Doctors Without Borders/Médecins Sans Frontières (MSF)

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 83.7%; rating input score 84
• Program expense ratio: 83.5%; rating input score 84
• Fundraising efficiency: $6.53 raised per $1 spent on fundraising; rating input score 29; 29th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: 4 of 8 controls in place; rating input score 50
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Pass
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Pass
  • Conducts site visits: Fail
  • Requires grant agreements: Pass
  • May require repayment: Fail
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 91.7%; rating input score 92; 38th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 0.3%; rating input score 33; 33rd percentile among comparable filings
• Total-asset coverage ratio: 0.56; rating input score 21; 21st percentile among comparable filings
• Liabilities to assets ratio: 0.39; rating input score 45; 45th percentile among comparable filings
• Officer compensation ratio: 0.9%; rating input score 77; 77th percentile among comparable filings

Growth

• Program expense growth: 10.4% per year; rating input score 100; 76th percentile among comparable filings
• Revenue growth: 9.7% per year; rating input score 100; 75th percentile among comparable filings
• Asset growth: 7.1% per year; rating input score 100; 52nd percentile among comparable filings