Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 82,795,125 | 87,584,600 | 79,832,191 | 79,765,267 | 92,042,568 | 422,019,751 |
| 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 | 82,795,125 | 87,584,600 | 79,832,191 | 79,765,267 | 92,042,568 | 422,019,751 |
| 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).. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 422,019,751 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 82,795,125 | 87,584,600 | 79,832,191 | 79,765,267 | 92,042,568 | 422,019,751 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 8,073,246 | 10,330,417 | 7,203,224 | 7,099,614 | 6,808,633 | 39,515,134 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 37,227 | 5,940 | 169,420 | 957,759 | 74,522 | 1,244,868 |
| 11 | Total support. Add lines 7 through 10 | 462,779,753 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
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| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
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| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| 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) ======== |
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