MEDECINS SANS FRONTIERES USA INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MEDECINS SANS FRONTIERES USA INC (EIN 13-3433452)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-08-10
IRS object ID: 201802229349300540
Schema version: 2017v2.3
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	2018-08-10T11:43:03-05:00	ReturnTs
Tax Period End	2017-12-31	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	2017-01-01	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	% ANDREU MALDONADO	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	GEORGE PILLEPICH	PersonNm
Person Title	director of finance	PersonTitleTxt
Phone	2126796800	PhoneNum
Signature	2018-08-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

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	GEORGE PILLEPICH	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	$711,973,414	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	704	TotalEmployeeCnt
Total Volunteers	153	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$357,438,744	PYContributionsGrantsAmt
CY Contributions Grants	$372,041,946	CYContributionsGrantsAmt
PY Program Service Revenue	$14,378,223	PYProgramServiceRevenueAmt
CY Program Service Revenue	$14,735,058	CYProgramServiceRevenueAmt
PY Investment Income	$2,591,119	PYInvestmentIncomeAmt
CY Investment Income	$5,109,897	CYInvestmentIncomeAmt
PY Other Revenue	-$8,742	PYOtherRevenueAmt
CY Other Revenue	$637,168	CYOtherRevenueAmt
PY Total Revenue	$374,399,344	PYTotalRevenueAmt
CY Total Revenue	$392,524,069	CYTotalRevenueAmt
PY Grants And Similar Paid	$300,119,963	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$346,430,020	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$26,390,687	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$29,165,566	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$5,069,400	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$6,054,559	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$38,121,317	CYTotalFundraisingExpenseAmt
PY Other Expenses	$31,920,801	PYOtherExpensesAmt
CY Other Expenses	$38,945,774	CYOtherExpensesAmt
PY Total Expenses	$363,500,851	PYTotalExpensesAmt
CY Total Expenses	$420,595,919	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,898,493	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$28,071,850	CYRevenuesLessExpensesAmt
Total Assets BOY	$346,389,642	TotalAssetsBOYAmt
Total Assets EOY	$349,226,024	TotalAssetsEOYAmt
Total Liabilities BOY	$59,161,229	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$88,666,815	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$287,228,413	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$260,559,209	NetAssetsOrFundBalancesEOYAmt
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	$359,200,467	ExpenseAmt
Grant	$346,430,020	GrantAmt
Revenue	$4,242,052	RevenueAmt
Desc	EMERGENCY AND MEDICAL PROGRAMS - EVERY YEAR, DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERES (MSF) PROVIDES EMERGENCY MEDICAL CARE TO MILLIONS OF PEOPLE CAUGHT IN CRISES IN MORE THAN 70 COUNTRIES AROUND THE WORLD. MSF PROVIDES ASSISTANCE WHEN CATASTROPHIC EVENTS - SUCH AS ARMED CONFLICT, EPIDEMICS, MALNUTRITION, OR NATURAL DISASTERS - OVERWHELM LOCAL HEALTH SYSTEMS, AND OPERATES COMPREHENSIVE, AND IN SOME CASES LONG-STANDING, TREATMENT PROGRAMS FOR PEOPLE LIVING WITH A HOST OF NEGLECTED DISEASES. MSF ALSO ASSISTS PEOPLE WHO FACE DISCRIMINATION OR NEGLECT FROM THEIR LOCAL HEALTH SYSTEMS OR WHEN POPULATIONS ARE OTHERWISE EXCLUDED FROM HEALTH CARE. ON ANY GIVEN DAY, NEARLY 41,000 DOCTORS, NURSES, LOGISTICIANS, WATER-AND-SANITATION EXPERTS, ADMINISTRATORS, AND OTHER QUALIFIED PROFESSIONALS WORKING WITH MSF CAN BE FOUND PROVIDING MEDICAL CARE AROUND THE WORLD. IN 2017 MSF MEDICAL TEAMS CARRIED OUT MORE THAN 10.6 MILLION OUTPATIENT CONSULTATION; ASSISTED MORE THAN 288,900 BIRTHS, INCLUDING C-SCTIONS; TREATED MORE THAN 2.5 MILLION PEOPLE FOR MALARIA; PROVIDED MORE THAN 306,000 MENTAL HEALTH CONSULTATIONS; PROVIDED ANTIRETROVIRAL THERAPY FOR SOME 201,000 PEOPLE LIVING WITH HIV/AIDS; CARRIED OUT MORE THAN 110,000 MAJOR SURGICAL PROCEDURES, AND VACCINATED MORE THAN 2,095,000 PEOPLE AGAINS MEASELS AND MORE THAN 886,000 AGAINST MENINGITIS AND MORE THAN 2.1 MILLION PEOPLE IN RESPONSE TO OUTBREAKS. MSF MEDICAL TEAMS RESCUED AND ASSISTED 23,900 REFUGEES AND MIGRANTS IN PERIL AT SEA.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,554,456	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$10,493,006	RevenueAmt
Desc	FIELD STAFF - MSF-USA FACILITATES THE RECRUITMENT OF MEDICAL AND OTHER PROFESSIONALS FROM THE UNITED STATES TO PARTICIPATE IN VARIOUS MEDICAL EMERGENCY RELIEF PROJECTS. 391 AID WORKERS WERE DISPATCHED BY MSF-USA ON A TOTAL OF 542 FIELD MISSIONS IN over 70 COUNTRIES IN 2017.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,927,295	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNICATIONS - AS PART OF ITS FOUNDING PRINCIPLES, MSF STANDS EVER READY TO SPEAK OUT PUBLICLY ON A GIVEN ISSUE SHOULD THE SITUATION CALL FOR IT. THIS COULD MEAN THAT A CERTAIN GROUP IS BEING NEGLECTED, THAT MILITARY OR POLITICAL EFFORTS ARE CAUSING SEVERE MEDICAL CONSEQUENCES, OR THAT INTERNATIONAL ORGANIZATIONS ARE NOT DOING ENOUGH TO RESPOND TO AN EMERGENCY. ADDITIONALLY, MSF ADVOCATES IN CAPITALS AND BOARD ROOMS AROUND THE WORLD IN ORDER TO COMBAT POLICIES THAT MIGHT RESTRICT ACCESS TO ESSENTIAL MEDICINES AND HEALTH CARE. THESE EFFORTS COULD TAKE THE FORM OF A PUBLIC STATEMENT, AN OP-ED ARTICLE, POSTS ON MSF'S FACEBOOK, TWITTER, AND TUMBLR PAGES, OR MEDIA APPEARANCES USED TO SPREAD THE WORD ON A PARTICULAR ISSUE. MSF ALSO ENGAGES WITH THE PUBLIC AT LARGE THROUGH AWARENESS-RAISING ACTIVITIES FOCUSING ON HUMANITARIAN CRISES AND ISSUES, INCLUDING LECTURES, PANEL DISCUSSIONS, FILM SCREENINGS, AND EXHIBITS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$375,682,218	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	106	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	704	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	false	QuidProQuoContributionsInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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	ANDREU MALDONADO	PersonNm
Phone	2126396800	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	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
John Lawrence
President	25.0	0.0	Yes (X)	Yes (X)	$61,384	$0	$4,908
Kassia Echavarri-Queen
Vice-President (eff.6/24/17)	7.5	0.0	Yes (X)	Yes (X)	$0	$0	$0
Jennifer Reynoso
Secretary	7.5	0.0	Yes (X)	Yes (X)	$0	$0	$0
John Wetherington
Treasurer (eff. 6/30/17)	7.5	0.0	Yes (X)	Yes (X)	$0	$0	$0
Gene Wolfson Thru 63017
Treasurer	7.5	0.0	Yes (X)	Yes (X)	$0	$0	$0
Mego Terzian MD
President, MSF France	7.5	0.0	Yes (X)	Yes (X)	$0	$0	$0
Ramin Asgary MD
DIRECTOR	5.0	0.0	Yes (X)		$1,667	$0	$1,082
Patricia Carrick FNP
DIRECTOR (eff. 6/30/17)	5.0	0.0	Yes (X)		$0	$0	$249
Alison Ludwig MD
Director	5.0	0.0	Yes (X)		$0	$0	$2,293
Kelly Grimshaw Thru 63017
Director	5.0	0.0	Yes (X)		$0	$0	$853
Ali N'Simbo MD
DIRECTOR	5.0	0.0	Yes (X)		$0	$0	$0
Aerlyn Pfeil
DIRECTOR	5.0	0.0	Yes (X)		$4,545	$0	$2,334
Brigg Reilly eff 63017
Director	5.0	0.0	Yes (X)		$0	$0	$0
Philip Sacks
Director	5.0	0.0	Yes (X)		$0	$0	$2,337
Susan Shepherd Thru 63017
Director	5.0	0.0	Yes (X)		$0	$0	$115
Africa Stewart eff 61017
DIRECTOR	5.0	0.0	Yes (X)		$0	$0	$1,060
Nabil Al - Tikriti
Vice president(Thru 6/24/17)	5.0	0.0	Yes (X)		$0	$0	$3,801
Jason Cone
Executive Director	35.0	0.0		Yes (X)	$201,968	$0	$47,012
Andreu Maldonado
internal operations director	35.0	0.0		Yes (X)	$191,415	$0	$27,573
Thomas Kurmann
Development Director	35.0	0.0			$172,559	$0	$41,377	Yes (X)
Northan Hurtado Heriera
Medical Advisor	35.0	0.0			$168,204	$0	$40,835		Yes (X)
David Epstein
Domestic HR Director	35.0	0.0			$167,651	$0	$30,073		Yes (X)
MICHAEL GOLDFARb
DIRECTOR OF COMMUNICATIONS	35.0	0.0			$158,736	$0	$27,026		Yes (X)
KATE MORT
DIRECTOR OF FIELD HR	35.0	0.0			$158,736	$0	$27,573		Yes (X)
JOHN RYAN BROOKS
DIRECTOR IT	35.0	0.0			$154,162	$0	$27,573		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,441,027	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$288,074	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	32	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
Shoregroup Solutions
1 Penn Plaza Suite 3308	NEW YORK	NY	10119	Information Tech	$699,117
Barker Scott Consulting
2202 18th Street NW 372	WASHINGTON DC	DC	20009	Consulting	$690,392
Tri Bridge Holdings LLC
4830 West Kennedy Blvd Suite 890	TAMPA	FL	33609	IT Consulting	$157,295
SBD Advisors1 LLC
1747 Pennyslvania Ave NW	WASHINGTON DC	DC	20006	Consulting	$120,000
Passport Health travel Medicine of
655 Shrewsbury Ave Suite 203	SHREWSBURY	NJ	07702	TRAVEL VACCINATIONS	$124,822

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$2,963,976	FederatedCampaignsAmt
Membership Dues	$15,788	MembershipDuesAmt
Fundraising	$2,333,629	FundraisingAmt
All Other Contributions	$366,728,553	AllOtherContributionsAmt
Noncash Contributions	$19,477,018	NoncashContributionsAmt
Total Contributions	$372,041,946	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SECONDED FIELD STAFF GRANTS	900099	$10,493,006	$10,493,006
MSF NETWORK GRANTS	900099	$4,242,052	$4,242,052

Field	Value	IRS element (for citing)
Total Program Service Revenue	$14,735,058	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,891,497	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,891,497	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	$994,196	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$295,752	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$698,444	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$698,444	TotalRevenueColumnAmt
Exclusion	$698,444	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$319,039,900	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$318,821,500	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$218,400	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$218,400	TotalRevenueColumnAmt
Exclusion	$218,400	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,333,629	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$332,093	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$332,093	TotalRevenueColumnAmt
Exclusion	-$332,093	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 REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$270,817	TotalRevenueColumnAmt
Exclusion	$270,817	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$270,817	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$392,524,069	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,735,058	RelatedOrExemptFuncIncomeAmt
Exclusion	$5,747,065	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,075,099	TotalAmt
Program Services	$1,075,099	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	$345,354,921	TotalAmt
Program Services	$345,354,921	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	$768,541	TotalAmt
Program Services	$535,428	ProgramServicesAmt
Management And General	$70,093	ManagementAndGeneralAmt
Fundraising	$163,020	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	$20,039,977	TotalAmt
Program Services	$13,961,465	ProgramServicesAmt
Management And General	$1,827,711	ManagementAndGeneralAmt
Fundraising	$4,250,801	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,381,266	TotalAmt
Program Services	$962,301	ProgramServicesAmt
Management And General	$125,976	ManagementAndGeneralAmt
Fundraising	$292,989	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,126,041	TotalAmt
Program Services	$3,571,214	ProgramServicesAmt
Management And General	$467,512	ManagementAndGeneralAmt
Fundraising	$1,087,315	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,849,741	TotalAmt
Program Services	$1,288,679	ProgramServicesAmt
Management And General	$168,702	ManagementAndGeneralAmt
Fundraising	$392,360	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	$252,440	TotalAmt
Program Services	$68,385	ProgramServicesAmt
Management And General	$70,924	ManagementAndGeneralAmt
Fundraising	$113,131	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$74,131	TotalAmt
Program Services	$20,082	ProgramServicesAmt
Management And General	$20,827	ManagementAndGeneralAmt
Fundraising	$33,222	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	$6,054,559	TotalAmt
Fundraising	$6,054,559	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$587,206	TotalAmt
Management And General	$587,206	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,654,631	TotalAmt
Program Services	$670,884	ProgramServicesAmt
Management And General	$534,133	ManagementAndGeneralAmt
Fundraising	$14,449,614	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$244,382	TotalAmt
Program Services	$128,947	ProgramServicesAmt
Management And General	$23,086	ManagementAndGeneralAmt
Fundraising	$92,349	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,951,548	TotalAmt
Program Services	$990,294	ProgramServicesAmt
Management And General	$292,115	ManagementAndGeneralAmt
Fundraising	$669,139	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,644,969	TotalAmt
Program Services	$2,323,982	ProgramServicesAmt
Management And General	$51,032	ManagementAndGeneralAmt
Fundraising	$269,955	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	$185,413	TotalAmt
Program Services	$73,369	ProgramServicesAmt
Management And General	$8,983	ManagementAndGeneralAmt
Fundraising	$103,061	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$109,329	TotalAmt
Program Services	$52,396	ProgramServicesAmt
Management And General	$17,478	ManagementAndGeneralAmt
Fundraising	$39,455	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,280,888	TotalAmt
Program Services	$761,494	ProgramServicesAmt
Management And General	$159,449	ManagementAndGeneralAmt
Fundraising	$359,945	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,153,711	TotalAmt
Program Services	$1,013,782	ProgramServicesAmt
Management And General	$41,852	ManagementAndGeneralAmt
Fundraising	$98,077	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CONSULTANCY & PROJECT DEV.	$14,088,742	$2,547,401	$2,125,583	$9,415,758
DUES & SUBSCRIPTIONS	$475,393	$128,466	$158,063	$188,864
RECRUITING & RELOCATION	$242,991	$153,629	$41,659	$47,703

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$420,595,919	TotalAmt
Program Services	$375,682,218	ProgramServicesAmt
Management And General	$6,792,384	ManagementAndGeneralAmt
Fundraising	$38,121,317	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,500	BOYAmt
EOY	$21,800	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$58,470,129	BOYAmt
EOY	$62,013,883	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$43,436,758	BOYAmt
EOY	$49,084,905	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,502,632	BOYAmt
EOY	$4,979,812	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	$0	BOYAmt
EOY	$0	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	$6,681,925	BOYAmt
EOY	$1,630,513	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$58,901,617	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,702,860	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$44,688,872	BOYAmt
EOY	$54,198,757	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$189,592,826	BOYAmt
EOY	$177,296,354	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	$346,389,642	BOYAmt
EOY	$349,226,024	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,337,781	BOYAmt
EOY	$8,459,378	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$26,380,000	BOYAmt
EOY	$52,899,212	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	$11,006,448	BOYAmt
EOY	$10,363,812	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	$14,437,000	BOYAmt
EOY	$16,944,413	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,161,229	BOYAmt
EOY	$88,666,815	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$266,153,837	BOYAmt
EOY	$239,302,984	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,340,846	BOYAmt
EOY	$19,968,461	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$733,730	BOYAmt
EOY	$1,287,764	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$287,228,413	BOYAmt
EOY	$260,559,209	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$346,389,642	BOYAmt
EOY	$349,226,024	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$28,071,850	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,115,843	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$713,197	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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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	$209,011,069	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$332,235,198	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$336,286,664	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$357,438,744	CurrentTaxYearMinus1YearAmt
Current Tax Year	$372,041,946	CurrentTaxYearAmt
Total	$1,607,013,621	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	$209,011,069	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$332,235,198	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$336,286,664	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$357,438,744	CurrentTaxYearMinus1YearAmt
Current Tax Year	$372,041,946	CurrentTaxYearAmt
Total	$1,607,013,621	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$1,607,013,621	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$464,433	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$487,223	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,322,636	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,269,899	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,885,693	CurrentTaxYearAmt
Total	$12,429,884	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-$207,143	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	-$390,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$476,289	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$325,129	CurrentTaxYearMinus1YearAmt
Current Tax Year	-$332,093	CurrentTaxYearAmt
Total	-$1,731,298	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$20,388	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	-$20,172	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$193,654	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$111,690	CurrentTaxYearMinus1YearAmt
Current Tax Year	$270,817	CurrentTaxYearAmt
Total	$576,377	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,618,288,584	TotalSupportAmt
Gross Receipts Rltd Activities	$65,441,846	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.99303	PublicSupportCY170Pct
Public Support PY170	0.99596	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	$35,063	MailingsMembersAmt
Publications Or Broadcast	Yes (true)	PublicationsOrBroadcastInd
Publications Or Broadcast	$49,088	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$35,063	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$21,038	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$140,252	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 FOR AMENDMENTS TO RELEVANT LEGISLATION SO THAT NEW RESEARCH AND DEVELOPMENT FOR NEGLECTED DISEASES IS EFFECTIVELY INCENTIVIZED, AND THAT ANY NEW PRODUCTS BROUGHT TO MARKET ARE MADE AVAILABLE AND AFFORDABLE TO THOSE WHO NEED THEM, INCLUDING PROPOSING AMENDMENTS TO FDA PRIORITY REVIEW VOUCHER PROGRAM FOR NEGLECTED TROPICAL DISEASES INCLUDED IN THE FDA REAUTHORIZATION ACT. FOLLOWING US DEPARTMENT OF DEFENSE FUNDING FOR VACCINES AND ENCOURAGING THE GOVERNMENT TO ADOPT OPEN LICENSES. SHARING CONCERNS WITH PROVISIONS INCLUDED IN A LEAKED EXECUTIVE ORDER, THE RENEGOTIATION OF NAFTA AND THE DESIGNATION OF COUNTRIES IN THE SPECIAL 301 REPORT.
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 PUBLIC HEALTH CONCERNS WITH PROPOSALS CONCERNING THE RENEGOTIATION OF NAFTA, INCENTIVES FOR BIOMEDICAL INNOVATION AND THE DEVELOPMENT OF NEW HEALTH TOOLS. OTHER TOPICS INCLUDED IN OFFICIAL COMMUNICATIONS INCLUDE REFUGEE POLICY AND THE MEXICO CITY POLICY BEING REINSTATED.
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 PUBLIC HEALTH IMPLICATIONS OF THE TRANS-PACIFIC PARTNERSHIP. - MEETINGS WITH AND SUBMISSIONS TO MEMBERS OF CONGRESS RELATING TO POTENTIAL AMENDMENTS TO THE FDA PRIORITY REVIEW VOUCHER PROGRAM THROUGH THE 21 CENTURY CURES INITIATIVE AND OTHER CONGRESSIONAL LEGISLATION.
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 THE PUBLIC HEALTH CONCERNS OF THE TRANS-PACIFIC PARTNERSHIP.

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	$2,231,182	BeginningYearBalanceAmt
Contributions	$470,011	ContributionsAmt
Investment Earnings Or Losses	$267,306	InvestmentEarningsOrLossesAmt
End Year Balance	$2,968,499	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,086,376	BeginningYearBalanceAmt
Contributions	$24,521	ContributionsAmt
Investment Earnings Or Losses	$120,285	InvestmentEarningsOrLossesAmt
End Year Balance	$2,231,182	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,089,570	BeginningYearBalanceAmt
Contributions	$50,000	ContributionsAmt
Investment Earnings Or Losses	-$39,976	InvestmentEarningsOrLossesAmt
Administrative Expenses	$13,218	AdministrativeExpensesAmt
End Year Balance	$2,086,376	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,932,923	BeginningYearBalanceAmt
Contributions	$100,000	ContributionsAmt
Investment Earnings Or Losses	$116,512	InvestmentEarningsOrLossesAmt
Administrative Expenses	$59,865	AdministrativeExpensesAmt
End Year Balance	$2,089,570	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,537,974	BeginningYearBalanceAmt
Contributions	$248,541	ContributionsAmt
Investment Earnings Or Losses	$146,408	InvestmentEarningsOrLossesAmt
End Year Balance	$1,932,923	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.55760	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.43380	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00860	TermEndowmentBalanceEOYPct
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	$23,068,644	OtherCostOrOtherBasisAmt
Depreciation	$739,380	DepreciationAmt
Book Value	$22,329,264	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,190,225	OtherCostOrOtherBasisAmt
Depreciation	$825,568	DepreciationAmt
Book Value	$364,657	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,499,147	OtherCostOrOtherBasisAmt
Depreciation	$855,061	DepreciationAmt
Book Value	$1,644,086	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,265,308	OtherCostOrOtherBasisAmt
Depreciation	$2,282,851	DepreciationAmt
Book Value	$10,982,457	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,198,757	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CHAR GIFT ANNUITIES PAYABLE	$13,676,159
REVOCABLE ENDOWMENT	$3,250,000
CAPITALIZED LEASE OBLIGATION	$18,254

Field	Value	IRS element (for citing)
Total Liability	$16,944,413	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$394,473,345	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,115,843	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$801,743	DonatedServicesAndUseFcltsAmt
Other Revenue	-$381,104	OtherRevenueAmt
Revenue Not Reported	$2,536,482	RevenueNotReportedAmt
Revenue Subtotal	$391,936,863	RevenueSubtotalAmt
Investment Expenses Not Incld	$587,206	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$587,206	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$392,524,069	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$421,142,549	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$801,743	DonatedServicesUseFcltsAmt
Other Expenses Included	$332,093	OtherExpensesIncludedAmt
Expenses Not Reported	$1,133,836	ExpensesNotReportedAmt
Expenses Subtotal	$420,008,713	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$587,206	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$587,206	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$420,595,919	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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 BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE IMPLEMENTATION OF ASC 740 HAD NO IMPACT ON MEDECINS SANS FRONTIERES USA, INC.S (THE "REPORTING ORGANIZATION") FINANCIAL STATEMENTS. THE REPORTING 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 REPORTING ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE REPORTING ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED TO DO SO. FOR THE YEAR ENDED DECEMBER 31, 2017, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE STATEMENT OF ACTIVITIES. AS OF DECEMBER 31, 2017, THE YEARS STILL SUBJECT TO EXAMINATION BY A TAXING AUTHORITY ARE 2014 THROUGH 2017.
PART XI, LINE 2D:	ACTUARIAL LOSS ON ANNUITY & TRUST OBLIGATIONS ..........$(713,197) FUNDRAISING EXPENSES ...................................$ 332,093 ========== TOTAL $(381,104) PART XII, LINE 2D: FUNDRAISING EXPENSES ...................................$ 332,093

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	14	Program Services	Medical Assistance	$247,734
East Asia and the Pacific	19	Program Services	Medical Assistance	$325,233
Europe (Including Iceland and Greenland)	29	Program Services	Medical Assistance	$331,946
Middle East and North Africa	52	Program Services	Medical Assistance	$838,616
North America	1	Program Services	Medical Assistance	$6,968
Russia and the Newly Independent States	16	Program Services	Medical Assistance	$233,492
South Asia	42	Program Services	Medical Assistance	$601,450
Sub-Saharan Africa	355	Program Services	Medical Assistance	$5,454,404
Europe (Including Iceland and Greenland)	0	Grantmaking	See Part V for Details	$345,354,921

Field	Value	IRS element (for citing)
Subtotal Employees	528	SubtotalEmployeesCnt
Total Employee	528	TotalEmployeeCnt
Subtotal Spent	$353,394,764	SubtotalSpentAmt
Total Spent	$353,394,764	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (8 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
Europe (Including Iceland and Greenland)	HUMANITARIAN MEDICAL ASSISTANCE	$53,052,069	Wire
Europe (Including Iceland and Greenland)	HUMANITARIAN MEDICAL ASSISTANCE	$26,911,884	Wire
Europe (Including Iceland and Greenland)	HUMANITARIAN MEDICAL ASSISTANCE	$54,784,817	Wire
Europe (Including Iceland and Greenland)	HUMANITARIAN MEDICAL ASSISTANCE	$59,670,006	Wire
Europe (Including Iceland and Greenland)	HUMANITARIAN MEDICAL ASSISTANCE	$6,857,978	Wire
Europe (Including Iceland and Greenland)	HUMANITARIAN MEDICAL ASSISTANCE	$1,365,867	WIRE
Europe (Including Iceland and Greenland)	Humanitarian Medical Assistance	$142,623,320	Wire
Europe (Including Iceland and Greenland)	Humanitarian Medical Assistance	$88,980	Wire

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	false	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 56 COUNTRIES. IN 2017 THESE GRANT FUNDS WERE ALLOCATED TO THE FOLLOWING REGIONS: CENTRAL AMERICA AND THE CARIBBEAN................$19,239,691. EAST ASIA AND THE PACIFIC.........................$5,800,000. EUROPE...........................................$21,466,616. MIDDLE EAST AND NORTH AFRICA.....................$78,639,365. NORTH AMERICA.....................................$2,450,000. RUSSIA AND THE NEWLY INDEPENDENT STATES...........$6,750,000. South America.......................................$945,000. SOUTH ASIA.......................................$14,442,882. SUB-SAHARAN AFRICA..............................$195,621,367. ============= TOTAL.......................................... $345,354,921. 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 2017 MSF-USA ANNUAL REPORT AT: WWW.DOCTORSWITHOUTBORDERS.ORG/ANNUAL-REPORTS

PART I, LINE 1:

IN MSF USA, THE PROGRAM COMMITTEE (PC) OF THE BOARD OF DIRECTORS IS THE BODY WHICH 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 OPERATIONAL CENTERS (OCS) MSF USA IS FUNDING, AND TO ATTEND RELEVANT OC OPERATIONAL MEETINGS ON THE PCS BEHALF. THE GRANTS MANAGER 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. AN INTERNAL GRANTS COMMITTEE, CHAIRED BY THE GRANTS MANAGER AND COMPRISED OF THE PROGRAM OFFICERS, FINANCE DIRECTOR, DIRECTOR OF INTERNAL OPERATIONS AND EXECUTIVE DIRECTOR, MEETS PERIODICALLY TO FOLLOW THE GRANTS PROCESS. IN THIS CAPACITY, PROGRAM DEPARTMENT STAFF AND THE GRANTS MANAGER MAKE 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. THE EXECUTIVE DIRECTOR WILL OVERSEE ALL EMERGENCY GRANT REQUESTS. AT THE BEGINNING OF EACH FISCAL YEAR, THE PC SETS ITS GRANT MAKING STRATEGIC ORIENTATIONS AND PRIORITIES WHICH OUTLINES THE PCS 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 MANAGER 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 FIVE DISTINCT FUNDING PROCESSES: THE MSF FRANCE (MSF F) MULTIPURPOSE GRANT, THE NON FRANCE OC MULTIPURPOSE GRANT, THEMATIC FUNDING, EMERGENCY FUNDING, AND INDIVIDUAL PROJECT GRANTS. AT THE BEGINNING OF EACH FISCAL YEAR MSF USA INFORMS EACH OF THE OCS OF THE AMOUNT OF THEIR ANNUAL GRANT ENVELOPE, AFTER WHICH MSF USA AND EACH OC DETERMINE WHICH OF THE 5 PROCESSES WILL BE EMPLOYED FOR THE OC FOR THE FISCAL YEAR. GENERALLY, REGULAR FUNDING FOR THE OCS IS ADMINISTERED THROUGH THE MULTIPURPOSE GRANT PROCESS. OTHER FUNDING PROCESSES MAY BE APPLIED IN CONJUNCTION WITH, OR IN LIEU OF, THE MULTIPURPOSE GRANT PROCESS, DEPENDING ON NEEDS AND BOARD. FUNDING FOR MSF INTERNATIONAL ENTITIES/PROJECTS (E.G. MSF INTERNATIONAL OFFICE) IS ADMINISTERED THROUGH THE INDIVIDUAL GRANT PROCESS. FOLLOWING IS A BASIC OVERVIEW OF EACH OF THE FIVE PROCESSES. THESE PROCESSES ARE DELINEATED IN MORE DETAIL IN PARTS 1-5 OF THE PRESENT DOCUMENT. MSF FRANCE MULTIPURPOSE GRANT PROCESS: - PRIOR TO THE START OF THE FISCAL YEAR, MSF USA AND MSF FRANCE (MSF F) DISCUSS -AT AN OC PARIS (OCP) GROUP COMMITTEE MEETING OR OTHER VENUE-OR THROUGH MSF USA'S PARTICIPATION IN THE MSF F PROJECT WEEK, MSF FS OPERATIONAL PLAN FOR THE YEAR. A MEMBER OF THE OCP GROUP COMMITTEE BRIEFS THE BOD ON MSF FS OPERATIONAL PLAN. THE MSF F OPERATIONAL DIRECTOR MAY ALSO BE ASKED TO GIVE A PRESENTATION OF THE OPERATIONAL PLAN TO THE BOD. - MSF USA APPROVES ITS BUDGET AND INFORMS MSF F OF THE AMOUNT OF ITS MULTIPURPOSE GRANT. - MSF F SUBMITS ITS ANNUAL PLAN AND AN INITIAL LIST OF ALLOCATIONS AND MISSIONS FOR WHICH THEY WILL USE THE MULTIPURPOSE GRANT. THE PC AND BOD VOTE ON THIS LIST OF MISSIONS. 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. - THROUGHOUT THE COURSE OF THE YEAR, MSF USA MONITORS THE USE OF THESE FUNDS THROUGH MSF USA STAFF OR BOARD PARTICIPATION IN MSF F PROJECT DEVELOPMENT AND BUDGET MEETINGS, AND THROUGH REGULAR CORRESPONDENCE AND COOPERATION (E.G. NEW YORK CELL) WITH MSF F ON OPERATIONS. THESE MEETINGS MAY INCLUDE THE MSF F BUDGET COMMISSION, WEEK OF COORDINATORS, FINANCIAL MID-YEAR REVIEW, PROJECT WEEK, BOARD OF DIRECTORS AND OTHER OPERATIONS MEETINGS, ETC. THE PC IS GIVEN REPORTS ON THE RELEVANT CONTENT OF THESE MEETINGS. PERIODIC FIELD VISITS BY MSF-USA STAFF ALSO SERVE AS A MONITORING TOOL. - THROUGHOUT THE YEAR MSF USA AND MSF F 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, AND ACCORDING TO FUNDRAISING NEEDS AND RECEIPT OF EARMARKED FUNDS. THESE CHANGES MUST BE MUTUALLY AGREED UPON BY MSF F AND MSF USAS 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), MSF F SUBMITS THE FINAL LIST OF THE MISSIONS 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. - MSF F 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. - BY JUNE OF THE NEXT FISCAL YEAR, MSF F SUBMITS ITS FINAL NARRATIVE AND FINANCIAL REPORT, WHICH INCLUDES INFORMATION ON ALL MISSIONS WHICH MSF USA FUNDED. THE GRANTS MANAGER 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 USAS 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 ADJUST MSF FS ANNUAL GRANT IN SUBSEQUENT YEARS TO ACCOUNT FOR THE DEVIATION, OR MAY REQUIRE A REFUND. NON MSF FRANCE MULTIPURPOSE GRANT PROCESS: - AT THE BEGINNING OF THE YEAR, ALL OCS (EXCLUDING MSF F) 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 THE PC AND BOD WHO REVIEW AND VOTE ON THIS LIST, TAKING INTO CONSIDERATION THE OCS 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 USAS 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 MANAGER 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 USAS AUDITED FINANCIALS OR THAT THE PROG

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)

ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Grassroots Campaigns Inc
STREET CANVASSING	false	$2,011,431	$2,290,978	-$279,547
Hiebing
Digital ADVERTISING	false	$12,663,510	$2,937,828	$9,725,682
Lake Group Media INC
AQUISITION LIST BROKER	false	$8,710,304	$1,871,859	$6,838,445
Global Impact
Federal Campaign pt	false	$2,762,293	$218,236	$2,544,057
Public Interest Communicatio
OUTBOUND TELEMARKET	false	$828,877	$591,720	$237,157
Integral LLC
DATA ANALYSIS	false		$182,600	-$182,600
Games Done Quick LLC
summer games	false	$1,802,230	$191,750	$1,610,480
SDA Teleservices
OUTBOUND TELEMARKET	false	$294,002	$179,005	$114,997
InfoCision Management Corp
STRATEGY & IMPLEMENT	false	$1,774,913	$146,123	$1,628,790
Obrian Garrett
Direct Mail	false	$53,743,820	$891,415	$52,852,405

Field	Value	IRS element (for citing)
Total Gross Receipts	$84,591,380	TotalGrossReceiptsAmt
Total Retained By Contractors	$9,501,514	TotalRetainedByContractorsAmt
Total Net To Organization	$75,089,866	TotalNetToOrganizationAmt
All States	All States	AllStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Summer Games	Event1Nm
Gross Receipts Event1	$1,802,230	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,802,230	CharitableContriEvent1Amt
Other Direct Expenses Event1	$207,380	OtherDirectExpensesEvent1Amt
Event2	NYC Bike Tour	Event2Nm
Gross Receipts Event2	$339,744	GrossReceiptsEvent2Amt
Charitable Contri Event2	$339,744	CharitableContriEvent2Amt
Other Direct Expenses Event2	$76,360	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$191,655	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$191,655	CharitableContriOtherEventsAmt
Oth Direct Expnss Other Events	$48,353	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,333,629	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,333,629	CharitableContributionsTotAmt
Oth Direct Expnss Total Events	$332,093	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$332,093	DirectExpenseSummaryEventsAmt
Net Income Summary	-$332,093	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART I, COLUMN (V):	FormAndLineReferenceDesc
Explanation	THE AMOUNTS REPORTED DO NOT INCLUDE POSTAGE AND DO INCLUDE OTHER OUT OF POCKET EXPENSES.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Drugs for Neglected Diseases Initiative	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Recipient EIN	208774179	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,075,099	CashGrantAmt
Purpose Of Grant	HUMANITARIAN MEDICAL ASSISTANCE	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	SEE SCHEDULE F, PART V FOR PROCEDURES ON MONITORING GRANTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	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	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
Jason Cone
Executive Director	$201,968	$0	$1,200	$0	$45,812	$0	$248,980	$0	$0	$0
Andreu Maldonado
internal operations director	$191,415	$0	$1,200	$0	$26,373	$0	$218,988	$0	$0	$0
Thomas Kurmann
Development Director	$172,559	$0	$1,200	$0	$40,177	$0	$213,936	$0	$0	$0
Northan Hurtado Heriera
Medical Advisor	$168,204	$0	$1,200	$0	$39,635	$0	$209,039	$0	$0	$0
David Epstein
Domestic HR Director	$167,651	$0	$1,200	$0	$28,873	$0	$197,724	$0	$0	$0
MICHAEL GOLDFARb
DIRECTOR OF COMMUNICATIONS	$158,736	$0	$1,200	$0	$25,826	$0	$185,762	$0	$0	$0
KATE MORT
DIRECTOR OF FIELD HR	$158,736	$0	$1,200	$0	$26,373	$0	$186,309	$0	$0	$0
JOHN RYAN BROOKS
DIRECTOR IT	$154,162	$0	$1,200	$0	$26,373	$0	$181,735	$0	$0	$0

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	2661	ContributionCnt
Noncash Contributions Rpt F990	$19,477,018	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
form 990, Part III, line 4d:	Democratic Republic of the Congo - Mdecins Sans Frontires (MSF) is running some of its largest programmes in DRC, where 4.1 million people were internally displaced in 2017 alone, due to longstanding crises in the east and new emergencies developing in other parts of the country. Conflict in Tanganyika province has intensified over the last couple of years, which has led to the displacement of over half a million people. In 2017, MSF stepped up its response, providing emergency assistance in Nyunzu and in makeshift camps in Kalemie and the surrounding areas. Many of the displaced are living in and around the town of Kalemie with host families, in makeshift camps or in school compounds. Some are sleeping on the ground with only a mosquito net for shelter. MSF activities included measles vaccinations, mobile clinics offering primary healthcare, as well as reproductive health services and mental health consultations, support to health centres, and paediatric inpatient care. Teams also distributed water and built latrines and showers in some of the camps. More than 1.3 million people fled extreme violence in Greater Kasai region, with some escaping into the bush and hiding for weeks despite dire medical needs, unable to access care due to insecurity. MSF teams were able to treat some who had suffered severe injuries such as deep machete or gunshot wounds. The conflict triggered an acute nutrition crisis in rural areas and a sharp increase in sexual violence. Teams treated war-wounded patients in a rehabilitated wing of Kananga city hospital, performing 1,204 surgical interventions and provided care for victims of sexual violence. In Tshikapa, MSF supported care in a hospital, three health centres and the prison. On the outskirts of both cities, where many of the health centres had been looted, destroyed or burned, MSF ran mobile clinics. Assistance for refugees and host communities In September, MSF started to assist people who had fled conflict in Central African Republic by supporting hospitals in the northern towns of Gbadolite and Mobayi-Mbongo. Mobile clinics also provided care to some 67,400 refugees and their host communities. Tens of thousands of South Sudanese refugees have settled in the north of DRC. MSF ran mobile clinics in the villages of Karagba and Olendere, in Ituri province, offering refugees and host communities access to basic healthcare, mental health support, sexual and reproductive health consultations, and referrals. A team also supported the regional hospital. Providing comprehensive care in the Kivu provinces The Kivu provinces are still reeling from the devastating Congo Wars of the 1990s and are plagued by ongoing fighting. More than 1.5 million internally displaced people live in the Kivus, where the humanitarian and medical needs only intensified in 2017 as the situation in the provinces deteriorated. Overall, MSF provided almost 1.8 million outpatient consultations and admitted more than 95,000 patients to its facilities in North and South Kivu. Teams continued to manage four comprehensive projects in Masisi, Walikale, Mweso and Rutshuru in North Kivu. Each supported a hospital, as well as health centres and community treatment sites. A new project was also set up in Bambo. When violence broke out again in South Kivu in July, MSF treated the wounded, while continuing with its regular activities. In Lulingu, Kalehe and Mulungu, the team focuses on care for children under 15, sexual and reproductive healthcare and treatment for victims of violence. Teams also implement a community-based approach to treat malaria and malnutrition. The main activities in Baraka and Kimbi are paediatric care, HIV and tuberculosis (TB) treatment, sexual and reproductive health, and care for victims of sexual violence. Response to epidemics Due to poor access to healthcare, the average life expectancy in DRC is around 58 years. One in 10 Congolese children dies before the age of five. Emergency response is a core activity for MSF in the country. Five teams are dedicated to monitoring health alerts and deploying a rapid response to outbreaks of violence, population displacement and epidemics across this vast country. In 2017, MSF launched 62 emergency interventions. During the first half of the year, most were in response to multiple measles outbreaks. In total, teams vaccinated 1,050,315 children against measles, and treated 13,906 for the disease. From mid-2017 MSF switched its focus to a cholera epidemic that started in the Kivus, where cholera is endemic. It spread to the rest of the country, becoming one of the biggest outbreaks in DRC of the last two decades. Overall, MSF cared for 19,239 cholera patients nationwide. MSF also responded to an Ebola outbreak in remote Likati province in May; four people died during the outbreak, which was quickly contained. Addressing longstanding health issues Malaria is endemic and the main cause of death in DRC. MSF teams treated 856,531 patients for the disease in 2017, more than for any other illness. MSF experimented with new models of care that can be adapted to local settings to improve treatment, for example the introduction of large-scale community-based projects. These are currently running in Baraka and Kimbi, and teams in Bili, Mweso and Walikale are exploring this option. Womens health remains an important component of most MSF projects. This includes treating patients who have had unsafe abortions and care for people who have suffered sexual and gender-based violence, especially in Kasai, the Kivus, and Mambasa in Ituri. In 2017, MSF intervened in the Kivu provinces, Ul and Kasai regions to address high levels of malnutrition among children. MSF continues to provide comprehensive medical and psychosocial care for people living with HIV and AIDS in Kinshasa, Goma, Baraka and Kimbi, and works with the national HIV programme, partner organisations and patient groups to improve access to testing and treatment. In 2017, 7,185 patients received antiretroviral treatment at MSF-supported health centres in Kinshasa, Goma, Mweso, Baraka and Kimbi. Over 2,990 patients with late-stage HIV were treated in MSFs AIDS unit in Kinshasa alone. In Maniema province, an MSF mobile team tested over 18,000 people for human African trypanosomiasis, also known as sleeping sickness, 42 of whom required treatment. While the prevalence of this neglected disease has decreased in the past decade, there are still many presumed hotspots that are difficult to access. Yemen - MSF sent 500 tons of medical supply and equipment, and 1,200 staff to Yemen, transiting through our logistics base in Djibouti. MSF teams performed 19,728 surgical intervention in the country. In Taiz, the scene of intense fighting for over two years, MSF assisted more than 7,900 deliveries at Al-Houban mother and child hospital. MSF also admitted 101,475 people to its cholera treatment centres (CTCs) over the year and treated more than 400 patients suffering from diphtheria. Over the past two years, MSF has imported more than 800 tons of dialysis supplies and provided over 83,000 dialysis sessions for some 800 patients, as well as supporting six dialysis treatment centres. Central African Republic - MSF continued to offer outpatient and inpatient care to local communities andinternally displaced people in 10 provinces. In Batangafo and Kabo, Boguila and Bossangoa (Ouham), Paoua (Ouham-Pend), Carnot and Berbrati (Mambr-Kad),Bangassou (Mbomou), Zmio (Haut-Mbomou), Bambari (Ouaka), Bria (Haute-Kotto),Alindao (Basse-Kotto), Ndele (Bamingui-Bangoran), Mbaki (Lobaye) and the capital Bangui, the team provided basic, specialised and emergency care, as well as maternity and pediatric services. Staff assisted 17,855 births, performed 8,878 surgical interventions and carried out a total of 748,600 outpatient consultations. A total of 444,587 patients were treated for malaria. Vaccination campaigns enabled a total of 185,400 children to be vaccinated. In Berbrati, 22,400 women of childbearing age were vaccinated against tetanus. MSF had admitted 20,700 children to the hospital's pediatric unit, treated more than 4,570 children under five years of age for severe acute malnutrition and assisted more than 5,500 births.
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: AMENDMENTS TO THE ORGANIZATIONS CERTIFICATE OF INCORPORATION, DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATIONS 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: THE FIRST DRAFT OF THE FORM 990 IS REVIEWED WITH THE ADMINISTRATIVE COMMITTEE OF THE BOARD. AFTER CORRECTIONS ARE MADE THE FINAL DRAFT IS REVIEWED BY THE FULL BOARD BEFORE THE 990 IS SUBMITTED TO THE IRS. COMMITTEE OF THE BOARD. AFTER CORRECTIONS ARE MADE THE FINAL DRAFT IS REVIEWED BY THE FULL BOARD BEFORE THE 990 IS SUBMITTED TO THE IRS. REVIEWED BY THE FULL BOARD BEFORE THE 990 IS SUBMITTED TO THE IRS. REVIEWED BY THE FULL BOARD BEFORE THE 990 IS SUBMITTED TO THE IRS.
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 ADMINISTRATIVE COMMITTEE AND THE SALARY IS DOCUMENTED BY THE DIRECTOR OF HUMAN RESOURCES AND PROVIDED TO PAYROLL. THE EXECUTIVE DIRECTOR DETERMINES THE SALARY OF OTHER MANAGEMENT TEAM POSITIONS BASED ON A PERFORMANCE EVALUATION AND RECOMMENDATION OF THE DIRECTOR OF HUMAN RESOURCES WITHIN THE APPROPRIATE GRADE AND STEP OF THE SALARY CHART. 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. COMPENSATION REVIEW PROCESS WAS LAST UNDERTAKEN IN 2014. This adjustment and review of salary would include agreed upon annual salary adjustments of the Executive Directors Salary for the years 2015, 2016, 2017.
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 & TRUST OBLIGATIONS ......$(713,197.)