Direct Relief Ranked Among Forbes' 2024 Top U.S. Charities For 100% Efficiency And Global Humanitarian Impact
1 | Feeding America | Domestic Needs | $4.91 B | $5.16 B | 99 | 98 |
2 | Good 360 | International Needs | $3.04 B | $3.06 B | 100 | 100 |
3 | St. Jude Children's Research Hospital | Medical | $2.57 B | $3.79 B | 84 | 70 |
4 | United Way Worldwide | Domestic Needs | $2.49 B | $3.56 B | 87 | 85 |
5 | Direct Relief | International Needs | $2.37 B | $2.38 B | 100 | 100 |
6 | Salvation Army | Domestic Needs | $2.3 B | $4.78 B | 89 | 83 |
7 | Habitat for Humanity International | International Needs | $2.02 B | $3.08 B | 91 | 84 |
8 | Americares | International Needs | $1.54 B | $1.56 B | 99 | 98 |
9 | Goodwill Industries International | Domestic Needs | $1.48 B | $8.24 B | 99 | 77 |
10 | Boys & Girls Clubs of America | Youth | $1.36 B | $2.83 B | 89 | 79 |
Forbes.“The 100 Largest U.S. Charities.” Forbes, 2024, .
Leading Position Among California and International Charities
Among the 100 largest U.S. charities recognized by Forbes in 2024, Direct Relief stands out as the largest among the six headquartered in California, emphasizing its leadership in a state renowned for philanthropy.
Top California Charities by Size – 2024
1 | Direct Relief | International Needs | $2.37 B | $2.38 B | 100 | 100 | x |
2 | Shriners Hospitals for Children | International Needs | $547 M | $1.98 B | 71 | 75 | x |
3 | Cedars-Sinai Health System | Domestic Needs | $426 M | $8.78 B | 95 | 89 | x |
4 | Entertainment Industry Foundation | Health | $321 M | $325 M | 91 | 90 | x |
5 | City of Hope | Medical | $280 M | $4.73 B | 85 | 82 | x |
6 | Second Harvest of Silicon Valley | Domestic Needs | $262 M | $294 M | 97 | 95 | x |
Forbes.“The 100 Largest U.S. Charities.” Forbes, 2024,
Globally, Direct Relief is ranked as the second-largest charity in the“International Needs” category, underscoring its ability to address complex global challenges and deliver impactful humanitarian aid across diverse regions.
Top International Charities by Size – 2024
1 | Good 360 | International Needs | $3.04 B | $3.06 B | 100 | 100 |
2 | Direct Relief | International Needs | $2.37 B | $2.38 B | 100 | 100 |
3 | Habitat for Humanity International | International Needs | $2.02 B | $3.08 B | 91 | 84 |
4 | Americares | International Needs | $1.54 B | $1.56 B | 99 | 98 |
5 | Compassion International | International Needs | $1.28 B | $1.34 B | 87 | 80 |
6 | MAP International | International Needs | $1.01 B | $1.02 B | 99 | 99 |
7 | United States Fund for UNICEF | International Needs | $0.84 B | $0.85 B | 90 | 89 |
8 | World Vision | International Needs | $0.84 B | $1.51 B | 86 | 89 |
9 | Doctors Without Borders USA | International Needs | $0.75 B | $0.78 B | 86 | 87 |
10 | Convoy of Hope | International Needs | $0.63 B | $0.64 B | 96 | 93 |
Forbes.“The 100 Largest U.S. Charities.” Forbes, 2024,
2024 Charity Ratings
Beyond its Forbes ranking, Charity Navigator , the nation's leading nonprofit evaluator, awarded Direct Relief an overall 100% charity rating for 2024, marking its 14th consecutive Four-Star rating . This distinction underscores the organization's commitment to excellence, accountability, and measurable impact.
Charity Navigator also recognized Direct Relief as one of the Best Humanitarian Relief Charities of 2024, highlighting its responses to Hurricane Helene , Hurricane Milton , and humanitarian crises in Sudan and Ukraine . These lists identify organizations that are“extraordinarily effective at what they do, giving you the chance to support a cause where you'll have an impact.”
Direct Relief has also earned an A+ rating from CharityWatc , the highest grade awarded by the independent watchdog.
Humanitarian Impact in 2024
In 2024, Direct Relief advanced its global humanitarian mission with the following accomplishments:
- Delivering Lifesaving Medicines: Distributed over 380 million defined daily doses of medicine to more than 2,300 healthcare facilities across 90 countries and all 50 U.S. states .
Hurricane Responses: Responded to Hurricanes Beryl , Helene , and Milton , providing financial support and essential medicines to over 90 healthcare providers across impacted states, including Florida , Georgia , North Carolina , South Carolina , Tennessee , Texas , and Virginia .
Middle East Humanitarian Aid: Provided $299 million in medical aid to regions including Gaza , Egypt , Israel , Lebanon , Syria , and Yemen . This included nearly 150 tons of medical supplies , valued at more than $32 million , addressing critical health needs such as cancer treatment, diabetes care, cardiac conditions, and water purification.
Support for Ukraine: Delivered $322 million in medical aid to Ukraine in 2024, bringing the total since 2022 to 2,600 tons , valued at $1.4 billion . Current initiatives focus on rehabilitation, mental health, mobile care, and energy resilience for healthcare facilities.
Policies on Donor Funds and Valuation of In-Kind Donations
Direct Relief ensures that no donor funds are used for fundraising expenses. Such costs-averaging just 2% of cash revenue -are covered entirely by earnings from a generous bequest, ensuring that 100% of donor contributions directly support humanitarian programs.
As an organization funded exclusively by private charitable contributions, Direct Relief does not accept government support. Its operational efficiency is bolstered through strategic partnerships with businesses and nonprofit organizations.
The majority of donations received and distributed by Direct Relief are in-kind contributions of medicine and medical supplies, valued at wholesale cost. These contributions form the largest share of the organization's annual revenue.
Direct Relief's long-standing support for locally run facilities providing essential health services to underserved communities has enabled it to expand its reach and strengthen fragile health systems globally, marking an unparalleled level of impact in its 76-year history .

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