Civic Intelligence

Alliance for Smiles International Inc

EIN 80-0119414 • 501(c)3 • San Francisco, CA

View Organization Page

Profile

The mission of Alliance for Smiles, Inc (AfS) is to forever improve the lives of children and communities impacted by cleft and providing free comprehensive treatment, while building local capacity for long-term care. AFS does this by providing free life-changing medical services to children with cleft lip and palate conditions around the world who would otherwise be unable to access treatment. AfS also trains local medical teams and, where possible, establishes and equips local treatment centers.

2565 Third Street Suite 237San Francisco, CA 94107

www.allianceforsmiles.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

85th percentile

0.47x

Higher debt load relative to assets than 85% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Liabilities / Revenue

80th percentile

0.25x

Higher debt load relative to revenue than 80% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Net Margin

19th percentile

-15%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

41st percentile

0.2%

Faster asset growth than 41% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Revenue Growth

19th percentile

-15%

Faster revenue growth than 19% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets85th percentile

Assets

Up

$360,601

Up $629 (+0.2%) from 2024

Liabilities

Up

$170,425

Up $101,338 (+147%) from 2024

Net Assets

Down

$190,176

Down $100,709 (-35%) from 2024

Operations
Liabilities / Revenue80th percentileNet Margin19th percentile

Revenue

Down

$674,530

Down $121,274 (-15%) from 2024

Expenses

Down

$775,239

Down $64,459 (-7.7%) from 2024

Net Income

Down

-$100,709

Down $56,815 (-129%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth41st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600K$400K$200K$0-$200KAssets 2011: $103,549Liabilities 2011: $241,428Net Assets 2011: -$137,8792011Assets 2012: $62,414Liabilities 2012: $138,506Net Assets 2012: -$76,0932012Assets 2013: $57,959Liabilities 2013: $102,114Net Assets 2013: -$44,1552013Assets 2014: $171,234Liabilities 2014: $72,386Net Assets 2014: $98,8482014Assets 2015: $314,331Liabilities 2015: $65,737Net Assets 2015: $248,5942015Assets 2016: $181,510Liabilities 2016: $84,152Net Assets 2016: $97,3582016Assets 2017: $291,053Liabilities 2017: $73,172Net Assets 2017: $217,8812017Assets 2018: $264,207Liabilities 2018: $36,602Net Assets 2018: $227,6052018Assets 2019: $244,720Liabilities 2019: $63,659Net Assets 2019: $181,0612019Assets 2020: $130,190Liabilities 2020: $104,704Net Assets 2020: $25,4862020Assets 2021: $323,745Liabilities 2021: $99,639Net Assets 2021: $224,1062021Assets 2022: $472,981Liabilities 2022: $40,485Net Assets 2022: $432,4962022Assets 2023: $380,979Liabilities 2023: $46,200Net Assets 2023: $334,7792023Assets 2024: $359,972Liabilities 2024: $69,087Net Assets 2024: $290,8852024Assets 2025: $360,601Liabilities 2025: $170,425Net Assets 2025: $190,1762025

Highlighted filing

2025

Assets$360,601
Liabilities$170,425
Net Assets$190,176
Open 2025 Filing

Operations Trend

Revenue Growth19th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KRevenue 2011: $871,453Expenses 2011: $898,779Net Income 2011: -$27,3262011Revenue 2012: $698,052Expenses 2012: $636,265Net Income 2012: $61,7872012Revenue 2013: $692,795Expenses 2013: $660,857Net Income 2013: $31,9382013Revenue 2014: $999,307Expenses 2014: $856,304Net Income 2014: $143,0032014Revenue 2015: $779,017Expenses 2015: $629,271Net Income 2015: $149,7462015Revenue 2016: $772,518Expenses 2016: $918,726Net Income 2016: -$146,2082016Revenue 2017: $874,834Expenses 2017: $754,311Net Income 2017: $120,5232017Revenue 2018: $914,896Expenses 2018: $860,396Net Income 2018: $54,5002018Revenue 2019: $896,330Expenses 2019: $942,875Net Income 2019: -$46,5452019Revenue 2020: $700,279Expenses 2020: $855,853Net Income 2020: -$155,5742020Revenue 2021: $645,879Expenses 2021: $447,259Net Income 2021: $198,6202021Revenue 2022: $736,982Expenses 2022: $524,991Net Income 2022: $211,9912022Revenue 2023: $612,152Expenses 2023: $709,869Net Income 2023: -$97,7172023Revenue 2024: $795,804Expenses 2024: $839,698Net Income 2024: -$43,8942024Revenue 2025: $674,530Expenses 2025: $775,239Net Income 2025: -$100,7092025

Highlighted filing

2025

Revenue$674,530
Expenses$775,239
Net Income-$100,709
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$360,601
Liabilities
$170,425
Net assets
$190,176
Revenue
$674,530
Expenses
$775,239
Net income
-$100,709
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.61$1.70$1.90$6.75$7.75$1.01
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.60$0.69$2.91$7.96$8.40$0.44
2023Detailed filing. Detailed filing data is available for this year.$3.81$0.46$3.35$6.12$7.10$0.98
2022Detailed filing. Detailed filing data is available for this year.$4.73$0.40$4.32$7.37$5.25$2.12
2021Detailed filing. Detailed filing data is available for this year.$3.24$1.00$2.24$6.46$4.47$1.99
2020Summary only. Only limited summary data is available for this year.$1.30$1.05$0.25$7.00$8.56$1.56
2019Summary only. Only limited summary data is available for this year.$2.45$0.64$1.81$8.96$9.43$0.47
2018Summary only. Only limited summary data is available for this year.$2.64$0.37$2.28$9.15$8.60$0.55
2017Summary only. Only limited summary data is available for this year.$2.91$0.73$2.18$8.75$7.54$1.21
2016Detailed filing. Detailed filing data is available for this year.$1.82$0.84$0.97$7.73$9.19$1.46
2015Summary only. Only limited summary data is available for this year.$3.14$0.66$2.49$7.79$6.29$1.50
2014Summary only. Only limited summary data is available for this year.$1.71$0.72$0.99$9.99$8.56$1.43
2013Summary only. Only limited summary data is available for this year.$0.58$1.02$0.44$6.93$6.61$0.32
2012Summary only. Only limited summary data is available for this year.$0.62$1.39$0.76$6.98$6.36$0.62
2011Summary only. Only limited summary data is available for this year.$1.04$2.41$1.38$8.71$8.99$0.27
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Oct 31, 2025
Return Version
2024v5.0
Gross Receipts
$674,530
Mission and Program Overview

Mission

The mission of Alliance for Smiles, Inc (AfS) is to forever improve the lives of children and communities impacted by cleft and providing free comprehensive treatment, while building local capacity for long-term care. AFS does this by providing free life-changing medical services to children with cleft lip and palate conditions around the world who would otherwise be unable to access treatment. AfS also trains local medical teams and, where possible, establishes and equips local treatment centers.

Alliance for Smiles (AfS) sends medical teams, provides training and support to foreign locations to offer free medical services to indigent children with untreated cleft lips and palates.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$323,178$185,917▼ $137,261
Land, Buildings, and Equipment, Net$20,220$15,165▼ $5,055
Pledges and Grants Receivable$12,345$14,225▲ $1,880
Accounts Receivable$4,229$4,229→ $0
Prepaid Expenses and Deferred Charges-$1,744-
Loans From Officers Directors$0--
Total Assets$359,972$360,601▲ $629
Other Assets Total$0$139,321▲ $139,321
Liabilities
Other Liabilities-$139,321-
Accounts Payable and Accrued Expenses$69,087$31,104▼ $37,983
Total Liabilities$69,087$170,425▲ $101,338
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$290,885$190,176▼ $100,709
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$290,885$190,176▼ $100,709
Total Liabilities and Net Assets / Fund Balance$359,972$360,601▲ $629

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$15,165$5,055$20,220
Buildings$0$0$0
Other Land Buildings$0$0$0
Land$0-$0
Leasehold Improvements$0$0$0
Other Assets Org$139,321--
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jessica HansenExecutive DirectorFT$150,000$1,000$151,000
Paul VazquezChief Operating OfficerFT$101,000-$101,000

Board Members and Trustees

NameTitle
Karl WustrackChair of the Board, Director
Anita StanglDirector
Benjamin LamDirector
Frank YokeDirector
Jim PatrickDirector
John O'ConnorDirector
Ron WorlandDirector
Wallace ChangDirector
Susan TaylorSecretary, Director
Roderick YoungTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$674,530
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$514,392
Change in Net Assets
$-100,709
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$409,460
Salaries, Compensation, and Employee Benefits$365,779
Total Fundraising Expense$84,318
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$191,600$30,200$30,200$252,000
Occupancy$47,461$7,802$9,752$65,015
Other Salaries and Wages$33,154$6,746$15,982$55,882
Fees for Services Accounting-$51,860-$51,860
Other Employee Benefits$23,756$3,882$4,889$32,527
Payroll Taxes$17,732$2,914$3,644$24,290
Conferences and Meetings$11,951-$11,953$23,904
Office Expenses$13,930$2,290$2,862$19,082
Insurance$4,609$758$947$6,314
Information Technology$2,783-$2,783$5,566
Depreciation Depletion$5,055--$5,055
Other Expenses$1,264$208$260$1,732
Pension Plan Contributions$778$151$151$1,080
Total Functional Expenses$583,394$107,527$84,318$775,239
International Activity

International Summary

Offices
0
Employees
0
Spending
$583,394

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Middle East and North AfricaProgram ServicesMedical missions to Accra Ghana and Sohag Egypt.00$237,488
South AmericaProgram ServicesMedical mission to Guayaquil Ecuador.00$206,511
South AsiaProgram ServicesMedical mission to Hue Vietnam00$139,395
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
2025 Night of Smiles Gala$227,838$227,838$4,383$223,455
Total Events$227,838$227,838$67,700$160,138
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0--
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liabilities$139,321
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“990 is provided to the full bard prior to filing. 990 is approved by the finance committee prior to filing.”

Form 990, Part VI, Section B, Line 12C

“All board members are required to disclose any potential conflict of interest. Upon any disclosure, the executive committee reviews the facts and determines if the potential conflict would cause a transaction to be entered into by the organization to raise questions of bias, inappropriate use of assets or any other impropriety. The policy states that a conflict of interest always exists in the case of any related party transaction. If the committee determines there is a conflict, the matter is referred to the full board which may seek further information before taking appropriate action. CFO also reviews every vendor and banking relationship for potential conflicts. Currently, no potential conflicts have been disclosed or identified.”

Form 990, Part VI, Section B, Line 15

“The salaries of the Executive Director and the Chief Operating Officer were last reviewed and adjusted by the executive committee in May of 2025. The salary adjustments were implemented in the new fiscal year beginning July 2025.”

Form 990, Part VI, Section C, Line 19

“All governing documents, oversight policies, forms 990 and financial statements are made available to the public upon request. Also, the Alliance for Smiles, Inc. website www.allianceforsmiles.org gives instructions for how to obtain such information”

Filing and Contact Details

Filer

Filer Name
Alliance for Smiles International Inc
EIN
80-0119414
Phone
4156474481
Address
2565 Third Street Suite 237, San Francisco, CA 94107

Signing Officer

Name
Jeremy Rhodes
Title
C.f.o
Phone
4048046248
Signed
2025-10-31

Organization Details

Principal Officer
Karl Wustrack
Formed
2004
Legal Domicile
CA
Voting Board Members
10
Independent Board Members
10
Employees
3
Volunteers
200
Raw XML AppendixShowing 400 of 548 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0Alliance for Smiles (AfS) sends medical teams, provides training and support to foreign locations to offer free medical services to indigent children with untreated cleft lips and palates.
IRS990/AllOtherContributionsAmt0514392
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IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02565 Third Street Suite 237
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IRS990/CompensationProcessOtherInd01
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IRS990/CYRevenuesLessExpensesAmt0-100709
IRS990/CYSalariesCompEmpBnftPaidAmt0365779
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IRS990/CYTotalProfFndrsngExpnsAmt00
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IRS990/DeductibleArtContributionInd00
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IRS990/Desc0In the fiscal year July 1 2024 through June 30 2025 AFS sent 1 medical mission to Accra, Ghana where a total of 33 patients received 33 cleft procedures and 1 medical mission to Sohag Egypt where a total of 13 patients received 13 cleft procedures. In continuation of the VEI Virtual Education Initiative AFS implemented during the pandemic, live trainings were provided to local healthcare workers at the host medical facilities during these missions.
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IRS990/Form990PartVIISectionAGrp/PersonNm1Paul Vazquez
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IRS990/Form990PartVIISectionAGrp/PersonNm3Susan Taylor
IRS990/Form990PartVIISectionAGrp/PersonNm4Roderick Young
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IRS990/Form990PartVIISectionAGrp/PersonNm6Benjamin Lam
IRS990/Form990PartVIISectionAGrp/PersonNm7Jim Patrick
IRS990/Form990PartVIISectionAGrp/PersonNm8John O'Connor
IRS990/Form990PartVIISectionAGrp/PersonNm9Frank Yoke
IRS990/Form990PartVIISectionAGrp/PersonNm10Wallace Chang
IRS990/Form990PartVIISectionAGrp/PersonNm11Ron Worland
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Executive Director
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Chair of the Board, Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary, Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Treasurer
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IRS990/MissionDesc0The mission of Alliance for Smiles, Inc (AfS) is to forever improve the lives of children and communities impacted by cleft and providing free comprehensive treatment, while building local capacity for long-term care. AFS does this by providing free life-changing medical services to children with cleft lip and palate conditions around the world who would otherwise be unable to access treatment. AfS also trains local medical teams and, where possible, establishes and equips local treatment centers.
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IRS990/PrincipalOfficerNm0Karl Wustrack
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IRS990/ProgSrvcAccomActy2Grp/Desc0In fiscal year July 1 2024 through June 30 2025 AFS sent 1 medical mission Hue Vietnam where a 19 patients received a total of 27 cleft procedures. In continuation of the VEI Virtual Education Initiative AFS implemented during the pandemic, live trainings were provided to local healthcare workers at the host medical facilities during these missions.
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IRS990/ProgSrvcAccomActy3Grp/Desc0In fiscal year July 1 2024 through June 30 2025 AFS sent 1 medical mission to Guayaquil Ecuador where 30 patients received 40 cleft procedures. In continuation of the VEI Virtual Education Initiative AFS implemented during the pandemic, live trainings were provided to local healthcare workers at the host medical facility during this mission.
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IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt0Middle East and North Africa
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IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt2South Asia
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt0Medical missions to Accra Ghana and Sohag Egypt.

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