Annual Report 2009 Over the past 16 years, MedWish International has evolved from a grassroots The environmental impact of the Recovery component of our program organization into a significant provider of medical humanitarian aid to averages to nearly 1,600 pounds of medical supplies diverted daily from recipients worldwide. From our humble beginnings to our current location, a landfills. 40,000 square foot donated warehouse, MedWish International continues to expand operations in the most cost-effective and efficient ways. Our success is a direct result of the passion and commitment of our staff, board, volunteers and donors. Through the tons of medical items donated by Since 2005, the MedWish International Recover, Recycle, Redistribute program our healthcare facilities and corporations, the thousands of volunteer hours has grown exponentially – experiencing a 1,000% increase in the number of dedicated to sorting supplies, and the financial donors that sustain our entire medical items recovered from , healthcare facilities, medical supply operation- each individual plays a critical role in MedWish International’s ability companies, and individuals. In measuring our impact, MedWish International to save lives globally and improve our environment. saw a 3,000% increase in the amount of medical aid redistributed to countries worldwide. The relief provided by MedWish International empowers doctors, We are pleased to present to you our 2009 annual report and to illustrate in nurses and clinic workers with the necessary lifesaving resources to improve photographs, words, and numbers the incredible impact you helped MedWish healthcare in their regions. Never before in the history of our organization International create. Thank you. has MedWish International had the ability to vastly advance the health and wellness of thousands of individuals on a global level.

MedWish International is the Cleveland-based nonprofit organization responsible for the recovery, recycling and redistribution of donated medical supplies, equipment and furnishings to developing countries worldwide in an effort to save lives and save the environment.

Statistics Saving Lives Saving the Environment • Recovered more than 604,000 pounds of usable, For 16 years, MedWish International has provided According to the American Medical Association, Lee Ponsky, M.D. Tish Dalby lifesaving medical supplies, equipment and lifesaving medical supplies to suffering men, women United States hospitals discard more than $6.25 billion Founder and President Executive Director furnishings and children in forgotten corners of the world. of unused medical supplies and equipment due to MedWish International • Redistributed more than 428,000 pounds providing These oftentimes basic medical supplies – items like technological changes, regulatory requirements and assistance for 202 humanitarian aid projects gauze, bandages, suture and gloves – may mean the product overruns or overstocks. Rather than reaching in 50 countries and supporting 122 recipient difference between life and death for a pregnant people in need, these items end up clogging landfills woman…a newborn baby…or an injured farmer. and creating an environmental hazard. MedWish oard of irectors organizations 2009 B D Through partnerships with dozens of local and International’s Recover, Recycle, Redistribute program President Board of Directors • In the past four years, MedWish International has national hospitals, healthcare facilities and medical transforms these disposable supplies into renewable, Ponsky MD, Lee witnessed a tremendous operational growth: supply companies, MedWish International is able to lifesaving gifts while simultaneously contributing to University Hospitals, Case Western Medical Center Affolter, Ann Former MedWish Executive Director Leimgruber, Jeff Hillcrest • Since 2006, the amount of supplies received divert medical supplies, equipment and furnishings the reduction of landfill waste and greenhouse gases. Baer Wilson, Ashley Valleycrest Mehler, Sarah National Jewish Democratic Council per month has increased by a factor of 16 otherwise earmarked for the landfill and redistribute In addition, MedWish International actively pursues Vice President Ballal, Sandhya Coca-Cola Namy, Rob Weston, Inc. them to needy people worldwide. Throughout its ways to reduce its own waste. From using compostable Boyle, Kathleen AmTrust Bank Beno, Lisa University Hospitals Ponsky, Zac AmTrust Bank • From 2006 through 2009, the amount of brief existence, MedWish International has positively products and FSC©-certified paper to recycling metal, Bishai, MD. Adel Hillcrest Hospital Rezaee,MD. Roya Grant Hospital supplies distributed per month has increased Doershuk,MD Carl Rainbow Babies and Smith, Brian Cleveland Clinic affected the quality and quantity of medical care plastic, glass and paper, MedWish International is by a factor of 25 Childrens Hospital, Retired Voudouris, Peter Tucker Ellis & West LLP available to the poor around the world by providing committed to employing sustainable practices. Gerbitz, Brooks Swagelok Winton, Phil Phil Winton Enterprise both simple and sophisticated medical items that are Hamilton, Scott Hanna Perkins Center Konal, Gamze Nestle USA often taken for granted in industrialized nations. Kuivinen, Tricia Marymount Hospital Landever, Dave Weisman, Kennedy & Berris  Volunteers

Baldwin-Wallace College Scholars, January 2009 Hands On NE Ohio 2-7-09 UH social work dept 1-24-09 $0.98

Recover, Recycle, Redistribute Program Pounds Pounds Alt. Pounds of every dollar Year Rec’d Dist’d Recycling Trash 2003 36,170 8,755 1,273 2004 17,120 35,044 2,838 MedWish 2005 10,112 8,280 205 eview 2006 36,992 17,202 4,634 2007 205,264 150,263 6,000 2,948 R receives* goes 2008 451,788 315,138 47,962 17,636

in 2009 604,000 428,000 25,000 40,000 Rotary Club, April 2009 toward program In-Kind Gifts ear Estimated Value Description Organization Y service expenses $39,625.00 Warehouse Cleveland Clinic $17,522.00 Transportation Services Top Dawg Delivery & Logistics $8,694,273.00 Medical and Dental Supplies and Equipment Partnering Organizations *dollars include GIK donations   List of Recipient Organizations 100 Igbos USA, Inc Hand of God in Kenya Mission Sebenzela List of Countries Served in 2009 Missionaries of Charity AFECTO Healing the Children Northeast Argentina Jamaica African Sky Hearts for Haiti Missionaries of the Poor Moshi Diocese Health Department Armenia Kenya AIPNO Helping Hands for Honduras Bangladesh Kyrgyzstan Amor y Esperanza Honduran Espiscopal Church Mulago Hosital Mulinde Ngila Medical Center Belize Liberia APPO Hope For Honduran Children Brazil Malawi Area Hospital for General Acute Treatment Horizon Church Mwangaza Inc New Covenant Church Burundi Mali Armenia Relief Society Hospital Bon Samaritan Cameroon Mexico ArtMed Medical Rehab Center Hospital Catacamus Nigeria Hospital North American Baptist Church Chad Morocco Arusha Lutheran Medical Center Hospital dos de Mayo China Mozambique Assiut University Hospital Hospital Jaun Cabrera y Baiz Nuestra Senora de Salvacion Oasis Foundation Grace Village Columbia Nicaragua Assumption Parish, Haiti Outreach Hospital Nacional Cuba Nigeria Aswan Germania Hospital Hospital Playa Grande of Ixcan Obras Sociales de Santa Hemano Pedro Ocotal Hospital Democratic Republic of Congo Pakistan Baptist Mid-Mission Hospital Regional Verdi Cevallos Balda Dominican Republic Peru Bongolo Hospital Hospital San Ivan de Dios Orange Walk Regional Hospital Our Little Roses Ministries Ecuador Philippines Brother’s Brother Foundation Hospital Sub-referente de Area de San Jose Egypt Poland Burenza Clinic ILA Trust Ozioma Hope for Wellness Partners in Health El Salvador Russia Burrows Memorial Christian Hospital Individual Ethiopia Rwanda Cameroon Baptist Convention Health Services International Children’s Foundation Peruvian Hearts PODEMOS/Students Helping Honduras Gabon Sierra Leone CardioStart International Hospital for Children Ghana South Africa Caribbean Children’s Foundation International Surgical Missions PRODIM Project Health for Leon Guatemala St. Lucia CEDEINFA Iris Ministries Guyana Tanzania Central American Relief Ismailia General Hospital Rainbow Honduran Children Fund Rainbow International Child Health Haiti Uganda Centre Hospitalier Baptist Jalandhar Nursing Home Honduras Ukraine Child Family Health International Jesse M Rohde Foundation RAM Guyana Refuge International India Zambia Children of the Americas Jibod Clinic Limited Iraq Children’s Home of Hope Judith Chikonde Foundation Revive Africa Christian Missionary Alliance Kherson Regional Children’s Hospital Ruth Paz Foundation Cloud of Glory Ministries Komfo Anyoke Teaching Hospital San Martin de Porres Hospital COCINA Korle- Bu Teaching Hospital SanPedro Parish Dr Antonio Salas Torres Clinic KryviyRih Children’s Hospital # 4 Shalamar Hospital Dr Harold’s Glucksberg’s Clinic La Communidad de San Juan la Evangelista Shoulder to Shoulder Duc Toval Hospital Lamb International Soteni International E3 Ministries Lawra Hospital St John’s Hospital Favor of God, House of Hope Orphanage Liaoning International General Health Trainers Tatra Mountain Cultural Foundation Federation of Dominican Popular Org Liberia United Methodist Church Tenwek Hospital Food for the Poor LIFE for Relief & Development Iraq The Latin American School of Fundacion Teolinda Troya Escobar Madwaleni Hospital The Mater Hospital Global health Outreach Mata Laxmi Hospital They Often Cry Outreach Global Volunteers Matses TMS Clinic H.E.L.P. Malawi Medical Ministry International Transcrisur Clinic Haitian Children’s Home Medical Mission Jalpa Zacatecas Unite for Sight Hananasif Orphanage MedShare International Volgograd Regional Perinatal Hosp World Vision   2009 In-Kind Donors Lake Hospital System Gastroenterology Associates of Cleveland, Inc. Global Links East Ohio United Methodist Church Paul Versluis Partnership Ministries MedWish International’s partner organizations donated Diabetes Care Center Generations Women’s Healthcare Marc’s FEDOPO Peruvian Hearts over 300 tons of usable lifesaving medical supplies, LakeEast Hospital HCR ManorCare MedShare International Food for the Poor Petite Sisters of St Therese equipment and furnishings normally earmarked for LakeWest Hospital Highland Medical Center North Parkersburg Baptist Church Gift of Life, NE Ohio Rotary International Podemos the landfill. These supplies - ranging from gauze and Nantucket Cottage Hospital Parma Medical Center Ohio Valley Perfusion Association Global Health Outreach Project Heal bandages to ultrasound and cardiology machines – Nationwide Children’s Hospital Retina Associates of Cleveland, Inc. Shelby Christian and Missionary Alliance Global Volunteers Rainbow Honduran Children Fund provide hope, health and healing to many in desperate Parma Community General Hospital Riveredge , Inc. Top Dawg Delivery and Logistics Grace Christian and Missionary Alliance RAM Guyana need of medical care. Premier Health Partners Southwest Family Physicians, Inc. United Area Rescue Squad Grace CMA Church Reach Global Good Samaritan Hospital West County Multiple Sclerosis Center World Health Partnership Harvard Medical School Redeemer Fellowship In 2009, in-kind donations of medical products Windsor-Laurelwood Center for Behavioral Medicine World Vision Healing the Children Northeast Refuge International exceeded $8.6 million dollars. MedWish International is Summa Healing the Nations Revive Africa extremely grateful for the commitment and dedication Akron City Hospital Medical Supply Companies Hearts for Haiti Rotary International HELP Malawi Rotary, Gift of Life NE Ohio of hospitals, healthcare facilities and medical supply St. Thomas Hospital Aesculap Inc., USA Our International Partners companies who save lives both at home and around the Wadsworth-Rittman Hospital Allegiant Medical Equipment, Inc. AFECTO Helping Hands for Honduras Ruth Paz Foundation world. American Medical Equipment African Partners Medical Hope for Honduran Children SHIP Students Humanitarian International Project Horizon Church Shoulder to Shoulder The MetroHealth System Biogel African Sky International Children’s Heart Foundation SIGHT Cleveland Clinic Health System Boardman Medical Supply Company, Inc. AIPNO The Ohio State University Medical International Hospital for Children Soteni International Cleveland Clinic Main Campus Emjay Labs, Inc. APPO Center International Surgical Missions St Barnabas Salvadoran Mission Team Parker Building Health Aid of Ohio, Inc. Armenian Relief Society Iris Ministries St Mark’s Coptic Orthodox Church Euclid Hospital Hillmed Home Medical Systems/Saga R&D ArtMed Jackson Free Methodist Church Tatra Mountain Cultural Foundation Fairview Hospital University Hospitals System Invacare Corporation Assumption Parish Jesse M Rohde Foundation Team Cleveland for Project Health for Leon Hillcrest Hospital University Hospitals Case Medical Center Medical Action Industries, Inc. Avon Park Lakes Baptist Church Kujali International Teams to the Nation Huron Hospital UH Bedford Medical Center Perimeter Surgical Center Baptist Mid Missions Lamb International The Church at Brooks Hills Lakewood Hospital UH Geauga Medical Center Saddleback Valley Radiology Blancas House Little Flower Parish The House of Charity Lutheran Hospital UH Richmond Medical Center Stryker Brother’s Brother Foundation Mandel School Applied Social Sciences They Often Cry Outreach Marymount Hospital Synthes North America Builders Without Borders Mata Laxima Hospital TMS Clinic South Pointe Hospital Ireland Cancer Center at Chagrin Western Reserve MedTec Services Buses International Medical Ministry International Trinity Lutheran Church Ashtabula County Medical Center U.S. Cotton, LLC CardioStart Highlands Health Center Medical Mission Jalpa Zacatecas Unite for Sight Sagamore Hills Medical Center U.S. Endoscopy, Inc. Caribbean Children’s Foundation University Suburban Health Center MedShare International World Gospel Mission Beachwood Family Health Center Case Western Reserve University School of Medicine Southwest General Health Center Mission Outreach World Vision Brunswick Family Health Center Other Catholic Diocese of Fort Worth Mission Possible, St Ambrose Church Zion Lutheran Church, Ukraine Mission Chagrin Falls Family Health Center St. John West Shore Hospital APG Child Family Health International Missionaries of the Poor, USA Independence Family Health Center St. Vincent Charity Hospital Association of Indian Physicians of Northeast Ohio Children of the Americas Mwangaza Inc Solon Family Health Center Association of Philippine Physicians of Ohio Children’s Home of Hope Zeeba Center New Covenant Church Westlake Family Health Center CardioStart International Church on the North Coast No Boundries International Willoughby Hills Family Health Center Central American Medical Outreach, Inc. Church on the Rise Healthcare Facilities Cuyahoga Community College Cleveland Clinic North American Baptist Church Breckenridge Village Equip Your Neighbor Cloud of Glory Ministries North Ridgeville Rotary EMH Regional Healthcare System Clarian Health Nurses Christian Fellowship, Linwood Baptist Church Amherst Hospital Father’s House International COCINA Deaconess Community Foundation Fund for Armenian Relief Colorectal Team Overseas Ohio University College of Osteopathic Medicine EMH Regional Medical Center East Cleveland Primary Care OrangeWalk Northern Regional Hospital Firelands Regional Medical Center Geauga County Department on Aging Crosspointe Church Family Medical Center, Inc. General Motors Dayton Plant CVC Ozioma Hope for Wellness Kaiser Permanente Fertility Centers of Illinois Partners in Health   Statement of Activities Balance Sheet

Income Operating Expenses Assets 2009 2008 2009 2008 2009 2008 Cash 428,879 216,725.00 Contributions & Grants 8,694,273 6,352,702.00 Accounting 1,000 500.00 Savings & Inv 0 250,859.00 Program Services 95,258 40,880.00 Advertising 1,159 2,339.00 Pledges Rec 10,837 12,000.00 Fundraising 252,923 79,346.00 Dues & Fees 3,500 3,569.00 Inventory 4,275,723 2,432,785.00 Investments 10,656 Equipment Rental 0 Equip less Dep 15,291 4,484.00 Total Support and Freight 22,404 17,481.00 Misc Assets 798 937.00 9,053,110 6,472,928.00 Revenue Grants 6,928,949 5,042,208.00 Total Assets 4,731,528 2,917,790.00 Insurance Expenses 1,836 1,836.00 Liabilities IT Expenses 4,976 3,869.00 Taxes Payable 0 0.00 Medical 0 Net Assets 0 Meeting 0 684.00 Unrestricted Net Assets 4,731,528 2,917,790.00 Office Expenses 13,609 14,450.00 TOTAL 4,731,528 2,917,790.00 Other Expense 1,932 3,470.00 Postage & Delivery 200 3,949.00 Printing 159 Procurement Costs 0 23,267.00 Rent 0 39,885.00 Salaries 247,999 228,665.00 Telephone 2,076 2,101.00 Travel 1,140 4,886.00 Warehouse Supplies 8,433 13,382.00 Total Operating Expenses 7,239,372 5,406,541.00 Change in Net Assets from 1,066,387.00 Operating Activities Change in Net Assets from 1,832,831 Nonoperating Activities Investment Income 10,656 11,485.00 Total Change in Net Assets 0 11,485.00 From Nonoperting Activities Change in Net Assets 1,843,487 1,077,872.00

  For more information on MedWish International programs contact us at: [email protected] or call 216.692.1685. Visit MedWish online at www.MedWish.org.