CHARITYVISION INTERNATIONAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHARITYVISION INTERNATIONAL INC (EIN 77-0222786)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-10
IRS object ID
202103149349304895
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-10T14:25:07-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN870343246PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SQUIRE & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11329 SOUTH 800 EASTAddressLine1Txt
CityOREMCityNm
State AbbreviationUTStateAbbreviationCd
ZIP840977737ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770222786EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARITYVISION INTERNATIONAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDESEBusinessNameControlTxt
Phone4352004910PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13210 N CANYON RD SUITE 107AddressLine1Txt
CityPROVOCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOUG JACKSONPersonNm
Person TitleCEOPersonTitleTxt
Phone8016879699PhoneNum
Signature2021-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDOUGPersonFirstNm
Person LastJACKSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonM PAUL WINWARD CPAPreparerPersonNm
PTINP00290039PTIN
Phone8012256900PhoneNum
Preparation2021-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDOUG JACKSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13210 N CANYON ROAD SUITE 107AddressLine1Txt
CityPROVOCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,081,314GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHARITYVISION.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateUTLegalDomicileStateCd
Activity Or MissionFACILITATING THE MEDICAL AND DENTAL CARE FOR INDIGENT PATIENTS THROUGHOUT THE WORLD.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee22TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$11,993,243PYContributionsGrantsAmt
CY Contributions Grants$10,947,270CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$7,964PYInvestmentIncomeAmt
CY Investment Income$613CYInvestmentIncomeAmt
PY Other Revenue$1,223,020PYOtherRevenueAmt
CY Other Revenue$1,679,524CYOtherRevenueAmt
PY Total Revenue$13,208,299PYTotalRevenueAmt
CY Total Revenue$12,627,407CYTotalRevenueAmt
PY Grants And Similar Paid$12,329,570PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,346,492CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$867,431PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,171,663CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$85,298CYTotalFundraisingExpenseAmt
PY Other Expenses$383,527PYOtherExpensesAmt
CY Other Expenses$350,689CYOtherExpensesAmt
PY Total Expenses$13,580,528PYTotalExpensesAmt
CY Total Expenses$10,868,844CYTotalExpensesAmt
PY Revenues Less Expenses-$372,229PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,758,563CYRevenuesLessExpensesAmt
Total Assets BOY$10,100,224TotalAssetsBOYAmt
Total Assets EOY$12,079,771TotalAssetsEOYAmt
Total Liabilities BOY$585,490TotalLiabilitiesBOYAmt
Total Liabilities EOY$806,474TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,514,734NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,273,297NetAssetsOrFundBalancesEOYAmt
MissionFACILITATING THE MEDICAL AND DENTAL CARE FOR INDIGENT PATIENTS THROUGHOUT THE WORLD.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$10,558,571ExpenseAmt
Grant$9,346,492GrantAmt
DescTHE DISTRIBUTION OF EQUIPMENT AND SUPPLIES TO DOCTORS THROUGHOUT THE WORLD TO PROVIDE TREATMENT TO INDIGENT PATIENTS. ALSO INCLUDES THE DISTRIBUTION OF CASH TO ORGANIZATIONS AROUND THE WORLD FOR THE PURCHASE OF NEEDED EQUIPMENT AND SUPPLIES.Desc
Total Program Service Expenses$10,558,571TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee22EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDANIEL NELSONPersonNm
Phone4352004910PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13210 N CANYON ROAD SUITE 107AddressLine1Txt
CityPROVOCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DUANE MILLARD
BOARD MEMBER1.00Yes (X)$0$0$0
ANN ROMNEY
BOARD MEMBER1.00Yes (X)$0$0$0
E WILLIAM JACKSON
BOARD MEMBER1.00Yes (X)$0$0$0
JENNY CRAIG
BOARD MEMBER1.00Yes (X)$0$0$0
WALTER PLUMB III
BOARD MEMBER1.00Yes (X)$0$0$0
MIKE BENNETT
BOARD MEMBER1.00Yes (X)$0$0$0
KELLY BURT
BOARD MEMBER1.00Yes (X)$0$0$0
PHILLIP HOOPES
BOARD MEMBER1.00Yes (X)$0$0$0
ORRIN HATCH
BOARD MEMBER1.00Yes (X)$0$0$0
ANTHON STAUFFER
BOARD MEMBER1.00Yes (X)$0$0$0
SCOTT KELLER
BOARD MEMBER1.00Yes (X)$0$0$0
KIMBERLY MARTIN
BOARD MEMBER1.00Yes (X)$0$0$0
JOSH ROMNEY
BOARD MEMBER10.00Yes (X)$0$0$0
DOUG JACKSON
CEO40.00$120,000$0$0Yes (X)
AARON LOCK
WAREHOUSE DI40.00$201,796$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$321,796TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$10,947,270AllOtherContributionsAmt
Noncash Contributions$8,219,670NoncashContributionsAmt
Total Contributions$10,947,270TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$613TotalRevenueColumnAmt
Exclusion$613ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$36,520FundraisingGrossIncomeAmt
Fundraising Direct Expenses$89,234FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$52,714TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,096,911GrossSalesOfInventoryAmt
Cost Of Goods Sold$364,673CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,732,238TotalRevenueColumnAmt
Exclusion$1,732,238ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,627,407TotalRevenueColumnAmt
Exclusion$1,732,851ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$135,485TotalAmt
Program Services$135,485ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$9,211,007TotalAmt
Program Services$9,211,007ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$120,000TotalAmt
Program Services$120,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$964,616TotalAmt
Program Services$745,421ProgramServicesAmt
Management And General$146,954ManagementAndGeneralAmt
Fundraising$72,241FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,256TotalAmt
Program Services$7,282ProgramServicesAmt
Management And General$1,436ManagementAndGeneralAmt
Fundraising$1,538FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$76,791TotalAmt
Program Services$54,521ProgramServicesAmt
Management And General$10,751ManagementAndGeneralAmt
Fundraising$11,519FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$969TotalAmt
Program Services$320ProgramServicesAmt
Management And General$649ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,449TotalAmt
Program Services$14ProgramServicesAmt
Management And General$13,435ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,146TotalAmt
Program Services$3,809ProgramServicesAmt
Management And General$3,337ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,233TotalAmt
Program Services$16,388ProgramServicesAmt
Management And General$24,845ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,629TotalAmt
Management And General$7,629ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$223,548TotalAmt
Program Services$223,548ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,739TotalAmt
Program Services$8,765ProgramServicesAmt
Management And General$974ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,491TotalAmt
Program Services$1,491ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,300TotalAmt
Program Services$7,005ProgramServicesAmt
Management And General$4,295ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,403TotalAmt
Program Services$22,733ProgramServicesAmt
Management And General$10,670ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Total$782TotalAmt
Program Services$782ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,868,844TotalAmt
Program Services$10,558,571ProgramServicesAmt
Management And General$224,975ManagementAndGeneralAmt
Fundraising$85,298FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$918,087BOYAmt
EOY$2,272,040EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$4,838EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$409,187BOYAmt
EOY$194,658EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,426,710BOYAmt
EOY$9,414,324EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$38,481BOYAmt
EOY$51,966EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$120,179LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$93,935LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$21,294BOYAmt
EOY$26,244EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$286,465BOYAmt
EOY$115,701EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,100,224BOYAmt
EOY$12,079,771EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$281,895BOYAmt
EOY$685,328EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$303,595BOYAmt
EOY$121,146EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$585,490BOYAmt
EOY$806,474EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,109,734BOYAmt
EOY$11,173,297EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$405,000BOYAmt
EOY$100,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,514,734BOYAmt
EOY$11,273,297EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,100,224BOYAmt
EOY$12,079,771EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,758,563ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,177,565CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,744,661CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,592,983CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,993,243CurrentTaxYearMinus1YearAmt
Current Tax Year$10,947,270CurrentTaxYearAmt
Total$57,455,722TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,177,565CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,744,661CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,592,983CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,993,243CurrentTaxYearMinus1YearAmt
Current Tax Year$10,947,270CurrentTaxYearAmt
Total$57,455,722TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$261,605SubstantialContributorsTotAmt
Public Support Total170$57,194,117PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$418CurrentTaxYearMinus1YearAmt
Current Tax Year$613CurrentTaxYearAmt
Total$1,031TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,021,265CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,132,164CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,654,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,496,276CurrentTaxYearMinus1YearAmt
Current Tax Year$2,096,911CurrentTaxYearAmt
Total$7,400,936TotalAmt
FieldValueIRS element (for citing)
Total Support$64,857,689TotalSupportAmt
Gross Receipts Rltd Activities$1,254,606GrossReceiptsRltdActivitiesAmt
Public Support CY1700.88180PublicSupportCY170Pct
Public Support PY1700.90290PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME 5,304,025ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,179OtherCostOrOtherBasisAmt
Depreciation$93,935DepreciationAmt
Book Value$26,244BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,244TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITYDesc
Amt$121,146Amt
FieldValueIRS element (for citing)
Total Liability$121,146TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$12,627,407TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$12,627,407RevenueSubtotalAmt
Total Revenue Per Form990$12,627,407TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,868,844TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$10,868,844ExpensesSubtotalAmt
Total Expenses Per Form990$10,868,844TotalExpensesPerForm990Amt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEANPROGRAM SERVICESMEDICAL CARE$462,888
EAST ASIA AND THE PACIFICPROGRAM SERVICESMEDICAL CARE$3,191,872
EUROPEPROGRAM SERVICESMEDICAL CARE
MIDDLE EAST AND NORTH AFRICAPROGRAM SERVICESMEDICAL CARE$15,025
SOUTH AMERICAPROGRAM SERVICESMEDICAL CARE$1,447,306
SOUTH ASIAPROGRAM SERVICESMEDICAL CARE$1,200,354
SOUTHEAST AFRICAPROGRAM SERVICESMEDICAL CARE$24,207
SUB-SAHARAN AFRICAPROGRAM SERVICESMEDICAL CARE$2,869,355
WEST ASIAPROGRAM SERVICESMEDICAL CARE
FieldValueIRS element (for citing)
Subtotal Spent$9,211,007SubtotalSpentAmt
Total Spent$9,211,007TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (22 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxtNon Cash AssistanceNonCashAssistanceAmtDescription Of Non Cash AsstDescriptionOfNonCashAsstTxtValuation Method UsedValuationMethodUsedDesc
SOUTH AMERICAMEDICAL CARE$67,012WIRE$38,181EQPT/MED. SUPPLOTHER
SOUTH AMERICAMEDICAL CARE$55,465WIRE$5,616EQPT/MED. SUPPLOTHER
CENTRAL AMERICA AND THE CARIBBEANMEDICAL CARE$8,805WIRE$83,675EQPT/MED. SUPPLOTHER
CENTRAL AMERICA AND THE CARIBBEANMEDICAL CARE$58,006WIRE$310,696EQPT/MED. SUPPLOTHER
SOUTH ASIAMEDICAL CARE$230,537WIRE$210,871EQP./MEDICALOTHER
EAST ASIA AND THE PACIFICMEDICAL CARE$26,582WIRE$42,541EQPT/MED. SUPPLOTHER
SUB-SAHARAN AFRICAMEDICAL CARE$64WIRE$63,127EQPT/MED. SUPPLOTHER
SOUTH ASIAMEDICAL CARE$112,000WIREEQPT/MED. SUPPLOTHER
SUB-SAHARAN AFRICAMEDICAL CARE$715WIRE$30,094EQPT/MED. SUPPLOTHER
SOUTH ASIAMEDICAL CARE$59,837WIRE$578,365EQPT./MED SUPPOTHER
PARAGUAYMEDICAL CARE$1,639WIRE$32,724EQPT/MED. SUPPLOTHER
SOUTH AMERICAMEDICAL CARE$109,443WIRE$499,113EQPT/MED. SUPPLOTHER
SUB-SAHARAN AFRICAMEDICAL CARE$66,905WIREEQPT/MED. SUPPLOTHER
SOUTHEAST AFRICAMEDICAL CARE$4,998WIRE$19,209EQPT/MED. SUPPLOTHER
SOUTH AMERICAMEDICAL CARE$5,820WIRE$529,294MEDICAL EQUIPOTHER
SOUTH AMERICAMEDICAL CARE$57,303WIRE$41,789EQPT./MED SUPPOTHER
SUB-SAHARAN AFRICAMEDICAL CARE$208,601WIRE$2,432,800EQPT/ SUPPLIESOTHER
SUB-SAHARAN AFRICAMEDICAL CARE$1,786WIRE$65,148MEDICAL SUPPLIEOTHER
EAST ASIA AND THE PACIFICMEDICAL CARE$23,651WIRE$30,000MEDICAL EQUIPME
EAST ASIA AND THE PACIFICMEDICAL CARE$828,441WIRE$2,181,409MED EQUIPMENT
EAST ASIA AND THE PACIFICMEDICAL CARE$23,883WIRE$34,565MED EQUIPMENT
MIDDLE EAST AND NORTH AFRICAMEDICAL CARE$15,025WIRE
FieldValueIRS element (for citing)
Total Other Org34TotalOtherOrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE F, PAGE 1, PART I, LINE 2CHARITYVISION INTERNATIONAL ESTABLISHES PARTNERSHIPS WITH MEDICAL PRACTITIONERS THROUGHOUT THE WORLD. CHARITYVISION INTERNATIONAL PROVIDES THESE MEDICAL PRACTITIONERS WITH MEDICAL SUPPLIES AND EQUIPMENT AND CASH GRANTS IN EXCHANGE FOR FREE/SUBSIDIZED MEDICAL CARE BEING PERFORMED BY THE MEDICAL PRACTITIONER. CHARITYVISION INTERNATIONAL REGULARLY REVIEWS THE AMOUNT OF FREE/SUBSIDIZED MEDICAL CARE BEING PROVIDED BY A MEDICAL PRACTITIONER TO ENSURE THEIR CONTINUED ACCESS TO MEDICAL SUPPLIES AND EQUIPMENT IS MERITED.
SCHEDULE F, PAGE 1, PART I, LINE 3CENTRAL AMERICA AND THE CARIBBEAN 462,888 0 EAST ASIA AND THE PACIFIC 3,191,872 0 EUROPE 0 0 MIDDLE EAST AND NORTH AFRICA 15,025 0 SOUTH AMERICA 1,447,306 0 SOUTH ASIA 1,200,354 0 SOUTHEAST AFRICA 24,207 0 SUB-SAHARAN AFRICA 2,869,355 0 WEST ASIA 0 0
SCHEDULE F, PAGE 5, PART V169

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CV EVENTSEvent1Nm
Gross Receipts Event1$36,520GrossReceiptsEvent1Amt
Gross Revenue Event1$36,520GrossRevenueEvent1Amt
Other Direct Expenses Event1$89,234OtherDirectExpensesEvent1Amt
Gross Receipts Total$36,520GrossReceiptsTotalAmt
Gross Revenue Total Events$36,520GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$89,234OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$89,234DirectExpenseSummaryEventsAmt
Net Income Summary-$52,714NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
JOHN A MORAN EYE CENTER
65 MARIO CAPECCHI DRIVESALT LAKE CITYUT84132876000525GOV$12,589$11,136VISION PROJECTS UTAH
FFG CALIFORNIA
$49,071MEDICAL
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE I, PAGE 1, PART I, LINE 2CHARITYVISION ESTABLISHES PARTNERSHIPS WITH MEDICAL PRACTITIONERS THROUGHOUT THE WORLD. CHARITYVISION PROVIDES THESE MEDICAL PRACTITIONERS WITH MEDICAL SUPPLIES AND EQUIPMENT AND CASH GRANTS IN EXCHANGE FOR FREE MEDICAL CARE BEING PERFORMED BY THE MEDICAL PRACTITIONER. CHARITYVISION REGULARLY REVIEWS THE AMOUNT OF FREE MEDICAL CARE BEING PROVIDED BY A MEDICAL PRACTITIONER TO ENSURE THEIR CONTINUED ACCESS TO MEDICAL SUPPLIES AND EQUIPMENT IS MERITED.
SCHEDULE I, PAGE 4, PART IVTHE VALUE OF DONATED MEDICAL SUPPLIES AND EQUIPMENT IS DISCOUNTED FROM ITS FAIR MARKET VALUE SINCE CHARITYVISION INTERNATIONAL HAS NO INTENTION OF SELLING THE DONATED ITEMS AND THE MEDICAL PRACTITIONERS HAVE NO MEANS TO PURCHASE THE GOODS AT ITS FAIR MARKET VALUE. WHILE SOME GRANTS ARE MADE TO MEDICAL PRACTITIONERS WITHIN THE UNITED STATES, THESE PRACTITIONERS PERFORM FREE MEDICAL SERVICES OUTSIDE OF THE UNITED STATES WITH THE FUNDS, SUPPLIES, AND EQUIPMENT PROVIDED BY CHARITYVISION INTERNATIONAL. AS A RESULT, WE HAVE REPORTED THE TOTAL EXPENDITURES IN COLUMN F AS WELL AS ON LINE 3 OF PART IX OF FORM 990 AS REPRESENTING BOTH AMOUNTS SENT TO ORGANIZATIONS WITHIN AND OUTSIDE OF THE UNITED STATES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonAARON LOCKPersonNm
TitleWAREHOUSE DIRECTORTitleTxt
Base Compensation Filing Org$78,785BaseCompensationFilingOrgAmt
Bonus Filing Organization$123,011BonusFilingOrganizationAmount
Total Compensation Filing Org$201,796TotalCompensationFilingOrgAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 6BFormAndLineReferenceDesc
ExplanationAARON'S COMPENSATION AGREEMENT INCLUDES A PROVISION THAT 20 PERCENT OF THE NET PROFIT OF THE CV MEDICAL, LLC WILL BE PAID TO HIM AS A BONUS.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$8,219,670NoncashContributionsRptF990Amt
Method Of Determining RevenuesESTIMATED FAIR VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 2E. WILLIAM JACKSON DOUG JACKSON BOARD MEMBER PRESIDENT FAMILY RELATIONSHIP ANN ROMNEY JOSH ROMNEY BOARD MEMBER OFFICER FAMILY RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 11BCEO REVIEWS AND APPROVES FORM 990 PRIOR TO ITS FILING. FORM 990 IS PROVIDED TO BOARD SUBSEQUENTLY.
FORM 990, PAGE 6, PART VI, LINE 12CTHE BOARD REVIEWS ANY CONFLICTS IDENTIFIED BY MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD REVIEWS COMPENSATION OF OFFICERS ON A YEARLY BASIS.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD REVIEWS COMPENSATION OF OFFICERS AND KEY EMPLOYEES ON A YEARLY BASIS.
FORM 990, PAGE 6, PART VI, LINE 19SUCH DOCUMENTS ARE AVAILABLE UPON REQUEST, JUST AS FORMS 990.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CV MEDICAL LLC
1282 E CAMBRIDGE CTPROVOUT84604EQPT SALESUT$2,096,911$1,632,869CHARITYVIS
CHARITYVISON EVENTS LLC
1282 E CAMBRIDGE CTPROVOUT84604FUNDRAISINUT$579CHARITYVIS

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