2015 Annual Report

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Make HOPE HappenHOPE doesn’t happen in a vacuum. It takesan entire team of individuals and groupsworking together, each bringingtheir own expertise, unique ways ofsupport and innovative ideas to transcendthe ever-changing health challengesaround the globe.At Project HOPE• Volunteers Make HOPE Happen by providing expert care and education.• HOPE employees Make HOPE Happen by dedicating themselves to solving health problems in their local communities.• Donors Make HOPE Happen by continuing to support long-term solutions to global health challenges.• Beneficiaries Make HOPE Happen by participating in community health programs and advocating and sharing their successes with others in their communities. 5 You Make HOPE Happen too! 42 ||pprroojejecctthhooppee.o.orrgg

Letter from the Chairman Our Work The past year has been a year now available in China, our 2015 Annual Report is full of stories Women's and of transition for Project HOPE. In showing how your support Makes HOPE Happen in individual Children's Health March, after more than 14 years lives. of service, Dr. John P. Howe, III Infectious retired as the President and CEO With everything you have helped us accomplish this year, I am Diseases of Project HOPE. especially pleased to announce the arrival of Dr. Tom Kenyon, a former HOPIE and former head of Global Health at the Centers NoncommunicableAs I stepped in to lead the organization through the change in for Disease Control and Prevention, as the new Project HOPE Diseasesleadership I gained an even greater appreciation for the impor- President and CEO. (Read more about Dr. Kenyon on page 24.)tance of the work that Project HOPE staff, volunteers and donors Dr. Kenyon’s impressive record as a strong and thoughtful lead- Humanitariancommit themselves to on a daily basis. er will ensure that good governance and management continue Assistance and to be top priorities, while also charting a course to strengthen Disaster ReliefTogether, with your support, Project HOPE delivered more than Project HOPE’s mission and stay true to our legacy.$206 million in lifesaving medicines and medical supplies. We Health Systemstrained more than 23,700 health care workers and our pro- For 57 years, we have been Making HOPE Happen around the Strengtheninggrams improved the health of nearly one million children, wom- globe. Thank you once again for your steadfast support.en and men. Health AffairsFrom a mother working in a factory in Indonesia, who now has Medicines andsupport to continue breastfeeding her infant after returning to Medical Supplywork, to volunteers experiencing a major earthquake while in DonationsNepal already caring for earthquake victims, to a young childfinally breathing easier because of better pediatric asthma care Volunteers Richard T. Clark Retired Chairman, Merck & Co., Inc. Chairman, Project HOPE Board of Directors 2015 Project HOPE Annual Report | 3

Our work inSoutheast Asia andthe Middle East 5 62,787 pregnant women, mothers, infants and 262 14,719 Indonesian women and children children were helped by the Philippines were served by HOPE’s Maternal5 Maternal Neonatal Child Health Nutrition program health care workers were trained by the Neonatal Child Health program India Community Diabetes program 4 | projecthope.org

Spotlight on Women’s and Children’s HealthNew mothers finding support in the workplaceIndonesian women working in factories in Subang have a new growth failure are at a disadvantage in terms of productivity and Making HOPEreason to smile. Thanks to Project HOPE’s innovative Health- at higher risk for health problems such as diabetes later in life. Happen inWorks program funded by MSD Merck for Mothers, nursingwomen no longer worry about not being able to breastfeed HOPE’s HealthWorks program, a landmark collaboration, has Southeast Asia and thewhen returning to work. Education programs and updated facil- developed a methodical process for long-term sustainability Middle Eastities supported by HOPE’s HealthWorks program make it easier for improving health and preventing disease for working wom-for new mothers to provide the best possible nutrition to their en. In addition to supporting new mothers, a wide variety of AT&Tchildren without leaving the factory. high-quality health services have been introduced including Eli Lilly and Company, Inc. anemia screening. Research has shown that anemic women are Ferring Pharmaceuticals“The factory now provides a private space for expressing milk in more likely to die from post-partum hemorrhage — one of the Give2Asiathe factory clinic and a refrigerator to store the milk,” said one top causes of maternal death. Pre- and postnatal care, family Johnson & Johnsonnew mother. “Project HOPE’s HealthWorks program is making it planning, nutrition education and knowledge of healthy behav- Marks & Spencereasier for moms like me to continue to provide our infants with iors such as hand washing are among the life skills and health Merck & Co., Inc.the best nutrition possible.“ services offered through the HealthWorks program. Project HOPE SupportersBreastfeeding is crucial to reducing stunting in childhood, a fact Initially launched in five factories in Cambodia, the HealthWorksrecognized by the Indonesian government which has pledged program has now expanded to seven factories in Indonesia and,to reduce stunting and boost child nutrition as a national pri- in 2015, has helped 10,775 women lead healthier lives forority. It says over 33 percent of children in the nation who face themselves and their families. 2015 Project HOPE Annual Report | 5

Our work inAfrica 5 Mozambique’s Community Care program reached 227,557The Namibia TB program reached 8,236 patients visited the HOPE Centre in South Africa for services related to5 24,583 community members with messages about TB noncommunicable diseases 6 | projecthope.org households impacted by HIV/AIDS

Spotlight on Infectious DiseasesProtecting the most vulnerable from the ravages of diseaseRuth, a 5-year-old girl from Namibia’s poorest region, was During subsequent visits, Martha encouraged Ruth’s mother, Making HOPEclearly malnourished when Martha, a Project HOPE care provid- Esther, to continue Ruth’s nutritional plan and taught her how Happen in Africaer, paid a visit to her family’s home. Ruth’s ribs were visible, and to prepare a balanced diet using locally available foods. Ruth isher abdomen was swollen. Her upper arms measured just nine now a healthier and more vibrant child who always smiles and AT&Tcentimeters around, a clear sign of severe acute malnutrition. welcomes visitors with a handshake. She is now very active and Catholic AIDS ActionRuth looked miserable and cried most of the time. plays with others with a new sense of energy. Ruth was also Eli Lilly and Company, Inc. tested for HIV and fortunately tested negative. Genzyme CorporationProject HOPE had identified Ruth’s family as vulnerable to HIV/ The Global FundAIDS through the Namibia Adherence and Retention Project “Please continue your good work and don’t stop with me, but do Medtronic Foundation(NARP). In 2015, NARP trained more than 350 community care it for others also,” said Esther. “I am very grateful and happy for Project HOPE Supportersworkers in Namibia, including Martha, in special skills to help what you have done for my child.” Shirepoor and vulnerable families at risk of exposure to HIV/AIDS. Bill & Melinda GatesPart of that training included recognizing the signs of malnu- Foundationtrition. USAID World Health OrganizationMartha immediately referred Ruth to the nearest health facility,where she was stabilized and further referred to Rundu Interme-diate Hospital, where she was admitted. Ruth was dischargedafter two days and instructed to introduce into her diet a thera-peutic food made primarily of peanuts that is used to treat acutemalnutrition. 2015 Project HOPE Annual Report | 7

Our work inChina 5 36,694 children with 13,738 32,278 children impacted by China Pediatric epilepsy reached Radiology Training program5 senior citizens helped by Elder Care program 8 | projecthope.org

Spotlight on Noncommunicable DiseasesDelivering a breath of fresh air and a new HOPE for a healthier lifeDoudou was just 2 years old when she began suffering from Project HOPE, with support from AstraZeneca, is facilitating stan- Making HOPEasthma attacks. Her mother, Zhang, was devastated. Zhang had dardization of care for people suffering from asthma in China, Happen in Chinastruggled with severe, uncontrolled asthma herself as a child including specialized training of health care professionals on pe-and did not want her daughter to experience the frightening diatric asthma diagnosis, treatment and care. To date, 11,500 AbbViefeeling of gasping for air and not being able to breathe easily. health care workers have already been trained in the proper American Schools & treatment of asthma and other respiratory diseases, and 2,000 Hospitals Abroad (ASHA)Fortunately, Zhang had heard about the China Alliance for families affected by asthma have benefited from the program. AstraZenecaChronic Respiratory Disease (CARD) program, a collabora- BDtion between Project HOPE and the respiratory department at READ MORE C. J. Huang & Familythe Shanghai Children’s Medical Center (SCMC). Zhang took Eli Lilly and Company, Inc.Doudou to the asthma clinic at SCMC, where a Project HOPE- projecthope.org/CARD Fidelity Foundationtrained doctor prescribed a treatment plan involving inhaled General Electriccorticosteroids. In China, where four percent of children suffer Merck & Co., Inc.from asthma, many parents are afraid to treat their children with Pharmaceutical Research &steroids. But to Zhang’s surprise, Doudou never had another Manufacturers of Americaasthma attack after she started the treatment plan. Project HOPE Supporters UCB PharmaDoudou’s symptoms are now so well controlled that sometimes USAIDher family forgets that she has asthma at all. And Doudou’s doc-tor just told her family that her use of medications can be cut inhalf and she likely will not need any medicines at all very soon. 2015 Project HOPE Annual Report | 9

Our work inEurope and Eurasia 5 4,434 health care workers in Kazakhstan, 155,823 patients are benefiting from medicines 950 infants and children were Kyrgyzstan, Tajikistan, Uzbekistan and delivered through HOPE’s Strategic Medical helped with Romania5 Ukraine were provided with TB training Resupply Program in Macedonia and Kosovo Neonatal program 10 | projecthope.org

Spotlight on Infectious DiseasesSupporting TB patients and their families while challenging the TB stigmaLike many women in rural Tajikistan, Hurriya is a wife of a mi- ents and was in poor condition. She had no interest in TB treat- Making HOPEgrant worker. While her husband lives and works in Russia for ment and no means to support herself and her children. Happen inlong stretches of time, Hurriya and her two daughters live withher in-laws in Danghara, Tajikistan. As the main caretaker of her The social worker intervened, emphasizing that TB is curable Europe and Eurasiafamily, Hurriya would wake early and go to bed after midnight. and educating Hurriya’s husband and his family about TB. HerHer sleep was often disturbed as she woke to tend to her young husband realized that his wife needed support from the whole Boeing Companychildren during the night. Fatigue was normal. Sometimes Hur- family to be saved. He reassured her that he didn’t want to di- Eli Lilly and Company, Inc.riya would even forget to eat. She thought her constant fatigue, vorce and sent money to cover additional medicines and ensure The Global Funddizziness and lack of appetite were just normal consequences better nutrition. Local Ministries of Healthof her busy life. But then a persistent cough appeared. Hurriya Project HOPE Supporterswas diagnosed with tuberculosis. Hurriya is now on the road to recovery. She moved back in with USAID–Mission her in-laws and she’s being treated for TB. Hurriya has HOPE for USAID-WashingtonHurriya’s brother had been diagnosed with TB two years ago. a healthy future. World BankHer mother-in-law falsely believed TB was hereditary. Unwillingto have a TB patient in the family home, Hurriya’s in-laws ban- The USAID TB Control Program is a five-year program imple-ished her and her children from the house and insisted their son mented by Project HOPE in Tajikistan and Uzbekistan, aiming todivorce her. reduce the burden of TB and the development of drug resistant TB in Central Asia by providing more effective and more acces-A social worker trained by USAID’s TB Control Program, imple- sible TB diagnosis and treatment for all, including vulnerablemented by Project HOPE, met Hurriya while conducting home populations.visits in Danghara. At the time, Hurriya was living with her par- 2015 Project HOPE Annual Report | 11

Our work inthe Americas 5 The Vulnerable Youth Program served 2,551 603 employees received health education and12 | projecthope.org health services in the workplace in Mexico 1,716 people with disabilities in Haiti received with the pilot HealthWorks program care and rehabilitation services young people in the Dominican Republic

Spotlight on Women’s and Children’s HealthAccess to health care results in healthier mothers, healthier childrenThe World Health Organization’s key facts on maternal mortality the Wake Forest School of Medicine, Dr. Bobadilla is also a neware clear. Every day, nearly 830 women die from preventable mother herself. “Engaging with expectant and new mothers atcauses related to pregnancy and childbirth, and 99 percent of the clinic and working with the dedicated health professionalsall maternal deaths occur in developing countries. But skilled really gave me a unique perspective on the true value of accesscare before, during and after childbirth can save the lives of to quality health care for everyone,” Dr. Bobadilla said. “In thewomen and newborn babies. Dominican Republic, it is the patient’s responsibility to keep Making HOPE Happen in The AmericasThat is where Project HOPE steps in. For nearly two decades, their lab results, prenatal records and ultrasound reports. I wasHOPE has been improving access to quality and low-cost ma- remarkably impressed that every patient diligently brought in AstraZenecaternal and child health services for 70,000 women and children her records and results to each and every visit as it demon- AT&Tin the impoverished Monte Plata and Herrera neighborhoods of strated her sense of ownership and personal responsibility as Richard FarlandSanto Domingo in the Dominican Republic. Our program sup- an active party in her health and well-being.” Knights of Malta Foundation Monford D. & Lucy L. Custerports two women’s and children’s health clinics through donat- Last year, the clinics provided 31,769 services to women and Foundation Orden de Malta Dominicanaed medicines, supplies and equipment, community outreach children including pediatric exams, vaccinations and medical Project HOPE Supporters USAID-Missionand educational events and continuing health care visits for women of reproductive age. In addition, Dr. Nikole Bobadilla was oneworker support and training. HOPE delivered more than $47 million worth of med- of the 2014 recipients of the prestigious Dr. Charles A. SandersDr. Nikole Bobadilla traveled to the Dominican Re- VIDEO REPORT: icines, supplies and medical equipment to help sup- International Residency Schol-public to volunteer with health care workers in the port the clinics. A third clinic is set to open in Haina arship program, developed byMonte Plata clinic. A fourth year OBGYN resident at Learn More this year. Project HOPE and funded by the projecthope.org/DR North Carolina GlaxoSmithKline Foundation, that offers medical residents the opportunity to serve in Project HOPE program sites around the globe. 2015 Project HOPE Annual Report | 13

Nearly 1 Million O1u8r,02000 15 Global Impact people were reached through Project HOPE’s health care programs More than 23,700health care workers were trained 46,711 hours of care and healtheducation was provided by Project HOPE volunteers More than$206 Million of donated medical supplies, equipment and medicines were delivered14 | projecthope.org

Where We WorkGlobal Health ProgramsAlbania Indonesia Philippines PolandBosnia and Kazakhstan RomaniaHerzegovina Kosovo South AfricaChina Kyrgyzstan TanzaniaCzech Republic Macedonia TajikistanDominican Malawi UkraineRepublic Mexico United ArabEgypt Mozambique EmiratesHaiti Namibia United StatesHonduras Nepal UzbekistanHungary NigeriaIndiaMedical Supply, Equipmentand Medicine DonationsBosnia and Kyrgyzstan South SudanHerzegovina Macedonia Tajikistan Malawi TurkeyDominican Nepal UkraineRepublic Philippines United States Sierra Leone UzbekistanEgypt South AfricaHaitiHondurasKosovoVolunteer SupportBelize Guatemala Nicaragua PanamaBosnia and Haiti Papua New GuineaHerzegovina India PhilippinesChina Jamaica Sierra LeoneDominican Kosovo South AfricaRepublic Kyrgyzstan TajikistanEl Salvador Macedonia TongaFiji Mongolia United StatesGabon NepalGhana 2015 Project HOPE Annual Report | 15

Required ReadingFor The Health PolicyCommunityBart Peterson, senior vice president of corporate affairs and communications atEli Lilly and Company, speaks at a Health Affairs issue briefing in Washington, DC. 383 articles 18Released 106,000+ 8,600+ published Twitter followers health policy briefs Facebook “likes”1262 || pprroojejeccththoopep.eo.rogrg

Spotlight on Health PolicyHealth Affairs was rated no. 1 among all scholarly journals in health policy*Project HOPE’s journal, Health Affairs, is the leading journal of Health Affairs articles are regularly cited by U.S. and global Funders:health policy in the field. It achieved the number 1 scholarly news media, averaging over 400 citations per month. The June Robert Wood Johnsonimpact factor this year and wide readership around the globe. 2015 article on hospital charges attracted more than 200 me- Foundation dia citations and was the subject of a New York Times editorial.Health Affairs attracts high-level readers in more than 200 Blue Shield of Californiacountries. Chen Zhu, China’s former health minister and now Sticker Shock in For-Profit Hospitals Foundationpolitical party official, initiated discussion of a Health Affairs arti- “A study published in the June issue of Health Affairs a policy journal, found thatcle on Taiwan’s National Health Insurance system with its author 50 hospitals with the highest prices in 2012, the latest data available, charged California HealthCareTsung-Mei Cheng. Cheng is a Health Policy Research Analyst an average of 10 times what is allowed by Medicare, which was used as a Foundationat Princeton University’s Woodrow Wilson School of Public and baseline for cost.” — Editorial, June 16, 2015International Affairs, and Health Affairs editorial board member. Eli Lilly and Company, Inc. In the past year, Health Affairs published six thematic issues onHealth Affairs is a top resource in the U.S. Congress. “Health topics including food and health; noncommunicable diseases; Patient-Centered OutcomesAffairs was the only health-related academic journal followed and Medicaid’s evolving delivery systems. Research Institute[on Twitter] by three or more congressional staff,” said DavidGrande in research he presented at the 2015 AcademyHealth Health Affairs Blog, with its dynamic new look, published 706 Precision Health EconomicsAnnual Research Meeting. posts. Contributors included former Senate Majority Leader Bill Frist, former Health and Human Services Secretary Kathleen The Commonwealth FundArticles from Health Affairs are provided as testimony before Sebelius, and Robert Wood Johnson President and CEO RisaCongress. A June 2015 study on the 50 U.S. hospitals with the Lavizzo-Mourey. The Physicians Foundationhighest charge-to-cost ratios was presented to the House Waysand Means Committee. So grateful for @Health_Affairs leadership in the field! W.K. Kellogg Foundation* Thomson Reuters’ 2015 Journal Citation Reports® Twitter: Gretchen Alkema, @Dr_Gretch Gretchen Alkema is vice president of policy and communications at The SCAN Foundation. 2015 Project HOPE Annual Report | 17

Our workAround the Globe More than $2.5 million 549Volunteers filled positions, HOPE delivered more than22 | projecthope.org of medicines and supplies to fight Ebola providing care around the globe $206 million18 | projecthope.org were delivered to Sierra Leone of medical supplies, medicines and medical equipment

Spotlight on Disaster Reliefand Humanitarian AssistanceWhen others are running out…HOPE is rushing inOn May 12, 2015, the ground began to violently shake once quake. We assisted with the evacuation and then assigned tasksagain in the already tattered nation of Nepal. The team of Proj- to receive new incoming patients, to treat wounds and set casts,ect HOPE medical volunteers who had arrived in Nepal just or to care for patients requiring ICU support.”days after the devastating 7.8-magnitude earthquake on April25, found themselves in a very dangerous situation. The team Project HOPE was one of the first organizations to coordinate Making HOPEwas busy working at a local hospital, caring for patients, many relief efforts in Nepal. Our mission was to heal and bring HOPE. Happenof whom were immobile and still healing from the first quake. In Nepal:Now the volunteers themselves were experiencing firsthand the BDfrightening tremors emanating from the earth. “We took to door • 15 Project HOPE medical volunteers helped care for Bristol-Myers Squibbjambs, crawled under heavy tables and hoped for the best,” 1,522 patients in the immediate aftermath of the earth- Eli Lilly and Company, Inc.recalled HOPE’s Director of Volunteers Andrea Dunne-Sosa. quakes Johnson & Johnson MaximusWhen the shaking finally stopped, the volunteers were a bit • More than $15.8 million of urgently needed medicines Merck & Co., Inc.dazed from the shock, but knowing they were in Nepal to help, and supplies were delivered, benefiting 231,976 pa- Project HOPE Supportersthe team got right back to work. “In the surgical ward injured tientspatients were crying or looking bewildered, and unable to runout of the building as most of the ambulatory patients had Project HOPE has been a part of every major disaster relief effortdone,” remembered Andrea. “We comforted the frightened pa- in recent years thanks to the support of donors and volunteerstients, traumatized by having to experience yet another earth- who continue to step up to support HOPE in times of global tragedy. WATCH SLIDESHOW OF IMAGES FROM NEPAL projecthope.org/slideshownepal 2015 Project HOPE Annual Report | 19

Making MORE HOPE HappenNotable accomplishments and events from this past year at HOPEMicrocredit and Health Education in Honduras Ebola Crisis Project HOPE’s Village Health Bank program in Last year, HOPE volunteers traveled to the heart of Honduras has successfully been turned over to the Ebola crisis resulting in the delivery of more than a local organization after improving the quality $2.5 million worth of medical supplies and medicines of life of 63,100 women and 56,400 children and four Clinic-In-A-Can portable medical units that through a combined microcredit and health ed- will be used to support Sierra Leone’s health system ucation program. The Honduras Village Health for years to come. “Standing in the middle of an Ebola Bank program provided over $15 million in treatment center in Sierra Leone, I remember having an loans over a six-year period that helped women overwhelming feeling of gratitude in being afforded the start small businesses to improve their families’ opportunity to use the skills and share the knowledge well-being. that I have accrued over the years to aid in this crisis,” said HOPE volunteer nurse Grace Deveney.Volunteers Support U.S. Navy Missions HOPE’s long-term partnership with the U.S. Navy continued with HOPE volunteers filling 137 volunteer spots in 2015 both aboard the USNS Mercy and the USNS Comfort and on shore. Volunteers, alongside their Navy coun- terparts, helped provide health education and humanitarian assistance in 17 countries.20 | projecthope.org

Global Health Awards The Carter Hall Conference Center Project HOPE presented its annual Global Health The historic Carter Hall Conference Center, owned and Awards, which recognize individuals who have operated by Project HOPE, sits on the beautiful grounds of made outstanding contributions toward improv- HOPE’s headquarters in Millwood, Virginia. Project HOPE ing health worldwide, during the annual Gala. offers this unique venue to host conference groups, mostly The Project HOPE Global Health Leadership nonprofits, from around the globe. Money raised through Award was presented to Kenneth Frazier, Chair- these conferences helps support Project HOPE in reduc- man of the Board and Chief Executive Officer, ing its general operating expenses that would otherwise Merck & Co., Inc., and The Project HOPE Global not be available to programs. Last year, the conference Health Partner Award was bestowed upon Victor center once again exceeded its annual revenue goalsDzau, M.D., President of the Institute of Medicine and Chancellor Emeritus and James B. while hosting 27 external conferences and supporting 14Duke Professor of Medicine, Duke University School of Medicine. internal conferences and events. The venue features an 18th century estate and several other houses and cabinsVolunteer of the Year that can accommodate up to 60 overnight guests, all set in the rolling hills of the Shenandoah Valley. For more in- Project HOPE named Massachusetts General formation about hosting a conference at The Carter Hall Hospital nurse Grace Deveney as Volunteer of Conference Center, visit carterhallconferences.org the Year. Grace supported two disaster relief ef- forts last year, first in the Philippines following 2015 Project HOPE Annual Report | 21 Typhoon Haiyan and then in Sierra Leone during the Ebola outbreak. The Global Corporate Volun- teer of the Year Award was presented to a team of five Medtronic Global Innovation Fellows, who conducted a health care assessment in QuangTri Province, Vietnam to identify solutions that would improve health care access and qual-ity for the local people.

Financial Summary 2015 2014 FY 2015 REVENUESFor the Years Ended June 30, 2015 and 2014 $14,295 $16,328 Corporate Gifts-in-Kind......................................80% 234 5,911 Individuals.........................................................6%(in thousands) 12,612 Foundations and Corporations............................6% 15,445 Governments.....................................................6% REVENUE AND SUPPORT 206,590 245,524 Other ................................................................2% Individual giving - unrestricted and temporarily restricted 14,772 Individual giving - permanently restricted 14,601 2,737 FY 2015 EXPENSES Foundations and corporations 2,687 3,046 Corporate gifts-in-kind 2,971 Humanitarian Assistance Governments 256,823 300,930 (including Volunteer Support) ........................................83% Subscription revenue Other revenue 252,217 255,474 Global Health Programming ...............................9% 8,340 7,094 Health Affairs ....................................................3% Total revenue and support 260,557 Support Services ...............................................5% 262,568 EXPENSES AND CHANGES IN NET ASSETS 8,345 Programs services 5,665 8,267 14,010 4,378 Health education and assistance programs 274,567 12,645 Health policy programs (2,956) 275,213 Total program services (14,788) 219 Supporting services (904) 25,498 Fundraising (3,098) Management and general (21,746) 1,570 60,613 (72) Total supporting services $38,867 27,215 Total expenses 33,398 Changes in unrestricted net assets from operations $60,613 Changes in restricted net assets from operations Nonoperating changes in net assets Net gain (loss) on investments Pension liability adjustment Change in net assets Net assets, beginning of fiscal year Net assets, end of fiscal year Project HOPE’s complete audited financial statements with an unqualified opinion by McGladrey LLP are available on request.22 | projecthope.org

Project HOPE Board of DirectorsProject HOPE’s 57-year mission of providing sustainable health care for vulnerable populations around the globe would not be possible without the lead-ership of our dedicated Board of Directors. Through vision, oversight, professional expertise and financial support, our Board of Directors and supportingteam of leaders Make HOPE Happen.OFFICERS Viren Mehta, PharmaD Bradley A. J. Wilson Keith Thompson Advisory Board Members-At-Large “I have been a member of the Founder and Managing Member Chairman Treasurer Hans-Dietrich Genscher Project HOPE Board for eightRichard T. Clark ~ Chairman Mehta Partners, LLC EnViva, Ltd. Project HOPE UK Sheila Cardwell years and I am honored to beRetired Chairman Co-Founder and Chairman COO and CFO Prof. Dr. Claude Krier Michele Chapa a small part of ‘Making HOPEMerck & Co., Inc. Gather Health Emeritus Members Pynonova plc Krier Medical Consulting William Layden Happen.’ I can’t think of a Scott Leckman more worthwhile endeavorGeorge B. Abercrombie ~ Vice Walter G. Montgomery William F. Brandt, Jr. Paul Brooks Norbert Quinkert Edie McKenna than to help support anChairman Co-Founder, Partner & John W. Galiardo Company Secretary and Robert Morrow organization dedicated toPresident & CEO Retired CEO Maurice R. Greenberg Executive Director Dr. Otto Schily Earl Rogers continually addressing theAbercrombie Advisors, LLC RLM Finsbury William L. Henry Project HOPE UK Jan Safer world’s most pressing health Ben L. Holmes EXECUTIVE STAFF Diane Speranza crises and providing healthCurt M. Selquist ~ Treasurer Reynold W. Mooney Robert A. Ingram PROJECT HOPE e.V. Thomas Kenyon, M.D., M.P.H. John Walsh opportunities to vulnerableOperating Partner Principal, Global Leader Edward J. Ludwig MANAGEMENT BOARD President and CEO Tom Walsh populations around theWater Street Healthcare Partners Life Sciences & Health Care Practice James E. Preston William Walsh, Jr. world.” Deloitte Touche Tohmatsu Limited Jerry E. Robertson, Ph.D. Michael Dreher Linda N. Heitzman Waichi WongDayton Ogden ~ Secretary Chairman of the Board Executive Vice President – Walter G. Montgomery,Former Chairman Steven B. Pfeiffer, Esq. PROJECT HOPE Past Presidents Project HOPE Board ofSpencerStuart Worldwide Former Chair of the Executive UNITED KINGDOM Dr. Peter Christ Donald M. Hill Directors and Co-Founder, Committee BOARD OF DIRECTORS Vice Chairman of the Board Vice President and Chief Financial Esther Kooiman Partner and Retired CEO ofDIRECTORS Partner, Norton Rose Fulbright Clifford Chance Deutschland LLP Officer Paul Cherney RLM Finsbury Lista Cannon Wally ChipmanJohn P. Casey Michael Rosenblatt, M.D. Co-Chairman Heinz W. Kleymann M. Miriam Wardak Val CookExecutive Vice President Executive Vice President and Chief Project HOPE UK Treasurer Vice President and Chief Human Carol FredriksenMarine Systems Medical Officer Partner and Global Co-head Resources Officer Jean KohnGeneral Dynamics Merck & Co., Inc. Regulation and Investigations Johannes Alefeld Judy Berner Norton Rose Fulbright LLP Alan Weil Joanne JeneDeborah DiSanzo Stephen H. Rusckowski Johannes Busch Vice President/Editor-in-Chief, Nancy SavageGeneral Manager President and CEO Gareth Evans Health Affairs Hal RoyalteyIBM Watson Health Quest Diagnostics Co-Chairman Lutz Fleischhacker Project HOPE UK Fleischhacker GmbH & Co KG Gail R. Wilensky, Ph.D. NEXTGEN BOARDJohn D. Fowler Charles A. Sanders, M.D. ~ CEO Senior FellowVice Chairman Chairman Emeritus Synergy Healthcare Thomas Limberger Roger Schmitz, ChairmanWells Fargo Securities Retired Chairman & CEO SilverArrow Capital LLP HOPE ALUMNI Monarch Alternate Capital, LP GlaxoSmithKline Bradley A. J. Wilson ASSOCIATION BOARDJack M. Gill, Ph.D. Chairman Christian Weinrank Ashley CarltonPresident Ambassador Miriam E. Sapiro EnViva Care Ltd Medtronic GmbH Officers RLM FinsburyThe Gill Foundation Principal John Wilhelm Summit Strategies International Dame Amelia Fawcett, DBE Dr. Julius Westrick President Jennifer ConnBernard A. Harris, Jr., M.D. Chairman Konrad Westrick s.r.l. Gibson, Dunn & CrutcherPresident & CEO Marshall Smith Hedge Fund Standards Board Debra ReisterVesalius Ventures, Inc. Co-Head of the Consumer Retail Dr. Peter Ziese Vice President Catherine Farland Healthcare Group Jamie Heath Philips Medizin Systeme BöblingenThomas Kenyon, M.D., M.P.H. Goldman Sachs & Company Head of Life-science Investment, EY GmbH Michele Okamoto Rebecca Montgomery, RNPresident & CEO Secretary/Treasurer Seton Austin Medical CenterProject HOPE Louis W. Sullivan, M.D. Dr. Teresa McCarthy Administrative Board President Emeritus Consultant Pharmaceutical and Directors Niralee ShahDennis J. Manning Morehouse School of Medicine Healthcare Wolfgang Bayer Eunice Childs Pfizer World HeadquartersRetired Chairman & CEO Siemens Healthcare GmbH Irene MachadoGuardian Life Henri A. Termeer Garry Doel Faye Pyles Christopher J. Watson Retired Chairman, President & CEO Head of Business Solutions Arno Bohn Ellen Silvius Taconic Capital AdvisorsGerhard N. Mayr Genzyme Corporation Crest Nocholson plc Bohn Consult GmbHChairmanUCB Christian Weinrank Thomas Kenyon, M.D., M.P.H. Vice President & Managing Director, President & CEOJ. Michael McQuade, Ph.D. Germany Project HOPESenior Vice President Medtronic GermanyScience & Technology Dr. Konrad WestrickUnited Technology Corporation Peter Wilden, Ph.D. Konrad Westrick s.r.l. Chief Financial Officer Ferring Pharmaceuticals 2015 Project HOPE Annual Report | 23

A Look AheadMaking HOPE Happen in 2016 and beyond New Leadership CEO is a tremendous opportunity to contribute in a new way to global health,” said In September, Project HOPE welcomed Dr. Kenyon. back Tom Kenyon, M.D., M.P.H., as “I feel a special loyalty to the work of Project HOPE that wouldn’t be possible the new President and CEO. Prior to elsewhere, because I have experienced firsthand HOPE’s commitment to making rejoining Project HOPE, Dr. Kenyon a difference in people’s lives,” he said. “With the support of Project HOPE’s Board served nearly two decades at the of Directors and dedicated global staff, volunteers and donors, I am committed to Centers for Disease Control and ensuring HOPE remains a unique and vital force in global health, while continuing Prevention (CDC) where he most to evolve the organization to meet the urgent health needs where our skills and recently held the position of Director resources can have the most impact on human lives. This is truly an exciting time of the Center for Global Health. During to be coming on board.” his tenure at the CDC, Dr. Kenyon was Dr. Kenyon holds a Bachelor of Science degree from Indiana University and aa key member of the U.S. government team that coordinated the White House’s Master’s in Public Health with a focus on international health from the Johnsmobilization against Ebola, one of the most devastating public health emergencies Hopkins School of Hygiene and Public Health. He completed medical school atin recent years. He is also a veteran of the worldwide fight against HIV/AIDS. the University of Missouri-Columbia and subsequently completed a three-yearA long-time HOPIE, Dr. Kenyon worked as a pediatrician for HOPE from residency in pediatrics at the University of Arizona Health Services1987 to 1992 serving in Grenada and also in Swaziland as HOPE’s Center in Tucson.Country Director. VIDEO REPORT: Thanks to Norton Rose Fulbright US LLP, Edna McConnell Clark Foundation, Spencer Stuart and the HOPE Alumni Association for“I started my global health career with Project HOPE 30 years ago Meet Dr. Kenyon supporting Project HOPE’s extensive CEO search.and returning to this great organization as the new President and projecthope.org/ Kenyon24 | projecthope.org

Refugee Crisis Online Diabetes Educator Course Expanding Project HOPE continues to support the massive influx of refugees pouring out of Syria, Afghanistan and Iraq by Project HOPE com- providing medical supplies and medicine donations to the pleted the transla- border areas of Macedonia, where thousands of refugees a tion and adaption of day were traveling through the country in the fall of 2015. HOPE’s India Interna- The influx of people traveling through the country on a daily tional Diabetes Educa- basis has put a strain on Macedonia’s health care system tor E-Learning (IDEEL) and resources. HOPE’s in-country staff and a small team course to the Spanishof volunteers also have offered support. Project HOPE has worked in Macedonia since 1992 and language. The course,currently supports a Strategic Medical Resupply Program that helps improve care for patients by endorsed for two con-providing targeted donations of medical supplies and medicines. secutive years by the International DiabetesInnovations Federation in India, is a self-paced, online learning program enhanced HOPE’s staff, working in program sites around the globe is by a clinical internship that is designed to train leading the discovery of new solutions to the world’s most health care professionals in better diabetes pre- pressing health problems through an innovation project vention and treatment. With more than 80 per- funded by Eli Lilly and Company, Inc. The Global Health In- cent of diabetes deaths occurring in low- and novation Challenge grants are providing financial support middle-income countries, the Spanish version for Project HOPE staff to develop new ideas to solve health of the online course is now being rolled out to challenges and to test how the new innovations work in the Americas to help increase patient access to actual health program settings. Some of the unique ideas trained diabetes educators.being tested in Project HOPE program offices include the use of an Uber-type taxi system for the Funder: Takedaquick collection of TB sputum samples to ideas of developing a Fitbit-type bracelet worn by TB pa-tients that not only ensures TB treatment adherence but also sends important treatment messages 2015 Project HOPE Annual Report | 25to patients. We can’t wait to see how some of these innovative ideas develop!Funder: Eli Lilly and Company, Inc.

YOU MakeHOPE Happen In 2015 88,830 328Project HOPE benefitted corporations 60 organizations donated medicines, from the support of and foundations supplies or medical equipment to donors contributed to Project HOPE’s global efforts HOPE’s lifesaving programs2262 || pprroojejeccththoopep.eo.rogrg

Ways to Support and Get InvolvedThere are many different ways to help advance the mission of Project HOPE. It is through the generosity and commitment of our donors, Our Missionpartners, and volunteers that we are able to provide lifesaving health care and education to children and families in need around theworld. How can you help? To achieve sustainable advances in health care Ways to Give around the world by implementing health Make a Donation: Impact our programs today education programs and Become a HOPE Lifter: Support our work monthly providing humanitarian Establish a Legacy: Learn more about Planned Giving assistance in areas of need. Donate Medicines and Supplies: Find out about our Gifts-in-Kind program Contact Us Ways to Get Involved For more information Be a Medical Volunteer: Submit your application on how you can support Spread the Word: Follow us on social media Project HOPE’s global Start a Fundraiser: Be a part of HOPE in Action — use our online tools health programming, visit Become a Partner: See how your business or foundation can Make HOPE Happen projecthope.org or call 1-800-544-HOPE (4673)Thank You to Our 2015 DonorsFoundations, organizations, corporations and individual donors Make HOPE Happen every daywith financial backing that supports our critical programs. Project HOPE proudly recognizessupport totaling $5,000 or more in fiscal year 2015.Visit projecthope.org/2015annualreport for a full list of our 2015 supporters. 2015 Project HOPE Annual Report | 27

INTERNATIONAL HEADQUARTERS Project HOPE 255 Carter Hall Lane P.O. Box 250 Millwood, Virginia 22646 800-544-HOPE (4673) projecthope.org WASHINGTON, D.C., METRO OFFICE 7500 Old Georgetown Road Suite 600 Bethesda, Maryland 20814 301-656-7401 PROJECT HOPE UNITED KINGDOM B10 1-3 Ironbridge Road Stockley Park West Uxbridge, Middlesex, UB11 1BT United Kingdom PROJECT HOPE e.V. Hummerichs Bitze 13 53229 Bonn Germany [email protected] projecthope.de For Field Office locations contact [email protected] | projecthope.org