Franklin Graham met Pierce in 1973, and they made several trips together to visit relief projects and missionary partners in Asia and elsewhere. Graham became president of Samaritan's Purse in 1979, following Pierce's death the prior year.[5]: 136
By 2022, Samaritan's Purse had offices in the United States, Australia, Canada, Germany, the United Kingdom and South Korea. Beyond the offices in those six countries, Samaritan’s Purse also has field offices in 15 countries as of August 2025. The organisation provides assistance in more than 100 countries.[6] It operates worldwide as Samaritan's Purse, Ippan Shadan Houjin in Japan and as the Emmanuel Group, a wholly owned aircraft title holding corporation formed in 2004.[1]
Programs
Samaritan's Purse includes several ongoing ministries.[7]: 104 [8]
North American Ministries (NAM) responds to emergency situations in North America.
Operation Heal Our Patriots (OHOP) provides lodging and outdoor activities in Alaska for wounded veterans and their spouses.[9] It is a sub-ministry of NAM.
International Projects responds to emergency situations around the world.
World Medical Mission (WWM), the medical arm of Samaritan's Purse, was founded in 1977 by brothers Dr. Richard Furman and Dr. Lowell Furman to enable doctors to serve short-term assignments at overwhelmed missionary hospitals.
Children's Heart Project (CHP) provides surgery for children born with heart defects in countries where proper care is not available.
Operation Christmas Child.
Operation Christmas Child
Operation Christmas Child was created in 1990 by Dave Cooke and his wife Gill for children in Romania.[10]: 332 [11]: 149 [12]: 254 Each November thousands of churches, schools, groups, and individual donors prepare and collect shoeboxes filled with toys, school supplies, personal items, and other small gifts. A booklet of Bible stories is often distributed alongside the shoebox gifts which are given to children based on need alone, regardless of their faith. These boxes are then distributed overseas by volunteers. As of 2024, over 232 million shoeboxes have been delivered. [13][14]
In 1994, a pioneering figure of the program, Mary Damron, collected 1,256 shoeboxes from family and neighbors in her impoverished community of Wyoming County, West Virginia.[15] Damron was one of the first major collectors of shoeboxes for Operation Christmas Child, and soon became an ambassador and missionary for the program. She traveled to over 40 countries during her time as a missionary with Samaritan's Purse. Damron died in December 2024, aged 70.[16]
In November 2022, the organization reached a milestone by distributing its 200 millionth Christmas shoebox.[17]
Elizabeth Groff, who was born in Ukraine and adopted by an American family in 2007, delivered the 200 millionth shoebox gift to a child in Ukraine.[18][19][20]
The program uses "follow-up" evangelism[21][22][23] with pamphlets of Bible stories that are given to families that receive the boxes.[24]
The follow-up evangelism program of Operation Christmas Child is called "The Greatest Journey". It is a 12-week discipleship program for children who receive shoebox gifts.[25]
U.S. Disaster Relief
The Samaritan's Purse launched a large civilian airlift operation to relieve those affected by Hurricanes Helene (late September 2024) and Milton (early October 2024). The organization completed 358 missions (helicopter and fixed wing). Besides, 30 thousands volunteers participated in cleaning the affected areas from mud, trees, and debris.[26] Samaritan’s Purse deployed more than 5,700 volunteers to support families in Western North Carolina.[27] In November 2024, Samaritan's Purse announced the launch of its new Hurricane Helene Rebuild Program.[28][29]
Emergency aid
One of Samaritan's Purse planes used for the emergency transport of basic necessities and aid workers in Birmingham, England, 2019
The organization's medical mission in Liberia, West Africa, was one of only two medical NGOs active in Liberia during the beginning of the 2014 Ebola outbreak. Samaritan's Purse and SIM USA both have been actively engaged in treating the outbreak of Ebola hemorrhagic fever in Liberia. On August 1, 2014, the organization announced that it was evacuating 60 nonessential personnel from Liberia. Dr. Kent Brantly, a Texas-based doctor working for the organization, was the first U.S. citizen to contract the Ebola virus in Liberia while treating the disease. He arrived in the United States on Saturday, August 2, and was treated and subsequently released after nearly three weeks in a special isolation unit of Emory University Hospital in Atlanta, Georgia.[30][31][32][33] The organization recorded their mission in Liberia in the documentary Facing Darkness. Samaritan's Purse has a fleet of 21 planes and 2 helicopters for the emergency transport of basic necessities and aid workers.[34]
Ukraine aid
According to the Ukrainian government, Samaritan's Purse has been operating in Ukraine since the start of the war in Donbas in 2014. Since the full-scale invasion, the organization, through local partners, has been delivering food, water, warm clothing, and medical assistance. More than 9.6 million Ukrainians have benefited from this aid. The organization has established cooperation with 2,000 Ukrainian partners.[35][36]
The organization stepped efforts to aid Ukraine in the midst of the Russian invasion of Ukraine in 2022. The first mission staff arrived in Ukraine in February 2022. During the initial phase of the war, a DC-8 aircraft transported up to 84,000 pounds of aid, which was then delivered to Ukraine through Poland. The organization's warehouse in North Wilkesboro, North Carolina, was used for the aid distribution.[37] By December 2022, the organization had distributed 100 million pounds (45,000 metric tons) of food to those affected by the war in Ukraine.[38] The organization's aircraft was also used for evacuating Ukrainian refugees. In May 2022, 28 Ukrainians were flown to Canada.[39]
The organization donated various supplies especially for the youth in schools such as medication, food, supplies, blankets, tarps, and bags. The donations were made through various methods of transportation such as semi trucks being loaded with roughly 80,000 donation goods, being transferred at Piedmont Triad International Airport on the DC-8 airplane, and then being air lifted to Poland where the goods are transported across the border to Ukraine. The organization accomplished its 30th airlift donation in the month of September having started in February, equating to roughly 4 airlifts per month. It is estimated that 5.5 million Ukrainians were aided due to the efforts with food, water, and supplies. Furthermore, the organization provided roughly 30 emergency field support hospitals in Lviv with the result of aiding nearly 18,000 patients.[40]
The deployment of the emergency field hospital in Ukraine began on March 3, 2022.[36] The hospital was located in an underground parking lot of a shopping centre in Lviv.[41] In September 2022, it was reported that the organization supported 30 medical facilities across Ukraine.[37] According to Ukraine's Ministry of Health, more than 33,700 outpatient consultations were provided and over 260 surgeries were performed in the field hospitals set up with Samaritan's Purse support. Additionally, 253 metric tons of medical supplies were delivered to 164 medical facilities in Ukraine.[35]In December 2022, generators were provided for hospitals in the Kherson region, as well as for the so-called points of invincibility[42] across the region.[43]
To further support Ukraine, in March 2023, Samaritan's Purse and its Ukrainian subsidiary, the Samaritan's Purse Ukraine Charitable Foundation, signed a five-party memorandum of understanding and cooperation with Ukrainian government structures, including the Ministry of Social Policy, the Ministry of Health, and the Ministry for Reintegration of Temporarily Occupied Territories.[35][36]
Israel and Gaza Aid
The organization provided support to those affected by the Gaza war. In November 2023, the President of Samaritan’s Purse, Franklin Graham, visited Israel to assess the damage from the 7 October Hamas-led attack on Israel and met with Israeli Prime Minister Benjamin Netanyahu in Tel Aviv.[44][45] The organization provided hygiene kits, hot meals, food boxes, and vouchers for internally displaced people in Israel. Also, rescue teams were provided with medical equipment, including defibrillators and 1,000 trauma kits for rapid emergency care. Hot meals and food were delivered in partnership with 50 local churches.[46][47] During his visit, Franklin Graham suggested that Magen David Adom, Israel’s emergency services system, equivalent to the Red Cross first responders, needed a small fleet of armored ambulances.[45] As of September 2024, Samaritan’s Purse had donated 42 ambulances to Magen David Adom.[48][47] The organization was also working to support two Christian communities in Gaza by coordinating evacuation routes for them.[45]
Other relief
Regarding the March 28 Myanmar earthquake, Samaritan’s Purse reports that a DC-8 plane containing a field hospital landed in Myanmar on April 5; and on April 6, a chartered 747 took off from Greenville, South Carolina carrying more than 100 tons of relief supplies.[49][50]
Evangelistic initiatives
European Congress on Evangelism (2025)
In May 2025, Franklin Graham held the European Congress on Evangelism in Berlin, drawing about 1,000 Christian leaders from 55–56 countries. The meeting emphasized “proclamation evangelism,” urging pastors to preach the gospel “unashamedly” amid perceived cultural opposition. The event also highlighted tensions within European evangelicalism: British apologist Amy Orr-Ewing reported unprecedented openness to the Christian message among Gen Z, while Finnish MP Päivi Räsänen’s ongoing legal case illustrated constraints on public religious expression. During the congress on 28 May 2025, Graham met Ukrainian president Volodymyr Zelensky and led delegates in prayer for peace in the Russia–Ukraine war, also praying for Vladimir Putin and U.S. president Donald Trump. [51][52][53][54][55][56][56]
Samaritan's Purse airplane fleet
As of August 2025[update], Samaritan's Purse operates the following aircraft:[57]
Samaritan's Purse operates a number of aircraft. This includes one Douglas DC-8 and one Boeing 757.[58][59] The fleet is deployed on regular missions and has previously been on display at the EAA AirVenture Oshkosh airshow.[60]
In 2025, Samaritan's Purse announced plans to retire its DC-8 and took delivery of a Boeing 767F.[61]
Financials
The organization's 2021 financial statement listed $758 million in cash donations and another $245 million in donated goods and services. 85% of its $676 million in expenses went to ministry expenses with the largest share (42%) going to their Operation Christmas Child project, 17% to emergency relief, and 7% to its medical missions. Most expenses come from direct costs in delivering in emergencies, medical relief, and Operation Christmas Child (57%) along with staff salaries and other employment expenses (20%).[1] In 2024, Samaritan’s Purse had a total revenue of $1.2 billion, and reported that 84.66% of its expenses went to ministry work, 6.88% went toward general and administrative costs, and 8.6% went toward fundraising. [62] https:/www.samaritanspurse.org/our-ministry/financial-accountability/[63]
The organization has received a 4 star rating (out of 4 stars) from the monitoring organization Charity Navigator.[64]
Samaritan's Purse has received $350 million in US federal grants since 2016, though as of 2025 that funding accounts for less than 5% of its revenue.[65] In 2020, it declined federal funding from the Trump administration originally withheld from the World Health Organization.[66] In 2025, the Trump administration made significant cuts to USAID, halting a range of disaster relief, global health, and other foreign humanitarian assistance. Samaritan's Purse receives such assistance, including money spent on medicine and hunger relief in Africa. Franklin Graham said he believed his organization would be exempted from the cuts and supported efforts to "assess and reexamine" aid programs.[65][67]
Facilities and fleets
Samaritan's Purse facilities at the Piedmont Triad International Airport in Greensboro, North CarolinaSamaritan's Purse facilities include maintenance, cargo loading facilities, and fuel storage
Based in Boone, North Carolina, the organization also maintains warehouse and administrative facilities in North Wilkesboro, North Carolina including a 202,000 square feet (18,800 m2) former bottling plant and newly constructed 47,000 square feet (4,400 m2) facility where its 5 custom tractor trailers used for distributing relief supplies are staged.[68]
The organization also operates a fleet of 23 passenger, cargo, and executive aircraft positioned around the world, registered in the organizations name and to the Emmanuel Group, a holding company.
Operations focused at their maintenance facilities at the Piedmont Triad International Airport, along with additional hangar facilities at the Wilkes County Airport.[69][70] A $1.5 million taxiway was built by the State of North Carolina 2019 to serve the organization's second hangar at that airport under construction at the time.[71] Aircraft serve humanitarian relief missions as well as executive transportation.[72]
Douglas DC-8-72CF: configured to support up to 32 passengers and 10 cargo pallets. The aircraft was built in 1968 and began service for Finnair, then by the French Air Force beginning in 1985, then by charter airline Air Transport International before being registered to Samaritan's Purse in 2015. The aircraft recently flew missions an average of once per month.[73][74] The aircraft will be retired by the end of 2025.[75]
Boeing 757-200, configured as a freighter. Built in 1985, began service as a passenger aircraft with Eastern Airlines then several British and Icelandic airlines. Converter to a freighter in 2006 where it flew for DHL and other airlines before being registered as N783SP in 2022.
Bell 206-L4 helicopter registered to Samaritan's Purse in 2016 as N146SP.[78]
Gulfstream G550 19 passenger executive aircraft, registered as N521GV to Emmanuel Group.
Dassault Falcon 50 9 passenger executive aircraft, registered as N50FJ to Emmanuel Group.
Dassault Falcon 900EX 13 passenger executive aircraft, registered as N900FJ to Emmanuel Group.
Previous aircraft include a Mitsubishi MU 2 purchased in the mid-1990s and a Learjet 45 bought in 2020 and sold in 2021.[79]
The organization donated two Beechcraft King Air B200 aircraft in 2011 to a similar Micronesia-based organization.[80]
Controversy
The organization has been criticized for requiring volunteers to sign a controversial Statement of Faith which disavows homosexuality and same-sex marriage.[70] This criticism arose when Samaritan’s Purse set up an Emergency Field Hospital in New York City during COVID-19. The organization's board of directors, which includes Franklin Graham's son, Edward Bell Graham, has also been criticized for the $622,000 yearly salary paid to Franklin Graham (as of 2015), which is 40–50% more than similar non-profit organizations.[81][82] In 2024, The Charlotte Observer published a report comparing the 15 largest nonprofits in North Carolina. Samaritan’s Purse had one of the highest revenues in North Carolina and Franklin Graham brought in the lowest salary out of all of the highest earners. [83]
In March 2001, The New York Times reported that Samaritan's Purse had "blurred the line between church and state" in the way it had distributed publicly funded aid to victims of the January 2001 and February 2001 El Salvador earthquakes. Residents from several villages stated they first had to sit through a half-hour prayer meeting before receiving assistance.[84] In a statement, USAID said Samaritan's Purse had not violated federal guidelines, but emphasized the need for the organization to "maintain adequate and sufficient separation" between prayer sessions and publicly funded activities.[85] Franklin Graham has said that Samaritan’s Purse does not force religion on others, even in privately-funded ministry work where government grants are not involved. In 2020, he told The New York Times that the organization’s staff “would not force themselves on somebody and try to force our religion on somebody or what we believe. We don’t do that.” In 2025, Graham told Christianity Today, “Like the biblical story of the Good Samaritan, we help people in the ditches of life regardless of their beliefs or background—without asking for anything in return.” [86][87]
In 2003, Islamic leaders criticized Samaritan's Purse within the United Kingdom after its president, Franklin Graham, called Islam a "very evil and wicked religion",[88][89] leading to opposition campaigns by the Islamic leaders.[90] Samaritan's Purse responded to accusations of being anti-Islamic by highlighting their long history of non-denominational co-operation and charity work in throughout the Muslim world without attempting to preach or proselytize.[91] Franklin Graham told the Baptist Press, “As the leader of an international Christian relief organization, my calling is to provide food, clothing, housing, supplies and medical care to hurting people everywhere regardless of faith. Samaritan’s Purse has provided more relief and aid to Muslim people than to any other people in the world.” [92]
The Operation Christmas Child project has been criticized in several countries, most notably in the UK,[93][94] but also in Ireland,[95] India[96] and Canada.[97] In the United States, Ibrahim Hooper of the Council on American-Islamic Relations has stated that such religion-and-relief groups are "using their position of power to try to persuade people to leave their faith."[98] In 2003, the British supermarket chain Co-op and South Wales Fire Service both suspended their support for the project after numerous complaints about its religious connections.[89][99] Samaritan's Purse responded by stating that Christian literature was only handed out where its staff "deemed it appropriate".[99]
Franklin Graham drew scrutiny in 2009 for drawing a full-time salary from Samaritan's Purse, while at the same time receiving a full-time salary from Billy Graham Evangelistic Association (BGEA). This was called into question after his 2008 compensation from both organizations totaled $1.2 million (most of this was the result of a new IRS rule that required him to re-report deferred retirement contributions that had already been reported over the previous three years).[100] Some experts on non-profits have questioned whether one person can perform two full-time jobs leading organizations that employ hundreds and spend hundreds of millions around the world.[101] In response to the questions about his compensation, Graham decided to give up his salary from BGEA, stating his calling to the ministry "was never based on compensation." He also had contributions to his retirement plans suspended until the economy bounced back.[102] However, Graham was again criticized in 2015 when it was revealed he had again taken up his salary from BGEA, and that his annual compensation was significantly higher than that of the CEO's of similar but much larger non-profit organisations.[103]
In 2010, an American woman and two Sudanese men were kidnapped while working for Samaritan's Purse in Sudan. The two men were released promptly, but the woman was held for three months. Upon her return to the US, she sued Samaritan's Purse and their security contractor, Clayton Consultants, a hostage negotiation consultancy owned by Triple Canopy, accusing the organization "of failing to train its security personnel adequately and of willfully ignoring warning signs that abductions were a threat to foreigners." The organization settled out of court in March 2012.[104][105]
In August 2013, Thankyou Group announced that it would no longer support Samaritan's Purse because it is not a signatory to the code of conduct run by the Australian Council for International Development, which bans aid as a vehicle for promoting religion or political groups.[108]
Response to the COVID-19 outbreak
Italy
On March 17, 2020, Samaritan's Purse dispatched over 105 disaster response specialists, as well as two airlifts carrying 38 tons of medical equipment and a field hospital to Cremona, Italy which started operations on March 20, 2020. The organization treated more than 280 patients, and the city council later made Samaritan’s Purse honorary citizens.[109][110][111]
Alaska
Samaritans' Purse airlifted 8 tons of medical supplies to Alaska on April 7, 2020, to help provide supplies to remote communities.[112][113][114]
New York
In cooperation with New York City'sMount Sinai Hospital, Samaritan's Purse constructed a 14 tent, 68-bed field hospital in Central Park on March 29, 2020, to increase Mount Sinai's surge capacity.[115][116][117] Through April, over 315 people were treated there. By early May, all patients had been discharged, and there were plans to dismantle the tents.[118][119][120]
Criticism
Before the field hospital opened, journalists, politicians and LGBTQ activists raised concerns that it was only recruiting Christian medical staff and that it would provide inadequate and discriminatory care.[121][122][123][124][125][126] Volunteers are required to adhere to a statement of faith, agreeing to a definition of marriage as "exclusively the union of one genetic male and one genetic female" and acknowledging that "[God] will banish the unrighteous to everlasting punishment in hell."[127][128][129][130] New York Mayor Bill de Blasio stated that the presence of Samaritan's Purse was "very troubling," while New York State Senator Brad Hoylman told NBC News that he considered it "a shame that the federal government has left us in the position of having to accept charity from such bigots".[122][131][132][128] Franklin Graham later responded to Hoylman's request for public reassurance by stating: "We do not make distinctions about an individual's religion, race, sexual orientation, or economic status. We certainly do not discriminate, and we have a decades-long track record that confirms just that."[115][126][133] New York City's Commission on Human Rights closed an investigation into the hospital after finding no evidence it had discriminated against patients.[134] The group's departure was hailed as a victory by LGBTQ rights activists.[135]
Hedge fund manager Whitney Tilson, who volunteered his time and money to help build the field hospital, said that though he found the positions of the group on sexuality "abhorrent", in his view, helping the Covid response was more important than protesting the group's ideologies.[136] He said: "I'll have the ideological discussions with them later. If they're here saving my fellow New Yorkers' lives, and not even asking to be paid for it, then I will absolutely help them do that."[136]
Joint plans between Mount Sinai Hospital, Samaritan's Purse and the Episcopal Diocese of New York to convert the Cathedral of St. John the Divine into a 200-bed hospital were shelved on April 9, 2020. Although this decision was attributed at least in part to the assessment that virus-related hospitalizations had already plateaued,[137][138] Bishop Andrew M.L. Dietsche of the Episcopal Diocese of New York later said that Graham's "exclusionary" and "narrow" attitude about Christianity was central to the decision. Specifically, the Samaritan's Purse requires its employees and volunteers to oppose gay marriage, which, in Dietsche's words, was incompatible with the work the New York Diocese had done "around the full inclusion of gay and lesbian people."[118]
^"Operation Christmas Child/Children's Evangelistic Rallies"(PDF). Occupying Till He Returns. Billy Graham Evangelistic Association. 1998. Thousands of children were touched in 1998 by Operation Christmas Child, a project that ministers to both the physical and spiritual needs of children around the world... In conjunction with the distribution of shoe box gifts, BGEA International Ministries often arranges Children's Evangelistic Rallies, which include a presentation of "The Greatest Gift of All." In this lively program, a young boy learns about God, His creation and His gift of salvation through Jesus Christ. At the end of the program, children are invited to become God's friends by accepting the forgiveness He provides through His Son. Trained volunteers meet with each child who responds. Rallies took place in Romania and in hurricane-ravaged Nicaragua and Peru. Total attendance at the rallies was 245,000, with more than 42,000 inquirers.
^"Sharing Christ's Love Through Operation Christmas Child"(PDF). Samaritan's Purse 2003 Ministry Report. Archived from the original(PDF) on May 10, 2004. Operation Christmas Child is one of the best evangelistic tools because it is a gift," ministry partner Victor Kulbich said. "It opens the door to telling about Jesus.
^"Discover The Greatest Journey". Archived from the original on October 22, 2013. The journey to faith begins when children are offered Gospel storybooks during Operation Christmas Child gift distributions. The most far-reaching impact comes later, when boys and girls are invited to participate in the voluntary Bible study course produced by Samaritan's Purse... The 12-lesson set guides children through a study of who Jesus Christ is, what it means to follow Him, and how to share this exciting message with others. After children complete the program, they are presented with a personalized certificate. To help these boys and girls continue to grow in their faith, we want to provide them with their very own copies of the Greatest Gift of All New Testament. This special edition also includes selected Old Testament stories, a dictionary, and a section that encourages the children to memorize Scripture. All of the materials used for The Greatest Journey are provided at the request of local churches and ministry partners. Millions of boys and girls have indicated that they have committed their lives to Jesus Christ after receiving shoe box gifts and participating in our follow-up program. By sharing their faith one-on-one, these children in turn lead friends and relatives to Jesus Christ
