2012-03-01T16:03:14-06:00 2011-06-30 BURR PILGER MAYER INC 600 CALIFORNIA STREET SUITE 1300 SAN FRANCISCO CA 94108 990 2010-07-01 237297770 RESURGE INTERNATIONAL RESU 6509620123 857 MAUDE AVENUE MOUNTAIN VIEW CA 94043 SUSAN W HAYES 6509620123 2011-11-14 1 DEBORAH KAMINSKI 4154215757 2010 2016-02-24 21:20:13Z SUSAN W HAYES 857 MAUDE AVENUE MOUNTAIN VIEW CA 94043 4066358 0 X WWW.RESURGE.ORG X 1973 CA PROVIDE FREE RECONSTRUCTIVE SURGERY IN DEVELOPING COUNTRIES, HELP IMPROVE HEALTH WOLDWIDE. 27 26 23 172 0 0 4277894 3863508 0 0 13586 16011 -51329 -45566 4240151 3833953 11111 0 0 0 1880916 2041840 0 0 676944 2053913 2108981 3945940 4150821 294211 -316868 2774387 2636759 310990 324894 2463397 2311865 X RESURGE INTERNATIONAL'S MISSION IS TO PROVIDE FREE RECONSTRUCTIVE SURGERY FOR PEOPLE IN DEVELOPING COUNTRIES, AND TO HELP IMPROVE HEALTH CARE WORLDWIDE. RESURGE INTERNATIONAL ENVISIONS A WORLD IN WHICH NO HUMAN BEING SUFFERS PHYSICALLY OR EMOTIONALLY FROM A REPAIRABLE CONGENITAL DEFORMITY OR INJURY. TO REACH THAT VISION, RESURGE INTERNATIONAL PARTNERS WITH VOLUNTEERS AND OVERSEAS MEDICAL COLLEAGUES TO EDUCATE AND EMPOWER LOCAL COMMUNITIES SO THAT MEDICAL ACCESS IS AVAILABLE YEAR-ROUND. 0 0 3119437 FOUNDED IN 1969, RESURGE INTERNATIONAL WAS THE FIRST ORGANIZATION OF ITS KIND. SINCE THEN, RESURGE VOLUNTEERS AND INTERNATIONAL MEDICAL PARTNERS HAVE PROVIDED MORE THAN 90,000 FREE SURGERIES FOR PEOPLE IN NEED. THE ORGANIZATION'S WORK IS HUMANITARIAN IN NATURE; NO POLITICAL OR RELIGIOUS AFFILIATIONS ARE MAINTAINED, AND NO FINANCIAL SUPPORT IS ACCEPTED FROM GOVERNMENT AGENCIES. SENSITIVITY TO, AND RESPECT FOR, OTHER CULTURES AS EQUALS PERVADES THE RESURGE PHILOSOPHY AND DEEPLY INFLUENCES THE MANNER IN WHICH THE ORGANIZATION CONDUCTS ITSELF AS AMBASSADORS.RESURGE INTERNATIONAL NOW MANAGES MEDICAL PROGRAMS IN NEARLY 40 DIFFERENT SITES AROUND THE WORLD. PERFORMING SURGERY AND/OR PROVIDING AND SUPPORTING ADVANCED MEDICAL TRAINING FOR LOCAL PHYSICIANS AND NURSES. RESURGE INTERNATIONAL WORKED IN BANGLADESH, BOLIVIA, CHINA, ECUADOR, GHANA, INDIA, MALI, MALAWI, NEPAL, NICARAGUA, PERU, SRI LANKA, VIETNAM AND ZAMBIA DURING THE FISCAL YEAR THAT ENDED JUNE 30, 2011. RESURGE INTERNATIONAL ALSO PROVIDED SUPPORT IN 2011 TO 11 YEAR ROUND SURGICAL OUTREACH CENTERS (SOC) IN BANGLADESH, BOLIVIA, ECUADOR, GHANA, INDIA (2), NEPAL, NICARAGUA, PERU (2) AND ZAMBIA; THIS SUPPORT INCLUDED FUNDING FOR FREE SURGERIES FOR THE POOR, QUALITY REVIEW, TECHNOLOGICAL SUPPORT AND ADVANCED MEDICAL TRAINING. MORE THAN 75 PERCENT OF ALL OF RESURGE INTERNATIONAL'S SURGERIES ARE PERFORMED BY DEVELOPING WORLD SURGICAL PARTNERS THROUGH THE SOC PROGRAM.RESURGE INTERNATIONAL'S PROGRAMS PROVIDE RECONSTRUCTIVE PLASTIC SURGERY AND RELATED INTEGRATED CARE FOR PEOPLE WITH CONGENITAL DEFORMITIES SUCH AS CLEFT LIPS OR PALATES, SEVERE BURNS AND OTHER DISABLING INJURIES. THE ORGANIZATION ALSO PROVIDES TREATMENT FOR HAND INJURIES AND OTHER BIRTH DEFECTS.DURING FISCAL YEAR 10-11, THE PROGRAM SERVED 2,926 PEOPLE. 3119437 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 9 0 23 1 0 0 0 0 0 1 1 0 0 0 0 X 27 26 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X MICHELLE DODGE 6509620123 857 MAUDE AVENUE MOUNTAIN VIEW CA 94043 X RUSSELL FULLER 2.00 X X 0 0 0 ROBERT REED 2.00 X X 0 0 0 JOSEPH DUCOTE 2.00 X X 0 0 0 KIM KERRY 2.00 X X 0 0 0 RADHA BASU 2.00 X 0 0 0 LORI BUSH 2.00 X 0 0 0 GAIL COHEN 2.00 X 0 0 0 THOMAS DAVENPORT MD 2.00 X 0 0 0 STEFANIE FELDMAN MD 2.00 X 0 0 0 LORRY FRANKEL MD 2.00 X 0 0 0 RICHARD GILLERMAN MD 2.00 X 0 0 0 HOYOUNG HUH 2.00 X 0 0 0 GORDON HUNT 2.00 X 0 0 0 HEIDI HUNTSMAN 2.00 X 0 0 0 CARL KRAVETZ 2.00 X 0 0 0 FRANCIS LEE 2.00 X 0 0 0 MIKE LEVINTHAL 2.00 X 0 0 0 TOM MCCONNELL 2.00 X 0 0 0 MARION MCGOVERN 2.00 X 0 0 0 JIM PLEWA 2.00 X 0 0 0 CHAPLAIN WILMA REICHARD 2.00 X 0 0 0 SANJAY VASWANI 2.00 X 0 0 0 EMIL WANG 2.00 X 0 0 0 DEANN WORK 2.00 X 0 0 0 KATHLEEN YATES 2.00 X 0 0 0 KEVIN YOUNG 2.00 X 0 0 0 SUSAN W HAYES 40.00 X X 187877 0 17238 DAWN YOST RN 2.00 X 0 0 0 MICHELLE DODGE 40.00 X 81486 0 13754 DANIEL CORLEW 40.00 X 154220 0 25139 NICOLE FRIEDLAND 40.00 X 156293 0 9192 579876 0 65323 3 0 1 0 PUBLIC HEATH CONCERN TRUST NEPAL PHEC EXABITION ROAD KATMANDU NEPAL NP HOSPITAL (SEE SCHEDULE O) 380910 SHAFQUAT HUSSAIN KHUNDHAR MD DHAKA MEDICAL COLLEGE HOSP DHAKA BANGLADESH BG SURGEON (SEE SCHEDULE O) 185000 2 685301 3178207 201902 3863508 18880 18880 88875 84893 6851 3982 -6851 -2869 -2869 95095 685301 140661 -45566 0 3833953 0 0 16011 683965 332831 152478 198656 1011928 719820 26418 265690 230739 179876 1878 48985 115208 73931 9776 31501 45895 45895 32250 3898 22337 6015 102000 67150 16150 18700 43974 23690 15330 4954 71601 70629 31 941 30713 15634 15079 EDUCATION/EMPOWERMENT 986159 986159 OVERSEAS SURGICAL TRIPS 362220 362220 MEDICAL SUPPLIES 82439 82439 PUBLIC EDUCATION 52478 51255 612 611 POSTAGE AND SHIPPING 48057 5568 748 41741 251195 144337 47708 59150 4150821 3119437 354440 676944 69878 607022 633976 102523 36726 925026 896685 667092 529628 200102 137464 834967 855018 73712 38047 2774387 2636759 150420 217603 97011 160570 10280 310990 324894 X 1525548 1358209 201362 215271 736487 738385 2463397 2311865 2774387 2636759 X -316868 165336 X X 0 1 1 X 0 X 3500195 3524205 4700629 4282215 3863508 19870752 3500195 3524205 4700629 4282215 3863508 19870752 1707863 18162889 55014 52364 29730 16743 18880 172731 206 17 223 20043706 0.90620 0.76240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 747899 1898 167721 62500 855018 734551 1936 736487 733652 899 734551 0.86360 0.13640 0 0 575281 445474 129807 91811 84154 7657 137464 3833953 4150821 -316868 165336 3763473 -3763473 165336 -151532 7762762 165336 3763473 3928809 3833953 0 3833953 7914294 3763473 3763473 4150821 0 4150821 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: FUNDS ARE TO PROVIDE; 1. A VEHICLE FOR THE RECEIPT AND MANAGEMENT OF FUTURE CONTRIBUTIONS BY DONORS; AND 2. OPERATING FUNDS FROM EARNING CONSISTENT WITH THE INSTRUCTIONS OF DONORS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION REVIEWS AND ASSESSES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN AGAINST MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT RECOGNITION. ACCORDINGLY, AN ENTITY SHALL INITIALLY RECOGNIZE THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION WHEN IT IS MORE-LIKELY-THAN-NOT, BASED ON THE TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. ACCOUNTING FOR UNCERTAINTIES IN TAXES ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE TAX RETURNS FOR 2008, 2009, 2010, AND 2011 ARE SUBJECT TO EXAMINATION. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO UNRECOGNIZED TAX BENEFITS IN ADMINISTRATIVE EXPENSES ON THE STATEMENT OF ACTIVITIES. NO INTEREST AND PENALTIES HAVE BEEN ACCRUED AS OF JUNE 30, 2011. PART XI, LINE 8 - OTHER ADJUSTMENTS: EXPENSES FOR DONATED SERVICES AND USE OF FACILITIES -3,763,473. 1 CENTRAL AMERICA AND THE CARIBBEAN 1 3 PROGRAM SERVICES; SURGICAL OUTREACH CENTER CLEFT AND BURN; EDUCATION GRANT IN-TRANSIT OR IN-COUNTRY LODGING, TRANSPORTATION, AIRFARE REIMBURSEMENTS FOR INTERNATIONAL VOLUNTEERS, HOSPITAL AND MISC ON-SITE EXPENSES FOR SENDING MEDICAL VOLUNTEERS; EDUCATION GRANT FOR OUTREACH PARTNERS TO ATTEND AMERICAN BURN ASSOCIATION MEETING. 4316 EAST ASIA AND THE PACIFIC 0 0 TEAM TRIPS -PROGRAM SERVICES; SPECIAL PROJECTS - PROGRAM SERVICES IN-TRANSIT OR IN-COUNTRY LODGING, TRANSPORTATION, AIRFARE REIMBURSEMENTS FOR INTERNATIONAL VOLUNTEERS, HOSPITAL AND MISC ON-SITE EXPENSES FOR SENDING MEDICAL VOLUNTEERS. 136206 SOUTH AMERICA 6 6 TEAM TRIPS - PROGRAM SERVICES IN-TRANSIT OR IN-COUNTRY LODGING, TRANSPORTATION, AIRFARE REIMBURSEMENTS FOR INTERNATIONAL VOLUNTEERS, HOSPITAL AND MISC ON-SITE EXPENSES FOR SENDING MEDICAL VOLUNTEERS; DIRECT REIMBURSEMENT FOR CLEFT AND BURN OPERATIONS; DIRECT REIMBURSEMENT FOR ORTHODONTIC CARE; EDUCATION GRANT FOR CLEFT CONFERENCE. 238479 SOUTH ASIA 5 7 TEAM TRIPS - PROGRAM SERVICES IN-TRANSIT OR IN-COUNTRY LODGING, TRANSPORTATION, AIRFARE REIMBURSEMENTS FOR INTERNATIONAL VOLUNTEERS, HOSPITAL AND MISC ON-SITE EXPENSES FOR SENDING MEDICAL VOLUNTEERS; DIRECT REIMBURSEMENT FOR CLEFT AND BURN OPERATIONS; EDUCATIONAL GRANT FOR PHYSICAL THERAPY 635522 SUB-SAHARAN AFRICA 3 2 TEAM TRIPS - PROGRAM SERVICES IN-TRANSIT OR IN-COUNTRY LODGING, TRANSPORTATION, AIRFARE REIMBURSEMENTS FOR INTERNATIONAL VOLUNTEERS, HOSPITAL AND MISC ON-SITE EXPENSES FOR SENDING MEDICAL VOLUNTEERS; DIRECT REIMBURSEMENT FOR CLEFT AND BURN OPERATIONS; EDUCATION GRANT FOR PEDIATRIC SURGERY TRAINING. 161649 18 0 18 1176172 0 1176172 0 0 0 0 0 0 GALA 2010 739046 643951 95095 140661 GALA 2011 41350 41350 780396 685301 95095 140661 140661 -45566 X X X X 0 0 0 0 0 0 0 0 0 SUSAN W HAYES 187877 0 0 0 0 0 3800 0 13438 0 205115 0 0 0 DANIEL CORLEW 154220 0 0 0 0 0 3225 0 21914 0 179359 0 0 0 NICOLE FRIEDLAND 156293 0 0 0 0 0 2895 0 6297 0 165485 0 0 0 X 4 111923 FAIR MARKET VALUE X 2 6996 COST X MEDICAL EQUIPMENT 1 14675 COST X TRAVEL & LODGING 3 2618 COST X AUCTION ITEMS 14 65690 COST 0 1 0 FORM 990, PART VI, SECTION A, LINE 4 SEE ATTACHED CERTIFICATES OF AMENDMENT OF ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11 BOARD MEMBERS ARE EMAILED THE 990 FOR THEIR REVIEW AND DISCUSSION. UPON APPROVAL THEY ARE REQUIRED TO VOTE ON ACCEPTANCE OF THE 990. AFTER AN UNANIMOUS VOTE VIA EMAIL THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBER AND KEY EMPLOYEES ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE CONSULTS SERVICES OF A PROFESSIONAL COMPENSATION CONSULTANT. THEN THE EXECUTIVE COMMITTEE REPORTS THEIR DECISION TO THE BOARD. THE EXECUTIVE COMMITTEE IS PROVIDED THE REVIEW OF THE KEY EMPLOYEE BY THE CEO. THE EXECUTIVE COMMITTEE REVIEWS COMPARABLE DATA FROM COMPASS POINT'S COMPENSATION AND BENEFITS SURVEY OF NORTHERN CALIFORNIA NONPROFIT ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S OWN WEBSITE. COPY OF DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST. INDEPENDENT CONTRACTORS FORM 990, PART VII, SECTION B PROVIDING DIRECT PATIENT CARE-RECONSTRUCTIVE SURGERY AND INTEGRATED CARE SERVICES (SUCH AS SPEECH, ORTHODONTICS OR PHYSICAL THERAPY) TO THOSE WITH NO OTHER RESOURCES. RESURGE INTERNATIONAL SENT 9 VOLUNTEER MEDICAL TEAMS TO PERFORM 924 LIFE-TRANSFORMING SURGERIES LAST YEAR. PROVIDING EDUCATIONAL TRAINING AND MEDICAL INTERCHANGE. RESURGE INTERNATIONAL TAUGHT NEARLY 317 MEDICAL PROFESSIONALS OVERSEAS LAST YEAR TO PERFORM SURGERIES AND RELATED INTEGRATED CARE SAFELY, EFFECTIVELY AND EFFICIENTLY ON THEIR OWN. IN ADDITION, RESURGE INTERNATIONAL'S INNOVATIVE WEB BASED TECHNOLOGY, RESURGE GRAND ROUNDS, ALLOWS FOR SURGERY TRAINING TO CONTINUE AFTER VISITING MEDICAL INSTRUCTORS RETURN HOME, AND FOR DOCTORS IN ALL OF THE ORGANIZATION'S PARTNER SITES TO CONFER AND SHARE RELEVANT INFORMATION, EXPERIENCES AND ADVICE. IT ALSO ALLOWS OUTREACH CASES TO BE DISCUSSED FOR QUALITY AND SAFETY ASSURANCES. RESURGE INTERNATIONAL ADHERES TO RIGOROUS QUALITY ASSURANCE POLICIES AND TRAINING SO PATIENTS RECEIVE THE SAFEST, HIGHEST-QUALITY MEDICAL CARE, EVEN IN THE COMPROMISED CONDITIONS THAT OFTEN PREVAIL IN DEVELOPING COUNTRIES. ASSISTING HOST-COUNTRY MEDICAL COLLEAGUES TOWARD MEDICAL INDEPENDENCE. RESURGE INTERNATIONAL SUPPORTED 11 PERMANENT SURGICAL OUTREACH CENTERS IN NINE COUNTRIES, WHERE MORE THAN 3,500 SURGERIES WERE PERFORMED THIS PAST YEAR; THIS MODEL OF EMPOWERMENT, SUSTAINABILITY AND SELF-SUFFICIENCY CREATES LONG-TERM SURGICAL CARE WHERE IT NEVER EXISTED BEFORE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 165,336. DONATED SERVICES AND USE OF FACILITIES: 3,763,473. EXPENSES FOR DONATED SERVICES AND USE OF FACILITIES -3,763,473. TOTAL TO FORM 990, PART XI, LINE 5: 165,336. FORM 990, PART XII, LINE 2C A NEW CPA FIRM HAS BEEN SELECTED FOR THE AUDIT.