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Nonprofiteer
← DIRECT RELIEF

Form 990 for tax year 2023

Filed by DIRECT RELIEF.

Totals

Total revenue
$2,383,379,388
Total expenses
$2,365,599,490
Contributions and grants received
$2,372,144,401
Grants paid
$1,882,818,737
Program service revenue
$0
Investment income
$11,234,987
Other revenue
$0
Total assets, end of year
$1,186,035,572
Total liabilities, end of year
$30,043,037
Net assets or fund balances, end of year
$1,155,992,535
Program services expenses (Part IX)
$2,353,884,040
Management and general expenses
$8,523,951
Fundraising expenses
$3,191,499
Program service expenses (Part III)
$2,353,884,040

Program services were 99.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $3,709,369

  • 1f · All other contributions, gifts and grants

    $2,368,435,032

  • 1g · Noncash contributions included above

    $2,298,781,077

  • 3 · Investment income

    total $11,566,029 · excluded $11,566,029

  • 7a · Gross sales of assets other than inventory

    securities $178,055,063

  • 7b · Less cost or other basis and sales expenses

    securities $178,386,105

  • 7c · Gain or loss

    securities -$331,042

  • 7d · Net gain or loss

    total -$331,042 · excluded -$331,042

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $341,417,393 · program services $341,417,393

  • 3 · Grants to foreign organizations and individuals

    total $1,541,401,344 · program services $1,541,401,344

  • 5 · Compensation of officers, directors and key employees

    total $1,430,043 · program services $426,151 · management and general $679,502 · fundraising $324,390

  • 7 · Other salaries and wages

    total $14,364,608 · program services $9,942,473 · management and general $3,053,972 · fundraising $1,368,163

  • 8 · Pension plan contributions

    total $752,281 · program services $516,383 · management and general $161,723 · fundraising $74,175

  • 9 · Other employee benefits

    total $1,978,162 · program services $1,189,699 · management and general $612,453 · fundraising $176,010

  • 10 · Payroll taxes

    total $1,100,126 · program services $726,578 · management and general $256,213 · fundraising $117,335

  • 11b · Fees: legal

    total $199,182 · program services $4,656 · management and general $194,526

  • 11c · Fees: accounting

    total $144,049 · program services $51,594 · management and general $92,430 · fundraising $25

  • 11g · Fees: other

    total $6,929,146 · program services $5,941,861 · management and general $738,963 · fundraising $248,322

  • 12 · Advertising and promotion

    total $683,013 · program services $524,651 · management and general $47,966 · fundraising $110,396

  • 13 · Office expenses

    total $221,181 · program services $114,288 · management and general $87,171 · fundraising $19,722

  • 14 · Information technology

    total $558,608 · program services $374,373 · management and general $33,234 · fundraising $151,001

  • 16 · Occupancy

    total $1,042,579 · program services $949,050 · management and general $66,208 · fundraising $27,321

  • 17 · Travel

    total $1,462,430 · program services $1,189,909 · management and general $176,113 · fundraising $96,408

  • 19 · Conferences, conventions and meetings

    total $1,313,870 · program services $1,115,308 · management and general $124,173 · fundraising $74,389

  • 22 · Depreciation, depletion and amortization

    total $1,281,101 · program services $1,230,578 · management and general $30,073 · fundraising $20,450

  • 23 · Insurance

    total $1,220,753 · program services $795,489 · management and general $253,128 · fundraising $172,136

  • 24a · Other expenses: INVENTORY ADJ-SEE SCH O

    total $430,794,729 · program services $430,794,729

  • 24b · Other expenses: FREIGHT/TRANSPORTATION

    total $10,881,866 · program services $10,881,866

  • 24c · Other expenses: SUPPLIES

    total $1,333,486 · program services $1,198,726 · management and general $93,932 · fundraising $40,828

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $921,620 · program services $435,614 · management and general $336,927 · fundraising $149,079

  • 24e · All other expenses

    total $4,167,920 · program services $2,661,327 · management and general $1,485,244 · fundraising $21,349

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,884,559 · end of year $5,630,476

  • 2 · Savings and temporary cash investments

    beginning of year $60,432,023 · end of year $34,939,157

  • 3 · Pledges and grants receivable

    beginning of year $15,856,234 · end of year $14,941,438

  • 7 · Other notes and loans receivable

    beginning of year $125,785 · end of year $171,226

  • 8 · Inventories for sale or use

    beginning of year $864,423,207 · end of year $926,411,374

  • 9 · Prepaid expenses and deferred charges

    beginning of year $7,371,143 · end of year $4,008,523

  • 10a · Land, buildings and equipment: cost or other basis

    $51,162,455

  • 10b · Land, buildings and equipment: accumulated depreciation

    $13,565,054

  • 10c · Land, buildings and equipment, net

    beginning of year $38,729,054 · end of year $37,597,401

  • 11 · Investments: publicly traded securities

    beginning of year $175,234,593 · end of year $153,689,474

  • 15 · Other assets

    beginning of year $5,470,272 · end of year $8,646,503

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,326,955 · end of year $4,739,442

  • 25 · Other liabilities

    beginning of year $25,153,504 · end of year $25,303,595

  • 27 · Net assets without donor restrictions

    beginning of year $971,580,379 · end of year $1,025,025,988

  • 28 · Net assets with donor restrictions

    beginning of year $165,466,032 · end of year $130,966,547

Mission and programs · 2023

Mission

IMPROVE THE HEALTH AND LIVES OF PEOPLE AFFECTED BY POVERTY OR EMERGENCY SITUATIONS BY MOBILIZING AND PROVIDING ESSENTIAL MEDICAL RESOURCES NEEDED FOR THEIR CARE.

Activities or mission (Part I)

IMPROVE THE HEALTH AND LIVES OF PEOPLE AFFECTED BY POVERTY OR EMERGENCY SITUATIONS.

  • COMMUNITY HEALTH - DIRECT RELIEF, THROUGH ITS COMMUNITY HEALTH INITIATIVES, EQUIPS HEALTH PROFESSIONALS IN LOW-RESOURCE SETTINGS WITH THE MEDICAL RESOURCES THEY NEED TO DIAGNOSE, TREAT, AND CARE FOR THEIR PATIENTS - REGARDLESS OF ABILITY TO PAY. IN THE FISCAL YEAR 2024, DIRECT RELIEF PROVIDED MATERIAL AND FINANCIAL SUPPORT TO MORE THAN 2,400 COMMUNITY HEALTH PROVIDERS IN 93 COUNTRIES. THIS INCLUDES THE U.S., WHERE DIRECT RELIEF OPERATES THE NATION'S LARGEST CHARITABLE MEDICINE PROGRAM FOR COMMUNITY HEALTH CENTERS AND NONPROFIT CLINICS IN ALL 50 STATES. AS A RESULT OF DIRECT RELIEF'S SUPPORT, ORGANIZATIONS AND HEALTH PROVIDERS CAN FOCUS THEIR TIME AND RESOURCES ON EXPANDING AND IMPROVING THEIR SERVICES INSTEAD OF PROCURING MEDICINE AND SUPPLIES.

    Expenses $1,489,587,437 · Grants $1,255,704,756

  • DISASTER RESPONSE - DIRECT RELIEF, THROUGH ITS DISASTER RESPONSE PROGRAMS, ADDRESSES THE NEEDS OF VULNERABLE COMMUNITIES BEFORE DISASTERS STRIKE BY PRE POSITIONING EMERGENCY MEDICAL MATERIALS WITH HEALTHCARE FACILITIES IN AREAS AT RISK FROM NATURAL DISASTERS. WHEN DISASTERS OCCUR, DIRECT RELIEF LEVERAGES ITS NETWORK OF HEALTHCARE PROVIDERS TO ASSESS IMMEDIATE NEEDS, UNDERSTAND THE SITUATION, AND RESPOND QUICKLY AND PRECISELY. DIRECT RELIEF'S EFFORTS ARE ALWAYSIN RESPONSE TO SPECIFIC REQUESTS FROM LOCAL PARTNERS AND IN ACCORDANCE WITH NATIONAL AND INTERNATIONAL RESPONDERS TO AVOID DUPLICATION OF EFFORTS AND PREVENT LOGISTICAL BOTTLENECKS, AND ENSURE THE MOST EFFICIENT USE OF RESOURCES.

    Expenses $544,982,385 · Grants $338,732,875

  • DISEASE PREVENTION AND TREATMENT - TO ALLEVIATE THE DISEASE BURDEN IN RESOURCE CONSTRAINED COMMUNITIES AROUND THE WORLD, DIRECT RELIEF SUPPORTS A GLOBAL NETWORK OF LOCALLY-RUN HEALTH FACILITIES WITH THE MEDICINES, MEDICAL SUPPLIES, AND FUNDING. IN THE FISCAL YEAR 2024, DIRECT RELIEF PROVIDED HEALTHCARE PARTNERS IN 53 COUNTRIES WITH 68.8 MILLION COURSES OF MEDICATION TO TREAT CONDITIONS THAT INCLUDE CANCER, DIABETES, HIV/AIDS AND RARE DISEASES. DIRECT RELIEF ALSO SUPPORTS PROGRAMS TO ADVANCE BREAST CANCER AWARENESS AND EARLY DETECTION, HIV PREVENTION AND TESTING AND CERVICAL CANCER SCREENING, AS WELL AS COMPREHENSIVE DIABETES PREVENTION AND TREATMENT PROGRAMS THAT INCLUDE ASSISTANCE FOR CHILDREN WITH TYPE 1 DIABETES.

    Expenses $316,254,605 · Grants $284,341,595

  • DIRECT RELIEF HAS AN INTERNAL POLICY TO TRANSFER ALL BOARD-DESIGNATED UNRESTRICTED BEQUESTS AND GIFTS TO THE BOARD RESTRICTED INVESTMENT FUND (BRIF) HELD BY DIRECT RELIEF FOUNDATION. THE PURPOSE OF THE BRIF IS TO PROVIDE A RESERVE FOR FUTURE OPERATIONS.

    Expenses $3,059,613 · Grants $4,039,511

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • MARK LINEHAN

    CHAIR

    Total calculated
    $0
    Hours/week
    10 + 1 related

  • THOMAS STURGESS

    TREASURER/COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • SIRI MARSHALL

    SECRETARY/COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • HARRY MCMAHON ASST TREASTHRU

    01/24)/V. CHAIR(AS OF 01/24)/COMM CH.

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • ANNALISA PIZZARELLO

    ASST SECRETARY/COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • MARY DWYER PHD

    COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • PAMELA GANN

    COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • JAMES MCGONIGLE

    COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • MARK SCHWARTZ

    COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • JAMES SELBERT

    COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • ELIZABETH TORO MD MPH

    COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 1 related

  • STAYCE D HARRIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • MARLA SALMON SCD RN FAAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • LAURIE SIEGEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • THOMAS TIGHE

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $619,337
    From this org
    $567,776
    From related orgs
    $0
    Other
    $51,561
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $567,776
    Bonus
    $0
    Other
    $0
    Deferred
    $19,800
    Nontaxable benefits
    $31,761
    Filer's total
    $619,337

  • DAWN LONG

    SENIOR VP, COO (THRU 09/23)

    Total calculated
    $369,891
    From this org
    $350,619
    From related orgs
    $0
    Other
    $19,272
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $350,619
    Bonus
    $0
    Other
    $0
    Deferred
    $12,053
    Nontaxable benefits
    $7,219
    Filer's total
    $369,891

  • JONATHAN STEINER

    VP OF FINANCE, CFO

    Total calculated
    $353,668
    From this org
    $326,299
    From related orgs
    $0
    Other
    $27,369
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $326,299
    Bonus
    $0
    Other
    $0
    Deferred
    $18,337
    Nontaxable benefits
    $9,032
    Filer's total
    $353,668

  • BYRON SCOTT MD - VICE CHAIR

    (THRU 01/24)/PRES./COO (AS OF 01/24)

    Total calculated
    $0
    Hours/week
    40

  • HEATHER BENNETT

    CHIEF OF STAFF

    Total calculated
    $317,782
    From this org
    $297,069
    From related orgs
    $0
    Other
    $20,713
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $297,069
    Bonus
    $0
    Other
    $0
    Deferred
    $12,100
    Nontaxable benefits
    $8,613
    Filer's total
    $317,782

  • DONALD ROANE - VP

    CORPORATION ENGAGEMENT & STRATEGY

    Total calculated
    $308,337
    From this org
    $257,982
    From related orgs
    $0
    Other
    $50,355
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $257,982
    Bonus
    $0
    Other
    $0
    Deferred
    $14,140
    Nontaxable benefits
    $36,215
    Filer's total
    $308,337

  • ADAN GROUMAN

    DIRECTOR, IT

    Total calculated
    $276,594
    From this org
    $249,538
    From related orgs
    $0
    Other
    $27,056
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,538
    Bonus
    $0
    Other
    $0
    Deferred
    $13,654
    Nontaxable benefits
    $13,402
    Filer's total
    $276,594

  • DOUG FROELICH

    DIRECTOR OF OPERATIONS

    Total calculated
    $253,408
    From this org
    $220,964
    From related orgs
    $0
    Other
    $32,444
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,964
    Bonus
    $0
    Other
    $0
    Deferred
    $13,453
    Nontaxable benefits
    $18,991
    Filer's total
    $253,408

  • ZAHRA NAHAR-MOORE - DIRECTOR

    LEGAL & REGULATORY AFFAIRS

    Total calculated
    $246,768
    From this org
    $226,389
    From related orgs
    $0
    Other
    $20,379
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,389
    Bonus
    $0
    Other
    $0
    Deferred
    $6,723
    Nontaxable benefits
    $13,656
    Filer's total
    $246,768

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • DIRECT RELIEF FOUNDATION

    501(C)(3) · OPERATES SOLELY AND EXCLUSIVELY FOR THE BENEFIT OF DIRECT RELIEF · CA · controlled entity

    Directly controlled by DIRECT RELIEF

  • DIRECT RELIEF INTERNATIONAL SOUTH AFRICA

    COORDINATION OF MEDICAL SUPPORT TO AFRICAN DOCTORS AND MEDICAL CLINICS · SF · controlled entity

    Directly controlled by DIRECT RELIEF

  • DIRECT RELIEF MEXICO

    COORDINATION OF MEDICAL SUPPORT TO MEXICAN DOCTORS AND MEDICAL CLINICS · MX · controlled entity

    Directly controlled by DIRECT RELIEF

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • DR PROPERTY 1 LLC

    OPERATES SOLELY AND EXCLUSIVELY FOR THE BENEFIT OF DIRECT RELIEF · CA · income $0 · assets $36,331,904

    Directly controlled by DIRECT RELIEF

  • DIRECT RELIEF PUERTO RICO

    HUMANITARIAN · RQ · income $0 · assets $0

    Directly controlled by DIRECT RELIEF

Provenance

Return type
form_990
Tax year
2023
Filed
10 February 2025
IRS schema version
2023v6.0
Source object
202500419349300345

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