By 2002, the organization also established medical credential standards, improved medical monitoring of patients, and implemented quality and financial controls. Operation Smile and Smile Train In early 2011, Smile Train and Operation Smile announced the two charities would merge, followed three weeks later by announcements the merger had been aborted, Smile Train having canceled the union. Smile Train's board also named Priscilla Ma the executive director of the organization, while other board members and directors stepped down. Following the failed merger, Operation Smile "spun-off" the Operation Smile Foundation. The Foundation was renamed Stop Cleft International, a 501(c)3 organization. Stop Cleft International became a subsidiary of Smile Train in July, 2013. Operation Smile paid an agreed upon obligation of $4,000,000 to Stop Cleft International/Smile Train during tax year 2013. In 2009, Smile Train initiated an advertising campaign in the Richmond Times highlighting Smile Train's attempts between 2006 and 2009 to donate nearly $9 million to Operation Smile, the organization Brian Mullaney had split from in 1998 in what Mullaney described as a "messy divorce." In the ad, Mullaney contended Operation Smile was refusing money that could benefit children, later calling the situation "shameful"; Mullaney also noted that he respects that in some countries need overwhelms available doctors and he had "a newfound respect for what Operation Smile does." The Virginian Pilot outlined the history and differences between the two organizations and indicated Mullaney wanted the two organizations to reconcile. At the time, Bill Magee of Operation Smile declined a newspaper interview, and Operation Smile formally responded to the ad campaign, saying the two organizations "have different operating philosophies and business ethics," and that Operation Smile would continue foregoing donations from an "unproductive relationship." Financial information In 2011, Forbes ranked Operation Smile as the tenth "least efficient" large U.S. charity, tied with the Alzheimer's Association and just ahead in efficiency of the American Cancer Society. Forbes noted that "financial efficiency is far from the whole story when it comes to assessing a charity's vitality or even effectiveness." Operation Smile spends 42% of the money donated to the charity on fundraising and administration, including a salary of $350,000 (and an additional $27,915 in other compensation) for its chief executive. The NGO raised $35,024,864 during the fiscal year ending June 2008. They spent 41% of the cash revenues on fundraising and administration; $11,905,507 on fundraising (33.9%) and a further $2,710,783 on management (7.7%). The