Share |

Global Smile Foundation

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

LAST UPDATED: 03/30/2016
Organization DBA --
Former Names --
Organization received a competitive grant from the Boston Foundation in the past five years No

Summary

Mission StatementMORE »

The Global Smile Foundation (GSF) is a 501(C)(3) nonprofit organization whose goal is to alleviate the suffering of underserved patients born with congenital facial deformities with special emphasis on patients with cleft lips and palates around the globe.

GSF volunteers recognized the need not just for offering fragmented corrective surgical and dental procedures, but also the urgent need for implementing comprehensive and multi-disciplinary care coupled with educational and preventive programs.

We believe all communities deserve the right to receive first-rate care by highly qualified healthcare professionals regardless of socioeconomic, racial, religious backgrounds or nationality.

Mission Statement

The Global Smile Foundation (GSF) is a 501(C)(3) nonprofit organization whose goal is to alleviate the suffering of underserved patients born with congenital facial deformities with special emphasis on patients with cleft lips and palates around the globe.

GSF volunteers recognized the need not just for offering fragmented corrective surgical and dental procedures, but also the urgent need for implementing comprehensive and multi-disciplinary care coupled with educational and preventive programs.

We believe all communities deserve the right to receive first-rate care by highly qualified healthcare professionals regardless of socioeconomic, racial, religious backgrounds or nationality.


FinancialsMORE »

Fiscal Year Jan 01, 2014 to Dec 31, 2015
Projected Income $268,832.00
Projected Expense $435,000.00

ProgramsMORE »

  • GSF Medical Mission to Abidjan, Ivory Coast
  • GSF Medical Mission to Beirut, Lebanon
  • GSF Medical Mission to Dakar & Thies, Senegal
  • GSF Medical Mission to Ecuador
  • GSF Medical Mission to El Salvador

Revenue vs. Expense ($000s)

Expense Breakdown 2014 (%)

Expense Breakdown 2013 (%)

Expense Breakdown 2012 (%)

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


Overview

Mission Statement

The Global Smile Foundation (GSF) is a 501(C)(3) nonprofit organization whose goal is to alleviate the suffering of underserved patients born with congenital facial deformities with special emphasis on patients with cleft lips and palates around the globe.

GSF volunteers recognized the need not just for offering fragmented corrective surgical and dental procedures, but also the urgent need for implementing comprehensive and multi-disciplinary care coupled with educational and preventive programs.

We believe all communities deserve the right to receive first-rate care by highly qualified healthcare professionals regardless of socioeconomic, racial, religious backgrounds or nationality.


Background Statement

GSF volunteers have been changing the lives of underprivileged patients in the developing world for the past 27 years. In the areas that we serve, 1 out of every 250-700 children are born with cleft deformities. Left unrepaired, cleft lips and palates can cause a variety of problems, leading to very difficult lives.  Through comprehensive care, year after year, we are able to make a difference in the lives of our patients and their families.


Impact Statement

GSF's founding members are a group of dedicated volunteers and medical professionals who have been actively involved with global outreach programs for the past 27 years in countries in Latin America, Africa, the Middle East, and the Indian Subcontinent.

The founders believe not only in providing much needed cleft care in these regions, but also to enhance empowerment and sustainability of these programs through education and hands on training of local health care professionals.

In the past year, the GSF team screened 550 patients, performed approximately 250 surgical procedures and 5,500 dental procedures on underserved cleft patients during 7 missions. GSF also presented a multitude of educational conferences in Latin America, Africa and the Middle East.

GSF plans to grow its first and second free-standing foundations, GSF-Ecuador & GSF-MENA that were created in 2012 and 2014 respectively. 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).

GSF plans to grow these programs and meet the need of the increasing demand for high quality cleft care around the world.


Needs Statement

· Financial support (Each mission costs between $75,000-$90,000 depending on the geographic site)

· Medical supplies, surgical instruments and equipment, needed for cleft care

· In-kind donations

· Highly trained medical professions that currently treat cleft patients


CEO Statement

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

Global Smile Foundation is a tightly run organization that has only 2 full time employees with an overhead of just 2%. GSF is supported by the generosity of its donors to cover ancillary costs such as airfare, living expenses in the field, medical supplies, hospital fees and others. The costs of each of the 6-7 annual missions is $75,000-$90,000 depending on the mission site.

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

· San Salvador, El Salvador

· Guayaquil, Ecuador

· Trujillo, Peru

· Atitlan, Guatemala

· Abidjan, Ivory Coast

· Beirut, Lebanon

· Dakar and Thies, Senegal

· Ouagadougou, Burkina Faso

· Bamkao, Mali

Organization Categories

  1. Health Care - Patient & Family Support
  2. -
  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 Abidjan, Ivory Coast

In 2012, GSF partnered with West African sponsor, FATOM, who has non-profit activities including education and health care throughout several West African countries and has been a generous sponsor of GSF on its previous missions to Burkina Faso and Senegal. GSF’s most recent mission was from September 4-14, 2014. GSF took a small team of highly qualified medical professionals to focus on continual education and empowerment of the Ivorian medical staff. Throughout the week, GSF activities included hands on training sessions with local medical practitioners, going back and forth between our textbook, accompanying DVD, and the operating room. In addition to the extensive week long training course, GSF also donated enough sutures and other surgical supplies for the Ivorian medical team to continue their great work over the next year. 
Budget  --
Category  Health Care, General/Other
Population Served Children and Youth (0 - 19 years) Adults
Program Short-Term Success 

In Abidjan, Ivory Coast , we are able to screen patients, provide corrective surgery, hold dental consultations, and delivery speech therapy and psychosocial analyses. Each patient that leaves the hospital impacted due to these services is considered 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.  

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 

(From GSF's most recent mission — September 4-14, 2014)

Statistics

  • 7 Patients Screened
  • 4 Corrective Surgical Procedures Performed Including:
    • 2 Cleft Lip Repairs
    • 2 Cleft Lip Revisions
       

GSF Medical Mission to Beirut, Lebanon

GSF completed its 1st mission to Beirut, Lebanon from April 27-May 11, 2012, sponsored by The Talia Foundation. GSF partnered with American University of Beirut Medical Center for surgical procedures and a series of educational lectures. The purpose of GSF’s first mission was to deliver a series of lectures and operate on a small number of patients, paving the way for future missions to Lebanon. May 1-10, 2015 marked GSF’s fourth mission to Beirut, Lebanon since 2012 where procedures at Bikhazi Medical Group’s Fouad Khoury Hospital were performed and a series of educational cleft care lectures at The American University of Beirut Medical Center (AUBMC) took place. During this mission 72 cleft lip/palate patients were screened and 27 procedures were performed.
Budget  --
Category  Health Care, General/Other
Population Served Children and Youth (0 - 19 years) Adults
Program Short-Term Success 

In Beirut, Lebanon, we are able to screen patients, provide corrective surgery, hold dental consultations, and delivery speech therapy and psychosocial analyses. Each patient that leaves the hospital impacted due to these services is considered 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.

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 

(From GFS's most recent mission — May 1-10, 2015)

This was GSF’s fourth mission since 2012 performing procedures at Bikhazi Medical Group’s Fouad Khoury Hospital and providing a series of educational cleft care lectures at The American University of Beirut Medical Center (AUBMC).

Cleft Lip/Palate Statistics

  • 72 Patients Screened
  • 27 Procedures Performed

GSF Medical Mission to Dakar & Thies, Senegal

Senegal has a large number of underserved cleft patients. Although the incidence of clefts in Africa is not as high as in some other continents, the number of patients who did not undergo cleft repair is quite high due to the lack of financial resources and nationwide healthcare system that allows the rendering of such care. The GSF team worked at Barthimée's hospital in Thies at the invitation of Jooko Cleft Association. The team screened 52 patients and performed 31 procedures on 30 patients. GSF also donated several anesthesia monitors and electrosurgical units to the hospital. In addition to the surgeries performed, GSF provided an extensive educational program in Dakar on November 18 at the Sokhamon Hotel. The conference covered a variety of lecture topics including surgical, pediatric, anesthesia, nursing and epidemiological aspects of cleft care.

Budget  --
Category  Health Care, General/Other
Population Served Children and Youth (0 - 19 years) Adults
Program Short-Term Success   

In Dakar & Thies, Senegal , we are able to screen patients, provide corrective surgery, hold dental consultations, and delivery speech therapy and psychosocial analyses. Each patient that leaves the hospital impacted due to these services is considered 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.  

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  The GSF team worked at Barthimée's hospital in Thies at the invitation of Jooko Cleft Association. The team screened 52 patients and performed 31 procedures on 30 patients. GSF also donated several anesthesia monitors and electrosurgical units to the hospital. In addition to the surgeries performed, GSF provided an extensive educational program in Dakar on November 18 at the Sokhamon Hotel. The conference covered a variety of lecture topics including surgical, pediatric, anesthesia, nursing and epidemiological aspects of cleft care.

GSF Medical Mission to Ecuador

2015 marked the 28th consecutive year that GSF volunteers have served the people of Guayaquil, Ecuador. The mission in March was a great success, allowing us to continue to build and grow our partnership with Fundación Global Smile Ecuador, local government officials, and our Ecuadorian medical colleagues. Over the course of our weeklong mission, GSF team members were able to screen 74 patients, provide 53 corrective surgical procedures as well as 1,034 dental procedures.
Budget  $80,000.00
Category  Health Care, General/Other
Population Served Children and Youth (0 - 19 years) Adults
Program Short-Term Success 

In Ecuador, we are able to screen patients, provide corrective surgery, hold dental consultations, and delivery speech therapy and psychosocial analyses. Each patient that leaves the hospital impacted due to these services is considered a success. If we cannnot operate on patients, we steer patients in the right direction so they can be operated on next year or be helped by our local partners. 

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 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 (Nasol Alevaolar Molding) 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 

In total, GSF has completed 1,087 dental and surgical procedures in Guayaquil in 2014.

2014 Cleft Mission Statistics

  • 74 patients screened
  • 53 total procedures
    • 6 Lip Repairs
    • 18 Lip Revisions
    • 12 Palate Repairs
    • 9 Palate Revisions
    • 8 Cleft Lip Rhinoplasties

Dental Statistics

In Addition

  • 30 NAM patients came to get screened by GSF, and 7 underwent surgery on this mission based on meeting criteria for health and age.
  • Overall, 65 patients have been treated in the Craniofacial Center at Leon Becerra over the past two years.
  • 6 Lectures presented to the Ecuadorian medical community at La Clinica Alcivar

GSF Medical Mission to El Salvador

GSF recently returned from another very successful mission in San Salvador, El Salvador. This was the 11th mission for our volunteers to El Salvador since 2006. During the weeklong mission, our GSF team was able to screen 54 patients with anesthesia, pediatric and surgical consultations, provide 25 corrective surgical procedures and 25 speech therapy consultations. The mission was generously sponsored by the Kiwanis Club Los Robles, Salvadorian NGOs, members of the Parliament, and other generous individuals.

GSF collaborated with Hospital de Niños Benjamin Bloom, Kiwanis Club Los Robles, and local Salvadoran colleagues to provide the highest quality, multidisciplinary cleft care. GSF also worked with students from Colegio Los Robles and Escuela Americana during the weeklong mission.

Budget  $80,000.00
Category  Health Care, General/Other
Population Served Children and Youth (0 - 19 years) Adults
Program Short-Term Success 

In El Salvador, we are able to screen patients, provide corrective surgery, hold dental consultations, and delivery speech therapy and psychosocial analyses. Each patient that leaves the hospital impacted due to these services is considered 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.  
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 

Since 2009, GSF has screened over 550 patients and done over 200 surgical procedures. There have also been over a thousand speech therapy and dental sessions. 

January 2014 Cleft Mission Statistics:

CEO/Executive Director/Board Comments

--

Management


CEO/Executive Director Dr. Usama Hamdan
CEO Term Start June 2008
CEO Email [email protected]
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
Karen Daly Program Director --
Manisha Sareen Mission Coordinator --

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 2
Number of Part Time Staff 0
Number of Volunteers 600
Number of Contract Staff 0
Staff Retention Rate % 100%

Staff Demographics

Ethnicity African American/Black: 0
Asian American/Pacific Islander: 1
Caucasian: 0
Hispanic/Latino: 1
Native American/American Indian: 0
Other: 0
Other (if specified): --
Gender Female: 2
Male: 0
Not Specified 0

Plans & Policies

Organization has Fundraising Plan? Under Development
Organization has Strategic Plan? Under Development
Years Strategic Plan Considers --
Management Succession Plan --
Business Continuity of Operations Plan --
Organization Policies And Procedures No
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 Global Smile Foundation Voting
Christopher V Hughes Rutgers State University Voting
Jay Schnitzer Mitra Corporation Voting
Navil Sethna 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
Charles Cohen Benco Dental Company NonVoting
Joe Daher Kai Capital Management NonVoting
Edward George Post Anesthesia Care Units NonVoting
Stephen Harris Harris Plastic Surgery 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: 3
Hispanic/Latino: 0
Native American/American Indian: 0
Other: 3
Other (if specified): Middle Eastern/Indian
Gender Female: 0
Male: 6
Not Specified 0

Board Information

Board Term Lengths 1
Board Term Limits --
Board Meeting Attendance % --
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 2014 (%)

Expense Breakdown 2013 (%)

Expense Breakdown 2012 (%)

Fiscal Year Jan 01, 2014 to Dec 31, 2015
Projected Income $268,832.00
Projected Expense $435,000.00
Form 990s

2014 Form 990

2013 Form 990

2012 Form 990

2011 Form 990

2010 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 2014 2013 2012
Total Revenue $360,191 $406,322 $301,968
Total Expenses $258,710 $280,700 $272,797

Prior Three Years Revenue Sources

Fiscal Year 2014 2013 2012
Foundation and
Corporation Contributions
$20,000 $50,750 $11,250
Government Contributions $0 $0 $0
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified -- -- --
Individual Contributions $322,388 $336,562 $271,044
Indirect Public Support -- -- --
Earned Revenue -- -- --
Investment Income, Net of Losses $143 $245 $269
Membership Dues -- -- --
Special Events $17,660 $18,765 $19,405
Revenue In-Kind -- -- --
Other -- -- --

Prior Three Years Expense Allocations

Fiscal Year 2014 2013 2012
Program Expense $227,809 $233,257 $185,849
Administration Expense $25,312 $31,335 $86,948
Fundraising Expense $5,589 $16,108 --
Payments to Affiliates -- -- --
Total Revenue/Total Expenses 1.39 1.45 1.11
Program Expense/Total Expenses 88% 83% 68%
Fundraising Expense/Contributed Revenue 2% 4% 0%

Prior Three Years Assets and Liabilities

Fiscal Year 2014 2013 2012
Total Assets $592,658 $466,538 $344,276
Current Assets $590,078 $461,553 $338,171
Long-Term Liabilities $0 $0 $0
Current Liabilities $41,819 $17,180 $20,540
Total Net Assets $550,839 $449,358 $323,736

Prior Three Years Top Three Funding Sources

Fiscal Year 2014 2013 2012
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? --

Short Term Solvency

Fiscal Year 2014 2013 2012
Current Ratio: Current Assets/Current Liabilities 14.11 26.87 16.46

Long Term Solvency

Fiscal Year 2014 2013 2012
Long-term Liabilities/Total Assets 0% 0% 0%

CEO/Executive Director/Board Comments

--

Foundation Comments

Financial summary data in the charts and graphs above are per the organization's IRS Form 990s. Please note, per the nonprofit: the organization is working with its preparer to better reflect its actual functional expense allocation, as the majority of the organizations expenses are Program expenses.

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?

GSF has a strict set of guidelines for establishing a mission including:

· Population of underserved cleft patients whose needs are not being met

· On-site well respected cleft surgeon who can provide screening and peri-operative care, surgical intervention and long term follow up while GSF team is not on the ground

· Inspected and safe hospital to provide the services

· Well respected NGO that can assist with patient recruitment through extensive PR campaign targeting underserved cleft patients and their families

· Well respected cleft team specialists who 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. This is the operational model for GSF where the overhead is under 2%.

 

In order to meet its long-term goals, GSF will assess the success of our outcomes based on the following criteria:

· Number of patients cared for

· Quality of care delivered: A database is being established that will allow GSF to assess the outcomes and quality of care delivered

· Database info will allow outcome and other medically related research studies to be performed

· Extent of implementation of integrated care in outreach settings: Presurgical orthopedics, psychosocial support, reaching out to patients in remote areas, refugee camps, etc.

· Level of increased public awareness about clefts based on higher volume of patients cared for

· Public awareness campaigns about causes of clefts including smoking, prenatal maternal vitamin supplementation including folic acid, role of consanguinity in clefts, etc. GSF database will allow our volunteers to evaluate the increase in number of patients cared for and the increased awareness about causative factors for clefts.


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

GSF provides underserved cleft patients with pro-bono comprehensive and multi-disciplinary care including pre-surgical orthopedics, dental, surgical, nutritional, psychosocial and speech therapy services. Each trip consists of a multidisciplinary team of surgeons, anesthesiologists, pediatricians, nurses, dentists, speech therapists and psychosocial professionals, all whom are volunteers providing pro-bono services. Some of our main mission sponsors include American Airlines, AmeriCares, Ciccolo Family Foundation, Smile Train, Benco Dental, Rotary Club, Kiwanis Club, MAP International, Coast 2 Coast Medical, and Covidien.

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).

GSF volunteer experts also recently authored Video Atlas of Cleft Lip and Palate Repair and are establishing an open-source curriculum in collaboration with Tufts University (Boston, USA) to promote international access to high-quality, reliable educational content. Furthermore, we are working on “virtual augmented reality” to remotely assist with overseas surgical and dental procedures, among many other potential medical applications for this technology. These and other initiatives promote academic and educational collaboration with partner surgeons while building host nation capacity and driving sustainability. These medical innovations largely enhance the quality of cleft care that we are able to provide to our patients.

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

In terms of quantitative indicators, GSF does not base the success of a mission on the number of surgeries performed. Rather, GSF has 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 when needed

· Database for the cleft patients that assesses outcomes of care provided

 These qualitative measures create lasting change in the lives of the patients we serve and will continue to be implemented over the next several years on each of our missions. GSF has a 25 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.

 

There are several milestones that GSF plans to achieve in the coming years as our organization and funding capabilities grow, including:

· Increase the number of patients cared for in the coming years

· Increase the general public’s knowledge of clefts, its known causes and treatments.

· Emphasize the need for comprehensive and multi-disciplinary care to underserved cleft patients in the region.

· Provide psychosocial support to the patients and their families on the ground

Expand our affiliation with local NGO’s to and the scope of services delivered to our patients.

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

Global Smile Foundation averages 6-7 medical missions per year. GSF funds are utilized to serve our target population of children whose families have very limited financial resources and are considered in the “poor” or “very poor” socioeconomic groups. GSF also serves adults in this demographic, especially in Africa.

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

· 120-150 patients screened

· All patients undergo full anesthesia and pediatric evaluations

· 45-60 corrective surgical procedures performed

· 150-1,700 dental procedures performed

· 30-40 speech therapy consultations

· 50+ nutritional consultations

· 20-50 family support sessions including psychosocial consultations

· 5 lectures delivered during a Wednesday evening seminar

· Hands-on training of local medical staff throughout the whole week

In the 27 years that our founding volunteers have been conducting medial missions, we can confidently say that more than:

· 23,500 patients have been screened

· 7,650 corrective surgical procedures performed

· 30,000 dental procedures performed

· 3,650 speech therapy consultations given

· 4,500 nutritional consultations provided

· 4,600 family support sessions including psychosocial consultations done

· 470 lectures delivered during Wednesday evening seminar

These figures show a baseline of GSF's work worldwide and that GSF has established itself as a major player in cleft lip/palate repair worldwide. GSF plans to impact the lives of more patients with cleft lips/palates and their families as the organization continues to expand its outreach around the world.