MEDECINS SANS FRONTIERES USA INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MEDECINS SANS FRONTIERES USA INC (EIN 13-3433452)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-08-02
IRS object ID: 202232149349301228
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-02T13:23:16-05:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 PARK AVENUE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100175001	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	133433452	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEDECINS SANS FRONTIERES USA INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CAMERON WRIGLEY	InCareOfNm
Business Name Control	MEDE	BusinessNameControlTxt
Phone	2126796800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40 Rector Street 16th floor	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10006	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Cameron Wrigley	PersonNm
Person Title	dir. of finance	PersonTitleTxt
Phone	2126796800	PhoneNum
Signature	2022-07-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Cameron	PersonFirstNm
Person Last	Wrigley	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Paul Hammerschmidt	PreparerPersonNm
PTIN	P01384178	PTIN
Phone	2128858000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	DOCTORS WITHOUT BORDERS USA INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Avril Benoit	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40 Rector Street 16th floor	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10006	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$664,106,246	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DOCTORSWITHOUTBORDERS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO ASSIST VICTIMS OF DISASTERS AND CONFLICTS WORLDWIDE.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	541	TotalEmployeeCnt
Total Volunteers	45	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$540,354,869	PYContributionsGrantsAmt
CY Contributions Grants	$623,387,442	CYContributionsGrantsAmt
PY Program Service Revenue	$14,742,176	PYProgramServiceRevenueAmt
CY Program Service Revenue	$12,344,679	CYProgramServiceRevenueAmt
PY Investment Income	$3,241,810	PYInvestmentIncomeAmt
CY Investment Income	$14,237,930	CYInvestmentIncomeAmt
PY Other Revenue	$1,625	PYOtherRevenueAmt
CY Other Revenue	-$614,698	CYOtherRevenueAmt
PY Total Revenue	$558,340,480	PYTotalRevenueAmt
CY Total Revenue	$649,355,353	CYTotalRevenueAmt
PY Grants And Similar Paid	$392,569,579	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$486,495,329	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$36,011,461	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,473,883	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$11,912,967	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$12,308,041	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$80,684,001	CYTotalFundraisingExpenseAmt
PY Other Expenses	$59,093,768	PYOtherExpensesAmt
CY Other Expenses	$66,703,033	CYOtherExpensesAmt
PY Total Expenses	$499,587,775	PYTotalExpensesAmt
CY Total Expenses	$599,980,286	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,752,705	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$49,375,067	CYRevenuesLessExpensesAmt
Total Assets BOY	$391,676,625	TotalAssetsBOYAmt
Total Assets EOY	$471,142,331	TotalAssetsEOYAmt
Total Liabilities BOY	$108,864,270	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$146,775,775	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$282,812,355	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$324,366,556	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE INDEPENDENT MEDICAL HUMANITARIAN EMERGENCY AID TO PEOPLE AFFECTED BY ARMED CONFLICT, EPIDEMICS, MALNUTRITION, NATURAL DISASTERS AND EXCLUSION FROM HEALTH CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$502,052,550	ExpenseAmt
Grant	$486,495,329	GrantAmt
Revenue	$5,990,318	RevenueAmt
Desc	Emergency and Medical Programs - IN 2021, DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERES (MSF) PROVIDED EMERGENCY MEDICAL CARE TO MILLIONS OF PEOPLE CAUGHT IN CRISES IN MORE THAN 90 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'S USA AND WORLDWIDE ACCOMPLISHMENTS, PLEASE VISIT OUR WEBSITE AT: https://www.doctorswithoutborders.org/who-we-are/finances-reporting -accountability	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$6,639,555	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,354,361	RevenueAmt
Desc	MSF-USA FACILITATES THE RECRUITMENT OF VOLUNTEER MEDICAL AND OTHER PROFESSIONALS FROM THE UNITED STATES TO PARTICIPATE IN VARIOUS MEDICAL EMERGENCY RELIEF PROJECTS. 200 AID WORKERS WERE DISPATCHED BY MSF-USA ON A TOTAL OF 252 FIELD MISSIONS IN 48 COUNTRIES IN 2021.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,272,736	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$512,964,841	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	79	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	541	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AZ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	DC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	LA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TX	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CAMERON WRIGLEY	PersonNm
Phone	2126796800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40 RECTOR STREET	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10006	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Avril Benoit
Executive Director	35.0	0.0	Yes (X)	$234,802	$0	$6,051
Northan Hurtado Heriera
Medical Advisor	35.0	0.0		$192,349	$0	$44,002	Yes (X)
Michael Goldfarb thru 1021
Director of communications	35.0	0.0		$189,280	$0	$44,408	Yes (X)
Carrie Teicher
Director of programs	35.0	0.0		$186,797	$0	$44,002		Yes (X)
David Epstein
Director of Domestic HR	35.0	0.0		$192,449	$0	$30,326	Yes (X)
Rebekah Varela
Deputy Executive Director	35.0	0.0	Yes (X)	$172,613	$0	$25,651
Kim Goldsmith N'Diaye
Director of Development	35.0	0.0		$181,769	$0	$15,715		Yes (X)
Suzanne Ceresko
Director of Field HR	35.0	0.0		$163,754	$0	$15,314	Yes (X)
George Pillipech thru 721
Director of Finance	35.0	0.0		$113,731	$0	$26,326	Yes (X)
Africa Stewart
President	25.0	0.0	Yes (X)	$75,433	$0	$0			Yes (X)
Kassia Echavarri-Queen
VICE PRESIDENT (THRU 5/21)	7.5	0.0	Yes (X)	$0	$0	$0			Yes (X)
Patricia Carrick
Vice President, as of 5/21	7.5	0.0	Yes (X)	$0	$0	$0			Yes (X)
John Wetherington
Treasurer	7.5	0.0	Yes (X)	$0	$0	$0			Yes (X)
Sheronda Rochelle
Secretary	7.5	0.0	Yes (X)	$0	$0	$0			Yes (X)
Mego Terzian MD
President, MSF France	7.5	0.0	Yes (X)	$0	$0	$0			Yes (X)
Elen Costigan
DIRECTOR	5.0	0.0		$0	$0	$0			Yes (X)
Jane Coyne
Director	5.0	0.0		$0	$0	$0			Yes (X)
Andre Heller thru 521
Director	5.0	0.0		$0	$0	$0			Yes (X)
Adrienne Hurst
DIRECTOR	5.0	0.0		$0	$0	$0			Yes (X)
Rasha Khoury
Director	5.0	0.0		$0	$0	$0			Yes (X)
John Lawrence
Director	5.0	0.0		$0	$0	$0			Yes (X)
Mark Levin
Director	5.0	0.0		$0	$0	$0			Yes (X)
Brigg Reilly
Director	5.0	0.0		$0	$0	$0			Yes (X)
Phillip Sacks
Director	5.0	0.0		$0	$0	$0			Yes (X)
Craig Spencer
Director	5.0	0.0		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,702,977	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$251,795	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	68	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
JACKSON RIVER LLC
PO BOX 1180	COLUMBUS	GA	31902	FUND TECH & STRATEGY	$408,038
Public Interest Commun A Division
6521 w 91st avenue	WESTMINSTER	CO	80031	telefundraising	$303,933
KELLY ENGLAND CONSULTING LLC
1478 LINCOLN AVENUE	SAINT PAUL	MN	55105	FUNDRAISING/consult.	$255,750
VERITAS PRIME LLC
75 market street	PORTLAND	ME	04101	hcm srvcs. & consult	$140,943
ADP LLC
ONE ADP BOULEVARD	ROSELAND	NJ	07068	PAYROLL SERVICES	$113,673

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$1,193,295	FederatedCampaignsAmt
Membership Dues	$11,523	MembershipDuesAmt
Fundraising	$2,938,715	FundraisingAmt
All Other Contributions	$619,243,909	AllOtherContributionsAmt
Noncash Contributions	$51,258,366	NoncashContributionsAmt
Total Contributions	$623,387,442	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SECONDED FIELD STAFF GRANTS	900099	$6,354,361	$6,354,361
MSF NETWORK GRANTS	900099	$5,990,318	$5,990,318

Field	Value	IRS element (for citing)
Total Program Service Revenue	$12,344,679	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,970,434	TotalRevenueColumnAmt
Exclusion	$4,970,434	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$30,000	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$30,000	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,000	TotalRevenueColumnAmt
Exclusion	$30,000	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$23,683,803	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,416,307	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,267,496	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,267,496	TotalRevenueColumnAmt
Exclusion	$9,267,496	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,938,715	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$334,586	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$334,586	TotalRevenueColumnAmt
Exclusion	-$334,586	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	-$310,112	TotalRevenueColumnAmt
Exclusion	-$310,112	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$310,112	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$649,355,353	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,344,679	RelatedOrExemptFuncIncomeAmt
Exclusion	$13,623,232	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,418,325	TotalAmt
Program Services	$1,418,325	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$485,077,004	TotalAmt
Program Services	$485,077,004	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$973,845	TotalAmt
Program Services	$596,547	ProgramServicesAmt
Management And General	$102,184	ManagementAndGeneralAmt
Fundraising	$275,114	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,723,772	TotalAmt
Program Services	$14,532,438	ProgramServicesAmt
Management And General	$2,489,308	ManagementAndGeneralAmt
Fundraising	$6,702,026	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,403,132	TotalAmt
Program Services	$859,515	ProgramServicesAmt
Management And General	$147,229	ManagementAndGeneralAmt
Fundraising	$396,388	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,231,534	TotalAmt
Program Services	$3,817,242	ProgramServicesAmt
Management And General	$653,868	ManagementAndGeneralAmt
Fundraising	$1,760,424	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,141,600	TotalAmt
Program Services	$1,311,877	ProgramServicesAmt
Management And General	$224,716	ManagementAndGeneralAmt
Fundraising	$605,007	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$182,291	TotalAmt
Program Services	$21,504	ProgramServicesAmt
Management And General	$11,773	ManagementAndGeneralAmt
Fundraising	$149,014	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$75,609	TotalAmt
Program Services	$8,919	ProgramServicesAmt
Management And General	$4,883	ManagementAndGeneralAmt
Fundraising	$61,807	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$12,308,041	TotalAmt
Fundraising	$12,308,041	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$597,022	TotalAmt
Management And General	$597,022	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,353,362	TotalAmt
Program Services	$907,847	ProgramServicesAmt
Management And General	$506,747	ManagementAndGeneralAmt
Fundraising	$5,938,768	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$33,254,541	TotalAmt
Program Services	$300,386	ProgramServicesAmt
Management And General	$363,975	ManagementAndGeneralAmt
Fundraising	$32,590,180	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$222,804	TotalAmt
Program Services	$102,046	ProgramServicesAmt
Management And General	$33,246	ManagementAndGeneralAmt
Fundraising	$87,512	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$821,160	TotalAmt
Program Services	$350,635	ProgramServicesAmt
Management And General	$177,538	ManagementAndGeneralAmt
Fundraising	$292,987	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$330,228	TotalAmt
Program Services	$316,883	ProgramServicesAmt
Management And General	$10,107	ManagementAndGeneralAmt
Fundraising	$3,238	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$13,763	TotalAmt
Program Services	$1,105	ProgramServicesAmt
Management And General	-$57	ManagementAndGeneralAmt
Fundraising	$12,715	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$164,411	TotalAmt
Program Services	$66,592	ProgramServicesAmt
Management And General	$37,971	ManagementAndGeneralAmt
Fundraising	$59,848	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,537,306	TotalAmt
Program Services	$1,411,446	ProgramServicesAmt
Management And General	$423,159	ManagementAndGeneralAmt
Fundraising	$702,701	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$964,189	TotalAmt
Program Services	$751,590	ProgramServicesAmt
Management And General	$80,191	ManagementAndGeneralAmt
Fundraising	$132,408	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CONSULTANCY AND PROJECT DEV	$17,264,312	$137,870	$4,610	$17,121,832
DUES & SUBSCRIPTIONS	$2,335,523	$725,589	$358,957	$1,250,977
RECRUITING & RELOCATION	$586,512	$249,481	$104,017	$233,014

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$599,980,286	TotalAmt
Program Services	$512,964,841	ProgramServicesAmt
Management And General	$6,331,444	ManagementAndGeneralAmt
Fundraising	$80,684,001	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,815	BOYAmt
EOY	$20,815	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$110,982,340	BOYAmt
EOY	$118,921,597	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$55,180,574	BOYAmt
EOY	$40,266,022	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,130,819	BOYAmt
EOY	$4,512,568	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$22,088,420	BOYAmt
EOY	$22,088,420	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,096,590	BOYAmt
EOY	$4,852,260	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$68,585,324	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$13,771,006	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,079,725	BOYAmt
EOY	$54,814,318	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$132,097,342	BOYAmt
EOY	$225,666,331	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$391,676,625	BOYAmt
EOY	$471,142,331	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,670,135	BOYAmt
EOY	$19,381,956	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$64,492,909	BOYAmt
EOY	$97,376,584	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,356,409	BOYAmt
EOY	$7,658,987	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,344,817	BOYAmt
EOY	$22,358,248	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$108,864,270	BOYAmt
EOY	$146,775,775	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$259,515,787	BOYAmt
EOY	$283,904,931	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,296,568	BOYAmt
EOY	$40,461,625	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$282,812,355	BOYAmt
EOY	$324,366,556	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$391,676,625	BOYAmt
EOY	$471,142,331	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$49,375,067	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,652,413	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$831,547	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$372,041,946	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$394,935,663	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$416,889,485	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$540,354,869	CurrentTaxYearMinus1YearAmt
Current Tax Year	$623,387,442	CurrentTaxYearAmt
Total	$2,347,609,405	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$372,041,946	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$394,935,663	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$416,889,485	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$540,354,869	CurrentTaxYearMinus1YearAmt
Current Tax Year	$623,387,442	CurrentTaxYearAmt
Total	$2,347,609,405	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$2,347,609,405	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,885,693	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,227,079	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,686,671	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,200,820	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,000,434	CurrentTaxYearAmt
Total	$22,000,697	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$270,817	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,302	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$209,050	CurrentTaxYearMinus1YearAmt
Current Tax Year	-$310,112	CurrentTaxYearAmt
Total	$177,057	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,369,787,159	TotalSupportAmt
Gross Receipts Rltd Activities	$71,493,504	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.99064	PublicSupportCY170Pct
Public Support PY170	0.99007	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Form4720 Filed	false	Form4720FiledInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$37,323	MailingsMembersAmt
Publications Or Broadcast	Yes (true)	PublicationsOrBroadcastInd
Publications Or Broadcast	$27,992	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$111,969	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$9,331	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$186,615	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II-B, LINE 1D:	MAILINGS TO MEMBERS OF CONGRESS ON KEY COMMITTEES, ASKING THEM TO ADVANCE LEGISLATION TO INCREASE TRANSPARENCY INTO THE COSTS OF BIOMEDICAL RESEARCH AND DEVELOPMENT IN ORDER TO BOLSTER ADVOCACY FOR AFFORDABLE PRICING OF RESULTING MEDICAL TOOLS. MAILINGS ALSO TO ADMINISTRATION OFFICIALS SUGGESTING ADMINISTRATIVE ACTION TO SIMILARLY INCREASE TRANSPARENCY. COMMUNICATIONS WITH MEMBERS OF CONGRESS AND ADMINISTRATION OFFICIALS IN THE INTEREST OF EXPANDING GLOBAL ACCESS TO COVID-19 MEDICAL TOOLS.
Part II-B, Line 1e:	LOBBYING ACTIVITIES RELATED TO PUBLICATIONS OR PUBLISHED OR BROADCAST STATEMENTS INCLUDE THE FOLLOWING ACTIVITIES: PUBLIC COMMUNICATIONS INCLUDED CAMPAIGN WEB PAGES, PRESS RELEASES/STATEMENTS AND SOCIAL MEDIA REGARDING EXPANDING ACCESS TO COVID-19 MEDICAL TOOLS GLOBALLY AND TRANSPARENCY INTO THE COSTS OF BIOMEDICAL RESEARCH AND DEVELOPMENT.
Part II-B, Line 1g:	LOBBYING ACTIVITIES RELATED TO DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY INCLUDE THE FOLLOWING ACTIVITIES: MEETINGS AND SUBMISSIONS TO MEMBERS OF CONGRESS AND GOVERNMENT OFFICIALS RELATING TO INCREASING TRANSPARENCY IN BIOMEDICAL RESEARCH AND DEVELOPMENT AND EXPANDING GLOBAL ACCESS TO COVID-19 MEDICAL TOOLS.
part ii-b, line 1H:	LOBBYING ACTIVITIES RELATED TO RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES OR ANY SIMILAR MEANS INCLUDE THE FOLLOWING ACTIVITIES: PARTICIPATION IN SEVERAL PUBLIC DEMONSTRATIONS AND DELIVERY OF SEVERAL PUBLIC SPEECHES AND LECTURES IN MEETINGS ABOUT GLOBAL ACCESS TO COVID-19 MEDICAL TOOLS AND TRANSPARENCY IN BIOMEDICAL RESEARCH AND DEVELOPMENT.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,664,090	BeginningYearBalanceAmt
Investment Earnings Or Losses	$305,229	InvestmentEarningsOrLossesAmt
Other Expenditures	$46,445	OtherExpendituresAmt
End Year Balance	$3,922,874	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,257,492	BeginningYearBalanceAmt
Investment Earnings Or Losses	$427,721	InvestmentEarningsOrLossesAmt
Other Expenditures	$21,123	OtherExpendituresAmt
End Year Balance	$3,664,090	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,819,739	BeginningYearBalanceAmt
Contributions	$26,267	ContributionsAmt
Investment Earnings Or Losses	$442,669	InvestmentEarningsOrLossesAmt
Other Expenditures	$31,183	OtherExpendituresAmt
End Year Balance	$3,257,492	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,968,499	BeginningYearBalanceAmt
Contributions	$252,400	ContributionsAmt
Investment Earnings Or Losses	-$145,271	InvestmentEarningsOrLossesAmt
Other Expenditures	$255,889	OtherExpendituresAmt
End Year Balance	$2,819,739	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,231,182	BeginningYearBalanceAmt
Contributions	$470,011	ContributionsAmt
Investment Earnings Or Losses	$267,306	InvestmentEarningsOrLossesAmt
End Year Balance	$2,968,499	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.54930	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.45070	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,878,293	OtherCostOrOtherBasisAmt
Book Value	$18,878,293	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,740,809	OtherCostOrOtherBasisAmt
Depreciation	$4,173,204	DepreciationAmt
Book Value	$29,567,605	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,245	OtherCostOrOtherBasisAmt
Depreciation	$12,587	DepreciationAmt
Book Value	$22,658	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,260,523	OtherCostOrOtherBasisAmt
Depreciation	$4,128,480	DepreciationAmt
Book Value	$2,132,043	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,670,454	OtherCostOrOtherBasisAmt
Depreciation	$5,456,735	DepreciationAmt
Book Value	$4,213,719	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,814,318	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CHARITABLE GIFT ANNUITIES PAYABLE	$19,088,601
REVOCABLE ENDOWMENT	$3,250,000
CAPITALIZED LEASE OBLIGATION	$19,647

Field	Value	IRS element (for citing)
Total Liability	$22,358,248	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$642,579,171	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$8,652,413	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$1,307,120	DonatedServicesAndUseFcltsAmt
Other Revenue	$1,166,133	OtherRevenueAmt
Revenue Not Reported	-$6,179,160	RevenueNotReportedAmt
Revenue Subtotal	$648,758,331	RevenueSubtotalAmt
Investment Expenses Not Incld	$597,022	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$597,022	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$649,355,353	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$601,024,970	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$1,307,120	DonatedServicesUseFcltsAmt
Other Expenses Included	$334,586	OtherExpensesIncludedAmt
Expenses Not Reported	$1,641,706	ExpensesNotReportedAmt
Expenses Subtotal	$599,383,264	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$597,022	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$597,022	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$599,980,286	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A STREAM OF RETURNS THAT WOULD BE UTILIZED TO FUND VARIOUS PROGRAMS. THE ENDOWMENT FUNDS ARE INVESTED IN VEHICLES SUCH AS MONEY MARKET FUNDS, EQUITIES, FIXED INCOME AND REAL ESTATE IN ACCORDANCE WITH THE ORGANIZATION'S INVESTMENT POLICY STATEMENT.
PART X, LINE 2:	UNDER ASC 740, INCOME TAXES, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE IMPLEMENTATION OF ASC 740 HAD NO IMPACT ON MEDECINS SANS FRONTIERES USA, INC.'S FINANCIAL STATEMENTS. THE ORGANIZATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE REQUIRED TO DO SO. FOR THE YEAR ENDED DECEMBER 31, 2021, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE STATEMENT OF ACTIVITIES. THE ORGANIZATION IS SUBJECT TO A ROUTINE AUDIT BY A TAXING AUTHORITY. FOR THE YEAR ENDED DECEMBER 31, 2021 THE ORGANIZATION WAS NOT SUBJECT TO ANY EXAMINATION BY A TAXING AUTHORITY.
PART XI, LINE 2D:	ACTUARIAL GAIN ON ANNUITY AND TRUST OBLIGATIONS.......$ 860,687. FUNDRAISING EXPENSES..................................$ 334,586. LOSS on foreign Exchange..............................$ (29,140.) ------------------------------------------------------------------- Total $1,166,133.
PART XII, LINE 2D:	FUNDRAISING EXPENSES....................................$334,586.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	17	Program Services	Medical Assistance	$379,111
East Asia and the Pacific	12	Program Services	Medical Assistance	$410,917
Europe (Including Iceland and Greenland)	8	Program Services	Medical Assistance	$266,286
Middle East and North Africa	15	Program Services	Medical Assistance	$410,361
North America	1	Program Services	Medical Assistance	$7,706
Russia and the Newly Independent States	11	Program Services	Medical Assistance	$356,830
South America	9	Program Services	Medical Assistance	$161,579
South Asia	23	Program Services	Medical Assistance	$706,211
Sub-Saharan Africa	150	Program Services	Medical Assistance	$4,012,845
East Asia and the Pacific		Grantmaking	SEE PART V FOR DETAILS	$4,250
Europe (Including Iceland and Greenland)		Grantmaking	SEE PART V FOR DETAILS	$484,966,504
North America		Grantmaking	SEE PART V FOR DETAILS	$106,250

Field	Value	IRS element (for citing)
Subtotal Employees	246	SubtotalEmployeesCnt
Total Employee	246	TotalEmployeeCnt
Subtotal Spent	$491,788,850	SubtotalSpentAmt
Total Spent	$491,788,850	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (7 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
Europe (Including Iceland and Greenland)	MEDICAL	$221,013,181	wire
Europe (Including Iceland and Greenland)	MEDICAL	$81,769,273	wire
Europe (Including Iceland and Greenland)	MEDICAL	$64,545,519	wire
Europe (Including Iceland and Greenland)	MEDICAL	$57,304,254	wire
Europe (Including Iceland and Greenland)	MEDICAL	$51,148,416	wire
Europe (Including Iceland and Greenland)	MEDICAL	$9,185,861	wire
North America	MEDICAL	$106,250	wire

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	Yes (true)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3:

MSF-USA AWARDED GRANTS FOR EMERGENCY AND MEDICAL RELIEF PROJECTS TO MEDECINS SANS FRONTIERES INTERNATIONAL MEMBERS FOR OVERSEAS OPERATIONS IN 61 COUNTRIES. IN 2021 THESE GRANT FUNDS WERE ALLOCATED TO THE FOLLOWING REGIONS: CENTRAL AMERICA AND THE CARIBBEAN.................$ 25,388,254. EAST ASIA AND THE PACIFIC.........................$ 5,831,070. EUROPE............................................$ 15,829,554. MIDDLE EAST AND NORTH AFRICA......................$ 89,045,196. NORTH AMERICA.....................................$ 2,963,434. RUSSIA AND THE NEWLY INDEPENDENT STATES...........$ 2,490,038. South America.....................................$ 7,571,463. SOUTH ASIA........................................$ 36,654,895. SUB-SAHARAN AFRICA................................$299,303,100. ================ TOTAL.............................................$485,077,004. A DETAILED ACCOUNTING OF GRANT ALLOCATIONS BY COUNTRY AND DESCRIPTIONS OF THE MEDICAL HUMANITARIAN ACTIVITIES SUPPORTED BY MSF-USA GRANTS CAN BE FOUND IN THE 2021 MSF-USA ANNUAL REPORT AT: https://www.doctorswithoutborders.org/who-we-are/accountability-reporting/ msf-usa-annual-reports

PART I, LINE 1:

In MSF USA, the Program Committee (PC) of the Board of Directors is the body that has the primary responsibility of overseeing the distribution of private grants. The PC reviews funding requests and all funding issues, and makes recommendations on the distribution of private grants to the full Board of Directors (BOD). The full BOD, taking these recommendations into consideration, has the final vote on the distribution of all private grants. The PC works closely with the Program and Finance Departments of MSF USA. The PC has delegated to Program and Finance staff the authority to appraise and review grant proposals, reports and funding requests, and in some cases to respond to requests for funding, to maintain communication with the MSF Operational Centers (OCs) funded by MSF USA, and to attend relevant OC operational meetings on the PC's behalf. The Grants Unit (Grants Officer and Assistant Director of Programs) manages the administration involved in the distribution of private grants and keeps the PC informed of all necessary issues related to private grants and the entities MSF USA is funding. The Grants Unit, Programs Director, Finance Director, Director of Internal Operations and Executive Director meet periodically to follow the grants process. In this capacity, the Grants Unit makes recommendations to the PC on the distribution of private grants and on other related funding issues, which the PC takes into consideration when making its recommendations to the full BOD. At the beginning of each fiscal year, the PC sets its Grant Making Strategic Orientations and Priorities outlining the PC's funding criteria for the fiscal year. The PC appraises grants and funding requests based on the standing Grant Making Strategic Orientations and Priorities. At the beginning of each fiscal year, the PC, in conjunction with the Grants Unit and Program and Finance Staff, also reviews and revises as necessary the present document, to ensure all procedures and processes are up to date and in line with current strategic orientations and priorities, and with current US legal requirements. This document includes procedures for two distinct funding processes: the multipurpose grant and individual project grants. Grants based on the MSF Resource Sharing Agreement are generally administered through the multipurpose grant process. At the beginning of each fiscal year MSF USA informs each of the OCs of the amount of their annual multipurpose grant envelope. Other funding processes may be applied in conjunction with, or in lieu of, the multipurpose grant process, depending on needs and Board prerogative. Funding for MSF international entities/projects (e.g. MSF International Office) and one-time grants are administered through the individual grant process. MULTIPURPOSE GRANT PROCESS - At the beginning of the year, each OC requesting a multipurpose grant for the year give a presentation to the PC/BOD on its Operational Plan for the year. Each OC also submits its written Annual Plan and/or Operational Plan as reference. - The OC submits a list of allocations and projects for which they will use their multipurpose grant to MSF USA. - The Grants Unit prepares a multipurpose grant appraisal, including key details of the OC's annual and strategic plans and the proposed list of allocations and project details. The PC and BOD review and vote on this list, taking into consideration the OC's Operational Plan presentation. The PC and BOD may dictate that the multipurpose grant not be used for certain countries or contexts, e.g. countries subject to U.S. government sanctions, etc. - Mid-year the OC joins a PC meeting by phone and gives an update on its operations. If, at any point, the PC or BOD is of the view that the OC is deviating from the Operational Plan as it was presented, MSF USA can revert from the multipurpose grant process to an individual project grant approval process. - Throughout the year MSF USA and the OC maintain ongoing discussions on funding issues. The list of countries and allocations are subject to change according to budget revisions, the needs of the field, unforeseen events, emergencies, fundraising needs and receipt of earmarked funds. These changes must be mutually agreed upon by the OC and MSF USA's Program and Finance departments, pursuant to authority delegated to those departments by the PC. - At or after the end of the fiscal year (within 60 days), the OC submits the final list of the countries and allocations, along with the list of specific projects within each of these countries for which the MSF USA multipurpose grant will be used, for PC and BOD approval. The PC and BOD can request modifications to this list, before giving their approval. - The OC must submit all external audits conducted on field projects or country missions funded by MSF USA, and any internal audits/evaluations which disclose adverse financial or programmatic findings. - Within 90 days of the end of the fiscal year, the OC submits a final narrative and financial report, which includes information on all projects which MSF USA funded. The Grants Unit reviews the final report and ensures that the narrative content and final financials conform to the final country list and allocations previously approved by the PC/BOD. The PC is informed of the receipt and review of the report. In the event that the final report deviates from the contract agreement or from MSF USA's audited financials or that the programmatic activities or descriptions deviate from those agreed upon by MSF USA, MSF USA may consider the deviation an overpayment of funds and will adjust the OC's grant in the subsequent year, or require a refund. INDIVIDUAL PROJECT GRANT PROCESS - MSF USA informs the grantee of the amount available for individual projects and the grantee submits a tentative list of projects for which they will request funding. - For each project, the grantee submits a narrative proposal and a budget proposal. The Grants Unit of MSF USA reviews these and writes an appraisal of the project, in consultation with Program or Medical staff as necessary. The appraisal includes a description of the basis for the grant request: for example, the MSF Resource Sharing Agreement. - Each appraisal is presented to the PC. The PC votes to recommend or not recommend that the BOD fund the project. The BOD then votes to approve or reject funding of the project. - Additional allocations to the same project or revisions of the allocation amount to a particular project must go through the PC and BOD approval process. - The grantee must submit all external audits conducted on field projects or country missions funded by MSF USA, and any internal audits/evaluations that disclose adverse financial or programmatic findings. - At the end of the year the grantee submits a final narrative and financial report for each individual project grant funded with MSF USA funds. The Grants Unit reviews these and the PC is informed of the receipt and review of each final report.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Chong Koster LLC
1640 Rhode Island Avenue NW Suite	washington	DC	20036	digital fundraising	false	$23,056,136	$9,717,018	$13,339,118
Blue State Digital
41 flatbush avenue	brooklyn	NY	11217	digital fundraising	false	$35,445,368	$3,384,387	$32,060,981
Givebridge
525 w monroe street suite 900	chicago	IL	60661	street canvassing	false	$2,955,012	$2,811,646	$143,366
Lake Group Media Inc
1 byram brook place	armonk	NY	10504	acquisition list broker	false	$11,931,205	$2,058,870	$9,872,335
Lautman Maska Neill Company
1730 Rhode Island Avenue NW Suite	Washington	DC	20036	strategy & implement.	false	$78,823,214	$1,231,500	$77,591,714
SDA Teleservices Inc
5757 W Century Boulevard Suite 30	Los Angeles	CA	90045	outbound telemarket.	false	$944,063	$792,121	$151,942
Ascenta
138 South 1st Street Suite 110	Lindenhurst	NY	11757	Street canvassing	false	$1,317,150	$383,579	$933,571
Public Interest Communications
7700 Leesburg Pike Suite 301	Falls Church	VA	22043	OUTBOUND telemarket.	false	$790,205	$318,574	$471,631
Seer Interactive
1033 N 2nd Street 2nd floor	Philadelphia	PA	19123	optimizat. outbound	false	$0	$363,175	-$363,175
Integral LLC
1350 Connecticut Avenue NW Suite	Washington	DC	20036	FUNDRAISING analytics	false	$0	$287,100	-$287,100

Field	Value	IRS element (for citing)
Total Gross Receipts	$155,262,353	TotalGrossReceiptsAmt
Total Retained By Contractors	$21,347,970	TotalRetainedByContractorsAmt
Total Net To Organization	$133,914,383	TotalNetToOrganizationAmt
Licensed States	AK	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DC	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SUMMER GAMES	Event1Nm
Gross Receipts Event1	$2,938,715	GrossReceiptsEvent1Amt
Charitable Contri Event1	$2,938,715	CharitableContriEvent1Amt
Rent Facility Costs Event1	$714	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$333,872	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$2,938,715	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,938,715	CharitableContributionsTotAmt
Rent Fclty Costs Total Events	$714	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$333,872	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$334,586	DirectExpenseSummaryEventsAmt
Net Income Summary	-$334,586	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 2a, Column V:

The amount reported on Part I, Line 2a, Column V (Amount Paid or Retained by Professional Fundraiser) exceeds the amount reported on Part IX, Line 11e (Professional Fundraising Services) because the organization is able to distinguish these expenses as amounts paid for fundraising expenses such as design services, printing, paper, envelopes, postage, and mailing list rental. These expenses are reported on Part IX, other than on Line 11e.

Part II, line 1, column (A):

Summer Games was a virtual event. As a result, the entire amount of gross receipts represent contributions as no goods or services were provided to donors.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Drugs for Neglected Diseases Initiative
40 rector st 16th fl	NEW YORK	NY	10006	208774179	501(C)(3)	$1,235,601	MEDICAL ASSISTANCE
Puerto Rico Salud Inc
1327 NE 1ST TERRACE	CAPE CORAL	FL	33909	853051049	501(C)(3)	$160,674	MEDICAL ASSISTANCE
Brownsville Community Development Corp
592 Rockaway Avenue	Brooklyn	NY	11212	112544630	501(c)(3)	$22,050	medical assistance

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	Please see Schedule F for grant monitoring procedures.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Avril Benoit
Executive Director	$234,802	$0	$0	$0	$0	$0	$1,400	$0	$4,651	$0	$240,853	$0	$0	$0
Rebekah Varela
Deputy Executive Director	$172,613	$0	$0	$0	$0	$0	$1,400	$0	$24,251	$0	$198,264	$0	$0	$0
Northan Hurtado Heriera
Medical Advisor	$192,349	$0	$0	$0	$0	$0	$1,400	$0	$42,602	$0	$236,351	$0	$0	$0
David Epstein
Director of Domestic HR	$192,449	$0	$0	$0	$0	$0	$1,400	$0	$28,926	$0	$222,775	$0	$0	$0
Carrie Teicher
Director of programs	$186,797	$0	$0	$0	$0	$0	$1,400	$0	$42,602	$0	$230,799	$0	$0	$0
Michael Goldfarb thru 1021
Director of communications	$153,619	$0	$0	$0	$35,661	$0	$1,400	$0	$43,008	$0	$233,688	$0	$0	$0
Kim Goldsmith N'Diaye
Director of Development	$181,769	$0	$0	$0	$0	$0	$1,400	$0	$14,315	$0	$197,484	$0	$0	$0
Suzanne Ceresko
Director of Field HR	$163,754	$0	$0	$0	$0	$0	$1,400	$0	$13,914	$0	$179,068	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4A:	FormAndLineReferenceDesc
Explanation	Michael Goldfarb, Director of Communications thru October of 2021, received severance payments totaling $35,661, which is reported on Schedule J, Part II, Column (B)(III).	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2240	ContributionCnt
Noncash Contributions Rpt F990	$56,404,751	NoncashContributionsRptF990Amt
Method Of Determining Revenues	market quotation	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6:	IN ACCORDANCE WITH THE PROVISIONS OF SECTION 601(A) OF THE NOT-FOR-PROFIT CORPORATION LAW OF THE STATE OF NEW YORK, THE ORGANIZATION SHALL HAVE TWO CLASSES OF MEMBERSHIP: CLASS A AND CLASS B. CLASS A MEMBERSHIP SHALL BE AVAILABLE TO (I) ANY PERSON WHO IS GRANTED CLASS A MEMBERSHIP (EITHER VOTING OR NON-VOTING STATUS) BY A VOTE OF THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF PURSUANT TO WRITTEN GUIDELINES AND A SCHEDULE OF DUES ADOPTED FROM TIME TO TIME BY THE BOARD OF DIRECTORS. AND (II) TO ALL ELECTED AND APPOINTED MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION THEN IN OFFICE REGARDLESS OF THEIR STATUS AS CLASS A OR CLASS B DIRECTORS. CLASS B MEMBERSHIP SHALL BE AVAILABLE TO ALL ELECTED AND APPOINTED MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION THEN IN OFFICE, REGARDLESS OF THEIR STATUS AS CLASS A OR CLASS B DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7A:	MEMBERS OF THE ORGANIZATION ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B:	The disposition clause of organization's Certificate of Incorporation (or subsequent amendments) provides that upon DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, MERGER OR CONSOLIDATION OF THE ORGANIZATION AND DISSOLUTION OF THE ORGANIZATION ARE SUBJECT TO APPROVAL BY MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B:	FORM 990 WAS PREPARED BY A NATIONALLY RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT. DRAFT FORM 990 WAS REVIEWED BY THE ORGANIZATION'S Finance department and the Administrative Committee of the Board of Directors and was subject to proposed and reviewed adjustments. A final draft via electronic mail was PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS WITH AN OPPORTUNITY FOR THEM TO COMMENT OR MAKE INQUIRY BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C:	UPON JOINING THE ORGANIZATION ALL BOARD MEMBERS AND STAFF ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT AFTER REVIEWING THE CONFLICT OF INTEREST POLICY. ADDITIONALLY, ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED ANNUALLY TO REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A CONFLICT OF INTEREST STATEMENT AND DISCLOSE ANY MATTERS REQUIRED TO BE DISCLOSED BY THE POLICY.
FORM 990, PART VI, SECTION B, LINES 15A AND 15B:	THE ORGANIZATION MAINTAINS A SALARY SCHEDULE COVERING ALL EMPLOYEES INCLUDING THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. THE SALARY SCHEDULE CONTAINS NINE GRADES OF SALARY LEVEL WITH SIX SALARY STEPS WITHIN EACH GRADE. THE POLICY OF THE ORGANIZATION, AS APPROVED BY THE BOARD OF DIRECTORS, IS TO ENSURE THAT THE SALARY OF THE EXECUTIVE DIRECTOR AND OTHER MANAGEMENT POSITIONS ARE WITHIN THE LOWER QUARTILE OF SALARIES FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. COMPARABILITY SALARY DATA IS OBTAINED ON A REGULAR BASIS AND PRESENTED TO THE ADMINISTRATIVE COMMITTEE OF THE BOARD. THE PRESIDENT AND VICE PRESIDENT OF THE BOARD REVIEW THE PERFORMANCE OF THE EXECUTIVE DIRECTOR AND MAKE A RECOMMENDATION TO THE ADMINISTRATIVE COMMITTEE REGARDING WHAT STEP IN THE HIGHEST GRADE LEVEL OF THE SALARY CHART SHOULD THE EXECUTIVE DIRECTOR FALL. THE ADMINISTRATIVE COMMITTEE VOTES ON THE GRADE/SALARY STEP FOR THE EXECUTIVE DIRECTOR AND THE DECISION IS DOCUMENTED IN THE MINUTES OF THE MEETING OF THE COMMITTEE AND THE SALARY IS DOCUMENTED BY THE DIRECTOR OF HUMAN RESOURCES AND PROVIDED TO PAYROLL. SALARIES OF OTHER MANAGEMENT TEAM MEMBERS ARE BASED ON PERFORMANCE EVALUATIONS, ARE WITHIN THE APPROPRIATE GRADE AND STEP OF THE SALARY CHART, AND APPROVED BY THE EXECUTIVE DIRECTOR. THE COMPENSATION OF THE PRESIDENT OF THE BOARD IS BASED ON THE HIGHEST GRADE LEVEL (EXECUTIVE DIRECTOR'S GRADE) AND TIME COMMITMENT AS APPROVED BY THE FULL BOARD AND DOCUMENTED. IN THE MINUTES OF THE BOARD MEETING. In JANUARY 2021 MSF-USA RETAINED KORN FERRY, A GLOBAL ORGANIZATIONAL CONSULTING FIRM, TO CONDUCT A COMPENSATION STUDY. THE RESULTS ARE EXPECTED TO BE REVIEWED AND APPROVED BY THE END OF 2022.
FORM 990, PART VI, SECTION C, LINE 19:	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	ACTUARIAL GAIN ON ANNUITY AND TRUST OBLIGATIONS.......$860,687. LOSS on foreign Exchange..............................$(29,140.) ----------------------------------------------------------------- Total Other Changes in Net Assets.....................$831,547.