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      <ActivityOrMissionDescription>OPERATION SMILE SAVES LIVES BY GIVING FREE SURGERY AND RELATED CARE TO CHILDREN WITH CLEFTS, CREATES SUSTAINABILITY IN DEVELOPING COUNTRIES BY TRAINING LOCAL MEDICAL PROFESSIONALS, AND EDUCATES THE PUBLIC.</ActivityOrMissionDescription>
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      <Description>MEDICAL MISSIONS AND TREATMENT Operation Smile provides free, safe reconstructive surgery for children and young 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 21 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 comprehensive healthcare evaluations and 200,000 surgeries. In the last fiscal year, Operation Smile hosted 167 surgical programs in 122 sites around the world - including 30 new surgical sites in some of the poorest regions of the world - and provided 18,668 free surgeries for children and young adults, as well as 370,520 comprehensive healthcare evaluations. Nearly 66% of those surgeries were performed by in-country local medical volunteers. The organization also conducted over 21,114 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 300,000 hours of free care for Operation Smile's patients. At our Comprehensive Care Centers, over 114,000 healthcare evaluations were conducted last fiscal year, and 30% 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 worked with and provided guidance for 85 U.S. Care Network cases. In addition, Operation Smile provided free surgeries for 7 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's Burns division helps patients suffering from burn injuries, who endure many hardships functionally and psychologically. This past year Operation Smile hosted two burn missions, one in Vietnam and one in India as well as responded to a burn tragedy in Kenya, all of which gave patients mobility and new lives.</Description>
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        <Description>EDUCATION AND SUSTAINABILITY 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. Since becoming an International Training Organization (ITO) of the AHA, Operation Smile has awarded 15,851 AHA Life Support certifications in total. When surveyed, 85% of the life support participants reported that they had saved a life with the skills they learned through this training. 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 2012, over 500 students from 20 different countries traveled to Washington, D.C. where they gained a better understanding of global cultures and developed their skills as future philanthropic leaders.</Description>
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      <GrantsToOrgsOutsideUS>
        <Region>Europe/Iceland/Greenland</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>7005</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Europe</Region>
        <PurposeOfGrant>CAPACITY BUILDING</PurposeOfGrant>
        <AmountOfCashGrant>574597</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Europe/Iceland/Greenland</Region>
        <AmountOfCashGrant>12131</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Middle East/North Africa</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>18307</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Middle East/North Africa</Region>
        <AmountOfCashGrant>97739</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Middle East/North Africa</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>58083</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>North America</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>36309</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>North America</Region>
        <PurposeOfGrant>CAPACITY BUILDING</PurposeOfGrant>
        <AmountOfCashGrant>3168104</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>North America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>23840</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>8225</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>22993</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <AmountOfCashGrant>217431</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <AmountOfCashGrant>259814</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>20098</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>27692</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>42781</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>11964</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>42411</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South Asia</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>9870</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South Asia</Region>
        <AmountOfCashGrant>837290</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <PurposeOfGrant>MISSION</PurposeOfGrant>
        <AmountOfCashGrant>18000</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>6708</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <AmountOfCashGrant>64754</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <PurposeOfGrant>PROGRAMS</PurposeOfGrant>
        <AmountOfCashGrant>148485</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <TotalNumberOf501c3Orgs>27</TotalNumberOf501c3Orgs>
      <TotalNumberOfOtherOrgs>19</TotalNumberOfOtherOrgs>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>MED CARE/THERAPY TO CHILDREN W/FACIAL DEFORMITIES</TypeOfAssistance>
        <Region>Cent. America/Caribbean</Region>
        <NumberOfRecipients>3</NumberOfRecipients>
        <AmountOfCashGrant>113640</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>NONE</DescriptionOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>MED CARE/THERAPY TO CHILDREN W/FACIAL DEFORMITIES</TypeOfAssistance>
        <Region>East Asia/Pacific</Region>
        <NumberOfRecipients>4</NumberOfRecipients>
        <AmountOfCashGrant>91554</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>NONE</DescriptionOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>MED CARE/THERAPY TO CHILDREN W/FACIAL DEFORMITIES</TypeOfAssistance>
        <Region>Middle East/North Africa</Region>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>49999</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>NONE</DescriptionOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>MED CARE/THERAPY TO CHILDREN W/FACIAL DEFORMITIES</TypeOfAssistance>
        <Region>Russia</Region>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>16880</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>NONE</DescriptionOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>MED CARE/THERAPY TO CHILDREN W/FACIAL DEFORMITIES</TypeOfAssistance>
        <Region>South America</Region>
        <NumberOfRecipients>3</NumberOfRecipients>
        <AmountOfCashGrant>134924</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>NONE</DescriptionOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>MED CARE/THERAPY TO CHILDREN W/FACIAL DEFORMITIES</TypeOfAssistance>
        <Region>South Asia</Region>
        <NumberOfRecipients>2</NumberOfRecipients>
        <AmountOfCashGrant>17000</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>NONE</DescriptionOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>MED CARE/THERAPY TO CHILDREN W/FACIAL DEFORMITIES</TypeOfAssistance>
        <Region>Sub-Saharan Africa</Region>
        <NumberOfRecipients>3</NumberOfRecipients>
        <AmountOfCashGrant>109080</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>NONE</DescriptionOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>FELLOWSHIP</TypeOfAssistance>
        <Region>East Asia/Pacific</Region>
        <NumberOfRecipients>4</NumberOfRecipients>
        <AmountOfCashGrant>17000</AmountOfCashGrant>
        <MannerOfCashDisbursement>WIRE</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>NONE</DescriptionOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
      </GrantsToIndOutsideUS>
      <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 COMPANY</NameOfIndividual>
        <AddressUS>
          <AddressLine1>14384 COLLECTIONS CENTER DRIVE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60693</ZIPCode>
        </AddressUS>
        <Activity>DR CONSULTA</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>20623155</GrossReceipts>
        <AmountRetainedByContractor>440000</AmountRetainedByContractor>
        <NetToOrganization>20183155</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>STRATEGIC FUNDRAISING</NameOfIndividual>
        <AddressUS>
          <AddressLine1>2625 MOMENTUM PLACE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60693</ZIPCode>
        </AddressUS>
        <Activity>TELEMARKETE</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>2183099</GrossReceipts>
        <AmountRetainedByContractor>1687682</AmountRetainedByContractor>
        <NetToOrganization>495417</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>CHANGING OUR WORLD</NameOfIndividual>
        <AddressUS>
          <AddressLine1>220 EAST 42ND STREET</AddressLine1>
          <AddressLine2>5TH FLOOR</AddressLine2>
          <City>ST PAUL</City>
          <State>NY</State>
          <ZIPCode>10017</ZIPCode>
        </AddressUS>
        <Activity>CORP SOCIAL RESPONSIBIL</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>0</GrossReceipts>
        <AmountRetainedByContractor>5000</AmountRetainedByContractor>
        <NetToOrganization>-5000</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>FIRST DEGREE</NameOfIndividual>
        <AddressUS>
          <AddressLine1>4300 TULLAMORE ESTATES ROAD</AddressLine1>
          <City>GAINESVILLE</City>
          <State>VA</State>
          <ZIPCode>20155</ZIPCode>
        </AddressUS>
        <Activity>PUBLIC AWARENESS</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>0</GrossReceipts>
        <AmountRetainedByContractor>30000</AmountRetainedByContractor>
        <NetToOrganization>-30000</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>22806254</TotalGrossReceipts>
      <TotalRetainedByContractors>2162682</TotalRetainedByContractors>
      <TotalNetToOrganization>20643572</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>NJ</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>2011 LA GALA</NameOfEvent1>
        <GrossReceiptsEvent1>1067569</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>988169</CharitableContributionsEvent1>
        <GrossRevenueEvent1>79400</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>11651</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>113986</FoodAndBeverageEvent1>
        <EntertainmentEvent1>2925</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>93024</OtherDirectExpensesEvent1>
        <NameOfEvent2>2011 NY SMILE</NameOfEvent2>
        <GrossReceiptsEvent2>859199</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>790855</CharitableContributionsEvent2>
        <GrossRevenueEvent2>68344</GrossRevenueEvent2>
        <RentFacilityCostsEvent2>0</RentFacilityCostsEvent2>
        <FoodAndBeverageEvent2>155128</FoodAndBeverageEvent2>
        <EntertainmentEvent2>0</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>154627</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>24</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>1769292</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>1618216</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>151076</GrossRevenueOtherEvents>
        <RentFacilityCostsOtherEvents>16729</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>160505</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>16745</EntertainmentOtherEvents>
        <OtherDirectExpensesOtherEvents>191973</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>3696060</GrossReceiptsTotal>
        <CharitableContributionsTotal>3397240</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>298820</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>28380</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>429619</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>19670</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>439624</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>917293</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-618473</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 $14,787,128 OF WHICH $440,000 REPRESENTED PROFESSIONAL FUNDRAISING FEES. OPERATION SMILE HAS AN AGREEMENT WITH STRATEGIC FUNDRAISING TO DEVELOP, PLAN, AND CONDUCT A SERIES OF OUTBOUND TELEFUNDRAISING CAMPAIGNS AND DONOR DEVELOPMENT FOR EXISTING DONOR CULTIVATION, DONOR ACQUISITION AND LAPSED DONOR REACTIVATION. CHARGES FOR FUNDRAISING AND INFORMATION MANAGEMENT ARE BASED ON A FEE SCHEDULE BASED ON NUMBER OF CALLS, ACKNOWLEDGEMENTS, AND COMPREHENSIVE HOUSE FILE ANALYSIS. PAYMENTS TO STRATEGIC FUNDING IN THE TAX YEAR TOTALLED $1,687,682, OF WHICH $1,687,682 REPRESENTED PROFESSIONAL FUNDRAISING FEES. OPERATION SMILE HAS AN AGREEMENT WITH CHANGING OUR WORLD TO SECURE PARTICIPATION IN CORPORATE SOCIAL RESPONSIBILITY (CSR) PROGRAMS WITH CORPORATE, INSTITUTIONAL AND FAMILY FOUNDATION PROSPECTS. THROUGH THIS OUTREACH, REPRESENTATIVES OF CHANGING OUR WORLD PROVIDE EDUCATION AND AWARENESS FOR OPERATION SMILES GOAL TO PROVIDE SAFE SURGICAL CARE FOR CLEFT LIPS AND CLEFT PALATES AND ADDITIONALLY, FOR ITS WORK IN SUPPORTING MATERNAL HEALTH AND CHILD NUTRITION ISSUES IN DEVELOPING COUNTRIES. PAYMENTS TO CHANGING OUR WORLD ARE BASED ON A FLAT CONTRACTED FEE WITH $5,000 PAID IN THE TAX YEAR. THIS PROGRAM BEGAN AT THE END OF FISCAL YEAR ENDED 6/30/2012. OPERATION SMILE HAS AN AGREEMENT WITH FIRST DEGREE TO DEVELOP, PLAN AND EXECUTE BROAD-BASED PUBLIC AWARENESS AND FUNDRAISING CAMPAIGNS THROUGH CORPORATE FUNDED PARTNERSHIPS. THESE SERVICES INCLUDE OUTREACH AND EDUCATION ON THE GLOBAL IMPACT OF CLEFTING AND OPERATION SMILE'S MISSION AND SERVICES TO KEY LEADERS WITHIN CORPORATIONS, MEDIA COMPANIES, ASSOCIATIONS AND FOUNDATIONS. PAYMENTS TO FIRST DEGREE IN THE TAX YEAR WERE BASED ON A SERVICE RETAINER FEE SCHEDULE AND TOTALED $30,000. THIS PROGRAM BEGAN AT THE END OF FISCAL YEAR ENDED 6/30/2012.</Explanation>
      </Form990ScheduleGPartIV>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NORTH CAROLINA BAPTIST HOSPITAL MEDICAL CENTER BLV</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>MEDICAL CENTER BLVD</AddressLine1>
          <City>WINSTON SALEM</City>
          <State>NC</State>
          <ZIPCode>27157</ZIPCode>
        </AddressUS>
        <EINOfRecipient>560552787</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>6589</AmountOfCashGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <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">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <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>
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        <NamePerson>William P Magee JrDDSMD</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Howard Unger</NamePerson>
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        <CompBasedOnRelatedOrgs>71875</CompBasedOnRelatedOrgs>
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      <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>34038</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SARAH FOX</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF CHAIRMAN</Relationship>
        <AmountOfTransaction>30033</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KRISTI MAGEE PORCARO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF EXEC CHAIR</Relationship>
        <AmountOfTransaction>130990</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SUZANNE UNGER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF CEO</Relationship>
        <AmountOfTransaction>68737</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>210347</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>9</NumberOfContributions>
        <NoncashContribsRptdF990>94600</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>51</NumberOfContributions>
        <NoncashContribsRptdF990>3089333</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MISC - TOY DONATION</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>56910</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <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 5,000 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 EXECUTIVE CHAIRMAN, 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. COMPENSATION FOR HOWARD UNGER, WHO BECAME CEO ON JULY 1, 2011, WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD.</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, 6435 TIDEWATER DRIVE, NORFOLK, VA 23509. ADDITIONALLY, FINANCIAL STATEMENTS 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>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS ATTRIBUTABLE TO UNREALIZED LOSS ON SECURITIES IN THE AMOUNT OF -$4,404</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:William P. Magee Jr.,D.D.S.M.D. TITLE:EXEC CHAIRMAN &amp; DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Kathleen S. Magee,M.S.W.,M.Ed. TITLE:President &amp; Director HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:William R. Fox TITLE:CHAIRMAN &amp; DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Howard Unger TITLE:CEO HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:TERESA KRAUS TITLE:SENIOR VP FINANCE HOURS:1</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OS HQ LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6435 TIDEWATER DRIVE</AddressLine1>
          <City>NORFOLK</City>
          <State>VA</State>
          <ZIPCode>23509</ZIPCode>
        </AddressUS>
        <EIN>541460147</EIN>
        <PrimaryActivities>GLOBAL HQ</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <TotalIncome>687</TotalIncome>
        <EOYAssets>15332420</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>OPERATION SM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>OPERATION SMILE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6435 TIDEWATER DRIVE</AddressLine1>
          <City>NORFOLK</City>
          <State>VA</State>
          <ZIPCode>23509</ZIPCode>
        </AddressUS>
        <EIN>541639160</EIN>
        <PrimaryActivities>LT SUPPORT</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A I</PublicCharityStatus>
        <DirectControllingEntityName>
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        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <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>
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