PLATINUM2024

CHILDREN'S SURGERY INTERNATIONAL

Changing lives, one child at a time

New Brighton, MN   |  www.childrenssurgeryintl.org
GuideStar Charity Check

CHILDREN'S SURGERY INTERNATIONAL

EIN: 41-2013739


Mission

Children’s Surgery International provides free pediatric medical and surgical services, along with professional education and training, to communities in need around the world.

Ruling year info

2001

Executive Director

Megan Sparks

Main address

99 5th Avenue NW, Suite 100

New Brighton, MN 55112 USA

Show more contact info

EIN

41-2013739

Subject area info

Surgery

Population served info

Children and youth

Economically disadvantaged people

NTEE code info

Surgery (G9B)

What we aim to solve

SOURCE: Self-reported by organization

CSI aims to reduce global health care disparities by helping communities obtain the knowledge, skills and tools to provide life-changing surgical and medical care for children.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

CSI Mexico

Annual commitment since 2005. Every October, 20-25 volunteers travel just over the border to Hermosillo, Mexico. The partnership CSI has with CIMA hospital is in collaboration with St. Andrew’s Clinic in Nogales, Arizona. St. Andrew’s provides free, specialized medical care to children living in Mexico who cannot access or afford the care they need in their home country.
CSI teams are able to follow children annually to evaluate their progress toward achieving more normalized speech, breathing, appearance and self-esteem. As in all of our locations, we work closely with our host hospital’s medical personnel. We provide instruction as well as educational resources as appropriate, but are always learning ourselves as well.

Population(s) Served
Children and youth
Economically disadvantaged people

In January 2008, CSI went on its first mission to Liberia. Ravaged by years of civil war, most of Liberia’s infrastructure had been destroyed, and the need for medical attention was great. In the two weeks that CSI was there, we were able to provide basic medical care to over 200 residents, perform 60 surgeries and hold numerous lectures for local medical students.
Thanks to a close partnership with Firestone Natural Rubber initiated in 2010, CSI has been able to return annually. The missions are hosted at Firestone Hospital Duside, a hospital on the Firestone Natural Rubber Plantation, which was rebuilt after the war. The need for pediatric medical attention is great in the region, and many more children need care than we can see during a surgical trip. We are committed to providing training and education for local personnel so they can continue this important work after we leave.
A CSI surgical team returned to Liberia in January 2017, after a 3-year hiatus during the Ebola crisis in West Africa. CSI teams are returning to Liberia again in 2018.

Population(s) Served
Children and youth
Economically disadvantaged people

CSI completed its first mission to Ethiopia in 2015. Through our partnerships with Bahir Dar University and Felege Hiwot Hospital, we plan to return twice yearly to provide free surgical care and extensive professional education and training.
This mission was as unique and special as the country itself. CSI teams focus on craniofacial, urologic and cardiac surgery and providing critical education, training and mentoring to local surgeons.
In addition to training for physicians, CSI nursing volunteers worked side-by-side with Ethiopian nurses to teach them about medication dosing, post-surgical care and much more.
“I have the opportunity this week to learn from a surgeon who is absolutely extraordinary, more extraordinary than I could have ever imagined.”
– Dr. Melesse Gebeyehu

Population(s) Served
Children and youth
Economically disadvantaged people

Thanh Hoa City, along Vietnam’s Ma River, is in the heart of the country’s poorest region. Many residents of the city, which is 150 km south of Hanoi, make their living working in the rice fields, some having done so since they were small children.
When CSI arrived in Thanh Hoa City for its first mission in September 2015, we anticipated screening 70 patients. More than 200 children were waiting for us, thanks to advance work done by our partner IPSAC, whose NGO status allowed CSI to add Vietnam to the list of countries we serve. The hospital and its professionals are eager to learn, and the need for this care in the region is great.
CSI recently completed a three-year commitment to this site - it included 4 CSI team trips to Vietnam and hosting hospital leaders in the US to learn more about our models for surgical and patient care, infection control, patient and family education and more. Half-way through our multi-year commitment we were able to stop bringing craniofacial surgeons due to the high level of skill our partners had developed. We continued to focus our training efforts on urology surgery and infection control. CSI is excited to identify new partners and sites in Vietnam.

Population(s) Served
Children and youth
Economically disadvantaged people

CSI is excited to announce a new site commitment in Tanzania, beginning in 2018. Our focus will be on providing free surgical and medical care for craniofacial and urologic surgeres, plus extensive surgical, anesthesia and nursing training to build in-country self-sufficiency. We are planning for twice annual trips for the next 2-3 years.

Population(s) Served
Children and youth
Economically disadvantaged people

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of online medical education sessions provided to our colleagues in Ethiopia, Liberia, Tanzania and Zambia

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

Rolled out to our partner sites during the pandemic. To date, we have offered 22 online education sessions to colleagues in Ethiopia, Liberia, Tanzania and Zambia.

Total dollar value of medical and outreach supplies delivered to our partner site in Liberia.

This metric is no longer tracked.
Totals By Year
Related Program

CSI Liberia

Type of Metric

Output - describing our activities and reach

Direction of Success

Holding steady

Number of children who have received life changing surgery

This metric is no longer tracked.
Totals By Year
Type of Metric

Outcome - describing the effects on people or issues

Direction of Success

Increasing

Context Notes

Since our inception in 2002, more than 4,000 children have received life changing surgery.

Number of surgical trips completed

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

Since our inception in 2002, we have completed 53 surgical trips.

Hours of volunteer service

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

Since our inception in 2002, over 80,000 hours of volunteer service have been provided valued at over $8 million.

Our Sustainable Development Goals

SOURCE: Self-reported by organization

Learn more about Sustainable Development Goals.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

2023 Goals
We will continue our aggressive medical mission calendar, which includes trips to Ethiopia, Liberia and Mexico. We are streamlining our mission planning and execution processes. We are also building a stronger supply inventory and tracking system and broadening our education curriculum offerings.

Strategies to increase impact:
- Improve site selection processes.
- Build on current relationships with our partner sites.
- Build medical and surgical leadership independence and confidence through enhanced education and training.
- Develop new training and improve upon existing training strategies.
- Pilot different trip size models to supplement our existing (larger team size) trip model.

Strategies to increase fundraising for growth and sustainability:
- Build a more thorough understanding of our current donor base.
- Increase donor engagement.
- Improve communications to better highlight the value of our volunteer driven model.
- Diversify revenue sources.
- Increase recurring monthly donor population.
- Recruit Board members with fundraising experience, connections and acumen.

Strategies to improve operational effectiveness and efficiency:
- Improve our governance.
- Improve trip planning and execution strategies.
- Broaden and optimize volunteer engagement.

Our Board of Directors, committee members and volunteers consist of highly qualified medical and nonmedical professionals with expertise in their respective fields.
We actively work to ensure our Board of Directors represent all medical and nonmedical areas of expertise necessary to oversee our organization.
We have over 1,000 skilled medical professionals, including pediatric general surgeons, pediatric otolaryngologists, pediatric urologic surgeons, oral and maxofillial surgeons, plastic surgeons, pediatric anesthesiologists, pediatric nurse anesthetists, pediatric nurses, and pediatric nurse practitioners.
Our non-medical volunteers have backgrounds in a number of fields including sourcing, logistics, finance, fundraising, and event planning.

Since CSI's inception in 2002:
CSI volunteers have traveled on 56 surgical trips.
To date 7,500 CSI volunteers have donated nearly 500,000 hours of service in 10 countries, providing expert pediatric care for children, securing supply and equipment donations, and training local colleagues.
More than 4,000 children have received life-changing surgery.
Thousands of hours of hands-on training, teaching and educational lectures have been provided to our in-country colleagues while CSI has been on-site.
At the start of the pandemic, CSI launched its Online Education Series, a new model for education and collaboration. CSI volunteer experts presented sessions on topics like cleft lip and palate, pediatric urology and general surgery, providing opportunities to connect with our international partners to transfer knowledge and sustain relationships. We have offered 22 online education sessions to our colleagues in Ethiopia, Liberia, Tanzania and Zambia.
We have donated more than one million dollars worth of medical supplies and community healthcare.
All in, CSI has provided specialized pediatric care, training and community support valued at more than $60 MILLION!

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We demonstrated a willingness to learn more by reviewing resources about feedback practice.
done We shared information about our current feedback practices.
  • How is your organization using feedback from the people you serve?

    To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals

  • Which of the following feedback practices does your organization routinely carry out?

    We collect feedback from the people we serve at least annually, We take steps to ensure people feel comfortable being honest with us, We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive

  • What challenges does the organization face when collecting feedback?

    We don't have any major challenges to collecting feedback

Revenue vs. expenses:  breakdown

SOURCE: IRS Form 990 info
NET GAIN/LOSS:    in 
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.

Liquidity in 2022 info

SOURCE: IRS Form 990

0.00

Average of 26.95 over 10 years

Months of cash in 2022 info

SOURCE: IRS Form 990

13.2

Average of 17.3 over 10 years

Fringe rate in 2022 info

SOURCE: IRS Form 990

7%

Average of 6% over 10 years

Funding sources info

Source: IRS Form 990

Assets & liabilities info

Source: IRS Form 990

Financial data

SOURCE: IRS Form 990

CHILDREN'S SURGERY INTERNATIONAL

Revenue & expenses

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

Fiscal year ending: cloud_download Download Data

CHILDREN'S SURGERY INTERNATIONAL

Balance sheet

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

The balance sheet gives a snapshot of the financial health of an organization at a particular point in time. An organization's total assets should generally exceed its total liabilities, or it cannot survive long, but the types of assets and liabilities must also be considered. For instance, an organization's current assets (cash, receivables, securities, etc.) should be sufficient to cover its current liabilities (payables, deferred revenue, current year loan, and note payments). Otherwise, the organization may face solvency problems. On the other hand, an organization whose cash and equivalents greatly exceed its current liabilities might not be putting its money to best use.

Fiscal year ending: cloud_download Download Data

CHILDREN'S SURGERY INTERNATIONAL

Financial trends analysis Glossary & formula definitions

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

This snapshot of CHILDREN'S SURGERY INTERNATIONAL’s financial trends applies Nonprofit Finance Fund® analysis to data hosted by GuideStar. While it highlights the data that matter most, remember that context is key – numbers only tell part of any story.

Created in partnership with

Business model indicators

Profitability info 2018 2019 2020 2021 2022
Unrestricted surplus (deficit) before depreciation -$112,202 $34,591 $342,873 $146,796 -$207,524
As % of expenses -20.8% 5.5% 109.6% 79.8% -37.5%
Unrestricted surplus (deficit) after depreciation -$113,383 $33,857 $342,287 $146,796 -$207,524
As % of expenses -20.9% 5.3% 109.2% 79.8% -37.5%
Revenue composition info
Total revenue (unrestricted & restricted) $453,766 $628,178 $666,585 $330,702 $424,347
Total revenue, % change over prior year 4.4% 38.4% 6.1% -50.4% 28.3%
Program services revenue 9.8% 7.0% 2.9% 0.9% 7.6%
Membership dues 0.0% 0.0% 0.0% 0.0% 0.0%
Investment income 5.4% 2.1% 11.3% 17.6% 0.4%
Government grants 0.0% 0.0% 0.0% 0.0% 0.0%
All other grants and contributions 84.8% 90.9% 84.9% 81.5% 89.6%
Other revenue 0.0% 0.0% 0.9% 0.0% 2.4%
Expense composition info
Total expenses before depreciation $540,104 $634,592 $312,830 $183,906 $553,725
Total expenses, % change over prior year 46.0% 17.5% -50.7% -41.2% 201.1%
Personnel 17.1% 16.7% 43.5% 73.3% 23.5%
Professional fees 1.4% 1.1% 2.3% 1.8% 0.7%
Occupancy 0.7% 0.6% 1.1% 2.5% 13.3%
Interest 0.0% 0.0% 0.0% 0.0% 0.0%
Pass-through 0.0% 0.0% 0.0% 0.0% 0.0%
All other expenses 80.8% 81.6% 53.1% 22.4% 62.6%
Full cost components (estimated) info 2018 2019 2020 2021 2022
Total expenses (after depreciation) $541,285 $635,326 $313,416 $183,906 $553,725
One month of savings $45,009 $52,883 $26,069 $15,326 $46,144
Debt principal payment $0 $0 $0 $0 $0
Fixed asset additions $0 $0 $0 $0 $0
Total full costs (estimated) $586,294 $688,209 $339,485 $199,232 $599,869

Capital structure indicators

Liquidity info 2018 2019 2020 2021 2022
Months of cash 5.2 7.8 17.2 49.9 13.2
Months of cash and investments 16.5 13.7 34.3 82.7 22.6
Months of estimated liquid unrestricted net assets 17.2 15.3 44.2 84.7 23.6
Balance sheet composition info 2018 2019 2020 2021 2022
Cash $231,959 $414,741 $448,805 $765,247 $608,751
Investments $512,863 $307,620 $444,799 $502,459 $433,371
Receivables $0 $21,389 $236,572 $30,093 $10,848
Gross land, buildings, equipment (LBE) $149,988 $149,988 $141,263 $141,263 $141,263
Accumulated depreciation (as a % of LBE) 98.9% 99.4% 100.0% 100.0% 100.0%
Liabilities (as a % of assets) 2.3% 1.4% 0.0% 1.6% 0.0%
Unrestricted net assets $775,322 $809,179 $1,151,466 $1,298,262 $1,090,738
Temporarily restricted net assets $0 N/A N/A N/A N/A
Permanently restricted net assets $0 N/A N/A N/A N/A
Total restricted net assets $0 $0 $0 $0 $0
Total net assets $775,322 $809,179 $1,151,466 $1,298,262 $1,090,738

Key data checks

Key data checks info 2018 2019 2020 2021 2022
Material data errors No No No No No

Operations

The people, governance practices, and partners that make the organization tick.

Documents
Letter of Determination is not available for this organization
Form 1023/1024 is not available for this organization

Executive Director

Megan Sparks

Megan is an accomplished leader with extensive experience in healthcare access, rehabilitation, social services, and non-profit management. She has previously worked for the National Multiple Sclerosis Society, Accessible Space, Inc. and Abbott Northwestern Hospital - specialties include clinical outreach and education, community engagement, strategic planning, program development, and impact assessment. She has a B.S. in psychology from Iowa State University in Ames, Iowa, and an M.A. in occupational therapy from St. Catherine University in St. Paul. Megan lives in Minneapolis with her husband and two children. As the mother of a child with special needs, Megan understands firsthand the need for access to essential, life-changing medical and surgical care.

Number of employees

Source: IRS Form 990

CHILDREN'S SURGERY INTERNATIONAL

Officers, directors, trustees, and key employees

SOURCE: IRS Form 990

Compensation
Other
Related
Show data for fiscal year
Compensation data
Download up to 5 most recent years of officer and director compensation data for this organization

There are no highest paid employees recorded for this organization.

CHILDREN'S SURGERY INTERNATIONAL

Board of directors
as of 01/19/2024
SOURCE: Self-reported by organization
Board of directors data
Download the most recent year of board of directors data for this organization
Board co-chair

Amy Fischer

Infinity Direct

Term: 2023 -


Board co-chair

Garrett Vincent

Infinity Direct

Term: 2023 -

Amy Fischer

Infinity Direct

Neal Peterson, JD

Dorsey & Whitney, LLP

Brianne Roby, MD

Children's Minnesota

Peter Falker

Falker Investments. Inc.

James Zimmerman

Target Corp.

Todd Stinson

Medtronic

Zinda Schaefer

Siva Chinnadurai, MD, MPH

Children's Minnesota

Jason DeShaw, CTP

Trimble

Dody Barr, RN

Children's Minnesota

Melanie McCall

David Tetzlaff, MD

Allina Hospitals and Clinics

Garrett Vincent

Vizient, Inc.

Kathy Clinch, MD

John Erlandson, CRNA

Timberwolf Anesthesia

Ellen Reynolds, APRN

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 1/13/2024

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.

Leadership

The organization's leader identifies as:

Race & ethnicity
White/Caucasian/European
Gender identity
Female, Not transgender
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

Race & ethnicity

Gender identity

Transgender Identity

Sexual orientation

No data

Disability

No data