Financial independence and reporting
Each year our audited combined Financial Statements (International Financial Report/IFR) provide a global overview of MSF’s work. Our International Activity Report (IAR) gives details on our activities and expenditure in each country and reflects on the major challenges we faced over the year. Our International Financial Reports and International Activity Reports explain our funding policy, where our money comes from, how donations are used and the operational challenges faced each year.
Where our funding comes from
In 2024, more than 7.1 million individual donors and private institutions (private companies and foundations) provided 98 per cent of the €2.36 billion raised.
Our funding relies largely on individuals donating small amounts. This helps to ensure our operational independence and flexibility to respond at a moment’s notice to the most urgent crises, including those which are underreported or neglected.
Nurse Mariam Dembele takes a child's vital signs in the paediatric ward of the community health centre. Mali, 16 April 2024.
Our funding policy
Internationally, government funding represents only around one per cent of the total funds raised. Since 2016, we’ve refused to take funds from the European Union, its Member States and Norway, in opposition to their damaging deterrence policies on migration and their intensifying attempts to push people away from European shores.
Moreover, we don’t accept contributions from companies and industries whose core activities may be in direct conflict with, or limit our ability to provide, medical humanitarian work.
Hence, we don't accept money from:
- pharmaceutical and biotechnology companies;
- extraction industries (such as oil, natural gas, gold, or diamonds);
- tobacco companies; and
- arms manufacturers.
MSF air shipment of medical supplies arrived after Port-au-Prince international airport reopened, these shipments meet the urgent need to resupply MSF's programs. Port-au-Prince, Haiti, 13 June 2024.
How your donations are spent
Your donations pay for millions of consultations, surgeries, treatments and vaccinations every year.
We are a non-profit organisation and 79% of our financial resources are allocated to fulfilling our social mission: 63% to our humanitarian programmes, 12% to support our projects and programmes, and 3% to awareness-raising, the Access Campaign, and the Drugs for Neglected Diseases initiative (DNDi). The rest is spent on general management and fundraising costs. We also maintain reserves that allow us to respond immediately to a crisis without having to wait for a fundraising appeal. The use of MSF funds is tightly controlled, and the audited financial reports are publicly available.
- Programme expenses, 63%
- Management, administration and fundraising, 21%
- Programme support, 12%
- Awareness-raising, Access Campaign & other humanitarian activities, 3%
*figures from 2024 International Financial Report
International Financial Report
Every year we publish our audited combined Financial Statements. These combined accounts are a means of transparency and accountability, providing a global overview of MSF’s work.
The International Financial report represents an aggregation of the Financial Statements of the 24 sections, 18 branch offices, numerous satellite organisations, and MSF International.
- Private income, 98%
- Public institutional income, 1%
- Other income, 1%

International Financial Report 2024
Annual Report International Financial Report 2024 26 May 2025 Annual Report

International Financial Report 2023
Annual Report International Financial Report 2023 4 Jun 2024 Annual Report

International Financial Report 2022
Annual Report International Financial Report 2022 11 Jul 2023 Annual Report

International Financial Report 2021
Annual Report International Financial Report 2021 25 May 2022 Annual Report

International Financial Report 2020
Annual Report International Financial Report 2020 25 May 2021 Annual Report

International Financial Report 2019
Annual Report International Financial Report 2019 10 Jun 2020 Annual Report

International Financial Report 2018
Annual Report International Financial Report 2018 28 May 2019 Annual Report

International Financial Report 2017
Annual Report International Financial Report 2017 30 May 2018 Annual Report

International Financial Report 2016
Annual Report International Financial Report 2016 22 Jun 2017 Annual Report

International Financial Report 2015
Annual Report International Financial Report 2015 20 Jun 2016 Annual Report

International Financial Report 2014
Annual Report International Financial Report 2014 30 Jun 2014 Annual Report

International Financial Report 2013
Annual Report International Financial Report 2013 30 May 2014 Annual Report

International Financial Report 2012
Annual Report International Financial Report 2012 5 Jul 2013 Annual Report

International Financial Report 2011
Annual Report International Financial Report 2011 30 May 2012 Annual Report

International Financial Report 2010
Annual Report International Financial Report 2010 28 May 2011 Annual Report

International Financial Report 2009
Annual Report International Financial Report 2009 30 May 2010 Annual Report

International Financial Report 2008
Annual Report International Financial Report 2008 30 May 2009 Annual Report

International Financial Report 2007
Annual Report International Financial Report 2007 30 May 2008 Annual Report

International Financial Report 2006
Annual Report International Financial Report 2006 30 May 2007 Annual Report

International Financial Report 2005
Annual Report International Financial Report 2005 30 May 2006 Annual Report

International Financial Report 2004
Annual Report International Financial Report 2004 30 May 2005 Annual Report
International Activity Report 2024