TY 2019 Form 990 Schedule O

Instrumentl eFile RenderObject ID: 202121349349302512 - Rendered 2024-05-04 TIN: 13-3661416

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

Smile Train Inc

Employer identification number

13-3661416

Return Reference	Explanation
general statement regarding the covid-19 pandemic	The COVID-19 pandemic, whose effects first became known in January 2020, is having a broad and negative impact on commerce and financial markets around the world. The extent of the impact of COVID-19 on Smile Trains operational and financial performance will depend on certain developments, including the duration and spread of the outbreak and its impact on Smile Trains donors, treatment partners and vendors, all of which at present, cannot be determined. Accordingly, the extent to which COVID-19 may impact Smile Trains Combined financial position and combined changes in net assets and cash flows is uncertain. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION (CONT'D.) Smile Train's mission is to: 1. Ensure access to safe, high-quality Comprehensive Cleft Care through a proven sustainable partnership model. 2. Strengthen local health systems through investment, resources, and building the capacity of local medical professionals. 3. Drive innovation by leveraging technology and research to transform global cleft care. 4. Foster a global cleft community through awareness and education to reduce stigma and ensure acceptance of people with clefts. Smile Train advances a sustainable solution and scalable global health model for cleft treatment, drastically improving childrens lives, including their ability to eat, breathe, speak and, ultimately, thrive. We use the "teach a man to fish" model, focusing on empowering local medical professionals to provide cleft treatment to children in their own communities. We support education and training for a variety of cleft care professionals, who then go on to train others, creating a long-term, sustainable system. As a result of our efficiency and the support of donors and partners around the world, Smile Train has transformed the lives of more than 1.5 million children by giving them the power of a smile. FORM 990, PART III - PROGRAM SERVICE, LINE 4A (CONT'D.) Free medical equipment support - Many of our partners around the world lack access to fully-equipped operating rooms. They lack essential equipment or struggle to work with old and/or inadequate equipment. Smile Train provides financial support to ensure partners have crucial surgical and anesthesia equipment including pulse oximeters, anesthesia machines and high-quality surgical instruments. With this support, all partners are enabled to meet Smile Trains high standards of safety and quality for the patients we serve. Free comprehensive cleft care - Often, children with clefts needs more than just surgery, such as nutrition support, orthodontic care, and speech therapy. We train and empower local providers to offer comprehensive cleft care and provide grants for nutritional counseling and food, speech therapy sessions, orthodontic treatment and much more. Financial aid for patients - Some of our patients do not have the funds they need to get to the hospital or to travel home after surgery. Other families need food and lodging while their child is receiving care. We have special programs that provide small stipends for patients and families in need to ensure they can access cleft care safely and without additional stress or being driven into poverty. These expenses exclude $28,193,087 in donated time and services from doctors, nurses, anesthesiologists, organizations, companies, other medical professionals and medical facilities and supplies. FORM 990, PART III - PROGRAM SERVICE, LINE 4B (CONT'D.) For thousands of people all over the world, Smile Train is a resource for information about clefts and access to safe, quality cleft care. Through direct mail, websites, newspapers, radio, TV, public service announcements, documentaries, public relations, social media, etc., we raise public awareness about clefts in many countries around the world, including the United States. FORM 990, PART III - PROGRAM SERVICE, LINE 4C (CONT'D.) Smile Train supports hands-on and workshop-based training opportunities to improve the skill level of cleft care professionals around the globe. Recent initiatives have focused on supporting training programs for nutritionists, speech therapy providers, perioperative nurses, and anesthesiologists, including Smile Train's Safe Nursing Care Saves Lives program in Africa, which has now been scaled and implemented for Smile Train partners around the world. Smile Train is innovative in its approach to provide quality training to medical professionals worldwide. In low- and middle-income countries, surgeons often do not have access to mentorship and training around the latest techniques and updated protocols for cleft surgery. Smile Train has distributed free virtual surgery training materials to 40,000+ medical professionals in 149 countries around the world. Smile Train has also taken this technology to the next level through the launch of the first open-access, web-based, interactive Virtual Surgery Simulator (VSS) and the newly launched mobile Virtual Surgery Simulator, which features unprecedented offline capabilities. These tools supplement hands-on clinical training for surgeons in remote and limited-resource settings. Smile Train has also recently taken on operations of Simulare Medical, a leading developer of hyper-realistic, hands-on surgical simulators that are considered among the top cleft surgery simulators in the world. This innovative tool will provide Smile Train partners and cleft care professionals around the world with greater access to safe, high-quality training, particularly in regions with limited resources. Smile Train has leveraged innovation and technology to change the course of medical education while also improving the lives of babies born with clefts in low- and middle-income countries.
Form 990, part VI, line 11	the form 990 was prepared by an international accounting firm in conjunction with the organization's financial department. A copy of the form 990 was reviewed by the audit committee of the board of directors and the form 990 was distributed to all active board members before filing.
Form 990, Part VI, Line 12c	Each officer, director, trustee and key employee of the organization is required to annually disclose any conflicts of interest that arise by virtue of employment, board service, or position with the organization. The organization monitors compliance with its conflict of interest policy through an annual questionnaire/disclosure statement that is distributed to these individuals. Also, when new directors or staff join the charity, they are required to complete the questionnaire. Potential conflicts are investigated immediately. Completed questionnaires are available for inspection by any board member and may be reviewed by the organization's legal counsel. The senior management monitor new contracts and invoice payments to ascertain that these policies are adhered to.
Form 990 Part VI, Line 15a	The board of directors periodically utilizes the services of independent compensation consultants to provide comparative data and opine on the reasonableness of the executive director's and other employees' compensation as well as top executives. All compensation decisions must be approved by Smile Train's compensation committee and all decisions are memorialized in committee meeting minutes. Smile Train last commissioned a compensation study in calendar year 2019; the organization is currently revisiting the need to secure a compensation study in either 2021 or 2022.
Form 990, Part VI, Line 15b	The compensation of all employees is proposed by the department heads and approved by the compensation committee of the board of directors. The compensation committee of the board of directors also uses comparative compensation data from outside sources. Periodically, an outside compensation consultant is retained to opine on the reasonableness of the compensation of the highest paid executives, including the top 5 highest paid compared to a selected peer group of charitable organizations. All compensation decisions must be approved by Smile Train's compensation committee and all decisions are memorialized in committee meeting minutes.
Form 990, Part VI, Line 19	The organization makes its form 990 available to the public by retaining a copy at its place of business. The form 990 is also published on the internet at www.guidestar.org and on the organization's website. The organization's financial statements are posted on its website (www.smiletrain.org). Copies of documents are also provided to the public at the organization's headquarters in New York City upon request.
Form 990, Part XI, Line 9	Other Changes in Net Assets Foreign Exchange Currency loss $(31,830) Rescinded/Refunded grants $14,730 -------- TOTAL...................................... $(17,100) ========

Return Reference

Explanation

general statement regarding the covid-19 pandemic

The COVID-19 pandemic, whose effects first became known in January 2020, is having a broad and negative impact on commerce and financial markets around the world. The extent of the impact of COVID-19 on Smile Trains operational and financial performance will depend on certain developments, including the duration and spread of the outbreak and its impact on Smile Trains donors, treatment partners and vendors, all of which at present, cannot be determined. Accordingly, the extent to which COVID-19 may impact Smile Trains Combined financial position and combined changes in net assets and cash flows is uncertain. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION (CONT'D.) Smile Train's mission is to: 1. Ensure access to safe, high-quality Comprehensive Cleft Care through a proven sustainable partnership model. 2. Strengthen local health systems through investment, resources, and building the capacity of local medical professionals. 3. Drive innovation by leveraging technology and research to transform global cleft care. 4. Foster a global cleft community through awareness and education to reduce stigma and ensure acceptance of people with clefts. Smile Train advances a sustainable solution and scalable global health model for cleft treatment, drastically improving childrens lives, including their ability to eat, breathe, speak and, ultimately, thrive. We use the "teach a man to fish" model, focusing on empowering local medical professionals to provide cleft treatment to children in their own communities. We support education and training for a variety of cleft care professionals, who then go on to train others, creating a long-term, sustainable system. As a result of our efficiency and the support of donors and partners around the world, Smile Train has transformed the lives of more than 1.5 million children by giving them the power of a smile. FORM 990, PART III - PROGRAM SERVICE, LINE 4A (CONT'D.) Free medical equipment support - Many of our partners around the world lack access to fully-equipped operating rooms. They lack essential equipment or struggle to work with old and/or inadequate equipment. Smile Train provides financial support to ensure partners have crucial surgical and anesthesia equipment including pulse oximeters, anesthesia machines and high-quality surgical instruments. With this support, all partners are enabled to meet Smile Trains high standards of safety and quality for the patients we serve. Free comprehensive cleft care - Often, children with clefts needs more than just surgery, such as nutrition support, orthodontic care, and speech therapy. We train and empower local providers to offer comprehensive cleft care and provide grants for nutritional counseling and food, speech therapy sessions, orthodontic treatment and much more. Financial aid for patients - Some of our patients do not have the funds they need to get to the hospital or to travel home after surgery. Other families need food and lodging while their child is receiving care. We have special programs that provide small stipends for patients and families in need to ensure they can access cleft care safely and without additional stress or being driven into poverty. These expenses exclude $28,193,087 in donated time and services from doctors, nurses, anesthesiologists, organizations, companies, other medical professionals and medical facilities and supplies. FORM 990, PART III - PROGRAM SERVICE, LINE 4B (CONT'D.) For thousands of people all over the world, Smile Train is a resource for information about clefts and access to safe, quality cleft care. Through direct mail, websites, newspapers, radio, TV, public service announcements, documentaries, public relations, social media, etc., we raise public awareness about clefts in many countries around the world, including the United States. FORM 990, PART III - PROGRAM SERVICE, LINE 4C (CONT'D.) Smile Train supports hands-on and workshop-based training opportunities to improve the skill level of cleft care professionals around the globe. Recent initiatives have focused on supporting training programs for nutritionists, speech therapy providers, perioperative nurses, and anesthesiologists, including Smile Train's Safe Nursing Care Saves Lives program in Africa, which has now been scaled and implemented for Smile Train partners around the world. Smile Train is innovative in its approach to provide quality training to medical professionals worldwide. In low- and middle-income countries, surgeons often do not have access to mentorship and training around the latest techniques and updated protocols for cleft surgery. Smile Train has distributed free virtual surgery training materials to 40,000+ medical professionals in 149 countries around the world. Smile Train has also taken this technology to the next level through the launch of the first open-access, web-based, interactive Virtual Surgery Simulator (VSS) and the newly launched mobile Virtual Surgery Simulator, which features unprecedented offline capabilities. These tools supplement hands-on clinical training for surgeons in remote and limited-resource settings. Smile Train has also recently taken on operations of Simulare Medical, a leading developer of hyper-realistic, hands-on surgical simulators that are considered among the top cleft surgery simulators in the world. This innovative tool will provide Smile Train partners and cleft care professionals around the world with greater access to safe, high-quality training, particularly in regions with limited resources. Smile Train has leveraged innovation and technology to change the course of medical education while also improving the lives of babies born with clefts in low- and middle-income countries.

Form 990, part VI, line 11

the form 990 was prepared by an international accounting firm in conjunction with the organization's financial department. A copy of the form 990 was reviewed by the audit committee of the board of directors and the form 990 was distributed to all active board members before filing.

Form 990, Part VI, Line 12c

Each officer, director, trustee and key employee of the organization is required to annually disclose any conflicts of interest that arise by virtue of employment, board service, or position with the organization. The organization monitors compliance with its conflict of interest policy through an annual questionnaire/disclosure statement that is distributed to these individuals. Also, when new directors or staff join the charity, they are required to complete the questionnaire. Potential conflicts are investigated immediately. Completed questionnaires are available for inspection by any board member and may be reviewed by the organization's legal counsel. The senior management monitor new contracts and invoice payments to ascertain that these policies are adhered to.

Form 990 Part VI, Line 15a

The board of directors periodically utilizes the services of independent compensation consultants to provide comparative data and opine on the reasonableness of the executive director's and other employees' compensation as well as top executives. All compensation decisions must be approved by Smile Train's compensation committee and all decisions are memorialized in committee meeting minutes. Smile Train last commissioned a compensation study in calendar year 2019; the organization is currently revisiting the need to secure a compensation study in either 2021 or 2022.

Form 990, Part VI, Line 15b

The compensation of all employees is proposed by the department heads and approved by the compensation committee of the board of directors. The compensation committee of the board of directors also uses comparative compensation data from outside sources. Periodically, an outside compensation consultant is retained to opine on the reasonableness of the compensation of the highest paid executives, including the top 5 highest paid compared to a selected peer group of charitable organizations. All compensation decisions must be approved by Smile Train's compensation committee and all decisions are memorialized in committee meeting minutes.

Form 990, Part VI, Line 19

The organization makes its form 990 available to the public by retaining a copy at its place of business. The form 990 is also published on the internet at www.guidestar.org and on the organization's website. The organization's financial statements are posted on its website (www.smiletrain.org). Copies of documents are also provided to the public at the organization's headquarters in New York City upon request.

Form 990, Part XI, Line 9

Other Changes in Net Assets Foreign Exchange Currency loss $(31,830) Rescinded/Refunded grants $14,730 -------- TOTAL...................................... $(17,100) ========

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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