Operation Fistula
Nonprofit profile at a glance
- EIN
- 352326522
- IRS 990 coverage
- 2017–2024
- Forms available
- Form 990 2024, Form 990-EZ 2016, Form 990-N 2009
- Location
- Austin, TX, USA
- Phone
- 5126873479
- Rating
- 86
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- International Relief
Reported finances
- Revenue
- $511,752
- Expenses
- $637,775
- Assets
- $269,583
- Liabilities
- $114,710
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
4 people listed
Executive titles in this filing
- SETH COCHRAN (BOARD MEMBER & CEO)
People named in this filing
- SETH COCHRAN (BOARD MEMBER & CEO)
- ANTHONY ROSS (BOARD MEMBER)
- JACQUELYN MACLENNAN (BOARD MEMBER)
Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide access to surgical treatment to women with obstetric fistula. This mission is achieved by providing financial assistance to medical service providers in the developing world. With the organization's support, these medical service providers offer free treatment to women with this condition.
What it reported doing in 2024
In 2024 we built a funder-backed plan for scale and system integration. We strengthened our data systems, delivered new analytics projects, and advanced our quality of life research. We supported 672 surgeries across 10 countries, expanded partnerships, and progressed our leadership transition. We also provided significant support to operation fistula (uk).our functional expense breakout for the year is as follows: 98% program, 2% administrative, 0% fundraising.
Operating model
- Revenue model
- Donor-supported. 100% of the money available for current operations came from contributions and gifts.
- Distribution model
- Grant intermediary. The nonprofit sent 76% of its reported program spending out as grants.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 99
- Transparency & Controls: 77
- Accountability: 88
- Sustainability: 21
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 97.9%; rating input score 98
- Fundraising efficiency: $2,483.83 raised per $1 spent on fundraising; rating input score 99; 99th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
- Pay-setting controls: Limited
- Foreign activity oversight: 1 of 8 controls in place; rating input score 12
- Claims monitoring procedures: Pass
- Requires narrative reports: Fail
- Conducts field audits: Fail
- May suspend future funding: Fail
- Requires financial reports: Fail
- Conducts site visits: Fail
- Requires grant agreements: Fail
- May require repayment: Fail
- Grant itemization coverage: 100%; rating input score 100; 76th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
- Governance controls: 5 of 7 controls in place; rating input score 71
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: NotApplicable
- Other executive compensation review process: NotApplicable
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Missing
- Independent financial-statement audit: Fail
Sustainability
- Operating margin: -24.6%; rating input score 7; 7th percentile among comparable filings
- Total-asset coverage ratio: 0.42; rating input score 20; 20th percentile among comparable filings
- Liabilities to assets ratio: 0.43; rating input score 18; 18th percentile among comparable filings
- Officer compensation ratio: 0%; rating input score 81; 81st percentile among comparable filings
Growth
- Program expense growth: 9.1% per year; rating input score 100; 60th percentile among comparable filings
- Revenue growth: 15.7% per year; rating input score 100; 80th percentile among comparable filings
- Asset growth: 13.1% per year; rating input score 100; 68th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 97.9% of spending went to programs
- Governance: 4 of 4 board members independent · 5 of 7 filing controls reported
- Programs: 1 filed program accomplishment · $625K in reported program spending
- Leadership: top reported pay $0 · 4 people listed
- Consistency: 25 of 25 current checks pass
- Schedules: 5 filed schedules · includes major donors and foreign activity
- Filing history: 7 filing years from 2017 to 2024
- Contacts: How to reach this organization
- Money network: Resolved incoming and outgoing counterparties from filed money flows.
- Related organizations: Filed and resolved organization relationships.
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Foreign activity oversight: 7 of 8 not reported.
- High — Sustainability: Operating margin scored 7/100.
- Review — Accountability: Governance controls: Independent financial-statement audit not reported.
- High — Sustainability: Total-asset coverage ratio scored 20/100.
- High — Sustainability: Liabilities to assets ratio scored 18/100.