Cascade Medical Team

What it reported doing in 2024

March 2025 list of accomplishments: general surgeries35 hernias10 lipoma/cysts3 brest mass15 cholecystectomiesob/gyn surgeries11 total abdominal hysterectomy/bilateral salpingo oophorectomy (bso). Several of which involved removal of huge masses for women who were declined care elsewhere.2 bilateral tubal ligation1 cystocele/anterior repair/bladder prolapse6 vaginal hysterectomy/bso/anterior repairplastic and maxillofacial surgeries6 ear/cheek mass/legionrs1 naso malformation8 cleft palate5 cleft lip1 oral nasal fistula closure4 of the patients were previously operated on by our surgeons and they returned for the next phase of their treatment.we performed life changing surgeries on 19 children from age 1 to 17, and 79 adults from age 18 to 80.our incredible culinary team cooked and served 2,250 meals! They kept us well fed and nourished with delicioius food, in order to do the work we came to do.our comadrona project, the only one of its kind that gives important equipment to each comadrona for participating in the training, trained 18 guatemalan midwives this year. Two of them had been trained before by our program, and they gave testimony that it helped them diagnose two very high risk pregnancies.our incredible community development team (aka stove team) facilitaed life changing experiences in the following ways:150 homes with new stoves and water filters1 institutional stove and 8 water filters in a community school, 2 water filters in another community school.1,300 men, women and children in healthier homes.1,800 trees saved each year for the life of the stove.23,400 hours saved each year for the women of the homes due to the efficiency of the stoves.november 2024 stove trip: we installed 138 onil stove and water filters for 1,104 women, men and children.impact: saved 7,176 trees each year for the life of the stove.saved 21,527 hours of women's labor each year due to the stove efficiency.

Financial Efficiency

• Mission deployment rate: 52.1%; rating input score 52
• Program expense ratio: 92.1%; rating input score 92
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 0%; rating input score 0; 7th percentile among comparable filings
• Governance controls: 0 of 7 controls in place; rating input score 0
  • Conflict-of-interest policy: Fail
  • Whistleblower policy: Fail
  • Document-retention policy: Fail
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Fail
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: 46.2%; rating input score 90; 90th percentile among comparable filings
• Total-asset coverage ratio: 4.1; rating input score 75; 75th percentile among comparable filings
• Liabilities to assets ratio: 0; rating input score 80; 80th percentile among comparable filings
• Officer compensation ratio: 0%; rating input score 69; 69th percentile among comparable filings

Growth

• Program expense growth: 11.2% per year; rating input score 100; 72nd percentile among comparable filings
• Revenue growth: 9.7% per year; rating input score 100; 71st percentile among comparable filings
• Asset growth: 15.8% per year; rating input score 100; 79th percentile among comparable filings