MEDECINS SANS FRONTIERES USA INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1987

Legal Domicile

Principal Officer

AVRIL BENOIT

Phone

2126796800

Tax Period

2024-01-01 to 2024-12-31

MEDECINS SANS FRONTIERES USA INC, founded in 1987, is a major nonprofit in the International Affairs sector that reported $776.9M in total revenue in fiscal year 2024.

Mission

TO PROVIDE INDEPENDENT MEDICAL HUMANITARIAN EMERGENCY AID TO PEOPLE AFFECTED BY ARMED CONFLICT, EPIDEMICS, MALNUTRITION, NATURAL DISASTERS AND EXCLUSION FROM HEALTH CARE.

Program Service Accomplishments

Program 1

Expenses: $637,007,277 Revenue: $5,460,440

EMERGENCY AND MEDICAL PROGRAMS - IN 2024, DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERES (MSF) PROVIDED EMERGENCY MEDICAL CARE TO MILLIONS OF PEOPLE CAUGHT IN CRISES IN MORE THAN 70 COUNTRIES...

EMERGENCY AND MEDICAL PROGRAMS - IN 2024, DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERES (MSF) PROVIDED EMERGENCY MEDICAL CARE TO MILLIONS OF PEOPLE CAUGHT IN CRISES IN MORE THAN 70 COUNTRIES AROUND THE WORLD. MSF USA PROVIDED GRANTS TO SUPPORT PROGRAMS IN OVER 60 OF THOSE COUNTRIES. MSF USA FUNDING SUPPORTS THOSE PROGRAMS, PROVIDING ASSISTANCE WHEN CATASTROPHIC EVENTS - SUCH AS ARMED CONFLICT, EPIDEMICS, MALNUTRITION, OR NATURAL DISASTERS - OVERWHELM LOCAL HEALTH SYSTEMS. MSF USA GRANTS ALSO SUPPORT COMPREHENSIVE, AND IN SOME CASES LONG-STANDING, TREATMENT PROGRAMS FOR PEOPLE LIVING WITH A HOST OF NEGLECTED DISEASES. PROGRAMS FUNDED BY MSF USA ALSO ASSIST PEOPLE WHO FACE EXCLUSION OR NEGLECT FROM THEIR LOCAL HEALTH SYSTEMS. FOR A DETAILED DESCRIPTION OF MSF USA AND WORLDWIDE ACCOMPLISHMENTS, PLEASE VISIT OUR WEBSITE AT: HTTPS://WWW.DOCTORSWITHOUTBORDERS.ORG/WHO-WE-ARE/FINANCES-REPORTING-ACCOUNTABILITY

Program 2

Expenses: $5,666,043 Revenue: $5,736,582

MSF-USA ENGAGES IN THE RECRUITMENT AND PLACEMENT OF MEDICAL AND OTHER PROFESSIONALS FROM THE UNITED STATES TO WORK ON VARIOUS MEDICAL HUMANITARIAN EMERGENCY PROGRAMS. MSF-USA EMPLOYED 187 MEDICAL...

MSF-USA ENGAGES IN THE RECRUITMENT AND PLACEMENT OF MEDICAL AND OTHER PROFESSIONALS FROM THE UNITED STATES TO WORK ON VARIOUS MEDICAL HUMANITARIAN EMERGENCY PROGRAMS. MSF-USA EMPLOYED 187 MEDICAL STAFF AND OTHER PROFESSIONALS ON A TOTAL OF 262 INTERNATIONAL ASSIGNMENTS IN 31 COUNTRIES IN 2024.

Program 3

Expenses: $4,210,981 Revenue: $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...

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

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $751,694,927

Program Service Revenue $11,197,022

Investment Income $12,862,137

Other Revenue $1,168,840

TOTAL REVENUE $776,922,926

Expense Breakdown

Grants Paid $616,057,744

Salaries & Benefits $44,978,029

Fundraising Expenses $115,131,289

Program Expenses $646,884,301

Other Expenses $86,576,102

TOTAL EXPENSES $774,314,841

Year-over-Year Comparison

	2024	2023	Change
Revenue	$776,922,926	$767,362,916	+0.0%
Expenses	$774,314,841	$856,531,073	-0.1%
Net Income	$2,608,085	$-89,168,157	-1.0%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✓ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

513

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$2,573,667

Total Directors

$105,878

Key Employees

$2,771,727

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
RASHA KHOURY	PRESIDENT AS OF 6/24	25.00	Officer Director	$66,263	$0	$66,263
AFRICA STEWART	PRESIDENT TO 5/24	25.00	Officer Director	$39,615	$0	$39,615
JACK RACK GOMER	VICE PRESIDENT	7.50	Officer Director	$0	$0	$0
JOHN WETHERINGTON	TREASURER	7.50	Officer Director	$0	$0	$0
DARLYN RODRIQUEZ HAYES	SECRETARY AS OF 9/24	7.50	Officer Director	$0	$0	$0
SHERONDA ROCHELLE	SECRETARY TO 7/24	7.50	Officer Director	$0	$0	$0
ISABELLE DEFOURNEY	PRESIDENT, MSF FRANCE	7.50	Officer Director	$0	$0	$0
SANDRA TACINA	DIRECTOR	5.00	Director	$0	$0	$0
CHRISTINA MOORE	DIRECTOR	5.00	Director	$0	$0	$0
QUSAY HOSSEIN	DIRECTOR	5.00	Director	$0	$0	$0
MONICA DHAND	DIRECTOR	5.00	Director	$0	$0	$0
AQSA DURRANI	DIRECTOR AS OF 5/24	5.00	Director	$0	$0	$0
JASON CONE	DIRECTOR AS OF 5/24	5.00	Director	$0	$0	$0
EAMON PENNEY	DIRECTOR AS OF 5/24	5.00	Director	$0	$0	$0
MARC LEVIN	DIRECTOR TO 5/24	5.00	Director	$0	$0	$0
ELEN COSTIGAN	DIRECTOR TO 5/24	5.00	Director	$0	$0	$0
ADRIENNE HURST	DIRECTOR TO 12/24	5.00	Director	$0	$0	$0
AVRIL BENOIT	CHIEF EXECUTIVE OFFICER	35.00	Officer	$351,008	$35,953	$386,961
REBEKAH VARELA	CHIEF OPERATING OFFICER	35.00	Officer	$268,631	$44,832	$313,463
CARRIE TEICHER	CHIEF PROGRAMS OFFICER	35.00	Officer	$254,435	$65,159	$319,594
DEBORAH GARCIA	CHIEF DEVELOPMENT OFFICER	35.00	Officer	$249,656	$31,360	$281,016
KAVITA MENON	CHIEF COMMUNICATIONS OFFICER	35.00	Officer	$246,024	$64,383	$310,407
CAMERON WRIGLEY	CHIEF FINANCIAL OFFICER	35.00	Officer	$235,034	$47,927	$282,961
JAY CHAUDHURI	CHIEF TECHNOLOGY OFFICER	35.00	Officer	$233,537	$63,801	$297,338
ALLISON WESTFIELD-JAMES	CHIEF PEOPLE CULTURE & INCLUSION OFFICER	35.00	Officer	$219,934	$56,115	$276,049
ELLEN WILLMOTT	GENERAL COUNSEL	35.00	Key Emp	$234,648	$30,272	$264,920
NORTHAN HURTADO HERIERA	HEAD OF MEDICAL UNIT	35.00	Key Emp	$195,685	$48,456	$244,141
MIKHAELA REID	SR.DIR.,INTEGRATED CHANNEL MARKETING	35.00	Key Emp	$224,376	$63,322	$287,698
TIFFANY WOLLIN	SR. DIR., IND. GIVING & STRAT. PHILANTHROPY	35.00	Key Emp	$223,616	$30,176	$253,792
MARY VONCKX	SR. DIRECTOR OF GRANTS	35.00	Key Emp	$219,004	$42,404	$261,408
SARAH AUTRY	SR. DIR., DEVELOPMENT OPERATIONS	35.00	Key Emp	$207,554	$29,270	$236,824
SHEILA SHETTLE	HEAD OF COMM. ACCESS CAMPAIGN	35.00	Key Emp	$196,003	$62,010	$258,013
ALEXA ADAM	DIR., FOUNDATIONS & CORPORATIONS	35.00	Key Emp	$190,936	$61,775	$252,711
SANDRA MURILLO	MEDIA RELATIONS DIRECTOR	35.00	Key Emp	$190,948	$61,721	$252,669
ELIAS PRIMOFF	EDITORIAL DIRECTOR	35.00	Key Emp	$186,394	$61,242	$247,636
ELLA WATSON-STRYKER	HUMANITARIAN REPRESENTATIVE	35.00	Key Emp	$184,030	$27,885	$211,915
ANDRES MALDONADO SEGLER	DEPUTY TO THE SECRETARY GENERAL	35.00	Highest	$289,162	$49,439	$338,601
JOHN RYAN BROOKS	INT'L INFO SYSTEMS COORDINATOR	35.00	Highest	$259,537	$47,780	$307,317
CLAIRE BRUTEN PAUL	DIRECTOR OF FINANCE	35.00	Highest	$174,215	$59,803	$234,018
JENNIFER NEWELL	REPRESENTATIVE TO THE UNITED NATIONS	35.00	Highest	$180,058	$39,041	$219,099
MEGAN MCGUIRE	INTERSECTIONAL HEALTH DATA STRAT. ADVISOR	35.00	Highest	$172,894	$49,175	$222,069

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$776,922,926	$774,314,841	$434,345,054	$2,608,085
2023	$767,362,916	$856,531,073	$501,967,209	$-89,168,157
2022	$688,743,776	$649,575,886	$436,019,804	$39,167,890
2022	$688,743,776	$649,575,886	$436,019,804	$39,167,890
2021	$649,355,353	$599,980,286	$471,142,331	$49,375,067
2020	$558,340,480	$499,587,775	$391,676,625	$58,752,705
2019	$434,252,453	$454,282,448	$269,308,565	$-20,029,995
2018	$411,957,255	$426,900,720	$298,832,581	$-14,943,465