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 PO Box 1575
 Brookline, MA 02446
[P] (413) 695-4891
[F] (857) 453-4512
Casey Fox
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 Printable Profile (Summary / Full)
EIN 27-3645742

LAST UPDATED: 01/10/2019
Organization DBA --
Former Names Physicians for Haiti Inc. (2013)
Organization received a competitive grant from the Boston Foundation in the past five years No


Mission StatementMORE »

The mission of EqualHealth is to inspire, empower, and support the development of leaders among Haiti’s next generation of health professionals.

Mission Statement

The mission of EqualHealth is to inspire, empower, and support the development of leaders among Haiti’s next generation of health professionals.

FinancialsMORE »

Fiscal Year Jan 01, 2015 to Dec 31, 2015
Projected Income $170,000.00
Projected Expense $150,000.00

ProgramsMORE »

  • Computer-Based CME Modules and GHD Case Discussion
  • Conference-Based Continuing Medical Education
  • Social Medicine Course
  • Teach the Teacher
  • Visiting Professor Program

Revenue vs. Expense ($000s)

Expense Breakdown 2014 (%)

Expense Breakdown 2013 (%)

Expense Breakdown 2012 (%)

For more details regarding the organization's financial information, select the financial tab and review available comments.


Mission Statement

The mission of EqualHealth is to inspire, empower, and support the development of leaders among Haiti’s next generation of health professionals.

Background Statement

EqualHealth (formerly Physicians for Haiti) was founded the day after the January 2010 earthquake in Haiti when a group of Boston-area physicians, realizing that Haiti would have a need for dedicated partners for years to come, came together with a shared goal of maintaining a sustained engagement in its rebuilding process.

In the months that followed, EqualHealth steadily grew into a non-profit organization made up of physicians, nurses, and students who represent many of Boston’s academic medical institutions.  Recognizing that international aid efforts in Haiti have often overlooked the importance of capacity-building and empowerment of Haitians themselves, and inspired by the remarkable talent, dedication, and energy we have seen while working alongside our Haitian colleagues, we are united by the belief that a stronger, healthier Haiti must ultimately be built from within.

Today, we work to foster sustainable progress in Haiti by providing Haitian physicians and nurses, who face some of the world’s most challenging conditions as they care for their patients, with high-quality continuing medical education (CME), leadership training, and professional development opportunities.  Our long-term vision is of a vibrant, dynamic medical education community in Haiti, which will serve as a foundational pillar as Haiti “builds back better.”

Impact Statement

2014 Accomplishments:

• Hosting our fourth annual CME conference in Haiti in November 2014. This conference provided Haitian professionals with a unique opportunity to continue their education and network with other health professionals while learning about Healthcare Entrepreneurship

• Expanding on our Visiting Professor Program to offer a total of 14 weeks of training and reaching 903 learners in 2014

• Expanding our Teach the Teacher program to provide training in didactic techniques to healthcare educators and residency directors in Haiti. In 2014, this curriculum was formally endorsed by the Academic Directorate, which includes the Haitian Ministry of Health’s Director of Training, the Dean of the Haitian State Medical School among others.

• Holding our second annual Social Medicine Course in Haiti, bringing together Haitian and international medical and nursing students in the study of the social determinants of health and global medicine.

2015 Goals:

• Launching our Fellowship Program, which will provide a full year of leadership training, educational opportunities, teaching experience, mentorship, and more to two Haitian medical professionals

• Hosting our fifth annual Continuing Medical Education conference in Haiti, building off the success of the previous years’ conferences and involving a well-rounded team of global professionals.
• Expanding our nursing programs to include visiting US-based nurse educators, lectures designed for Haitian nurses for peer education, and the co-development of hospital nursing protocols with Haitian partners.
• Expanding the reach of our Boston-based Kreyol language class in order to better prepare clinicians to serve the Haitian population.

• Expanding our Teach the Teacher program to include an adaptable foundation of teacher training courses and a parallel curriculum for nursing leaders, laying the groundwork for implementing this curriculum across other sites


Needs Statement

1. Funding for hiring administrative support: $36,000 per year
2. Funding for Teach the Teacher: $25,000
3. Funding for the Social Medicine Course to be held in Haiti in July 2014: $18,000
4. Volunteers with a medical background to assist in the development of educational materials
5. Board members with expertise in NGO law, accounting, and fundraising

CEO Statement


Board Chair Statement


Geographic Area Served

EqualHealth works closely with Haitian physicians in Port au Prince, Mirebalais, Fond des Blancs, Saint Marc, and other partner sites across Haiti. US operations are based in Boston, MA. 

Organization Categories

  1. Community Improvement, Capacity Building - Nonprofit Management
  2. Education - Graduate & Professional Schools
  3. Health Care -

Independent research has been conducted on this organization's theory of change or on the effectiveness of this organization's program(s)



Computer-Based CME Modules and GHD Case Discussion

EqualHealth strives to provide high-quality, accessible and relevant information to Haitian providers. Our interactive, computer-based modules teach best-possible practices for a range of common conditions suggested by our Haitian partners, relevant in both inpatient and outpatient settings. These modules are supplemented by biweekly online case discussions hosted by the Global Health Delivery Project (GHD), which allow our Haitian partners from across the country to participate in thoughtful discussion and collaboration. The modules and case discussions are distinctive from other online CME materials on the market in that they are interactive and partner-driven, creating a more compelling resource for our partners. These materials are developed by a team of volunteer physicians, allowing us to provide these resources free of charge.

Budget  $0.00
Category  Education, General/Other Educational Delivery
Population Served Latin America & the Caribbean
Program Short-Term Success 

In the short-term, we aim to provide our Haitian partners with up-to-date and evidence-based information that is tailored to the resources that are available to them. Our goal is for participants to be able to demonstrate an improved knowledge in the subjects addressed, conveying an understanding of the health problems addressed in the modules, and the best-possible practices in treating them within the Haitian context. We also strive to engage Haitian physicians and encourage them to share best-practices and ideas, which is facilitated through the case discussions hosted by the Global Health Delivery Project (GHD).

Program Long-Term Success 

Our ultimate objective for the computer-based modules and case discussions is to create a sustainable model for continuing medical education in low-resource settings that meets the self-identified needs of the Haitian medical community. We believe that this increased access to key pieces of information will lead to improved health outcomes in relevant areas (for example, neonatal nutrition and diabetes care).

Program Success Monitored By 

We will track our progress towards this goal by assessing both the number of physicians utilizing these resources (and the growth in this usership over time), as well as the the results on pre and post-tests that are built into the system. We will also use extensive surveys of our partners to gauge whether we are appropriately addressing their needs, and solicit personal testimonies to better understand the impact of these tools on individual practice and the system as a whole.

Examples of Program Success 

The GHD case discussions have worked as a platform to engage over 60 Haitian physicians from around the country. They have included 50 individual teaching cases with discussion led by physicians, allowing Haitian physicians in remote areas to benefit from bi-directional exchange with their peers.

Conference-Based Continuing Medical Education

EqualHealth strives to provide Haitian medical professionals with the same resources and tools available to providers in resource-rich countries. As such, we work to facilitate the travel of Haitian physicians to international Continuing Medical Education conferences, and to host conferences that are geographically and financially accessible to our Haitian partners. In 2014, we sponsored seven Haitian physicians who came to the US to attend medical conferences. All of these physicians have agreed to teach what they have learned to their colleagues upon their return, dispersing the knowledge and skills gained. Additionally, EqualHealth hosted its fourth annual CME conference in Haiti in November 2014, reaching over 200 participants from across Haiti. This conference is the largest and longest-running medical education and leadership conference in Haiti.

Budget  $25,250.00
Category  Education, General/Other Educational Delivery
Population Served International
Program Short-Term Success 

In the short-term, our goal is to provide access to continuing medical education and leadership development opportunities that meet the stated needs of our partners. We will consider the program a success if 90% of conference attendees rate their experience as good or excellent, and feel that it will be applicable to their daily practice.

Program Long-Term Success 

By providing Haitian physicians and nurses with opportunities to exchange ideas with their peers in Haiti and on a global scale, EqualHealth aims to facilitate the development of leaders among the next generation of Haitian health professionals. Ultimately, we envision a robust, Haitian-run annual conference in Haiti, as well as institutional partnerships in the US that provide sponsorship for Haitian physicians at high-profile continuing medical education conferences. We believe that having access to these opportunities will both improve health outcomes as health workers are exposed to the newest best-practices, and give our Haitian colleagues a sense of professional satisfaction that will reduce “brain drain” (presently, over 30% of Haitian physicians leave the country to find work).

Program Success Monitored By 

We will measure the conference’s short-term success by way of pre- and post-conference written surveys, which will include both qualitative and quantitative measures of attendees’ sense of self-efficacy and their perceived understanding of the concepts addressed. Questions will also address participants’ level of satisfaction with speakers and topics, as well as what elements of the conference they plan on implementing into their daily practice and what topics they would like to see addressed in the future. Surveys will be administered in French in order to ensure that participants are able to express themselves fully. In addition, we will distribute a follow-up survey three months after the conference in order to assess the lasting impact that the conference has on participants’ perceived leadership abilities and sense of self-efficacy. A similar set of surveys will be used to assess US-based conferences.

Examples of Program Success 

Over the past four years, the P4H annual conference has expanded to reach over 200 medical professionals per year. This dramatic increase in participation demonstrates the perceived value by Haitian health professionals, who often do not have access to such opportunities. The 2014 conference drew high-level Haitian speakers, including famous economist Dr. Kesner Pharel and Digicel Entrepreneur of the Year Dr. Ronald LaRoche. The feedback we have received about the 2014 conference was overwhelmingly positive—as one participant remarked, “This conference has changed the way I think and has increased my capacity to improve the Haitian health system.”

Social Medicine Course

No matter the setting, an understanding of the social determinants of health is vital to effective care delivery. This is all the more true for the future health professionals from both high and low resource countries who plan to work with the underserved.

In July 2013, EqualHealth launched its first annual Social Medicine Course, bringing together Haitian and international medical students for a three-week immersion course. Incorporating clinical teaching, student presentations, field visits, and patient interviews, the inaugural course was described as “a simply unforgettable, wonderful experience which encourages reflection and growth.” In 2014, we expanded the course to include nursing and other allied health profession students, fostering a more diverse set of perspectives in the classroom and furthering out core value of interdisciplinary collaboration.

Budget  $51,000.00
Category  Education, General/Other Educational Programs
Population Served US& International
Program Short-Term Success 

Our goal for the short-term is that the students will apply the principles of social medicine learned during the course to their lives, and eventually to their practices. In addition to retaining the information taught, we aim for the students to develop practical ways to address the issues discussed over the course of the class, critically thinking about potential solutions from an individual and systemic level.

Program Long-Term Success 

On a long-term scale, we aim to create a model for teaching social medicine, playing a role in the integration of this critical subject into the standard medical education curriculum in the US and Haiti. By providing hands-on training to both Haitian and international allied health students, we hope to inspire and educate the next generation leaders in the international medical community. Ideally, we would like to see the concepts covered in the course addressed during the course of study of all medical students globally.

Program Success Monitored By 

The success of the program will be measured via a series of tests throughout the course, solicitation of written and verbal feedback from program participants, and institutional feedback.

Examples of Program Success 

Over the past two years, we have received a stunning 97% satisfaction rate from students in the course. Additionally, 100% of students over the two years have stated that the course has impacted how they will practice medicine in the future.

Teach the Teacher

Inadequate numbers of health personnel and a lack of training opportunities contribute to poor health outcomes throughout the developing world. In recent years, many developing countries, including Haiti, have begun to prioritize the training of the healthcare workforce. However, these countries often also face a shortage of experienced medical educators and faculty, making it difficult to train the next generation effectively.

Responding to requests from our Haitian colleagues, we introduced our Teach the Teacher program in 2013 at the University Hospital of Mirebalais. Designed to provide medical and nursing educators with the skills they need to become the best teachers they can be, Teach the Teacher gives participants a foundation in educational best practices and provides them with ongoing feedback and support as they incorporate these practices into their teaching.

Budget  $7,000.00
Category  Education, General/Other Teacher & Faculty
Population Served International Poor,Economically Disadvantaged,Indigent
Program Short-Term Success 

In the short term, our goal is to create a complete set of didactic materials that will provide a solid foundation in medical teaching principles, introduce several additional levels of increasingly sophisticated skills trainings, and include an adapted curriculum for nursing programs. Additionally, at this early stage, we will aim to quickly gather and adapt to the feedback gathered in the first year of sessions, which includes written surveys and pre and post-course knowledge assessments.

Program Long-Term Success 

The long-term goal of the Teach the Teacher program is to create a replicable curriculum for physician and nurse educators that is utilized across Haiti as part of the national curriculum. This curriculum would ensure that all medical and nursing educators and mentors are well equipped to be the best teachers possible, and are able to better support the next generation of Haitian health professionals.

Program Success Monitored By 

In the short term, we gauge the success of the program by gathering and assessing feedback provided by program participants. This information is gathered via written surveys that are administered and collected following each course, and is both subjective (Likert scale questions that address the relevance and effectiveness of the course, open-answer questions for general suggestions and feedback) and objective (multiple-choice tests of knowledge about educational principles).

In the longer term, we will assess our impact through evaluations of the quality of

teaching at participating institutions over time. Observers from our team will measure this using a standardized evaluation tool similar to those used in US academic institutions, and we will also administer follow-up surveys of participants as well as of those learning from them. We will also monitor the effectiveness of trained graduates from the program who go on to run the course at other institutions.

Examples of Program Success 

In 2014, the Teach the Teacher curriculum was formally endorsed by the Academic Directorate, which includes the Haitian Ministry of Health’s Director of Training, the Dean of the Haitian State Medical School, and many others. In the first year of the program, post-course evaluations have found that 100% of participants felt that the training was important to their work and that they were more confident after the course. Qualitative feedback was strongly positive and included several variations of the statement that “this training should be available to all clinicians.” Anecdotal feedback received from the pilot hospital staff has indicated that, in the months since the last installment of the course, the quality of teaching rounds has been “transformed.”

Visiting Professor Program

Since 2011, the Visiting Professor Program has provided our Haitian colleagues with access to the same range of educational opportunities and cutting-edge knowledge as their peers in other countries. This program matches international experts with schools and hospitals in Haiti that are interested in their specific areas of teaching expertise, with the Visiting Professor then teaching a 1-2 week course at the Host Institution.

Last year, our volunteer Visiting Professors provided a total of 14 weeks of training, reaching a total of 903 learners. This well surpassed our numbers from prior years. Guided by requests from our partners in Haiti, the 2014 trainings included courses on gynecology, radiology, faculty development, research methods, and more.

Budget  $12,500.00
Category  Education, General/Other
Population Served Latin America & the Caribbean
Program Short-Term Success 

Our short term goal for the Visiting Professor Program is that students come away from each course with a foundational knowledge of the material covered, as reflected by post-test scores. We also strive to ensure that the courses offered reflect a genuine and self-identified need expressed by our Haitian partners, and that they are presented in the most effective manner. Our goal for each course it to improve post-class scores on a comprehension test, resulting in a post-test score of 85% or higher. Additionally, we aim for little change in this score in a 3 and/or 6 month follow-up test.

Program Long-Term Success 

Our long-term goal for the Visiting Professor Program is that participants will not only understand and apply the information learned, but begin to disseminate it among their peers, as well as the next generation of medical students. Ideally, a significant portion of the participants in these courses would go on to teach or assist future visiting faculty in the role of a TA, thus strengthening the Haitian medical education system in the areas of self-identified weaknesses.

Program Success Monitored By 

We monitor the effectiveness of the Visiting Professor’s courses via a series of pre- and post-tests, as well as qualitative evaluations about the content and presentation of the courses. While tests vary based on subject matter, they are administered in French and Creole, and designed to cover the basic concepts of the course. We are also in the process of implementing follow-up tests to measure knowledge retention over 3 and 6 month periods. Anonymous surveys are administered directly following the course, and ask questions related to the effectiveness of the teacher, relevance of the course material, and the students’ thoughts on whether the material will be applicable to their practice.

Examples of Program Success 

We have met with extremely positive feedback for the visiting professors program. Following a recent course at St. Boniface Hospital in Fond-des-Blancs, Haiti, 100% of participants agreed that “The theme is important for the practice of medicine in Haiti,” “The seminar will allow me to better take care of the sick,” and that the “Leaders demonstrated a good command of the theme of the seminar.” One recent participant noted “We are going to use this information in our jobs every day!” Another strong indicator of success is the eagerness of our partners to continue hosting Visiting Professors.

CEO/Executive Director/Board Comments



CEO/Executive Director Dr. Michelle Morse
CEO Term Start Jan 2010
CEO Email
CEO Experience --
Co-CEO Dr. Zadok Sacks
Co-CEO Term Start Jan 2010
Co-CEO Email
Co-CEO Experience --

Former CEOs and Terms

Name Start End
-- -- --

Senior Staff

Name Title Experience/Biography
-- -- --


Award Awarding Organization Year
Chase Community Giving Award Chase Community Giving 2012
SEED Grant Brigham and Women's Hospital 2011
Martin Solomon Award for Innovation in Primary Care Brigham and Women's Hospital 2010


Affiliation Year
-- --
Member of state association of nonprofits? No
Name of state association --

External Assessments and Accreditations

External Assessment or Accreditation Year
-- --



CEO/Executive Director/Board Comments


Foundation Comments


Staff Information

Number of Full Time Staff 3
Number of Part Time Staff 0
Number of Volunteers 60
Number of Contract Staff 0
Staff Retention Rate % 100%

Staff Demographics

Ethnicity African American/Black: 2
Asian American/Pacific Islander: 0
Caucasian: 1
Hispanic/Latino: 0
Native American/American Indian: 0
Other: 0
Other (if specified): --
Gender Female: 1
Male: 2
Not Specified 0

Plans & Policies

Organization has Fundraising Plan? Under Development
Organization has Strategic Plan? Yes
Years Strategic Plan Considers 5
Management Succession Plan No
Business Continuity of Operations Plan No
Organization Policies And Procedures Under Development
Nondiscrimination Policy Under Development
Whistle Blower Policy No
Document Destruction Policy --
Directors and Officers Insurance Policy Yes
State Charitable Solicitations Permit Exempt
State Registration Exempt

Risk Management Provisions


Reporting and Evaluations

Management Reports to Board? No
CEO Formal Evaluation and Frequency No N/A
Senior Management Formal Evaluation and Frequency No N/A
Non Management Formal Evaluation and Frequency Yes Semi-Annually


Board Chair Dr. Michelle Morse MD, MPH
Board Chair Company Affiliation Brigham and Women's Hospital
Board Chair Term Jan 2010 -
Board Co-Chair Dr. Zadok Sacks MD
Board Co-Chair Company Affiliation Ventura County Medical Center
Board Co-Chair Term Jan 2010 -

Board Members

Name Company Affiliations Status
Jill Caporiccio RN Hopital Albert Schweitzer, Dechapelles, Haiti Voting
Chris Curry MD Boston Medical Center Voting
Leon David MA Massachusetts Coalition of Haitian Hometown Associations Voting
Wit Davis MPH, MS University of New England College of Osteopathic Medicine Voting
James Hudspeth MD Boston Medical Center Voting
Thea James MD Boston Medical CEnter Voting
Annie Lewis-O'Connor PhD Brigham and Women's Hospital Voting
Michelle Morse MD MPH Brigham and Women's Hospital Voting
Marisa Nadas MD Boston Medical Center Voting
Rishi Rattan MD Jackson Memorial Hospital Voting
Nadia Raymond NP Brigham and Women's Hopsital Voting
Zadok Sacks MD Brigham and Women's Hospital; Children's Hospital Boston Voting

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Advisory Board Members

Name Company Affiliations Status
Dr. Sanjiv Chopra MD Harvard Medical School, Beth Israel Deaconess Medical Center --
Dr. Paul Farmer MD, PhD Partners in Health, Harvard University, Brigham and Women's Hospital --
Loune Viaud Partners in Health --

Board Demographics

Ethnicity African American/Black: 4
Asian American/Pacific Islander: 0
Caucasian: 7
Hispanic/Latino: 0
Native American/American Indian: 0
Other: 1
Other (if specified): Indian-American
Gender Female: 8
Male: 4
Not Specified 0

Board Information

Board Term Lengths --
Board Term Limits --
Board Meeting Attendance % --
Written Board Selection Criteria Yes
Written Conflict Of Interest Policy Yes
Percentage of Monetary Contributions 73%
Percentage of In-Kind Contributions 100%
Constituency Includes Client Representation No

Standing Committees


CEO/Executive Director/Board Comments


Foundation Comments



Revenue vs. Expense ($000s)

Expense Breakdown 2014 (%)

Expense Breakdown 2013 (%)

Expense Breakdown 2012 (%)

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2014 2013 2012
Total Revenue $158,548 $109,309 $67,016
Total Expenses $136,765 $128,813 $45,406

Prior Three Years Revenue Sources

Fiscal Year 2014 2013 2012
Foundation and
Corporation Contributions
-- -- --
Government Contributions $0 $0 $0
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified -- -- --
Individual Contributions $135,284 $92,318 $65,216
Indirect Public Support -- -- --
Earned Revenue $17,414 $10,678 $100
Investment Income, Net of Losses -- -- --
Membership Dues -- -- --
Special Events $5,850 $6,313 $1,700
Revenue In-Kind -- -- --
Other -- -- --

Prior Three Years Expense Allocations

Fiscal Year 2014 2013 2012
Program Expense $111,489 $110,960 $32,942
Administration Expense $24,951 $17,801 $8,792
Fundraising Expense $325 $52 $3,672
Payments to Affiliates -- -- --
Total Revenue/Total Expenses 1.16 0.85 1.48
Program Expense/Total Expenses 82% 86% 73%
Fundraising Expense/Contributed Revenue 0% 0% 5%

Prior Three Years Assets and Liabilities

Fiscal Year 2014 2013 2012
Total Assets $28,281 $6,498 $26,002
Current Assets $28,281 $6,498 $26,002
Long-Term Liabilities $0 $0 $0
Current Liabilities $0 $0 $0
Total Net Assets $28,281 $6,498 $26,002

Prior Three Years Top Three Funding Sources

Fiscal Year 2014 2013 2012
1st (Source and Amount) -- --
-- --
-- --
2nd (Source and Amount) -- --
-- --
-- --
3rd (Source and Amount) -- --
-- --
-- --

Financial Planning

Endowment Value --
Spending Policy N/A
Percentage(If selected) --
Credit Line No
Reserve Fund No
How many months does reserve cover? 0.00

Capital Campaign

Are you currently in a Capital Campaign? No
Capital Campaign Purpose --
Campaign Goal --
Capital Campaign Dates -
Capital Campaign Raised-to-Date Amount --
Capital Campaign Anticipated in Next 5 Years? --

Short Term Solvency

Fiscal Year 2014 2013 2012
Current Ratio: Current Assets/Current Liabilities inf inf inf

Long Term Solvency

Fiscal Year 2014 2013 2012
Long-term Liabilities/Total Assets 0% 0% 0%

CEO/Executive Director/Board Comments

We believe that it is important to note that the final figures represented in our Financial Statement do not accurately reflect the value of volunteer time, which represents a significant in-kind donation. The calculated value of volunteer services in 2014 totals $286,482. This figure is a conservative estimate based on the Independent Sector’s 2013 estimated value of volunteer time of $22.55 per hour for all volunteer hours not requiring specialized skills; the Bureau of Labor Statistics’ 2013 mean hourly wage data for volunteer hours requiring specialized skills; and the out-of-pocket, unreimbursed travel costs incurred by volunteers traveling to Haiti on EqualHealth business.

Foundation Comments

Financial summary data in the charts and graphs above are per the organization's IRS Form 990s, with supplemental expense breakout data per the Form PC filed with the state of Massachusetts. Contributions from foundations and corporations are listed under individuals when the breakout was not available. Please note, this organization changed its name in 2014 from Physicians for Haiti Inc. to EqualHealth Inc, as indicated in the above posted IRS Form 990. 


Other Documents

No Other Documents currently available.


The Impact tab is a section on the Giving Common added in October 2013; as such the majority of nonprofits have not yet had the chance to complete this voluntary section. The purpose of the Impact section is to ask five deceptively simple questions that require reflection and promote communication about what really matters – results. The goal is to encourage strategic thinking about how a nonprofit will achieve its goals. The following Impact questions are being completed by nonprofits slowly, thoughtfully and at the right time for their respective organizations to ensure the most accurate information possible.

1. What is your organization aiming to accomplish?


2. What are your strategies for making this happen?


3. What are your organization’s capabilities for doing this?


4. How will your organization know if you are making progress?


5. What have and haven’t you accomplished so far?