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        <Desc>EDUCATION DIVISIONSEE offers courses on Manual Small Incision Cataract Surgery (MSICS) that is a low-cost, lowtech form of cataract extraction that saves time, money, and energy should phacoemulsification not be an option, or the equipment breaks down. Due to the nature of cataracts in areas where we work (hard, dense, and mature), surgeons are unable to use the same measures to remove the cataracts that they would in the US.Since 2006, we have been providing educational opportunities to ophthalmologists andresidents in their final year of school through these courses. We offer two levels of training:Level 1 MSICS courses are a lecture and wet lab for those new to the technique; Level 2 MSICS courses are supervised hands-on surgery in the field. In 2022, SEE held 20 MSICS courses and trained 236 doctors/eye care professionals in the MSICS technique.In 2018, SEE expanded its education division with the Vision 2020 LINKS-USA program which matches international needs with institutional expertise to create stronger vision care systems. That year, the first SEE-guided LINKs project was established between Wills Eye Hospital, in Philadelphia, and the Rwandan International Institute of Ophthalmology (RIIO), in Kigali, Rwanda to establish the first ophthalmic residency program in Rwanda. The RIIO and Wills Eye Hospital LINKs project completed its second year and started its final year in 2020. The success of this partnership led to supporting a second third cycle and are supporting a second LINKS program between Emory University and Addis Ababa University.Furthermore, SEE is proud to have partnered with the first seven institutions that offered Global Ophthalmology Fellowships!</Desc>
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        <EndYearBalanceAmt>8484512</EndYearBalanceAmt>
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        <EndYearBalanceAmt>11478316</EndYearBalanceAmt>
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        <ContributionsAmt>396850</ContributionsAmt>
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        <OtherExpendituresAmt>349819</OtherExpendituresAmt>
        <EndYearBalanceAmt>9201546</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>0.98000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.01000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.01000</TermEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
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        <DepreciationAmt>1471828</DepreciationAmt>
        <BookValueAmt>185969</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>185969</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>77999517</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-2035836</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>69429740</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>67393904</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>10605613</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>70548</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>70548</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>10676161</TotalRevenuePerForm990Amt>
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      <ExpensesNotRptFinclStmtAmt>70548</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>The specific purpose for the ENDOWMENT shall be to obtain and invest and reinvest funds for the specific benefit of Surgical Eye Expeditions International, Inc.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE is organized as a California nonprofit corporation and has been recognized by the IRS as exempt from federal income taxes under Internal Revenue Code (IRC) Section 501(a) as an organization described in IRC Section 501(c)(3) and qualifies for the charitable contribution deduction under IRC Section 170(b)(1)(A)(vi) and has been determined not to be a private foundation under IRC Section 509(a)(2). SEE is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, SEE is subject to tax on income that is derived from business activities that are unrelated to its exempt purpose. Management has determined SEE is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS.SEE tax filings are subject to examination by the IRS, generally for three years after they are filed. SEE is not aware of any activities that would jeopardize its tax-exempt status.</ExplanationTxt>
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        <RegionTxt>CENTRAL AMERICA &amp; THE CARIBBEAN</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>EYE SURGERIES &amp; EYE EXAMS</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>EYE SURGERIES &amp; EYE EXAMS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>7894200</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA &amp; THE PACIFIC</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
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        <TypeOfActivitiesConductedTxt>EYE SURGERIES &amp; EYE EXAMS</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>EYE SURGERIES &amp; EYE EXAMS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>426158</RegionTotalExpendituresAmt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>EYE SURGERIES &amp; EYE EXAMS</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>EYE SURGERIES &amp; EYE EXAMS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>51661691</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>EYE SURGERIES &amp; EYE EXAMS</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>EYE SURGERIES &amp; EYE EXAMS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>6442560</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>NORTH AMERICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>EYE SURGERIES &amp; EYE EXAMS</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>EYE SURGERIES &amp; EYE EXAMS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>2341159</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>68765768</SubtotalSpentAmt>
      <TotalSpentAmt>68765768</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Randal Avolio</PersonNm>
        <TitleTxt>Former CEO</TitleTxt>
        <OtherCompensationFilingOrgAmt>105218</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>105218</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Yatzared Acosta</PersonNm>
        <TitleTxt>Former COO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>434</DeferredCompensationFlngOrgAmt>
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      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>7103054</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Est FMV</MethodOfDeterminingRevenuesTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: United States Domestic ProgramSEEs U.S. Programs provide essential and transformative eye care to low-income, uninsured patients right here in the United States. The program offers safety-net vision care services throughout the country for individuals who would not otherwise be able to receive the care they need. SEE has been able to assist thousands of patients of all ages to receive free comprehensive eye exams, glasses, medications, and eye surgeries. In 2022, SEE supported over 2,000 people through our partnership with Federally Qualified Health Center, Serve the People, who are driven to serve the people of Orange County in all medical health needs, including eye care and through a new partnership in Brownville, Texas with Federally Qualified Health Center, Brownsville Health Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A DETAILED REVIEW OF THE FORM 990 WILL FIRST BE DONE BY EXECUTIVE STAFF.THE FORM 990 WILL NEXT BE REVIEWED BY TREASURER ON THE BOARD OFDIRECTORS. THE TREASURER IS A CPA WHO HAS EXPERIENCE IN FORM 990 PREPARATION AND HASNON-PROFIT AUDIT EXPERIENCE. THE CURRENT TREASURER HAS BEEN ON THE BOARD SEVERALYEARS. FORM 990 WILL BE REVIEWED BY THE AUDIT COMMITTEE WHICH INCLUDES OTHERBOARD MEMBERS AND EXECUTIVE STAFF. FINALLY THE BOARD OF DIRECTORS WILL RECEIVE ACOPY OF THE FORM 990 BEFORE IT IS FILED FOR THEIR REVIEW. THE FORM 990 WILL BE SENTVIA E-MAIL AS AN ATTACHMENT IN .PDF FORMAT TO BOARD MEMBERS. BOARD MEMBERS WILL BEASKED TO REPLY IF THEY HAVE ANY COMMENTS OR QUESTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis, the Conflict of Interest Policy is discussed at Board meeting. Also, a new Board member is provided a copy of the Conflict of Interest Policy as part of their new board member packet. All Board Members are required to sign the policy stating that they have read and understand the conflict of interest policy with SEE International.As part of the Policy, specific Procedures are stated including Duty to Disclose: In connection with any actual or possible conflicts of interest, an interested person must disclose the existence and nature of his or her financial interest to the director and members of committees with board delegated powers considering the proposed transaction or arrangement or to an appropriate supervisor. Board Members are required to report any conflicts of interest immediately. When the Policy is discussed at Board meeting, various examples are provided so that Board members will know how to identify conflicts. SEE monitors and enforces the policy by making sure that each Board member has signed a copy and submitted it stating they have read and understand the policy. Additionally, within the Procedures section of the Policy, there is written guidance to determining whether a conflict of interest exists, and the consequences should there be violations of the conflicts of interest policy. On a routine basis - usually annually - staff reviews various Board Members and transactions or arrangements that may be possible situations where a conflict might occur.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Currently the PRESIDENT/CEO is the top management official. The compensation of the PRESIDENT/CEO was reviewed and approved by a compensation committee including the CHAIR of the Board of Directors. Data that provided comparable compensation for similarly qualfied persons in functionally comparable positions at similarly situated organizations was utilized. Contemporaneous notes were kept in this process.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, governing documents, conflict of interest policy and financial statements are made available upon request. These documents are stored as read-only documents in organizations' computer system, to be accessed by various personnel upon need to provide to public. Documents are updated regularly. There is a written statement in Annual Report and on website that documents will be provided upon request.</ExplanationTxt>
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