In October of 2009, a group of medical professionals and laypersons made a 1o day trip to Sierra Leone, West Africa. During that visit, this team served patients at the Magbenteh Community Hospital in Makeni and provided clinical care to numerous patients in remote villages.

In May of 2010, Footprints hosted Dr. ABD (Abdulai Bundu Daniel Sesay), chief surgeon of Magbenteh Hospital. During his visit, Footprints was privileged to introduce Dr. ABD to church and community organizations, thus becoming a liaison for potential supportive partnerships.

In July of 2010, after sensing the need to broaden the support base for Magbenteh Hospital, Footprints Missions formally filed for 501(c)3 not-for-profit organizational status. This was granted in the same month.

In August of 2010, Alma College finalized arrangements for students in the P-Global Exchange program to serve at the Magbenteh Hospital. The first of these students would serve during the fall, 2010 semester.

In January of 2011 a team of both medical and non-medical persons makes a return trip to Sierra Leone. Once again, patients in both the hospital and villages were served.

In May of 2011, Footprints hosts Dr. ABD where again he has the opportunity to meet with church and community organization and other medical professionals.

During the summer of 2011, Alma College sends nine students to serve various lengths of time at the Magbenteh hospital.