ANNUAL REPORT 2021

A Letter from the President & CEO Elise W. Huszar, MBA

As I reflect on my 25 years of leadership at Geneva, I am humbled and energized to be at this place in time. It is astounding how much our organization has accomplished, not only in terms of fiscal performance, but also in our steadfast dedication to our military collaborators, research teams, and key stakeholders. Despite ongoing challenges in the world, we have not slowed down.

This year, thanks to the hard work of our employees, Geneva has ensured the optimal health and performance of service members and the communities they serve. As we navigated the impacts of the pandemic, we saw once again just how essential military medicine is.

In 2021, Geneva continued the availability of vaccines and health protocols during the COVID-19 pandemic. As we concluded clinical trials for COVID-19 Response Operation, we were honored to lead a follow-on study that will enable the Department of Defense (DoD) to better understand the effectiveness of COVID-19 vaccines. Geneva also supported a monoclonal antibody protocol under the NIH-sponsored ACTIV-2 partnership and the ACTIV-4 clinical trial for blood thinners to advance the most promising treatments for COVID-19.

Key advances were also made in other major DoD research programs and collaborations. The USU-4D Bio3 program was officially designated as a Center for Biotechnology by the Uniformed Services University (USU). This elevation recognizes the tremendous impact of our team at the forefront of biotechnology. USU-4D Bio3 also received $12M in additional funding to support the On-Demand Blood program which expands the availability of blood supplies to the military from anywhere in the world.

The Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR) program embraced the theme of resiliency to advance musculoskeletal injury research for the DoD. MIRROR delivered seven additional protocols for a total of 18 to help clinicians across the tri-service standardize care.

The Fort Bragg Research Institute (FBRI), a program of Geneva, was a founding member of the North Carolina Center for Optimizing Military Performance (NC-COMP) leading human performance solutions to the DoD with over 90 partner organizations. Geneva remains focused on producing effective, evidence-based solutions to support the gaps, needs, and requirements of our service members.

Thank you for your ongoing support of Geneva’s mission. With your continued support, we know that we can accelerate the impact of military medicine to save lives worldwide. We believe that by leveraging our expertise in military medical research, we can achieve a greater collective impact for all.

Sincerely,

Elise W. Huszar, MBA
President and Chief Executive Officer

Elise W. Huszar photo
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HIGHLIGHTS
  • Geneva was awarded a GSA Schedule under the Multiple Award Schedule (MAS) from the General Services Administration to further advance military medical research.
    Read more
  • The USU-4D Bio3 program was officially designated as a Center for Biotechnology by the Uniformed Services University (USU) and received an additional $12M in funding to support the On-Demand Blood program which expands the availability of blood supplies to the military from anywhere in the world.
  • The Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR) program embraced the theme of resiliency to advance musculoskeletal injury research for the DoD while delivering seven additional protocols for a total of 18 to help clinicians across the tri-service standardize care.
The Future of Military Medicine. Today.

Timeline of Events

2021 by the numbers

Worldwide Impact

Global Presence

57Performance Sites
217Principal Investigators
480Employees
80Corporate
400Program
207Sponsors and Collaborators

Award Revenue

$395MActive Award Revenue Managed
$82.9MGrant Proposals Submitted
($34.9M Received and Pending)
$79.6M2021 Award Revenue

Research Programs

317Research programs

Top 15 Research Areas
by Funded Amount

29%
14%
13%
10%
5%
4%
4%
4%
3%
3%
3%
3%
2%
2%
1%
Infectious Diseases
Rehabilitative Medicine
Regenerative Medicine
Critical Care
Telemedicine
Neurology
Evidence Based Practice (EBP)
Oncology
Behavioral & Mental Health
Orthopedics
Federal Contract Services
Emergency Medicine
Pain Management
Pulmonology
Health Informatics

Performance Sites

Geneva’s global influence can be found at over 50 military treatment facilities and federal laboratories worldwide.

California

David Grant Medical Center
Marine Corps Air Station Miramar Branch Health Clinic
Naval Health Research Center
Naval Hospital Camp Pendleton
Naval Hospital Twentynine Palms
Navy Medical Center San Diego

Colorado

Evans Army Community Hospital
U.S. Air Force Academy Hospital

Florida

Navy Trauma Training Center

Georgia

Centers for Disease Control and Prevention
Eisenhower Army Medical Center
Telemedicine and Advanced Technology Research Center – Mobile Health Innovation Center

Hawaii

Tripler Army Medical Center

Maryland

Malcolm Grove Medical Center
Military Operational Medicine Research Program
National Cancer Institute
Naval Medical Research Center
Telemedicine and Advanced Technology Research Center
U.S. Army Medical Research and Development Command
U.S. Army Medical Research Institute of Chemical Defense
U.S. Army Medical Research Institute of Infectious Diseases
Uniformed Services University
Walter Reed Army Institute of Research
Walter Reed National Military Medical Center

Nevada

Nellis Air Force Base

New York

Keller Army Community Hospital

North Carolina

Naval Hospital Camp Lejeune
Womack Army Medical Center

Ohio

Wright Patterson Air Force Base

Texas

Brooke Army Medical Center
Regional Health Command Central
U.S. Army Institute of Surgical Research
US Army Medical Center of Excellence
Wilford Hall Medical Center
William Beaumont Army Medical Center

Virginia

Fort Belvoir Community Hospital
Naval Medical Center Portsmouth - VA

Washington

Madigan Army Medical Center

Washington, D.C.

Federal Aviation Administration

INTERNATIONAL SITES
Bangkok, Thailand

Armed Forces Research Institute of Medical Sciences

Landstuhl, Germany

Landstuhl Regional Army Medical Center

Accelerating Daring Discoveries

Researcher Accomplishments

Researcher of the Year

Kenneth Cameron, PhD, MPH, ATC has been named The Geneva Foundation’s 2020 Researcher of the Year.

Read more

20 Researchers to Watch Series

Improving Outcomes Through Collaboration

Program Accomplishments

Geneva’s unwavering commitment to medical research results in a significant and widespread impact across many research areas. Here are a few program highlights.

Tackling COVID-19

Geneva is conducting clinical trials under the NIH-Sponsored Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV)-2 and ACTIV-4 clinical trials to speed the development of the most promising COVID-19 treatments and vaccines. Read more

The second phase of National Tele-Critical Care Network (NETCCN) for COVID-19 is awarded to a Geneva cohort. Read more

Geneva is awarded a follow-on study of service members who have been vaccinated to study the effectiveness of COVID-19 vaccines. Read more

Geneva researchers conduct a study of SARs-CoV-2 prevention behaviors in military healthcare settings. Read more

Advancing Biotechnology Innovation in the Military

The USU- 4D Bio3 program is elevated and designated as a USU Center for Biotechnology by the Uniformed Services University. Read more

Optimizing Human Performance

The Fort Bragg Research Institute (FBRI) and Geneva co-found the North Carolina Center for Optimizing Military Performance (NC-COMP) with 90+ partners. Read more

Leading Musculoskeletal Injury Care Research

The Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR) advance MSI research for the DoD. Read more

Renewing Support for Nursing Research

TSNRP funding is restored by Congress which allows for the advancement of more than 500 grants totaling more than $100 million. Nursing research has resulted in changes to clinical practice, education, and policy across the Defense Health Agency. Read more

At the heart of geneva

Our People

Geneva’s Wave the Flag award is presented quarterly to an exemplary employee who exceeds expectations and exhibits our core values - innovation, quality, superior customer service, integrity, teamwork, and respect for all.

Q1 RECIPIENT

Ceferina Brackett

Nurse Evidence-Based Practice Facilitator, Travis Air Force Base, CA

Q2 RECIPIENT

Angela Fornell

Research Technician, Joint Base Lewis-McChord, WA

Q3 RECIPIENT

Peggy Smith

Research Nurse, San Antonio Military Medical Center, TX

Q4 RECIPIENT

Miranda Pelky

Senior Award Manager, Corporate Office, Tacoma, WA

With your support

Donor Impact

Geneva donors help to advance critical medical research that directly impacts military communities and the global public. Geneva’s Discovery Fund allows for unrestricted donor contributions to be distributed to pressing medical research in real-time. This past year, our donors addressed the demands for COVID-19 research and infectious diseases, trauma care, nutrition, biotechnology, and rehabilitative medicine.

Philanthropy Support of Precision Nutrition Research and its Impact on COVID-19

Research Insights with Dr. Mary McCarthy

Read more

Jonas-Geneva Joint Doctoral Nursing Scholarship Announced

Stacy Dolan, RN is awarded

Read more

Sponsors & Collaborators

We are grateful to our sponsors and collaborators for their support.

AbbVie
AbCellera Biologics Inc.
ABBS Solutions
Acerta Pharma
Advanced Technology International
Advanced Bioprocess Systems
Albert Einstein College of Medicine
Allergan PLC
Alira Health
Altor Bioscience Corporation
Amgen
Applied Research Associates
Arena Pharmaceuticals
Army Nurse Corps Association
AstraZeneca
Athens Orthopedic Clinic
BeiGene USA
BioCryst Pharmaceuticals
Biomojo
Bristol-Myers Squibb Co.
Celdara Medical
Celgene Corporation
Centers for Disease Control and Prevention
CEPI
Children’s Hospital of Philadelphia
Children's Oncology Group
Cofactor Genomics
Conatus Pharmaceuticals
Congressionally Directed Medical Research Programs
Continuous Precision Medicine
Council of the Queensland Institute of Medical Research
CSL Behring
Cytosorb
Daiichi Sankyo
Defense Advanced Research Projects Agency
Defense Health Agency
Defense Threat Reduction Agency
Diomics Corporation
Deverra Therapeutics
DJO Global
DocBox
Duke University
Draeger
Draper
Echosens
Eli Lilly and Company
Emory University
Epicentrx
Evrys Bio
Exact Sciences
Exonicus, Inc
Ferring Pharmaceuticals
Food & Drug Administration
GALXOSMITHKLINE
Galera Therapeutics
GE Healthcare
Genfit Corporation
George Washington University
GeoVax
Gilead Sciences
H. Lee Moffitt Cancer Center and Research Institute
Halyard Health
Hamilton Health Sciences
Harvard University
Henry Jackson Foundation
HighTide Therapeutics USA
High Point University
Icon Clinical Research
Information Visualization and Innovative Research Inc. (IVIR)
Inovio Pharmaceuticals
Institute National de Recherche Biomedicale
Integrated Biotherapeutics
Intercept Pharmaceuticals
International Space Station U.S. National Laboratory
Irving Burton Associates
Janssen Therapeutics
Johns Hopkins University
Jonas Philanthropies
Kessler Foundation
Kura Oncology
Leidos Biomedical Research
Lutris Pharma
Madrigal Pharmaceuticals
Mapp BioPharmaceutical
Massachusetts General Hospital
Mayo Clinic
Medical Technology Enterprise Consortium
Medpace
Methodist Hospital, San Antonio
Microbiotix
Mimedx
Natick Contracting Division
National Cancer Institute
National Institute of Allergy and Infectious Diseases
National Institute of General Medical Sciences (Funder)
National Institutes of Health
New Jersey Regenerative Institute
New York School of Medicine
NGM Biopharmaceuticals
Navrogen
Nonin Medical Clinic
NorthSea
Novartis Pharmaceuticals
Novavax
Novo Nordisk
Novocure
Now Diagnostics
nScrypt
Oculogica
Olink
OMB Innovations
OmegicaQuant
Omnicure
Oregon Health & Science University
Parexel International Corporation
Pfizer
Pharm-Olam, LLC
Pharpoint Research
Phillips Healthcare
Prevent Biometrics
Purdue University
PRA Health Sciences
Regeneron Pharmaceuticals
Rhode Island Hospital
RoosterBio
RTI International
Rutgers University
SAB Biotheraputics
Safi Biosolutions
Sciperio
Society of Critical Care Medicine
Society for Simulation Healthcare
Seres
Spaulding Rehabilitation
Spectrum Pharmaceuticals
Stanford University
State University of New York - Stony Brook University
Society of Women in Urology
Symbient Product Development
Telemedicine & Advanced Technology Research Center
Texas A&M University
Texas Tech University Health Sciences Center
TG Therapeutics
Theradaptive
Thomas Jefferson University
Tobira Therapeutics
TriService Nursing Research Program
Tuskegee University
U.S. Army Institute for Chemical Defense
U.S. Army Medical Research Acquisition Activity
U.S. Army Medical Research and Development Command
U.S. Army Medical Research and Material Command
U.S. Army Medical Research Acquisition Activity
U.S. Army Medical Research Institute of Infectious Diseases
U.S. Army Research Lab - Orlando
U.S. Special Operations Command
Uniformed Services University
University of Akron
University of California
University of Georgia
University of Florida
University of the Incarnate Word
University of Iowa
University of Kentucky
University of Maryland – Baltimore County
University of Maryland – College Park
University of Miami
University of Minnesota
University of Missouri
University of Nebraska
University of New Mexico
University of North Carolina - Chapel Hill
University of Pittsburgh
University of San Francisco
University of South Alabama
University of South Florida
University of Texas, San Antonio
University of Utah
University of Virginia
University of Washington
Vanderbuilt University
Vapotherm
Veterans Administration
Virginia Commonwealth University
Vysnova Partners
Wayne State University
Western Michigan University
XBIOTECH USA
Xcovery Holdings
zCore Business Solutions
Zydus Pharmaceuticals

Top 5 Largest Awards

Geneva’s top five largest awards funded in 2021 totaled $ 26.8M.

$9,589,286

Development of a Novel Broad-Spectrum Antiviral Drug Targeting RNA Viruses

Principal Investigator: Rekha Panchal, PhD

Site: U.S. Army Medical Research Institute of Infectious Diseases

Funding Source: Medical CBRN Defense Consortium 

$6,000,000

TriService Nursing Research Program Program Management Office

Principal Investigator: CAPT Heather King, PhD

Site: Uniformed Services University 

Funding Source: TriService Nursing Research Program

$5,724,000

4D Bio3 Fabrication in Austere Military Environments (FAME): Passive Detection SARs-CoV-2 Breathalyzer Operational Medicine

Principal Investigator: Vincent Ho, MD

Site: Madigan Army Medical Center

Funding Source: Congressionally Directed Medical Research Programs Psychological Health/Traumatic Brain Injury

$2,694,531

Targeting Host Intrinsic Immunity to Treat Broad Spectrum Viral Infections

Principal Investigator: Rekha Panchal, PhD

Site: U.S. Army Medical Research Institute of Infectious Diseases

Funding Source: Medical CBRN Defense Consortium

$2,797,319

Smart Embedded Intervention for Military Postsurgical Engagement Readiness

Principal Investigator: Michael Perreault, MD

Site: Tripler Army Medical Center, Madigan Army Medical Center, Brooke Army Medical Center

Funding Source: U.S. Army Medical Research and Material Command

Financials

Geneva continued to deliver strong performance in 2021.

Pie Chart of Revenue: 43% Contract, 3% Other Award Revenue, 54% Grant

Statement of Revenue & Expenditures

2021

2020

2019

2018

(Rounded to the nearest thousand)

 

 

 

 

Total Grant, Contract, and Other Award Revenue

$79,606,529

$67,110,553

$55,938,475

$51,791,217

Grant

$42,845,144

$46,734,995

$31,636,422

$26,976,833

Contract

$33,989,179

$18,568,628

$21,899,095

$21,992,580

Other Award Revenue

$2,772,206

$1,806,930

$2,402,958

$2,821,804

 

 

 

 

Program Expenses

$69,833,205

$56,977,675

$47,892,929

$42,440,761

 

 

 

 

Net Income from Grants, Contracts, and Awards

$9,773,324

$10,132,878

$8,045,546

$9,350,456

 

 

 

 

Support Services

 

 

 

 

General and Administrative

$8,612,976

$8,268,505

$8,240,252

$8,337,542

Fund Development

$29,929

$73,830

$100,953

$99,346

Total Support Services

$8,642,905

$8,342,335

$8,341,205

$8,436,888

 

 

 

 

Total Other Income (Loss)

$85,111

$79,675

$78,342

($54,297)

 

 

 

 

Increase (decrease) in net assets

$1,215,530

$1,870,218

($217,317)

$859,271

 

 

 

 

Unrestricted Net Assets

 

 

 

 

Beginning of Year

$6,423,444

$4,553,226

$4,770,543

$3,911,272

End of Year

$7,638,974

$6,423,444

$4,553,226

$4,770,543