2025-11-13T09:47:30-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2024-01-01 133433452 MEDECINS SANS FRONTIERES USA INC MEDE 2126796800 40 RECTOR STREET 16TH FLOOR NEW YORK NY 10006 CAMERON WRIGLEY CFO 2126796800 2025-06-10 1 1 LAWRENCE H MOHR P00447603 6128764500 2025-11-11 2024 2025-03-06 01:10:19Z DOCTORS WITHOUT BORDERS USA INC AVRIL BENOIT 40 RECTOR STREET 16TH FLOOR NEW YORK NY 10006 814904265 0 X WWW.DOCTORSWITHOUTBORDERS.ORG X 1987 NY TO PROVIDE INDEPENDENT MEDICAL HUMANITARIAN EMERGENCY AID WORLDWIDE. 12 11 513 37 335000 221191 744652791 751694927 13330736 11197022 9079033 12862137 300356 1168840 767362916 776922926 715702982 616057744 0 0 42615575 44978029 25728499 26702966 115131289 72484017 86576102 856531073 774314841 -89168157 2608085 501967209 434345054 238377697 170655094 263589512 263689960 X TO PROVIDE INDEPENDENT MEDICAL HUMANITARIAN EMERGENCY AID TO PEOPLE AFFECTED BY ARMED CONFLICT, EPIDEMICS, MALNUTRITION, NATURAL DISASTERS AND EXCLUSION FROM HEALTH CARE. 0 0 637007277 616057744 5460440 EMERGENCY AND MEDICAL PROGRAMS - IN 2024, DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERES (MSF) PROVIDED EMERGENCY MEDICAL CARE TO MILLIONS OF PEOPLE CAUGHT IN CRISES IN MORE THAN 70 COUNTRIES AROUND THE WORLD. MSF USA PROVIDED GRANTS TO SUPPORT PROGRAMS IN OVER 60 OF THOSE COUNTRIES. MSF USA FUNDING SUPPORTS THOSE PROGRAMS, PROVIDING ASSISTANCE WHEN CATASTROPHIC EVENTS - SUCH AS ARMED CONFLICT, EPIDEMICS, MALNUTRITION, OR NATURAL DISASTERS - OVERWHELM LOCAL HEALTH SYSTEMS. MSF USA GRANTS ALSO SUPPORT COMPREHENSIVE, AND IN SOME CASES LONG-STANDING, TREATMENT PROGRAMS FOR PEOPLE LIVING WITH A HOST OF NEGLECTED DISEASES. PROGRAMS FUNDED BY MSF USA ALSO ASSIST PEOPLE WHO FACE EXCLUSION OR NEGLECT FROM THEIR LOCAL HEALTH SYSTEMS. FOR A DETAILED DESCRIPTION OF MSF USA AND WORLDWIDE ACCOMPLISHMENTS, PLEASE VISIT OUR WEBSITE AT: HTTPS://WWW.DOCTORSWITHOUTBORDERS.ORG/WHO-WE-ARE/FINANCES-REPORTING-ACCOUNTABILITY 5666043 0 5736582 MSF-USA ENGAGES IN THE RECRUITMENT AND PLACEMENT OF MEDICAL AND OTHER PROFESSIONALS FROM THE UNITED STATES TO WORK ON VARIOUS MEDICAL HUMANITARIAN EMERGENCY PROGRAMS. MSF-USA EMPLOYED 187 MEDICAL STAFF AND OTHER PROFESSIONALS ON A TOTAL OF 262 INTERNATIONAL ASSIGNMENTS IN 31 COUNTRIES IN 2024. 4210981 0 0 COMMUNICATIONS - BEARING WITNESS TO HUMANITARIAN NEEDS AND SPEAKING OUT FOR THE HEALTH AND WELLBEING OF OUR PATIENTS ARE CENTRAL TO MSF'S FOUNDING PRINCIPLES. THESE ACTIVITIES AIM TO IMPROVE CONDITIONS FOR PEOPLE CAUGHT IN CRISIS OR FACING BARRIERS TO HEALTH CARE. THROUGH ITS COMMUNICATIONS, MSF USA HELPS RAISE AWARENESS ABOUT MEDICAL AND HUMANITARIAN EMERGENCIES AROUND THE WORLD. THE ORGANIZATION'S REPORTING DRAWS PUBLIC ATTENTION TO SITUATIONS OF EXTREME VIOLENCE, ABUSE, OR NEGLECT. MSF DEMANDS EQUITABLE ACCESS TO MEDICAL CARE AND TO ESSENTIAL MEDICINES, VACCINES, AND OTHER HEALTH PRODUCTS. MSF'S REPORTING IS GROUNDED IN THE DIRECT EXPERIENCES OF STAFF AND PATIENTS. THE ORGANIZATION SHARES NEWS AND STORIES THROUGH PRINT AND DIGITAL CHANNELS, INCLUDING THE WEBSITE AND SOCIAL MEDIA.MSF USA SEEKS TO EXPAND ITS REACH THROUGH THE NEWS MEDIA, INCLUDING BY CONDUCTING INTERVIEWS, HOLDNG PRESS BRIEFINGS, AND PUBLISHING OPINION COLUMNS. THE ORGANIZATION ALSO PRODUCES LIVE EVENTS AND ONLINE DISCUSSION PROGRAMS ABOUT HUMANITARIAN ISSUES IN ORDER TO INFORM AND ENGAGE WITH THE PUBLIC. 646884301 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1 1 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 70 0 513 1 1 1 1 UK 0 0 0 1 1 1 3 0 0 0 0 0 X 12 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AK AZ AR CA CO CT DC FL GA IL IN KS KY LA ME MD MA MI MN MS MO MT NH NJ NM NY NC ND OH OK OR PA RI SC TN TX UT WA WV WI X X CAMERON WRIGLEY CFO 2127635703 40 RECTOR STREET 16TH FLOOR NEW YORK NY 10006 RASHA KHOURY PRESIDENT AS OF 6/24 25.00 0.00 X X 66263 0 0 AFRICA STEWART PRESIDENT TO 5/24 25.00 0.00 X X 39615 0 0 JACK RACK GOMER VICE PRESIDENT 7.50 0.00 X X 0 0 0 JOHN WETHERINGTON TREASURER 7.50 0.00 X X 0 0 0 DARLYN RODRIQUEZ HAYES SECRETARY AS OF 9/24 7.50 0.00 X X 0 0 0 SHERONDA ROCHELLE SECRETARY TO 7/24 7.50 0.00 X X 0 0 0 ISABELLE DEFOURNEY PRESIDENT, MSF FRANCE 7.50 0.00 X X 0 0 0 SANDRA TACINA DIRECTOR 5.00 0.00 X 0 0 0 CHRISTINA MOORE DIRECTOR 5.00 0.00 X 0 0 0 QUSAY HOSSEIN DIRECTOR 5.00 0.00 X 0 0 0 MONICA DHAND DIRECTOR 5.00 0.00 X 0 0 0 AQSA DURRANI DIRECTOR AS OF 5/24 5.00 0.00 X 0 0 0 JASON CONE DIRECTOR AS OF 5/24 5.00 0.00 X 0 0 0 EAMON PENNEY DIRECTOR AS OF 5/24 5.00 0.00 X 0 0 0 MARC LEVIN DIRECTOR TO 5/24 5.00 0.00 X 0 0 0 ELEN COSTIGAN DIRECTOR TO 5/24 5.00 0.00 X 0 0 0 ADRIENNE HURST DIRECTOR TO 12/24 5.00 0.00 X 0 0 0 AVRIL BENOIT CHIEF EXECUTIVE OFFICER 35.00 0.00 X 351008 0 35953 REBEKAH VARELA CHIEF OPERATING OFFICER 35.00 0.00 X 268631 0 44832 CARRIE TEICHER CHIEF PROGRAMS OFFICER 35.00 0.00 X 254435 0 65159 DEBORAH GARCIA CHIEF DEVELOPMENT OFFICER 35.00 0.00 X 249656 0 31360 KAVITA MENON CHIEF COMMUNICATIONS OFFICER 35.00 0.00 X 246024 0 64383 CAMERON WRIGLEY CHIEF FINANCIAL OFFICER 35.00 0.00 X 235034 0 47927 JAY CHAUDHURI CHIEF TECHNOLOGY OFFICER 35.00 0.00 X 233537 0 63801 ALLISON WESTFIELD-JAMES CHIEF PEOPLE CULTURE & INCLUSION OFFICER 35.00 0.00 X 219934 0 56115 ELLEN WILLMOTT GENERAL COUNSEL 35.00 0.00 X 234648 0 30272 NORTHAN HURTADO HERIERA HEAD OF MEDICAL UNIT 35.00 0.00 X 195685 0 48456 MIKHAELA REID SR.DIR.,INTEGRATED CHANNEL MARKETING 35.00 0.00 X 224376 0 63322 TIFFANY WOLLIN SR. DIR., IND. GIVING & STRAT. PHILANTHROPY 35.00 0.00 X 223616 0 30176 MARY VONCKX SR. DIRECTOR OF GRANTS 35.00 0.00 X 219004 0 42404 SARAH AUTRY SR. DIR., DEVELOPMENT OPERATIONS 35.00 0.00 X 207554 0 29270 SHEILA SHETTLE HEAD OF COMM. ACCESS CAMPAIGN 35.00 0.00 X 196003 0 62010 ALEXA ADAM DIR., FOUNDATIONS & CORPORATIONS 35.00 0.00 X 190936 0 61775 SANDRA MURILLO MEDIA RELATIONS DIRECTOR 35.00 0.00 X 190948 0 61721 ELIAS PRIMOFF EDITORIAL DIRECTOR 35.00 0.00 X 186394 0 61242 ELLA WATSON-STRYKER HUMANITARIAN REPRESENTATIVE 35.00 0.00 X 184030 0 27885 ANDRES MALDONADO SEGLER DEPUTY TO THE SECRETARY GENERAL 35.00 0.00 X 289162 0 49439 JOHN RYAN BROOKS INT'L INFO SYSTEMS COORDINATOR 35.00 0.00 X 259537 0 47780 CLAIRE BRUTEN PAUL DIRECTOR OF FINANCE 35.00 0.00 X 174215 0 59803 JENNIFER NEWELL REPRESENTATIVE TO THE UNITED NATIONS 35.00 0.00 X 180058 0 39041 MEGAN MCGUIRE INTERSECTIONAL HEALTH DATA STRAT. ADVISOR 35.00 0.00 X 172894 0 49175 5493197 0 1173301 139 0 1 0 PERSONAL FUNDRAISING SERVICES 10 S RIVERSIDE PLAZA CHICAGO IL 60606 FUNDRAISING & CANVASSING SVCS 2439050 JACKSON RIVER LLC PO BOX 1180 COLUMBUS GA 31902 FUNDRAISING TECH & STRATEGY 1039519 MOORE A SERIES (THD) 4200 PARLIAMENT PLACE LANHAM MD 20706 FUNDRAISING & STRATEGY 725308 PRICEWATERHOUSECOOPERS 4040 W BOY SCOUT BOULEVARD TAMPA FL 33607 RISK MANAGEMENT & TECH SUPPORT 509194 DVCANVASS LLC 11710 PLAZA AMERICA DRIVE RESTON VA 20190 FUNDRAISING & CANVASSING SVCS 364327 14 2076696 749618231 40444384 751694927 SECONDED FIELD STAFF G 900099 5736582 5736582 MSF NETWORK GRANTS 900099 5460440 5460440 11197022 11132604 11132604 40000 34642 5358 5358 5358 38958221 248415 37477103 0 1481118 248415 1729533 1729533 469594 2076696 469594 0 MISCELLANEOUS INCOME 900099 828482 828482 ADVERTISING INCOME 541800 335000 335000 1163482 776922926 11197022 335000 13695977 98219 98219 615959525 615959525 5345394 4436677 748355 160362 28047264 12562555 4764320 10720389 1701909 767332 288706 645871 7497069 3524849 1260465 2711755 2386393 1192950 395672 797771 1286096 106941 117677 1061478 175864 14623 16092 145149 292782 292782 26702966 26702966 746729 746729 9778714 1217347 1003292 7558075 37720295 223915 774798 36721582 994350 401693 234619 358038 1332979 707107 300792 325080 43367 14876 882 27609 3024386 3022081 990 1315 3654573 1248349 473477 1932747 960923 728061 99884 132978 CONSULTANCY AND PROJECT 23441684 112978 81652 23247054 DUES & SUBSCRIPTIONS 2479448 454475 237682 1787291 RECRUITING & RELOCATION 643912 89748 460385 93779 774314841 646884301 12299251 115131289 2960 2664 85385206 82680945 92325912 72927592 3758254 4331147 23124678 17963368 8120606 2402541 76098852 24018074 54544902 52080778 234694391 201945719 10300 10300 501967209 434345054 17599584 18156071 197113804 121875937 23664309 30623086 238377697 170655094 X 203839224 226093527 59750288 37596433 263589512 263689960 501967209 434345054 X 2608085 1568186 -4075823 X X 0 1 X 1 0 X 540354869 623387442 675099889 744652791 751694927 3335189918 540354869 623387442 675099889 744652791 751694927 3335189918 3335189918 3200820 5000434 6699200 11154168 11172604 37227226 222191 222191 209050 -310112 -1867682 554319 1298076 -116349 3372522986 63380063 0.98890 0.99060 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 209,050. 2021 AMOUNT: $ -310,112. 2022 AMOUNT: $ -1,867,682. 2023 AMOUNT: $ 92,765. 2024 AMOUNT: $ 828,482. GROSS INCOME FROM FUNDRAISING EVENTS - 2023 AMOUNT: $ 461,394. 2024 AMOUNT: $ 469,594. GROSS SALES OF INVENTORY - 2023 AMOUNT: $ 160. 0 1 0 1 109337 1 41760 0 1 141685 0 0 292782 0 DETAILED DESCRIPTION OF LOBBYING ACTIVITIES: PART II-B, LINE 1D: MAILINGS TO MEMBERS OF CONGRESS ON KEY COMMITTEES, ASKING THEM TO REAUTHORIZE PEPFAR AND TO ADVANCE LEGISLATION TO INCREASE TRANSPARENCY INTO THE COSTS OF BIOMEDICAL RESEARCH AND DEVELOPMENT IN ORDER TO BOLSTER ADVOCACY FOR AFFORDABLE PRICING OF RESULTING MEDICAL TOOLS. MAILINGS ALSO SENT TO ADMINISTRATION OFFICIALS SUGGESTING ADMINISTRATIVE ACTION TO SIMILARLY INCREASE TRANSPARENCY, URGING THEM TO ADDRESS GLOBAL HEALTH EQUITY IN PANDEMIC PREPAREDNESS AND RESPONSE, AND IN DEMONSTRATING GLOBAL LEADERSHIP IN COMBATTING ANTIMICROBIAL RESISTANCE. COMMUNICATIONS WITH MEMBERS OF CONGRESS AND ADMINISTRATION OFFICIALS IN THE INTEREST OF EXPANDING GLOBAL ACCESS TO MEDICAL TOOLS. PART II-B, LINE 1E: LOBBYING ACTIVITIES RELATED TO PUBLICATIONS OR PUBLISHED OR BROADCAST STATEMENTS INCLUDE THE FOLLOWING ACTIVITIES: PUBLIC COMMUNICATIONS INCLUDED CAMPAIGN WEB PAGES, PRESS RELEASES/STATEMENTS AND SOCIAL MEDIA REGARDING EXPANDING ACCESS TO MEDICAL TOOLS GLOBALLY, PANDEMIC PREPAREDNESS AND RESPONSE, COMBATTING ANTIMICROBIAL RESISTANCE, REAUTHORIZATION OF PEPFAR, AND TRANSPARENCY INTO THE COSTS OF BIOMEDICAL RESEARCH AND DEVELOPMENT. PART II-B, LINE 1G: LOBBYING ACTIVITIES RELATED TO DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY INCLUDE THE FOLLOWING ACTIVITIES: MEETINGS AND SUBMISSIONS TO MEMBERS OF CONGRESS AND GOVERNMENT OFFICIALS RELATING TO EXPANDING GLOBAL ACCESS TO MEDICINES, IMPROVING PANDEMIC PREPAREDNESS AND RESPONSE, REAUTHORIZING PEPFAR, COMBATTING ANTIMICROBIAL RESISTANCE, IMPROVING SEXUAL AND REPRODUCTIVE HEALTH, AND INCREASING TRANSPARENCY IN BIOMEDICAL RESEARCH AND DEVELOPMENT. PART II-B, LINE 1H: LOBBYING ACTIVITIES RELATED TO RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES OR ANY SIMILAR MEANS INCLUDE THE FOLLOWING ACTIVITIES: PARTICIPATION IN SEVERAL PUBLIC SPEECHES AND LECTURES, IN MEETINGS ABOUT EXPANDING GLOBAL ACCESS TO MEDICINES, IMPROVING PANDEMIC PREPAREDNESS AND RESPONSE, REAUTHORIZING PEPFAR, COMBATTING ANTIMICROBIAL RESISTANCE, IMPROVING SEXUAL AND REPRODUCTIVE HEALTH, AND TRANSPARENCY IN BIOMEDICAL RESEARCH AND DEVELOPMENT. 13062947 554889 1270336 2896862 11991310 13475770 459505 1758778 2631106 13062947 15231498 350000 -2105728 13475770 3664090 305229 46445 3922874 3257492 427721 21123 3664090 0.17800 0.27030 0.55170 0 0 18878293 18878293 34107473 6855168 27252305 35247 27692 7555 19900379 14098434 5801945 3177460 3036780 140680 52080778 CHARITABLE GIFT ANNUITIES PAYABLE 27315697 REVOCABLE ENDOWMENT 3250000 CAPITALIZED LEASE OBLIGATION 57389 30623086 X 777661440 1568186 3488644 -4075823 981007 776680433 746729 -504236 242493 776922926 777560992 3488644 504236 3992880 773568112 746729 746729 774314841 PART V, LINE 4: THE ORGANIZATION MAINTAINS BOTH DONOR-RESTRICTED AND BOARD-DESIGNATED ENDOWMENT FUNDS. DONOR-RESTRICTED ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH DONOR STIPULATIONS TO SUPPORT MSF PROGRAMS. THE ORIGINAL PRINCIPAL OF PERMANENT ENDOWMENTS IS PRESERVED IN ACCORDANCE WITH DONOR STIPULATIONS, AND INVESTMENT INCOME IS APPROPRIATED FOR EXPENDITURE BASED ON A SPENDING POLICY DESIGNED TO BALANCE THE NEEDS OF CURRENT PROGRAMS WITH THE GOAL OF PRESERVING ENDOWMENT VALUE OVER TIME. BOARD-DESIGNATED ENDOWMENT FUNDS ARE UNRESTRICTED NET ASSETS THAT THE BOARD OF DIRECTORS HAS DESIGNATED TO FUNCTION AS ENDOWMENTS. THE BOARD-DESIGNATED ENDOWMENTS ARE INTENDED TO PROVIDE LONG-TERM FINANCIAL STABILITY FOR THE ORGANIZATION AND MAY BE USED FOR GENERAL PURPOSES OR SPECIFIC INITIATIVES AS DETERMINED BY THE BOARD. DISTRIBUTIONS FROM BOARD-DESIGNATED ENDOWMENTS FOLLOW THE SAME SPENDING POLICY AS DONOR-RESTRICTED ENDOWMENTS, BASED ON AN ANNUAL MAXIMUM DRAW OF 4% FROM A ROLLING 20 QUARTER AVERAGE OF ENDOWMENT MARKET VALUES. THE ANNUAL DRAW IS REVIEWED AND APPROVED ANNUALLY BY THE ADMINISTRATIVE COMMITTEE. PART X, LINE 2: MSF USA IS INCORPORATED AS A NOT-FOR-PROFIT COMPANY PURSUANT TO THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IT THEREFORE, MAKES NO PROVISION FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS, EXCEPT AS MAY BE REQUIRED IN CONNECTION WITH ANY UNRELATED BUSINESS INCOME TAXES PURSUANT TO 990T. MSF USA HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) TO NOT BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE IRC. MSF USA DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ACTUARIAL LOSS ON ANNUITY AND TRUST OBLIGATIONS -4,054,182. LOSS ON FOREIGN EXCHANGE -21,641. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENTS -469,594. RENTAL EXPENSES -34,642. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS 469,594. RENTAL EXPENSES 34,642. PART V, LINE 1A, COLUMN (B): BEGINNING OF YEAR ENDOWMENT FUND BALANCE AT JANUARY 1, 2022 WAS RESTATED TO INCLUDE TERM-RESTRICTED QUASI ENDOWMENTS. 1 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 55 0 GRANTMAKING 35904659 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 59 0 GRANTMAKING 3334584 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 48 0 GRANTMAKING 30012104 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 81 0 GRANTMAKING 112449832 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 26 0 GRANTMAKING 3104125 RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, 78 0 GRANTMAKING 10890089 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 19 0 GRANTMAKING 1357759 SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 121 0 GRANTMAKING 32096934 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 766 0 GRANTMAKING 386809439 487 0 766 0 1253 0 229150086 386809439 615959525 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, MEDICAL ASSISTANCE 35904659 WIRE 0 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, MEDICAL ASSISTANCE 3334584 WIRE 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM MEDICAL ASSISTANCE 30012104 WIRE 0 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, MEDICAL ASSISTANCE 112449832 WIRE 0 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES MEDICAL ASSISTANCE 3104125 WIRE 0 RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, MEDICAL ASSISTANCE 10890089 WIRE 0 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, MEDICAL ASSISTANCE 1357759 WIRE 0 SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, MEDICAL ASSISTANCE 32096934 WIRE 0 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, MEDICAL ASSISTANCE 386809439 WIRE 0 7 0 1 0 0 0 0 1 PART I, LINE 2: THE MSF USA BOARD OF DIRECTORS (BOD) IS THE BODY THAT HAS FINAL OVERSIGHT OF THE DISTRIBUTION OF GRANTS. WHEN MAKING ITS FUNDING DETERMINATIONS THE BOARD OF DIRECTORS RELIES ON THE REVIEW AND RECOMMENDATION OF A PROGRAM COMMITTEE (PC) OF BOARD MEMBERS, AND IS SUPPORTED BY SUBJECT MATTER EXPERTS FROM THE GRANT MANAGEMENT UNIT (GMU), FINANCE, AND COMPLIANCE COUNSEL. THE GMU HAS DAY-TO-DAY RESPONSIBILITY FOR MANAGING THE DISTRIBUTION TO AND OVERSEEING THE USE OF FUNDS BY RECIPIENTS CONSISTENT WITH THE TERMS OF MSF USA GRANT AGREEMENTS. ANNUAL GRANT PLANNING, ASSESSMENT, AND MANAGEMENT ACTIVITIES 1) PLANNING AND ASSESSMENT - AT THE BEGINNING OF EACH FISCAL YEAR, MSF USA ALIGNS ITS GRANT MAKING STRATEGIC ORIENTATIONS WITH THE PRIORITIES ESTABLISHED THROUGH REGULAR PROGRAM-BASED NEEDS ASSESSMENTS. THE GMU REVIEWS AND PC APPRAISES REQUESTS FOR GRANT FUNDING AGAINST THESE STRATEGIES AND PRIORITIES. - AT THE BEGINNING OF EACH FISCAL YEAR, GRANTEES SUBMIT PROPOSALS FOR FUNDING AND GIVE PRESENTATIONS TO THE PC AND/OR BOD ON THEIR OPERATIONAL PLAN FOR THE YEAR. EACH GRANTEE ALSO SUBMITS ITS WRITTEN ANNUAL PLAN AND/OR OPERATIONAL PLAN AS REFERENCE. - BASED ON THE ANNUAL PLANS, OPERATIONAL PLANS, AND NEEDS ASSESSMENTS, THE GRANTEE SUBMITS A LIST OF COUNTRIES AND PROGRAMS FOR WHICH THEY REQUEST FUNDING FROM MSF USA. - THE GMU PREPARES A GRANT APPRAISAL INCLUDING KEY DETAILS OF THE GRANTEE'S ANNUAL STRATEGIC PLANS AND ASSESSMENT, PROJECT DETAILS, FINANCIAL REQUESTS AND PROPOSED ALLOCATIONS, AND GRANTEE'S COMPLIANCE STATUS. GMU WILL SUBMIT A LIST OF PROPOSED COUNTRIES/PROJECTS FOR GRANT FUNDING TO PC. THE PC REVIEWS THIS LIST, AND BASED ON THE GRANT ASSESSMENT PROCESS WILL DISCUSS AND MAKE RECOMMENDATIONS TO THE BOD FOR APPROVAL AS APPROPRIATE. 2) GRANT MANAGEMENT AND OVERSIGHT - MSF USA USES GRANT APPRAISAL AND ASSESSMENT PROCESS TO INFORM THE TERMS AND CONDITIONS OF ITS GRANT AGREEMENT, INCLUDING FINANICAL AND PROGRAM REPORTING, LIMITATIONS ON THE USE OF FUNDS, COMPLIANCE STANDARDS (INCLUDING U.S. GOVERNMENT SANCTIONS, IF ANY), AND OTHER TERMS AND CONDITIONS. - THROUGHOUT THE YEAR MSF USA AND THE GRANTEE MAINTAIN ONGOING DISCUSSIONS FOCUSED ON GRANT PROGRESS, INCLUDING USE OF FUNDS AGAINST BUDGET AND POSSIBLE BARRIERS TO SUCCESS. MSF USA WILL REVIEW OR, IF APPROPRIATE, INITIATE REQUESTS FOR PROJECT CHANGES, BUDGET REVISIONS OR OTHER MATERIAL CHANGES TO TERMS AND CONDITIONS AS NEEDED AND REVIEWED AND APPROVED BY THE BOARD - WITHIN 60 DAYS OF THE CLOSE OF THE FISCAL YEAR, MSF USA AND THE GRANTEE ENGAGE IN RECONCILIATION OF THE USE OF GRANT FUNDS FOR A PARTICULAR COUNTRY/PROJECT. THE RECONCILIATION IS REVIEWED BY THE PC FOR BOD APPROVAL (AND MODIFICATION) AS APPROPRIATE. - MSF USA RESERVES THE RIGHT TO AUDIT THE GRANT RECIPIENT FOR PURPOSES OF ASSESSING USE OF FUNDS AND COMPLIANCE WITH THE TERMS AND CONDITIONS OF THE GRANT AGREEMENT. IN ADDITION, THE GMU REVIEWS THE FINAL REPORTS AND ENSURES THAT NARRATIVE CONTENT AND FINAL FINANCIALS CONFORM TO THE END OF YEAR RECONCILIATION. IN THE EVENT THE FINAL REPORT DEVIATES FROM THE GRANT TERMS OR THE END OF YEAR RECONCILIATION, MSF USA HAS THE RIGHT TO ADJUST FUTURE GRANTS OR REQUIRE A REFUND AS APPROPRIATE. X X X X X X 1 LAUTMANN MASKA NEILL & COMPANY 1730 RHODE ISLAND AVENUE NW SUITE WASHINGTON DC 20036 STRATEGY & IMPLEMENTATION OF DIRECT MAIL MARKETING 0 79833489 1880500 77952989 BLUE STATE DIGITAL 3 WORLD TRADE CENTER 30TH FL 175 NEW YORK NY 10007 DIGITAL FUNDRAISING 0 58269964 4308218 53961746 CHONG & KOSTER LLC 1640 RHODE ISLAND AVE NW SUITE 600 WASHINGTON DC 20036 DIGITAL FUNDRAISING 0 44025449 4842826 39182623 CELCO 8001 FORBES PLACE SUITE 211 SPRINGFIELD VA 221512205 ACQUISITION LIST BROKER 0 10743801 1559300 9184501 GIVEBRIDGE 525 W MONROE STREET SUITE 900 CHICAGO IL 60661 STREET CANVASSING FUNDRAISING 0 9563672 7233394 2330278 ANSWERNET 550 BERRY ST WINNIPEG MANITOBA CA R3H 0R9 INBOUND TELEMARKETING/CUSTOMER SERVICE 0 4097643 593644 3503999 PERSONAL FUNDRAISING SERVICES 10 S RIVERSIDE PLAZA SUITE 875 P CHICAGO IL 60606 STREET CANVASSING FUNDRAISING 0 3054601 2814690 239911 ASCENTA GROUP INC 315 W 36TH STREET NEW YORK NY 10018 STREET CANVASSING FUNDRAISING 0 2669678 2495490 174188 SD&A TELESERVICES INC 5757 W CENTURY BLVD STE 300 LOS ANGELES CA 90045 OUTBOUND TELEMARKETING 0 1414078 829676 584402 PUBLIC INTEREST COMMUNICATIONS 6521 W 91ST ST WESTINSTER CO 800312916 OUTBOUND TELEMARKETING 0 602639 145228 457411 214275014 26702966 187572048 AL AK AR CA CO CT DC FL GA IL KS KY LA ME MD MA MI MN MS MO NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI SUMMER GAMES DONE QUICK 2546290 2076696 469594 100144 369450 2546290 2076696 469594 100144 369450 469594 0 1 GOOD SHEPHERD UNITED CHURCH OF CHRIST 17750 S LA CANADA DRIVE SAHUARITA AZ 85629 860693390 8002 0 MEDICAL HUMANITARIAN ASSISTANCE CENTER FOR DISASTER PHILANTHROPY ONE THOMAS CIRCLE SUITE 700 WASHINGTON DC 20005 455257937 501(C)(3) 90217 0 MEDICAL HUMANITARIAN ASSISTANCE 2 0 PART I, LINE 2: PLEASE SEE SCHEDULE F FOR GRANT MONITORING PROCEDURES. X X X X 0 0 0 0 0 0 0 0 0 AVRIL BENOIT CHIEF EXECUTIVE OFFICER 351008 0 0 0 0 0 18650 0 17303 0 386961 0 0 0 ANDRES MALDONADO SEGLER DEPUTY TO THE SECRETARY GENERAL 289162 0 0 0 0 0 15818 0 33621 0 338601 0 0 0 CARRIE TEICHER CHIEF PROGRAMS OFFICER 254435 0 0 0 0 0 14515 0 50644 0 319594 0 0 0 REBEKAH VARELA CHIEF OPERATING OFFICER 268631 0 0 0 0 0 15068 0 29764 0 313463 0 0 0 KAVITA MENON CHIEF COMMUNICATIONS OFFICER 246024 0 0 0 0 0 13739 0 50644 0 310407 0 0 0 JOHN RYAN BROOKS INT'L INFO SYSTEMS COORDINATOR 259537 0 0 0 0 0 14361 0 33419 0 307317 0 0 0 JAY CHAUDHURI CHIEF TECHNOLOGY OFFICER 233537 0 0 0 0 0 13157 0 50644 0 297338 0 0 0 MIKHAELA REID SR.DIR.,INTEGRATED CHANNEL MARKETING 224376 0 0 0 0 0 12678 0 50644 0 287698 0 0 0 CAMERON WRIGLEY CHIEF FINANCIAL OFFICER 235034 0 0 0 0 0 13157 0 34770 0 282961 0 0 0 DEBORAH GARCIA CHIEF DEVELOPMENT OFFICER 249656 0 0 0 0 0 13856 0 17504 0 281016 0 0 0 ALLISON WESTFIELD-JAMES CHIEF PEOPLE CULTURE & INCLUSION OFF 219934 0 0 0 0 0 21494 0 34621 0 276049 0 0 0 ELLEN WILLMOTT GENERAL COUNSEL 234648 0 0 0 0 0 12969 0 17303 0 264920 0 0 0 MARY VONCKX SR. DIRECTOR OF GRANTS 219004 0 0 0 0 0 12788 0 29616 0 261408 0 0 0 SHEILA SHETTLE HEAD OF COMM. ACCESS CAMPAIGN 196003 0 0 0 0 0 11366 0 50644 0 258013 0 0 0 TIFFANY WOLLIN SR. DIR., IND. GIVING & STRAT. PHILA 223616 0 0 0 0 0 12672 0 17504 0 253792 0 0 0 ALEXA ADAM DIR., FOUNDATIONS & CORPORATIONS 190936 0 0 0 0 0 11131 0 50644 0 252711 0 0 0 SANDRA MURILLO MEDIA RELATIONS DIRECTOR 190948 0 0 0 0 0 11077 0 50644 0 252669 0 0 0 ELIAS PRIMOFF EDITORIAL DIRECTOR 186394 0 0 0 0 0 10799 0 50443 0 247636 0 0 0 NORTHAN HURTADO HERIERA HEAD OF MEDICAL UNIT 195685 0 0 0 0 0 11324 0 37132 0 244141 0 0 0 SARAH AUTRY SR. DIR., DEVELOPMENT OPERATIONS 207554 0 0 0 0 0 11766 0 17504 0 236824 0 0 0 CLAIRE BRUTEN PAUL DIRECTOR OF FINANCE 174215 0 0 0 0 0 10159 0 49644 0 234018 0 0 0 MEGAN MCGUIRE INTERSECTIONAL HEALTH DATA STRAT. AD 172894 0 0 0 0 0 10970 0 38205 0 222069 0 0 0 JENNIFER NEWELL REPRESENTATIVE TO THE UNITED NATIONS 180058 0 0 0 0 0 10627 0 28414 0 219099 0 0 0 ELLA WATSON-STRYKER HUMANITARIAN REPRESENTATIVE 184030 0 0 0 0 0 10582 0 17303 0 211915 0 0 0 X 2537 40444384 NYSE 2 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED BY AN AFFIRMATIVE VOTE OF THE BOARD AT A MEETING IN MAY 2024, AT WHICH A QUORUM WAS PRESENT, TO RETITLE THE ROLE OF THE EXECUTIVE DIRECTOR TO CHIEF EXECUTIVE OFFICER (CEO) AND ALIGN THE AUTHORITIES OF THE CEO WITH THE CEO ROLE. FORM 990, PART VI, SECTION A, LINE 6 IN ACCORDANCE WITH THE PROVISIONS OF SECTION 601(A) OF THE NOT-FOR-PROFIT CORPORATION LAW OF THE STATE OF NEW YORK (THE "NPCL"), MEDECINS SANS FRONTIERES U.S.A., INC. (THE "CORPORATION") WILL HAVE TWO CLASSES OF MEMBERSHIP: ASSOCIATION MEMBERS AND DIRECTOR MEMBERS. ASSOCIATION MEMBERS: THE ASSOCIATION MEMBERS WILL BE ALL PERSONS GRANTED ASSOCIATION MEMBERSHIP PURSUANT TO WRITTEN GUIDELINES FROM TIME TO TIME BY THE BOARD OF DIRECTORS, AND FOR THE AVOIDANCE OF DOUBT, PERSONS GRANTED "PROVISIONAL MEMBERSHIP OR SIMILAR STATUS ARE NOT ASSOCIATION MEMBERS. DIRECTOR MEMBERS: ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION THEN IN THE OFFICE WHO ARE NOT OTHERWISE ALREADY ASSOCIATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE ORGANIZATION ELECT A MAJORITY OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B WHILE THE BOARD OF DIRECTORS MAKES A DETERMINATION AS TO THE DISTRIBUTION OF ASSETS AT DISSOLUTION, NY LAW REQUIRES COURT APPROVAL OF THE DISTRIBUTION PLAN. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS PREPARED BY A NATIONALLY RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT. A FINAL DRAFT OF THE 990 WAS SHARED WITH THE ADMINISTRATIVE COMMITTEE AND WITH ALL THE MEMBERS OF THE BOARD OF DIRECTORS WITH AN OPPORTUNITY FOR THEM TO COMMENT OR MAKE INQUIRY BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C UPON JOINING THE ORGANIZATION ALL BOARD MEMBERS AND STAFF ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT AFTER REVIEWING THE CONFLICT OF INTEREST POLICY. ADDITIONALLY, STAFF AND THE BOARD ARE REQUIRED TO IMMEDIATELY REPORT ANY ACTUAL OR APPARENT CONFLICTS THAT MAY ARISE FOR APPROPRIATE MANAGEMENT. FURTHER, ANNUALLY, KEY EMPLOYEES (AND OTHERS AS DESIGNATED BY MANAGEMENT) AND BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT REPORTING ANY CONFLICTS WHICH IS REPORTED TO THE AUDIT AND RISK COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 MSF-USA APPLIES A STRUCTURED PROCESS, REVIEWED BIANNUALLY, TO DETERMINE THE COMPENSATION OF ITS CEO AND OTHER KEY OFFICERS. THE BOARD OF DIRECTORS OVERSEES THIS PROCESS, WITH CONFLICTED BOARD MEMBERS EXCUSED, IT INCORPORATES INDEPENDENTLY ACQUIRED MARKET COMPARABILITY DATA, INCLUDING SALARY STUDIES FROM A LEADING ORGANIZATIONAL CONSULTANT,AS WELL AS INTERNAL BENCHMARKING ANALYSES, SOURCED FROM SIMILARLY SITUATED ORGANIZATIONS IN THE NONPROFIT AND HUMANITARIAN SECTORS. IN 2024, MSF-USA REINFORCED ITS COMMITMENT TO COMPENSATION PRACTICES THAT ARE TRANSPARENT, FISCALLY RESPONSIBLE, AND ALIGNED WITH OUR ORGANIZATIONAL VALUES AROUND EQUITY AND ACCOUNTABILITY. WHILE THE CORE REVIEW PROCESS REMAINED CONSISTENT WITH THE PRIOR YEAR, GREATER EMPHASIS WAS PLACED ON INTERNAL PAY EQUITY AND PRECISE DOCUMENTATION OF RATIONALE. AT THE MAY 2024 MEETING, THE BOARD REVIEWED AND APPROVED THE CEO AND BOARD PRESIDENT SALARIES (WITH CONFLICTED BOARD MEMBERS EXCUSED FROM DELIBERATION AND VOTE). IN 2024, THE CEO, RELYING ON THE NEW SALARY STRUCTURE AS APPROVED BY THE BOARD, REVIEWED AND APPROVED SALARY ADJUSTMENTS FOR STAFF FOR IMPLEMENTATION IN 2025. THIS REFLECTS OUR CONTINUED EFFORTS TO ENSURE THAT COMPENSATION DECISIONS ARE NOT ONLY COMPLIANT WITH IRS STANDARDS FOR REASONABLENESS BUT ALSO RESPONSIVE TO EVOLVING EXPECTATIONS REGARDING FAIRNESS, WORKFORCE SUSTAINABILITY, AND TRUST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ACTUARIAL LOSS ON ANNUITY AND TRUST OBLIGATIONS -4,054,182. LOSS ON FOREIGN EXCHANGE -21,641. FORM 990, PART XII, LINE 2B THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN AUDITED INTERNATIONAL FINANCIAL STATEMENTS BASED ON A COMBINATION. THE INTERNATIONAL FINANCIAL REPRESENTS AN AGGREGATION OF THE FINANCIAL STATEMENTS OF THE 24 SECTIONS, 18 BRANCH OFFICES, NUMEROUS SATELLITES AND MSF INTERNATIONAL.