OpenCharities

This text was generated using OCR and may contain errors. Check the original PDF to see the document submitted to the regulator.

2024-12-31-accounts

SAMS ANNUAL REPORT

CONTENTS

ONTENTS ONTENTS ONTENTS ONTENTS ONTENTS ONTENTS ONTENTS ONTENTS ONTENTS
A message from SAMS President and Foundation Chair
A New Dawn for Syria
Syria Health 2030
Syria Emergency Response
2024 Year at a Glance
Special Projects
Impact by Country
•
Syria
•
Turkey
•
Jordan
•
Lebanon
•
Iraq
•
Greece
Global Response
Medical Missions
Mental Health
Health Research
Advocacy for Survivors
SAMS in the News
SAMS Institute
SAMS Society & Members
Leadership
Financials		 4
6
8
10
12
14
36
48
52
56
58
62
64
66
70
71
72

2 | ANNUAL REPORT 2024 | SAMS

199 31 ANNUAL REPORT 20241

A message from SAMS President

Reflecting on 2024: A Year of Resilience and Renewal

Dear Supporters,

The year 2024 ended as one of the most defining moments of our lives - and one of the most meaningful of mine. After 14 years of struggling to save lives in besieged hospitals and clinics under relentless attacks by the Syrian government - mourning 62 of our colleagues who refused to give up - our nightmare finally ended.

After years of scrambling for just enough funds to keep going, healthcare prevailed. And after questioning whether our efforts were enough, sometimes believing that hope was all we had left to offer, we could finally exhale - if only for a moment.

In December, SAMS staff and our 1,500+ members reaffirmed our unwavering commitment to providing dignified, high-quality healthcare for all Syrians. We pledged to serve in every corner of Syria, working toward a brighter, more unified, and peaceful future by delivering equitable healthcare to the most vulnerable survivors of the 13-year war.

This commitment would not be possible without our incredible members, who dedicated countless volunteer hours in 2024 - joining life-saving medical missions in Syria, Gaza, Jordan, Morocco, Egypt, Lebanon, and Greece. They provided critical medical education to over 1,000 healthcare professionals in the Syrian region and beyond, both in person and virtually.

They served on key committees, offering academic support in the U.S. and conducting research on cutting-edge medical advancements. They also helped organize three dynamic medical conferences and advocated for justice against attacks on healthcare.

The dedication of our members, alongside the heroic work of our staff, continues to inspire us all to do even more for a free and thriving Syria. While we have much to be proud of, our work is far from over. Rebuilding Syria’s healthcare system is just beginning, and we are more determined than ever to succeed - because failure is not an option.

Thank you for your unwavering trust and support in SAMS. We couldn’t do it without you!

Dr. Mufaddal Hamadeh

SAMS President

Dear SAMS Members, Donors, and Supporters,

As we reflect on 2024—a year of resilience and transformation—I am honored to share how we stood together to deliver life-saving care, strengthen healthcare systems, and advocate for sustainable solutions. Your unwavering support made this possible.

A message from SAMS Foundation Chair

A Year of Impact

Thanks to you, SAMS provided:

In times of crisis, we remained on the frontlines. Aya, a five-yearold from Aleppo, suffered severe burns in a winter fire. With SAMS’ support, she received urgent treatment—a second chance at life.

A Historic Turning Point

On December 8, 2024, Syria entered a new era of hope. For the first time in years, SAMS expanded beyond Northwest Syria into Damascus, Aleppo, Hama, Homs, Daraa, and Latakia—bringing millions access to dignified, high-quality healthcare.

We are meeting this moment by:

At the center of this vision is SAMS Medical City—a state-of-the-art complex for care, education, and research.

A Personal Reflection

Visiting Damascus after December 8 was one of the most profound moments of my life. I saw joy and hope on the faces of children, mothers, and elders. Meeting healthcare workers and medical leaders reaffirmed that we are truly entering a new chapter for Syria’s healthcare.

Honoring Our Supporters

To our healthcare workers, volunteers, donors, and leaders—thank you. I’m especially grateful to our Board and leadership teams for guiding SAMS with vision and integrity.

To our donors: You are the backbone of this mission. Your generosity fuels every life saved, every facility restored, every life rebuilt. Together, we can transform healthcare and build a future of healing and hope.

With deepest gratitude,

Dr. Abdulfatah Elshaar

SAMS Foundation Chair

A New Dawn for Syria

6 | ANNUAL REPORT 2024 | SAMS

After over a decade of war, suffering, and unimaginable loss, the word liberation carries more than just political meaning— it signifies the return of dignity, the revival of life, and the rekindling of hope. Syria is finally beginning to breathe again.

With the fall of the oppressive regime and the slow but steady path toward sovereignty, a new chapter begins. Streets once silenced by conflict now echo with children’s laughter. Communities once divided by destruction are daring to dream again.

And in the heart of this national revival stands SAMS, ready to help rebuild not just health systems, but the spirit of a people who never gave up.

7 | ANNUAL REPORT 2024 | SAMS

Restoring Hope, Rebuilding Health

In this historic moment, SAMS is launching one of its most ambitious efforts to date: Syria Health 2030—a transformative vision to heal the wounds of war and establish a resilient, self-sustaining healthcare system for all Syrians.

From Emergency to Empowerment

For years, SAMS was on the frontlines, providing emergency relief in the darkest hours of the crisis—dispatching mobile clinics, saving lives through trauma care, and reaching the unreachable. This was Phase 1: survival. Now, as Syria takes its first steps toward recovery, we are entering Phase 2: restoration and reconstruction. SAMS is rehabilitating damaged hospitals, restoring pharmaceutical supply chains, training the next generation of Syrian doctors, and rebuilding public health infrastructure— laying the foundation for long-term resilience.

Looking Forward: Medical Centers of Excellence

As part of Phase 3, SAMS is planning state-of-the-art centers in critical fields such as oncology, pediatrics, and cardiology—specialized institutions that will not only treat but also teach, lead, and innovate for Syria’s future. These centers will be symbols of what’s possible when a nation rises from the ashes.

8 | ANNUAL REPORT 2024 | SAMS

Why It Matters Now More Than Ever

16.7 million Syrians still need humanitarian aid. Entire cities remain without adequate medical services. Chronic illness, mental health crises, and disease outbreaks remain a daily threat.

Liberation is not the end of the journey—it is the beginning of healing. And health is the first building block of peace.

9 | ANNUAL REPORT 2024 | SAMS

SYRIA EMERGENCY RESPONSE

NOVEMBER – DECEMBER 2024

As violence escalated across Syria, SAMS swiftly mobilized to provide critical emergency relief. Our teams worked tirelessly to maintain lifesaving care despite mounting humanitarian challenges.

Within days, ambulances were deployed to Aleppo, Idlib, and Hama, while Mobile Medical Units delivered emergency care in Idlib and Ar-Raqqa. ICU capacity was expanded in Idlib hospitals, two damaged facilities were partially rehabilitated, and staff were trained for chemical and biological attacks.

In November and December, SAMSsupported facilities delivered 549,000 treatments across 30+ sites, and supported emergency obstetric care at Ashtar Maternity Hospital in Aleppo. SAMS also provided 100,000 bread bundles to vulnerable populations in Aleppo, Damascus, Homs, and Hama from December 10, 2024, to February 3, 2025.

Dialysis kits reached Al Za’im Hospital, and mental health teams aided displaced people and released detainees. Needs assessments spanned Aleppo, Hama, Homs, Latakia, and Damascus.

SAMS remains committed to expanding emergency care, rehabilitating hospitals, boosting telemedicine, launching blood drives, and supporting healthcare workers and detainees.

10 | ANNUAL REPORT 2024 | SAMS

Medical services provided 549,000

Hospitals and clinics supported 30+

Hospitals in Idlib partially restored 2

Individuals Served through Bread Distribution (Dec 24 - Feb 25) 134,895

Number of needs assessments conducted 5

2024 AT A GLANCE

In 2024, SAMS made a profound impact across multiple countries, reaching millions with essential healthcare services.

Total Benefciaries 1,463,533
Total Medical Services Provided 4,440,364
Medical Workers 4,015
Total Facilities 144
Total Surgeries 163,721
Total Deliveries(Including C-section) 22,052

12 | ANNUAL REPORT 2024 | SAMS

From Syria to Greece, our dedicated teams worked tirelessly in clinics, hospitals, and mobile units, ensuring that even the most remote communities received the care they needed.

1,367,591 beneficiaries SYRIA 4,279,796 medical services 24,293 beneficiaries JORDAN 49,495 medical services 8,179 beneficiaries IRAQ 8,179 medical services 26,478 beneficiaries LEBANON 28,008 medical services

6,674 beneficiaries GREECE 20,931 medical services 13,734 beneficiaries TURKEY 34,643 medical services

13 | ANNUAL REPORT 2024 | SAMS

SAMS SPECIAL PROGRAMS

COCHLEAR IMPLANTS

Syria & Lebanon

SAMS operates one of the few comprehensive cochlear implant programs in Syria, offering life-changing care to children with hearing impairments. In 2024, 23 cochlear implants have been provided, along with more than 2,300 specialized speech therapy sessions. Currently, 42 children are enrolled in ongoing speech rehabilitation, helping them develop essential communication skills and integrate more fully into their communities.

In June 2024, SAMS held its first Cochlear Implant Medical Mission in Lebanon, performing 10 surgeries for children ages 1–6 in partnership with Rayak Hospital and Right to Hear. Despite logistical and regional challenges, the mission restored hearing and hope, strengthened partnerships, and laid the groundwork for future care.

Hearing Hope: Amin’s Journey

At just 10 years old, Amin Al-Khatib faced the challenges of both hearing and vision loss caused by Usher Syndrome. Though he exceeded the typical age limit for the procedure, SAMS approved his case for a cochlear implant at Bab Al-Hawa Hospital due to his urgent needs and high chances of success.

“Post-surgery tests showed excellent results,” said Dr. Hamze Sayd Hassan, the ENT specialist who led the procedure. “He’ll now begin advanced speech therapy to support his communication.”

“This is the second cochlear implant SAMS has done for my son,” Amin’s father shared. “I’m filled with gratitude for their support and compassion.”

To date, SAMS has performed 51 cochlear implant surgeries in northwest Syria, bringing the gift of sound—and hope—to children like Amin.

14 | ANNUAL REPORT 2024 | SAMS

23

Cochlear implant recipients 23 Number of children in speech rehab 42 Speech therapy sessions 2,332

SAMS | SPECIAL PROGRAMS

DOWN SYNDROME SUPPORT

White Heart Center in Syria

Established in 2020 in Idlib by a local nurse, and with SAMS partnership in 2024, the White Heart Center supports children with Down syndrome through psychological, educational, and therapeutic services. Its mission is to foster rehabilitation, school integration, and community awareness.

Despite limited resources, the center provides:

Raise Your Voice: Rayan Mashhal’s Story

Rayan Mashhal, 13, joined White Hearts Center after struggling with severe speech difficulties and limited access to specialized support. Following thorough assessments, she began a sixmonth speech therapy program targeting language skills and speech muscle strength.

By the end, Rayan spoke more clearly, with improved vocabulary and sentence formation. Her progress was boosted by integrated support across classes and group sessions, alongside her family’s dedicated involvement in practicing skills at home.

Rayan’s journey shows how tailored therapy and strong community support can empower children to find their voice.

16 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Educational sessions 3,072
Total Benefciaries 60
Specialist Therapy Sessions 1,440
Specialist Speech Support Sessions 300

SAMS | SPECIAL PROGRAMS

HELPING HAND

Supporting Youth Resilience in Jordan & Lebanon

SAMS’ Helping Hand program supports adolescents (ages 12–17) in Jordan and Lebanon with psychosocial care to address trauma, anxiety, bullying, and depression.

In Jordan, 369 youth attended ten group sessions focused on emotional health and coping skills using cognitive behavioral techniques—81% reported improved well-being and reduced symptoms. A key resource is SAMS’ free digital mental health game, which addresses stress, trauma, and self-expression through roleplay, journaling, and videos. To sustain the program, SAMS trains educators and social workers to lead sessions and refer high-risk youth, strengthening a local mental health network.

In Lebanon, 900 adolescents and their caregivers attended awareness-raising sessions on mental health and psychosocial support (MHPSS) topics and enrolled in the program. Of those, 675 adolescents completed the full course, with all showing at least a 30% improvement in psychological well-being assessments.

SAMS Lebanon also provided 240 counseling sessions for identified cases and recruited 90 youth to join the expanding Peer Leadership Network. This group offers feedback on program development and helps introduce the initiative to new communities.

Nurturing Confidence in Irbid

A 14-year-old girl from Irbid, had long struggled with bullying, body image, and low self-esteem. Isolated and unsure where to turn, she hesitated to speak to her parents—until her mother encouraged her to join the Helping Hand program.

Through sessions focused on body acceptance, bullying, and confidence-building, she discovered she wasn’t alone. Over the course of ten group sessions, she developed the tools to express herself, form healthy relationships, and rediscover her self-worth.

“I found my voice. I realized I’m not defined by what others say— I’m stronger than I thought.”

18 | ANNUAL REPORT 2024 | SAMS

Total Beneficiaries 1,269 Counseling Sessions (Lebanon) 240

SAMS | SPECIAL PROGRAMS

CENTER FOR AUTISM SPECTRUM DISORDER

Empowering Children with Autism and Their Caregivers in Turkey

In partnership with Take My Hand (TMH), SAMS supports children with autism and their caregivers in Istanbul through tailored, evidence-based services that promote long-term development and school readiness. In 2024, the program reached 910 beneficiaries , with equitable access provided to both boys and girls (45% female, 55% male).

Children receive weekly one-on-one therapy sessions based on Applied Behavior Analysis (ABA), focusing on speech, self-care, play, motor skills, imitation, social skills, and literacy. In small group settings, children practice food etiquette, play rules, and social interaction. Monthly sensory integration therapy helps address processing challenges, while caregivers benefit from monthly support sessions that offer education, self-care tools, and a sense of community. The program also includes ongoing assistance for transitioning children into public schools, as well as quarterly caregiver check-ins to reinforce home-based ABA strategies.

A Journey of Progress and Possibility

A 7-year-old girl with autism and motor delays came to TMH struggling with anxiety, limited speech, and poor motor control. With structured therapy, she began to eat, drink, and use the bathroom independently, communicate through gestures and simple words, and engage socially. Her mother expressed deep gratitude for the life-changing impact. Her care now focuses on further building routine, speech, and independence.

20 | ANNUAL REPORT 2024 | SAMS

Total Beneficiaries 910

SAMS | SPECIAL PROGRAMS

YOUNG PEOPLE WITH DIABETES

In partnership with Life For A Child, SAMS designed and implemented an educational and training program for youth and children living with type 1 diabetes, and their caregivers in Lebanon, Jordan, Iraq and Syria. Through this project, patients received a diabetes home management kit, including a one-year supply of lancets and strips, and educational materials. They also participated in workshops on blood glucose self-monitoring, attended presentations on the importance of nutrition, lifestyle and correct use of insulin for their well-being, and learned the signs and symptoms of complications caused by the disease or by incorrect management practices.

A Fighting Chance: Abdullah’s Journey with Diabetes in Zaatari Camp

For seven years, Abdullah has bravely lived with diabetes. But in Zaatari Camp, access to essentials like insulin and glucose test strips is a constant struggle. Thanks to the support of Life for a Child and the dedicated team at SAMS Medical Center, Abdullah now has a glucometer and test strips—helping him better manage his condition and pursue the life he dreams of.

Dr. Musab Abu Khait shares: “Children like Abdullah deserve consistent access to care and supplies so they can avoid life-threatening complications and just focus on being kids.”

“I love sports and studying, and all I wish for is to be cured of my illness.”

22 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Total Medical Services Provided 6,417 Total Beneficiaries 2,650 Facilities Supported 53

SAMS GENERAL PROGRAMS PRIMARY, SECONDARY AND TERTIARY CARE

Primary healthcare is essential for early diagnosis, patient empowerment, and disease prevention and management. It also provides access to broader services, including mental health support, higher-level care, and referrals for nutrition and protection. We also conducted numerous simulation lab trainings.

Secondary and Tertiary care: SAMS remains a pivotal secondary and tertiary medical care source, offering essential services to internally displaced Syrians, refugees, and host communities in neighboring countries. Syrian physicians employed at specialized hospitals in Syria provide critical procedures such as dialysis, cardiac catheterization, chemotherapy, and advanced surgeries.

Staying to Heal: A Doctor’s Commitment Amid Conflict

Dr. Ahmad Al-Abdo, a dental specialist at Batbo Primary Health Care Center, began working with SAMS in 2015. He values SAMS for enhancing medical expertise through training and modern equipment.

Amid the war, Dr. Ahmad faced many challenges, including the bombing of medical facilities. He recalls a devastating airstrike on the Zerbeh clinic that forced a temporary closure and left patients without care.

Despite multiple opportunities to leave Syria, Dr. Ahmad chose to stay.

“I decided to remain to provide medical care and help ease people’s suffering.”

24 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Total Medical Services 4,440,364
Benefciaries 1,463,533
Facilities Supported Across 7 Countries 144
Education/Training Sessions
including 150 lectures and training via medical missions,		 432
as well as numerous simulation lab sessions

SAMS | GENERAL PROJECTS

MATERNAL AND NEWBORN CARE

In 2024, SAMS’ robust network of maternal and child healthcare facilities, including Al Dana Hospital, Qah Maternity Hospital, Raju Hospital, Al Shifa Hospital in Afrin, and the Specialized Maternity Hospital in Idlib, celebrated the arrival of 22,052 newborns. These facilities focus on childbirth and deliver comprehensive antenatal and postnatal care across northwest Syria.

In Greece, SAMS mobile medical team continued providing maternal care to refugees and migrant women in camps and clinics in the Attica region.

In Lebanon, SAMS continued supporting a financial assistance project to help cover the cost of hospital care for infants and newborns from refugee communities, reaching 1,021 beneficiaries by the end of 2024.

Born from Resilience: Maya’s Journey Back to Hope

Despite the hardships, Maya insisted on returning from Homs to Idlib to deliver her baby at Idlib Maternity Hospital—the place that supported her throughout her pregnancy. Bombings had left the hospital damaged and operating with minimal resources, yet Maya was undeterred.

On the day of delivery, the medical team faced serious challenges. But with skill—and critical surgical sutures provided by the IHP grant—they safely performed a C-section, ensuring a healthy outcome for both Maya and her baby.

Idlib Maternity Hospital is more than a building; it is a sanctuary of resilience, where every tool, every act of care, helps rebuild the future.resilience, where every tool, every act of care, helps rebuild the future.

26 | ANNUAL REPORT 2024 | SAMS

Total Medical Services Provided 137,334 Total Beneficiaries 91,556 Facilities Supported 9 Education/Training Sessions 5

SAMS | GENERAL PROJECTS

REHABILITATION SERVICES

In 2024, SAMS rehabilitative services included cochlear implants, physical therapy, movement assistive devices, and speech therapy in Syria, Jordan, Lebanon, and Turkiye. Nearly 21,881 services were delivered across five specialized facilities, enhancing the lives of those with disabilities.

The Strength to Stand: Mohammad’s Journey

Mohammad was born prematurely in the seventh month, and from his very first moments, he faced a difficult challenge—cerebral atrophy. At the age of two, his family brought him to the Termanin Physical Therapy Center in Termanin. At the time, he was unable to sit or walk, and he had no control over his head or upper limbs.

Thanks to his family’s determination and the dedication of his therapist, Nour, at the center, Mohammad began an intensive and comprehensive rehabilitation program. Step by step, with patience and perseverance, Mohammad embarked on his journey toward improvement.

Today, after a year and a half of continuous effort and training, Mohammad stands strong—able to walk independently. He has achieved a milestone that reflects the power of will and the greatness of determination.

Mohammad’s story is not just a medical journey; it is a living testament that hope and relentless effort can make the impossible possible.

28 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Total Rehabilitation Services Provided 21,881 Total Beneficiaries 3,681 Facilities Supported 11 Education/Training Sessions 3

SAMS | GENERAL PROJECTS

SPECIALIZED CARE: STROKE UNITS IN SYRIA

In Idlib Central Hospital, our specialized stroke unit manages acute ischemic and hemorrhagic strokes, prioritizing rapid admission and critical assessment. With 15 ward beds, six ICU beds, and CT capabilities, it offers comprehensive care, including thrombolysis, rehabilitation, and physiotherapy tailored to individual needs. A dedicated clinic within the unit supports continuous diagnosis and monitoring, along with an intensive care area for emergency transfers. SAMS expanded these services and launched a stroke unit at Al Shifa Hospital in Afrin with four ICUs and six ward beds. The unit follows four essential thrombolysis protocols to provide personalized care across diverse locations.

A Race Against Time: How Jamila Survived a Stroke

At 46, Jamila—her family’s sole provider—suffered a sudden stroke during the night. Strokes demand immediate treatment to prevent serious complications like paralysis or death.

She arrived at the SAMS-supported Idlib Central Hospital seven hours after symptoms began—beyond the ideal window for clot-dissolving medication. Dr. Ahmad Mutlaq and his team opted for cerebral catheterization to remove the clot, a decision that proved life-saving.

Jamila recovered quickly, with no lasting symptoms, and resumed her role as the backbone of her family. Her story highlights the urgent need for stroke awareness and rapid medical response to save lives and restore futures.

30 | ANNUAL REPORT 2024 | SAMS

Impact Overview
Total Stroke Unit Services Provided 4,678
Total Benefciaries 2,837
Facilities Supported 2
Education/Training Sessions 8
31

SAMS | GENERAL PROJECTS

SPECIALIZED CARE: CATH LABS IN SYRIA

In 2024, SAMS expanded its cardiac care services through three fully equipped Cath Labs in Al Bab, Afrin, and Al-Ziraa Hospital, offering emergency and elective procedures such as diagnostic catheterizations, interventional treatments, pacemaker implantations, and follow-up care. Al-Ziraa Hospital also launched a new Electrophysiology (EP) Program, enhancing care for complex arrhythmia cases.

Over the year, SAMS conducted 1,343 procedures, including 393 emergency interventions, 540 interventional procedures, 48 pacemaker implantations, 8,192 cardiac consultations, and 784 EP consultations. Innovations included a consumables tracking system to prevent supply shortages, upgraded patient records to monitor quality indicators like door-to-balloon time, standardized cath lab protocols, and approved radiation safety measures to protect staff.

To meet the growing need for surgical care, SAMS began establishing two cardiac surgery units at Al-Bab and Al-Ziraa Hospitals, fully outfitted with ICU beds and surgical equipment. These departments will perform procedures such as ASD/VSD repairs, valve replacements, CABG, and aortic surgeries. While the facilities are under construction, SAMS partnered with Al Razi Hospital in Idlib to carry out 62 urgent cardiac surgeries. The new departments are set to open in early 2025, significantly expanding access to advanced cardiac care in Syria.

A Second Chance: Ali’s Story

At 55, Mr. Ali A., a displaced resident from Abu alZuhur living in Jindires, began suffering severe chest pain that returned multiple times. Unable to afford private care, he sought help wherever he could—until he arrived at Al-Zaraa Hospital in Idlib.

There, SAMS doctors diagnosed a heart attack and life-threatening arrhythmia. The team stabilized him and, with support from a specialist, performed an emergency catheterization and placed two stents. After 42 hours in the ICU, Ali made a full recovery.

“Words can’t express my thanks,” he said. “They saved my life— without charging me anything.”

32 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Procedures 1,343
Cardiac Consultations 8,192
EP Consultations 784

SAMS | GENERAL PROJECTS

SPECIALIZED CARE: ONCOLOGY CLINICS IN SYRIA

In 2024, SAMS conducted 34,887 oncology services across its five cancer care clinics in northwest Syria: Idlib Central Hospital, Bab Alhawa Hospital, Alshifa’a (Afrin) Hospital, Al Bab Clinic, and Jarablus Clinic. A slightly higher proportion of consultations were for female patients, largely due to the high incidence of breast cancer. Most patients were adults aged 24 to 64, followed by elderly individuals over 64, with children representing a smaller share.

The most commonly treated cancer types included breast cancer with 2,817 consultations, ovary cancer with 509, lung cancer with 985, colon cancer with 944, prostate cancer with 786, lymphomas (both Hodgkin and non-Hodgkin) with 236, and leukemias (lymphoid and myeloid) with 211. Cases of multiple myeloma and plasma cell neoplasms were also managed, along with other cancer priorities such as gastrointestinal, respiratory, and skin cancers.

From Homs to Idlib: Ahmed’s Journey to Healing

With treatment costs so high, many cancer patients are finding hope at the Idlib Central Hospital’s Oncology Center, supported by SAMS. The center offers free, quality care and has become a trusted place for patients from across Syria.

“I’ve been getting treated here for four months—every 21 days I come in for a session. Thank God, things are much better now. At first, I couldn’t sleep or move from the shortness of breath and coughing, but the doctors really helped turn things around.”

Dr. Aiham Jammo, the oncologist overseeing Ahmed’s care, explained that he was diagnosed with lung cancer, which can be tough to treat. He finished six rounds of chemo and responded well. Now they’re moving on to radiation therapy, and are hopeful for a full recovery.

34 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Oncology Services 34,887
Operational Cancer Care Facilities 5

IMPACT BY COUNTRY

SYRIA IMPACT 2024

In 2024, SAMS remained a vital lifeline in Syria, delivering 4,279,796 medical services to 1,367,591 beneficiaries through a network of 83 medical facilities and . 2,295 healthcare staff On average, SAMS provided 356,649 services each month to 121,094 individuals—61% of whom were internally displaced persons (IDPs) and 55% women.

Through its network of diaspora physicians, SAMS supports local health worker training and medical missions, helping build sustainable, high-quality care in some of Syria’s most vulnerable communities.

Operating amid severe healthcare system collapse—where only 57% of hospitals and 37% of primary health centers are fully functional— SAMS offers critical services across emergency care, oncology, cardiology, maternal health, mental health, rehabilitation, and more. Its facilities include general and specialized hospitals, mobile units, dialysis and rehab centers, and safe spaces for women and survivors of detention.

36 | ANNUAL REPORT 2024 | SAMS

Total Beneficiaries 1,367,591 Total Medical Services Provided 4,279,796 Medical Facilities 83 Medical Staff 2,295

TURKEY IMPACT 2024

In 2024, SAMS provided critical health and psychosocial services to 13,734 beneficiaries in Turkey, delivering a total of 34,643 medical services to communities affected by the Syrian conflict and Turkey-Syria border crises.

The Physical Therapy (PT) Center provided 18,800 rehabilitation sessions , supporting elderly patients and those recovering from injury or surgery. Mental Health and Psychosocial Support (MHPSS) Centers in Kilis and Gaziantep delivered 16,414 mental health services , including therapy, counseling, and psychoeducation. At the TMH Center, children with autism and developmental delays received personalized care and motor-sensory therapy. SAMS also supported 9,526 refugee care services , in partnership with organizations like RASAS, to expand access to primary and mental healthcare for displaced populations.

Overcoming Trauma: Kilis MHPSS Center

A 45-year-old woman who had endured years of domestic violence came to SAMS seeking support for panic attacks and depression. With no family support, she felt isolated and overwhelmed. Over 14 sessions, she received psychoeducation, cognitive behavioral therapy, and relaxation training. As a result, her panic attacks ceased, her mood improved, and she regained the ability to care for her home and venture outdoors. Her therapy has empowered her to navigate future challenges with resilience and strength.

38 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Total Beneficiaries 13,734 Total Medical Services Provided 34,643 Physical Therapy 18,800 MHPSS Services 16,414

JORDAN IMPACT 2024

In 2024, SAMS provided 49,495 medical services to 24,293 beneficiaries across Jordan through three medical facilities staffed by 14 healthcare professionals. This includes our medical center in Zaatari Camp, which offers general medical and dental care for both adults and children, as well as vaccination services, ophthalmology care, and laboratory testing.

SAMS continued providing care to vulnerable patients by ensuring access to life-saving and life-changing diagnostics and treatments, including interventional cardiology, specialized surgeries, retina disease management, and advanced medical consultations through international medical missions. Physical therapy for adults and children was also offered by local teams in 2 locations for refugees and host communities in need.

Under our psychosocial support program, SAMS’s multidisciplinary team designed community development initiatives, vocational training, and skillsbuilding activities for women, youth, and families—fostering resilience and opportunity in underserved areas like Irbid.

A Mother’s Stand for Her Son’s Future

In Irbid, 59-year-old M.O., a mother of seven, joined a SAMS partner-led skills program to support her blind son’s education. She not only participated in parenting and skills workshops but sat for the national Tawjihi exam alongside him—and later, enrolled in university with him.

Through her dedication, M.O. became a source of inspiration in her community, encouraging other women to pursue education and empowerment. “I did all of this to make my son happy,” she shared. Her story reflects the powerful ripple effect of determination, education, and family support.

40 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Total Benefciaries 24,293
Total Medical Services Provided 49,495
Dental Services 6,914
Medical Facilities 5
Medical Staff 14

LEBANON IMPACT 2024

In 2024, SAMS provided 28,008 medical services to 26,478 people in Lebanon, supporting Syrian refugees, Lebanese nationals, Palestinians, and other vulnerable groups through integrated health and psychosocial programs.

A New Start for Two Sisters

During a September visit to Al Noor Center in Bar Elias, SAMS met sisters Ghona and Hoda, both suffering from dental pain and infections. After careful evaluation, the affected teeth were extracted, and remaining teeth were treated with Silver Diamine Fluoride (SDF) to stop and prevent further decay.

Following their treatment, the sisters attended a dental hygiene awareness session where they learned the importance of daily oral care. They left smiling—relieved of pain and happy to receive toothbrushes and toothpaste, promising to take better care of their teeth moving forward.

42 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Total Beneficiaries 26,478 Total Medical Services Provided 28,008 Medical Facilities 3

IRAQ IMPACT 2024

In 2024, SAMS continued its commitment to providing essential dental care in Iraq through our SAMS Dental Clinics, supported by the SAMS Private Fund. This initiative operated across five refugee camps—Domiz 1, Domiz 2, Bardarash, Koya, and Gawilan—bringing critical oral health services to displaced individuals and families.

Our dedicated dental teams delivered compassionate care and preventive services, ensuring that refugees had access to quality oral health support in often-overlooked settings.

World Humanitarian Day in Gawilan Camp

On August 19, 2024, to mark World Humanitarian Day, SAMS held a special awareness event in Gawilan Camp in partnership with the Lutes Flower Child Protection Center. The event focused on teaching 52 children aged 6-9 about oral hygiene as they prepared for the new school year.

Activities Included:

This event not only promoted oral health but also created a safe, welcoming space for children to learn and feel cared for—one smile at a time.

44 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Total Beneficiaries 8,179 Total Medical Services Provided 8,179 Medical Staff 10

GREECE IMPACT 2024

Since 2020, SAMS has provided essential healthcare to refugees, migrants, and vulnerable populations in Greece through its Mobile Medical Team (MMT) initiative. In 2024, SAMS delivered 20,931 medical services to 6,674 beneficiaries , offering primary health, women’s health, pediatric care, and mental health support across camps and urban centers.

SAMS provided pediatric and women’s health services in refugee camps like Ritsona and Malakasa, treating illnesses and administering 875 childhood vaccines in partnership with Greece’s National Public Health Organization. Care was delivered using mobile pharmacies and portable equipment, with high-risk cases referred to hospitals. SAMS also led a medical mission to Lesvos, offering pediatric, cardiology, and OBGYN care to children and unaccompanied minors, covering medication and transport costs for vulnerable patients.

In July 2024, SAMS Hellas launched the MHPSS Umbrella program in central Athens, offering counseling, social work, and group sessions for adults, including undocumented individuals. With support from the Municipality of Athens and local partners, the program addressed issues like gender-based violence and elderly care, providing 593 services to 216 people in its first six months.

A Lifeline in Ritsona

In Ritsona refugee camp, the SAMS Pediatric Team remains a lifeline for families navigating complex health challenges. One family, whose youngest child lives with a chronic condition requiring frequent hospital visits and specialized medication, has come to rely on SAMS as their only consistent point of contact with the health system. SAMS Hellas supports the family with medication coverage, hospital referrals, and weekly follow-ups, offering not only medical care but also emotional reassurance.

46 | ANNUAL REPORT 2024 | SAMS

Impact Overview

Total Benefciaries 6,674
Total Medical Services Provided 20,931
Medical Facilities Supported 10

GLOBAL RESPONSE

Gaza: A Global Response of Hope and Healing

After years of conflict, Gaza faces catastrophic destruction with 1.9 million displaced and over 47,000 lives lost. SAMS launched its Gaza Relief Strategy in October 2023, mobilizing teams from the U.S., Turkey, Jordan, and Egypt to respond to urgent medical and humanitarian needs.

SAMS delivered life-saving care at European Gaza Hospital, provided emergency ICU support, and operated two Maternal & Child Health Mobile Units to reach vulnerable populations. In partnership with Mersal and Anera, SAMS delivered critical medical supplies through Rafah and Jordan. In addition, a dental clinic was opened in Nuseirat to expand access to essential oral health services.

In partnership with United Palestinian Appeal (UPA), SAMS also supported food and winter clothing distributions between December 2023 and February — 2024. Through local partner PARC, SAMS reached 9,177 individuals distributing customized winter clothing to 2,850 people and fresh food parcels to 6,327 individuals across shelters in East Jabaliya and Deir al Balah.

These interventions addressed the escalating humanitarian crisis in Gaza and laid the groundwork for longer-term recovery and resilience.

48 48 | ANNUAL REPORT 2024 | SAMS SAMS

Impact Overview
October 2023 through December 2024
Total Benefciaries 43,960
Total Medical Services Provided 17,361
Psychosocial support 2,599
Food and clothing assistance 24,000
49

Libya: Healing After the Floods

Following the 2023 floods, SAMS and Ayadi Al Khair supported 867 displaced families across four cities. In Derna, SAMS and Speetar launched traumainformed mental health services, providing 1,337 consultations —58% to women—and referring 129 patients. Sixty-six providers were trained to support long-term care.

Ukraine: Resilience on the Frontlines

SAMS supported Ukraine’s healthcare system while under duress of war.

Lebanon: Emergency Medical Relief Amid Escalation

In response to escalating violence, SAMS launched Mobile Medical Units on October 4 to deliver consultations and health sessions to displaced populations. Winter kits were distributed, and psychosocial support for children began with varying participation levels. SAMS also engaged IDPs as community focal points.

Morocco: Healing After the Earthquake

In response to the 2023 earthquake, SAMS delivered psychosocial care in Al Haouz and Al Hoceima. From April to September 2024, 18 workshops reached 553 women and 354 children . In December, a Dental Caravan treated 780 children in Tadart, concluding with a traditional Ahwach celebration.

50 | ANNUAL REPORT 2024 | SAMS

SI I ANNUAL REPOIT

MEDICAL MISSIONS

Syria

In 2024, SAMS carried out five major multispecialty medical missions across Idlib and Aleppo, delivering high-impact care and training to vulnerable communities. The January mission focused on pediatric orthopedics, cardiology, oncology, and ICU care—featuring critical surgeries, emergency catheterizations, and advanced pain management procedures.

In March, teams provided neurosurgical, ophthalmologic, gastrointestinal, and cardiac interventions, restoring mobility and vision for numerous patients while training over 100 healthcare providers . The April mission was among the most extensive, with 11 open-heart surgeries, 15 cardiac device implants, and 140 oncology consults. This mission also marked the launch of SAMS’s Simulation Center and a new Stroke Unit in Afrin.

The September mission exceeded expectations with 285 procedures and 1,427 consultations across multiple specialties. It also introduced a lung cancer screening program and hosted a Pediatric Specialties Conference. Despite disruption from military escalation, the November mission still delivered 104 specialized procedures, 285 consultations , and intensive training for 99 medical professionals.

Additionally, smaller missions by individual volunteers throughout May, July, and December offered consultations and trained 77 doctors —underscoring SAMS’s year-round commitment to medical support and capacity-building in the region.

Jordan

SAMS conducted two major missions in Jordan and one local mission reaching refugee populations and underserved communities across multiple governorates. The January mission deployed 83 volunteers to 10 governorates, offering care in over 15 specialties. The team performed 491 surgeries and thousands of consultations, with financial support from volunteers enabling life-saving procedures like cleft palate repair and brain tumor removal. In July, SAMS expanded its reach to 11 governorates, involving 374 international and local volunteers. This mission provided over 2,434 consultations and 344 surgeries across specialties like ophthalmology, cardiology, and pediatrics. Training sessions and lectures further strengthened healthcare capacity among Jordanian providers. In October, SAMS also held a local mission that covered 91 surgeries; cardiology, ophthalmology, dental surgeries, pediatric GI- endoscopy and OBGYN. The team also served 33 individuals in Zaatari, cardiology and GI screening.

52 | ANNUAL REPORT 2024 | SAMS

@SAMS BASIC ROP ng i (J()8 531 ANNUAL REPOR T 20241,

Lebanon

In Lebanon, SAMS partnered with MAPS and local institutions to deliver three specialized missions. The Orthopedic Mission (March–May) provided 31 surgeries for children suffering from hip dislocation and clubfoot, with thorough follow-up care ensuring patient safety. The groundbreaking Cochlear implant Mission in June marked Lebanon’s first of its kind, offering 10 surgeries to patients, primarily children, from Syrian, Lebanese, and Palestinian backgrounds. The Dental Mission in May served 947 beneficiaries— mostly children—across clinics and schools, delivering 275 procedures and administering Silver Diamine Fluoride treatments to over 500 school children. SAMS also delivered oral hygiene education and explored partnerships with universities to sustain long-term dental health outcomes.

Morocco

In December, SAMS deployed a Dental Mission to earthquake-affected communities in the Al Haouz Province. A team of Moroccan and international volunteers provided dental care and education to 780 children through exams, extractions, restorations, and preventive treatments. The mission also promoted oral hygiene through community outreach and cultural exchange, partnering with the High Atlas Foundation and the Kuwaiti Dental Mission to support recovery and strengthen local health systems.

Gaza

SAMS members participated in 2 medical missions to the European Hospital in Gaza in partnership with the Palestinian American Medical Association, PAMA, and the Jordanian American Physician Association, JAPA. The participants in March mission included a facial and orbital reconstructive surgeon, a trauma surgeon, a vascular surgeon, and a surgical critical care specialist. The May mission was co-led by SAMS representative who is a critical care specialist and provided valuable capacity building to the local medical teams in addition to direct life-saving patient care. Both missions carried medical equipment, surgical and anesthesia supplies, drapes and gowns, wound care kits, antiseptics, and medications to help provide the care the injured civilians need and replenish the depleting stock in the hosting hospitals’ wards, critical care units, and emergency departments.

Additional Missions in 2024

54 | ANNUAL REPORT 2024 | SAMS

S51 ANNUAL REPORT 20241

MENTAL HEALTH

Advancing Mental Health Education in Syria

In 2024, SAMS officially launched its Advanced Quality Learning initiative, funded by the EU, in partnership with Free Aleppo University and Al Sharq University. The initiative supports three academic programs: a 2-year master’s in Clinical Psychology (led by Dr. Ahmad Alsheikh, University of Jordan), and two 1-year diplomas in Psychiatric Nursing (led by The Hashemite University) and Psychosocial Support (led by PoMA, global mental health services organization), along with non-academic trauma training for current mental health professionals.

At Al Sharq University in Ar-Raqqa, 12 students graduated from the nursing diploma and 27 students from the psychosocial support program. Nine Clinical Psychology students completed their courses, with practicum placements at facilities supported by MEHAD, Salam, IRC, and others.

In August 2024, 19 mental health providers from Azaz and Al-Dana completed trauma training in Children’s Accelerated Trauma Technique (CATT), led by ACTI. Trainees began supervised implementation, with top performers set to join a future training-of-trainers cohort.

At Free Aleppo University in Azaz, 20 students graduated from the psychiatric nursing program, with 15 graduates and one faculty member also completing leadership training. 14 students enrolled in the Clinical Psychology program completed their coursework and began thesis work and practicum training at hospitals supported by UOSSM, PAC, and Sened.

56 | ANNUAL REPORT 2024 | SAMS

Six Years of Impact with the Schooner Foundation

Now in its sixth year of partnership with the Schooner Foundation, SAMS Foundation continues to advance community-based mental health services in Jordan, focusing on Syrian refugees and displaced populations in urban areas and, most recently, in Zaatari camp. In 2024, the project covered 9,201 individuals, including 14,506 services This collaborative effort supports national and international frameworks, including the JRP and WHO recommendations, by strengthening local capacity for mental health and psychosocial support. Through a combination of individual therapy and community reintegration programs, the initiative promotes sustainable recovery, resilience, and social cohesion among those most affected.

HEALTH RESEARCH

Health Research in Crisis

In 2024, SAMS strengthened its research function to advance studies on conflict-driven health crises, improve healthcare access, support accountability efforts, and guide humanitarian responses. A newly established Research Committee—comprising experts in public health, epidemiology, conflict medicine, and humanitarian research—led these efforts. Through collaborations with leading institutions, SAMS continues to generate critical evidence that informs policy, governance, medical education, and innovative healthcare solutions in conflict settings.

Key Research Highlights in 2024

• Cancer Care in Conflict: Barriers and Solutions

A SAMS study, in collaboration with Yale University, explored the experiences of women with breast cancer in Northwest Syria. The study revealed significant barriers related to sociocultural norms, gender roles, financial limitations, and restricted access to radiotherapy. Findings highlight the need for localized cancer treatment services to reduce reliance on crossborder care.

• Pediatric Healthcare and Forced Displacement

A retrospective analysis of 2.6 million pediatric consultations (2018–2022) in Northwest Syria revealed that displacement increased risks for trauma, chronic malnutrition, and mental health conditions. This research was presented at global conferences, emphasizing the need for targeted child health interventions in conflict settings.

58 | ANNUAL REPORT 2024 | SAMS

diseases ccnd Displacement In'eciieus Qise2i¥S 591 ANNUAL REPOR T 20241 SAMS

SAMS | HEALTH RESEARCH

• Quantifying the Effects of Healthcare Attacks on Health Service Utilization

SAMS, in collaboration with the University of California, Berkeley, and Johns Hopkins University, assessed the impact of attacks on healthcare facilities in Northwest Syria (2017–2019). The study demonstrated a sharp decline in outpatient visits (-51%), trauma consultations (-38%), and facility births (-23%) following attacks.

• Conflict Intensity, Displacement, and Healthcare Attacks

A retrospective analysis examined the relationships between conflict

• Respiratory Health in Conflict Settings

A SAMS-led scoping literature review examined the impact of conflict on respiratory diseases, including asthma management, and respiratory tract infections. The study underscores the need for improved respiratory disease diagnosis, smoking cessation programs, and public health interventions in conflict-affected regions.

• Policy and Outreach: Sharing Evidence for Action

SAMS presented research findings at major international conferences, including:

60 | ANNUAL REPORT 2024 | SAMS

•idox' 2024 THE CI OBAL HUMANITP AID EVENT '.24 (XTOBE ,LEXPO, GENEyI- Ir ExGk .EXPO.COM 611 ANNUAL REPORT 20241 5AM

ADVOCACY FOR SURVIVORS

SAMS’ Commitment to Justice and Empowerment

SAMS remains at the forefront of advocating for survivors of conflict, sexual and gender-based violence (SGBV), torture, and detention in Syria. Through direct support, awareness efforts, and survivor-led initiatives, SAMS ensures their voices are heard locally and internationally. In 2024, SAMS produced evidencebased reports on human rights violations, collaborated with global justice mechanisms to share survivor testimonies, and trained survivors to become advocates in transitional justice and policy reform.

Empowering Women Through Skills and Support

SAMS also empowers conflict-affected women through vocational training and psychosocial support. In partnership with SALAM, SAMS trained 80 women in sewing, hairdressing, and dairy production to promote economic independence. Women received counseling and case management in safe spaces and were encouraged to join local advocacy efforts focused on gender equity and survivor protection.

Survivors Leading the Way

Through the Syrian Women Advocacy Network (SWAN), SAMS supports female survivors in leading advocacy campaigns. SWAN formed three advocacy groups focused on the inclusion of war-disabled individuals, protection of female healthcare workers, and women’s participation in decision-making. Despite security disruptions, these efforts are expected to resume when conditions allow.

A Call for Support

SAMS urges continued support to expand vocational programs, strengthen survivor-led advocacy, and build global partnerships for justice and accountability—ensuring survivors are not only heard but empowered to lead meaningful change.

62 | ANNUAL REPORT 2024 | SAMS

ANNUAL REPORT 20241

SAMS IN THE NEWS

A Year of Impact and Advocacy

In 2024, SAMS remained a global leader in healthcare advocacy, delivering lifesaving services amid Syria’s ongoing crises. From emergency care in conflict zones to rebuilding efforts post-regime change, SAMS’ work was spotlighted by major international media.

Support for Torture Survivors: TRT World showcased SAMS’ medical and psychological aid to survivors, reinforcing its role in healing individuals and communities.

Attacks on Idlib Hospitals: The Guardian reported on airstrikes that damaged SAMS-run facilities, forcing evacuations and causing critical shortages, including the deaths of two ICU patients.

Impact of U.S. Aid Freeze: AP News covered the closure of clinics in northern Syria due to a U.S. aid suspension, leaving 35,000 without care and underlining the vital role of SAMS and other NGOs.

Commitment Amid Political

Transition: Following the Assad regime’s collapse, SAMS reaffirmed its mission to provide free, high-quality healthcare and rebuild a unified health system for all Syrians.

Through escalating violence, funding challenges, and political change, SAMS stood as a pillar of hope—committed to care, recovery, and a healthier future for Syria.

Strategic Recovery Plans: Health Technology Insights highlighted SAMS’ post-conflict initiatives— deploying ambulances, expanding ICUs, and launching rapid health assessments across Syria.

64 | ANNUAL REPORT 2024 | SAMS

651 ANNUAL REPORT 20241 MS

Advancing Medical Education in Conflict Zones

Launched in 2023, the SAMS Institute supports medical professionals affected by conflict, aiming to rebuild healthcare infrastructure in Syria and beyond through high-quality education and training.

Simulation-Based Training in Syria

In early 2024, SAMS established a simulation lab at Qah Hospital in northwest Syria, benefiting over 220 healthcare professionals and improving care for an estimated 75,240 patients over six months. Trainings included BLS, ACLS, and PALS, integrated into SAMS residency, midwifery, and nursing programs to enhance clinical performance and confidence.

Postgraduate Medical Training

SAMS continued its fellowship and residency programs in critical care, hematology/oncology, neurology, pathology, and expanded into internal medicine, pulmonology, cardiology, and more. Thirty-seven residents and fellows were enrolled across three SAMS facilities, with a cardiothoracic surgery fellowship starting at Al Ziraa Hospital. One doctor began training in radiation oncology in Jordan. In 2024, 6 fellows graduated from the Adult ICU program and are now working in northern Syria. New programs in OBGYN, radiology, endocrinology, and pediatric specialties are planned for 2025.

Education During Medical Missions

During medical missions, SAMS delivered hands-on and theoretical training across northern Syria. 269 doctors trained in procedures like painless delivery and ICU care; 161 participated in ICU rounds; and 208 joined intensive crash courses in nephrology, retina care, and more. Eighteen lecture sessions reached 925 participants, and two major conferences drew 904 attendees, covering specialties such as cardiology, neurology, and pediatric care.

66 | ANNUAL REPORT 2024 | SAMS

REPOR T 20241

Scholarships for Future Healthcare Providers

Since 2016, SAMS has provided scholarships to over 100 Syrian students in Turkey, Lebanon, Jordan, and Bosnia, supporting studies in medicine, dentistry, pharmacy, nursing, psychology, and more. Forty students have graduated, and 40+ remain supported. SAMS also helps students access internships and training in the U.S.

Medical Technical Institute

Established in 2017, the SAMS Medical Technical Institute has graduated 250 nurses and 100 midwives , helping address regional healthcare workforce shortages through programs in general and specialized nursing, midwifery, and adult ICU nursing.

Mental Health Education

In January 2024, SAMS launched a two-year master’s degree in clinical psychology and one-year diplomas in psychiatric nursing and psychosocial support for 83 students in northern Syria, supported by regional and international partners.

SAMS Annual Conference 2024

Held in Istanbul, the SAMS Conference gathered hundreds of global health professionals to discuss healthcare quality in conflict settings. Over 120 medical students participated in leadership, public speaking, and clinical skills workshops.

Community Engagement & Looking Ahead

SAMS launched a private Facebook group to connect over 2,500 students and professionals with ongoing educational content. SAMS remains committed to expanding programs in postgraduate education, allied health, and mental health training—empowering healthcare workers as key drivers of sustainable, high-quality care.

68 | ANNUAL REPORT 2024 | SAMS

691AN

SAMS SOCIETY & MEMBERS

1,500+ members strong!

Throughout 2024, SAMS organized influential events, including the 7th National Symposium in Clearwater, FL, which focused on “ Innovations & Transformations in Healthcare ,” and the Labor Day Conference in Washington, DC. These events brought together medical professionals and thought leaders to advance dialogue around healthcare innovation and global humanitarian response.

SAMS also held two additional conferences in 2023: the 21st International Conference in Vancouver, which addressed “ Research in Armed Conflict: Evidence into Practice, ” and the 12th National Conference in Dearborn, Michigan, focused on “Medical Practice in the US: Paradigm Shifts and Arising Challenges.” These conferences were pivotal in advancing professional development, strategic healthcare planning, and providing platforms for networking and member engagement.

SAMS continues to provide ongoing virtual lectures and webinars on critical health topics. In the past year, notable sessions included “ How to Survive in Private Practice: Reality Vs. Expectations, ” and updates on the earthquake response in Türkiye and Syria, demonstrating SAMS’ commitment to timely and relevant medical education.

Internationally, SAMS enhances healthcare inside Syria by offering advanced training and support across various specialties, significantly impacting local healthcare capabilities. Additionally, SAMS organizes medical missions in neighboring countries, focusing on comprehensive patient care, volunteer recruitment, and community partnerships to ensure integrated health services.

Moreover, the organization supports emerging medical professionals through its SAMS Young Professional Committee, aimed at fostering future leadership. SAMS also continues to support Syrian graduates who have relocated to the United States in their pursuit of postgraduate residency programs by offering mentorship, application support, and small interest-free loans. Further, SAMS published four volumes of its open access, peer-reviewed online scientific journal, Avicenna Journal of Medicine, featuring a wide range of articles on topics such as the cholera outbreak in Syria, gaps in nursing services in the U.S., and COVID-19 vaccine hesitancy and effectiveness.

70 | ANNUAL REPORT 2024 | SAMS

SAMS’ 2024 LEADERSHIP

Society Board of Directors

Dr. Mufaddal Hamadeh | President Dr. Ammar Ghanem | Vice President Dr. Aref Rifai | Treasurer Dr. Nidal El-Wiher | Secretary Dr. Amjad Rass | Former President

Dr. Hazar Jaber

Dr. Samer Al-Khudari

Foundation Board of Directors

Dr. Abdulfatah Elshaar | Chair Dr. Basel Termanini | Past Chair Eng Ismaail Aajoukah | Vice Chair Dr. Aref Rifai | Treasurer Dr. Jihad Alharash | Secretary Dr. Mufaddal Hamadeh | Member Dr. Amjad Rass | Member Dr. Wareef Kabbani | Member Dr. Sawsan Rashdan | Member Dr. Ahmed Al Hazzouri | Member Dr. Anas Kawayeh | Member

Senior Staff

David Lillie | Executive Director Dr. Randa Loutfi | Director of Programs Safaa Aladham | Director of Finance Dr. Mazen Kewara | Regional Director

----- Start of picture text -----
71 | ANNUAL REPORT 2024 | SAMS
----- End of picture text -----

STATEMENT OF FINANCIAL POSITION AS OF DEC 31, 2024

Asset 2024 2023
Cash and Cash Equivalents $ 7,418,417 $ 24,789,301
Investment 17,148,559 6,879,443
Grant And Contribution Rec. 6,185,873 5,910,672
Medical students loan receivable 120,077 143,203
Other Receivables 422,368 90,469
Prepaid expenses and other asset 334,399 285,000
Property and Equipment’s 2,061,319 2,018,058
ROU Assets - Ope. Lease 50,935 88,522
Total Asset $ 33,741,947 $ 40,204,668
Liabilities and Net Assets
Liabilities
Account Payable 3,376,323 4,069,618
Refundable advances 2,224,620 3,454,182
Lease Liability 61,559 105,823
Total Labilities $ 5,662,502 $ 7,629,623
Net Asset
Without donor restriction 27,363,659 24,144,463
With donor restriction 715,786 8,430,582
Total Net Asset $ 28,079,445 $ 32,575,045
Total Liabilities and Net Asset $ 33,741,947 $ 40,204,668

72 | ANNUAL REPORT 2024 | SAMS

FINANCIALS & DISBURSEMENTS

Revenue and Support 2024 2023
Grants $ 28,211,701 $ 33,833,011
Contributions 9,390,626 27,954,198
In-Kind contribution 25,346,094 40,337,567
Total revenue and support $ 62,948,421 $ 102,124,776
Expenses
Program services:
Medical relief program (65,574,974) (82,371,226)
Total program services $ (65,574,974) $ (82,371,226)
Supporting services:
Management and Fundraising (3,036,947) (2,897,218)
Total supporting services $ (3,036,947) $ (2,897,218)
Total expenses $ (68,611,921) $ (85,268,444)
Change in operating net Asset $ (5,663,500) $ 16,856,332
Other Income 26,828 500
Investment Income 1,141,072 364,234
Change in net Asset $ (4,495,600) $ 17,221,066
Net Assets, beginning of year 32,575,045 15,353,979
Net Assets, end of year $ 28,079,445 $ 32,575,045

73 | ANNUAL REPORT 2024 | SAMS

@SAMS CONTACT: SAMS-USA.NET 1012 14th St. NW, Suite 910, Washington, DC 20005 info@sams-usa.net +1 (202) 930.7802 DU