2019-11-13T10:27:07-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2018-01-01 475128573 ONE WORLD SURGERY ONEW 8472673539 510 LAKE COOK ROAD NO 400 DEERFIELD IL 60015 CLAIRE CUNNINGHAM CHIEF EXECUTIVE OFFICER 8472673539 2019-11-12 1 THOMAS G ANDREWS P00095596 6305738600 2019-11-08 67.137.57.251 2019-11-12 11:26:59 CS P EF3A95D8828653F7575E562EBE88CEDFA08B144E 6FAAC3DEBBF8F48D51BAF817A21B7A94DE65DC9A 2018 2020-01-14 16:20:31Z CLAIRE CUNNINGHAM 510 LAKE COOK ROAD NO 400 DEERFIELD IL 60015 6893711 0 X ONEWORLDSURGERY.ORG X 2015 IL ONE WORLD SURGERY'S MISSION IS TO IGNITE THE SPIRIT OF SERVICE AND TRANSFORM LIVES BY PROVIDING ACCESS TO HIGH-QUALITY SURGICAL CARE GLOBALLY. 5 5 6 717 0 0 3283643 6606050 0 0 15210 1189 -15862 2800 3282991 6610039 454712 143859 0 0 488380 753408 0 58450 279323 1469021 2338355 2412113 3294072 870878 3315967 1836666 5347161 33607 228135 1803059 5119026 X ONE WORLD SURGERY'S MISSION IS TO IGNITE THE SPIRIT OF SERVICE AND TRANSFORM LIVES BY PROVIDING ACCESS TO HIGH-QUALITY SURGICAL CARE GLOBALLY. 0 0 2514515 143859 FIVE BILLION PEOPLE LACK ACCESS TO SURGICAL CARE. ONE WORLD SURGERY IS A NONPROFIT CONFRONTING THIS GLOBAL HEALTH CRISIS BY PROVIDING IN-COUNTRY, ON-THE-GROUND MEDICAL CARE TO UNDERSERVED COMMUNITIES IN HONDURAS. ONE WORLD SURGERY FUNDS AND OPERATES THE HOLY FAMILY SURGERY CENTER, WHICH HAS THREE OPERATING ROOMS, SEVEN OVERNIGHT RECOVERY BAYS, A DENTAL CLINIC AND AN EYE CLINIC. BY PARTNERING WITH COMMUNITIES, HEALTHCARE PROVIDERS, AND LEADERS IN HEALTHCARE TO DELIVER HIGH-QUALITY HEALTH SERVICES, ONE WORLD SURGERY IS TRANSFORMING LIVES AND STRIVING TOWARD A WORLD WITH SAFE, TIMELY, AND ACCESSIBLE SURGICAL CARE FOR ALL. IN 2018, ONE WORLD SURGERY MOBILIZED 717 VOLUNTEERS TO HELP PROVIDE 1,102 FREE, TRANSFORMATIVE SURGERIES AND 7,217 FREE SURGICAL CONSULTS IN HONDURAS.WE ARE DEDICATED TO PROVIDING WORLD-CLASS SURGICAL CARE TO COMMUNITIES IN NEED AND EMPOWERING VOLUNTEERS TO MAKE A POSITIVE IMPACT ON GLOBAL HEALTH. WE ARE COMMITTED TO SUSTAINABILITY, EDUCATION, AND COLLABORATION WITH OUR COMMUNITY PARTNERS. WE BELIEVE IN THE TRANSFORMATIVE POWER OF COMPASSIONATE, HIGH-QUALITY HEALTH CARE. ONE WORLD SURGERY FOCUSES HEAVILY ON FORMING LOCAL PARTNERSHIPS AND CAPACITY-BUILDING, WITH THE SURGICAL MEDICAL MISSIONS SERVING AS A CATALYST. WHILE EXPERIENCED HONDURAN STAFF LEAD THE COMPREHENSIVE SURGERY SERVING PATIENTS ON A DAILY BASIS, VOLUNTEERS PROVIDE ADDITIONAL PERSONNEL SUPPORT, EDUCATION, AND AN EXTENSION INTO SPECIALTY SERVICES. THIS ASSURES THAT PATIENTS ARE OFFERED A CONTINUUM OF CARE THAT IS ESSENTIAL TO SUCCESSFUL OUTCOMES. ONE WORLD SURGERY PROVIDES HEALTH CARE IN THE AREAS OF GENERAL SURGERY, ORTHOPEDICS, ONCOLOGY, GYNECOLOGY, EAR, NOSE AND THROAT, SPINE, OPTHAMOLOGY, UROLOGY, AND DENTAL CARE. 343711 ONE WORLD SURGERY ORGANIZES SURGICAL MISSIONS TO OUR FACILITY IN HONDURAS, THE HOLY FAMILY SURGERY CENTER. DURING WEEKLONG MEDICAL MISSIONS, PHYSICIANS, CLINICIANS AND GENERAL VOLUNTEERS COME TOGETHER TO PERFORM LIFE-CHANGING SURGERIES. ONE WORLD SURGERY HOSTS TWO MISSIONS PER MONTH, WITH UP TO 60 VOLUNTEERS PER TEAM. IN 2018, ONE WORLD SURGERY MOBILIZED 717 VOLUNTEERS TO HELP PROVIDE 1,102 FREE, TRANSFORMATIVE SURGERIES AND 7,217 FREE SURGICAL CONSULTS IN HONDURAS. 2858226 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X KEVIN ELLIOTT 8472673539 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 DR PETER DALY CHIEF MEDICAL OFFICER AND DIRECTOR 10.00 0.00 X X 0 0 0 ANDREW HAYEK CHAIRMAN 2.00 0.00 X X 0 0 0 CORY ROBERTS DIRECTOR 2.00 0.00 X 0 0 0 NELLA DOMENICI DIRECTOR 1.00 0.00 X 0 0 0 REINHART KOEHLER DIRECTOR 2.00 0.00 X 0 0 0 CLAIRE CUNNINGHAM CHIEF EXECUTIVE OFFICER 40.00 0.00 X 125912 0 3806 125912 0 3806 1 0 0 0 0 695886 5910164 1660314 6606050 33 33 218463 217307 1156 1156 1156 69165 695886 66365 2800 2800 6610039 0 0 3989 143859 143859 129718 51887 25944 51887 563434 426486 37803 99145 4812 4412 18 382 27266 18826 2449 5991 28178 19443 2536 6199 22200 22200 58450 58450 22275 13940 8335 32255 19992 12263 109528 65901 12412 31215 103047 103047 40561 13385 13385 13791 27099 27099 4871 4871 MEDICAL SUPPLIES 1592073 1592073 0 0 BRIGADE EXPENSES 213723 213723 0 0 REPAIRS AND MAINTENANCE 81671 81671 0 0 89052 57611 31441 3294072 2858226 156523 279323 1568840 4012855 132170 1088498 44768 119200 134894 60424 90888 74470 52138 1836666 5347161 17307 46255 16300 181880 33607 228135 X 1670889 4030528 132170 1088498 1803059 5119026 1836666 5347161 3315967 0 X X 0 1 X 1 0 X 218475 1092021 3283643 6606050 11200189 218475 1092021 3283643 6606050 11200189 2593985 8606204 4075 33 4108 29735 69165 98900 11303197 X PART II, SHORT YEAR EXPLANATION: THE ORGANIZATION WAS INITIALLY FORMED AND INCORPORATED ON SEPTEMBER 17, 2015 AND THEREFORE, 2015 WAS A SHORT-PERIOD TAX YEAR. 132866 60424 72442 2028 2028 74470 DUE TO SURGICAL CARE AFFILIATES 181880 181880 X 8124644 1448240 1448240 6676404 -66365 -66365 6610039 4808677 1448240 66365 1514605 3294072 0 3294072 PART X, LINE 2: THE ORGANIZATION EVALUATES ITS EXPOSURE FOR UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. AS OF DECEMBER 31, 2018 AND 2017, THERE WERE NO LIABILITIES FOR UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES REPORTED ON PAGE 9, FORM 990, LINE 8 -66,365. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES REPORTED ON PAGE 9, FORM 990, LINE 8 66,365. X X X X 1 FALK CONSULTING 2120 N CLIFTON AVE CHICAGO IL 60614 CAPITAL CAMPAIGN CONSULTANT 0 0 58450 -58450 58450 -58450 IL ANNUAL LEADERSHIP MEETING 379000 379000 0 GOLF OUTING 130890 95631 35259 23769 3 255161 221255 33906 42596 765051 695886 69165 66365 66365 2800 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE ORGANIZATION CONTRACTED WITH THE FUNDRAISING CONSULTANT, FALK CONSULTING, LLC, FOR FUNDRAISING STRATEGY CONSULTING RELATED TO OUR EXPANSION TO THE DOMINICAN REPUBLIC. THE INITIAL CONTRACT FOR THE CAMPAIGN PLANNING STUDY IN 2018 REQUIRED PAYMENT OF $32,500 PLUS EXPENSES. THE CONTRACT FOR MONTHLY SUPPORT AND GUIDANCE AS NEEDED AFTER COMPLETION OF THE PLANNING STUDY REQUIRES PAYMENTS OF $4,500 PER MONTH PLUS EXPENSES. IN 2018, $56,125 WAS PAID TO THE FUNDRAISER FOR STRATEGY CONSULTING AND $2,325 WAS PAID FOR EXPENSES. 1 NPH USA 134 NORTH LASALLE STREET STE 500 CHICAGO IL 60602 651229309 501(C)(3) 143859 CONSTRUCTION COSTS OF CONFERENCE CENTER PROJECT FOR NPH HONDURAS. 1 0 PART I, LINE 2: DURING 2018, ONE WORLD SURGERY CONTRIBUTED $143,859 TO NPH USA FOR THE FOLLOWING PURPOSES: CAPITAL PROJECTS AT NPH HONDURAS ON BEHALF OF ONE WORLD SURGERY AND GENERAL OPERATIONS OF NPH USA IN SUPPORT OF NPH HOMES. CAPITAL PROJECT COSTS TOTALED $59,859 AND THESE FUNDS WERE USED TO COMPLETE ONE WORLD SURGERY CONSTRUCTION PROJECTS INCLUDING THE LODGING FACILITIES FOR ONE WORLD SURGERY MEDICAL MISSION VOLUNTEERS. THESE FUNDS ARE PAID TO NPH USA AND TRANSFERRED TO NPH HONDURAS WHERE ONE WORLD SURGERY LEADERSHIP MANAGED THE CONSTRUCTION PROJECTS USING THESE FUNDS. AN ADDITIONAL $84,000 WAS CONTRIBUTED TO NPH USA FOR GENERAL OPERATIONS OF ITS NPH HOMES UNDER A PARTNERSHIP AGREEMENT TO SUPPORT ITS COMPLEMENTARY MISSION. THE ONE WORLD SURGERY BOARD OF DIRECTORS RECEIVES REGULAR OPERATIONS AND STRATEGIC UPDATES FROM NPH LEADER REINHART KOEHLER WHO IS ALSO A BOARD MEMBER FOR ONE WORLD SURGERY. X 7 267054 FAIR MARKET VALUE X 61 1393260 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES REPRESENTS THE NUMBER OF CONTRIBUTIONS. CONTRIBUTIONS OF MEDICAL AND SURGICAL SUPPLIES REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF FORM 990 WILL BE PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN THE CODE OF CONDUCT WHICH IS REGULARLY REVIEWED DURING MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES IS REVIEWED AND APPROVED BY MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DURING 2018, THE ORGANIZATION ADOPTED POLICIES FOR CONFLICT OF INTERESTS, DOCUMENT RETENTION, AND WHISTLEBLOWER. THESE POLICIES ALONG WITH OTHER GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOLY FAMILY SURGERY CENTER FOUNDATION 510 LAKE COOK ROAD STE 400 DEERFIELD IL 60015 474546833 MEDICAL MISSIONS TO PROVIDE SURGERY SOLUTIONS TO HONDURAN CITIZENS MN 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0