Form 990 for tax year 2022

Totals

Total revenue

$2,266,763,483

Total expenses

$2,071,171,227

Contributions and grants received

$2,260,445,639

Grants paid

$1,893,689,540

Program service revenue

$0

Investment income

$6,317,844

Other revenue

$0

Total assets, end of year

$1,170,526,870

Total liabilities, end of year

$33,480,459

Net assets or fund balances, end of year

$1,137,046,411

Program services expenses (Part IX)

$2,059,754,005

Management and general expenses

$8,704,542

Fundraising expenses

$2,712,680

Program service expenses (Part III)

$2,059,754,005

Program services were 99.4% 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.

Mission and programs · 2022

• 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 $999,777,433 · Grants $866,576,596

• 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 2023, DIRECT RELIEF PROVIDED MATERIAL AND FINANCIAL SUPPORT TO MORE THAN 1,900 COMMUNITY HEALTH PROVIDERS IN 88 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 $849,720,798 · Grants $823,183,032

• 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 2023, DIRECT RELIEF PROVIDED HEALTHCARE PARTNERS IN 47 COUNTRIES WITH 12 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 $203,136,965 · Grants $196,811,103

• 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 $7,118,809 · Grants $7,118,809

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

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

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

• DIRECT RELIEF FOUNDATION

  $7,118,809

  INTERCOMPANY TRANSFER OF FUNDS

• VALLEY HEALTH TEAM INC

  $950,000

  POWER FOR HEALTH

• VOCES

  $768,969

  ABBVIE PR EMERGENCY PREP & RESP, ABBVIE PR MEDICALLY FRAGILE POPULATIONS

• SOCIETY OF CRITICAL CARE MEDICINE

  $750,000

  UKRAINE CRISIS

• THE MAVEN PROJECT

  $750,000

  SAFETY NET SUPPORT

• FLORIDA COUNCIL OF PRIMARY CARE

  $550,000

  HURRICANE IAN

• BOYS & GIRLS CLUB OF THE NORTHERN

  $500,000

  FUND FOR HEALTH EQUITY

• CAREMESSAGE

  $500,000

  CHANDLER FOUNDATION GRANT

• TEWA WOMEN UNITED

  $500,000

  FUND FOR HEALTH EQUITY

• UNITED METHODIST MEXICAN AMERICAN MINISTRIES DBA GENESIS FAMILY HEALT

  $500,000

  FUND FOR HEALTH EQUITY

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.

Provenance

Return type

form_990

Tax year

2022

Filed

1 February 2024

IRS schema version

2022v5.0

Source object

202430379349301028

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.