· Public charity
Direct Relief
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.
What you funded, over time
Every grant placed by its stated purpose and the recipient’s mission, by year — across FY2018–2025.
Where the money goes
Your grants by size, and where they go.
The 232 grants below total $41,492,207 — the rows itemised in this filing. The $2,002,150,217 headline is the total grant expense reported on the return, so the remaining $1,960,658,010 is giving the schedule does not break out: grants under the $5,000 itemisation floor, grants to individuals, and grants reported on other schedules. Every figure below describes the itemised rows only.
By grant size · FY2025
- Under $10k4 grants · $29k
- $10k–50k54 grants · $1.4M
- $50k–250k134 grants · $16M
- $250k+40 grants · $24M
| Recipient | Amount |
|---|---|
| DIRECT RELIEF FOUNDATION | $4,335,895 |
| NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS | $1,600,000 |
| UTAH NAVAJO HEALTH SYSTEMS INC | $1,053,064 |
| NAT'L ASSOC OF COMM HEALTH CENTERS | $1,000,000 |
| NATIVE HEALTH | $956,962 |
| CONFEDERATED SALISH & KOOTENAI TRIBES | $939,978 |
| ALTAMED HEALTH SERVICES CORP | $914,110 |
| THE PASCUA YAQUI TRIBE | $829,307 |
| SOUTHEAST ALASKA REGIONAL HEALTH CONSOR | $698,410 |
| COLLIER HEALTH | $557,046 |
| MOUNTAIN AREA HEALTH EDUCATION CENTER INC | $525,000 |
| FAMILY HEALTH CENTERS OF SW FL | $506,335 |
| PASADENA EDUCATIONAL FOUNDATION | $500,000 |
| WNC FOOD SYSTEMS COALITION | $500,000 |
| LOS ANGELES UNIFIED SCHOOL DISTRICT EDUCATION FOUNDATION | $500,000 |
Do your dollars go where the need is?
Each grant placed by the hardship in its grantee’s ZIP, then read against the area’s typical level.
Your human-services grants (FY18–25, $77.2M) land where the poverty rate runs at 14%, against an area that typically sits at 10%. 97% of those dollars go to grantees based in above-average-need neighborhoods. Most of your grants land in higher-need ZIPs.
Matched: human-services grants are those whose grantee’s IRS cause code is Human Services. Placed by people below the poverty linein the grantee’s ZIP, averaged from the tracts in that ZIP; grantee ZIP can differ from where services are delivered.
Which US states your grants reach
Grants abroad, by region — $1.7B on the FY2025 return
Schedule F, as filed: 9 regions. The IRS asks for region and purpose, not the recipient, so no country or grantee can be named here.
Stated purpose: UKRAINE CRISIS RELIEF & RECOVERY · PHARMACEUTICALS, MEDICAL SUPPLIES, EQUIPMENT · PHARMACEUTICALS
Stated purpose: ISRAEL/PALESTINE RELIEF & RECOVERY · PHARMACEUTICALS · PHARMACEUTICALS, OTHER, MEDICAL SUPPLIES, EQUIPMENT
Stated purpose: TAKEDA CAP PROGRAM · VASELINE HEALING PROJECT · SUPPORT OF RELATED PARTY ORGANIZATION IN SOUTH AFRICA
Stated purpose: GENERAL EMERGENCY PREP & RESPONSE · GENERAL HEALTHCARE PROVIDER SUPPORT · COVID INDIA RELIEF & RECOVERY
Stated purpose: CARIBBEAN RESILIENCY FUND · GLOBAL COLD CHAIN CAPACITY BUILDING · GENERAL EMERGENCY PREP & RESPONSE
Stated purpose: BRAZIL FLOODS RELIEF & RECOVERY · PHARMACEUTICALS, MEDICAL SUPPLIES, EQUIPMENT · PHARMACEUTICALS, MEDICAL SUPPLIES
Stated purpose: GENERAL EMERGENCY PREP & RESPONSE · ISRAEL/PALESTINE RELIEF & RECOVERY · PHILIPPINES COUNTRY SUPPORT
Stated purpose: EUROPE FLOODING RELIEF & RECOVERY · GENERAL EMERGENCY PREP & RESPONSE · TURKEY/SYRIA EATHQUAKE RELIEF & RECOVERY
Stated purpose: HURRICANE OTIS RELIEF & RECOVERY · HURRICANE JOHN RELIEF & RECOVERY · MEDICAL SUPPLIES, EQUIPMENT
US grants placed by each grantee’s ZIP, which can differ from where services are actually delivered. Need from public data — U.S. Census/ACS, CDC PLACES, Eviction Lab, USDA — shown as context about the area, never attributed to your giving. Grants abroad on Schedule F are filed by region, purpose and amount with no recipient name, so they are shown by region and cannot be placed on the country map or matched to a grantee.
Where the work is directed
The same grants, placed two ways — where each recipient sits, and where its stated purpose earmarks the money.
About 6% of Direct Relief’s grant dollars are earmarked, by their stated purpose, for a different county than the recipient’s own address — money that lands at a nonprofit in one place but is meant to do its work in another.
Recipient view: each grant at its grantee’s ZIP, mapped to a county. Directed view: each grant at the county its stated purpose names, falling back to the recipient’s county when the purpose names no place; US grants only. A county shows only if it carries the top 95% of that view’s dollars. Purposes are read from the foundation’s own 990 grant descriptions.
Who you back again
Which organizations you funded more than once, and which you funded a single time. Each grantee is matched to its own filings.
And the relationships you keep tend to grow: grantees you re-up on have seen median revenue of +47% since the first grant, against +37% for the ones you funded once.
425 repeat relationships — 123 still active in FY2025, 302 since wound down; 107 grantees were first funded in FY2025 (too recent to call).
How the two cohorts compare
Organizations
Total granted
Median revenue growth · since first grant
Still filing today
New vs renewed · share of each year
In FY2025, 61% of grant dollars renewed an existing relationship; $16M went to new ones.
Where new relationships form · theme of each grantee’s first grant
First-time = a grantee’s first year in your filing window; renewed = funded in an earlier year too. As a portfolio matures the renewed share naturally climbs — once funded, an org stays “renewable” — so the signal is the years that buck it (a new-grantee intake wave). The earliest year is left-censored: relationships that predate the data read as “new.” Theme is the grantee’s IRS cause.
Backed again, and grew
- NANATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS INC7× · 2018–2025 · $11M · revenue +19% · 67% of their budget
- HFHPM FOUNDATION INC8× · 2018–2025 · $2.6M · revenue +54%
- FHFUNDACION HOSPITAL PEDIATRICO4× · 2019–2025 · $2.0M · revenue +106% · 62% of their budget
Funded once
- HNHUI NO KE OLA PONO INC2× · 2024–2025 · $1.1M · revenue 0%
- ICINICIATIVA COMUNITARIA DE INVESTIGACION INCgraduated4× · 2018–2024 · $896k · revenue +107% · 36% of their budget
- TNTHE NAVAJO NATION2× · 2021–2022 · $733k
Repeat = funded in two or more distinct years; growth and survival are read from each grantee’s own subsequent IRS filings.
The map has a center of gravity: the average direction from the rest of the sector toward the organizations the foundation funds — the shape of its giving. Scoring every nonprofit along that direction surfaces the ones that look most like the portfolio. These are the closest matchesthat aren’t grantees — a resemblance in what they say they do, not a recommendation.
Strive to make better health easier by providing access to affordable, high quality health services through equitable, innovative, and inclusive care models that support patient care, education, research, & community service.
Hospital serving ocean county and is committed to enhancing the overall health status of the community by providing the highest quality healthcare and related services.
To provide quality, community-based primary preventative health services.
To provide patients with the highest quality of care/services, including basic primary and preventive medical care, vision, dental, OB/GYN, WIC services, and hospitalization.
Our mission is to provide universal access to excellent primary health care for patients of all ages, stages of life, and backgrounds.
Provides access to high quality primary care to any resident in east texas.
To provide medical services for the residents of the greater hartford connecticut area. to provide quality health care services to low and moderate income individuals in the greater hartford connecticut area regardless of ability to pay.
To provide non-emergent primary healthcare to the uninsured, under insured and insured residents of northeast oklahoma.
Hqp offers an array of programs that promote access to and improve the quality of services provided by our member health centers to the communities they serve.
The organization is a federally qualified health center that provides primary medical, dental, behavioral health, pharmacy and related patient support services to more than 18,000 individuals regardless of ability to pay.
The organization is devoted to serving the medical needs of the underprivileged of california.
First care clinic is a federally qualified health center providing medical, behavioral health and dental services to all, including the uninsured.
For reference, the grantee most central to the portfolio’s shape is First Choice Health Centers Inc and the most unlike its peers is Yale University. Resemblance is measured on each organization’s own IRS 990 mission text; it reflects how work is described, not its quality or impact.
For each theme you fund, this compares how the sector’s money is shifting with how your own giving is shifting.
Sector change and giving change are each shown relative to their own range, growing (right) or shrinking (left); both normalized, so inflation isn’t mistaken for growth.
Your grantees are a median of 31 years old; the field is 16. You back the established end — and your money leans older still.
The field is 22% startups (under 5 years old) — 4% of your grantees by number, and just 2% of your money.
The orgs you fund almost never close — 2% lost their exemption, against 13% of the field you don’t fund.
Age = years since IRS exemption (a founding proxy). “Closed” = auto-revocation for 3 years of non-filing — a floor on closure, not proof, and bigger established orgs lapse least. Association, not causation.
1729 grantees tracked through their own filings, 2017–2026.
Each one resolved to its own IRS returns and tracked year by year — your grant beside their revenue from every source. Association, dated; never a causal claim.
Counted here: distinct organizations you funded across 2017–2026, not grant rows in a single year — so this will not match the grant count on the cover.
Where your money sits — by cause, then by grantee
Showing your 200 largest grantees by grant value.
Each org by its size and your share of it — top-left is where you’re load-bearing
Go grantee by grantee — a decade per org, and how each moved after you funded them
A decade per grantee — revenue shaded, your grants as bars, all rows on one timeline.
- Who funds DIRECT RELIEF FOUNDATION ↗
- Who funds NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS INC ↗
- Who funds FOUNDATION FOR PUERTO RICO INC ↗
- Who funds HPM FOUNDATION INC ↗
- Who funds FUNDACION HOSPITAL PEDIATRICO ↗
- Who funds VOCES COALICION DE INMUNIZACION Y PROMOCIION DE LA SALUD INC ↗
- Who funds Miami Beach Community Health Center Inc ↗
- Who funds MIGRANT HEALTH CENTER WESTERN REGION INC ↗
- Who funds COLLIER HEALTH SERVICES INC ↗
- Who funds MED CENTRO INC ↗
- Who funds THE UNIVERSITY OF FLORIDA FOUNDATION INC ↗
- Who funds NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS INC ↗
- Who funds THE MAVEN PROJECT ↗
- Who funds SOCIETY OF CRITICAL CARE MEDICINE ↗
- Who funds INTERCAMBIOS PUERTO RICO INC ↗
- Who funds HEALTHY MOTHERS HEALTHY BABIES COALITION OF HAWAII ↗
- Who funds COSSMA INC ↗
- Who funds CORPORACION DE SALUD ASEGURADA POR NUESTRA ORGANIZACION SOLIDARIA INC ↗
- Who funds Salud Integral de la Montana Inc ↗
- Who funds Gulf Coast Health Center Inc ↗
- Who funds THE INSTITUTE FOR FAMILY HEALTH ↗
- Who funds ASIAN HEALTH SERVICES ↗
- Who funds Community Health of South Florida Inc ↗
- Who funds FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC ↗
- Who funds FORT BEND FAMILY HEALTH CENTER INC ↗
- Who funds SPRING BRANCH COMMUNITY HEALTH CENTER ↗
- Who funds GOSHEN MEDICAL CENTER INC ↗
- Who funds COMMUNITY CLINIC OF MAUI INC ↗
- Who funds BORINQUEN HEALTH CARE CENTER INC ↗
- Who funds ALTAMED HEALTH SERVICES CORPORATION ↗
- Who funds UTAH NAVAJO HEALTH SYSTEM INC ↗
- Who funds HUI NO KE OLA PONO INC ↗
- Who funds North Florida Medical Centers Inc ↗
- Who funds VALLEY HEALTH TEAM INC ↗
- Who funds UNITED METHODIST WESTERN KANSAS MEXICAN- AMERICAN MINISTRIES INC ↗
- Who funds COSTA SALUD COMMUNITY HEALTH CENTERS INC ↗
- Who funds NATIVE HEALTH ↗
- Who funds COMMUNITY HEALTH CENTERS OF PINELLAS INC D/B/A EVARA HEALTH ↗
The grantmakers whose grantees overlap with yours far more than size alone predicts. Each orbits closer the stronger the alignment; the arcs between them show where they also fund each other. Here it reads as a tightly interlocked camp — most of these funders back each other's grantees too.
Open a dossier: Americares Foundation Inc · National Association of Free and Charitable Clinics Inc · Heart to Heart International Inc · Delta Dental Community Care Foundation · California Primary Care Association · Sostento Inc · Essential Access Health · California Physicians' Service Fdn Dba Blue Shield of California Fdn · Upstream USA Inc · Pfizer Patient Assistance Foundation Inc · American Academy of Family Physicians Fdn · American Cancer Society Inc
Affinity is a Gamma-Poisson posterior co-funding rate, re-centered on the typical rate, so thin evidence shrinks toward no signal. A research starting point: overlap is association, not proof of shared intent.
Government reliance of your grantees
Every dot is one organization Direct Relief funds. Left–right is the share of its income from government; up–down is the share from you. Bigger dots raise more. Filter to federal or a single department — and drag the year to watch it move.
- Harbor Health Services Inc — 39% of income from government
- North Florida Medical Centers Inc — 33% of income from government
- Zufall Health Center Inc — 32% of income from government
- Premier Community HealthCare Group Inc — 24% of income from government
- Primary Care Medical Services of Poinciana Inc — 23% of income from government
- Im Sulzbacher Center for the Homeless Inc — 23% of income from government
- Community Health of South Florida Inc — 22% of income from government
- Central Florida Family Health Center Inc — 18% of income from government
- Florida Association of Community Health Centers Inc — 17% of income from government
- Suncoast Community Health Centers Inc — 17% of income from government
- Florida Community Health Centers Inc — 17% of income from government
- Massachusetts League of Community Health Centers Inc — 15% of income from government
- Collier Health Services Inc — 15% of income from government
- Pancare of Florida Inc — 15% of income from government
- Miami Beach Community Health Center Inc — 13% of income from government
- One Community Health — 13% of income from government
- Borinquen Health Care Center Inc — 13% of income from government
- National Association of Community Health Centers Inc — 12% of income from government
- Cornell Scott-Hill Health Corporation — 12% of income from government
- Family Health Centers of Southwest Florida Inc — 11% of income from government
- Casa Inc — 8% of income from government
- Mcr Health Inc — 7% of income from government
- Central Florida Health Care Inc — 7% of income from government
- Growing Gardens — 6% of income from government
- Citrus Health Network Inc — 2% of income from government
Government income is each org’s traced federal awards (USASpending — grants and contracts) plus state payments (open checkbooks) as a share of its total revenue (IRS Form 990); the self-reported government-grant line (990 line 1e) is carried for cross-check: a grantee that reports government grants we could not trace to a source is left off the chart rather than shown as receiving none. An association, not a claim that your grant caused the public funding. Coverage is precision-first — a floor, not a census; state records exist for 9 states, so a grantee outside them shows no state figure (dimmed) rather than a false zero. Federal award amounts are obligations, which can span years, so a single-year share is indicative. 990 filings lag 12–24 months.