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Global Smile Foundation

 101 Access Road, Suite 205
 Norwood, MA 02062
[P] (781) 501-5007
[F] (781) 7621180
www.gsmile.org
info@gsmile.org
Usama Hamdan
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INCORPORATED: 2008
 Printable Profile (Summary / Full)
EIN 26-2668127

LAST UPDATED: 07/08/2019
Organization DBA --
Former Names --
Organization received a competitive grant from the Boston Foundation in the past five years No

Summary

Mission StatementMORE »

Our mission is to provide comprehensive cleft care for patients born with cleft lip and palate in underserved communities throughout the world. Global Smile Foundation (GSF) is dedicated to making first-class cleft care accessible to all patients regardless of geographic or socioeconomic barriers. There is a pressing need for sustainable cleft care in developing countries where the consequences of those conditions are devastating, if left untreated.


Mission Statement

Our mission is to provide comprehensive cleft care for patients born with cleft lip and palate in underserved communities throughout the world. Global Smile Foundation (GSF) is dedicated to making first-class cleft care accessible to all patients regardless of geographic or socioeconomic barriers. There is a pressing need for sustainable cleft care in developing countries where the consequences of those conditions are devastating, if left untreated.



FinancialsMORE »

Fiscal Year Jan 01, 2019 to Dec 31, 2019
Projected Income $510,307.00
Projected Expense $427,289.00

ProgramsMORE »

  • GSF Medical Mission to Ecuador
  • GSF Medical Mission to El Salvador
  • GSF Medical Mission to Lebanon
  • Medical Mission to Peru

Revenue vs. Expense ($000s)

Expense Breakdown 2015 (%)

Expense Breakdown 2014 (%)

Expense Breakdown 2013 (%)

For more details regarding the organization's financial information, select the financial tab and review available comments.


Overview

Mission Statement

Our mission is to provide comprehensive cleft care for patients born with cleft lip and palate in underserved communities throughout the world. Global Smile Foundation (GSF) is dedicated to making first-class cleft care accessible to all patients regardless of geographic or socioeconomic barriers. There is a pressing need for sustainable cleft care in developing countries where the consequences of those conditions are devastating, if left untreated.



Background Statement

GSF's founding members are a group of dedicated volunteers and medical professionals who have been actively involved with global cleft care outreach for the past three decades in Latin America, Africa, the Middle East, and the Indian Subcontinent. GSF is committed to providing quality patient care coupled with education and training for local healthcare providers to empower and sustain local access to comprehensive cleft care.
 
In the areas that we serve, the incidence of cleft is one in 250-700 children. Without treatment, children with cleft lips and palates face many challenges. Infants are unable to feed and thrive, children have difficulty speaking and face bullying at school, and adults cannot earn a living and are ostracized by society. By providing comprehensive cleft care, GSF is able to improve the physical, mental, and emotional health of patients and allow them to better integrate into societies where many previously felt unwelcome.
 
GSF understands that the best outcomes for cleft patients goes beyond isolated corrective surgeries to include dental care, nutrition counseling, speech therapy, and psychosocial support. Long-term follow-up for cleft patients also includes additional surgeries throughout childhood depending on the nature and severity of each person's cleft. Our goal is to provide continual comprehensive care and maximize the positive impact in the lives of our patients and their families.
 

Impact Statement

By providing pro-bono medical care, GSF volunteers have impacted the lives of approximately 12,000 patients born with cleft lips/palates as well as the lives of their families. Without our assistance, these individuals would not be able to afford or access this life-saving and life-changing treatment.

In 2018, GSF led six missions, with over 10 weeks spent at mission sites providing care. Our teams met 952 patients, performed 388 surgical procedures and 3,389 dental/orthodontic procedures. In addition, GSF provided 274 speech therapy sessions and 156 feeding consultations. We believe that our patients both deserve and need the highest quality cleft care possible regardless of where in the world they live. Corrective surgery for a cleft lip is only the first step in a treatment process that includes cleft palate repair, dental and orthodontic care, nutrition counseling, speech therapy, and psychosocial care. In this way, GSF is able to transform the lives of our patients and provide a second chance at a healthy life.
 
In collaboration with Dr. Barry Grayson at NYU, GSF pioneered the first pre-surgical orthopedics (Nasoalveolar Molding, NAM) outreach fellowship program at Leon Becerra Hospital in Guayaquil, Ecuador along with the development of the first comprehensive cleft center in Ecuador. In March 2014, GSF launched the first comprehensive cleft center in the Middle East and North Africa located at the American University of Beirut Medical Center (AUBMC).

Needs Statement

Each medical mission costs between $80,000-$125,000, depending on the duration and location of the mission itself. Our teams are comprised of volunteer doctors, nurses, surgeons, dentists, and speech pathologists who generously give their time and services. To sustain and expand our work, GSF needs:
  • Financial support
  • Medical supplies, surgical instruments and equipment
  • Highly trained medical professions that currently treat cleft patients

CEO Statement

Global Smile Foundation is a tightly run organization that has only 5 full-time employees with an overhead of just 7%. GSF is supported by the generosity of its donors to cover ancillary costs such as airfare, living expenses in the field, medical supplies, and hospital fees. We currently led 6-7 missions per year, at a cost of $80,000-$125,000 per mission.

Global Smile Foundation relies on the efficiency and expertise of over 400 medical volunteers from renowned institutions including Harvard-affiliated hospitals, Mayo Clinic, John Hopkins, Tufts University Medical Center, Sloan Kettering Memorial Cancer Center, UCLA, University of Florida, University of California, Stanford University, University of North Carolina, University of South Carolina, among others. Several of our physicians are also active duty servicemen and women in the Navy, Army, and Air Force. These exceptional volunteers donate approximately $6 million of medical services to underserved patients each year. Each time that these dedicated professionals operate on a child, they give them a new smile and the opportunity to reintegrate into their societies.


Board Chair Statement



Geographic Area Served

Internationally

Our 2019 mission locations include:
  • San Salvador, El Salvador
  • Guayaquil, Ecuador
  • Trujillo, Peru
  • Beirut, Lebanon
Past locations include:
  • Atitlan, Guatemala
  • Abidjan, Ivory Coast
  • Bamkao, Mali
  • Dakar and Thies, Senegal
  • Macapa, Brazil
  • Nellor, India
  • Ouagadougou, Burkina Faso

Organization Categories

  1. Health Care - Patient & Family Support
  2. Human Services -
  3. -

Independent research has been conducted on this organization's theory of change or on the effectiveness of this organization's program(s)

No

Programs

GSF Medical Mission to Ecuador

Income equality in Ecuador has had a significant impact on people who live outside of urban centers, especially for the 44% of the population who lives in the Andes Mountains. One impact of income inequality is that much of the population lacks access to medical care in a country where cleft lip and palate are the most common birth defect. GSF has well-established presence in Ecuador and has become the largest provider of cleft care in the country. Not only have the founding members of GSF spent more than 31 years volunteering in Ecuador, but the foundation has also built strong partnerships in the past decade. GSF currently works closely with Hospital Leon Becerra, Prefecto Jimmy Jairala and La Prefectura del Guayas, and the local medical community. GSF conducts two medical missions to Guayaquil each year and established a cleft center at Hospital Leon Becerra to provide year-round care to cleft patients.
Budget  150,000
Category  Health Care, General/Other Patient Care/Health Care Delivery
Population Served Infants to Preschool (under age 5) K-12 (5-19 years) College Aged (18-26 years)
Program Short-Term Success  On our medical missions, we screen patients to identify ways in which we are able to provide care. We believe in comprehensive care that goes beyond fragmented corrective surgery to include hold dental consultations, pre-surgical orthopedics, feeding/nutrition counseling, speech therapy, and psychosocial care. Our goal is to provide the highest quality care possible to each patient we screen. Thus, we consider every patient who received treatment as a success.
Program Long-Term Success 

From birth, patients may need four to six surgeries. We hope to provide continual comprehensive care for our patients that choose to return each year to receive treatment. These surgeries improve their physical, mental, and psychosocial abilities and allow them to better integrate into societies where many previously felt unwelcome.

 
Fundacion Global Smile-Ecuador was founded in 2012 to ensure the sustainability of GSF’s humanitarian work in the country. Fundacion Global Smile-Ecuador volunteers is staffed entirely of volunteers who work year-round to support GSF efforts. During mission trips, Fundacion Global Smile-Ecuador and GSF work together as a committed team, providing urgently needed care for the patients who need us most.
 
Fundacion Global Smile-Ecuador opened up a full comprehensive care cleft center at Hospital León Becerra with the first NAM (Nasolalevaolar Molding) Center of its kind. The NAM procedure provides non-surgical care to help reshape cleft in infants and reduce the extend of surgical intervention.
 
In addition, Global Smile Foundation Ecuador is a free-standing foundation that was created by GSF. The Foundation has opened up a full comprehensive care cleft center at Leon Baccera Hospital as well as the first NAM Center of its kind. The Foundation hopes to grow both of these programs in the long term and see further success in all of their future projects. 
Program Success Monitored By 

Each year, we return to the site and constantly consult with our medical staff on the ground. We are able to see long-term and short-term patients and provide continual care. As long as there are patients and we are able to improve their lives with corrective surgery from the GSF team, we consider missions a success.

Examples of Program Success 
Evelyn (1992)
Evelyn was born in January 1992 with cleft lip and palate. After learning about the GSF mission to Guayaquil in the local newspaper, they brought her to meet the team. She underwent a cleft lip repair at the age of 3 months and returned for a cleft palate repair 15 months later. GSF continued to provide comprehensive care for Evelyn as she grew. As a teenager, Evelyn began to volunteer for Fundacion Global Smile – Ecuador and also attended college. In December 2018, she graduated with a degree in Computer Engineering.
 
Liam (2017)
When Liam was born in 2017, his mother Michelle was shocked to learn that her infant had a cleft lip and palate. She had no warning during her pregnancy and the nurses had little information to help her. Michelle explained that she was very confused at first and searched for months to find someone who could help her baby. Finally, a clinic told her about GSF and she prepared to bring her son to Guayaquil, over 200 miles north of her home town of Milagros.
 
Liam was 4 months old in September 2017, when Michelle brought him to the GSF team for his first surgery. She also received help on how feed her son because his cleft palate made it difficult for him to eat properly. He would also need care as he grew, a second surgery to fix his palate as well as dental care and speech therapy.  In September 2018, Liam returned for a cleft lip repair. When the nurses brought Michelle to see her son after his procedure, she was overwhelmed with emotion and started to cry. She later shared her great gratitude that her son is healthy, with a full future ahead of him, and that he will make her proud. She said that this future would not be possible without the GSF volunteers and gave the team a bag full of mangos that she grew herself. "The best mangos for the best doctors," she said.
 

GSF Medical Mission to El Salvador

GSF volunteers began medical missions to San Salvador in 2006 in response to the need for comprehensive cleft care. According to research in 2016, an estimated 32% of the population in El Salvador lives in poverty and access to basic health care is limited, especially outside of urban areas. The GSF mission takes place at Hospital Nacional de Niños Benjamin Bloom, a publicly-funded hospital that is the only one in the country that treats children with cleft. GSF brings a team of experienced medical volunteers and also works with two skilled plastic surgeons, Dr. Patty Calderon and Dr. Laura Vargas, who continue to see patients year round. In addition, GSF continues to provide education and training for local cleft care providers on every mission trip.
Budget  $80,000.00
Category  Health Care, General/Other Patient Care/Health Care Delivery
Population Served Infants to Preschool (under age 5) Children Only (5 - 14 years) Adolescents Only (13-19 years)
Program Short-Term Success  During each mission, the GSF team screens new cleft patients and follows up with patients cared for on previous trips. On average, GSF is able to provide corrective surgeries for 30 patients on the mission. Each patient GSF impacts due to these services is considered a success.
Program Long-Term Success  Our goal is to provide long-term comprehensive care for our patients who choose to return each year to receive treatment at every mission site. A standard cleft treatment process includes care from infancy through adulthood, including surgical care, dental care, speech therapy, nutrition counseling, and psychosocial support. This care improves the physical, mental, and psychosocial abilities of our patients and allows them to better integrate into societies where many previously felt unwelcome. Since 2009, GSF has screened over 700 patients and performed over 300 surgical procedures as well as provided over 350 speech therapy sessions in El Salvador.
Program Success Monitored By  GSF establishes partnerships with local hospitals in each mission location that allow us to return every year to the same location. By building these relationships, we are able to monitor long-term and short-term patients and provide continual care. As long as there are patients and we are able to improve their lives with comprehensive cleft care from the GSF team, we consider the mission a success.
Examples of Program Success 
Abraham (2015)
When Abraham was born with a cleft lip, his family was shocked. His mother was devastated, not because she thought there was something wrong with her boy, but because of the response she got from the rest of the family. His dad and sister did not want to carry him, and his grandparents never came to visit. She felt as though there was no solution for Abraham. When she brought her 4-month old son to the GSF mission, Abraham's mother was simply seeking more information about caring for her son. To her surprise, GSF was able to provide surgery for Abraham. She told the team that she couldn't wait for her friends and family to see him and accept him. In her mind, he was been perfect all along, but she was grateful that he would now have an easier life.
 
Melvin (2018)
When Melvin was born with a cleft lip and palate, it was bittersweet for his mother, Yesenia, who had lost her husband to a heart attack months before she gave birth. Yesenia had to face caring for her baby as a single mother and handling the special care her son required was especially difficult. Infants born with cleft have difficulty feeding properly because they cannot develop to ability to suck. Yesenia's only dream was to see her son, Melvin Enrique, smile. When Melvin was seven months old, Yesenia found out that GSF would be at Benjamin Bloom Hospital and brought her son on the 4-hour bus ride from their home town of Nahuizalco. GSF was able to provide a cleft lip repair for Melvin and his mother was overjoyed to see his new, beautiful smile. Both Melvin and Yesenia returned in 2019 so that Melvin could have a cleft palate repair.

GSF Medical Mission to Lebanon

Cleft is one of the most common birth defects in the world and Lebanon has one of the highest rates of babies born with cleft. Recent research has shown that 1 out of every 440 babies born in Lebanon has a cleft lip or palate. Left untreated, the consequences of cleft can be devastating. GSF began humanitarian cleft care outreach in Beirut, Lebanon in 2012. During this first medical mission, GSF partnered with the American University of Beirut Medical Center to provide surgical procedures to a small number of patients and deliver a series of educational lectures to local health providers. Since then, GSF has returned to Beirut every year to provide comprehensive cleft care. In that time, we have screened over 450 patients, provided 151 surgical procedures, and expanded comprehensive cleft care to include 41 speech therapy sessions, 48 VPI screenings, and 8 feeding consultations. Our patients come from Lebanon, Palestine, Syria and Iraq. GSF staff now returns to Beirut in November of each year to screen patients for the coming mission as well as perform follow-up procedures.
Budget  100,000
Category  Health Care, General/Other International Public Health/International Health
Population Served Infants to Preschool (under age 5) K-12 (5-19 years) College Aged (18-26 years)
Program Short-Term Success 

On our medical missions, we screen patients to identify ways in which we are able to provide care. We believe in comprehensive care that goes beyond fragmented corrective surgery to include hold dental consultations, pre-surgical orthopedics, feeding/nutrition counseling, speech therapy, and psychosocial care. Our goal is to provide the highest quality care possible to each patient we screen. Thus, we consider every patients whom we are able to treat as a success.

Program Long-Term Success 

From birth, patients may need four to six surgeries. We hope to provide continual comprehensive care for our patients that choose to return each year to receive treatment. These surgeries improve their physical, mental, and psychosocial abilities and allow them to better integrate into societies where many previously felt unwelcome.

In 2014, GSF established an organization in Lebanon to extend its mission across Lebanon and the MENA region. GSF-MENA is able to maintain a full-time presence in the region to spread awareness and generate support. In 2018, GSF hosted the first-ever simulated Comprehensive Cleft Care Workshop in response to the demand for training of cleft care providers in the region. This effort is part of the GSF commitment to empowering local cleft care providers. 
Program Success Monitored By 

Each year, we return to the site and constantly consult with our medical staff on the ground. We are able to see long-term and short-term patients and provide continual care. As long as there are patients and we are able to improve their lives with corrective surgery from the GSF team, we consider missions a success. 

Examples of Program Success 
Ali (2017)
Ali's mother explained the difficulties she and her family faced when her son, Ali, was born. She told our volunteers disappointed the nurses looked when he was born, even though she found him to be a handsome boy. After delivery, not only Ali could not feed properly due to his cleft, but he also had to stay in an incubator for 20 days and required a special feeding tube. Ali's father was unemployed and the cost of his son's medical treatment was stressful. Luckily, Ali's pediatrician knew about the GSF mission. After the surgery, the family was overjoyed with the results and especially to hold Ali without feeding tubes. Ali's mother shared her gratitude for what she considers a "life-changing surgery."

Medical Mission to Peru

Located in coastal northwestern Peru, Trujillo is the capital of La Libertad Region. It is the most important economic center of northern Peru, but it is a city that is extremely underserved medically. A tremendous amount of patients require care due to a lack of access to surgical care in the northern mountain regions of Peru.

Global Smile Foundation (GSF) works with EsSalud to provide comprehensive cleft care to patients. GSF and EsSalud have been collaborating for the past 14 years to ensure the success of our outreach cleft programs. EsSalud is the largest hospital owner and operator in Peru, with over 400 hospitals under their management. In 2016, EsSalud and GSF entered a formal agreement to pursue cooperative efforts in education, training, outreach cleft missions, and the establishment of comprehensive cleft care centers at EsSalud hospitals.

 
Budget  $100,000
Category  Health Care, General/Other International Public Health/International Health
Population Served Infants to Preschool (under age 5) K-12 (5-19 years) College Aged (18-26 years)
Program Short-Term Success 
Our goal is to provide the highest quality care to every patient. We begin each medical mission with a screening day to meet each patient and evaluate the specific cleft care needed in each case. Our model of cleft care is comprehensive and multi-disciplinary, offering more than fragmented corrective surgery to include the full range of care needed to give each patient the best outcome possible.
 
Our range of care includes:
  • Pre-surgical orthopedic
  • Feeding/nutrition counseling
  • Dental consultations and care
  • Speech assessment and therapy 
  • Psycho-social care
  • Every patient we meet is screened and given the appropriate care, thus we consider every patient who receives treatment as a success.
    Program Long-Term Success 
    For a cleft patient to achieve the best outcome from care, the patient needs continual monitoring and care according to plan that is tailored to his or her particular needs. A typical plan starts at birth with feeding assistance and assessment and includes surgery to repair cleft lip and cleft palate within the child’s first 2 years of life. Most children require speech and dental assessment and care throughout their childhoods and may need additional procedures between the ages of 12-15 and rhinoplasty in the later teen years.This care improves the physical, mental, and psychosocial abilities of our patients and allows them to better integrate into societies where many previously felt unwelcome. Our goal is to provide long-term comprehensive care for our patients who choose to return each year to receive treatment at every mission site.
    In the past three years, GSF has screened over 350 patients and performed over 150 surgical procedures as well as provided nearly 2300 dental procedures and 175 speech therapy sessions in Trujillo.
     
    Program Success Monitored By 
    GSF establishes partnerships with local hospitals in each mission location that allow us to return every year to the same location. By building these relationships, we are able to monitor long-term and short-term patients and provide continual care. As long as there are patients and we are able to improve their lives with comprehensive cleft care from the GSF team, we consider the mission a success.
     
    Each year, we return to the site and constantly consult with our medical staff on the ground. We are able to see long-term and short-term patients and provide continual care. As long as there are patients and we are able to improve their lives with corrective surgery from the GSF team, we consider missions a success.
    Examples of Program Success 
    Mayeli (2017)
    Mayeli was born in 2017 with a cleft lip and palate. Her mother had a difficult time feeding the baby because her cleft palate prevented her from being able to eat from a bottle. In addition, Mayeli's mom would not take her out of the house because of the way people would look at her and the hurtful things they would say.  Mayeli's first surgery for her lip  was in May 2017. She returned in 2018 for a cleft palate surgery. Mayeli's mother and grandmother were with her and expressed their gratitude to the GSF doctors.
     
    Mayra (2016)
    Before her cleft lip repair in 2016, Mayra could not eat well and could not drink water in a glass—her mother used a syringe to feed her milk and water. Her mother described how people would say insulting things about the baby when they left the house. After Mayra's first surgery, life changed for mother and baby. They are proud to go out in public and Mayra was is able to feed herself. Mayra comes back to GSF every year for speech therapy and has become more active and eager to participate in several activities with other children.

    CEO/Executive Director/Board Comments

    --

    Management


    CEO/Executive Director Dr. Usama S Hamdan MD, FICS
    CEO Term Start June 2008
    CEO Email uh@gsmile.org
    CEO Experience -Assistant Clinical Professor of Otolaryngology-Tufts University School of Medicine
    -Clinical Instructor in Otology & Laryngology-Harvard Medical School
    -Clinical Instructor of Otolaryngology-Boston University School of Medicine
    Co-CEO --
    Co-CEO Term Start --
    Co-CEO Email --
    Co-CEO Experience --

    Former CEOs and Terms

    Name Start End
    -- -- --

    Senior Staff

    Name Title Experience/Biography
    Lisa K Crist MBA Director of Development --
    Bayan Jaber Digital Media Coordinator --
    Kristen Keith RN Executive Director --

    Awards

    Award Awarding Organization Year
    -- -- --

    Affiliations

    Affiliation Year
    -- --
    Member of state association of nonprofits? No
    Name of state association --

    External Assessments and Accreditations

    External Assessment or Accreditation Year
    -- --

    Collaborations

    --

    CEO/Executive Director/Board Comments

    --

    Foundation Comments

    --

    Staff Information

    Number of Full Time Staff 5
    Number of Part Time Staff 2
    Number of Volunteers 800
    Number of Contract Staff 0
    Staff Retention Rate % 100%

    Staff Demographics

    Ethnicity African American/Black: 0
    Asian American/Pacific Islander: 0
    Caucasian: 4
    Hispanic/Latino: 1
    Native American/American Indian: 0
    Other: 0
    Other (if specified): --
    Gender Female: 4
    Male: 1
    Not Specified 0

    Plans & Policies

    Organization has Fundraising Plan? Yes
    Organization has Strategic Plan? Under Development
    Years Strategic Plan Considers --
    Management Succession Plan --
    Business Continuity of Operations Plan --
    Organization Policies And Procedures Yes
    Nondiscrimination Policy No
    Whistle Blower Policy No
    Document Destruction Policy --
    Directors and Officers Insurance Policy --
    State Charitable Solicitations Permit Yes
    State Registration No

    Risk Management Provisions

    --

    Reporting and Evaluations

    Management Reports to Board? No
    CEO Formal Evaluation and Frequency No N/A
    Senior Management Formal Evaluation and Frequency N/A N/A
    Non Management Formal Evaluation and Frequency No N/A

    Governance


    Board Chair Dr. Usama Hamdan
    Board Chair Company Affiliation Global Smile Foundation
    Board Chair Term June 2008 -
    Board Co-Chair --
    Board Co-Chair Company Affiliation --
    Board Co-Chair Term -

    Board Members

    Name Company Affiliations Status
    Talal Ali-Ahmad Entrada Communications Voting
    Raymond Ciccolo Village Automotive Group Voting
    Usama S Hamdan MD, FICS Global Smile Foundation Voting
    Christopher V Hughes D.M.D., Ph.D. University of Mississippi Medical Center Voting
    Krishna Patel MD, PhD Medical University of South Carolina Voting
    Jay Schnitzer MD, Ph.D. MitreCorporation Voting
    Navil Sethna MD, FAAP Harvard Medical School Voting

    Constituent Board Members

    Name Company Affiliations Status
    -- -- --

    Youth Board Members

    Name Company Affiliations Status
    -- -- --

    Advisory Board Members

    Name Company Affiliations Status
    Rebecca Binder Benco Family Foudation NonVoting
    George Blaser Coast to Coast Medical NonVoting
    Yasmin Causer Tonneson & Co NonVoting
    Paul Cody RM Chin & Associates NonVoting
    Joe Daher Kai Capital Management NonVoting
    Stephen Harris Harris Plastic Surgery NonVoting
    Robert Karch MD, MPH, FAAP Nemours Children's Hospital NonVoting
    Serena Kassam New York University College of Dental Medicine NonVoting
    Aileen Killen Patient Safety Programs NonVoting
    Kristine Marcy National Academy of Public Administration NonVoting
    Krishna Patel Medical University of South Carolina NonVoting
    Kenneth Pellegrino Clinical Engineering NonVoting
    Alan Silverstein BAM Inc. NonVoting

    Board Demographics

    Ethnicity African American/Black: 0
    Asian American/Pacific Islander: 0
    Caucasian: 4
    Hispanic/Latino: 0
    Native American/American Indian: 0
    Other: 3
    Other (if specified): Middle Eastern/Indian
    Gender Female: 1
    Male: 6
    Not Specified 0

    Board Information

    Board Term Lengths --
    Board Term Limits --
    Board Meeting Attendance % 90%
    Written Board Selection Criteria No
    Written Conflict Of Interest Policy No
    Percentage of Monetary Contributions 100%
    Percentage of In-Kind Contributions 100%
    Constituency Includes Client Representation No

    Standing Committees

    • --

    CEO/Executive Director/Board Comments

    --

    Foundation Comments

    --

    Financials


    Revenue vs. Expense ($000s)

    Expense Breakdown 2015 (%)

    Expense Breakdown 2014 (%)

    Expense Breakdown 2013 (%)

    Fiscal Year Jan 01, 2019 to Dec 31, 2019
    Projected Income $510,307.00
    Projected Expense $427,289.00
    Form 990s

    2016 Form 990

    2015 Form 990

    2014 Form 990

    2013 Form 990

    2012 Form 990

    2011 Form 990

    2010 Form 990

    2009 Form 990

    2008 Form 990

    Audit Documents

    2014 Audited Financials

    2013 Audited Financials

    2012 Audited Financials

    2011 Audited Financials

    IRS Letter of Exemption

    IRS Letter of Determination

    Prior Three Years Total Revenue and Expense Totals

    Fiscal Year 2015 2014 2013
    Total Revenue $509,490 $360,191 $406,322
    Total Expenses $357,048 $258,710 $280,700

    Prior Three Years Revenue Sources

    Fiscal Year 2015 2014 2013
    Foundation and
    Corporation Contributions
    -- $20,000 $50,750
    Government Contributions $0 $0 $0
        Federal -- -- --
        State -- -- --
        Local -- -- --
        Unspecified $0 -- --
    Individual Contributions $496,473 $322,388 $336,562
    Indirect Public Support $0 -- --
    Earned Revenue $0 -- --
    Investment Income, Net of Losses $194 $143 $245
    Membership Dues $0 -- --
    Special Events $12,823 $17,660 $18,765
    Revenue In-Kind -- -- --
    Other $0 -- --

    Prior Three Years Expense Allocations

    Fiscal Year 2015 2014 2013
    Program Expense $323,292 $227,809 $233,257
    Administration Expense $25,733 $25,312 $31,335
    Fundraising Expense $8,023 $5,589 $16,108
    Payments to Affiliates -- -- --
    Total Revenue/Total Expenses 1.43 1.39 1.45
    Program Expense/Total Expenses 91% 88% 83%
    Fundraising Expense/Contributed Revenue 2% 2% 4%

    Prior Three Years Assets and Liabilities

    Fiscal Year 2015 2014 2013
    Total Assets $716,792 $592,658 $466,538
    Current Assets $713,650 $590,078 $461,553
    Long-Term Liabilities $0 $0 $0
    Current Liabilities $13,511 $41,819 $17,180
    Total Net Assets $703,281 $550,839 $449,358

    Prior Three Years Top Three Funding Sources

    Fiscal Year 2015 2014 2013
    1st (Source and Amount) -- --
    -- --
    -- --
    2nd (Source and Amount) -- --
    -- --
    -- --
    3rd (Source and Amount) -- --
    -- --
    -- --

    Financial Planning

    Endowment Value --
    Spending Policy N/A
    Percentage(If selected) --
    Credit Line No
    Reserve Fund No
    How many months does reserve cover? --

    Capital Campaign

    Are you currently in a Capital Campaign? No
    Capital Campaign Purpose --
    Campaign Goal --
    Capital Campaign Dates -
    Capital Campaign Raised-to-Date Amount --
    Capital Campaign Anticipated in Next 5 Years? No

    Short Term Solvency

    Fiscal Year 2015 2014 2013
    Current Ratio: Current Assets/Current Liabilities 52.82 14.11 26.87

    Long Term Solvency

    Fiscal Year 2015 2014 2013
    Long-term Liabilities/Total Assets 0% 0% 0%

    CEO/Executive Director/Board Comments

    The founders of Global Smile Foundation (GSF) have been involved in humanitarian cleft care programs in Ecuador, Africa and the Indian-Subcontinent for more than 32 years. The foundation was established in 2008 with a mission to provide comprehensive cleft care for patients born with cleft lip and/or palate in underserved communities throughout the world. GSF offers superior comprehensive cleft care to over 1,000 patients annually, combined with community education and outreach to families and healthcare professionals.

    We have witnessed significant growth in our humanitarian initiatives from 4 missions per year (40 days) in 2008 to 7 missions per year (114 days) in 2019. As part of our commitment to in-country empowerment and sustainability, we have established Cleft Centers at two of our international sites to enable year-round comprehensive cleft care for patients. We have also launched a workshop series to provide hands-on training to a new generation of leaders in cleft care.

    Our vision for the future is to not only sustain our outreach cleft programs and strengthen in-country cleft care centers and providers, but also to expand our educational programs and training initiatives. Our work is made possible through the generosity of donors and we are grateful for this support.

     

    to developing countries around the world and providing free, comprehensive cleft care for patients born with cleft lip and/or palate.  In 2008, recognizing an ongoing demand for cleft care, as well as much needed education and outreach to address the social determinants of health for these vulnerable populations, Dr. Hamdan, and other founding members, established GGSF is led by an esteemed Board of Directors, and supported by all-volunteer mission teams of top-rated doctors (surgeons, pediatricians, anesthesiologists, etc.) and nurses, and the best dentists, nutritionists, speech therapists, and psychosocial workers in their fields.

    Over the past ten years, GSF has conducted 63 missions in 12 different countries around the world, growing its capacity from an average of four mission trips in 2008 to up to seven mission trips in 2018.  

    Foundation Comments

    Financial summary data in the charts and graphs above are per the organization's IRS Form 990s. Contributions from foundations and corporations are listed under individuals when the breakout was not available.

    Documents


    Other Documents

    No Other Documents currently available.

    Impact

    The Impact tab is a section on the Giving Common added in October 2013; as such the majority of nonprofits have not yet had the chance to complete this voluntary section. The purpose of the Impact section is to ask five deceptively simple questions that require reflection and promote communication about what really matters – results. The goal is to encourage strategic thinking about how a nonprofit will achieve its goals. The following Impact questions are being completed by nonprofits slowly, thoughtfully and at the right time for their respective organizations to ensure the most accurate information possible.


    1. What is your organization aiming to accomplish?

    Our goal is to provide pro-bono comprehensive cleft care to underserved patients, enhance the empowerment and sustainability of local medical talents through extensive educational and training programs, and to increase the public awareness about clefts around the world. Most of our patients are stigmatized because of their facial deformities and are unable to participate as active members of society or access meaningful education and gainful employment.

    Since these patients are forced to stay at home and away from the public eye, an average of 1-4 family members must stay at home to take care of them. These dedicated family members are therefore also unable to work, depriving society from additional capable work force and causing additional strain on the family unit.

    Furthermore, all beneficiaries of GSF’s services have very limited financial resources and are considered in the “poor” and “very poor” socioeconomic groups. Lack of awareness about causes of clefts and our patient’s inability to fund the required corrective care has significant negative effects on the patients and their families. Thus, GSF provides all of our services free of charge.

    Underserved cleft patients are identified through a variety of media outreach campaigns including TV, press, and radio as well as referrals by local physicians throughout the countries we serve. Patients are then examined by GSF medical team and appropriate treatment modalities are set, including pre-surgical orthopedics, nutrition, speech therapy, pediatric and cardiac evaluation. Surgery is performed as part of this multi-disciplinary team approach and postoperative care is provided by the GSF medical team.

    Without GSF’s humanitarian efforts, the beneficiaries would otherwise have no resources to correct their deformities that often restrict them from leading rewarding lives. GSF defines long-term success as providing this complete, comprehensive care to patients in the areas we serve year after year until they are free of their deformity and comfortable rejoining their society.


    2. What are your strategies for making this happen?

    Mission Sites

    GSF has a strict set of guidelines for establishing a mission site, including:
    • Population of underserved cleft patients whose needs are not being met
    • A qualified, local cleft surgeon who can provide screening, peri-operative care, surgical intervention, and long-term follow up when the GSF team is not present
    • A regulated and safe hospital with the necessary medical capabilities
    • A qualified NGO to assist with patient recruitment through extensive PR campaign targeting underserved cleft patients and their families
    • A qualified team of cleft specialists to provide integrated care to the patient population
    • A group of dedicated volunteers who provide sustenance and support throughout the year, minimizing the need for paid employees
    Measurement and Evaluation

    In order to meet its long-term goals, GSF will evaluate the success of our outcomes based on both the number of patients cared for and the quality of care provided.

    We will also consider the range of the integrated care provided (e.g. inclusion of presurgical orthopedics, psycho-social support, patient outreach in remote areas, refugee camps, etc.) and the reach of public awareness campaigns based on higher volume of patients cared for during any given mission.
     
    Goals
    Our goals for the current year and near future include: 
    • Increase the number of patients cared for
    • Increase public awareness of cleft, known causes, and treatment
    • Provide education on the need for comprehensive and multi-disciplinary care to underserved cleft patients
    • Provide training for in-country cleft care providers
    • Expand affiliations with local NGO’s to and the scope of services delivered to our patients
    • Establish a database for the cleft patients that assesses outcomes of care provided  

    3. What are your organization’s capabilities for doing this?

    GSF's conducts 6-7 medical missions per year to serve patients in our target population of children whose families have very limited financial resources and are considered in the “poor” or “very poor” socioeconomic groups.

    On any given 10-day mission, the following procedures and consultations are performed, completely free of charge:

    • 120-150 patients screened, including full anesthesia and pediatric evaluations
    • 45-60 corrective surgical procedures
    • 150-1,700 dental procedures
    • 30-40 speech therapy consultations
    • 50+ nutritional consultations
    • 20-50 family support sessions including psychosocial consultations
    • 5 educational presentations for local healthcare providers
    • Hands-on training of local medical staff
    GSF has been able to recruit and retain a dedicated base of highly-qualified medical professionals who volunteer their time and services on mission trips. Every mission trip brings a multi-disciplinary team of surgeons, anesthesiologists, pediatricians, nurses, dentists, speech therapists and psychosocial professionals. Many of our volunteers return each year to the same mission site and several go on multiple mission trips a year. GSF volunteer experts also recently authored the Video Atlas of Cleft Lip and Palate Repair and are establishing an open-source curriculum in collaboration with Tufts University to promote international access to high-quality, reliable educational content. Our volunteers are also working on virtual augmented reality resources to remotely assist with overseas surgical and dental procedures, among many other potential medical applications. These and other initiatives promote academic and educational collaboration with partner surgeons while building host nation capacity and driving sustainability. These medical innovations also enhance the quality of cleft care that we are able to provide to our patients.
     
    GSF is a leader in overseas surgical outreach programs. Our organization pioneers a focus on safety, quality assurance and emergency preparedness. We also study and report on innovative, cost-effective solutions in severely under-resourced regions, such as using selective nerve blocks to accomplish ambulatory adult cleft lip repair without the costs and risks of general anesthesia. More recent investigations have focused on how GSF can promote sustainability of multidisciplinary, comprehensive cleft care that empowers partner nations. To this end, GSF, established the first global health fellowship in NAM (nasoalveolar molding, pre-surgical orthopedics).
     
    In addition to mission volunteers, GSF has a highly esteemed and skilled Board of Trustees to provide direction and specialized knowledge to help reach the organization's goals. 

    4. How will your organization know if you are making progress?

    Patient Care

    In terms of quantitative indicators, GSF does not base the success of a mission on the number of surgeries performed. Rather, we have very rigorous peri-operative guidelines for providing integrated cleft care and close follow-up of our patients. The qualitative measures that define a successful mission include:
    • Pre-operative assessment
    • Initiation of pre-surgical orthopedics when needed
    • Initiation of psychosocial support
    • Close post-operative follow-up
    • Implementation of dental care
    • Providing surgical correction of cleft deformities at the appropriate age
    • Monthly/quarterly follow up of the patients, as needed

    GSF has a 30+ year follow-up of several of our patients, ensuring that proper and needed care has been delivered to them throughout their developmental years and has allowed them to become successful members of their societies.

    Overall Progress

    To evaluate our progress in achieving our goals, we will consider the following:
     
    • Have public education and awareness campaigns increased both the number and geographical origin of patients seeking and receiving care on missions
    • Are in-country mission partners recognizing and supporting the need for multi-disciplinary care
    • Are relationships with local NGO's having an impact on the population seeking support and the care delivered?
    • Do we have the resources to maintain a database of comprehensive cleft care provided 

    5. What have and haven’t you accomplished so far?

    Impact
     
    Over the past ten years, GSF has conducted 63 missions in 12 countries, serving over 1,000 patients annually with superior cleft care, community outreach, and education for healthcare professionals at mission sites. Unlike other cleft care organizations working around the world, GSF’s unique model of medical mission care aims to provide integrated, comprehensive cleft care while building sustainable local capacity for providing care for children born with clefts. GSF’s services are not fragmented, corrective surgeries, but focus on the long-term outcomes of patients, their families and the medical communities at each mission site. GSF boasts over 30 years’ worth of relationships maintained with medical professionals, healthcare organizations, and the same patient families who return year after year for follow-up care.
     
    Long-term sustainability of GSF’s work is reflected by the organization’s establishment of two cleft centers in Beirut, Lebanon, and Guayaquil, Ecuador as well as the formation of sister organizations GSF Peru, GSF MENA, GSF Australia, and Fundación Global Smile-Ecuador, and a dental hygiene program with GSF Peru that works with local schools.
     
    GSF currently facilitates an annual international comprehensive cleft care workshop that brings together the most prominent names in the cleft and craniofacial fields to educate and train the next generation of cleft care providers. 
    Future
     
    GSF plans for the future include:
    • Continued support of existing Cleft Care Centers
    • Establishing a new mission site and/or Cleft Care Center in an area of need
    • Finalizing the patients database
    • Expanding cleft care education initiatives