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Texas · Nonprofit

OPERATION FISTULA

OPERATION FISTULA (Texas) receives grants from 17 organizations whose IRS filings report $1,991,821 to it, the largest being ARIZONA COMMUNITY FOUNDATION ($605,000). 8 of them have funded it in more than one year, and 56% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.

Revenue FY2024
$512k
Funders on record
17
Grants received
$2.0M
Net assets
$155k
8/17 repeat funderspeak grant-dependency 49%
01What it does

What Operation Fistula does

Mission

To provide access to surgical treatment to women with obstetric fistula. This mission is achieved by providing financial assistance to medical service providers in the developing world. With the organization's support, these medical service providers offer free treatment to women with this condition.

As stated on its FY2024 Form 990.

Program

  1. In 2024 we built a funder-backed plan for scale and system integration. We strengthened our data systems, delivered new analytics projects, and advanced our quality of life research. We supported 672 surgeries across 10 countries, expanded partnerships, and progressed our leadership transition. We also provided significant support to Operation Fistula (uk).our functional expense breakout for the year is as follows: 98% program, 2% administrative, 0% fundraising.

    $624,516 spentof which $473,861 as grants
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $624,516.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($265k) Expenses 100 ($72k) Net assets 100 ($254k)2018 Revenue 223 ($592k) Expenses 567 ($410k) Net assets 172 ($436k)2019 Revenue 226 ($600k) Expenses 1031 ($746k) Net assets 114 ($290k)2020 Revenue 479 ($1.3M) Expenses 1150 ($832k) Net assets 287 ($729k)2021 Revenue 323 ($857k) Expenses 1481 ($1.1M) Net assets 202 ($514k)2022 Revenue 231 ($613k) Expenses 1280 ($926k) Net assets 79 ($200k)2023 Revenue 190 ($503k) Expenses 585 ($423k) Net assets 111 ($281k)2024 Revenue 193 ($512k) Expenses 882 ($638k) Net assets 61 ($155k)
'17'18'19'20'21'22'23'24
Revenue (193)Expenses (882)Net assets (61)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $366k to $1.1M (+204%).

$254k
$436k
$366k
$1.1M
$688k
$229k
$342k
$270k
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

100% of OPERATION FISTULA’s revenue is contributions — more donation-reliant than the typical peer (100% for the typical peer).

This organization
Typical peer · 4,945 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 8 reported years ran a deficit.

$193k
’17
$182k
’18
−$146k
’19
$439k
’20
−$215k
’21
−$313k
’22
$80k
’23
−$126k
’24
5.0
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Seth Cochran

Board member & CEO

As listed on its FY2024 Form 990.

'17'18'19'20'21'22'23'24
Listed45544444
Joined·+2+0+0+0+0+0+0
No longer listed·1010000
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 3 funders to 4 funders, grant income rose $110k → $245k.

9 of 17 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 56% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of OPERATION FISTULA’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

OPERATION FISTULA has a broad base — no single funder exceeds 30% of grant income, and it takes 3 funders to reach half.

the vertical line marks half of all grant income — 3 funders to its left

58% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund OPERATION FISTULA.

30%
largest funder
55%
top three
~6
effective funders

Largest funder’s share by year: 2017 45% · 2018 65% · 2019 80% · 2020 76% · 2021 44% · 2022 78% · 2023 94% — growing more concentrated.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

11% of OPERATION FISTULA's funders are still giving 3 years after their first grant; 47% give in more than one year at all.

first grant+1y+2y+3y+4y+5y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

56% of OPERATION FISTULA's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $875k that is directly attributable, 100% of it comes from funders outside Texas, across 6 states.

WA
NY
MA
CA
VA
TN

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’23
Texas out of state home

Funder states come from each funder’s own filing. $1.1M arriving through sponsors registered in 8 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

OPERATION FISTULA has grown faster than half of the 4,524 international nonprofits its size.

Operating margin−25% · bottom quartile
Months of reserve5.0mo · below the median
Revenue growth (annualized)10% · above the median

this organization peer median middle 50% of peers· 4,524 international nonprofits $100k–$1M, FY2024

Organizations like OPERATION FISTULA

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Texas

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

98% of spending goes to programs.

Program 98%Management 2%Fundraising 0%

Governance

4
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990–Audited financials

Public support

78%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Screen this organization

A dated, signed PDF of the compliance screen for OPERATION FISTULA: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds OPERATION FISTULA?
OPERATION FISTULA (Texas) receives grants from 17 organizations whose IRS filings report $1,991,821 to it, the largest being ARIZONA COMMUNITY FOUNDATION ($605,000). 8 of them have funded it in more than one year, and 56% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
How many funders does OPERATION FISTULA have?
IRS filings report 17 organizations giving $1,991,821 in grants to OPERATION FISTULA, 8 of which have funded it in more than one year.
Who is the largest funder of OPERATION FISTULA?
ARIZONA COMMUNITY FOUNDATION is the largest funder on record, with $605,000 in grants. The full list of funders is on this page.
How can an organization like OPERATION FISTULA find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Texas. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Operation Fistula →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 17 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing