Annual Report FY11

WEAREHEALTH & HOPE ANNUAL REPORT



TABLE OF CONTENTS02 FROM MICHAEL: MAP INTERNATIONAL PROGRAM 0603 LETTER FROM MICHAEL J. NYENHUIS ACTIVITIES 0804 09 MAP INTERNATIONAL: MAP INTERNATIONAL FACTS WE ARE ACCOUNTABLE FISCAL YEAR FINANCIAL INFOGRAPH BOARD OF DIRECTORS

FROM MICHAELCharity. Ministry. Business.Which word best describes MAP International?Yes, we are a charity, maybe better described as a not-for-profit organization. We receive charitable donationsand use them to provide effective services to improvethe health and wellbeing of millions of people aroundthe world. In 2011 we ranked again as one of the largestcharities in the nation thanks to our generous individualand corporate donors.Yes, we are a ministry grounded in the opening words of our “Guiding Principles” document:“We are Christians who actively seek God’s leading as we serve others following the exampleand teachings of Jesus.”We are called to witness to the love of Christ through our acts ofcompassionate service.Yes, we are a business. We prepare plans and budgets, employ and manage people, monitorand evaluate our results, forge partnerships, face the scrutiny of auditors and watchdogsand conduct many of the other activities common to for-profit enterprises. We do so with atrue “double bottom line” focused on transforming people and communities with financiallysustainable results.I am glad to report that in 2011 we performed well as a charity, ministry and business. Wefaced continued financial challenges stemming from the global economic slowdown andyet delivered excellent programs that brought health and hope to millions and did so whilefulfilling the role Christ gave us as healers and reconcilers to His children living in povertyaround the world. I am proud of my team at MAP and grateful to our donors and partnerswho have made our work possible over the past year.Michael J. NyenhuisPresident & CEO MAP International

WEAREACCOUNTABLE For the 13th year in a row, Forbes Magazine has recognized MAP with a nearly perfect score of 99% for charitable commitment and fund-raising efficiency. The Better Business Bureau continues to list MAP as a U.S. charity that meets its stringent test for Standards for Charity Accountability. Because we exceed industry standards and outperform most charities in their causes, MAP is recognized as a “Four Star” nonprofit by Charity Navigator, America’s premier independent charity evaluator. MAP is a charter member of the ECFA, an accreditation agency dedicated to helping faith-based charities earn the public’s trust. And MAP is recognized by PQMD dedicated to the development, dissemination, and adherence to high standards in the delivery of medical products to underserved people and disaster victims around the world. HEALTHCARE PARTNERS Research Driven. Quality Committed. Customer Focused.

STATEMENT OF FINANCIAL POSITION As of September 30th, 2011 2011 2010Assets Cash and cash equivalents $ 800,578 $ 1,098,383 Accounts receivable–net 255,485 165,669 Other receivable 45,781 70,080 Pledges receivable–net 8,694 45,877 Inventory: - - 276,474 618,156 Purchased Donated 30,127,159 52,435,377 Prepaid expenses and other - - assets Investments 180,212 180,085 Property and equipment–net 4,220,237 4,343,057 Interfund balances 6,702,798 7,003,306 - -Total Assets $42,617,418 $65,959,990Liabilities and Net Assets $ 83,563 $ 141,586 Liabilities: 104,473 84,252 Accounts payable 902,653 Deposits 1,092,891 Accrued expenses 4,021,206 3,948,731 Notes and loans payable 270,888 Annuities and trust payable 359,067 Net assets: 5,382,783 5,626,527 Unrestricted Temporarily restricted 25,012,653 49,841,411 Permanently restricted 8,446,812 6,716,882 3,775,170 3,775,170Total Liabilities and Net Assets 37,234,635 60,333,463 $42,617,418 $65,959,990

As of September 30th, 2011 STATEMENTS OF ACTIVITIES 2011 2010Support and Revenue $ 5,874,309 $ 6,324,230 Contributions 131,441,188 199,040,034 Donated inventory Donated property and equipment 2,808 - Donated securities and other assets 45,548 31,172 Government grants 580,457 911,174 Handling charges and service fees 2,415,208 3,090,051 Investment income 26,243 145,995 Other revenue 79,962 15,438Total Support and Revenue 140,465,723 209,558,094Reclassifications -- Net assets released from restrictionsExpenses Program services: Essential medicine distribution 128,799,093 207,358,687 Disaster and disease 23,540,709 27,715,830 management 1,199,653 258,615,226 Community health development 30,681,293 160,680,039 Supporting activities: 484,955 604,585 General and administrative 2,399,557 2,670,587 Fund-raising 2,884,512 3,275,172Total Expenses 163,564,551 261,890,398Change in Net Assets (23,098,828) (52,332,304)Net Assets, Beginning of Year 60,333,463 112,665,767Net Assets, End of Year $37,234,635 $60,333,463 This presentation is summarized financial data and complete 2011 audited financial statements by the independent accounting firm CapinCrouse LLP is available upon request or can be found at map.org

MAP International Program Activities MAP International provided medicines and medical supplies to hospitals, clinics, and short-term medical missions inpoor communities in 119 countries. These healthcare provisions included antibiotics, anti-malaria drugs, wound caresupplies, de-worming medicines, over the counter pain relievers, allergy and respiratory medicines, sutures and othermedical supplies and pharmaceutics.MAP provided 482 tons of medicines and medical supplies, worth 155 million in wholesale value. In addition to ship-ments to hospitals and clinics, much of the product was used in MAP’s Travel Pack program. This program allows medi-cal professionals making short-term medical mission trips to poor communities throughout the developing world totake a ‘clinic in a box’ with them. Travel Packs with approximately $23,000 worth of pre-selected medicines and customorders with medicines specifically requested by the traveling teams were taken into 74 countries during this year.In addition to our medicines program, MAP International has field offices in 8 countries (soon to be 10) where our localstaff work with communities to promote health, prevent disease, and provide treatment. One of our signature programsis the Total Health Village (THV) which is an integrated community health program designed to facilitate self-empower-ment among communities so that they have the ability to improve their quality of life and solve problems on their own.Below are significant achievements in MAP Country office programs during 2011.Cote d’Ivoire MAP Cote d’Ivoire played a key role, along with The Carter Center and UNICEF, in eradicating Guinea Worm disease from Cote d’Ivoire. In 2011, over 1,825,300 children were treated for intestinal worms with medicines provided through MAP’s IHP program After the election crisis in late 2010, many Ivorians were displaced from their homes. MAP began working in Duekoue, an IDP site in Cote d’Ivoire, to improve water and sanitation, and provide medicines and health care.Kenya MAP International and Genesis World Mission hosted a unique two week medical camp at Burangi Primary School August 8th – 18th, 2011 that integrated Maternal Child Health services like reproductive health (family planning), growth monitoring and child immunization with basic services and screenings. Health talks along with psychiatric counseling services were offered in this camp that was also hailed by health officials for offering high quality drugs. The community was involved in the camp planning and execution. A total of 1,763 patients attended the camp. Performed 30 operations for Lymphatic Filariasis in the Total Health Villages of Burangi and Kilonga, relieving affected com- munity members of a painful and stigmatizing disease.Indonesia MAP Indonesia provided health care services to 1,160 people and health education for 1,030 people through the Tello Mobile Clinic. Started the Lahusa Cluster THV and the Tello Island cluster THV programs which will impact a total of 19 villages where there has traditionally been extremely limited access to health information and services.Ghana In partnership with St. Theresa’s Hospital, MAP Ghana organized health campaigns to inform people on identification, pre- vention, treatment, and control of Buruli Ulcer. These talks sensitized over 15,000 people to Buruli Ulcer in 2011. In the Tumiamayenko Total Health Village, MAP Ghana supported three existing and functioning village savings and loans associations in the community during meetings and established another association for women in the community. An amount of GHC 1,636.50 (USD 1,091.00) has been mobilized within a period of 3 months.Haiti In 2011, a Total Health Village cluster of three villages is in the early planning stages. MAPs heavy relief efforts of 2010 are now transitioning to long-term community health programs.

October 1, 2010 - September 30, 2011Honduras Trained 69 health promoters in HIV/AIDS, child abuse prevention, disease prevention and basic treatment over 3 regions. Distributed 200 medicated malaria bednets to the Nueva Armenia THV. During the distribution the community was tested for the prevalence of malaria and trained on use of the bednets. 800 more nets will be distributed in the coming months.Bolivia MAP is generating a massive movement in Bolivia through supporting victims of sexual violence. During this 2011 year 293 cases of victims of sexual violence were assisted with multidisciplinary support (social, physiological and legal). Law- yers had to go through very complicated processes to bring sex offenders to justice and to guarantee sentencing. 25 sex offenders were detained and 20 trials took place with 17 convictions. On August 9th around 3000 people from organizations, the police force, government authorities, students from universi- ties and schools, and people from the society in general joined MAP International’s efforts by marching the Solidarity Walk and thereby expressing their commitment to fight against sexual violence. Children in the Chilimarca school have become change agents in families and in the community of Chilmarca. The students understand a holistic concept of health, including a control over health determinants, the need for safe environ- ments, and even the importance of advocacy to change the government and society at large to promote health for all. In the August 2011 more than 70 teachers from rural areas came to MAP to learn about the educational strategies and alternative materials to be used in their school programs to foster critical thinking skills and facilitate children’s develop- ment of skills for life.Ecuador In May the leaders of the Apatug community organized a nutrition fair where they hosted produce exchanges, explained to visitors the pressing need of greater food security and complete nutrition, and the progress they had made in their own community toward these goals. Over 1,500 people were in attendance at the fair, including other NGOs, students from American universities, and government representatives.   In the Valle del Toachi Total Health Village, the community has been motivated and mobilized to build a health house as a central meeting space and a place for health promoters to work. The community is using a unique material—sand filled plastic bottles—to build the house, and the entire community has been participating in collecting and filling the bottles. In May 2011, the Tungurahua volcano erupted again, affecting over 2,000 families. MAP has been working in partnership with the Government to train the affected communities on first aid, providing emotional support to victims, and disaster response strategies. MAP also provided 400 masks to the community to protect their health in the aftermath of the erup- tions when ash was still heavy in the air.Liberia Two programs will begin in 2012 in Liberia; Buruli Ulcer Control and a Total Health Village.Uganda In the famine prone North Eastern district of Kotido, MAP has improved food security of about 2,000 households by supporting the production of 346 acres of groundnuts, 359 acres of sorghum, 9 acres of simsim, 27 acres of cassava and 23 acres of sunflower. This will reduce the incidence of famine in the area. 45,000 neem tree seedlings are also under the community’s care as they grow to improve the ecosystem. In Amuru and Gulu, the Maternal and Child Health component has provided Ante Natal Care services to more than 900 pregnant mothers and improved skilled-birth attendance at health from just under 10% to 42% currently. Immunization of infants has also been improved as a key component in the integrated management of childhood illnesses. Through these efforts, numerous lives of mothers and children have been saved.



Immanuel Thangaraj Bonnie R. Leetmaa Livingston, Ph.D.Chariman Management ConsultantManaging Director Newport Beach, CAEssex Woodland Health Ventures Mary Jane LindholmPalo Alto, CA Vice ChairmanAmb. (Retired) Edwin G. Corr Independent BancsharesVice Chairman Shorewood, MNSenior Research Fellow (Emeritus) Jorge Ernesto Maldonado Rivera,University of Oklahoma D.Min.Norman, OK Author/MissionaryCho-Pin Foo Evangelical Covenant ChurchTreasurer La Coruna, SpainInternational Finance Consultant Philip (Phil) J. Mazzilli, Jr.Bellevue, Washington Chief Financial Officer (Retired)Ingrid Mason Mail, M.D. EquifaxSecretary Canton, GAPhysician, Internal Medicine David E. VanReken, M.D.Indianapolis, IN Clinical Professor of PediatricsMichael J. Nyenhuis Indiana University School of MedicinePresident and Chief Executive Officer PediatricianMAP International Forest Manor Health CenterBrunswick, GA Indianapolis, INDale Hanson Bourke Cheryl A. Vaught, Esq.President Attorney and ManagerPDI, Inc. Vaught and Conner, P.L.L.C.Chevy Chase, MD Oklahoma City, OKJacqueline Rene Cameron, MD, MDiv Miriam Khamadi Were, BA, Dip. Ed, MBAtending Physician CHB, MPH, Dr PHHorizon Hospice and Palliative Care PhysicianAssistant Professor Co-Founder: UZIMA Foundation withDepartment of Religion, Health and a focus on YouthHuman Values Member: Champions for HIV-FreeRush University Medical Center GenerationChicago, IL Nairobi, KenyaJ.Welby Leaman, J.D.Trade Council OUR BOARDWays & Means CommitteeU.S. House of RepresentivesWashington, DC.

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