Thomas Tighe, president and CEO of Direct Relief, stands for a photo at its headquarters in Santa Barbara, Calif., Friday, Dec. 20, 2024. (AP Photo/Jae C. Hong)

Thomas Tighe, president and CEO of Direct Relief, sits for a photo at its headquarters in Santa Barbara, Calif., Friday, Dec. 20, 2024. (AP Photo/Jae C. Hong)

Bobby Contreras packs medicine into a box at Direct Relief's headquarters in Santa Barbara, Calif., Friday, Dec. 20, 2024. (AP Photo/Jae C. Hong)

Thomas Tighe, president and CEO of Direct Relief, poses for a photo at its headquarters in Santa Barbara, Calif., Friday, Dec. 20, 2024. (AP Photo/Jae C. Hong)

Thomas Tighe, president and CEO of Direct Relief, talks to visitors at its headquarters in Santa Barbara, Calif., Friday, Dec. 20, 2024. (AP Photo/Jae C. Hong)