Improve the health and lives of people affected by poverty or emergency situations.

501(c)(3) charity; gifts are tax-deductible.
99¢ of each $1 spent went to programs.
Run by 21 volunteers and 117 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2025 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
5 of 6
filings with a surplus
Average surplus $122.7M a year · 6% of revenue · last 6 filings
Fine: a surplus in 5 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
99%
of spending
Looks good: 99% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$3.3M
to officers and key staff · 0.1% of spending
Looks good: pay to officers and key staff is 0% of spending; 15% or less.
Pt VII · Sec A
<1 mo
of spending, in cash
Worth a look: 0.6 months of spending in cash; under 1.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
27
named funders · $930K
Looks good: 27 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$44.0M
3% of total assets
Looks good: liabilities are 3% of assets; 50% or less.
Pt X · Ln 26
Independent board members
16
of 16 voting members
Looks good: 16 of 16 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$2.4B
+0.7% vs prior year
Spent
$2.3B
To programs
99%
Net assets
$1.2B
By yearFY2020–FY2025
Revenue
$2.4B
FY2025▲ +0.7%
Tap a bar for its year
Revenue by fiscal year
FY2020$2.0B
FY2021$1.9B
FY2022$2.2B
FY2023$2.3B
FY2024$2.4B
FY2025$2.4B
Expenses
$2.3B
FY2025▼ -2%
Tap a bar for its year
Expenses by fiscal year
FY2020$1.6B
FY2021$1.9B
FY2022$2.3B
FY2023$2.1B
FY2024$2.4B
FY2025$2.3B
Net assets
$1.2B
FY2025▲ +8%
Tap a bar for its year
Net assets by fiscal year
FY2020$952.2M
FY2021$974.9M
FY2022$939.6M
FY2023$1.1B
FY2024$1.2B
FY2025$1.2B

From the FY2025 Form 990 (year ending June 2025) · see the original

Give Claim

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Nov 1949.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

99 cents of each dollar spent went to programs.

Program services 99% · $2.3B Management & general 1% · $12.1M Fundraising 0% · $3.3M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

25 people listed on the 990; $3.3M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
Chief Executive Officer (thru 12/24)
$1,042,426Pt VII · Sec A
(1/25-5/25)/President & COO
$483,676Pt VII · Sec A
Vice President of Finance, CFO
$369,470Pt VII · Sec A
Vice President, Community Engagement
$315,609Pt VII · Sec A
Vice President, IT
$277,474Pt VII · Sec A
Corporation Engagement & Strategy
$274,954Pt VII · Sec A
Legal & Regulatory Affairs
$263,278Pt VII · Sec A
Vice President, Operations
$261,256Pt VII · Sec A

Thomas Tighe’s $1.0M as Chief Executive Officer (thru 12/24) is at the 94th percentile of top reported officer pay among 88 $100M+ international nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Thomas Tighe$1,042,426$567,776$605,893$501,663$509,534—
Thomas E Tighe—————$507,533
Byron Scott - Interim CEO$483,676—————
Bhupi Singh——$391,893$425,715$404,379$388,928
Dawn Long—$350,619$378,770$342,260$290,325$248,333
Jonathan Steiner - Senior$369,470—————
Jonathan Steiner—$326,299$306,062$260,154$236,834$213,860
Heather Bennett$315,609$297,069$262,337$239,615$225,526$184,700

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Direct Relief executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Delivers essential medicines and medical supplies to locally-run healthcare facilities worldwide to support people affected by poverty and emergency situations.

Questions for Direct Relief

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Your first name shows with your question. Direct Relief answers here, for everyone.

Provided by the organization

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3 programs · $2.3B · in their own filed words · FY2024
01

Community Health

Direct relief, through its community health initiatives, equips health professionals in low-resource settings with the medical resources they need to diagnose, treat, and care for their patients - regardless of ability to pay.

$1.1Bprogram expense
02

Disaster Response

Direct relief, through its disaster response programs, addresses the needs of vulnerable communities before disasters strike by pre positioning emergency medical materials with healthcare facilities in areas at risk from natural disasters.

$616.7Mprogram expense
03

Disease Prevention and Treatment

To alleviate the disease burden in providers to assess immediate needs, understand the situation, and respond quickly and precisely. Direct relief's efforts are always in response to specific requests from local partners and in accordance with national and international responders to avoid duplication of efforts and prevent logistical…

$579.7Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2025
See all 27 funders →
Grants paid · 1,979 grants · $328.3M · 2019–2024
Direct Relief FoundationCA · FY2024$4,335,895
Native HealthAZ · FY2024$956,962
Confederated Salish & Kootenai TribesFY2024$939,978
Collier Health Services INCFL · FY2024$557,046
Wnc Food Systems Coalition INCNC · FY2024$500,000
The Change ReactionCA · FY2024$500,000
See all 1,979 grants →

By the numbers

The FY2025 990, line by line.

1The main four
Money inPt VIII
$2.4B
Ln 12
Gifts and grantsLn 1h$2.4B
Investment incomeLn 3$9.6M
Money outPt IX
$2.3B
Ln 25
Programscol B$2.3B
Managementcol C$12.1M
Fundraisingcol D$3.3M
Owns and owesPt X
$1.2B
net assets · Ln 32
Cash and savingsLn 1–2$108.9M
Total assetsLn 16$1.3B
LiabilitiesLn 26$44.0M
PeoplePt VI, VII
25
listed · VII A
PaidVII A8
Voting boardVI 1a16
IndependentVI 1b16
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$2.4B
Noncash giftsLn 1g$2.27B
Investment incomeLn 3$9.6M
Gains on assetsLn 7$1.1M
Total revenueLn 12$2.4B
Assets in detailPt X, end of year
CashLn 1$6.3M
SavingsLn 2$102.6M
Cash and savings togetherLn 1–2$108.9M
InvestmentsLn 11–13$78.4M
Land, buildings, equipmentLn 10c$36.6M
Other assetsLn 15$10.3M
Total assetsLn 16$1.3B
LiabilitiesLn 26$44.0M
Net assetsLn 32$1.2B
OperationsPt I, VI
EmployeesI 5117
VolunteersI 621
Fiscal year endsHeaderJune
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY25End FY25
Cash and savingsLn 1–2$40.6M$108.9M
InvestmentsLn 11–13$153.7M$78.4M
Land, buildings, equipmentLn 10c$37.6M$36.6M
Total assetsLn 16$1.19B$1.29B
LiabilitiesLn 26$30.0M$44.0M
Net assetsLn 32$1.16B$1.25B
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$337.4M$337.4M
Grants and assistance to foreign recipientsLn 3$1.66B$1.66B
Pay of current officers, directors and key staffLn 5$2.2M$822K$818K$583K
Other salaries and wagesLn 7$17.5M$12.0M$4.2M$1.3M
Pension plan contributionsLn 8$1.3M$826K$312K$139K
Other employee benefitsLn 9$2.3M$1.4M$680K$204K
Payroll taxesLn 10$848K$556K$199K$93K
Legal feesLn 11b$332K$27K$305K
Accounting feesLn 11c$151K$2K$149K$232
Other fees for servicesLn 11g$6.0M$4.4M$1.4M$261K
Advertising and promotionLn 12$752K$363K$350K$38K
Office expensesLn 13$306K$86K$187K$33K
Information technologyLn 14$671K$447K$81K$143K
OccupancyLn 16$878K$799K$65K$14K
TravelLn 17$1.3M$1.1M$189K$69K
Conferences, conventions and meetingsLn 19$1.1M$452K$543K$79K
Depreciation, depletion and amortizationLn 22$1.2M$1.2M$4K$2K
InsuranceLn 23$1.1M$703K$275K$100K
Other expenses (24a–d)Ln 24$263.7M$262.8M$757K$148K
All other expensesLn 24e$3.3M$1.6M$1.6M$71K
Total functional expensesLn 25$2.31B$2.29B$12.1M$3.3M

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest Viewing $2.4B$2.3B$92.0M$1.2B 990 PDF
FY2024 $2.4B$2.4B$17.8M$1.2B 990 PDF
FY2023 $2.3B$2.1B$195.6M$1.1B 990 PDF
FY2022 $2.2B$2.3B−$35.1M$939.6M 990 PDF
FY2021 $1.9B$1.9B$26.2M$974.9M 990 PDF
FY2020 $2.0B$1.6B$439.7M$952.2M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support F · Foreign M · Noncash J · Pay O · Explanations
See the full FY2025 990 (6 parts)
Part I · Summary $2,398,998,642 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $2,372,144,401$2,389,394,020
I-9 Program service revenuePrior year $0$0
I-10 Investment incomePrior year $11,234,987$9,604,622
I-11 Other revenuePrior year $0$0
I-12 Total revenuePrior year $2,383,379,388$2,398,998,642
I-13 Grants and similar amounts paidPrior year $1,882,818,737$2,002,150,217
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $19,625,220$24,086,877
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $463,155,533$280,765,058
I-18 Total expensesPrior year $2,365,599,490$2,307,002,152
I-19 Revenue less expensesPrior year $17,779,898$91,996,490
Part VI · Governance 16 of 16 board members independent, no flags
VI-1a Voting members of the governing body16
VI-1b Independent voting members16
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $2,398,998,642 across 7 lines filed
VIII-1d Related organizations$4,963,620
VIII-1f All other contributions, gifts and grants$2,384,430,400
VIII-1g Noncash contributions (included above)$2,266,474,746
VIII-1h Total contributions, gifts and grants$2,389,394,020
VIII-3 Investment incomeExcluded from tax $8,484,163$8,484,163
VIII-7 Net gain or loss on sales of assetsExcluded from tax $1,120,459$1,120,459
VIII-12 Total revenueRelated to mission $0 · Unrelated business $0 · Excluded from tax $9,604,622$2,398,998,642
Part IX · Statement of functional expenses $2,307,002,152 across 20 lines filed
IX-1 Grants to domestic organizationsPrograms $337,409,816$337,409,816
IX-3 Grants and assistance to foreign recipientsPrograms $1,664,740,401$1,664,740,401
IX-5 Pay of current officers, directors and key staffPrograms $821,754 · Management $817,705 · Fundraising $582,608$2,222,067
IX-7 Other salaries and wagesPrograms $11,966,161 · Management $4,158,712 · Fundraising $1,349,185$17,474,058
IX-8 Pension plan contributionsPrograms $826,070 · Management $311,702 · Fundraising $139,102$1,276,874
IX-9 Other employee benefitsPrograms $1,382,267 · Management $680,077 · Fundraising $203,757$2,266,101
IX-10 Payroll taxesPrograms $556,218 · Management $198,674 · Fundraising $92,885$847,777
IX-11b Legal feesPrograms $26,868 · Management $305,280$332,148
IX-11c Accounting feesPrograms $2,091 · Management $148,913 · Fundraising $232$151,236
IX-11g Other fees for servicesPrograms $4,384,321 · Management $1,376,763 · Fundraising $260,680$6,021,764
IX-12 Advertising and promotionPrograms $363,440 · Management $350,486 · Fundraising $37,933$751,859
IX-13 Office expensesPrograms $85,561 · Management $186,733 · Fundraising $33,297$305,591
IX-14 Information technologyPrograms $446,761 · Management $80,717 · Fundraising $143,402$670,880
IX-16 OccupancyPrograms $799,021 · Management $65,029 · Fundraising $14,128$878,178
IX-17 TravelPrograms $1,057,065 · Management $189,001 · Fundraising $69,349$1,315,415
IX-19 Conferences, conventions and meetingsPrograms $451,650 · Management $542,610 · Fundraising $78,938$1,073,198
IX-22 Depreciation, depletion and amortizationPrograms $1,180,608 · Management $4,356 · Fundraising $1,639$1,186,603
IX-23 InsurancePrograms $703,341 · Management $275,296 · Fundraising $99,574$1,078,211
IX-24 Other expenses (24a–d)Programs $262,760,098 · Management $756,710 · Fundraising $147,643$263,664,451
IX-24e All other expensesPrograms $1,648,115 · Management $1,616,309 · Fundraising $71,100$3,335,524
IX-25 Total functional expensesPrograms $2,291,611,627 · Management $12,065,073 · Fundraising $3,325,452$2,307,002,152
Part X · Balance sheet $1,292,290,030 assets, 16 lines filed
Asset lines not itemized here account for $135,727; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $5,630,476$6,260,395
X-2 Savings and temporary cash investmentsStart of year $34,939,157$102,639,577
X-3 Pledges and grants receivableStart of year $14,941,438$30,340,557
X-8 Inventories for sale or useStart of year $926,411,374$1,025,043,255
X-9 Prepaid expenses and deferred chargesStart of year $4,008,523$2,567,042
X-10c Land, buildings and equipment, netStart of year $37,597,401$36,595,504
X-11 Publicly traded securitiesStart of year $153,689,474$78,376,379
X-15 Other assetsStart of year $8,646,503$10,331,594
X-16 Total assetsStart of year $1,186,035,572$1,292,290,030
X-17 Accounts payable and accrued expensesStart of year $4,739,442$6,551,620
X-25 Other liabilitiesStart of year $25,303,595$37,466,487
X-26 Total liabilitiesStart of year $30,043,037$44,018,107
X-27 Net assets without donor restrictionsStart of year $1,025,025,988$1,127,437,026
X-28 Net assets with donor restrictionsStart of year $130,966,547$120,834,897
X-32 Total net assets or fund balancesStart of year $1,155,992,535$1,248,271,923
X-33 Total liabilities and net assetsStart of year $1,186,035,572$1,292,290,030
Part XI · Reconciliation of net assets $1,248,271,923 net assets at year end
XI-1 Total revenue$2,398,998,642
XI-2 Total expenses$2,307,002,152
XI-3 Revenue less expenses$91,996,490
XI-4 Net assets at start of year$1,155,992,535
XI-5 Net unrealized gains (losses) on investments$240,303
XI-6 Donated services and use of facilities$42,595
XI-9 Other changes in net assets$0
XI-10 Net assets at end of year$1,248,271,923

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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