GLOBAL SPINE OUTREACH

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2014

Legal Domicile

Principal Officer

MELISSA HICKS

Phone

8664760880

Tax Period

2023-01-01 to 2023-12-31

GLOBAL SPINE OUTREACH, founded in 2014, is a small nonprofit in the International Affairs sector that reported $777K in total revenue in fiscal year 2023. Revenue fell 65% from the prior year — a significant decline worth monitoring. Expenses of $931K exceeded revenue, resulting in a 20% operating deficit.

Mission

GLOBAL SPINAL OUTREACH (GSO) TRANSFORMS THE LIVES OF PATIENTS WITH COMPLEX SPINAL DEFORMITIES AROUND THE WORLD, AND HELPS MEDICAL TEAMS LEARN ADVANCED SPINAL TECHNIQUES.

Program Service Accomplishments

Program 1

Expenses: $654,152

PROVIDE LIFE-TRANSFORMING SPINE SURGERIES AROUND THE WORLD FOR PATIENTS IN NEED. TRAIN LOCAL SPINE SURGEONS THE ADVANCED TECHNIQUES AND SAFETY PROTOCOLS TO PERFORM THE SURGERIES THEMSELVES. COLLECT...

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $808,497

Program Service Revenue $0

Investment Income $368

Other Revenue $-32,300

TOTAL REVENUE $776,565

Expense Breakdown

Grants Paid $0

Salaries & Benefits $112,865

Fundraising Expenses $82,719

Program Expenses $654,152

Other Expenses $818,089

TOTAL EXPENSES $930,954

Year-over-Year Comparison

	2023	2022	Change
Revenue	$776,565	$2,193,885	-0.6%
Expenses	$930,954	$2,039,939	-0.5%
Net Income	$-154,389	$153,946	-2.0%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$106,578

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
MELISSA HICKS	Executive Dir.	40.00	Officer	$78,611	$27,967	$106,578
ANTHONY RINELLA MD	President	1.00	Officer Director	$0	$0	$0
GREGORY MUNDIS MD	Director	1.00	Director	$0	$0	$0
JEREMY LONGHURST	Secretary	1.00	Officer Director	$0	$0	$0
JAHANGIR ASGHAR MD	Director	1.00	Director	$0	$0	$0
PAT KOSTIAL RN BSN	Treasurer	1.00	Officer Director	$0	$0	$0
LAWRENCE LENKE MD	Director	1.00	Director	$0	$0	$0
JOHN MIKULSKI	Director	1.00	Director	$0	$0	$0
BURT YASZAY MD	Director	1.00	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$776,565	$930,954	$679,421	$-154,389
2022	$2,193,885	$2,039,939	$824,640	$153,946
2021	$5,567,096	$5,475,675	$670,032	$91,421
2020	$396,380	$182,710	$578,611	$213,670