2022-11-15T10:06:19-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2021-01-01 475128573 ONE WORLD SURGERY ONEW 8472673539 510 LAKE COOK ROAD 400 DEERFIELD IL 60015 CLAIRE CUNNINGHAM CHIEF EXECUTIVE OFFICER 8472673539 2022-11-14 1 CLAIRE CUNNINGHAM 999009999 THOMAS G ANDREWS P00095596 6305738600 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CLAIRE CUNNINGHAM 510 LAKE COOK ROAD 400 DEERFIELD IL 60015 11716910 0 X ONEWORLDSURGERY.ORG X 2015 IL ONE WORLD SURGERY'S MISSION IS TO IGNITE THE SPIRIT OF SERVICE AND TRANSFORM LIVES BY PROVIDING ACCESS TO HIGH-QUALITY SURGICAL CARE GLOBALLY. 6 6 14 589 0 0 7907722 10192463 0 139000 129 -1283 -69884 -75308 7837967 10254872 140000 122721 0 0 1411614 1824304 7500 10500 411013 2377851 5208673 3936965 7166198 3901002 3088674 11824802 14992462 556224 402710 11268578 14589752 X ONE WORLD SURGERY'S MISSION IS TO IGNITE THE SPIRIT OF SERVICE AND TRANSFORM LIVES BY PROVIDING ACCESS TO HIGH-QUALITY SURGICAL CARE GLOBALLY. 0 0 6014098 122721 PROVIDED TRANSFORMATIVE MEDICAL CARE TO UNDERSERVED COMMUNITIES IN HONDURAS AND THE DOMINICAN REPUBLIC: IN HONDURAS, OUR SURGERY CENTER HAS THREE OPERATING ROOMS AND SEVEN OVERNIGHT RECOVERY BAYS. OUR HONDURAN LOCAL TEAMS PERFORMED 740 SURGERIES, PROVIDED 11,044 SPECIALTY AND PRIMARY CARE CONSULTS, AND TREATED 626 DENTAL PATIENTS. IN THE DOMINICAN REPUBLIC, OUR LOCAL HEALTH PROMOTORS PROVIDED 682 HEALTH EDUCATION VISITS TO HELP PATIENTS MANAGE THEIR CHRONIC MEDICAL CONDITIONS. OUR LOCAL TEAM ALSO CONDUCTED 1,094 PRIMARY CARE HOME VISIT FOLLOW UPS. GLOBALLY, OUR EDUCATION EFFORTS PROVIDED 1,798 HOURS OF CLINICAL EDUCATION TO CURRENT & FUTURE HONDURAN AND DOMINICAN MEDICAL PROFESSIONALS. ONE WORLD SURGERY'S SITE IN THE DOMINICAN REPUBLIC, WHICH WILL INCLUDE A SURGERY CENTER WITH THREE OPERATING ROOMS, A PRIMARY CARE CLINIC, AND A VISITOR CENTER TO ACCOMMODATE SEVENTY VOLUNTEERS AS WELL AS TO HOST TRAININGS AND EDUCATIONAL CONFERENCES IS PLANNED TO OPEN IN 2023. 309795 139000 THROUGH THE HOSTING OF WEEK-LONG MEDICAL MISSIONS, OUR VOLUNTEERS IN HONDURAS DONATED 17,240 HOURS TO PERFORM 955 SURGERIES & PROVIDE 2,039 SPECIALTY & PRIMARY CARE CONSULTS. IN THE DOMINICAN REPUBLIC, OUR VOLUNTEERS DONATED 6,320 HOURS TO PROVIDE 4,439 PRIMARY CARE CONSULTS. IN 2021, DESPITE ONGOING RESTRICTIONS IN PLACE ONE WORLD SURGERY MOBILIZED 589 VOLUNTEERS IN PARTNERSHIP WITH OUR HONDURAN AND DOMINICAN STAFF TO PROVIDE 1,695 FREE, TRANSFORMATIVE SURGERIES AND 19,332 FREE CONSULTS. 6323893 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 14 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X CLAIRE CUNNINGHAM 8472673539 510 LAKE COOK ROAD NO 400 DEERFIELD IL 60015 DR PETER DALY CHIEF MEDICAL OFFICER AND 5.00 X X 0 0 0 ANDREW HAYEK CHAIRMAN 2.00 X X 0 0 0 CORY ROBERTS DIRECTOR 2.00 X 0 0 0 REINHART KOEHLER DIRECTOR 2.00 X 0 0 0 CAITLIN ZULLA DIRECTOR 1.00 X 0 0 0 DR HUGH WEST DIRECTOR 1.00 X 0 0 0 CLAIRE CUNNINGHAM CHIEF EXECUTIVE OFFICER 40.00 X 200236 0 26768 DENISE OVERSTAKE DIR. OF DONOR RELATIONS 40.00 X 112209 0 9152 312445 0 35920 2 0 1 0 0 1331837 8860626 4664265 10192463 PARTICIPATION FEE 621400 139000 139000 139000 598 598 1227290 1229171 -1881 -1881 -1881 157559 1331837 232867 -75308 -75308 10254872 139000 0 -76591 122721 122721 227004 113502 45401 68101 1439944 1063995 163868 212081 22933 9971 3988 8974 63955 27789 11117 25049 70468 31711 12684 26073 1360 1360 23310 23310 10500 10500 105954 60312 45642 40820 20410 20410 198004 167954 8253 21797 145312 145312 19801 3133 16668 42850 42850 16445 16445 MEDICAL SUPPLIES 4030473 4030473 BRIGADE AND CONFERENCE 309795 309795 RECRUITMENT AND RELOCAT 59590 59590 MINOR EQUIPMENT 52160 52160 162799 105360 57439 7166198 6323893 431292 411013 9416546 4433857 629418 526484 422743 598994 5119523 186446 1356095 4933077 4500050 11824802 14992462 247274 334016 308950 68694 556224 402710 X 7346828 8524543 3921750 6065209 11268578 14589752 11824802 14992462 3088674 232500 0 X X 0 1 X 1 0 X 3283643 6606050 6664680 7907722 10378365 34840460 3283643 6606050 6664680 7907722 10378365 34840460 5189612 29650848 4075 33 457 598 5163 29735 69165 92600 23000 157559 372059 35217682 0.84190 0.89420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 314952 186446 128506 4804571 4804571 4933077 MONEY MARKET FUNDS 4500050 F 4500050 DUE TO SURGICAL CARE AFFILIATES 68694 68694 X 11276809 789070 789070 10487739 -232867 -232867 10254872 8188135 789070 232867 1021937 7166198 0 7166198 PART X, LINE 2: THE ORGANIZATION EVALUATES ITS EXPOSURE FOR UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. AS OF DECEMBER 31, 2021 AND 2020, THERE WERE NO LIABILITIES FOR UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES REPORTED ON PAGE 9, FORM 990, LINE 8 -232,867. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES REPORTED ON PAGE 9, FORM 990, LINE 8 232,867. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 2 49 CONSTRUCTION OF MEDICAL FACILITY AND GENERAL OPERATIONS MEDICAL SERVICES 10384542 2 49 0 0 2 49 10384542 0 10384542 0 0 0 0 0 0 PART I, LINE 3: CONSTRUCTION EXPENDITURES ARE ACCOUNTED FOR BASED UPON SERVICES PERFORMED AND BILLED BY THE FOREIGN CONTRACTOR. PART III ACCOUNTING METHOD: X X X X 1 BRIDGE CONSULTING 2205 SOUTH HOLLY STREET UNIT 8 DENVER CO 80222 GOVERNMENT FUNDING CONSULTANT 0 0 10500 -10500 10500 -10500 IL ANNUAL LEADERSHIP MEETING 411200 411200 50000 GALA 697590 613838 83752 81752 3 380606 306799 73807 101115 1489396 1331837 157559 232867 232867 -75308 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE ORGANIZATION CONTRACTED WITH THE FUNDRAISING CONSULTANT, BRIDGE CONSULTING, FOR FUNDRAISING STRATEGY CONSULTING RELATED TO THE UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID). THE CONTRACT IS FOR SIX MONTHS AND REQUIRES A MONTHLY FEE OF $3,500. IN 2021, $10,500 WAS PAID TO THE FUNDRAISER FOR STRATEGY CONSULTING. 1 NPH USA 134 NORTH LASALLE STREET STE 500 CHICAGO IL 60602 651229309 501(C)(3) 122721 0 CONSTRUCTION COSTS OF CONFERENCE CENTER PROJECT FOR NPH HONDURAS. 1 0 PART I, LINE 2: DURING 2021, ONE WORLD SURGERY CONTRIBUTED $122,721 TO NPH USA FOR THE FOLLOWING PURPOSES: CAPITAL PROJECTS AT NPH HONDURAS ON BEHALF OF ONE WORLD SURGERY AND GENERAL OPERATIONS OF NPH USA IN SUPPORT OF NPH HOMES. CAPITAL PROJECT COSTS TOTALED $12,721 AND THESE FUNDS WERE USED TO COMPLETE ONE WORLD SURGERY CONSTRUCTION PROJECTS INCLUDING THE LODGING FACILITIES FOR ONE WORLD SURGERY MEDICAL MISSION VOLUNTEERS. THESE FUNDS ARE PAID TO NPH USA AND TRANSFERRED TO NPH HONDURAS WHERE ONE WORLD SURGERY LEADERSHIP MANAGED THE CONSTRUCTION PROJECTS USING THESE FUNDS. AN ADDITIONAL $110,000 WAS CONTRIBUTED TO NPH USA FOR GENERAL OPERATIONS OF ITS NPH HOMES UNDER A PARTNERSHIP AGREEMENT TO SUPPORT ITS COMPLEMENTARY MISSION. THE ONE WORLD SURGERY BOARD OF DIRECTORS RECEIVES REGULAR OPERATIONS AND STRATEGIC UPDATES FROM NPH LEADER REINHART KOEHLER WHO IS ALSO A BOARD MEMBER FOR ONE WORLD SURGERY. X X X 0 0 0 0 0 0 0 0 0 CLAIRE CUNNINGHAM CHIEF EXECUTIVE OFFICER 155236 0 45000 0 0 0 6980 0 19788 0 227004 0 0 0 X 17 1229171 FAIR MARKET VALUE X 62 3435094 FAIR MARKET VALUE 0 0 0 0 SCHEDULE M, PART I, COLUMN (B): CONTRIBUTIONS OF PUBLICALLY TRADED SECURITIES REPRESENTS THE NUMBER OF CONTRIBUTIONS. CONTRIBUTIONS OF MEDICAL AND SURGICAL SUPPLIES REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF FORM 990 WILL BE PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN THE CODE OF CONDUCT WHICH IS REGULARLY REVIEWED DURING MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES IS REVIEWED AND APPROVED BY MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DURING 2018, THE ORGANIZATION ADOPTED POLICIES FOR CONFLICT OF INTERESTS, DOCUMENT RETENTION, AND WHISTLEBLOWER. THESE POLICIES ALONG WITH OTHER GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOLY FAMILY SURGERY CENTER FOUNDATION 510 LAKE COOK ROAD STE 400 DEERFIELD IL 60015 474546833 MEDICAL MISSIONS TO PROVIDE SURGERY SOLUTIONS TO HONDURAN CITIZENS MN 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0