MAP International Annual Report 2007

Photo Credit: Hilary Duffy

M e d i c a l A s s i s t a n c e P r o g ram s

w w w . m a p . o r g
 Health and Hope for a Hurting World
You Did What?
Those were the three inspiring words
which launched this Christian ministry
known as Medical Assistance Programs
in 1954.
When Art Larson of the Schering
Drug Company called the offices of the
Christian Medical Society to say that his
company was donating 11 tons of
medicines to be used to help people in
poor countries, Dr. Ray Knighton said:
“You did what?”
What would transpire from that
momentous day in April 1954 could only
be known to God.
Who knew from that moment that a
new Christian ministry called MAP
International would be born and over time
nearly three billion dollars of life-saving
medicines would find their way to help
heal the small bodies of children suffering
from diseases and sicknesses you and
I cannot comprehend nor easily
pronounce their names.
From that moment, God had planned
for MAP International to become an
effective Christian health ministry to work
for more than 54 years to save lives and
help communities develop the capacity to
improve their own health and well-being.
And from that moment, God inspired
disciples like Ray Knighton to steward this
ministry with a commitment to
effectiveness, efficiency and accountability.
So as you review MAP International’s
annual report keep those three words in
mind – “you did what?”
Or, this is what God has inspired you
and I to do through this ministry he
created from one single moment
54 years ago.
You did what? Well, last year, we
provided more than $304 million in
essential medicines, provided community
health education for thousands and
prevented disease and sickness from
spreading to countless others – all totaling
an estimated 25 million beneficiaries of
this Christian health ministry we know as
MAP International.
And we did all of this keeping our
commitment to good stewardship.
Our annual independent audits confirm
this, as do many charity watchdogs. We
have been recognized by our peers for a
commitment to uphold high standards. We
believe that as Christians we should hold
ourselves to the highest standards, knowing
that God has entrusted to us the resources
needed to carry out his work.
Faithfully,
Sincerely,
Michael J. Nyenhuis
MAP International Annual Report 2007 Page 2
MAP International Annual Report 2007

Accountability

For the 9th year in a row, Forbes magazine has recognized MAP with a nearly perfect score of
99 percent for charitable commitment and fundraising efficiency. That means 99 percent of MAP’s
resources go to providing health and hope to the world’s poorest people.

The BBB’s Wise Giving Alliance has listed MAP among those charities in the United States that meet
its Standards for Charity Accountability, a stringent test that assesses charitable organizations based on
issues such as governance, effectiveness, financial responsibility and fund raising. The Standards were
established to help donors make intelligent giving decisions and to develop confidence in charitable
organizations among the public.

MAP International is recognized as a “Four Star” non-profit organization by Charity Navigator, America’s
premier independent charity evaluator. MAP earned the rating because it “exceeds industry standards
and outperforms most charities in its cause.” Of more than 5,000 rated charities, MAP ranks in the top
90 percent of organizations that have received the highest award possible.

The Partnership for Quality Medical Donations and its members, in alliance with related organizations,
is dedicated to the development, dissemination and adherence to high standards in the delivery of
medical products to under-served people and disaster victims around the world.

MAP is a charter member of the ECFA, an accreditation agency dedicated to helping faith-based charities
earn the public’s trust through adherence to seven Standards of Responsible Stewardship. Founded in
1979, it is comprised of more than 1,200 organizations that must meet strict standards regarding board
governance, financial transparency, integrity in fund-raising, and proper use of charity resources.

MAP International Annual Report 2007 Page 3

 MAP International

53 Years of Excellence

Founded in 1954 as Medical Assistance Programs,

today MAP International is a top 50 non-profit organization
that advances the Total Health of people living in the
worlds poorest communities by partnering to:

• Provide essential medicines

• Promote community health development
• Prevent and mitigate disease, disaster and
other health threats

MAP International programs help eliminate the causes

of sickness and disease by providing free medicines,
improving water supplies, increasing knowledge about
health threats like HIV and AIDS and establishing
community directed health education and training.

MAP offers its services to all people, regardless of their

religion, gender, race, nationality or ethnic background.
A faith based Christian organization, MAP maintains an
w w w . m a p . o r g affirmed commitment to diversity and equal opportunity
in the fulfillment of its global mission.

Every $1 you invest in MAP International provides

over $50 in essential medicines to save lives in
more then 115 impoverished countries
throughout the world.

MAP International Annual Report 2007 Page 4

 H I G H L I G H TS
Provide Essential Medicines
Operated and supported five health clinics
in Indonesia on Sumatra and Nias that
provide compassionate health care for
more than 20,000 people.
Provided more than $304 million in
essential medicines to people with no
other access to them. This included more
than 658 tons of medicines and medical
supplies, worth $248 million, to clinics
and hospitals serving impoverished
communities. Also, provided medicines
and health supplies with 3,000 MAP Travel
Packs worth $50 million to more than
14,000 medical missionaries
working worldwide.
Provided humanitarian aid in the form
of medicines and emergency supplies to
refugees and other displaced and affected
persons in war-ravaged areas such as
Chad, Darfur, Uganda, Afghanistan and
Democratic Republic of the Congo.
Provided emergency aid to thousands of Trained 147 volunteer health promoters
survivors of Hurricane Felix’s assault on and facilitators from 72 communities
across Ecuador.
the Central American coast.
Held 565 educational programs in
Shipped millions of dollars in medical
Ecuador on health, environmental
relief, including $700,000 worth of
antibiotics, to Peru after an earthquake sanitation, human rights, community
empowerment, domestic violence
killed more than 500 people and injured
prevention and advocacy reaching more
1,500. More than 50,000 people were left
than 14,000 people.
homeless in the quake, amounting to Peru’s
worst natural disaster in a century.
Worked with elementary schools in
Ecuador to hold workshops for 3,083
Responded to flooding in North Korea,
children and parents on topics such as self
Uganda, the Dominican Republic,
protection, children’s rights and sexual
and Mexico, providing medicines and
abuse prevention.
emergency supplies for hundreds of
thousands of people.
Reached 2,478 people in Honduras
Promote Community Health through workshops addressing children’s
Development health and AIDS prevention in local
communities.
Provided 5,000 people in Bolivia with
essential medicines and healthcare at the
MAP health clinic in Chilimarca.
Trained more than 10,000 Bolivian people
from schools and other organizations and
agencies in the prevention of sexual abuse.
MAP International Annual Report 2007 Page 5
 H I G H L I G H TS
In Darfur, Sudan MAP trained more
than 250 health promoters and started
community-based health education
programs for refugees and other persons
displaced by the violence.
Trained 150 health workers to care
for people in the camps and villages of
northern Uganda.
Monitored and implemented water
purification and treatment efforts to
eradicate Guinea worm in four districts in
Côte d'Ivoire. There have been no reported
cases of people contracting Guinea Worm
disease in over 12 months. According to
World Health Organization standards, the
country must remain free of the parasite for
three years for the country to be declared
Guinea worm free.
Provided educational, nutritional, Built a new clinic and provided medicines
psychological and social-economic and other emergency supplies for two
support to more than 2,000 orphans and clinics in war-torn areas of Uganda that
other vulnerable children in communities serve an area of more than 50,000 people.
located in and around Nairobi, Kenya.
Operated two health clinics serving the
Prevent and Mitigate Disease, health needs of more than 80,000 people
Disaster and Other Health Threats at camps for Internally Displaced Persons
in Darfur, where the bulk of the fighting in
In Bolivia, vaccinated 598 children against
the region has taken place.
diseases such as polio and 3,651 people
against yellow fever.
Trained 485 health promoters in
educational classes on how to prevent
Provided treatment and health education
and manage common diseases and health
for 30,000 people in Indonesia affected
threats such as malnutrition, respiratory
by tuberculosis-one of the country’s most
infections, skin diseases, malaria,
pressing problems. Indonesia trails only
tuberculosis, sexually transmitted diseases,
China and India in the highest number of
AIDS and yellow fever.
TB cases worldwide.
Provided 1,000 bednets treated with
insecticide to reduce the incidents of
malaria among the Maasai residing in
Kenya’s Rift Valley.
Conducted deworming program for nearly
3,000 school children in Côte d'Ivoire.
MAP International Annual Report 2007 Page 6
MAP International Annual Report 2007

MAP International Global Impact

MAP International Annual Report 2007 Page 7


M ed i c i n e f o r the W o r l d
With more than 20,000 children dying each day from preventable and treatable
diseases, it is essential that MAP distribute medicines to people living in the world’s
most remote locations. MAP reaches many of these people with Travel Packs, portable
boxes of medication designed for medical teams on short-term missions. Each pack
contains enough medicine to treat an estimated 700 people.
In 2007, volunteer medical teams used these packs in more than 115 countries,
including hard-to-reach areas such as the farming villages of Bolivia. There, living
conditions remain primitive and impoverished. Children typically attend school a few
hours each day and then work in the fields the rest of the afternoon.
“To say that the medical needs are great in that area would be a colossal
understatement,” said Tim Murphy, a doctor from Missouri who traveled to
Cochabamba, Bolivia in July to work in temporary medical clinics. “We were the first
medical personnel some of these people had seen in many months. Somehow, the
word simply got out that we were there.”
Children would wander up to the makeshift clinics, many of them unattended
by parents, who were still working in the fields. Boys and girls as young as seven
would recite their own medical histories to Murphy and other team members, who
tried to work quickly in order to finish by nightfall, when the lack of electricity would
leave them in darkness. “It was sad in the sense that when evening came, the lines
were always still fairly long,” Murphy said.
Many of the children had parasites; many others, especially the teenagers,
had back pain from toiling in the fields. Murphy dispensed packet after packet of
medication from MAP Travel Packs. “The amount of medication and the quality
MAP Travel Packs
of the medication was phenomenal,” Murphy said. “MAP has played an absolutely
vital role in our work. Quite simply, people in these areas we are serving aren’t getting
assistance any other way.”
Through its Travel Pack program, MAP provides hundreds of thousands of
dollars of medication to countries across the world every month, from
South America to Africa.
Don Jones, executive director of Africa Renewal Ministries (ARM), said MAP
Travel Packs have been instrumental in his organization’s efforts to provide healthcare
to remote villages of the east African country of Uganda.
“MAP has been vitally important,” he said. “We are literally working with life
and death situations. There is no question that without intervention, these people
are destined for very short lives. Providing them with the proper healthcare and
medication is absolutely essential.”
Jones’ organization, which is based in Ggaba, Uganda, establishes schools,
orphanages and clinics in the country’s most remote areas. The mortality rate for
children is high. Drinking water is contaminated with parasites. Malaria spreads
rapidly. “Our clinic physician was ecstatic upon receiving the MAP products,” Jones
said. “And the people are especially grateful. You visit the people in their homes, and
the mothers thank you. They say, ‘For our children, you’ve given us great hope.’”
MAP International Annual Report 2007 Page 8

Notes From the Field - Cameroon, Africa
On January 12, 2007, Jana Allison, then a fourth-year medical student at the University of
Missouri-Columbia, arrived in Cameroon, Africa, where she would spend the next eight weeks
working at the Mbingo Baptist Hospital. Jana was participating in the MAP International Medical
Fellowship Program, which allows fourth year medical students to work at mission hospitals in
developing countries. Here is an excerpt from her report.
On the plane home, I began processing the events of the preceding eight weeks to find the
right response to the anticipated question: “How was Africa?” In answering that question, I had
to find a way to capture the drastic contrast of emotions I experienced in a one-to two-sentence
answer that was meaningful, yet not overwhelming. I had to figure out how to summarize
mountain views that took my breath away and squalor that turned my stomach; memories of
patients who make me smile when I think of secret handshakes and jokes, while memories of other
patients still make me cry.
For two months, I lived at the hostel attached to the Mbingo Baptist Hospital in Cameroon
with a fellow medical student. My first observation of the people in Mbingo was their sincere
friendliness. No one passed us without offering a greeting, shaking our hands, and thanking us for
coming. This was one of the charms of a culture that
I rapidly grew to like.
The medical experience was quite extraordinary, as well. I spent two weeks each on the
female internal medicine ward, the maternity ward, the pediatrics/ulcer ward and surgery. In the
afternoons, I would continue working with the doctors in the outpatient clinic. I was not prepared
for what I would see on my first day in the female ward. Of the thirty women there, about ten were
HIV positive. Up to that point in my medical training, I could remember only two patients with
HIV that I had ever been involved in treating. None of them had the complications of tuberculosis,
advanced Kaposi’s sarcoma, toxoplasmosis or cryptococcal meningitis that I had read about in
books but had never seen until now. Other conditions on the ward included cerebral malaria, heart
failure, metastatic breast cancer and a massive second degree chemical burn from kerosene that had
been used to treat a heat rash. My two weeks on the female ward felt like a quick summary of my
entire four years of medical school.
Medical Fellowship
Unfortunately, disease is often past the point of cure by
the time patients come into the hospital for care. One such
patient I cannot forget. She was a 6-year-old girl who fell into
a fire. Her family waited an entire week before bringing her
to the outpatient clinic. About 40 percent of her body was burned with second-to third-degree
burns. She cried out in pain with any movement. We suspected that she had renal failure and that
she might not survive. But, by the time I left four weeks later, she was resting in the pediatrics ward,
awaiting her skin graft. She was quite fortunate. I wish I could say the same for all the children –
for all the
patients – but I cannot.
Even short-term work in a country like Cameroon is enough to change someone. I listened
to people better. I took walks and hikes instead of running. I kept a journal. I read non-medical
books for pleasure. I visited people without planning ahead and without a purpose for the visit
other than to learn more about them, their families and their culture. It was the purest existence
I’ve known since childhood.
If I were to offer any advice to future medical mission students, it would be what one
missionary told me:
“Your presence alone is a witness.”
We don’t have to say the right words or bring the perfect supplies or have all the answers.
People, no matter who they are, just need encouragement and the knowledge that they
are loved. Get to know them. Invest yourself as much as you can. They will be grateful.
And you will leave changed.
My experience in Africa was one that I will never forget.
And one day, I hope to return.
MAP International Annual Report 2007 Page 9
 Healthcare Partners
MAP International provided life-saving medical care for millions of people in
2007 thanks to the generous donations of more than 65 pharmaceutical
companies. Together, these healthcare partners contributed more than $385
million in medicines and medical supplies, which MAP distributed throughout
more then 115 countries affected by war, poverty, disease and natural
disaster.
Donations from companies such as Merck & Co. Inc., Schering-Plough
Corporation, and the Johnson & Johnson Family of Companies also played
an instrumental role in MAP’s work abroad.
Merck provided medicines to MAP for use in the African nation of Chad,
where violence has spilled over from neighboring Darfur, forcing nearly
200,000 Chadians to flee their homes.
Schering-Plough Corporation committed funds to train healthcare
workers through MAP programs in Africa, Asia and Latin America and also
provided medicines for use in more than 80 developing countries.
MAP also shipped nearly 700 Johnson & Johnson Medical Mission Packs,
filled with Johnson & Johnson medications and supplies, to medical teams
traveling to more than 60 countries around the globe.
“MAP International has made it possible for our doctors and nurses to restore
the health, and in fact, save the lives of hundreds of thousands of children
and adults in Haiti over the years. MAP, their pharmaceutical partners, and
many wonderful volunteers commit their valued resources and time for our
worthwhile humanitarian mission. Together, we all make a meaningful
difference in Haiti.”
George Drobinski, Executive Director, Hope for Haiti
MAP International Annual Report 2007 Page 10
Statements of Financial Position MAP International Annual Report 2007

MAP International ®

September 30, 2007 September 30, 2006
Specified Time Specified Time
Operating or Purpose Endowment Total Operating or Purpose Endowment Total

ASSETS:
Cash and cash equivalents $ 462,939 $ 394,991 $ - $ 857,930 $ 283,814 $ 1,211,340 $ - $ 1,495,154
Accounts receivable–net 518,806 - - 518,806 292,878 - - 292,878
Other receivable 208,084 - - 208,084 75,393 - - 75,393
Pledges receivable–net - 492,866 - 492,866 - 824,969 - 824,969
Inventory:
Purchased 253,584 - - 253,584 485,961 - - 485,961
“99 percent efficiency rating”
Donated 144,156,001 16,551,553 - 160,707,554 76,337,988 9,002,561 - 85,340,549
Prepaid expenses and
other assets 155,554 - - 155,554 108,699 - - 108,699
Investments 1,613 1,690,603 4,171,297 5,863,513 - 2,104,992 3,801,061 5,906,053
Property and equipment–net 2,036,812 - - 2,036,812 2,062,653 - - 2,062,653
Interfund balances 14,002 382,125 (396,127) - 82,801 (56,910) (25,891) -

Total Assets $147,807,395 $19,512,138 $3,775,170 $171,094,703 $ 79,730,187 $13,086,952 $3,775,170 $ 96,592,309

LIABILITIES AND NET ASSETS:

Liabilities:
Accounts payable $ 289,839 $ - $ - $ 289,839 $ 261,372 $ - $ - $ 261,372
Deposits 60,508 - - 60,508 127,228 - - 127,228
Accrued expenses 623,949 - - 623,949 394,828 - - 394,828
Notes and loans payable 1,174,127 - - 1,174,127 957,485 - - 957,485
Annuities and trust payable - 378,160 - 378,160 - 423,222 - 423,222

Total Liabilities 2,148,423 378,160 - 2,526,583 1,740,913 423,222 - 2,164,135

Net assets:
Unrestricted 145,658,972 622,666 - 146,281,638 77,989,274 539,279 - 78,528,553
Temporarily restricted - 18,511,312 - 18,511,312 - 12,124,451 - 12,124,451
Permanently restricted - - 3,775,170 3,775,170 - - 3,775,170 3,775,170

Total Net Assets 145,658,972 19,133,978 3,775,170 168,568,120 77,989,274 12,663,730 3,775,170 94,428,174

Total Liabilities and Net Assets $147,807,395 $19,512,138 $3,775,170 $171,094,703 $ 79,730,187 $13,086,952 $3,775,170 $ 96,592,309

MAP International Annual Report 2007 Page 11

Statements of Activities MAP International Annual Report 2007

Years Ended September 30, 2007 Years Ended September 30, 2006
Temporarily Permanently Temporarily Permanently
Unrestricted Restricted Restricted Total Unrestricted Restricted Restricted Total

SUPPORT AND REVENUE

Contributions $ 4,767,831 $ 1,059,234 $ - $ 5,827,065 $ 3,832,090 $ 1,947,708 $ 7,700 $ 5,787,498
Donated inventory 299,843,168 86,483,377 - 386,326,545 228,173,692 15,965,317 - 244,139,009
Donated property and equipment 12,760 - - 12,760 1,600 - - 1,600
Donated securities and other assets 325,546 12,940 - 338,486 101,035 45,041 - 146,076
Government grants 879,727 - - 879,727 199,868 - - 199,868
Handling charges and service fees 3,524,387 - - 3,524,387 3,234,495 - - 3,234,495
Investment income 423,449 143,735 - 567,184 284,129
“99 percent efficiency88,673
rating” - 372,802
Other revenue 63,203 - - 63,203 45,406 - - 45,406

Total Support and Revenue $ 309,840,071 $ 87,699,286 $ - $397,539,357 $ 235,872,315 $ 18,046,739 $ 7,700 $253,926,754

RECLASSIFICATIONS:
Net assets released from restrictions $ 81,312,425 (81,312,425) - - $ 28,085,984 (28,085,984) - -

EXPENSES:
Program services:
Essential medicine distribution 280,667,865 - - 280,667,865 190,781,152 - - 190,781,152
Disaster and disease management 2,698,069 - - 2,698,069 722,072 - - 722,072
Community health services 35,693,148 - - 35,693,148 53,398,554 - - 53,398,554
319,059,082 - - 319,059,082 244,901,778 - - 244,901,778

Supporting activities:
General and administrative 664,756 - - 664,756 575,011 - - 575,011
Fund-raising 3,675,573 - - 3,675,573 2,796,755 - - 2,796,755
4,340,329 - - 4,340,329 3,371,766 - - 3,371,766

Total Expenses 323,399,411 - - 323,399,411 248,273,544 - - 248,273,544

Change in Net Assets 67,753,085 6,386,861 - 74,139,946 15,684,755 (10,039,245) 7,700 5,653,210

Net Assets, Beginning of Year: 78,528,553 12,124,451 3,775,170 94,428,174 62,843,798 22,163,696 3,767,470 88,774,964

Net Assets, End of Year $146,281,638 $ 18,511,312 $3,775,170 $168,568,120 $ 78,528,553 $ 12,124,451 $3,775,170 $ 94,428,174

These are the Statements of Financial Position of MAP International as of September 30, 2007 and 2006, and the related Statements of Activities for the years then ended.
Financial statements audited by our independent auditors, Capin Crouse, LLP, are available upon request.

MAP International Annual Report 2007 Page 12

 w w w . m a p . o r g
Contact
MAP International/United States
2200 Glynco Parkway
P.O. Box 215000
Brunswick, GA, USA
31521-5000

Phone: 1-912-265-6010 or
1-800-225-8550
Fax: 1-912-265-6170

E-mail: map@map.org
Website: www.map.org

Chair
David S. Hungerford, M.D. Rebekah Burch Basinger, Ed.D. Celette Sugg Skinner, Ph.D. MAP INTERNATIONAL Offices
Professor, Department of Consultant, Fundraising/Stewardship Professor and Nairobi, Kenya
Orthopedic Surgery Education Chief of the Division of
Johns Hopkins University School Dillsburg, PA Behavioral and Communication Sciences
Abidjan, Côte d’Ivoire
of Medicine University of Texas Southwestern Medical Center Quito, Ecuador
Bobby W. Bowie Cochabamba, Bolivia
Chief, Division of Arthritis Surgery
Senior Vice President, Associate Director, Population Research Atlanta, Georgia
Good Samaritan Hospital
Federal Paperboard Co., Retired Harold C. Simmons Comprehensive Cancer Center Washington, D.C.
Founder and Chairman, St. Simons Island, GA Medan, Indonesia
Tree of Life Foundation Dallas, TX
Gulu, Uganda
Baltimore, MD Jacqueline Rene Cameron, M.D., MDiv. Siguatepeque, Honduras
Immanuel Thangaraj
Associate Medical Director Managing Director
Vice-Chair Midwest Palliative and Hospice CareCenter Essex Woodlands Health Ventures
Jack Hough, M.D. Associate Rector
Founder and Director Menlo Park, CA
Church of Atonement
Hough Ear Institute
Chicago, IL David E. Van Reken, M.D.
Clinical Professor of Otolaryngology Clinical Professor of Pediatrics
University of Oklahoma
School of Medicine Amb. Edwin G. Corr Indiana University School of Medicine
Associate Director Associate Medical Director
Oklahoma City, OK International Program Center Forest Manor Health Center
Oklahoma University
Secretary Oklahoma City, OK Indianapolis, IN
Ingrid Mason Mail, M.D.
Physician, Internal Medicine Bonnie Leetmaa Livingston, Ph.D. Susan Corn Wainright
Indianapolis, IN Independent Consultant to Community Volunteer
Medical Device Industry Sea Island, GA
Treasurer Newport Beach, CA
Chok-Pin Foo Miriam K. Were, DrPH, MPH
International Finance Consultant Rev. Jorge E. Maldonado Chair, National AIDS Control Council in Kenya
Kirkland, WA President and Professor Nairobi, Kenya
Hispanic Center for Theological Studies
President/CEO Whittier, CA
Michael Nyenhuis
St. Simons Island, GA Philip J. Mazzilli, Jr.
Chief Financial Officer
Equifax, Retired
Canton, GA

MAP International Annual Report 2007 Page 13