PCRF operates in an environment where humanitarian access can change without notice, borders may close, medical equipment and supplies may be prevented from entering, and healthcare facilities may not be functioning. Our teams assess needs and available resources as conditions change. Depending on access, we may provide assistance through our teams and partners on the ground, procure available supplies, or prepare other assistance for delivery when conditions permit.

Our teams assess humanitarian and medical needs based on urgency, vulnerability, access, available resources, implementation capacity, and conditions on the ground. Unrestricted funding is particularly important because it allows PCRF to respond as those needs and conditions change.

PCRF maintains financial, procurement, authorization, documentation, monitoring, and compliance controls designed to protect charitable resources and ensure they are used for their intended purposes. Our field teams and program staff also use program monitoring, documentation, partner and vendor review, financial oversight, and other verification mechanisms appropriate to the program and operating environment.

PCRF works with healthcare providers, suppliers, and other partners to deliver care and assistance. Partner and vendor review, procurement procedures, documentation, financial oversight, and program monitoring are among the mechanisms we use to protect resources and assess the work being carried out.

Donations to PCRF support the fund or program selected by the donor. Unrestricted contributions allow us to direct resources where they are most needed. PCRF then uses those resources to meet approved program needs, including medical care, humanitarian assistance, supplies, and the costs necessary to deliver and oversee that work.

There is no single timeline for every donation or program. Having resources available does not always mean they can be responsibly deployed immediately. Humanitarian access, procurement, qualified teams and partners, functioning healthcare facilities, monitoring, and financial controls can all affect when funds are used. A designated donation must also be used in accordance with its purpose.

Having resources available does not always mean they can be responsibly deployed immediately. PCRF operates in an environment where humanitarian access can change without notice, borders may close, medical equipment and supplies may be prevented from entering, and healthcare facilities may not be functioning. Responsible implementation also requires planning, procurement, qualified teams and partners, monitoring, and financial controls. At times, our ability to spend can therefore slow even while humanitarian needs are increasing. Resources that cannot responsibly be deployed immediately remain available to meet current and future needs consistent with donor restrictions and PCRF’s mission.

Donations designated for a particular program or purpose are used in accordance with that designation. If circumstances prevent a project from proceeding as planned, PCRF reviews the applicable fund purpose, donor restrictions, and available options before determining the next steps.

Delivering responsible humanitarian and medical programs requires more than purchasing supplies or paying for treatment. PCRF also incurs necessary costs for program management, logistics, monitoring, safeguarding, financial controls, compliance, technology, administration, and fundraising. These functions are necessary to deliver our programs safely, effectively, and accountably.

PCRF maintains a Zakat Fund through which eligible contributions are used for beneficiaries and activities consistent with the fund’s established criteria. Donors intending to give Zakat should select the designated giving option so their contribution is identified for that purpose.

PCRF publishes annual reports and IRS Form 990 filings on its website. Because these reports cover completed financial periods, there is necessarily a lag between the information they contain and current operations. Donors can also follow PCRF’s program updates for information about work being carried out. Questions about reporting for a particular gift or project can be directed to our donation team.

Many of the children we serve will need assistance for years, not months. Children who have suffered catastrophic injuries may require multiple surgeries, rehabilitation, prosthetics, and continuing medical and psychosocial care. Orphaned children may need years of support, while rebuilding and strengthening damaged healthcare infrastructure will require sustained investment. Our financial planning therefore considers both the urgent needs we can address today and the commitments we know will continue into the future.

Children may need ongoing treatment and follow-up even when travel, supplies, or facilities are disrupted. PCRF works with medical professionals and its program teams to assess what care remains available and what referrals or other support may be possible as conditions change. The appropriate plan depends on the child’s medical needs and the access available at the time.

PCRF’s medical work involves local healthcare professionals and facilities, international volunteer medical teams, and hospitals that receive children for treatment abroad. The professionals treating a child depend on the program, the care required, and where it can be provided. PCRF coordinates and supports these different routes to care.

When a child cannot receive the needed treatment locally, PCRF’s Treatment Abroad Program works with medical professionals and local entities to assess the case. The team then seeks a hospital willing to accept the child and, if one is available, coordinates the steps needed for travel and treatment. Medical need, available care, hospital acceptance, and the ability to travel all affect whether a case can proceed.

Children need functioning healthcare services now, even amid the risk of further damage. PCRF invests in facilities and medical capacity to expand access to specialized care and reduce the need for patients to seek treatment elsewhere. Depending on needs and conditions, that work may include equipping facilities, rehabilitating services, or supporting larger infrastructure projects. These investments address immediate gaps while strengthening care for future patients.