2024 Financial Report

MESSAGE FROM OUR TREASURER

In 2024 Médecins du Monde continued its longstanding commitment to responding to emergencies and crises and implementing innovative projects for long-term development and social transformation both in France and internationally. This financial report offers a vision of a dynamic organisation with the means to ensure its independence in order to respond to the calls and challenges of a humanitarian landscape undergoing considerable change.

The confidence of our institutional and corporate donors, the loyalty of our individual donors and the generosity of our supporters have enabled us to confirm our targets for controlled growth (+22%), with total expenses of almost 150 million euros. This growth is mainly due to the development of our social missions (81.5% of the total), particularly in the international field. These projects would not exist without the human resources to support them and the means to guarantee the safety and quality of our projects and working conditions: as a result, salary expenditure has increased by almost 11 million euros, with more than half of this increase relating to international operations (Lebanon, Palestine, etc.).

The 2024 financial year showed a deficit, as projected, but in the end less than expected (-0.7m). The reason for this deficit is that we have set up specific reserves (including four new entity projects at the AGM in June 2024), and financial tools for our political projects, which we have already put to use. However, if the AGM votes to use the reserves previously created to cover the related expenses, the result will be €8.3m.

Our financing model remains balanced overall, with public funding representing 50% of total income and, significantly in the current context, up by 26%. As the mainstay of our funding structure, individual public donations account for 45% of our revenue (relatively stable in absolute terms, if we exclude the amount of the exceptional legacy in 2023), which means that we have more unrestricted resources than we expected in the budget. As set out in our Strategic Plan, the balance between private and public funding, combined with a redoubled effort to diversify our sources of funding, will ensure our political and operational independence. In the same vein, our decision to cover nine months of operations with our own funds means that we can face the uncertainties of the international and financial situation with greater peace of mind, while the creation of a contingency reserve of one million has guaranteed our ability to respond immediately to emergencies.

MdM is in a position to fulfil its missions.

That was the year 2024…

This is a satisfactory and reassuring report, and, is partly a reflection of ‘the world before’, given how much the context has changed on the eve of 2025. The cataclysm of the first few months of the new American administration, it’s appalling and implacable consequences in countless areas, and the ‘follow-my-leader’ effect it has had on many decision-makers, has radically changed the situation, plunging us into uncertainty and requiring clear-sighted, courageous and ever ambitious responses from us.

Our 2025 budget, which was envisaged as a continuity of the previous year, following the balances and orientations described in 2024, will already have to adapt to the revised budget, in the light of the fast- changing humanitarian and political environment. Médecins du Monde is solid, relying on both the commitment of skilled and generous teams of staff and volunteers as well as the loyalty of an exceptional network of public support: we have what it takes to cope.