EMERGENCY can pursue its humanitarian objectives thanks to the support of those who share our vision of healthcare and the principles that drive it. Numerous individuals, companies, foundations, entities and institutions commit to working alongside our doctors, nurses, and professionals worldwide to ensure that we can continue to provide free and high-quality medical and surgical treatment to the victims of war, landmines, poverty, and exploitation. For EMERGENCY, they are not only supporters, but companions.
They are integral to our work: enabling us to pursue our projects independently and impartially, but above all to enable us to constantly improve the services for patients at our hospitals, healthcare centres, outpatient clinics and rehabilitation centres.
Total funds raised in 2018 amounted to €41,842,957, following a decrease with respect to the prior year, mainly due to reduced contributions to specific projects. It should be noted that total funds raised is net of the €5,112,509 in donations for the financing of the hospital in Uganda, as the costs of building the hospital were included in assets under development. This income will be included in the income statement on the basis of depreciation of construction.
Bearing in mind also this amount from donations, total funds raised for the year 2018 are € 46,955,467 , 85,79% of which derived from independent sources (as opposed to government departments or bodies).
Historically, EMERGENCY has always received funds following communications campaigns. Descriptions of our work, stories from our doctors, information on the countries we work in, have for many years been the stimulus for our support amongst members of the public who contribute to our work. The growing needs of the organisation and the change in backdrop have increased the need for an effective structure in this field of our work. Stabilising, increasing and diversifying the organisation’s revenues are three priorities for EMERGENCY, as decided by the Board of Directors in their strategic plan in 2017. The nature of the organisation’s projects, all of them long-term, requires a consolidation of its sources of income and a constant increase in fundraising.
Increasing and consolidating revenue from regular donors is necessary to ensure the sustainability of the organisation’s projects. Diversification makes it possible to absorb any donation crises due to particular economic situations, such as the criminalisation campaign against NGOs that we have witnessed in Italy over the last two years. To meet the needs identified and goals set in 2017, in the last year we worked on structuring the Fundraising Office, introducing new roles devoted to the development of specific activities: direct dialogue, donor retention, major donations, and management of the donor database.
In particular, we implemented a donor acquisition project through direct dialogue, working with two agencies in close collaboration with our network of volunteers. The results of this year are very encouraging, both for the achievement of the objectives that we had set ourselves, and for the reception given to the outreach by the public, who have always expressed support and appreciation for our activities. A new role devoted to donor retention deals with retaining donors with specific communications plans, in close collaboration with the database Marketing Manager. Finally, reorganising and investing in communication and fundraising have made it easier to better inform our supporters, and involve a wider audience in EMERGENCY’s activities.
THE PRINCIPLES OF FUNDRAISING
The three key principles that drive the EMERGENCY’s fundraising are INDEPENDENCE, EFFICACY and TRANSPARENCY.
EMERGENCY has always been independent and neutral. Independence is necessary to maintain neutrality, which in turn is fundamental to guarantee the safety of our staff and the efficacy of our projects. Due to this, EMERGENCY has always prioritised fundraising from private donors, considering the possibility of benefiting from institutional funding only when the donor’s intervention strategies do not compromise the projects.
EMERGENCY plans all activities carefully to minimise management costs and allocate as much funding as possible to institutional activities and seeking healthcare outcomes. In 2018, 86% of our funds were spent on our activities – 80% on humanitarian projects and around 6% on promoting a culture of peace – and 8% covered running expenses for the organisation. 5% was invested in fundraising for projects.
EMERGENCY communicates and reports the use of funds raised to its donors. We inform them periodically about who we are, what we do, and especially about how and why we do it, so that donors are confident that their generosity translates into tangible benefits for our patients. Every year, we publish our financial statements on the en.emergency.it website, as well as in an Italian daily newspaper.
Private donors, individuals and companies represent 68,36% of our fundraising
Among these, the people who choose to support the organisation with small and large sums, regular or one-off donations, 5x1000 tax returns, EMERGENCY membership, the purchase of gadgets or products for Christmas, anniversaries, or as a legacy, all play an extremely important role.
The contribution of individual donors is essential to ensure the independence of our choices, and enables our priorities to be directed by the health needs we encounter and not dictated by governments or institutional actors. Furthermore, the ongoing nature of our work and the need to plan long-term hospital activities require us to be able to count on regular and predictable sources of funding.
[span]13,547,812 Euros[/span]<em>FROM 5X1000</em>
5×1000 allows Italian citizens to donate a certain proportion of their income tax to the organisation without incurring any cost, simply by entering our tax code and signing under the heading ‘Voluntary Support’ on the form.
In 2018, EMERGENCY was the number one beneficiary in the voluntary sector and received an amount of €13,547,812. We are grateful to the 379,673 people who chose to support us in this way.
Unfortunately, we do not know our 5×1000 donors’ details and therefore cannot keep them updated on the progress of the work they have supported.
[span]15,594,755 Euros[/span]<em>FROM INDIVIDUAL</em>
In 2018, we raised €15,594,755 from individual donations, which – unlike in the 2017 financial statement – also include legacies and revenues from various fundraising initiatives. There were 55,404 one-off donors and 11,881 regular donors. The significant increase in one-off donations since 2017 is due to the inclusion of more than 14,000 donations through Facebook in the total, through the birthday initiative.
Equally, a legacy is a very important gesture, one that represents an individual’s desire to continue to act in accordance with their values by supporting EMERGENCY’s work. Contributions are allocated to our projects in Italy and worldwide according to the wishes of the testators. In 2018 legacy donations totalled €3,463,482.
[span]1,483,921 Euros[/span]<em>FROM COMMERCIAL ACTIVITY</em>
Commercial activity, carried out on an ongoing basis, has historically developed along two lines: the production and sale of gadgets/merchandise, and Christmas shops in the months building up to the holiday season.
In 2018, revenues from the sale of goods and services amounted to €1,483,921, 64% of which came from the information and awareness-raising zones established during the Christmas period in 14 Italian cities:Milan, Rome, Bologna, Brescia, Cagliari, Florence, Genoa, L’Aquila, Naples, Padua, Perugia, Pisa, Turin and Trento. For 30 days, 600 volunteers dedicated their time and energy to carrying out sales, awarenessraising, and fundraising activities, leading to a total of €948,471 being raised.
Another commercial development in 2018 was that origin, supply chain, environmental, and social impact were considered when assessing both products’ and suppliers’ ethics. For Christmas 2018, 650 businesses chose to support us by donating their products.
[span]1,453,947 Euros[/span]<em>FROM COMPANIES</em>
In 2018, companies who chose to support EMERGENCY donated €1,453,947.
Most of the funds received went on building the Centre of Excellence in Paediatric Surgery in Entebbe, in
In 2018, different institutional donors contributed to the financial viability of numerous EMERGENCY projects: the European Union, through the Directorate-General for International Cooperation and Development (DEVCO) and the Directorate-General for Civil Protection and Humanitarian Aid Operations (ECHO); the Italian Agency for Development Cooperation (AICS); the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) and the World Health Organization (WHO).
Institutional funds support not only the launch of new projects and activities, but also contribute to the expansion and reinforcement of existing initiatives.
Paediatric Centre in Nyala
In August 2018, we began renovation work on our Paediatric Centre in Nyala, the state capital of South Darfur, in order to reopen it. This was made possible thanks to co-financing by the Italian Agency for Development Cooperation (AICS). The completion of renovation work is expected for the end of 2019. The hospital, built by EMERGENCY, was open from July 2010 to August 2011, when it closed after our international logistician was kidnapped by a gang of armed men. Once we had been reassured of safety conditions in the area by local authorities, we decided to restart medical work to meet the needs of people there. We therefore began restructuring
the facility and plan to reopen the clinic in early 2020.
Surgical Centre for War Victims in Lashkar-Gah
Due to the constant increase in the number of victims, last year EMERGENCY decided to increase and refurbish the hospital in Lashkar-Gah, built in 2004. Over 15 years, the number of wounded patients we received increased by 200%. It was necessary to increase the hospital’s response capacity, so the two existing operating theatres were completely restructured and a third, entirely dedicated to orthopaedic surgery, was opened, to make it possible to perform multiple surgical operations, as well as reduce waiting times. This is a necessity above all in the case of mass casualties, when the hospital receives dozens of patients at the same time. Expanding the hospital was only made possible due to contributions by ECHO and OCHA.
LOCAL GOVERNMENT CONTRIBUTIONS
In all our projects, we collaborate with local authorities to define activities and training programmes for local staff. Our aim is to contribute to the growth and sustainability of national health systems, not to replace them.
It is essential that governments not only share the objectives of but also support hospitals, including financially, to ensure effective hand-over in future.
Collaboration with governments and local authorities does not imply that we share their policies, but rather assumes that they will take responsibility for the treatment and health services of their citizens and, with a view to the long term, allow and facilitate future hand-over, once EMERGENCY is no longer required.
Over the years, we have intensified dialogue with local authorities, which has led to official commitments to provide appropriations in their budgets. In 2018, EMERGENCY received €1,877,399 from Sudan, €1,959,567 from Afghanistan, €360,527 from Sierra Leone, and €2,016,793 from Uganda.
COSTS INVESTED IN AIMS IN THE STATUTE (HUMANITARIAN PROJECTS AND CULTURE OF PEACE)
COSTS OF SUPPORT ACTIVITIES AND FUNDRAISING
PROMOTING A CULTURE OF PEACE
COSTS INVESTED IN AIMS IN THE STATUTE (HUMANITARIAN PROGRAMMES AND CULTURE OF PEACE
PROMOTING A CULTURE OF PEACE
SUPPLIERS AND TRANSPARENCY
EMERGENCY respects international standards of transparency and traceability. Operating protocols and manuals, in particular concerning drug purchase processes, are in line with the requests of institutional donors and establish the parameters to be met for purchasing, guaranteeing transparency in the selection and management of suppliers. As for the materials required by overseas projects, EMERGENCY chooses suppliers that allow it to prioritise product quality and availability on-site. Quality is our essential
and distinctive element, which is also reflected in its choice of suppliers. In line with our commitment to sustainability, local suppliers  are preferred, whenever possible, in order to contribute to the economic development of the country and to ensure, in the case of machinery, that spare parts for maintenance are available. Economic crises, inflation, embargoes, and war can have repercussions on the availability of materials. In 2018, EMERGENCY launched a fruitful collaboration with QUAMED, an international company that provides ratings in the pharmaceutical industry, in order to assess the quality of local medicine suppliers and products. In August 2018, we completed an evaluation of eight Afghan suppliers, among them the Mashall Baheer Group, B. Braun Kabul, Nezam Surgical and Ibni Sina.