2017 ANNUAL REPORT
Healing Children with Compassionate Care
MESSAGE FROM OUR FOUNDER
We believe every child has the right to a healthy and loving life. Friends Without A Border accomplishes this by providing high-quality and compassionate medical care to the children of Southeast Asia; by creating community health education programs; and by training local healthcare professionals.
Dear Friends, Nearly 20 years ago, Friends Without A Border opened the doors to a small hospital near the sacred Angkor Wat temples in Cambodia. With this small hospital, it opened the door to a healthier future for the children of Southeast Asia. Today, we are proud of the amazing success story that is the Angkor Hospital for Children. And we are thankful for your support and that of so many others who turned the dream for such a hospital into a reality. AHC is now the premier pediatric teaching hospital in Cambodia. We opened Lao Friends Hospital for Children three years ago using our hospital in Cambodia as a model. Once again we are grateful for many loyal supporters and donors who made this critically needed hospital possible. Doctors, nurses and other specialists at LFHC are seeing an average of 100 children every day. They are performing major and minor feats of medicine. They mend fractured bones, provide life-saving treatments to newborn babies and cure malnourished little bodies. They do this with compassion, as if caring for their own children. And they do this at no cost to the families of their patients. Perhaps most astonishingly, LFHC provides this high level of care with a minimal amount of operating expenses. I truly want you to know that your support makes a difference every day in the lives of the families who come to our hospital. I’ve seen their gratitude in the smiles of children we’ve treated and in the glistening eyes of their relieved parents. It is my pleasure to share with you our Annual Report for 2017. You’ll see that we’ve accomplished so much, and yet there is so much more to do ahead of us.
Sincerely, Kenro Izu Founder and Honorary President
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MESSAGE FROM OUR CHAIR
I became a father in June 2017 when my daughter Emery was born. While Friends Without A Border’s guiding principle to “treat every patient as if your own child” has always resonated deeply with me, it now holds a more personal meaning in motivating my work with FWAB. While touring Lao Friends Hospital for Children in February, I was again reminded of the critical role that our hospital plays for thousands of families in Luang Prabang and the surrounding provinces. LFHC marked another year of strong growth in patient demand in 2017. This growth was most evident in the areas of inpatient services and neonatal care. Several new clinics were introduced under our outpatient department to better serve patients with thalassemia, malnutrition and developmental issues and we recently began renovations on a new neonatal unit that will double our neonate capacity. The
MESSAGE FROM OUR EXECUTIVE DIRECTOR
In January of 2017, I was invited to join the second anniversary celebration of the Lao Friends Hospital for Children as a volunteer consultant. I had no idea what a momentous year lay ahead for the hospital and me. On my first trip to the hospital, I saw a newborn soon after surgeons had repaired a birth defect in which a portion of his intestines were growing outside his abdomen. Observing his heartbeat through his translucent skin, I realized the fragility of life and felt the depth of what Friends Without A Border was trying to accomplish in Southeast Asia. I came on board officially at the end of March as Executive Director and hold that position with great pride. Our model of exceptional care, teaching and outreach has proven itself for the second
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hospital’s ability to handle the growing caseload benefitted from the expertise of nearly 100 medical volunteers. We are confident that LFHC is poised to play a critical role in developing the next generation of great Laotian pediatricians. On behalf of every board member for Friends Without A Border, I thank you for your support! The demand for our high-quality, compassionate pediatric care has never been greater. We hope that we can count on your continued generosity in the years to come. Matthew Magenheim
time and is a blueprint which has stood the test of time with Angkor Hospital for Children celebrating 20 years in January. The complexity of care being provided at LFHC is comparable to the best pediatric institutions in the world. To ensure and grow this level of care takes a team of extremely dedicated staff and volunteers as well as a family of board members and donors whose ongoing heartfelt involvement, generosity and dedication is never less than inspirational. We are truly helping the wonderful children of Laos lead happier and healthier lives.
MESSAGE FROM THE EXECUTIVE DIRECTOR OF LFHC
By the end of 2017 Lao Friends Hospital for Children had been open for almost three years and indeed a third birthday is a great milestone in any language. At three years of age a child is talking enough to hold a simple conversation, climbing and running well and is gaining confidence in social interactions – and on our third birthday we are doing all these things and more. At three years of age, LFHC is talking: to the Provincial Hospital, to the Provincial Health Department and the Lao government to have real ongoing conversations establishing our place and our contribution to the growth of health care in Lao. We are also talking to the local community through our newly established Lao Council which is giving us a new view of the community we serve. At three years of age, LFHC is climbing and running to meet new challenges: We have opened new clinics in child development and thalassemia; we are improving our service in nutrition; introducing new diagnostic and therapeutic procedures; attending high risk deliveries at the Provincial Hospital; and probably our biggest challenge – working out ways to cope with the big increase in neonatal presentations. At three years of age, LFHC is gaining confidence in our professional interactions: we are sending our doctors and
nurses to training overseas in Thailand, Japan, Cambodia and this coming year to America. In return, we are assisting with training doctors from the pediatric residency in Vientiane and the district hospitals in Luang Prabang Province. One marvelous achievement this year was the First Luang Prabang Gala dinner. On the 20th October over 150 guests gathered to celebrate LFHC and raise money to help with its operation. The event was attended by distinguished Lao guests from both medical and business backgrounds in Luang Prabang, the U.S. and Australian ambassadors, other international guests, FWAB Board members and LFHC staff. This incredible event demonstrated the enormous support that our hospital has from many quarters. Indeed, there are so many people who support us and work hard for our hospital, but none works harder than our staff here in Luang Prabang and for this I would like to thank every single LFHC staff member for their efforts. Together with our supporters and donors from around the world we are indeed a great team.
Simon Young OAM MBBS (hons) MPHTM DipCrim FACEM
We are so appreciative of the generosity that makes this possible. With gratitude Nicole Pagourgis
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Lao Friends Hospital for Children
18,456 Outpatients and ER
2 ,098 Inpatients
600
Surgeries
476
Home Care Visits
397
Neonatal Unit Patients
7,300 Lab Tests
3,900 X-rays and Ultrasounds Performed
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Since opening its doors three years ago, Lao Friends Hospital for Children has earned a reputation in the region for providing top-quality pediatric care and has become a source of pride for the Luang Prabang community. Families in need come from near and far for our free medical services. Some travel by boat. Many make the journey along rutted rural roads. Last year, more than 20,000 families brought their children to LFHC, recognizing it as an exemplar of compassionate care. A growing caseload testifies to the important role LFHC plays in the region. And our caseload has grown dramatically. Our doctors and nurses treated nearly 18,500 children in the Outpatient Department and Emergency Room last year – 25 percent more than they did in 2016. Nearly 2,100 children were hospitalized as inpatients, a 56-percent increase from 2016. As more and more children are treated at LFHC, the demand for ancillary services grows. Diagnostic imaging specialists performed significantly more X-rays and ultrasounds last year. Laboratory technicians nearly doubled the number of tests they performed in 2016. Our hospital also became more medically sophisticated. Our doctors and nurses tackled several complex diagnostic and therapeutic procedures in 2017. Our hospital is clearly helping to shape the future of health care in Lao PDR. LFHC is nurturing its partnership with the Luang Prabang Provincial Health Department and the Provincial Hospital. Huge strides have been made in this relationship, which is critical to our long-term sustainability. Working collaboratively and using Friends Without A Border’s proven model of treatment, education and outreach, we are joining forces to reduce child mortality and morbidity.
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INGENUITY SAVES A LIFE
A Khmu couple brought their 10-year-old daughter to LFHC one day in June after seeing that her respiratory illness was worsening despite three days of treatment at a district hospital. Both of her lungs had been affected and she hadn’t responded to antibiotics as expected. By the end of her first full day in LFHC, doctors decided regular oxygen therapy was not enough to
that would otherwise have required moving critically ill children to another facility. With the assistance of the nonprofit RAD-AID, plans were being made to connect the digital imaging systems of the two hospitals as part of our progress towards unifying services and improving efficiency. Meanwhile, our three radiographers performed 2,400 X-rays and 1,500 ultrasound scans in 2017, a 30-percent increase in medical imaging from the previous year.
Treatment An average of 100 children a day received treatment in 2017 in the Outpatient Department at LFHC. They arrived with an assortment of wounds, fractures and ailments. Our triage nurses assessed each patient and those with serious injuries or illnesses were immediately sent to the Emergency Room. The most common diagnoses were infections of the respiratory system – more than one-third of all diagnoses. Roughly 10 percent of the children seen as outpatients displayed signs of malnutrition. As a result, the department began to screen every patient from 6 months to 5 years old for acute malnutrition. We are the ONLY medical facility in Laos providing this service. While most of Luang Prabang was asleep and all other facilities were closed for the day, the LFHC Emergency Department continued to be there for the community. The 24/7 emergency room also doubled as the intensive care unit for the most critically ill children. As part of our growing coordination with Luang Prabang Provincial Hospital, our
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Emergency Department staff attended deliveries at that hospital’s Maternity Unit to help resuscitate premature infants and care for sick newborns. The surgical team at LFHC completed its first full year of operation in 2017 and performed more than 600 surgeries. Since the opening of the operating theatre in July of 2016, the unit has expanded its capacity to enable our doctors to perform more complex procedures. New fracture-mending tools allow surgeons to place internal metal plates and screws to help heal long-bone fractures in children. Doctors also treated five newborns for gastroschisis, a condition in which an infant is born with some bowel exposed on the outside of their abdomen. And LFHC invited a specialized surgeon from Korea to treat local patients with cleft lip and palate. Surgery was performed on eight children, all of whom went home with new smiles. LFHC’s Radiology services took a huge step forward in 2017 with the installation of a CT scanner which it shares with the Provincial Hospital. The easy access of this advanced imaging technology allowed for diagnoses of a variety of medical and surgical ailments
Families needing the care provided by the Neonatal Unit in 2017 exceeded expectations. LFHC opened the unit in an area that provided space for 6-8 beds. By mid-2017, the neonatal caseload was taking up 10-12 beds a month. Negotiations were initiated with the Luang Prabang Provincial Health Department which will result in the relocation of our Neonatal Unit inside the former children’s ward of the adjacent Provincial Hospital (75 meters away). The move will double our bed-space and provide room to better serve the parents of these infants. Additionally, we are providing complex care that is saving babies who would not have survived before the unit’s existence.
maintain her bloodoxygen levels. To fix this dilemma, the staff enlisted our volunteer biomedical engineer to devise a way to connect multiple oxygen supplies to the ventilator. He creatively connected two oxygen concentrators to the device using extra tubing, zip ties and a hot glue gun, and a third oxygen concentrator directly to the mask at the patient’s face. This engineered
system was just enough to keep her blood-oxygen at an acceptable level. Along with intensive round-the-clock care, she was given medications to treat infections, remove fluid from her lungs, and reduce inflammation. After five tense days, she recovered the ability to breathe on her own and was released to her overjoyed parents.
young children cope with hospitalization, which can be an emotionally difficult, if not traumatizing. The child life specialist employs distraction methods to mitigate the pain for patients and follows protocols that allow patients to be in the most comfortable position during medical procedures. LFHC expanded its array of pediatric care in 2017. In August, the hospital opened a Development Clinic, which is designed to diagnose and assess children living with such disabilities as Down syndrome, cerebral palsy and autism. A team of medical, nursing and therapy providers, mentored by skilled international volunteers, develops plans to help such patients and their families. Services for children with disability are scarce outside Vientiane and many children with developmental problems do not
As Laos has one of the highest stunting rates in the world at over 40 percent and an acute malnutrition rate of greater than 5 percent, a new nutrition protocol was implemented. It is now mandatory for all newly admitted hospital patients to be assessed by staff dietitians and recommendations on nutrition management are provided to the medical team. LFHC is the only hospital in Laos to have a Child Life Specialist on staff. Our child life specialist has been developing therapeutic techniques to help ●
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LFHC SAVES A LIFE… AND A FAMILY Airnoy Thongsy was born 12 weeks premature to a critically ill mother at the region’s Provincial Hospital. She was so tiny that she had an apnea, a suspension of breathing, which prompted the doctors there to pronounce her dead. Stunned by the conditions of his wife and infant daughter, the father stared down at the newborn and noticed his
baby gasp for air. She was still breathing! He rushed her to LFHC’s Neonatal Unit where the medical team put her on a ventilator and closely monitored her vitals. A few days later, our staff heard that the baby’s mother had died. Her distraught father returned to his village to care for his other children, leaving his new daughter at LFHC. The Outreach
team called the village and spoke with the father but he refused to come see the baby as relatives believed the baby caused the mother’s death and was therefore bad luck. The team persisted and eventually the man returned to LFHC and immediately realized he could not bear to leave his daughter behind.
attend school. A special group of children at the clinic were graduates of our Neonatal Unit who were seen in the first year of life to monitor their development. More than 70 families were referred to the clinic in 2017. Further expansion of the hospital’s services in 2017 occurred with the opening of the Thalassemia Clinic. Thalassemia is an inherited blood disorder in which the body produces an abnormal form of hemoglobin. The disorder causes an excessive destruction of red blood cells, which leads to anemia. Thalassemia is a serious problem in northern Laos. Our clinic offers specialized blood testing, an optimized transfusion regime, a chelation (iron removal) program and support and education for the families of our patients. During 2017, the Laboratory staff focused on building relationships with other hospitals. They started working with the Provincial Hospital to screen all neonates born there for blood group. It is important to detect incompatible blood groups between mother and baby soon after birth to prevent serious health complications. LFHC experienced a 70-percent increase in lab tests in 2017. The laboratory was also active in the operations of the Thalassemia Clinic.
Prevention The hospital’s Outreach Team became more of a multidisciplinary unit in 2017, working with different departments to provide the most appropriate care for each patient. The team began to conduct followup examinations of babies discharged from the Neonatal Unit to assess their growth, eating habits and living conditions. The team also conducted follow-up visits with Development Department patients. They conducted 476 outreach visits in 2017 and registered 117 children as new home-care patients. The team created a capacity-building program which is the first step toward determining how LFHC will provide our expertise to neighboring
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VOLUNTEERS As a teaching hospital, LFHC depends on doctors, nurses and other specialists from around the globe to share their experience and expertise with local medical professionals and students. During 2017, a total of 94 volunteers from nine countries worked at
the hospital. Volunteers spend at least a month at the hospital, though many stay longer. Among the volunteers were 30 pediatricians and 30 nurses, who contributed to clinical care and medical training. Nine radiology volunteers and eight anesthesia volunteers worked at the hospital, as well
as four pharmacists. An English teacher, a speech therapist and a project manager for the Outreach Department also were among our volunteers. The volunteers who served at the hospital came from the United States, Australia, Canada, Great Britain, New Zealand, Japan, the
at Chiang Mai University in Thailand. The hospital’s nutritionist attended four months of training at the Lao American Nutrition Institute in Vientiane. Two nurses completed a two-week training exercise in pediatric intensive care at the Lao National Children’s Hospital in Vientiane. And an LFHC scrub nurse attended an orthopedic trauma care course in Vientiane at Mittaphab Hospital.
district hospitals and health centers. The aim is to develop an efficient referral system between LFHC and district hospitals and health centers. Another aspect of this project is to develop a standardized curriculum for district hospital staff to further their medical and nursing education at LFHC.
Education In its role as a teaching hospital, LFHC is an incubator for the practice of modern pediatrics in the region. Volunteer doctors, nurses and other health care specialists from around the world not only treat patients at the hospital, but also share their expertise with local medical professionals and students. The learning experience happens every day at LFHC. Classroom instruction is a regular feature and is complemented with hands-on clinical training and guidance. Several significant developments in education occurred in 2017. LFHC employed its first Lao Nurse Educator, who will take over the role of Nursing Education
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Director. The position is responsible for coordinating the training of all nursing and midwifery students, as well as instructing junior nurses in the anatomy curriculum. In-house training also included instruction in wound care by a nurse specialist from Thailand, basic and advanced neonatal medical courses for nurses, and instruction in management and leadership skills, which was given to all department heads. Doctors from the University of California, Davis trained staff members in bedside ultrasound imaging. The Association for Autism in Lao conducted three-day courses in child development for 12 staff members. And in-house training doubled the number of HIV counselors on staff to eight. The hospital’s emphasis on education sometimes required travel to other facilities in Laos and outside the country. All nurse anesthetists received training at Angkor Hospital for Children and in Malaysia. One nurse anesthetist spent four weeks training in Bangkok at Siriraj Hospital, one of the largest and busiest hospitals in Southeast Asia. An LFHC lab technician attended two weeks of training
English language is a prominent part of LFHC’s education program. The staff attends weekly English classes, not only to improve their communication with international volunteers but also to increase their capability to compete in the field of global medicine.
Our Partners The hospital continued to receive support from RAD-AID, which has sent radiologists, ultrasound and other technicians to LFHC to train local staff members. Health Volunteers Overseas continued
Netherlands, Denmark and France. LFHC accepts applications for medical volunteers of all different specialties on a rolling and continual basis. Information about volunteering is available on our website at
https://fwab.org/ hospitalvolunteers/
to help with recruiting and organizing volunteers, specifically for the Operating Theater. We also continued our partnerships with Vitamin Angels, which provide us with such necessary items as vitamin A and albendazole, which is used in the treatment of a variety of parasitic worm infestations. The hospital also received support from the Canada Fund for Local Initiatives (CFLI), the Chao Foundation, the Ptarmigan Foundation, CW Asia Fund, Moving Child and Australian Volunteers for International Development. Plans were drafted in 2017 to revamp the Friends Visitor Center, which is located in downtown Luang Prabang. Improvements will enable the center to better raise awareness about the hospital through art, video, photography and lectures. In October, the center handled registration and check-in for the Run for the Children half marathon. In other activities, the center played host to several art exhibits and provided space for NGO meetings and a summer English class for Lao children.
LFHC Patients AGE
3% under 28 days 27% 29 days to 1 year
ETHNICITY 56% Lao
29% 1 to 3 years
14% 3 to 5 years
COMMON DIAGNOSES
24% Viral Upper Respiratory Tract Infection
16% Viral Infection 19% Khmu
22% 5 to 12 years
23% Hmong
5% over 12 years
1% Other Lao 1% Foreigner
13% Upper Respiratory Infection 11% Gastroenteritis 10% Malnutrition
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Angkor Hospital for Children Enhancing its reputation as a health care innovator in Southeast Asia, Angkor Hospital for Children launched a new program in 2017 designed to reduce the infant mortality rate in Cambodia. The program, called Saving Babies’ Lives, set a goal of reducing the number of deaths of newborns by one-third in Preah Vihear province. Initiatives with the most impact on newborn mortality from AHC’s highly successful neonatal program have been identified and are being replicated across health posts, health centers and hospitals in Preah Vihear. The program comes under the banner of the new Global Health Child department, established to further the knowledge and understanding of illnesses and diseases that impact child health around the world. There was a considerable decline in neonatal deaths in Cambodia between 2000 and 2014, according to research supported by UNICEF. Still, the infant mortality rate in Cambodia was 26 deaths per 1,000 births in 2016, according to The World Bank data. Compare that to 11 in neighboring Thailand. Saving Babies’ Lives was only one of the exciting new programs that AHC initiated to further improve health care and save lives. AHC began to expand its community school outreach efforts in 2017 as it unveiled the facility’s new Treatment Education and Prevention (TEP) truck. The vehicle was providing more health options for children in rural communities. The TEP truck’s primary purpose is dental and eye screenings, minor treatments and health education sessions.
121,166 Outpatients
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4,366 Inpatients
FRIENDS WITHOUT A BORDER • 2017 ANNUAL REPORT
924
Intensive Care
15,787
Ophthalmology Consultations
13,546
Dental Patients
17,497
Emergency Room
During 2017, AHC provided nearly 164,000 treatments, while continuing the important work of providing education and professional development for its staff, health workers, students and the community. The hospital also completed significant capital improvement projects. AHC’s surgical facilities received much-needed renovations, improving health and safety for patients and staff. The renovations lift AHC’s surgical services to a level comparable with other countries in the Association of Southeast Asian Nations (ASEAN).
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The Lake Clinic 22,864 Patient Visits
872
School Assessments
583
Antenatal Care Visits
954
Dental Visits
2,267
Vaccines Administered
65
Referrals Provided
308
Birth Spacing Visits
10,987
People Reached with Health Education
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In 2017, The Lake Clinic (TLC) marked a decade of service to some of Cambodia’s most remote and isolated villages—those floating on the Tonle Sap Lake and along the Stung Sen River. The demand for services provided by TLC continues to increase and nowhere is the demand more evident than with its River Team that works on the Stung Sen River in Kompong Thom. Awareness of the quality of our care has travelled up and down the river, and now it is not uncommon for boatloads of patients to arrive alongside our clinic or busloads of people to arrive nearby and rent a boat to complete the journey. Many of these patients have come from as far away as Preah Vihear—more than 125 miles (200 kilometers). This is a wonderful statement about the reputation of TLC’s clinicians and staff. Many of these distant patients are older, even elderly, and have chronic diseases that demand regular visits with TLC doctors. They understand that they may never be “cured,” but they are seeking relief and comfort from the symptoms of their Type II diabetes, their hypertension, or the aches and pains that come with having lived a long and difficult life. Each week, TLC launches two clinical teams, the Lake Team and the River Team. For three days and two nights these all-Khmer teams, each composed of two physicians, a midwife, nurse, registrar, cook and boat pilot, provide medical care to two villages. The teams provide a variety of public health services that include mothers’ clubs, school health screenings and adolescent health workshops. They also educate families about nutrition and monitor their progress (even traveling from one floating home to the next to monitor children at risk of malnutrition). Nearly 66 percent of the lake’s children are malnourished. TLC’s budget is approximately $300,000 USD. With more than 37,000 services provided in 2017, that translates into about $8 per health service. Caring for the people of the lake, as well as the various assets of TLC is a huge job, and we could not do it without the help of others who are willing to put their own time and love into the effort. Every volunteer who works with us throughout the year has made a personal sacrifice to come to Cambodia and work alongside us.
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Friends Without A Border Friends Events NEW YORK GALA Friends Without A Border honored Suzanne Brown, CRNA, and Dr. Ron Ablow with the Best Friend of Friends Award during the 15th Annual New York Gala in Manhattan. FWAB also recognized the outstanding contribution of RAD-AID towards the development of medical care for children in Southeast Asia with the Healing Asia Award. RAD-AID is an international organization focused on improving radiology for poor and developing countries. More than 250 people attended the gala, held at The Lighthouse at Pier 61. The event raised nearly $240,000. The event also featured the first Luang Prabang Gala.
LUANG PRABANG HALF MARATHON A record-breaking turnout of nearly 1,200 runners took to the streets on a balmy October morning for the annual Luang Prabang Half Marathon. More than $137,000 was raised for LFHC. The event which was renamed “Run for Children: Luang Prabang Half Marathon,” featured the inaugural LFHC Gala. Half marathon founder Michael Gilmore and Chief of Luang Prabang Provincial Health Department Dr. Amphone Phalammixay were honored at the gala with the Best Friend of Friends Award. (Pictured with FWAB Founder Kenro Izu)
FWAB JAPAN 2017 TOKYO GALA On October 14, Friends Without A Border held its annual Tokyo Charity Gala Dinner, with the theme “Delivering Our Promise.” The event, which was held at the Tokyo American Club, was a great success and raised over $70,000 to support LFHC.
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Friends in the Community We are grateful to the many supporters around the world who organized creative initiatives to support our cause and help children across Southeast Asia. Here are some of them. See our website for other ideas on how to support Friends.
TASTE THE WORLD
MOVING CHILD
JUST MARRIED!
IN MEMORIAM: DR. FRANK WEINER
Every year, CW Asia Fund and a dedicated group of volunteers organize a wine-tasting fundraiser in Vancouver, Canada, to benefit children’s health care programs in Southeast Asia. In 2017, Taste the World raised $181,000 to benefit child treatment and health education at Lao Friends Hospital for Children and Medical Action Myanmar in Yangon.
The Munich, Germany-based nonprofit Moving Child made tremendous contributions supporting the creation of the Thalassemia Clinic at the Lao Friends Hospital for Children. The founders of Moving Child, Anna Schulz-Dornburg and Gertraud Leimstättner, hosted a fundraiser attended by more than 40 people and the event raised $70,000. Proceeds were donated to the care of the children of Luang Prabang.
Tina Patterson, founder of Authentic Asia, and her fiancé William Cottingham got married on a sunny September day in Colorado. In lieu of wedding gifts, they asked their friends and families to make a donation to Friends Without A Border. A longtime member of the Board of Directors of our organization, Tina arranged the first trip to Cambodia for our founder, Kenro Izu, in 1993. We wish them a life together filled with peace and happiness.
While attending the third anniversary of the opening of LFHC on Jan. 24, FWAB Board of Directors Member Dr. Tim Weiner received a phone message informing him that his father had passed away. Dr. Frank Weiner treated generations of children as a pediatrician in small towns in Pennsylvania for over 40 years. He was 85. The Weiner family requested that donations be made to FWAB in his memory.
FRIENDS OF FRIENDS The 18th Annual Friends of Friends New York Event was held on Oct. 21 at the Cathedral of St. John Banquet Hall in Tenafly, New Jersey. The event raised over $22,000 for Angkor Hospital for Children, which was presented to the hospital by committee member, Dr. Samrang Kchao.
BOSTON EVENT An event in May at the Gallery Bom in Boston raised more than $23,000. Related art works, including Kenro & Yumiko Izu’s “Songs of Lao” photograph collection, were displayed and available for sale.
CHARITY DINNER/DANCE Inspired by the dedication of Friends of Friends volunteers over the years, Nieves and Alex Chanthasoto held an evening of dance and dinner on November 3 at The Rockleyigh in New Jersey. After splendid performances by professional ballroom dancers, the guests took over the dancing floor to join in traditional Lao style dancing. They raised over $10,000 for LFHC.
SAN FRANCISCO EVENT Board of Directors members Amy Yang and David Pritchard, along with longtime supporters Corey Goodman and Marcia Barinaga, hosted a fundraiser called “An Evening Among Friends” in May at the Little Gem restaurant in the Hayes Valley neighborhood of the city. The event featured an informative presentation about the Angkor Hospital for Children and the Lao Friends Hospital for Children
CELEBRATING A BIRTH Dr. Alexis Burakoff, a former LFHC volunteer, celebrated the birth of her son Jacob by making a donation to help children in a country that has meant a lot to her. Her generous gesture was matched by many of her family members and friends who also sent donations to Friends Without A Border.
INTERNATIONAL MEDICAL GROUP The IMG awarded a $5,000 prize to Friends Without A Border as one of the two winners of its “Leave Your Mark” essay contest. Essayists were asked to detail what impact the funds would make in advancing the organization’s mission.
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Supporters $100,000+ Frederick Hessler & Kathleen Mundy Denis J. Martin Moving Child Edward Stone
$50,000+ Build Cambodia Cassiopaia Foundation David & Tamana Chang CW Asia Fund Foundation Corey Goodman & Marcia Barinaga David & Joan Pritchard The Big Wood Foundation
$25,000+ Yollanda Cheung & Rupert Chris Li Randall & Lynn Cannizzaro Hutton Ping & Amy Chao Family Foundation Pua Foundation Stamos Capital Partners The Bernice & Milton Stern Foundation Steven Williamson
$10,000+ Air Asia Anonymous Asia Brokers Asset Managers Charity Ltd. Bats Global Markets Jane Bernstein & Robert Ellis Alex A. & Nieves B. Chanthasoto William Cottingham & Tina Patterson Embassy of Canada to Laos, Thaliand and Cambodia Robert Hoffman
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Bruno Mejean & Martina Hund-Mejean Ptarmigan Charitable Foundation Myron & Joanne Spector TeamWeRun The Marshall Family Foundation Inc The Morris Family Fund Tiger Head Atsuko Watanabe & David Sovie Barbara Weiner Ayako H. Weissman World of Children Award
$5,000+ Nana Booker & David Lowe Caroline & Jorge Camuñas Barry & Naomi Cohen International Medical Group, Inc. Stephen & Debra Joester Michael & Carolyn Malcolm Janegail Orringer & James A. Kahn Susan & Alan Rafte Viriyane N. Richardson & Olary Yim Gail Schulze Jake & Ewi Shafran The Derfner Foundation Third Monday Foundation Noriko Watanabe Ka Ki Betty Yeung
$2,000+ Admerasia, Inc. Emily Auyeung Charles & Barbara Bickford Matt Bording Kamala & Thomas Buckner Steven & Suzanne Burakoff C.H. Beck Stiftung GmbH John & Marjorie Nesbitt Calaman Nerou Cheng Yee Shing & Philip Cheng
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Diana Cheung William Cheung David Choi Valerie Chow & Darryl Goveas Franke Chun Ka Fai Nanci & Thomas Conforti Richard & Ellen Cook Crane Fund for Widows & Children Mark Davids Lien Do & Patrick Hogan Robin & Steven Edwards Thomas Finke Maria Fong Ambassador Michelle Geary/ Embassy of Australia to Lao PDR Geelong Children’s Clinic Pty Ltd Leslie Goetzman Goldman Sachs & Co. Matching Gift Program Cynthia Gomez Google Matching Gifts Program Don Haley Joseph Hall Jeffrey Hirsch Steven Holl International Society for Children with Cancer Agnes Ip Johanna Jin James A. Kahn & Janegail Orringer Rebecca Karver Sherman Kassof Ken Kelley Korakuen Rotary Club Wilfred Kwan Raymond & Trish Liden Luangprabang View Hotel Matthew Magenheim & Bobbi Thomason Steven Malkenson George McClintock Richard & Sandra Meckler Sien Yee Mong Neuberger Berman Michael P. O’Connor & Susan Leon David Park Clifford Ross Steve Rusckowski William Sage Karen & Doug Seidman
Pierre Sernet Jonathan & Marci Spector Jayashree Srinivasan St. Thomas Aquinas Parish, St. John Church & Student Center Stamford American International School Sunshine Comes First Ltd. Craig Tooman & Jill Crawford Verisk ISO Lorrie Warner Jack Weiner Timothy & Meredith Weiner Paul Wong Amy Yang Asaf Yogev & Pawel Tkaczuk Zau Foundation Tina Zhou
$1,500+ Ronald & Judith Ablow Arthur Becker Willie & Mika Chang Alexander Cook & Kathy Valko Jon Hartsel Maki Hatae Maria Hong Mayumi Jones Hal Kussick Philip Lajaunie Siu Man Lam William & Stephanie Lemke Jeff Lin Patrick Maloney Rael Mazansky Nippon Steel & Sumitomo Metal U.S.A., Inc. Sakoun & Malinda Sok The Japanese Society of Pediatric See Fan Tse Thomas & Molly Vates Jason Yang Amy & Glenn Yee
In Kind $2,000+ Amantaka Si Yen Chen Yollanda Cheung & Rupert Chris Li Nichola Coates
22 ● FRIENDS WITHOUT A BORDER • 2017 ANNUAL REPORT
Direct Relief International Maria Fong Kenro & Yumiko Izu Stephen & Debra Joester Matthew Magenheim Patrice Nall Mary Ponifasio Monica Rich-Kosann & Rod Kosann Rocket Medical Chab Ross Silk Air Singapore Airlines Sofitel Luang Prabang Tiger Head Georgie Walsh
How You Can Help Every day, children around the world die from preventable
diseases and such manageable conditions
as
malnutrition,
pneumonia and diarrhea. The reason: they don’t have access to medical care. Lao Friends Hos-
Local Supporters 525 Amantaka Anakha Azerai Hotel Belle Rive Hotel Belmond Hotel Big Tree Café & Gallery Caruso Lao Cold River Guesthouse Joma Bakery Café Le Sen Boutique Hotel Luang Prabang View Hotel Luang Say Residence Maison Dalabua & Manda de Laos Maison Souvannaphoum Mekong Kingdom Mekong Riverside View Naga Creations Ock Pop Tok Parasol Blanc Pasa Paa Saffron Coffe Sala Prabang Hotel Sanctuary Hotels & Resorts Satri House Sofitel Tamarind Restaurant (LP) The Apsara Villa Deux Rivieres Villa Maly Villa Santi Resort
Give the Gift of Life Give a gift to support our efforts to provide high-quality health care to the children of Southeast Asia. Make an instant, secure, and tax-deductible donation online by visiting www.fwab.org/donate, or give us a call at (212) 691-0909, or mail a check to Friends Without A Border.
Forever Friends
pital for Children is dedicated
Become a Forever Friend by joining our monthly giving program for only 33 cents a day, To join, visit www.fwab.org/donate/foreverfriends/
care to the children of Laos,
Honor a Loved One
to the mission of providing free and promises that they will
developing nations. The mod-
Honor someone special with a tribute gift. Your gift can be in honor of, or in memory of, a family member, friend or colleague. Your honoree (or their family) will receive a personalized letter detailing the impact the gift has on the lives of children in need of medical care. To make a tribute gift, visit www.fwab.org/donate/tributegift, or call the number above.
treatment, education and pre-
Create a Lasting Legacy
not have to suffer the fate of so many other children who live in impoverished conditions in
el of LFHC, which emphasizes vention, guarantees that your support will benefit children who are in need today.
Consider including Friends Without A Border in your estate plans. A gift to Friends Without A Border in your will or living trust is a lasting investment in advancing our mission and ability to respond to future challenges.
Stock Donations Donating stock or mutual funds to Friends Without A Border is a taxwise approach to caring for children in need. We encourage you to consult your personal tax advisor to evaluate your best options when making a donation of securities. Please visit www.fwab.org/donate/ plannedgiving/ to make a planned donation through either bequests or stock donations.
Donate from Abroad We have agreements with organizations in Canada, the United Kingdom, Germany, Australia, the European Union and Japan allowing donors in these countries to make tax-deductible donations to support our work. Visit www.fwab.org/internationaldonation/or email us at fwab@ fwab.org for details.
Start a Fundraiser Celebrating a birthday, wedding, or other event? We can assist in organizing community events and online fundraisers to support our hospitals. Visit our website for some creative ideas and links to the crowd-funding sites we recommend. ●
23
Statement of Activities
Board Staff
and Changes in Net Assets for 2017 (Unaudited)
For the Period Ended December 31, 2017 (With comparative totals for 2016 ) Unrestricted
Temporarily restricted
2017 Total
2016 Total
Contributions Government contract grants Special events Less: direct expenses Patient income, fees etc. Sales Collection boxes Investment income Other income Net assets released from restrictions
$1,113,579 $530,243 – – 805,342 (168,014) 4,809 8,247 5,944 1,712 3,601 620,226 (620,226)
1,643,822 – 805,342 (168,014) 4,809 8,247 5,944 1,712 3,601 –
1,579,282 – 557,704 (214,619) 4,045 16,817 6,102 1,391 1,879 –
Total revenue
2,395,446
2,305,463
1,952,601
REVENUE
(89,983)
EXPENSES Program services AHC & TLC support LFHC Program development Total program services Supporting services Fund raising Management and general Total supporting services Total expenses Change in net assets Net assets at beginning of year Net asset at end of year
296,467 1,732,709 13,044 2,042,220 – 218,198 222,893 2 441,091 – 2,483,311 – (87,865) (89,983) 2,024,552 170,690 1,936,687 80,707
Other Income
296,467 1,732,709 13,044 2,042,220 218,198 22,893 441,091 2,483,311 (177,848) 2,195,242 2,017,394
316,609 1,520,460 31,981 1,869,050 328,059 177,814 505,873 2,374,923 (422,322) 2,617,564 2,195,242
Fundraising Contributions
Special Events
1% 27%
62%
Management & General
9% AHC*
10%
Source of Revenue in 2017
9%
TLC*
5% 6%
71% How Resources Were Spent in 2017
Grants
*Program total 82%
24 ● FRIENDS WITHOUT A BORDER • 2017 ANNUAL REPORT
LFHC*
Founder and Honorary President Kenro Izu Board of Directors David Chang Alex Chanthasoto Nerou Cheng, CPA Stephen Joester Philippe Lajaunie Matthew Magenheim, Chair Michael Malcolm Denis Martin Tina Patterson David J. Pritchard Susan Rafte Jonathan Spector, MD MPH Michael Stern Timothy M. Weiner, MD Ayako Weissman Steven Williamson Amy Yang Medical Advisors Ron Ablow, MD M. Greg Thompson, MD MPH Charles F. Craft, DDS Young Ambassadors Diana Cheung Todd Joseph
Friends Without A Border New York 1123 Broadway, Suite 1210 New York, NY 10010 Tel: (212) 691-0909 Fax: (212) 337-8052 email: fwab@fwab.org website: www.fwab.org Nicole Pagourgis Executive Director Akiko Arai Chief Administrative Officer Gary Kane Manager of Communications and Development Nate Zavin, Intern Friends Without A Border Japan 16-8 Kodenmacho, Nihonbashi Kyoudo Building, 7F Chuo-ku, Tokyo 103-0001 Japan Tel/Fax: 81.(0)3.6661.7558 www.fwab.jp
Lao Friends Hospital for Children P.O. Box 873, Luang Prabang, Lao PDR Tel: 856.(0)71.254.247 Email: lfhc@fwablaos.org Simon Young, OAM MBBS (hons) MPHTM DipCrim FACEM, Executive Director Christine Sanderson, MD Medical Education Director Indi Trehan, MD Medical Director Matt Evans, RN Director of Nursing Sarah Cutting, RN, Nursing Education Director Kazumi Akao, RN Director of Outreach Program Florent Planche Director of Administration Rie Tai Director of External Relations
Photo credits: AHC, Adri Berger, FWAB, Ellen Wallop, and Bryan Watt
www.fwab.org