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Direct Relief
Direct Relief reported $2.40 billion in revenue and $2.31 billion in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $99.33 went to program services, $0.52 to management and general costs and $0.15 to fundraising. Its largest source of revenue was contributions and grants: 99.6% of the total. The highest compensation it reported for one person was $1,111,239 (CHIEF EXECUTIVE OFFICER (THRU 12/24)). 66 people received more than $100,000 in reportable compensation. Revenue rose 20% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $2.31BFor context, the median across 469 covered international, foreign affairs & national security charities: $89.04 programs, $8.28 management, $2.68 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $2.40BThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 99.3% | 86.1% |
| Management & general Part IX 25(C) ÷ 25(A) | 0.5% | 8.0% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.1% | 2.6% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.03 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 99.6% | 96.6% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.0% |
| Program service revenue share Part VIII 2g ÷ 12 | 0.0% | 0.0% |
| Highest reported compensation Part VII-A, columns D–F | $1,111,239 | $341,362 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.05% | 1.06% |
| People paid over $100,000 Part VII, line 2 | 66 | 10 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 6.5 | 7.5 |
| Independent voting board members Part VI 1a–1b | 16 of 16 | 100.0% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseCommunity health - Direct Relief, through its community health initiatives, equips health professionals in low-resource settings with the medical resources they need to diagnose, treat, and care for their patients - regardless of ability to pay. In the fiscal year 2025, Direct Relief provided material and financial support to more than 2,600 community health providers in 92 countries. This includes the U.S., where Direct Relief operates the nation's largest charitable medicine program for community health centers and nonprofit clinics in all 50 states. As a result of Direct Relief's support…
Disaster response - Direct Relief, through its disaster response programs, addresses the needs of vulnerable communities before disasters strike by pre positioning emergency medical materials with healthcare facilities in areas at risk from natural disasters. When disasters occur, Direct Relief leverages its network of healthcare providers to assess immediate needs, understand the situation, and respond quickly and precisely. Direct Relief's efforts are alwaysin response to specific requests from local partners and in accordance with national and international responders to avoid duplication…
Disease prevention and treatment - to alleviate the disease burden in providers to assess immediate needs, understand the situation, and respond quickly and precisely. Direct Relief's efforts are always in response to specific requests from local partners and in accordance with national and international responders to avoid duplication of efforts and prevent logistical bottlenecks, and ensure the most efficient use of resources.resource constrained communities around the world, Direct Relief supports a global network of locally-run health facilities with the medicines, medical supplies, and…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| CHIEF EXECUTIVE OFFICER (THRU 12/24) Officer, 40.00 hrs/week | $1,042,426 | $0 | $68,813 | $1,111,239 |
| (1/25-5/25)/PRESIDENT & COO Officer, 40.00 hrs/week | $483,676 | $0 | $19,811 | $503,487 |
| VICE PRESIDENT OF FINANCE, CFO Officer, 40.00 hrs/week | $369,470 | $0 | $29,976 | $399,446 |
| VICE PRESIDENT, COMMUNITY ENGAGEMENT Highest compensated employee, 40.00 hrs/week | $315,609 | $0 | $21,408 | $337,017 |
| CORPORATION ENGAGEMENT & STRATEGY Highest compensated employee, 40.00 hrs/week | $274,954 | $0 | $54,063 | $329,017 |
| VICE PRESIDENT, IT Highest compensated employee, 40.00 hrs/week | $277,474 | $0 | $34,023 | $311,497 |
| VICE PRESIDENT, OPERATIONS Highest compensated employee, 40.00 hrs/week | $261,256 | $0 | $40,313 | $301,569 |
| LEGAL & REGULATORY AFFAIRS Highest compensated employee, 40.00 hrs/week | $263,278 | $0 | $19,314 | $282,592 |
66 people received more than $100,000 in reportable compensation from Direct Relief (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.2M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b16 · 16 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 5164
- Volunteers Part I, line 6344
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| AMERICAN MICROGRID SOLUTIONS LLC Power for health site assessments | $639,288 |
| MEDICAL CENTER DOBROBUT-CLINIK LLC Medical care services | $500,000 |
| IRW CONCIERGE SERVICES Legal services | $407,536 |
| PENDULUM SYSTEMS INC Pharmaceutical subscription services | $380,790 |
| MICROSOFT Sap hosting services | $293,136 |
Individuals listed as contractors are left out. 18 contractors were paid more than $100,000 in all.
Private foundation grants it received
278 private foundations reported grants to Direct Relief totaling $17M on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Direct Relief's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Direct Relief, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Direct Relief spent in FY2025, $99.33 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- International Committee of the Red CrossSwitzerland, · revenue $2.30B · programs 89.4% · 2024
- Gavi AllianceWashington, DC · revenue $2.55B · programs 97.0% · 2024
- Americares FoundationStamford, CT · revenue $1.85B · programs 98.1% · FY2025
- GOOD360Alexandria, VA · revenue $3.26B · programs 99.7% · 2024
- The Governors of the University of AlbertaCanada, · revenue $1.59B · programs 92.6% · FY2026
All international, foreign affairs & national security charities · Largest charities in California
Questions people ask
How much of Direct Relief's spending goes to programs?
In the fiscal year ending June 30, 2025, Direct Relief reported that 99.3% of its $2.31 billion in expenses went to program services, 0.5% to management and general and 0.1% to fundraising (Form 990, Part IX).
How much does Direct Relief pay its top executive?
The largest total compensation Direct Relief reported for one person in the fiscal year ending June 30, 2025 was $1,111,239, for the role of CHIEF EXECUTIVE OFFICER (THRU 12/24) (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Direct Relief get its money?
Of $2.40 billion in revenue in the fiscal year ending June 30, 2025, 99.6% came from contributions and grants and 0.0% from program service revenue (Form 990, Part VIII).
Is Direct Relief a registered charity?
The IRS lists EIN 95-1831116 as a 501(c)(3) organization (publicly supported organization (509(a)(2))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202610449349301656 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202500419349300345 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202430379349301028 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202340259349301324 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021 (amended), object 202220689349301952 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202120119349302007 · read the filing
All filings for EIN 95-1831116: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.