Village Clinic, Somewhere St. Paul’s Mission Hospital, Nchelenge Komfo Anokye Teaching Hospital, Kumasi Zambia Helper’s Society, Lusaka Nana Hima Dekyi Hospital, Dixcove SAMORGHEP/Maranantha Maternity Clinic, Kumasi 1,126,838 63,362 lbs. 1,788,912 Ndegbomei Development Association, Freetown 929,640 47,186 lbs. 946,028 Royeima Section Community Health Center, Royeima St. John of God Catholic Hospital, Lunsar ZIMBABWE Taiama Health Clinic and Maternity Center, Taiama KENYA Harare Central Hospital, Harare 2,008,547 20,962 lbs. 686,739 Island Hospice, Harare AMREF Kenya, Nairobi J.F. Kapnek Charitable Trust, Harare Kericho Regional Hospital, Kericho Ministry of Health & Child Welfare, Harare Meru Hospice, Meru SOMALIA Population Services Zimbabwe, Harare OGRA Foundation, Kisumu Seke Rural Home Based Care, Seke St. Joseph’s Mission Hospital Nyabondo, Sondu Edna Adan Maternity and Teaching Hospital, Hargeisa Sisters of Jesus of Nazareth Clinic, Chegutu VIAGENCO Comprehensive Care, Mbita HAPA Hargeisa Hospital, Hargeisa St. Alberts Mission Hospital, Zambezi Valley

7,761,579 53,888 lbs. 1,693,419 1,678,564 29,675 lbs. 409,505 2,071,948 34,420 lbs. 353,540 0VS1BSUOFST

 0631"35/&34

CAMBODIA Angkor Hospital for Children, Siem Reap Orphan Voice Cambodia, Phnom Penh Caribbean Sihanouk Hospital Center of HOPE, Phnom Penh 2,078,661 51,061 lbs. 820,488

37,410,435 CHINA 302,960 lbs. One HEART, Lhasa 2,014,959 Rima Township Clinic, Rashu Township

37,616 499 lbs. 117,120

EAST TIMOR Australian Aid International, Dili

47,375 1,450 lbs. 27,434

DOMINICA Portsmouth Hospital, Portsmouth FIJI

5,287,913 9,308 lbs. 76,428 Loloma Foundation, Suva Savusavu Community Foundation, Savusavu

1,778,870 37,366 lbs. 586,270 DOMINICAN REPUBLIC

Batey Relief Alliance, Santo Domingo Centro de Atencion Primaria, Constanza Embassy of the Order of Malta, Santo Domingo Fundacion Cruz Jiminian, Santo Domingo East & Health Care Education Partnership, Santo Domingo Movimiento Socio Cultural Para Los Trabajadores, Santo Domingo Obispado de Puerto Plata, Puerto Plata Patronato Beneco Oriental, La Romana Southeast 10,001,684 104,610 lbs. 309,137 Asia GRENADA Food For the Poor, St. Georges Ministry of Health, St. Georges St. Georges General Hospital, St. Georges

2,973,710 12,851 lbs. 36,497 6,360,509 150,824 lbs. 4,212,281 HAITI

Archeveche du Cap Haitien, Cap-Haitien Asile Communal, Cap-Haitien Centre Medico-Social Nord Alexis, Port-Au-Prince Christian Aid Ministries, Port-Au-Prince Eglise du Nazareen d’Haiti, Port-au-Prince Food For the Poor, Port-Au-Prince Hospital Justinien, Cap-Haitien Mariani Clinic, Port-Au-Prince Mt. Olive Medical Fair, Port-Au-Prince INDONESIA New Hope Ministries, Cap-Haitien CHF International, Banda Aceh Partners in Health / Zanmi Lasante, Port-Au-Prince IBU Foundation, Meulaboh St. Jules Medical Clinic, Bourg du Borgne International Relief & Development, Jakarta 4,904,028 109,814 lbs. 1,011,928 The Sumba Foundation, Bali Yayasan Bumi Sehat, Bali

445,703 14,933 lbs. 1,746,798

JAMAICA LAOS Food for the Poor, Spanish Town HOPE Worldwide, Kingston Mahosot Hospital, Vientiane Jamaica Humanitarian Dental Mission, St. James Muang Sing Hospital, Muang Sing Missionaries of the Poor, Kingston Save The Children-Australia, Vientiane 59,343 6,595 lbs. 308,901 13,902,798 65,569 lbs. 578,953

$0/5*/6&% on next page 27 0VS1BSUOFST

0631"35/&34

$0/5*/6&% from previous page NORTH KOREA Europe & Eugene Bell Foundation, Seoul 740,676 22,076 lbs. 112,361 Middle PAPUA NEW GUINEA Wewak General Hospital, Wewak 3,896,056 153,544 7,122 lbs. 51,480 East 55,767 lbs. PHILIPPINES 2,701,934 Holy Rosary International Medical Mission, Inc, Palawan Philos Health, Jagna Population Services Pilipinas Incorporated, Pasay City Reyes-Villanueva Medical Relief, Baggao ARMENIA

375,843 2,789 lbs. 174,448 Health Ministry of Armenia, Yerevan Karabagh Health Ministry, Yerevan Yerevan Municipality, Yerevan THAILAND 297,333 9,662 lbs. 2,635,878 Christians Concerned for Burma, Chaing Mai Global Health Access Program, Mae Sot Mae Tao Clinic, Mae Sot ROMANIA 36,622 565 lbs. 155,369 Christian Aid Ministries Romania, Floresti

3,634,732 44,336 lbs. 2,163,704 SOLOMON ISLANDS Loloma Foundation,Honiara WEST BANK/GAZA 1,020,081 21,164 lbs. 77,349 ANERA, West Bank/Gaza St. John’s Eye Hospital, West Bank VIETNAM 198,610 5,923 lbs. 366,628 Kim Long Charity Clinic, Hue Marie Stopes Vietnam, Hanoi UKRAINE 364,467 7,779 lbs. 263,745 God’s Hidden Treasures, Kiev

64,713 5,508 lbs. 171,602 Latin America

BOLIVIA ECUADOR Centro Medico Vivir con Diabetes, Cochabamba Junta de Benecencia de Guayaquil, Guayaquil Cruz Roja, Montero Marie Stopes Bolivia, Santa Cruz de la Sierra 664,553 36,782 lbs. 2,315,009 Proyecto de Salud del Rio Beni , Rurrenabaque Rio Beni Health Care Project, Rurrenabaque

601,930 37,022 lbs. 699,278

EL SALVADOR Baja Project for Crippled Children, San Miguel Comite de Reconstruccion y Desarrollo Economico, Suchi- toto FUDEM, San Salvador FUSAL, San Salvador O.E.F. de El Salvador, San Salvador

6,832,821 77,611 lbs. 4,250,321 57,264,815 731,348 lbs. GUATEMALA 14,586,859 GUYANA Asociacion Nuestros Ahijados de Guatemala, ONG, Antigua Caritas Arquidiocesana, Guatemala City Ministry of Health, Georgetown Liberty University, Guatemala City Presbiterio Kaqchikel, Chimaltenango 667,231 22,018 lbs. Project Xela Aid, Quetzaltenango 12,744 San Marcos Health Care Project, Catarina Santa Rosa Medical Clinic, Santa Rosa

18,872,186 174,435 lbs. 1,081,553 0VS1BSUOFST

0631"35/&34

14,272,380 HONDURAS 281,740 lbs. Alabama Honduran Medical Education Network AHMEN, Limon ASIDE, El Progroso 5,648,546 Brigada de Salud / Honduras Relief Effort, Tegucigalpa CEPUDO, San Pedro Sula Chamelecon Medical Center, San Pedro Sula Club Rotario Tegucigalpa / Uniendo America, Tegucigalpa Hacienda Cristo Salva, Santa Barbara Honduran Health Exchange / C.P.T.R.T., Tegucigalpa Hospital Leonardo Martinez, San Pedro Sula South La Clinica Esperanza, Roatan Proyecto Aldea Global, Tegucigalpa Siempre Unidos, San Pedro Sula 14,036,241 110,321 lbs. 1,411,378 Asia

MEXICO AFGHANISTAN AeroMedicos of Santa Barbara, Cadeje Afghan Health and Development Services, Kandahar Province Fundacion SEE International, A.C., Ciudad Juarez Afghan Institute of Learning, Kabul and Herat LIGA International, Mazatlan Afghan Reconstructive Surgery and Burn Center, Kabul Potter’s Clay, Ensenada Aga Khan Health Services, Bamyan Provincial Hospital, Bamyan Family Health Alliance, Kabul 236,394 2,979 lbs. 48,352 Jamaludin Wardak Clinic, Wardak Marie Stopes Afghanistan, Kabul

NICARAGUA 554,809 33,971 lbs. 1,235,620 American Nicaraguan Foundation, Managua Caritas de Nicaragua, Managua BANGLADESH Casa de la Mujer, Metagalpa Christian Aid Ministries, Managua Cox’s Bazar Hospital for Women and Children, Cox’s Bazar CONANCA,Hospital Infantil Manuel de Jesus Rivera, Managua Sangkalpa Trust, Patharghata Nicaraguan Children’s Fund, Puerto Cabezas Shidhulai Swanirvar Sangstha, Dhaka

9,304,257 165,243 lbs. 1,476,354 2,546,385 19,396 lbs. 940,941

PERU INDIA Arzobispado de Lima, Lima Amrit Davaa World Health, Tawang Hospital Belen de Trujillo, Trujillo Aravind Eye Hospital, Madurai Hospital Carlos Monge Medrano, Juliaca Association of Indian Physicians of Northern Ohio, Various cities Hospital de Apoyo Tambobamba, Tambobamba PRASAD, Ganeshpuri Hospital Departamental, Huancavelica Lata Mangeshkar Medical Foundation, Pune Hospital Guillermo Diaz de la Vega, Abancay M/s. Mata Amritanandamayi Math, Cochin Hospital Regional de Ayacucho, Ayacucho Meenakshi Mission Hospital, Madurai Instituto Nacional de Salud del Nino, Lima Pasam Trust, Kodaikanal Ministerio de Salud, Lima Sri Narayani Hospital & Research Center, Vellore Real Medicine Foundation Clinic, San Clemente Than Gaon Clinic, Tan Gaon The George Foundation, Baliganapalli 6,036,697 104,821 lbs. 3,289,629 6,055,596 91,875 lbs. 2,114,461

VENEZUELA NEPAL Turimiquire Foundation, Cumana Adventist Development and Relief Agency, Kath- 12,504 117 lbs. 2,243 mandu Family Health International, Kathmandu Himalayan HealthCare, Kathmandu Shahid Gangalal National Heart Centre, Kathmandu USA 157,216 5,056 lbs. 556,235

PAKISTAN American Refugee Committee International, Bagh Bethania Hospital, Sialkot 61,367,567 Marae Foundation, Baltistan 380,216 lbs. Murshid Hospital and Healthcare Center, Karachi PIPOS, Peshawar 3,724,948 4,958,374 131,442 lbs. 801,289

.&%*$"-.*44*0/#09130(3". To learn more about our work with Bristol-Myers Squibb supporting doctors providing Direct Relief works with over 1,200 clinics primary health care worldwide, go to and community health centers in every state and . WWW.DIRECTRELIEF.ORG. Go to WWW.DIRECTRELIEF.ORG to learn more about these safety-net providers and their dedicated efforts to keep low-income communities healthy. 29 *OUSPUP 'JOBODJBM4UBUFNFOUT

Introduction and Certication of Finan- cial Statements

%JSFDU3FMJFG*OUFSOBUJPOBMIBEBTUSPOH 'JTDBM:FBSJOBMMBSFBTPGPVSBDUJWJUJFT BOEmOBODFT8FFOEFEUIFZFBSXJUI NJMMJPOJOQVCMJDTVQQPSUBOESFWFOVF  QSPWJEJOHNJMMJPO XIPMFTBMF JO BTTJTUBODFBSPVOEUIFXPSME %JSFDU3FMJFGTmOBODJBMQPTJUJPOBOECBMBODF TIFFUDPOUJOVFTUPCFTUSPOHUIBOLTUP TUFBEGBTUTVQQPSUGSPNPVSHFOFSPVTEPOPST BOE#PBSEPG%JSFDUPST

 $BTIBOE*O,JOE$POUSJCVUJPOTDirect Relief’s nancial statements must account for both cash and in-kind contributions (mostly medical material resources) that are entrusted to the organization to fulll its humanitarian mission. In Fiscal Year 2008, 93.6 percent of our total public support and revenue of $201.2 million was received in the form of in-kind medical material and services. The previous pages explain where and why these in-kind medical materials and other inventories were provided.

The merging of cash and in-kind contributions in the following nancial statements, which were prepared in accordance with Generally Accepted Accounting Principles, can be confusing to the non-accountants among us. The notes following the nancial statements are to assist you in understanding how our program model is nanced and works, to explain the state of our organization’s nancial health, and to inform you about how we spent the money that was generously donated to Direct Relief in 2008 by individuals, businesses, organizations, and foundations.

When taking an annual snapshot at the end of a scal year, several factors can distort a realistic picture of our (or any nonprot organization’s) nancial health and activities. Since the purpose of this report is to inform you, we think it is important to call your attention to these factors.

 5JNJOHPG3FWFOVF3FDPHOJUJPOBOE&YQFOTFTFirst is the timing of donations being received and the expenditure of those donations, whether in the form of cash or in-kind medical material. Donations – including those received to conduct specic activities – are recorded as revenue when they are received or promised, even if the activities are to be conducted in a future year.

Near the end of Fiscal Year 2007, for example, Direct Relief received a large infusion of product donations. When that scal year ended, the product inventories that had not been “spent” were reported as “surplus.” In turn, this increase in net assets was carried forward and “spent” during the course of Fiscal Year 2008. This resulted in a decrease in net assets (or net operating “loss”) in Fiscal Year 2008 of $26.6 million which was primarily driven by a decrease of product inventories. *OUSPUP 'JOBODJBM4UBUFNFOUT "/%3&8'-&5$)&3

 "ENJOJTUSBUJWF&YQFOTFTSecond is the issue of administrative expenses and how they are paid. Our organization has adopted a strict policy to ensure that 100 percent of all designated contributions are used only on expenses directly related to activities that benet the designation. None of those funds are used to cover pre-existing organizational costs, including staff salaries. We have used similar policies for all of our disasters responses in the last few years, including the Indian Ocean tsunami, Hurricanes Katrina and Rita, the Pakistan, Peru and China earthquakes, and Cyclone Nargis in Myanmar.

Consistent with this policy, all administrative expenses, including banking and credit-card processing fees associated with simply receiving these disaster and other designated contributions, were absorbed through other resources. The effect of this policy has been to shift administrative costs associated with our emergency response efforts to the overall organization. We believe this is appropriate to honor precisely the clear intent of generous donors who responded to these exceptional tragedies and to preserve the maximum benet for the victims for whose benet the funds were entrusted to Direct Relief.

 7BMVBUJPOPG*O,JOE.BUFSJBMTAnother factor is the valuation of in-kind medical donations. Accounting standards require Direct Relief to use a “fair market value.” We continue to use the wholesale prices published by independent, third-party sources for valuation whenever possible. Such valuations typically are substantially lower than published retail prices. Because nonprot organizations are rated on, among other things, the amount of support received, a strong incentive exists to use higher valuation sources, such as retail prices, which would be permissible. However, we believe that, in this area and most others, a conservative approach is best to instill public condence and give the most accurate, easy-to-understand basis for our nancial reporting.

Finally, we note that our organization’s independently audited nancial activities were also reviewed by an audit committee, two of whose members are independent accounting professionals and not directors of the organization. This additional level of independent review is required under California law. 31 Combined Statement of Activities (Direct Relief International & Direct Relief Foundation) GPSUIFmTDBMZFBSTFOEJOH.BSDI  BOE.BSDI   

  */5)064"/%4 16#-*$46110353&7&/6& 1VCMJD4VQQPSU Contributions of goods and services $ 188,332 93.6% $ 201,823 82.6% Contributions of cash and securities – California res 743 0.4% - 0.0% Contributions of cash and securities – other disaster relief 133 0.1% 942 0.4% Contributions of cash and securities – other 10,553 5.2% 39,798 6.3% 505"-16#-*$4611035 199,761 99.3% 242,563 99.3% 3FWFOVF Earnings from investments and other income 1,475 0.7% 1,776 0.7% 505"-16#-*$4611035"/%3&7&/6& 201,236 100.0% 244,339 100.0%

&91&/4&4 1SPHSBN4FSWJDFT Value of medical donations shipped 213,920 136,154 Inventory adjustments (expired pharmaceuticals, etc.) 2,430 7,649 Disaster relief – California res 575 - Disaster relief – other 656 5,182 Domestic programs 1,480 824 International programs 5,790 4,851 505"-130(3".4&37*$&4 224,851 111.7% 154,660 63.3% 4VQQPSUJOH4FSWJDFT Fundraising 1,234 896 Administration 1,746 1,306 505"-4611035*/(4&37*$&4 2,980 1.5% 2,202 0.9%

505"-&91&/4&4 227,831 113.2% 156,862 64.2% */$3&"4& %&$3&"4& *//&5"44&54 $ (26,595) -13.2% $ 87,477 35.8%

Combined Statement of Cash Flows (Direct Relief International & Direct Relief Foundation) GPSUIFmTDBMZFBSTFOEJOH.BSDI  BOE.BSDI    

$"4)'-084'30.01&3"5*/("$5*7*5*&4 Cash collected from public support $ 10,628 $ 40,732 Cash paid for goods and services (10,937) (11,963) Dividend and Interest income 1,119 1,244 Other income (expense) (5) 12 /&5$"4)1307*%&%#:01&3"5*/("$5*7*5*&4 805 30,025

$"4)'-084'30.*/7&45*/("$5*7*5*&4 Purchase of investments (20,306) (51,310) Proceeds from sale of investments 21,281 17,147 Purchase of capital assets (1,283) (498) Unitrust distributions (4) (5) /&5$"4)64&%#:*/7&45*/("$5*7*5*&4 (312) (34,666)

$"4)'-084'30.'*/"/$*/("$5*7*5*&4 Payments on mortgage (62) (52) Payments on capital lease obligation (9) (4) /&5$"4)64&%'03'*/"/$*/("$5*7*5*&4 (71) (56)

/&5*/$3&"4& %&$3&"4& */$"4)"/%$"4)&26*7"-&/54 422 (4,697) $"4)"/%$"4)&26*7"-&/54#&(*//*/(0':&"3 3,177 7,874 $"4)"/%$"4)&26*7"-&/54&/%0':&"3 $ 3,599 $ 3,177 3&$0/$*-*"5*0/0'$)"/(&*//&5"44&5450/&5 $"4)1307*%&%#:01&3"5*/("$5*7*5*&4 Change in net assets $ (26,595) $ 87,477 "%+645.&/54503&$0/$*-&$)"/(&*//&5"44&54 50/&5$"4)1307*%&%#:01&3"5*/("$5*7*5*&4 Depreciation $ 250 $ 200 Change in inventory 28,263 (57,436) Change in receivables (798) (8) Change in prepaid expenses and other assets (65) (34) Change in accounts payable and accrued expenses 112 296 Loss on disposal of xed assets 62 3 Realized gain on sale of investments (1,112) (1,189) Unrealized loss on investments 688 716 /&5*/$3&"4&*/$"4) $ 805 $ 30,025

Statement of Financial Position %JSFDU3FMJFG %JSFDU3FMJFG *OUFSOBUJPOBM 'PVOEBUJPO 505"- BTPG.BSDI  BOE.BSDI      "44&54 $VSSFOU"TTFUT Cash and cash equivalents $ 1,313 $ 2,286 $ 3,599 $ 3,177 Securities 5 43,441 43,446 43,997 Inventories 53,384 - 53,384 81,647 Other current assets 587 230 817 203 505"-$633&/5"44&54 55,289 45,957 101,246 129,024 0UIFS"TTFUT Property and equipment 4,932 - 4,932 3,961 Remainder interests - 72 72 76 Pledged bequests - 257 257 - Other assets 17 - 17 22 505"-05)&3"44&54 4,949 329 5,278 4,059 505"-"44&54 $ 60,238 $ 46,286 $ 106,524 $ 133,083 -*"#*-*5*&4"/%/&5"44&54 $VSSFOU-JBCJMJUJFT Payables and other current liabilities $ 799 - $ 799 $ 688 Current portion of long-term debt 5 - 5 1,467 505"-$633&/5-*"#*-*5*&4 804 - 804 2,155 0UIFS-JBCJMJUJFT Long-term debt 1,400 - 1,400 - Capital lease obligation 8 - 8 17 Distribution payable 20 - 20 24 Total Other Liabilities 1,428 - 1,428 41 505"--*"#*-*5*&4 2,232 - 2,232 2,196 /&5"44&54 6OSFTUSJDUFEOFUBTTFUT Board designated reserve fund - 44,265 44,265 44,192 Undesignated 54,717 1,996 56,713 84,597 Total unrestricted net assets 54,717 46,261 100,978 128,789 Temporarily restricted 3,289 - 3,289 2,073 Permanently restricted - 25 25 25 505"-/&5"44&54 58,006 46,286 104,292 130,887 -*"#*-*5*&4"/%/&5"44&54 $ 60,238 $ 46,286 $ 106,524 $ 133,083

i*-*4.0-03&'&6(6&.0%0-03*1*4*4*.*64$*-*4/*.26*4*513"5&. %*(/"$0/&""%*1464$*-*1*4"%*1*5651"56.*3*5*--""6(*".&56&3 4&26*4*5%0-03&&56.*3*-*4*&6*4*565-6.;;3*5"65"5 3"&4&$5&."5 $0/)&/*4*w o#IVQJ4JOHI %JSFDU3FMJFG*OUFSOBUJPOBM$'0

33 5)0."45*()& Notes to the Financials

'JTDBM:FBS3FTVMUT The overall assistance furnished by Direct Relief in Fiscal Year 2008 was just over $216 million. Direct Relief received no governmental assistance. All resources were obtained from private sources.

In the scal year ended March 31, 2008, Direct Relief provided 2,353 shipments of humanitarian medical material including pharmaceuticals, medical supplies, and medical equipment. The more than 1,270 tons (just under 2,540,000 pounds) of material aid were furnished to local health programs in 59 countries, including the United States, and had a wholesale value of $213.9 million. The provisions contained in these aid shipments were sufcient to provide treatment to 49.8 million people.

In addition, the organization provided $2.15 million in the form of cash grants to dozens of locally run health programs in areas affected by the December 2004 Indian Ocean tsunami, the Pakistan earthquake of October 2005, the Southern California wildres of 2007, the Peru earthquake of August 2007, the post-election violence of Kenya in December 2007, and various other partners providing health services in other non-disaster areas.

 

           

+1'"#"'(('+*.           # /)#*/'(('+*.   - 

         

(0#+$ /#-' ('"-  +0-.#.+$                   

*/#-* /'+* (+)#./'!+0-.#.+$-# /)#*/*'*"0,,+-/#!#'1#"

'-#!/#('#$0-*'.&#"..'./ *!#  (0#'*!(0"#."'. ./#- '"

$PNQBSJTPOUP1SFWJPVT:FBST3FTVMUT All nancial statements presented in this report show both the results for the current scal year and those of Fiscal Year 2007 for comparison purposes.

-FWFSBHF For each contributed $1 that Direct Relief received and spent in 2008 for our core medical assistance program (excluding emergency response), the organization provided $36.39 worth of wholesale medical material assistance. These program expenses totaled $5.48 million. The expenditure of these funds enabled Direct Relief to furnish $199.4 million worth (wholesale value) of medical material resources to 59 countries for the support of ongoing health needs. The weight of these materials was 2,382,000 lbs, or 1,191 tons. $BTI(SBOUT In addition to the core medical material assistance program, Direct Relief also provided nancial assistance of $2.15 million through cash grants. The vast majority of these grants (approximately $1.3 million) were made from designated contributions received in this and past scal years for the tsunami, the Pakistan earthquake of October 2005, the Southern California Fires of 2007, the Peru earthquake of August 2007, and the post election violence of Kenya in December 2007.

The organization incurred $487,000 in tsunami cash expenditures this scal year, of which over $400,000 was in the form of cash grants to support essential relief and recovery efforts conducted by local organizations in the affected countries and colleague international nonprot organizations. As of March 31, 2008, the organization had spent over 97 percent of the funds received for tsunami relief.

With funds received for the Pakistan earthquake of October 2005, the organization spent a total of $137,000, of which $127,000 was spent in the form of cash grants. As of March 31, 2008, the organization had spent over 99 percent of the funds received for this relief effort.

With Southern California wildre designated contributions, the organization incurred expenditures of $578,000, of which $565,000 was spent in the form of cash grants to health facilities and organizations providing direct health services to residents in the affected areas. As of March 31, 2008, the organization had spent over 77 percent of the funds received for this relief effort. 4UBæOH These activities were accomplished by a staff which, as of March 31, comprised 48 positions (40 full-time, 8 part-time). Measured on an FTE (full-time equivalent) basis, the total stafng over the course of the year was 41.5. This gure is derived by dividing the total hours worked by 2,080, the number of work hours by a full-time employee in one year. Two persons each working half time, for example, would count as one FTE.

   

        

       

  

       

In general, staff functions relate to three basic business functions: programmatic activity; resource acquisition/fundraising, and general administration. The following sections describe the nancial cost of our organizational activities, how resources are spent, and how donor funds are leveraged to provide assistance to people in need throughout the world. 1SPHSBN&YQFOTFT In 2008, Direct Relief’s programmatic expenses totaled $10.93 million, $2.21 million of which paid for salaries, related benets (health, dental, long-term disability insurance, and retirement-plan matching contributions), and mandatory employer-paid taxes (Social Security, Medicare, workers’ compensation, and state unemployment insurance) for 25 full-time and 5 part-time employees engaged in programmatic functions. 35 &YQFOTFTCZ'VODUJPONJMMJPO

   

)'!)%-( &* *&'& #**+ ) + )#$#"'$ *$ $,   %#$$#'& )'!)%-( &* *#**+ )) *('&*       %#$$#'&  +" )   %#$$#'&  

 +" )     &! % &+%#&#*+)+#'&  %   ,&)#*#&!  %   '&+ ) #!"+  %   

      

  #**+ ) *('&*       "'$ *$ $, ' + )#$# )'!)%-( &* *    %#$$#'&  %#&#*+)+#'&-( &* *   ,&)#*#&!-( &* *    '&+ ) #!"+            

+" )  1SPHSBNFYQFOTFTBMTPJODMVEFE &! % &+  % %#&#*+)+#'& ,&)#*#&!  % '&+ ) #!"+  % • The value of disposed expired products ($2.43 million) • Cash grants to partner organizations ($2.15 million, of which $403,000 was for tsunami relief, $127,000 for Pakistan earthquake relief, $565,000 for Southern California wildre relief, $100,000 for relief efforts after the violence in Kenya, and $26,000 for Peru earthquake relief)

• Ocean/air freight and trucking for outbound shipments to partners and inbound product donations ($1.97 million, of which $549,000 was donated)

• Travel for oversight and evaluation ($372,000); contract services ($659,000, of which $18,000 was contributed); packing materials and supplies ($87,000); disposal costs for expired pharmaceuticals ($32,000); equipment and software maintenance ($80,000)

• A pro-rata portion of other allocable costs (see below)

'VOESBJTJOH&YQFOTFTNJMMJPO Direct Relief spent a total of $1.23 million on resource acquisition and fundraising in 2008. As noted earlier, these expenses (other than donated services) were paid out of the assets of the Direct Relief Foundation. A total of $610,000 was spent for salaries, related benets, and taxes for 5 full-time employees and 1 part-time employee engaged in resource acquisition and fundraising.



 -+$- )"( /"! -+$- )"( /"!  )   ( -&"."*"#&/.  '  ) !)&*&./- /&+*   )   !)&*&./- /&+*   +*/- /"-1& ".  ' 0*!- &.&*$ )    ) +/ (  )  ," & (1"*/.- 1"(    0*!- &.&*$ ""/&*$2,"*.". '    ) +* /"!++!."-1& ".  '  

  /%"- -&*/&*$+./ $" &(&*$/ '   * $")"*/!)&*&./- /&+*  )  0*!- &.&*$   ) /%"-2,"*.".' +* /"!-"&$%/  )      

         'VOESBJTJOHFYQFOTFTBMTPJODMVEFE • The production, printing, and mailing of newsletters, the annual report, tax-receipt letters to contributors, fundraising solicitations, and informational materials. Total costs incurred came to approximately $88,000.

• $8,000 in advertising and marketing costs • $67,000 in expenses directly related to fundraising events (of which $9,000 were donated goods for the events)

• $56,000 in travel and mileage-reimbursement expenses

• $335,000 in contract services (of which $232,000 were donated services from Google)

• $12,000 in supplies in support of the fundraising staff

• $7,000 in outside computer services related to fundraising

• A pro-rata portion of other allocable costs (see below) It should be noted that Direct Relief does not classify any mailing expenses as “jointly incurred costs” – an accounting practice that permits, for example, the expenses of a newsletter containing information about programs and an appeal for money to be allocated partially to “fundraising” and partially to “public education,” which falls under program costs.

"ENJOJTUSBUJWF&YQFOTFTNJMMJPO Direct Relief spent a total of $1.75 million on administration. As noted earlier these expenses (other than donated services) were paid from funds received out of the assets of the BRIF in the Direct Relief Foundation. Administration is responsible for nancial and human resource management, information technology, and general ofce management. A total of $1.03 million was for salaries, related benets, and taxes for 10 full-time employees and two part-time employees engaged in administration and nancial management.



-*#-(!'/!  (   (%)%./-/%*) *)/- /!-1% !.  &  ( -1!'!!/%)#.*)"!-!) !.  &

!)/) ,0%+(!)/&  0) -%.%)#     ( -%)/%)#*./#!%'%)#&

-1!'!!/%)#.*)"!-!) !.  &    /$!-)*)+!-.*))!' &

 '-%!.!)!"%/.  

     

  "ENJOJTUSBUJWFFYQFOTFTBMTPJODMVEFE • $32,000 in credit card, banking, brokerage, and portfolio-management fees

• $74,000 for duplicating and printing of which $9,000 was spent on producing our Fiscal Year 2007 Annual Report

• $263,000 in consulting fees including information technology services ($86,000), management fees for invested assets ($98,000), and communication services ($46,000) 

• $39,000 in accounting fees for the annual CPA audit, payroll processing and reporting, and other nancial       services 

  • $55,000 in legal fees, of which $47,000 was provided pro bono for legal representation related to general      corporate matters

• $4,000 in taxes, licenses and permits (Direct Relief is registered as an exempt organization in each U.S. state requiring such registration)

• A pro-rata portion of other allocable costs (see next page) 37 4VQQPSU3FWFOVFTNJMMJPO 4PVSDFTPG$BTI 4VQQPSU3FWFOVFTNJMMJPO



     #( #)(()$ (   "    &*()(   "

  

  (()'(

 "  % !+#)(   "



 '#)(     #+()"#)#$"   "       "  

0UIFS"MMPDBCMF$PTUT

Direct Relief owns and operates a 40,000 square-foot warehouse facility that also serves as its headquarters and leases another 23,000 square-foot warehouse. Costs to maintain these facilities include mortgage interest, depreciation, utilities, insurance, repairs, maintenance, and supplies. These costs are allocated based on the square footage devoted to respective functions (e.g. fundraising expenses described above include the proportional share of these costs associated with the space occupied by fundraising staff). The cost of information technology services are primarily related to the activities of the respective functions described above. These costs are allocated based on the headcount devoted to the respective functions.

%JSFDU3FMJFG'PVOEBUJPOBOEUIF#PBSE3FTUSJDUFE*OWFTUNFOU'VOE

In 1998, Direct Relief’s Board of Directors established a Board-Restricted Investment Fund (“BRIF”, sometimes characterized as a “quasi-endowment” in legal or accounting terminology) to help secure the organization’s nancial future and provide a reserve for future operations. The BRIF, established with assets valued at $774,000, draws resources from Board-designated unrestricted bequests and gifts, and return on portfolio assets and operating surpluses (measured annually) in excess of current operational needs. There was no operating surplus for the year ended March 31, 2008.

In October 2006, Direct Relief Foundation was formed and incorporated in the state of California as a separate, wholly controlled, supporting organization of Direct Relief International. Effective April 1, 2007, assets in the BRIF were transferred to the Foundation. The Foundation’s assets are managed by the Commonfund Strategic Solutions Group, an investment rm under the direction of the Board’s Finance Committee, which meets monthly and oversees investment policy and scal operations.

The BRIF is authorized to distribute its portfolio assets to pay for all fundraising and administrative expenses of the organization, including extraordinary capital expenses and advance emergency disaster relief funding as determined by the President and CEO. Upon a majority vote by the Board, the BRIF may also be utilized to meet other general operational costs. Thus, 100 percent of all donations received by the organization are directed towards programmatic activities and costs.

For the scal year ended March 31, 2008, $2.1 million was distributed from the BRIF to cover fundraising and administration costs as well as implementation costs for a new enterprise resource planning platform.

As of March 31, 2008, the BRIF in the Foundation was valued at $46.3 million.

$BTI7FSTVT*O,JOE4VQQPSU

Direct Relief’s activities are planned and executed on an operating (or cash) budget that is approved by the Board of Directors prior to the onset of the scal year. The cash budget is not directly affected by the value of in-kind medical material contributions. Cash support – as distinct from the value of contributed goods – is used to pay for the logistics, warehousing, transportation, program oversight, staff salaries, purchasing of essential medical products, acquisition of medical products through donations, and all other program expenses.

)PX$IBOHFTJO*OWFOUPSZ"åFDU0VS#PUUPN-JOF

Direct Relief must account for all donations – both cash and in-kind material or services – that it receives. The organization receives in-kind donations of medical products on an ongoing basis. These donations are recorded in inventory upon receipt. Direct Relief’s policy is to distribute products at the earliest practicable date, consistent with sound programmatic principles. While the distribution often occurs in the same year of receipt, it may occur in the following year. An expense is recorded when the products are shipped. For the year ending March 31, 2008, Direct Relief shipped out $26 million more in humanitarian aid than it received in product donations, resulting in an apparent operating “loss.”

1SPEVDU7BMVBUJPO

In-kind material contributions, such as donated medical product, are valued at the wholesale price in the United States. Specically for pharmaceutical products, the source of and basis for product values are the “Average Wholesale Price” (AWP), which is published by Thomson Healthcare’s “Redbook.” While retail values may be signicantly higher, Direct Relief traditionally has chosen to use the more conservative AWP to value contributed pharmaceutical products. For used medical equipment, the organization determines wholesale value by reviewing the price of similar equipment listed for sale in trade publications or in relevant markets, including Internet sites such as eBay.

39 Our Investors

*OIPOPSPGPVSUIBOOJWFSTBSZ JUJTXJUITJODFSFHSBUJUVEFXFMJTUEPOPSTXIPIBWF DPOUSJCVUFEUP%JSFDU3FMJFGUISPVHIPVUPVSIJTUPSZ*ONFNPSZPGEPOPSTXIPIBWF QBTTFE UIFJSOBNFTBSFNBSLFEXJUIBO 

."/6'"$563&34"/%%*453*#65034 Carlsbad Technology, Inc. Goldmax Industries Laddawn 1307*%*/(.&%*$"-%0/"5*0/4 Cell-Nique Gowllands Limited Lane Instruments Corporation 3M Cera Products, Inc. GSMS Incorporated Leiner Health Products Abbott Chattem, Inc. Havel’s Incorporated LeMaitre Vascular, Inc. AcryMed, Inc. Cobalt Laboratories HDC Corporation Life Uniform Company Aearo Company Codman & Shurtleff HemoCue Major Pharmaceuticals, Inc. Alabama Outdoors Colgate-Palmolive Company Hendry Telephone Products Marlex Pharmaceuticals, Inc. Alcon Laboratories, Inc. ConMed Corporation Henry Schein, Inc. Marlyn Nutraceuticals, Inc. Alkermes, Inc. Covidien Herban Essentials Martin Roth & Co. Allergan, Inc. Crosstex International Hi-Tech Pharmacal Company, Inc. Mason Vitamins, Inc. Allied Healthcare Cumberland Pharmaceuticals Hogil Pharmaceutical Matrixx Initiatives, Inc. Altana, Inc. Cure Medical Hollister, Inc. Maxima Packaging & Supply American Diagnostic Medicine, Inc. CVS Corporation Home Diagnostics, Inc. McKesson Medical-Surgical American Health Products Corporation Cypress Pharmaceutical, Inc. Hospira, Inc. McNeil Consumer & Specialty Amgen Den-Mat Corporation Housechem Pharmaceuticals Amsino International DePuy (a Johnson & Johnson Company) IAPYX Medical Mead Johnson Nutritional Group Anda, Inc. DeRoyal Independence Medical Medical Action Industries Anonymous Dey Laboratories InstyMeds Corporation / RedPharm Drug Medical Illumination International, Inc. Ansell Healthcare Incorporated Drug Plastics & Glass Integra LifeSciences Corporation Medical Innovations, Inc. Aramco Services Company E. Fougera & Company International Truck and Engine Corp. Medline Industries, Inc. AstraZeneca East West Associates Invacare MedPharm, Inc. Auburn Pharmaceuticals ETHICON Inverness Medical Nutritionals Group, Inc. Medtronic Neurologic Technologies Bausch & Lomb Surgical Company Ethicon Endo-Surgery Janssen MedVantx, Inc. Baxter International, Inc. Eveready Wholesale Drugs, Ltd. Jarrow Formulas, Inc. Mentor Corporation BD evo Medical Solutions Johnson & Johnson Merck & Company, Inc. Beaumont Products, Inc. Fenwal, Inc. Johnson & Johnson Consumer Companies Merz Pharmaceuticals, LLC Biomet, Inc. Fine Science Tools, Inc. Johnson & Johnson Medical Microex Blue Ridge Medical, Inc. FNC Medical Corporation Joseph Weintraub Inc. Microlife USA, Inc. Boehringer Ingelheim Cares Foundation Forest Laboratories, Inc. K.V. Pharmaceutical Company Microspecialties, Inc. Bottle Drops Forest Pharmaceuticals, Inc. Kawasumi Laboratories America, Inc. Midmark Corporation Bridging the Gap FSC Laboratories, Inc. Kenad SG Medical, Inc. Miltex, Inc. Bristol-Myers Squibb Company Fuji Photo Film USA Kentec Medical, Inc. Moldex-Metric, Inc. BSN Medical, Inc. - Orthopaedics GBU GlaxoSmithKline King Pharmaceuticals, Inc. Mylan Laboratories, Inc. Cardinal Health Foundation Global Pharmaceuticals KM Medical, Inc. NAPO Pharmaceuticals 063*/7&45034 41 Naryx Pharma, Inc. Assist International The Jesson Family Santa Barbara Hematology Nationwide Medical/Surgical, Inc. Assistance League of Santa Barbara Jim Hughes Company Santa Barbara Hotel Group Navix Diagnostix, Inc. Bacara Resort & Spa George Johnson, M.D. Santa Barbara Medical Foundation Clinic Nellcor Ms. Janet Bailey Kaiser Optical Services Santa Barbara Neighborhood Clinics Neutrogena Corporation Dennis Baker, M.D. Kindred Pharmacy Services Santa Barbara Surgery Center New Chapter Vitamins Mr. Richard E. Baker Dr. Steven R. Kleen Santa Barbara Visiting Nurses Association Nexxus (Alberto-Culver) Dr. Ken Barasch J. B. Knowles Santa Ynez Cottage Hospital Nisim International Bass Enterprises Mr. and Mrs. John Knox-Johnston Santa Ynez Tribal Health Clinic North Safety Products BEBA: Building and Enhancing Ms. Linda Kovaric Savusavu Community Foundation Novartis Pharmaceutical Corporation Bonding and Attachment Scott Kozak, M.D. Ms. Mary Schaefer OHM Labs Benco Dental Dr. Ralph Kuon Mr. Art Schwartz Onyx Medical Corporation Richard Berkman, M.D. Noreen and John La Pointe Mr. Ron Schwartzman Ortho-McNeil, Inc. Ms. Mary Lou Boal Mr. Norman Labrecque SEE International Ossur Mr. David C. Bonnheim Mr. Martin Landau Sequoia Hospital Owens and Minor Company J. Glenn Bradley, M.D. Ms. Christine Lauer Serenity House P&G Brigham and Women’s Hospital LDS, Humanitarian Service Ayesha Shaikh, M.D. Pzer, Inc. Ms. Ashlee Bright Liga International Dennis A. Shanelec, DDS Platinum Performance Ms. Patricia Callahan Loloma Foundation Shepard Eye Clinic Prasco Laboratories Camarillo Christian Church Lucas International Silver Chair Science Professional Disposables Cancer Center of Santa Barbara Lynch Dental Company Raymond Sims, M.D. Progressive Medical International Cardinal Health Foundation Mr. James Lynch Ms. Vicky Sims Prometheus Laboratories Carrillo Surgery Center Ms. Gail MacDonald Mr. David Smith Purdue Pharma, L.P. Mr. S. E. Castaneda The Malady Family Ms. Mary J. Smith Quest Diagnostics Ms. Anne-Marie Castleberg Manatee Eye Clinic Solvang Friendship House Quidel Corporation, Rapid Diagnostics CCSI Communications Marian Community Hospital Soundview Research Division Child Health Foundation Ms. Jean Martin Southeastern Surgical Quixtar, Inc. Brian Cilla, DDS Mr. Mark Mazzetti Ms. Diane Sova Reliant Pharmaceuticals Circle Bar B Guest Ranch John McConnaughey, O.D. St. Francis Medical Center REM Eyewear CJ Systems Aviation Group Timothy P. McConnell, DDS St. John’s Hospital Repro-Med Systems, Inc. Guy Clark, M.D. Mr. Robert McFarland St. John’s Pleasant Valley Hospital Rigel Pharmaceuticals, Inc. Rick Closson, M.D. Medical Teams International St. John’s Regional Hospital Ronna Barrett Lavender Company Conejo Free Clinic The Medicine Bottle Company St. Joseph’s Hospital Royal Chemical The Cones Family MedShare International St. Mary’s Medical Center Royce Medical Mr. R. Costa Ms. Jean Menzies Mr. Robert Stahl Sage Products, Inc. Cottage Health System Mercy Ships Ms. Peggy Stanwood Sandel Medical Industries, LLC Country Villa Health of Novato Michael W. Moats, M.D. S. Steele sano-aventis Countrywide Mr. Douglas Moriarity Ms. Joan Stuster Sappo Hill Soapworks CuraScript Ms. Clarissa Morris Summit Surgery Center Schering-Plough Corporation Dental Care for Children Thomas J. Morris, DDS Surgical Associates Silverleaf Medical Products Deveraux School William Morton-Smith, M.D. Tandberg Telecom AS Smith & Nephew / Orthopedics Mr. Joseph Doherty Mr. Jack Mosely Murray Taubman, OD Span-America Medical Systems, Inc. Mr. Mack X. Dougherty Musculoskeletal Transplant Ms. Nancy Thompson Spectrum DreamWeaver Medical Kevin Myers, M.D. Ms. Barbara L. Tocchi SRI Surgical Dr. and Mrs. Robert M. Dunn National Library of Medicine, NIH Mr. and Mrs. Michael Towbes STADA Pharmaceuticals, Inc. DuPont Displays The National Pediculosis Association Trading Places International Stryker Corporation Mr. Steve Erickson Mr. Joseph Naus Tri-Counties Blood Bank Sucal Medical, Inc. Facts and Comparisons Neonatal Services, PSC Tulare District Hospital SunNight Solar Family HealthCare Network Network Hardware Resale Mr. Steve Turkheimer Sunrise Pharmaceuticals FedEx New Horizons Outreach UCSB Central Stores Sunstar Americas, Inc. Filipino Nurses Association Newport Family Practices UCSB Student Health Service Surgistar, Inc. Fistula Foundation Mr. Joel Nobbe Mr. Robert H. Uphoff Tagg Industries Mr. Arthur Flynn Nobbe Orthopedics Inc. The UPS Store # 3672 Tarascon Publishing Four Seasons Biltmore Mr. Jerry O’Callahan Valley Animal Hospital Taro Pharmaceuticals U.S.A., Inc. Fredericka Manor Care Center Occhiali Vanguard Medical Supplies, Inc. Tea Tree Therapy Free Wheelchair Mission Ojai Valley Community Hospital Vencor Pharmacy Tempur-Pedic, Inc. Friendship House Operation USA Ventura County Medical Center TEVA Pharmaceuticals USA Alex D. Gazaui, M.D. Oral Health America Britt D. Vinson, DDS Textilease Medique, Inc. Gifts In Kind International The Orion Foundation Visiting Nurses Association TG Eakin Limited Global Links Pacic Pain Physicians, Inc. Vista Del Monte The Harvard Drug Group Globus Relief Fund Pacic Rim Outpatient Surgery Center Vitamin Angel Alliance Ther-Rx Corporation God’s Hidden Treasures Pacic Suites Vitamin Relief USA Titan Corporation Goleta Valley Cottage Hospital PAMS - San Diego Vita-Tech International, Inc. Tri-anim Health Services, Inc. The Goszka Family Jay Patel, M.D. Mr. Arthur Waldinger Tyco Healthcare/Mallinckrodt Graham-Field, Inc. Mr. Chris Peltonen Walgreens - Option Care Vanguard Gratiot Community Hospital Perfecto Chacon Dr. Joseph Z. Walker Vaxgen Green Meadow Mission Perfusion Management Group - Mr. Martin H. Walker Vistakon Mr. Thomas Green Jeffrey Sites The Wallace Family Waldwick Plastics Mr. Randy Greenberg Pheresys Therapeutics Ms. Frances Power Weismiller Watson Pharmaceuticals, Inc. Handpiece Trading Post Planned Parenthood of Santa Ms. Christina Weisner Western Scientic Co. Mr. Tim Hatcher Barbara Westbay Services Center Wisconsin Pharmacal Company, LLC HealthSouth Surgical Center Pleasant Valley Hospital Wheelchair Foundation Wyeth Heart Hugger Ms. Nancy Poor Mr. Allyn Wilde Young Dental Heart to Heart International Providence Holy Cross Medical Mr. Kennedy Wilson Zee Medical, Inc. Hebrew Home of Greater Washington Ready Medical World Vision Zimmer Orthopedic Surgical Products Mr. Eric Heer Rehabilitation Institute of Santa Mr. Bob Yant Zooth Dr. Helfenstein Barbara Karin Yoon, DDS Herban Essentials Mr. Nathan O. Reynolds Special thanks to the Midmark Program .&%*$"-'"$*-*5*&4 03("/*;"5*0/4  Home Diagnostics, Inc. Rhein Medical Participants and to the many Kiwanis */45*565*0/4 "/%*/%*7*%6"-4 Hope Worldwide River Valley Nursing Home Clubs, Lions Clubs, Emblem Clubs, and 1307*%*/(*/,*/%461103507&3 Ms. Joanne E. Horton Rochester Hearing and Speech Center Rotary Clubs that have supported Direct   8)0-&4"-& Hospice Partners of the Central Coast RSVP West Valley Relief International. Africa Aid Huntington Hospital Saddleback Eye Center All Saints Greek Orthodox Church IDA Foundation Salvation Center Ms. Ann Allen Image One San Luis Trust Bank Ms. Kimberly J. Almanza Interface Children Family Services Ms. Kristine Sandoe Mr. Arnie Almcrantz International Aid Sansum Diabetes Research Institute Mr. Carlos Amaro International Relief Team Sansum Medical Clinic American Society for Microbiology International Truck and Engine Corp. Sansum Santa Barbara Medical American Society of Cataract and Interplast Foundation Refractive Surgery Mr. Eric Isaacs Santa Barbara Cancer Foundation AmeriCares International Isla Vista Medical Clinic Santa Barbara City College Anda, Inc. J. M. Keckler Medical Santa Barbara Cottage Hospital Animal Urgent Care Jaspan Hardware Santa Barbara Eyeglass Factory 42 063*/7&45034 $"4)%0/034 Potash Corporation of Saskatchewan, Inc. Mr. and Mrs. Allen Gersho The Thomas Collective Mr. and Mrs. Alexander M. Power Mr. Paul F. Glenn Mr. and Mrs. Walter J. Thomson )POPSBSZ$IBJS    The PRASAD Project Dr. Bert Green and Ms. Alexandra Mr. and Mrs. Michael Towbes Abbott Fund Rock Paper Scissors Foundation Brookshire / Brookshire Green The Towbes Group, Inc. Mr. and Mrs. John H. Adams Mr. and Mrs. James J. Roehrig / Foundation Alice Tweed Tuohy Foundation Anonymous Roehrig Family Foundation Mr. W.T. Hammond Mr. and Mrs. Paul H. Turpin H. Guy Di Stefano Estate Rotary International Dr.* and Mrs. Melvin H. Haskell Jr. / Union for Reform Judaism Mr. Chip Harlow / Precision Strip Ms. Nancy D. Russell* The Haskell Fund The David Vickter Foundation Mr. and Mrs. Jon B. Lovelace Mr. Ummul Ruthbah Hatch & Parent Weingart Foundation M.E.G. Foundation San Francisco Foundation Mr. and Mrs. Stanley C. Hatch Wisconsin Nicaragua Partners of America The Orfalea Fund Santa Barbara Bank & Trust The Dorothea Haus Ross Foundation Xi’an First Teaching Hospital The Babette L. Roth Irrevocable Trust Santa Barbara Cottage Hospital Foundation Mrs. Jean Hay* and Mr. John Hay Yorba Oil Company, Ltd. Santa Barbara Vintners’ Foundation Santa Barbara Foundation Mr. and Mrs. W. Scott Hedrick "NCBTTBEPSPG)FBMUI (MPCBM&NJTTBSZ    Mr.* and Mrs. C. William Schlosser/ Henry Schein, Inc.    A.N.E.R.A. Nancy B. & C. William Schlosser The William and Flora Hewlett Foundation The Allergan Foundation Mr. and Mrs. Stephen Adams / Adams Family Foundation Priscilla Higgins, Ph.D. and Mr. Roger American Jewish World Service Family Foundation Mr. and Mrs. Pete Schmidt-Petersen W. Higgins / Higgins-Trapnell Family Amgen Foundation, Inc. African American Labor Center Mr. Michael Scott Foundation Anonymous Aidmatrix SigmaTel Highbourne Foundation Mr. and Mrs. Bruce Anticouni American-Nicaraguan Foundation Mr. and Mrs. Harold Simmons / Mr. and Mrs. George Holbrook, Jr. / The Antioch Company Amigos Del Peru Foundation, Inc. Harold Simmons Foundation George W. Holbrook, Jr. Foundation Armenian Relief Society of Western U.S.A. The Capital Trust Company of Delaware The Sixty Four Foundation Mr. Erle Holm BD Mrs. Carolyn Pesnell Amory Ms. Thelma R. Smith* Mr. and Mrs. S. Roger Horchow / The Benton Oil and Gas Company Mr. and Mrs. David H. Anderson Mr. and Mrs. Robert Sommer* Horchow Family Charitable Foundation Mr. and Mrs. Philip Berber Anonymous Steinmetz Foundation Hospira Foundation Blue Cross of California The Anschutz Foundation Mr. and Mrs. John Swift and the Swift IBM Corporation John G. Braun Charitable Annuity Trust ARA-Charlotte Charitable Foundation Foundation / MSST Foundation Izumi Foundation Mrs. Maria Bregy Mr. and Mrs. Omar Arnesen / Arnesen Julia & Emil Synkys Lithuanian Ms. Wendy E. Jordan Francois and Sheila Johnson Brütsch Family Foundation Foundation Mrs. Joyce E. Joseph Bush Hospital Foundation Mr. and Mrs. Anderson J. Arnold Tenet Healthcare Foundation W. M. Keck Foundation California Community Foundation Aveda Corporation Mrs. Grace A. Tickner* The Klingbeil Family Mr. Bruce Campbell B & B Foundation Trust Company of the West Mr. Larry Koppelman and Mrs. Nancy The Capital Group Companies Bank of America Foundation, Inc. Mr. and Mrs. George Turpin, Sr. Walker Koppelman Charitable Foundation Bare Escentuals Beauty, Inc. Turpin Family Charitable Foundation Mr. Barry Kravitz Mr. and Mrs. Robert S. Cathcart Mrs. Cornelia Barr Tyco International Inc. La Santa Casa de Misericordia Christian Relief Services Beckmen Vineyards U.S. Omen National Organization The Lehrer Family Foundation Mr. and Mrs. Chris Conway Mr. and Mrs. Arnold Bellowe United Armenian Fund The Limited Service Corporation Mr. and Mrs. Thomas Crawford* Bishop Rotary Foundation WellPoint Foundation The Linbury Trust Roy R. and Laurie M. Cummins Fund Mr.* and Mrs. John C. Bowen Mr. Cooper Williams David Livingstone Missionary Mr. and Mrs. John D. Curtis The James S. Bower Foundation Nancy E. Williams Family Foundation Foundation - Tulsa, OK Digicel Grenada Ltd. Builders Association Charity Mrs. Doris A. Winkler* MADRE The Disarm Education Fund, Inc. Henry W. Bull Foundation Wood-Claeyssens Foundation Mr. and Mrs. Frank N. Magid Dodge & Cox Bunzl USA, Inc. Mr. and Mrs. Anant Yardi / Yardi Mr. and Mrs. Donald Maharam Peggy and Steve Dow Mrs. Helen Burnett* Systems, Inc. Mr. Ken Maytag / Fred Maytag Family Mr. and Mrs. James Eiting California Association to Aid Ukraine Mr. and Mrs. David Yawitz Foundation Estonian American Fund for Cambria Winery & Vineyard $POTVM(FOFSBM    Mission Without Borders, Inc. Economic Education, Inc. Catholic Healthcare West Alcon Laboratories, Inc. The Cynthia and George Mitchell ExxonMobil Corporation / ExxonMobil Mr. and Mrs. James M. Celmayster American Jewish Joint Distribution Foundation Foundation Chevron Overseas Petroleum Inc. Committee, Inc. Mitsui USA FedEx Children International Anonymous The Henry E. and Lola Monroe Mrs. Barbara Hunter Foster / The Church of the Holy Communion The American Society of the Most Foundation Pacer Foundation Coast Village Business Association, Inc. Venerable Order of the Hospital of Montecito Bank & Trust GlaxoSmithKline Foundation Colgate-Palmolive Company St. John of Jerusalem Montecito Union School Global Partners for Development Community Foundation Silicon Valley Mrs. Elizabeth Potter Atkins Mr. and Mrs. Robert Nakasone Mr. and Mrs. Richard Godfrey Ms. Helen S. Converse Mr.* and Mrs. William J. Bailey New York Mercantile Exchange Mr. and Mrs. Lawrence L. Goodman Mr. and Mrs. Brian Coryat BASF Corporation Charitable Foundation Google Mr.* and Mrs. Marcus Crahan / The Julia Mr. and Mrs. Philip M. Battaglia Mr.* and Mrs. John R. Noble Guyana Medical Relief, Inc. Stearns Dockweiler Charitable The James Ford Bell Foundation Oracle Corporation Harman International Industries Inc. Foundation Blue Shield of California Foundation Orfalea Family Foundation Brett and Natalie Hodges / WWW Mr. and Mrs. George Crawford Boehringer Ingelheim CARES Mr. and Mrs. Frank R. Ostini / Foundation Mr. and Mrs. Leonard J. DiSanza Foundation The Hitching Post & Hitching Post Wines Holy Cross Society Dr. and Mrs. Wilton Doane Mrs. Beatrice (Brownie) Borden Mr. and Mrs. Fess E. Parker Hy Cite Corporation Dr. and Mrs. Ernest H. Drew Mr. James S. Bower* Partnership for the Children Innium Capital Management Mr. and Mrs. Thomas E. Everhart Bradlees Stores, Inc. Pediatrix Charitable Fund, Inc. International Foundation Mr. and Mrs. Ted Ewing Bristol-Myers Squibb Company Mr. Alan R. Porter Mr. and Mrs. James H. Jackson / The Mr. and Mrs. Brooks Firestone Mr. and Mrs. Joseph Byrne / J. E. Mr. John Powell and Ms. Melinda Lerner Ann Jackson Family Foundation Dr. and Mrs. John M. Foley Lillian Tipton Foundation Mr. and Mrs. Michael E. Pulitzer / The Johnson & Johnson Family of Companies Food For The Poor, Inc. The California Endowment Ceil and Michael E. Pulitzer Mr. and Mrs. Peter O. Johnson, Sr. Foxen Vineyard, Inc. California Lithuanian Credit Union Foundation Inc. Mr. and Mrs. Donald S. Kennedy Fruitful Yield Campbell & Company Inc. Reebok Human Rights Foundation Kind World Foundation Fundacion Pro-Vista, A.C. The Hon. and Mrs. Henry E. Catto / Mrs. Nancy Roberts* Dorothy Largay and Wayne Rosing Josephine Herbert Gleis Foundation Catto Charitable Foundation Rose Hills Foundation Ms. Nancy Lessner The Glenlivet Single Malt Scotch Whiskey Mr. Pierre P. Claeyssens* Ms. Maria Rosmann* Yvonne C. Lucassen Estate Godric Foundation Mr. James Clendenen The San Diego Union-Tribune Mr. and Mrs. Glenn Lukos God’s Hidden Treasures Crescent City Relief Fund, Inc. Mr. and Mrs. Denis R. Sanan MacDonald Family Foundation Mr. and Mrs. Lawrence L. Goodman Mr. and Mrs. Thomas J. Cusack Mr. and Mrs. Richard L. Schall Maine Community Foundation Mr. Myron C. Gretler Mr. and Mrs. Killick Datta / GBMI Schulte Roth & Zabel LLP Martone Family Trust Mary Livingston Griggs and Mary Griggs Ms. Margaret E. G. Davis* Mr. and Mrs. James H. Selbert Mayo Clinic Burke Foundation Dendrite International, Inc. Seva Foundation McCormick Tribune Foundation Mr. and Mrs. Steven R. Gumins Diwaliben Mohanlal Mehta Shaker Family Charitable Foundation R. K. Mellon Family Foundation The Gunzenhauser-Chapin Fund Charitable Trust Mr. and Mrs. James A. Shattuck Mentor Corporation Mr. and Mrs. Joseph Hardin, Jr. Mr. and Mrs. Dan Doctoroff Mr. Thomas E. Simondi Mercury Mr. and Mrs. David F. Hart The Doehring Foundation Mr. * and Mrs. Krishan G. Singh Music for Relief Mr. and Mrs. Billy R. Hearn The William H. Donner Foundation, Inc. Sidhu Singh Family Foundation New Horizons Outreach, Inc. Hegardt Foundation Mr. and Mrs. James Drasdo Six Furlongs, LLC The Norcliffe Foundation Heron Foundation Mr. Grant Ehrlich* / The Grant C. Ms. Angela H. Skolnick / The Skolnick The Nurture Foundation The Hexberg Family Foundation Ehrlich Trust Foundation Osprey Foundation Mr. Doug Hickey Mr. and Mrs. Thomas P. Elsaesser Ms. Margaret H. Smith* Pallottine Center for Apostolic Causes Conrad N. Hilton Foundation Baroness Leni Fe Bland Mr. and Mrs. Michael D. Smith Mr. Harold A. Parma* Mr. Linus Ho Mr. and Mrs. Gary Finefrock Stone Family Trust Mr. and Mrs. Donald E. Petersen Mr. Gerhart Hoffmeister Ms. Penelope D. Foley Ms. Elizabeth Ash Strode and Mr. Robert Pzer, Inc. Honeywell Foundation Fukushima Family Fund L. Douglas Mrs. Evans S. Pillsbury Mr. and Mrs. Stanley Hubbard Mr. and Mrs. Edward Gaylord Mr. and Mrs. John W. Sweetland 063*/7&45034 43

Hutton Foundation St. Mary Parish Land Company Mr. and Mrs. Glen E. Bickerstaff Moylan Inamed Mr. K. Walter Stawicki* Big Dog USA, Inc. Mr. and Mrs. Joseph K. Davidson Indo American Eye Care Society Inc. Mr. Sheldon Stone Big Sky Consulting Mr. and Mrs. George H. Davis, Jr. Mr. and Mrs. J. Jerry Inskeep Sunower Foundation Bison Films Mr. and Mrs. Robert A. Day Mr. and Mrs. Palmer G. Jackson, Sr. Mrs. Elizabeth A. Tehan Mr. and Mrs. Tom Black Mr. Charles De Marais / Pro Packing, Inc. Mr. and Mrs. Richard A. Johnson Mr. and Mrs. Nicholas W. Tell, Jr. Mr. and Mrs. Christopher Blair Mr. and Mrs. Louis DeAngelis Ms. Judith Jones Tellabs Foundation / Tellabs Matching Leland F. Blatt Family Foundation Dr. Roy C. DeLamotte Jordano’s Inc. Gift Fund Mr. and Mrs. Robert F. Blecker Mr. Leslie C. Derenfeld J.F. Kapnek Charitable Trust Ms. Lee Thomas Mr.* and Mrs. Russell S. Bock Diodes,Inc. Mr.* and Mrs. Denis Karczag Tissue Banks International The Body Shop Mr. and Mrs. Timothy C. Dittmann Karl Storz Endoscopy-America, Inc. Tomchin Family Charitable Trust Albert and Elaine Borchard Foundation Inc. Dr. and Mrs. Wilton A. Doane Dr. and Mrs. John P. J. Kelly Trumpf Inc. Mr. and Mrs. Edgar Bottler Document Sciences Corporation Mrs. Elizabeth E. Kennedy* Ukrainian Civic Center, Inc. The Lynde and Harry Bradley Foundation Mr.* and Mrs. Jerome K. Doolan Mrs. Ellen Bayard Kennelly United Voluntary Services Ms. Gail L. Brainum Doorae Community Movement Mrs. Marvel Kirby United Way of Santa Barbara County Brimstone Group Mr. Bruce Douglas Mr. Ishwan Kumar Vadasz Family Foundation Dr. Bronwen G. Brindley and Mr. John L. Mr. and Mrs. R. Chad Dreier Dr. Ralph Kuon Vanech Family Foundation Warren Mr. and Mrs. Christopher Eber L. S. Research, Inc. Venoco, Inc. Mr. and Mrs. Daniel Brodsky El Rescate Herbert and Gertrude Latkin Charitable Video Products Distributors Brookstreet Securities Corporation Mr. Peter Ellenshaw* Foundation Mr. and Mrs. James Villanueva Mr. and Mrs. Leonard Broom Embassy of Ecuador Lebanese American Association Inc. Vistakon Mr. J. Wesley Brown and Mrs. Kathiann Mr. and Mrs. Robert L. Emery Levi Strauss Foundation Mr. and Mrs. Guhan Viswanathan Brown Empowerment Works Inc. Dr. and Mrs. Donald Lewis Wallis Foundation Brownstein/Hyatt/Farber/Schreck The Charles Engelhard Foundation Mr. and Mrs. Donald J. Lewis Watling Foundation, Inc. Mr. and Mrs. Roland Bryan Ms. Patricia M. English Lions Clubs International Foundation Mrs. John W. Watling, Jr. Marguerite Bulf Estate Evangelical Lutheran Synod Mr. Joseph C. Lizzio Mr. and Mrs. Harold S. Wayne Mr. and Mrs. Jon Bull F. C. Business Systems, Inc. Mr. Richard E. Lunquist Dr. and Mrs. Thomas A. Weber Mr. and Mrs. Frank E. Burgess Ms. Gina Falsetto and Mr. Warren Brown The Hon. and Mrs. John D. Macomber Mr. and Mrs. John F. Weersing Ms. Sharon C. Burgett Mr. and Mrs. Brian Farrell Mrs. Adele Mairs* Wilmington Trust Company Burke, Williams, & Sorensen, LLP Dr. Warren S. Farrell Mrs. Louise F. Maison Mr. and Mrs. Frank M. Wilson III Mr. Stephen A. Burlingame Mr.* and Mrs. Howard C. Fenton / The Mr. and Mrs. Calvin S. Marble Wisconsin Evangelical Lutheran Synod Mr. Frederick P. Burrows Howard C. and Jean B. Fenton Trust Kim Margolin, M.D. Mr. Joseph Kim-Hun Wong Mr. William S. Burtness Mr. Dean Ferguson Marian Medical Center Foundation / Mr. and Mrs. George S. Writer, Jr. / Dr. and Mrs. Eric K. Butler Mr. Frank Ferguson Catholic Healthcare West Writer Family Foundation Mr. Robert J. Buttel and Ms. Cynthia Mr. and Mrs. James R. Feutz Marquee Youth for Direct Relief Wright Ms. Nikola N. Filby MLB Advanced Media LP 8PSME)FBMUI&OWPZ    Ms. Virginia W. Cabot Mr. and Mrs. Andrew Firestone Mr. Ralph B. Montgomery 805 Wear Cagayanos of Luzon, U.S.A. First Quadrant Montgomery Street Foundation Mr.* and Mrs. Stewart L. Abercrombie Cara Moore Calendar Mrs. June Breton Fisher Mr. Peter Morton ADA International, Inc. Mr. James J. Callan Mr. and Mrs. Joel Fithian Samuel B. and Margaret C. Mosher Aera Energy LLC Ms. Sue Campbell* Mr. Richard P. FitzGerald Foundation Alliance Bancorp Mr. Bernard P. Caplan and Dr. Stephanie Mr. John K. Fletcher MyFonts.com, Inc. Dr. and Mrs. Ellsworth C. Alvord, Jr. Caplan Emergency Physicians NetEffects American Academy of Physician Assistants Carquest Charitable Foundation Florida Turkish-American Women’s New York Football Giants, Inc. American Friends Foundation for Mrs. Mary Carrigan Association Ms. Anita C. Nonneman Childbirth Injuries Casa Esperanza Homeless Center Mr. Terence M. Flynn Ms. Sandra Nowicki American Service to India GVRG Castagnola Family Foundation Foley Family Charitable Foundation Mr. Dee Sterling Osborne Anacapa Micro Products, Inc. Mrs. Virginia Castagnola-Hunter Ms. Margaret P. Foley P&G Mr. and Mrs. Scott S. Andersen Charlotte Castalde Estate Mary Alice Fortin Foundation Pacic Capital Bancorp Mr. Ivar E. Anderson Mr. and Mrs. Robert M. Cavenagh The Foster Charitable Trust Paras Diamond Corp. Mrs. Jeanne S. Anderson / Jeanne S. Center for Exchanges and Cooperation Foundation of Xiamen Zhong Shan The J. Douglas & Marian R. Pardee Anderson Living Trust Mr. Richard Certo Hospital Foundation Anncox Foundation, Inc. Charitable Care Foundation Mr. Stephen Fraga Mr. Devon Patel Anner Trust Mr. and Mrs. Steve Charton Ms. Claudia Frey Mr. Austin H. Peck, Jr.* Mrs. Rhea Applewhite Chase Manhattan Foundation Mr. Edward C. Friedel and Ms. Patricia E. Peruvian American Medical Society - Archstone Foundation Dr. Vijaya Chellapilla Eder Northridge, CA Steven W. Arle, M.D. and Mrs. Kathleen Chernobyl International Ecological Fnd. Friends of the Catholic Diocese of Tororo Peruvian American Medical Society - West B. Arle Mr. and Mrs. Robert Childress Frommer Lawrence & Haug Bloomeld, MI Armenian Association of Santa Barbara China Connection Mildred K. Fusco Trust Dr. Kevin W. Plaxco and Mrs. Lisa Plaxco Armenian Cultural Society Christian Aid Ministries Mr. and Mrs. Larry Gaines The Positive Transitions Foundation Mr. Michael L. Armentrout and Ms. Mr. Muhammad Chusnun Mr. Daniel J. Gainey Potter’s Clay Wenwei Yang Mr. Ramsey Clark Mr. and Mrs. Walter H. Gainey Power Equipment Company Ms. Picola Arnesen / Arnesen Woodland Mr. Fred Clarke Ms. Monica Gallagher QAD Inc. Hills LLC Mr. and Mrs. Barton E. Clemens, Jr. Mr. and Mrs. Orman Gaspar Qdoba Mexican Grill ASCCOM-U.S.A., Inc. Ms. Morgan Clendenen / Cold Heaven LLC GE Foundation Mr. Randy Rettig and Ms. Ashley Williams Dr. and Mrs. Gilbert L. Ashor Mr. F.A. Coard Mr. Bob Gerber and Dr. Veronica Rynn Lord Paul* and Lady Leslie Ridley-Tree Association Italy Amici di Follereau Mr. and Mrs. Kenneth Coates Mr. I. Blaine Gibson Mr. and Mrs. J. Paul Roston Mr. Joseph Atwill and Mrs. Elisa Atwill Dr. Robert L. Coffey and Dr. Deborah North Mrs. Lillis D. Gibson RSP Architects, Ltd. Avcomm International, Inc. Mr. Mark Coleman Mr. Donald J. Girkout Arthur N. Rupe Foundation Mr. and Mrs. Joseph W. Bailey Mr. and Mrs. A. Joseph Collette Mr. and Mrs. Lawrence R. Glenn Mr. and Mrs. Geoff Rusack / Rusack Mr. Michael Baldwin Colombian Volunteer Ladies Inc. Glens Falls Medical Missionary Vineyard Baltic Subsidiary Regional Mrs. Barbara Colville Global Humanitarian Services, Inc. Salvadoran American Health Foundation Mr. Richard C. Banks Community Action Commission Richard and Rhoda Goldman Fund sano-aventis Mr. and Mrs. Jeffrey Barbakow Mr. Lance Connor and Ms. Nancy Werner Ms. Reba Gonzales Santa Casa de Misericordi Mrs. Lois M. Barber Conservation, Food & Health Foundation Goodman Family Foundation Schering-Plough Corporation Ms. Sara Barr Consulado General Del Ecuador Mr. and Mrs. Greg Goodman Mr. and Mrs. Ed H. Schollmaier Sr. Hugo D’Amato Bassi Mr. Steven Contursi Mr. Richard Goodrich Mr. and Mrs. Larry Schotz Mr. and Mrs. Richard Battles Mrs. Jamie Conway* Mr. Martin Gore Mr. and Mrs. Howard B. Schow / Ms. Jocelyn C. Bauer Mr. and Mrs. Scott Cooper Mr. Iasu Gorfu The Schow Foundation Mr. and Mrs. Lance Bauer Ms. Clarice E. Cornell and Mr. Harlyn Mr. and Mrs. Robert Goulette Ms. June H. Schuerch Bausch & Lomb, Inc. Clarke Grabbing Hands, Ltd. Selective Insurance Baxter International Mr. Michael Corrigan Ms. Jennifer Greiner Seton Institute for International Bay Branch Foundation Countrywide Cares Mr. and Mrs. Pierson M. Grieve Development Becton Dickinson Canada Inc. Mr. Stuart P. Coxhead, Jr. Mr. and Mrs. C. E. Bayliss Griggs Mohammed Shaikh, Ph.D. and Ayesha Mr. and Mrs. Ralph J. Begley The Crawford Idema Family Foundation Guyanese Nurses Association of California Shaikh, M.D. The James Ford Bell Foundation Mr. Leigh Crawford Hall FLP Mr. Stanley Shopkorn Mr. Marc Benioff / salesforce.com Mr. and Mrs. William Crawford Mr. and Mrs. Mark Hamilton Sisters of St. Francis of Perpetual foundation Crosby Family Foundation Mr. and Mrs. Michael A. Hamilton Adoration Mr. and Mrs. Richard A. Berti Mr. and Mrs. Lewis Dalessio Mr. and Mrs. Lawrence T. Hammett Ms. Carol L. Skinner Mrs. Rose Bethe Dallas Security Traders Association Hands Across The Andes Smart Family Foundation, Inc. Mr. Merle E. Betz, Jr. David Michael & Co. Inc. Hannibal Industries Inc. Spence & Chapin Services to Families Mr. and Mrs. Robert F. Beyer Mr. Thomas J. David and Ms. Nancy Mr. and Mrs. Louis Hanover 44 063*/7&45034 Mr. and Mrs. Eli Harari Mr. Fredric C. Leutheuser Mr. and Mrs. Gary L. Nett Mr. and Mrs. James L. Shobe Mr. and Mrs. Thomas J. Harriman Ms. Susan Levin Ms. Clementine M. Newman Sierra Concepts Mr. and Mrs. Ken Harvey Mr. Milton C. Lewis, Jr.* Ms. Mary M. Newman Sierra Madre Foundation Haseki Hospital Lilybelle Foundation Nicaragua Medical Aid Ms. Tonia A. Simon Mr. Simon Hayward Robert N. Lindquist & Associates Nichols Foundation, Inc. Mr.* and Mrs. Kenneth R. Simpson Mr. Lawrence Hazzard Mr. Peter Lion Mr. and Mrs. Chapin Nolen Mr. and Mrs. Bhupi Singh Help Diocese of Kikwit In Zaire Ms. Sheila Lipin Mr. and Mrs. Jack Norqual Novell Mr. and Mrs. Kanwaljit Singh Helping Hearts Mrs. Judith Little / The Wm. Brian and Ms. Genevieve H. Nowlin* Sister Dulce Charitable Foundation Ms. Beverly S. Heminway Judith A. Little Charitable Trust The NPD Group, Inc. Skyscraper Challenge Mr. and Mrs. Wolf Hengst Mr. Eugene Y. Loh, Jr. Nuveen Investments, LLC Skyworks Solutions, Inc. Dr. Karl F. Hens The LOJO Foundation Oeuvres et Missions de Don Bosco Mr. Bruce Smith Mr. Gavin S. Herbert, Jr. Miss Mary Butler Longest Ofce Depot William A. and Madeline Smith Mr. and Mrs. Henry D. Herr Lopker Family Foundation O’Melveny & Myers Fund Foundation Mr. Frederick J. Herzog Ms. Lura M. Lovell OMRON Foundation, Inc. Mrs. Ashley Parker Snider and Mr. Tim Mr. Peter Hilf Mrs. Hazel M. Lyon Once Upon A Time Foundation Snider Julian T. & Grace Hightower Foundation Marquis George MacDonald Foundation Opal Restaurant & Bar The Soener Foundation Himalayan Healthcare, Inc. Mr. and Mrs. John Macfarlane Mr. and Mrs. John Osborn Mrs. Tana Sommer-Belin Mr. Phillip Hobbs MacHeist LLC Dr. and Mrs. Sidney R. Ottman Southern California Pams Mr. and Mrs. Brian Hodges / WWW Mr. and Mrs. Pal Maleter Mr. and Mrs. Jack B. Overall Mr. and Mrs. Sterling W. Spears Foundation John A. Malley, M.D. Mr. and Mrs. Everett Pachner Mr. and Mrs. Bruce Spector Holborn Corporation Mr. and Mrs. Richard Manseld Pacic Coast Recycling LLC Dr. and Mrs. Norman Sprague, III / Mrs. Esther M. Holm* Mr. N. Boris Margolin PaciCare Foundation The Caryll M.and Norman F. Sprague E. Carmack Holmes M.D. and Mrs. Carolyn Mr. and Mrs. Reuben Mark Ms. Barbara L. Pagano Foundation Holmes Marks Family Foundation The Pajadoro Family Foundation St. Antony Monastary-Red Sea Hosford Family Foundation Mr. Randolph Marks Mr. Lawrence W. Palmedo St. John of God Health Services Hospital Margarita Ms. Audrey E. Martinson Panama Republic of Health Ministry St. John Student Parish Host Marriott L.P. Alice K. Mathis Memorial Foundation Mr. and Mrs. Walter Parkes Stanley Group Charitable Foundation Mr. and Mrs. Preston Hotchkis Matrixx Initiatives, Inc. Ms. Karen Payatt Mrs. Judith Cosden Stapelmann Ms. Cynthia Howard Mr. and Mrs. George L. Matthaei Ms. Helen L. Pedotti Starbuck Tisdale & Associates Ellen E. Howe Foundation Mr. and Mrs. Mark Mattingly Peruvian Art Society The Fran & Ray Stark Foundation HSBC Community & Philanthropic Mr. Sanjay Motwani Philippine Medical Society of Southern Mr. and Mrs. Edward Stepanek Services Mayo Foundation for Medical Education California Mrs. Betty J. Stephens Mr. and Mrs. Thomas L. Hudson and Research Mr. Lawrence Phillips Ms. E. M. Stephens Mrs. Mary Hulitar MAZON Phoenix International Freight Services, Ltd. Marc & Eva Stern Foundation Ms. Dorothy Humiston* The Harold McAlister Charitable Foundation Picture This Television, LLC / Celebrity Walter and Mae Stern Trust Ms. Fredericka H. Hunter Mr. James P. McAlister and Mrs. Mari R. Poker Showdown Mr. and Mrs. Andrew Stevenson Mrs. Alice W. Hutchins McAlister Mr. and Mrs. Keith B. Pitts Mr. and Mrs. Kenneth E. Stinson i2 Foundation, Inc. Mrs. Joan T. McCoy Mr. and Mrs. Wesley Poulson Ms. Ellen Strickland IEEE Foundation The Ralph H. and Ruth J. McCullough Project Concern International Mr. Carl A. Strunk Mr. and Mrs. Victor J. Illig Foundation Public Welfare Foundation Inc. Mr. and Mrs. Selby W. Sullivan IMPACT Sara Miller McCune Pulitzer Publishing Company Mr. and Mrs. Richard Sulpizio India Development & Relief Fund Mr. Barie E. McCurry Mrs. Elizabeth F. Putzel The Sumba Foundation Incorporated Mr. and Mrs. Emmett McDonough Quantum Summit Systems Inc. International Transport Solutions Mrs. C. B. McFie Questar Corporation The Sunshine Foundation Intuit Foundation The McIntyre Foundation Rabobank Mrs. Betsey G. Sutton Ms. Lygia M. Ionnitiu McLarand, Vasquez, Emsiek & Partners, Inc. Mr. Raj Rajaratnam Syda Foundation - Prasad Project Islamic Center of Southern California Medical Research Foundation Mr. and Mrs. Daniel Randopoulos / Mr. Richard B. Taylor Ms. Karen Iverson MediShare International Metson Marine Mr. Stuart Taylor Mr. and Mrs. Ric N. Jackson Mr. Cal Meeker Mr. and Mrs. David Rasmussen Mr. and Mrs. Thomas J. Tella II Ms. Diane Jaffee Ms. Sherry Melchiorre / Sherry Melchiorre Realogy Charitable Foundation Mr.* and Mrs. William Tennity / Marilyn Jaffurs Wine Cellars Trust Red Onion Saloon, Inc. Swift Tennity Foundation Janssen Pharmaceutica Ms. Carol J. Melville Mr. Robert Reingold Mr. and Mrs. Sanu K. Thomas Mr. Jerry E. Jageman Mercy Corps International Relief International Ticor Title Company of California Jimbo’s Natural Family, Inc. Dr.* and Mrs. John B. Merritt, Jr. Ms. Mary P. Renner The Tighe Family Revocable Trust John Forster Painting Mrs. Nancy S. Merritt Mr. and Mrs. Michael Riedel Ms. Mary P. Tighe and Mr. Andrew M. Mr. John Johnson Metropolitan Theatres Corporation Mrs. Jane C. Rieffel Liepman Ms. Patricia Harris Johnston Foundation Dr.* and Mrs. Paul A. Riemenschneider Tilton Family Foundation Joint Commission Microsoft Matching Gift Program Mr. William Rizzi and Ms. Tara Kemter Mr. David Ting and Mrs. Grace H. Ting The Karsh Family Foundation Midwest Chapter of Peruvian Institutions Mr. Paul A. Roberts Mr. and Mrs. Donn Tognazzini Nancy Katayama Foundation Inc. Midwest Communications Mr. John Rogers and Ms. Beth Whitehead Tonto Apache Tribe Mr. Matthew J. Kaufmann and Mr. Mihail Mihailoff Mr. and Mrs. Rick Roney / The Roney The Tres Chicas Foundation Ms. Holly Bell Milken Family Foundation Family Foundation Trinity Church Outreach Project Mr. and Mrs. Edward Keeling Millburn High School Mr. Chuck Rovan Mr. and Mrs. Earl A. Tripke Mr. and Mrs. Ernest Keet Millennium Pharmaceuticals, Inc. Mr. and Mrs. Bartolomeo G. Ruspoli Mrs. Grace J. Trout Mr. and Mrs. Brian Kelley Mr. and Mrs. Laurence K. Miller Mr. David Russell and Mrs. Diane Russell Mr. Clint Turner Mr. Glenn Kelman Mr. Tom Miller Russell-Stanley The Unitarian Society of Santa Barbara Kelso & Company Mr. Arthur Milligan Sagheb Family Fund University Surgical Associates Ralph & Sibyl Kerr Charitable Trust Mr. and Mrs. Glen Milliman Mr. Tony Sansonetti Mr. and Mrs. John A. van Beuren Mr. and Mrs. Essam Khashoggi Mr. and Mrs. Kendall A. Mills Santa Ynez Valley United Voluntary Ms. Marie L. Van Schie Mr. and Mrs. Ralph Kiewit, Jr. Mr. George Minot* Service Mr. and Mrs. Alan Van Vliet Kincaid Living Trust Miracle Ticket Fund Mr. Anthony Sarafa Dr. and Mrs. Wallace Vandever Mrs. Caroline Power Kindrish Trust Missionaries of Africa Ms. Edith Sator Dr. and Mrs. Daniel Vapnek The Kingsley Foundation Ms. Patricia M. Mitchell Save Ethiopian Victims of War Mrs. Winifred M. Vedder Mr. and Mrs. Robert Klausner Mitsui Comtek Corporation Ms. Phyllis Schechter Ventura Foods, LLC Mr. Andrew Klavan Moccasin Lake Foundation, Inc. Mr. Michael G. Schmidtchen and VIASYS Healthcare Mr. and Mrs. Terry Klingman Mrs. Erna Molnar Ms. Linda F. Thompson Mr. and Mrs. Renato S. Villanueva Mr. and Mrs. William C. Klintworth MoneyGram Payment Systems, Inc. Mr. George E. Schoellkopf and VPD Mr. and Mrs. John A. Knox-Johnston Mr. and Mrs. Parker G. Montgomery Mr. Gerald Incandela Wackenhut Corporation Dr.* and Mrs. Joseph B. Koepi Marion Moore Foundation, Inc. Mr. and Mrs. Taylor E. Schollmaier Ms. Annice Waggoner* Dr. and Mrs. J. William Kohl Mr. and Mrs. Robert J. Moore, Sr. Ms. Rachael Schultz Mr. Gordon Wangers Dr. Herbert Koteen* and Dr. William Morton-Smith Mr. and Mrs. Arent H. Schuyler, Jr. Ms. Victoria R. Ward Mrs. Phyllis Koteen* Mostyn Foundation Inc Sear Family Foundation Mr. and Mrs. James R. Warren Kreitzberg Family Foundation Mr. and Mrs. Steve Moya Mr. Marc Seidler Mr. W. Wright Watling Ms. Julie Ladner and Mr. Brian Ms. Suzanne M. Muir Mr. John M. Selig Ms. Judith Watson Fahnestock Mr. John Mulder Mr. Piero Selvaggio WDIO-TV Mr. and Mrs. William V. H. Laggren Mr. and Mrs. Andrew Murray Ms. Denise Selz Mr. John Weldon Mrs. Frances D. Larkin The Nagler Family Foundation Mr. Cuneyt Serdar Wells Fargo Foundation Mr. and Mrs. Rob S. Laskin Mr. Graham Nash Seven Lakes Chapel in the Pines, Inc. Mrs. Walter T. Wells* Latham & Watkins LLP National Education Loan Network, Inc. Albert Shapiro Foundation WER Sir Richard and Lady Latham National Heritage Foundation Mr. and Mrs. Michael Sharp Mr. and Mrs. John H. Werden Mr. Peter Laventhol Mr. James Neitz Dr. Thomas E. Shea* Westmont College Lazy Acres Market Mr. Mark Nelkin Shirley Machine and Engineering, Inc. Westport Petroleum Inc Lehman Brothers Neoforma, Inc. The Susan Stein Shiva Foundation Mr. Kevin Whelen and Mrs. Kristin Kirby 063*/7&45034 45 Whelen / The Kirby Foundation Bethania Hospital Mr. Shane Coburn Mr. and Mrs. David I. Fisher Mr. Dana White Bialis Family Foundation Mr. Ethan Coen Mr.* and Mrs. Maurice Fisher Mr. and Mrs. Charles W. Whiting Mr. and Mrs. J. R. Biard Ms. Wilda Coffey Dr. Werner Flacke and Dr. Joan Flacke Ms. Jodi Willard Mr. and Mrs. James R. Bickel Coldwell Banker Mr. and Mrs. John Flick Nancy J. Williamson Charitable Lead Mr. and Mrs. Wilfried K. A. Bielitzer Mr. and Mrs. Fred Coler Mr. and Mrs. Gerald Flynn Unitrust Mr. Richard H. Bigelow Mr. and Mrs. Robert B. Colleary Mr. and Mrs. James A. Folger Mr. and Mrs. James K. Williams Mr. and Mrs. Jerry Biggs CommonHealth Mr.* and Mrs. Jerome Forkosh Ms. Lois Willis Mr. and Mrs. Donald H. Birdsong Dr. David Compton Mr. and Mrs. Dennis Forster Mr. and Mrs. Dennis Wilson Mr. and Mrs. Alan F. Black Mrs. Debra Compton Mr. Stephen Forte Mrs. Shirley Wilson Mr. and Mrs. Wiley Blair III Computer Associates International, Inc. Ms. Wendy Foster and Mr. Pierre LaFond Wine Cask Mr. and Mrs. Robert L. Bletcher Conejo Valley Congregational Church Foundation USA Ecador TM Wireless Facilities, Inc. Mr. and Mrs. Geoffrey L. Bloomingdale Enid Coors Mr. and Mrs. Ronald J. Fox Josephine M. Wood Trust Bodhi Monastery Corinthian Colleges, Inc. Ms. Susanne A. Fox Mr. and Mrs. Robert Wooley Mr. William E. Boeing, Jr. Mr. Jack A. Cornejo Mr. George Fraise World Emergency Relief Bogen Family Charitable Trust Cottage Health Systems Mr. Harold R. Frank World Vision Inc. Ms. Evelyn Boghrati and Mr. Mohammad COUNTERPART Foundation, Inc. FRC Properties Partnership Youth for DRI Mazooji Ms. Thais A. Couples Freeborn Mower Cooperative Services Ms. Loranne Zeman Mr. and Mrs. Michael D. Bolen Mr. and Mrs. William R. Cowell Mr. Jeff Frey Mr. and Mrs. Robert Zemeckis Bolling Chaplain Fund Cox Communications Friends of Magic Moments Children, Inc. Ms. Birge K. Zimmermann and Mr. Ms. Margaret H. Bolton CPP, Inc. Ms. Mary Ann Froley Kenneth R. Goodearl Mr. and Mrs. James C. Bonewald Crane School Mr. and Mrs. Ted Funsten Dr. and Mrs. Tuenis D. Zondag Mr. Scott Booker Mr. Stanford T. Crapo Mr. and Mrs. Steven N. Gange 1SFTJEFOUT$PVODJM    Ms. Karen Boris Ms. Donna Crawford The Leo and Eva Gans Foundation Inc. A & A Computers Mr. and Mrs. Timothy P. Boris Mr. John V. Crawford Mr. A. Garcia and Ms. S. Edwards Mr. and Mrs. Henry C. Abell Mr. Matthew Bowden The Crosby Fund Mr. Jorge Garcia The ACE Foundation Mrs. Dotsie Bowles Crudem Foundation Mr. Lee H. Garlington Acumen Solutions, Inc. Mr. and Mrs. Glen E. Boyles Roy E. Crummer Foundation Mr. Greg Garrison Adesta Mr. Andrew M. Braasch Mr. Stephen Cummings Mr. William H. Gates, III Dr. Denis C. Adler Mr. A. Bruce Brackenridge Cummins Engine Company Gators for Tsunami Relief Aero Medicos Ms. Patti Breitman Mr. Dennis Cunningham Ms. Robyn Geddes African Christian Hospitals Foundation British Palawan Trust Mrs. Christine Dahl Ms. Debra P. Geiger and Mr. Eliot African Medical & Research Foundation, Inc. Mr. William G. Broadhead Darling Homes Crowley Mr. and Mrs. Kamlesh Agrawal Mr. Conley Brooks, Sr. Mr. William Davidge Gelb Consulting Group, Inc. Mr. and Mrs. Christopher J. Ainley Brooks Family Foundation Mr. and Mrs. Don W. Davidson Lawrence M. Gelb Foundation Inc. Mr. Peter Akermann Mr. Markell Brooks Mr. Frank M. Davidson The Geneva Organization, Inc. Mr. James Albrecht Mrs. Anita Brown Mr. John Davies Geneva Scientic Ms. Henrietta Alexander Dr. Blake T. Brown and Ms. Roelanda Genn Ms. Carla De Cervantes Mr. Theodore Georgas All Saints-By-The-Sea Episcopal Church Brown Family Foundation De La Salle University Mrs. Roberta George Mr. and Mrs. William H. Allaway Ms. Lori Bryan Deacon Charitable Foundation George Washington High School Mr. and Mrs. Kent Allebrand Mr. John P. Buccieri Dr. Shirley E. Dearborn Mr. and Mrs. John T. Gerig Mr. Stephen Allen Mr. David L. Buell Decor de Paris Ms. Adelaide J. Gest Dr. Raymond Aller Mr. Aris A. Buinevicius and Ms. Martha Dened Health The J. Paul Getty Trust Allied Beverage Group, LLC C. Horne Mr. and Mrs. James G. P. Dehlsen Mr. Allan Ghitterman and Ms. Susan J. Rose Almaden Valley Athletic Club Ms. Marlene Bulfone Mr. Timothy Delaney and Dr. Viviane Mr. Joseph A. Giacalone AmCom Insurance Services, Inc. Ms. Shelly Bunge Delaney Mr. and Mrs. John M. Gibbons American Endowment Foundation Mr. and Mrs. Frank Buquicchio Delco Electronics Mr. and Mrs. Mark W. Gibello American Institute for Free Labor Mr. and Mr. Patrick E. Burch Mr. and Mrs. R. M. Demere Ms. Adrienne Gignoux Development Burch Plumbing The Denison Family Foundation Mrs. Lynn Gildred American Nicaraguan Foundation, Inc. Mr. Peter Burgess and Mrs. Lilla Burgess Detroit Bar The Giles Family Foundation Anadigics, Inc. Mr. Jeffrey Burke The Di Paolo Foundation Mr. Christian Gilles and Ms. Jeanna R. Andean Health & Development Ms. Kelly Burke Dr. and Mrs. A. R. Pete Diamond Landru Mr. and Mrs. John Andelin Andrew H. Burnett Foundation Ms. Lupe Diaz Dr. and Mrs. William J. Gilligan Mr. and Mrs. Lucius H. Andrew J. Homer Butler Foundation Ms. Paula Diemer Mr. Dudley J. Godfrey Mr. and Mrs. Kurt R. Anker BWD Group LLC Ms. Victoria Dillon Mr. Norman Godinho Mr. and Mrs. Jerome V. Ansel Mr. Thomas R. Byrd Dr. and Mrs. Steven F. Dingle Mr. and Ms. Michael A. Goldberg Anthill Trading, Ltd. Mrs. Francis H. Cabot Divyajyot Foundation Inc. Goldsmith Seeds, Inc. Dr. Douglas Arnold Caliana Foundation, Inc. Mr. Ricky W. Doak Mr. and Mrs. Sidney Goldstien Artifex Software, Inc. Calvary Church of Pacic Palisades Mr. and Mrs. Timothy M. Doheny Goleta Valley Junior High School Arzobispado de Lima Mr. Richard Campagna DreamTending, LLC Ms. Ruth Gonser Asemeco Mr. and Mrs. Ted Campbell Edmond F. Ducommun Foundation The Goodman Family Foundation Osama Ashouri, M.D. Carecen Mr. and Mrs. Tim Duggan Ms. Suzanne Gore Mr. and Mrs. Mohan Asnani Caritas Zentrale The Lillian H. & C. W. Duncan Foundation Mr. James D. Gorham Associated Students UCSB Mr.* and Mrs. Stafford K. Carr Mrs. Phyllis M. Dunn Dr. and Mrs. Alan J. Gottlieb Association for Asian Studies Mrs. Robert E. Carrel Ms. Onda F. D’Urso Mr. Kirk Gradin Assyrian Aid Society The Carsey-Werner Company, LLC Mr. Edmund P. Duvall Mr. and Mrs. Aurelio Granda Centeno Atkinson Foundation Mr. and Mrs. Juan Carlos Casas E Funds Mr. and Mrs. Martin A. Grano Automotive Safety Research Mr. and Mrs. Timothy P. Casey East Brunswick Board of Education Ms. Terry Grant Mr. Jerry Avara Cencalcom, Inc. East Middle School Ms. Barbara Graper Ayudar Foundation The Center for Democracy Mr. and Mrs. Eldon R. Edwards Great Clips, Inc. Mr. Jan Erik Backlund Center for Spiritual Living Mrs. Carol Eger The Green Park Foundation Ms. Joan Bailard Centro Neurologico Educativo El Camino Resources, LTD. Greenville Fund Mr. William Bailey Mr. Danny Chae El Salvador Lions Club Mr. and Mrs. Bob Gregg Mr. Donald Balick Mr. Krishnan Chandran Ms. Suzanne Ellenthal Ms. Kate Gregg Mr. and Mrs. John W. Ballen Mr. and Mrs. Leslie Charles Ms. Ellen Engleman Ms. Patricia Gregory Mrs. Elsa S. Bard Mr. Robert E. Charles The Entertainment Industry Foundation Mr. and Mrs. Brett Grimes Mrs. Gayle I. Barnard Mr. and Mrs. Joseph Charlton Equity America Mortgage Services, Inc. Mr. and Mrs. Dan Grimm Mr. and Ms. Daniel E. Barnett The Cheeryble Foundation Mr. and Mrs. Donnelly Erdman Mr. Mike Gross Mrs. Kathleen Barrows Church World Service, Inc. Ms. Selma Ertegun Mr. Jeremy Guiles Ms. Pascale Bassan Mr. Richard Churchill Mr. and Mrs. Edward F. Eubanks Guinea-Bissau Association of Students Mr. Javier Baz Ciba Vision Corporation Mr. Lance M. Evans Mr. and Mrs. Dan Gunther Mr. and Mrs. Patrick L. Beach Cinergy Foundation Mr. Alan R. Ewalt Mr. Eric S. Gunther Mr. and Mrs. Frederick Beckett Circulo Pampangueno of Southern Facultad de Medicina de la Universidad Ms. Nancy Gunzberg Mr. and Mrs. Thomas L. Beckmen California de Tacna Guyana Mine Workers’ Union Mr. and Mrs. Ralph Begley City of Bell Gardens Mr. Jaime Fandino Ms. Helen Haas Ms. Mary Bell Ms. Patricia Clancy Farheap Solutions, Inc. Mr. and Mrs. Stephen Hahn / Stephen Belleville Activity Fund Ms. Carnzu A. Clark Federal Express Corporation and Carla Hahn Foundation Mr. Rick Belluzzo Mr. Ernest M. Clark, Jr. Mr. and Mrs. Terry P. Fernandez Cynthia Diane Hall, M.D. Ms. Susan Bergan* Ms. Jenna Clemens Ms. Carol Ferren and Mr. Gary Overman Ms. Patricia Halloran Berkshire Hathaway Inc. Mr. William T. Clemo Mr. and Mrs. W. H. Ferry Mr. and Mrs. Dale Hampton Mr. and Mrs. Edward Berman Mr. John H. Clowes Mr.* and Mrs. David S. Fields Mr. and Mrs. William Bradford Hamre Ms. Teresa Bernard Club de Leones Quito Los Olivos Mr. Shareen E. Fiol Mr. and Mrs. John C. Hancock Mr. and Mrs. Alexander Bernstein Club Rotario de Guayaquil Fireman’s Fund Insurance Company Tom Merit Hancock Family Fund Club Rotario de Medellin First Congregational Church of Cheshire Mr. and Mrs. Brandt Handley 46 063*/7&45034 Mr. and Mrs. George E. Handtmann, III Mr. and Mrs. Charles B. Kaye Mr. and Mrs. Howard S. Marks Mr. and Mrs. Eric Onnen Mr. and Mrs. Christopher Hansen Mr. Frederic G. Kayser Mr. and Mrs. Dean Mars Oral Health America Mr. Gregory Hansen Mr. James P. Kearns Mr. and Mrs. Keith Marston Dr. Sean O’Regan Mr. and Mrs. Larry Hansen Mr. Daniel Keelan Ms. D. Elaine Marszalek Organon International Dr. Helen Hansma Mr. and Mrs. Bernd Keller Ms. Mary Marten P & J Books Export, Ltd. Ms. Doris Harbison* Mr. Donald E. Kelley, Jr. Mr. M. Reza Mashayeki P W S Family Trust Mr. and Mrs. Carrell R. Harrington Mr. Wesley H. Kelman Mr. Robert M. Matthiessen Mr.* and Mrs. Clyde Packer Mr. David Harris The W. & M. Kennedy Private Family Ms. Alice Matzkin Dr.* and Mrs. John Padilla Mr. and Mrs. Houston Harte Foundation, Inc. Max Cadet Dental Fund, Inc. Pala Casino Mr. and Mrs. Robert Harter, Jr. Ms. Jill F. Kenney Mr. Timothy P. Maxwell and Ms. Adele Mr. Anthony Palmer Mr. and Mrs. John Harvey Ms. Frances Kent Sommers Carmen Elena Palomo Mr. and Mrs. Gregory D. Hastings Ms. Kathryn Kester Mr. Kenneth J. McCarthy Pan American Health Association Dr. and Mrs. Newlin Hastings Ms. Marguerite E. Kimberley Mr. and Mrs. George J. McCartney PASMAC Mr. Charles Haupt The Kindergarten Unit Mr. Michael McCartney and Ms. Marlene Mrs. Velma M. Patterson Mr. and Mrs. Richard W. Hausler Kingdon Capital Management, LLC Patino Ms. Victoria Pauley Ms. Lynn Hays Kirschner Medical Corporation Mr.* and Mrs. Robert E. McCoy Payday Today, Inc. The Health Foundation Kiwanis of Santa Barbara - Suburban Mr. Stephen McDonough Mr. Charles Peck Mr. Stephen J. Hedberg Mr. Ronald Koenig Mr. Steven McDonough Mr. Lance F. Pedriana Mrs. Janette Hellmann Ms. Elizabeth Kopple Mr. Russell McGlothlin and Mrs. Mr. and Mrs. Henk Peeters Dr. Ursula E. Henderson and Mr. Mr. and Mrs. Abner P. Korn Katherine G. McGlothlin Permanent Mission of Germany to the U.N. Wallace T. Drew Ms. Barbara C. Koutnik and Mr. Mr. and Mrs. Steven E. McGovern Mr. Gregory Perron Hermandad Del Senor De Los Milagros Melbourne Smith Mr. John McKee Mr. and Mrs. Donald Petroni Mr. Brian F. Hershkowitz and Ms. Diana Ms. Lynn Kravitz and Mr. Quinton R. Mr. Mark McKinley and Mrs. Laurie D. Philippine National Bank Miller Schubmehl McKinley Dr. Linda K. Phillips Ms. Juliane Heyman Mr. Christopher Kriesa Mr. and Mrs. John H. McNally Mr. and Mrs. John Pillsbury HHL Foundation Mr. and Mrs. Wes P. Kuhne Mr. Robert McPhillips and Ms. Barbara Mr. and Mrs. Erling Pohls Mr. and Mrs. Roger Himovitz Mr. Eugeny Kukolevsky Edmison Polish American Congress Foundation Ms. Winifred W. Hirsch Mr. Rahul Kumar Dr. Jay Meizlish Ms. Clare R. Porter Hixon Properties Incorporated La Colina Junior High School Mr. Richard B. Mendelsohn Mrs. Georgiana A. Porter HMS Foundation Lacentra-Sumerlin Foundation Mrs. Ernest F. Menzies Mr. and Mrs. E. Bryson Powell Mr. and Mrs. Dennis A. Hobbs Laitram LLC Mequon Thiensville School District Ms. Eleanor R. Precoda Mr. and Mrs. Bob Hodek Ms. Leila Lance Mr. and Mrs. Richard Meurer The Presbyterian Church Mr. and Mrs. Lee Holcombe Mrs. Evelyn C. Larkin* Ms. Sarah D. Midgette Mr. and Mrs. Rene J. Prestwood Frederick O. Holley, M.D. and Ms. Maud Mr. and Mrs. Charles Larsen Rev. Mihailo Mikich Ms. Ruth Priest W. Gleason Dr. Kirk Larson Ms. Janet Millar Princess Elizabeth of Yugoslavia Foundation Homewood Rotary Club Ms. Muriel A. Lauderdale* Ms. Diane D. Miller Produbanco Hope Through Opportunity Laureate Learning Systems, Inc Mrs. Elizabeth Miller ProFund Advisors Mr. and Mrs. Carl Hopkins Mr. and Mrs. Adam J. Leaderman Ms. Clare Miner-McMahon Promus Hotel Corp. Mrs. Jinx Horgan Mr. Paul Leibman The Minneapolis Foundation The Protestant Episcopal Church of U.S.A. Ms. Anna Lou Home Mr. and Mrs. Mark R. Lembersky Missoula International School Provide Care Inc. Mr. and Mrs. James Horst Mrs. Jean Thompson Leonard Mr. and Mrs. Sanjit K. Mitra Pullman Hazel Heath Horton Philanthropic Trust Dr. Ilan M. Levi and Dr. Barbara Levi Dr. Jasvant N. Modi Mr. David A. Quam Hospital Pedro Fiorito Mr. Mark Levine Mr. Matthew Mohebbi Mr. and Mrs. Michael Quinn Mr.* and Mrs. Nelson A. Howard Michael E. and Carol S. Levine Foundation MOI Teaching and Referral Hospital Mr. Pooja Raj Mrs. Karen Holmen Hubbard Mr. David Levy Montecito Rotary Club Mr. and Mrs. Richard J. Ramsden Mr. H. Scott Huizenga Levy, Harkins & Co. Inc. Ms. Jan M. Montgomery Ms. Anthoula Randopoulos Humanitarian Law Project The Hon. and Mrs. Royce Lewellen Mr. and Mrs. Robert K. Montgomery Mr. and Mrs. Michael Rathnam Mr. and Mrs. Rob R. Hunt The Lewis Family Foundation Ms. Jan N. Mooney Rat’s Restaurant Ms. Bea Hyp Mr. Peter J. Lewis Mr. Dan Moore Raytheon Charitable Giving I. P. Callison & Sons Lichterman Loewenberg Foundation Mr. Tim Moore and Ms. Carla Montagno Mr. Robert C. Reed Joanne Illig Foundation Mr. and Mrs. John R. Light Mr. and Mrs. David Morris Mr. and Mrs. Edward Reedy In the Tradition, Inc. Mary B. Light Estate Mr. Regis J. Morris Regenesis Bioremediation Products Indian Council for Advancement and Lightfoot, Vandevelde, Sadowsky, Mr. and Mrs. J. Roger Morrison Mr. and Mrs. Robert S. Reif Support of Education Medvene & Levine Morrow Family Foundation, Inc. Reiman Foundation, Inc. Instituto de Ciencias Neurologicas Mr. and Mrs. Cameron Lim Mrs. Patricia Morrow Mr. George Relles and Ms. B. L. Borovay Instituto del Nino Quemado Mr. Chih-Long Lin Irving I. Moskowitz Foundation Dr. Thomas F. Reynolds Instituto Hijas de Maria Auxiliadora Mrs. Andree Lindow Mr. and Mrs. Raymond E. Munana Mr. Joshua J. Richman Interacciones Mr. and Mrs. William R. Lindsay Dr. Carol A. Munch Mr. and Mrs. Samuel F. Rickard Inter-American Health Foundation Mr. and Mrs. Harrison Lingle Municipalidad Distrital de Mazamari Mr. and Mrs. Charles E. Rickershauser, Jr. Intercultural Nursing, Inc. Ms. Judith Lion and Mr. John F. Luca Municipalidad Distrital de Wanchaq Mr. Miguel Riglos International Child Resource Institute Livingstone Memorial Foundation Mr. Robert Munoz Mr. Donald E. Rinaldi International Fund Humanitarian Aid The Local LLC Mr. Robert E. Musgraves and Ms. Joan Mr. Philip D. Ringer* IOL International Mr. and Mrs. Jacob Locker H. Prusse Mr. and Mrs. Ian Ritchie Mr. Stephen B. Ippolito Mr. Roland Lokre The Myers Family Foundation Rivinus Family Foundation Mr. and Mrs. Robert J. Irvin The Looker Foundation Mr. and Mrs. James Myerson Mr. and Mrs. James B. Robertson Mr. Gordon A. Isama Lorraine Lim Catering Mr. Michael Naify Ms. Katherine Robin Ms. Lynne C. Israel Ms. Barbara J. Lotz Ms. Marian Naretto and Mr. John Mr. and Mrs. Charles F. Robinson Mrs. Betty Isserstedt Ms. Mary Beth Loud Sowden Mr. and Mrs. John C. Rocchio Margaret G. Jacobs Charitable Trust Dr. and Mrs. Jack Love National Council of the Churches Mr. and Mrs. Roberto Roges Mr. and Mrs. George D. Jagels, Jr. Mr. Nicholas Lovejoy Mr. Glenn Neal Mr. Francesco Rossi Jain Center of Southern California Lower Merion School District Mr. James W. Neal Mr. and Mrs. Michael Royce Mr. and Mrs. Eric Janigian Mr. and Mrs. Robert C. Lowes William P. Neil Foundation Ms. Susan Rudnicki Mr. and Mrs. Conrad Janis Mr. and Mrs. John F. Lowman Nevada City Rotary Club The Ryland Group, Inc. Mr. and Mrs. Joseph E. Jannotta Mr. Lawrence Lu New Day Marketing, Ltd. S E Pipe Line Construction Co. Mr. William M. Jenkins Dr. and Mrs. Larry Luan Mr. and Mrs. William Nicholson Mr. Andrew Sabin Dr. and Mrs. Norman Jetton Mr. Louis C. Lucido Ms. Ruth B. Nicoll The Mortimer D. Sackler Foundation, Inc. Jewish Communal Fund Mr. Carl H. Ludwig Ms. Roberta M. Nielsson Dr. Stephen Sacks The Joby Foundation Inc. Mr. Laurence Lundblade Nigerian Eye Camp Project Mr. and Mrs. Jeff Sakihara John A. Campbell Lumber Co. Mrs. Kathleen W. Lundy The NMC Foundation Salem High School Mr. and Mrs. Craig Johnson Mr. Richard H. Lynn* Mr. John N. Nordstrom Mr. and Mrs. Ernest J. Salomon Johnson Ferry Baptist Church, Inc. The M & M Foundation North American Shippers Assoc., Inc. Salvadoran American Foundation Mr.* and Mrs. Norman B. Johnson Mr. Joseph MacDougald Nutritech ALL ONE PEOPLE Samaritan’s Purse Ms. Sharyn Johnson Ms. Carole E. MacElhenny Mr. and Mrs. Barack Obama San Diego Asian Film Foundation Mr. and Mrs. Theodore C. Johnson Mr. John Magnuson Oblix, Inc. San Juan Unied School District Mrs. Anne White Jones Magsingal Association of California Mr. and Mrs. Kevin O’Connor Mr. and Mrs. Frank M. Sandy Ms. Jophe Jones Mr. and Mrs. Mohammad Mahboob Mr. Mike O’Connor Mr. and Mrs. Richard Sanford Mr. Yu-Long Ju Malili & Chamugassa Parish OEF de el Salvador Mr. Kurt Sanger Mr. Michael Kahan Ms. Mary C. Maliszewski Ofce of the Governor, Province of Mr. and Mrs. Jeff Sanguinet Kaleidoscope Foundation Margerum Wine Company Camarine Norte Santa Barbara Chapter / MOWW Mr.* and Mrs. Vernon J. Kammerer Marian Community Outreach Fund Ocina Nacional Managua Santa Barbara Multiple Listing Service Karl Storz Imaging, Inc. Marin Community Foundation Mr. Robert Ogilvie Santa Barbara Research Center Dr. and Mrs. Frederic C. Kass The Marin School Dr. Bill Okerblom Santa Barbara Sister Cities Association Mr. Lonnie Katai Mariposa County Tsunami Relief Fund Mr. Paul Olsen Save The Children Federation Inc. 063*/7&45034 47 Mr. and Mrs. Ken Saxon Mr. and Mrs. J. C. Thompson ‘ZAD Mr. John Sayer Mr. Kjeld H. Thomsen Mr. and Mrs. Steven Zahm Mr. and Mrs. James P. Schaeffer Ticketmaster, LLC Sergio Moctezuma Zarazua Schleyer Foundation Ms. Anitalynn Tighe Mr. Peter Zatloukal David A. and Susan H. Schoenholz Ms. Louise Tighe Zhenjiang City Red Cross Hospital Foundation Mrs. Patricia M. Tighe Mr. and Mrs. Ken R. Ziegler Mr. Devon Schudy Ms. Adelle Tilton Mr. Stephen A. Ziskind Mr. and Mrs. Arthur Schultz Mr. Arthur A. Tilton Mr. and Mrs. Dick Zylstra Schwabenhof, Inc. Mr. J. E. Tipton* We strive for 100 percent accuracy. The Gertrude Schwartz Family Matt Tirrell and Pamela Lavigne If, however, we have misspelled your name, Philantropic Fund Mr. and Mrs. Gary R. Tobey please excuse us and let us know so we can Scott Business Systems Triarch International, Inc. correct our records. Seattle International Foundation Triton Container International Mr. Gordon Seay Mr. James Trowbridge Mr. Stephen Sefton The Trustmark Foundation Seidman Family Foundation TSystem, Inc. Share and Care Foundation Tumtum Tree Foundation Mr. Akhil Sharma Mrs. Margaret V. Turney Ms. Anaupama Sharma Mr. George B. Turpin, Jr. Shasta-Trinity Rural Indian Health Mr. and Mrs. Kenneth W. Twigg Ms. Aleyda A. Shearer Mr. and Mrs. John Tynan Mr. Robert R. Short U.S. China Peoples Friendship Mr. and Mrs. Robertson H. Short Association Ms. Susan Short U.S. Medical Aid Foundation Ms. Joanne S. Sibley United Jewish Endowment Fund Silicon Valley Bank Universidad Autonoma de Queretaro Herbert Simon Family Foundation Universidad Nacional de San Agustin Mr. and Mrs. Robert Simon University of California at San Francisco Mr. Ryan Sims University of California at Santa Barbara Ms. Kathy Singleton University of Florida Mr. Mark H. Skolnick Mr. and Mrs. Mark Valence Mr. and Mrs. Kenneth Slaught Mrs. Carol Lapham Valentine SLS Pro Infante et Famille Mr. and Mrs. Winfred Van Wingerden Mr. and Mrs. Jan E. Smit Mr. Cesar A. Vasquez Mr. and Mrs. Brian Smith Mr. and Mrs. Stephen W. Vaughan Mr. and Mrs. Kenneth S. Smith Judge and Mrs. Carlos E. Velarde Ms. Lisa M. Smith Mr. and Mrs. Robert L. Veloz, Jr. Ms. Marion B. Smith Mrs. Deanne Gillette Violich Morris S. Smith Foundation Virginia Masen Medical Center Mr. and Mrs. Sydney Smith Mr. and Mrs. James Vogelzang Dr. and Mrs. Julio Soares Volentine Family Foundation Society of Missionaries of Africa, Inc. Mr. and Mrs. Hubert D. Vos / Vos Family Society of St. Charles Foundation Society of St. Vincent De Paul Waldorf School of Santa Barbara Solvang Rotary Club Foundation Mr. and Mrs. Lawrence B. Wallin Mr. Gregory Sonbuchner Ms. Joan Walsh Mr. and Mrs. William C. Sonneborn Mr. James E. Ward* Mr. Robert A. Sorich Mr. Gary Warner Southern California Peruvian American Mr. Frederick Warren Legacy Society Medical Society Inc. Mr. John L. Warren Mr.* and Mrs. Charles D. Spangler Mr. and Mrs. Stephen P. Waterman SpectraLink Corporation Mr. Jason Watts :PVDBOCFDPNFBNFNCFSPGUIF-FHBDZ4PDJFUZCZNBLJOH Mr. Bill Spencer Mr. John T. Waugh %JSFDU3FMJFG*OUFSOBUJPOBMBCFOFmDJBSZPGZPVSFTUBUFQMBOT Mr. Lane Spencer Ms. Marsha Wayne Mr. and Mrs. J. Randall Springer Mr. and Mrs. Michael Weber "QMBOOFEHJGUJTBOJNQPSUBOUWPUFPGDPOmEFODFJOUIFGVUVSF Sri Lanka Medical Association, North Mr. and Mrs. Louis Weider PG%JSFDU3FMJFG*UXJMMIFMQFOTVSFUIBU%JSFDU3FMJFGTNJTTJPO America Mr. Mike Weir St. Hyacinth Mission Fund Mr. and Mrs. Robert E. Weiss DPOUJOVFTJOUPUIFVQDPNJOHZFBST$IBSJUBCMFHJGUTDBOCF St. John of God Brothers Mr. Adam Weissman NBEFGSPNZPVSXJMMPSGSPNBSSBOHFNFOUTZPVNBZBMSFBEZ Stablecimiento Asistencial “Dr. Molas” Mr. and Mrs. William H. Werts IBWFJOQMBDF PSZPVNBZDIPPTFUPVTFTQFDJBMDIBSJUBCMF Mr. Landon Stableford Mr. Arthur H. Westereld Mr. Frederic E. Steck and Ms. Kelly Mr. and Mrs. Albert Wheelon HJWJOHUPPMTUIBUGFBUVSFDVSSFOUUBYTBWJOHT JODSFBTFEJODPNF LeBrock Ms. Teri J. Wielenga and Mr. Robert BOEPUIFSCFOFmUT Dr. and Mrs. Richard Steckel Bosenmeyer Mr. and Mrs. John Steed Mr. and Mrs. Claude K. Williams $POTVMUXJUIZPVSBUUPSOFZPSPUIFSUBYPSmOBODJBMBEWJTPSCFGPSF Mr. Robert Steele and Ms. Nancy Haydt Mr. and Mrs. J. Vernon Williams NBLJOHBHJGUUPBOZDIBSJUZ N. Alex Stein Mr. and Mrs. Karl E. Williams Mrs. Mary Ann Stewart Dr. Robert G. Williams Stillwater Area Schools Mr. Lee C. Willson Ms. Dee J. Stone Mr. and Mrs. David C. Wilson LEGACY SOCIETY MEMBERS Dr. and Mrs. Jack Stuster Mr. Edward Wilson The Anna Stuurmans Revocable Trust The Thomas Henry Wilson and Family John H. & Dorothy Adams Stanley and Betty Hatch Success Charitable Foundation Foundation Sullivan Charitable Foundation Ms. Yolanda O. Wilson Cynthia Anner+ Dick and Pat Johnson Mr. Harold H. Sullwold The Windmill Foundation Dr. & Mrs.Gilbert L. Ashor Marvel Kirby Mr. Jay Sung Wishart, Norris, Henninger & Pittman Belinda K. Barrington & J. Michael Koelsch Ms. Debra Suran Witness For Peace Surgical Eye Expeditions International Inc. Mr. Jefferson Woeste and Mr. Bruce Andres Acedo del Olmo Yvonne Christine Lucassen+ Mr. Robert Swartz Cleveland Mr. Joseph Bleckel Frank B. & Marilyn Miles Swedish Health Services Mr. Thomas R. Wolfe and Ms. Barbara Mr. William S. Burtness Patricia M. Mitchell Mr. Michael Swier Wallace SYD France Mr. and Mrs. William J. Woods, Jr. Marguerite Bulf+ Mr. and Mrs. Donald E. Petersen Symmetry Capital Management, LLC Mr. and Mrs. J. Taylor Woodward Charlotte M. Castalde+ Babette L. Roth+ Dr. Charles Tassoni Working Assets Ms. Rowena J. Taylor World Minerals Margaret E.G. Davis+ Mrs. William Schlosser Tea Tree Therapy Mr. and Mrs. Walter Woronick Dr. Peter M. Dearden+ Grace A. Tickner+ Mr. and Mrs. David Telleen-Lawton The Bagley Wright Family Fund H. Guy Di Stefano+ Bettine and Lawrence Wallin Temple Israel Mr. Charles Yeiser Ted & Angelica Ewing Texas Tech University Mr. and Mrs. Leonard A. Yerkes + Deceased Mrs. Jeanne Thayer Mr. Cherif Youssef Howard C. Fenton+ Mr. Rick Theis and Ms. Carolyn J. Youth With A Mission Richard & Kate Godfrey Johnson Mrs. Esther R. Yunck Mr. and Mrs. Ray Thomas Mr. Zach Zachowski Principles

'PVOEFEPO:FBSTPG&YQFSJFODF

Serve People. Improve the health of people living in high-need areas by strengthening fragile health systems and increasing access to quality health care.

Lift from the Bottom. Pull from the Top. Working with world-class companies and institutions, bringing resources to the most medically underserved communities in the U.S. and abroad.

Build Upon What Exists. Identify, qualify, and support existing healthcare providers over the long term and serve as a catalyst for other critically needed resources.

Remove Barriers. Create transparent, reliable, cost-effective channels to contribute and to access essential medical resources (particularly medicines, supplies, and equipment).

Focus on Activities with High Impact on Health. Maternal and Child Health; Primary Care; HIV/AIDS and other Chronic Diseases; Emergency Response

Play to Strengths. Partner for Other Needs. Engage in activities that address a compelling need, align with our core competencies and areas of excellence, and attract new resources (materials, cash, talent, reputation). Ally with an expanded network of strategic partners who are working on related causes and complementary interventions in order to leverage resources.

Ensure Value for Money. Use technology to generate efciencies, leverage resources, and maximize health improvement for people with every dollar spent. Maintain modest fundraising and administrative expenses and the highest ratings from evaluators of non-prot organizations.

Be a Good Partner and Advocate. Give credit where due, listen carefully, and respect those contributing resources and those whom we serve.

Respond Fast While Looking Ahead. In emergencies, support the immediate needs of victims by working with local partners best situated to assess, respond, and prepare for the long-term recovery.

Take the High Road. Deliver aid without regard to race, ethnicity, political or religious afliation, gender, or ability to pay. Inspire participation by earning the trust and condence of private parties and encouraging their participation in our mission.

48 Our mission is to improve the health and lives of people affected by poverty, disaster, and civil unrest. "/"'6&/5&4