METAD exists to provide development initiatives at home and abroad. We work in partnership with individuals, communities and international organizations to care for humanity and change the world. METAD has established four program areas of medical, education, training and development. In 2023, METAD served as an intermediary and agent in the transfer to other not-for-profit organizations, goods and services for humanitarian relief having an estimated value of approximately $234,223,000. (continued on Sch O)