Operation Smile, INC. (Operation Smile or osi) is a 501c(3) not-for-profit voluntary health and welfare organization whose purpose includes providing life-changing surgery for people born with cleft lip and cleft palate and other surgical conditions. The organization provides medical education and supports health system strengthening initiatives in lower- and middle-income countries. As one of the largest medical volunteer-based nonprofits, Operation Smile has mobilized thousands of medical volunteers from a wide range of clinical specialties from more than 80 countries. Operation Smile engages in partnerships with governments, health ministries, corporations, academic institutions and other ngos to advance healthcare delivery, train local medical professionals to provide surgical care for patients in their communities, donate crucial medical equipment and supplies, and increase access to surgical care so that everyone living with cleft has access to care.

501(c)(3) charity; gifts are tax-deductible.
63¢ of each $1 spent went to programs.
Run by 9,133 volunteers and 212 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2025 · 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
5 of 6
filings with a surplus
Average surplus $9.0M a year · 10% of revenue · last 6 filings
Fine: a surplus in 5 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
63%
of spending
Worth a look: 63% of spending went to programs; under 65%.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$2.9M
to officers and key staff · 3% of spending
Looks good: pay to officers and key staff is 3% of spending; 15% or less.
Pt VII · Sec A
9 mo
of spending, in cash
Looks good: 8.9 months of spending in cash; 3 or more.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
40
named funders · $173K
Looks good: 40 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$5.4M
5% of total assets
Looks good: liabilities are 5% of assets; 50% or less.
Pt X · Ln 26
Independent board members
6
of 8 voting members
Looks good: 6 of 8 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$100.2M
-0.2% vs prior year
Spent
$108.1M
To programs
63%
Net assets
$110.0M
By yearFY2020–FY2025
Revenue
$100.2M
FY2025-0.2%
Tap a bar for its year
Revenue by fiscal year
FY2020$87.8M
FY2021$85.2M
FY2022$91.5M
FY2023$95.1M
FY2024$100.4M
FY2025$100.2M
Expenses
$108.1M
FY2025▲ +11%
Tap a bar for its year
Expenses by fiscal year
FY2020$69.8M
FY2021$65.3M
FY2022$77.7M
FY2023$87.8M
FY2024$97.3M
FY2025$108.1M
Net assets
$110.0M
FY2025▼ -7%
Tap a bar for its year
Net assets by fiscal year
FY2020$68.0M
FY2021$88.0M
FY2022$101.4M
FY2023$108.6M
FY2024$117.8M
FY2025$110.0M

From the FY2025 Form 990 (year ending June 2025) · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Mar 1992.

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

Where the money goes

63 cents of each dollar spent went to programs.

Program services 63% · $68.6M Management & general 11% · $12.2M Fundraising 25% · $27.3M

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

19 people listed on the 990; $2.9M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
Chief Strategy Officer
$324,260Pt VII · Sec A
Chief Financial Officer
$324,008Pt VII · Sec A
Chief Policy & Advocacy Officer
$249,517Pt VII · Sec A
SVP, Global Finance
$242,265Pt VII · Sec A
CEO Emeritus
$237,191Pt VII · Sec A
CEO, President, Secretary & Director
$237,098Pt VII · Sec A
Senior VP, Global HR
$235,069Pt VII · Sec A
VP, Global Medical Education
$231,051Pt VII · Sec A

Kristie Porcaro’s $324K as Chief Strategy Officer is at the 22nd percentile of top reported officer pay among 88 $100M+ international nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

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

NameFY2025FY2024FY2023FY2022FY2021FY2020
William P Magee JR D—————$510,782
William P Magee JR$237,191$388,480$395,789$408,196$454,618—
William P Magee JR DDS MD—————$410,782
Kendra Davenport———$336,733$306,487$310,003
Kristie Porcaro$324,260$291,127$299,441$225,137$193,123$192,640
James Siti$324,008$310,357$316,400$271,669$269,173$278,352
William Magee III—$300,000————
Susan Can—$254,509$250,000———

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 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides free, safe surgeries and dental care to people with cleft lips and cleft palates globally by strengthening local healthcare systems and training volunteers.

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Provided by the organization

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2 programs · $68.6M · in their own filed words · FY2024
01

Operation smile raises awareness of cleft lip and cleft palate and its effects on patients' quality of life and health. Through various communication channels including digital and traditional media, it seeks to educate the public and donors about the surgeries and comprehensive care it provides.

$46.6Mprogram expense
02

In coordination with international governments and ministries of health, the organization addresses systemic barriers within health systems that can prevent surgical care from being delivered or received.

$22.0Mprogram 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 40 funders →
Grants paid · 8 grants · $849K · 2019–2024
Unitemized GrantFY2024$307,000
Unitemized GrantFY2023$21,008
Unitemized GrantFY2022$74,600
Unitemized GrantFY2021$65,216
Unitemized GrantFY2020$71,008
Unitemized GrantFY2019$70,008

By the numbers

The FY2025 990, line by line.

1The main four
Money inPt VIII
$100.2M
Ln 12
Gifts and grantsLn 1h$96.3M
Investment incomeLn 3$3.3M
Fees for servicesLn 2g$465K
Money outPt IX
$108.1M
Ln 25
Programscol B$68.6M
Managementcol C$12.2M
Fundraisingcol D$27.3M
Owns and owesPt X
$110.0M
net assets · Ln 32
Cash and savingsLn 1–2$80.4M
Total assetsLn 16$115.4M
LiabilitiesLn 26$5.4M
PeoplePt VI, VII
19
listed · VII A
PaidVII A12
Voting boardVI 1a8
IndependentVI 1b6
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$96.3M
Noncash giftsLn 1g$3.9M
Fundraising eventsLn 1c$185K
Fees for servicesLn 2g$465K
Investment incomeLn 3$3.3M
Other incomeLn 4–11$86K
Gains on assetsLn 7−$14K
Total revenueLn 12$100.2M
Assets in detailPt X, end of year
CashLn 1$68.2M
SavingsLn 2$12.2M
Cash and savings togetherLn 1–2$80.4M
Land, buildings, equipmentLn 10c$15.4M
Other assetsLn 15$0
Total assetsLn 16$115.4M
LiabilitiesLn 26$5.4M
Net assetsLn 32$110.0M
OperationsPt I, VI
EmployeesI 5212
VolunteersI 69,133
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 FY25End FY25
Cash and savingsLn 1–2$85.7M$80.4M
Land, buildings, equipmentLn 10c$16.7M$15.4M
Total assetsLn 16$123.4M$115.4M
LiabilitiesLn 26$5.6M$5.4M
Net assetsLn 32$117.8M$110.0M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic individualsLn 2$307K$307K
Grants and assistance to foreign recipientsLn 3$20.2M$20.2M
Other salaries and wagesLn 7$23.9M$15.7M$4.4M$3.8M
Pension plan contributionsLn 8$1.2M$784K$218K$190K
Other employee benefitsLn 9$2.2M$1.4M$398K$347K
Payroll taxesLn 10$1.4M$901K$251K$218K
Legal feesLn 11b$205K$94K$53K$57K
Accounting feesLn 11c$245K$113K$63K$69K
Professional fundraising feesLn 11e$2.1M$2.1M
Other fees for servicesLn 11g$6.2M$3.9M$2.2M$237K
Advertising and promotionLn 12$24.4M$4.5M$917K$19.0M
Office expensesLn 13$881K$413K$155K$312K
Information technologyLn 14$1.8M$165K$1.5M$130K
OccupancyLn 16$1.1M$610K$502K$36K
TravelLn 17$7.4M$6.9M$213K$299K
Conferences, conventions and meetingsLn 19$1.2M$535K$325K$299K
Depreciation, depletion and amortizationLn 22$1.4M$1.1M$129K$145K
InsuranceLn 23$380K$227K$151K$2K
Other expenses (24a–d)Ln 24$11.5M$10.7M$757K$96K
All other expensesLn 24e$0$0$0$0
Total functional expensesLn 25$108.1M$68.6M$12.2M$27.3M

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest Viewing $100.2M$108.1M−$7.9M$110.0M 990 PDF
FY2024 $100.4M$97.3M$3.0M$117.8M 990 PDF
FY2023 $95.1M$87.8M$7.2M$108.6M 990 PDF
FY2022 $91.5M$77.7M$13.8M$101.4M 990 PDF
FY2021 $85.2M$65.3M$20.0M$88.0M 990 PDF
FY2020 $87.8M$69.8M$18.0M$68.0M 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 FY2025 990 (6 parts)
Part I · Summary $100,175,924 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $95,915,957$96,289,109
I-9 Program service revenuePrior year $343,702$465,416
I-10 Investment incomePrior year $3,972,089$3,335,645
I-11 Other revenuePrior year $119,107$85,754
I-12 Total revenuePrior year $100,350,855$100,175,924
I-13 Grants and similar amounts paidPrior year $19,868,691$20,508,113
I-14 Benefits paid to members$0
I-15 Salaries and benefitsPrior year $25,595,519$28,684,047
I-16a Professional fundraising feesPrior year $1,774,063$2,104,532
I-17 Other expensesPrior year $50,082,212$56,811,587
I-18 Total expensesPrior year $97,320,485$108,108,279
I-19 Revenue less expensesPrior year $3,030,370−$7,932,355
Part VI · Governance 6 of 8 board members independent, 1 to look at
VI-1a Voting members of the governing body8
VI-1b Independent voting members6
VI-2 Family or business relationship among officers or directorsYes
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 $100,175,924 across 12 lines filed
VIII-1a Federated campaigns$37,060
VIII-1c Fundraising events$184,767
VIII-1d Related organizations$14,938,771
VIII-1f All other contributions, gifts and grants$81,128,511
VIII-1g Noncash contributions (included above)$3,897,048
VIII-1h Total contributions, gifts and grants$96,289,109
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $465,416 · Unrelated business $0 · Excluded from tax $0$465,416
VIII-3 Investment incomeRelated to mission $0 · Unrelated business $0 · Excluded from tax $3,349,182$3,349,182
VIII-7 Net gain or loss on sales of assetsRelated to mission $0 · Unrelated business $0 · Excluded from tax −$13,537−$13,537
VIII-8 Net income from fundraising eventsExcluded from tax $128,914$128,914
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $0 · Unrelated business $0 · Excluded from tax −$43,160−$43,160
VIII-12 Total revenueRelated to mission $465,416 · Unrelated business $0 · Excluded from tax $3,421,399$100,175,924
Part IX · Statement of functional expenses $108,108,279 across 20 lines filed
IX-2 Grants to domestic individualsPrograms $307,000$307,000
IX-3 Grants and assistance to foreign recipientsPrograms $20,201,113$20,201,113
IX-7 Other salaries and wagesPrograms $15,745,638 · Management $4,382,027 · Fundraising $3,818,925$23,946,590
IX-8 Pension plan contributionsPrograms $784,172 · Management $218,236 · Fundraising $190,192$1,192,600
IX-9 Other employee benefitsPrograms $1,429,967 · Management $397,961 · Fundraising $346,822$2,174,750
IX-10 Payroll taxesPrograms $900,889 · Management $250,718 · Fundraising $218,500$1,370,107
IX-11b Legal feesPrograms $94,420 · Management $52,768 · Fundraising $57,332$204,520
IX-11c Accounting feesPrograms $112,904 · Management $63,098 · Fundraising $68,556$244,558
IX-11e Professional fundraising feesFundraising $2,104,532$2,104,532
IX-11g Other fees for servicesPrograms $3,856,481 · Management $2,155,261 · Fundraising $237,140$6,248,882
IX-12 Advertising and promotionPrograms $4,531,168 · Management $916,593 · Fundraising $18,950,740$24,398,501
IX-13 Office expensesPrograms $413,224 · Management $155,401 · Fundraising $312,049$880,674
IX-14 Information technologyPrograms $165,456 · Management $1,514,092 · Fundraising $129,952$1,809,500
IX-16 OccupancyPrograms $609,614 · Management $502,112 · Fundraising $36,338$1,148,064
IX-17 TravelPrograms $6,922,486 · Management $212,627 · Fundraising $299,291$7,434,404
IX-19 Conferences, conventions and meetingsPrograms $534,840 · Management $324,758 · Fundraising $298,905$1,158,503
IX-22 Depreciation, depletion and amortizationPrograms $1,121,847 · Management $129,438 · Fundraising $144,739$1,396,024
IX-23 InsurancePrograms $226,960 · Management $151,291 · Fundraising $1,790$380,041
IX-24 Other expenses (24a–d)Programs $10,655,038 · Management $756,984 · Fundraising $95,894$11,507,916
IX-24e All other expensesPrograms $0 · Management $0 · Fundraising $0$0
IX-25 Total functional expensesPrograms $68,613,217 · Management $12,183,365 · Fundraising $27,311,697$108,108,279
Part X · Balance sheet $115,407,781 assets, 17 lines filed
X-1 Cash, non-interest-bearingStart of year $74,184,859$68,194,755
X-2 Savings and temporary cash investmentsStart of year $11,561,175$12,195,260
X-3 Pledges and grants receivableStart of year $12,244,402$12,234,625
X-4 Accounts receivableStart of year $1,870,893$1,280,096
X-8 Inventories for sale or useStart of year $2,360,812$2,029,392
X-9 Prepaid expenses and deferred chargesStart of year $4,411,948$4,042,200
X-10c Land, buildings and equipment, netStart of year $16,724,179$15,431,453
X-15 Other assetsStart of year $21,778$0
X-16 Total assetsStart of year $123,380,046$115,407,781
X-17 Accounts payable and accrued expensesStart of year $5,214,949$4,987,070
X-19 Deferred revenueStart of year $177,483$250,503
X-25 Other liabilitiesStart of year $180,317$200,016
X-26 Total liabilitiesStart of year $5,572,749$5,437,589
X-27 Net assets without donor restrictionsStart of year $96,212,194$95,653,895
X-28 Net assets with donor restrictionsStart of year $21,595,103$14,316,297
X-32 Total net assets or fund balancesStart of year $117,807,297$109,970,192
X-33 Total liabilities and net assetsStart of year $123,380,046$115,407,781
Part XI · Reconciliation of net assets $109,970,192 net assets at year end
XI-1 Total revenue$100,175,924
XI-2 Total expenses$108,108,279
XI-3 Revenue less expenses−$7,932,355
XI-4 Net assets at start of year$117,807,297
XI-5 Net unrealized gains (losses) on investments$95,250
XI-9 Other changes in net assets$0
XI-10 Net assets at end of year$109,970,192

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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