irs form 990: return of organization exempt from income tax

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2004 Federal Statements Page 6 PROGRAM FOR APPROPRIATE TECHNOLOGY

IN HEALTH 91-1 157127

1 <:;.< 1 ;;15 \ I l4Lll",l

Statement 12 Fvrrrl 990, Part IV-B. Line b(4) Other Amounts

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Statelllent 13 Form 990, Part V List of Officers, Directors, Trustees. and Key Employees

T i L l e ar~rl Cont-ri- Expense A - ~ r ! r , ~ q e Hours C'ompe t l - bution t o Account/

Na~ne-and Addrtlsf; . Per ..Nee k br . :~r~ta i l S A .. t l.on- EBP & D.CL Other

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E r i c G . Walke r V i c e President l h 5 , 3 2 t ; . 20,762. 31'1. 1 4 5 5 NW Leary Way 40 HrsiWe?k Seat-t.le, WA 98107

FIalida IIanum A k h t e r . , M . D . C h a i r m a n 0 . 0. 6 , 6 8 4 . 1455 hW Leary Way < 2 IIrz/\$\>~?k S e a t t l e , WA 98107

5~rpam i t Churlsuttiwat r) i. rec tor 0 . 0 . 0 . 1455 NW L c a r y Way None S e a t t l e , WA 9810'1

C : l ~ t - i s tophe r Hedrick Treasurer 0. 0. 500. 1 4 5 5 NW Lcary Way .: 2 H r 5,'Wet.k S e a t t l e , WA 98107

Aws Marie Coll-Seck, M . U . r)i c ~ c t o r 0. 0 . 2,076. 1155 NW Leary W,>y / 2 t[rf<:Week S e a t t l e , WA 93107

Molly J o e l Coye, N . D . , M. L J . I[. Director 0 . 0 . 1 , 3 2 2 . 1455 NW Leary Way i _' H~,s /Nt . ek Seattle, WA 9810.1

S t eve Davis Dil-rhtor 0. 0. U . 1 4 5 5 NW Leary Way r 2 I l r ? / W ~ i . k Seattle, WA 98107

M(3hrnoud E'. F a t h a l l a 1j1 [ e r t r ~ r 0 . 0 . b, 086. 1455 NW Leary Way - 2 H1-s/b!eck Scatt- le, WA 98107

Vinccnt. Mc[;ee Vice C h a i r 0 . 0 . 3,0313. 1455 NW I h a r y Way r % Hrs/Week S e a t t l e , WA 0810 '1

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2004 Federal Statements Page 8 PROGRAM FOR APPROPRIATE TECHNOLOGY

IN HEALTH 91-1157127

1 u: : 1 !!;,> a.1 42 py:

Statement 16 (continued) Schedule A. Part Ill. Line 3 Qualifications of Recipients Receiving Grants or Loans

I f ttie recipient ( ioes n n t cr!mply wi t .h rr(q11ircmcr-1t- s ::I i ~ ) I I l d t. ?(.I 111 t t ~ ~ ~ - ~ I I ~ , ~ ~ L ~ < ~ + I W ~ I ~ , d isbur-sen~ents ar-F: :lel,?y~.rl until req11irt:tncnts ,lrr 1ne1 .

Statement I7 Schedule A, Part IV-A, Line 22 Other lncorne

nescript.jclr!.. , . . ,. 1 0 [email protected] ( c ) 2 f l n l 0 2 0 0 0 - - (FI) Total--

Key Employee Loan Interest $ O . $ 5 , 7 4 5 . $ 0. $ 0 . $ 5,745. Pen:; i d n Admi n R e v e r ~ u e 37,017. 3 3 , ,180. 0. 0 . -10,497. Gain on L'oreiqn Exchdnqc l l ) . > , 3 7 4 . 0 . 0 . 3 , 3 9 3 . l ' ac i l l t ies Rei~hur..;t:m<?nt.s 26, 144. 15, ? 1 3 . 0 . 0. 71, 3!) '7 . Travel Reimbursements . .- 10112(11,. 1 2 1 , 5 4 6 . 9_, .. . . . . . . _. -- .- 0 . 222 ,.755.

T o t d l :; -. I 6 4 . 3 5 9 . $ 3 0 9 , 3 5 8 . $ - -

0. $ 373, '147. --!!--- -- -

2004 Federal Supple~lental Information Page 1 PROGRAM FOR APPROPRIATE TECHNOLOGY

IN HEALTH 91 -1 1 571 27 l l : ' < l Om.> (111 l!.iP:,'

W ~ r e ts Sched l .~Le A, P : i r t I F A :

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Note to Attar:hm?nt 1 :

A1 1 arriounts i l l c l u l d ~ ~ .3ny r?f\!nrl .? fr-o111 grantc~s of p r e v i o u s l y pa i d qrarlts . In .sr311;u cases, t h e net 200:l r e s u l t i s a t legdt ive balance.

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1 2/31 104 2004 Federal Book Depreciation Schedule Page 1 PROGRAM FOR APPROPRIATE TECHNOLOGY

IN HEALTH 91 -1 1571 27 1 0131 105 0 4 . 4 0 P M

Pr~or Cur Spec~al 179/ Prlor Salvage

Date Date Cost/ Bus. 179 Depr. Bonus/ Dec. Bal. /Bas~s Depr. Pr~or Current ~npscrlntlonAcwed-SnldBaslsXRnnusAllow.So.OcnrDenrRedllctnRaslsaear.Methnd&&

Form 990/990-PF

Improvements

3 Leasehold Improvements 4,153,922 4,153,922 1,088,173 S/L 10 197,299 -- Total Improvements 4,153,922 0 0 0 0 0 4,l 53,922 1,088,173 197,299

Mach~nery and Equ~pment

2 Mach~nery & Equ~pment Var~ous 6,441,379 6,441,379 4,865,297 S/L 5 846,246 -- Total Mach~nery and Equ~pment 6,441,379 0 0 0 0 0 6,441,379 4,865,297 846,246

-- Total Deprec~at~on 10,595,301 0 0 O---- 0 0 10,595,301 5,953,470 1,043,545 ---

Depr. Schedule Only

Furn~ture and Fixtures

1 Furn~ture & F~xtures Var~ous 685,168 685,168 541,029 S/L 10 94,103 -- Total Furn~ture and F~xtures 685,168 0 0 0 0 0 685,168 541,029 94,103

-- Total Deprec~at~on 685,168 -% 0 - - 0 0 0 0 685,168 541,029 94,103

Grand Total Deprec~at~on 11,280,469 0 0 0 0 0 1 1,280,469 6,494,499 1,137,648

Program for Appropriate Technology in Health (PATH)

Attachment 3 Form 990, PART 111 Statement of Program Service Accomplishments

PATH 15 an internat~cirlat, nonprofit organization that creates sustainable, cu l t i~ra! fy relevant so l~ ! t~ans , cna bling cornrnun~ties worldwide to break longstandir!g cycles o f poor health. By cullabo!-ating with diver-se pi~hl rc - and private-sector partners, we help pr-ovide appropr~are health technologies ;~nd vital strategies lha t change the way pcople think and act. Ocfr rnissron I S to irnprove the heillth o f people dl-ound the world by advancing technologies, strengthenrng systems, and encouraging healthy behaviors.

Our comprehensive approach

We advance techno log ies for low-resource settings. Technolog~cs rnr~st be effectwe, culturally acceptable, available, and affordable to the people who need them most.

We strengthen health systems, bccause only stable systems can make use of technologies, and because all people-no matter where they live-need and deserve reliable health information and services,

We encourage healthy behaviors, working with communities to help people examine-and challenge-assumptions and trad~tions that may contribute to poor health.

To m a k e sure we have the highest Impact possible, we as5emblc dynam~c teams w ~ t h cor~iplemcntary sk~lls. PATH'S partners range from government mlnlstries t o local theater troupes to some of the largest comnwrclal manufacturers in the world. Wc recogn~ze that effectwe health solutions must be more lhan x i e n t ~ f ~ c a l l y s o u n d ; they must also be cultur-ally relevant. That's why nearly half of oclr employucs are from the regions whero we work-and why we always test our technologies and stratcgles In t h e populations we scrve.

Our areas of focus

Each year, millions of pcople die because they were born In po0r countries. PATH works to alleviate Lhe drsproportrondte hcalth burden carried by developing countries-to close the gap between what cxists and ~ v l i a t is possible. To r;lcet its goals PATH has structured its programmatic efforts around the following Strategic Progl-ams:

Children's health 111Fectious Disec?:,e/ Vaccines & I rnmunization Wornen's Hedlth

Our global presence

Heaclquartered i l l SeaLtie, War;l-llnyton, PATH h a s offices In 13 countries and projects in more than 100 countries.

Africa - PATH'S work in Afr~ca supports local cornrnunr ties, governmcn ts, and o r g a n ~ ~ a t ~ o n s and helps theln ~cconip l ish t l ~ e ~ r goals. Frorn our f ~ r s t project: tn the region, collaboratiun and cooperation have been csscntial. The strength of these rclationshlpr; cd11 be seen today in prujects that exl~ancl beyond our ~nvoivemcrlt and live on t h c ~ r own-- like the AMKENi projcct, where the new strategies taken up by participat~ng cornrnunrtre~ have bccn adopted by ttlcir ne~yhbors. The answers to Af~-ll;a's hcalth n e d s come from I l ie potentral already present-we are proud to help build occec;sible, effectwe tools t ha t bring that poten\~;ll to life.

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Program for Appropriate Technology in Health (PATH) 91-1157127

Attachment 4 Form 990, Part V I I I Statement of Relationship of Activities to the Accomplishments of Exempt Purposes

Interest on Program-Related Loans: PATH prov~des financing to organizations 111

developing countr-ies for actiwties related to improvrnq health in those countries.

Licensing and Technology Transfer Activities: PATH licenses certain health tcchnoloy ies to ~nariufdcturers pclrsuant to terms that ensure product product~on capability and avhllability a t low cost for public sector u s e b y developing country programs. I n connection w ~ t h its licensing activity, PATH prov~des training to manufacturer-$ in the use of \ t s licensed technologies in furtherance of PATH'S charitable mission.

Product Design/Testing: PATH assists other organizations in designing eqiilprnent wh~ch ultimately improves health technologies in resource-poor countries.

Product Sales: PATH sells health technologies and health brochures to other public health agencies.

Technical Assistance/Capacity Building: PATH periodically provides technical assistance to other entitles in areas such as product development, marketing, and good manr~facttlring practices.

Training: PATH designs trainrncj curricula, produces training ~naterials, and delivers t r a ~ ning as needed to help in~provt. heaithcare practices in resource-poor co r~n tries.