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Nonprofiteer
← MEDECINS SANS FRONTIERES USA INC

Form 990 for tax year 2022

Filed by MEDECINS SANS FRONTIERES USA INC.

What the amendment changed

Compared with the return it replaced , filed 11 August 2023. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Those are the same on the two returns, so the amendment changed something else.

Totals

Total revenue
$688,743,776
Total expenses
$649,575,886
Contributions and grants received
$675,099,889
Grants paid
$514,055,079
Program service revenue
$11,765,290
Investment income
$4,207,090
Other revenue
-$2,328,493
Total assets, end of year
$436,019,804
Total liabilities, end of year
$93,509,737
Net assets or fund balances, end of year
$342,510,067
Program services expenses (Part IX)
$540,279,313
Management and general expenses
$8,596,787
Fundraising expenses
$100,699,786
Program service expenses (Part III)
$540,279,313

Program services were 83.2% 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.

  • 1a · Federated campaigns

    $760,023

  • 1b · Membership dues

    $3,794

  • 1c · Fundraising events

    $3,051,056

  • 1f · All other contributions, gifts and grants

    $671,285,016

  • 1g · Noncash contributions included above

    $26,011,662

  • 2a · Program service revenue: SECONDED FIELD STAFF GRANTS

    total $6,181,986 · related or exempt $6,181,986

  • 2b · Program service revenue: MSF NETWORK GRANTS

    total $5,583,304 · related or exempt $5,583,304

  • 3 · Investment income

    total $6,660,200 · excluded $6,660,200

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $39,000

  • 6c · Rental income or loss

    real property $39,000 · personal property $0

  • 6d · Net rental income or loss

    total $39,000 · excluded $39,000

  • 7a · Gross sales of assets other than inventory

    securities $153,639,474

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

    securities $156,092,584

  • 7c · Gain or loss

    securities -$2,453,110

  • 7d · Net gain or loss

    total -$2,453,110 · excluded -$2,453,110

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $3,051,056

  • 8b · Fundraising events: direct expenses

    $500,111

  • 8c · Net income from fundraising events

    total -$500,111 · excluded -$500,111

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total -$1,867,382 · excluded -$1,867,382

  • 11e · Other revenue, total

    -$1,867,382

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,208,775 · program services $1,208,775

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $512,846,304 · program services $512,846,304

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $1,007,088 · program services $575,342 · management and general $139,261 · fundraising $292,485

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $24,968,889 · program services $14,264,574 · management and general $3,452,707 · fundraising $7,251,608

  • 8 · Pension plan contributions

    total $1,559,415 · program services $890,884 · management and general $215,637 · fundraising $452,894

  • 9 · Other employee benefits

    total $6,816,768 · program services $3,894,378 · management and general $942,625 · fundraising $1,979,765

  • 10 · Payroll taxes

    total $2,237,800 · program services $1,278,441 · management and general $309,444 · fundraising $649,915

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $291,135 · program services $19,120 · management and general $14,625 · fundraising $257,390

  • 11c · Fees: accounting

    total $111,439 · program services $7,319 · management and general $5,598 · fundraising $98,522

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $15,120,762 · fundraising $15,120,762

  • 11f · Fees: investment management

    total $669,556 · management and general $669,556

  • 11g · Fees: other

    total $15,584,541 · program services $1,024,921 · management and general $789,434 · fundraising $13,770,186

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $36,989,618 · program services $563,130 · management and general $328,875 · fundraising $36,097,613

  • 14 · Information technology

    total $245,079 · program services $98,543 · management and general $41,406 · fundraising $105,130

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $939,323 · program services $372,600 · management and general $205,587 · fundraising $361,136

  • 17 · Travel

    total $740,433 · program services $463,462 · management and general $171,281 · fundraising $105,690

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $56,005 · program services $15,337 · management and general $1,301 · fundraising $39,367

  • 20 · Interest

    total $87,901 · program services $33,613 · management and general $19,683 · fundraising $34,605

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $3,001,810 · program services $1,336,535 · management and general $423,577 · fundraising $1,241,698

  • 23 · Insurance

    total $1,080,116 · program services $647,291 · management and general $191,003 · fundraising $241,822

  • 24a · Other expenses: CONSULTANCY AND PROJECT DEV

    total $21,357,117 · program services $139,882 · management and general $78,736 · fundraising $21,138,499

  • 24b · Other expenses: DUES & SUBSCRIPTIONS

    total $2,053,524 · program services $507,737 · management and general $235,515 · fundraising $1,310,272

  • 24c · Other expenses: RECRUITING & RELOCATION

    total $602,488 · program services $91,125 · management and general $360,936 · fundraising $150,427

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $20,815 · end of year $3,225

  • 2 · Savings and temporary cash investments

    beginning of year $118,921,597 · end of year $93,471,691

  • 3 · Pledges and grants receivable

    beginning of year $40,266,022 · end of year $43,155,033

  • 4 · Accounts receivable

    beginning of year $4,512,568 · end of year $4,692,735

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $22,088,420 · end of year $22,088,420

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,852,260 · end of year $15,595,199

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

    $73,910,877

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

    $16,772,816

  • 10c · Land, buildings and equipment, net

    beginning of year $54,814,318 · end of year $57,138,061

  • 11 · Investments: publicly traded securities

    beginning of year $225,666,331 · end of year $199,869,290

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $6,150

  • 17 · Accounts payable and accrued expenses

    beginning of year $19,381,956 · end of year $21,946,361

  • 18 · Grants payable

    beginning of year $97,376,584 · end of year $49,102,638

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $7,658,987 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $22,358,248 · end of year $22,460,738

  • 27 · Net assets without donor restrictions

    beginning of year $283,904,931 · end of year $297,653,694

  • 28 · Net assets with donor restrictions

    beginning of year $40,461,625 · end of year $44,856,373

Mission and programs · 2022

Mission

TO PROVIDE INDEPENDENT MEDICAL HUMANITARIAN EMERGENCY AID TO PEOPLE AFFECTED BY ARMED CONFLICT, EPIDEMICS, MALNUTRITION, NATURAL DISASTERS AND EXCLUSION FROM HEALTH CARE.

Activities or mission (Part I)

TO ASSIST VICTIMS OF DISASTERS AND CONFLICTS WORLDWIDE.

  • EMERGENCY AND MEDICAL PROGRAMS - IN 2022, DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERES (MSF) PROVIDED EMERGENCY MEDICAL CARE TO MILLIONS OF PEOPLE CAUGHT IN CRISES IN MORE THAN 70 COUNTRIES AROUND THE WORLD. MSF PROVIDES ASSISTANCE WHEN CATASTROPHIC EVENTS - SUCH AS ARMED CONFLICT, EPIDEMICS, MALNUTRITION, OR NATURAL DISASTERS - OVERWHELM LOCAL HEALTH SYSTEMS, AND OPERATES COMPREHENSIVE, AND IN SOME CASES LONG-STANDING, TREATMENT PROGRAMS FOR PEOPLE LIVING WITH A HOST OF NEGLECTED DISEASES. MSF ALSO ASSISTS PEOPLE WHO FACE DISCRIMINATION OR NEGLECT FROM THEIR LOCAL HEALTH SYSTEMS OR WHEN POPULATIONS ARE OTHERWISE EXCLUDED FROM HEALTH CARE. FOR A DETAILED DESCRIPTION OF MSF USA AND WORLDWIDE ACCOMPLISHMENTS, PLEASE VISIT OUR WEBSITE AT: HTTPS://WWW.DOCTORSWITHOUTBORDERS.ORG/WHO-WE-ARE/FINANCES-REPORTING -ACCOUNTABILITY

    Expenses $530,149,662 · Grants $514,055,079 · Revenue $5,583,304

  • MSF-USA ENGAGES IN THE RECRUITMENT AND PLACEMENT OF MEDICAL AND OTHER PROFESSIONALS FROM THE UNITED STATES TO WORK ON VARIOUS MEDICAL HUMANITARIAN EMERGENCY PROGRAMS. MSF-USA EMPLOYED 243 MEDICAL STAFF AND OTHER PROFESSIONALS ON A TOTAL OF 323 INTERNATIONAL ASSIGNMENTS IN 50 COUNTRIES IN 2022.

    Expenses $6,646,308 · Revenue $6,181,986

  • COMMUNICATIONS - BEARING WITNESS TO HUMANITARIAN NEEDS AND SPEAKING OUT FOR THE HEALTH AND WELLBEING OF OUR PATIENTS ARE CENTRAL TO MSF'S FOUNDING PRINCIPLES. THESE ACTIVITIES AIM TO IMPROVE CONDITIONS FOR PEOPLE CAUGHT IN CRISIS OR FACING BARRIERS TO HEALTH CARE. THROUGH ITS COMMUNICATIONS, MSF HELPS RAISE AWARENESS ABOUT MEDICAL AND HUMANITARIAN EMERGENCIES AROUND THE WORLD. THE ORGANIZATION'S REPORTING DRAWS PUBLIC ATTENTION TO SITUATIONS OF EXTREME VIOLENCE, ABUSE, OR NEGLECT. MSF DEMANDS EQUITABLE ACCESS TO MEDICAL CARE AND TO ESSENTIAL MEDICINES, VACCINES, AND OTHER HEALTH PRODUCTS. MSF'S REPORTING IS GROUNDED IN THE DIRECT EXPERIENCES OF STAFF AND PATIENTS. THE ORGANIZATION SHARES NEWS AND STORIES THROUGH PRINT AND DIGITAL CHANNELS, INCLUDING THE WEBSITE AND SOCIAL MEDIA. MSF SEEKS TO EXPAND ITS REACH THROUGH THE NEWS MEDIA, INCLUDING BY CONDUCTING INTERVIEWS, HOLDING PRESS BRIEFINGS, AND PUBLISHING OPINION COLUMNS. THE ORGANIZATION ALSO PRODUCES LIVE EVENTS AND ONLINE DISCUSSION PROGRAMS ABOUT HUMANITARIAN ISSUES IN ORDER TO INFORM AND ENGAGE WITH THE PUBLIC.

    Expenses $3,483,343

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

Listed in Part VII

  • Avril Benoit

    EXECUTIVE DIRECTOR

    Total calculated
    $261,883
    From this org
    $245,815
    From related orgs
    $0
    Other
    $16,068
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $245,815
    Bonus
    $0
    Other
    $0
    Deferred
    $1,400
    Nontaxable benefits
    $14,668
    Filer's total
    $261,883

  • Northan Hurtado Heriera

    MEDICAL ADVISOR

    Total calculated
    $252,538
    From this org
    $206,449
    From related orgs
    $0
    Other
    $46,089
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $206,449
    Bonus
    $0
    Other
    $0
    Deferred
    $1,400
    Nontaxable benefits
    $44,689
    Filer's total
    $252,538

  • David Epstein Thru 422

    DIRECTOR OF DOMESTIC HR

    Total calculated
    $250,719
    From this org
    $219,691
    From related orgs
    $0
    Other
    $31,028
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $77,837
    Bonus
    $0
    Other
    $141,854
    Deferred
    $1,400
    Nontaxable benefits
    $29,628
    Filer's total
    $250,719

  • Carrie Teicher

    DIRECTOR OF PROGRAMS

    Total calculated
    $246,915
    From this org
    $200,826
    From related orgs
    $0
    Other
    $46,089
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $200,826
    Bonus
    $0
    Other
    $0
    Deferred
    $1,400
    Nontaxable benefits
    $44,689
    Filer's total
    $246,915

  • Rebekah Varela

    DEPUTY EXECUTIVE DIRECTOR

    Total calculated
    $214,001
    From this org
    $187,084
    From related orgs
    $0
    Other
    $26,917
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $187,084
    Bonus
    $0
    Other
    $0
    Deferred
    $1,200
    Nontaxable benefits
    $25,717
    Filer's total
    $214,001

  • Kim Goldsmith N'Diaye

    DIRECTOR OF DEVELOPMENT

    Total calculated
    $211,386
    From this org
    $195,117
    From related orgs
    $0
    Other
    $16,269
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $195,117
    Bonus
    $0
    Other
    $0
    Deferred
    $1,400
    Nontaxable benefits
    $14,869
    Filer's total
    $211,386

  • Kavita Menon

    DIRECTOR OF COMMUNICATIONS

    Total calculated
    $203,548
    From this org
    $157,660
    From related orgs
    $0
    Other
    $45,888
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $157,660
    Bonus
    $0
    Other
    $0
    Deferred
    $1,400
    Nontaxable benefits
    $44,488
    Filer's total
    $203,548

  • Allison Westfield-James

    DIR PEOPLE & CULTURE(eff 6/22)

    Total calculated
    $189,597
    From this org
    $158,127
    From related orgs
    $0
    Other
    $31,470
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $158,127
    Bonus
    $0
    Other
    $0
    Deferred
    $1,400
    Nontaxable benefits
    $30,070
    Filer's total
    $189,597

  • Cameron Wrigley

    DIRECTOR OF FINANCE

    Total calculated
    $187,283
    From this org
    $169,958
    From related orgs
    $0
    Other
    $17,325
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $169,958
    Bonus
    $0
    Other
    $0
    Deferred
    $1,400
    Nontaxable benefits
    $15,925
    Filer's total
    $187,283

  • Africa Stewart

    PRESIDENT

    Total calculated
    $72,903
    From this org
    $72,903
    From related orgs
    $0
    Other
    $0
    Hours/week
    25

  • Patricia Carrick

    vp THRU 5/22, dir eff. 5/22

    Total calculated
    $0
    Hours/week
    7.5

  • Brigg Reilley

    VICE PRESIDENT (eff. 5/22)

    Total calculated
    $0
    Hours/week
    7.5

  • John Wetherington

    TREASURER

    Total calculated
    $0
    Hours/week
    7.5

  • Sheronda Rochelle

    SECRETARY

    Total calculated
    $0
    Hours/week
    7.5

  • Mego Terzian MD Thru 522

    PRESIDENT, MSF FRANCE

    Total calculated
    $0
    Hours/week
    7.5

  • ISABELLE DEFOURNY eff 522

    PRESIDENT, MSF FRANCE

    Total calculated
    $0
    Hours/week
    7.5

  • Elen Costigan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • Jane Coyne

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • Jack Rack Gomer

    DIRECTOR (eff. 5/22)

    Total calculated
    $0
    Hours/week
    5

  • Adrienne Hurst

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • Rasha Khoury

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • Marc Levin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • Phillip Sacks

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • Craig Spencer Thru 522

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • Sandra Tacina

    DIRECTOR (EFF. 5/22)

    Total calculated
    $0
    Hours/week
    5

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 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 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

The filer's explanations (Part III)

PART I, LINE 4A:
David Epstein, Director of Domestic HR thru April of 2022, received severance payments totaling $141,854, which is reported on Schedule J, Part II, Column (B)(III).

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

Provenance

Return type
form_990
Tax year
2022
Filed
6 October 2023
IRS schema version
2022v5.0
Source object
202342829349300419

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