Mission: Smile Train, Inc. empowers local medical professionals with training, funding, and resources to provide free cleft surgery and comprehensive cleft care to children g ... (More)

Smile Train Inc. is a 501(c)(3) organization, with an IRS ruling year of 1993, and donations are tax-deductible.

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Contact Information

  www.smiletrain.org

  633 THIRD AVE 9TH FLOOR
New York NY 10017-6796


 Important note on the timeliness of ratings

The IRS is significantly delayed in processing nonprofits' annual tax filings (Forms 990). As a result, the Finance & Accountability score for Smile Train Inc. is outdated and the overall rating may not be representative of its current operations. Please check with the charity directly for any questions you may have.


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Encompass Rating System by Charity Navigator


Overall Score

100

out of 100

This charity's score is a passing score.
This overall score is calculated from multiple beacon scores: 90% Finance & Accountability and 10% Leadership & Adaptability


Learn about the Encompass Rating System: Overview | FAQ | Release Notes

Next: Impact & Results

...   Finance & Accountability


This score provides an assessment of a nonprofit's financial health (stability, efficiency and sustainability) and its commitment to governance practices and policies.


Finance & Accountability Score

100

out of 100

The score earned by Smile Train Inc. is a passing score

This V6 of the Finance & Accountability Score provides a baseline measure of an organization's health including the indicators listed in the report below.

This score represents Form 990 data from 2020, the latest year electronically filed and published by the IRS.



Back to Overall

Finance & Accountability Report

100

of 100 points

This beta feature is currently viewable only on desktop or tablet screens. Check back later for updates.

Program Expense

Program Expense Ratio

70.18%

Higher effect on score

More data  


The Program Expense Ratio is determined by Program Expenses divided by Total Expense (average of most recent three 990s). This measure reflects the percent of its total expenses a charity spends on the programs and services it exists to deliver.


Program Expense Percentage

Amount of Credit Received

70% or higherFull Credit
60% - 69.9%Partial Credit
50% - 59.9%Zero Points for Program Expense Score
Below 50%Zero Points for Both Program Expense AND Liabilities to Assets Scores

Source: IRS Form 990

Board Composition

5/6 Independent

Higher effect on score


Charity Navigator looks for at least 3 board members, with more than 50% of those members identified as independent (not salaried).


The presence of an independent governing body is strongly recommended by many industry professionals to allow for full deliberation and diversity of thinking on governance and other organizational matters.


Source: IRS Form 990

Independent Audit or Financial Review

Audited

Higher effect on score


An Audit, Review, or Compilation provides important information about financial accountability and accuracy. Organizations are scored based on their Total Revenue Amount:

Total Revenue Amount

Expectation to Receive Credit

$1 million or higherExpected to complete an audit
$500,000 - $1 millionExpected to complete an audit, review, or compilation
Less than $500,000No expectation (removed from scoring methodology)

Source: IRS Form 990

Liabilities to Assets Ratio

2.60%

Lower effect on score


The Liabilities to Assets Ratio is determined by Total Liabilities divided by Total Assets (most recent 990). This ratio is an indicator of an organization’s solvency and/or long-term sustainability.

Liabilities to Assets Ratio

Amount of Credit Received

Less than 50%Full Credit
50% - 59.9%Partial Credit
60% or moreNo Credit

Source: IRS Form 990

Website

Listed

Lower effect on score


Charity Navigator looks for a website on the Form 990 as an accountability and transparency metric.


Nonprofits act in the public trust and reporting publicly on activities is an important component.


Source: IRS Form 990

Conflict of Interest Policy

Listed

Lower effect on score


Charity Navigator looks for the existence of a conflict of interest policy on the Form 990 as an accountability and transparency measure.


This policy protects the organization and by extension those it serves, when it is considering entering into a transaction that may benefit the private interest of an officer, director and/or key employee of the organization.


Source: IRS Form 990

Board Meeting Minutes

Documented

Lower effect on score


Charity Navigator looks to confirm on the Form 990 that the organization has this process in place as an accountability and transparency measure.


An official record of the events that take place during a board meeting ensures that a contemporaneous document exists for future reference.


Source: IRS Form 990

Document Retention and Destruction

Listed

Lower effect on score


Charity Navigator looks for the existence of a document retention and destruction policy per the Form 990 as an accountability and transparency measure.


This policy establishes guidelines for the handling, backing up, archiving and destruction of documents. These guidelines foster good record keeping procedures that promote data integrity.


Source: IRS Form 990

Whistleblower Policy

Listed

Lower effect on score


Charity Navigator looks for the existence of a whistleblower policy per the Form 990 as an accountability and transparency measure.


This policy outlines procedures for handling employee complaints, as well as a confidential way for employees to report financial or other types of mismanagement.


Source: IRS Form 990

Additional Information

Unscored

This beta feature is currently viewable only on desktop or tablet screens. Check back later for updates.

Total Revenue and Expenses

Total Revenue and Expenses

This chart displays the trend of revenue and expenses over the past several years for this organization, as reported on their IRS Form 990.

Salary of Key Persons

Presented here are up to five of this organization's highest compensated employees. This compensation data includes salary, cash bonuses, and expense accounts and is displayed exactly how it is reported to the IRS. The amounts do not include nontaxable benefits, deferred compensation, or other amounts not reported on Form W-2. In some cases, these amounts may include compensation from related organizations. Read the IRS policies for compensation reporting



SUSANNAH SCHAEFER, EXECUTIVE VICE CHAIR AND CEO

$454,163


DR SHELL XUE, SR VP & REGIONAL DIR. N. ASIA

$441,094


WILLIAM HORAN, CHIEF OPERATING OFFICER

$234,194


TROY REINHART, SENIOR VP, DEVELOPMENT

$215,360


BEATRIZ GONZALEZ, VP, FINANCE

$207,645


Source: IRS Form 990 (page 7), filing year 2020

Business Master File Data

Below are some key data points from the Exempt Organization IRS Business Master File (BMF) for this organization. Learn more about the BMF on the IRS website


Activities:

Other health services (BMF activity code: 179)


Foundation Status:

Organization which receives a substantial part of its support from a governmental unit or the general public   170(b)(1)(A)(vi) (BMF foundation code: 15)


Affiliation:

Independent - the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations). (BMF affiliation code: 3)

Data Sources: IRS Forms 990

The Form 990 is a document that nonprofit organizations file with the IRS annually. We leverage finance and accountability data from it to form Encompass ratings. Click here to view this organization's Forms 990 on the IRS website (if any are available).

Pandemic Response

Due to the unprecedented nature of the pandemic, we give charities such as this one the opportunity to share the story of COVID's impact on them. Charities may submit their own pandemic responses through their nonprofit portal.


Smile Train Inc. reported being impacted by COVID-19 in the following ways:
  • Program Delivery


How COVID-19 impacted the organization's operations financially:

We did not have any impact on our financial structure that was related to the pandemic.


How COVID-19 impacted the organization's delivery of programs:

Smile Train’s top priority remains, as always, the safety and well-being of our beneficiaries, medical partners, friends, family, and global supporters. Since the onset of the ongoing COVID-19 pandemic, we estimate that more than 58,000 free, lifesaving cleft surgeries have been put on hold. Where it is safe to do so, we are hard at work resuming surgeries, and our nimble teams have adapted to constantly changing conditions. Since March 2020, we have supported more than 84,000 safe cleft surgeries in over 70 countries, and our partners around the globe are operating at 64% capacity compared to the same period last year.  While we’ll temporarily postpone surgeries where advisable, our work doesn’t stop. We are continuing to support our international teams based on their unique needs, and many of our local medical partners are still on the ground acting as invaluable resources to their communities.


How this organization adapted to changing conditions caused by COVID-19:

Smile Train has invested in the distribution of more than $2M in necessary equipment for partners and patients, including personal protective equipment (PPE), handwashing and sanitation facilities, and masks. We’re making essential items available to empower partners to continue cleft care while protecting themselves and their patients, including pulse oximeters and non-contact infrared thermometers, and providing grants to fund COVID testing. We’ve also increased our investment in grants to cover treatment-related expenses like transportation, lodging, and lost wages for patients and their families — which has become even more essential given the economic impact of the pandemic. Where surgeries have been postponed, our providers continue to use telehealth to remain in touch with their patients, helping to care for them even while remaining socially distant. During the pandemic, Smile Train has provided more than 37,000 sessions of telehealth services to more than 15,000 patients.


Innovations the organization intends to continue permanently after the pandemic:

Our telehealth programs have been extremely successful and we will continue to support and expand these programs following the pandemic. Given the distance some patients and families may travel for services like speech therapy and follow-up care, we are eager to scale our partners' abilities further to regularly reach these patients with virtual services after the pandemic is over. Smile Train recognizes the importance of providing essential continuing education and training to our network of healthcare professionals around the world. In COVID, we saw demand for this information increase, as providers found themselves seeking education and training resources, though unable to attend in-person trainings. Since the pandemic began, Smile Train has hosted 18,000+ virtual training webinars for 29,000+ medical professionals across 90 countries. We are eager to continue implementing virtual training opportunities, alongside in-person trainings, once the pandemic is over.


Previous: Finance & Accountability  / Next: Leadership & Adaptability

...   Impact & Results


This score estimates the actual impact a nonprofit has on the lives of those it serves, and determines whether it is making good use of donor resources to achieve that impact.


Impact & Results Score

Not Currently Scored

Smile Train Inc. cannot currently be evaluated by our Encompass Rating Impact & Results methodology because either (A) it is eligible, but we have not yet received data; (B) we have not yet developed an algorithm to estimate its programmatic impact; (C) its programs are not direct services; or (D) it is not heavily reliant on contributions from individual donors.

Note: The absence of a score does not indicate a positive or negative assessment, it only indicates that we have not yet evaluated the organization.

Learn more about Impact & Results.


Back to Overall

Additional Information

Unscored

This beta feature is currently viewable only on desktop or tablet screens. Check back later for updates.

Largest Programs

Largest Programs



Smile Train Inc. reported its three largest programs on its FY 2020 Form 990 as:


$46,004,327

Spent in most recent FY

80%

Percent of program expenses


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 ref ... (More)


$9,104,390

Spent in most recent FY

15%

Percent of program expenses


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 fac ... (More)


$1,812,587

Spent in most recent FY

3%

Percent of program expenses


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 o ... (More)


Previous: Impact & Results  / Next: Culture & Community

...   Leadership & Adaptability


This score provides an assessment of the organization's leadership capacity, strategic thinking and planning, and ability to innovate or respond to changes in constituent demand/need or other relevant social and economic conditions to achieve the organization's mission.


Leadership & Adaptability Score

100

out of 100

The score earned by Smile Train Inc. is a passing score.

Encompass Rating V4 provides an evaluation of the organization's Leadership & Adaptability through the nonprofit organization submitting a survey response directly to Charity Navigator.


Back to Overall

Leadership & Adaptability Report

100

of 100 points

Mission

The nonprofit organization presents evidence of strategic thinking through articulating the organization’s mission


Smile Train, Inc. empowers local medical professionals with training, funding, and resources to provide free cleft surgery and comprehensive cleft care to children globally.


Source: Nonprofit submitted responses

Vision

The nonprofit organization presents evidence of strategic thinking through articulating the organization’s vision.


Vision: A world where every person has access to safe, high-quality comprehensive cleft care and is able to live a full and healthy life. We achieve our vision through four key strategies: 1: Ensuring access to safe, high-quality comprehensive cleft care through a proven, sustainable partnership model 2: Strengthening local health systems through investment, resources, and building the capacity of local medical professionals 3: Driving innovation by leveraging technology and research to transform global cleft care 4: Fostering a global cleft community through awareness and education to reduce stigma and ensure acceptance of people with clefts


Source: Nonprofit submitted responses

Strategic Goals

The nonprofit organization presents evidence of strategic thinking and goal setting through sharing their most important strategic goals.


Goal One: Advocate for governments to take appropriate action and prioritize cleft care

Goal Type: This goal reflects our commitment to further our advocacy work for our organization and or cause area.


Goal Two: Expand comprehensive cleft care and partner capacity while ensuring rigorous safety standards

Goal Type: Grow, expand, scale or increase access to the existing programs and services.


Goal Three: Use our data to innovate and improve our systems and maximize impact

Goal Type: Invest in the capacity of our organization (financial, management, technical, etc.).


Source: Nonprofit submitted responses

Leadership Development

The nonprofit provides evidence of investment in leadership development


Describe an investment in leadership

Smile Train is supportive of both career- and job-related professional development activities and recognizes that these opportunities increase individuals' skills and enhance their contributions to the organization and overall work performance. As such, they are vital to the success of the organization. Smile Train uses a professional development program as a mechanism for fostering growth and learning. All full-time staff are eligible to attend courses and other training media that will enhance their career development and are in line with the organization's vision. Professional development can be obtained through attending conferences, seminars, educational courses, webinars, and other programs that will assist the individual in performing essential job functions and increase the caliber of their contributions to the organization.

Source: Nonprofit submitted responses

Mobilizing for Mission

The nonprofit provides evidence of leadership through focusing externally and mobilizing resources for the mission.


This organization mobilizes for mission in the following ways:
  • Strategic Partnerships

  • Networks of Collective Impact Efforts

  • Thought Leadership

  • Raising Awareness

  • Community Building

  • Policy Advocacy

What are this organization’s external mobilizaton efforts?

Strategic Partnerships: We proudly partner with like-minded organizations, including Lifebox, KidsOR, and the WHO's Art for Health Initiative; Thought Leadership: Employees and board members frequently present at major conferences and publish research. We also recently formed our Smile Train Research and Innovation Advisory Council, a think tank of cleft experts; Raising Awareness: We run global fundraising programs and produce PSAs about clefts and their treatment across various mediums including TV, radio, Out of Home, and print advertising; Community Building: Our efforts at fostering a global cleft community include choirs made up of our speech therapy patients and Cleft Con, an annual gathering of the US cleft community; Policy/Advocacy: We lobby for cleft birth registries in LMICs, passage of the Ensuring Lasting Smiles Act in the US, and other policies to benefit the cleft community.

Source: Nonprofit submitted responses

Story of Adaptability

The nonprofit has an opportunity to tell the story of how the organization adapted to tremendous external changes in the last year.


Smile Train’s top priority remains, as always, the safety and well-being of our beneficiaries, medical partners, friends, family, and global supporters. Since the onset of the COVID-19 pandemic, we estimate that more than 54,000 free, lifesaving cleft surgeries have been put on hold. Where it is safe to do so, we are hard at work resuming surgeries, and our nimble teams have adapted to constantly changing conditions. Since March 2020, we have supported more than 120,000 safe cleft surgeries in 75+ countries, and our partners around the globe are operating at 79% capacity compared to the same period pre-pandemic. We are continuing to support our international teams based on their unique needs, and many of our local medical partners are still on the ground acting as invaluable resources to their communities. Smile Train has invested in the distribution of more than $2M in necessary equipment for partners and patients, including personal protective equipment (PPE), handwashing and sanitation facilities, pulse oximeters, non-contact infrared thermometers, masks, and grants to fund COVID testing. We’re making these essential items available to empower partners to continue cleft care while protecting themselves and their patients. We’ve also increased our investment in grants to cover treatment-related expenses like transportation, lodging, and food for patients and their families. Where surgeries have been postponed, our providers continue to use telehealth to remain in touch with their patients, helping to care for them even while remaining socially distant. During the pandemic, we have supported 35,000+ sessions of telehealth services to 15,000+ patients. Since the pandemic began, Smile Train has hosted 3,600+ training sessions, both virtual and in-person, for 26,500+ medical professionals across 89 countries. A great majority of these professionals (23,500+) attended one of 413 virtual sessions.

Source: Nonprofit submitted responses

Previous: Leadership & Adaptability

...   Culture & Community


This score provides an assessment of the organization's culture and connectedness to the community it serves. Learn more about how and why we rate Culture & Community.


Culture & Community Score

Not Currently Scored

Smile Train Inc. is currently not eligible for a Culture & Community score because we have not received its Constituent Feedback or Diversity, Equity, & Inclusion data. Nonprofit organizations are encouraged to fill out the How We Listen and Equity Practices sections of their Candid profile.

Note: The absence of a score does not indicate a positive or negative assessment, it only indicates that we have not yet evaluated the organization.


Back to Overall

Culture & Community Report

Unscored

This beta feature is currently viewable only on desktop or tablet screens. Check back later for updates.

Constituent Feedback

Diversity, Equity, & Inclusion


This organization has not provided information regarding the diversity, equity and inclusion (DEI) practices it is presently implementing. As such, the organization has not earned a score on this metric. Charity Navigator believes nonprofit organizations implementing effective DEI policies and practices can enhance a nonprofit's decision-making, staff motivation, innovation, and effectiveness.


Methodology


We are utilizing data collected by Candid to document and assess the DEI practices implemented by the organization. Nonprofit organizations are encouraged to fill out the Equity Strategies section of their Candid profiles to receive a rating.


Learn more about the methodology.

Constituent Feedback


Constituent Feedback and Listening Practice data are not available for this organization. Charity Navigator believes nonprofit organizations that engage in inclusive practices, such as collecting feedback from the people and communities they serve, may be more effective.



Methodology


We've partnered with Candid to survey organizations about their feedback practices. Nonprofit organizations can fill out the How We Listen section of their Candid profile to receive a rating.


Learn more about the methodology.

Analysis and Research


Like the overall Encompass Rating System, the Culture & Community Beacon is designed to evolve as metrics are developed and ready for integration. Below you can find more information about the metrics we currently evaluate in this beacon and their relevance to nonprofit performance.


Constituent Feedback


Diversity, Equity, and Inclusion

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