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      <Description>MEDICAL MISSIONS AND TREATMENT OPERATION SMILE PROVIDES FREE, SAFE RECONSTRUCTIVE SURGERY FOR CHILDREN AND ADULTS SUFFERING FROM CLEFTS. TREATMENT IS DELIVERED IN SOME OF THE MOST REMOTE REGIONS OF THE WORLD BY LOCAL AND INTERNATIONAL MEDICAL VOLUNTEERS DURING SURGICAL PROGRAMS, AS WELL AS THROUGH 37 OPERATION SMILE COMPREHENSIVE CARE CENTERS AND TRAINING &amp; TREATMENT CENTERS THAT PROVIDE YEAR-ROUND PATIENT CARE. OVER ITS 30-YEAR HISTORY, THE ORGANIZATION HAS PERFORMED OVER 3.5 MILLION PATIENT CONSULTATIONS AND MORE THAN 200,000 SURGERIES. IN THE LAST FISCAL YEAR, OPERATION SMILE HOSTED 179 SURGICAL PROGRAMS IN 132 SITES AROUND THE WORLD - INCLUDING 34 NEW SITES IN SOME OF THE POOREST REGIONS OF THE WORLD - AND PROVIDED 17,143 FREE SURGERIES FOR CHILDREN AND YOUNG ADULTS., NEARLY 68% OF THOSE SURGERIES WERE PERFORMED BY IN-COUNTRY LOCAL MEDICAL VOLUNTEERS. THE ORGANIZATION ALSO CONDUCTED OVER 7,463 POST-OPERATIVE SURGICAL EVALUATIONS TO ENSURE OUR PATIENTS ARE HEALING PROPERLY AND TO EVALUATE IF FURTHER CARE IS NEEDED. LAST YEAR, THE INTERNATIONAL MEDICAL VOLUNTEERS PROVIDED OVER 335,000 HOURS OF FREE CARE FOR OPERATION SMILE'S PATIENTS. AT OUR COMPREHENSIVE CARE CENTERS, OVER 124,583 HEALTHCARE EVALUATIONS WERE CONDUCTED LAST FISCAL YEAR, AND 33% OF THE ORGANIZATION'S SURGERIES WERE PERFORMED IN THESE CARE CENTERS. IN ADDITION TO SURGICAL CARE, THE SERVICES OFFERED IN THESE CARE CENTERS INCLUDES POST-OPERATIVE CARE, COUNSELING, SPEECH THERAPY, DENTISTRY, ORTHODONTICS, NUTRITION AS WELL AS ONGOING TRAINING AND EDUCATION. FOR FAMILIES RESIDING WITHIN THE U.S., OPERATION SMILE OFFERS A RANGE OF CONSULTANCY SERVICES THROUGH ITS U.S. CARE NETWORK. LAST YEAR, OPERATION SMILE OPENED 83 NEW US AND WORLD CARE PATIENT CASES.. IN ADDITION, OPERATION SMILE PROVIDED FREE SURGERIES FOR 10 CHILDREN THROUGH OUR WORLD CARE PROGRAM, WHICH HELPS PATIENTS WHO HAVE MUCH MORE COMPLICATED DISFIGUREMENTS THAN CAN BE TREATED DURING MEDICAL MISSIONS. FINALLY, OPERATION SMILE PROVIDES A SIGNIFICANT NUMBER OF DENTAL SERVICES TO PATIENTS, IN ORDER TO ENSURE COMPREHENSIVE ORAL CARE. LAST FISCAL YEAR, SIX DENTAL MISSIONS WERE HELD AND MORE THAN 14,000 DENTAL PROCEDURES PERFORMED.</Description>
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        <Description>Public Education and Research OPERATION SMILE IS DEDICATED TO RAISING AWARENESS OF THE LIFE-THREATENING ISSUE OF CLEFTS, AS WELL AS PROVIDING LASTING SOLUTIONS THAT ALLOW CHILDREN TO BE HEALED REGARDLESS OF FINANCIAL STANDING. OPERATION SMILE ADVOCATES FOR SAFE SURGERY AS A GLOBAL HEALTH PRIORITY THROUGH PARTNERSHIPS WITH LEADING MEDICAL INSTITUTIONS AND OTHER NONPROFIT ORGANIZATIONS AROUND THE WORLD. TO RESEARCH THE CAUSE OF CLEFTING, OPERATION SMILE ENGAGES IN PARTNERSHIPS, SO WE CAN WORK TOWARD REDUCING THE INCIDENCE OF CLEFTS. FOR EXAMPLE, OPERATION SMILE PILOTED THE INTERNATIONAL FAMILY STUDY TO EXAMINE GENETIC CHARACTERISTICS OF CLEFTS. TO EDUCATE THE PUBLIC AND GLOBAL COMMUNITIES ABOUT THE ISSUES SURROUNDING CLEFTS, OPERATION SMILE CONDUCTS ONGOING COMMUNICATIONS TO CREATE A GREATER AWARENESS FOR THE GLOBAL NEED, AS WELL AS DELIVERS MESSAGES THAT PROVIDE INFORMATION AND GUIDANCE FOR FAMILIES ON HOW TO PREVENT CLEFTS AND WHAT STEPS TO TAKE WHEN A CHILD IS BORN WITH A CLEFT. OPERATION SMILE HAS MOBILIZED HUNDREDS OF THOUSANDS OF MEDICAL, COMMUNITY AND STUDENT VOLUNTEERS WORLDWIDE TO HELP US EDUCATE THE PUBLIC ABOUT THE CLEFT CAUSE. MORE THAN 900 STUDENT CLUBS AND ASSOCIATIONS IN OVER 50 COUNTRIES CHANNEL THEIR COMPASSION AND ENERGIES TO HELP EDUCATE OTHERS WHILE BUILDING CORE VALUES OF LEADERSHIP AND VOLUNTEERISM, LEARNING FIRSTHAND HOW THEY CAN CREATE AN IMPACT IN THE WORLD AND HELP HEAL HUMANITY. Training and Building Sustainability OPERATION SMILE CONTINUALLY ADVANCES ITS MISSION TO BUILD A SELF-SUFFICIENT GLOBAL HEALTH NETWORK FOR THE TREATMENT OF CLEFTS. WE DO THIS BY TRAINING HEALTHCARE PROVIDERS AROUND THE WORLD TO GIVE THEM THE HIGHLY-SPECIALIZED SKILLS NEEDED TO PROVIDE TREATMENT FOR THE BACKLOG OF CHILDREN ALREADY SUFFERING FROM CLEFTS, AND FOR THOSE BABIES WHO ARE BORN EVERY DAY WITH THIS TRAGIC FACIAL DEFORMITY. IN ADDITION, THE ORGANIZATION DONATES CRUCIAL MEDICAL EQUIPMENT AND SUPPLIES; DEVELOPS PUBLIC/PRIVATE PARTNERSHIPS; AND CREATES GLOBAL, IN-COUNTRY FOUNDATIONS THAT STRENGTHEN LOCAL DEVELOPMENT, RAISE FUNDS AND AWARENESS AS WELL AS COORDINATE SURGICAL PROGRAMS. OPERATION SMILE HAS ALSO ESTABLISHED 21 COMPREHENSIVE CARE CENTERS AND TRAINING &amp; TEACHING CENTERS DESIGNED TO PROVIDE YEAR-ROUND CARE AND TRAIN MEDICAL VOLUNTEERS TO HELP INCREASE IN-COUNTRY CAPACITY. THROUGH PARTNERSHIPS WITH THE AMERICAN HEART ASSOCIATION, AS WELL AS WITH LEADING MEDICAL AND TEACHING INSTITUTIONS AND FOUNDATIONS, HEALTHCARE PROFESSIONALS FROM DEVELOPING COUNTRIES RECEIVE EVIDENCE BASED EDUCATION, HANDS ON TRAINING AND MENTORING. OPERATION SMILE ALSO SPONSORED CONFERENCES, SEMINARS, WORKSHOPS, ROTATION PROGRAMS, VISITING PROFESSORSHIPS, EXCHANGES, AND SHORT AND LONG TERM FELLOWSHIPS. TO ENSURE THAT SURGERIES ARE PERFORMED UNDER THE SAFEST CONDITIONS, OPERATION SMILE CERTIFIES AND TRAINS INTERNATIONAL MEDICAL PERSONNEL IN THE AMERICAN HEART ASSOCIATION'S (AHA) LIFE SUPPORT PROGRAM AND PROMOTES REGULAR USE OF THE WORLD HEALTH ORGANIZATION'S (WHO) SURGICAL SAFETY CHECKLIST AS WELL AS THE SOCIETY FOR PEDIATRIC ANESTHESIA'S WAKE UP SAFE INITIATIVE. Student Programs TO OPERATION SMILE, STUDENTS OFFER THE ENERGY AND PASSION NECESSARY TO SPARK THE RIPPLE EFFECT FOR CHANGE. OVER 900 STUDENT CLUBS AND ASSOCIATIONS IN 54 COUNTRIES - FROM GRADE SCHOOLS TO UNIVERSITIES - USE THEIR COMPASSION AND SELFLESSNESS TO HELP CHANGE CHILDREN'S LIVES. OPERATION SMILE'S STUDENT PROGRAMS OFFER YOUTH A UNIQUE OPPORTUNITY TO UNDERSTAND THE IMPORTANCE OF GIVING BACK TO THEIR COMMUNITIES AND THE WORLD, AND HELP THEM DEVELOP THE SKILLS NECESSARY TO DO SO. FOR EXAMPLE, HUNDREDS OF HIGH SCHOOL STUDENTS FROM AROUND THE WORLD VOLUNTEER ON OPERATION SMILE'S SURGICAL PROGRAMS EVERY YEAR, PROVIDING EDUCATION ON BURN CARE AND PREVENTION, ORAL REHYDRATION THERAPY, DENTAL HYGIENE, NUTRITION, AND HAND WASHING TO INFORM LOCAL POPULATIONS OF BASIC HEALTHCARE THAT ULTIMATELY IMPROVES QUALITY OF LIFE. LOCAL IN-COUNTRY STUDENTS ALSO VOLUNTEER DURING SURGICAL PROGRAMS TO SERVE AS TRANSLATORS AND HELP ENTERTAIN AND SOOTHE PATIENTS DURING SCREENING AND IN THE RECOVERY WARDS. EACH YEAR, OPERATION SMILE ALSO HOSTS THE INTERNATIONAL STUDENT LEADERSHIP CONFERENCE WHERE STUDENTS LEARN ABOUT LEADERSHIP, CHARACTER DEVELOPMENT, TEAM BUILDING, AND CELEBRATE CULTURAL DIVERSITY. IN 2013, OVER 450 STUDENTS FROM 20 DIFFERENT COUNTRIES TRAVELED TOOLD DOMINION UNIVERSITY IN NORFOLK, VIRGINIA WHERE THEY GAINED A BETTER UNDERSTANDING OF GLOBAL CULTURES AND DEVELOPED THEIR SKILLS AS FUTURE PHILANTHROPIC LEADERS.</Description>
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        <AmountOfCashGrant>75969</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Europe (Including Iceland and Greenland)</Region>
        <PurposeOfGrant>capacity building</PurposeOfGrant>
        <AmountOfCashGrant>730474</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Middle East and North Africa</Region>
        <PurposeOfGrant>mission</PurposeOfGrant>
        <AmountOfCashGrant>16039</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Middle East and North Africa</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>41853</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Middle East and North Africa</Region>
        <PurposeOfGrant>programs</PurposeOfGrant>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>15673</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>medical supp</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>North America</Region>
        <PurposeOfGrant>capacity building</PurposeOfGrant>
        <AmountOfCashGrant>43272</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>North America</Region>
        <PurposeOfGrant>capacity building</PurposeOfGrant>
        <AmountOfCashGrant>3031985</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>North America</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>10093</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>93909</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>medical supp</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>mission</PurposeOfGrant>
        <AmountOfCashGrant>6201</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>mission</PurposeOfGrant>
        <AmountOfCashGrant>25145</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>1903</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>medical supp</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>186231</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>programs</PurposeOfGrant>
        <AmountOfCashGrant>117722</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>49685</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>medical supp</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>6176</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>28325</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>medical supp</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>19454</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>1033</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>medical supp</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>24691</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>2444</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>medical supp</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>8830</AmountOfCashGrant>
        <MannerOfCashDisbursement>wire</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>18992</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>medical supp</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South Asia</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>6532</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South Asia</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>458564</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>53985</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>MEDICAL SUPP</DescriptionOfNonCashAssistance>
        <MethodOfValuation>cost</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>21734</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>22003</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>93180</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <AmountOfNonCashAssistance>376</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>MEDICAL SUPP</DescriptionOfNonCashAssistance>
        <MethodOfValuation>COST</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>128092</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <TotalNumberOf501c3Orgs>24</TotalNumberOf501c3Orgs>
      <TotalNumberOfOtherOrgs>14</TotalNumberOfOtherOrgs>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>false</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>Monitoring</Identifier>
        <ReturnReference>Form 990, Schedule F, Part I, Line 2</ReturnReference>
        <Explanation>OPERATION SMILE MONITORS AND REVIEWS GRANT REQUESTS FOR ALIGNMENT WITH OUR PROGRAMMATIC 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 NEEDED.</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>Method Used to Account for Expenditures</Identifier>
        <ReturnReference>Form 990, Schedule F, Part I, Line 3</ReturnReference>
        <Explanation>Accrual</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>PURPOSE OF GRANTS TO ORGANIZATIONS OR ENTITIES OUTSIDE THE US</Identifier>
        <ReturnReference>FORM 990, PART II, COLUMN (D)</ReturnReference>
        <Explanation>FOR MOST OF THE GRANTS LISTED ON PART II, THE PURPOSES INCLUDED MISSION AND PROGRAM AND SOMETIMES ALSO FUNDRAISING.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <PhoneSolicitations>X</PhoneSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SolicitationOfGovtGrants>X</SolicitationOfGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>true</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfIndividual>RUSS REID</NameOfIndividual>
        <AddressUS>
          <AddressLine1>2 North Lake Ave Suite 600</AddressLine1>
          <City>Pasadena</City>
          <State>CA</State>
          <ZIPCode>91101</ZIPCode>
        </AddressUS>
        <Activity>DR CONSULTA</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>18119667</GrossReceipts>
        <AmountRetainedByContractor>502195</AmountRetainedByContractor>
        <NetToOrganization>17617472</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>STRATEGIC FUNDRAISING</NameOfIndividual>
        <AddressUS>
          <AddressLine1>2625 Momentum Place</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60689</ZIPCode>
        </AddressUS>
        <Activity>TELEMARKETE</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>2260631</GrossReceipts>
        <AmountRetainedByContractor>1758350</AmountRetainedByContractor>
        <NetToOrganization>502281</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>CHANGING OUR WORLD</NameOfIndividual>
        <AddressUS>
          <AddressLine1>220 East 42nd Street 5th Floor</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10017</ZIPCode>
        </AddressUS>
        <Activity>CORP SOCIAL RESPONSIBIL</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <AmountRetainedByContractor>57358</AmountRetainedByContractor>
        <NetToOrganization>-57358</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>M R Strategic Services</NameOfIndividual>
        <AddressUS>
          <AddressLine1>1901 L Street NW 800</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
        </AddressUS>
        <Activity>email mktng partner</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>468276</GrossReceipts>
        <AmountRetainedByContractor>127828</AmountRetainedByContractor>
        <NetToOrganization>340448</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>The Pursuant Group</NameOfIndividual>
        <AddressUS>
          <AddressLine1>5151 Belt Line Rd Suite 900</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75254</ZIPCode>
        </AddressUS>
        <Activity>major gifts counsel</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>42641</GrossReceipts>
        <AmountRetainedByContractor>291861</AmountRetainedByContractor>
        <NetToOrganization>-249220</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>First Degree</NameOfIndividual>
        <AddressUS>
          <AddressLine1>4300 Tullamore Estates</AddressLine1>
          <City>Gainesville</City>
          <State>VA</State>
          <ZIPCode>20155</ZIPCode>
        </AddressUS>
        <Activity>Public Awareness</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <AmountRetainedByContractor>110031</AmountRetainedByContractor>
        <NetToOrganization>-110031</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>20891215</TotalGrossReceipts>
      <TotalRetainedByContractors>2847623</TotalRetainedByContractors>
      <TotalNetToOrganization>18043592</TotalNetToOrganization>
      <LicensedStates>AL</LicensedStates>
      <LicensedStates>AK</LicensedStates>
      <LicensedStates>AZ</LicensedStates>
      <LicensedStates>AR</LicensedStates>
      <LicensedStates>CA</LicensedStates>
      <LicensedStates>CO</LicensedStates>
      <LicensedStates>CT</LicensedStates>
      <LicensedStates>DE</LicensedStates>
      <LicensedStates>DC</LicensedStates>
      <LicensedStates>FL</LicensedStates>
      <LicensedStates>GA</LicensedStates>
      <LicensedStates>HI</LicensedStates>
      <LicensedStates>ID</LicensedStates>
      <LicensedStates>IL</LicensedStates>
      <LicensedStates>IN</LicensedStates>
      <LicensedStates>IA</LicensedStates>
      <LicensedStates>KS</LicensedStates>
      <LicensedStates>KY</LicensedStates>
      <LicensedStates>LA</LicensedStates>
      <LicensedStates>ME</LicensedStates>
      <LicensedStates>MD</LicensedStates>
      <LicensedStates>MA</LicensedStates>
      <LicensedStates>MI</LicensedStates>
      <LicensedStates>MN</LicensedStates>
      <LicensedStates>MS</LicensedStates>
      <LicensedStates>MO</LicensedStates>
      <LicensedStates>MT</LicensedStates>
      <LicensedStates>NE</LicensedStates>
      <LicensedStates>NV</LicensedStates>
      <LicensedStates>NH</LicensedStates>
      <LicensedStates>NM</LicensedStates>
      <LicensedStates>NY</LicensedStates>
      <LicensedStates>NC</LicensedStates>
      <LicensedStates>ND</LicensedStates>
      <LicensedStates>OH</LicensedStates>
      <LicensedStates>OK</LicensedStates>
      <LicensedStates>OR</LicensedStates>
      <LicensedStates>PA</LicensedStates>
      <LicensedStates>RI</LicensedStates>
      <LicensedStates>SC</LicensedStates>
      <LicensedStates>SD</LicensedStates>
      <LicensedStates>TN</LicensedStates>
      <LicensedStates>TX</LicensedStates>
      <LicensedStates>VT</LicensedStates>
      <LicensedStates>VA</LicensedStates>
      <LicensedStates>WA</LicensedStates>
      <LicensedStates>WV</LicensedStates>
      <LicensedStates>WI</LicensedStates>
      <LicensedStates>WY</LicensedStates>
      <EventsInformation>
        <NameOfEvent1>2013 la gala</NameOfEvent1>
        <GrossReceiptsEvent1>2124452</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>2061416</CharitableContributionsEvent1>
        <GrossRevenueEvent1>63036</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>23293</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>135581</FoodAndBeverageEvent1>
        <EntertainmentEvent1>8000</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>95183</OtherDirectExpensesEvent1>
        <NameOfEvent2>2013 ny smile</NameOfEvent2>
        <GrossReceiptsEvent2>706936</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>630421</CharitableContributionsEvent2>
        <GrossRevenueEvent2>76515</GrossRevenueEvent2>
        <FoodAndBeverageEvent2>159285</FoodAndBeverageEvent2>
        <EntertainmentEvent2>7500</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>204661</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>25</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>1847813</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>1608623</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>239190</GrossRevenueOtherEvents>
        <RentFacilityCostsOtherEvents>136368</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>177599</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>39127</EntertainmentOtherEvents>
        <OtherDirectExpensesOtherEvents>110047</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>4679201</GrossReceiptsTotal>
        <CharitableContributionsTotal>4300460</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>378741</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>159661</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>472465</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>54627</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>409891</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>1096644</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-717903</NetIncomeSummary>
      </EventsInformation>
      <Form990ScheduleGPartIV>
        <Identifier>PART I - FUNDRAISING</Identifier>
        <Explanation>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 FEES, CREATIVE SERVICES, TV PRODUCTION, MEDIA BUYING/SYNDICATION, AND PRINTING, BUYING AND MAILING. 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 $13,647,719 OF WHICH $502,195 REPRESENTED PROFESSIONAL FUNDRAISING FEES.</Explanation>
      </Form990ScheduleGPartIV>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHILDREN'S HOSPITAL OF WISCONSIN</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>532011997</ZIPCode>
        </AddressUS>
        <EINOfRecipient>390812532</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>56595</AmountOfCashGrant>
        <PurposeOfGrant>reducing barriers to care</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF IOWA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>B5 Jessop Hall</AddressLine1>
          <City>Iowa City</City>
          <State>IA</State>
          <ZIPCode>52242</ZIPCode>
        </AddressUS>
        <EINOfRecipient>426004813</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>27932</AmountOfCashGrant>
        <PurposeOfGrant>Reducing Barriers to Care</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF VIRGINIA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 400195</AddressLine1>
          <City>Charlottesville</City>
          <State>VA</State>
          <ZIPCode>229044195</ZIPCode>
        </AddressUS>
        <EINOfRecipient>546001796</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>81249</AmountOfCashGrant>
        <PurposeOfGrant>Reducing Barriers to Care</PurposeOfGrant>
      </RecipientTable>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>OPERATION SMILE, INC. MAKES GRANTS TO DOMESTIC ORGANIZATIONS THAT ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS 501(C)(3) ORGANIZATIONS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>William P Magee JrDDSMD</NamePerson>
        <Title>EXEC CHAIRMAN &amp; DIRECTOR</Title>
        <BaseCompensationFilingOrg>350000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5685</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>22500</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>1919</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kyla Shawyer</NamePerson>
        <Title>COO</Title>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18495</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Howard Unger</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>250000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>62500</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>7629</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20813</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5011</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>283453</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>62500</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kristie Magee Porcaro</NamePerson>
        <Title>SVP, Strategic Pships &amp; Devel</Title>
        <BaseCompensationFilingOrg>133055</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11975</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5383</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>150413</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TERESA KRAUS</NamePerson>
        <Title>SENIOR VP FINANCE</Title>
        <BaseCompensationFilingOrg>136458</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12281</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5011</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>153750</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>FIRST CLASS TRAVEL</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>OPERATION SMILE, INC. POLICY ALLOWS FOR UPGRADES TO BUSINESS OR FIRST CLASS AIR TRAVEL IN LIMITED CIRCUMSTANCES FOR CEO, PRESIDENT, COO, CMO, BOARD OF DIRECTOR'S CHAIRMAN, EXECUTIVE CHAIRMAN AND BOARD OF DIRECTOR'S PRESIDENT. 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JAMES FOX</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SON OF CHAIRMAN</Relationship>
        <AmountOfTransaction>45469</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KRISTI MAGEE PORCARO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF EXEC CHAIR</Relationship>
        <AmountOfTransaction>152445</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SUZANNE UNGER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF CEO</Relationship>
        <AmountOfTransaction>25696</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>19</NumberOfContributions>
        <NoncashContribsRptdF990>47651</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>73</NumberOfContributions>
        <NoncashContribsRptdF990>2228823</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>OPERATION SMILE IS A CHILDREN'S MEDICAL CHARITY THAT HAS A PRESENCE IN MORE THAN 60 COUNTRIES TO PROVIDE FREE, SAFE TREATMENT AND SURGERY FOR THOSE WHO SUFFER FROM FACIAL DEFORMITIES SUCH AS CLEFT LIPS AND CLEFT PALATES. THE ORGANIZATION WORKS TO BUILD SELF-SUFFICIENCY AND SUSTAINABLE HEALTHCARE INFRASTRUCTURES IN OUR PARTNER COUNTRIES. TO DO THIS, OPERATION SMILE TRAINS LOCAL DOCTORS TO TREAT CHILDREN IN THEIR OWN COMMUNITIES, DONATES CRUCIAL MEDICAL EQUIPMENT AND SUPPLIES, BUILDS PUBLIC-PRIVATE PARTNERSHIPS, AND CREATES IN-COUNTRY FOUNDATIONS TO INCREASE CAPACITY. OPERATION SMILE IS COMMITTED TO RAISING PUBLIC AWARENESS, EDUCATING, AND SERVING AS AN ADVOCATE FOR CHILDREN BORN WITH CLEFT LIP AND CLEFT PALATE. THROUGH PARTNERSHIPS, OPERATION SMILE IS CONDUCTING RESEARCH TO ULTIMATELY HELP PREVENT THE INCIDENCE OF CLEFTS BY IDENTIFYING THE CAUSES OF CLEFTING. BY INSPIRING ACTION AND LEADERSHIP, THE ORGANIZATION HAS MOBILIZED MORE THAN 5,400 MEDICAL VOLUNTEERS IN MORE THAN 80 COUNTRIES AND MORE THAN 900 STUDENT CLUBS AND ASSOCIATIONS AROUND THE WORLD. OPERATION SMILE ALSO EDUCATES AND ENCOURAGES COMMUNITIES TO SPREAD AWARENESS AND STRENGTHEN UNDERSTANDING ABOUT CLEFT CONDITIONS AND POSSIBLE CAUSES OF CLEFTING. OFFICER RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>990 REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A AND B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT AVAILABILITY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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 WWW2.GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>STATEMENT OF FUNCTIONAL EXPENSES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 26, JOINT COSTS</ReturnReference>
        <Explanation>OPERATION SMILE COMPLETED A LINE COUNT OF DIRECT MAIL PIECES FROM THE CURRENT YEAR. THE PERCENTAGE THAT RELATED TO EDUCATION AND MANAGEMENT AND GENERAL EXPENSES WAS APPLIED TO THE COST OF THE DIRECT MAIL PIECE TO DETERMINE THE RELATED DOLLAR VALUE.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OS HQ LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3641 Faculty Blvd</AddressLine1>
          <City>virginia beach</City>
          <State>VA</State>
          <ZIPCode>23453</ZIPCode>
        </AddressUS>
        <EIN>541460147</EIN>
        <PrimaryActivities>GLOBAL HQ</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <TotalIncome>2606503</TotalIncome>
        <EOYAssets>26850662</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>OPERATION SM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>STOP CLEFT - INTERNATIONAL ALLIANCE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4705 Columbus St Suite 300</AddressLine1>
          <City>Virginia Beach</City>
          <State>VA</State>
          <ZIPCode>23462</ZIPCode>
        </AddressUS>
        <EIN>541639160</EIN>
        <PrimaryActivities>LT SUPPORT</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>