Civic Intelligence

Medical Care Development Inc

EIN 01-6022787 • 501(c)3 • Hallowell, ME

Profile

Medical Care Development's mission is to improve the health and well-being of people worldwide through enduring, high quality, cost-effective and universally accessible solutions.This Mission is achieved by:1. Joining and augmenting the combined and synergistic capabilities of MCD's domestic and international divisions;2. Enhancing global impact through improved market visibility and penetration;3. Instituting state-of-the-art, company-wide, integrated systems and procedures for program, operations, human resources and financial management;4. Developing, deploying, and retaining a highly qualified workforce;5. Developing and deploying IT-based products and solutions;6. Leveraging the opportunities and added value of local partnerships.

105 Second Street 2AHallowell, ME 04347

www.mcd.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

85th percentile

0.76x

Higher debt load relative to assets than 85% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

50th percentile

0.28x

Higher debt load relative to revenue than 50% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

27th percentile

-2.6%

Higher net margin than 27% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

77th percentile

$426,993

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2023

Asset Growth

4th percentile

-18%

Faster asset growth than 4% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

17th percentile

-11%

Faster revenue growth than 17% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$12,241,885

Down $2,697,532 (-18%) from 2023

Liabilities

Down

$9,343,280

Down $1,262,741 (-12%) from 2023

Net Assets

Down

$2,898,605

Down $1,434,791 (-33%) from 2023

Revenue

Down

$33,058,107

Down $4,166,712 (-11%) from 2023

Expenses

Down

$33,913,465

Down $4,745,167 (-12%) from 2023

Net Income

Up

-$855,358

Up $578,455 (+40%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $20,724,693Liabilities 2010: $17,159,926Net Assets 2010: $3,564,7672010Assets 2011: $20,822,082Liabilities 2011: $15,328,747Net Assets 2011: $5,493,3352011Assets 2012: $23,425,075Liabilities 2012: $16,905,448Net Assets 2012: $6,519,6272012Assets 2013: $24,474,882Liabilities 2013: $17,109,555Net Assets 2013: $7,365,3272013Assets 2014: $20,875,967Liabilities 2014: $12,694,650Net Assets 2014: $8,181,3172014Assets 2015: $21,551,274Liabilities 2015: $12,818,777Net Assets 2015: $8,732,4972015Assets 2016: $21,345,655Liabilities 2016: $12,290,494Net Assets 2016: $9,055,1612016Assets 2017: $12,301,324Liabilities 2017: $6,954,999Net Assets 2017: $5,346,3252017Assets 2018: $11,571,428Liabilities 2018: $5,915,405Net Assets 2018: $5,656,0232018Assets 2019: $12,282,815Liabilities 2019: $6,200,825Net Assets 2019: $6,081,9902019Assets 2020: $12,474,064Liabilities 2020: $5,198,944Net Assets 2020: $7,275,1202020Assets 2021: $13,124,569Liabilities 2021: $6,205,613Net Assets 2021: $6,918,9562021Assets 2022: $15,917,021Liabilities 2022: $10,286,493Net Assets 2022: $5,630,5282022Assets 2023: $14,939,417Liabilities 2023: $10,606,021Net Assets 2023: $4,333,3962023Assets 2024: $12,241,885Liabilities 2024: $9,343,280Net Assets 2024: $2,898,6052024

Highlighted filing

2024

Assets$12,241,885
Liabilities$9,343,280
Net Assets$2,898,605

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $41,920,2492010Revenue 2011: $43,993,133Expenses 2011: $41,942,392Net Income 2011: $2,050,7412011Expenses 2012: $40,438,9422012Revenue 2013: $44,059,744Expenses 2013: $43,195,256Net Income 2013: $864,4882013Revenue 2014: $46,068,166Expenses 2014: $45,252,311Net Income 2014: $815,8552014Revenue 2015: $48,420,347Expenses 2015: $47,855,874Net Income 2015: $564,4732015Revenue 2016: $49,546,197Expenses 2016: $49,237,005Net Income 2016: $309,1922016Revenue 2017: $32,722,600Expenses 2017: $36,452,441Net Income 2017: -$3,729,8412017Revenue 2018: $35,123,942Expenses 2018: $34,799,335Net Income 2018: $324,6072018Revenue 2019: $34,662,731Expenses 2019: $34,265,973Net Income 2019: $396,7582019Revenue 2020: $37,047,180Expenses 2020: $35,939,936Net Income 2020: $1,107,2442020Revenue 2021: $32,391,306Expenses 2021: $32,864,631Net Income 2021: -$473,3252021Revenue 2022: $33,032,611Expenses 2022: $34,143,579Net Income 2022: -$1,110,9682022Revenue 2023: $37,224,819Expenses 2023: $38,658,632Net Income 2023: -$1,433,8132023Revenue 2024: $33,058,107Expenses 2024: $33,913,465Net Income 2024: -$855,3582024

Highlighted filing

2024

Revenue$33,058,107
Expenses$33,913,465
Net Income-$855,358

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.2$9.34$2.90$33.1$33.9$0.86
2023Detailed filing. Detailed filing data is available for this year.$14.9$10.6$4.33$37.2$38.7$1.43
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.9$10.3$5.63$33.0$34.1$1.11
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.1$6.21$6.92$32.4$32.9$0.47
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.5$5.20$7.28$37.0$35.9$1.11
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.3$6.20$6.08$34.7$34.3$0.40
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.6$5.92$5.66$35.1$34.8$0.32
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.3$6.95$5.35$32.7$36.5$3.73
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.3$12.3$9.06$49.5$49.2$0.31
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.6$12.8$8.73$48.4$47.9$0.56
2014Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$20.9$12.7$8.18$46.1$45.3$0.82
2013Detailed filing. Detailed filing data is available for this year.$24.5$17.1$7.37$44.1$43.2$0.86
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$23.4$16.9$6.52$40.4
2011Summary only. Only limited summary data is available for this year.$20.8$15.3$5.49$44.0$41.9$2.05
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.7$17.2$3.56$41.9
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2023 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Oct 31, 2024
Return Version
2023v5.1
Gross Receipts
$37,224,819
Mission and Program Overview

Mission

Medical Care Development's mission is to improve the health and well-being of people worldwide through enduring, high quality, cost-effective and universally accessible solutions.This Mission is achieved by:1. Joining and augmenting the combined and synergistic capabilities of MCD's domestic and international divisions;2. Enhancing global impact through improved market visibility and penetration;3. Instituting state-of-the-art, company-wide, integrated systems and procedures for program, operations, human resources and financial management;4. Developing, deploying, and retaining a highly qualified workforce;5. Developing and deploying IT-based products and solutions;6. Leveraging the opportunities and added value of local partnerships.

Improve the health and well-being of people

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$8,589,607$11,262,250▲ $2,672,643
Investments in Publicly Traded Securities$974,739$1,212,620▲ $237,881
Cash and Non-Interest-Bearing Accounts$4,066,488$757,878▼ $3,308,610
Intangible Assets$866,856$710,977▼ $155,879
Accounts Receivable$175,829$255,299▲ $79,470
Savings and Temporary Cash Investments$632,032$209,732▼ $422,300
Prepaid Expenses and Deferred Charges$212,259$124,300▼ $87,959
Land, Buildings, and Equipment, Net$169,668$114,835▼ $54,833
Total Assets$15,917,021$14,939,417▼ $977,604
Other Assets Total$229,543$291,526▲ $61,983
Liabilities
Accounts Payable and Accrued Expenses$5,139,418$5,492,934▲ $353,516
Deferred Revenue$4,043,721$4,089,330▲ $45,609
Other Liabilities$1,103,354$1,023,757▼ $79,597
Total Liabilities$10,286,493$10,606,021▲ $319,528
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,326,356$4,078,175▼ $1,248,181
Net Assets With Donor Restrictions$304,172$255,221▼ $48,951
Total Net Assets Fund Balance$5,630,528$4,333,396▼ $1,297,132
Total Liabilities and Net Assets / Fund Balance$15,917,021$14,939,417▼ $977,604

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$114,835$260,826$375,661
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Christopher SchwabePresident & CEOFT$267,289$159,704$426,993
Josea RatsirarsonDirector of International ProgramsFT$177,427$78,804$256,231
Heather M MettenDirector of FinanceFT$139,542$86,370$225,912
Edward M AldrichDirector of OperationsFT$162,638$52,986$215,624
Anh My HaDeputy DirectorFT$139,059$67,020$206,079
Kimberly HirshDirector of Human ResourcesFT$162,585$25,810$188,395
Julie Niemczura De CarvalhoDeputy Director/USG Program Lead of the InterFT$147,076$40,108$187,184
Julie Niemczura De CarvalhoDeputy Director/USG Program Lead of-$146,075$41,109$187,184
Elizabeth FoleyDirector of US ProgramsFT$118,358$68,604$186,962
Guillermo A Garcia ContrerasDeputy Director, International ProgramsFT$149,862$36,288$186,150
Guillermo A Garcia ContrerasDeputy Director, International Progr-$149,456$36,694$186,150
Danielle M LouderDirector of US ProgramsFT$117,874$40,032$157,906
Drusilla Grandos BlakeySenior Executive and Administrative ManagerFT$99,377$26,017$125,394
Daniel MullinsBoard Member-$6,281-$6,281
Timothy AllenBoard Chair-$2,952-$2,952

Board Members and Trustees

NameTitle
Russell BarbourBoard Vice-Chair
Eleonore RabelahasaBoard Member
Evelyn KieltykaBoard Member
Helen SmitsBoard Member
Holly StoverBoard Member
Issakha DialloBoard Member
Jennifer MortonBoard Member
Judy KatzelBoard Member
Patrick KachurBoard Member
Paul NeumannBoard Member
Peter MacyBoard Member
Sandra St Fleur-WrightBoard Member
Susan MbayaBoard Member
Anita BarryBoard Secretary
Linda MacDonaldBoard Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Malaria ConsortiumDisease Control359 Blackwell Street Suite 200, Durham, NC 27701, Uk$869,338
Family Health InternationalConsulting and Program Coordination51 College Road Service Building Ro, Durham, NH 03824-3585, Sz$536,366
Swiss Tropical And Public Health InstituTPH ImmunologyJulius Nyerere Ave 1016, Maputo City, Mz$291,257
Fundacao Ariel Glaser Contra O Sida PediDisease Control-$252,679
University System of New HampshireTelehealth Program Administration-$206,829
Revenue and Support

Revenue Composition

Contributions and Grants
$70,405
Program Service Revenue
$37,122,872
Investment Income
$31,542
Other Revenue
$0
All Other Contributions
$70,405
Change in Net Assets
$-1,433,813

Audited Revenue Reconciliation

Revenue per Audited Statements
$37,224,819
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$136,681
Total Revenue per Audited Statements
$37,361,500
Total Revenue per Form 990
$37,224,819
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$21,339,369
Other Expenses$17,319,263
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,919,301$3,364,393-$14,283,694
Other Employee Benefits$2,997,729$964,264-$3,961,993
Fees for Services Other$2,129,699$521,722-$2,651,421
Current Officers, Directors, Trustees, and Key Employees$374,407$1,075,999-$1,450,406
Payroll Taxes$1,043,987$375,467-$1,419,454
Office Expenses$701,892$50,388-$752,280
Travel$587,415$68,581-$655,996
Other Expenses$608,092$22,419-$630,511
Occupancy$331,717$164,322-$496,039
Pension Plan Contributions$216,368$7,454-$223,822
Insurance$60,728$124,275-$185,003
Information Technology$117,784$25,894-$143,678
Fees for Services Legal$2,485$102,861-$105,346
Depreciation Depletion$54,647$186-$54,833
Fees for Services Accounting-$43,067-$43,067
Total Functional Expenses$31,351,886$7,306,746$0$38,658,632

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$38,658,632
Total Expenses per Audited Statements$38,658,632
Total Expenses per Form 990$38,658,632
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

International Summary

Offices
10
Employees
288
Spending
$21,597,296

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Sub-Sahara AfricaProgram Services: Malaria Prevention & TreatmentIndoor residual spraying, insecticide & drug resitance montoring, bed net3188$10,187,271
Sub-Sahara AfricaProgram Services:Malaria Capacity StrengtheningMalaria Capacity Strengthening334$6,158,566
Sub-Sahara AfricaProcure and deliver essential medicines and diagnostic equipmentTo support the Equatorial Guinea Ministry of Health and Social Work to procure and deliver essential medicines and diagnostic equipment to improve the populations access to medical treatment and health services04$1,976,288
Sub-Sahara AfricaProgram Services: Malaria Prevention & TreatmentBuild capacity for high quality malaria service delivery, through rigorous in-country capacity building and country-to-country and global technical assistance from recognized malaria experts.26$1,754,676
Sub-Sahara AfricaProgram Services: Malaria ReductionMalaria Reduction Activity in Uganda07$526,672
Sub-Sahara AfricaProgram Services-HIV/AIDS PREVENTIONMilitary Specific HIV/AIDS Prevention, Care and Treatement Program02$491,659
Sub-Sahara AfricaProgram Services: Cervical Cancer ScreeningCervical cancer detection and treatment136$309,708
Sub-Sahara AfricaProgram Services-Reproductive, Maternal, Newborn, & Child HealthExpand and increse the quality of the reproductive, maternal, newborn and child health (RMNCH) services02$107,276
Sub-Sahara AfricaProgram Services: Malaria Prevention & TreatmentProvide training on the treatment protocol for uncomplicated malaria to service providers in the public and private sectors and to work collaboratively with the MOH to improve malaria diagnostic and case management at the health facility as well as commun03$63,093
Sub-Sahara AfricaProgram Services: Implemented malaria diagnostic programProvides technical assistance to improve malaria diagnostic capacities at all levels of the health system.00$13,676
Sub-Sahara AfricaStregthen national intersectoral capacity for disease surveillance enabling preparedness for epidemiDevelop a stakeholder mobilization plan including a communications strategy aimed at disseminating information about the project and on environmental and social risks16$8,411
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liabilities$749,668
Deferred Compensation$274,089
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

The Director of Finance will review the near-final draft. The CEO then does a separate review. Upon completion of that review and resolution of any questions, the draft return is forwarded to the Chair of the Board and the Chair of the Finance Committee for their review and approval, and if they have any concerns or questions, a Finance Committee meeting is convened to discuss and resolve them. The resulting draft is finalized, and prior to filing, it is distributed to the voting members of the Board of Directors for information purposes only. The return is subsequently filed.

Form 990, Part VI, Section B, line 12C

Review of conflict of interest is done annually and on an ad hoc basis as needed. At or soon after the annual board meeting, Board Members submit an updated statement.

Form 990, Part VI, Section B, line 15

MCD's Bylaws require that the compensation of the President "shall be fixed from time to time by the Board of Directors." The Board's Chair and Executive Committee review compensation of presidents of other non-profits, the compensation history of MCD's President, and other information, including one or more of various industry surveys of compensation information, in determining the appropriate compensation. In 2022 the CEO's compensation was included as part of an organization-wide compensation study and updating of MCD's compensation philosophy and policies. The CEO's compensation was benchmarked against CEO compensation in similarly sized non-profits and for-profits operating within the social sector market space. The Executive Committee of the Board of Directors conducts an annual performance review and votes on the entire recommended employment agreement, including compensation terms, which in turn are voted on by the full Board of Directors. The current agreement was approved by the Board of Directors in July 2023 for a 1-year term of the agreement. The agreement is automatically renewed for a successive one year along with possible merit and cost-of-living adjustments consistent with MCD's Total Rewards Policy unless the agreement has not been previously terminated or unless written notice is given by either party to the other at least 90 days prior to the expiration date of its intent to terminate the agreement. The compensation for the Assistant Treasurer (also MCD's Director of Finance) and Assistant Secretary (also MCD's Executive Assistant to the CEO) and other key employees (i.e. members of MCD's Executive Leadership Team, Deputy Directors and Senior Managers) were determined as part of a company-wide formal total compensation review conducted with assistance of an independent outside consulting firm in 2022. Each of these positions was mapped to a salary grade and their compensation was benchmarked against comparable positions in the relevant geographies in similarly sized non-profits and for-profits operating within the social sector market space. Compensation for key employees within the same salary grade were then compared to ensure horizontal equity taking into account differences in core competencies, years of experience and/or qualifications. Salary ranges for each position are adjusted annually, as appropriate, to account for labor market wage inflation in different geographic locations. Individual salary adjustments are applied based on cost of living, performance, length of service, etc.

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 upon request.

Filing and Contact Details

Filer

Filer Name
Medical Care Development Inc
EIN
01-6022787
Phone
2076227566
Address
105 Second Street 2A, Hallowell, ME 04347
Doing Business As
MCD Global Health

Signing Officer

Name
Heather Metten
Title
Director of Finance
Phone
2076227566
Signed
2024-10-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Christopher Schwabe
Formed
1966
Legal Domicile
Me
Voting Board Members
17
Independent Board Members
17
Employees
195
Volunteers
17

Preparer

Firm
Berry Dunn McNeil & Parker LLC
Address
2211 Congress St, Portland, ME 04102
Preparer
Melissa Magoon CPA
Phone
2077752387
Supplemental Narrative

Additional Explanations

Form 990, Part X, Line 10: Land, Buildings, and Equipment

Section 1.263(a)-3(n) Election: Medical Care Development, Inc. 105 Second Street, Suite 2A Hallowell, ME 04347 EIN: 01-6022787 Medical Care Development, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).

Raw XML AppendixShowing 400 of 921 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
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IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0105 Second Street 2A
IRS990/BooksInCareOfDetail/USAddress/CityNm0Hallowell
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IRS990/ContractorCompensationGrp/ContractorAddress/ForeignAddress/AddressLine1Txt14051
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IRS990/ContractorCompensationGrp/ContractorAddress/ForeignAddress/CityNm0London
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4University System of New Hampshire
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IRS990/Desc0MCD is a global public health nonprofit incorporated in Maine that helps improve health and well-being in communities worldwide. MCD works with local partners to provide training and develop solutions for important health issues. Our goal is to strengthen healthcare systems and the health workforce, advancing strategies to connect people to high-quality health solutions. By collaborating with communities, we hope to create lasting change so everyone can access quality health services and live healthier lives.Since 1977, MCD's International Programs have partnered with local and national government partners in low-to-middle-income countries, as well as civil society organizations, non-governmental organizations, research and academic institutions, and other key partners and the people they serve to create sustainable strategies to improve health. We have worked in over 50 countries in Africa, Latin America and the Caribbean, Asia, and the Middle East providing technical assistance on maternal and child health, malaria, communicable diseases, WASH (water, sanitation and hygiene), health system strengthening and more. MCD is currently active in 6 countries outside of the U.S. and is a global leader in malaria diagnostics and community-led total sanitation.In 2023, MCD's International Programs:- Implemented malaria diagnostics programs in 13 countries of Africa as part of the USAID-funded U.S. President's Malaria Initiative.- Under USAID bilateral agreements, MCD implemented a malaria control programs in Mozambique, Niger, and Uganda.- Implemented a comprehensive malaria elimination and prevention program in Equatorial Guinea, with funding from corporate donors and host country government. - Implemented cervical cancer screening program in Equatorial Guinea with funding from corporate donors.- Implemented HIV/AIDS program for the militaries in Gabon and Sao Tome and Principe with funding from the U.S. Department of Defense/PEPFAR.- Implemented a private sector health strengthening program focused on maternal newborn and child health in Benin with funding from USAID.- Implemented a drug procurement and supply management project in Equatorial Guines, with funding from the U.S. Department of Justice.- Implemented a health system strengthening program in Madagascar with funding from Madagascar's Ministry of Health.
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IRS990/MissionDesc0Medical Care Development's mission is to improve the health and well-being of people worldwide through enduring, high-quality, cost-effective and universally accessible public health solutions.
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