American Friends of Magen David Adom

What it reported doing in 2024

(see schedule o)magen david adom plays four critical roles as israel's national non-government, non-profit organization tasked with the creation and management of the nation's emergency medical system. It's first and most expansive role is as the national emergency medical service, providing pre-hospital emergency medical services to israel's over 10 million citizens, and the 2 million or more tourists who visit each year. In this program, afmda provided 166 basic life support ambulances, 69 mobile intensive care unit ambulances, 123 first responder motorcycles, 1 command and control vehicle, 4 armored ambulances, 11 pony electric first responder vehicle and 5 bloodmobile beds that are specially equipped to speed through traffic to arrive at the scene of an illness or incident before an ambulance in addition, afmda provided thousands of medical equipment units, including monitors, communication equipment, defibrillators, and training equipment. Afmda also funded the training of emts and paramedics. The second critical responsibility with which mda is tasked is the testing, processing and distribution of israel's national blood supply. 2022 saw the completion of the construction of the world's first underground and shielded blood bank, funded by afmda and for which construction began in 2017. This new facility will have the capacity to process more than 500,000 units of blood annually and will protect the blood supply in case of a terrorist attack, war, or earthquake. Afmda also donated one blood mobile that is used in blood drives across the country. Mda is the agency responsible for all medical operations in the event of a mass casualty event, working closely with the police and fire departments of the country. Afmda provides millions of dollars in medical supplies used daily by the ems division and deployed during mass casualty incidents.israel's representative to the international committee of the red cross (icrc) is magen david adom, and in that role, mda participates in international rescue missions and operations sanctioned by the icrc. In 2023, mda was asked to provide life-saving medical services for victims of the war in ukraine, and mda paramedics were stationed at a field hospital outside lviv, ukraine and opened a field clinic in chisinau, moldova, treating patients fleeing the war. Afmda funded three armored ambulances to replace armored ambulances that mda donated to the ukrainian red cross.through their support of afmda, american donors are playing a tangible and dramatic role in saving lives in israel.

Financial Efficiency

• Mission deployment rate: 68.9%; rating input score 69
• Program expense ratio: 87.4%; rating input score 87
• Fundraising efficiency: $18.04 raised per $1 spent on fundraising; rating input score 55; 55th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: 2 of 8 controls in place; rating input score 25
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Pass
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Scored; rating input score 0

Accountability

• Independent voting board: 100%; rating input score 100; 76th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 25.6%; rating input score 90; 90th percentile among comparable filings
• Total-asset coverage ratio: 3.51; rating input score 79; 79th percentile among comparable filings
• Liabilities to assets ratio: 0.27; rating input score 59; 59th percentile among comparable filings
• Officer compensation ratio: 2.9%; rating input score 39; 39th percentile among comparable filings

Growth

• Program expense growth: 12.1% per year; rating input score 100; 81st percentile among comparable filings
• Revenue growth: 15.3% per year; rating input score 100; 89th percentile among comparable filings
• Asset growth: 14% per year; rating input score 100; 83rd percentile among comparable filings