Smile Train, INC.'s primary purpose is to provide people born with clefts the same opportunities in life as those born without clefts. (cont'd on sch. O).

501(c)(3) charity; gifts are tax-deductible.
71¢ of each $1 spent went to programs.
$2.2M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2021 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
4 of 6
filings with a surplus
Average surplus $6.5M a year · 6% of revenue · last 6 filings
Fine: a surplus in 4 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
71%
of spending
Fine: 71% of spending went to programs; 65% to 75%.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$2.2M
to officers and key staff · 2% of spending
Looks good: pay to officers and key staff is 2% of spending; 15% or less.
Pt VII · Sec A
2 mo
of spending, in cash
Plus $394.0M in investments, Pt X · Ln 11–13
Fine: 1.8 months of spending in cash; 1 to 3.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
64
named funders · $721K
Looks good: 64 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$9.0M
2% of total assets
Looks good: liabilities are 2% of assets; 50% or less.
Pt X · Ln 26
Independent board members
6
of 7 voting members
Looks good: 6 of 7 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$113.1M
+15% vs prior year
Spent
$94.6M
To programs
71%
Net assets
$422.8M
By yearFY2020–FY2025
Revenue
$113.1M
FY2021▲ +15%
Tap a bar for its year
Revenue by fiscal year
FY2020$98.3M
FY2021$113.1M
FY2022$119.4M
FY2023$99.4M
FY2024$99.6M
FY2025$121.7M
Expenses
$94.6M
FY2021▲ +16%
Tap a bar for its year
Expenses by fiscal year
FY2020$81.7M
FY2021$94.6M
FY2022$114.0M
FY2023$116.0M
FY2024$108.8M
FY2025$97.5M
Net assets
$422.8M
FY2021▲ +18%
Tap a bar for its year
Net assets by fiscal year
FY2020$357.4M
FY2021$422.8M
FY2022$361.3M
FY2023$363.8M
FY2024$374.9M
FY2025$418.0M

From the FY2021 Form 990 (year ending June 2021) · figures checked against the IRS filing · see the original

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You’re viewing the FY2021 filing — not the latest on file. See the latest (FY2025) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Jan 1993.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

71 cents of each dollar spent went to programs.

Program services 71% · $67.1M Management & general 4% · $3.9M Fundraising 25% · $23.7M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

14 people listed on the 990; $2.2M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2020); the FY2021 filing did not itemize Part VII
President and CEO
$469,595Pt VII · Sec A
SR VP & Regional Dir. N. a
$446,696Pt VII · Sec A
Chief Operating Officer
$248,384Pt VII · Sec A
Senior VP, Development
$219,485Pt VII · Sec A
VP, Finance
$218,032Pt VII · Sec A
Senior VP, Dev. & Marketing
$207,398Pt VII · Sec A
Senior VP, Programs
$201,731Pt VII · Sec A
Secretary/General Counsel
$191,756Pt VII · Sec A

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Susannah Schaefer$538,177$529,472$522,142$505,135$469,595$454,163
Dr Shell Xue———$474,547$446,696$441,094
Dr Shell Xue Thru 062022——$418,819———
Ashley Ochs$315,083$287,499$271,493$207,010$191,756$180,085
Premali Shah$292,859$40,545————
Beatriz Gonzalez—$278,615$253,684$232,882$218,032$207,645
Elyse Taub$276,669$259,058$246,033$224,716$207,398$178,722
Erin Stieber$259,841$254,928$247,302$221,532$201,731$193,216

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides free training and education to local medical professionals worldwide to ensure global access to safe, high-quality cleft care.

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Provided by the organization

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3 programs · $67.1M · in their own filed words · FY2020
01

Treatment Program

Free cleft surgeries - while our cost per surgery varies across the 90+ different countries where we have worked, our contribution per surgery can be as low as $250. This amount reflects the contribution per surgery that we provide our partner hospitals.

$54.0Mprogram expense
02

Public education program around the world, many people are unfamiliar with cleft lip and palate. For many of the families we support, the first time they see a cleft is when they first look at the face of their newborn child.

$9.8Mprogram expense
03

Training Programs

Smile train provides free training and education to cleft care professionals around the world. Access to education and training opportunities is critical to smile train's mission of empowering local medical teams to provide safe, high-quality comprehensive cleft care.

$3.3Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2025
See all 64 funders →
Grants paid · 62 grants · $10.1M · 2019–2024
Be Team International INCPA · FY2024$586,500
Lifebox Foundation INCNY · FY2024$542,953
Ghayour Charitable FoundationVA · FY2024$375,550
Aproquen INCFL · FY2024$65,585
Seattle Children's HospitalWA · FY2024$46,701
Plastic Surgery FoundationIL · FY2024$40,360
Clear Global INCCT · FY2024$15,600
Lifebox Foundation INCNY · FY2023$962,173
Be Team International INCPA · FY2023$552,000
Ghayour Charitable FoundationVA · FY2023$134,250
Plastic Surgery FoundationIL · FY2023$100,000
Aproquen INCFL · FY2023$46,567
Seattle Children's HospitalWA · FY2023$45,841
See all 62 grants →

By the numbers

The FY2021 990, line by line.

1The main four
Money inPt VIII
$113.1M
Ln 12
Gifts and grantsLn 1h$91.6M
Investment incomeLn 3$21.3M
Other incomeLn 4–11$155K
Money outPt IX
$94.6M
Ln 25
Programscol B$67.1M
Managementcol C$3.9M
Fundraisingcol D$23.7M
Owns and owesPt X
$422.8M
net assets · Ln 32
Cash and savingsLn 1–2$13.9M
Total assetsLn 16$431.8M
LiabilitiesLn 26$9.0M
PeoplePt VI, VII
14
listed · VII A
PaidVII A8
Voting boardVI 1a7
IndependentVI 1b6
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$91.6M
Noncash giftsLn 1g$680K
Investment incomeLn 3$21.3M
Other incomeLn 4–11$155K
Gains on assetsLn 7$15.4M
Total revenueLn 12$113.1M
Assets in detailPt X, end of year
CashLn 1$50K
SavingsLn 2$13.8M
Cash and savings togetherLn 1–2$13.9M
InvestmentsLn 11–13$394.0M
Land, buildings, equipmentLn 10c$20.6M
Other assetsLn 15$222K
Total assetsLn 16$431.8M
LiabilitiesLn 26$9.0M
Net assetsLn 32$422.8M
OperationsPt I, VI
EmployeesI 5111
VolunteersI 60
Fiscal year endsHeaderJune
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY21End FY21
Cash and savingsLn 1–2$22.6M$13.9M
InvestmentsLn 11–13$321.7M$394.0M
Land, buildings, equipmentLn 10c$20.4M$20.6M
Total assetsLn 16$367.0M$431.8M
LiabilitiesLn 26$9.6M$9.0M
Net assetsLn 32$357.4M$422.8M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$1.2M$1.2M
Grants and assistance to foreign recipientsLn 3$49.9M$49.9M
Pay of current officers, directors and key staffLn 5$910K$205K$496K$209K
Other salaries and wagesLn 7$7.3M$1.8M$1.4M$4.1M
Pension plan contributionsLn 8$359K$92K$68K$200K
Other employee benefitsLn 9$1.3M$865K$9K$444K
Payroll taxesLn 10$669K$194K$139K$336K
Management feesLn 11a$128K$128K
Legal feesLn 11b$592K$258K$61K$273K
Accounting feesLn 11c$230K$132K$22K$76K
Professional fundraising feesLn 11e$260K$260K
Investment management feesLn 11f$1.3M$1.3M
Other fees for servicesLn 11g$2.2M$1.7M$75K$400K
Advertising and promotionLn 12$7.6M$211K$7.4M
Office expensesLn 13$889K$439K$90K$360K
Information technologyLn 14$278K$126K$34K$118K
OccupancyLn 16$256K$147K$24K$85K
TravelLn 17$108K$96K$687$12K
Conferences, conventions and meetingsLn 19$191K$184K$12$7K
Depreciation, depletion and amortizationLn 22$1.0M$568K$103K$359K
InsuranceLn 23$131K$57K$16K$57K
Other expenses (24a–d)Ln 24$17.8M$8.8M$29K$9.0M
All other expensesLn 24e$46K$46K
Total functional expensesLn 25$94.6M$67.1M$3.9M$23.7M

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest $121.7M$97.5M$24.2M$418.0M 990 PDF
FY2024 $99.6M$108.8M−$9.1M$374.9M 990 PDF
FY2023 $99.4M$116.0M−$16.6M$363.8M 990 PDF
FY2022 $119.4M$114.0M$5.4M$361.3M 990 PDF
FY2021 Viewing $113.1M$94.6M$18.5M$422.8M 990 PDF
FY2020 $98.3M$81.7M$16.6M$357.4M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support F · Foreign M · Noncash J · Pay O · Explanations
See the full FY2021 990 (6 parts)
Part I · Summary $113,091,064 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $92,042,568$91,593,384
I-9 Program service revenuePrior year $0$0
I-10 Investment incomePrior year $6,060,572$21,342,892
I-11 Other revenuePrior year $157,411$154,788
I-12 Total revenuePrior year $98,260,551$113,091,064
I-13 Grants and similar amounts paidPrior year $41,751,365$51,112,281
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $9,481,628$10,573,283
I-16a Professional fundraising feesPrior year $747,841$260,431
I-17 Other expensesPrior year $29,704,334$32,691,823
I-18 Total expensesPrior year $81,685,168$94,637,818
I-19 Revenue less expensesPrior year $16,575,383$18,453,246
Part VI · Governance 6 of 7 board members independent, no flags
VI-1a Voting members of the governing body7
VI-1b Independent voting members6
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $113,091,064 across 9 lines filed
VIII-1d Related organizations$10,207,214
VIII-1f All other contributions, gifts and grants$81,386,170
VIII-1g Noncash contributions (included above)$679,777
VIII-1h Total contributions, gifts and grants$91,593,384
VIII-3 Investment incomeExcluded from tax $5,933,410$5,933,410
VIII-5 RoyaltiesExcluded from tax $90,962$90,962
VIII-7 Net gain or loss on sales of assetsExcluded from tax $15,409,482$15,409,482
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Excluded from tax $63,826$63,826
VIII-12 Total revenueRelated to mission $0 · Unrelated business $0 · Excluded from tax $21,497,680$113,091,064
Part IX · Statement of functional expenses $94,637,818 across 23 lines filed
IX-1 Grants to domestic organizationsPrograms $1,179,434$1,179,434
IX-3 Grants and assistance to foreign recipientsPrograms $49,932,847$49,932,847
IX-5 Pay of current officers, directors and key staffPrograms $204,643 · Management $495,753 · Fundraising $209,339$909,735
IX-7 Other salaries and wagesPrograms $1,807,392 · Management $1,375,996 · Fundraising $4,133,026$7,316,414
IX-8 Pension plan contributionsPrograms $92,036 · Management $67,579 · Fundraising $199,723$359,338
IX-9 Other employee benefitsPrograms $865,270 · Management $9,088 · Fundraising $444,037$1,318,395
IX-10 Payroll taxesPrograms $193,793 · Management $139,335 · Fundraising $336,273$669,401
IX-11a Management feesPrograms $128,028$128,028
IX-11b Legal feesPrograms $257,615 · Management $61,201 · Fundraising $273,440$592,256
IX-11c Accounting feesPrograms $132,026 · Management $21,918 · Fundraising $76,477$230,421
IX-11e Professional fundraising feesFundraising $260,431$260,431
IX-11f Investment management feesManagement $1,265,065$1,265,065
IX-11g Other fees for servicesPrograms $1,691,461 · Management $74,505 · Fundraising $400,324$2,166,290
IX-12 Advertising and promotionPrograms $211,485 · Fundraising $7,350,350$7,561,835
IX-13 Office expensesPrograms $438,687 · Management $90,160 · Fundraising $360,482$889,329
IX-14 Information technologyPrograms $126,411 · Management $33,873 · Fundraising $118,189$278,473
IX-16 OccupancyPrograms $146,908 · Management $24,271 · Fundraising $84,755$255,934
IX-17 TravelPrograms $95,900 · Management $687 · Fundraising $11,700$108,287
IX-19 Conferences, conventions and meetingsPrograms $183,980 · Management $12 · Fundraising $7,302$191,294
IX-22 Depreciation, depletion and amortizationPrograms $567,604 · Management $102,849 · Fundraising $359,149$1,029,602
IX-23 InsurancePrograms $57,371 · Management $16,308 · Fundraising $56,901$130,580
IX-24 Other expenses (24a–d)Programs $8,757,320 · Management $28,518 · Fundraising $9,032,291$17,818,129
IX-24e All other expensesManagement $46,300$46,300
IX-25 Total functional expensesPrograms $67,070,211 · Management $3,853,418 · Fundraising $23,714,189$94,637,818
Part X · Balance sheet $431,829,319 assets, 16 lines filed
X-1 Cash, non-interest-bearingStart of year $48,465$49,564
X-2 Savings and temporary cash investmentsStart of year $22,586,470$13,833,309
X-3 Pledges and grants receivableStart of year $761,705$1,170,263
X-9 Prepaid expenses and deferred chargesStart of year $1,433,752$2,012,169
X-10c Land, buildings and equipment, netStart of year $20,447,316$20,576,538
X-11 Publicly traded securitiesStart of year $315,132,058$386,426,069
X-12 Other securitiesStart of year $6,548,505$7,539,101
X-15 Other assetsStart of year $56,248$222,306
X-16 Total assetsStart of year $367,014,519$431,829,319
X-17 Accounts payable and accrued expensesStart of year $5,576,371$4,963,460
X-18 Grants payableStart of year $3,988,816$4,075,841
X-26 Total liabilitiesStart of year $9,565,187$9,039,301
X-27 Net assets without donor restrictionsStart of year $352,039,992$416,212,441
X-28 Net assets with donor restrictionsStart of year $5,409,340$6,577,577
X-32 Total net assets or fund balancesStart of year $357,449,332$422,790,018
X-33 Total liabilities and net assetsStart of year $367,014,519$431,829,319
Part XI · Reconciliation of net assets $422,790,018 net assets at year end
XI-1 Total revenue$113,091,064
XI-2 Total expenses$94,637,818
XI-3 Revenue less expenses$18,453,246
XI-4 Net assets at start of year$357,449,332
XI-5 Net unrealized gains (losses) on investments$46,875,768
XI-9 Other changes in net assets$11,672
XI-10 Net assets at end of year$422,790,018

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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