ANNUAL REPORT 2019 “ When the storm hit, it was bad. Dear Friends, I was out of insulin and got my Welcome to Americares Fiscal Year 2019 annual report. These pages are insulin from Americares, and you “ full of achievements made possible because of collaborations with donors and partners, including local health centers, ministries of health, doctors all did a great job.” and nurses, all committed to improving the health of the world’s most vulnerable people. —Don, with wife Shirley, survivors of Hurricane Michael in Panama City, Florida This is the best time in history to lead an organization that seeks to save lives and improve health for people affected by poverty or disaster. The world’s resources are unparalleled, including effective medicine, deep knowledge and high-speed communications, coupled with a broad and deep desire to make lasting improvements.

Gaps and barriers remain. Cyclones wipe out roads and power. Conflict and neglect drive away health workers. Climate change adds pressure to communities weakened by poverty. To achieve our mission, Americares closes the gaps that keep people from care. Our worldwide network of local partners is a valuable asset as is our ability to listen, learn and respond.

I have the privilege of seeing how Americares reaches patients in need and makes health possible where there are few or no resources.

In , I met a man in the waiting room of Americares rural family clinic. He travels by bus for hours and never misses an appointment. With medicine and informed, quality care, his chronic disease is now under control. Surely there is a clinic closer to your home, I said, why come so far? “I have nothing,” he said. “But here, I am treated like a king.”

It is only because of your warmth, caring and support that Americares can provide the same to millions of people around the world. As I finish my tenure in 2020 as Americares president and CEO, I am proud of the results shown in these pages and know Americares is in an exceptionally strong position to thrive in the decades to come.

Thank you. Together, we have accomplished so much.

Sincerely,

Michael J. Nyenhuis President and CEO

On October 10, 2018, Hurricane Michael slammed into the Florida Panhandle, with 155 mph winds, heavy rain and a deadly storm surge. Communities, including clinics and pharmacies, were without power, and debris blocked roads, making travel difficult. Americares response teams immediately delivered medicine and relief supplies to evacuation shelters and health centers and set up a temporary clinic to provide survivors with free care. In the month after the storm, Americares had delivered 56 shipments of medicine and relief supplies, and its mobile clinics had performed nearly 500 patient consultations. Americares also provided support for clinics to repair storm damage and open their doors as quickly as possible.

1 Emergency Programs Starved of basic services in their own country, more than 2 million Venezuelans fled to neighboring countries, including , In Fiscal Year 2019* where Americares opened four primary care clinics near the border to meet the health needs of refugees and migrants. Americares clinics ease the burden on local Colombian health centers and 43 provide much-needed prenatal care, treatment for acute and disasters chronic conditions and mental health services. In just the first nine months, Americares clinics managed more than 73,000 patient consultations, 20 percent of which were for pregnant women. In 24 Fiscal Year 2020, Americares expanded from four to 10 clinics, with countries a target of reaching 200,000 Venezuelans in need. 3.4 million supplies 343,000 prescriptions 91 health projects for disaster survivors $32 million total emergency aid

“ In Venezuela, there is no food, no medication. Children die of and lack of medical attention. I am very grateful to Americares because they have given me medical attention and provided me with medicine. If Americares stops providing this for us, I do not know what I would do to continue receiving the care I need for my baby.” –Esmerelda, Venezuelan refugee

*July 1, 2018, through June 30, 2019 2 Emergency Programs

Americares responds to disasters and humanitarian crises, establishes long- term recovery projects and brings disaster preparedness programs to vulnerable communities. To accomplish this in Fiscal Year 2019, Americares increased its capacity for simultaneous emergency responses, operated multiple medical teams in disaster-affected communities, provided preparedness workshops and training in hurricane-affected areas and expanded the capacity of local health centers to address health workers’ and survivors’ mental health.

PREPAREDNESS: In dumped 8 trillion gallons RECOVERY: Nearly two Americares workshops and of rain on the U.S. East years after Hurricanes Harvey, training sessions, 1,560 Coast, Americares provided Irma and Maria, Americares health workers and first 82 shipments and financial recovery programs in the responders in six U.S. states assistance to shelters, clinics Caribbean, and two territories received and health partners in affected and Texas trained health the information they need to communities. workers and first responders Mozambique, create community emergency to provide mental health and Cyclone Idai plans. Good plans help health Americares responded psychosocial services to the centers continue operations to three disasters, supporting health care community and or open quickly after disasters or operating 10 medical teams vulnerable patients, including and, community-wide, after floods in Kerala and the elderly. During Fiscal eliminate duplications or gaps cyclones in Tamil Nadu and Year 2019, the mental health in health services. In Puerto Odisha. The teams provided team in Puerto Rico trained Rico, more than 1,200 health more than 14,000 medical over 7,000 health workers; workers took part, and in consultations, provided 45,000 social service providers and Texas, where periodic floods families with relief supplies emergency responders, threaten communities nearly and, in Kerala, reached 12,000 worked with 219 facilities; two years after Hurricane mothers with nutritional support. and conducted more than Harvey, Americares trained 524 mental health and 123 health workers in After Typhoon Ompong psychosocial workshops. disaster preparedness. In slammed the in the Philippines, Americares September 2018, Americares In places of conflict, completed a two-year responded with relief supplies, Americares maintains in- preparedness program including water purification country partnerships to at five health facilities, tablets, maternal and neonatal address health crises. In Philippines, Indonesia, earthquake reaching more than 2,000 care kits and generators Kenya, Americares supported measles outbreak and tsunami health workers. To increase for health facilities. Mobile a nutrition program targeting capacity for emergency medical clinics completed mothers and children at response in India, Americares more than 3,500 patient risk of malnutrition during prepositioned relief supplies consultations. a prolonged drought. Texas, Hurricane Colombia, Venezuela for 5,000 families in its Americares critical medicine Harvey regional crisis Mumbai warehouse, ready for Americares integrates mental and supplies reached two immediate distribution. health and psychosocial partners in Somalia, where support into disaster drought and displacement RESPONSE: With its responses. When an threaten health. In growing roster of medical earthquake caused multiple Bangladesh, Americares and emergency responders, disasters in Indonesia, supports Bangladeshi partner Americares responded to eight including a tsunami, Shornokishoree Network disasters simultaneously in Americares equipped Foundation, which promotes Fiscal Year 2019. emergency health centers adolescent health and focused on maternal and empowerment among the Cyclones and floods were child health and trained more estimated 1 million Rohingya top threats. After Hurricane than 200 midwives to staff the refugees living in camps after Michael flattened communities centers and provide mental fleeing Myanmar. Americares along the Florida panhandle, health services for survivors. continues to improve health Americares mobile clinic re- In Colombia, Americares for Syrian refugees: in established health services primary care facilities include Jordan, through an integrated for families seeking care for mental health experts, making mental-health chronic acute and chronic health psychosocial support available disease program and, in conditions. In response to to tens of thousands of Lebanon, through a cash Hurricane Florence, which Venezuelan refugees. voucher program.

4 Access to Medicine “ They carried 9.9 me from rock million prescriptions bottom to the top of the hill.” 16.4 – DeWayne, Hurricane million supplies Harvey survivor 2 million people reached by medicine alone 93 countries reached by any program 4,400 health centers supported

Truck driver DeWayne was on the road when hit Texas in 2017 and washed away his mobile home and everything he owned, including his chronic disease medication. His situation worsened: DeWayne suffered a heart attack and lost his commercial driver’s license. Destitute, he found the health care he needed at a mobile health center supported by Americares as part of its Hurricane Harvey recovery program. Staff provided care and medicine, and DeWayne’s health improved and he regained his license. Now employed and engaged to be married, DeWayne continues to improve his health with the help of the mobile health center staff. “It wasn’t like a regular doctor’s office,” says DeWayne, “the people cared.” AccessAccess toto MedicineMedicine

To improve health outcomes for patients and communities, Americares increases access to quality medicine and supplies for 4,400 health centers and more than 800 volunteer medical teams.

MORE MEDICINE as well as programs that TO MORE PLACES: reduce risk, improve Americares expanded its health and expand the network—adding 70 global capacity of local health partners in the U.S. alone— centers to manage these to reach more people in insidious illnesses. Results Connecticut, need, including those with from Americares unique Connecticut, Georgia, quality difficult-to-treat diseases. programs in El Salvador Texas, mobile Americares In Belarus, Americares and Jordan show that reminders food bank improvements Free Clinics is providing medicine for education and lifestyle cancer patients, including change can help patients first aid and certified enough medicine to fill more those affected by the reduce their need for Dominican others as instructors. In than 590,000 prescriptions Chernobyl nuclear disaster. chronic disease treatment. Republic, U.S. PROGRAMS 13 clinics, Americares for qualifying patients, A unique partnership medicine trained staff to screen for medicine with a value of substance abuse, and a $364 million—a 31 percent with Uzbekistan Airways BUILD SAFETY AND delivery In Fiscal Year 2019, Americares expanded its support helped Americares provide This tele-mentoring collaboration increase over last year. REDUCE WASTE: for the nation’s low-income, uninsured and underin- more than 1.2 million year, Americares projects in with ECHO-Chicago and prescriptions in Uzbekistan, Dominica, El Salvador and sured. By providing medicine, medical supplies and in- the University of Chicago CENTERS FOR TOTAL while in the Philippines, made sustainable novative programs to more than 1,000 clinic and health brought expert behavioral HEALTH: Americares Free Americares added a changes in how medicines center partners across the country, including Puerto health guidance to clinics. Clinics serves a community warehouse that can store are handled throughout the Rico, Americares made better health care available to In a pilot launched in Fiscal of low-income uninsured and distribute to partners supply chain. Americares the more than 7 million patients served by the network. Year 2019, eight behavioral patients in Connecticut across the country. also became a partner Americares support for low-income patients in the U.S. health organizations were with services that now in a new USAID-funded included enough medicine to fill 2.8 million prescrip- selected for a program that include health education SENDING HEALTH project that aims to control tions and 4.2 million medical supplies. By making sends medication reminders and lifestyle classes. In to mental health patients Bridgeport, Americares BEYOND BORDERS: and eliminate neglected innovative programs available to clinics, Americares tropic diseases. Americares via text; health center staff Free Clinics partners with Where conflict makes it continues to improve the health services available to difficult to send medical role in this wide-reaching can also monitor patients’ the Connecticut Food teams—in Afghanistan, project is to improve the nation’s working poor. symptoms by text. Bank to make fresh and Somalia, Syria and warehousing, facilities and healthful food available Yemen—partnerships operations in five West IMPROVING QUALITY and impact. A key element REDUCING DIABETES at no cost once a month with local health African countries. FOR THE NATION’S is the creation of a new data RISK: In an online coaching at the food bank’s mobile organizations allow UNINSURED: The repository that will allow program Americares made pantry. At Americares donations of medicine to PARTNER WITH MEDICAL highest standard for clinic- free and charitable clinics to available to Texas survivors Free Clinic in Stamford, reach the hospitals, clinics TEAMS TO INCREASE based health care in the demonstrate and improve of Hurricane Harvey, plans were completed for and medical teams still CAPACITY: Americares U.S is patient-centered quality care for all patients. patients enrolled for 26 a wellness center that will providing care in fragile partners include U.S.- medical home recognition. weeks or more had an provide healthy lifestyle situations. based volunteer medical Americares is certified to EXPANDING average weight loss of 3.3 education and support teams that work alongside coach free and charitable BEHAVIORAL HEALTH percent and 32 percent had and, in partnership with ADDRESS THE WORLD’S local staff to provide care, clinics to reach this CARE: To support the lost 5 percent of their body local service providers, job MOST PRESSING NEEDS: increase capacity and standard and supports nation’s health care weight—reducing their risk preparedness and legal Chronic disease, including exchange knowledge. Last clinics as they make the safety net during a of diabetes. services. In all, the four diabetes, heart disease and year, Americares Medical necessary changes. This health crisis that includes Americares Free Clinics mental illness, hits people Outreach supported 1,070 year, two clinics achieved addiction, mental health PATIENT ASSISTANCE: provided health services in low-income countries volunteer trips to 950 health the standard. Americares and suicide, Americares Partnering with valued at more than $13 especially hard. Last year, facilities in 82 countries; is also co-leading a increased donations of pharmaceutical million to nearly 3,000 low- Americares provided support included surgical Iraq, collaborative project that will medicine and introduced manufacturers to manage income, uninsured patients, enough chronic disease supplies and enough medicine allow hundreds of free and behavioral health programs. their patient assistance made possible by strong medicine to fill more than medicine for nearly delivery charitable clinics to track Americares certified 39 programs, Americares community partnerships 3 million prescriptions, 1.3 million prescriptions. and showcase their quality clinic staff in mental health facilitated delivery of and a robust volunteer staff. 8 9 Clinical Services Community Health “

“After learning from the Americares team about healthy and 137,500 unhealthy foods, patients served in both of my children Americares-own clinics have stopped eating unhealthy 43,000 roadside food, and surgeries supported with medicine and they have taught supplies me the correct steps of handwashing.” 48 – Usha, parent of children health projects in Americares school-based targeting health health program centers and communities

83,000 people reached by projects alone

11,000 health workers trained

Health and hygiene are now part of the school curriculum in 76 of Mumbai’s schools, thanks to Americares India. With health education, student and parent clubs, and student-driven communications, as well as improvements to school toilets and lunchrooms, Americares is making health and hygiene a hot topic at school and at home. In its fourth year, the program reached more than 20,000 students in 76 government schools, all serving students from Mumbai’s urban slums. Puerto Rico, Clinical Services Community Health health worker training Americares improves and expands quality clinical services at Americares-run clinics and those of our partners. To prevent disease and promote good health in vulnerable communities, Americares supports, de- signs and implements disease prevention and health education efforts that connect local clinics and hospi- tals with the communities they serve.

QUALITY CARE FOR THE TRAINING IMPROVES POOREST PATIENTS: HEALTH WORKERS’ Americares El Salvador MENTAL HEALTH: clinic continues to expand Americares provided training access to care for patients, for 11,000 health workers this including debit cards to cover year, increasing knowledge clinic fees, a call-in center of safety, infection control for scheduling appointments and patient and self-care. and a Poverty Access Fund Data from Puerto Rico and for the poorest patients. In a Texas show that Americares program that brings diabetes resilience, coping and , and hypertension care to psychological first aid mental patients’ communities, more improved the health of than half to three-quarters of health workers with the most health patients showed measurable severe post-traumatic stress improvements after just two syndrome, while many others training, and 800 health pregnancy and crafts radio educational sessions. In all, with less severe symptoms workers accessed infection messages that educate the Americares El Salvador clinic gained coping strategies. protection and control public about birth injuries. provided care to more than In Nepal, more than 2,000 curriculum via a new mobile In Liberia, more than 240 40,000 patients last year. people benefited from app provided by Americares. community health workers Americares mental health learned to recognize signs of SURGICAL SKILLS AND programs, including health TARGETED UPGRADES birth injuries, while dozens of SAFETY: In a pilot program workers and community FOR HEALTH CENTERS: traditional midwives and staff in the Philippines, Americares health volunteers who In a pilot program at 22 health received training in prenatal donated more than 500 pulse received training. centers in eight countries, care and lowering risks. oximeters (devices critical Americares identified critical In Tanzania, 160 women for safety during surgery) to MOBILE HEALTH barriers to care and is making received no-cost surgery health centers and trained CENTERS FOR THE improvements. In Nepal, with follow-up counseling nearly 900 medical staff to URBAN POOR: This year, the assessment prompted and physiotherapy. use them. The health centers Americares mobile health construction of a birthing Tanzania, remain linked to Americares centers in India provided center, upgrades at 10 health SUPPORTING WILDLIFE training Philippines office, to ensure dependable primary health posts and staff training in CONSERVATION AND ongoing support. In 30 other care to 85,000 patients at prenatal care and safe birth COMMUNITY HEALTH: countries, volunteer medical 160 locations in Mumbai’s to address maternal health. With conservation group teams delivered more slums. Americares school- In remote Pestel, , African Parks, Americares than 300 additional pulse based health program improvements to the region’s will strengthen health oximeters and conducted reached 21,000 students in only health center include centers in and around the nearly 43,000 surgeries using 76 schools across Mumbai facility upgrades and staff wildlife areas that African Americares medicine and with instructions on health training—all taking place in a Parks manages. The supplies. On the Americares and hygiene, messages that time of civil unrest. partnership launched in Medical Outreach website, are reinforced at the mobile Malawi at four health centers qualified volunteer teams can health centers. Americares SAVING MOTHERS, serving nearly 100,000 order medicine, supplies and door-to-door campaign REPAIRING LIVES: people near Liwonde safety checklists, as well as vaccinated more than 7,000 In Tanzania and Liberia, National Park and Majete exchange information with women against hepatitis B. Americares trains health wildlife reserve. This project other teams, prepare for their More than 3,500 health center staff and traditional will improve health and ease Indonesia, Florida, mobile trips and learn how to better workers received hepatitis B midwives to recognize stress on local resources, midwife training health center liaise with host-country staff. screening as part of safety signs of complications in including wildlife. 12 Improving Health Around the World 2019

BELARUS

UKRAINE ARMENIA UZBEKISTAN ROMANIA KYRGYZSTAN MONGOLIA KOSOVO

GREECE TURKEY

SYRIA LEBANON AFGHANISTAN IRAQ CHINA MOROCCO ISRAEL BAHAMAS PAKISTAN JORDAN NEPAL EGYPT PALESTINIAN HAITI CUBA TURKS & CAICOS TERRITORIES MEXICO DOMINICAN REPUBLIC ANTIGUA & BARBUDA MYANMAR JAMAICA INDIA LAOS CABO VERDE SENEGAL BELIZE DOMINICA MALI PUERTO RICO NIGER HONDURAS ERITREA VIETNAM GUATEMALA ST. LUCIA BANGLADESH THAILAND PHILIPPINES ST. KITTS & NEVIS ST. VINCENT & YEMEN GAMBIA EL SALVADOR GRENADA THE GRENADINES BENIN DJIBOUTI MICRONESIA BARBADOS GUINEA PALAU NICARAGUA TRINIDAD & TOBAGO VENEZUELA NIGERIA SIERRA LEONE CAMBODIA COSTA RICA GUYANA ETHIOPIA PANAMA TOGO COLOMBIA CAMEROON SOMALIA GHANA UGANDA LIBERIA CÔTE GLOBAL PRESENCE EQUADOR D'IVOIRE KENYA DEMOCRATIC REPUBLIC OF RWANDA THE CONGO 11 offices worldwide INDONESIA TANZANIA BRAZIL 23 countries with health projects PERU MALAWI ZAMBIA 24 countries with disaster responses BOLIVIA ZIMBABWE NAMIBIA MADAGASCAR 93 countries reached by any program PARAGUAY BOTSWANA

MOZAMBIQUE FIJI SOUTH AFRICA

Global Health Programs Emergency Programs Impact by Region $32 million 3,391,017 medical supplies 343,527 prescriptions 91 health projects Latin America/Caribbean Africa/Middle East Asia/Eurasia/Europe United States $188 million total aid $62 million total aid $113 million total aid $ 256 million total aid to Complex Emergencies, Disease Outbreaks, Flooding, Landslides Tornadoes: U.S (Alabama, 3.2 million prescriptions 956,397 prescriptions 2 million prescriptions partners Political Crises and Drought and Hunger: and Severe Storms: Iowa) 4.4 million medical supplies 2.7 million medical supplies 1.2 million medical supplies 2.8 million prescriptions Refugee Crises: Kenya, Philippines, Somalia Dominica, El Salvador, 8 health projects 6 health projects 20 health projects 4.2 million medical supplies Bangladesh, Colombia, India, Indonesia, Malawi, Wildfires: California 6 health projects Democratic Republic Earthquakes and Mozambique, Nepal, U.S. Patient of Congo, Iraq, Jordan, Tsunamis: Haiti, Indonesia, Philippines, U.S. (Hawaii, Other: Liberia (hospital fire), Assistance Program Lebanon, Palestinian Iraq Puerto Rico, Texas, U.S. U.S. (Florida algae bloom) $370 million value Territories, Syria, Virgin Islands) 590,000 prescriptions Venezuela, Yemen 432,395 medical supplies

14 15 CONDENSED FINANCIAL INFORMATION FINANCIAL INFORMATION FOR THE 12-MONTH PERIOD ENDING JUNE 30 2019 2018 CHANGE$ CHANGE%

OPERATING REVENUE ($IN 000S) Thanks to the generous support of our donors and partners, Fiscal Year 2019* was again a CONTRIBUTIONS (CASH AND SECURITIES) $50,504 $67,669 $(17,165) (25%) very strong year, the third largest by revenue (not including gifts-in-kind) in Americares 40- U.S. GOVERNMENT GRANTS & CONTRACTS 1,388 140 1,248 891 year history. This success allowed Americares to continue to provide high levels of health improvements for people in need in the United States and around the world. Our FY2019 results GIFTS-IN-KIND AND CONTRIBUTED SERVICES 934,798 984,187 (49,389) (5%) bring our historical level of total aid provided to just over $18 billion. OTHER REVENUE 3,574 4,068 (494) (12%)

Geographically this year, Americares reached 93 countries, 49 U.S. states and three U.S. TOTAL OPERATING REVENUE 990,264 1,056,064 (65,800) (6%) territories: the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Also of significant note were responses to 43 emergencies in 24 countries, including the U.S. (see OPERATING EXPENSES AND CHANGES IN NET ASSETS geographical distribution chart, “Where We Work”). Our U.S. Program remains the largest provider of donated medical aid in the U.S., delivering more than $600 million in medicine and TOTAL PROGRAM SERVICES supplies to patients in need in FY2019. (WITHOUT GIK) 89,272 66,030 23,242 35% TOTAL GIK EXPENSES 984,619 1,254,703 (270,084) (22%) Overall revenue was $990.3 million. This was driven, in largest part, from support for our U.S. FUNDRAISING 12,974 12,394 580 5% and Latin America health programs, in both cash and medical gifts-in-kind revenue. The FY2019 overall revenue represents a slight decrease (6 percent) in overall revenue from FY2018, mainly MANAGEMENT & GENERAL 5,738 5,519 219 4% due to the large level ($30 million) of hurricane relief revenue received in the fall of 2017 related TOTAL OPERATING EXPENSES 1,092,603 1,338,646 (246,043) (18%) to four major hurricanes. Although the majority of our revenue is driven by our medical gifts-in- EXCESS/(DEFICIENCY) OF OPERATING kind program, it is significant to note that the cash (non-gifts-in-kind) revenue portion was $55.5 REVENUE OVER EXPENSES (102,339) (282,582) 180,243 million, our third-largest ever and our largest ever in a fiscal year without a major emergency response. EXCESS RELATED TO NON-GIK On the expense side, led by our Access to Medicine program, our programs accounted for 98.3 UNRESTRICTED OPERATING FUNDS 2,065 8,768 (6,703) percent of our total expenses, including both cash and gifts-in-kind—one of the strongest in the EXCESS/(DEFICIENCY) RELATED TO industry. Without gifts-in-kind expenses, our program expenses were at a strong 83 percent. GIK & RESTRICTED FUNDS (104,462) (291,574) 187,112 In addition, our Forbes Private Fundraising Efficiency ratio was 1.3 percent in FY2019, also EXCESS/(DEFICIENCY) REALTED TO considered best in class. Finally, Americares unrestricted operating surplus for FY2019 (a strong NON-OPERATING ACTIVITY 58 224 (166) measure of financial health in a nonprofit’s financial statements) was $2.1 million, much of which will go to support for local health centers and future long-term recovery efforts in areas impacted TOTAL INCREASE/(DECREASE) IN NET ASSETS $(102,339) $(282,582) $180,243

by emergencies. It should also be noted that the $102.3 million shortfall of revenue-to-expenses is mainly driven by the $104.5 million decrease in gifts-in-kind inventory (net distribution) and COMPOSITION OF NET ASSETS spending of prior years’ restricted gifts. WITHOUT DONOR RESTRICTIONS $65,032 $97,005 $(31,973) (33%) WITH DONOR RESTRICTIONS 151,067 221,433 (70,366) (32%) These metrics put Americares in a very strong position to roll out our 10-year Strategic Plan (2020-2029), which will grow and diversify the organization’s funding, expand and deepen its geographic reach and combine its leading medical gifts-in-kind programs with sustainable health

development programs that enhance the work of local health centers to improve the lives of TOTAL NET ASSETS $216,099 $318,438 $(102,339) (32%) people in their communities.

HOW WE USE OUR HOW WE USE OUR WHERE WE WORK MAJOR PROGRAMS † CASH RESOURCES (by value of aid delivered) (without gifts-in-kind) RESOURCES (TOTAL) (without gifts-in-kind) MANAGEMENT MANAGEMENT FUNDRAISING MIDDLE EAST/ ASIA EMERGENCY CLINICAL & GENERAL & GENERAL AFRICA PROGRAMS SERVICES & 5% 12% 9.8% COMMUNITY Richard K. Trowbridge, Jr. 0.5% 17.5% HEALTH CFO, Treasurer and SVP Operations 22.4% FUNDRAISING 17.0% 1.2% LATIN For the audited financial statement and report from our AMERICA & independent certified public accountants, please visit CARIBBEAN 29.3% americares.org. UNITED ACCESS TO PROGRAMS PROGRAMS STATES* MEDICINE 98.3% 83% 43.4% 60.6%

*July 1, 2018, through June 30, 2019 †Cash and gifts-in-kind *Not including $370 million patient assistance program value 16 17 LEADERSHIP Tony Goldwyn Directors Emeritus Anita Cobb and Neil Budnick Actor, Producer New Canaan, CT Vicki Smith Board of Directors and Director Charles R. Chandler Deerfield, IL Vice Chairman (Ret.), Cory Cancila Jerry P. Leamon Susan Grossman* Greif Inc. Glenview, IL Katherine L. Stabler Chairman of the Board, Executive Vice President, Chicago, IL Americares Foundation, Product Development, John L. Kelly TJ Carella Retired Global Managing Data & Services, Managing Partner, Greenwich, CT W. Laird Stabler Director, Deloitte Mastercard Endgate Capital Chicago, IL Daniel N. Caron Samhita A. P. Jayanti Bryan C. Hanson Robert G. Leary Woodbury, CT Bettina Steffen, MD Vice Chairman, Americares President and Chief CEO, Olayan Group San Francisco, CA Foundation, Co-Founder, Executive Officer, Elizabeth and Jay Chandler Ideamix Zimmer Biomet C. Dean Maglaris New York, NY Jennifer B. Toll CEO, Cytogel Pharma, LLC New Canaan, CT Michael J. Nyenhuis C. Robert Henrikson** James Conroy President and Chief Former Chairman, Joseph W. Merrill (Co-Chair, Metro Area) Richard Townsend Executive Officer, President and Chief Managing Member, Westport, CT New Canaan, CT Americares Foundation Executive Officer, Nor’East Capital LLC MetLife, Inc. Vicki and John A. Crum Eric Weintz, MD Elizabeth Peale Allen Beverly L. Schuch Houston, TX (Chair, Bay Area) Chairman of the Board, Francine Katsoudas* Former Anchor & Menlo Park, CA Guideposts Executive Vice President, Correspondent, CNN Mark E. Donaldson Chief People Officer, Cisco San Francisco, CA Megin and Adam Wolfman Carol B. Bauer Curtis R. Welling Cherry Hill Village, CO Former Chairman, Norwalk Paul J. Kuehner Senior Fellow, Center for Marlene S. Dooner Hospital Board of Trustees Americares board CEO, Building and Land Business, Government and Bryn Mawr, PA members, Melissa and Andrew Technology Society, Tuck School of Puerto Rico Woolford Robert M. Baylis Business at Dartmouth Andrei Dunca Norwalk, CT Retired Chairman, Mehdi Mahmud San Francisco, CA Gildan Activewear, Inc. President and CEO, Stephen Winter, MD Dimitra Kefallonitou and William Judice Michael R. Parker Junior Council First Eagle Investment Pulmonary and Critical Patrick J. Durkin Akshay Gupta Riverside, CT Greenwich, CT Jeffrey T. Becker Management Care Medicine Clinical Greenwich, CT Southport, CT Chairman and CEO, Tim Bosek Professor of Medicine, Patty and Bill Kleh Ari Perkins, MD (Chair) Jennison Associates LLC Keith McAllister** Yale University Medicine, Robin A. Duska James Hasso Key Biscayne, FL Larchmont, NY Partner, SRiCheyenne Director of Global Health, Reston, VA Briarcliff, NY Ankur Bhargava Katherine Close, MD Norwalk Hospital Janie and Jason Konidaris Heather Poole Volunteer Physician, Joseph J. Rucci Jr., Esq. Scot Eisenfelder Sandy and Felix Hernandez New Canaan, CT Roanoke, TX Holly Donaldson Casella Americares Free Clinics Partner, Rucci Law Leadership Council Sea Ranch Lakes, FL Pearl River, NY Chris Garofoli Clinical Associate Group, LLC Rose and Bill Krivoshik Cary Potter Professor of Internal Janice and Stanley Abshier Betty and Alan Feldman, MD Erica Hill and David Yount Wilton, CT New York, NY Allie Gerber Medicine, USC School of Alan G. Rwambuya Fullerton, CA Fairfield, CT Larchmont, NY Medicine Senior Vice President, Nora and Robert Leary Janice and Bruce Richards Paul Mignone Sponsor Finance, Mary Delia Allen Alison and Patrick Fels Alexa Horton North Palm Beach, FL Cos Cob, CT Roberta Conroy Jennifer Porti U.S. Bank Chicago, IL Riverside, CT (Co-Chair, Metro Area) Co-Chair, Horizons at Fairfield, CT Eve Lehrman, MD Christopher Robb Sara Prager Greens Farms Academy Stephen I. Sadove Christopher Benassi Desmond FitzGerald New York, NY Chicago, IL Board of Trustees Andrew Silard Founding Partner, Chicago, IL Greenwich, CT Ward Horton JW Levin Management Fairfield, CT Tracy and Joseph Merrill Ginny Rogers Elizabeth Furst Frank Phil Thompson Partners and Retired Stephen Blewitt Joseph A. Garofoli III New Canaan, CT Glenview, IL EVP, Worldwide Chairman & CEO, Boston, MA Darien, CT Lakshmi Jagannathan Farrell Ulrich Programming & Chief Saks Incorporated Saratoga, CA Marcelyn Molloy, MD Josh Rucci Content Officer, AMC Karan Vazirani Joshua B. Blum David Gluckman Old Greenwich, CT Bronxville, NY Entertainment, Inc. Sarah Saint-Amand Wilton, CT Greenwich, CT Mary and Kim Jeffery Policy Analyst, The Greenwich, CT Bas NieuweWeme and Christina and Michael Russell Steve Gallucci Manhattan Institute Diane Bosek John Goebel Julie NieuweWeme Riverside, CT New York Managing Darien, CT Hinsdale, IL Harry F. Jones III Amsterdam, Netherlands Partner, Deloitte LLP Michael Ullmann* Chapel Hill, NC Betsey and Arthur Selkowitz Executive Vice President, Cynthia Z. Brighton Gregory Oreskovich Stamford, CT General Counsel, Darien, CT Wilmette, IL Johnson & Johnson 18 *Joined board as of January 2019 Reflects activity between July 1, 2018 and June 30, 2019 19 Airlift Benefit ** Retired from board as of June 2019 Remembering Alma Jane “Leila” Macauley

1921 – 2019 Americares co-founder and permanent vice chairman

The Macauley Legacy Society, named after Americares founders Bob and Leila Macauley, was established to recognize and honor our donors who have included Americares in their estate or charitable gift plans. We are proud to have a distinguished group of over 350 members of the Macauley Legacy Society.

Hurricane Dorian response, Bahamas, Fiscal Year 2020

All photos by Americares staff, except as noted here. Pages 3-4: Nicolo Filippo Rossi. Page 4-5: Indonesia, Edy Irianto; Colombia, Nicolò Filippo Rosso; Texas, Annie Mulligan. Page 6-7: Annie Mulligan. Page 7-8: Texas, Annie Mulligan. Page 8-9: William Vazquez. Page 10-11: Indonesia, Edy Irianto; Tanzania, Nana Kofi Acquah; Florida, William Vazquez. Page 24: Edy Irianto. Page 26, 28: Getty Images. Page 33: William Vazquez.

Cover photo: Colombia, Venezuelan refugee crisis 20 Our Mission

Americares saves lives and improves health for people affected by poverty or disaster so they can reach their full potential.

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