I saw a TV story about Operation Smile and was moved to make a handsome donation. I then went to check them out but they are not rated. I looked at their IRS Form 990 for 2011 and was shocked by the numbers. In 2011 they collected $48mill. Of this they spent $3mill (6.25%) on grants. The rest went to Salaries - $7.7mill (16%); Office expenses - $6.4mill (13.3%); Travel - $4mill (8.3%); Fund Raising - $3.2mill (6.6%); "Other" (presumably also fund-raising related) - $2.3mill (4.8%). Judge for yourself. I would not donate an additional penny until their mission-related spending is above 80% of revenues not 6%! Besides, like other reviewers my telephone doesn't stop ringing to the point that this line has become useless.