DIRECT RELIEF

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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

1948

Legal Domicile

Principal Officer

JONATHAN STEINER

Phone

8059644767

Tax Period

2024-07-01 to 2025-06-30

DIRECT RELIEF, founded in 1948, is a large national nonprofit in the International Affairs sector that reported $2.4B in total revenue in fiscal year 2024. Expenses of $2.3B left a modest 4% surplus.

Mission

DIRECT RELIEF IS A HUMANITARIAN AID ORGANIZATION, ACTIVE IN ALL 50 STATES AND MORE THAN 80 COUNTRIES, WITH A MISSION TO IMPROVE THE HEALTH AND LIVES OF PEOPLE AFFECTED BY POVERTY OR EMERGENCIES - WITHOUT REGARD TO POLITICS, RELIGION, OR ABILITY TO PAY.

Program Service Accomplishments

Program 1

Expenses: $1,090,004,523

COMMUNITY 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, ORGANIZATIONS AND HEALTH PROVIDERS CAN FOCUS THEIR TIME AND RESOURCES ON EXPANDING AND IMPROVING THEIR SERVICES INSTEAD OF PROCURING MEDICINE AND SUPPLIES.

Program 2

Expenses: $616,715,388

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...

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 OF EFFORTS AND PREVENT LOGISTICAL BOTTLENECKS, AND ENSURE THE MOST EFFICIENT USE OF RESOURCES.

Program 3

Expenses: $579,744,636

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...

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 FUNDING. IN THE FISCAL YEAR 2025, DIRECT RELIEF PROVIDED HEALTHCARE PARTNERS IN 60 COUNTRIES WITH 34 MILLION COURSES OF MEDICATION TO TREAT CONDITIONS THAT INCLUDE CANCER, DIABETES, AND RARE DISEASES. DIRECT RELIEF ALSO SUPPORTS PROGRAMS TO ADVANCE BREAST CANCER AWARENESS AND EARLY DETECTION, CERVICAL CANCER SCREENING, AS WELL AS COMPREHENSIVE DIABETES PREVENTION AND TREATMENT PROGRAMS THAT INCLUDE ASSISTANCE FOR CHILDREN WITH TYPE 1 DIABETES.

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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 $2,389,394,020

Program Service Revenue $0

Investment Income $9,604,622

Other Revenue $0

TOTAL REVENUE $2,398,998,642

Expense Breakdown

Grants Paid $2,002,150,217

Salaries & Benefits $24,086,877

Fundraising Expenses $3,325,452

Program Expenses $2,291,611,627

Other Expenses $280,765,058

TOTAL EXPENSES $2,307,002,152

Year-over-Year Comparison

	2024	2023	Change
Revenue	$2,398,998,642	$2,383,379,388	+0.0%
Expenses	$2,307,002,152	$2,365,599,490	0.0%
Net Income	$91,996,490	$17,779,898	+4.2%

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

164

Volunteers

344

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

$2,014,172

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
MARK LINEHAN	CHAIR	10.00	Officer Director	$0	$0	$0
HARRY MCMAHON	VICE CHAIR, COMMITTEE CHAIR	5.00	Officer Director	$0	$0	$0
ANNALISA PIZZARELLO	SECRETARY, COMMITTEE CHAIR	5.00	Officer Director	$0	$0	$0
THOMAS STURGESS	TREASURER, COMMITTEE CHAIR	5.00	Officer Director	$0	$0	$0
LAURIE SIEGEL	ASSISTANT SECRETARY, COMMITTEE CHAIR	5.00	Officer Director	$0	$0	$0
MARK SCHWARTZ	ASSISTANT TREASURER, COMMITTEE CHAIR	5.00	Officer Director	$0	$0	$0
EMMA CARRASCO	COMMITTEE CHAIR	5.00	Director	$0	$0	$0
ADAM COOPER	DIRECTOR	2.00	Director	$0	$0	$0
MARY DWYER PHD	COMMITTEE CHAIR	5.00	Director	$0	$0	$0
HENRIETTA HOLSMAN FORE	DIRECTOR	2.00	Director	$0	$0	$0
HEITHAM HASSOUN MD	DIRECTOR	2.00	Director	$0	$0	$0
JAMES MCGONIGLE	COMMITTEE CHAIR	5.00	Director	$0	$0	$0
MARLA SALMON SCD RN FAAN	DIRECTOR	2.00	Director	$0	$0	$0
PERRY SIATIS ESQ	DIRECTOR	2.00	Director	$0	$0	$0
TOM STRICKLAND	DIRECTOR	2.00	Director	$0	$0	$0
ELIZABETH TORO MD MPH	DIRECTOR	2.00	Director	$0	$0	$0
THOMAS TIGHE	CHIEF EXECUTIVE OFFICER (THRU 12/24)	40.00	Officer	$1,042,426	$68,813	$1,111,239
BYRON SCOTT - INTERIM CEO	(1/25-5/25)/PRESIDENT & COO	40.00	Officer	$483,676	$19,811	$503,487
JONATHAN STEINER - SENIOR	VICE PRESIDENT OF FINANCE, CFO	40.00	Officer	$369,470	$29,976	$399,446
AMY WEAVER	CHIEF EXECUTIVE OFFICER (AS OF 5/25)	40.00	Officer	$0	$0	$0
HEATHER BENNETT	VICE PRESIDENT, COMMUNITY ENGAGEMENT	40.00	Highest	$315,609	$21,408	$337,017
ADAN GROUMAN	VICE PRESIDENT, IT	40.00	Highest	$277,474	$34,023	$311,497
DONALD ROANE - VP	CORPORATION ENGAGEMENT & STRATEGY	40.00	Highest	$274,954	$54,063	$329,017
BRENT REGINALD BALDWIN - VP	LEGAL & REGULATORY AFFAIRS	40.00	Highest	$263,278	$19,314	$282,592
DOUG FROELICH	VICE PRESIDENT, OPERATIONS	40.00	Highest	$261,256	$40,313	$301,569

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
2025	$2,398,998,642	$2,307,002,152	$1,292,290,030	$91,996,490
2024	$2,383,379,388	$2,365,599,490	$1,186,035,572	$17,779,898
2023	$2,266,763,483	$2,071,171,227	$1,170,526,870	$195,592,256
2022	$2,218,136,536	$2,253,265,073	$958,254,246	$-35,128,537
2021	$1,929,697,287	$1,903,454,935	$992,717,205	$26,242,352
2021	$1,942,730,187	$1,922,583,429	$992,717,205	$20,146,758
2020	$1,999,565,510	$1,559,819,795	$968,151,460	$439,745,715
2019	$1,434,057,142	$1,187,834,078	$527,935,024	$246,223,064
2018	$1,235,283,489	$1,242,507,232	$283,205,397	$-7,223,743