News publications and other organizations are encouraged to reuse Direct Relief-published content for free under a Creative Commons License (Attribution-Non-Commercial-No Derivatives 4.0 International), given the republisher complies with the requirements identified below.

When republishing:

  • Include a byline with the reporter’s name and Direct Relief in the following format: "Author Name, Direct Relief." If attribution in that format is not possible, include the following language at the top of the story: "This story was originally published by Direct Relief."
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  • Maintain any tagline at the bottom of the story.
  • With Direct Relief's permission, news publications can make changes such as localizing the content for a particular area, using a different headline, or shortening story text. To confirm edits are acceptable, please check with Direct Relief by clicking this link.
  • If new content is added to the original story — for example, a comment from a local official — a note with language to the effect of the following must be included: "Additional reporting by [reporter and organization]."
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    • Twitter (@DirectRelief)
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Republishing Images:

Unless stated otherwise, images shot by Direct Relief may be republished for non-commercial purposes with proper attribution, given the republisher complies with the requirements identified below.

  • Maintain correct caption information.
  • Credit the photographer and Direct Relief in the caption. For example: "First and Last Name / Direct Relief."
  • Do not digitally alter images.

Direct Relief often contracts with freelance photographers who usually, but not always, allow their work to be published by Direct Relief’s media partners. Contact Direct Relief for permission to use images in which Direct Relief is not credited in the caption by clicking here.

Other Requirements:

  • Do not state or imply that donations to any third-party organization support Direct Relief's work.
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  • Advance permission is required to translate Direct Relief's stories into a language different from the original language of publication. To inquire, contact us here.
  • If Direct Relief requests a change to or removal of republished Direct Relief content from a site or on-air, the republisher must comply.

For any additional questions about republishing Direct Relief content, please email the team here.

Direct Relief Ranked 5th Largest U.S. Charity in 2022 by Forbes

Mobilizing $2.2 Billion in Medical Resources for Underserved and Disaster-Affected Communities in U.S. and Globally


Ratings Awards

Medical aid bound for Ukraine departed from Direct Relief's warehouse. (Lara Cooper/Direct Relief)

Direct Relief was rated the fifth largest charity in the United States in 2022, according to Forbes Magazine’s newly released annual list of the 100 largest U.S. charities, by private donations. The humanitarian medical aid group received $2.2 billion in private contributions in its 2022 fiscal year, up more than 15% from $1.9 billion in 2021.

Forbes awarded Direct Relief a score of 100% for both charitable commitment (how much of a charity’s total expenses go directly to the charitable purpose) and 100% on fundraising efficiency (the percent of private donations remaining after deducting fundraising costs).

Top 5 Charities 2022 – Forbes

1Feeding America$4.06 B99%99%
2United Way Worldwide$2.77 B88%85%
3St. Jude Children’s
Research Hospital
$2.42 B85%69%
4Salvation Army$2.34 B90%82%
5Direct Relief$2.21 B100%100%

Top 5 California Charities 2022 – Forbes

Headquartered in California, Direct Relief is the largest of the five California charities included in the 2022 Forbes ranking.

15Direct Relief$2.21 B100%100%
242Entertainment Industry Foundation$436 M99%98%
364City of Hope$292 M85%81%
465Cedars-Sinai Health System$290 M96%89%
578Educational Media Foundation$238 M96%79%

Top 5 International Charities – Forbes

Direct Relief, one of the world’s largest channels for humanitarian medical assistance to underserved communities and victims of disasters, also ranks as the largest charity in the “International Needs” category, according to Forbes.

15Direct ReliefInternational$2.21 B100%100%
26AmericaresInternational$1.22 B99%98%
37Good 360International$1.68 B100%100%
410Habitat for HumanityInternational$1.27 B88%83%
512Compassion InternationalInternational$1.14 B89%82%

Direct Relief Activities – 2022

In its fiscal year 2022, Direct Relief provided more than $2 billion in medical aid and $58.2 million in financial assistance to healthcare providers and other local organizations in 98 countries and 52 US states and territories.

Ukraine was the largest recipient country of Direct Relief’s assistance in 2022, receiving 1,099 tons of medicine and medical supplies from Direct Relief, valued at $640 million, at the request of the Ukrainian Ministry of Health and other healthcare providers after Russia invaded the country in February. This includes extensive supplies for treating traumatic injuries and a broad range of medications ranging from cancer therapies, insulin, and antidotes for chemical attacks to those needed for chronic health conditions.

In addition, through the generosity of donors worldwide, Direct Relief provided $29.4 million in cash assistance for programs benefiting Ukrainians and Ukrainian refugees.

Direct Relief’s other recent activities include:

  • Awarded $22.7 Million to 71 US healthcare and other nonprofit organizations through Direct Relief’s Fund for Health Equity
  • Delivered 12.5 tons of emergency medical essentials to fight a cholera outbreak in Haiti, including IV fluids, oral rehydration salts, antibiotics and water purification tablets. Direct Relief also is actively responding to cholera outbreaks across the globe in Lebanon, Syria, and Malawi.
  • Donated 273,312 doses of the lifesaving drug naloxone, which counteracts opioid overdoses, to public and private healthcare providers in 45 US states
  • Distributed medicines to treat Type 1 and Type 2 diabetes to 536 healthcare facilities in 438 US cities in 2022
  • Responded to Hurricanes Fiona and Ian with more than $4.5 million in medical aid to 127 healthcare providers throughout the US and Caribbean

2022 Charity Ratings

In addition to its top ranking from Forbes, Direct Relief earned a four-star rating for the 12th consecutive year from Charity Navigator, America’s largest independent charity evaluator.

Direct Relief received a 100% rating in Charity Navigator’s Accountability & Finance category, which “provides an assessment of a charity’s financial health (financial efficiency, sustainability, and trustworthiness) and its commitment to governance practices and policies,” Charity Navigator says.

Direct Relief also received an A+ rating from Charity Watch, the highest score given by the independent charity watchdog.

Direct Relief is supported only by private, charitable contributions, accepting no government funding. The vast majority of the value of donations received and aid distributed is in the form of medicine and medical supplies donated by their manufacturers (in-kind contributions). Direct Relief values donated medicine and supplies at wholesale value; see https://www.directrelief.org/about/finance/cash-and-in-kind-contributions/ for more information.

To learn more, please read the Direct Relief 2022 Impact Report.

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