report

2008
annual
MAP International
Mission

promotes the Total Health

of people living in the world’s
poorest communities by
partnering to:

· Provide essential medicine

· Promote community
health development

health
· Prevent and mitigate
disease, disaster and
other health threats

&
hope
President’s Letter
Dear MAP Supporters:
In 2008, perhaps as never before, Americans learned the lesson
that the world really is flat. Not just in the sense of global competition,
but in the way that world economies and events are linked. As our
nation began to assess the financial realities facing us, we also saw
the ripple effect that our economy had on the rest of the world.
And as millions of Americans saw their investments shrink and
financial future become more uncertain, we became aware of
others around us who are in greater need than ever before. On
behalf of all of MAP International’s staff, I want to thank so many
of you, our donors, for remaining steadfast in your support of our
work. In the long run, we don’t know how MAP will be affected by
the economic downturn, but we have every confidence that we will
weather the storm by carefully managing our way through it and
keeping in mind that we are merely stewards of the gifts you
entrust to us.
By presenting this annual report, we hope to share with you the
accomplishments that your support has made possible as we
continue to provide essential medicines, promote community health
development and prevent and mitigate disease, disaster and other
health threats.
One of the U.N.’s Millennium Development Goals, a set of eight
international development milestones, is to reduce poverty by
half from the 1990 level by 2015. Today there are 1.4 billion
people living in poverty. That’s one person in four living on the
equivalent of $1.25 a day, according to a November 2008 World
Bank study. As bad as that sounds, it is actually down from 1.9
billion people, or one half the world’s population, 25 years ago.
We know that poverty and a lack of healthcare exist side by side,
so MAP continues to send life saving medicines and supplies to
the world’s poorest communities.
In October 2008, MAP became a member of the Integral Alliance,
an association of Christian relief and development groups from
Europe, Asia and the U.S. who are focused on addressing poverty
and its impacts through holistic development. Because of MAP’s
commitment to total health, we foresee tremendous value in this
partnership as we expand our work into even more regions of the world.
MAP is also marking another important milestone in our history. For
the past 11 years, Dr. David Hungerford, a world-renowned orthopedic
surgeon, has served faithfully as the Chairman of MAP’s Board of
Directors. In that role, he has brought tremendous servant leader-
ship to the organization in both word and deed. At the end of 2008,
Dr. Hungerford spent two weeks in Zambia, one of many mission
trips he has taken during his illustrious career. The purpose of this
trip was to perform joint replacement surgeries while teaching and
mentoring a local orthopedic surgeon at a hospital run by one of
MAP’s partners. It is MAP’s privilege to have benefited from Dr.
Hungerford’s generosity of spirit, wisdom and leadership. At the
conclusion of his recent trip, he wrote, “My two weeks was a pebble
tossed into a still pond, but the ripples will go on for a very long time
and others will be trained to toss their pebbles as well, so one can
hope that the ripple will not stop.” It is a life lesson we should all
hope to emulate.
With God’s grace, MAP’s ministry has continued to grow – through
ups and downs – for 55 years and it will for another 55 and beyond.
Yours for Health and Hope,
Michael J. Nyenhuis
Board of Directors
Board of Directors
MAP International is blessed with talented and dedicated board volunteers from across the country
and abroad. We are especially grateful for the long-time leadership of our Chairman, Dr. David
Hungerford. This report is dedicated to him in honor of his many years of generous service.
Chair 1996- 2009
David Hungerford, M.D.
Professor, Department
of Orthopedic Surgery
Johns Hopkins University
School of Medicine
Founder and Chairman
Tree of Life Foundation
Baltimore, MD
In-coming Chair 2009
Immanuel Thangaraj
Managing Director
Essex Woodlands Medical
Ventures
Palo Alto, CA
Vice Chair
Ambassador (ret.)
Edwin G. Corr
Senior Research Fellow
(Emeritus),
University of Oklahoma
Consultant/Contractor on
Diplomacy, National Security
and Economic and Political
Development
Norman, OK
Secretary
Ingrid Mason Mail, M.D.
Physician, Internal Medicine
Indianapolis, IN
Treasurer
Chok-Pin Foo
International Finance
Consultant
Kirkland, WA
President/CEO
Michael J. Nyenhuis
MAP International
Brunswick, GA
Dale Hanson Bourke
President, CIDRZ Foundation
Chevy Chase, MD
Mr. Bobby W. Bowie
Senior Vice President (Retired)
Federal Paperboard Company
Saint Simons Island, GA
Jacqueline R. Cameron, M.D.
MDiv., Assistant Professor
Department of Religion,
Health and Human Values
Rush University Medical Center
Attending Physician Horizon
Hospice St. Joseph’s Hospital
Associate Rector Church of the
Atonement. Chicago, IL
Bonnie L. Livingston, Ph.D.
Independent Consultant to
the Medical Device Industry
Newport Beach, CA
Jorge E. Maldonado,
Author/Missionary to Spain
Evangelical Covenant Church
La Coruna, Spain
Philip J., Mazzilli Jr.
Chief Financial Officer (Retired)
Equifax
Canton, GA
Celette Sugg Skinner, Ph.D.
Professor & Chief of Department
of Clinical Sciences
University of Texas Southwestern
Medical School
Associate Director for
Population Research
Harold C. Simmons
Cancer Center
University of Texas Southwestern
Medical Center
Dallas, TX
David E. Van Reken
Clinical Professor of Pediatrics
Indiana University School
of Medicine
Associate Medical Director
Forest Manor Health Center
Indianapolis, IN
Cheryl A. Vaught
Manager, Vaught and
Connor, PLLC
Oklahoma City, OK
Susan Corn Wainright
Community Volunteer
Sea Island, GA
Miriam K. Were, MB
ChB,PhD.,MPH
Chair, National AIDS Control
Council in Kenya
Nairobi, Kenya, EA
MAP International Accomplishments 2008
Provide Essential Medicines
• Provided more than $462 million in essential
medicines and medical supplies to more than
115 countries affected by war, poverty, disaster
and disease.
• Treated more than 100,000 children in Cote
D’Ivoire for digestive parasites in conjunction
with the National Nutrition Week. MAP also
provided medicine to help treat an additional
200,000 school students as part of the government’s
Deworming Campaign.
• Provided more than $1.5 million in essential
medicines and medical supplies to people in
Sudan, where millions are struggling to survive
the harsh conditions of displacement camps.
• Sent an additional $3.1 million in medicines and
emergency supplies to clinics in Chad, which has
been reeling from fighting and an influx of refugees
who have spilled across the border with Darfur.
• Provided more than $2.3 million in medicines and supplies
including insecticide-treated mosquito nets for Uganda,
where a decades-old civil war continues.
• Supported hurricane victims in Haiti with a total of more
than $5 million in medicines.
• Provided hundreds of thousands of dollars’ worth of medicine
to Myanmar after the country was devastated by a cyclone.
Prevent and Mitigate Disease, Disaster and Other
Health Threats
• Treated more than 7,800 patients through MAP’s Primary
Health Care Clinic and Community Program in Chilimarca,
Bolivia and supported training for volunteer community
health promoters.
• Immunized more than 1,600 dogs and cats against rabies
ultimately preventing children and adults in Chilimarca,
Bolivia from suffering from this disease.
• Provided education, health care, and nutritional meals for
184 elementary school children through MAP’s Community
School for Life in Chilimarca, Bolivia.
• Improved access and quality of health services to prevent
and treat common diseases in seven communities in
Uganda’s Amuru and Gulu districts. Staff members at
MAP’s community clinics treated 7,492 people for malaria,
3,626 people for diarrhea, 1,966 people for eye infections,
3,485 people for intestinal worms, and 10,756 people for
other diseases and infections.
• Conducted health care support groups for mothers and
children in 15 villages on Tello Island, Indonesia in addition
to holding health care seminars on subjects such as nutrition.
• Monitored 165 water pump management committees in 151
villages and drilled two new wells in Cote d’Ivoire’s Bouna
City and Bouko villages, reducing prevalence of water
borne diseases.
• Established 19 health committees to improve the health
situations in three provinces in Ecuador.
• Trained 360 youth facilitators to conduct workshops on
education and prevention among 6,100 youths from 25 high
schools and 5 communities in Ecuador.
• Established 6 clinics to treat tens of thousands of people
affected by violence in Kenya.
Promote Community Health Development
• Provided educational programs for more than 2,000
people about the prevention of child sexual abuse and
the importance of advocacy programs in Bolivia.
• Provided therapy, health care and legal services for 105
children who were subjected to sexual abuse in Bolivia.
• Provided total health services designed to reduce child
mortality and strengthen community organization for
200 impoverished, rural communities in Bolivia through
volunteer health promoters trained by MAP.
MAP International Accomplishments 2008

MAP Global Impact

• Supported community-based programs in Bolivia in
which 455 people from various impoverished rural areas
learned more about integrating people with disabilities serving 33 million people
into the community.

• Constructed an eight-room health clinic in the Ugandan

117 Countries
community of Wii Anaka.

• Carried out a study of malaria in Amuru district, Uganda,

and subsequently conducted educational programs about
prevention and treatment of the disease within the area.

• Helped prevent new cases of tuberculosis in Indonesia

through community education classes in 20 villages,
reaching nearly 10,000 people. MAP also treated nearly
100 tuberculosis patients at MAP’s health clinics in
south Nias and trained 24 health workers in TB-specific
care and treatment techniques.

• Helped plant 200 vegetable gardens in Nias, Indonesia,

improving the nutrition of more than 300 families.

• Transferred responsibility of the MAP-built hospital

on Indonesia’s Tello island to a local Indonesian partner,
furthering MAP’s goal of establishing health care programs
and facilities operated by and for communities.

• Organized training workshops for 218 health profes-

sionals, including 41 medical doctors, 126 nurses, 48
1% Administration
midwives and three laboratory technicians in three health and Fundraising
districts in Cote d’Ivoire.

• Trained 180 health promoters in total health principles

and practices, reaching a total beneficiary population 99%
of more than 9,300 in 89 communities. Programs

• Conducted training workshops for health promoters

www.map.org
managing 33 community pharmacies and health clinics
established by MAP in three provinces in Ecuador.
99 percent of MAP’s donated
resources go directly to programs
that help the world’s poorest people.

MAP Accountability
MAP International seeks to act with integrity,
openness, honesty and accountability. We
recognize that the financial and material
resources with which we work are not our
own, but have been entrusted to us for use
in alleviating the suffering of others.
To assure our supporters of our commitment
to providing full disclosure of our use of
financial resources, MAP International
submits its records for independent review.
The following organizations have examined
MAP International and affirm our commit-
ment to good stewardship.
Forbes
For the 10th 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.
Better Business Bureau’s Wise Giving Alliance
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
“99 percent efficiencycharitable
rating” organizations based on issues such as gover-
nance, 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.
Charity Navigator
MAP International is recognized as a “Four Star” nonprofit
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 5,300 rated
charities, MAP falls within the 18 percent of organizations
that have received the four-star rating.
Evangelical Council For Financial Accountability (ECFA)
MAP is a charter member of the ECFA, an accreditation agency
dedicated to helping faith-based charities earn the public’s MAP earned the rating
trust through adherence to seven Standards of Responsible
Stewardship. Founded in 1979, it is comprised of more than because it “exceeds
1,200 organizations that must meet strict standards
regarding board governance, financial transparency, integrity industry standards
in fundraising, and proper use of charity resources.
and outperforms most
Partnership for Quality Medical Donations
The Partnership for Quality Medical Donations and its charities in its cause.”
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 Responds to Emergencies in 2008
MAP International consistently provides medicines, emergency supplies and other

resources to help combat the devastating effects of poverty, diseases, wars and

natural disasters that affect millions of people. In 2008, MAP responded to crises

across the globe, from Asia and Africa to the Americas. Due to MAP’s work, millions

of men, women and children affected by disaster received lifesaving, emergency

health care. MAP’s relief efforts in 2008 included:

• Kenya.
In the weeks following the eruption of violence in early
2008, MAP established six clinics to treat people who fled
the fighting, including three mobile units designed to
deploy rapidly to areas where healthcare was critically
needed. MAP clinicians provided care for more than
30,000 people, including many wounded by machetes
or other weapons used in the fighting. Illnesses such as
malaria and dysentery were a threat to those displaced
by the conflict, so MAP also provided preventative
treatments for children.
• Myanmar.
With more than 100,000 people dead and up to 1.5
million homeless after a cyclone struck Myanmar early
in the summer of 2008, MAP shipped hundreds of
thousands of dollars’ worth of medicine to the area,
including dozens of MAP Disaster Packs, each filled with
antibiotics, first aid items, water purification tablets
and other medicines and emergency supplies.
• Haiti.
A series of hurricanes hit the island in 2008, leaving
thousands of people homeless and many injured. MAP
responded with multiple air shipments of medicines,
including one cargo plane laden with more than 700
pounds of medicines worth over $350,000. MAP provided
a total of more than $10 million in medicines to Haiti for
hurricane relief.
• Zimbabwe.
At the end of 2008, Zimbabwe was reeling from a
cholera epidemic that had affected thousands of people
throughout the country. MAP responding by sending
nearly $1 million dollars worth of analgesics, antibiotics,
syringes and other medical supplies. MAP has continued
providing emergency medicines to the country into 2009.
• Democratic Republic of Congo.
By the close of 2008, nearly 15,000 men, women and
children had fled fighting in the Congo, many taking
refuge in Uganda, others staying in camps within their
own country. Some had lost every single member of their
family during attacks. MAP provided more than $460,000
in medicines and medical supplies to aid more than
65,000 survivors.
• Honduras.
Heavy rains caused severe flooding and mudslides
in Honduras that killed at least 40 people and
affected 320,000 others, destroying crops, homes,
hospitals, health clinics and highways. MAP, which
has an office in Honduras, responded with more than
$155,000 in medicines and medical supplies.

Throughout the world, wherever disaster strikes, MAP

International strives to provide urgently needed medicines,
supplies, and nutritional supplements that save lives and
help people begin to recover from crisis.
MAP Healthcare Partners

Much of what MAP is able to achieve is due to the generous support of our healthcare
partners, who provide pharmaceutical supplies and financial resources for medical
programs around the world. In 2008, nearly 70 companies assisted MAP to provide
essential medicines and medical products to people in 117 countries.

Schering-Plough Corp., MAP’s very first healthcare partner, continued its 55-year
tradition of support by providing medicines and funding for MAP’s Travel Pack and
Long-Term Health Development program. Merck & Co. Inc. entered its second decade
of working with MAP by continuing to provide medicines and vaccines which MAP
shipped to partner agencies, clinics and hospitals around the globe.

When a devastating cyclone struck Myanmar, MAP airlifted a Johnson & Johnson
Emergency Relief Module, including essential supplies such as sutures, dressings and
antibiotics to the stricken area. These are just a few of the ways that MAP’s healthcare
partners are helping us provide essential medicines to the parts of the world where the
need is greatest.

MAP Healthcare Partners

“Johnson & Johnson has partnered with

MAP International for more than 10 years

on a special program that provides medical Research Driven. Quality Committed. Customer Focused.

supplies to individuals and physicians engaged

in humanitarian missions. MAP’s excellence

in the effective administration of this Medical

Mission Pack program has allowed professional

volunteers to provide much-needed healthcare

services to thousands of underserved people

around the world each year.”
William Lin
Manager, Corporate Contributions
Johnson & Johnson
MAP Statements of Financial Position

STATEMENTS OF FINANCIAL POSITION September 30,

2008 2007
Operating Specified Time Endowment Total Operating Specified Time Endowment Total
or Purpose or Purpose

ASSETS:
Cash and cash equivalents $ 409,038 $703,852 $ 1,112,890 $ 462,939 $394,991 $857,930
Accounts receivable–net 388,130 388,130 518,806 518,806
Other receivable 108,028 108,028 208,084 208,084
Pledges receivable–net 278,808 278,808 492,866 492,866
Inventory:
Purchased 371,818 371,818 253,584 253,584
Donated 58,809,580 13,405,231 72,214,811 144,156,001 16,551,553 160,707,554
Prepaid expenses & other assets 192,721 192,721 155,554 155,554
Investments 400,954 492,190 3,710,285 4,603,429 501,613 1,170,603 4,171,297 5,843,513
Property & equipment–net 5,383,132 5,383,132 2,036,812 2,036,812
Interfund balances (644,127) 579,242 64,885 48,740 347,387 (396,127)

Total Assets $ 65,419,274 $15,459,323 $3,775,170 $84,653,767 $148,342,133 $18,957,400 $3,775,170 $171,074,703

LIABILITIES AND NET ASSETS

Liabilties:
Accounts payable $242,125 $242,125 $289,839 $289,839
Construction payables 1,286,798 1,286,798
Deposits 111,060 111,060 60,508 60,508
Accrued expenses 691,707 691,707 623,949 623,949
Notes and loans payable 610,925 610,925 1,154,127 1,154,127
Annuities and trust payable 386,522 386,522 378,160 378,160
Total liabilities 2,942,615 386,522 3,329,137 2,128,423 378,160 2,506.583

Net assets:
Unrestricted 62,476,659 67,293 65,543,952 146,213,710 67,928 146,281,638
Temporarily restricted 15,005,508 15,005,508 18,511,312 18,511,312
Permanently restriced 3,775,170 3,775,170 3,775,170 3,775,170
Total net assets 62,476,659 15,072,801 3,775,170 81,324,630 146,213,710 18,579,240 3,775,170 168,568,120
Total liabilities & Net Assets $ 65,419,274 $ 15,459,323 $ 3,775,170 $84,653,767 $148,342,133 $18,957,400 $ 3,775,170 $171,074,703
MAP Statements of Financial Position

STATEMENTS OF ACTIVITIES September 30,

2008 2007
Unrestricted Temporarily Permanently Total Unrestricted Temporarily Permanently Total
Restricted Restricted Restricted Restricted

SUPPORT AND REVENUE:

Contributions $ 4,902,800 $1,768,070 $ 6,670,870 $ 4,767,831 $1,059,234 $5,827,065
Donated inventory 277,536,009 95,920,263 373,456,272 299,843,168 86,483,377 386,326,545
Donated property & equipment 376,767 376,767 12,760 12,760
Donated securities & other assets 266,335 266,335 325,546 12,940 338,486
Government grants 1,106,878 1,106,878 879,727 879,727
Handling charges & service fees 4,090,363 4,090,363 3,524,387 3,524,387
Investment income (loss) (287,369) (213,791) (501,160) 423,449 143,735 567,184
Other revenue 85,461 85,461 63,203 63,203
Gain on sale of land
& building (Note 6) 3,208,181 3,208,181
Total Support & Revenue $ 291,285,425 $97,474,542 $388,759,967 $309,840,071 $87,699,286 $397,539,357

RECLASSIFICATIONS:
Net assets released
from restrictions 100,980,346 (100,980,346) 81,312,425 (81,312,425)

EXPENSES
Program services:
Essential medicine distribution 417,225,813 417,225,813 280,667,865 280,667,865
Disaster & disease managment 5,783,258 5,783,258 2,698,069 2,698,069
Community health development 48,994,186 48,994,186 35,693,148 35,693,148
472,003,257 472,003,257 319,059,082 319,059,082
Supporting activities:
General & administrative 568,460 568,460 664,756 664,756
Fundraising 3,431,740 3,431,740 3,675,573 3,675,573
4,000,200 4,000,200 4,340,329 4,340,329
Total Expenses 476,003,457 476,003,457 323,399,411 323,399,411
Change in Net Assets (83,737,686) (3,505,804) (87,243,490) 67,753,085 6,386,861 74,139,946
Net Assets, Beginning of Year 146,281,638 118,511,312 3,775,170 168,568,120 78,528,553 12,124,451 3,775,170 94,428,174
Net Assets, End of Year $ 62,543,952 $ 15,005,508 $ 3,775,170 $81,324,630 $146,281,638 $18,511,312 $ 3,775,170 $168,568,120
These are the Statements of Financial Position of MAP International as of September 30, 2008 and 2007, and the related Statements of Activities for the years then ended.
Financial statements audited by out Independent auditors, Capin Crouse. LLP are available upon request.
MAP International Medical Fellows

“ I know when I look back in my medical school

education, this trip and the opportunity that MAP
has afforded me will be one of the highlights of
my many years of training. I am deeply indebted
to them and admire all the work they do to make
sure everyone in the world has equal opportunity
and access to healthcare.”

Jim Leonard
Reach International Healthcare
Davao City, Philippines

In 1971, MAP International received a grant from DeWitt Wallace, founder of Contact: MAP International Offices
Readers Digest, to establish a program for senior medical students to travel
to mission hospitals or clinics for six- to eight-week internships. Since then, MAP International Cochabamba, Bolivia
more than 1900 students have participated in this opportunity to experience 4700 Glynco Parkway Abidjan, Cote d’ Ivoire
Brunswick, GA, USA 31525 Quito, Ecuador
firsthand the need for medical care in developing countries. The MAP International
Nkoranza, Ghana
Medical Fellows (MIMF) class of 2008 was comprised of 24 fourth-year medical
Phone: 912-265-6010 Siguatepeque, Honduras
students or residents who traveled to 16 hospitals in 11 countries. One member
800-225-8550 Medan, Indonesia
of the class is a second generation MAP Fellow. Josh Carter from the University Nairobi, Kenya
FAX: 912-265-6170
of Kentucky College of Medicine embarked on an eight-week fellowship to Gulu, Uganda
Tenwek Hospital in Kenya. Josh’s father, Dr. Stephen Carter of Waynesboro, PA Atlanta, GA USA
e-mail: map@map.org
was a fellow in MAP’s inaugural fellowship class in 1971, traveling to Zaire. website: www.map.org Brunswick, GA USA