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      <ActivityOrMissionDesc>THROUGH OUR EXPERTISE IN TREATING CLEFT LIP AND CLEFT PALATE, WE CREATE SOLUTIONS THAT DELIVER SAFE SURGERY TO PEOPLE WHERE IT'S NEEDED MOST.</ActivityOrMissionDesc>
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      <Desc>OPERATION SMILE PROVIDES FREE, SAFE RECONSTRUCTIVE SURGERY FOR CHILDREN AND ADULTS SUFFERING FROM CLEFTS. TREATMENT IS DELIVERED IN SOME OF THE MOST REMOTE REGIONS OF THE WORLD BY LOCAL AND INTERNATIONAL MEDICAL VOLUNTEERS DURING SURGICAL PROGRAMS, AS WELL AS THROUGH 31 OPERATION SMILE CENTERS THAT PROVIDED ON-GOING PATIENT CARE IN FISCAL YEAR 2019. IN ADDITION TO PROVIDING TREATMENT, OPERATION SMILE WORKS TO UNDERSTAND AND THEN ADDRESS THE BARRIERS PATIENTS FACE IN ACCESSING CARE. THE FIRST MEDICAL MISSION IN 1982 TO THE PHILIPPINES WAS THE GENESIS BY WHICH THE CO-FOUNDERS STARTED THE ORGANIZATION THAT EXISTS TODAY. OVER ITS 36 YEAR HISTORY, THE ORGANIZATION HAS PERFORMED MORE THAN 300,000 SURGICAL PROCEDURES. DURING THE FISCAL YEAR, OPERATION SMILE HOSTED 176 MEDICAL MISSIONS IN SOME OF THE POOREST REGIONS OF THE WORLD AND PROVIDED FREE SURGICAL CARE FOR 12,155 CHILDREN AND ADULTS. ON AVERAGE, 80% OF MEDICAL PROFESSIONALS VOLUNTEERING WITH OPERATION SMILE WERE FROM LOW AND MIDDLE INCOME COUNTRIES. OPERATION SMILE'S MEDICAL VOLUNTEERS PROVIDED APPROXIMATELY 414,762 HOURS OF FREE CARE FOR OPERATION SMILE'S PATIENTS. AT OUR CENTERS, OVER 125,061 SPECIALTY CONSULTATIONS WERE CONDUCTED AND 19% OF PATIENTS OPERATED ON RECEIVED THEIR SURGERY AT ONE OF THESE CENTERS. EXAMPLES OF ADDITIONAL SERVICES OFFERED AT CENTERS INCLUDE: POST-OPERATIVE CARE, COUNSELING, SPEECH THERAPY, DENTISTRY, ORTHODONTICS, NUTRITION AS WELL AS ONGOING TRAINING AND EDUCATION. OPERATION SMILE'S U.S. CARE NETWORK IS A REFERRAL SERVICE AVAILABLE TO FAMILIES SEEKING CARE FOR CHILDREN WITH CLEFT DEFORMITIES IN THE UNITED STATES. DURING THE FISCAL YEAR, THE U.S. CARE NETWORK RESPONDED TO 138 PEOPLE REQUESTING ASSISTANCE. THREE CHILDREN, WHOSE DEFORMITIES WERE TOO SEVERE AND COMPLEX TO BE CARED FOR DURING AN OPERATION SMILE MISSION, RECEIVED TREATMENT THROUGH OUR WORLD CARE PROGRAM. FINALLY, OPERATION SMILE PROVIDES A SIGNIFICANT NUMBER OF DENTAL SERVICES TO PATIENTS, IN ORDER TO ENSURE COMPREHENSIVE ORAL CARE. THIRTEEN DENTAL MISSIONS WERE HELD AND OVER 45,527 DENTAL PROCEDURES PERFORMED DURING THE MISSIONS AND AT CENTERS. OPERATION SMILE CONTINUALLY ADVANCES OUR 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 CHILDREN WHO ARE BORN EVERY DAY WITH THIS TRAGIC FACIAL DEFORMITY. LASTLY, 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 AS ONE GLOBAL OPERATION SMILE TEAM.</Desc>
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        <Desc>OPERATION SMILE IS DEDICATED TO RAISING AWARENESS ABOUT THE SIGNIFICANT AND OFTEN DEBILITATING ISSUE OF CLEFT LIP AND PALATE. THE ORGANIZATION PROVIDES COMPREHENSIVE CARE PROGRAMS FOR PATIENTS AND SEEKS TO BUILD SUSTAINABLE SURGICAL CAPACITY IN LOWER AND MIDDLE-INCOMES COUNTRIES. THESE PROGRAMS INCLUDE SUBSTANTIAL RESEARCH AND INNOVATION EFFORTS DIRECTED TOWARDS DISCOVERY OF CAUSAL FACTORS TO ULTIMATELY REDUCE THE INCIDENCE OF THE CONDITION. FURTHER, PROGRAMS TARGET DEVELOPMENT OF BETTER HEALTHCARE PROCESSES AND TECHNOLOGIES SPECIFICALLY DESIGNED FOR RESOURCE-CONSTRAINED ENVIRONMENTS TO SUPPORT AFFORDABLE AND SAFE SURGICAL CARE. THESE EFFORTS ARE ALIGNED WITH GLOBAL HEALTH PRIORITIES AROUND SAFE SURGERY AND ARE CONDUCTED VIA PARTNERSHIPS WITH LEADING MEDICAL INSTITUTIONS AND OTHER NONPROFIT ORGANIZATIONS AROUND THE WORLD. A PRIMARY COMPONENT OF OPERATION SMILES PROGRAMMATIC PORTFOLIO INCLUDES LEARNING OPPORTUNITIES FOR HEALTHCARE PROVIDERS IN LOW- AND MIDDLE-INCOME COUNTRIES. THESE EDUCATIONAL PROGRAMS ARE DESIGNED TO AMPLIFY AND STRENGTHEN THE SKILLSETS OF CLINICIANS, THEREBY INCREASING THE CAPACITY OF LOCAL HEALTH SYSTEMS TO OFFER SAFE SURGICAL CARE. HEALTHCARE PROFESSIONALS FROM DEVELOPING COUNTRIES RECEIVE EVIDENCE BASED EDUCATION, HANDS ON TRAINING AND MENTORING THROUGH 33 ESTABLISHED CARE CENTERS. THE CARE CENTERS PROVIDE YEAR-ROUND CARE, TRAIN MEDICAL VOLUNTEERS AND HAVE ESTABLISHED PARTNERSHIPS WITH THE AMERICAN HEART ASSOCIATION, AND OTHER LEADING MEDICAL AND TEACHING INSTITUTIONS. OPERATION SMILE SPONSORED CONFERENCES, SEMINAR WORKSHOPS, ROTATION PROGRAMS, VISITING PROFESSORSHIPS, SHORT- AND LONG-TERM FELLOWSHIPS AND EXCHANGES. OPERATION SMILE CONDUCTED 95 LIFE SUPPORT TRAININGS IN 23 COUNTRIES AND ISSUED A TOTAL OF 2370 CERTIFICATIONS. IN ADDITION, OPERATION SMILE TRAINED 836 MULTIDISCPLINARY CLEFT CARE PROVIDERS ON 38 MISSIONS, 278 HEALTHCARE WORKERS PARTICIPATED IN CONFERENCES AND SKILLS WORKSHOPS. OPERATION SMILE PROVIDED TRAINING AND MENTORSHIP TO 90 RESIDENTS AS WE WORK TO TRAIN THE NEXT GENERATION OF MEDICAL LEADERS. A FLAGSHIP PROGRAM ENTITLED THE INTERNATIONAL FAMILY STUDY (IFS) HAS BEEN ONGOING SINCE 2012 AND HAS RESULTED IN THE DEVELOPMENT ONE OF THE LARGEST REPOSITORY OF GENETIC DATA IN THE WORLD RELATED TO CLEFT. RECENT EFFORTS HAVE DEMONSTRATED SIGNIFICANT PROGRESS IN THE IDENTIFICATION OF GENETIC AND ENVIRONMENTAL RISK FACTORS ASSOCIATED WITH THE CONDITION. FURTHER THE ORGANIZATION IS CONDUCTING EPIDEMIOLOGICAL AND PUBLIC HEALTH ANALYSES TO BETTER UNDERSTAND PATIENT POPULATIONS AND THE SURGICAL BURDEN OF DISEASE RELATED TO CLEFT LIP AND PALATE. OPERATION SMILE PROGRAMS ALSO INCLUDE WIDESCALE COMMUNICATION EFFORTS AROUND PREVENTION AND ACCESS TO SAFE AND AFFORDABLE CARE. PREVENTION-RELATED MESSAGING IS HIGHLY ACTIONABLE AND FOCUSED ON SMOKING CESSATION, FOOD PREPARATION AND DIET, ENVIRONMENTAL AND OTHER FACTORS. FOR PATIENTS AND THEIR FAMILIES, CRITICAL INFORMATION IS PROVIDED TO ENABLE ACCESS TO LOCAL HEALTH RESOURCES AND TO PROVIDE SUPPORTIVE CARE IN AREAS INCLUDING SPEECH THERAPY, PSYCHOLOGICAL, NUTRITION AND DENTAL CARE. THE ORGANIZATION HAS MOBILIZED THOUSANDS OF MEDICAL, COMMUNITY-BASED AND STUDENT VOLUNTEERS WORLDWIDE TO PROMOTE AWARENESS AND UNDERSTANDING OF CLEFT CONDITIONS, AND RELATED BEST PRACTICES FOR CARE. 700 GLOBAL STUDENT LEADERS WERE CREATED. STUDENT VOLUNTEERS CHANNEL THEIR COMPASSION EXPERTISE AND ENERGY BUILDING CORE VALUES OF PHILANTHROPY, EDUCATION AND SERVICE, AND LEARNING FIRSTHAND HOW THE POWER OF THEIR GENEROSITY CAN CREATE A LASTING IMPACT ON HUMANITY.</Desc>
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        <PersonNm>Kevin Miller</PersonNm>
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        <PersonNm>Samuel P Fuller MD</PersonNm>
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        <PersonNm>Alex J Marshall</PersonNm>
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        <PersonNm>Todd Magee</PersonNm>
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        <PersonNm>William K Wynne</PersonNm>
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        <PersonNm>Elizabeth Heller</PersonNm>
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        <PersonNm>Lisa Jardanhazy</PersonNm>
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        <PersonNm>Geir Strangeland</PersonNm>
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        <ExplanationTxt>Advocacy is an important medium by which operation smile raises awareness ABOUT THE SIGNIFICANT AND OFTEN debilitating ISSUE OF CLEFT LIP AND PALATE. OPERATION SMILE FOCUSES ON programs that relate to operation smiles mission - WE CREATE SOLUTIONS THAT DELIVER SAFE SURGERY TO PEOPLE WHERE IT'S NEEDED MOST. DURING THE TAX YEAR ENDED 6/30/2019, OPERATION SMILE SIGNED THE PROPOSED BILL 'ENSURING LASTING SMILES ACTAFFIXED OUR NAME ON A LETTER TO GOVERNMENT OFFICIALS.</ExplanationTxt>
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      <AccountActivitiesOutsideUSGrp>
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        <EmployeeCnt>1</EmployeeCnt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
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      <AccountActivitiesOutsideUSGrp>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
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      <AccountActivitiesOutsideUSGrp>
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        <EmployeeCnt>1</EmployeeCnt>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
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        <TypeOfActivitiesConductedTxt>Fundraising</TypeOfActivitiesConductedTxt>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Russia and the Newly Independent States</RegionTxt>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
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        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
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      <AccountActivitiesOutsideUSGrp>
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        <EmployeeCnt>4</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
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      <AccountActivitiesOutsideUSGrp>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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      <AccountActivitiesOutsideUSGrp>
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      <TotalOfficeCnt>5</TotalOfficeCnt>
      <TotalEmployeeCnt>94</TotalEmployeeCnt>
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      <ContinuationSpentAmt>9197233</ContinuationSpentAmt>
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      <GrantsToOrgOutsideUSGrp>
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        <DescriptionOfNonCashAsstTxt>SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
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        <DescriptionOfNonCashAsstTxt>EQUIPMENT</DescriptionOfNonCashAsstTxt>
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      </GrantsToOrgOutsideUSGrp>
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      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
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      </GrantsToOrgOutsideUSGrp>
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      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
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      <GrantsToOrgOutsideUSGrp>
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        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
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        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
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        <DescriptionOfNonCashAsstTxt>EQUIPMENT</DescriptionOfNonCashAsstTxt>
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      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
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        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>15991</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>EQUIPMENT</DescriptionOfNonCashAsstTxt>
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      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
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        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
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        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
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      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>OPERATION SMILE MONITORS AND REVIEWS GRANT REQUESTS FOR ALIGNMENT WITH OUR PROGAMMATIC GOALS AND ADHERENCE TO ELIGIBILITY REQUIREMENTS. ALL GRANT RECIPIENTS SUBMIT REPORTS DETAILING THE USE OF THE GRANT FUNDS. THESE REPORTS ARE VERIFIED 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
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        <PersonNm>M and R</PersonNm>
        <ActivityTxt>Email Mktg</ActivityTxt>
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        <RetainedByContractorAmt>157428</RetainedByContractorAmt>
        <NetToOrganizationAmt>591980</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <PersonNm>Appco</PersonNm>
        <ActivityTxt>Marketing</ActivityTxt>
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        <RetainedByContractorAmt>0</RetainedByContractorAmt>
        <NetToOrganizationAmt>52250</NetToOrganizationAmt>
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      <FundraiserActivityInfoGrp>
        <PersonNm>Infocision</PersonNm>
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        <RetainedByContractorAmt>27166</RetainedByContractorAmt>
        <NetToOrganizationAmt>372</NetToOrganizationAmt>
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      <TotalGrossReceiptsAmt>38927778</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>1808522</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>37119256</TotalNetToOrganizationAmt>
      <LicensedStatesCd>AL</LicensedStatesCd>
      <LicensedStatesCd>AK</LicensedStatesCd>
      <LicensedStatesCd>AZ</LicensedStatesCd>
      <LicensedStatesCd>AR</LicensedStatesCd>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>DE</LicensedStatesCd>
      <LicensedStatesCd>DC</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <LicensedStatesCd>HI</LicensedStatesCd>
      <LicensedStatesCd>ID</LicensedStatesCd>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <LicensedStatesCd>IN</LicensedStatesCd>
      <LicensedStatesCd>IA</LicensedStatesCd>
      <LicensedStatesCd>KS</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>LA</LicensedStatesCd>
      <LicensedStatesCd>ME</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>MO</LicensedStatesCd>
      <LicensedStatesCd>MT</LicensedStatesCd>
      <LicensedStatesCd>NH</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NM</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>NC</LicensedStatesCd>
      <LicensedStatesCd>ND</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>OK</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>RI</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>SD</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WA</LicensedStatesCd>
      <LicensedStatesCd>WV</LicensedStatesCd>
      <LicensedStatesCd>WI</LicensedStatesCd>
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        <Event1Nm>Park City</Event1Nm>
        <GrossReceiptsEvent1Amt>438135</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>412885</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>25250</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>5454</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>5295</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>725</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>22688</OtherDirectExpensesEvent1Amt>
        <Event2Nm>NC Dancing with</Event2Nm>
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        <CharitableContriEvent2Amt>248957</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>23650</GrossRevenueEvent2Amt>
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        <FoodAndBeverageEvent2Amt>47150</FoodAndBeverageEvent2Amt>
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        <OtherEventsTotalCnt>6</OtherEventsTotalCnt>
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        <GrossRevenueOtherEventsAmt>147356</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>37914</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>91402</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>32202</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>37343</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>1446267</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1250011</CharitableContributionsTotAmt>
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        <RentFcltyCostsTotalEventsAmt>54754</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>143847</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>32927</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>64051</OthDirectExpnssTotalEventsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G, PART I - FUNDRAISING</FormAndLineReferenceDesc>
        <ExplanationTxt>OPERATION SMILE HAS AN AGREEMENT WITH ONE AND ALL, INC. TO PROVIDE SERVICES RELATED TO OUR DIRECT RESPONSE FUNDRAISING AND PUBLIC AWARENESS CAMPAIGNS AND RESEARCH. THESE SERVICES INCLUDE PROFESSIONAL FUNDRAISING, CREATIVE SERVICES, FUNDRAISING STRATEGY DEVELOPMENT, TV PRODUCTION, MEDIA BUYING/SYNDICATION, PRINTING/PRODUCTION/MAILING, PHONE CENTER QUALITY ASSURANCE, AND CONSULATION REGARDING DIGITAL PRESENCE. PAYMENTS TO ONE AND ALL, INC. IN THE TAX YEAR TOTALED $22,635,505 OF WHICH ONE AND ALL, INC. RETAINED APPROXIMATELY 3%.</ExplanationTxt>
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    </IRS990ScheduleG>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4650 Sunset Blvd MS 96 LOS ANGE</AddressLine1Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90027</ZIPCd>
        </USAddress>
        <RecipientEIN>951690977</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Fellowship Education</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OPERATION BLESSING INTERNATIONAL</BusinessNameLine1Txt>
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          <CityNm>Virginia Beach</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23463</ZIPCd>
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        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAl SUPPLIES</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Medical Mission</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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        <USAddress>
          <AddressLine1Txt>3401 Civic Cntr Blvd</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <RecipientEIN>232589322</RecipientEIN>
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        <CashGrantAmt>65000</CashGrantAmt>
        <PurposeOfGrantTxt>Fellowship Education</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>3</Total501c3OrgCnt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
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        <TotalCompensationFilingOrgAmt>150723</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>FIRST CLASS TRAVEL OPERATION SMILE, INC. POLICY ALLOWS FOR UPGRADES TO BUSINESS OR FIRST-CLASS AIR TRAVEL IN LIMITED CIRCUMSTANCES FOR CEO, PRESIDENT, COO, CHIEF MEDICAL OFFICER, CHIEF PROGRAM STRATEGIST, SENIOR VICE PRESIDENT OF LOGISTICS, STRATEGIC INITIATIVES AND DEVELOPMENT DIRECTORS. UPGRADEABLE FARES MAY ONLY BE PURCHASED IF TRAVEL IS MORE THAN FIVE HOURS DOMESTICALLY, BUSINESS CLASS FARES FOR MORE THAN EIGHT 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. EMPLOYEES ARE ALLOWED TO TRAVEL BUSINESS CLASS IF BUSINESS FARES ARE LOWER THAN COACH OR THERE IS A MEDICAL NECESSITY.</ExplanationTxt>
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        <NameOfInterested>
          <PersonNm>Kristie Porcaro</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF CEO &amp; PRES</RelationshipDescriptionTxt>
        <TransactionAmt>243345</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
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      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>26</ContributionCnt>
        <NoncashContributionsRptF990Amt>200166</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>56</ContributionCnt>
        <NoncashContributionsRptF990Amt>3828003</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part III Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization's Mission THROUGH OUR EXPERTISE IN TREATING CLEFT LIP AND CLEFT PALATE, WE CREATE SOLUTIONS THAT DELIVER SAFE SURGERY TO PEOPLE WHERE IT'S NEEDED MOST. OUR MEDICAL PROGRAMMING DELIVERS RELIEF FOR IMMEDIATE NEED AND DEVELOPS RESOURCES FOR SUSTAINABLE SOLUTIONS SO PARTNERING COUNTRIES CAN MEET ONGOING SURGICAL NEEDS BEYOND CLEFT CARE. WE ENGAGE PUBLIC-PRIVATE PARTNERSHIPS TO ADVANCE HEALTH CARE DELIVERY, TRAIN LOCAL MEDICAL PROFESSIONALS TO PROVIDE SURGICAL CARE FOR PATIENTS IN THEIR COMMUNITIES, DONATE CRUCIAL MEDICAL EQUIPMENT AND SUPPLIES, AND INCREASE ACCESS TO SURGICAL CARE THROUGH PATIENT RECRUITMENT AND ADVOCACY INITIATIVES SO THAT EVERYONE LIVING WITH CLEFT IS TREATED. OUR SERVICES ARE ALWAYS FREE OF CHARGE TO OUR PATIENTS. AS ONE OF THE LARGEST MEDICAL VOLUNTEER-BASED NONPROFITS, WE WORK WITH MILLIONS OF PEOPLE, INCLUDING DONORS, VOLUNTEERS, STUDENT LEADERS, STAFF, NATIONAL GOVERNMENTS, HEALTH SYSTEMS AND OTHER GROUPS TO IMPROVE DIGNITY AND HEALTH THROUGH SAFE SURGERY. TOGETHER WITH THESE PARTNERS, WE LEAD RESEARCH TO EXPAND OUR UNDERSTANDING OF THE CAUSES OF CLEFT CONDITIONS AND, ULTIMATELY, TO DISCOVER PREVENTATIVE TREATMENTS. WE INSPIRE COMPASSION AND LEADERSHIP TO BUILD SURGICAL CAPACITY WORLDWIDE. FOR MORE THAN THREE DECADES, WE HAVE MOBILIZED THOUSANDS OF MEDICAL VOLUNTEERS FROM A WIDE RANGE OF MEDICAL SPECIALTIES FROM MORE THAN 80 COUNTRIES. WE ARE COMMITTED TO ENDING PEOPLE'S NEEDLESS SUFFERING AND ENCOURAGE THE PUBLIC TO KNOW MORE ABOUT CLEFT CONDITIONS AND THEIR TREATMENT. WE ARE COMMITTED TO PROVING THAT IT'S POSSIBLE TO CHANGE THE WORLD THROUGH KINDNESS AND GENEROSITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>WILLIAM P. MAGEE, JR., DIRECTOR AND CEO, IS THE SPOUSE OF KATHLEEN S. MAGEE, DIRECTOR AND PRESIDENT. KRISTIE PORCARO, SVP US &amp; GLOBAL PHILANTHROPY, IS THE DAUGHTER OF WILLIAM P.MAGEE, JR., DIRECTOR AND CEO, AND KATHLEEN S. MAGEE, DIRECTOR AND PRESIDENT. TODD MAGEE, A BOARD MEMBER IS THE SON OF WILLIAM P. MAGEE, JR., DIRECTOR AND CEO AND KATHLEEN S. MAGEE, DIRECTOR AND PRESIDENT. TODD MAGEE IS THE BROTHER OF KRISTIE PORCARO. ALEX MARSHALL, A BOARD MEMBER IS THE NEPHEW OF WILLIAM P. MAGEE, JR., DIRECTOR AND CEO AND KATHLEEN S. MAGEE, DIRECTOR AND PRESIDENT. ALEX MARSHALL IS THE COUSIN OF KRISTIE PORCARO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER COMPLETION OF THE 990 BY OPERATION SMILE FINANCE DEPARTMENT, WITH ASSISTANCE FROM KPMG, THE COMPLETED 990 IS FORWARDED TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. THE CHAIRMAN OF THE FINANCE COMMITTEE REVIEWS THE 990 AND SUPPORTING DOCUMENTATION. ALL COMMENTS ARE ADDRESSED BY THE FINANCE DEPARTMENT PRIOR TO SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 15A AND 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR TOP MANAGEMENT OFFICIALS AND OTHER KEY EMPLOYEES IS DETERMINED BY COMPARING SIMILAR POSITIONS WITH COMPARABLE DUTIES AT OTHER ORGANIZATIONS AND REVIEWING THE HISTORY OF COMPENSATION FOR THAT POSITION AT OPERATION SMILE. THERE IS INDEPENDENT BOARD APPROVAL FOR THE COMPENSATION OF THESE EMPLOYEES AS NOTED IN THE MINUTES OF THE DIRECTOR MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE AT OPERATION SMILE GLOBAL HEADQUARTERS, 3641 FACULTY BOULEVARD, VIRGINIA BEACH, VA 23453. ADDITIONALLY, FINANCIAL STATEMENTS AND THE 990 ARE ALSO AVAILABLE ON OUR WEBSITE AND THE GUIDESTAR WEBSITE: WWW.OPERATIONSMILE.ORG AND WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>OS HQ LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3641 Faculty Boulevard</AddressLine1Txt>
          <CityNm>Virginia Beach</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23453</ZIPCd>
        </USAddress>
        <EIN>541460147</EIN>
        <PrimaryActivitiesTxt>Global HQ</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <TotalIncomeAmt>7989</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4752536</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Operation Sm</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Operation Smile Foundation</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>Fortis Suites Upper Hill</AddressLine1Txt>
          <CityNm>Nairobi</CityNm>
          <CountryCd>KE</CountryCd>
        </ForeignAddress>
        <EIN>999999999</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>KE</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Operation Smile</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Operation Smile Myanmar Company Limited</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>504 6th Fl BuildongC</AddressLine1Txt>
          <CityNm>Bahan Tsp</CityNm>
          <ProvinceOrStateNm>Delta Plaza</ProvinceOrStateNm>
          <CountryCd>BM</CountryCd>
        </ForeignAddress>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>