2024-11-01T10:25:57-05:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2023-01-01 133433452 MEDECINS SANS FRONTIERES USA INC MEDE 2126796800 40 RECTOR STREET 16TH FLOOR NEW YORK NY 10006 CAMERON WRIGLEY CFO 2126796800 2024-10-08 1 1 LAWRENCE H MOHR CPA P00447603 6128764500 2024-10-14 2023 2024-10-15 13:58:12Z DOCTORS WITHOUT BORDERS USA INC AVRIL BENOIT 40 RECTOR STREET 16TH FLOOR NEW YORK NY 10006 863518229 0 X WWW.DOCTORSWITHOUTBORDERS.ORG X 1987 NY TO ASSIST VICTIMS OF DISASTERS AND CONFLICTS WORLDWIDE. 13 12 547 59 197000 92620 675099889 744652791 11765290 13330736 4207090 9079033 -2328493 300356 688743776 767362916 514055079 715702982 0 0 36589960 42615575 15120762 25728499 101777031 83810085 72484017 649575886 856531073 39167890 -89168157 436019804 501967209 93509737 238377697 342510067 263589512 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 734121378 715702982 6404851 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 6790371 0 6925885 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. 3650088 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 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. 744561837 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 78 0 547 1 1 1 1 UK 0 0 0 1 1 0 0 0 0 0 0 X 13 12 0 0 0 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 AFRICA STEWART PRESIDENT 25.00 0.00 X X 81921 0 0 JACK RACK GOMER VICE PRESIDENT AS OF 6/23 7.50 0.00 X X 0 0 0 BRIGG REILLEY VICE PRESIDENT TO 5/23 7.50 0.00 X X 0 0 0 JOHN WETHERINGTON TREASURER 7.50 0.00 X X 0 0 0 SHERONDA ROCHELLE SECRETARY 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 MARC LEVIN DIRECTOR 5.00 0.00 X 0 0 0 ELEN COSTIGAN DIRECTOR 5.00 0.00 X 0 0 0 RASHA KHOURY DIRECTOR 5.00 0.00 X 0 0 0 ADRIENNE HURST DIRECTOR 5.00 0.00 X 0 0 0 CHRISTINA MOORE DIRECTOR AS OF 6/23 5.00 0.00 X 0 0 0 QUSAY HOSSEIN DIRECTOR AS OF 6/23 7.50 0.00 X 0 0 0 MONICA DHAND DIRECTOR AS OF 6/23 5.00 0.00 X 0 0 0 PATRICIA CARRICK DIRECTOR TO 5/23 5.00 0.00 X 0 0 0 JANE COYNE DIRECTOR TO 5/23 5.00 0.00 X 0 0 0 AVRIL BENOIT CHIEF EXECUTIVE OFFICER 35.00 0.00 X 263026 0 29613 REBEKAH VARELA DEPUTY EXECUTIVE DIRECTOR 35.00 0.00 X 197744 0 38641 ALLISON WESTFIELD-JAMES CHIEF PEOPLE CULTURE & INCLUSION OFFICER 35.00 0.00 X 190732 0 42406 NORTHAN HURTADO HERIERA DEPUTY MEDICAL DIRECTOR 35.00 0.00 X 228580 0 59364 KAVITA MENON CHIEF COMMUNICATIONS OFFICER 35.00 0.00 X 170658 0 56312 CARRIE TEICHER CHIEF PROGRAMS OFFICER 35.00 0.00 X 221722 0 59083 DEBORAH GARCIA CHIEF DEV OFFICER AS OF 3/23 35.00 0.00 X 166487 0 22501 KIM GOLDSMITH N'DIAYE DIRECTOR OF DEVELOPMENT TO 2/23 35.00 0.00 X 41958 0 5957 CAMERON WRIGLEY CHIEF FINANCIAL OFFICER 35.00 0.00 X 178561 0 41808 ELLEN WILLMOTT GENERAL COUNSEL 35.00 0.00 X 192764 0 25156 JAY CHAUDHURI CHIEF TECHNOLOGY OFFICER 35.00 0.00 X 176836 0 54324 SARAH AUTRY SR. DIR., DEVELOPMENT OPERATIONS 35.00 0.00 X 170061 0 25064 ALEXA ADAM DIR., FOUNDATIONS & CORPORATIONS 35.00 0.00 X 167728 0 56128 MIKHAELA REID SR.DIR.,INTEGRATED CHANNEL MARKETING 35.00 0.00 X 166507 0 55761 ANDREU MALDONADO DEPUTY TO THE SECRETARY GENERAL 35.00 0.00 X 228738 0 44164 SHEILA SHETTLE HEAD OF COMM. ACCESS CAMPAIGN 35.00 0.00 X 195925 0 57587 JOHN RYAN BROOKS INT'L INFO SYSTEMS COORDINATOR 35.00 0.00 X 188315 0 42162 RUPA KANAPATHIPILLAI INFECTIOUS DISEASE SPECIALIST 35.00 0.00 X 170196 0 9894 MATTHEW COLDIRON MEDICAL EPIDEMIOLOGIST AT EPICENTRE 35.00 0.00 X 169621 0 25072 3568080 0 750997 103 0 1 0 PERSONAL FUNDRAISING SERVICES 10 S RIVERSIDE PLAZA CHICAGO IL 60606 FUNDRAISING & CANVASSING SVCS 6563485 JACKSON RIVER LLC PO BOX 1180 COLUMBUS GA 31902 FUNDRAISING TECH & STRATEGY 988461 PUBLIC INTEREST COMMUNICATIONS 6521 W 91ST AVE WESTMINSTER CO 80031 TELEFUNDRAISING 347516 GRANT THORTON LLP 200 S 6TH ST STE 1400 MINNEAPOLIS MN 55402 INFORMATION SECURITY RISK ASSESS. 222249 RSM US LLP 331 W 3RD ST STE 200 DAVENPORT IA 52801 FINANCIAL SYSTEM CONSULTING 218059 10 164825 1806908 742681058 26588712 744652791 SECONDED FIELD STAFF G 900099 6925885 6925885 MSF NETWORK GRANTS 900099 6404851 6404851 13330736 11106168 11106168 48000 37569 10431 10431 10431 93629215 95351333 305017 -1722118 -305017 -2027135 -2027135 461394 1806908 461394 0 160 0 160 160 ADVERTISING INCOME 541800 197000 197000 MISCELLANEOUS INCOME 900099 92765 92765 289765 767362916 13330736 197000 9182389 X 1260514 1260514 714442468 714442468 3105482 2577550 434767 93165 27905557 14455409 4331564 9118584 1690289 876824 263035 550430 7608302 4015182 1180536 2412584 2305945 1253779 355952 696214 760390 63988 35370 661032 17776 1496 827 15453 226968 226968 25728499 25728499 623669 623669 6099349 1267643 470764 4360942 34308555 195444 424008 33689103 225657 90396 39751 95510 1007760 416640 227748 363372 1238526 633443 343729 261354 229599 27760 1370 200469 4676 1840 1153 1683 3589801 1251257 417626 1920918 925570 853437 29329 42804 CONSULTANCY AND PROJECT 19584771 247741 110614 19226416 DUES & SUBSCRIPTIONS 2742775 482796 245254 2014725 RECRUITING & RELOCATION 898175 146230 428171 323774 856531073 744561837 10192205 101777031 3225 2960 93471691 85385206 43155033 92325912 4692735 3758254 22088420 23124678 15595199 8120606 74908403 20363501 57138061 54544902 199869290 234694391 6150 10300 436019804 501967209 21946361 17599584 49102638 197113804 22460738 23664309 93509737 238377697 X 297653694 203839224 44856373 59750288 342510067 263589512 436019804 501967209 X -89168157 11742402 -1494800 X X 0 1 X 1 0 X 416889485 540354869 623387442 675099889 744652791 3000384476 416889485 540354869 623387442 675099889 744652791 3000384476 3000384476 3686671 3200820 5000434 6699200 11154168 29741293 7302 209050 -310112 -1867682 554319 -1407123 3028718646 52183041 0.99060 0.99220 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: 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. 0 1 0 1 61481 1 93772 0 1 65902 1 5813 0 226968 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. 13475770 459505 1758778 2631106 13062947 15231498 350000 -2105728 13475770 3664090 305229 46445 3922874 3257492 427721 21123 3664090 2819739 26267 442669 31183 3257492 0.15530 0.19360 0.65110 0 0 18878293 18878293 34107473 5956085 28151388 35247 22657 12590 18807663 11378679 7428984 3079727 3006080 73647 54544902 CHARITABLE GIFT ANNUITIES PAYABLE 20340390 REVOCABLE ENDOWMENT 3250000 CAPITALIZED LEASE OBLIGATION 73919 23664309 X 780088378 11742402 2602566 -1494800 12850168 767238210 623669 -498963 124706 767362916 859008933 2602566 498963 3101529 855907404 623669 623669 856531073 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. 1 CENTRAL AMERICA AND THE CARIBBEAN 55 0 GRANTMAKING 42455680 EAST ASIA AND THE PACIFIC 59 0 GRANTMAKING 7917647 EUROPE (INCLUDING ICELAND & GREENLAND) 48 0 GRANTMAKING 31280962 MIDDLE EAST AND NORTH AFRICA 81 0 GRANTMAKING 109378078 NORTH AMERICA 26 0 GRANTMAKING 6042291 RUSSIA AND NEIGHBORING STATES 78 0 GRANTMAKING 18855856 SOUTH AMERICA 19 0 GRANTMAKING 3326797 SOUTH ASIA 121 0 GRANTMAKING 33716883 SUB-SAHARAN AFRICA 766 0 GRANTMAKING 461468274 487 0 766 0 1253 0 252974194 461468274 714442468 CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 42455679 WIRE 0 EAST ASIA AND THE PACIFIC MEDICAL ASSISTANCE 7917647 WIRE 0 EUROPE (INCLUDING ICELAND & GREENLAND) MEDICAL ASSISTANCE 31280962 WIRE 0 MIDDLE EAST AND NORTH AFRICA MEDICAL ASSISTANCE 109378077 WIRE 0 NORTH AMERICA MEDICAL ASSISTANCE 6042291 WIRE 0 RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 18855856 WIRE 0 SOUTH AMERICA MEDICAL ASSISTANCE 3326797 WIRE 0 SOUTH ASIA MEDICAL ASSISTANCE 33716883 WIRE 0 SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 461468276 WIRE 0 1 0 0 0 0 1 PART I, LINE 2: 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. 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 90086920 1673835 88413085 BLUE STATE DIGITAL 41 FLATBUSH AVENUE BROOKLYN NY 11217 DIGITAL FUNDRAISING 0 68567962 4587748 63980214 CHONG & KOSTER LLC 1640 RHODE ISLAND AVE NW SUITE 600 WASHINGTON DC 20036 DIGITAL FUNDRAISING 0 49316331 3707550 45608780 GIVEBRIDGE 525 W MONROE STREET SUITE 900 CHICAGO IL 60661 STREET CANVASSING FUNDRAISING 0 9433598 7584709 1848890 CELCO 9663-D MAIN STREET FAIRFAX VA 22031 ACQUISITION LIST BROKER 0 4881374 1127822 3753552 PERSONAL FUNDRAISING SERVICES 10 S RIVERSIDE PLAZA SUITE 875 P CHICAGO IL 60606 STREET CANVASSING FUNDRAISING 0 4194729 3345830 848899 CONTACT CENTER FOR GROWTH 550 BERRY ST WINNIPEG MANITOBA CA R3H 0R9 INBOUND CALL CENTER 0 3594071 739536 2854534 ASCENTA GROUP INC 138 SOUTH 1ST STREET SUITE 110 LINDENHURST NY 11757 STREET CANVASSING FUNDRAISING 0 2258505 2213065 45440 SD&A TELESERVICES INC 5757 W CENTURY BLVD STE 300 LOS ANGELES CA 90045 OUTBOUND TELEMARKETING 0 1186896 617682 569214 PUBLIC INTEREST COMMUNICATIONS 6521 W 91ST ST WESTINSTER CO 800312916 OUTBOUND TELEMARKETING 0 922766 130722 792044 234443152 25728499 208714652 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 2268302 1806908 461394 99544 361850 2268302 1806908 461394 99544 361850 461394 0 1 DRUGS FOR NEGLECTED DISEASES INITIATIVE 40 RECTOR ST 16TH FL NEW YORK NY 10006 208774179 501(C)(3) 1260514 0 MEDICAL ASSISTANCE 1 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 263026 0 0 0 0 0 14435 0 15178 0 292639 0 0 0 NORTHAN HURTADO HERIERA DEPUTY MEDICAL DIRECTOR 228580 0 0 0 0 0 13130 0 46234 0 287944 0 0 0 CARRIE TEICHER CHIEF PROGRAMS OFFICER 221722 0 0 0 0 0 12849 0 46234 0 280805 0 0 0 ANDREU MALDONADO DEPUTY TO THE SECRETARY GENERAL 228738 0 0 0 0 0 12849 0 31315 0 272902 0 0 0 SHEILA SHETTLE HEAD OF COMM. ACCESS CAMPAIGN 195925 0 0 0 0 0 11353 0 46234 0 253512 0 0 0 REBEKAH VARELA DEPUTY EXECUTIVE DIRECTOR 197744 0 0 0 0 0 11685 0 26956 0 236385 0 0 0 ALLISON WESTFIELD-JAMES CHIEF PEOPLE CULTURE & INCLUSION OFF 190732 0 0 0 0 0 11091 0 31315 0 233138 0 0 0 JAY CHAUDHURI CHIEF TECHNOLOGY OFFICER 176836 0 0 0 0 0 10340 0 43984 0 231160 0 0 0 JOHN RYAN BROOKS INT'L INFO SYSTEMS COORDINATOR 188315 0 0 0 0 0 10847 0 31315 0 230477 0 0 0 KAVITA MENON CHIEF COMMUNICATIONS OFFICER 170658 0 0 0 0 0 10078 0 46234 0 226970 0 0 0 ALEXA ADAM DIR., FOUNDATIONS & CORPORATIONS 167728 0 0 0 0 0 9894 0 46234 0 223856 0 0 0 MIKHAELA REID SR.DIR.,INTEGRATED CHANNEL MARKETING 166507 0 0 0 0 0 9527 0 46234 0 222268 0 0 0 CAMERON WRIGLEY CHIEF FINANCIAL OFFICER 178561 0 0 0 0 0 10340 0 31468 0 220369 0 0 0 ELLEN WILLMOTT GENERAL COUNSEL 192764 0 0 0 0 0 10906 0 14250 0 217920 0 0 0 SARAH AUTRY SR. DIR., DEVELOPMENT OPERATIONS 170061 0 0 0 0 0 9886 0 15178 0 195125 0 0 0 MATTHEW COLDIRON MEDICAL EPIDEMIOLOGIST AT EPICENTRE 169621 0 0 0 0 0 9894 0 15178 0 194693 0 0 0 DEBORAH GARCIA CHIEF DEV OFFICER AS OF 3/23 166487 0 0 0 0 0 9859 0 12642 0 188988 0 0 0 RUPA KANAPATHIPILLAI INFECTIOUS DISEASE SPECIALIST 170196 0 0 0 0 0 9894 0 0 0 180090 0 0 0 X 2150 26588712 NYSE 0 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 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.