| Forbes Magazine Forbes recognized Direct Relief for the eighth consecutive year as 99% efficient or more in fundraising among nonprofit organizations in the United States. |

| Charity Navigator In addition to being named a 3-Star Charity this year, Direct Relief was cited in 2008 as the No. 1 “Slam-Dunk Charity” in the country and one of the “10 of the Best Charities Everyone's Heard Of” and had the lowest percentage of funds spent on administrative and fundraising costs of the ten charities named. Charity Navigator is America’s largest independent evaluator of charities. |

| Consumers Digest In its December 2006 issue, Consumers Digest ranked Direct Relief the eighth most efficient charity in America with a program spending efficiency of 99.1 percent. Direct Relief ranked 13th overall in the cost to raise $100 and 17th in the amount of direct public support with nearly $220 million. |

| Better Business Bureau
The Better Business Bureau's Wise Giving Alliance has noted Direct Relief's efficiency and found that Direct Relief meets the "Standards for Charity Accountability." |

| NonProfit Times The NonProfit Times ranked Direct Relief as the No. 1 “Biggest Mover” of 2008 in its “NPT 100” charity rankings. Direct Relief maintains one of the smallest fundraising budgets of all the charities on the list. |

| Chronicle of Philanthropy Direct Relief International Recognized in the Chronicle of Philanthropy's Annual List of "The Philanthropy 400" for Seventh Year in a Row. |

| Worth Magazine Direct Relief International Named One of Best U.S. Charities |
Recognition and Thank You Letters