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Smile Train

CharityWatch rating issued
June 2026

C
CharityWatch Rating
This rating has been downgraded from B due to the charity having 3.6 years worth of available assets in reserve.
 
69%
Program Percentage
Amount spent on programs
relative to overhead.
 
$27
Cost to Raise $100
Amount spent to raise
$100 of contributions.

Large Asset Reserves

CharityWatch reduces the grade of any charity that has available assets equal to three to five years of operating expenses. Charities with "years of available assets" of more than five years receive an "F" grade regardless of other measurements. In CharityWatch's view, a reserve of less than three years is reasonable and does not affect a charity's grade. These reductions in grades are based solely on the charities' asset reserves as compared to budget. The CharityWatch definition of "years of available assets" includes funds currently available for the charity's use, including investments that the charity has set aside as a reserve but could choose to spend if it wanted to do so. Smile Train's letter grade rating has been downgraded because it has 3 or more years of available assets.

See Our Process to learn more about how CharityWatch considers a charity’s asset reserves and the High Asset List for a list of charities whose ratings have been reduced due to high assets.

Contact Information

Smile Train
633 Third Avenue
9th Floor
New York, NY 10017

Other Names

None

Tax Status

501(c)3

Stated Mission

Empowers local medical professionals with training, funding, and resources to provide free cleft surgery and comprehensive cleft care to children globally.

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Data based on Fiscal Year Ended 06/30/2025

Program Percentage: 69%

The percentage of Smile Train's cash budget it spends on programs relative to overhead (fundraising, management, and general expenses).

$109,000,000

Calculated Total Expenses

(rounded)

 

Cost to Raise $100: $27

How many dollars Smile Train spends on fundraising to raise each $100 of contributions.

$116,000,000

Calculated Total Contributions

(rounded)

Joint Costs

Smile Train's rating was adjusted for Joint Costs. If you are a donor who considers direct mail, telemarketing, and other Joint Cost solicitations to be true charitable programs, the below efficiency ratios, which were not adjusted for joint costs, may better reflect your goals.

Program % Cost to Raise $100
74% $23
Accounting rules allow charities to report some telemarketing, direct mail, and other solicitation costs as Program expenses. CharityWatch believes that most donors do not consider a charity's solicitation activities to be the Programs they are intending to support with their donations. We therefore adjust such expenses out of a charity's reported Program expense and add it to Fundraising expense prior to calculating its rating.

Government Funding

0% to 24%

Percentage of cash revenue
coming from government sources

 

Financial Documents

Entity Document Type Tax ID
Smile Train, Inc. and Affiliates Consolidated Audited Financial Statements Multiple
Smile Train, Inc. IRS Form 990 13-3661416
Entity: Smile Train, Inc. and Affiliates
Document Type: Consolidated Audited Financial Statements
Tax ID: Multiple
Entity: Smile Train, Inc.
Document Type: IRS Form 990
Tax ID: 13-3661416

Governance & Transparency

CharityWatch evaluates certain criteria related to a charity's Governance and Transparency. Donors may want to consider a charity's willingness to be open and transparent with CharityWatch to be a good litmus test for determining its commitment to public accountability.
Smile Train
meets governance benchmarks.
 
Smile Train
meets transparency benchmarks.
Transparency
Provides Financial Information
Audit Accessibility
Governance: Policies
Reports regularly & consistently monitoring & enforcing compliance with a written Conflict of Interest Policy
Reports required, annual disclosure by officers, directors, and key staff of interests that could give rise to conflicts
Reports having a written Whistleblower Policy
Reports having a written Document Retention and Destruction Policy
Governance: Financials
Reports providing copy of tax form to all board members prior to filing it with IRS
Reports that financial statements were audited by an independent accountant
Governance: Board of Directors
Reports at least 5 voting board members
51% or more of voting board members reported as independent
Reports documenting minutes of board and board committee meetings
Privacy Policy
Privacy Policy Opt-Out Policy  

  Name Title Compensation
1 Susannah Schaefer President & CEO $569,038
2 Ashley Ochs COO $348,675
3 Premali Shah CFO $325,770
1
Name: Susannah Schaefer
Title: President & CEO
Compensation: $569,038
2
Name: Ashley Ochs
Title: COO
Compensation: $348,675
3
Name: Premali Shah
Title: CFO
Compensation: $325,770

CharityWatch Analysts perform an in-depth analysis of charities' audited financial statements and IRS tax filings, and often review other documents such as state filings, annual reports, and fundraising contracts during their evaluations. Below are select notes that CharityWatch believes may be of interest to donors.

CharityWatch's rating of Smile Train also includes the financial activities of the Smile Train affiliates consolidated in the Smile Train audited financial statements for the fiscal year ended June 30, 2025. All intercompany balances and transactions have been eliminated in the audit consolidation.


According to the Smile Train and Affiliates consolidated audit of June 30, 2025 (Note 1, Organization, Nature of Operations):

"[The Smile Train affiliates located in the] UK, India, Germany, BRO, Indonesia, UAE, Philippines, Brazil, Mexico, Simulare’s and Canada’s objectives are congruent with Smile Train’s mission. These objectives are achieved through an ongoing marketing campaign used to raise awareness and receive donations within the United Kingdom, India, Germany, Indonesia, United Arab Emirates, Philippines, Brazil, Mexico, and Canada. Donations, net of related costs, are then made to Smile Train, which has the infrastructure in place to carry out the collective mission."

According to the Smile Train consolidated audit of June 30, 2025 (Note 6, Contributions In-Kind), Smile Train received in-kind contributions in fiscal 2025 on which it placed a total value of $87,762,828, including $62,580,226 for in-kind "Grants and contracts with treatment partners."

[Note: CharityWatch generally excludes the value of in-kind (non-cash) donations of goods and services from its calculations of Program % and Cost to Raise $100. More information on how grades are calculated and the treatment of in-kind donations can be found on the Our Process page.]

According to the Smile Train tax filing for the fiscal year ended June 30, 2025, Smile Train reports re: Compensation, Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (IRS Form 990, Schedule J, Part II):

Smile Train reports providing "bonus & incentive compensation" to ten individuals. Susannah Schaefer, President & CEO, received $110,000 of bonus and incentive compensation with total reported compensation of $569,038. The remaining nine individuals received between $12,000 to $50,000, with total reported compensation ranging from $222,980 to $348,675. 


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