Operation Smile Canada

375 University Ave, Suite 204
Toronto, ON M5G 2J5
CEO: Mark Climie-Elliot
Board Chair: Ken Wilson

Charitable Reg. #:84064 3605 RR0001


Ci's Star Rating is calculated based on the following independent metrics:

[Charity Rating: 3/5]



Audited financial statements for current and previous years available on the charity’s website.



Grade based on the charity's public reporting of the work it does and the results it achieves.



The demonstrated impact per dollar Ci calculates from available program information.


Charity's cash and investments (funding reserves) relative to how much it spends on programs in most recent year.



For a dollar donated, after overhead costs of fundraising and admin/management (excluding surplus) 53 cents are available for programs.

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About Operation Smile Canada:

Operation Smile Canada is a 3-star charity with average demonstrated impact. It has a B Results Reporting grade, which is average. For every dollar donated to the charity, 53 cents are available to go to the cause, which is outside Ci's reasonable range.

Founded in 2011, Operation Smile Canada (OSC) raises money primarily to support programs conducted by Operation Smile (OS), headquartered in Virginia, US. Operation Smile began in 1982 by the American plastic surgeon, William Magee, and his wife Kathy. Its expertise is in treating cleft lip and cleft palate. Operation Smile's mission is to use its expertise in treating cleft lip and cleft palate surgery to people where it's needed most. Over 6,000 doctors volunteer with Operation Smile to go abroad and do cleft palate surgeries and other medical procedures. In F2023, Operation Smile Canada contributed to 6% of Operation Smile's total funding that supported programs in 19 countries. OSC spend $10.5m on its programs in F2023.

Operation Smile Canada reports that every three minutes, a child is born with a cleft lip or cleft palate. This is approximately 175,000 children each year. OSC states that children born with cleft lip or cleft palate are at nine times the normal risk of dying in their first year of life.

Operation Smile Canada spent $4.8m (46% of program costs) on Comprehensive Care Centres. Operation Smile provides health services such as dentistry, nutrition consultations, and speech consultations at its local care centres. OS has 13 care centres across nine countries. In F2023, Operation Smile recorded 115,755 patient consultations, a 22% increase compared to F2022. OSC reports 36,397 patients received cleft care, of which 9% were new patients and 28,982 were children.

Operation Smile Canada spent $3.8m (36% of program costs) on Surgical Programs. OSC did not report the total amount of surgeries or people who received surgery in F2023. In F2023, Operation Smile recorded 4,286 plastic surgery consultations. OS performed 68 surgeries in the Dominican Republic and 146 surgeries in Mexico.

Operation Smile Canada spent $1.9m (18% of program costs) on Training and Education and Research. Operation Smile provides workshops to local medical volunteers to provide safe cleft care to children. In F2023, OS educated and trained 130 healthcare workers in South Africa. OS provided 5,659 cleft parenting and psychosocial workshops in F2023.

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Results and Impact

Operation Smile Canada markets that cleft lip and cleft palate surgery “changes a child’s life forever” and can take as little as 45 minutes. It claims to meet or exceed global medical standards and follow “top-notch safety procedures”. OSC highlights many stories on its website and in its Smile report that highlight the lasting changes from the surgery in the lives of children. Operation Smile Canada does not report the results of its surgeries or medical programs on its website.

Learn more about the impact of cleft surgery medical missions.

While Ci highlights these key results, they may not be a complete representation of Operation Smile Canada's results and impact. 

Charity Intelligence has given Operation Smile an Average impact rating based on demonstrated impact per dollar spent.

Impact Rating: Average

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Operation Smile Canada received $17.7m in donations in F2023. It also received $1.8m from Operation Smile, which Ci recorded as International Donations. Administrative costs are 10% of revenue (excluding investment income), and fundraising costs are 37% of donations. For every dollar donated to the charity, 53 cents are available to go to the cause, which is well outside Ci’s reasonable range for overhead spending.

Operation Smile Canada spent $10.5m on its programs, which is 53% of revenue. OSC recorded a surplus of $719k, which is 4% of revenue.

OSC has $6.5m in reserve funds (cash and investments). Its reserves can cover 62%, or seven months of its annual program costs.

In F2023, Operation Smile Canada significantly increased its spending on external fundraisers (third-party companies). OSC paid external fundraisers $1.1m, a 57% increase compared to $716k in F2022. External fundraisers raised $1.3m. As such, the cost to raise one dollar through external fundraisers is $0.85. For donors looking to support Operation Smile Canada, it is likely cheaper to give directly through the charity's website.

This charity report is an update that was sent to Operation Smile Canada for review. Changes and edits may be forthcoming. 

Updated on June 3, 2024 by Liam Chapleau.

Financial Review

Financial Ratios

Fiscal year ending June
Administrative costs as % of revenues 10.0%10.2%10.2%
Fundraising costs as % of donations 36.7%33.0%28.3%
Total overhead spending 46.8%43.1%38.5%
Program cost coverage (%) 62.1%65.3%77.7%

Summary Financial Statements

All figures in $000s
Donations 17,67915,41114,685
International donations 1,770209703
Other income 219642
Total revenues 19,66815,62615,430
Program costs - International 9,5177,9767,065
Program costs - Canada 9601,018471
Administrative costs 1,9691,5891,568
Fundraising costs 6,4965,0804,154
Other costs 6(1)0
Total spending 18,94915,66213,259
Cash flow from operations 719(37)2,170
Capital spending 000
Funding reserves 6,5035,8735,857

Note: 1. AMOUNT DUE TO/FROM OSI: Ci adjusted for amounts due to and from OSI, affecting revenue by $652k in F2023, ($779k) in F2022, and $3k in F2021; and expenses by ($743k) in F2023. 2. FOREIGN EXCHANGE: Ci reported loss (gain) on foreign exchange as other expenses, affecting administrative costs by ($6k) in F2023, $1k in F2022, and ($53) in F2021.

Salary Information

Full-time staff: 30

Avg. compensation: $90,491

Top 10 staff salary range:

$350k +
$300k - $350k
$250k - $300k
$200k - $250k
$160k - $200k
$120k - $160k
$80k - $120k
$40k - $80k
< $40k

Information from most recent CRA Charities Directorate filings for F2023

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Comments & Contact

Comments added by the Charity:

No comments have been added by the charity.

Charity Contact

Website: www.operationsmile.ca
This email address is being protected from spambots. You need JavaScript enabled to view it.

Toll free number: 1-844-376-4530

Tel: 647-696-0600


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Charitable Registration Number: 80340 7956 RR0001