2024-11-12T13:21:02-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-01-01 412013739 CHILDREN'S SURGERY INTERNATIONAL CHIL 6127464082 99 5TH AVENUE NW 100 NEW BRIGHTON MN 55112 MEGAN SPARKS EXECUTIVE DIRECTOR 6127464082 2024-11-07 1 0 ANN NEIL P01817922 6123764500 2024-11-07 2023 2024-10-15 13:58:12Z MEGAN SPARKS 99 5TH AVENUE NW 100 NEW BRIGHTON MN 55112 812113 0 X CHILDRENSSURGERYINTL.ORG X 2001 MN TO PROVIDE FREE PEDIATRIC MEDICAL & SURGICAL SERVICES AND PROFESSIONAL EDUCATION.TO PROVIDE FREE PEDIATRIC MEDICAL & SURGICAL SERVICES AND PROFESSIONAL EDUCATION & TRAINING TO COMMUNITIES IN NEED AROUND THE WORLD. OUR VISION IS TO REDUCE GLOBAL HEALTH CARE DISPARITIES BY HELPING COMMUNITIES OBTAIN THE KNOWLEDGE, SKILLS AND TOOLS TO PROVIDE LIFE-CHANGING SURGICAL AND MEDICAL CARE FOR CHILDREN. 19 19 4 144 0 0 400560 627698 32200 40946 1811 95537 -10224 -105001 424347 659180 0 0 0 0 130147 162996 0 0 40555 423578 494082 553725 657078 -129378 2102 1090738 1100394 0 7554 1090738 1092840 X CHILDREN'S SURGERY INTERNATIONAL (CSI) PROVIDES FREE PEDIATRIC MEDICAL AND SURGICAL SERVICES, ALONG WITH PROFESSIONAL EDUCATION AND TRAINING TO COMMUNITIES IN NEED AROUND THE WORLD. 1 0 437050 0 30710 PLANNING AND EXECUTION OF FOUR (4) SURGICAL TRIPS TO ETHIOPIA, MEXICO AND LIBERIA: CSI VOLUNTEERS PROVIDED 2,851 HOURS OF DONATED PROFESSIONAL SERVICES TO TRAIN LOCAL MEDICAL STAFF AND PERFORM LIFE-CHANGING SURGERY FOR 190 CHILDREN VALUED AT $958,344. 58273 0 4095 PLANNING AND PRESCREENING FOR ALL TRIPS: A TEAM OF VOLUNTEERS WORKED WITH PARTNERS TO PLAN FOR FOUR (4) TRIPS. THIS INCLUDED PRESCREENING 100 PATIENTS FOR SURGERY. 87410 0 6142 LAUNCHED THE PEDIATRIC ENT AND OTOLARYNGOLOGY FELLOWSHIP PROGRAM IN ETHIOPIA. STAFF AND VOLUNTEERS FINALIZED THE CURRICULUM, ESTABLISHED THE TRAINING SCHEDULE AND ENROLLED THE FIRST FELLOW TO BEGIN TRAINING IN THE FIRST PART OF 2024. 582733 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X X CAROL HOLMES 6127464082 99 5TH AVENUE NW SUITE 100 NEW BRIGHTON MN 55112 SIVA CHINNADURAI CHAIR / ACADEMIC DIRECTOR 2.00 X X 0 0 0 AMY FISCHER CO-CHAIR/CHAIR 1.00 X X 0 0 0 PETER FALKER TREASURER 1.00 X X 0 0 0 NEAL PETERSON SECRETARY 1.00 X X 0 0 0 DAVID TETZLAFF DIRECTOR / MEDICAL DIRECTOR 1.00 X X 0 0 0 DOROTHY BARR DIRECTOR 1.00 X 0 0 0 KATHY CLINCH DIRECTOR 1.00 X 0 0 0 JASON DESHAW DIRECTOR 1.00 X 0 0 0 KAREN RESCH DIRECTOR 1.00 X 0 0 0 MELANIE MCCALL DIRECTOR 1.00 X 0 0 0 ELLEN REYNOLDS DIRECTOR 1.00 X 0 0 0 BRIANNE ROBY DIRECTOR 1.00 X 0 0 0 ZINDA SCHAEFER DIRECTOR 1.00 X 0 0 0 LINDA SEDGWICK DIRECTOR 1.00 X 0 0 0 TODD STINSON DIRECTOR 1.00 X 0 0 0 DAVID VANDERSTEEN DIRECTOR 1.00 X 0 0 0 GARRETT VINCENT DIRECTOR 1.00 X 0 0 0 JAMES ZIMMERMAN DIRECTOR 1.00 X 0 0 0 NORIE WILSON DIRECTOR 1.00 X 0 0 0 MEGAN SPARKS EXECUTIVE DIRECTOR 30.00 X 75608 0 0 75608 0 0 0 0 0 0 0 277839 349859 93501 627698 TEAM FEES 900099 40946 40946 40946 95537 95537 33980 277839 143757 -109777 -109777 12560 0 12560 12560 1392 9176 -7784 -7784 659180 40946 0 -9464 75608 43097 23438 9073 74041 66802 7239 600 518 17 65 12747 10988 370 1389 3899 3899 4078 3516 118 444 24867 21435 721 2711 22332 19250 648 2434 73650 63486 2136 8028 281100 281100 3900 3362 113 425 MISSION SUPPLIES 42873 36957 1243 4673 EQUIPMENT 32214 27769 934 3511 FREIGHT 2570 2215 75 280 MEDICAL RECORDS 329 283 10 36 2270 1955 68 247 657078 582733 33790 40555 165798 158620 442953 140528 10848 25413 3000 3000 34768 21500 141263 141263 0 0 433371 751333 1090738 1100394 7554 0 7554 X 1090738 1092840 1090738 1092840 1090738 1100394 2102 0 X 0 0 0 X 725912 624819 297593 400560 627698 2676582 20470 17074 32200 40946 110690 9292 13470 22762 735204 658759 314667 432760 668644 2810034 86316 428764 75204 167773 190495 948552 0 86316 428764 75204 167773 190495 948552 1861482 12998 75359 58219 1811 95537 243924 12998 75359 58219 1811 95537 243924 72476 47932 120408 748202 734118 372886 507047 812113 3174366 0.58640 0.63620 0.07680 0.06020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 141263 141263 0 0 1 NORTH AMERICA 0 0 PROGRAM SERVICES FREE, LIFE-CHANGING PEDIATRIC MEDICAL AND SURGICAL CARE IN HERMOSILLO, MEXICO. 79962 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES FREE PEDIATRIC MEDICAL AND SURGICAL CARE AND PROFESSIONAL TRAINING TO HEALTHCARE WORKERS IN ETHIOPIA, LIBERIA. 290623 0 0 0 0 0 0 370585 0 370585 0 0 0 0 0 0 PART I, LINE 2: THIS ORGANIZATION DOES NOT MAKE CASH GRANTS TO ORGANIZATIONS OR ENTITIES OUTSIDE THE US. 2023 CSI GALA 287771 255771 32000 44952 58179 945 29334 TC 10 MILE 24048 22068 1980 10347 311819 277839 33980 44952 58179 945 39681 143757 -109777 12560 1 1.00000 12560 12560 MN 1 0 0 0 CAROL HOLMES 99 5TH AVENUE NW SUITE 100 NEW BRIGHTON MN 55112 0 0 X 3 12532 FMV X 3 1017 FMV X 12 32448 FMV X GOODS AND SERVICES FOR GALA 84 47504 FMV 0 0 0 0 PART I, COLUMN (B): COLUMN B REFLECTS THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART III, LINE 2 PEDIATRIC ENT AND OTOLARYNGOLOGY FELLOWSHIP TRAINING PROGRAM - ETHIOPIA FORM 990, PART VI, SECTION A, LINE 1A EXECUTIVE COMMITTEE IS MADE UP OF THE OFFICERS OF THE BOARD - CHAIR, VICE CHAIR, SECRETARY, TREASURER - PLUS THE MEDICAL DIRECTOR & ACADEMIC DIRECTOR. THE STAFF LIAISON TO THE COMMITTEE IS THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION A, LINE 8B THE MEETINGS OF THE EXECUTIVE COMMITTEE ARE NOT DOCUMENTED BUT ANY ACTIONS THEY TAKE ARE DOCUMENTED IN THE BOARD MINUTES OF THE PROCEEDING MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION. ONCE A DRAFT OF THE RETURN IS READY, THE BOARD OF DIRECTORS REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS AND OFFICERS AS WELL AS ANY EMPLOYEES WHO CAN INFLUENCE ACTIONS OF THE ORGANIZATION. AT THE ANNUAL MEETING, THE CONFLICT OF INTEREST POLICY IS REVIEWED AND DIRECTORS DISCLOSE CONFLICTS OF INTEREST. THE BOARD CHAIR AND EXECUTIVE DIRECTOR MEET ANNUALLY WITH EACH DIRECTOR TO DISCUSS THE YEAR AND ANY CONCERNS THAT MIGHT ARISE. SHOULD A CONFLICT OF INTEREST ARISE, THE BOARD WILL DISCUSS THE MATTER WITHOUT THE PRESENCE OF THE INTERESTED PERSON AND DECIDE WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED. ALL DECISIONS ARE DOCUMENTED IN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE AND UPON REQUEST.