Virginia · Nonprofit
OPERATION SMILE INC
OPERATION SMILE INC (Virginia) receives grants from 973 organizations whose IRS filings report $47,329,323 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($10,191,940). 539 of them have funded it in more than one year, and 50% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- Revenue FY2025
- $100M
- Funders on record
- 973
- Grants received
- $47M
- Net assets
- $110M
What Operation Smile Inc does
Mission
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.
As stated on its FY2025 Form 990.
Programs
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. Also, critical information is provided to patients, their families and communities to promote access to local health resources and essential cleft treatments including speech therapy, psychological, nutrition and dental care. Prevention-related messaging is highly actionable and focused on prenatal maternal smoking cessation, food preparation and diet, exposure to harmful environmental agents and other factors. Its student programs also create awareness among younger generations of leadership to activate their service as volunteers and advocates. Operation smile establishes partnerships with leading medical and teaching institutions to strengthen the skillsets of clinicians in low- and middle-income countries. Its health care training programs include in-person and virtual conferences, seminar workshops, surgical training rotation programs, visiting professorships, and shortand long-term…
$46,591,148 spentof which $11,258,374 as grants$443,154 earned by the program68% of program spendingIn 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. Operation smile provided surgical care to 16,548 patients via its short-term surgical programs and hospital partnerships in 36 countries across a footprint of over 200 hospitals. The organization conducted 203 short-term surgical programs, all of which were conducted by a majority of local medical volunteers. Dental care was provided to 26,976 patients through short-term programs. Operation smile provided comprehensive care services including oral health, speech therapy, psychosocial services, and life-saving nutritional support to 120,476 patients. 7,609 health care workers were trained and 16 hospital investments were made in 10 countries. Operation smile continues to assess surgical safety and provide service delivery through hospital partnerships and care centers, patient management, nonsurgical interventions and ngo partnership development.
$22,022,069 spentof which $9,249,739 as grants$22,262 earned by the program32% of program spending
The 2 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $68,613,217.
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.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $75M to $95M (+27%).
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.
96% of OPERATION SMILE INC’s revenue is contributions — about as donation-reliant as the typical peer (97% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.
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.
Board chair
Robert James Boyd Iii
Chairman and director
As listed on its FY2025 Form 990.
The chief executive listed changed between the FY2019 and FY2020, and between the FY2020 and FY2021, and between the FY2022 and FY2023, and between the FY2023 and FY2024 filings.
Who funds it, year by year
2017 → 2023: the base broadened from 212 funders to 359 funders, grant income rose $2.8M → $6.4M.
81 of 973 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 50% 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 SMILE INC’s funders (the co-funder graph). Top 30 of 973 funders by total. 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 SMILE INC has a broad base — no single funder exceeds 22% of grant income, and it takes 8 funders to reach half.
the vertical line marks half of all grant income — 8 funders to its left
54% 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 SMILE INC.
Largest funder’s share by year: 2017 43% · 2018 21% · 2019 23% · 2020 19% · 2021 23% · 2022 14% · 2023 20% — diversifying over time.
“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
38% of OPERATION SMILE INC's funders are still giving 3 years after their first grant; 55% give in more than one year at all.
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
50% of OPERATION SMILE INC'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 $23M that is directly attributable, 94% of it comes from funders outside Virginia, across 49 states.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $24M arriving through sponsors registered in 30 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.
Against its field
OPERATION SMILE INC holds deeper cash reserves than three-quarters of the 59 international nonprofits its size.
this organization peer median middle 50% of peers· 59 international nonprofits over $100M, FY2025
Government funding OPERATION SMILE INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $91k on record.
- REFUNDS - GENERAL $91k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like OPERATION SMILE INC
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 Virginia
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
63% of spending goes to programs.
Governance
Public support
98%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Files a return copy in 37 states
Part of a family of 4 related entities
- Os Hq LLC · disregarded
- Operation Smile Foundation · corp_trust
- Operation Smile Myanmar Company Limited · corp_trust
- Charitable Remainder Trust (2) · corp_trust
Screen this organization
A dated, signed PDF of the compliance screen for OPERATION SMILE INC: 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.
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 SMILE INC?
- OPERATION SMILE INC (Virginia) receives grants from 973 organizations whose IRS filings report $47,329,323 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($10,191,940). 539 of them have funded it in more than one year, and 50% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
- How many funders does OPERATION SMILE INC have?
- IRS filings report 973 organizations giving $47,329,323 in grants to OPERATION SMILE INC, 539 of which have funded it in more than one year.
- Who is the largest funder of OPERATION SMILE INC?
- FIDELITY INVESTMENTS CHARITABLE GIFT FUND is the largest funder on record, with $10,191,940 in grants. The full list of funders is on this page.
- How can an organization like OPERATION SMILE INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Virginia. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 973 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 22, 2026. What this page cannot tell you · view filing