50% of the sale proceeds are being donated to the charity, Hospitallers Ukraine Aid.  A non-profit organisation which sends medical supplies to front line medics as well as supporting/sending medical staff to help service personnel and civilians who have been injured in the war.  

Medal is original, boxed in it's original wrapping.  Manufactured 1994. 

The Humanitarian Service Medal (HSM) is a military service medal of the United States Armed Forces which was created on January 19, 1977 by President Gerald Ford under Executive Order 11965. The medal may be awarded to any member of the United States military (including Reserve and National Guard members) who distinguishes himself or herself by meritorious participation in specified military acts or operations of a humanitarian nature.