A Framework for Rational Decision Making

2 Health Companies Alcon Abbott Laboratories Fund Baxter BD Boehringer Ingelheim Cares Foundation Bristol-Myers Squibb Co. Eli Lilly and Company Genzyme GlaxoSmithKline Hospira, Inc. Johnson & Johnson Merck & Co., Inc. Pfizer, Inc. sanofi-aventis US Humanitarian NGOs AmeriCares Catholic Medical Mission Board Direct Relief International Heart to Heart International International Aid, Inc. Map International Mercy Medical Corps Mercy Ships National Cancer Coalition Medical Teams International Project HOPE U.S. Fund for UNICEF Tulipe World Vision

3

Seven Components 1.Assessment 2.Appropriateness 3.Quality & Quantity 4.Packaging 5.Transportation 6.Human Resources 7.Evaluation Why add medical product valuation?

There are many legitimate approaches to valuation that are socially relevant and ensure compliance with required financial accounting standards. The project is an effort to find common ground among often disparate opinions. Goal to create a white paper or standards. But first, there are three major challenges to address……

 Exit price notion, from market participant perspective (ASC )  The transaction to sell the asset occurs in the principal market (i.e. provides the greatest volume and level of activity for the asset) or the most advantageous market (i.e. maximizes the amount received from a sale) if a principal market is not available (ASC )  They should not be adjusted for transaction costs (ASC ).  They assume the highest and best use of the asset by market participants (i.e. maximizes the value of the assets) (ASC ).

Real Change Takes Time

Due process means that any person (organization, company, government agency, individual, etc.) with a direct and material interest has a right to participate by:  a) expressing a position and its basis,  b) having that position considered, and  c) having the right to appeal. Due process allows for equity and fair play. The following constitute the minimum acceptable due process requirements for the development of consensus.

Input Comment Review Revision Advisory Group Experts Key Stakeholders Public

 Principles  Standards or guidelines  White paper  Examples  Tools: a decision tree It is not meant as a replacement for any NPO’s professional financial review and interpretation of GAAP.

Developed to inform the valuation process used by non-profits to assign a financial value to medical product donations. Also provides a foundation for standards.  Transparency  Compliance  Relevance  Proper documentation  Patient centered donations

There should be a clear and transparent donation valuation framework that complies with all applicable external accounting requirements.

Valuation frameworks must be GAAP compliant, subject to accounting interpretation within the law, but consistent in application.

The valuation framework should reflect the wide range of products, sources, markets and recipients.

The valuation process should be documented through written procedures and practices and published as part of an organization’s financial statements.

Primary focus should remain on the recipients; the community, the receiving institution, and the patient. Where there is a conflict between valuation and service to this population, we will make decisions that first do no harm to the recipients, within the law.

 Expansion of Principles into Guidelines/Standards  Public Comment Period ◦ Survey on PQMD.org and  Revisions and Final Comment Period  Publication

Contact: