Charity Review

  • Issued: May 2019
  • Expires: December 2021

Catholic Medical Mission Board

Accredited Charity

Meets Standards

800-678-5659

100 Wall Street, 9th Floor
New York, NY 10005

https://www.cmmb.org
Accredited Charity

800-678-5659

100 Wall Street, 9th Floor New York, NY 10005

https://www.cmmb.org
Accredited Charity

Accredited Charity

Meets Standards

Standards For Charity Accountability

Governance

  1. Board Oversight

    Standard 1 (Oversight of Operations and Staff)

    Description
    Organizations shall have a board of directors that provides adequate oversight of the charity's operations and its staff. Indication of adequate oversight includes, but is not limited to, regularly scheduled appraisals of the CEO's performance, evidence of disbursement controls such as board approval of the budget, fund raising practices, establishment of a conflict of interest policy, and establishment of accounting procedures sufficient to safeguard charity finances.

    The organization meets this standard.

  2. Board Size

    Standard 2 (Number of Board Members)

    Description
    Soliciting organizations shall have a board of directors with a minimum of five voting members.

    The organization meets this standard.

  3. Board Meetings

    Standard 3 (Frequency and Attendance of Board Meetings)

    Description
    An organization shall have a minimum of three evenly spaced meetings per year of the full governing body with a majority in attendance, with face-to-face participation. A conference call of the full board can substitute for one of the three meetings of the governing body. For all meetings, alternative modes of participation are acceptable for those with physical disabilities.

    The organization meets this standard.

  4. Board Compensation

    Standard 4 (Compensated Board Members)

    Description
    Not more than one or 10% (whichever is greater) directly or indirectly compensated person(s) serving as voting member(s) of the board. Compensated members shall not serve as the board's chair or treasurer.

    The organization meets this standard.

  5. Conflict of Interest

    Standard 5 (Conflict of Interest)

    Description
    No transaction(s) in which any board or staff members have material conflicting interests with the charity resulting from any relationship or business affiliation. Factors that will be considered when concluding whether or not a related party transaction constitutes a conflict of interest and if such a conflict is material, include, but are not limited to: any arm's length procedures established by the charity; the size of the transaction relative to like expenses of the charity; whether the interested party participated in the board vote on the transaction; if competitive bids were sought and whether the transaction is one-time, recurring or ongoing.

    The organization meets this standard.

Measuring Effectiveness

  1. Effectiveness Policy

    Standard 6 (Board Policy on Effectiveness)

    Description
    Have a board policy of assessing, no less than every two years, the organization's performance and effectiveness and of determining future actions required to achieve its mission.

    The organization meets this standard.

  2. Effectiveness Report

    Standard 7 (Board Approval of Written Report on Effectiveness)

    Description
    Submit to the organization's governing body, for its approval, a written report that outlines the results of the aforementioned performance and effectiveness assessment and recommendations for future actions.

    The organization meets this standard.

Finances

  1. Program Expenses

    Standard 8 (Program Service Expense Ratio)

    Description
    Spend at least 65% of its total expenses on program activities.

    The organization meets this standard.

  2. Fundraising Expenses

    Standard 9 (Fund Raising Expense Ratio)

    Description
    Spending should be no more than 35% of related contributions on fund raising. Related contributions include donations, legacies, and other gifts received as a result of fund raising efforts.

    The organization meets this standard.

  3. Accumulating Funds

    Standard 10 (Ending Net Assets)

    Description
    Avoid accumulating funds that could be used for current program activities. To meet this standard, the charity's unrestricted net assets available for use should not be more than three times the size of the past year's expenses or three times the size of the current year's budget, whichever is higher.

    The organization meets this standard.

  4. Audit Report

    Standard 11 (Financial Statements)

    Description
    Make available to all, on request, complete annual financial statements prepared in accordance with generally accepted accounting principles. When total annual gross income exceeds $500,000, these statements should be audited in accordance with generally accepted auditing standards. For charities whose annual gross income is less than $500,000, a review by a certified public accountant is sufficient to meet this standard. For charities whose annual gross income is less than $250,000, an internally produced, complete financial statement is sufficient to meet this standard.

    The organization meets this standard.

  5. Detailed Expense Breakdown

    Standard 12 (Detailed Functional Breakdown of Expenses)

    Description
    Include in the financial statements a breakdown of expenses (e.g., salaries, travel, postage, etc.) that shows what portion of these expenses was allocated to program, fund raising, and administrative activities. If the charity has more than one major program category, the schedule should provide a breakdown for each category.

    The organization meets this standard.

  6. Accurate Expense Reporting

    Standard 13 (Accuracy of Expenses in Financial Statements)

    Description
    Accurately report the charity's expenses, including any joint cost allocations, in its financial statements. For example, audited or unaudited statements which inaccurately claim zero fund raising expenses or otherwise understate the amount a charity spends on fund raising, and/or overstate the amount it spends on programs will not meet this standard.

    The organization meets this standard.

  7. Budget Plan

    Standard 14 (Budget)

    Description
    Have a board-approved annual budget for its current fiscal year, outlining projected expenses for major program activities, fund raising, and administration.

    The organization meets this standard.

Fundraising & Info

  1. Truthful Materials

    Standard 15 (Misleading Appeals)

    Description
    Have solicitations and informational materials, distributed by any means, that are accurate, truthful and not misleading, both in whole and in part. Appeals that omit a clear description of program(s) for which contributions are sought will not meet this standard. A charity should also be able to substantiate that the timing and nature of its expenditures are in accordance with what is stated, expressed, or implied in the charity's solicitations.

    The organization meets this standard.

  2. Annual Report

    Standard 16 (Annual Report)

    Description
    Have an annual report available to all, on request, that includes: (a) the organization's mission statement, (b) a summary of the past year's program service accomplishments, (c) a roster of the officers and members of the board of directors, (d) financial information that includes (i) total income in the past fiscal year, (ii) expenses in the same program, fund raising and administrative categories as in the financial statements, and (iii) ending net assets.

    The organization meets this standard.

  3. Website Disclosures

    Standard 17 (Web Site Disclosures)

    Description
    Include on any charity websites that solicit contributions, the same information that is recommended for annual reports, as well as the mailing address of the charity and electronic access to its most recent IRS Form 990.

    The organization meets this standard.

  4. Donor Privacy

    Standard 18 (Privacy for Written Appeals & Internet Privacy)

    Description
    Address privacy concerns of donors by (a) providing in written appeals, at least annually, a means (e.g., such as a check off box) for both new and continuing donors to inform the charity if they do not want their name and address shared outside the organization, (b) providing a clear, prominent and easily accessible privacy policy on any of its websites that tells visitors (i) what information, if any, is being collected about them by the charity and how this information will be used, (ii) how to contact the charity to review personal information collected and request corrections, (iii) how to inform the charity (e.g., a check off box) that the visitor does not wish his/her personal information to be shared outside the organization, and (iv) what security measures the charity has in place to protect personal information.

    The organization meets this standard.

  5. Cause Marketing Disclosures

    Standard 19 (Cause Related Marketing)

    Description
    Clearly disclose how the charity benefits from the sale of products or services (i.e., cause-related marketing) that state or imply that a charity will benefit from a consumer sale or transaction. Such promotions should disclose, at the point of solicitation: (a) the actual or anticipated portion of the purchase price that will benefit the charity (e.g., 5 cents will be contributed to abc charity for every xyz company product sold), (b) the duration of the campaign (e.g., the month of October), (c) any maximum or guaranteed minimum contribution amount (e.g., up to a maximum of $200,000).

    The organization meets this standard.

  6. Complaints

    Standard 20 (Complaints)

    Description
    Respond promptly to and act on complaints brought to its attention by the BBB Wise Giving Alliance and/or local Better Business Bureaus about fund raising practices, privacy policy violations and/or other issues.

    The organization meets this standard.

Conclusion

Catholic Medical Mission Board meets the 20 Standards for Charity Accountability.

Government Action


In March 2018, the California Attorney General's office issued an Order to Cease and Desist (Case No. 2018-CT103136) which alleged that CMMB, along with two other charities that use a similar in-kind valuation methodology, had over-valued pharmaceutical donations with their audited financial statements and IRS Form 990 for the 2012 through 2015 fiscal years. The Attorney General alleged that these statements did not follow Generally Accepted Accounting Principles (GAAP). After an evidentiary hearing before the California Office of Administrative Hearings on December 11, 2018, the administrative law judge who heard the case announced his decision that the Attorney General failed to prove any violation of GAAP. In addition, the judge found that the Attorney General's interpretation of GAAP was contradicted by the American Institute of Certified Public Accountants' Audit Risk Alert. The final decision in the California case is expected later in 2019.

Contingent on the final decision of this case, BBB Wise Giving Alliance may revisit its report conclusions to determine if CMMB contrinues to meet BBB Charity Standard 11, which calls for a charity's financial statements to be prepared in accordance with GAAP and BBB Charity Standard 13, which calls for charities to accurately report its expenses in its financial statements.

Purpose

  • Year, State Incorporated

    1928, NY

  • Stated Purpose

    "to deliver locally sustainable, quality health solutions to women, children, and their communities."

Programs

CMMB aims to build sustainable healthcare programs that target leading causes of illness, suffering, and death throughout the world. The organization strives to strengthen local capabilities through its programs which include integrated management of childhood illnesses; primary healthcare and HIV and AIDS prevention; treatment of HIV-infected individuals; voluntary counseling and testing; improving access to medical services; and training nurses and doctors in prevention, care and counseling. CMMB ships medicine and supplies to local care providers in resource-poor countries. The medicines are dispensed and disbursed free of charge. The organization places doctors, nurses and other volunteers in locations where their professional expertise is needed. CMMB also provides disaster relief to region hit by natural or political catastrophes. The organization maintains offices in New York, Haiti, Kenya, Peru, South Sudan, and Zambia.

For the year ended September 30, 2018, Catholic Medical Mission Board's program expenses were:

Medical donations program $599,452,903
Programs $20,262,434
Volunteers $5,937,856
Total Program Expenses: $625,653,193

Governance & Staff

  • Chief Executive

    Bruce Wilkinson, President and CEO

  • Compensation*

    $471,056

  • Chair of the Board

    Sister Moynihan SC

  • Chair's Profession / Business Affiliation

    General Superior, Sisters of Charity of Saint Elizabeth

  • Board Size

    18

  • Paid Staff Size

    400

**016 compensation includes annual salary and, if applicable, benefit plans, expense accounts, and other allowances.

Fundraising

Method(s) Used:

Direct mail appeals, Grant proposals, Internet, Telephone appeals

Fundraising costs were 1% of related contributions. (Related contributions, which totaled $740,065,473, are donations received as a result of fundraising activities.)



Tax Status

This organization is tax-exempt under section 501(c) (3) of the Internal Revenue Code.It is eligible to receive contributions deductible as charitable donations for federal income tax purposes.

Financial

The following information is based on Catholic Medical Mission Board's audited financial statements for the year ended September 30, 2018.

Source of Funds
Donated pharmaceuticals, equipment and supplies $703,685,270
Grants and contributions $29,579,127
Donated services $5,453,566
Wills and legacies $1,347,510
Realized and unrealized gain on investments and gift annuity investments $1,269,607
Dividends and interest $16,812
Total Income $741,351,892
  • Programs: 99%
  • Fundraising: Less than 1%
  • Administrative: Less than 1%
Total Income $741,351,892
Program expenses $625,653,193
Fundraising expenses $5,481,853
Administrative expenses $4,939,522
Other expenses $0
Total expenses: $636,074,568
Income in Excess of Expenses $105,277,324
Beginning Net Assets $107,160,268
Other Changes In Net Assets $174,632
Ending Net Assets $212,612,224
Total Liabilities $6,294,198
Total Assets $218,906,422

Note 1: According to CMMB's audited financial statements for the fiscal year ended September 30, 2018, the organization received in-kind contributions totaling $709,138,836 in the form of donated pharmaceuticals, equipment and supplies ($703,685,270) and licensed professional services ($5,453,566). Note 2: In the financial section above, "other changes in net assets" refers to a change in valuation of gift annuity payable ($176,315), and a change in valuation of charitable remainder annuity trust payable (-$1,683).

An organization may change its practices at any time without notice. A copy of this report has been shared with the organization prior to publication. It is not intended to recommend or deprecate, and is furnished solely to assist you in exercising your own judgment. If the report is about a charity and states the charity meets or does not meet the Standards for Charity Accountability, it reflects the results of an evaluation of information and materials provided voluntarily by the charity. The name Better Business Bureau is a registered service mark of the International Association of Better Business Bureaus.

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