WORLD SURGICAL FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: WORLD SURGICAL FOUNDATION INC (EIN 23-2905618)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-06
IRS object ID: 201341269349300654
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-06T06:05:06-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DENK & ASSOCIATES PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4755 LINGLESTOWN ROAD STE 207	AddressLine1
City	Harrisburg	City
State	PA	State
ZIP Code	17112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	232905618	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	WORLD SURGICAL FOUNDATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	WORL	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1006	AddressLine1
City	CAMP HILL	City
State	PA	State
ZIP Code	17001	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DOMINGO T ALVEAR MD	Name
Title	President	Title
Date Signed	2013-05-06	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	GREGORY H DENK CPA	Name
PTIN	P00180723	PTIN
Phone	7176524952	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	209549	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.worldsurgicalfoundation.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	THE FOUNDATION ORGANIZES VOLUNTEER TEAMS OF SURGEONS TO PARTICIPATE IN SURGICAL MISSIONS AROUND THE WORLD TO PROVIDE HEALTHCARE TO THE WORLD'S POOR AND MEDICALLY UNDERSERVED NATIONS REGARDLESS OF COLOR, RELIGION OR CREED.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	25	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	24	NbrIndependentVotingMembers
Total Nbr Employees	1	TotalNbrEmployees
Total Gross UBI	186	TotalGrossUBI
Contributions Grants Prior Year	127783	ContributionsGrantsPriorYear
Contributions Grants Current Year	85916	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	244	InvestmentIncomePriorYear
Investment Income Current Year	186	InvestmentIncomeCurrentYear
Other Revenue Prior Year	27084	OtherRevenuePriorYear
Other Revenue Current Year	91730	OtherRevenueCurrentYear
Total Revenue Prior Year	155111	TotalRevenuePriorYear
Total Revenue Current Year	177832	TotalRevenueCurrentYear
Grants And Similar Amnts CY	2356	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	16439	SalariesEtcPriorYear
Salaries Etc Current Year	16343	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	10303	TotalFundrsngExpCurrentYear
Other Expense Prior Year	172434	OtherExpensePriorYear
Other Expenses Current Year	117951	OtherExpensesCurrentYear
Total Expenses Prior Year	188873	TotalExpensesPriorYear
Total Expenses Current Year	136650	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-33762	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	41182	RevenuesLessExpensesCY
Total Assets BOY	119345	TotalAssetsBOY
Total Assets EOY	149552	TotalAssetsEOY
Total Liabilities BOY	36668	TotalLiabilitiesBOY
Total Liabilities EOY	25693	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	82677	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	123859	NetAssetsOrFundBalancesEOY
Mission Description	THE FOUNDATION ORGANIZES VOLUNTEER TEAMS OF SURGEONS TO PARTICIPATE IN SURGICAL MISSIONS AROUND THE WORLD TO PROVIDE HEALTHCARE TO THE WORLD'S POOR AND MEDICALLY UNDERSERVED NATIONS REGARDLESS OF COLOR, RELIGION OR CREED.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	111328	Expense
Description	THE FOUNDATION PERFORMS MEDICAL AND SURGICAL MISSIONS TO DEVELOPING COUNTRIES THAT DO NOT HAVE ADEQUATE HEALTHCARE. THE FOUNDATION'S MISSION IN 2012 INCLUDED TRIPS TO PHILIPPINES AND HONDORUS.	Description
Total Program Service Expense	111328	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	1	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	25	NbrVotingGoverningBodyMembers
Number Independent Voting Members	24	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	TREASURER	NamePerson
Telephone Number	7172321404	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2600 N THIRD STREET	AddressLine1
City	HARRISBURG	City
State	PA	State
ZIP Code	17110	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
CONNIE BURKET
Director	0.00	0.00	X	0	0	0
IVAN REMPLE
Director	0.00	0.00	X	0	0	0
RISE ENOCH
Director	0.00	0.00	X	0	0	0
EDUARDO VIOLAGO MD
Director	0.00	0.00	X	0	0	0
KENNETH ARTHUR MD
Director	0.00	0.00	X	0	0	0
CHERYL PECK
Director	0.00	0.00	X	0	0	0
HEIDI KOPPENHAVER
Director	0.00	0.00	X	0	0	0
PAMELA HARDING
Director	0.00	0.00	X	0	0	0
LEE SCHILLER
Director	0.00	0.00	X	0	0	0
CAROL DONAHUE RN
Director	0.00	0.00	X	0	0	0
MUKUL PARIKH MD
Director	0.00	0.00	X	0	0	0
JOSEPH PAESE PHD
Director	0.00	0.00	X	0	0	0
EMERSON L KNIGHT MD
Director	0.00	0.00	X	0	0	0
MARK D HIPP ESQ
Director	0.00	0.00	X	0	0	0
PETER ACHOR
Director	0.00	0.00	X	0	0	0
GEORGE FAIRIES MD
Director	0.00	0.00	X	0	0	0
CONSTANCE CORRIGAN RN
Director	0.00	0.00	X	0	0	0
MARY JENSIK CPA
Treasurer	0.00	0.00	X	0	0	0	X
GILDA CABARLO
Director	0.00	0.00	X	0	0	0
ROGER BUCS MD
Director	0.00	0.00	X	0	0	0
SUSAN BRACKBILL RD
Director	0.00	0.00	X	0	0	0
VENERANDA B ALVEAR MD
Director	0.00	0.00	X	0	0	0
KIMBERLY ARTHUR-TRESSLER
Director	0.00	0.00	X	0	0	0
JOHN JUDSON MD
Vice President	0.00	0.00	X	0	0	0	X
DOMINGO T ALVEAR MD
President	0.00	0.00	X	0	0	0	X

Field	Value	IRS element (for citing)
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	85916	AllOtherContributions
Total Contributions	85916	TotalContributions
Total Program Service Revenue	0	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	186	TotalRevenueColumn
Unrelated Business Revenue	186	UnrelatedBusinessRevenue

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	123447	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	31717	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	91730	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	177832	TotalRevenueColumn
Unrelated Business Revenue	186	UnrelatedBusinessRevenue

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2356	Total
Program Services	2356	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	15000	Total
Program Services	5000	ProgramServices
Management And General	5000	ManagementAndGeneral
Fundraising	5000	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1343	Total
Program Services	448	ProgramServices
Management And General	448	ManagementAndGeneral
Fundraising	447	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1000	Total
Management And General	1000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2150	Total
Management And General	2150	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1100	Total
Program Services	1100	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1802	Total
Program Services	600	ProgramServices
Management And General	601	ManagementAndGeneral
Fundraising	601	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2610	Total
Program Services	2610	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11231	Total
Program Services	3743	ProgramServices
Management And General	3744	ManagementAndGeneral
Fundraising	3744	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1534	Total
Program Services	512	ProgramServices
Management And General	511	ManagementAndGeneral
Fundraising	511	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	118	Total
Program Services	118	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	0	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	414	Total
Management And General	414	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
DUES AND SUBSCRIPTIONS	300	300
Postage and Shipping	316		316
TELEPHOME	851	851
MISSION COSTS	94525		94525

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	136650	Total
Program Services	111328	ProgramServices
Management And General	15019	ManagementAndGeneral
Fundraising	10303	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	85489	BOY
EOY	94230	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	10000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	5000	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	33856	BOY
EOY	40322	EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	119345	BOY
EOY	149552	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
EOY	1975	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	35709	BOY
EOY	22837	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	959	BOY
EOY	881	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	36668	BOY
EOY	25693	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	82677	BOY
EOY	123859	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	82677	BOY
EOY	123859	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	119345	BOY
EOY	149552	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	41182	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	true	AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
FS Audited	false	FSAudited
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	176906	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	195528	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	207800	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	154867	CurrentTaxYearMinus1Year
Current Tax Year	177646	CurrentTaxYear
Total	912747	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Total	0	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	176906	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	195528	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	207800	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	154867	CurrentTaxYearMinus1Year
Current Tax Year	177646	CurrentTaxYear
Total	912747	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11648	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2000	CurrentTaxYearMinus3Years
Total	13648	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11648	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2000	CurrentTaxYearMinus3Years
Total	13648	Total

Field	Value	IRS element (for citing)
Public Support Total509	899099	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5178	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2378	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	801	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	244	CurrentTaxYearMinus1Year
Current Tax Year	186	CurrentTaxYear
Total	8787	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5178	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2378	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	801	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	244	CurrentTaxYearMinus1Year
Current Tax Year	186	CurrentTaxYear
Total	8787	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Total	0	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	182084	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	197906	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	208601	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	155111	CurrentTaxYearMinus1Year
Current Tax Year	177832	CurrentTaxYear
Total	921534	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.97570	PublicSupportPercentage509
Prior Year Support Percentage	0.95700	PriorYearSupportPercentage
Investment Income Percentage	0.00950	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01520	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Federal Income Tax Liability	881	FederalIncomeTaxLiability
Total Of Amounts	881	TotalOfAmounts

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	90736	GrossReceiptsEvent1
Gross Revenue Event1	90736	GrossRevenueEvent1
Rent Facility Costs Event1	13563	RentFacilityCostsEvent1
Other Direct Expenses Event1	9582	OtherDirectExpensesEvent1
Name Of Event2	GOLF/TENNIS	NameOfEvent2
Gross Receipts Event2	32711	GrossReceiptsEvent2
Gross Revenue Event2	32711	GrossRevenueEvent2
Food And Beverage Event2	1398	FoodAndBeverageEvent2
Other Direct Expenses Event2	7174	OtherDirectExpensesEvent2
Gross Receipts Total	123447	GrossReceiptsTotal
Gross Revenue Total Events	123447	GrossRevenueTotalEvents
Rent Facility Costs Total Events	13563	RentFacilityCostsTotalEvents
Food And Beverage Total Events	1398	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	16756	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	31717	DirectExpenseSummaryEvents
Net Income Summary	91730	NetIncomeSummary

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	LEE SCHILLER	NamePerson

Field	Value	IRS element (for citing)
Relationship	DIRECTOR	Relationship
Amount Of Transaction	15187	AmountOfTransaction
Description Of Transaction	SHIPPING AND RENT	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	RENT EXPENSE - $5,225. DISPOSAL FEES - $175. CRATING AND SHIPPING EXPESNE - $9,786.52.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The following documents are made available for inspection upon request during normal business hours: The annual Federal information tax return, Form 990 for the preceding three years, the original application for tax exempt status, Form 1023; the IRS determination letter; the annual report from the independent accounting firm; and the World Surgical Foundation Conflict of Interest Policy.
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	Compensation arrangements must be approved in advance by the Board of Directors of the World Surgical Foundation. When the Board of Directors is considering compensation, it must rely on comparability data that demonstrates the fair market value of the compensation in question. This data utilized can include expert compensation studies by independent firms, written job offers for positions at similar organizations, documented telephone calls about similar positions at nonprofit and for-profit organizations and information obtained from the IRS filings from similar organizations. The Board of Directors must document how the Board reached its decisions, including the data on which it relied. The minutes must note: the amount of compensation and the date approved, the members of the Board who were present during the debate, what was approved and those who voted on it; the comparability data obtained and relied upon and how the data was obtained; and any actions taken with respect to compensation by anyone who is otherwise a member of the Board who has a conflict of interest with respect to the decision on the compensation.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The World Surgical Foundation regularly and consistently monitors and enforces compliance with its conflict of interest policy. Upon a board members association with the World Surgical Foundation, the board member is required to complete a questionnaire to fully and completely disclose the material facts about any actual or potential conflicts of interest. This statement must be updated annually by an "Annual Affirmation of Compliance and Disclosure Statement". At such time that an actual or potential conflict arises, an additional disclosure statement must be filed. This policy applies to the Board of Directors and staff.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	The World Surgical Foundation is committed to appropriate fiscal oversight by the Board of Directors. As such, WSF works to ensure the highest standards in review of its Form 990. Prior to submission of WSF's Form 990 to the IRS, each voting member of the Board of Directors was provided with a copy of the draft Form 990- as completed by the World Surgical Foundation's independent accounting firm. Board members were provided an opportunity to raise questions, make suggestions and address any potential problems or concerns.