2023 Annual Report

Honoring Our 30-Year Legacy

Letters from Our Leadership

President & CEO Elise W. Huszar, MBA

Letter from the President & CEO

As we commemorate Geneva’s 30th year in service of our mission to advance military medicine through research, development, and education, I am filled with immense pride and gratitude. Over the past three decades, we have evolved into a pivotal force in military medicine, impacting countless service members and the communities they serve.

Throughout our history, Geneva has solidified our leadership in military medicine by forming strategic partnerships and delivering impactful research. Collaborations with the NCAA-DoD Grand Alliance CARE Consortium and METRC have contributed to critical research in mTBI and trauma care. Our management of the USU-4D Bio3 Center for Biotechnology and the Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR) program has driven military medical research forward, while providing early exposure to the rigor of research for the next generation of military clinicians and scientists. With a continued focus on combat casualty care and warfighter performance, Geneva established the Autonomous Reanimation and Evacuation (AREVA) Research Institute & Innovation Center and the Fort Liberty Research Institute (FLRI) to address some of the most pressing challenges in the health of the warfighter. These initiatives reflect Geneva’s continued investment as a strategic partner to ensure the successful advancement of military medicine.

The diversity of Geneva’s research priorities underscores our unwavering commitment to enhancing the health and readiness of all service members. From addressing disparities in women’s health and improving rehabilitation outcomes for injured soldiers to developing novel therapies for prehospital care in austere environments and pushing the boundaries of military biotechnology, these accomplishments affirm our dedication to those who serve.

Today, Geneva is poised for unprecedented growth and is dedicated to addressing emerging healthcare challenges within the military health enterprise and beyond. As a trusted partner in military medicine, we drive successful research outcomes through impactful collaborations between government, industry, and academia to build and sustain comprehensive research programs while facilitating pathways for technology transfer and commercialization. We align with DoD priorities and federal needs, broadening our research strategies, to be an institutional partner that influences policy and drives change.

As we celebrate our journey, I am reminded of the incredible importance of working together. Collectively, we have navigated challenges, seized opportunities, and led military medicine into new frontiers. With the support of our incredible team and partners, I am confident that we will continue to deliver life-saving solutions for our armed forces and the global community for years to come.

Sincerely,

Elise W. Huszar, MBA
President & CEO

Letter from the Board of Directors Chair

As The Geneva Foundation celebrates its 30th anniversary, I am inspired to reflect on the profound journey we’ve undertaken. From our humble beginnings to becoming a beacon in military medical research, our growth has been both transformative and steadfast.

In 2003, as an active-duty Captain and surgical resident at Madigan Army Medical Center, I connected with Geneva, then a budding organization founded to facilitate military medical research near Joint Base Lewis-McChord. Geneva helped me acquire industry funding, and after completing my research and residency, I pursued further opportunities in medicine.

Years later, Dr. David Shoultz, my friend and mentor, and a former Geneva Board member, unexpectedly invited me to join Geneva’s newly formed Scientific Advisory Board, and I eagerly accepted.

What made that time particularly interesting was that Geneva was on the cusp of transforming from a local entity into an expansive operation with a global footprint. The organization was on the brink of substantial growth, and it was an exciting time to be involved, watching and learning as Geneva evolved into a leading force in the field.

During this period, the nation was still dealing with the effects of the operations in Iraq and Afghanistan. As a veteran of those conflicts and a battlefield surgeon who had just left active duty, I was struck by how intimately Geneva had aligned itself with the welfare of the warfighter. We expanded our role from a foundational support entity to an active force in improving and saving lives.

I knew many of the individuals coming home with physical and mental scars. This shift from facilitating research to directly changing lives was immensely powerful to me. I remember visiting the Center for the Intrepid not long after joining Geneva’s Scientific Advisory Board. It was a deeply moving and personal experience to see up close how our work was no longer theoretical. Seeing our teams on the ground, helping to put these young people’s bodies and minds back on track, was truly inspiring.

Since then, we’ve transformed biotechnology at the USU-4D Bio3 facility. We’ve printed human tissue on the International Space Station. We’ve been part of the team that developed COVID-19 vaccines. We’ve led groundbreaking efforts in rehabilitation from musculoskeletal to closed head injuries. We’ve built a Fort Liberty Research Institute, which is an unprecedented model for military, scientific, academic, and business collaboration. The list goes on and on. I have been truly lucky to keep watching and learning as Geneva has matured into a world-class organization, changing the course of scientific applications in the military and beyond. And, increasingly, changing the lives of our warfighters for the better. I could not be prouder.

Even as we have grown exponentially, the essence of our original team—a dedicated, local group focused on impactful work—remains intact. It’s carried forward by leaders, scientists, project managers, and others throughout the organization who remain focused on that belief – that we can both advance scientific research and meaningfully impact those who have pledged their lives to our defense. That belief is a gift that each of us in Geneva can carry with us and, in equal measure, pass on to those who join us.

As I prepare to conclude my tenure as Chair of the Board of Directors, I have great confidence in our leadership team, and every bit as much confidence in all of you doing great things for the benefit of great people. I am so excited to see where you take us over the next 30 years, and I thank you from the bottom of my heart for what you have taught me and allowed me to be a part of.

All the best to every one of you,

Neil C. Vining, MD, MBA

Board of Directors Chair

30 Years of Growth

Since 1993, The Geneva Foundation has expanded from two employees to more than 400, building a 30-year record of sustainable growth. Our commitment to military-unique research aligned with DoD priorities has fueled our capacity to advance military medicine year over year.

Employee Growth Collapse or Expand Section

1993

2003

2013

2023

Funding Growth Over the Last Decade Collapse or Expand Section

2013

$39M

2023

$69M

30 Years of Impact

2023 Milestones Collapse or Expand Section

January

The TriService Nursing Research Program (TSNRP) celebrates 30 years as the only DoD program that funds military nursing research and evidence-based practice. Geneva supports TSNRP with military nursing research, training and education, and enhances clinical decision-making to improve patient outcomes.

Read more

January

A Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR)-supported project continues its development of a biorepository with the potential to be the most comprehensive musculoskeletal biobank within the DoD.

Read more

February

Geneva opens a new office in Frederick County, MD, to better serve the area's military medical research needs, including Fort Detrick, U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID), and the National Cancer Institute (NCI).

Read more

March

Geneva wins a subaward from RTI International to support warfighter brain health solutions for military personnel, advancing technologies for traumatic brain injury (TBI) prevention, assessment, and treatment to enhance the neurological health and operational readiness of U.S. service members.

Read more

April

Geneva celebrates 30 years of service advancing military medicine through research, development, and education.

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May

Geneva supports Texas consortium's bid to establish the ARPA-H Customer Experience Hub, a national center aimed at accelerating health outcomes through innovative research.

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July

Geneva receives a $4.7 million PRMRP award to support groundbreaking research in developing an immunotherapy targeting traumatic hemorrhage-induced multi-organ failure, enhancing battlefield trauma care, and future therapeutic innovations.

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August

Autonomous Reanimation and Evacuation Research Institute & Innovation Center (AREVA), a program of The Geneva Foundation, is granted a patent for wearable life-support vest, the Combat Resuscitation Organ Support System (CROSS).

Read more

September

Geneva and partner foundations signed a Master Cooperative Research and Development Agreement with the DHA to help identify and address key roadblocks encountered during research at Military Treatment Facilities.

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October

Geneva joins the Military Spouse Employment Partnership program, which connects military spouses with employers who commit to recruiting, hiring, promoting, and retaining military spouses.

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December

Geneva names Paul Pasquina as Geneva’s Researcher of the Year in recognition of his impactful solutions to physical medicine and rehabilitation.

Read more

2023 Program Accomplishments Collapse or Expand Section

Geneva’s collaboration and commitment to medical research allows for the generation of discoveries and the ability to translate them into new treatments, diagnostics, and countermeasures. Here are a few program highlights from this past year.

Geneva celebrates Women’s History Month by recognizing 7 researchers who are advancing military medicine

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Geneva Principal Investigator Kyle Couperus, MD, and his research team are accepted as part of the Vigorous Warrior Multinational Medical Exercise Series to start in 2024

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Geneva Principal Investigator Andriy Batchinsky, MD, and his team at the Autonomous Reanimation and Evacuation Research Institute & Innovation Center (AREVA) are granted a patent for their Combat Resuscitation Organ Support System (CROSS) invention which combines separate organ support therapies in a wearable platform

Read more

Geneva-managed study explores lesbian, gay, bisexual, and transgender (LGBTQ+) healthcare experiences in the U.S. military

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Geneva leads new $9.8M+ research program to revolutionize military musculoskeletal injury management

Read more

Geneva collaborates with the U.S. Army Research Institute of Environmental Medicine (USARIEM), Prisma Health, and Moncrief Army Health Clinic, to jointly sponsor the inaugural Department of Defense-wide Bone Stress Injury (BSI) Symposium

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Geneva’s Collaboration Journey Collapse or Expand Section

Geneva's commitment to collaboration has built strong partnerships to advance military medicine, improve patient outcomes, and address critical healthcare needs.

2010

Hearing Center of Excellence

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2014

National Collegiate Athletic Association (NCAA) and DoD led Concussion Assessment, Research, and Education (CARE) Consortium

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2014

Major Extremity Trauma Research (METRC) Consortium

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2015

JONAS Center for Nursing and Veterans Healthcare scholarship partnership

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2017

USU-4DBio3  Center for Biotechnology

Read more
2019

Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR)

Read more
2019

TriService Nursing Research Program (TSNRP)

Read more
2020

COVID-19 Response Operation

Read more
2022

Autonomous Reanimation and Evacuation (AREVA) Research Institute & Innovation Center

Read more

Honoring Our History Collapse or Expand Section

Worldwide Impact

2023 By the Numbers Collapse or Expand Section

Top 8 Research Areas by Funded Amount Collapse or Expand Section

Infectious Diseases

$137M

Operational Medicine

$130M

Combat Casualty Care

$59M

Psychological Health

$35M

Sensory Systems

$33M

Medical Simulation and Information Sciences

$22M

Cancer

$11M

Chemical, Biological, Radiological, Nuclear, and High Yield Explosives (CBRNE)

$4M

Performance Sites Collapse or Expand Section

Geneva’s global influence can be found at over 40+ military treatment facilities and federal laboratories worldwide.

California

  • Naval Health Research Center
  • Naval Medical Center San Diego, Bob Wilson Naval Hospital
  • Navy Trauma Training Center
  • San Francisco VA Medical Center

Colorado

  • Evans Army Community Hospital
  • Fort Carlson
  • U.S. Air Force Academy
  • U.S. Air Force Academy Hospital

Connecticut

  • Naval Submarine Medical Research Laboratory

Georgia

  • Eisenhower Army Medical Center
  • Martin Army Community Hospital
  • The Telemedicine & Advanced Technology Research Center (TATRC) Mobile Health Innovation Center

Hawaii

  • Tripler Army Medical Center

Maryland

  • National Cancer Institute
  • National Heart, Lung, and Blood Institute
  • Naval Medical Research Center – Frederick
  • The Telemedicine & Advanced Technology Research Center (TATRC)
  • U.S. Army Medical Research Institute of Chemical Defense
  • U.S. Army Medical Research Institute of Infectious Diseases
  • U.S. Naval Academy
  • Uniformed Services University
  • Walter Reed Army Institute of Research
  • Walter Reed National Military Medical Center

Missouri

  • Kansas City VA Medical Center

Mississippi

  • Keesler Air Force Base

New York

  • Keller Army Community Hospital
  • U.S. Military Academy

North Carolina

  • Fort Liberty Research Institute
  • Naval Medical Center Camp Lejeune
  • U.S. Army Special Operations Command
  • Womack Army Medical Center

Ohio

  • Wright-Patterson Medical Center

South Carolina

  • Marine Corps Recruit Depot

Texas

  • Army Medical Department Center & School (AMEDD)
  • Brooke Army Medical Center
  • Brooks City Base
  • Carl R. Darnall Army Medical Center
  • TriService Research Laboratory
  • U.S. Army Institute of Surgical Research
  • Wilford Hall Ambulatory Surgical Center
  • William Beaumont Army Medical Center

Virginia

  • Alexander T. Augusta Military Medical Center
  • Naval Medical Center Portsmouth

Washington

  • Madigan Army Medical Center
  • VA Puget Sound Health Care

International

  • Armed Forces Research Institute of Medical Sciences (Thailand)
  • Landstuhl Regional Medical Center (Germany)

Site Growth Collapse or Expand Section

Researchers Honored

Researcher of the Year Hall of Fame Collapse or Expand Section

Established by Geneva’s Scientific Advisory Board in 2014, the Researcher of the Year award is presented to a researcher who exemplifies Geneva’s mission of advancing innovative medical research within the U.S. military, for the benefit of U.S. service members and veterans, their families, and the global community. Let’s look at the past winners and their incredible accomplishments.

2021

LTC (Ret) Christopher Colombo, MD

2020

Kenneth Cameron, PhD, MPH, ATC

2019

Andriy Batchinsky, MD

2018

MAJ (Ret) Mary McCarthy, PhD

2017

Vincent Ho, MD

2016

John M. Dye, Jr, PhD

2015

LTC (Ret) Luis Alvarez, PhD

2014

LTC Vikhyat Bebarta, MD

Our People

Chair

Neil C. Vining, MD, MBA

“Since separating from the Army, the Geneva Foundation has been my way of keeping myself involved in the health and welfare of service members and their families. Board service has been such an immense privilege, and I am proud, humbled, and grateful to work with people here at Geneva who have both their heads and their hearts so firmly in the right place. Like the military it serves, Geneva has always been ‘mission first,’ and always feel good about sharing our work with others.”

Treasurer

Jeff Watts, MBA, CFA, CPA (inactive)

Secretary

Lisa Cohen

Uzma Alam, PhD, MPH

Kenneth Bertram, MD, PhD, FACP, COL (Ret.), USA

Michael Brown, MBA

Ross Colt, MD, MBA, FAAFP, COL (Ret.), USA

John Hornick

Barbara Holcomb, RN, BSN, MSN, MG (Ret), USA

Elise W. Huszar, MBA

Kent Kester, MD, COL (Ret.), USA

Jonathan Miller, PhD, JD

Shelly Mullin RN, MHA

Christine Rousseau, PhD

Geneva's Scientific Advisory Board (SAB) provides scientific consult, advisement, and direction to Geneva's senior leadership, program directors, principal investigators, and research administrators. The SAB is a strategic partner alongside Geneva's leadership to ensure the science remains relevant, sustainable, and innovative. The SAB has grown in scope to be one of Geneva's main differentiators, and much emphasis has been made since its inception on developing and leveraging our SAB as Geneva's priorities grow and evolve. Geneva continues to recruit experts who represent critical and emerging research areas most relevant to the military's medical priorities.

Chair

Kent Kester, MD, COL (Ret.), USA

“It is a privilege to assist Geneva in its support of military medical research. Geneva has an incredible track record of success supporting this important mission. For me, it represents another way to give back to our military medical research professionals.”

Janiine Babcock, MD, COL (Ret.), USA

Dallas C. Hack, MD, MPH, FACMPH, COL (Ret.), USA

Christine E. Kasper, PhD, RN, FAAN, FACSM

Ann Ketz, MN, PhD, LTC (Ret.), USA

Aziza Mwisongo, MD, MSc, PhD

Brad Ringeisen, PhD

Suzanne Schrandt, JD

Steven Svoboda, MD, CoL (Ret)

Wave the Flag Winners Collapse or Expand Section

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

Q1 Winner Photo

Cecilia O’Brien

USAMRIID
Research Laboratory Manager

Read more
Q2 Winner Photo

Dee Robinson

Alexandria, VA
Recruiting Administrator

Read more
Q3 Winner Photo

Cristina Martinez

San Antonio, TX
Research Portfolio Administrator

Read more

Legacy Spotlights Collapse or Expand Section

We honor the profound impact of our employees during Geneva’s 30 years of service. These previous Wave the Flag honorees continue to demonstrate the dedication and passion fueling our organization’s journey, shaping transformative initiatives that have propelled our mission forward to create an enduring legacy.

25 Years of Service

Sonya Arzola

13 Years of Service

Miranda Pelky

11 Years of Service

Stacie Barczak

12 Years of Service

Peggy Smith

It is so rewarding to see positive changes in subjects during my studies. There is absolutely no feeling like it.”

11 Years of Service

Linzie Wagner

“Working at Geneva has been incredibly rewarding, combining my passion for science with our commitment to pioneering advancements that reach the patients who need them most, our service members. It’s fulfilling to see how our innovative work directly contributes to improving lives.

8 Years of Service

Jennifer Johnson

“I really enjoy my work at Geneva as it provides me with the opportunity to support and work with innovative and groundbreaking research teams that directly impact our service members health. My job is never dull as I get to be a part of many different scientific research endeavors, from TBI research to clinical trials and I can always count on the support of my awesome colleagues.”

7 Years of Service

Evan Strandberg

6 Years of Service

Daniel Wendorff

4 Years of Service

Ernesto Tusa

3 Years of Service

Cecilia O’Brien

Financials

A breakdown of Geneva’s 2023 Statement of Revenue & Expenditures, Total Grant, Contract & Award Revenue, and Total Revenue to Costs will be available in this section upon completion of a third-party review.

Statement of Revenue & Expenditures

2023

2022

2021

2020

(Rounded to the nearest thousand)

 

 

 

 

Total Grant, Contract, and Other Award Revenue

$70,876,492

$69,900,820

$79,606,529

$67,110,553

Grant

$47,468,368

$44,795,031

$42,845,144

$46,734,995

Contract

$21,804,192

$23,656,543

$33,989,179

$18,568,628

Other Award Revenue

$1,603,931

$1,449,246

$2,772,206

$1,806,930

 

 

 

 

Program Expenses

$61,269,221

$60,729,605

$69,833,205

$56,977,675

 

 

 

 

Net Income from Grants, Contracts, and Awards

$9,607,271

$9,171,215

$9,773,324

$10,132,878

 

 

 

 

Support Services

 

 

 

 

General and Administrative

$11,877,569

$9,157,165

$8,612,976

$8,268,505

Fund Development

$5,629

$33,630

$29,929

$73,830

Total Support Services

$11,883,198

$9,190,795

$8,642,905

$8,342,335

 

 

 

 

Total Other Income (Loss)

$31,396

$192,078

$85,111

$79,675

 

 

 

 

Increase (decrease) in net assets

($2,244,531)

($178,028)

$1,215,530

$1,870,218

 

 

 

 

Unrestricted Net Assets

 

 

 

 

Beginning of Year

$6,987,874

$7,638,974

$6,423,444

$4,553,226

End of Year

$4,743,343

$7,638,974

$7,638,974

$6,423,444

Disclosure Statement: This Annual Report provides a snapshot of our financial and operational performance for the fiscal year ended 2023 and is not a comprehensive overview of our organization.