2017-06-28T15:05:07-05:00 2016-12-31 341874260 CBIZ MHM LLC 700 West 47th Street Suite 1100 Kansas City MO 64112 990 2016-01-01 481108359 Heart to Heart International HEAR 9137645200 13250 W 98TH STREET LENEXA KS 66215 JIM MITCHUM CEO 9137645200 2017-06-27 1 LISA BURKE P00220718 8169455500 4.15.200.102 2017-06-27 10:25:57 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 31BEC120C3B9101A933E2A03E4FEECDB41C44CFA 2016 2021-01-29 14:40:06Z JIM MITCHUM 13250 W 98TH STREET LENEXA KS 66215 76423633 0 X WWW.HEARTTOHEART.ORG X 1992 KS TO PROVIDE HUMANITARIAN RELIEF AND DEVELOPMENT. 10 10 36 535 0 0 126334830 75419662 810554 952958 -43685 4717 21644 -39930 127123343 76337407 133791547 70730825 0 0 1156956 1108834 0 0 314232 7458907 5630999 142407410 77470658 -15284067 -1133251 11302784 10024102 1404450 1243222 9898334 8780880 HHI strengthens communities through improving health access and providing humanitarian development and crisis relief worldwide. We collaborate with partners, engage volunteers and deploy resources to achieve this mission. 0 0 74579307 69749380 International Humanitarian Assistance: HHI strengthens communities outside the United States through improving health access, providing humanitarian development, and crisis relief. 1594430 981445 958753 Domestic Humanitarian Assistance : HHI strengthens communities within the United States through improving health access, providing humanitarian development, and crisis relief. 76173737 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 18 0 1 36 1 0 1 HA 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AL AK AR CA CT DC FL GA HI IL KS KY LA ME MD MA MI MN MS NH NJ NM NY NC OH OK OR PA RI SC TN UT VA WV WI CO MO ND WA NV X X X THERESA BENUS 9137645200 13250 W 98TH STREET LENEXA KS 66215 Gary Morsch Vice Chair 1.00 X X 0 0 0 Robert Lambrechts chairman 1.00 X X 0 0 0 art chaudry Treasurer 1.00 X X 0 0 0 Carla Duryee secretary 1.00 X X 0 0 0 Jon North Director 1.00 X 0 0 0 Rick Randolph MD Director 1.00 X 24000 0 0 jan mark creidenberg director 1.00 X 0 0 0 david allyn director 1.00 X 0 0 0 lee norman director 1.00 X 0 0 0 greg clum director 1.00 X 0 0 0 john vanderwalle director 1.00 X 0 0 0 Jim Mitchum CEO 40.00 X 74752 0 5400 98752 0 5400 0 0 0 0 0 14428 184975 394462 74825797 70231360 75419662 ADMINISTRATION FEE 493000 952958 952958 952958 4612 4612 105 0 105 105 105 19970 184975 86226 -66256 -66256 GAIN ON CURRENCY CONVERSION 900099 20531 20531 MISCELLANEOUS 900099 5795 5795 26326 76337407 958753 0 -41008 981445 981445 69749380 69749380 420230 103755 252054 64421 603778 149092 362177 92509 84826 20945 50881 13000 924 924 37653 6652 31001 250 250 1911012 1892669 4641 13702 5925 2348 92 3485 408108 291160 38255 78693 344477 279382 55455 9640 708182 677638 15396 15148 44736 43833 903 104096 45956 35151 22989 133066 35472 97594 56061 22025 33391 645 OBSOLETE INVENTORY 1866329 1866329 STAFF DEVELOPMENT 10180 4482 5698 0 77470658 76173737 982689 314232 848336 1360788 85266 47007 141622 565679 103072 5274 9286864 7201291 23041 27032 1970463 1221394 748214 749069 66369 67962 11302784 10024102 307604 174683 78809 304670 1018037 763869 1404450 1243222 X 9174464 7659631 657501 1053287 66369 67962 9898334 8780880 11302784 10024102 X -1133251 1426 14371 X 0 1 X 1 0 X 133262422 91553943 98756704 126334830 75419662 525327561 133262422 91553943 98756704 126334830 75419662 525327561 415674651 109652910 1735 834 815 4445 4545 12374 1675 103 20862 580789 5795 609224 525949159 0.20850 0.20780 X The organization is broadly supported and has a diverse board of directors. The organization's public support percentage is just below the 33 1/3% threshold due to the large noncash contributions it has received for pharmaceutical and medical supplies. The organization is pursuing fundraising efforts to broaden its support and increase its public support percentage. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13922 766 14688 14166 -244 13922 13557 609 14166 11825 1732 13557 10754 1071 11825 1.00000 0 0 86000 86000 633841 112857 520984 803820 675254 128566 446802 433283 13519 749069 X 78652969 1426 2228160 2229586 76423383 250 -86226 -85976 76337407 79770423 2228160 2228160 77542263 250 -71855 -71605 77470658 Part X, Line 2: THE ORGANIZATION'S PRESENT ACCOUNTING POLICY FOR THE EVALUATION OF UNCERTAIN TAX POSITIONS IS TO REVIEW THOSE POSITIONS ON AN ANNUAL BASIS. A LIABILITY WOULD BE RECORDED IN THE FINANCIAL STATEMENTS DURING THE PERIOD WHICH, BASED ON ALL AVAILABLE EVIDENCE, THE ORGANIZATIOIN BELIEVES IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES AND THE LIABILITY WOULD BE INCURRED BY THE ORGANIZATION. NO ACCRUAL HAS BEEN RECORDED AT DECEMBER 31, 2016 OR 2015, AS MANAGEMENT DOES NOT BELIEVE ANY MATERIAL UNCERTAINTIES EXIST. Part XI, Line 4b - Other Adjustments: Fundraising Expenses -86,226. Part XII, Line 4b - Other Adjustments: ADJUSTMENT TO DISTRIBUTED SUPPLIES 14,371. Fundraising Expenses -86,226. 1 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 1 1 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 64140273 Russia and Neighboring States - Armenia, Azerbijan, Belarus, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 108459 South Asia - Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID Sub-Saharan Africa - Angola, Benin, Botswana, Burkina, Faso, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 3654792 East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 1324447 Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 106991 South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 91879 North America - Canada and Mexico, but not the United States 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 24635 EUROPE - GREECE 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 297904 1 1 0 0 1 1 69451476 297904 69749380 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 5696 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 2233394 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 531577 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 4896556 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 779841 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 637879 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 457585 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 423600 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 5311 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 2615 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 18835433 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 298515 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 109280 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 6367 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 1863 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 1754 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 1467 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 1091 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 2668780 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 581736 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 558586 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 168678 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 95771 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 3261 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 2907 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 2786 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 2301 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 690 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 28553242 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 1001615 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 610212 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 219908 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 28860 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 28358 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 21876 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 11756 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 9620 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 6689 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 3952 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 1746 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 1454 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 973 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 612 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 247713 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 33986 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 5772 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 145 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 5696 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 7202 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, MEDICAL ASSISTANCE 931 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, MEDICAL ASSISTANCE 647250 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, MEDICAL ASSISTANCE 5276 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, MEDICAL ASSISTANCE 1066 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, MEDICAL ASSISTANCE 30302 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, MEDICAL ASSISTANCE 26280 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, MEDICAL ASSISTANCE 1450 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, MEDICAL ASSISTANCE 612824 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium MEDICAL ASSISTANCE 51720 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium MEDICAL ASSISTANCE 7730 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium MEDICAL ASSISTANCE 118934 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium MEDICAL ASSISTANCE 119520 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt, MEDICAL ASSISTANCE 1001 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt, MEDICAL ASSISTANCE 105990 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV North America - Canada and Mexico, but not the United States MEDICAL ASSISTANCE 24544 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV North America - Canada and Mexico, but not the United States MEDICAL ASSISTANCE 92 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Russia and Neighboring States - Armenia, Azerbijan, Belarus, MEDICAL ASSISTANCE 78373 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Russia and Neighboring States - Armenia, Azerbijan, Belarus, MEDICAL ASSISTANCE 14304 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Russia and Neighboring States - Armenia, Azerbijan, Belarus, MEDICAL ASSISTANCE 15782 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 3289 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 3260 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 619 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 991 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 32297 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 1801 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 26105 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 17897 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, MEDICAL ASSISTANCE 5621 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 2287 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 8137 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 7270 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 6865 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 1125 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 72928 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 59062 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 18869 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 4757 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 22663 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 13068 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 1302 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 5477 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 2393 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 1448948 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 860275 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 47572 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 11633 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 3976 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 1818 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 123197 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 878605 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, MEDICAL ASSISTANCE 48468 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, medical assistance 21631 pharmaceuticals, medical supplies and hygiene items fmv sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, medical assistance 4098 pharmaceuticals, medical supplies and hygiene items fmv central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, medical assitance 1005 pharmaceuticals, medical supplies and hygiene items fmv 103 0 1 0 0 0 0 0 Part I, Line 2: RECIPIENT ORGANIZATIONS ARE REQUIRED TO PROVIDE HEART TO HEART WITH DISTRIBUTION REPORTS AND OTHER DOCUMENTATION SUCH AS PHOTOGRAPHS DETAILING THE HUMANITARIAN IMPACT OF THE DONATION. HEART TO HEART AND/OR DISTRIBUTION PARTNER ORGANIZATION STAFF PERSONALLY CONDUCT SITE VISITS AND FIELD INVESTIGATIONS FOR SPECIFIED RECIPIENTS EACH YEAR. Part I, line 3: FAIR MARKET VALUE OF NONCASH ITEMS DISTRIBUTED. SCHEDULE F, PART IV, LINE 1 THE TRANSFERS REFERENCED IN THIS LINE RELATE TO THE GRANTS TO CHARITABLE ORGANIZATIONS NOTED IN PART II OF SCHEDULE F. FORM 926 IS NOT REQUIRED FOR THIS TYPE OF TRANSACTION. GALA 204945 184975 19970 37000 3925 45301 204945 184975 19970 37000 3925 45301 86226 -66256 1 WOMEN OF WORTH INC 1513 DEAN STREET ROME GA 30161 800306378 501(C)(3) 91418 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE CONVOY OF HOPE 330 SOUTH PATTERSON SPRINGFIELD MO 65802 680051386 501(C)(3) 88769 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE AMERICARES 88 HAMILTON AVENUE STAMFORD CT 06902 061008595 501(C)(3) 73311 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE EUNICE COMMUNITY HEALTH CENTER 450 MOOSA BLVD SUITE E EUNICE LA 70535 270213992 501(C)(3) 69594 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE PENOBSCOT COMMUNITY HEALTH CENTER 103 MAINE AVE BANGOR ME 04401 010514750 501(C)(3) 60239 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE SAVE THE CHILDREN FEDERATION 501 KINGS HIGHWAY EAST SUITE 400 FAIRFIELD CT 06825 060726487 501(C)(3) 57222 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE CATHOLIC CHARITIES OF THE DIOCESE OF BATON ROUGE 1900 South Acadian Thruway BATON ROUGE LA 70821 720590685 501(C)(3) 49123 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE DIRECT RELIEF 27 S LA PATERA LANE SANTA BARBARA CA 93117 951831116 501(C)(3) 46056 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE SERVE THE PEOPLE 1206 EAST 17TH STREET SUITE 101 SANTA ANA CA 92701 270421556 501(C)(3) 35760 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE OUR LADY OF HOPE 4232 MERCIER KANSAS CITY MO 64111 440546494 501(C)(3) 33478 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE MILES AGAINST MELANOMA PO BOX 190 GRAIN VALLEY MO 64029 352391462 501(C)(3) 32862 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE OUT PACING MELANOMA 11939 NOLAND STREET OVERLAND PARK KS 66213 453704195 501(C)(3) 26222 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE INLAND BEHAVIORAL AND HEALTH SERVICES INC 1963 NORTH E STREET SAN BERNARDINO CA 92405 953246624 501(C)(3) 22324 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE CITY UNION MISSION 1100 EAST 11TH STREET KANSAS CITY MO 641063095 446005481 501(C)(3) 18466 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE GOOD HEALTH CLINIC 91555 OVERSEAS HIGHWAY SUITE 2 TAVERNIER FL 33070 043745805 501(C)(3) 18420 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE WYANDOTTE COUNTY JUVENILE DETENTION 710 NORTH 7TH STREET SUITE 20 KANSAS CITY KS 66101 481194075 501(C)(3) 16411 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE OKLAHOMA LIONS SERVICE FOUNDATION 4123 NW 10TH OKLAHOMA CITY OK 73107 237396135 501(C)(3) 16161 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE KANSAS CITY CARE CLINIC 3515 BROADWAY KANSAS CITY MO 64111 430967292 501(C)(3) 13907 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE SALVATION ARMY - TEXAS DIVISION 6500 HARRY HINES BLVD DALLAS TX 75235 222406433 501(C)(3) 13354 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE REMOTE AREA MEDICAL 2200 Stock Creek Blvd ROCKFORD TN 37853 621650446 501(C)(3) 12323 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE NATIONAL OSTEOPATHIC MEDICAL ASSOCIATION PO BOX 5651 PHILADELPHIA PA 19129 362170786 501(C)(3) 12215 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE MAUI MEMORIAL MEDICAL CENTER 221 MAHALANI STREET WAILUKU HI 96793 990330698 501(C)(3) 10762 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE TRI-CITY HEALTH CENTER 39465 PASEO PADRE PARKWAY FREMONT CA 94538 237255435 501(C)(3) 10379 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE HELPCARE CLINIC PO BOX 3227 KEARNEY NE 68848 465551263 501(C)(3) 10011 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE RIVERVIEW HEALTH SERVICES INC 722 REYNOLDS AVENUE KANSAS CITY KS 66101 481072716 501(C)(3) 8096 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE KIDS LIVING BRAVE 8421 UNIVERSITY BLV STE G CLIVE IA 50325 453565845 501(C)(3) 8035 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE BATON ROUGE FIRST CHURCH OF THE NAZARENE 9955 OLD HAMMOND HWY BATON ROUGE LA 70816 720788735 501(C)(3) 7770 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE PALMER COLLEGE FOUNDATION 1000 BRADY STREET DAVENPORT IA 52803 426081293 501(C)(3) 6896 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE MISSION OF HOPE CLINIC 10500 E 350 HWY RAYTOWN MO 64138 260240331 501(C)(3) 6371 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE TURNER HOUSE CLINIC 21 NORTH 12TH STREET SUITE 300 KANSAS CITY KS 66102 481151382 501(C)(3) 6024 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE OCHSNER MEDICAL CENTER BATON ROUGE 1700 Medical Center Drive BATON ROUGE LA 70816 205296918 501(C)(3) 5654 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE KC PET PROJECT 4400 RAYTOWN RD KANSAS CITY MO 64129 453067615 501(C)(3) 5284 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE HEALTHFINDERS COLLABORATIVE 710 DIVISION STREET NORTHFIELD MN 55057 201805262 501(C)(3) 5259 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE SAVED BY GRACE MINISTRY INC 226 Center Road EAST AURORA NY 14052 161560404 501(C)(3) 5181 FMV PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS MEDICAL ASSISTANCE 34 0 Part I, Line 2: RECIPIENT ORGANIZATIONS ARE REQUIRED TO PROVIDE HEART TO HEART WITH DISTRIBUTION REPORTS AND OTHER DOCUMENTATION SUCH AS PHOTOGRAPHS DETAILING THE HUMANITARIAN IMPACT OF THE DONATION. HEART TO HEART AND/OR DISTRIBUTION PARTNER ORGANIZATION STAFF PERSONALLY CONDUCT SITE VISITS AND FIELD INVESTIGATIONS FOR SPECIFIED RECIPIENTS EACH YEAR. X 3 12243 FMV X 27 70181617 AVERAGE WHOLESALE X HVAC System 1 37500 average wholesale 0 1 0 Form 990, Part VI, Section B, line 11b THE FORM 990 WILL BE REVIEWED AND APPROVED BY THE CEO AND CFO. THE BOARD OF DIRECTORS WILL RECEIVE A COPY OF THE TAX RETURN. Form 990, Part VI, Section B, line 12c THE ORGANIZATION REQUIRES THAT DIRECTORS AND OFFICERS ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IF A DIRECTOR HAS AN INTEREST THAT COULD GIVE RISE TO CONFLICT, THAT DIRECTOR RECUSES THEMSELVES FROM ANY DISCUSSION AND VOTING THAT AFFECTS THEIR INTEREST. Form 990, Part VI, Section B, line 15a THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO AND USES THE SALARY AND BENEFITS SURVEY OF GREATER KANSAS CITY AREA NONPROFIT ORGANIZATIONS COMPILED BY THE MIDWEST CENTER FOR NONPROFIT ORGANIZATIONS WHICH PROVIDE THE SAME TYPES OF SERVICES THAT WE PROVIDE. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS ANNUAL REPORT AND FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE. THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE ALL AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: ADJUSTMENT TO DISTRIBUTED SUPPLIES 14,371.