)5LS Form Annual Filing for Charitable Organizations CHAR500 New York State Department of Law (Office of the Attorney GeneraD Charities Bureau . Registration Section 120 Broadway New York, NY 10271 httpi/www.charitiesnys.com Article 7-A, EPTL and dual filers (replaces forms CHAR 497, CHAR 010 and CHAR 006) 1. General Information a. For the fiscal year beginni b. Check if applicable for NYS: Open to Public Inspection and c. Name of organization d. Fed. employer ID no. (EIN) Address change 13-5602319 CATHOLIC MEDICAL MISSION BOARD, INC. Name change Initial filing 2011 e. NY State registration no. 11-44-54 LII Final filing Number and street (or P.O. box If mail not delivered to street address) Amended filing NY registration pending Room/suite 10 WEST 17TH STREET f. Telephone number 212 242 City or town, state or country and ZIP + 4 7757 g. Email NEW YORK, NY 10011-5701 2. Certification - Two Signatures Required We certify under penalties of perjury that we reviewed this report, including all attachments, and to the best of our knowledge and belief, they are true, correct and complete in accordance wit laws of the State of ew York applicable to this report. PRESIDENT & a.PresidentorAuthofiz 0 b. Chief Financial Officer or Treas. 3. Annual Report Exemption Information RtJCE WILKINSON CEO AS FORBES CFO 3 - a. Article 7-A annual report exemption (Article 7-A registrants and dual registrants) Check * if total contributions from NY State (including residents, foundations, corporations, government agencies, etc.) did not exceed $25,000 and the organization did not engage a professional fund raiser (PFR) or fund raising counsel (FRC) to solicit contributions during this fiscal year. NOTE: An organization may claim this exemption if no PFR or FRC was used and either: 1) it received an allocation from a federated fund, United Way or incorporated community appeal and contributions from other sources did not exceed $25,000 or 2) it received all or substantially all of its contributions from one government agency to which it submitted an annual report similar to that required by Article 7-A. b. EPTL annual report exemption (EPTL registrants and dual registrants) Check *= if gross receipts did not exceed $25,000 and assets (market value) did not exceed $25,000 at anytime during this fiscal year. For EPTL or Article 7-A registrants claiming the annual report exemption under the one law under which they are registered and for dual registrants claiming the annual report exemptions under both laws, simply complete part 1 (General Information), part 2 (Certification) and part 3 (Annual Report Exemption Information) above. Do not submit a fee, do no complete the following schedules and do not submit any attachments to this form. 4. Article 7-A Schedules If you did not check the Article 7-A annual report exemption above, complete the following for this fiscal year: a. Did the organization use a professional fund raiser, fund raising counsel or commercial co-venturer for fund raising activity in NY State? * If "Yes, complete Schedule 4a. b. Did the organization receive government contributions (grants)? * If 'Yes", complete Schedule 4b. I1 Yes L1 No Yes No 5. Fee Submitted: See last page forsummary of fee requirements. Indicate the filing fee(s) you are submitting along with this form: a. Article 7-A filing fee .......................................................................................... b. EPTL filing fee ................................................................................................... c. Total fee ......................................................................................................... 25. $ $ - 1 , 50 0 . 1,525. $ Submit only one check or money order for the total fee, payable to "NYS Department of Law" 6. Attachments - For organizations that are not claiming annual report exemptions under both laws, see last page for required attachments 1 168451 12-22-11 1019 CHAR500-2011 2 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule 4a: Professional Fund Raisers (PFR), Fund Raising Counsels (FRC), Commercial Co-Venturers (CCV) If you checked the box in question 4.a. on page 1, complete the following schedule for each PER, FRC or CCV that the organization engaged for fund raising activity in NY State: 1. Type of fund raising professional (FRP): Professional fund raiser EXI Fund raising counsel 2. Commercial co-venturer Name of FRP: AMERGENT Number and street (or P.O. box if mail is not delivered to street address): 9 CENTENNIAL DRIVE City or town, state or country and ZIP + 4: PEABODY, MA 01960-7906 3. FRP telephone number: 4. Services provided by FRP (provide description): 978-531-0100 PROFESSIONAL FUNDRAISING SERVICES 5. Compensation arrangement with FRP (provide description): 6. Dates of contract 10/01/2011 through (mmIdd'yyy) 7. Amount paid to FRP 09/30/2012 (nwrVddiy) $ 764, 831. B. If services were provided by a CCV, did the CCV provide the charitable organization with the interim report(s) required by § 173-a. 3 of the Executive Law? 1019 2 168461 12-22-11 CHAR500-2011 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule 4a: Professional Fund Raisers (PFR), Fund Raising Counsels (FRC), Commercial Co-Venturers (CCV) If you checked the box in question 4.a. on page 1, complete the following schedule for each PFR, FRC or CCV that the organization engaged for fund raising activity in NY State: 1. Type of fund raising professional (FAP): Professional fund raiser L1 Fund raising counsel Commercial co-venturer 2. Name of FRP: MDS COMMUNICATIONS Number and street (or P.O. box if mail is not delivered to street address): 545W JUANITA AVE City or town, state or country and ZIP + 4: MESA, AZ 85210 3. FRP telephone number: 480-752-8140 4. Services provided by FRP (provide description): PROFESSIONAL FUNDRAISING SERVICES 5. Compensation arrangement with FRP (provide description): 6. Dates of contract 10/01/2011 through (mm/dd,yyy) 7. Amount paid to FRP 09/30/2012 (mmIdd'yyy) $ 149, 356. 8. If services were provided by a CCV, did the CCV provide the charitable organization with the interim report(s) required by § 173-a. 3 of the Executive Law? 1019 2 168461 12-22-11 CHAR500 -2011 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule 4a: Professional Fund Raisers (PER), Fund Raising Counsels (FRC) Commerôiàl Co-Venturers (CCV) If you checked the box in question 4.a. on page 1, complete the following schedule for each PFR, FIRC or CCV that the organization engaged for fund raising activity in NY State: 1. Type of fund raising professional (FRP): E1 Professional fund raiser Fund raising counsel 2. Commercial co-venturer Name of FRP: Number and street (or P.O. box if mail is not delivered to street address): City or town, state or country and ZIP + 4: 3. FRP telephone number: 4. Services provided by FRP (provide description): 5. Compensation arrangement with FRP (provide description): 6. Dates of contract through (mmldd4'yyy) (mm/dd'yyy) 7. Amount paid to FRP 8. If services were provided by a CCV, did the CCV provide the charitable organization with the interim report(s) required by § 173-a. 3 of the Executive Law? 1019 2 168461 12-22-11 CHARSOO -2011 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule 4b: Government Contributions (Grants) • - If you checked the box in question 4.b. on page 1, complete the following schedule for each government contribution (grant). Use additional copies of this page if necessary to list each government contribution (grant) separately. Government Agency Name - - - - KENYA UNITED STATES DEP OF HEALTH & HUMAN SERVICES UNITED STATES AID - $ $ $ $ $ $ $ $ $ $ Grant Amount 140,038. 9,963,485. 2,791,190. 'V $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ -- Total Government Contributions (Grants) 1019 3 168471 12-22-11 CHAR500-2011 6 $ 12,894,713. CATHOLIC MEDICAL MISSION BOARD, INC. 5. Fee Instructions The filing fee depends on the organization's Registration Type. For details on Registration Type and filing fees, see the Instructions for Form CHAR500. Organization's Registration Type Fee Instructions • Article 7-A Calculate the Article 7-A filing fee using the table in part a below. The EPTL filing fee is $0. • EPTL Calculate the EPTL filing fee using the table in part b below. The Article 7-A filing fee is $0. • Dual Calculate both the Article 7-A and EPTL filing fees using the tables in parts a and b below. Add the Article 7-A and EPTL filing fees together to calculate the total fee. Submit a single check or money order for the total fee. a) Article 7-A filing fee * Any organization that contracted with or used the services of a professional fund raiser (PFR) or fund raising counsel (FRC) during the reporting period must pay an Article 7-A filing fee of $25, regardless of total support and revenue. Total Support & Revenue Article 7-A Fee more than $250,000 $25 up to $250,000* $10 b) EPTL filing fee 6. Attachments - Document Attachment Check-List Check the boxes for the documents you are attaching. For All Filers Filing Fee EIl Single check or mdney order payable to "NYS Department of Law' Copies of Internal Revenue Service Forms IXJ IRS Form 990 El All required schedules (including Schedule B) IRS Form 990-T El El El IRS Form 990-EZ All required schedules (including Schedule B) IRS Form 990-T Additional Article 7-A Document Attachment Requirement Independent Accountant's Report lIl Audit Report (total support & revenue more than $250,000) El Review Report (total support & revenue $100,001 to $250,000) No Accountant's Report Required (total support & revenue not more than $100,000) El 1019 4 168481 12-22-11 CHAR500-2011 7 El IRS Form 990-PF El All required schedules (including Schedule B) IRS Form 990-T El Return of Organization Exempt From Income Tax I 990 I The organization may have to use a copy of this return to satisfy state reporting requirements. I A For the 2011 calendar year, or tax year beginning Department of the Treasury Internal Revenue Service OCT 1, 2011 B Check If applicable: and ending 2011 Open to Public lnspertinn SEP 30, 2012 C Name of organization Address change Name change Initial return Ter inated Amended return [:]A calion pending OMB No. 1545-0047 Form section 501(c), 527, or 4947(aXl) U nder of the Internal Revenue Code (except black lung benefit trust or private foundation) I D Employer identification number CATHOLIC MEDICAL MISSION BOARD, INC. Doing Business As Number and street (or P.O. box if mail is not delivered to street address) 10 WEST 17TH STREET City or town, state or country, and ZIP + 4 NEW YORK, NY 10011-5701 SAME AS C ABOVE Part I Summary Room/suite E Telephone number F Name and address of principal officer: BRUCE I Tax-exempt status: L,&J 501(c)(3) L......J 501(c) ( J Webs ite: CMMB. ORG K For of organization: [XJ Corporation L.J Trust 13-5602319 G (212)242-7757 $ 272 ,425, 856. Gross receipts H(a) Is this a group return WILKINSON for affiliates? H(b) Are all affiliates included? 1 (insert no.) L......J 4947(a)(1) or L..J 527 L.....J Association L..J Other Yes Eli Yes EENo El No If 'No,' attach a list. (see instructions) H(c) Group exemption number 0928 J L Year of formation: 19 2 8J M State of legal domicile: NY I Briefly describe the organization's mission or most significant activities: SINCE ITS INCEPTION IN 1912 (PRIOR TO LEGAL FORMATION IN 1928), THE CATHOLIC MEDICAL MISSION E 2 Check this box =if the organization discontinued its operations or disposed of more than 25% of its net assets. 3 Number of voting members of the governing body (Part VI, line 1 a) .3 cis 4 Number of independent voting members of the governing body (Part VI, line 1 b) 5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) 6 Total number of volunteers (estimate if necessary) - 19 18 271 1624 0 0 4 5 .6 7 a Total unrelated business revenue from Part VIII, column (C), line 12 .7a b Net unrelated business taxable income from Form 990-T, line 34 ............................................................. ...... 7b 1 Current Year 8 Contributions and grants (Part VIII, line lh) 9 Program service revenue (Part VIII, line 2g) • 269,988,910. 0. 245,395. 0. 270,234,305. 238,851,563. 0. 8,285,970. 917,934. , J .J , I J I • 394,916. )03,149. ', .., .'- I J - - • ,146,566. ,087,739. of Current Year id of Year I •-' - ' I 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) 11 Other revenue (Part VIII, column (A), lines 5, 6d, Bc, 9c, 10c, and lie) - 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) 14 Benefits paid to or for members (Part IX, column (A), line 4) • -. • 185, ,098, '754, • 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 2 16a Professional fundraising fees (Part IX, column (A), line lie) b Total fundraising expenses (Part IX, column (D), line 25) W 4,015,460. 17 Other expenses (Part IX, column (A), lines ha-lid, 11f-24e) 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) 19 Revenue less expenses. Subtract line 18 from line 12 05, 046. 46,367. 58 .679. 20 Total assets (Part X, line 16) 21 Total liabilities (Part X, line 26) 22 Net assets or fund balances. Subtract line 21 from line 20 .......................................... C ,171,300. ,785,099. ,386,201. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other tha ..QI(jcsc) is based on all information of which preparer has any knowledge. Sign Here 'Date ( 3 BRUCE WILKINSON , PRESIDENT & CEO Type or print name and title Print/Type preparer's namePparçrs signate ROBERT R. LYONS I l/&tçjivvJ Preparer Firm's name I., MARKS PANETH & SHRON LLP Use Only Firm's address 685 THIRD AVENUE NEW YORK, NY 10017 Paid May the IRS discuss this return with the preparer shown above? (see instructions) 132001 01-23-12 Dap ) Check L.i I PTIN PO0227472 Firm,s EIN . 11-3518842 self-employed Phoneno. 212 503-8800 LXJ Yes 17 No LHA For Paperwork Reduction Act Notice, see the separate instructions. SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION Form 990(2011) Product: Exempt Category: Name: CATHOLIC MEDICAL MISSION BOARD, IRS Center: Ogden e-Postmark: 8/12/2013 4:14:19 PM INC FEIN: 13-5602319 Notification: Fiscal Year 10/1/2011 Fiscal Year9/30/ 2012 Begin Date: End Date: DCN Date Type Of Activity 8/12/2013 Upload Started 8/12/2013 Ready to Release by Customer 8/12/2013 Released for Transmission - Validation In Progress 8/12/2013 Ready to transmit Validation Complete 8/12/2013 Transmitted to FD 8/12/2013 Accepted by FD on 8/12/2013 Submission ID RefundJ(Due) Updated By MMaldonado 133631201322403fde07 Form Exempt Organization Declaration and Signature for Electronic Filing For cafandaryear2oll, or taxyou beinnIng OCT 1 ,2011, and ending SEP 30 8453EO 2011 .2012 For use with Forms 990, 990-EZ, 990-PF, 11211-11 3 0L, and 8868 See Instructions. Department of the Treasury internal Revenue Service CATHOLIC MEDICAL MISSION Type of Return and Return Information II OMB No. 1545-1879 BOARD, q cation number INC. 13-5602319 (Whole Dollars Only) Check the box for the type of return being filed with Form 8453 - EO and enter the applicable amount, If arty, from the return. If you check the box on me la, 2a, 3a, 4a, or 5a below and the amount on that line of the return being flied with this form was blank, then leave line Ib, 2b, 3b, 4b, or 6b, whichever is applicable, blank (do not enter -6-). , if you entered 0 on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 270234305 la Form 99O check here 0 1 [] b Total revenue, if any (Form 990, Part VIII, column (A) iine.12)lb 2a Form 990-EZ check here 01 E b Total revenue, If any (Form 990-EZ, line 9) 3a Form I 120-POL check here 10 , 0 b Total tax (Form 1 120-POL, line 22) .2b ..........................3b 4b b Tax based on investment income (Form 990-PF, Part VI, line 5) 5b b Balance due (Form 8868, Part I, line Sc or Part Ii, line So) 4a Form 990-PF check here Be Form 8888 check here 1. Declaration of Officer , 6 LJ I authorize the U.S. Treasury and Its designated Financial Agent to initiate an Automated Cleating House (ACH) electronic funds withdrawal (direct debit) entry to the financial institution account indicated In the tax preparation software for payment of the organization's federal taxes owed on this return, and the financial Institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. If a copy of this return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I certify that I executed the electronic disclosure consent contained within this return allowing disclosure by the IRS of this Form 990/990-EZ/990 - PF (as specifically identified In Part 1 above) to the selected state agency(les). Under penalties of perjury, I declara that I am an officer of the above named organization and that I have examined a copy of the organization's 2011 electronic return and accompanying schedules and atatements, and to the beet of my knowledge and belief, they are bun, correct, and complete. I further tinder, that the amount In Part I above lathe amount shown on the copy of the organization's electronic return. I consent to allow my Intermediate service provider, transmitter, or electronIc return originator (SAO) to send the organIzation's return to the IRS and to receive from the Ifs (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay In processing the return or refund, and (c) the date of any refund. 3 ' Sign Here Signature of PiUJI PRESIDENT & CEO ' Title Date Declaration of Electronic Return Originator (ERO) and Paid Preparer (see Instructions) I declare that I have reviewed the above organization's return and that the entries on Form 8453-EO are complete and correct to the best of my knowledge. if I am only a collector, I am not responsible for reviewing the return and only declare that this form accurately reflects the data on the return. The organization officer will have signed this form before I submit the return. I will give the officer a copy of all forms and information to be filed with the IRS, and have followed all other requirements in Pub. 4163, Modernized e-file (MeF) Information for Authorized IRS e-file Providers for Business Returns. If I am also the Paid Preparer, under penalties of perjury I declare that I have examined the above organization's return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. This Paid Preparer declaration is based on all information of which I have any knowledge. Date EROs ^LAjjp ERO's signature Finn's name (or Use yours If self-employed Only address, and ZIP code ' IV 2-//3 MAPJ P' £85 . NEW. unuer penalties or perjury, ,ueciwe met i navu exam Declaration of precarer Is based on all Information of Print/Type preparer's name Paid Preparer Use Only ij-iA Check If also paid I I I Check It self- eTrplcyyd I EROs SSN or PTIN F-1 1 EIN P00227472 £.L.)Z)1OOh IPhone no. 212 503-8800 flOWleu silo cellar, iney We Cue, Cor,eui, g nu uomp,uie Check LJ It PTIN self- employed Firm's name 1p. Firm's EIN Firm's address Phone no. For Privacy Act and Paperwork Reduction Act Notice, seethe Instructions. 123051 12-02-1I I Form 8453-EO (2011) g Form 9O(2011) CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Page2 Part III Statement of Program Service Accomplishments Check if Schedule 0 contains a response to any question in this Part Ill I ....................................................................................... Briefly describe the organization's mission: CATHOLIC MEDICAL MISSION BOARD, INC. WORKS COLLABORATIVELY TO PROVIDE QUALITY HEALTHCARE PROGRAMS AND SERVICES, WITHOUT DISCRIMINATION, TO PEOPLE IN NEED AROUND THE WORLD. CMMB WORKS INTERNATIONALLY TO STRENGTHEN HEALTH SYSTEMS AND PROVIDE QUALITY HEALTH SERVICES TO 2 Did the organization undertake any significant program services during the year which were not listed on LIiIlYes the prior Form 990 or 990-EZ? No If Yes, describe these new services on Schedule 0. Did the organization cease conducting, or make significant changes in how it conducts, any program services? LIlYes II1 No If "Yes, describe these changes on Schedule 0. 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1)trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (code: ________ )(Expenses$ includinggrants Revenue$ 3 235,223,030. ots 234,126,691. ) ( HEALING HELP IS THE NAME OF CMMB'S PROGRAM OF DONATED MEDICINES AND MEDICAL SUPPLIES. IN FISCAL 2012, 337 SHIPMENTS VALUED AT $234,126,691 WERE DELIVERED TO 166 PARTNERS IN 41 COUNTRIES. HEALING HELP HAS, AS ONE OF ITS PRIORITIES, THE PROVISION OF DONATIONS IN SUPPORT OF CMMB'S DISEASE-SPECIFIC PROGRAMS. THOSE GIFTS OF MEDICINES AND MEDICAL SUPPLIES HELP INCREASE THE CAPACITY OF HEALTHCARE SERVICES PROVIDERS AND MAKE THEM MORE SUSTAINABLE OVER TIMES. IN ADDITION, HEALING HELP PROGRAM IS GEARED TO QUICKLY AND EFFECTIVELY PROVIDE MEDICINES AND MEDICAL SUPPLIES WHEN EMERGENCY RELIEF IS REQUIRED. 4b (code: ___________ ) (Expenses $ 605,994. IncIudng grants of $__________________ ) (Revenue $ CMMB'S MEDICAL VOLUNTEER PROGRAM (MV?) PLACES LICENSED HEALTHCARE PROFESSIONALS AT FAITH-BASED HEALTHCARE FACILITIES IN RESOURCE-POOR COUNTRIES. DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS DEVOTE THEMSELVES TO HELPING THOSE MOST IN NEED FOR PERIODS RANGING FROM A FEW MONTHS TO A FEW YEARS. HEALTHCARE PROFESSIONALS IN A WIDE RANGE OF DISCIPLINES PARTICIPATE, WITH AN EMPHASIS ON PRIMARY HEALTHCARE. IN 2012, C1MB PLACED 875 MEDICAL VOLUNTEERS AT LOCATIONS IN 26 COUNTRIES IN AFRICA, ASIA, LATIN AMERICA AND THE CARIBBEAN. 9 , 353 , 174. Includinggrants of$ 3 , 987 , 622 . (RevenueS CNMB'S CAPACITY BUILDING INITIATIVES SUPPORT HIV AND AIDS PROGRAMS THAT STRIVE TO REDUCE AND PREVENT HIV PREVELANCE AND IMPROVE SERVICES AVAILABLE TO INDIVIDUALS, FAMILIES AND COMMUNITIES. CMMB IS A MEMBER OF THE AIDSRELIEF CONSORTIUM, WORKING TO EXPAND THE DELIVERY OF ANTIRETROVIRAL THERAPIES TO HIV-INFECTED PERSONS IN AFRICA AND THE CARIBBEAN. IN 2012 CM 11B COUNSELED AND TESTED 174,554 PEOPLE FOR HIV, ENSURING HIV-POSITIVE CLIENTS WERE LINKED TO CONFIRMATORY TESTING AND CARE SERVICES. CMtVIB ALSO REACHED 134,279 PEOPLE WITH EVIDENCE-BASED HIV PREVENTION, MESSAGES AND PROVIDED HIV TREATMENT TO 37,146 CLIENTS. IN 2012, CMMB CIRCUMCISED 5958 MEN IN SOUTH AFRICA, KENYA, UGANDA AND ZAMBIA AS PART OF A COMPREHENSIVE PREVENTION AND TREATMENT PORTFOLIO OF HIV/AIDS SERVICE PROVISION INCLUDING COUNSELING AND TESTING AND 4c (Code: _________ )(Espenses$ 4d Other program services (Describe in Schedule 0.) (ExpensesS 5 ,409 ,431 . 00, 4e Total program service expenses Includinggrants of$ 737 ,250 .) (RevenueS 25 0 , 59 1, 629 Form 990(2011) 02-09-12 SEE SCHEDULE 0 FOR CONTINUATION(S) Form 990 CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 - 1 Is the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A 2 Is the organization required to complete Schedule B, Schedule of Contributors 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part! 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If 'Yes," complete Schedule C, Part/I 5 Is the organization a section 501(c)(4), 501(c)(5), or 501 (c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98 .19? If "Yes," complete Schedule C, Part III 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part! 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part!! 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part Ill 8 IRJ• J. OEM MEN ill 'IF MMMI X 9 Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V 11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X Page3 x 10 as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If 'Yes," complete Schedule D, Part VI ha b Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII lib X c Did the organization report an amount for investments . program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII lic X d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX lid e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X llfX 12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts Xl, XII, and XIII b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes,"2b and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional 1 13 Is the organization a school described in section 170(b)(1)(A)(11)? If "Yes," complete Schedule E 1 3 14a Did the organization maintain an office, employees, or agents outside of the United States? b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes,' complete Schedule F, Parts I and IV 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If "Yes," complete Schedule F, Parts I/ and IV X lie X 123 20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H 2 0a b If 'Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? i4b X 15 X 132003 01-23-12 3 X 17 X X .............................. X X X 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1 c and 8 8a? If "Yes," complete Schedule G, Part!! 1 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete9 Schedule G, Part III 1 X i4a 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located 6 outside the United States? If "Yes," complete Schedule F, Parts Ill and IV 1 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and lie? If "Yes," complete Schedule G, Part! X X X 20b Form 990 (2011) ec CATHOLIC MEDICAL MISSION BOARD, INC. quired Schedules (continued) 13-5602319 Page I Yes I No 21 Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If "Yes,' complete Schedule I, Parts land II 22 Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts land Ill 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes," complete Schedule J 24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer fines 24b through 24d and complete Schedule K. If "No", go to fine 25 b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? d Did the organization act as an "on behalf of" issuer for bonds outstanding at anytime during the year? 25a Section 501(c){3) and 501(c)(4) organizations. Did the organization engage In an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I 26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, Part II 27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part/// 28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ,tJ. Sol JI' II, !II NI! b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV o An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes,' complete Schedule L, Part IV 29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M 280 29x X 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M 30 X 31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part! 31 X 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?If 'Yes," complete Schedule N, Part II 32 X 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part! 33 x 34 Was the organization related to any tax-exempt or taxable entity? If 'Yes," complete Schedule R, Parts II, Ill, IV, and V, fine I 34 x 35a X b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If 'Yes," complete Schedule R, Part V, fine 2 35b X 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 36 X 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If 'Yes,' complete Schedule A, Part VI 37 x 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19? 38x Form 990 (2011) 132004 01-23-12 4 Form gg O(2011) 13-5602319 CATHOLIC MEDICAL MISSION BOARD, INC. Part V Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response to any question in this Part V Page -E1 Yes la Enter the number reported in Box 3 of Form 1096. Enter -0-if not applicable I No 6 . la b Enter the number of Forms W-2G included in line 1 a. Enter -0- if not applicable .lb c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ................................................................................................................................. Ic 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, 27: filed for the calendar year ending with or within the year covered by this return .2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2b Note. If the sum of lines 1 a and 2a is greater than 250, you may be required toe-fi/e (see instructions) 3a Did the organization have unrelated business gross income of $1,000 or more during the year? b If "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation in Schedule 0 X X' 3a 3b 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If "Yes," enter the name of the foreign country: 01 SEE SCHEDULE 0 See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If "Yes," to line 5a or 5b, did the organization file Form 8886-T? 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible? b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? 4a 5a 513 X X 6a X 6b 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? b If "Yes," did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? d If "Yes," indicate the number of Forms 8282 filed during the year I 7a X 7c X 7e X I 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxable distributions under section 4966? M a go MMI b Did the organization make a distribution to a donor, donor advisor, or related person? 10 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 -lOa -lOb b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities 11 Section 501(c)(12) organizations, Enter: a Gross income from members or shareholders Ila b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) 111b 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? b If "Yes," enter the amount of tax-exempt interest received or accrued during the year ------------------J 12b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? Note. See the instructions for additional information the organization must report on Schedule 0. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans c Enter the amount of reserves on hand 14a Did the organization receive any payments for indoor tanning services during the tax year? b If "Yes." has it filed a Form 720 to reoort these oavments? If "No." orovide an exolanation in 132005 01-23-12 5 .13b .13c Srherhilp C) X 14a 14b Form 990(2011) Form 99O(2011) CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Page Part VII Governance, Management, and Disclosure For each "Yes' response to lines 2 through 7b below, and fora 'No' response to line 8a, 8b, or 1 O below, describe the circumstances, processes, or changes in Schedule 0. See instructions. Check if Schedule 0 contains a response to any question in this Part VI ...... ................................................................................. Section A. Governing Body and Management II1 Yes I No la Enter the number of voting members of the governing body at the end of the tax year L.i If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule 0. b Enter the number of voting members included in line la, above, who are independent I lb 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, or trustees, or key employees to a management company or other person? 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 5 Did the organization become aware during the year of a significant diversion of the organization's assets? 6 Did the organization have members or stockholders? 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? b Each committee with authority to act on behalf of the governing body? 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses in Schedule 0 Section B. Policies (This Section B vests information about policies not 18 MMIM mom MME mmo MME mom X 7b 8a X 8b x 9 the Internal Revenue Code. lOa Did the organization have local chapters, branches, or affiliates? lOa b If "Yes,' did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? I la Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? b Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? If "No,"go to line 13 b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe Yes No X lOb ha X 12a 12b X X in Schedule Chow this was done 12c X 13 Did the organization have a written whistleblower policy? 14 Did the organization have a written document retention and destruction policy? .14 X 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official .15a X Other officers or key employees of the organization .15b X If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions). 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a * taxable entity during the year? X .16a If 'Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? .............................................................................................................16b I I Section C. Disclosure 17 List the states with which a copy of this Form 990 is required to be filed 101AZ ,AR, CO, FL, GA, IL, KS , LA, MD , ,ND, 18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501 (c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply. L1 Own website Another's website L1 Upon request 19 Describe in Schedule 0 whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. 20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization: JAMES FORBES - 212-609-2579 10 WEST 17TH STREET, NEW YORK, NY 10011 01-23-12 SEE SCHEDULE 0 FOR FULL LIST OF STATES 6 OK Form 99O(2011) CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Part V II I Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Form gg O(2011) Pagel Employees, and Independent Contractors Check if Schedule 0 contains a response to any question in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees la Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organizations tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter 0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See instructions for definition of 'key employee.' • List the organizations five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (A) Name and Title (1) JOHN F GALBRAITH PRESIDENT AND CEO (FORMER) (2) CHRIS ALLEN, FACHE (B) (C) Average (do not check more than one hours per box, unless person Is both an officer and adtrector/trustee) week (describe hours for related a organizations - in Schedule ' . 0) (D) (E) (F) Reportable compensation from the organization (W-2/1 099-MISC) Reportable compensation from related organizations (W-2/1 099 .MISC) Estimated amount of other compensation from the organization and related organizations 35.00 X 396,387. 1.00 X 0. 0. 0. 1.00 0. 0. 0. 1.00 0. 0. 0. BOARD MEMBER 1.00 0. 0. 0. (6) JEAN MARIE GRISI BOARD MEMBER 1.00 0. 0. 0. 1.00 2 0. 0. 0. BOARD MEMBER (9) HENRY W. MENN III, ESQ. BOARD MEMBER (10) ROBERT E. ROBOTTI 1.00 •ç 0. 0. 0. 1.00 - 0. 0. 0. BOARD MEMBER (11) MARY COLLEEN SCANLON, R.N., J.D 1.00 2 0. 0. 0. SECRETARY (12) REV. PETER SCHINELLER, S.J. 1.00 - 0. 0. 0. BOARD MEMBER (13)F. WILLIAM SMULLEN, III VICE CHAIR (14) AMBAS. MARK R. DYBUL, M.D. 1.00 2 0. 0. 0. 0. 0. 0. 1.00 • 0. 0. 0. 1.00 • 0. 0. 0. 1.00 0. 2: 0. 1.00 x 0. 0. - Form 990(2011) TREASURER (3) JOHN E CELENTANO BOARD MEMBER (4) MICHAEL DORING CONNELLY CHAIR 2 50,174. (5) NICHOLAS D'AGOSTINO, III (7) JOHN D. HERRICK BOARD MEMBER (8) CLARION E. JOHNSON, M.D. BOARD MEMBER (15) SISTER PATRICIA ECK, C.B.S. BOARD MEMBER (16) STEPHANIE L FERGUSON, PHD,RN,FA BOARD MEMBER (17) MARIA ROSA ROBINSON, M.D., MBA BOARD MEMBER 1.00 • X X 132007 01-23-12 7 0. Form CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Pane Section A. Officei (B) Average hours per week (describe hours for related )rganizations in Schedule 0) (A) Name and title (18) BILL WHITE BOARD MEMBER (C) Position (D) Reportable compensation from the organization a(W-2/1 099-Misc) (do not check more than one box, unless person Is both an officer and adirector/trustee) (E) (F) Reportable compensation from related organizations (W-2/1 099-MISC) Estimated amount of other compensation from the organization and related organizations . 1.00 X I I I 1 0. 0. 0. 1.00 I I 0. 0. 0. 0. 0. 0. (19) MOST REV. JOSEPH M. SULLIVAN, D BOARD MEMBER (20) BRUCE WILKINSON PRESIDENT AND CEO X - 35.00 X IX CFO AND SVP OPERATIONS (FORMER) (22) ALANA GOOLEY 35.00 ix 157,912. 0. 29,379. VP OF OPERATIONS (FORMER) (23) JEFFREY JORDAN SVP, PROGRAMS (24) ADRIAN KERRIGAN SVP, ADVANCEMENT 35.00 ix 143,210. 0. 24,015. 35.00 X 218,468. Q 49,900. 28.00 X 220, 748. 0. 30,508. SVP HUMAN RESOURCES (26) MOSES SINKALA 28.00 X 103,015. 0. 10,164. COUNTRY DIRECTOR IN ZAMBIA 35.00 1 (21) THOMAS GRAY (25) WILLIAM DESANTIS X lb Sub-total :..: c Total from continuation sheets to Part VII, Section A d Total (add lines lb and lc) ......... -........................................................ No. - 119,674. 1,359,414. 541,1 -1,900,613. 7,180. 0. O. 201,320. O. 83,594. . 284,914. 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable 11 I Yes I No 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line la? If 'Yes, • complete Schedule J for such individual ._.. - 4 For any individual listed on line 1 a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If 'Yes,' complete Schedule J for such individual 5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services -4 X X X rendered to the organization? If "Yes," complete Schedule J for such person Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (/) (B) Name and business address Description of services AMERGENT 9 CENTENNIAL DRIVE, PEABODY, MA 01960 IDP CONSULTING, 100 JERICHO QUADRANGLE SUITE 314, JERICHO, NY 11753 PROFESSIONAL FOR NONPROFITS, 515 MADISON AVENUE, SUITE 1100, NEW YORK , NY 10022 685 THIRD AVE , NEW YORK, NY 10017 P.O. BOX 16006, PHOENIX, AZ 85011 (C) Compensation DIRECT RESPONSE AND DATA MANAGEMENT: PRO 764,831. IT SUPPORT 424,925. 2EMPORARY STAFFING IAUDITING IFUNDRAISING 293,626. 162,490. 149,356. 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100.000 of comoensation from the oroanization ho 6 T VII, SECTION HEETS 132008 01-23-12 8 Form 990 (2011) CATHOLIC MEDICAL MISSION BOARD, INC. 011) Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Emp (A) (B) (C) (D) Name and title Average hours per week Position (check all that apply) .. is (continued) (E) Reportable compensation from related organizations (W-2/1 099-MISC) E :a • (F) Estimated amount of other compensation from the organization and related organizations N a (27) ROBERT WUILLAMEY DIRECTOR OF PHILANTHROPY Reportable compensation from the organization (W-2/1 099-MISC) 13-5602319 - 35.00 - - - X - 105,217. 0. 16,971. - 107,040. 0. 9,697. (28) BARBARA WRIGHT DIRECTOR OF COMMUNICATIONS (29) SALVADOR DE LA TORRE 35.00X COUNTRY DIRECTOR , KENYA (30) RABIA MATHAI 35.00 X - 198,453. Q, 38,414. SENIOR TECHNICAL ADVISOR, ASIA, PACI 21.00 X 130,489. 0. VII. Section 541,199. 132201 05-01-11 9 18.512. 83,594. CATHOLIC MEDICAL MISSION BOARD, INC. it Revenue (A) Total revenue I a Federated campaigns b Membership dues c Fundraising events d Related organizations e Government grants (contributions) f All other contributions, gifts, grants, and similar amounts not included above Zf o (i< j5.2 (B) Related or exempt function revenue Page (D) Revenue excluded from tax under sections 512, 513, or 514 (C) Unrelated business revenue .Ia .lb 1C .id le 12,894 1713. If 257,094,197. g Noncash contributions Included in lines la-1f.$2 C IO 13-5602319 -- 45, 797,261. 269,988,9 0. h Total. Add lines la-if I Business Code 2a b c M d e o 0.. f All other program service revenue - g Total. Add lines 2a-2f 3 Investment income (including dividends, interest, and other similar amounts) 101,183. 4 Income from investment of tax-exempt bond proceeds 111 5 Royalties .......................................................................________________ (i) Real (ii) Personal 6 a Gross rents b Less: rental expenses c Rental income or (loss) d Net rental income or (loss) .......................................... ..________________ 7 a Gross amount from sales of (1) Securities (ii) Other 2,335,763, assets other than inventory b Less: cost or other basis 2,191,551, and sales expenses .144212. c Gain or (loss) 144, 212. d Net gain or (loss) ......................................................... Do 8 a Gross income from fundraising events (not including$ of contributions reported on line ic). See cc Part IV, line 18 a b Less: direct expensesb c Net income or (loss) from fundraising events ............... .._______________ 9 a Gross income from gaming activities. See Part IV, line 19 a b Less: direct expensesb c Net income or (loss) from gaming activities .................. .._______________ 10 a Gross sales of inventory, less returns and allowances a b Less: cost of goods sold b c Net income or (loss) from sales of inventory .................. _______________ Miscellaneous Revenue IBusiness Code 11 a b CI)c E> w 101,183. 0 .1 1 4 41 -4 ,212. . .4 C d All other revenue e Total. Add lines ha-i-id . Total revenue. See instructions. ....................................... 12 270,234,305.1 MOM 01-23-12 10 0. j 245,395. Form 990(2011) CATHOLIC MEDICAL MISSION BOARD, INC. 990 (201 1) 13-5602319 PagelO unctional Expenses Section 501(c) (3) and 501(c) (4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D). Check if Schedule 0 contains a response to any question in this Part IX Do not include amounts reported on lines 6b, 7b, 8b, 9b, and lOb of Part VIII. I Total expenses . __________________ Progra)service expenses Management and general expenses Fundraising expenses Grants and other assistance to governments and 470,133. organizations in the United States. See Part IV, line 21 470,133. 2 Grants and other assistance to individuals in - -- the United States. See Part IV, line 22 3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 4 Benefits paid to or for members 238381430. 238381430.'q" 5 Compensation of current officers, directors, .1,257,436. 2711 676. 734,927. 250, 833. persons described in section 4958(c)(3)(B)_________________ .5,212,074. 4,013,769. 7 Other salaries and wages 559,280. 8 Pension plan accruals and contributions (include 639,025. 6 trustees, and key employees Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and 10 Payroll taxes 407 , 742. .1,139,107. 269,611. 256, 070 . 715,383. 169,321. 100,221. 279,986. 66,269. 11 Fees for services (non-employees): a Management b Legal c Accounting .85,443. .130,174. 3,294. 24,174. 72,900. 106,000. 917 , 934. 419, 90,314. 901314. .1,293,160. 768,971. 34,105. 251955. 230,667. 524,189. 1,150. 542,409. .1,263,788. 474,983. 1,022,908. 67,426. 183,241. 57,639. 1,375,371. 1,274,303. 89,109. 11,959. 107,489. 219,584. 34,553. 94,498. 72,936. 125,086. section 4Ol(k) and section 4O3(b) employer contributions) 9 Other employee benefits d Lobbying e Professional fundraising services. See Part IV, line 17 f Investment management fees g Other 12 Advertising and promotion 51,451. 143, 738. 34,021. ___ 9 ,249___ __ . 917,934. 98,931. 7,000. 13 Office expenses 14 Information technology 15 Royalties 16 Occupancy 17 Travel 18 Payments of travel or entertainment expenses for any federal, state, or local public officials 19 Conferences, conventions, and meetings 20 Interest 21 Payments to affiliates 22 Depreciation, depletion, and amortization 23 Insurance 24 Other expenses, Itemize expenses not covered above. (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule 0.) aSUPPLIES b PRINTING c SERVICE CONTRACTS d POSTAGE AND MAILING e All other expenses _____ 25 Totalfunctionalexpenses.Addlineslthrough24e 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here If following sop 98-2 (ASC 958-720) - 1,301,050. 1,159,668. 1,023,685. 73,622. 829,063. 153,714. 778,843. 25,980. 1,687,023. 1,086,910. 259146566.1 250591629. 136,025. 1,240. 601,624. 6,056. 581,145. 4,539,477. 5,357. 948,823. 73,725. 746,807. 18,968. 4,0157460. E1 132010 01-23-12 Form 990(2011) 11 CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Paaell nce (A) Beginning of year (B) End of year .8 47, 9 3 5. i 6151227. 2 .80 , 267. 1 Cash - non-interest-bearing 2 Savings and temporary cash investments 3 Pledges and grants receivable, net 4 Accounts receivable, net 354, 798. 476,896. 231,748. 4 5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L - 6 Receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) 7 Notes and loans receivable, net 8 Inventories for sale oruse 9 Prepaid expenses and deferred charges lOa Land, buildings, and equipment: cost or other 6 7 52,689, 029173 1 240. g ,404,588. 234,075. lOc ii 688,394. • 156. 862. - 3 , 494, 116 basis. Complete Part VI of Schedule D .lOa 2,805,722 b Less: accumulated depreciation .lOb 11 Investments - publicly traded securities 12 Investments - other securities. See Part IV, line 11 13 Investments - program-related. See Part IV, line 11 14 Intangible assets 15 Other assets. See Part IV, line 11 - 16 Total assets. Add lines 1 through 15 (must equal line 34) 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue :759,349. 736, 723. 4, 303 , 276 . 60 , 205, 046. .2,115 , 398. 14 15 J £ .J , .1 .) _ • 17 ,171,300. ,693,025. 1,197,381. 19 ,308,255. 21 20 Tax-exempt bond liabilities ca 21 Escrow or custodial account liability. Complete Part IV of Schedule D 22 Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L 23 Secured mortgages and notes payable to unrelated third parties 23 24 Unsecured notes and loans payable to unrelated third parties 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17.24). Complete Part X of Schedule - 26 Total liabilities. Add lines 17 through 25 Organizations that follow SFAS 117, check here lines 27 through 29, and lines 33 and 34. 27 Unrestricted net assets 28 Temporarily restricted net assets c 29 Permanently restricted net assets U. LXJ Organizations that do not follow SFAS 117, check here complete lines 30 through 34 Z 24 3,333,588. 6, 646 , 367. 25 3,783 , 819. 7,785,099. 51,358,217. .2 , 20 0 , 462 . 27 2,921,635. 2,464,566. and complete LI 29 and 30 Capital stock or trust principal, or current funds 31 Paid-in or capital surplus, or land, building, or equipment fund CD 32 Retained earnings, endowment, accumulated income, or other funds Total net assets or fund balances 34 Total liabilities and net assets/fund balances 53,558,679. 60,205,046. 31 32 33 _J VV, £. V .1. • ,171,300. Form 990(2011) 132011 01-23-12 12 Form ggO(2011) CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Page12 Part XII Reconciliation of Net Assets EM Check if Schedule 0 contains a response to any question in this Part XI 1 Total revenue (must equal Part VIII, column (A), line 12) 2 Total expenses (must equal Part IX, column (A), line 25) ............................................................................. 3 Revenue less expenses. Subtract line 2 from line 1 4 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) 5 Other changes in net assets or fund balances (explain in Schedule 0) 6 Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) 1 270,234,305. 259,146,566. 11,087,739. 53,558,679. 739,783. 65,386,201. Part XlIj Financial Statements and Reporting Check if Schedule 0 contains a resoonse to any auestion in this Part XII ............................................. Yes I Accounting method used to prepare the Form 990: Cash M Accrual LI Other If the organization changed its method of accounting from a prior year or checked Other, explain in Schedule 0. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? b Were the organizations financial statements audited by an independent accountant? c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule 0. d If Yes to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both: i:i Separate basis Consolidated basis El Both consolidated and separate basis 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OM Circular A-i 33? b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit LI No X 2a 2b 2c i 3a 3b X Form 990(2011) 132012 01-23-12 13 SCHEDULE A OMB No. 1545-0047 Public Charity Status and Public Support (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. See separate instructions. CATHOLIC MEDICAL MISSION BOARD, INC. C Open to Public Inspection 13-5602319 (All organizations must complete this part.) See instructions. The or anization is not a private foundation because it is: (For lines 1 through 11, check only one box.) I A church, convention of churches, or association of churches described in section 170(b1)(A)(i). 2 El A school described in section 170(bX1)(A)(ii). (Attach Schedule E.) 3 A hospital or a cooperative hospital service organization described in section 170(bXI)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, 4 city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in 5 section 170(b)(11)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(bXI)(A)(v). L1 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part Ill.) 10 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). ii LI An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11 e through 11 h. a Type I Type II c Type Ill - Functionally integrated b Type Ill . Other d e By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). f If the organization received a written determination from the IRS that it is a Type I, Type II, or Type Ill supporting organization, check this box ................................................................................ g Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? (i) A person who directly or indirectly controls, either alone or together with persons described in (i and (iii) below, Yes No the governing body of the supported organization? .lIg(i) (ii) A family member of a person described in (i) above? ii (iii) (iii) A 35% controlled entity of a person described in (i) or (ii) above? .11g(iii) h Provide the following information about the supported organization(s). LI LI LI LI LI (i) Name of supported organization (ii) EIN organization j (described on lines 1-9 I above or IRC section (see instructions)) I ')Is the organization j (v) Did you notify the l (vi) Is the I organization in col. col. (i) listed in your organization in col. (I) organized in the II verning document?J (i) of your support? U.S.? Yes I No I Yes I No I Yes I No I Total LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. (vii) Amount of support Schedule A (Form 990 or 990-EZ) 2011 132021 01-24-12 14 Schedule (Form 990 or990-E4 2011 I CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Paqe2 Part Ill Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part Ill. If the organization fails to qualify under the tests listed below, please complete Part Ill.) Section A. Public Support Calendar year (or fiscal year beginning in)- 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 3 The value of services or facilities furnished by a governmental unit to the organization without charge 4 Total. Add lines l through 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) 6 Public support. (a)2007 (b)2008 (c)2009 (d)2010 (e)2011 (f)Total 206,914,220. 280,218,876. 179,707,372. 304,912,375. 269,988,910. 1241741753. 206,914,220. 280,218,876. 179,707,372. 304,912,375. 269,988,910, 1241741753. . . . S - Subtract Iine5from One 4. - - -. 663,878,583. -. - . 577,863,170. Section B. Total Support Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total 7 Amounts from line 4 .206,914,220. 280,218,876. 179,707,372. 304,912,375. 269,988,910. 1241741753. 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties 220,713. 135,364. and income from similar sources 97,603. 96,034. 101,183. 650,897. 9 Net income from unrelated business activities, whether or not the business is regularly carried on 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 11 Total support. Add lines 7 through 10 -7124-2392650. 1242392650 12 Gross receipts from related activities, etc. (see instructions) 12T 13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3) organization, check this box and stop here ....................................................................................................................................... Section C. Computation of Public Support Percentage 14 Public support percentage for 2011 (line 6, column (f) divided by line 11, column (f)) 1141 46.51 % 15 Public support percentage from 2010 Schedule A, Part II, line 14 50.19 % 115 16a 33 1/3% support test - 2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization lo. b 33 1/3% support test - 2010. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization 17a lO% -facts-and-circumstances test - 2011. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances' test. The organization qualifies as a publicly supported organization b lO% -facts-and-circumstances test - 2010. If the organization did not check a box on line 13, 16a, 16b, cr1 7a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances" test. The organization qualifies as a publicly supported organization 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions Schedule A (Form 990 or 990-EZ) 2011 L1 132022 01-24-12 15 Schedule A (Form 990 or 990•EZ) 2011 Page 3 I Part III Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total 2009 (d) 2010 (e) 2011 (f) Total 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 5 The value of services or facilities furnished by a governmental unit to the organization without charge 6 Total. Add lines 1 through 5 ......... ._____________ 7a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts Included on tines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on tine 13 for the year c Add lines 7a and 7b • IOUUI,dbI ,Ivc U u g ly UIl g . - Section B. Total Support Calendar year (or fiscal year beginning In) (a) 2007 (b) 2008 (C) 9 Amounts from line 6 lOa Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 cAdd lines 1 O and 1 O 11 Net income from unrelated business activities not included in line 1 Ob, whether or not the business is regularly carried on 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ............ .______________ 13 Total sup port (Add lines 9, lOc, 11, and 12.) 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3) organization, Section C. Computation of Public Support Percentage 15 Public support percentage for 2011 (line 8, column (f) divided by line 13, column (0) .................................... 115 I % Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2011 (line lOc, column (f) divided byline 13, column (f))17 18 Investment income percentage from 2010 Schedule A, Part III, line 17 118 1 19a 33 1/3% support tests -2011. If the organization did not check the box online 14, and line 15 is more than 331/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization b 33 1/3% support tests — 2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization 20 Private foundation. If the organization did not check a box online 14,19a, or 19b, check this box and see instructions % % El .El El Schedule A (Form 990 or 990-EZ) 2011 132023 01-24-12 16 13-5602319 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule A Identification of Excess Contributions Included on Part II, Line 5 2011 ** Do Not File ** Not Open to Public Inspection Total Contributions Excess Contributions .PEVA PHARMACEUTICALS INC 475337195. 450489342. 3OEHRINGER INGELHEIM LTD. 113346334. 88,498,481. Contributor's Name BRISTOL-MYERS SQUIBB & BMS APOTHECON 34,655,183. 9,807,330. T&J 56,276,986. 31,429,133. BROTHERS BROTHER 59,813,718. 34, 965,865. ABBOTT LABS 35,427,452. 10,579,599. WXANNE LABORATORIES INC 25,909,953. ELI LILLY & CO. 35,924,340. 11,076,487. YLAN PHARMACEUTICALS INC Total Excess Contributions to Schedule A, Part II, Line 5 123171 05-01.11 1,062,100. 50,818,099. 25,970,246. .663878583. SCHEDULED I (Form 990) I Department of the Treasury Internal Revenue Service I I 2011 OMB No. 1545-0047 Supplemental Financial Statements I I Complete if the organization answered "Yes," to Form 990, Part IV, line 6,7,8,9, 10, ha, lib, lic, lid, lie, hit, 12a, or 12b. Attach to Form 990. See separate instructions. Name of the organization - Inspection Employer identification number CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 1 ions Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the answered "Yes" to Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts I Total number at end of year 2 Aggregate contributions to (during year) 3 Aggregate grants from (during year) 4 Aggregate value at end of year 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? LIII Yes No .....................................................................................................................................Yes Complete if the organization answered "Yes" to Form 990, Part IV, line 7. No 6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissibleprivate benefit? Part II I Conservation Easements. 1 Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a Total number of conservation easements b Total acreage restricted by conservation easements c Number of conservation easements on a certified historic structure included in (a) d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register I 2d I 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year'4 Number of states where property subject to conservation easement is located 5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? 6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year 0o. 7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year $ El Yes El No 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 1 70(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . Yes EJ No 9 In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. Part Ill J Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 8. la If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIV, the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenues included in Form 990, Part VIII, line 1 $ (ii) Assets included in Form 990, Part X$ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items: a Revenues included in Form 990, Part VIII, line 1 b Assets included in Form 990, Part X $ $ LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 132051 01-23-12 21 Schedule D (Form 990)2011 Schedule D (Form 99O)2011 CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Part Ill I Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Page2 (continued) 3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): a Public exhibition d Loan or exchange programs b Scholarly research e Other______________________________________________________ c Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? ........................................ Yes Part IV I Escrow and Custodial Arrangements. No Complete if the organization answered "Yes' to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. la Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? No Yes b If "Yes," explain the arrangement in Part XIV and complete the following table: Amount c Beginning balance d Additions during the year .Ic .id e Distributions during the year Ending balance ._12_ . Li Yes 2a Did the organization include an amount on Form 990, Part X, line 21? I Li No b If 'Yes,' explain the arrangement in Part XIV. Part V Endowment Funds. Complete if the organization answered 'Yes' to Form 990, Part IV, line 10. I la Beginning of year balance b Contributions c Net investment earnings, gains, and losses (a) Current year .2,200,462. .2,601,285. (b) Prior year (c) Two years back (d) Three years back 3,187,039. 1,934,257. 2,020,673. 3,481,461. 1,626,499 1,693,421 2,920,834. 2,200,462. 2,315,095. 1,299,247, 2,020,673. Four years back d Grants or scholarships e Other expenditures for facilities and programs .2,337,181. f Administrative expenses .2,464,560. 3,187,039. g End of year balance 2 Provide the estimated percentage of the current year end balance (line ig, column (a)) held as: a Board designated or quasi-endowment % b Permanent endowment % 10 0. 0 0 c Temporarily restricted endowment The percentages in lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization - by: - (i) unrelated organizations (ii) related Yes No 3a p organizations X X b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule A? 4 Describe in Part XIV the intended uses of the oraanization's endowment funds. ma, uuiiaings, an See Form 990, Part line 10. Description of property (a) Cost or other (b) Cost or other (c) Accumulated (d) Book value basis (investment) basis (other) depreciation . I la Land b Buildings c Leasehold improvements .1 d Equipment I J 1.044.188. 'I must Form Schedule D (Form 990) 2011 132052 01-23-12 22 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule D (Form 9 g O)2011 Part VIII Investments — 13-5602319 Other Securities. See Form 990, Part X, line 12. (a) Description of security or category (including name of security) (c) Method of valuation: Cost or end-of-year market value (b) Book value (1) Financial derivatives (2) Closely-held equity interests (3) Other - -- - - Total. (Col (b must equal Form 990, Part X, cal (B) line 12.) Part VIII Investments — Program Related. iii 990, Part X, line 13. (a) Description of investment type Total. (Cal (b) must equal Form 990, Part X, cal (B) line 13.) 00. (C) Method of valuation: Cost or end-of-year market value I (b) Book value I Part IX I Other Assets. See Form 990, Part X, line 15. (a) Description ACCRUED INTEREST & OTHER RECEfl (1) (2)GIFT ANNUITY INVESTMENTS (3)CHARITABLE REMAINDER TR ASSETS (4 GOVERNMENT GRANTS RECEIVABLE _, -= ,975,502. 817,067. 796,837. p- I rt X J J I • I J 1 , .1 ._1 .1 • I Other Liabilities. See Form 990, Part X, line 25. (a) Description of liability (b) Book value 1) Federal income taxes 2)GIFT ANNUITY PAYABLE 3)CHARITABLE REMAINDER ANNUITY t) PAYABLE POSTRETIREMENT BENEFITS Total. (Column (b) must equal Form 990, Part X, cal (B) line 25.) 2. en /VU) t-oomote. FIN 48 (ASC 7401. M In I'8rt AiV, provlae me text ot me loomote to me orgaoizatior 2,729,603. 312,560. 362,601. 379,055. - 3,783,819. statements mat reports me o'gai. .atIon S uaoii Schedule D (Form 990) 2011 23 chedule D (Form 990) 2011 CATHOLIC MEDICAL MISSION BOARD, INC. Part XI I Reconciliation of Change in Net Assets from Form 990 to Audited Finari I Total revenue (Form 990, Part VIII, column (A), line 12) 2 Total expenses (Form 990, Part IX, column (A), line 25) 13-5602319 I Page I Statements 270,234 ,305. ,566. '739. ,248. 3 Excess or (deficit) for the year. Subtract line 2 from line 1 4 Net unrealized gains (losses) on investments 5 Donated services and use of facilities 6 Investment expenses 7 Prior period adjustments '535. ,783. ,522. 8 Other (Describe in Part XIV.) 9 Total adjustments (net). Add lines 4 through 8 0 Excess or (deficit) for the year oer audited financial statements. Combine lines 3 and 9 Part Xli I Reconciliation of Revenue per Audited Financial Statements With Revenue per F L439. 1 Total revenue, gains, and other support per audited financial statements 2 Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains on investments .2a b Donated services and use of facilities c Recoveries of prior year grants d Other (Describe in Part XIV.) e Add lines 2a through 2d 3 Subtract line 2e from line 1 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: 2b 6,817,134. .2c .2d 3 a Investment expenses not included on Form 990, Part VIII, line 7b b Other (Describe in Part XIV.) c Add lines 4a and 4b 6,817,134. 270234305. .4a .4b 0. 270234305. 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12) Part XIIlI Reconciliation of Expenses per Audited Financial Statements With Expenses per eturn 266095948. I Total expenses and losses per audited financial statements 2 Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities b Prior year adjustments 2a 6,817,134. .2b c Other losses d Other (Describe in Part XIV.) e Add lines 2a through 2d 3 Subtract line 2e from line 1 2c 132,248. .2d 6,949,382. 3 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b b Other (Describe in Part XIV.) c Add lines 4a and 4b .4a .4b II 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) D art XIVI Supplemental Information Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part Ill, lines la and 4; Part IV, lines lb and 2b; Part V, line 4; Part X, line 2; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information. PART X, LINE 2: FIN 48 DISCLOSURE: THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2012 IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740, "INCOME TAXES," WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL OR STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS PRIOR TO SEPTEMBER 30, 2009. Schedule D (Form 990) 2011 132054 01-23-12 24 ScheduleD (Form 99O)2011 I CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Paqe5 Part XIV I Supplemental Information (continued) PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUATION OF GIFT ANNUITY PROGRAM PAYABLE CHANGE IN VALUATION OF CHARITABLE REMAINDER ANNUITY TRUST OBLIGATION 440,623. POSTRETIREMENT RELATED CHANGE OTHER THAN NET PERIODIC COST TOTAL TO SCHEDULE D. PART XI. LINE 8 3,110. 163,802. 607.535. Schedule (Form 990)2011 132055 01-23-12 25 SCHEDULE F (Form 990) Statement of Activities Outside the United States Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. 10- Attach to Form 990. See separate instructions. Department of the Treasury Internal Revenue Service OMB No. 2011 ______________ Open to Public . Inspection 'I Name of the organization Employer identification number CATHOLIC MEDICAL MISSION BOARD, INC. I Part I I General Information on Activities Outside the United States. 13-5602319 Complete if the organization answered "Yes" to Form 990, Part IV, line 14b. 1 For grantmakers. Does the organization maintain records to substantiate the amount of its grants and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? .Yes E1 No 2 For grantmakers. Describe in Part V the organization's procedures for monitoring the use of its grants and other assistance outside the United States. 3 Activities per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.) (a) Region (b) Number of (c) Number of (d) Activities conducted in region (e) If activity listed in (d) employees, offices (by type) (e.g., fundraising, program is a program service, agents and in the region services, investments, grants to independent describe specific type contractors recipients located in the region) of service(s) in region —in realon (f) Total expenditures investments in region AIDS, PMTCT, IMCI, SERVICES AND GRANT SUB-SAHARAN AFRICA 151 EMERGING DISEASES, HEALING HELP 40145127, AIDS, PMTCT , IMCI, CENTRAL AMERICA AND SERVICES AND GRANT THE CARIBBEAN 64 EMERGING DISEASES, HEALING HELP 594,924. AIDS, PMTCT, IMCI, EAST ASIA AND THE PACIFIC 0 RUSSIA AND NEWLY INDEPENDENT STATES 0 SERVICES 11 SERVICES SERVICES AND GRANT SOUTH AMERICA EMERGING DISEASES, HEALING HELP HELP 7,678,191. 372,020. 3EALING HELP, HIV AIDS kND IMCI 5,460,228. fIV AIDS, PMTCT, IMCI, fTA, EMERGING DISEASES, SOUTH ASIA 3 a Sub-total 0 SERVICES KND HEALING HELP 130,940. 8 226 238381430. 0 0 0. 8 226 b Total from continuation sheets to Part I c Totals (add lines 3a and 3b) 238381430. LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 132071 01-23-12 26 Schedule F (Form 990)2011 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule F (Form 99O)2011 I Part II I 1 (a) Name of organization (b) IRS code section and EIN (if applicable) F (c) Region SOUTHEASTERN EUROPE LUSSIA AND - I (g) Amount of (e) Amount (1) Manner of non-cash of cash grant cash disbursement assistance (d) Purpose of grant KEDICAL ASSISTANCE ASSISTANCE Page - PHARMACEUTICAL 25,843. )ONATIONS .W/A 346177. 0 IEDICAL ASSISTANCE 0. 8,573. TEST AFRICA IEDICAL ASSISTANCE 0. 4,366,979. ENTRAL AFRICA IEDICAL ASSISTANCE IFRICA (h) Description of non-cash assistance 0. 1/A SOUTH AMERICA AMERICA & • - 135602319 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 Part II can be duplicated if additional space is needed. IIII (i) Method of valuation (book, FMV, appraisal, other) MV 2,119,279 ASSISTANCE 0i'1/A 13,018. ASSISTANCE O./A 13,960,043. DICAL ASSISTANCE 0. /A bARNACEUTICAL L1W 4,745,300. NATIONS 2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501 (c)(3) equivalency letter Do. 3 Enter total number of other organizations or entities --------------------------------------------------------------------------------------------------------------------------------------- Schedule F (Form 990) 2011 132072 01-23-12 27 13-5602319 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule F (Form 99O) Part II Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1 (a) Name of organization (b) IRS code section and EIN (if applicable) (c) Region - - - (I) Method of valuation (book, FMV, appraisal, other) 0. IA PHARMACEUTICAL 179897. )ONATIONS FMV 14EDICAL ASSISTANCE 0. IA PHARMACEUTICAL 15,651,470. ONATIONS FMV AFRICA ASSISTANCE 0.9/A 1,208,934. AL AMERICA & BEAN ASSISTANCE 0. /A 2,044,437. ASSISTANCE OX /A 55,513,987. AFRICA ASSISTANCE 0. AL AMERICA & BEAN ASSISTANCE 2,200,338. 'A 43,694,272. AL AMERICA & BEAN ASSISTANCE 858.13FT 27,335,646. ASSISTANCE 0.9/A 1.854.231. ENTRAL AMERICA ARIBBEAN AL AMERICA & 116120. AL AMERICA & 132182 05-01-11 (h) Description of non-cash assistance AEDICAL ASSISTANCE SOUTH AMERICA P (g) Amount of (e) Amount (f) Manner of non-cash of cash grant cash disbursement assistance (d) Purpose of grant Page 28 Schedule F (Form 99O) CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Part 11 1 Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1 (b) IRS code section (g) Amount of (d) Purpose of (e) Amount (f) Manner of (a) Name of organization(c) Region non-cash and EIN (if applicable) grant of cash grant cash disbursement assistance PHARMACEUTICAL 4,539,746. DONATIONS FMV MEDICAL ASSISTANCE 0.9/A PHARMACEUTICAL 2,661,903. DONATIONS FKV SOUTH ASIA IEDICAL ASSISTANCE 0, 1/A PHARMACEUTICAL 21,332. DONATIONS FMV CENTRAL AMERICA CARIBBEAN AEDICAL ASSISTANCE PHARMACEUTICAL 0.9 /A 20,619,724. ONATIONS FMV TEST AFRICA 4EDICAL ASSISTANCE 0.9/A PHARMACEUTICAL 655253. ONATIONS - CENTRAL AMERICA & CARIBBEAN MEDICAL ASSISTANCE 0. 1/A PHARMACEUTICAL 1,718,881. DONATIONS F14V EST AFRICA -- - - - MEDICAL ASSISTANCE 0. 1/A PHARMACEUTICAL 9,048. )ONATIONS FMV SOUTH AMERICA MEDICAL ASSISTANCE 0. 1/A PHARMACEUTICAL 1,563,103. DONATIONS MV SOUTH AMERICA MEDICAL ASSISTANCE 298839. FT HARMACHUTICAL 3,409,816. ONATIONS PMV - - 132182 05-01-11 AFRICA - • -; (i) Method of valuation (book, FMV, appraisal, other) 1,583,447. EFT - • (h) Description of non-cash assistance MEDICAL ASSISTANCE AFRICA - Page 29 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule F (Form 9gO) 135602319 Part II 1 Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line (a) Name of organization (b) IRS code section and EIN (if applicable) - (c) Region (g) Amount of (e) Amount (f) Manner of non-cash of cash grant cash disbursement assistance (d) Purpose of grant Page (h) Description of non-cash assistance (i) Method of valuation (book, FMV, appraisal, other) AST ASIA MEDICAL ASSISTANCE 4,875. FT PHARMACEUTICAL 7,666,736. DONATIONS FMV EST AFRICA MEDICAL ASSISTANCE OX /A PHARMACEUTICAL 5,648,712. IONATIONS F14V TEST AFRICA MEDICAL ASSISTANCE OX /A HARHACEUTICAL 4,764,786. IONATIONS FKV HORN OF AFRICA MEDICAL ASSISTANCE 0. F/A PHARMACEUTICAL 3,662,740. DONATIONS FMV SOUTHERN AFRICA MEDICAL ASSISTANCE O.N/A PHARMACEUTICAL 15,976. DONATIONS MV SOUTHERN AFRICA MEDICAL ASSISTANCE 0.9/A HARNACEUTICAL 2,729,744. ONATIONS FMV [AST AFRICA MEDICAL ASSISTANCE 0. 2/A PHARMACEUTICAL 1,124,419. DONATIONS F14V SUB-SAHARAN iFRICA AEDICAL ASSISTANCE 27,421.9/A PHARMACEUTICAL 123707. DONATIONS FKV - - - - - - - - - EDICAL ASSISTANCE SOUTH ASIA 132182 05-01-11 4EDICAL ASSISTANCE 109608. [FT 30 0. Schedule (Form 990) CATHOLIC MEDICAL MI SSION BOARD INC . Page 2 I Part II I Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule (Form 990), Part ll, line 1) 1 - A of Descri tion Method of 005?? 590m? at Pu of Amount Manner of moun Name of organization 3 EN .f I. bl Region non-cash of non-cash valuation (book, FMV, 3? app '93 9) grant of cash grant cash disbursement assistance assistance appraisal other) AFRICA MEDICAL ASSISTANCE 25 I 105 .EFT 989 . FMV m?nww. amm- 4* mmwe wme . 132132 05-01-11 31 Schedule F (Form 99O)2011 CATHOLIC MEDICAL MISSION BOARD, INC. 135602319 Page 'Partilli Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16. Part Ill can be if additional space is needed. (a) Type of grant or assistance (b) Region (c) Number of (d) Amount of recipients cash grant (e) Manner of cash disbursement (f) Amount of (g) Description of I (h) Method of non-cash I valuation non-cash assistance assistance (book, FMV, appraisal, praisal, other) J I Schedule F (Form 990) 2011 132073 01-23-12 32 :orm990)2011 CATHOLIC Foreign Forms I MEDICAL MISSION BOARD, INC. 3 4 Paae4 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If 'Yes, the organization maybe required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926) 2 13-5602319 .Yes 1X1 No Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A) .Yes E1 No Did the organization have an ownership interest in a foreign corporation during the tax year? If 'Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons With Respect To Certain Foreign Corporations. (see Instructions for Form 5471) .Yes IM No Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .Yes IM No Did the organization have an ownership interest in a foreign partnership during the tax year? If 'Yes," the organization may be required to file Form 8865, Return of U.S. Persons With Respect To Certain Foreign Partnerships. (see Instructions for Form 8865) .Yes [X] No LYes IIlNo Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization maybe required to file Form 3520, Annual Return to Report Transadtions with Foreign Trusts and Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If 'Yes,' the organization maybe required to file Form 8621, 5 6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 57l3) Schedule F (Form 990) 2011 132074 01-23-12 33 Schedule F (Form ggO)2011 Part V I CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Paqe5 Supplemental Information Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part Ill (accounting method); and Part Ill, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. SCHEDULE F, PART I, LINE 2: CATHOLIC MEDICAL MISSION BOARD MONITORS THE USE OF GRANT FUNDS BY PERFORMING INITIAL EVALUATIONS OF THE GRANTEES AND THEN DESIGNS A MONITORING PROGRAM BASED ON THEIR MEASURED CAPACITY. THE MONITORING PLAN INCLUDES SITE VISITS THROUGHOUT THE YEAR, INDEPENDENT EXTERNAL AUDITS, AND THOROUGH REVIEW OF TECHNICAL AND FINANCIAL STATUS REPORTS. Schedule F (Form 990)2011 132075 01-23-12 34 Supplemental Information Regarding Fundraising or Gaming Activities SCHEDULE G (Form 990 or 990-EZ) 2011 Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, Open To Public or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Inspection Attach to Form 990 or Form 990-EZ. ON, See separate instructions. Employer identification number Department of the Treasury Internal Revenue Service Name of the organization 113-5602319 CATHOLIC MEDICAL MISSION BOARD, INC. Part I OMB No. 1545-0047 Fundraising Activities. Complete if the organization answered "Yes' to Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. a Mail solicitations e Solicitation of non-government grants b Internet and email solicitations f ElSolicitation of government grants c E1 Phone solicitations g Special fundraising events d In-person solicitations 2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? E2 Yes b If 'Yes,' list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (i) Name and address of individual or entity (fundraiser) AMERGENT - 9 CENTENNIAL DRIVE, PEABODY , MA MDS COMMUNICATIONS - 545 W. JUANITA AVE. MESA, AZ 85210 (iii) Did fun raiser have cust odv or control o J contributions? (ii) Activity ROFESSIONAL FUNDRAISING ERVICES ROFESSIONAL FUNDRAISING (v) Amount paid (iv) Gross receipts to (or retained by) I (vi) Amount paid to (or retained by) fundraiser from activity organization listed in col. (i) No 4,504,571 X No 586.211 764,831. 3,739,740. 149,356. 436,855. 5,090,782.1 4,176,595. Total 914,187.1 I 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing. AK,AL,AR,AZ,CA,CT,CO3FL,GA,IL,KS,KY,MA,MD,ME,MI,MS,MN,NC,ND,NH,NJ,NM,NY,OH OK,PA,RI,SC,TN,tJT,VA,WA,WI,WV LHA Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. SEE PART IV FOR CONTINUATIONS 132081 01-23-12 35 Schedule 9 (Form 990 or 990-EZ) 2011 13-5602319 Paqe2 Schedule G (Form 9 Oor 9O-EZ)2011 CATHOLIC MEDICAL MISSION BOARD, INC. Fundraising Events. Complete if the organization answered "Yes to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1 (c) Other events (b) Event #2 .,., (0) oiai evenis (add ccl. (a) through ccl. (c)) (event type) (event type) (total number) a) g g I Part H a) cr 1 Gross receipts 2 Less: Charitable contributions 3 Gross income (line 1 minus line 2) .......... 4 Cash prizes 5 Noncash prizes M Co 6 Rent/facility costs 0 2 7 Food and beverages a 8 Entertainment 9 Other direct expenses 10 Direct expense summary. Add lines 4 through 9 in column (d) aming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (b) Pull tabs/instant (a) Bingo (c) Other gaming bingo/progressive bingo a) C I (d) Total gaming (add Icol. (a) through col. (c)) a) > CD ir co a) 2 Cash prizes Co 3 Noncash prizes a 4 Rent/facility costs Other direct L_J 6 Volunteer labor Yes______ % I LJ 1=1 No Yes______ % LJ Yes No No ........................................................ 7 Direct expense summary. Add lines 2 through 5 in column (d) 8 9 Enter the state(s) in which the organization operates gaming activities: ________ a Is the organization licensed to operate gaming activities in each of these states?L.....J Yes L.J No b If "No," explain: lOa Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? b If "Yes," explain: L..J Yes =No Schedule G (Form 990 or 990-EZ) 2011 132082 01-23-12 36 Schedule G (Form 9900r ggO.EZ)2011 CATHOLIC MEDICAL MISSION BOARD, INC13-5602319 Page3 11 Does the organization operate gaming activities with nonmembers? Yes L.i No 12 Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to administer charitable gaming? .Yes No 13 Indicate the percentage of gaming activity operated in: a The organization's facility .13a b An outside facility .13b % 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records: U Name Address 15a Does the organization have a contract with a third party from whom the organization receives gaming revenue? b If "Yes," enter the amount of gaming revenue received by the organization po p. $ of gaming revenue retained by the third party $ c If "Yes, enter name and address of the third party: .Yes No and the amount Name lo, Address 16 Gaming manager information: Name Gaming manager compensation $ Description of services provided - Director/officer I Employee Independent contractor 17 Mandatory distributions: a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? .Yes No b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year 10 l, $ Part IVI Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, lob, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions). SCHEDULE G, PART I, LINE 2B, LIST OF TEN HIGHEST PAID FUNDRAISERS: (I) NAME OF FUNDRAISER: AMERGENT (I) ADDRESS OF FUNDRAISER: 9 CENTENNIAL DRIVE, PEABODY, MA 01960-7906 Schedule G (Form 990 or 990-EZ) 2011 132083 01-23-12 37 SCHEDULE I (Form 990) OMB No. 1545-0047 Grants and Other Assistance to Organizations, Governments, and Individuals in the United States 2011 Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22. Attach to Form 990. Department of the Treasury Internal Revenue Service Name of the organization Open to Public Inspection Employer Identification number CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 on on (rants and Assistance 1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection -criteria used to award the grants or assistance? E1 Yes 2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States. Part II 1 Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 21, for any 1 (a) EJ No recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part II can be duplicated if additional space is needed ........................... LI Name and address of organization (b) EIN (c) IRC section (d) Amount of (e) Amount of (g) Description of (h) Purpose of grant ? or government if applicable cash grant non-cash non-cash assistance or assistance FMV appraisal assistance other) WORLD VISION INTERNATIONAL P0 BOX 9716 WASHINGTON. DC 98063-9716 FUTURES GROUP INTERNATIONAL, LLC 1000 WEST MAIN STREET, 2ND FLOOR DURHAM, NC 27701 UNIVERSITY MARYLAND , BALTIMORE 220 ARCH STREET BALTIMORE. MD 21201 M SERVICES NT WORK ON CDC GRANT IN SOUTHERN 95-1922279 p01(C) (3) 161,985. 0. SERVICES T WORK ON CDC 26-1509671 [01(C)(3) 52-6002033 01(C)(3) 176,620. I 131,528.1 0. GRANT IN HAITI 0. SERVICESON CDC SIDALE IN HAITI 2 Enter total number of section 501 (c)(3) and government organizations listed in the line 1 table 3 Enter total number of other organizations listed in the line 1 table ...................................................................................................................................................... LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 132101 01-27-12 10. Schedule I (Form 990) (2011) 38 CATHOLIC MEDICAL MISSION BOARD, INC. Schedule l (Form 9 gO)(2011) Part Ill Grants and Other Assistance to Individuals In the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22. Part Ill can be duplicated if additional space is needed. SCHEDULE I, PART I, LINE 135602319 Page 2: CATHOLIC MEDICAL MISSION BOARD MONITORS THE USE OF GRANT FUNDS BY PERFORMING INITIAL EVALUATIONS OF THE GRANTEES AND THEN DESIGNS A MONITORING PROGRAM BASED ON THEIR MEASURED CAPACITY. THE MONITORING PLAN INCLUDES SITE VISITS THROUGHOUT THE YEAR, INDEPENDENT EXTERNAL AUDITS, AND THOROUGH REVIEW OF TECHNICAL AND FINANCIAL STATUS REPORTS. 132102 01-27-12 39 Schedule I (Form 990) (2011) SCHEDULE J (Form 990) Department of the Treasury Internal Revenue Service Compensation Information OMB No. 1545-0047 For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees Complete if the organization answered "Yes" to Form 990, Part IV, line 23. Attach to Form 990. See separate instructions. Operit6 Public Inspection Employer identification number Name of the organization CATHOLIC MEDICAL MISSION BOARD, INC. Part I I Questions 1 13-5602319 No la Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Section A, line la. Complete Part III to provide any relevant information regarding these items. First-class or charter travel Housing allowance or residence for personal use LII Travel for companions Payments for business use of personal residence FXI Tax indemnification and gross-up payments Health or social club dues or initiation fees LII Discretionary spending account EI Personal services (e.g., maid, chauffeur, chef) If any of the boxes on line 1 a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1 a? Lj -2 X Indicate which, if any, of the following the filing organization used to establish the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director. Explain in Part Ill. LI Compensation committee EI Written employment contract Independent compensation consultant EXI Compensation survey or study Form 990 of other organizations Ell Approval by the board or compensation committee 4 During the year, did any person listed in Form 990, Part VII, Section A, line la, with respect to the filing organization or a related organization: a Receive a severance payment or change-of-control payment? b Participate in, or receive payment from, a supplemental nonqualified retirement plan? c Participate in, or receive payment from, an equity-based compensation arrangement? If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part Ill. Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9. 5 For persons listed in Form 990, Part VII, Section A, line la, did the organization pay or accrue any compensation contingent on the revenues of: a The organization? b Any related organization? If "Yes" to line 5a or 5b, describe in Part III. 6 For persons listed in Form 990, Part VII, Section A, line 1 a, did the organization pay or accrue any compensation contingent on the net earnings of: a The organization? b Any related organization? If "Yes" to line 6a or 6b, describe in Part III. 7 For persons listed in Form 990, Part VII, Section A, line la, did the organization provide any non-fixed payments not described in lines 5 and 6? If "Yes," describe in Part III 8 Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III 9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? LHA For Paperwoik Reduction Act Notice, seethe Instructions for Form 990. 132111 01-23-12 40 X X X X X 7 - X .8 - X 9 - Schedule J (Form 990) 2011 ScheduleJ (Form ggO)2011 CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Page Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of columns (B)(i)-(ii for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1 a, applicable column (D) and (E) amounts for that individual. (B) Breakdown of W-2 and/or 1099-MISC compensation (i) Base compensation 1A Name 1 JOHN F GALBRAITH 2THOMAS GRAY 3ALANA GOOLEY 4 JEFFREY JORDAN 5ADRIAN KERRIGAN 6 SALVADOR DE LA TORRE 251,387. In0. 157,912. (i) 0. (i) 143,210. 0. (i) 218,468. ia0 • 220,748. 0. (i) 198,453. 0. (ii) Bonus & incentive compensation 105,000. 0. 0. 0. 0. 0. 0. 0 • 0. 0. 0. 0. (iii) Other reportable compensation 40,000. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. (C) (D) (E) (F) Retirement and other deferred compensation Nontaxable benefits Total of columns (B)Ø-(D) Compensation reported as deferred in prior Form 990 48,651. 0. 19,379. 0. 16,945. 0. 27,340. 0. 27,339. 0. 21,623. 0. 1,523. 0. 10,000. 0. 7,070. 0. 22,560. 0 • 3,169. 0. 16,791. 0. 446,561. 0. 187,291. 0. 167,225. 0. 268,368. 0. 251,256. 0. 236,867. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. (i) 7 (!i) (I) 8 EL (i) 9 10 11 (i) (ii) (i) (j1 (i) 12 (i) 13 14 15 132112 01-23-12 41 Schedule J (Form 990) 2011 2011 Information CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1 a, 1 b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information. $105,000 - SUPPLEMENTAL RETIREMENT BENEFITS PAID TO CEO. $40,000 - TAX CONSIDERATION OF SUPPLEMENTAL RETIREMENT BENEFITS PAID TO CEO. Schedule J (Form 990) 2011 132113 01-23-12 42 SCHEDULE L OMB No. 1545-0047 Transactions With Interested Persons (Form 990 or 990-EZ) Complete if the organization answered "Yes" on Form 990, Part IV, line 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b. Attach to Form 990 or Form 990-EZ. See separate instructions. Department of the Treasury Internal Revenue Service Name Ot the organization CATHOLIC MEDICAL MISSION BOARD, INC. I Part I I Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only). Open To Public Inspection Employer identification number 13-5602319 Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Pa V. line 40b. (a) Name of disqualified person ) Corrected? Yes No (b) Description of transaction THOMAS GRAY ALANA GOOLEY IMPROPER USE OF EXPENSE IMPROPER USE OF EXPENSE E OF AC 2 Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958 3 Enter the amount of tax, if any, online 2, above, reimbursed by the organization X $ 11,407. 0 $ Part II j Loans to and/or From Interested Persons. Complete if the organization answered "Yes on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a. (a) Name of interested (b) Loan to or from (c) Original principal (e) In (d) Balance due ( ' 1a'Jor amount person and purpose the organization? default? nmmittee? To Yes I No Yes I No I From_ j Grants or Assistance ng Interested Persons. Complete if the organization (a) Name of interested person "Yes" on Form 990, Part IV, line 27. (b) Relationship between interested person and the organization LHA For Paperwork Reduction Act Notice, seethe Instructions for Form 990 or 990-EZ. 132131 01-19-12 43 (g) Written agreement? Yes I No (c) Amount and type of assistance Schedule L (Form 990 or 990-EZ) 2011 Schedule L (Form 990 or990-EZ) 2011 CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 Part IV Business Transactions Involving Interested Persons. Page 2 Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c. (a) Name of interested person (b) Relationship between interested (c) Amount of (d) Description of Sharing of anization's person and the organization transaction transaction evenues? I I rYes INo I Part V Supplemental Information Complete this part to provide additional information for responses to questions on Schedule L (see instructions). FORM 990 SCHEDULE L PART 1 EXCESS BENEFIT TRANSACTIONS AS OF SEPTEMBER 30, 2012 EXCESS BENEFITS WERE REIMBURSED. HOWEVER, INTERESTS ON THE EXCESS BENEFITS WERE CALCULATED ON THE EXCESS BENEFIT SUBSEQUENT TO THE YEAR END IN THE AMOUNT OF $289.TO DATE, THE INTEREST HAS NOT BEEN PAID TO CMMB. Schedule 132132 01-19-12 44 1. (Form 990 or 990-EZ) 2011 SCHEDULE M (Form 990) Noncash Contributions OMB No. 1545-0047 2011 Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. Attach to Form 990. Department of the Treasury Internal Revenue Service Open to Public Inspection Name of the organization Employer identification number CATHOLIC MEDICAL MISSION BOARD, INC. (a) (b) Number of Check if applicable contributions or 13-5602319 (C) I Non cash contribution amounts reported on (d) Method of determining noncash contribution amounts 1 Art - Works of art 2 Art . Historical treasures 3 Art - Fractional interests 4 Books and publications 5 Clothing and household goods 6 Cars and other vehicles 7 Boats and planes 8 Intellectual property 9 Securities - Publicly traded 10 Securities - Closely held stock 11 Securities -Partnership, LLC, or trust interests 12 Securities - Miscellaneous 13 Qualified conservation contribution Historic structures 14 Qualified conservation contribution - Other 15 Real estate• Residential 16 Real estate - Commercial 17 Real estate - Other 18 Collectibles 19 Food inventory 20 Drugs and medical supplies 21 Taxidermy .X 337 245 , 797, 261. 22 Historical artifacts 23 Scientific specimens 24 Archeological artifacts 25 Other 26 Other 27 Other 28 Other 29 Number of Forms 8283 received by the organization during the tax year for contributions for which the organization completed Form 8283, Part IV, Donee Acknowledgement .29 Yes I No 30a During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? - X b If "Yes," describe the arrangement in Part II. 31 Does the organization have a gift acceptance policy that requires the review of any non-standard contributions? 32a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash contributions? b If "Yes, describe in Part II. 33 If the organization did not report an amount in column (c) for a type of property for which column (a) is checked, LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 132141 01-23-12 45 X X ILU Schedule M (Form 990) (2011) SCHEDULE 0 I Supplemental Information to Form 990 or 990-EZ (Form 990 or 990Ez) Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Department of the Treasury Internal Revenue Service Name of the organization CATHOLIC MEDICAL MISSION BOARD, INC. OMB No. 1545-0047 2011 OpeictbPublic Inspection Employer identification number 1 13-5602319 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: BOARD, INC. HAS DELIVERED QUALITY HEALTHCARE SERVICES AND MEDICINES TO PEOPLE IN NEED THROUGHOUT THE WORLD. THE ORGANIZATION BUILDS SUSTAINABLE HEALTHCARE PROGRAMS THAT TARGET LEADING CAUSES OF ILLNESS, SUFFERING AND DEATH. THE ORGANIZATION STRIVES TO STRENGTHEN LOCAL CAPABILITIES THROUGH ITS PROGRAMS. THE HEALTHCARE PROGRAMS INCLUDE: INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS, PRIMARY HEALTHCARE AND HIV AND AIDS PREVENTION, TREATMENT OF HIV INFECTED INDIVIDUALS, VOLUNTARY COUNSELING AND TESTING, IMPROVING ACCESS TO MEDICAL SERVICES, TRAINING NURSES AND DOCTORS IN PREVENTION, CARE AND COUNSELING. THE ORGANIZATION SHIPS MEDICINES AND SUPPLIES TO LOCAL CARE PROVIDERS IN RESOURCE POOR COUNTRIES. THE ORGANIZATION ALSO PROVIDES DISASTER RELIEF TO REGIONS HIT BY NATURAL OR POLITICAL CATASTROPHES. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: COMMUNITIES AND INDIVIDUALS IN GREATEST NEED • IN 2012, CMMB'S LARGEST INITIATIVES INCLUDED (1) PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV/AIDS (PMTCT) (2) CARE AND ANTIRETROVIRAL TREATMENT FOR PEOPLE LIVING WITH HIV AND AIDS (3) INTEGRATED MATERNAL/CHILD HEALTH SERVICES (4) DONATION OF MEDICINES AND MEDICAL SUPPLIES AND (5) PLACEMENT OF HEALTHCARE PROFESSIONALS. FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS: COMMUNITY OUTREACH. FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES: LHA For Paperwork Reduction Act Notice, seethe Instructions for Form 990 or 990-EZ. 132211 01-23-12 46 Schedule 0 (Form 990 or 990-EZ) (2011) I a Schedule 0 (Form 990 or 990-EZ) (2011 Name of the organization CATHOLIC MEDICAL MISSION BOARD, INC. Employer identification number 11 Q —c g ni CMMB'S PREVENTION OF MOTHER—TO—CHILD TRANSMISSION OF HIV PMTCT PROGRAM PROVIDED ANTIRETROVIRAL COMBINATIONS TO WOMEN AT VARIED STAGES OF PREGNANCY AND THROUGH THE BREASTFEEDING PERIOD. OUR EFFORTS CONTRIBUTE TO THE REDUCTION IN HIV TRANSMISSION, PROVIDE ANTIRETROVIALS TO MOTHERS AND THEIR BABIES, MENTOR MOTHERS AND DELIVER QUALITY HEALTHCARE AND SUPPORT FOR THOSE INFECTED. IN 2012, CMMB PROVIDED 2971 PREGNANT WOMAN WITH PMTCT SERVICES. EXPENSES $ 309,826. INCLUDING GRANTS OF $ 89,097. REVENUE $ 0. CMMB PROVIDES MATERNAL AND CHILD HEALTH SERVICES USING THE INTEGRATED MANAGEMENT OF CHILDHOOD AND NEONATAL ILLNESSES APPROACH. THIS INCLUDES CASE MANAGEMENT OF CHILDREN UNDER FIVE FOR COMMON ILLNESSES AT COMMUNITY LEVELS, AND REFERRALS TO CLINICS FOR CONDITIONS LIKE PNEUMONIA. IN 2012, CMMB REACHED NEARLY 20,000 YOUNG CHILDREN AND 5,000 PREGNANT WOMEN WITH PRIMARY HEALTHCARE SERVICES. ESSENTIAL TO THE PROGRAM IS BUILDING LONGER TERM CAPACITY IN COMMUNITY HEALTH WORKERS, HEALTH PROFESSIONALS, AND PERSONS WHO MANAGE STOCKS OF MEDICINES AND MEDICAL COMMODITIES. CMMB'S NEONATAL ASPHYXIA PROGRAM IN PARTNERSHIP WITH HELPING BABIES BREATHE (HBB), AIMS TO REDUCE DEATHS FROM ASPHYXIA DURING BIRTH IN ZAMBIA. IN 2012, 116 NURSES AND MIDWIVES WERE TRAINED IN THIS CURRICULUM. EXPENSES $ 799,096. INCLUDING GRANTS OF $ 207,437. REVENUE $ 0. OTHER PROGRAM ACTIVITIES INCLUDE HEALTH SYSTEMS STRENGTHENGING, NEGLECTED AND TROPICAL DISEASES, GARDASIL, AND DISASTER RELIEF. CMMB'S HEALTH SYSTEMS WORK SPANS 8 COUNTRIES, AND INCLUDES TRAINING/SUPPORT ON FINANCIAL LEADERSHIP AND GOVERNANCE. IN 2012 CMMB TRAINED 6 ORGANIZATIONS ON HOW TO BETTER MANAGE DONATED PHARMACEUTICALS, AND Schedule 0 (Form 990 or 990-EZ) (2011) 01-23-12 47 4 Name of the organization - I Paae2 CATHOLIC MEDICAL MISSION BOARD, INC. Employer identification number 13-5602319 TRAINED 1,148 HEALTHCARE WORKERS AND 885 COMMUNITY VOLUNTEERS ON CRITICAL HEALTH SERVICE DELIVERY TOPICS. CMMB ALSO CONDUCTED MALARIA PREVENTION AND TREATMENT ACTIVITIES IN HAITI AND ZAMBIA. THESE PROGRAMS TRAINED 24 HEALTHCARE WORKERS AND 143 COMMUNITY HEALTH WORKERS IN IDENTIFYING, DIAGNOSING, TREATING AND OTHER MALARIA AREAS. OUR MALARIA PROGRAMS REACHED 75,825 PEOPLE WITH EVIDENCE BASED MALARIA PREVENTION AND TREATMENT MESSAGES. CMMB WORKS TO ADDRESS THE HELATH DISPARITIES AND BURDEN CREATED FORM NEGLECTED TROPICAL DISEASES WORLDWIDE. DURING 2012 CMMB SUPPORTED SEVERAL INITIATIVES, INCLUDING A LEPROSY DETECTION PROGRAM IN ZAMBIA, AND WORKED WITH 8 RURAL FACILITIES TO TRAIN 45 COMMUNITY VOLUNTEERS TO SPREAD LEPROSY AWARENESS AND SCREENING MESSAGES. CMMB'S CERVICAL CANCER PREVENTION PROGRAM PROVIES A COMPLETE COURSE OF GRADASIL HPV VACCINATION TO GIRLS AGES 9-13 IN GHANA. UGANDA HONDURAS AND ZAMBIA. THE PROGRAM, WHICH REVEIVES VACCINES THROUGH THE GARDASIL ACCESS PROGRAM, ENSURED THAT 3,715 GIRLS RECEIVED A FULL COURSE OF THE GARDASIL VACCINE BY THE END OF THE FISCAL YEAR. EXPENSES $ 4,300,509. INCLUDING GRANTS OF $ 440,716. REVENUE $ 0. FORM 990, PART V, LINE 4B, LIST OF FOREIGN COUNTRIES: KENYA, SOUTH AFRICA, ZAMBIA, HONDURAS, HAITI, SUDAN, UGANDA ALL REFERENCES TO SUDAN IN THIS RETURN REFER TO THE REPUBLIC OF SOUTH SUDAN. FORM 990, PART VI, SECTION B, LINE 11: THE 990 IS POSTED ON THE BOARD INTRANET AND REVIEWED AND APPROVED BY THE AUDIT COMMITTEE. THE 990 IS THEN Schedule 0 (Form 990 or 990-EZ) (2011) 01-23-12 48 . cneauie U i-orm vvu or (2U1 1) Page 2 Name of the organization Employer identification number CATHOLIC MEDICAL MISSION BOARD, INC. 13-5602319 POSTED FOR THE FULL BOARD'S REVIEW AND COMMENT PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT OF INTEREST POLICY IS INCLUDED IN THE EMPLOYEE HANDBOOK AND IS POSTED ON THE EMPLOYEE INTRANET. ALL STAFF SIGN WHEN THEY HAVE READ AND UNDERSTAND THE EMPLOYEE HANDBOOK. ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15: THE EXECUTIVE COMMITTEE APPROVES THE COMPENSATION OF THE CEO BASED ON COMPARATIVE DATA IN A FORMAL, DELIBERATE, CONTEMPORANEOUS SUBSTANTIATED DECISION-MAKING PROCESS. THE CHAIRMAN OF THE BOARD REVIEWS THE CEO'S FISCAL YEAR PERFORMANCE RESULTS WITH THE CEO FOLLOWED BY THE CHAIRMAN'S PRESENTATION AND SHARING OF THE DATA WITH OTHER MEMBERS OF THE CMMB EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS THE FISCAL YEAR PERFORMANCE PLAN, SUCCESS MEASURES AND THE RESULTS, PLUS DETAILED, RELEVANT CEO SALARY SURVEY DATA TO SUPPORT THE DECISION-MAKING PROCESS. THE FINAL DECISION IS SUBSEQUENTLY RELAYED TO THE THE OFFICERS/EXECUTIVE TEAM MEMBERS HAVE INDIVIDUAL PERFORMANCE REVIEWS WITH THEIR SUPERVISOR, THE CEO. THE REVIEW ENTAILS MUTUAL ANALYSIS OF FISCAL YEAR PERFORMANCE PLANS, SUCCESS MEASURES AND ACTUAL RESULTS. THE CEO IS PROVIDED WITH DETAILED, RELEVANT SALARY SURVEY DATA AS ADDITIONAL MATERIAL FOR ANY PLANNED SALARY ACTIONS. THE APPROVED SALARY ADJUSTMENTS FOR THE KEY EMPLOYEES/EXECUTIVE TEAM MEMBERS ARE FORWARDED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS TO VERIFY COMPLIANCE WITH THE CMMB SALARY PROGRAM, TO CONFIRM THE CEO'S VERIFICATION OF THE INDIVIDUAL Schedule 0 (Form 990 or 990-EZ) (2011) 01-23-12 49 C - Pace 2 Name of the organization Employer identification number CATHOLIC MEDICAL MISSION BOARD, INC. 1 13-5602319 PERFORMANCE RESULTS AND TO CONFIRM ADHERENCE TO THE CURRENT CMMB BUDGET PLANS AND CONSTRAINTS. FORM 990, PART VI, LINE 17, LIST OF STATES RECEIVING COPY OF FORM 990: AZ,AR,CO,FL,GA, IL,KSILA,4D,MA,ND,OK,SC,TN,KY,NY FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS OWN WEBSITE AND UPON REQUEST. FORM 990, PART XI, LINE 5, CHANGES IN NET ASSETS: NET UNREALIZED GAINS ON INVESTMENTS: 132,248. CHANGE IN VALUATION OF GIFT ANNUITY PROGRAM PAYABLE 440,623. CHANGE IN VALUATION OF CHARITABLE REMAINDER ANNUITY TRUST OBLIGATION 3,110. POSTRETIREMENT RELATED CHANGE OTHER THAN NET PERIODIC COST 163,802. TOTAL TO FORM 990, PART XI, LINE 5 739,783. FORM 990, PART XI, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT BEEN CHANGED FROM THE PRIOR YEAR. 132212 01-23-12 Schedule O(Form 990 or 990-EZ) (2011) 50 2011 DEPRECIATION AND AMORTIZATION REPORT FORM 990 PAGE 10 Asset No. Date Acquired Description 1AND 2tJIDLINGS LEASEHOLD .' 3IMPROVEMENTS VA 05-01-11 1RI ES VAR 4QUIRMENT * TOTAL 990 PAGE 10 )EPR —.—".— .—.-,..--,----"..-----..--...- RIES IES 12I ?< -.---. .— — Method Life 990 Line No. .000 16 Unadjusted Cost Or Basis Bus % ExcI Reduction In Basis 57,000. .000 16 691,517. .000 16 000 16 " 57,000. 1,574,031. 1223 3,546,054. ''" Basis For Depreciation T" - 0. •----r— Accumulated Depreciation Current Sec 179 Current Year Deduction 0. 691,517. 630,974. 0. 839,506. 0. 1,574,031. 1223 506 1160_653 3,546,054. 2,631,133. 0. .-.--..-.--------- -.-.--..—.,.-.. '''" 0. r---------- --------''r * (D) -Asset disposed ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction 51 COPY OF WITHIN PAPER. RECEIVED AUG.1 5 2013 NYS OFFICE OF THE AITORNEY GENERAL CHARITIES BUREAU A FAITH-BASED LEADER IN GLOBAL HEALTHCARE Financial Statements (Together with Independent Auditors' Report) For the Years Ended September 30, 2012 and 2011 Marks Paneth &Shron Certified Public Accountants & Consultants IT ALL ADDS UP. CATHOLIC MEDICAL MISSION BOARD, INC. FINANCIAL STATEMENTS (Together with Independent Auditors' Report) FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011 CONTENTS Pane IndependentAuditors' Report ..................................................................................................................................1 Statementsof Financial Position................................................................................................................................2 Statementsof Activities ............................................................................................................................................3 Statements of Functional Expenses .......................................................................................................................4-5 Statementsof Cash Flows .......................................................................................................................................6 Notesto Financial Statements ..............................................................................................................................7-18 iv1rks Prinet h '.S Shrt n INDEPENDENT AUDITORS' REPORT To the Board of Directors of Catholic Medical Mission Board, Inc. We have audited the accompanying statements of financial position of Catholic Medical Mission Board, Inc. (the 'Organization) as of September 30, 2012 and 2011, and the related statements of activities, functional expenses and cash flows for the years then ended. These financial statements are the responsibility of the Organization's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Catholic Medical Mission Board, Inc. as of September 30, 2012 and 2011, and the changes in its net assets and its cash flows for the years then ended, in conformity with accounting principles generally accepted in the United States of America. /kAneA 0" J4',vt /' New York, NY March 22, 2013 65 i-IcW AV4U YORK N'( 100 17 fSt P 21,, 503 8800 P 211 3703 V1wW MAP'SPANfl LOM MANHATTAN AND WESICHESTEP VMAN ISAt4OS Morison ( CATHOLIC MEDICAL MISSION BOARD, INC. STATEMENTS OF FINANCIAL POSITION AS OF SEPTEMBER 30,2012 AND 2011 2012 ASSETS Cash and cash equivalents (Notes 2D and 14) Investments (Notes 2E, 3, 11 and 13) Inventory (Note 2F) Accrued interest and other receivables (Note 2H) Contributions and pledges receivable (Note 4) Government grants receivable (Note 21-1) Prepaid expenses Property and equipment, net (Notes 2G, 5 and 12) Gift annuity investments (Notes 2E, 2L, 6 and 13) Other assets Assets held in charitable remainder annuity trust (Note 10) 1,831,694 1,156,862 64,404,588 34,533 231,748 796,837 234,075 688,394 2,975,502 2011 817,067 $ 1,463,162 736,723 52,689,029 113,177 80,267 1,148,014 173,240 759,349 2,112,431 127,966 801,688 $ 73,171,300 $ 60,205,046 $ 2,693,025 1,308,255 2,729,603 312,560 362,601 379,055 $ 2,115,398 1,197,381 2,375,503 317,384 372,615 268,086 7,785,099 6,646,367 NET ASSETS (Note 213) Unrestricted 62,921,635 Temporarily restricted (Note 9) 2,464,566 51,358,217 2,200,462 TOTAL ASSETS LIABILITIES Accounts payable and accrued expenses Deferred revenue (Note 21) Gift annuity payable (Notes 2L and 6) Charitable remainder annuity trust payable (Note 10) Postretirement benefits (Note 8) Other liabilities TOTAL LIABILITIES $ COMMITMENTS AND CONTINGENCIES (Notes 11 and 12) TOTAL NET ASSETS TOTAL LIABILITIES AND NET ASSETS 65,386,201 53,558,679 $ 73,171,300 $ 60,205,046 The accompanying notes are an intergral part of these financial statements. -2- CATHOLIC MEDICAL MISSION BOARD, INC. STATEMENTS OF ACTIVITIES FOR THE YEARS ENDED SEPTEMBER 30,2012 AND 2011 For the Year Ended September 30. 2012 Temporarily Permanently Unrestricted Restricted Restricted OPERATING SUPPORT AND REVENUE Donated pharmaceuticals, equipment and supplies (Note 20) Donated services (Note 2C) Grants and contributions (Note 2J) Wills and legacies Dividends and interest (Notes 2E, 3 and 6) Net assets released from restrictions (Note 9) TOTAL OPERATING SUPPORT AND REVENUE OPERATING EXPENSES (Note 2M): Program Services (Note 1): Programs Volunteers (Note 20) Heeling Help (Note 20) Total Program Services Supporting Services: Fundraising Administration Total Supporting Services TOTAl. OPERATING EXPENSES Change In Net Assets from Operations NONOPERATING ACTIVITIES Unrealized gain (loss) on investments and gift annuity Investments (Notes 2E, 3 and 6) Realized gain on Sales of Investments and gift annuity Investments (Notes 2E, 3 and 6) Change in valuation of gift annuity payable (Note 6) Change in valuation of chartable remainder annuity trust payable (Note 10) TOTAL NONOPERATING ACTIVITIES Change In Net Assets before Postretiransent Related Change Poslretirement related change other than net periodic cost (Note 8) $ 245,797,261 $ - $ 6,817,134 - 19,579,713 2,601,285 2010.851 - 101,183- 2,337,181 (2,237,181) Total 2012 For the Year Ended' 30,2011 Temporarily Permanently 21 Restricted Restricted UlTeatrtcted Total 2011 - - - . S 245,797,261 6,817,134 22,180,998 2,010,651 101,103 • 278,907,227 313,136,299 14,782,608 - 7,423.127 - 235.223,030 257,408,763 - 14,762,606 7,423,127 235,223,030 257,408,783 13,437,428 ' 13,437,428 7,677,635 - 7.677.635 238,223,821238,223,821 _257,336,882 257,338,882 - 4,015,460 - 4,539,477 . 8,554,937 * . 4,015,480 4,539,477 0.554,937 276,643,123 264.104 265,963,700 - 10,679,423 264,104 - $ 283,068,639 S 7,141,313 17.652,717 2.256.762 96,034 2,920,834 4,025.427 3,671,920 7,697,347 265,983,700 265,038,229 10.943,527 48,100,070 (165,425) 89.656 56.870 (1,196) 132.248 144,212 440,623 3,110 . - . - - - - 132,248 144,212 440,623 3,110 720,193 - - 720,193 - 11,663,720 48.079.973 * 163,802 107,140 11,399,616 264.104 163,802 $ 1,934,257 - (2,920,834) (986,577) - . (988,577) . - - - . - ' $ 283,068,639 7.141,313 19,586,974 2.256,762 96.034 - 312,149,722 - - - - 4,025,427 3,671,920 7,697,347 . 265,038,229 - _4113,493 - - - - (165,425) 89.656 58,870 (1,198) (20,097) (986,577) - (20,097) - 47,093,396 - 107,140 CHANGE IN TOTAl. NET ASSETS 11,563,418 284,104 - 11,627,522 48.187,113 (988.577) . 47,200.536 Net assets - beginning of year 51,358,217 2,200,462 . 53,558,679 3,171,104 3,187,039 - _6,358,143 NET ASSETS-END OF YEAR $ 62.921,635 S 2,464,568 $ . S 65,386,201 The accompanying notes are an Interpret pert at these lbanclol statements. $ 51,558,217 $ 2,200.462 $ $ 53,558,079 3. CATHOLIC MEDICAL MISSION BOARD, INC. STATEMENT OF FUNCTIONAL EXPENSES FOR THE YEAR ENDED SEPTEMBER 30, 2012 (With Comparative Totals for 2011) Programs Salaries Payroll taxes and fringe benefits (Notes 7 and 8) Total Salaries and Related Costs $ 3,752,258 963,621 4,715,879 Temporary help 2 50,502 24,169 Postage and mailing Rent and utilities 388,236 Telephone and communications 199,318 1,101,454 Supplies Insurance 61,800 Maintenance 243,638 Professional services 495,758 Investment foes and bank charges 51,461 Foreign currency translation loss 38,793 Conventions, meetings and workshops 1,280.216 Travel 935,459 Fees and membership 54,970 14,900 Advertising and publicity Prinllng 72,152 Shipping, freight and storage 5,942 Stall training 26,085 Service contracts 90,461 Total Before Other Expense. 10,031,191 Other Expenses: Medical assistance to missions (Note 2C) Donated services (Note 2C) Depreciation (Notes 20 and 5) Total Other Expense, Total Operating Expenses Volunteer, $ 177,724 $ 71,298 249,022 Total Program Services Healing Help 355,463 105,855 461,318 S 4.285.445 1,140,774 5,426,219 - 573 - 2.158 1.848 32,698 - 209,509 - 25,354 1,238 86,747 14,138 56,366 8,853 84,207 2,517 - 1,470 - 100 13,038 605,993 5,234 3,242 11,564 11,055 215,945 200 50,215 1,088,329 275,856 25,980 474,983 215,614 1.159,668 94,498 278,117 798,439 51.521 38,793 1.274,303 022,908 69.051 25,955 73,622 221,887 28,385 153,714 11,705,513 - 6,817,134 - 6,817,134 234,126,691 - 28,010 234,154,701 238,851,583 6,817,134 34,553 245,703,250 $14,762,836 $ 7,423,127 $ 235,223,030 $ 257,408,763 4,724,872 6,543 4,731,415 34,479 91,174 60 Fundraising S 889,859 229.209 1,119,068 Administration S 4,449 670,127 (125) 5,106 5,357 45 1,003,883 98,931 11,959 57,639 9,097 7,000 948,823 276 120 73,725 4,015,480 - . - - $ 4,015,460 Total Supporting Services $ Total 2012 Total 2011 2,184,066 675,685 2,859.751 $ 6,469,511 1,816,459 8,285,970 $ 6,260,375 1,877,051 8,137,426 305,140 6,056 67,426 88,245 136,025 125,086 21,858 703,089 230,627 40 89,109 183,241 21,927 1,150 1,240 680 143,295 601,624 4,466,541 309,589 676,183 67,301 93,351 141,382 125,086 21,903 1,708,952 329,558 40 101,068 240,880 31,024 8.150 950.063 958 143,415 675,349 8,482,001 585,445 702,163 542,284 308,985 1.301,050 219,584 300,020 2,503.391 381,079 38,833 1,375,371 1,283.788 100,075 34,105 1,023,685 222,843 169,800 829,083 20,187,514 292.399 729,741 509.645 358,204 1,360.833 204.424 199,779 2,069,978 360.212 174,822 1,243,685 1,488,065 98.810 38,554 558,203 281,171 156,563 789,657 19,029,751 . - 72,936 72,936 - - 72,936 72,936 238,851,563 6,817,134 107,489 245,776,186 238,754,547 7,141,313 110,618 246,006,478 8,554,937 $265,983,700 $ 265036,229 1.294.207 446,476 1,740,663 4.539,477 The accompanying notes are an tntergral part of these financial statements. S $ -4- CATHOLIC MEDICAL MISSION BOARD, INC. STATEMENT OF FUNCTIONAL EXPENSES FOR THE YEAR ENDED SEPTEMBER 30,2011 Programs Salaries Payroll taxes and fringe benefits (Notes 7 and 8) Total Salaries and Related Costs Temporary help Postage and mailing Rent and utilities Telephone and communications Supplies Insurance Maintenance Professional services Investment fees and bank charges Foreign currency translation loss Conventions, meetings and workshops Travel Fees and membership Advertising and publicity Printing Shipping, freight and storage Staff training Service contracts Total Before Other Expenses Other Expenses: Medical assistance to missions (Note 2C) Donated services (Note 2C) Depreciation (Notes 2G and 5) Total Other Expenses Total Operating Expenses $ 3,683,330 1,029,040 Volunteers $ 4,712,370 135,962 59,317 195,279 179,113 14.701 342,285 154,478 1,260,398 87,285 147,903 402.300 33,049 174,822 1,130,955 65 418 2,078 2,314 2,595 29,428 115 209,629 - Healing Help $ 503,398 137.236 640,634 7.236 1.142 99,005 15,882 14,224 11,540 22,065 180 777 Total Total Program Servicea $ 4,322,690 1,225,593 5,548,283 Fundraising $ 788,215 224,249 Administration $ 1,012,464 1.149.470 427,209 Supporting Total Services 2011 1,937,685 651,458 $ 6,260,375 1,877,051 1,576,679 2,589,143 8,137,426 $ 938,971 41,521 6,595 29,368 67,316 8,621 62,166 3,633 76,066 1,657 - 358 - 439 12,248 183,754 61,692 9,794,217 536,322 1,077,701 186,414 16.261 443.368 172,674 1,277,217 116,713 159,558 633,994 33,229 174,822 1,135,365 1,023,212 54.573 6.595 29,726 251,070 9,060 136,106 11,408,240 3,636,666 - 6,543 - 7,141,313 - 235.117,881 28,239 238,754,547 7.141,313 34,782 - 75,836 75,836 238,754,547 7,141,313 110,618 3,643,209 7,141,313 235,146,120 245,930,642 - 75.836 75,836 246,006,478 7,677,635 $ 236,223,821 $ 257,338,882 7,697,347 $ 265,036,229 $ 13,437.426 $ 8,175 11,395 - 5,399 706.635 125 104,019 11,420 100 18 1,205,714 102,345 100,586 6,845 66,152 81,511 71,996 87,611 40,203 230,270 224,838 31,320 80,525 19,813 31,459 528,430 30,101 71,528 84,212 4.025,427 $- 4,025,427 The accompanying notes are an lntergrai part of these financial statements. 78.980 362,328 24,424 500 47 105,985 713,480 66,277 185,530 83,416 87,711 40,221 1,435,984 326,983 108,300 442,853 44,037 31,959 528,477 30,101 147,503 653,551 7,621,511 75,975 569,339 3,596,084 - - $ 3,671.920 $ 292,399 729,741 509,645 358,204 1,380,633 204,424 199,779 2,069,978 360,212 174,822 1,243,665 1,466,065 98,610 38,554 558,203 281,171 156,563 789,657 19,029,751 -5. CATHOLIC MEDICAL MISSION BOARD, INC. STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011 2012 CASH FLOWS FROM OPERATING AcllvmEs: $ 11,827,522 Change in net assets Adjustments to reconcile change in net assets to net cash provided by (used in) operating activities: (211,788) Donated stock 107,489 Depreciation (11,715,559) Increase in inventory (163,802) Postretirement related change other than periodic cost (17,093) Amortization of discount on property held in trust (132,248) Unrealized (gain) toss on investments and gift annuity investments (144,212) Realized gain on sale of investments and gift annuity investments Change in valuation of gift annuity payable (440,623) Change in valuation of charitable remainder annuity trust payable (3,110) Subtotal Changes in operating assets and liabilities: Decrease in accrued interest and other receivables (Increase) decrease in contributions and pledges receivable Decrease (increase) in government grants receivable Increase in prepaid expenses Increase in accounts payable and accrued expenses Increase in deferred revenue Increase in postretirement benefits Change in other assets and liabilities Net cash provided by (used in) operating activities CASH FLOWS FROM INVESTING ACTIVITIES: Purchases of property and equipment Proceeds from sale of marketable securities and gift annuity investment Purchases of marketable securities and gift annuity investments Net cash used in investing activities CASH FLOWS FROM FINANCING ACTIVITIES: Proceeds from gift annuities Payment of gift annuity obligations Net cash provided by (used in) financing activities NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS Cash and cash equivalents at beginning of year CASH AND CASH EQUIVALENTS AT END OF YEAR 2011 $ 47,200,536 110,618 (48,183,309) (107,140) (17,092) 165,425 (89,656) (56,870) 1,198 (893,424) (976,290) 78,644 (151,481) 351,177 (60,835) 577,627 110,874 153,788 238,935 385,076 78,213 (758,987) (51,165) 231,909 643,010 87,179 27,049 405,305 (334,006) (36,534) 2,335,763 (3,130,725) (48,120) 1,020,320 (975,049) (831,496) (2,849) 913,397 (118,674) 132,366 (162,064) 794,723 (29,698) 368,532 (366,553) 1,463,162 1,829,715 $ 1,831,694 $ 1,463,162 The accompanying notes are an intergral part of these financial statements. CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30,2012 AND 2011 NOTE 1 - ORGANIZATION The Catholic Medical Mission Board, Inc. (the "Organization or "CMMB") was incorporated in New York in 1928 as a nonprofit corporation. CMMB delivers quality healthcare services and medicines to people in need throughout the world. The Organization builds sustainable healthcare programs that target leading causes of illness, suffering and death. The Organization strives to strengthen local capabilities through its programs. The healthcare programs provided include integrated management of childhood illness, primary healthcare and HIV and AIDS prevention, treatment of HIV-infected individuals, voluntary counseling and testing, improving access to medical services, training nurses and doctors in prevention, care and counseling. The Organization ships medicines and supplies to local care providers in resource-poor countries. These medicines are dispensed and distributed free of charge. CMMB places doctors, nurses and other volunteers in locations where their professional expertise is urgently needed. The Organization also provides disaster relief to regions hit by natural or political catastrophes. The Organization operates throughout the world and maintains offices in New York, Washington D.C., Haiti, Honduras, Kenya, Peru, South Africa, South Sudan, Uganda and Zambia. The Organization is exempt from federal and state income taxes under Section 501(c)(3) of the Internal Revenue Code and similar state provisions. NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES A. Basis of accounting The Organization prepares its financial statements on the accrual basis of accounting. The Organization adheres to generally accepted accounting principles ("GAAP") in the United States. B. Basis of presentation The Organization classifies its support as unrestricted, temporarily restricted or permanently restricted depending upon the absence or existence of donor-imposed restrictions or stipulations. Unrestricted is support which can be used for any legal purpose. Tem porarily restricted is a donor-imposed restriction that specifies the use of the support and is satisfied either through the passage of time or by the Organization's actions, and permits the Organization to use or expend part of the support. When a donor-imposed restriction expires (that is, when a stipulated time restriction ends or a purpose restriction is accomplished), temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions. Permanently restricted is a donor-imposed restriction, which requires the Organization to maintain the contributed assets permanently, but permits the Organization to use or expend part of the income from the contributed assets. There were no permanently restricted net assets as of September 30, 2012 and 2011. -7- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 2- SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued) C. Donated pharmaceuticals, equipment, su pplies and services In accordance with U.S GAAP, industry standards and guidelines established by Partnership for Quality Medical Donations ("PQMD) donated pharmaceuticals, equipment, supplies and services are recognized in the financial statements on the date received at its estimated fair market value. The Organization's management estimates the fair value of donated pharmaceuticals on the basis of wholesale acquisition cost listed in professional reference materials primarily, Thomson Reuters "Red Book" which is an industry recognized drug and pricing reference guide for the pharmaceutical industry in the United States. Wholesale acquisition cost is the approximate selling value of the pharmaceuticals in their principal exit market considering the condition and utility for use at the time the pharmaceuticals are donated. Fair value of donated equipment and supplies are estimated on the basis of prices listed in online reference materials and provided by manufacturers. The organization's policy is to distribute the donated pharmaceuticals, equipment and supplies as soon as they are available for use or distribution. However, if the donated pharmaceuticals, equipment and supplies are not distributed, they are kept on the books as inventory and not expensed until released from the organization's inventory. For the years ended September 30, 2012 and 2011, the Organization received donated pharmaceuticals, equipment and supplies of approximately $245,800,000 and $283,070,000 respectively. The Organization periodically reviews its basis for determining the fair value of donated inventory. Effective October 1, 2011, the Organization changed its benchmark for determining the fair value of donated pharmaceuticals from the average wholesale price (AWP") to the wholesale acquisition cost (WAC"), as the Organization has determined the use of WAC to be a more appropriate estimate of the fair value of donated pharmaceuticals. If the previous basis for determining the fair value of donated pharmaceuticals had been continued, the amount of Inventory included in the statement of financial position as of September 30, 2012 would have been approximately $278,270,000 and the amount of donated pharmaceuticals, equipment and supplies revenue and expense included in the statement of activities for the year ended September 30, 2012 would have been approximately $996,204,000 and $770,668,000, respectively. This change in estimate was not adjusted retrospectively. The Organization also received donated services provided by licensed professionals as follows: September 30, 2012 2011 Days Days Licensed professionals 20,257 22,103 Donated services are recognized only, if such services enhance or create nonfinancial assets or require specialized skills, are provided by individuals possessing those skills, and would typically need to be purchased, if not provided by donation. The total estimated fair market value of the licensed professionals donated services, determined using the rate published by the United States Bureau of Labor Statistics from the most recent year, for the years ended September 30, 2012 and 2011 was approximately $6,817,000 and $7,141,000, respectively, which was recorded in the accompanying statements of activities, as these services meet the aforementioned criteria. D. Cash and cash equivalents For purposes of the statement of cash flows, the Organization considers all highly liquid debt instruments purchased with original maturities of three months or less to be cash equivalents. -8- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 2- SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued) E. Investments Investments in marketable securities and gift annuity investments are stated at fair market value. Unrealized and realized gains and losses and investment income are reported in the statement of activities as increases or decreases in unrestricted net assets. F. Inventory Purchased inventory is stated at the lower of cost or market value, and donated inventory is generally stated at wholesale acquisition cost which approximates fair value.(See note 2C). G. Property and Equipment Property and equipment are stated at cost less accumulated depreciation. These amounts do not purport to represent replacement or realizable values. Depreciation is computed on the straight-line basis over the estimated useful lives of the assets, which range from five to 50 years. The Organization capitalizes property and equipment with a cost of $5,000 or more and a useful life greater than one year. Certain purchases of equipment are expensed by the Organization rather than capitalizing because the cost of these items was reimbursed by governmental funding sources where the contractual agreement specifies that title to these assets rests with the governmental funding source rather than the Organization. H. Allowance for uncollectible accounts The Organization evaluates the need for an allowance for uncollectible accounts based on a combination of factors such as management's assessment of the creditworthiness of its donors and funders, a review of individual accounts outstanding, aged basis of the receivables, current economic conditions and historical experience. No allowance for uncollectible accounts was considered necessary at September 30, 2012 and 2011. I. Deferred revenue Deferred revenue represents funding received in advance of program services being provided by the Organization. J. Government grants Government grants are recognized as revenue when the expenses authorized under the contract are incurred. Pursuant to the Organization's contractual relationships with certain governmental funding sources, outside governmental agencies have the right to examine the books and records of the Organization involving transactions relating to these contracts. The accompanying financial statements make no provision for possible disallowances. K. Use of estimates In preparing its financial statements in conformity with accounting principles generally accepted in the United States of America, the Organization makes estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures at the date of the financial statements and the reported amounts of support and expenses during the reporting period. Actual results could differ from those estimates. -9- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30,2012 AND 2011 NOTE 2- SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued) L. Gift annuit y program The Organization has a gift annuity program whereby it receives contributions from participating donors. Under the arrangement, the Organization agrees to pay certain sums to the donors at prescribed intervals over the lives of the donors. The assets received are recorded at their fair value and the related liability is recorded as an annuity obligation at the present value of the estimated future payments to be distributed by the Organization, based on expected mortality and a discount rate. The amount of contribution to the Organization is the difference between the asset and the computed liability. M. Functional allocation of expenses The costs of providing various programs and supporting services such as, fundraising and administration, have been summarized on a functional basis in the accompanying statements of activities and functional expenses. Accordingly, certain costs have been allocated as determined by management among the programs and supporting services benefited. N. Fair value measurements Fair value measurements are based on the pnce that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. In order to increase consistency and comparability in fair value measurements, a fair value hierarchy prioritizes observable and unobservable inputs used to measure fair value into three levels, as described in Note 13. 0. Tax positions The Organization has no uncertain tax positions as of September 30, 2012 and 2011 in accordance with Accounting Standards Codification ("ASC") Topic 740, income Taxes," which provides standards for establishing and classifying any tax provisions for uncertain tax positions. The Organization is no longer subject to federal or state and local income tax examinations by tax authorities for the years prior to September 30, 2009. NOTE 3-INVESTMENTS Investments consist of the following at September 30, 2012 and 2011: 2012 Cost Mutual funds Other Common stock Total 2011 Market $ 1,076,637 $ 1,138,612 $ 18,050 16,275 - - $_1092.912 $_1.156.862 $ Cost - $ 769.995 769.995 $ Market 736,723 736,723 -10- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 3— INVESTMENTS (Continued) Investments are subject to market volatility that could substantially change their carrying value in the near term. The investment return and its classification in the statements of activities for the years ended September 30, 2012 and 2011 is as follows: 2012 Dividends and interest Realized gain on sale of investments Unrealized gain (loss) on investments Total 2011 26,802 $ 62,841 106.624 196,267 $ $ $ 21,477 82,245 (118,842) (15.120) For the years ended September 30, 2012 and 2011, investment fees amounted to approximately $9,700 and $13,700 respectively. NOTE 4- CONTRIBUTIONS AND PLEDGES RECEIVABLE At September 30, 2012 and 2011, contributions and pledges receivable consist of: 2012 Various individual pledges Grants Total $ $ 187,898 $ 43,850 231,748 $ 2011 31,575 48.692 80.267 All contributions and pledges receivable as of September 30, 2012 are expected to be collected during the year ended September 30, 2013. NOTE 5- PROPERTY AND EQUIPMENT Property and equipment consist of the following at September 30, 2012 and 2011: 2012 2011 57,000 $ Land 57,000 $ Office building 345,173 345,173 Office building improvements 1,017,089 1,010,839 Office equipment 811,993 781,709 65,431 Vehicles 65,431 Warehouse 346,344 346,344 557,182 Warehouse improvements 557,182 293,904 293.904 Warehouse equipment Total property and equipment 3,494,116 3,457,582 Less: accumulated depreciation (2.805,722) (2.698.233) Total property and equipment, net 688,394 $ 759.349 Depreciation expense amounted to $107,489 and $110,618 for the years ended September 30, 2012 and 2011, respectively. During the year ended September 30, 2011, the Organization wrote off fully depreciated property and equipment no longer in use amounting to $165,601. -11 - CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 6- GIFT ANNUITY PROGRAM The Organization has a gift annuity program whereby donors transfer assets to the Organization, and the donor or specified beneficiaries receive fixed payments for the remainder of their lifetimes. A number of factors, including the amount placed in the gift annuity and the age of the donor or beneficiary, determine the amount of the fixed payment to the donor or beneficiary. Amounts received from donors are allocated between contribution support and gift annuity payable based on a predetermined formula. Contribution revenue amounted to approximately $292,100 and $132,300 for the years ended September 30, 2012 and 2011, respectively. The future minimum gift annuity payments are as follows for the years ended after September 30, 2012: 2013 2014 2015 2016 2017 Thereafter Total $ 185,578 173,432 160,702 148,423 136,386 1.925.082 $ 2.729.603 Gift annuity program investment return is included in the accompanying statements of activities for the years ended September 30, 2012 and 2011, and is summarized below: 2012 Dividends and interest Realized gain on sale of gift annuity investments Unrealized gain (loss) on gift annuity investments Total $ $ 74,381 $ 81,371 25,624 181,376 $ 2011 74,557 7,411 (46,583) 35.385 For the years ended September 30, 2012 and 2011, investment fees amounted to approximately $34,800 and $35,700, respectively. NOTE 7- RETIREMENT PLANS Through December 31, 2006, the Organization provided a pension plan for eligible employees through the Archdiocesan Pension Plan (the "Plan"). The Plan is a defined benefit plan qualified under Section 401(a) of the Internal Revenue Code. The Plan covered all employees who were thirty years of age or older, who had completed three years of service as of the beginning of the plan year (July 1). Under the Plan, a contribution was made to the account of each individual employee, based on annual compensation levels. The pension expense for the Plan was $0 and $30,142 for the year ended September 30, 2012 and 2011, respectively, which related to the underfunded portion of said Plan. The Organization sponsors a savings plan under Section 401(k) of the Internal Revenue Code called the Catholic Medical Mission Board, Inc. 401(k) Savings Plan (the "401(k) Plan). The 401(k) Plan allows eligible employees to contribute up to 20% of their compensation on a pre-tax basis, subject to an annual limitation per employee. The Organization contributes up to one-half of the first 6% of annual eligible compensation of employees participating. The Organization also has the option of making a discretionary contribution to the 401(k) Plan. For the years ended September 30, 2012 and 2011, the Organization contributed $407,741 and $387,634 respectively, to the 401(k) Plan. -12- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 8- POSTRETIREMENT BENEFITS The Organization provides for medical insurance for retired employees age fifty or greater, who have achieved at least twenty years of service at the time of retirement. The Organization reimburses the equivalent cost of the post-age 65 plan for eligible retired employees and/or spouses who have not reached the age of sixty-five. The Organization assumes the full cost for a secondary insurance contract (supplemental to Medicare) for retired employees and/or spouses reaching the age of sixty-five. The postretirement plan is unfunded. International staff are not eligible for post retirement medical benefits. In accordance with U.S. GAAP, the Organization is required to recognize the entire overfunded or underfunded status of its postretirement plan as assets and liabilities in its statement of financial position and to recognize the changes in the funded status in the year in which changes occur through a separate line within the change in unrestricted net assets, apart from expenses, to the extent those changes are not included in the net periodic cost. The unfunded status and amounts recognized in the accompanying statements of financial position at September 30, 2012 and 2011 are as follows: 2012 Benefit obligation Unfunded status 2011 $ (362,601) $ (372.615) $ (362.601) $ (372,615) Discount rate 4.25% Net periodic cost Benefits paid Prior year other than net period cost $ Current year other than net periodic cost Change in unfunded status (47,595) $ 947 (107,140) $ 163,802 10.014 $ 5.0% (56,727) 2,206 (32,658) 107.140 19,961 For measurement purposes, a 5.25% and 6% annual rate of increase in the per capita cost of covered health care benefits was assumed in fiscal years 2012 and 2011, respectively. Assumed health care cost trends have a significant effect on the amounts reported for the health care plan. A one-percentage-point change in assumed health care cost trend rates would have the following effects: 2012 1-Percentage- Point Increase Effect on total service and interest cost components Effect on postretirement benefit obligation 20,800 $ 154,912 2011 1-Percentage- Point Decrease 1-Percentage- Point Increase (13,507) (102,990) $ 22,225 $ 152,915 1-PercentagePoint Decrease (14,802) (104,082) -13- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 8- POSTRETIREMENT BENEFITS (Continued) The following represents future benefits to be paid for the years ending: September 30: 2013 2014 2015 2016 2017 2018-2022 $ 6,355 NOTE 9-TEMPORARILY RESTRICTED NET ASSETS The temporarily restricted net assets at September 30, 2012 and 2011 consist of the following: 2012 Haiti grants (A) Zbylut fund (B) MVP restricted funds (C) Healing Help (0) Disaster Relief (E) Consignee Training (F) Reback Trust (G) Other 2011 $ 1,128,604 $ 1,120,036 204,060 229,000 82,480 95,471 93,006 119,900 161,802 478,256 495,349 151,960 305,104 $ 2.464.566 $ 2.200,462 (A)To be used to support Haiti specific programs. (B)To provide funds for the training of nurses in developing countries. (C)To be used to support the medical volunteer program. (D)To be used to support the Healing Help program. (E)To be used to provide relief from natural disasters worldwide. (F)To be used for training consignees in medical supply management. (G)Property donated during the year ended September 30, 2009 (see Note 10). Net assets of $2,337,181 and $2,920,834 were released from restrictions during the years ended September 30, 2012 and 2011, respectively, as a result of satisfying purpose restrictions. -14- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 10- CHARITABLE REMAINDER ANNUITY TRUST In September 1997, the Organization was named as trustee for a charitable remainder annuity trust ("CRAT"). The CRAT is required to make annual payments to the donors equal to 7.1% of the net fair market value of the contributed assets as of the date the agreement was executed. Upon the death of the donors, the trustee is required to distribute the assets of the trust to the Little Sisters of the Poor of Los Angeles in the amount of the lesser of fifty percent of the assets or $1,000,000, and the remainder to the Organization. The fair market value of the trust assets at September 30, 2012 and 2011 was $321,718 and $323,432, respectively. For the years ended September 30, 2012 and 2011, actuarial calculations used to measure the Organization's related liability assumed a discount rate of 7.5% and used the 1983 Individual Annuity Mortality Table. Future minimum CRAT annuity principal payments are as follows for the years ended after September 30, 2012: 2013 2014 2015 2016 2017 Thereafter Total 19,510 21,060 22,781 24,706 26,878 197,625 $ 312.560 $ On September 11, 2009, an order was approved by the Superior Court of the State of California for the County of San Diego for the distribution of the Estate of Frances Reback. The Organization was named as the beneficiary of a property with a fair market value of $615,000. The property is to be held by the Organization as a life estate for the benefit of certain individuals until their death or until they are no longer able to occupy the property. Upon one of these events, the Organization will be able to sell the property and use the proceeds for the purpose stated in the trust. The property was recorded as an asset and a temporarily restricted contribution at its net present value of $444,071 as of September 30, 2009, which was calculated using the estimated life expectancy (10 years) of the individuals occupying the property. The discount at 3.31%, in the amount of $170,929, is being amortized equally into revenue over a 10-year period. The net value of the asset as of September 30, 2012 and 20111, respectively, was $495,349 and $478,256. NOTE 11 - LINE OF CREDIT On November 16, 2007, the Organization entered into an agreement with a financial institution for a line of credit. As of September 30, 2012 and 2011, the Organization had a zero balance outstanding. The line of credit availability is based on the pledged assets as follows: 509/6 Loan to Value of Equity investments and 701/1 0 Loan to Value of Fixed Income investments. Interest is calculated at LIBOR plus 1.25%. No interest was paid on the line of credit for the years ended September 30, 2012 and 2011. There were no borrowings outstanding as of March 22, 2013. NOTE 12- NOTE PAYABLE TO BANK Pursuant to a September 15, 2012 revolving promissory note with a credit union, the Organization can borrow up to a maximum of $1.5 million. This note replaced the June 24, 2009 revolving promissory note that expired on June 24, 2012. The Organization must pay interest on a monthly basis with the entire balance outstanding to be paid by September 15, 2015, the maturity date of the note. The note is collateralized by the office building located at 10 West 17 th Street. Interest is calculated at prime plus 1.00% (effective rate of 4.25% at September 30, 2012). There was no interest paid for the years ended September 30, 2012 and 2011. There were no borrowings as of September 30, 2012 and 2011 and $500,000 was outstanding as of March 22, 2013. -15- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30,2012 AND 2011 NOTE 13- FAIR VALUE MEASUREMENTS The fair value hierarchy defines three levels as follows: Level 1: Valuations based on quoted price (unadjusted) in an active market that are accessible at the measurement date for identical assets or liabilities. The fair value hierarchy gives the highest priority to Level 1 inputs. Level 2: Valuations based on observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities; quoted prices in inactive markets; or model-derived valuations in which all significant inputs are observable or can be derived principally from or corroborated with observable market data. Level 3: Valuations based on unobservable inputs are used when little or no market data exists. The fair value hierarchy gives lowest priority to Level 3 inputs. In determining fair value, the Organization utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible in its assessment of fair value. Financial assets carried at fair value at September 30, 2012 are classified in the table as follows: Level 1 Investments: Mutual funds Real Estate International Large Blend Small Value Small Growth Large Value Large Growth Diversified Fixed Income Other Total Investments $ $ Gift annuity investments: Mutual funds Large cap equities Small and mid cap equities International equities Diversified REIT Fixed Income Fixed income Government bonds U.S. corporate bonds U.S. treasury notes Total gift annuity investments 22,614 $ 75,896 120,412 12,654 25,413 218,791 263,970 31,540 367,522 18,050 1.156.862 450,626 225,228 303,535 64,193 45,909 354,358 Level 2 $ $ 1.443.849 $ 22,614 75,896 120,412 12,654 25,413 218,791 263,970 31,540 367,522 18,050 1.156,862 450,626 225,228 303,535 64,193 45,909 354,358 239,806 838,529 453,318 $ Total 1.531.653 $ 239,806 838,529 453,318 2.975.502 -16- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 13- FAIR VALUE MEASUREMENTS (Continued) Financial assets carried at fair value at September 30, 2011 are classified in the table as follows: Level 1 Investments: Common stock Consumer goods Healthcare Technology Energy Financial Industrials Other Total Investments Gift annuity investments: Mutual funds Large cap equities Small and mid cap equities International equities Fixed income Government bonds U.S. corporate bonds U.S. treasury notes Total gift annuity investments $ $ $ 197,398 76,854 156,206 90,219 87,856 107,982 20.208 736.723 Level 2 $ 310,085 $ 109,273 93,132 - - - $ 513.210 $ Total $ 197,398 76,854 156,206 90,219 87,856 107,982 20.208 736.723 $ 310,085 109,273 93,132 554,503 552,756 491,962 1.599.221 $ 554,503 552,756 491.962 2.112A31 Investments in common stock and mutual funds are valued using real-time quotes or market prices in active markets (Level 1). Government and corporate bonds and treasury notes are designated as Level 2 instruments and valuations are obtained from readily-available pricing sources for comparable instruments (credit risk/grade, maturities, etc). The Organization did not hold any Level 3 instruments as of September 30, 2012 and 2011. The availability of observable market data is monitored to assess the appropriate classification of financial instruments within the fair value hierarchy. Changes in economic conditions or model-based valuation techniques may require the transfer of financial instruments from one fair value level to another. In such instances, the transfer is reported at the end of the reporting period. For the years ended September 30, 2012 and 2011 there were no transfers out of levels 1, 2 or 3. NOTE 14- CONCENTRATIONS Credit Risk Cash and cash equivalents that potentially subject the Organization to a concentration of credit risk include cash accounts with various financial institutions that exceed the Federal Deposit Insurance Corporation ("FDIC") insurance limits. Interest bearing accounts are insured up to $250,000 per depositor. Through December 31, 2012, noninterest bearing accounts are fully insured. Beginning in 2013, noninterest bearing accounts are insured the same as interest bearing accounts. As of September 30, 2012 and 2011, there was approximately $1,201,000 and $969,000, respectively, of cash and cash equivalents that exceeded FDIC limits. -17- CATHOLIC MEDICAL MISSION BOARD, INC. NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30, 2012 AND 2011 NOTE 14 - CONCENTRATIONS (Continued) Donated Pharmaceuticals, E quipment and Supplies Two pharmaceutical companies accounted for approximately 85% of the donated pharmaceuticals, equipment and supplies for the year ended September 30, 2012. One pharmaceutical company accounted for approximately 50% of the donated pharmaceuticals, equipment and supplies for the year ended September 30, 2011. NOTE 15— SUBSEQUENT EVENTS Management has evaluated, for potential recognition and disclosure, events subsequent to the date of the statement of financial position through March 22, 2013 the date the financial statements were available to be issued. No events have occurred subsequent to the statement of financial position date through March 22, 2013 that would require adjustment to or disclosure in the financial statements. -18-