2018 ANNUAL REPORTGUTTMACHER INSTITUTE

LOOKING BACK LOOKING AHEAD

In 2018, the Guttmacher Institute turned 50. Our work over the past year stands as validation of the enduring relevance of the Institute’s founding principles and an inspiring portent of where we’re headed in the next 50 years.

In 2018, Guttmacher played a critical role in protecting the U.S. family planning safety net, and the Institute joined with other experts on the international stage to present a new vision for sexual and reproductive health and rights worldwide—among a range of other domestic and international accomplishments. In the decades to come, Guttmacher will continue to evolve: to explore new research questions, come up with new ways to advocate sound policy, and ensure that our work and workplace embody our values.

Most importantly, we will continue to pursue the mission that led to the Institute’s founding and remains just as relevant today: to advance sexual and reproductive health and rights by ensuring that policies and programs are based on the best scientific evidence.

You will be at the center of all of this. You play a critical role in enabling us to carry out our mission. At a time when so much of what we care about is under threat, your partnership means the world to us.

Thank you.

Sincerely,

Lou Zellner Chair, Guttmacher Board of Directors

DECLARATION OF DR. KATHRYN KOST IN SUPPORT OF NFPRHA’S MOTION FOR A PRELIMINARY INJUNCTION Page | i

UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF WASHINGTON AT YAKIMA

STATE OF WASHINGTON,

Plaintiff, v.

ALEX M. AZAR II, et al.,

Defendants.

NATIONAL FAMILY PLANNING & REPRODUCTIVE HEALTH ASSOCIATION, et al.,

Plaintiffs, v.

ALEX M. AZAR II, et al.,

Defendants.

No. 1:19-cv-03040-SAB

Declaration of Dr. Kathryn Kost in support of National Family Planning & Reproductive Health Association’s motion for a preliminary injunction

2018 The Trump administration fundamentally undermined

Title X by introducing new federal regulations that would gut the nation’s family planning safety net and jeopardize access to high-quality care for the millions of people who turn to Title X each year.

1968 Guttmacher got its start helping lay the groundwork for the

Title X national family planning program. Through the years, our research, policy analyses and federal advocacy have helped ensure the program’s longevity, while helping Title X–supported providers to demonstrate the remarkable impact of their services.

TITLE XOur origins and the fight ahead

Guttmacher’s declaration was filed in support of multiple high-profile lawsuits challenging the regulations.

Drawing on our unrivaled expertise, we responded with a detailed, evidence-based letter detailing these threats and opposing the administration’s proposed regulations.

Many others relied on our data and analyses in their comments opposing the regulations.

1734012

Members of the U.S. House of Representatives

U.S. Senators

State attorneys general

The declaration used evidence to show, if implemented as written, the new rule would immediately

Anticipating that despite a public outcry, the Trump administration would go on to finalize its regulatory overhaul, we invested significant resources in 2018 to bring the full weight of our data and evidence to bear in an extensive “declaration of fact.”

Our efforts helped to temporarily block implementation of the regulations.

• harm low-income people by imposing substandard care on those who turn to Title X–supported sites for care and

• subvert the network of Title X–supported safety-net providers committed to delivering high-quality, patient-centered family planning services.

In May 2018, the Guttmacher-Lancet Commission Report on Sexual and Reproductive Health and Rights (SRHR) was released.

The report upholds the principles that animated the Institute’s founding, and proclaims that all individuals have a right to make decisions governing their bodies and to access services that support that right.

It draws on Guttmacher data to show that fully meeting the need for modern contraception in developing regions and ensuring that pregnant women and their newborns receive essential care would result in ▶ 67 million fewer unintended pregnancies▶ 2.2 million fewer newborn deaths, and ▶ 224,000 fewer maternal deaths.

This landmark report was authored by Guttmacher staff and other leading experts around the world and published in the prestigious medical journal, The Lancet. The report introduced a bold new vision for SRHR worldwide—a vision that is comprehensive, rights based, affordable and rooted in the best scientific evidence.

This new vision is essential because—despite recent advances—at some point in their lives, nearly all 4.3 billion people of reproductive age will have inadequate sexual and reproductive health care.

BOLD NEW AGENDA

THE REPORT

Guttmacher’s summary of the Guttmacher-Lancet report was produced in nine languages.

The report goes on to advance principles that have emerged over time as critically important to our mission but have historically taken a back seat to the provision of contraception, including the importance of meeting the unique needs of LGBTQ populations and other marginalized and underrepresented communities.

Since the report’s release, we’ve seen stakeholders take up the Commission’s vision and infuse it into critical programs, services and policy discussions around the world.

THE RESPONSE

We will continue to use the report’s recommendations to help bring a rights-based framework to all of our work, and to urge governments to invest in sexual and reproductive health and rights and hold them accountable for doing so.

THE FUTURE

Fourteen infographics were created in English, French and Spanish and were distributed through social media and at conferences.

ዕድገትን ማፋጠንየወሲባዊና ስነተዋልዶ ጤና እና መብቶች ለሁሉም

አኅጽሮተ ሪፖርት

ጉትማከር-ላንሴት ኮሚሽንስለወሲባዊና ስነተዋልዶ ጤና እና መብቶች

ACCÉLÉRER LE PROGRÈSsanté et droits sexuels et reproductifs pour tous

RÉSUMÉ

Rapport de la Commission Guttmacher-Lancet sur la santé et les droits sexuels et reproductifs

GUTTMACHER-LANCET COMMISSIONON SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS

ACELERAR EL AVANCEsalud y derechos sexuales y reproductivos para todos

RESUMEN EJECUTIVO

Informe de la Comisión Guttmacher-Lancet sobre salud y derechos sexuales y reproductivos

GUTTMACHER-LANCET COMMISSIONON SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS

$10,000+Anonymous (3)Laura and John ArnoldJenny BrorsenLaurits R. ChristensenAnnette P. CummingJerry and Diane CunninghamCarola EisenbergJohn S. and Kathryn O. GreenbergVicky KleinmanConstance MaoThomas R. and Musa MayerFrederick G. NovyPaul S. SperryDenise M. SpillaneNan WeissPeter Wheeler and Elizabeth MunroDonald B. WienerLaurie Schwab Zabin

$5,000–$9,999Anonymous (4)Naomi AberlyHarold BerkowitzRobert BienstockD. Elwood ClinardPeggy DanzigerGloria Grier HallRenee JohannensenNancy LeavensLaura RosenburyDorothy SamuelsSusheela D. SinghCarol H. TolanWilliam B. Wiener, Jr.Lou Turner Zellner

$2,500–$4,999Anonymous (3)David and Sharman AltshulerWillard B. BrownRachel CappsClarence B. and Joan F. ColemanLillian CreightonDarlee J. CrockettDeborah DeWittLisa IkemotoEverett N. JonesHenri Pell Junod, Jr.Ralph and Marjorie KoldingerBarbara J. MeislinLaura A. PhilipsAnne B. PiersonLaura PonchickFrances D. PotterMagda Schaler-HaynesNozer Sheriar

American Civil Liberties Union Foundation

Anonymous (5)Modestus Bauer FoundationBig A LLCFred H. Bixby FoundationThe Brush FoundationThe California EndowmentChildren’s Investment Fund

FoundationCraigslist Charitable FundThe Commonwealth FundTheodore Cross Family

Charitable FoundationEcoTrust FoundationThe Educational Foundation

of AmericaFord Foundation

Bill & Melinda Gates FoundationBernard F. and Alva B. Gimbel

FoundationClem C. Glass FoundationLee Gottlieb Fund The Grove FoundationThe Halperin FoundationSharon A. Hayes Charitable Lead TrustHead Family Charitable FoundationThe William and Flora Hewlett

FoundationThe Richard R. Howe FoundationIntrepid Philanthropy FoundationIpasThe JPB FoundationJ.C. Kellogg FoundationF.M. Kirby FoundationKissinger Family Foundation

Daniel L. Klein, Jr. FoundationLang FoundationLifshutz FoundationJohn D. and Catherine T. MacArthur

FoundationMenemsha Family FundNew Venture FundThe David and Lucile Packard

FoundationB.T. Rocca, Jr. FundScheuer Associates FoundationSociety of Family PlanningSolidarity GivingSidney Stern Memorial TrustTara Health FoundationUnited Nations Foundation University of Missouri - Kansas CityWiancko Charitable Foundation

FOUNDATION AND OTHER INSTITUTIONAL DONORS INDIVIDUAL DONORS

Dutch Ministry of Foreign AffairsGerman Federal Ministry for Economic Cooperation

and Development Eunice Kennedy Shriver National Institute of Child Health

and Human Development, National Institutes of Health Norwegian Agency for Development Cooperation

Swedish International Development Cooperation AgencyUK GovernmentUnited Nations Educational, Scientific and

Cultural OrganizationUnited Nations Population Fund

GOVERNMENTS AND MULTILATERAL AGENCIES

Erin ArmstrongWendy BostwickErnestina CoastLida ColemanAmanda CooperErica Duignan MinnihanKetayoun Darvich-KodjouriDeborah DeWitt

Cynthia GomezAlan GuttmacherSilvia HenriquezMarcela HowellLisa IkemotoMichael KleinJane LeungLaura Mamo

Constance MaoPamela MerrittCorey MartinJotham MusinguziDaniel PellegromLaura PhilipsMichael ResnickLaura Rosenbury

Mary ShallenbergerNozer SheriarPaul SperryDenise SpillaneJudy TabbLou Turner ZellnerPaul Van Look

BOARD OF DIRECTORS

DONORS

$1,000–$2,499Anonymous (9)S. James and Mary T. AdelsteinEva AllenCynthia ArganiAngel Z. AverySusan M. BaumanJames A. BazelonJulianne BeallJohn W. and Mary Ann BeckleyJudith E. BelskyLeslie BhutaniCynthia BlizzardCecilia G. BooneMisha BushyagerLisa CalfeeJerry CarleShelby and Lee ChadenMatthew ColesRhett CookAmanda CooperJonathan Coopersmith and

Lisa HalperinRandall Costa

Sally De WittJay DeikeRobert A. DiamondAbigail DisneySusan G. DoeringJessica E. DonovanDavid and Wena W. DowsKenneth H. DubkeKenneth and Mary EdlowJonathan L. EntinJohn F. Estes, III, and Norma HornerCindy FieldsAdam FletcherJohn Flock and Victoria MillsJean Fraser and Geoff Gordon-CreedLinda FriedJill FriedlanderDr. and Mrs. S. Raymond GambinoRobert L. and Evelyn GeddesJoan D. GelberBeth GlostenRobert and Elke HaggeCharles R. Hedberg

Leroy E. HeggeJohn HirschiHarris Hoffman and Joan GrayBenjamin HoltzmanSherry F. HuberJaroslav F. and

Barbara S. HulkaMalcolm and Florence JohnsonSusan KennedyEmily KuehnBerton LapidusGayle LarsonElvera LeaderMargaret J. LemasterJane LeungCorey N. MartinEdith R. MatthaiJessica McKellarBeverly McPhailMichelle K. Mercer and Bruce GoldenGlenna R. MichaelsMr. and Mrs. Timothy MillhiserPatricia Aikins Murphy

Give online at www.guttmacher.org/support Guttmacher Institute | 125 Maiden Lane, 7th floor, New York, NY 10038 | 212-248-1111

$500–$999Anonymous (7)Phyllis B. AbeleAlexa AlbertAmy AllinaSusan W. AlmyElisa BarnesMichael BarrettThomas A. BartlettMargaret P. BattinColin BeamJohn P. and Priscilla C. BeckerKaren R. BelinkyPhoebe P. BenderRuth G. and Carl BensonAnn E. BiddlecomSteven BillsJohn W. BirsnerPhyllis E. BlairRobert E. BliemeisterRobert W. and Lynne BlumCarol M. BoardmanStan L. and Ingrid BondWendy BostwickDoris E. BouwenschMelanie S. BronsteinJoanne BruggemannMartin Burke and Barbara SpicherSacheen Carr-EllisTina L. ChengAngeline T. ChiappaErnestina CoastKenneth ConrowBetsy CottonVanessa E. CullinsMary C. CurrieDonna DeDiemar and Chris HamiltonTeresa DePiñeresPat Deutch

Frances L. DowningEleanor DreyJames DurlingLarry and Judy EastChristopher J. EnnisArline B. EpsteinFred Douglas Estes and

Heather Saunders EstesElaine FarrantLouise B. FinkGael FitzmauriceMary FogleEstelle R. FreedmanAndrew Frey and Litty HolbrookeFay FriedmanLewis Friedman and Lynn PassyAndrew and Diana FrostPamela W. GaleSheryl P. GardnerPatty T. GelfmanMichael GianniniJeannette GibbonsDuff G. GillespieNancy S. and Pat GillespieMatthew GillmanHelen W. GjessingDavid and Ruth GottesmanFrancis GreenburgerFrank GrobmanWilliam GrobmanLanie G. HaddenDoris HallAkinde HannaRobert HardinMark HathawayBritt HedmanDouglas and Barbara HoldridgeJames R. Hollingsworth

Elizabeth Hughes and David Russell Georgius

Barbara HusseiniRobin and Gary JacobsRenee R. JenkinsEvan JohnsonTheresa M. and Bruce D. JohnsonChristine JohnstonElise F. JonesJoyce D. N. JonesNorman KaplanJulie J. KelseyBrad KerchofGretchen KingsleyCarolyn T. KirkPaula K. KnickerbockerRachel KwonEdwin LaddChristine B. LangJames T. and Penny I. LanglandAlan and Ruth LarsonKathryn S. LawhunPhyllis LevyPamela LichtyMary D. LindsayStu LipkinPam LotkeJoanne LymanGordon A. MacInnesJames W. MahoneyJean B. MahoneyMarvin K. MalekJeremy MarmerJeanne MarrazzoJanet and Vincent MartinTim D. MathewsonNancy Chadbour MazeTim and Sandra Koch McFarren

Thomas W. Merrick and Elaine MurphyPamela MerrittRachel E. MillerEvelyn M. MorrowLinda Crank MoseleySara F. MoserSheila MossmanElliott MurrayKenneth Nechin and

Annette BicherSara NerkenRobert Z. and Anita NormanPamela OlsenBarton PakullDeborah ParmetJeffrey Pector and Shelley CoppockDori E. PelegTheodore S. and Elizabeth L. PeytonEdward D. and Bernadine PillarPatricia A. PinkosStephen M. PoppelJohn RamerKathleen Randall and Richard RayWilliam C. RandsDakota Ryan Reier and

Annika Jean Johnson ReierAdina ReshotkoMichael D. ResnickLinda K. RichterMary RobertsonMatt Rodbard and Tamar AnitaiAmy RossmanGreta M. RubinowPB SchechterNatalie SchmittVictor J. and Marion SchoenbachChristopher SennMary Ann Shaw

Carleton B. ShayJill SheffieldMartha P. SiegelRandall SikoraAmanda SilverChristopher T. SmithJean A. SmithMark S. SmithSilda Wall SpitzerSara G. SteelmanBarbara SternfeldRichard and Penny StevensFrances W. StevensonMyron F. Steves and

Rowena M. YoungEric SummersPiotr TeterwakSusan E. TewCamilla F. ThomsonTina TomsenAmy TsuiMargaret L. VraneshDeborah WallachRenee WardPeter M. WaserJennifer WatersCheryl E. WeinsteinSharon S. WilliamsAlexander WinterJane E. WorthenPhyllis R. YaleBarbara YanniSloane YorkAntoinette Zabaldo

A complete list of donors of $250 and above can be found at www.guttmacher.org/AR18

Constance MurrayRobert NewtonFred NunesLaura OswaldDaniel E. PellegromBarbara A. PetersDavid Porteous and Vicky SmithWilliam PowellEllen RautenbergMary F. ReedWilliam and Eleanor RevelleAlmeda C. RileyAnne Powell RileyMatt RomeinRuth SampleElizabeth F. SaymanDavid and Patti SchallMichael SchusslerKristan SeibelMary ShallenbergerH. R. Sharp, IIINancy ShepherdCharles SiegelSteven W. Sinding and Monica KnorrBonita M. SingalKrista SmithMax Snodderly and Kristen M. HarrisSusan M. SogardPriscilla SpearsShirley and Stuart SpeyerJan H. and Susan J. SuwinskiJudy N. TabbGloria ValdespinoDiana ValoisCarolyn WesthoffTheodore W. and

Gertrude K. WinsbergBobbie WunschJean H. YngveJoyce ZaitlinTom Zydowsky

$1,000–$2,499

INDIVIDUAL DONORS

FINANCIALS

WITHOUT WITH DONOR DONOR RESTRICTIONS RESTRICTIONS TOTAL

REVENUE Contributions $2,452,756 $-----------— $2,452,756 Grants and contracts from U.S. government agencies 688,323 — 688,323 Grants from U.S. private organizations — 5,856,276 5,856,276 Grants from foreign governments and institutions — 911,723 911,723 Publication income and other revenue 82,346 — 82,346 Net investment return 159,571 — 159,571 Net assets released from restriction 24,497,673 (24,497,673) — Total revenues, gains and other support 27,880,669 (17,729,674) 10,150,995

EXPENSES

PROGRAM SERVICESResearch 14,862,609 — 14,862,609 Public education 5,503,547 — 5,503,547 Public policy 2,402,555 — 2,402,555 Total program services 22,768,711 — 22,768,711

SUPPORTING SERVICES Management and general 4,330,768 — 4,330,768 Fundraising 1,532,529 — 1,532,529 Total support services 5,863,297 — 5,863,297 Total expenses 28,632,008 — 28,632,008 Changes in net assets before other items (751,339) (17,729,674) (18,481,013)

OTHER ITEMS Foreign exchange gain (loss) (206,802) — (206,802)Postretirement benefit plan adjustment 150,800 — 150,800 Investment income (loss), nonoperating (393,069) (428,239) (821,308)Changes in net assets (993,608) (18,364,715) (19,358,323)Net assets at the beginning of year 15,451,951 68,130,989 83,582,940 NET ASSETS AT THE END OF YEAR $14,458,343 $49,766,274 $64,224,617

ASSETSCURRENT ASSETS 2018Cash and cash equivalents $3,516,345 Investments 33,562,706 Grants receivable 27,343,496 Other receivables 66,613 Prepaid expenses and other assets 167,168 Security deposits 211,199 Fixed assets, net 10,384,364 Total assets 75,251,891

LIABILITIES AND NET ASSETSLIABILITIESAccounts payable and accrued liabilities $1,802,273 Postretirement benefits payable 544,560 Deferred rent payable 215,265 Other liabilities 177,258 New York City Industrial Development Agency bonds, net 8,287,918 Total liabilities 11,027,274 NET ASSETS

Without Donor RestrictionsUndesignated 4,485,133 Designated by the Board for reserves 7,876,764 Net investment in property and equipment, net of related debt 2,096,446 Total without donor restrictions 14,458,343 With Donor RestrictionsPerpetual in nature 4,855,238 Time-restricted for future periods 9,648,763 Purpose restrictions 35,262,273 Total with donor restrictions 49,766,274 Total net assets 64,224,617 TOTAL LIABILITIES AND NET ASSETS $75,251,891 AS OF DECEMBER 31, 2018

STATEMENTS OF ACTIVITIES AND CHANGE IN NET ASSETS STATEMENTS OF FINANCIAL POSITION

Contributions • 24%

U.S. private foundations—restricted • 13%

Foreign governments and global institutions • 9%

U.S. government agencies • 7%Other revenue • 2%

Program services • 80%

Management and general • 15%

Fundraising • 5%

U.S. private foundations—unrestricted • 45%

Contributions • 24%

U.S. private foundations—restricted • 13%

Foreign governments and global institutions • 9%

U.S. government agencies • 7%Other revenue • 2%

Program services • 80%

Management and general • 15%

Fundraising • 5%

U.S. private foundations—unrestricted • 45%

REVENUE EXPENDITURES

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