Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
WONDERWORK INC
Employer identification number
27-4159217
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
0
0
50,767
7,878,990
7,446,172
15,375,929
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
0
0
50,767
7,878,990
7,446,172
15,375,929
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
8,084,890
6
Public support. Subtract line 5 from line 4.
7,291,039
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
0
0
50,767
7,878,990
7,446,172
15,375,929
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
6
1,314
41,243
42,563
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
0
11
Total support (Add lines 7 through 10).
15,418,492
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,333,667
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
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 to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
WONDERWORK INC
Employer identification number
27-4159217
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990, PART III, LINE 1
WONDERWORK IS A NOT-FOR-PROFIT ORGANIZATION WHICH WAS FOUNDED TO PROVIDE TREATMENT, SURGERY, AND RELATED ASSISTANCE TO CHILDREN AND ADULTS IN UNDERSERVED REGIONS OF THE WORLD. WONDERWORK PROVIDES LIFE-CHANGING SUPPORT FOR ILLNESS, DISEASE, AND DISABILITY INCLUDING BUT NOT LIMITED TO BLINDNESS, CLUBFOOT, BURN CARE, HYDROCEPHALUS, AND PEDIATRIC CARDIAC SURGERY. WONDERWORK SUPPORTS OTHER MEDICAL INSTITUTIONS AND CHARITABLE ORGANIZATIONS ENGAGED IN THE PROVISION OF THESE SERVICES; AS WELL AS, EDUCATES DOCTORS AND RAISES PUBLIC AWARENESS ON NEEDED SURGICAL CARE AND RELATED TREATMENT FOR UNDERSERVED POPULATIONS WITH DISABILITIES. PROGRAM SERVICE ACTIVITIES FORM 990, PART III, LINE 3 In August 2011, WonderWork entered into an agreement to provide services to Help Me See, another not-for-profit with a similar mission, to assist them in programmatic, fundraising, and administrative efforts. In exchange for these services, WonderWork was to receive $166,667 per month. In addition, the agreement required WonderWork to transfer $2 million to Help Me See at the termination of the agreement on September 1, 2016 and provide an annual grant to Help Me See equal to the amount of largest grant WonderWork made from unrestricted funds in that year. If the agreement terminates early, the $2 million grant is required to be prorated over the contract period. Help Me See informed WonderWork of its intention to terminate the agreement. Currently, Help Me See and WonderWork are in arbitration regarding the termination clause in the agreement.
FORM 990 REVIEW
FORM 990, PART VI, LINE 11B
THE FORM 990 WAS PREPARED BY AN INTERNATIONAL ACCOUNTING FIRM AND THE FINANCE DEPARTMENT. A COPY OF THE FORM 990 WAS REVIEWED BY THE CHAIR OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS AND WAS DISTRIBUTED TO ALL BOARD MEMBERS BEFORE FILING WITH THE IRS.
CONFLICT OF INTEREST POLICY
FORM 990, PART VI, LINE 12C
EACH OFFICER, DIRECTOR AND KEY EMPLOYEE OF THE ORGANIZATION IS REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST THAT ARISE THROUGH EMPLOYMENT, BOARD SERVICE OR POSITION IN THE ORGANIZATION. THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL COMPLETION OF THE QUESTIONNAIRE AND DISCLOSURE STATEMENT THAT IS DISTRIBUTED TO THESE INDIVIDUALS. ALSO, NEW EMPLOYEES JOINING THE ORGANIZATION ARE REQUIRED TO COMPLETE THE QUESTIONNAIRE. POTENTIAL CONFLICTS OF INTEREST ARE INVESTIGATED IMMEDIATELY, AND A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN DISCUSSIONS ON ANY MATTER RELATED TO THE CONFLICT. COMPLETED QUESTIONNAIRES ARE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER AND MAY BE REVIEWED BY THE ORGANIZATION'S LEGAL COUNSEL. THE FINANCE DEPARTMENT MONITORS NEW CONTRACTS AND INVOICE PAYMENTS TO MAKE SURE THAT THE POLICY IS FOLLOWED.
PROCESS FOR DETERMINING COMPENSATION
FORM 990, PART VI, LINE 15
AN INDEPENDENT COMPENSATION COMMITTEE HAS BEEN ESTABLISHED BY THE BOARD OF DIRECTORS TO SECURE DATA FROM AND ABOUT COMPARABLE NONPROFIT ORGANIZATIONS IN OUR AREA TO BENCHMARK PAY. THE COMMITTEE WAS ESTABLISHED TO FURTHER COLLECT OTHER PUBLISHED SURVEY DATA, WHEN APPROPRIATE, OF FOR-PROFIT ORGANIZATIONS FOR SPECIFIC FUNCTIONAL COMPETENCIES SUCH AS FINANCE AND HUMAN RESOURCES. TOGETHER WITH THIS DATA FROM THE COMPARABLE LOCAL ORGANIZATIONS, DATA FROM THESE MARKET SEGMENTS ARE USED TO FORM A "MARKET COMPOSITE" TO ASSESS THE COMPETITIVENESS, FAIRNESS AND APPROPRIATENESS OF COMPENSATION PAID BY WONDERWORK TO ITS EXECUTIVES AND OTHER EMPLOYEES. WONDERWORK'S COMPENSATION STRATEGY AND IMPLEMENTATION IS ADMINISTERED BY THIS COMPENSATION COMMITTEE, WHICH WILL REPORT ITS FINDINGS TO THE BOARD OF DIRECTORS. THE BOARD, THROUGH THIS COMMITTEE, IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM FOR THE ORGANIZATION AND COORDINATING AN ANNUAL REVIEW BY AN INDEPENDENT REVIEWER (OR AN INTERNAL DETERMINATION) TO EVALUATE THE ORGANIZATION'S EXECUTIVE COMPENSATION AGAINST THE COMPETITIVE MARKET. FOLLOWING THE REVIEW OF THIS EVALUATION, THE BOARD APPROVES, FOR SELECTED KEY EXECUTIVES, BASE SALARIES AND ANNUAL INCENTIVE OPPORTUNITY ADJUSTMENTS (IF ANY), AND OBJECTIVES AND GOALS FOR THE UPCOMING YEAR. COMPENSATION REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD AND COMMITTEE MINUTES.
DOCUMENT DISCLOSURE
FORM 990, PART VI, LINE 19
THE ORGANIZATION MAKES THE FORM 990 AVAILABLE TO THE PUBLIC BY RETAINING A COPY AT ITS HEADQUARTERS IN NEW YORK CITY. THE FORM 990 IS ALSO PUBLISHED ON THE INTERNET ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATIONS FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE WEBSITE (WWW.WONDERWORK.ORG). THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.