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Our Goal: To Be The Most Productive, Cost-Effective Program In The World

Our Goal: To Be The Most Productive, Cost-Effective Program In The World

We have a senior management team that has more than 100 years of experience in running some of the best-managed and successful charities in the world. And our values and goals are simple.

Our goal is to make FirstStep the most cost-efficient, productive provider of miracle cures for children. Here’s how we’ll do that:

  • Keep overhead and admin costs extremely low. We share office space, personnel, computers, printers and conference rooms with other charity programs. Our staff is less than a dozen people. Our office is a half-priced sublet that came fully furnished with free furniture.
  • Leverage technology to save money and increase efficiencies. Our IT closet is empty because all of our phones, file and exchange servers, email and network systems are cloud-based. We will use electronic medical records for every surgery we provide which will save hundreds of thousands of dollars in shipping, storage and handling. Digital records also make it easy to screen for fraud and to audit for safety and quality.
  • We run FirstStep like a business. Our goal is to treat our donors like shareholders and treat their donations like investments. We promise to give our donors the maximum return on investment possible. We hold ourselves and partners accountable and will track how every dollar is spent – and how every donation helps change a child’s life.
  • Empower local doctors. Instead of flying American volunteer surgeons overseas, we empower local surgeons and local hospitals so they can help the children in their own communities, 24/7, 365 days a year. This unique strategy enables us to help ten times as many children – for one tenth the cost.
  • Maximize the impact of every dollar raised. By keeping our overhead low and our productivity high, less money is spent on non-program expenses and more money is spent on what matters: surgeries that help children.

FirstStep is a WonderWork charity program. For more information on WonderWork, visit

100% of all donations goes towards our free surgery programs.