Smile Train Inc.

“BOARD MEMBER ROBERT T. BELL AND CHAIRMAN OF THE BOARD, CHARLES B. WANG HAVE A BUSINESS RELATIONSHIP. Form 990, Part VI, Line 11 BOARD MEMBERS ARTHUR MCCARTHY AND ROY E. REICHBACH HAVE A BUSINESS RELATIONSHIP WITH THE CHAIRMAN OF THE BOARD, CHARLES B. WANG. 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.”

“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.”

“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.”

“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.”

“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.”

“Smile train's mission is to: 1. Support free cleft surgery for children in developing countries. 2. Support free cleft-related training for doctors and other medical professionals in developing countries. 3. Support the treatment of the whole child with comprehensive care including: speech therapy, nutritional support, dental care and orthodontics. Smile train empowers local medical professionals with training, funding and resources to provide free cleft surgery and comprehensive cleft care to children globally. We advance a sustainable solution and scalable global health model for cleft treatment, drastically improving children's lives, including their ability to eat, breathe, speak, and ultimately thrive. We use the "teach a man to fish" model focusing on training local doctors to perform cleft repairs in their communities. Those doctors then go on to train other doctors creating a long-term, sustainable system. Patients see their smile for the first time, parents cry tears of joy, lives and communities are changed forever. As a result of our efficiency and with the support of donors and partners around the world, smile train has transformed the lives of more than one million children by giving them the power of a smile. Form 990, part iii - program service, line 4a (cont'd.) free medical equipment support - for many of our partners, access to safe operating rooms is a challenge. Many struggle with old and inadequate equipment such as anesthesia machines and a lack of other essential equipment and supplies. Smile train provides financial support that has been used for improving operating rooms to supplying crucial safety equipment such as pulse oximeters and cleft surgical instruments. All of these investments work to ensure a significant number of incremental surgeries, but also result in safer and higher quality outcomes for the patients we serve. Free comprehensive care - every child with cleft needs more than just surgery. Often they also need orthodontic care and speech therapy. Where these services are available, we do everything we can to make them accessible to our patients. We pay for speech therapy sessions, orthodontic work and much more. Financial aid for poor patients - some of our patients are so malnourished they are not healthy enough to be safely operated on and are provided nutritional support in the weeks before surgery. Some of our patients are so poor they have no money to get to the hospital or to travel home after surgery. We have special programs that provide small stipends for these poorest of the poor to ensure they can access cleft care safely. These expenses exclude $45,578,885 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.) through direct mail, websites, newspapers, radio, tv, public service announcements, documentaries, public relations, social media, etc., we raise public awareness about clefts in developing countries and in 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 in the developing world. Recent initiatives have focused on supporting training programs for speech therapy providers, cleft care nurses and anesthesiologists, including smile train's safe nursing care saves lives program in africa that 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 the developing world, surgeons often do not have access to 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 took this technology to”

“Other Changes in Net Assets Foreign Exchange Currency Loss $(50,470)”