Annual Report 2017

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C HA NGI NG T HE WAY T H E WORLD S EES ANNUAL REPORT 2017

OUR VISION

To transform lives through the prevention and treatment of blindness.

OUR MISSION

With our network of partners, we mentor, train and inspire local teams so that they can save sight in their communities.

A FUTURE WITHOUT BLINDNESS

Our story is not only about giving people their sight back today, but building a lasting legacy of quality eye care that will eliminate avoidable blindness for all tomorrow.

Cover The dial design is based on a phoropter, an ophthalmic testing device used to measure refractive error and the axis of astigmatism.

Dear Orbis Supporters, Thank you for your loyal support for Orbis’s sight-saving projects across the globe.

As I reflect on 2017, I think of the many ways in which Orbis matured as an organization.

The quality of our programs has never been higher, and each year, we continue to strengthen key relationships with Ministries of Health, partner hospitals, and other eye health non-profits.

2017 was also a great success by the numbers: we posted huge increases in the number of trainings, screenings and treatments accomplished as compared with 2016, which

JOHN “BOB” RANCK President and CEO

you’ll see in this report.

But I also measure success in terms of the lives we touched. In 2017, I visited our long-term project in Mongolia and toured a neonatal intensive care unit (NICU). When we started this pediatric ophthalmology program in Mongolia, this hospital had six incubators. The local team had scant knowledge about retinopathy of prematurity (ROP), and there was little appreciation for the collaboration required across the hospital to detect and treat this blinding condition.

During my visit, I saw that the number of incubators in this NICU had quadrupled. The staff had benefitted from extensive training from Orbis, and the number of babies screened and treated for ROP was the highest it had ever been. The NICU supervisor told me, “Before Orbis, what you would have been looking at is 30 blind babies. Now we have 30 babies who will have their vision.” When I think of the 70 or 80 years of fully productive life that each of these babies will now experience, the impact of your donations and our work gets very big, very fast.

At Orbis, we also advocate with governments to make eye health a high priority. When I returned to Mongolia this past August, I took the Minister of Health on a tour of the Flying Eye Hospital. We talked about Orbis’s impact. I said to her: “You have to keep the incubators working and replace the oxygen blenders when they fail, because it takes two of us.” She committed on the spot to providing as much support as possible.

You are a vital part of these successes in the fight against avoidable blindness. Your support is crucial to training eye health teams in low-income countries, and therefore you are absolutely essential to preventing and reversing avoidable blindness among people who could not afford their treatment otherwise.

Thank you for your generosity, your compassion, and your concern for those who are living needlessly in darkness. With your support, we will continue to improve millions of lives for years to come.

Sincerely,

Bob Ranck President and CEO

ORBIS ANNUAL REPORT 2017

Dear Orbis Supporters, I’m proud to share with you this annual report outlining Orbis’s many accomplishments in 2017. As we look back on a remarkable year, I realize how critical these achievements have been in setting us up for an even more successful 2018.

Orbis is working hard to bring more eye health training to low-resource countries in 2018 than ever before. This year, in addition to managing our portfolio of multiyear projects, we are also on track to conduct approximately 75 hospital-

KEVIN McALLISTER

Chairman of the Board

based trainings at our partner institutions, and the Flying Eye Hospital will have delivered 11 weeks of training in four countries by the end of the year.

Orbis has always prided itself on integrating cutting-edge technologies into our work. Thanks to successes achieved through your support in 2017, we can now expand our remote surgical mentorship program via Cybersight, our awardwinning telemedicine platform, and allow Volunteer Faculty to observe and mentor live surgery remotely through real-time video conferencing. We are also now set up to integrate Artificial Intelligence technology into Cybersight Consult to provide additional clinical decision support on complex patient cases, meaning eye doctors in low-resource countries will be amongst the first in the world to have access, at no cost, to this innovative service.

Finally, we are now closer than ever to eliminating blinding trachoma from southern Ethiopia — an effort that began 20 years ago when we founded our first in-country office. We’ll commemorate that anniversary in October, with a Flying Eye Hospital visit to Ethiopia and at our annual New York Gala.

I am grateful to have all of you as allies in our fight against avoidable blindness. It is only because of you that Orbis can work on so many fronts to change millions of lives. Thank you!

Very truly yours,

Kevin McAllister Chairman of the Board, Orbis International President and CEO, Boeing Commercial Airplanes

3

THE CHALLENGE Imagine losing your eyesight in one of the world's most under-resourced regions.

Where would you turn for help? With few quality eye doctors, hospitals, or clinics available, the right kind of care is hard to come by. As your vision gets worse, your chances of receiving education or earning a steady income begin to vanish.

253

MILLION PEOPLE

worldwide are blind or visually impaired

89% live in low- or middle-income countries.

75% are living with conditions that are preventable, treatable, or curable.

2050

IS THE YEAR BY WHICH EXPERTS PREDICT GLOBAL BLINDNESS WILL TRIPLE

ORBIS ANNUAL REPORT 2017

43%

55%

of visual impairment

of all people who live with

could be treated with a pair

blindness are women.

of eyeglasses.

1.4

MILLION CHILDREN ARE BLIND WORLDWIDE

$202

BILLION

is the estimated annual cost to the global economy due to lost productivity among adults who need eyeglasses.

50% could have their vision restored through early intervention and comprehensive treatment.

$4 is the return on investment for every dollar spent on eye health in low- and middle-income countries.

5

2017 IMPACT With your help and the support of our dedicated volunteers, we not only gave many individuals their vision back in 2017, but also helped build a lasting legacy of quality eye care to prevent and treat blindness around the world in the years to come.

4,453

62,381

completed by doctors.

TRAININGS

57,928

completed by doctors, nurses & other eye care workers

completed by nurses and other eye care workers.

55%

Increase from 2016

143

VOLUNTEER FACULTY

from 17 countries lent their time and talent aboard the Flying Eye Hospital, and participated in hospital-based trainings at our partner institutions.

ORBIS ANNUAL REPORT 2017

7

ADULTS

8.7 MILLION

medical/optical treatments delivered

CHILDREN These include treatments with medicines or prescriptions at local facilities or in the community, eyeglasses prescribed through an Orbissponsored program, and medicines distributed.

5,044,198

4,000,023 Children

SCREENINGS & EXAMINATIONS CONDUCTED

1,044,175

96,398

24,195

SURGERIES AND LASER TREATMENTS PERFORMED

Adults

Children

72,203 Adults

OUR GLOBAL REACH Your support helped grow our network even further, helping us transform more lives than ever before in 2017.

HEADQUARTERS IN NEW YORK

WE HAVE 14 FUNDRAISING AND PROGRAM OFFICES AROUND THE WORLD

ORBIS ANNUAL REPORT 2017

IN 2017 WE CONDUCTED 66 PROJECTS IN 18 COUNTRIES WE CARRIED OUT 4 FLYING EYE HOSPITAL PROJECTS IN 3 COUNTRIES WE REACHED 125 COUNTRIES THROUGH LIVE TRAINING EVENTS VIA CYBERSIGHT

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TEACHER. ENVOY. ADVOCATE. Thanks to our generous and compassionate supporters, the Flying Eye Hospital has been a call to action for better eye care around the world for more than three decades. Wherever it lands, it raises awareness, creates change and rallies supporters to join the global fight to end avoidable blindness.

In 2017, you helped support 15 weeks of training and fundraising on the Flying Eye Hospital.

ORBIS ANNUAL REPORT 2017

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STATE-OF-THE-ART EYE CARE The Orbis Flying Eye Hospital is unlike any plane you've seen before. A fully-accredited teaching facility complete with a classroom, OR and Mobile Simulation Center, this amazing converted MD-10 has been an example of the marriage between medicine and aviation since 1982.

OBSERVATION ROOM LASER TREATMENT & PATIENT CARE ROOM The site of extensive laser treatment and simulation training, which does not require a sterile environment, and can also be broadcast to the classroom.

ADMINISTRATION ROOM

AV/IT ROOM

CLASSROOM Our 46-seat onboard learning hub is equipped with 3D technology to provide real-time interaction with surgeons in the OR.

The latest equipment broadcasts all activities onboard around the world via Cybersight, our award-winning telemedicine platform.

OPERATING ROOM The center for all hands-on skills transfer between Volunteer Faculty and local medical professionals.

STERILIZATION/ SUBSTERILE ROOM

PRE- AND POST-OPERATIVE CARE ROOM Here, local nurses work with those on Orbis staff to enhance their patient care skills by preparing patients for surgery and managing their recovery.

2017 FLYING EYE HOSPITAL PROJECTS

CAMEROON A near-fatal motorbike accident left Serge with a fractured eye socket and severely impaired vision. Without being able to see properly, Serge had trouble getting to work and performing his role as a veterinarian – vital to supporting his three young children. On board the Flying Eye Hospital, Serge was able to have his injuries repaired surgically as part of a teaching program. His vision is now back to normal, and his life is back on track.

FILLING A DIRE NEED Access to quality eye care remains a great challenge for Cameroon’s 25 million citizens, and has led to one of the highest incidences of blindness in

Orbis has worked in Cameroon since 2012, with the goal of helping the country one day to provide free eye care to all.

the world.

In 2017, the Flying Eye Hospital made its third visit to Cameroon, with the goal of strengthening the skills of local doctors and support staff at Yaoundé Central Hospital and surrounding hospitals. Through hands on trainings, lectures, live surgical demonstrations, and workshops, Orbis succeeded in teaching valuable skills to 161 local healthcare professionals, who will now be able to help patients like Serge in the future.

276 122 161

PATIENTS EXAMINED

PATIENTS RECEIVED TREATMENT

HEALTHCARE PROFESSIONALS TRAINED Patient Serge's complex procedure was conducted on board the Flying Eye Hospital in Yaounde, Cameroon, and was the focus of a CNN Vital Signs broadcast feature.

ORBIS ANNUAL REPORT 2017

2017 FLYING EYE HOSPITAL PROJECTS

BANGLADESH Orbis has maintained a presence in Bangladesh for over 30 years, and helped the country achieve major successes in blindness prevention over that period.

In 2017, the Flying Eye Hospital made its 10th visit to the country. Orbis staff and volunteers ran five workshops and provided advanced hands-on training to enhance the surgical skills of doctors from local hospitals. Nurses, anaesthetists, biomedical engineers and technicians received continuing medical education through lectures, case discussion, observation, symposia, and hands-on training aboard the Flying Eye Hospital.

In all, 170 healthcare professionals were trained, and 75 patients treated. This comprehensive capacitybuilding opportunity helped support Orbis International Bangladesh in improving the quality of the country’s limited eye health cadres.

$1.1 BILLION

During the two-week project, patients received treatments for several eye conditions including cataracts, retina and cornea diseases, and low vision.

the life-long economic gain of preventing and treating childhood blindness in Bangladesh.

VIETNAM Although significant progress has been made with avoidable blindness in Vietnamese adults in recent years, children’s vision issues remain a serious challenge. In 2017, the Flying Eye Hospital made two stops in Vietnam, with a special focus on improving the country’s pediatric eye care capabilities through hands-on training. Orbis staff and volunteers taught local healthcare providers how to detect and manage retinopathy of prematurity, a condition affecting premature babies which, if left untreated, can lead to permanent blindness.

Six-year-old Dieu underwent a successful cataract surgery in Can Tho, Vietnam.

Orbis is the only non-profit organization helping to build Vietnam’s capacity to prevent and manage childhood blindness.

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40%

of children between the ages of 1 and 9 in Ethiopia have active trachoma

Children under the age of 16 account for over 6 percent of the total blindness burden in Ethiopia, making School Eye Clubs, like the one at Hole Geba Junior School, pictured here, a vital approach to preventing and treating visual impairment.

ORBIS ANNUAL REPORT 2017

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BATTLING TRACHOMA IN ETHIOPIA Eight-year-old Tezera lives in a rural part of Ethiopia, where he has been cared for by his grandfather since both parents died early in his life.

For years, an untreated trachoma infection caused Tezera eye pain and light sensitivity that kept him awake at night, and prevented him from attending school. In October 2017, Tezera’s condition was discovered during an Orbis trachoma impact assessment in his village. He was immediately treated with antibiotics and taken to a regional hospital for corrective surgery. Now, Tezera’s eyesight has improved, he is free of pain, and has been able to return to school.

A disease called trachoma is the leading infectious cause of blindness in the world, and Ethiopia is home to more than a third of all cases globally.

A BRIGHTER FUTURE AHEAD Trachoma is one of Ethiopia’s major public health challenges, and

Tezera, age 8

IMPACT IN ETHIOPIA

34,603 SURGERIES & LASER TREATMENTS PERFORMED

eliminating blinding trachoma has been a focus for Orbis since we began work in-country in 1998. For the past twenty years, we’ve made great strides to combat not just trachoma, but all causes of preventable blindness in Ethiopia, advancing the country’s ophthalmological training, establishing a network of eye care facilities, conducting vision screenings, and distributing vital medications. In 2017, we conducted trachoma impact surveys in 17 districts where the disease has been at its worst, and are pleased to report 7 districts showed a significant decrease in prevalence of active trachoma to

609,530 SCREENINGS & EXAMS CONDUCTED

below the World Health Organization cutoff point of less than 5 percent.

7,389,624 MEDICAL/OPTICAL TREATMENTS CONDUCTED

Using the latest advancements in internet and mobile technologies, our expert volunteers teach and support eye care teams around the world.

LIVE BROADCASTS

WEBINARS AND PUBLICATIONS

ONLINE COURSES

EXPERT MENTORSHIP

ORBIS ANNUAL REPORT 2017

CYBERSIGHT: TAKING THE MISSION DIGITAL Cybersight is Orbis’s award-winning telemedicine platform: equal parts library, school and remote-medicine tool. It allows Orbis to scale up our work and reach more doctors than ever before. We can make an impact in places where a physical presence simply isn't possible due to cost, logistics or security.

In 2017, Orbis expanded the reach of Cybersight significantly. We trained eye health professionals in 125 countries, and hosted live broadcasts of lectures and surgeries from every Flying Eye Hospital visit throughout the year — reaching an average of 140 locations in 54 countries each time. It is truly a digital extension of our work.

A CUTTING-EDGE TEACHING APPROACH

IMPACT

In recent years, Orbis has also launched a blended learning series in the

1,772

fundamentals of ophthalmology via Cybersight. The program uses an innovative training approach that combines online learning with handson skills transfer on the Flying Eye Hospital and through local hospitals.

Studies show that blended learning provides better teaching outcomes than online or in-person methods alone.

PATIENT CONSULTATIONS

Orbis added three new blended learning courses on Cybersight in 2017,

facilitated through

to complement the living library of hundreds of lectures, textbooks, and surgical demonstrations available freely to all.

“Afghanistan is a resource-poor country, with a large portion of the population living in poverty and unable to afford their medical expenses – especially with complex cases – and, of course, they can’t afford medical services abroad. With Cybersight, now they have the chance to be treated inside Afghanistan. Thank you Cybersight!”

– Dr. Ghulam Saeid Torabi, Herat, Afghanistan

Cybersight Consult in 2017, our highest number ever.

3,090 NEW USERS enrolled in Cybersight in 2017

78 LIVE ONLINE EVENTS hosted, with 1,867 unique locations participating from 125 countries

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IMPACT IN INDIA AND BANGLADESH

38,568 PEOPLE TRAINED

127,886 GLASSES PRESCRIBED

2,980,000 EYE TESTS FOR CHILDREN

Community health workers, doctors, teachers and religious leaders have been trained to identify and refer children with eye health problems, ensuring they get help when they need it.

ORBIS ANNUAL REPORT 2017

A SHARED VISION FOR TWO COUNTRIES Thanks to our partners, millions of eye screenings and treatments will transform the lives of children in Bangladesh and India.

A four-year project launched in 2016 to tackle India and Bangladesh’s greatest challenges to pediatric eye health, from the widespread need for eyeglasses to diseases such as cataract, glaucoma, and retinopathy of prematurity, has made considerable progress--now having reached over half of the overall project target of 5.5 million child eye tests.

In Bangladesh, there is a shortage of pediatric eye care in rural areas and a need for more trained ophthalmic professionals across the country. In 2017, your support helped equip eight pediatric eye centers and seven vision centers, the latter of which can connect to the central hospitals through tele-consultation if needed.

In India, your support helped our REACH program focus on reducing visual impairment among children through school-based vision screenings, eyeglasses prescriptions, and annual follow-ups. Teachers and community workers are also now taking a more active role in checking that children are wearing their eyeglasses, resulting in 1.7 million screenings provided through school camps.

EMPOWERING LOCAL WOMEN Key learnings throughout the year revealed a need for creating professional development opportunities for local women in an effort to increase access to eye care.

Take Kalpana, a farmer's daughter from rural Bangladesh, who felt pressure to leave her studies to care for her family, as she is an only child. However, with her parents' support, she was able to travel to India to complete a two year degree to become a Mid-Level Ophthalmic Personnel (MLOP). Now, Kalpana manages the Singra Vision Center, and provides urgently needed eye care services to thousands of people — including her former neighbors, who have encouraged her to continue.

Kalpana’s passion and dedication is helping make eye care services available to all and building a bright future for her daughter.

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SPREADING AWARENESS IS CRITICAL TO EXPANDING THE SCOPE OF ORBIS’S WORK, AND WE ARE SO GRATEFUL FOR THE ROLE EACH OF EACH OF OUR VOLUNTEER FACULTY PLAYED IN SPREADING THE WORD THIS YEAR.

ORBIS ANNUAL REPORT 2017

VOLUNTEER FACULTY: BEYOND THE OR Orbis’s sight-saving mission relies on the generosity of hundreds of medical professionals who donate their time and expertise each year to our programs around the globe. When not exchanging skills with local doctors, Volunteer Faculty do what they can to raise awareness around the Orbis mission—including going above and beyond to share their stories with wider audiences.

DR. RUDY WAGNER, a Clinical Professor of Ophthalmology at Rutgers, New Jersey Medical School, has been volunteering with Orbis for 23 years. In May 2017, he took part in the Flying Eye Hospital visit to Binh Dinh, Vietnam, where he worked to educate local doctors and medical staff about pediatric strabismus. While in Vietnam, Dr. Wagner taped a segment about Orbis for The Doctors, a daytime talk show airing on CBS. “Orbis is all about eliminating avoidable causes of blindness throughout the world, and we do this by bringing people together both by teaching and performing surgery on individual patients,” Dr. Wagner explained in his interview. “We have to do this, because if things continue to go the way they are, there may be triple the amount of people blind by the year 2050.”

Orbis was also fortunate enough to be featured in a three-part series with CNN's Chief Medical Correspondent Dr. Sanjay Gupta in his Vital Signs program. DR. THOMAS JOHNSON, an oculoplastic and reconstructive surgeon from the Bascom Palmer Eye Institute in Miami, helped demonstrate Orbis’s mission in action. Dr. Johnson is a passionate international educator and has been volunteering with Orbis for over two decades. “What we do here is not try to do as many cases as we can and leave, but leave behind our knowledge so the doctors can continue using the skills we teach them to treat a lot more people,” Dr. Johnson explained of Orbis’s approach.

Vital Signs also highlighted the work of DR. ANNETTE GIANGIACOMO, an Associate Professor at Emory Eye Center in Atlanta, who brought her special expertise in glaucoma to Cameroon. In a sit-down interview with Dr. Sanjay Gupta, Dr. Giangiacomo talked about diagnosing and treating the disease, and about Orbis’s unique capability to operate in some of the world’s most isolated regions. “The Flying Eye Hospital goes on many, many trips a year in countries all over the world, and they’re able to provide care wherever there’s an airstrip,” she said. This is Dr. Giangiacomo’s second year volunteering with Orbis.

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VOLUNTEERS Thank you to our dedicated network of volunteers who generously donate their talent and time to Orbis each year.

VOLUNTEER FACULTY

Leo de Kryger Canada

Ramesh Kekunnaya India

Ann-Marie Ablett United Kingdom

Elethia Dean USA

Robert Kersten USA

Gillian GW Adams United Kingdom

Fiona Dean United Kingdom

Peter Kertes Canada

Alessia Adduci Italy

Monte Del Monte USA

Eduardo Kestelman Brazil

Elizabeth Affel USA

Siddarth Dikshit India

Yousuf Khalifa USA

Asim Ali Canada

John Downing USA

Yasser Khan* Canada

Lee Alward USA

Mairead English Ireland

Milind Killedar India

George Appasamy United Kingdom

Chris Fleming USA

Hee Joon Kim USA

Lawrence Azavedo United Kingdom

R. Scott Foster USA

Tae Kim USA

Antoinette Bedingfield South Africa

Douglas Fredrick USA

Karanjit Kooner USA

Larry Benjamin United Kingdom

Robyn Frick USA

Alvin Kwok* Hong Kong

Brad Black USA

Louise Garnham United Kingdom

Timothy Lai Hong Kong

Carla Blackburn Canada

Anita Gerber-Setz New Zealand

Wai-Ching Lam Hong Kong

Jamie Brandt USA

Annette Giangiacomo USA

Flora Lau Hong Kong

Darrell Branine USA

Ruchi Goel India

Alice Lee Canada

Stephen Brodovsky Canada

Parikshit Gogate India

Richard Lee USA

John Brookes United Kingdom

Karl Golnik* USA

James Lehmann USA

Donal Brosnahan Ireland

Pamela Gonzalez Mexico

Brian Leonard Canada

Matthew Bujak Canada

Cheryl Gooden USA

Christopher Leung Hong Kong

Sandy Burnett USA

Nadine Grant-Mckenzie United Kingdom

Dexter Leung Hong Kong

Jack Carter USA Angeline Chaipa United Kingdom Carmen Chan Hong Kong Steve Charles USA Peng Peng Chuah Malaysia Thomas Ciulla USA John Clements USA Charles Cole USA Karim Damji Canada Vivek Dave India Sue Davies Australia * Webinar

Michael Griess USA Artem Grush USA Suhas Haldipurkar India Armie Harper USA Andrew Harrison USA Brent Hayek USA Emma Hollick United Kingdom Jeffrey Hurwitz Canada Thomas Johnson USA Sandra Johnson* USA

Alex Levin USA Jennifer Liao Canada Nurhayati Lubis United Kingdom Alexis Malkin USA Maury Marmor USA Tony McAleer Ireland Timothy McCulley USA Kimberly McQuaid USA David Miller USA Peter Moore USA Ramana Moorthy USA

ORBIS ANNUAL REPORT 2017

Ghalib Mukadam United Kingdom

Luu Tong Vietnam

David Plemel Canada

Carrie Muntz USA

Ngoc Trinh USA

Geoffrey Tang Hong Kong

Somasheila Murthy India

Laurent Velasque France

Maya Tong Canada

Manish Nagpal India

Fuensanta Vera-Diaz USA

Emily Wong Hong Kong

Kavitha Natarajan India

Cherelyn Victor United Kingdom

Zhu Li Yap Singapore

Daniel Neely USA

Rudy Wagner USA

Kristine Paul USA

Sarah Wassnig-Riglar* USA

VOLUNTEER PILOTS

Neelam Pawar India

Kelli Wilson USA

Captain David Blizzard Collierville, TN

Ron Pelton USA

Mitchell Wolf USA

Captain Stephen Dee Cordova, TN

Edward Raab USA

Wei-Chi Wu Taiwan ROC

Captain Gary Dyson Eads, TN

Luz Perez-Schwartz USA

Vivien Yap USA

Toni Pilcher Australia

Paul Youngs United Kingdom

Captain Howard Scott Maw Germantown, TN

Jody Piltz-Seymour USA

Shannon Zhang USA

Roberto Pineda USA

Xiaojun Zhang USA

Jacqueline Pullos USA Bil Ragen USA Manish Raval United Kingdom Aravind Roy India Navonil Sau India Claire Studley Scott United Kingdom GC Sekhar India Asim Sil India Craig Simms USA Lily Simoneau Canada Noreen Smith USA Carlos Solarte Canada Gregory Spooner USA Gayathri Srinivasan USA Rosalind Stevens* USA Donny Suh* USA Christopher Tinley South Africa

Associate Ophthalmologists and Anesthesiologists Michelle Le Cheminant United Kingdom Saranya Balasubramaniam USA Nicolas Cadet Canada Crystal Cheung Canada Wesley Chong Singapore Rachel Epstein USA Jennifer Gao Canada

Pilot Mark Vaughan La Mirada, CA Captain John Gordon Platt The Villages, Florida Captain Cynthia Berwyn Memphis, TN Captain Mark Cardwell Germantown, TN Captain David Hayes Germantown, TN Captain Charlie Sutton Millington, TN Captain Gilbert Vondriska Ojai, CA Captain Patrick Corrigan Collierville, TN Captain Michael Flood St. Helena, CA Captain Curtis Wilson Austin, TX

Wei Min Henrietta Ho Singapore

Captain Eric Van Court Albuquerque, NM

Jason Ho United Kingdom

Captain Samuel Davis Cordova, TN

Dennis Kim USA

Captain Cheryl Pitzer Murphy, TX

Han Kim USA

Captain Fred Yates Sarasota, FL

Stephanie Low Canada

Captain Brian Flax Germantown, TN

Lap Ki Ng Hong Kong

25

CORPORATE PARTNERS We are incredibly grateful to our corporate partners for their amazing support and dedication to ending avoidable blindness throughout the world. Their contributions range from major multi-year cash grants to critically needed gifts-in-kind.

Over the last three decades, Alcon has donated stateof-the-art ophthalmic equipment, pharmaceuticals and supplies for the Flying Eye Hospital and its partner hospitals around the world.

With a long history of corporate social responsibility, Fondation L'OCCITANE is committed to supporting projects in Asia and Africa.

For more than 30 years, FedEx has played an indispensable role in helping Orbis achieve its vision, including their donation of the MD-10 aircraft that became the third-generation Flying Eye Hospital.

Jebsen generously partners with Orbis to build up a training, screening and referring eye care network covering hospitals and clinics in rural areas of China.

ORBIS ANNUAL REPORT 2017

Since 2011, OMEGA has provided ongoing support to Orbis, donating proceeds from the sales of their watches and chronicling Flying Eye Hospital projects with OMEGA brand ambassadors.

The Pfizer-Orbis relationship dates back to 1979, three years before Orbis's first sight-saving flight, when Pfizer began supporting Orbis through cash grants and donations of medical supplies.

Standard Chartered supports Orbis’s “Seeing Is Believing” global community fundraising project which aims to serve China's blind population.

Collins Aerospace partnered with Orbis in 2017 to establish the world’s only Mobile Simulation Center outfitted for an aircraft. The simulation technology and training curricula scales up training efforts to first and second-year medical residents and is used in 80% of our Flying Eye Hospital projects.

27

FINANCIALS

IN 2017, SUPPORTERS GENEROUSLY GAVE OVER

$213.8M TO ORBIS INTERNATIONAL

Whether onboard the Flying Eye Hospital, through in-country programs, or online via Cybersight, Orbis--and you!--created important and lasting change throughout our world in 2017.

ORBIS ANNUAL REPORT 2017

HOW ORBIS MAXIMIZES YOUR GENEROSITY TO RESTORE VISION At Orbis, we work hard to ensure your gifts are used as effectively as possible.

That’s why more than 92 cents of every dollar you donate goes directly to increasing quality eye care and saving vision in the countries where we work.

92.3% 4.3% 3.4%

went directly towards our work to prevent avoidable blindness

went towards raising funds to support our mission

went towards ensuring our systems and service delivery are worthy of your donations

In 2017, supporters generously gave over $213.8M to Orbis International. Your support allowed Orbis International (excluding affiliates) to put $193.9M towards Program, $9.0M towards Fundraising, and $7.3M Management/General in functional expenses. Overall, the organization finished 2017 with a net increase in assets of $3.2M and total net assets of $61.4M. Orbis entered 2018 financially well-positioned to support the growth of its global operations and to best serve its goal of transforming lives through the prevention and treatment of blindness.

The financial information as of and for year ended December 31, 2017 has been derived from Orbis International’s 2017 financial statements audited by BDO USA, LLP independent auditors. The condensed financial information should be read in conjunction with the 2017 audited financial statements and related notes. Contact Orbis International’s office for copies of the complete audited financial statements.

REVENUE AND SUPPORT $213.8M

EXPENSES $210.6M

EXCESS (DEFICIT) $3.2M

NET ASSETS $61.4M

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GLOBAL LEADERSHIP Orbis appreciates the support of the following board members who gave their time and expertise to provide leadership and direction from January 1 to December 31, 2017.

ORBIS INTERNATIONAL BOARD OF DIRECTORS Kevin G. McAllister Chairman President and CEO Boeing Commercial Airplanes Seattle, WA James R. Parker Vice Chairman Germantown, Tennessee Diana Wheeler Secretary Senior Vice President, Teammate Resources Flight Safety International, Inc. New York, New York Peter Allen, FCPA, FCA, FRAeS Treasurer Chief Executive Officer Stellar Capital Corp.

Manotick, Ontario Bob Ranck President and CEO Orbis International New York, New York

David S. Friedman Director, Dana Center for Preventive Ophthalmology Wilmer Eye Institute and Bloomberg School of Public Health Baltimore, MD David Gitlin President & COO Collins Aerospace Charlotte, North Carolina Gregory F. Hall Executive Vice President, Air Operations FedEx Memphis, Tennessee John Howitt Partner Clifford Chance New York, New York Ambassador Patricia Moller President and CEO Moller Global Advisory, LLC Rock Hall, Maryland

EMERITUS BOARD Langdon P. Cook Greenwich, Connecticut Brian C. Leonard, M.D. Professor of Ophthalmology University of Ottawa Eye Institute Ottawa, Canada Francis A. L’Esperance, Jr., M.D. New York, New York John J. McHale Santa Ana, California John S. Slattery Chief Commercial Officer Embraer Commercial Aviation Dublin, Ireland Frederick W. Telling, Ph.D. Point Orange, Florida Robert F. Walters United Kingdom

CANADA Peter Allen, FCPA, FCA, FRAeS, Chairman

DIRECTORS

Adrian J. Paull Vice President Honeywell Home & Building Technologies Phoenix, Arizona

Sharon Dogonniuck Principal Ernst & Young, LLP New York, New York

Dato' Kulasegaran Sabaratnam Founder President Asean Association of Eye Hospitals Selangor, Malaysia

Winston K. Fogarty, B.A., LL.B., LL.M., Secretary

Dr. Pravin Dugel Retinal Consultants of Arizona Phoenix, Arizona

Mr. Charles Vyvyan Vertical Research Partners London, United Kingdom

Sherif El-Defrawy, M.D.

James Forbes Vice Chairman UBS New York, New York

Bruce N. Whitman President and CEO FlightSafety International Inc. Flushing, New York

Simon P. Holland, M.D., Vice Chairman

DIRECTORS Douglas E. Turnbull The Honourable Dr. Vivienne Poy Richard Doherty

ORBIS ANNUAL REPORT 2017

UK

IRELAND

Dale Irvine

Peter Hickson MA FCA Chairman

Maurice Cox Chairman

Lene Overland

TRUSTEES

Trevor Lydon Treasurer

Sir Michael Arthur Larry Benjamin, FRCS (Ed), FRCOphth, DO Michael Boyd Christopher (Kit) Braden Bruce Buck Tony Cowles Nicola Floyd Rob Pinchbeck Christine Tomkins, BSc (Hons), MBChB(Hons), DO, FRCS, FRCOphth, MBA, FFFLM, FRCP

MEDICAL STRATEGY COMMITTEE

Michael Boyd

Pravin Dugel, MD, Chairman

Paul Boyle

Akihiro Tsujumura, MBA

Donal Brosnahan

David S. Friedman, M.D., M.P.H., Ph.D.

John Crowe

Diana Wheeler, JD

Cathy Gaynor

Emmett T. Cunningham Jr., MD, PhD, MPH

Michael Holland Andrew Lowe Jennifer Moulton Anne Nolan Clare O’Dea

Catharina Waller

Ray Power

Robert F Walters, FRCS, FRCS(Ed), FRCOphth

Carina Ryan Raymond Sisson

Nigel Young Patricia Moller

SINGAPORE Seng Thiam Khoo Chairman Norman C. T Liu Treasurer

DIRECTORS Alvina Tan A/Prof Ian YEO Yew San Jason Moo Joel Sng Dato' Kulasegaran Sabaratnam Seat Moey Eng-Kwok Stuart L. Dean

Adrian Paull

Lorcan Tiernan Secretary

Charles Vyvyan

Yvette Dunne, MA, FCA

Daniel Etya’ale

Gil Kliman, MD, MBA James Mazzo Jason Ehrlich, MD, PhD Joan O’Brien, MD John Howitt, JD Laurent Attias, MBA Muneer Satter, JD, MBA Narsing Rao, MD

MACAU

Rohit Varma, MD, MPH

Bob Ranck Chairman

Ryo Kubota, MD, PhD

Kristie DeKoker Secretary

Sharon Dogonniuck, MBA, BBA

Thomas Hill Treasurer

DIRECTORS Diana Wheeler Mary Lau

Ron Bache Samir Patel, MD William Meury

MEDICAL ADVISORY COMMITTEE Pravin Dugel, MD, Chairman Alex Levin Christine (Chris) McMenemy

SOUTH AFRICA

Daniel (Dan) Neely

John Macgregor, Chairman

Hunter Cherwek, MD

DIRECTORS Rob Walters Debra Meyer

Danny Haddad, MD Jonathan Lord, MD Leo de Kryger

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SPECIAL THANKS INDIVIDUALS: Bruce Goldner Pamela K. Gonzalez John Howitt Yousuf M. Khalifa David Miller Vivian Poon Margaret Saselu Daniel Schudroff Catherine Zheng

CORPORATIONS: AkzoNobel Aerospace Coatings Alliance Medical Gas Air Energy Group, LLC ARINCDirect Assessment Compliance Group, Inc. Boeing Cellhire Close Air Support Crestron Electronics, Inc FedEx Honeywell Jeppesen LIFT Strategic Design Lincoln King-Cliby, ControlWorks Consulting, LLC Million Air Northern Air Systems Omni Air International Parts Base Schneller Simulated Ocular Surgery The Aircraft Group (TAG) Thornton Technologies TP Aerospace Unical Aviation United Airlines Universal Weather & Aviation ZEISS

ORBIS ANNUAL REPORT 2017

33

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