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        <PersonNm>Scott Voss</PersonNm>
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        <PersonNm>Yvonne Wray</PersonNm>
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        <PersonNm>William Kliewer</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ProgramServiceRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>19798</ExclusionAmt>
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        <ExclusionAmt>9929</ExclusionAmt>
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        <ProgramServicesAmt>8035836</ProgramServicesAmt>
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        <FundraisingAmt>3281555</FundraisingAmt>
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        <EOYAmt>266573</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>10950</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>34464</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>13760</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>CAPACITY BUILDING</PurposeOfGrantTxt>
        <CashGrantAmt>8049</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>33498</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>11787</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>192976</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>118272</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <PurposeOfGrantTxt>CAPACITY BUILDING</PurposeOfGrantTxt>
        <CashGrantAmt>3603482</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>139048</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>123048</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>134137</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>26312</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPP</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>17252</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>7787</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>9149</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>20426</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>5135</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>7810</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>23434</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>22197</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>1037204</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>57354</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>CAPACITY BUILDING</PurposeOfGrantTxt>
        <CashGrantAmt>6846</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>CAPACITY BUILDING</PurposeOfGrantTxt>
        <CashGrantAmt>74648</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>37225</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>8243</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>92843</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>23274</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>6500</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>22203</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>37555</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>52650</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>11923</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>35057</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>9144</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>3153</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>20175</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>146713</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE'</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>192</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>45211</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>2271</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>400852</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>73799</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>CAPACITY BUILDING</PurposeOfGrantTxt>
        <CashGrantAmt>413806</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>6000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>6250</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>125281</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <PurposeOfGrantTxt>CAPACITY BUILDING</PurposeOfGrantTxt>
        <CashGrantAmt>7024</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>13181</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>18714</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>MISSION</PurposeOfGrantTxt>
        <CashGrantAmt>13751</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>26250</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <PurposeOfGrantTxt>PROGRAM</PurposeOfGrantTxt>
        <CashGrantAmt>15188</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>24</Total501c3OrgCnt>
      <TotalOtherOrgCnt>24</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch F Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>OPERATION SMILE MONITORS AND REVIEWS GRANT REQUESTS FOR ALIGNMENT WITH OUR PROGAMMATIC GOALS AND ADHERENCE TO ELIGIBILITY REQUIREMENTS. ALL GRANT RECIPIENTS SUBMIT REPORTS DETAILING THE USE OF THE GRANT FUNDS. THESE REPORTS ARE EXAMINED BY OPERATION SMILE AND REVIEWED FOR TIMELINESS, CONTENT, ACCURACY, AND APPROPRIATE SUPPORTING DOCUMENTATION TO SUBSTANTIATE THE USE OF FUNDS. WE HAVE ONGOING COMMUNICATION AND FREQUENT ONSITE VISITS WITH OUR PARTNER FOUNDATIONS TO ENSURE GRANT REQUIREMENTS ARE BEING MET, APPROPRIATE DOCUMENTATION IS MAINTAINED, AND TO PROVIDE ASSISTANCE AS NEEEDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <PersonNm>Strategic Fundraising</PersonNm>
        <USAddress>
          <AddressLine1>7591 9th StreetN</AddressLine1>
          <City>StPaul</City>
          <State>MN</State>
          <ZIPCode>55128</ZIPCode>
        </USAddress>
        <ActivityTxt>Telemarket</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>1660715</GrossReceiptsAmt>
        <RetainedByContractorAmt>1535166</RetainedByContractorAmt>
        <NetToOrganizationAmt>125549</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <PersonNm>Russ Reid Company</PersonNm>
        <USAddress>
          <AddressLine1>2 North Lake Avenue</AddressLine1>
          <AddressLine2>Suite 600</AddressLine2>
          <City>Pasadena</City>
          <State>CA</State>
          <ZIPCode>91101</ZIPCode>
        </USAddress>
        <ActivityTxt>FNDR Consul</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>23615294</GrossReceiptsAmt>
        <RetainedByContractorAmt>1039237</RetainedByContractorAmt>
        <NetToOrganizationAmt>22576057</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <PersonNm>The Pursuant Group</PersonNm>
        <USAddress>
          <AddressLine1>5151 Belt Line Road</AddressLine1>
          <AddressLine2>Suite 900</AddressLine2>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75254</ZIPCode>
        </USAddress>
        <ActivityTxt>Major Gifts</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>626539</GrossReceiptsAmt>
        <RetainedByContractorAmt>545245</RetainedByContractorAmt>
        <NetToOrganizationAmt>81294</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <PersonNm>MR Strategic Services</PersonNm>
        <USAddress>
          <AddressLine1>1901 L NW</AddressLine1>
          <AddressLine2>Suite 800</AddressLine2>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
        </USAddress>
        <ActivityTxt>Email Mktg</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>688734</GrossReceiptsAmt>
        <RetainedByContractorAmt>161907</RetainedByContractorAmt>
        <NetToOrganizationAmt>526827</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
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      <TotalRetainedByContractorsAmt>3281555</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>23309727</TotalNetToOrganizationAmt>
      <LicensedStatesCd>AL</LicensedStatesCd>
      <LicensedStatesCd>AK</LicensedStatesCd>
      <LicensedStatesCd>AZ</LicensedStatesCd>
      <LicensedStatesCd>AR</LicensedStatesCd>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
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      <LicensedStatesCd>DC</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <LicensedStatesCd>HI</LicensedStatesCd>
      <LicensedStatesCd>ID</LicensedStatesCd>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <LicensedStatesCd>IN</LicensedStatesCd>
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      <LicensedStatesCd>KS</LicensedStatesCd>
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      <LicensedStatesCd>MA</LicensedStatesCd>
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      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>MO</LicensedStatesCd>
      <LicensedStatesCd>MT</LicensedStatesCd>
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      <LicensedStatesCd>NJ</LicensedStatesCd>
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      <LicensedStatesCd>NY</LicensedStatesCd>
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      <LicensedStatesCd>ND</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>OK</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>RI</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>SD</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <LicensedStatesCd>TX</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WA</LicensedStatesCd>
      <LicensedStatesCd>WV</LicensedStatesCd>
      <LicensedStatesCd>WI</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <NameOfEvent1Amt>2014 La Gala</NameOfEvent1Amt>
        <GrossReceiptsEvent1Amt>3281797</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>3205218</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>76579</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>81508</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>91652</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>11050</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>42535</OtherDirectExpensesEvent1Amt>
        <NameOfEvent2Amt>2014 NY Smile</NameOfEvent2Amt>
        <GrossReceiptsEvent2Amt>713330</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>659545</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>53785</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>77498</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>148100</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>47100</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>112952</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>19</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>1886652</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>1611928</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>274724</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>86963</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>122179</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>25310</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>148675</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>5881779</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>5476691</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>405088</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>245969</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>361931</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>83460</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>304162</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>995522</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-590434</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1 - Fundraising</FormAndLineReferenceDesc>
        <ExplanationTxt>OPERATION SMILE HAS AN AGREEMENT WITH RUSS REID COMPANY TO PROVIDE SERVICES RELATED TO ITS DIRECT RESPONSE FUNDRAISING CAMPAIGN AND RESEARCH, AND GOVERNMENT RELATIONS. THESE SERVICES INCLUDE PROFESSIONAL FUNDRAISING, CREATIVE SERVICES, FUNDRAISING STRATEGY DEVELOPMENT, TV PRODUCTION, MEDIA BUYING/SYNDICATION, PRINTING/PRODUCTION/MAILING, PHONE CENTER QUALITY ASSURANCE, AND CONSULTATION REGARDING DIGITAL PRESENCE. RUSS REID COMPANY PROVIDES INVOICES TO OPERATION SMILE DETAILING THE COSTS ASSOCIATED WITH THE ABOVE SERVICES. PAYMENTS TO RUSS REID COMPANY IN THE TAX YEAR TOTALLED $13,751,088 OF WHICH $1,039,237 REPRESENTED PROFESSIONAL FUNDRAISING FEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>STOP CLEFT INTERNATIONAL ALLIANCE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>4876 PRINCESS ANNE RD</AddressLine1>
          <City>VIRGINIA BEACH</City>
          <State>VA</State>
          <ZIPCode>23462</ZIPCode>
        </USAddress>
        <CashGrantAmt>3999950</CashGrantAmt>
        <PurposeOfGrantTxt>REDUCING BARRIERS TO CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>CHILDREN'S HOSPITAL OF WISCONSIN</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53201</ZIPCode>
        </USAddress>
        <CashGrantAmt>46884</CashGrantAmt>
        <PurposeOfGrantTxt>REDUCING BARRIERS TO CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>UNIVERSITY OF IOWA</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>B5 JESSOP HALL</AddressLine1>
          <City>IOWA CITY</City>
          <State>IA</State>
          <ZIPCode>52242</ZIPCode>
        </USAddress>
        <CashGrantAmt>21973</CashGrantAmt>
        <PurposeOfGrantTxt>REDUCING BARRIERS TO CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>UNIVERSITY OF VIRGINIA</BusinessNameLine1>
        </RecipientBusinessName>
        <CashGrantAmt>39762</CashGrantAmt>
        <PurposeOfGrantTxt>REDUCING BARRIERS TO CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch I Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Operation Smile, Inc. makes grants to domestic organizations that are recognized by the internal revenue service as 501 (c)(3) organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William P Magee Jr DDS MD</PersonNm>
        <TitleTxt>CEO &amp; Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>350000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4965</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>377915</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Kliewer</PersonNm>
        <TitleTxt>CEO (UNTIL 7/13)</TitleTxt>
        <BaseCompensationFilingOrgAmt>168012</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15075</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>442</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183529</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Teresa Kraus</PersonNm>
        <TitleTxt>CFO (UNTIL 7/13)</TitleTxt>
        <BaseCompensationFilingOrgAmt>115777</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10420</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3303</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>129500</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kyla Shawyer</PersonNm>
        <TitleTxt>COO (UNTIL 7/13)</TitleTxt>
        <BaseCompensationFilingOrgAmt>176217</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15862</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3303</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195382</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kristie Porcaro</PersonNm>
        <TitleTxt>SVP, Strategic Pship &amp; Dev</TitleTxt>
        <BaseCompensationFilingOrgAmt>134535</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12108</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5203</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151846</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FIRST CLASS TRAVEL</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE J, PART I, LINE 1A OPERATION SMILE, INC. POLICY ALLOWS FOR UPGRADES TO BUSINESS OR FIRST CLASS AIR TRAVEL IN LIMITED CIRCUMSTANCES FOR CEO, PRESIDENT, COO, AND CHIEF PROGRAM STRATEGIST. UPGRADEABLE FARES MAY ONLY BE PURCHASED IF TRAVEL IS MORE THAN 5 HOURS DOMESTICALLY, BUSINESS CLASS FARES FOR MORE THAN 8 HOURS INTERNATIONALLY FOR THESE POSITIONS ONLY. WHEN POSSIBLE, UPGRADES ARE PAID FOR WITH AIRLINE POINTS. THESE UPGRADES WERE NOT TREATED AS TAXABLE COMPENSATION TO THE RECIPIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Kristie Porcaro</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of CEO &amp; Pres</RelationshipDescriptionTxt>
        <TransactionAmt>151847</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>14</ContributionCnt>
        <NoncashContributionsRptF990Amt>389267</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>39</ContributionCnt>
        <NoncashContributionsRptF990Amt>2226329</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>William P. Magee Jr, Director and CEO, is the spouse of Kathleen S. Magee, Director and President. Kristie Magee Porcaro, the Magees' daughter, is an employee of Operation Smile, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER COMPLETION OF THE 990 BY OPERATION SMILE FINANCE DEPARTMENT, WITH ASSISTANCE FROM KPMG, THE COMPLETED 990 IS FORWARDED TO THE AUDIT COMMITTEE AND THE BOARD OF DIRECTORS. THE CHAIRMAN OF THE AUDIT COMMITTEE REVIEWS THE 990 AND SUPPORTING DOCUMENTATION. ALL COMMENTS ARE ADDRESSED BY THE FINANCE DEPARTMENT PRIOR TO SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually, the conflict of interest reporting is reviewed by the board. Additionally, and routinely, the board requests all conflicts of interest to be disclosed and/or updated. The organization has an extensive conflict of interest policy that requires any officer, director, or employee with a conflict or potential conflict of interest to disclose all relevant information.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for top management officials and other key employees is determined by comparing similar positions with comparable duties at other organizations and reviewing the history of compensation for that position at Operation Smile. There is independent board approval for the compensation of these employees as noted in the minutes of the director meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE AT OPERATION SMILE INTERNATIONAL HEADQUARTERS, 3641 FACULTY BOULEVARD, VIRGINIA BEACH, VA 23453. ADDITIONALLY, FINANCIAL STATEMENTS AND THE 990 ARE ALSO AVAILABLE ON OUR WEBSITE AND THE GUIDESTAR WEBSITE: WWW.OPERATIONSMILE.ORG AND WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part XI Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>In July 2013, Operation Smile and Operation Smile Foundation ceased to be affiliated entities. In July 2013, OSI effectuated a spin-off of the Foundation to a nonaffiliated organization. As part of that agreement, the $2,837,731 INTERCOMPANY LIABILITY WAS RELEASED AND A $4,000,000 OBLIGATION WAS AGREED UPON.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>OS HQ LLC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>3641 Faculty Boulevard</AddressLine1>
          <City>Virginia Beach</City>
          <State>VA</State>
          <ZIPCode>23453</ZIPCode>
        </USAddress>
        <EIN>541460147</EIN>
        <PrimaryActivitiesTxt>Global HQ</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <TotalIncomeAmt>14792</TotalIncomeAmt>
        <EndOfYearAssetsAmt>16205375</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Operation Sm</BusinessNameLine1>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>STOP CLEFT - INTERNATIONAL ALLIANCE</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>4705 COLUMBUS ST SUITE 300</AddressLine1>
          <City>VIRGINIA BEACH</City>
          <State>VA</State>
          <ZIPCode>23462</ZIPCode>
        </USAddress>
        <EIN>541639160</EIN>
        <PrimaryActivitiesTxt>LT SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>