MEDECINS SANS FRONTIERES USA INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MEDECINS SANS FRONTIERES USA INC (EIN 13-3433452)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-13
IRS object ID: 202503179349303040
Schema version: 2024v5.2
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 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	2025-11-13T09:47:30-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY ADVISORY GROUP LP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 S 6TH ST 2300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	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)
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	CFO	PersonTitleTxt
Phone	2126796800	PhoneNum
Signature	2025-06-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAWRENCE H MOHR	PreparerPersonNm
PTIN	P00447603	PTIN
Phone	6128764500	PhoneNum
Preparation	2025-11-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	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	$814,904,265	GrossReceiptsAmt
Group Return For Affiliates	0	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 PROVIDE INDEPENDENT MEDICAL HUMANITARIAN EMERGENCY AID WORLDWIDE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	513	TotalEmployeeCnt
Total Volunteers	37	TotalVolunteersCnt
Total Gross UBI	$335,000	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$221,191	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$744,652,791	PYContributionsGrantsAmt
CY Contributions Grants	$751,694,927	CYContributionsGrantsAmt
PY Program Service Revenue	$13,330,736	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,197,022	CYProgramServiceRevenueAmt
PY Investment Income	$9,079,033	PYInvestmentIncomeAmt
CY Investment Income	$12,862,137	CYInvestmentIncomeAmt
PY Other Revenue	$300,356	PYOtherRevenueAmt
CY Other Revenue	$1,168,840	CYOtherRevenueAmt
PY Total Revenue	$767,362,916	PYTotalRevenueAmt
CY Total Revenue	$776,922,926	CYTotalRevenueAmt
PY Grants And Similar Paid	$715,702,982	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$616,057,744	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$42,615,575	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$44,978,029	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$25,728,499	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$26,702,966	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$115,131,289	CYTotalFundraisingExpenseAmt
PY Other Expenses	$72,484,017	PYOtherExpensesAmt
CY Other Expenses	$86,576,102	CYOtherExpensesAmt
PY Total Expenses	$856,531,073	PYTotalExpensesAmt
CY Total Expenses	$774,314,841	CYTotalExpensesAmt
PY Revenues Less Expenses	-$89,168,157	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,608,085	CYRevenuesLessExpensesAmt
Total Assets BOY	$501,967,209	TotalAssetsBOYAmt
Total Assets EOY	$434,345,054	TotalAssetsEOYAmt
Total Liabilities BOY	$238,377,697	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$170,655,094	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$263,589,512	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$263,689,960	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	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$637,007,277	ExpenseAmt
Grant	$616,057,744	GrantAmt
Revenue	$5,460,440	RevenueAmt
Desc	EMERGENCY AND MEDICAL PROGRAMS - IN 2024, 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 USA PROVIDED GRANTS TO SUPPORT PROGRAMS IN OVER 60 OF THOSE COUNTRIES. MSF USA FUNDING SUPPORTS THOSE PROGRAMS, PROVIDING ASSISTANCE WHEN CATASTROPHIC EVENTS - SUCH AS ARMED CONFLICT, EPIDEMICS, MALNUTRITION, OR NATURAL DISASTERS - OVERWHELM LOCAL HEALTH SYSTEMS. MSF USA GRANTS ALSO SUPPORT COMPREHENSIVE, AND IN SOME CASES LONG-STANDING, TREATMENT PROGRAMS FOR PEOPLE LIVING WITH A HOST OF NEGLECTED DISEASES. PROGRAMS FUNDED BY MSF USA ALSO ASSIST PEOPLE WHO FACE EXCLUSION OR NEGLECT FROM THEIR LOCAL HEALTH SYSTEMS. 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	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,666,043	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$5,736,582	RevenueAmt
Desc	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 187 MEDICAL STAFF AND OTHER PROFESSIONALS ON A TOTAL OF 262 INTERNATIONAL ASSIGNMENTS IN 31 COUNTRIES IN 2024.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,210,981	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 USA 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 USA SEEKS TO EXPAND ITS REACH THROUGH THE NEWS MEDIA, INCLUDING BY CONDUCTING INTERVIEWS, HOLDNG 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	$646,884,301	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	70	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	513	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	UK	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (1)	Form8282PropertyDisposedOfInd
Form8282 Filed	3	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	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 CFO	PersonNm
Phone	2127635703	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

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RASHA KHOURY
PRESIDENT AS OF 6/24	25.00	0.00	Yes (X)	Yes (X)	$66,263	$0	$0
AFRICA STEWART
PRESIDENT TO 5/24	25.00	0.00	Yes (X)	Yes (X)	$39,615	$0	$0
JACK RACK GOMER
VICE PRESIDENT	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN WETHERINGTON
TREASURER	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
DARLYN RODRIQUEZ HAYES
SECRETARY AS OF 9/24	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
SHERONDA ROCHELLE
SECRETARY TO 7/24	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
ISABELLE DEFOURNEY
PRESIDENT, MSF FRANCE	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
SANDRA TACINA
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
CHRISTINA MOORE
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
QUSAY HOSSEIN
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
MONICA DHAND
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
AQSA DURRANI
DIRECTOR AS OF 5/24	5.00	0.00	Yes (X)		$0	$0	$0
JASON CONE
DIRECTOR AS OF 5/24	5.00	0.00	Yes (X)		$0	$0	$0
EAMON PENNEY
DIRECTOR AS OF 5/24	5.00	0.00	Yes (X)		$0	$0	$0
MARC LEVIN
DIRECTOR TO 5/24	5.00	0.00	Yes (X)		$0	$0	$0
ELEN COSTIGAN
DIRECTOR TO 5/24	5.00	0.00	Yes (X)		$0	$0	$0
ADRIENNE HURST
DIRECTOR TO 12/24	5.00	0.00	Yes (X)		$0	$0	$0
AVRIL BENOIT
CHIEF EXECUTIVE OFFICER	35.00	0.00		Yes (X)	$351,008	$0	$35,953
REBEKAH VARELA
CHIEF OPERATING OFFICER	35.00	0.00		Yes (X)	$268,631	$0	$44,832
CARRIE TEICHER
CHIEF PROGRAMS OFFICER	35.00	0.00		Yes (X)	$254,435	$0	$65,159
DEBORAH GARCIA
CHIEF DEVELOPMENT OFFICER	35.00	0.00		Yes (X)	$249,656	$0	$31,360
KAVITA MENON
CHIEF COMMUNICATIONS OFFICER	35.00	0.00		Yes (X)	$246,024	$0	$64,383
CAMERON WRIGLEY
CHIEF FINANCIAL OFFICER	35.00	0.00		Yes (X)	$235,034	$0	$47,927
JAY CHAUDHURI
CHIEF TECHNOLOGY OFFICER	35.00	0.00		Yes (X)	$233,537	$0	$63,801
ALLISON WESTFIELD-JAMES
CHIEF PEOPLE CULTURE & INCLUSION OFFICER	35.00	0.00		Yes (X)	$219,934	$0	$56,115
ELLEN WILLMOTT
GENERAL COUNSEL	35.00	0.00			$234,648	$0	$30,272	Yes (X)
NORTHAN HURTADO HERIERA
HEAD OF MEDICAL UNIT	35.00	0.00			$195,685	$0	$48,456	Yes (X)
MIKHAELA REID
SR.DIR.,INTEGRATED CHANNEL MARKETING	35.00	0.00			$224,376	$0	$63,322	Yes (X)
TIFFANY WOLLIN
SR. DIR., IND. GIVING & STRAT. PHILANTHROPY	35.00	0.00			$223,616	$0	$30,176	Yes (X)
MARY VONCKX
SR. DIRECTOR OF GRANTS	35.00	0.00			$219,004	$0	$42,404	Yes (X)
SARAH AUTRY
SR. DIR., DEVELOPMENT OPERATIONS	35.00	0.00			$207,554	$0	$29,270	Yes (X)
SHEILA SHETTLE
HEAD OF COMM. ACCESS CAMPAIGN	35.00	0.00			$196,003	$0	$62,010	Yes (X)
ALEXA ADAM
DIR., FOUNDATIONS & CORPORATIONS	35.00	0.00			$190,936	$0	$61,775	Yes (X)
SANDRA MURILLO
MEDIA RELATIONS DIRECTOR	35.00	0.00			$190,948	$0	$61,721	Yes (X)
ELIAS PRIMOFF
EDITORIAL DIRECTOR	35.00	0.00			$186,394	$0	$61,242	Yes (X)
ELLA WATSON-STRYKER
HUMANITARIAN REPRESENTATIVE	35.00	0.00			$184,030	$0	$27,885	Yes (X)
ANDRES MALDONADO SEGLER
DEPUTY TO THE SECRETARY GENERAL	35.00	0.00			$289,162	$0	$49,439		Yes (X)
JOHN RYAN BROOKS
INT'L INFO SYSTEMS COORDINATOR	35.00	0.00			$259,537	$0	$47,780		Yes (X)
CLAIRE BRUTEN PAUL
DIRECTOR OF FINANCE	35.00	0.00			$174,215	$0	$59,803		Yes (X)
JENNIFER NEWELL
REPRESENTATIVE TO THE UNITED NATIONS	35.00	0.00			$180,058	$0	$39,041		Yes (X)
MEGAN MCGUIRE
INTERSECTIONAL HEALTH DATA STRAT. ADVISOR	35.00	0.00			$172,894	$0	$49,175		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,493,197	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,173,301	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	139	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PERSONAL FUNDRAISING SERVICES
10 S RIVERSIDE PLAZA	CHICAGO	IL	60606	FUNDRAISING & CANVASSING SVCS	$2,439,050
JACKSON RIVER LLC
PO BOX 1180	COLUMBUS	GA	31902	FUNDRAISING TECH & STRATEGY	$1,039,519
MOORE A SERIES (THD)
4200 PARLIAMENT PLACE	LANHAM	MD	20706	FUNDRAISING & STRATEGY	$725,308
PRICEWATERHOUSECOOPERS
4040 W BOY SCOUT BOULEVARD	TAMPA	FL	33607	RISK MANAGEMENT & TECH SUPPORT	$509,194
DVCANVASS LLC
11710 PLAZA AMERICA DRIVE	RESTON	VA	20190	FUNDRAISING & CANVASSING SVCS	$364,327

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,076,696	FundraisingAmt
All Other Contributions	$749,618,231	AllOtherContributionsAmt
Noncash Contributions	$40,444,384	NoncashContributionsAmt
Total Contributions	$751,694,927	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SECONDED FIELD STAFF G	900099	$5,736,582	$5,736,582
MSF NETWORK GRANTS	900099	$5,460,440	$5,460,440

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,197,022	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,132,604	TotalRevenueColumnAmt
Exclusion	$11,132,604	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$40,000	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$34,642	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,358	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,358	TotalRevenueColumnAmt
Exclusion	$5,358	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$38,958,221	SecuritiesAmt
Other	$248,415	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$37,477,103	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,481,118	SecuritiesAmt
Other	$248,415	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,729,533	TotalRevenueColumnAmt
Exclusion	$1,729,533	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$469,594	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,076,696	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$469,594	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MISCELLANEOUS INCOME	900099	$828,482	$828,482
ADVERTISING INCOME	541800	$335,000		$335,000

Field	Value	IRS element (for citing)
Other Revenue Total	$1,163,482	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$776,922,926	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,197,022	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$335,000	UnrelatedBusinessRevenueAmt
Exclusion	$13,695,977	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$98,219	TotalAmt
Program Services	$98,219	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$615,959,525	TotalAmt
Program Services	$615,959,525	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,345,394	TotalAmt
Program Services	$4,436,677	ProgramServicesAmt
Management And General	$748,355	ManagementAndGeneralAmt
Fundraising	$160,362	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$28,047,264	TotalAmt
Program Services	$12,562,555	ProgramServicesAmt
Management And General	$4,764,320	ManagementAndGeneralAmt
Fundraising	$10,720,389	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,701,909	TotalAmt
Program Services	$767,332	ProgramServicesAmt
Management And General	$288,706	ManagementAndGeneralAmt
Fundraising	$645,871	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,497,069	TotalAmt
Program Services	$3,524,849	ProgramServicesAmt
Management And General	$1,260,465	ManagementAndGeneralAmt
Fundraising	$2,711,755	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,386,393	TotalAmt
Program Services	$1,192,950	ProgramServicesAmt
Management And General	$395,672	ManagementAndGeneralAmt
Fundraising	$797,771	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,286,096	TotalAmt
Program Services	$106,941	ProgramServicesAmt
Management And General	$117,677	ManagementAndGeneralAmt
Fundraising	$1,061,478	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$175,864	TotalAmt
Program Services	$14,623	ProgramServicesAmt
Management And General	$16,092	ManagementAndGeneralAmt
Fundraising	$145,149	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$292,782	TotalAmt
Management And General	$292,782	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$26,702,966	TotalAmt
Fundraising	$26,702,966	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$746,729	TotalAmt
Management And General	$746,729	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,778,714	TotalAmt
Program Services	$1,217,347	ProgramServicesAmt
Management And General	$1,003,292	ManagementAndGeneralAmt
Fundraising	$7,558,075	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,720,295	TotalAmt
Program Services	$223,915	ProgramServicesAmt
Management And General	$774,798	ManagementAndGeneralAmt
Fundraising	$36,721,582	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$994,350	TotalAmt
Program Services	$401,693	ProgramServicesAmt
Management And General	$234,619	ManagementAndGeneralAmt
Fundraising	$358,038	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,332,979	TotalAmt
Program Services	$707,107	ProgramServicesAmt
Management And General	$300,792	ManagementAndGeneralAmt
Fundraising	$325,080	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$43,367	TotalAmt
Program Services	$14,876	ProgramServicesAmt
Management And General	$882	ManagementAndGeneralAmt
Fundraising	$27,609	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,024,386	TotalAmt
Program Services	$3,022,081	ProgramServicesAmt
Management And General	$990	ManagementAndGeneralAmt
Fundraising	$1,315	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,654,573	TotalAmt
Program Services	$1,248,349	ProgramServicesAmt
Management And General	$473,477	ManagementAndGeneralAmt
Fundraising	$1,932,747	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$960,923	TotalAmt
Program Services	$728,061	ProgramServicesAmt
Management And General	$99,884	ManagementAndGeneralAmt
Fundraising	$132,978	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CONSULTANCY AND PROJECT	$23,441,684	$112,978	$81,652	$23,247,054
DUES & SUBSCRIPTIONS	$2,479,448	$454,475	$237,682	$1,787,291
RECRUITING & RELOCATION	$643,912	$89,748	$460,385	$93,779

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$774,314,841	TotalAmt
Program Services	$646,884,301	ProgramServicesAmt
Management And General	$12,299,251	ManagementAndGeneralAmt
Fundraising	$115,131,289	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,960	BOYAmt
EOY	$2,664	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$85,385,206	BOYAmt
EOY	$82,680,945	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$92,325,912	BOYAmt
EOY	$72,927,592	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,758,254	BOYAmt
EOY	$4,331,147	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$23,124,678	BOYAmt
EOY	$17,963,368	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,120,606	BOYAmt
EOY	$2,402,541	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$76,098,852	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$24,018,074	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$54,544,902	BOYAmt
EOY	$52,080,778	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$234,694,391	BOYAmt
EOY	$201,945,719	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,300	BOYAmt
EOY	$10,300	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$501,967,209	BOYAmt
EOY	$434,345,054	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,599,584	BOYAmt
EOY	$18,156,071	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$197,113,804	BOYAmt
EOY	$121,875,937	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,664,309	BOYAmt
EOY	$30,623,086	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$238,377,697	BOYAmt
EOY	$170,655,094	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	$203,839,224	BOYAmt
EOY	$226,093,527	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,750,288	BOYAmt
EOY	$37,596,433	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$263,589,512	BOYAmt
EOY	$263,689,960	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$501,967,209	BOYAmt
EOY	$434,345,054	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,608,085	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,568,186	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,075,823	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	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	$540,354,869	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$623,387,442	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$675,099,889	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$744,652,791	CurrentTaxYearMinus1YearAmt
Current Tax Year	$751,694,927	CurrentTaxYearAmt
Total	$3,335,189,918	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$540,354,869	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$623,387,442	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$675,099,889	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$744,652,791	CurrentTaxYearMinus1YearAmt
Current Tax Year	$751,694,927	CurrentTaxYearAmt
Total	$3,335,189,918	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$3,335,189,918	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,200,820	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,000,434	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,699,200	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,154,168	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,172,604	CurrentTaxYearAmt
Total	$37,227,226	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$222,191	CurrentTaxYearAmt
Total	$222,191	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$209,050	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	-$310,112	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$1,867,682	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$554,319	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,298,076	CurrentTaxYearAmt
Total	-$116,349	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$3,372,522,986	TotalSupportAmt
Gross Receipts Rltd Activities	$63,380,063	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.98890	PublicSupportCY170Pct
Public Support PY170	0.99060	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 209,050. 2021 AMOUNT: $ -310,112. 2022 AMOUNT: $ -1,867,682. 2023 AMOUNT: $ 92,765. 2024 AMOUNT: $ 828,482. GROSS INCOME FROM FUNDRAISING EVENTS - 2023 AMOUNT: $ 461,394. 2024 AMOUNT: $ 469,594. GROSS SALES OF INVENTORY - 2023 AMOUNT: $ 160.	ExplanationTxt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$109,337	MailingsMembersAmt
Publications Or Broadcast	Yes (1)	PublicationsOrBroadcastInd
Publications Or Broadcast	$41,760	PublicationsOrBroadcastAmt
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$141,685	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$292,782	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DETAILED DESCRIPTION OF LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1D: MAILINGS TO MEMBERS OF CONGRESS ON KEY COMMITTEES, ASKING THEM TO REAUTHORIZE PEPFAR AND 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 SENT TO ADMINISTRATION OFFICIALS SUGGESTING ADMINISTRATIVE ACTION TO SIMILARLY INCREASE TRANSPARENCY, URGING THEM TO ADDRESS GLOBAL HEALTH EQUITY IN PANDEMIC PREPAREDNESS AND RESPONSE, AND IN DEMONSTRATING GLOBAL LEADERSHIP IN COMBATTING ANTIMICROBIAL RESISTANCE. COMMUNICATIONS WITH MEMBERS OF CONGRESS AND ADMINISTRATION OFFICIALS IN THE INTEREST OF EXPANDING GLOBAL ACCESS TO 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 MEDICAL TOOLS GLOBALLY, PANDEMIC PREPAREDNESS AND RESPONSE, COMBATTING ANTIMICROBIAL RESISTANCE, REAUTHORIZATION OF PEPFAR, 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 EXPANDING GLOBAL ACCESS TO MEDICINES, IMPROVING PANDEMIC PREPAREDNESS AND RESPONSE, REAUTHORIZING PEPFAR, COMBATTING ANTIMICROBIAL RESISTANCE, IMPROVING SEXUAL AND REPRODUCTIVE HEALTH, AND INCREASING TRANSPARENCY IN BIOMEDICAL RESEARCH AND DEVELOPMENT. 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 SPEECHES AND LECTURES, IN MEETINGS ABOUT EXPANDING GLOBAL ACCESS TO MEDICINES, IMPROVING PANDEMIC PREPAREDNESS AND RESPONSE, REAUTHORIZING PEPFAR, COMBATTING ANTIMICROBIAL RESISTANCE, IMPROVING SEXUAL AND REPRODUCTIVE HEALTH, AND TRANSPARENCY IN BIOMEDICAL RESEARCH AND DEVELOPMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,062,947	BeginningYearBalanceAmt
Contributions	$554,889	ContributionsAmt
Investment Earnings Or Losses	$1,270,336	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,896,862	OtherExpendituresAmt
End Year Balance	$11,991,310	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,475,770	BeginningYearBalanceAmt
Contributions	$459,505	ContributionsAmt
Investment Earnings Or Losses	$1,758,778	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,631,106	OtherExpendituresAmt
End Year Balance	$13,062,947	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,231,498	BeginningYearBalanceAmt
Contributions	$350,000	ContributionsAmt
Investment Earnings Or Losses	-$2,105,728	InvestmentEarningsOrLossesAmt
End Year Balance	$13,475,770	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.17800	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.27030	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.55170	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	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	$34,107,473	OtherCostOrOtherBasisAmt
Depreciation	$6,855,168	DepreciationAmt
Book Value	$27,252,305	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,247	OtherCostOrOtherBasisAmt
Depreciation	$27,692	DepreciationAmt
Book Value	$7,555	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,900,379	OtherCostOrOtherBasisAmt
Depreciation	$14,098,434	DepreciationAmt
Book Value	$5,801,945	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,177,460	OtherCostOrOtherBasisAmt
Depreciation	$3,036,780	DepreciationAmt
Book Value	$140,680	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$52,080,778	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CHARITABLE GIFT ANNUITIES PAYABLE	$27,315,697
REVOCABLE ENDOWMENT	$3,250,000
CAPITALIZED LEASE OBLIGATION	$57,389

Field	Value	IRS element (for citing)
Total Liability	$30,623,086	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$777,661,440	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,568,186	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$3,488,644	DonatedServicesAndUseFcltsAmt
Other Revenue	-$4,075,823	OtherRevenueAmt
Revenue Not Reported	$981,007	RevenueNotReportedAmt
Revenue Subtotal	$776,680,433	RevenueSubtotalAmt
Investment Expenses Not Incld	$746,729	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$504,236	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$242,493	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$776,922,926	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$777,560,992	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$3,488,644	DonatedServicesUseFcltsAmt
Other Expenses Included	$504,236	OtherExpensesIncludedAmt
Expenses Not Reported	$3,992,880	ExpensesNotReportedAmt
Expenses Subtotal	$773,568,112	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$746,729	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$746,729	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$774,314,841	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ORGANIZATION MAINTAINS BOTH DONOR-RESTRICTED AND BOARD-DESIGNATED ENDOWMENT FUNDS. DONOR-RESTRICTED ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH DONOR STIPULATIONS TO SUPPORT MSF PROGRAMS. THE ORIGINAL PRINCIPAL OF PERMANENT ENDOWMENTS IS PRESERVED IN ACCORDANCE WITH DONOR STIPULATIONS, AND INVESTMENT INCOME IS APPROPRIATED FOR EXPENDITURE BASED ON A SPENDING POLICY DESIGNED TO BALANCE THE NEEDS OF CURRENT PROGRAMS WITH THE GOAL OF PRESERVING ENDOWMENT VALUE OVER TIME. BOARD-DESIGNATED ENDOWMENT FUNDS ARE UNRESTRICTED NET ASSETS THAT THE BOARD OF DIRECTORS HAS DESIGNATED TO FUNCTION AS ENDOWMENTS. THE BOARD-DESIGNATED ENDOWMENTS ARE INTENDED TO PROVIDE LONG-TERM FINANCIAL STABILITY FOR THE ORGANIZATION AND MAY BE USED FOR GENERAL PURPOSES OR SPECIFIC INITIATIVES AS DETERMINED BY THE BOARD. DISTRIBUTIONS FROM BOARD-DESIGNATED ENDOWMENTS FOLLOW THE SAME SPENDING POLICY AS DONOR-RESTRICTED ENDOWMENTS, BASED ON AN ANNUAL MAXIMUM DRAW OF 4% FROM A ROLLING 20 QUARTER AVERAGE OF ENDOWMENT MARKET VALUES. THE ANNUAL DRAW IS REVIEWED AND APPROVED ANNUALLY BY THE ADMINISTRATIVE COMMITTEE.
PART X, LINE 2:	MSF USA IS INCORPORATED AS A NOT-FOR-PROFIT COMPANY PURSUANT TO THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IT THEREFORE, MAKES NO PROVISION FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS, EXCEPT AS MAY BE REQUIRED IN CONNECTION WITH ANY UNRELATED BUSINESS INCOME TAXES PURSUANT TO 990T. MSF USA HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) TO NOT BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE IRC. MSF USA DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	ACTUARIAL LOSS ON ANNUITY AND TRUST OBLIGATIONS -4,054,182. LOSS ON FOREIGN EXCHANGE -21,641.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	FUNDRAISING EVENTS -469,594. RENTAL EXPENSES -34,642.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EVENTS 469,594. RENTAL EXPENSES 34,642.
PART V, LINE 1A, COLUMN (B):	BEGINNING OF YEAR ENDOWMENT FUND BALANCE AT JANUARY 1, 2022 WAS RESTATED TO INCLUDE TERM-RESTRICTED QUASI ENDOWMENTS.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxt	OfficesOfficesCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	55	GRANTMAKING	$35,904,659
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,	59	GRANTMAKING	$3,334,584
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	48	GRANTMAKING	$30,012,104
MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT,	81	GRANTMAKING	$112,449,832
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	26	GRANTMAKING	$3,104,125
RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS,	78	GRANTMAKING	$10,890,089
SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR,	19	GRANTMAKING	$1,357,759
SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL,	121	GRANTMAKING	$32,096,934
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,	766	GRANTMAKING	$386,809,439

Field	Value	IRS element (for citing)
Subtotal Offices	487	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	766	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1253	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$229,150,086	SubtotalSpentAmt
Continuation Spent	$386,809,439	ContinuationSpentAmt
Total Spent	$615,959,525	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (9 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	MEDICAL ASSISTANCE	$35,904,659	WIRE	$0
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,	MEDICAL ASSISTANCE	$3,334,584	WIRE	$0
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	MEDICAL ASSISTANCE	$30,012,104	WIRE	$0
MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT,	MEDICAL ASSISTANCE	$112,449,832	WIRE	$0
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	MEDICAL ASSISTANCE	$3,104,125	WIRE	$0
RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS,	MEDICAL ASSISTANCE	$10,890,089	WIRE	$0
SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR,	MEDICAL ASSISTANCE	$1,357,759	WIRE	$0
SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL,	MEDICAL ASSISTANCE	$32,096,934	WIRE	$0
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,	MEDICAL ASSISTANCE	$386,809,439	WIRE	$0

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE MSF USA BOARD OF DIRECTORS (BOD) IS THE BODY THAT HAS FINAL OVERSIGHT OF THE DISTRIBUTION OF GRANTS. WHEN MAKING ITS FUNDING DETERMINATIONS THE BOARD OF DIRECTORS RELIES ON THE REVIEW AND RECOMMENDATION OF A PROGRAM COMMITTEE (PC) OF BOARD MEMBERS, AND IS SUPPORTED BY SUBJECT MATTER EXPERTS FROM THE GRANT MANAGEMENT UNIT (GMU), FINANCE, AND COMPLIANCE COUNSEL. THE GMU HAS DAY-TO-DAY RESPONSIBILITY FOR MANAGING THE DISTRIBUTION TO AND OVERSEEING THE USE OF FUNDS BY RECIPIENTS CONSISTENT WITH THE TERMS OF MSF USA GRANT AGREEMENTS. ANNUAL GRANT PLANNING, ASSESSMENT, AND MANAGEMENT ACTIVITIES 1) PLANNING AND ASSESSMENT - AT THE BEGINNING OF EACH FISCAL YEAR, MSF USA ALIGNS ITS GRANT MAKING STRATEGIC ORIENTATIONS WITH THE PRIORITIES ESTABLISHED THROUGH REGULAR PROGRAM-BASED NEEDS ASSESSMENTS. THE GMU REVIEWS AND PC APPRAISES REQUESTS FOR GRANT FUNDING AGAINST THESE STRATEGIES AND PRIORITIES. - AT THE BEGINNING OF EACH FISCAL YEAR, GRANTEES SUBMIT PROPOSALS FOR FUNDING AND GIVE PRESENTATIONS TO THE PC AND/OR BOD ON THEIR OPERATIONAL PLAN FOR THE YEAR. EACH GRANTEE ALSO SUBMITS ITS WRITTEN ANNUAL PLAN AND/OR OPERATIONAL PLAN AS REFERENCE. - BASED ON THE ANNUAL PLANS, OPERATIONAL PLANS, AND NEEDS ASSESSMENTS, THE GRANTEE SUBMITS A LIST OF COUNTRIES AND PROGRAMS FOR WHICH THEY REQUEST FUNDING FROM MSF USA. - THE GMU PREPARES A GRANT APPRAISAL INCLUDING KEY DETAILS OF THE GRANTEE'S ANNUAL STRATEGIC PLANS AND ASSESSMENT, PROJECT DETAILS, FINANCIAL REQUESTS AND PROPOSED ALLOCATIONS, AND GRANTEE'S COMPLIANCE STATUS. GMU WILL SUBMIT A LIST OF PROPOSED COUNTRIES/PROJECTS FOR GRANT FUNDING TO PC. THE PC REVIEWS THIS LIST, AND BASED ON THE GRANT ASSESSMENT PROCESS WILL DISCUSS AND MAKE RECOMMENDATIONS TO THE BOD FOR APPROVAL AS APPROPRIATE. 2) GRANT MANAGEMENT AND OVERSIGHT - MSF USA USES GRANT APPRAISAL AND ASSESSMENT PROCESS TO INFORM THE TERMS AND CONDITIONS OF ITS GRANT AGREEMENT, INCLUDING FINANICAL AND PROGRAM REPORTING, LIMITATIONS ON THE USE OF FUNDS, COMPLIANCE STANDARDS (INCLUDING U.S. GOVERNMENT SANCTIONS, IF ANY), AND OTHER TERMS AND CONDITIONS. - THROUGHOUT THE YEAR MSF USA AND THE GRANTEE MAINTAIN ONGOING DISCUSSIONS FOCUSED ON GRANT PROGRESS, INCLUDING USE OF FUNDS AGAINST BUDGET AND POSSIBLE BARRIERS TO SUCCESS. MSF USA WILL REVIEW OR, IF APPROPRIATE, INITIATE REQUESTS FOR PROJECT CHANGES, BUDGET REVISIONS OR OTHER MATERIAL CHANGES TO TERMS AND CONDITIONS AS NEEDED AND REVIEWED AND APPROVED BY THE BOARD - WITHIN 60 DAYS OF THE CLOSE OF THE FISCAL YEAR, MSF USA AND THE GRANTEE ENGAGE IN RECONCILIATION OF THE USE OF GRANT FUNDS FOR A PARTICULAR COUNTRY/PROJECT. THE RECONCILIATION IS REVIEWED BY THE PC FOR BOD APPROVAL (AND MODIFICATION) AS APPROPRIATE. - MSF USA RESERVES THE RIGHT TO AUDIT THE GRANT RECIPIENT FOR PURPOSES OF ASSESSING USE OF FUNDS AND COMPLIANCE WITH THE TERMS AND CONDITIONS OF THE GRANT AGREEMENT. IN ADDITION, THE GMU REVIEWS THE FINAL REPORTS AND ENSURES THAT NARRATIVE CONTENT AND FINAL FINANCIALS CONFORM TO THE END OF YEAR RECONCILIATION. IN THE EVENT THE FINAL REPORT DEVIATES FROM THE GRANT TERMS OR THE END OF YEAR RECONCILIATION, MSF USA HAS THE RIGHT TO ADJUST FUTURE GRANTS OR REQUIRE A REFUND AS APPROPRIATE.	ExplanationTxt

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 (1)	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	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd
LAUTMANN MASKA NEILL & COMPANY
1730 RHODE ISLAND AVENUE NW SUITE	WASHINGTON	DC	20036	STRATEGY & IMPLEMENTATION OF DIRECT MAIL MARKETING	0	$79,833,489	$1,880,500	$77,952,989
BLUE STATE DIGITAL
3 WORLD TRADE CENTER 30TH FL 175	NEW YORK	NY	10007	DIGITAL FUNDRAISING	0	$58,269,964	$4,308,218	$53,961,746
CHONG & KOSTER LLC
1640 RHODE ISLAND AVE NW SUITE 600	WASHINGTON	DC	20036	DIGITAL FUNDRAISING	0	$44,025,449	$4,842,826	$39,182,623
CELCO
8001 FORBES PLACE SUITE 211	SPRINGFIELD	VA	221512205	ACQUISITION LIST BROKER	0	$10,743,801	$1,559,300	$9,184,501
GIVEBRIDGE
525 W MONROE STREET SUITE 900	CHICAGO	IL	60661	STREET CANVASSING FUNDRAISING	0	$9,563,672	$7,233,394	$2,330,278
ANSWERNET
				INBOUND TELEMARKETING/CUSTOMER SERVICE	0	$4,097,643	$593,644	$3,503,999	550 BERRY ST	WINNIPEG	MANITOBA	CA	R3H 0R9
PERSONAL FUNDRAISING SERVICES
10 S RIVERSIDE PLAZA SUITE 875 P	CHICAGO	IL	60606	STREET CANVASSING FUNDRAISING	0	$3,054,601	$2,814,690	$239,911
ASCENTA GROUP INC
315 W 36TH STREET	NEW YORK	NY	10018	STREET CANVASSING FUNDRAISING	0	$2,669,678	$2,495,490	$174,188
SD&A TELESERVICES INC
5757 W CENTURY BLVD STE 300	LOS ANGELES	CA	90045	OUTBOUND TELEMARKETING	0	$1,414,078	$829,676	$584,402
PUBLIC INTEREST COMMUNICATIONS
6521 W 91ST ST	WESTINSTER	CO	800312916	OUTBOUND TELEMARKETING	0	$602,639	$145,228	$457,411

Field	Value	IRS element (for citing)
Total Gross Receipts	$214,275,014	TotalGrossReceiptsAmt
Total Retained By Contractors	$26,702,966	TotalRetainedByContractorsAmt
Total Net To Organization	$187,572,048	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AK	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	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	MS	LicensedStatesCd
Licensed States	MO	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	UT	LicensedStatesCd
Licensed States	VA	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 DONE QUICK	Event1Nm
Gross Receipts Event1	$2,546,290	GrossReceiptsEvent1Amt
Charitable Contri Event1	$2,076,696	CharitableContriEvent1Amt
Gross Revenue Event1	$469,594	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$100,144	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$369,450	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$2,546,290	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,076,696	CharitableContributionsTotAmt
Gross Revenue Total Events	$469,594	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$100,144	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$369,450	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$469,594	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	IRC SectionIRCSectionDesc
GOOD SHEPHERD UNITED CHURCH OF CHRIST
17750 S LA CANADA DRIVE	SAHUARITA	AZ	85629	860693390	$8,002	$0	MEDICAL HUMANITARIAN ASSISTANCE
CENTER FOR DISASTER PHILANTHROPY
ONE THOMAS CIRCLE SUITE 700	WASHINGTON	DC	20005	455257937	$90,217	$0	MEDICAL HUMANITARIAN ASSISTANCE	501(C)(3)

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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
CHIEF EXECUTIVE OFFICER	$351,008	$0	$0	$0	$0	$0	$18,650	$0	$17,303	$0	$386,961	$0	$0	$0
ANDRES MALDONADO SEGLER
DEPUTY TO THE SECRETARY GENERAL	$289,162	$0	$0	$0	$0	$0	$15,818	$0	$33,621	$0	$338,601	$0	$0	$0
CARRIE TEICHER
CHIEF PROGRAMS OFFICER	$254,435	$0	$0	$0	$0	$0	$14,515	$0	$50,644	$0	$319,594	$0	$0	$0
REBEKAH VARELA
CHIEF OPERATING OFFICER	$268,631	$0	$0	$0	$0	$0	$15,068	$0	$29,764	$0	$313,463	$0	$0	$0
KAVITA MENON
CHIEF COMMUNICATIONS OFFICER	$246,024	$0	$0	$0	$0	$0	$13,739	$0	$50,644	$0	$310,407	$0	$0	$0
JOHN RYAN BROOKS
INT'L INFO SYSTEMS COORDINATOR	$259,537	$0	$0	$0	$0	$0	$14,361	$0	$33,419	$0	$307,317	$0	$0	$0
JAY CHAUDHURI
CHIEF TECHNOLOGY OFFICER	$233,537	$0	$0	$0	$0	$0	$13,157	$0	$50,644	$0	$297,338	$0	$0	$0
MIKHAELA REID
SR.DIR.,INTEGRATED CHANNEL MARKETING	$224,376	$0	$0	$0	$0	$0	$12,678	$0	$50,644	$0	$287,698	$0	$0	$0
CAMERON WRIGLEY
CHIEF FINANCIAL OFFICER	$235,034	$0	$0	$0	$0	$0	$13,157	$0	$34,770	$0	$282,961	$0	$0	$0
DEBORAH GARCIA
CHIEF DEVELOPMENT OFFICER	$249,656	$0	$0	$0	$0	$0	$13,856	$0	$17,504	$0	$281,016	$0	$0	$0
ALLISON WESTFIELD-JAMES
CHIEF PEOPLE CULTURE & INCLUSION OFF	$219,934	$0	$0	$0	$0	$0	$21,494	$0	$34,621	$0	$276,049	$0	$0	$0
ELLEN WILLMOTT
GENERAL COUNSEL	$234,648	$0	$0	$0	$0	$0	$12,969	$0	$17,303	$0	$264,920	$0	$0	$0
MARY VONCKX
SR. DIRECTOR OF GRANTS	$219,004	$0	$0	$0	$0	$0	$12,788	$0	$29,616	$0	$261,408	$0	$0	$0
SHEILA SHETTLE
HEAD OF COMM. ACCESS CAMPAIGN	$196,003	$0	$0	$0	$0	$0	$11,366	$0	$50,644	$0	$258,013	$0	$0	$0
TIFFANY WOLLIN
SR. DIR., IND. GIVING & STRAT. PHILA	$223,616	$0	$0	$0	$0	$0	$12,672	$0	$17,504	$0	$253,792	$0	$0	$0
ALEXA ADAM
DIR., FOUNDATIONS & CORPORATIONS	$190,936	$0	$0	$0	$0	$0	$11,131	$0	$50,644	$0	$252,711	$0	$0	$0
SANDRA MURILLO
MEDIA RELATIONS DIRECTOR	$190,948	$0	$0	$0	$0	$0	$11,077	$0	$50,644	$0	$252,669	$0	$0	$0
ELIAS PRIMOFF
EDITORIAL DIRECTOR	$186,394	$0	$0	$0	$0	$0	$10,799	$0	$50,443	$0	$247,636	$0	$0	$0
NORTHAN HURTADO HERIERA
HEAD OF MEDICAL UNIT	$195,685	$0	$0	$0	$0	$0	$11,324	$0	$37,132	$0	$244,141	$0	$0	$0
SARAH AUTRY
SR. DIR., DEVELOPMENT OPERATIONS	$207,554	$0	$0	$0	$0	$0	$11,766	$0	$17,504	$0	$236,824	$0	$0	$0
CLAIRE BRUTEN PAUL
DIRECTOR OF FINANCE	$174,215	$0	$0	$0	$0	$0	$10,159	$0	$49,644	$0	$234,018	$0	$0	$0
MEGAN MCGUIRE
INTERSECTIONAL HEALTH DATA STRAT. AD	$172,894	$0	$0	$0	$0	$0	$10,970	$0	$38,205	$0	$222,069	$0	$0	$0
JENNIFER NEWELL
REPRESENTATIVE TO THE UNITED NATIONS	$180,058	$0	$0	$0	$0	$0	$10,627	$0	$28,414	$0	$219,099	$0	$0	$0
ELLA WATSON-STRYKER
HUMANITARIAN REPRESENTATIVE	$184,030	$0	$0	$0	$0	$0	$10,582	$0	$17,303	$0	$211,915	$0	$0	$0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2537	ContributionCnt
Noncash Contributions Rpt F990	$40,444,384	NoncashContributionsRptF990Amt
Method Of Determining Revenues	NYSE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	2	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE AMENDED BY AN AFFIRMATIVE VOTE OF THE BOARD AT A MEETING IN MAY 2024, AT WHICH A QUORUM WAS PRESENT, TO RETITLE THE ROLE OF THE EXECUTIVE DIRECTOR TO CHIEF EXECUTIVE OFFICER (CEO) AND ALIGN THE AUTHORITIES OF THE CEO WITH THE CEO ROLE.
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 "NPCL"), MEDECINS SANS FRONTIERES U.S.A., INC. (THE "CORPORATION") WILL HAVE TWO CLASSES OF MEMBERSHIP: ASSOCIATION MEMBERS AND DIRECTOR MEMBERS. ASSOCIATION MEMBERS: THE ASSOCIATION MEMBERS WILL BE ALL PERSONS GRANTED ASSOCIATION MEMBERSHIP PURSUANT TO WRITTEN GUIDELINES FROM TIME TO TIME BY THE BOARD OF DIRECTORS, AND FOR THE AVOIDANCE OF DOUBT, PERSONS GRANTED "PROVISIONAL MEMBERSHIP OR SIMILAR STATUS ARE NOT ASSOCIATION MEMBERS. DIRECTOR MEMBERS: ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION THEN IN THE OFFICE WHO ARE NOT OTHERWISE ALREADY ASSOCIATION MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS OF THE ORGANIZATION ELECT A MAJORITY OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	WHILE THE BOARD OF DIRECTORS MAKES A DETERMINATION AS TO THE DISTRIBUTION OF ASSETS AT DISSOLUTION, NY LAW REQUIRES COURT APPROVAL OF THE DISTRIBUTION PLAN.
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. A FINAL DRAFT OF THE 990 WAS SHARED WITH THE ADMINISTRATIVE COMMITTEE AND WITH ALL THE 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, STAFF AND THE BOARD ARE REQUIRED TO IMMEDIATELY REPORT ANY ACTUAL OR APPARENT CONFLICTS THAT MAY ARISE FOR APPROPRIATE MANAGEMENT. FURTHER, ANNUALLY, KEY EMPLOYEES (AND OTHERS AS DESIGNATED BY MANAGEMENT) AND BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT REPORTING ANY CONFLICTS WHICH IS REPORTED TO THE AUDIT AND RISK COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	MSF-USA APPLIES A STRUCTURED PROCESS, REVIEWED BIANNUALLY, TO DETERMINE THE COMPENSATION OF ITS CEO AND OTHER KEY OFFICERS. THE BOARD OF DIRECTORS OVERSEES THIS PROCESS, WITH CONFLICTED BOARD MEMBERS EXCUSED, IT INCORPORATES INDEPENDENTLY ACQUIRED MARKET COMPARABILITY DATA, INCLUDING SALARY STUDIES FROM A LEADING ORGANIZATIONAL CONSULTANT,AS WELL AS INTERNAL BENCHMARKING ANALYSES, SOURCED FROM SIMILARLY SITUATED ORGANIZATIONS IN THE NONPROFIT AND HUMANITARIAN SECTORS. IN 2024, MSF-USA REINFORCED ITS COMMITMENT TO COMPENSATION PRACTICES THAT ARE TRANSPARENT, FISCALLY RESPONSIBLE, AND ALIGNED WITH OUR ORGANIZATIONAL VALUES AROUND EQUITY AND ACCOUNTABILITY. WHILE THE CORE REVIEW PROCESS REMAINED CONSISTENT WITH THE PRIOR YEAR, GREATER EMPHASIS WAS PLACED ON INTERNAL PAY EQUITY AND PRECISE DOCUMENTATION OF RATIONALE. AT THE MAY 2024 MEETING, THE BOARD REVIEWED AND APPROVED THE CEO AND BOARD PRESIDENT SALARIES (WITH CONFLICTED BOARD MEMBERS EXCUSED FROM DELIBERATION AND VOTE). IN 2024, THE CEO, RELYING ON THE NEW SALARY STRUCTURE AS APPROVED BY THE BOARD, REVIEWED AND APPROVED SALARY ADJUSTMENTS FOR STAFF FOR IMPLEMENTATION IN 2025. THIS REFLECTS OUR CONTINUED EFFORTS TO ENSURE THAT COMPENSATION DECISIONS ARE NOT ONLY COMPLIANT WITH IRS STANDARDS FOR REASONABLENESS BUT ALSO RESPONSIVE TO EVOLVING EXPECTATIONS REGARDING FAIRNESS, WORKFORCE SUSTAINABILITY, AND TRUST.
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 LOSS ON ANNUITY AND TRUST OBLIGATIONS -4,054,182. LOSS ON FOREIGN EXCHANGE -21,641.
FORM 990, PART XII, LINE 2B	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN AUDITED INTERNATIONAL FINANCIAL STATEMENTS BASED ON A COMBINATION. THE INTERNATIONAL FINANCIAL REPRESENTS AN AGGREGATION OF THE FINANCIAL STATEMENTS OF THE 24 SECTIONS, 18 BRANCH OFFICES, NUMEROUS SATELLITES AND MSF INTERNATIONAL.