MEDECINS SANS FRONTIERES USA INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MEDECINS SANS FRONTIERES USA INC (EIN 13-3433452)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-01
IRS object ID: 202403069349301755
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-01T10:25:57-05:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	133433452	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	MEDE	BusinessNameControlTxt
Phone	2126796800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40 RECTOR STREET 16TH FLOOR	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10006	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CAMERON WRIGLEY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2126796800	PhoneNum
Signature	2024-10-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAWRENCE H MOHR CPA	PreparerPersonNm
PTIN	P00447603	PTIN
Phone	6128764500	PhoneNum
Preparation	2024-10-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	AVRIL BENOIT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40 RECTOR STREET 16TH FLOOR	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10006	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$863,518,229	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DOCTORSWITHOUTBORDERS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO ASSIST VICTIMS OF DISASTERS AND CONFLICTS WORLDWIDE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	547	TotalEmployeeCnt
Total Volunteers	59	TotalVolunteersCnt
Total Gross UBI	$197,000	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$92,620	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$675,099,889	PYContributionsGrantsAmt
CY Contributions Grants	$744,652,791	CYContributionsGrantsAmt
PY Program Service Revenue	$11,765,290	PYProgramServiceRevenueAmt
CY Program Service Revenue	$13,330,736	CYProgramServiceRevenueAmt
PY Investment Income	$4,207,090	PYInvestmentIncomeAmt
CY Investment Income	$9,079,033	CYInvestmentIncomeAmt
PY Other Revenue	-$2,328,493	PYOtherRevenueAmt
CY Other Revenue	$300,356	CYOtherRevenueAmt
PY Total Revenue	$688,743,776	PYTotalRevenueAmt
CY Total Revenue	$767,362,916	CYTotalRevenueAmt
PY Grants And Similar Paid	$514,055,079	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$715,702,982	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$36,589,960	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$42,615,575	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$15,120,762	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$25,728,499	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$101,777,031	CYTotalFundraisingExpenseAmt
PY Other Expenses	$83,810,085	PYOtherExpensesAmt
CY Other Expenses	$72,484,017	CYOtherExpensesAmt
PY Total Expenses	$649,575,886	PYTotalExpensesAmt
CY Total Expenses	$856,531,073	CYTotalExpensesAmt
PY Revenues Less Expenses	$39,167,890	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$89,168,157	CYRevenuesLessExpensesAmt
Total Assets BOY	$436,019,804	TotalAssetsBOYAmt
Total Assets EOY	$501,967,209	TotalAssetsEOYAmt
Total Liabilities BOY	$93,509,737	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$238,377,697	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$342,510,067	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$263,589,512	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE INDEPENDENT MEDICAL HUMANITARIAN EMERGENCY AID TO PEOPLE AFFECTED BY ARMED CONFLICT, EPIDEMICS, MALNUTRITION, NATURAL DISASTERS AND EXCLUSION FROM HEALTH CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$734,121,378	ExpenseAmt
Grant	$715,702,982	GrantAmt
Revenue	$6,404,851	RevenueAmt
Desc	EMERGENCY AND MEDICAL PROGRAMS - IN 2023, 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 PROVIDES ASSISTANCE WHEN CATASTROPHIC EVENTS - SUCH AS ARMED CONFLICT, EPIDEMICS, MALNUTRITION, OR NATURAL DISASTERS - OVERWHELM LOCAL HEALTH SYSTEMS, AND OPERATES COMPREHENSIVE, AND IN SOME CASES LONG-STANDING, TREATMENT PROGRAMS FOR PEOPLE LIVING WITH A HOST OF NEGLECTED DISEASES. MSF ALSO ASSISTS PEOPLE WHO FACE DISCRIMINATION OR NEGLECT FROM THEIR LOCAL HEALTH SYSTEMS OR WHEN POPULATIONS ARE OTHERWISE EXCLUDED FROM HEALTH CARE. FOR A DETAILED DESCRIPTION OF MSF USA AND WORLDWIDE ACCOMPLISHMENTS, PLEASE VISIT OUR WEBSITE AT: HTTPS://WWW.DOCTORSWITHOUTBORDERS.ORG/WHO-WE-ARE/FINANCES-REPORTING-ACCOUNTABILITY	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$6,790,371	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,925,885	RevenueAmt
Desc	MSF-USA ENGAGES IN THE RECRUITMENT AND PLACEMENT OF MEDICAL AND OTHER PROFESSIONALS FROM THE UNITED STATES TO WORK ON VARIOUS MEDICAL HUMANITARIAN EMERGENCY PROGRAMS. MSF-USA EMPLOYED 224 MEDICAL STAFF AND OTHER PROFESSIONALS ON A TOTAL OF 290 INTERNATIONAL ASSIGNMENTS IN 48 COUNTRIES IN 2023.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,650,088	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNICATIONS - BEARING WITNESS TO HUMANITARIAN NEEDS AND SPEAKING OUT FOR THE HEALTH AND WELLBEING OF OUR PATIENTS ARE CENTRAL TO MSF'S FOUNDING PRINCIPLES. THESE ACTIVITIES AIM TO IMPROVE CONDITIONS FOR PEOPLE CAUGHT IN CRISIS OR FACING BARRIERS TO HEALTH CARE. THROUGH ITS COMMUNICATIONS, MSF HELPS RAISE AWARENESS ABOUT MEDICAL AND HUMANITARIAN EMERGENCIES AROUND THE WORLD. THE ORGANIZATION'S REPORTING DRAWS PUBLIC ATTENTION TO SITUATIONS OF EXTREME VIOLENCE, ABUSE, OR NEGLECT. MSF DEMANDS EQUITABLE ACCESS TO MEDICAL CARE AND TO ESSENTIAL MEDICINES, VACCINES, AND OTHER HEALTH PRODUCTS. MSF'S REPORTING IS GROUNDED IN THE DIRECT EXPERIENCES OF STAFF AND PATIENTS. THE ORGANIZATION SHARES NEWS AND STORIES THROUGH PRINT AND DIGITAL CHANNELS, INCLUDING THE WEBSITE AND SOCIAL MEDIA.MSF SEEKS TO EXPAND ITS REACH THROUGH THE NEWS MEDIA, INCLUDING BY CONDUCTING INTERVIEWS, HOLDNG PRESS BRIEFINGS, AND PUBLISHING OPINION COLUMNS. THE ORGANIZATION ALSO PRODUCES LIVE EVENTS AND ONLINE DISCUSSION PROGRAMS ABOUT HUMANITARIAN ISSUES IN ORDER TO INFORM AND ENGAGE WITH THE PUBLIC.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$744,561,837	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	78	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	547	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	UK	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AZ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	DC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	LA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TX	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CAMERON WRIGLEY CFO	PersonNm
Phone	2127635703	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40 RECTOR STREET 16TH FLOOR	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10006	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 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
AFRICA STEWART
PRESIDENT	25.00	0.00	Yes (X)	Yes (X)	$81,921	$0	$0
JACK RACK GOMER
VICE PRESIDENT AS OF 6/23	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
BRIGG REILLEY
VICE PRESIDENT TO 5/23	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN WETHERINGTON
TREASURER	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
SHERONDA ROCHELLE
SECRETARY	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
ISABELLE DEFOURNEY
PRESIDENT, MSF FRANCE	7.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
SANDRA TACINA
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
MARC LEVIN
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
ELEN COSTIGAN
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
RASHA KHOURY
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
ADRIENNE HURST
DIRECTOR	5.00	0.00	Yes (X)		$0	$0	$0
CHRISTINA MOORE
DIRECTOR AS OF 6/23	5.00	0.00	Yes (X)		$0	$0	$0
QUSAY HOSSEIN
DIRECTOR AS OF 6/23	7.50	0.00	Yes (X)		$0	$0	$0
MONICA DHAND
DIRECTOR AS OF 6/23	5.00	0.00	Yes (X)		$0	$0	$0
PATRICIA CARRICK
DIRECTOR TO 5/23	5.00	0.00	Yes (X)		$0	$0	$0
JANE COYNE
DIRECTOR TO 5/23	5.00	0.00	Yes (X)		$0	$0	$0
AVRIL BENOIT
CHIEF EXECUTIVE OFFICER	35.00	0.00		Yes (X)	$263,026	$0	$29,613
REBEKAH VARELA
DEPUTY EXECUTIVE DIRECTOR	35.00	0.00		Yes (X)	$197,744	$0	$38,641
ALLISON WESTFIELD-JAMES
CHIEF PEOPLE CULTURE & INCLUSION OFFICER	35.00	0.00		Yes (X)	$190,732	$0	$42,406
NORTHAN HURTADO HERIERA
DEPUTY MEDICAL DIRECTOR	35.00	0.00		Yes (X)	$228,580	$0	$59,364
KAVITA MENON
CHIEF COMMUNICATIONS OFFICER	35.00	0.00		Yes (X)	$170,658	$0	$56,312
CARRIE TEICHER
CHIEF PROGRAMS OFFICER	35.00	0.00		Yes (X)	$221,722	$0	$59,083
DEBORAH GARCIA
CHIEF DEV OFFICER AS OF 3/23	35.00	0.00		Yes (X)	$166,487	$0	$22,501
KIM GOLDSMITH N'DIAYE
DIRECTOR OF DEVELOPMENT TO 2/23	35.00	0.00		Yes (X)	$41,958	$0	$5,957
CAMERON WRIGLEY
CHIEF FINANCIAL OFFICER	35.00	0.00		Yes (X)	$178,561	$0	$41,808
ELLEN WILLMOTT
GENERAL COUNSEL	35.00	0.00			$192,764	$0	$25,156	Yes (X)
JAY CHAUDHURI
CHIEF TECHNOLOGY OFFICER	35.00	0.00			$176,836	$0	$54,324	Yes (X)
SARAH AUTRY
SR. DIR., DEVELOPMENT OPERATIONS	35.00	0.00			$170,061	$0	$25,064	Yes (X)
ALEXA ADAM
DIR., FOUNDATIONS & CORPORATIONS	35.00	0.00			$167,728	$0	$56,128	Yes (X)
MIKHAELA REID
SR.DIR.,INTEGRATED CHANNEL MARKETING	35.00	0.00			$166,507	$0	$55,761	Yes (X)
ANDREU MALDONADO
DEPUTY TO THE SECRETARY GENERAL	35.00	0.00			$228,738	$0	$44,164		Yes (X)
SHEILA SHETTLE
HEAD OF COMM. ACCESS CAMPAIGN	35.00	0.00			$195,925	$0	$57,587		Yes (X)
JOHN RYAN BROOKS
INT'L INFO SYSTEMS COORDINATOR	35.00	0.00			$188,315	$0	$42,162		Yes (X)
RUPA KANAPATHIPILLAI
INFECTIOUS DISEASE SPECIALIST	35.00	0.00			$170,196	$0	$9,894		Yes (X)
MATTHEW COLDIRON
MEDICAL EPIDEMIOLOGIST AT EPICENTRE	35.00	0.00			$169,621	$0	$25,072		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,568,080	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$750,997	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	103	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PERSONAL FUNDRAISING SERVICES
10 S RIVERSIDE PLAZA	CHICAGO	IL	60606	FUNDRAISING & CANVASSING SVCS	$6,563,485
JACKSON RIVER LLC
PO BOX 1180	COLUMBUS	GA	31902	FUNDRAISING TECH & STRATEGY	$988,461
PUBLIC INTEREST COMMUNICATIONS
6521 W 91ST AVE	WESTMINSTER	CO	80031	TELEFUNDRAISING	$347,516
GRANT THORTON LLP
200 S 6TH ST STE 1400	MINNEAPOLIS	MN	55402	INFORMATION SECURITY RISK ASSESS.	$222,249
RSM US LLP
331 W 3RD ST STE 200	DAVENPORT	IA	52801	FINANCIAL SYSTEM CONSULTING	$218,059

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$164,825	FederatedCampaignsAmt
Fundraising	$1,806,908	FundraisingAmt
All Other Contributions	$742,681,058	AllOtherContributionsAmt
Noncash Contributions	$26,588,712	NoncashContributionsAmt
Total Contributions	$744,652,791	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SECONDED FIELD STAFF G	900099	$6,925,885	$6,925,885
MSF NETWORK GRANTS	900099	$6,404,851	$6,404,851

Field	Value	IRS element (for citing)
Total Program Service Revenue	$13,330,736	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,106,168	TotalRevenueColumnAmt
Exclusion	$11,106,168	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$48,000	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$37,569	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$10,431	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,431	TotalRevenueColumnAmt
Exclusion	$10,431	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$93,629,215	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$95,351,333	SecuritiesAmt
Other	$305,017	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,722,118	SecuritiesAmt
Other	-$305,017	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,027,135	TotalRevenueColumnAmt
Exclusion	-$2,027,135	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$461,394	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,806,908	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$461,394	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$160	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$160	TotalRevenueColumnAmt
Exclusion	$160	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
ADVERTISING INCOME	541800	$197,000	$197,000
MISCELLANEOUS INCOME	900099	$92,765		$92,765

Field	Value	IRS element (for citing)
Other Revenue Total	$289,765	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$767,362,916	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,330,736	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$197,000	UnrelatedBusinessRevenueAmt
Exclusion	$9,182,389	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,260,514	TotalAmt
Program Services	$1,260,514	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$714,442,468	TotalAmt
Program Services	$714,442,468	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,105,482	TotalAmt
Program Services	$2,577,550	ProgramServicesAmt
Management And General	$434,767	ManagementAndGeneralAmt
Fundraising	$93,165	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,905,557	TotalAmt
Program Services	$14,455,409	ProgramServicesAmt
Management And General	$4,331,564	ManagementAndGeneralAmt
Fundraising	$9,118,584	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,690,289	TotalAmt
Program Services	$876,824	ProgramServicesAmt
Management And General	$263,035	ManagementAndGeneralAmt
Fundraising	$550,430	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,608,302	TotalAmt
Program Services	$4,015,182	ProgramServicesAmt
Management And General	$1,180,536	ManagementAndGeneralAmt
Fundraising	$2,412,584	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,305,945	TotalAmt
Program Services	$1,253,779	ProgramServicesAmt
Management And General	$355,952	ManagementAndGeneralAmt
Fundraising	$696,214	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$760,390	TotalAmt
Program Services	$63,988	ProgramServicesAmt
Management And General	$35,370	ManagementAndGeneralAmt
Fundraising	$661,032	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$17,776	TotalAmt
Program Services	$1,496	ProgramServicesAmt
Management And General	$827	ManagementAndGeneralAmt
Fundraising	$15,453	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$226,968	TotalAmt
Management And General	$226,968	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$25,728,499	TotalAmt
Fundraising	$25,728,499	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$623,669	TotalAmt
Management And General	$623,669	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,099,349	TotalAmt
Program Services	$1,267,643	ProgramServicesAmt
Management And General	$470,764	ManagementAndGeneralAmt
Fundraising	$4,360,942	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,308,555	TotalAmt
Program Services	$195,444	ProgramServicesAmt
Management And General	$424,008	ManagementAndGeneralAmt
Fundraising	$33,689,103	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$225,657	TotalAmt
Program Services	$90,396	ProgramServicesAmt
Management And General	$39,751	ManagementAndGeneralAmt
Fundraising	$95,510	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,007,760	TotalAmt
Program Services	$416,640	ProgramServicesAmt
Management And General	$227,748	ManagementAndGeneralAmt
Fundraising	$363,372	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,238,526	TotalAmt
Program Services	$633,443	ProgramServicesAmt
Management And General	$343,729	ManagementAndGeneralAmt
Fundraising	$261,354	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$229,599	TotalAmt
Program Services	$27,760	ProgramServicesAmt
Management And General	$1,370	ManagementAndGeneralAmt
Fundraising	$200,469	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,676	TotalAmt
Program Services	$1,840	ProgramServicesAmt
Management And General	$1,153	ManagementAndGeneralAmt
Fundraising	$1,683	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,589,801	TotalAmt
Program Services	$1,251,257	ProgramServicesAmt
Management And General	$417,626	ManagementAndGeneralAmt
Fundraising	$1,920,918	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$925,570	TotalAmt
Program Services	$853,437	ProgramServicesAmt
Management And General	$29,329	ManagementAndGeneralAmt
Fundraising	$42,804	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CONSULTANCY AND PROJECT	$19,584,771	$247,741	$110,614	$19,226,416
DUES & SUBSCRIPTIONS	$2,742,775	$482,796	$245,254	$2,014,725
RECRUITING & RELOCATION	$898,175	$146,230	$428,171	$323,774

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$856,531,073	TotalAmt
Program Services	$744,561,837	ProgramServicesAmt
Management And General	$10,192,205	ManagementAndGeneralAmt
Fundraising	$101,777,031	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,225	BOYAmt
EOY	$2,960	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$93,471,691	BOYAmt
EOY	$85,385,206	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$43,155,033	BOYAmt
EOY	$92,325,912	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,692,735	BOYAmt
EOY	$3,758,254	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$22,088,420	BOYAmt
EOY	$23,124,678	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,595,199	BOYAmt
EOY	$8,120,606	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$74,908,403	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,363,501	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$57,138,061	BOYAmt
EOY	$54,544,902	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$199,869,290	BOYAmt
EOY	$234,694,391	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,150	BOYAmt
EOY	$10,300	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$436,019,804	BOYAmt
EOY	$501,967,209	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,946,361	BOYAmt
EOY	$17,599,584	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$49,102,638	BOYAmt
EOY	$197,113,804	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,460,738	BOYAmt
EOY	$23,664,309	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,509,737	BOYAmt
EOY	$238,377,697	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$297,653,694	BOYAmt
EOY	$203,839,224	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,856,373	BOYAmt
EOY	$59,750,288	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$342,510,067	BOYAmt
EOY	$263,589,512	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$436,019,804	BOYAmt
EOY	$501,967,209	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$89,168,157	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$11,742,402	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,494,800	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$416,889,485	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$540,354,869	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$623,387,442	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$675,099,889	CurrentTaxYearMinus1YearAmt
Current Tax Year	$744,652,791	CurrentTaxYearAmt
Total	$3,000,384,476	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$416,889,485	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$540,354,869	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$623,387,442	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$675,099,889	CurrentTaxYearMinus1YearAmt
Current Tax Year	$744,652,791	CurrentTaxYearAmt
Total	$3,000,384,476	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$3,000,384,476	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,686,671	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,200,820	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,000,434	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,699,200	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,154,168	CurrentTaxYearAmt
Total	$29,741,293	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,302	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$209,050	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$310,112	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$1,867,682	CurrentTaxYearMinus1YearAmt
Current Tax Year	$554,319	CurrentTaxYearAmt
Total	-$1,407,123	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$3,028,718,646	TotalSupportAmt
Gross Receipts Rltd Activities	$52,183,041	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.99060	PublicSupportCY170Pct
Public Support PY170	0.99220	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 7,302. 2020 AMOUNT: $ 209,050. 2021 AMOUNT: $ -310,112. 2022 AMOUNT: $ -1,867,682. 2023 AMOUNT: $ 92,765. GROSS INCOME FROM FUNDRAISING EVENTS - 2023 AMOUNT: $ 461,394. GROSS SALES OF INVENTORY - 2023 AMOUNT: $ 160.	ExplanationTxt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$61,481	MailingsMembersAmt
Publications Or Broadcast	Yes (1)	PublicationsOrBroadcastInd
Publications Or Broadcast	$93,772	PublicationsOrBroadcastAmt
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$65,902	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$5,813	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$226,968	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DETAILED DESCRIPTION OF LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1D: MAILINGS TO MEMBERS OF CONGRESS ON KEY COMMITTEES, ASKING THEM TO REAUTHORIZE PEPFAR AND TO ADVANCE LEGISLATION TO INCREASE TRANSPARENCY INTO THE COSTS OF BIOMEDICAL RESEARCH AND DEVELOPMENT IN ORDER TO BOLSTER ADVOCACY FOR AFFORDABLE PRICING OF RESULTING MEDICAL TOOLS. MAILINGS ALSO SENT TO ADMINISTRATION OFFICIALS SUGGESTING ADMINISTRATIVE ACTION TO SIMILARLY INCREASE TRANSPARENCY, URGING THEM TO ADDRESS GLOBAL HEALTH EQUITY IN PANDEMIC PREPAREDNESS AND RESPONSE, AND IN DEMONSTRATING GLOBAL LEADERSHIP IN COMBATTING ANTIMICROBIAL RESISTANCE. COMMUNICATIONS WITH MEMBERS OF CONGRESS AND ADMINISTRATION OFFICIALS IN THE INTEREST OF EXPANDING GLOBAL ACCESS TO MEDICAL TOOLS. PART II-B, LINE 1E: LOBBYING ACTIVITIES RELATED TO PUBLICATIONS OR PUBLISHED OR BROADCAST STATEMENTS INCLUDE THE FOLLOWING ACTIVITIES: PUBLIC COMMUNICATIONS INCLUDED CAMPAIGN WEB PAGES, PRESS RELEASES/STATEMENTS AND SOCIAL MEDIA REGARDING EXPANDING ACCESS TO MEDICAL TOOLS GLOBALLY, PANDEMIC PREPAREDNESS AND RESPONSE, COMBATTING ANTIMICROBIAL RESISTANCE, REAUTHORIZATION OF PEPFAR, AND TRANSPARENCY INTO THE COSTS OF BIOMEDICAL RESEARCH AND DEVELOPMENT. PART II-B, LINE 1G: LOBBYING ACTIVITIES RELATED TO DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY INCLUDE THE FOLLOWING ACTIVITIES: MEETINGS AND SUBMISSIONS TO MEMBERS OF CONGRESS AND GOVERNMENT OFFICIALS RELATING TO EXPANDING GLOBAL ACCESS TO MEDICINES, IMPROVING PANDEMIC PREPAREDNESS AND RESPONSE, REAUTHORIZING PEPFAR, COMBATTING ANTIMICROBIAL RESISTANCE, IMPROVING SEXUAL AND REPRODUCTIVE HEALTH, AND INCREASING TRANSPARENCY IN BIOMEDICAL RESEARCH AND DEVELOPMENT. PART II-B, LINE 1H: LOBBYING ACTIVITIES RELATED TO RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES OR ANY SIMILAR MEANS INCLUDE THE FOLLOWING ACTIVITIES: PARTICIPATION IN SEVERAL PUBLIC SPEECHES AND LECTURES, IN MEETINGS ABOUT EXPANDING GLOBAL ACCESS TO MEDICINES, IMPROVING PANDEMIC PREPAREDNESS AND RESPONSE, REAUTHORIZING PEPFAR, COMBATTING ANTIMICROBIAL RESISTANCE, IMPROVING SEXUAL AND REPRODUCTIVE HEALTH, AND TRANSPARENCY IN BIOMEDICAL RESEARCH AND DEVELOPMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.15530	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.19360	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.65110	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,107,473	OtherCostOrOtherBasisAmt
Depreciation	$5,956,085	DepreciationAmt
Book Value	$28,151,388	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,247	OtherCostOrOtherBasisAmt
Depreciation	$22,657	DepreciationAmt
Book Value	$12,590	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,807,663	OtherCostOrOtherBasisAmt
Depreciation	$11,378,679	DepreciationAmt
Book Value	$7,428,984	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,079,727	OtherCostOrOtherBasisAmt
Depreciation	$3,006,080	DepreciationAmt
Book Value	$73,647	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,544,902	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CHARITABLE GIFT ANNUITIES PAYABLE	$20,340,390
REVOCABLE ENDOWMENT	$3,250,000
CAPITALIZED LEASE OBLIGATION	$73,919

Field	Value	IRS element (for citing)
Total Liability	$23,664,309	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$780,088,378	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$11,742,402	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$2,602,566	DonatedServicesAndUseFcltsAmt
Other Revenue	-$1,494,800	OtherRevenueAmt
Revenue Not Reported	$12,850,168	RevenueNotReportedAmt
Revenue Subtotal	$767,238,210	RevenueSubtotalAmt
Investment Expenses Not Incld	$623,669	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$498,963	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$124,706	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$767,362,916	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$859,008,933	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$2,602,566	DonatedServicesUseFcltsAmt
Other Expenses Included	$498,963	OtherExpensesIncludedAmt
Expenses Not Reported	$3,101,529	ExpensesNotReportedAmt
Expenses Subtotal	$855,907,404	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$623,669	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$623,669	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$856,531,073	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 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:	MSF USA WAS INCORPORATED IN 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) AND, THEREFORE, HAS MADE NO PROVISION FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. MSF USA HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) 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 -1,527,783. GAIN ON FOREIGN EXCHANGE 32,983.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	FUNDRAISING EVENTS -461,394. RENTAL EXPENSES -37,569.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EVENTS 461,394. RENTAL EXPENSES 37,569.
PART V, LINE 1A, COLUMN (B):	BEGINNING OF YEAR ENDOWMENT FUND BALANCE AT JANUARY 1, 2022 WAS RESTATED TO INCLUDE TERM-RESTRICTED QUASI ENDOWMENTS.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxt	OfficesOfficesCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	55	GRANTMAKING	$42,455,680
EAST ASIA AND THE PACIFIC	59	GRANTMAKING	$7,917,647
EUROPE (INCLUDING ICELAND & GREENLAND)	48	GRANTMAKING	$31,280,962
MIDDLE EAST AND NORTH AFRICA	81	GRANTMAKING	$109,378,078
NORTH AMERICA	26	GRANTMAKING	$6,042,291
RUSSIA AND NEIGHBORING STATES	78	GRANTMAKING	$18,855,856
SOUTH AMERICA	19	GRANTMAKING	$3,326,797
SOUTH ASIA	121	GRANTMAKING	$33,716,883
SUB-SAHARAN AFRICA	766	GRANTMAKING	$461,468,274

Field	Value	IRS element (for citing)
Subtotal Offices	487	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	766	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1253	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$252,974,194	SubtotalSpentAmt
Continuation Spent	$461,468,274	ContinuationSpentAmt
Total Spent	$714,442,468	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (9 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
CENTRAL AMERICA AND THE CARIBBEAN	MEDICAL ASSISTANCE	$42,455,679	WIRE	$0
EAST ASIA AND THE PACIFIC	MEDICAL ASSISTANCE	$7,917,647	WIRE	$0
EUROPE (INCLUDING ICELAND & GREENLAND)	MEDICAL ASSISTANCE	$31,280,962	WIRE	$0
MIDDLE EAST AND NORTH AFRICA	MEDICAL ASSISTANCE	$109,378,077	WIRE	$0
NORTH AMERICA	MEDICAL ASSISTANCE	$6,042,291	WIRE	$0
RUSSIA AND NEIGHBORING STATES	MEDICAL ASSISTANCE	$18,855,856	WIRE	$0
SOUTH AMERICA	MEDICAL ASSISTANCE	$3,326,797	WIRE	$0
SOUTH ASIA	MEDICAL ASSISTANCE	$33,716,883	WIRE	$0
SUB-SAHARAN AFRICA	MEDICAL ASSISTANCE	$461,468,276	WIRE	$0

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	IN MSF USA, THE BOARD OF DIRECTORS AND ITS PROGRAM COMMITTEE (PC) IS THE BODY THAT HAS THE PRIMARY RESPONSIBILITY OF OVERSEEING THE DISTRIBUTION OF PRIVATE GRANTS. THE PC REVIEWS FUNDING REQUESTS AND ALL FUNDING ISSUES, AND MAKES RECOMMENDATIONS ON THE DISTRIBUTION OF PRIVATE GRANTS TO THE FULL BOARD OF DIRECTORS (BOD). THE FULL BOD, HAS THE OPPORTUNITY TO REVIEW AND ASK QUESTIONS REGARDING THE RECOMMENDATION AND HAS THE FINAL VOTE ON THE DISTRIBUTION OF ALL PRIVATE GRANTS. THE PC WORKS CLOSELY WITH THE PROGRAM AND FINANCE DEPARTMENTS OF MSF USA. THE PC HAS DELEGATED TO PROGRAM AND FINANCE STAFF THE AUTHORITY TO APPRAISE AND REVIEW GRANT PROPOSALS, REPORTS AND FUNDING REQUESTS, AND IN SOME CASES TO RESPOND TO REQUESTS FOR FUNDING, TO MAINTAIN COMMUNICATION WITH THE MSF OPERATIONAL CENTERS (OCS) FUNDED BY MSF USA, AND TO ATTEND RELEVANT OC OPERATIONAL MEETINGS ON THE PC'S BEHALF. THE GRANTS UNIT (GRANTS OFFICER AND ASSISTANT DIRECTOR OF PROGRAMS) MANAGES THE ADMINISTRATION INVOLVED IN THE DISTRIBUTION OF PRIVATE GRANTS AND KEEPS THE PC INFORMED OF ALL NECESSARY ISSUES RELATED TO PRIVATE GRANTS AND THE ENTITIES MSF USA IS FUNDING. THE GRANT UNIT, PROGRAMS DIRECTOR, FINANCE DIRECTOR, DIRECTOR OF INTERNAL OPERATIONS AND EXECUTIVE DIRECTOR MEET PERIODICALLY TO FOLLOW THE GRANTS PROCESS. IN THIS CAPACITY, THE GRANTS UNIT MAKES RECOMMENDATIONS TO THE PC ON THE DISTRIBUTION OF PRIVATE GRANTS AND ON OTHER RELATED FUNDING ISSUES, WHICH THE PC TAKES INTO CONSIDERATION WHEN MAKING ITS RECOMMENDATIONS TO THE FULL BOD. ANNUAL GRANT PLANNING ACTIVITIES AT THE BEGINNING OF EACH FISCAL YEAR, THE PC SETS ITS GRANT MAKING STRATEGIC ORIENTATIONS AND PRIORITIES OUTLINING THE PC'S FUNDING CRITERIA FOR THE FISCAL YEAR, THE PC APPRAISES GRANTS AND FUNDING REQUESTS BASED ON THE STANDING GRANT MAKING STRATEGIC ORIENTATIONS AND PRIORITIES. AT THE BEGINNING OF EACH FISCAL YEAR, THE PC, IN CONJUNCTION WITH THE GRANTS UNIT AND PROGRAM AND FINANCE STAFF, ALSO REVIEWS AND REVISES AS NECESSARY THE PRESENT DOCUMENT, TO ENSURE ALL PROCEDURES AND PROCESSES ARE UP TO DATE AND IN LINE WITH CURRENT STRATEGIC ORIENTATIONS AND PRIORITIES, AND WITH CURRENT US LEGAL REQUIREMENTS. THIS DOCUMENT INCLUDES PROCEDURES FOR TWO DISTINCT FUNDING PROCESSES: THE MULTIPURPOSE GRANT AND INDIVIDUAL PROJECT GRANTS. GRANTS BASED ON THE MSF RESOURCE SHARING AGREEMENT ARE GENERALLY ADMINISTERED THROUGH THE MULTIPURPOSE GRANT PROCESS. AT THE BEGINNING OF EACH FISCAL YEAR MSF USA INFORMS EACH OF THE OCS OF THE AMOUNT OF THEIR ANNUAL MULTIPURPOSE GRANT ENVELOPE. OTHER FUNDING PROCESSES MAY BE APPLIED IN CONJUNCTION WITH, OR IN LIEU OF, THE MULTIPURPOSE GRANT PROCESS, DEPENDING ON NEEDS AND BOARD PREROGATIVE. FUNDING FOR MSF INTERNATIONAL ENTITIES/PROJECTS (E.G. MSF INTERNATIONAL OFFICE) AND ONE-TIME GRANTS ARE ADMINISTERED THROUGH THE INDIVIDUAL GRANT PROCESS. MULTIPURPOSE GRANT PROCESS: - AT THE BEGINNING OF THE YEAR, EACH OC REQUESTING A MULTIPURPOSE GRANT FOR THE YEAR GIVE A PRESENTATION TO THE PC/BOD ON ITS OPERATIONAL PLAN FOR THE YEAR. EACH OC ALSO SUBMITS ITS WRITTEN ANNUAL PLAN AND/OR OPERATIONAL PLAN AS REFERENCE. - THE OC SUBMITS A LIST OF ALLOCATIONS AND PROJECTS FOR WHICH THEY WILL USE THEIR MULTIPURPOSE GRANT TO MSF USA. - THE GRANTS UNIT PREPARES A MULTIPURPOSE GRANT APPRAISAL, INCLUDING KEY DETAILS OF THE OC'S ANNUAL AND STRATEGIC PLANS AND THE PROPOSED LIST OF ALLOCATIONS AND PROJECT DETAILS. THE PC AND BOD REVIEW AND VOTE ON THIS LIST, TAKING INTO CONSIDERATION THE OC'S OPERATIONAL PLAN PRESENTATION. THE PC AND BOD MAY DICTATE THAT THE MULTIPURPOSE GRANT NOT BE USED FOR CERTAIN COUNTRIES OR CONTEXTS, E.G. COUNTRIES SUBJECT TO U.S. GOVERNMENT SANCTIONS, ETC. - MID-YEAR THE OC JOINS A PC MEETING BY PHONE AND GIVES AN UPDATE ON ITS OPERATIONS. IF, AT ANY POINT, THE PC OR BOD IS OF THE VIEW THAT THE OC IS DEVIATING FROM THE OPERATIONAL PLAN AS IT WAS PRESENTED, MSF USA CAN REVERT FROM THE MULTIPURPOSE GRANT PROCESS TO AN INDIVIDUAL PROJECT GRANT APPROVAL PROCESS. - THROUGHOUT THE YEAR MSF USA AND THE OC MAINTAIN ONGOING DISCUSSIONS ON FUNDING ISSUES. THE LIST OF COUNTRIES AND ALLOCATIONS ARE SUBJECT TO CHANGE ACCORDING TO BUDGET REVISIONS, THE NEEDS OF THE FIELD, UNFORESEEN EVENTS, EMERGENCIES, FUNDRAISING NEEDS AND RECEIPT OF EARMARKED FUNDS. THESE CHANGES MUST BE MUTUALLY AGREED UPON BY THE OC AND MSF USA'S PROGRAM AND FINANCE DEPARTMENTS, PURSUANT TO AUTHORITY DELEGATED TO THOSE DEPARTMENTS BY THE PC. - AT OR AFTER THE END OF THE FISCAL YEAR (WITHIN 60 DAYS), THE OC SUBMITS THE FINAL LIST OF THE COUNTRIES AND ALLOCATIONS, ALONG WITH THE LIST OF SPECIFIC PROJECTS WITHIN EACH OF THESE COUNTRIES FOR WHICH THE MSF USA MULTIPURPOSE GRANT WILL BE USED, FOR PC AND BOD APPROVAL. THE PC AND BOD CAN REQUEST MODIFICATIONS TO THIS LIST, BEFORE GIVING THEIR APPROVAL. - THE OC MUST SUBMIT ALL EXTERNAL AUDITS CONDUCTED ON FIELD PROJECTS OR COUNTRY MISSIONS FUNDED BY MSF USA, AND ANY INTERNAL AUDITS/EVALUATIONS WHICH DISCLOSE ADVERSE FINANCIAL OR PROGRAMMATIC FINDINGS. - WITHIN 90 DAYS OF THE END OF THE FISCAL YEAR, THE OC SUBMITS A FINAL NARRATIVE AND FINANCIAL REPORT, WHICH INCLUDES INFORMATION ON ALL PROJECTS WHICH MSF USA FUNDED. THE GRANTS UNIT REVIEWS THE FINAL REPORT AND ENSURES THAT THE NARRATIVE CONTENT AND FINAL FINANCIALS CONFORM TO THE FINAL COUNTRY LIST AND ALLOCATIONS PREVIOUSLY APPROVED BY THE PC/BOD. THE PC IS INFORMED OF THE RECEIPT AND REVIEW OF THE REPORT. IN THE EVENT THAT THE FINAL REPORT DEVIATES FROM THE CONTRACT AGREEMENT OR FROM MSF USA'S AUDITED FINANCIALS OR THAT THE PROGRAMMATIC ACTIVITIES OR DESCRIPTIONS DEVIATE FROM THOSE AGREED UPON BY MSF USA, MSF USA MAY CONSIDER THE DEVIATION AN OVERPAYMENT OF FUNDS AND WILL ADJUST THE OC'S GRANT IN THE SUBSEQUENT YEAR, OR REQUIRE A REFUND. INDIVIDUAL PROJECT GRANT PROCESS: - MSF USA INFORMS THE GRANTEE OF THE AMOUNT AVAILABLE FOR INDIVIDUAL PROJECTS AND THE GRANTEE SUBMITS A TENTATIVE LIST OF PROJECTS FOR WHICH THEY WILL REQUEST FUNDING. - FOR EACH PROJECT, THE GRANTEE SUBMITS A NARRATIVE PROPOSAL AND A BUDGET PROPOSAL. THE GRANTS UNIT OF MSF USA REVIEWS THESE AND WRITES AN APPRAISAL OF THE PROJECT, IN CONSULTATION WITH PROGRAM OR MEDICAL STAFF AS NECESSARY. THE APPRAISAL INCLUDES A DESCRIPTION OF THE BASIS FOR THE GRANT REQUEST: FOR EXAMPLE, THE MSF RESOURCE SHARING AGREEMENT. - EACH APPRAISAL IS PRESENTED TO THE PC. THE PC VOTES TO RECOMMEND OR NOT RECOMMEND THAT THE BOD FUND THE PROJECT. THE BOD THEN VOTES TO APPROVE OR REJECT FUNDING OF THE PROJECT. - ADDITIONAL ALLOCATIONS TO THE SAME PROJECT OR REVISIONS OF THE ALLOCATION AMOUNT TO A PARTICULAR PROJECT MUST GO THROUGH THE PC AND BOD APPROVAL PROCESS. - THE GRANTEE MUST SUBMIT ALL EXTERNAL AUDITS CONDUCTED ON FIELD PROJECTS OR COUNTRY MISSIONS FUNDED BY MSF USA, AND ANY INTERNAL AUDITS/EVALUATIONS THAT DISCLOSE ADVERSE FINANCIAL OR PROGRAMMATIC FINDINGS. - AT THE END OF THE YEAR THE GRANTEE SUBMITS A FINAL NARRATIVE AND FINANCIAL REPORT FOR EACH INDIVIDUAL PROJECT GRANT FUNDED WITH MSF USA FUNDS. THE GRANTS UNIT REVIEWS THESE AND THE PC IS INFORMED OF THE RECEIPT AND REVIEW OF EACH FINAL REPORT.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd
LAUTMANN MASKA NEILL & COMPANY
1730 RHODE ISLAND AVENUE NW SUITE	WASHINGTON	DC	20036	STRATEGY & IMPLEMENTATION OF DIRECT MAIL MARKETING	0	$90,086,920	$1,673,835	$88,413,085
BLUE STATE DIGITAL
41 FLATBUSH AVENUE	BROOKLYN	NY	11217	DIGITAL FUNDRAISING	0	$68,567,962	$4,587,748	$63,980,214
CHONG & KOSTER LLC
1640 RHODE ISLAND AVE NW SUITE 600	WASHINGTON	DC	20036	DIGITAL FUNDRAISING	0	$49,316,331	$3,707,550	$45,608,780
GIVEBRIDGE
525 W MONROE STREET SUITE 900	CHICAGO	IL	60661	STREET CANVASSING FUNDRAISING	0	$9,433,598	$7,584,709	$1,848,890
CELCO
9663-D MAIN STREET	FAIRFAX	VA	22031	ACQUISITION LIST BROKER	0	$4,881,374	$1,127,822	$3,753,552
PERSONAL FUNDRAISING SERVICES
10 S RIVERSIDE PLAZA SUITE 875 P	CHICAGO	IL	60606	STREET CANVASSING FUNDRAISING	0	$4,194,729	$3,345,830	$848,899
CONTACT CENTER FOR GROWTH
				INBOUND CALL CENTER	0	$3,594,071	$739,536	$2,854,534	550 BERRY ST	WINNIPEG	MANITOBA	CA	R3H 0R9
ASCENTA GROUP INC
138 SOUTH 1ST STREET SUITE 110	LINDENHURST	NY	11757	STREET CANVASSING FUNDRAISING	0	$2,258,505	$2,213,065	$45,440
SD&A TELESERVICES INC
5757 W CENTURY BLVD STE 300	LOS ANGELES	CA	90045	OUTBOUND TELEMARKETING	0	$1,186,896	$617,682	$569,214
PUBLIC INTEREST COMMUNICATIONS
6521 W 91ST ST	WESTINSTER	CO	800312916	OUTBOUND TELEMARKETING	0	$922,766	$130,722	$792,044

Field	Value	IRS element (for citing)
Total Gross Receipts	$234,443,152	TotalGrossReceiptsAmt
Total Retained By Contractors	$25,728,499	TotalRetainedByContractorsAmt
Total Net To Organization	$208,714,652	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DC	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SUMMER GAMES DONE QUICK	Event1Nm
Gross Receipts Event1	$2,268,302	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,806,908	CharitableContriEvent1Amt
Gross Revenue Event1	$461,394	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$99,544	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$361,850	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$2,268,302	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,806,908	CharitableContributionsTotAmt
Gross Revenue Total Events	$461,394	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$99,544	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$361,850	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$461,394	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	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	$1,260,514	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	MEDICAL ASSISTANCE	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AVRIL BENOIT
CHIEF EXECUTIVE OFFICER	$263,026	$0	$0	$0	$0	$0	$14,435	$0	$15,178	$0	$292,639	$0	$0	$0
NORTHAN HURTADO HERIERA
DEPUTY MEDICAL DIRECTOR	$228,580	$0	$0	$0	$0	$0	$13,130	$0	$46,234	$0	$287,944	$0	$0	$0
CARRIE TEICHER
CHIEF PROGRAMS OFFICER	$221,722	$0	$0	$0	$0	$0	$12,849	$0	$46,234	$0	$280,805	$0	$0	$0
ANDREU MALDONADO
DEPUTY TO THE SECRETARY GENERAL	$228,738	$0	$0	$0	$0	$0	$12,849	$0	$31,315	$0	$272,902	$0	$0	$0
SHEILA SHETTLE
HEAD OF COMM. ACCESS CAMPAIGN	$195,925	$0	$0	$0	$0	$0	$11,353	$0	$46,234	$0	$253,512	$0	$0	$0
REBEKAH VARELA
DEPUTY EXECUTIVE DIRECTOR	$197,744	$0	$0	$0	$0	$0	$11,685	$0	$26,956	$0	$236,385	$0	$0	$0
ALLISON WESTFIELD-JAMES
CHIEF PEOPLE CULTURE & INCLUSION OFF	$190,732	$0	$0	$0	$0	$0	$11,091	$0	$31,315	$0	$233,138	$0	$0	$0
JAY CHAUDHURI
CHIEF TECHNOLOGY OFFICER	$176,836	$0	$0	$0	$0	$0	$10,340	$0	$43,984	$0	$231,160	$0	$0	$0
JOHN RYAN BROOKS
INT'L INFO SYSTEMS COORDINATOR	$188,315	$0	$0	$0	$0	$0	$10,847	$0	$31,315	$0	$230,477	$0	$0	$0
KAVITA MENON
CHIEF COMMUNICATIONS OFFICER	$170,658	$0	$0	$0	$0	$0	$10,078	$0	$46,234	$0	$226,970	$0	$0	$0
ALEXA ADAM
DIR., FOUNDATIONS & CORPORATIONS	$167,728	$0	$0	$0	$0	$0	$9,894	$0	$46,234	$0	$223,856	$0	$0	$0
MIKHAELA REID
SR.DIR.,INTEGRATED CHANNEL MARKETING	$166,507	$0	$0	$0	$0	$0	$9,527	$0	$46,234	$0	$222,268	$0	$0	$0
CAMERON WRIGLEY
CHIEF FINANCIAL OFFICER	$178,561	$0	$0	$0	$0	$0	$10,340	$0	$31,468	$0	$220,369	$0	$0	$0
ELLEN WILLMOTT
GENERAL COUNSEL	$192,764	$0	$0	$0	$0	$0	$10,906	$0	$14,250	$0	$217,920	$0	$0	$0
SARAH AUTRY
SR. DIR., DEVELOPMENT OPERATIONS	$170,061	$0	$0	$0	$0	$0	$9,886	$0	$15,178	$0	$195,125	$0	$0	$0
MATTHEW COLDIRON
MEDICAL EPIDEMIOLOGIST AT EPICENTRE	$169,621	$0	$0	$0	$0	$0	$9,894	$0	$15,178	$0	$194,693	$0	$0	$0
DEBORAH GARCIA
CHIEF DEV OFFICER AS OF 3/23	$166,487	$0	$0	$0	$0	$0	$9,859	$0	$12,642	$0	$188,988	$0	$0	$0
RUPA KANAPATHIPILLAI
INFECTIOUS DISEASE SPECIALIST	$170,196	$0	$0	$0	$0	$0	$9,894	$0	$0	$0	$180,090	$0	$0	$0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2150	ContributionCnt
Noncash Contributions Rpt F990	$26,588,712	NoncashContributionsRptF990Amt
Method Of Determining Revenues	NYSE	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 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 (I) ALL PERSONS GRANTED ASSOCIATION MEMBERSHIP PURSUANT TO WRITTEN GUIDELINES AND A SCHEDULE OF DUES ADOPTED FROM TIME TO TIME BY THE BOARD OF DIRECTORS, AND (II) ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION THEN IN OFFICE WHO ARE NOT OTHERWISE ALREADY ASSOCIATION MEMBERS. FOR THE AVOIDANCE OF DOUBT, PERSONS GRANTED "PROVISIONAL MEMBERSHIP OR SIMILAR STATUS ARE NOT ASSOCIATION MEMBERS. DIRECTOR MEMBERS: THE DIRECTOR MEMBERS WILL BE ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION THEN IN OFFICE.
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	THE DISPOSITION CLAUSE OF ORGANIZATION'S CERTIFICATE OF INCORPORATION (OR SUBSEQUENT AMENDMENTS) PROVIDES THAT UPON DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, MERGER OR CONSOLIDATION OF THE ORGANIZATION AND DISSOLUTION OF THE ORGANIZATION ARE DETERMINED BY THE DIRECTORS, SUBJECT TO COURT APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 WAS PREPARED BY A NATIONALLY RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT. DRAFT FORM 990 WAS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND THE ADMINISTRATIVE COMMITTEE OF THE BOARD OF DIRECTORS AND WAS SUBJECT TO PROPOSED AND REVIEWED ADJUSTMENTS. A FINAL DRAFT VIA ELECTRONIC MAIL WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS WITH AN OPPORTUNITY FOR THEM TO COMMENT OR MAKE INQUIRY BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	UPON JOINING THE ORGANIZATION ALL BOARD MEMBERS AND STAFF ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT AFTER REVIEWING THE CONFLICT OF INTEREST POLICY. ADDITIONALLY, ALL KEY EMPLOYEES (AND OTHERS AS DESIGNATED BY MANAGEMENT) 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, LINE 15	FOR 2023, THE ORGANIZATION MAINTAINED A SALARY SCHEDULE COVERING ALL EMPLOYEES INCLUDING THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. THE SALARY SCHEDULE CONTAINED 9 GRADES OF SALARY LEVEL WITH SIX SALARY STEPS WITHIN EACH GRADE. THE POLICY OF THE ORGANIZATION, AS APPROVED BY THE BOARD OF DIRECTORS, WAS TO ENSURE THAT THE SALARY OF THE EXECUTIVE DIRECTOR AND OTHER MANAGEMENT POSITIONS WERE WITHIN THE LOWER QUARTILE OF SALARIES FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. COMPARABILITY SALARY DATA WAS OBTAINED ON A REGULAR BASIS AND PRESENTED TO THE ADMINISTRATIVE COMMITTEE OF THE BOARD. THE PRESIDENT AND VICE PRESIDENT OF THE BOARD REVIEWED THE PERFORMANCE OF THE EXECUTIVE DIRECTOR AND MADE 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 VOTED IN THE GRADE/SALARY STEP FOR THE EXECUTIVE DIRECTOR AND THE DECISION IS DOCUMENTED IN THE MINUTES OF THE MEETING OF THE COMMITTEE AND THE SALARY IS DOCUMENTED BY THE DIRECTOR OF HUMAN RESOURCES AND PROVIDED TO PAYROLL. SALARIES OF OTHER MANAGEMENT TEAM MEMBERS ARE BASED ON PERFORMANCE EVALUATIONS, WERE WITHIN THE APPROPRIATE GRADE AND STEP OF THE SALARY CHART AND APPROVED BY THE EXECUTIVE DIRECTOR. THE COMPENSATION OF THE PRESIDENT OF THE BOARD WAS 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. THIS PRACTICE WAS BROUGHT INTO ALIGNMENT IN 2024 TO MANAGE EXCESS BENEFITS TRANSACTIONS AND DEVELOP A SAFEHARBOR, INCLUDING ANNUAL BENCHMARKING FOR CEO AND MT AND BOARD PRESIDENT. IN JANUARY 2021, MSF USA RETAINED KORN FERRY, A GLOBAL ORGANIZATIONAL CONSULTING FIRM, TO CONDUCT A COMPENSATION STUDY. THE CONTRACT WAS EXTENDED ON JUNE 29, 2022 TO PROVIDE ADDITIONAL CONSULTING SERVICES WITH REGARD TO THE EXPANDED SCOPE OF WORK AROUND SUCCESS PROFILES, PERFORMANCE MANAGEMENT PROCESS, TRAINING, IMPLEMENTATION, CHANGE MANAGEMENT AND COMMUNICATION. UPDATED SUCCESS PROFILES, TITLES, AND SALARY LEVELS WERE IMPLEMENTED IN JANUARY 2024. MSF USA CONTINUES TO RETAIN KORN FERRY THROUGH 2024 TO SUPPORT AN UPDATED PERFORMANCE MANAGEMENT PROCESS AND MERIT-BASED SALARY INCREASES.
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.
LINE 11C - ACCOUNTING FEES	THE ACCOUNTING FEES FOR 2023 INCLUDE A CORRECTION FROM THE PREVIOUS YEAR'S ACCOUNTING FEES.
FORM 990, PART XI, LINE 9:	ACTUARIAL LOSS ON ANNUITY AND TRUST OBLIGATIONS -1,527,783. GAIN ON FOREIGN EXCHANGE 32,983.
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 REPORT REPRESENTS AN AGGREGATION OF THE FINANCIAL STATEMENTS OF THE 24 SECTIONS, 18 BRANCH OFFICES, NUMEROUS SATELLITES AND MSF INTERNATIONAL.