﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2019v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2020-06-18T16:34:58-05:00</ReturnTs>
    <TaxPeriodEndDt>2019-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>420714325</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>RSM US LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>210 PARK AVE SUITE 1725</AddressLine1Txt>
        <CityNm>OKLAHOMA CITY</CityNm>
        <StateAbbreviationCd>OK</StateAbbreviationCd>
        <ZIPCd>73102</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2019-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>481108359</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>HEART TO HEART INTERNATIONAL</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>HEAR</BusinessNameControlTxt>
      <PhoneNum>9137645200</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 15566</AddressLine1Txt>
        <CityNm>LENEXA</CityNm>
        <StateAbbreviationCd>KS</StateAbbreviationCd>
        <ZIPCd>662855566</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>KIM CARROLL</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>9137645200</PhoneNum>
      <SignatureDt>2020-07-15</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>LAUREN NOWAKOWSKI</PreparerPersonNm>
      <PTIN>P01796934</PTIN>
      <PhoneNum>4052397961</PhoneNum>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>69.217.140.251</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2020-06-17</IPDt>
      <IPTm>10:31:46</IPTm>
      <IPTimezoneCd>CD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>DA39A3EE5E6B4B0D3255BFEF95601890AFD80709</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>52AB4D2FF255CEB98B1B1EBB426AE03C9FD7BD64</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2019</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>KIM CARROLL</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 15566</AddressLine1Txt>
        <CityNm>LENEXA</CityNm>
        <StateAbbreviationCd>KS</StateAbbreviationCd>
        <ZIPCd>662855566</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>383712281</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.HEARTTOHEART.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1992</FormationYr>
      <LegalDomicileStateCd>KS</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE HUMANITARIAN RELIEF AND DEVELOPMENT.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>14</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>68</TotalEmployeeCnt>
      <TotalVolunteersCnt>10845</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>228047099</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>382278341</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1427094</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>1283375</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>5293</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-131406</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-168913</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>5401</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>229310573</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>383435711</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>227081504</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>289292720</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1445497</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>2863044</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>275433</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>895891</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>20943611</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>86713118</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>249470612</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>379144315</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-20160039</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>4291396</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>35001968</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>37113168</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>10133760</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>7953080</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>24868208</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>29160088</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>HEART TO HEART INTERNATIONAL STRENGTHENS COMMUNITIES THROUGH IMPROVING HEALTH ACCESS, PROVIDING HUMANITARIAN DEVELOPMENT AND ADMINISTERING CRISIS RELIEF WORLDWIDE. WE ENGAGE VOLUNTEERS, COLLABORATE WITH PARTNERS AND DEPLOY RESOURCES TO ACHIEVE THIS MISSION.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>288601630</ExpenseAmt>
      <GrantAmt>285788935</GrantAmt>
      <Desc>INTERNATIONAL HUMANITARIAN ASSISTANCE: HEART TO HEART STRENGTHENS COMMUNITES OUTSIDE THE UNITED STATES THROUGH IMPROVING HEALTH ACCESS, PROVIDING HUMANITARIAN DEVELOPMENT, AND CRISIS RELIEF.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>88091524</ExpenseAmt>
        <GrantAmt>3503785</GrantAmt>
        <RevenueAmt>577614</RevenueAmt>
        <Desc>DOMESTIC HUMANITARIAN ASSISTANCE: HEART TO HEART STRENGTHENS COMMUNITIES WITHIN THE UNITED STATES THROUGH IMPROVING HEALTH ACCESS, PROVIDING HUMANITARIAN DEVELOPMENT, AND CRISIS RELIEF.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>562131</ExpenseAmt>
        <RevenueAmt>705761</RevenueAmt>
        <Desc>INTERNATIONAL AND DOMESTIC EVENTS TO BUILD HYGIENE KITS FOR DISTRIBUTION TO PERSONS AFFECTED BY DISASTER OR OTHER HUMANITARIAN NEED</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>377255285</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">0</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>1</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc1040500001">1</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc1040500001">1</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041200001">1</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041200001">0</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041200001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>18</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>68</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>1</ForeignFinancialAccountInd>
      <ForeignCountryCd>HA</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>14</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>1</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>AL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AK</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CO</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>DC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>HI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>LA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ME</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MO</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NV</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NM</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ND</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OK</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>RI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>SC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>TN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>UT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>VA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WV</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WI</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>THERESA BENUS</PersonNm>
        <PhoneNum>9137645200</PhoneNum>
        <USAddress>
          <AddressLine1Txt>PO BOX 15566</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66285</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>ART CHAUDRY</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOB LAMBRECHTS</PersonNm>
        <TitleTxt>PAST CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLA DURYEE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MITCHUM</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>41738</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18275</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID ALLYN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AUSTIN BICKFORD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WENDY BLACKBURN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAN CREIDENBERG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY DOWNEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN GARRETT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL MCCLAIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON NORTH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICK RANDOLPH</PersonNm>
        <TitleTxt>DIRECTOR &amp; CMO</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>24000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES ZEEB</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM CARROLL</PersonNm>
        <TitleTxt>CEO/DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>110337</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4800</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY STABENOW</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>86964</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4800</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>221301</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>41738</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>27875</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HARTSOOK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1100 WALNUT STE 2935</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64106</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FUNDRAISER</ServicesDesc>
        <CompensationAmt>275433</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5833673</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>376444668</AllOtherContributionsAmt>
      <NoncashContributionsAmt>371976169</NoncashContributionsAmt>
      <TotalContributionsAmt>382278341</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HYGIENE KIT BUILDING</Desc>
        <BusinessCd>493000</BusinessCd>
        <TotalRevenueColumnAmt>705761</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>705761</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DISASTER RELIEF PROGRA</Desc>
        <BusinessCd>485000</BusinessCd>
        <TotalRevenueColumnAmt>577614</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>577614</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1283375</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8967</TotalRevenueColumnAmt>
        <ExclusionAmt>8967</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>136197</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>276570</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-140373</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-140373</TotalRevenueColumnAmt>
        <ExclusionAmt>-140373</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>GAIN ON CURRENCY CONVE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5401</TotalRevenueColumnAmt>
        <ExclusionAmt>5401</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>5401</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>383435711</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1283375</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-126005</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>3503785</TotalAmt>
        <ProgramServicesAmt>3503785</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>285788935</TotalAmt>
        <ProgramServicesAmt>285788935</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>175150</TotalAmt>
        <ProgramServicesAmt>119923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33400</ManagementAndGeneralAmt>
        <FundraisingAmt>21827</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1680683</TotalAmt>
        <ProgramServicesAmt>1150739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>320498</ManagementAndGeneralAmt>
        <FundraisingAmt>209446</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>111033</TotalAmt>
        <ProgramServicesAmt>76023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21173</ManagementAndGeneralAmt>
        <FundraisingAmt>13837</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>241929</TotalAmt>
        <ProgramServicesAmt>165645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46135</ManagementAndGeneralAmt>
        <FundraisingAmt>30149</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>654249</TotalAmt>
        <ProgramServicesAmt>447955</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124762</ManagementAndGeneralAmt>
        <FundraisingAmt>81532</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>45956</TotalAmt>
        <ProgramServicesAmt>43806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1474</ManagementAndGeneralAmt>
        <FundraisingAmt>676</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>42681</TotalAmt>
        <ProgramServicesAmt>40686</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1368</ManagementAndGeneralAmt>
        <FundraisingAmt>627</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>275433</TotalAmt>
        <FundraisingAmt>275433</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForServicesOtherGrp>
        <TotalAmt>836312</TotalAmt>
        <ProgramServicesAmt>825181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11131</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>7903</TotalAmt>
        <ProgramServicesAmt>4522</ProgramServicesAmt>
        <ManagementAndGeneralAmt>531</ManagementAndGeneralAmt>
        <FundraisingAmt>2850</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>565880</TotalAmt>
        <ProgramServicesAmt>438125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44340</ManagementAndGeneralAmt>
        <FundraisingAmt>83415</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>82015</TotalAmt>
        <ProgramServicesAmt>39854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12649</ManagementAndGeneralAmt>
        <FundraisingAmt>29512</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>119924</TotalAmt>
        <ProgramServicesAmt>110507</ProgramServicesAmt>
        <FundraisingAmt>9417</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>722032</TotalAmt>
        <ProgramServicesAmt>698436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4424</ManagementAndGeneralAmt>
        <FundraisingAmt>19172</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>7985</TotalAmt>
        <ProgramServicesAmt>7985</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>294272</TotalAmt>
        <ProgramServicesAmt>199485</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13453</ManagementAndGeneralAmt>
        <FundraisingAmt>81334</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>392084</TotalAmt>
        <ProgramServicesAmt>56904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>335180</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>92901</TotalAmt>
        <ProgramServicesAmt>65750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20997</ManagementAndGeneralAmt>
        <FundraisingAmt>6154</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OBSOLETE INVENTORY</Desc>
        <TotalAmt>79129033</TotalAmt>
        <ProgramServicesAmt>79129033</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CDC EQUIPMENT PURCHASES</Desc>
        <TotalAmt>4184724</TotalAmt>
        <ProgramServicesAmt>4184724</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SPECIAL EVENTS</Desc>
        <TotalAmt>63333</TotalAmt>
        <ProgramServicesAmt>32374</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1624</ManagementAndGeneralAmt>
        <FundraisingAmt>29335</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STAFF DEVELOPMENT</Desc>
        <TotalAmt>8306</TotalAmt>
        <ProgramServicesAmt>7131</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>1175</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>117777</TotalAmt>
        <ProgramServicesAmt>117777</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>379144315</TotalAmt>
        <ProgramServicesAmt>377255285</ProgramServicesAmt>
        <ManagementAndGeneralAmt>993139</ManagementAndGeneralAmt>
        <FundraisingAmt>895891</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>6139306</BOYAmt>
        <EOYAmt>5506974</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>60116</BOYAmt>
        <EOYAmt>250000</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>2789006</BOYAmt>
        <EOYAmt>789065</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>104379</BOYAmt>
        <EOYAmt>77616</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>15485623</BOYAmt>
        <EOYAmt>19896464</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>78689</BOYAmt>
        <EOYAmt>35072</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>11986132</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1684421</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10304221</BOYAmt>
        <EOYAmt>10301711</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>40628</BOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>256266</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>35001968</BOYAmt>
        <EOYAmt>37113168</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1972903</BOYAmt>
        <EOYAmt>584983</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>185857</BOYAmt>
        <EOYAmt>52255</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>7975000</BOYAmt>
        <EOYAmt>7315842</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>10133760</BOYAmt>
        <EOYAmt>7953080</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>21836383</BOYAmt>
        <EOYAmt>26967831</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>3031825</BOYAmt>
        <EOYAmt>2192257</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>24868208</BOYAmt>
        <EOYAmt>29160088</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>35001968</BOYAmt>
        <EOYAmt>37113168</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4291396</ReconcilationRevenueExpnssAmt>
      <DonatedServicesAndUseFcltsAmt>484</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>126334830</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>75419662</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>137221659</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>228047099</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>382278341</CurrentTaxYearAmt>
        <TotalAmt>949301591</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>126334830</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>75419662</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>137221659</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>228047099</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>382278341</CurrentTaxYearAmt>
        <TotalAmt>949301591</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>800215124</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>149086467</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>4445</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4545</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2870</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9418</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8967</CurrentTaxYearAmt>
        <TotalAmt>30245</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>580789</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5795</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2197</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6337</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5401</CurrentTaxYearAmt>
        <TotalAmt>600519</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>949932355</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>5744447</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.15690</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.18460</PublicSupportPY170Pct>
      <TenPctFactsCrcmstncsTestCYInd>X</TenPctFactsCrcmstncsTestCYInd>
      <FactsAndCircumstancesTestTxt>THE ORGANIZATION IS BROADLY SUPPORTED AND HAS A DIVERSE BOARD OF DIRECTORS. THE ORGANIZATION'S PUBLIC SUPPORT PERCENTAGE IS 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 SUPPORTPERCENTAGE.</FactsAndCircumstancesTestTxt>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10-OTHER INCOME DETAIL</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENCY CONVERSION: 2019 - $5,401 2018 - $6,337 2017 - $2,197 2016 - $5,795 2015 - $580,789</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>15554</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>2689</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>18243</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>16502</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-948</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>15554</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>14688</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1814</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>16502</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>13922</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>766</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>14688</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>14166</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-244</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>13922</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>9711912</OtherCostOrOtherBasisAmt>
        <BookValueAmt>9711912</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>344000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>275495</DepreciationAmt>
        <BookValueAmt>68505</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>272084</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>75484</DepreciationAmt>
        <BookValueAmt>196600</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>903313</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>839355</DepreciationAmt>
        <BookValueAmt>63958</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>754823</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>494087</DepreciationAmt>
        <BookValueAmt>260736</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>10301711</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>384637340</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>1201629</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>1201629</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>383435711</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>383435711</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>380345460</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1201145</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>1201145</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>379144315</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>379144315</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A NONPROFIT ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3), HEART TO HEART INTERNATIONAL, INC. IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES, EXCEPT ON UNRELATED BUSINESS INCOME, UNDER SECTION 501(A). THE ORGANIZATION HAS BEEN DETERMINED TO NOT BE A PRIVATE FOUNDATION AND IS CLASSIFIED AS A PUBLIC CHARITY. UNRELATED BUSINESS INCOME TAX, IF ANY, IS IMMATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL INCOME TAX. 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, 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, 2019 OR 2018, AS MANAGEMENT DOES NOT BELIEVE ANY MATERIAL UNCERTAINTIES EXIST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>20</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>264188463</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>RUSSIA AND NEIGHBORING STATES</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>60543</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH ASIA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1350</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>20644605</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>736652</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>MIDDLE EAST AND NORTH AFRICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>95683</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>145674</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>NORTH AMERICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>8338</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE (INCLUDING ICELAND &amp; GREENLAND)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>DISTRIBUTION OF MEDICAL AID</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>309</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>1</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>20</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>1</TotalOfficeCnt>
      <TotalEmployeeCnt>20</TotalEmployeeCnt>
      <SubtotalSpentAmt>285881308</SubtotalSpentAmt>
      <ContinuationSpentAmt>309</ContinuationSpentAmt>
      <TotalSpentAmt>285881617</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>3755751</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA &amp; PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>4127</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>11013</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>29172</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>8394</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>103461</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>15573</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA &amp; PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>552736</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>23167</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>16820</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>14225</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>11367</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>9982</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>10918354</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>20003</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>42587</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA &amp; PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>11468</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>5305</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>1687868</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>5137</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>19127</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>197477</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>1470018</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>13418</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>87898</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>27351</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>NORTH AMERICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>7545</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>99604</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>11486</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>13805</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>8203</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>83497</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>157306</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>2066292</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>5464898</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>1485113</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>23612</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>354883</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>417983</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>2319519</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>5791146</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>29595950</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>34452182</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>RUSSIA &amp; NIS</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>60543</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>849766</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>182755787</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>6585</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>12548</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>24260</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>104050</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA &amp; PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>18202</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA CARB</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>39892</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA &amp; PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>137700</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>9565</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>EAST ASIA &amp; PACIFIC</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>9854</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>92426</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>MIDDLE EAST/N.AFRICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>95683</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SOUTH AMERICA</RegionTxt>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
        <NonCashAssistanceAmt>3605</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>52</Total501c3OrgCnt>
      <TotalOtherOrgCnt>5</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ORGANIZATIONS STAFF PERSONALLY CONDUCT SITE VISITS AND FIELD INVESTIGATIONS FOR SPECIFIED RECIPIENTS EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS REFLECTED ON PART I, LINE 3 REPRESENT THE DISTRIBUTION OF MEDICAL AID BY REGION. THE ORGANIZATION'S TOTAL INTERNATIONAL HUMANITARIAN ASSISTANCE, AS REPORTED ON PART III, LINE 4A, ALSO INCLUDES INDIRECT EXPENSES ALLOCABLE TO FOREIGN ACTIVITIES, WHICH THE ORGANIZATION DOES NOT SEPARATELY TRACK BY REGION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>HARTSOOK</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 WALNUT</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64106</ZIPCd>
        </USAddress>
        <ActivityTxt>FUNDRAISER</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>700000</GrossReceiptsAmt>
        <RetainedByContractorAmt>275433</RetainedByContractorAmt>
        <NetToOrganizationAmt>424567</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>700000</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>275433</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>424567</TotalNetToOrganizationAmt>
      <LicensedStatesCd>AL</LicensedStatesCd>
      <LicensedStatesCd>AK</LicensedStatesCd>
      <LicensedStatesCd>AZ</LicensedStatesCd>
      <LicensedStatesCd>AR</LicensedStatesCd>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>DE</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <LicensedStatesCd>HI</LicensedStatesCd>
      <LicensedStatesCd>ID</LicensedStatesCd>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <LicensedStatesCd>IN</LicensedStatesCd>
      <LicensedStatesCd>IA</LicensedStatesCd>
      <LicensedStatesCd>KS</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>LA</LicensedStatesCd>
      <LicensedStatesCd>ME</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>MO</LicensedStatesCd>
      <LicensedStatesCd>MT</LicensedStatesCd>
      <LicensedStatesCd>NE</LicensedStatesCd>
      <LicensedStatesCd>NV</LicensedStatesCd>
      <LicensedStatesCd>NH</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NM</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>NC</LicensedStatesCd>
      <LicensedStatesCd>ND</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>OK</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>RI</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>SD</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <LicensedStatesCd>TX</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
      <LicensedStatesCd>VT</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WA</LicensedStatesCd>
      <LicensedStatesCd>WV</LicensedStatesCd>
      <LicensedStatesCd>WI</LicensedStatesCd>
      <LicensedStatesCd>WY</LicensedStatesCd>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRINIDAD LIFE COMMUNITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>FEDERICO MATTHEW BAEZ SCHOOL</AddressLine1Txt>
          <CityNm>YABUCOA</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00767</ZIPCd>
        </USAddress>
        <RecipientEIN>660803935</RecipientEIN>
        <CashGrantAmt>56950</CashGrantAmt>
        <PurposeOfGrantTxt>EARTHQUAKE RECOVERY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WATER MISSION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 71489</AddressLine1Txt>
          <CityNm>N CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29415</ZIPCd>
        </USAddress>
        <RecipientEIN>571116978</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>WELL IN GUYABOTA PR - EARTHQUAKE RECOVERY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF LINWOOD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>306 MAIN ST</AddressLine1Txt>
          <CityNm>LINWOOD</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66052</ZIPCd>
        </USAddress>
        <RecipientEIN>486101013</RecipientEIN>
        <IRCSectionDesc>CITY OF LINWOOD</IRCSectionDesc>
        <CashGrantAmt>11360</CashGrantAmt>
        <PurposeOfGrantTxt>TORNADO RECOVERY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COSSAO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2113</AddressLine1Txt>
          <CityNm>UTUADO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00641</ZIPCd>
        </USAddress>
        <RecipientEIN>660812599</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>255596</CashGrantAmt>
        <PurposeOfGrantTxt>EARTHQUAKE RECOVERY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PR SCIENCE TECH &amp; RESEARCH TRUST</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 363475</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00936</ZIPCd>
        </USAddress>
        <RecipientEIN>660379122</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP TO CARIBBEAN STRONG CONFERENCE - EARTHQUAKE RECOVERY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN CANCER SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>250 WILLIAMS STREET NW</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30303</ZIPCd>
        </USAddress>
        <RecipientEIN>131788491</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>116403</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAAL PARAZIM WELLNESS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>770 N HALSTEAD STREET SUITE 100</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60642</ZIPCd>
        </USAddress>
        <RecipientEIN>465746945</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>116474</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRIDGEWAY-HEALTH-CLINICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>137 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>FORT WALTON BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32548</ZIPCd>
        </USAddress>
        <RecipientEIN>591278085</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>7198</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARE BEYOND THE BOULEVARD INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5612 W 158TH TERRACE</AddressLine1Txt>
          <CityNm>OVERLAND PARK</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66223</ZIPCd>
        </USAddress>
        <RecipientEIN>831122028</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>196184</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF THE RIO GRANDE VALLEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 N VIRGEN DE SAN JUAN BLVD</AddressLine1Txt>
          <CityNm>SAN JUAN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78589</ZIPCd>
        </USAddress>
        <RecipientEIN>680599307</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>5226</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTER FOR HEALING AND HOPE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>902 S MAIN STREET</AddressLine1Txt>
          <CityNm>GOSHEN</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46526</ZIPCd>
        </USAddress>
        <RecipientEIN>020560511</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>6061</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHRIST CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>25722 KINGSLAND BLVE</AddressLine1Txt>
          <CityNm>KATY</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77494</ZIPCd>
        </USAddress>
        <RecipientEIN>900789318</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>26818</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY FREE CLINIC INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>249 MILL STREET</AddressLine1Txt>
          <CityNm>HAGERSTOWN</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>217406114</ZIPCd>
        </USAddress>
        <RecipientEIN>521772594</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>36482</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONVOY OF HOPE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>330 SOUTH PATTERSON AVE</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65802</ZIPCd>
        </USAddress>
        <RecipientEIN>680051386</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>340056</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CROSSROADS CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>444 VALPARAISO PKWY</AddressLine1Txt>
          <CityNm>VALPARAISO</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32580</ZIPCd>
        </USAddress>
        <RecipientEIN>205518720</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>5170</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DIOCESAN COUNCIL SOCIETY OF ST VINCENT DE PAUL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>420 WEST WATKINS</AddressLine1Txt>
          <CityNm>PHOENIX</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85003</ZIPCd>
        </USAddress>
        <RecipientEIN>860096789</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>24988</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ELLIS CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11918 EAST 59TH STREET</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64133</ZIPCd>
        </USAddress>
        <RecipientEIN>611661285</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>21261</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FREE CLINIC OF FRANKLIN COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1171 FRANKLIN STREET</AddressLine1Txt>
          <CityNm>ROCKY MOUNT</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24151</ZIPCd>
        </USAddress>
        <RecipientEIN>541634138</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>22279</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FREE CLINICS OF IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 12099</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50312</ZIPCd>
        </USAddress>
        <RecipientEIN>421428706</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>8717</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GOOCHLAND FREE CLINIC AND FAMILY SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3001 RIVER ROAD WEST</AddressLine1Txt>
          <CityNm>GOOCHLAND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23063</ZIPCd>
        </USAddress>
        <RecipientEIN>541967650</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>9387</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GOOD HEALTH CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>91555 OVERSEAS HIGHWAY SUITE 2</AddressLine1Txt>
          <CityNm>TAVERNIER</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33070</ZIPCd>
        </USAddress>
        <RecipientEIN>043745805</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>5022</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREAT FAITH VISION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>447 E JEFFERSON ST</AddressLine1Txt>
          <CityNm>MEDIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19083</ZIPCd>
        </USAddress>
        <RecipientEIN>461777742</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>5625</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARVESTERS COMMUNITY FOOD NETWORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3801 TOPPING AVENUE</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64129</ZIPCd>
        </USAddress>
        <RecipientEIN>431208665</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>56503</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEART TO HEART INTERNATIONAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>15500 RENNER BLVD</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
        </USAddress>
        <RecipientEIN>481108359</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>50229</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOPE CLINIC OF MCKINNEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>103 E LAMAR STREET</AddressLine1Txt>
          <CityNm>MCKINNEY</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75069</ZIPCd>
        </USAddress>
        <RecipientEIN>813813928</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>16222</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOPE HEALTH CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1025 SANIBEL WAY SUITE E</AddressLine1Txt>
          <CityNm>LA GRANGE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40031</ZIPCd>
        </USAddress>
        <RecipientEIN>452340606</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>297323</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOPE MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>150 BEACH DRIVE</AddressLine1Txt>
          <CityNm>DESTIN</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32541</ZIPCd>
        </USAddress>
        <RecipientEIN>263811078</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>12594</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOPELIGHT MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1327 COLLYER ST</AddressLine1Txt>
          <CityNm>LONGMONT</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80501</ZIPCd>
        </USAddress>
        <RecipientEIN>464657471</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>34498</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IRVING CARES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>440 S NURSERY ROAD SUITE 101</AddressLine1Txt>
          <CityNm>IRVING</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75060</ZIPCd>
        </USAddress>
        <RecipientEIN>751436937</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>10493</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KANSAS CITY CARE HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3515 BROADWAY</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64111</ZIPCd>
        </USAddress>
        <RecipientEIN>430967292</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>47091</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAP INTERNATIONAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4700 GLYNCO PARKWAY</AddressLine1Txt>
          <CityNm>BRUNSWICK</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31525</ZIPCd>
        </USAddress>
        <RecipientEIN>362586390</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>10708</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDSHARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3240 CLIFTON SPRINGS ROAD</AddressLine1Txt>
          <CityNm>DECATUR</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30034</ZIPCd>
        </USAddress>
        <RecipientEIN>582433968</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>5336</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO VALLEY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE ROSS PARK SUITE 202</AddressLine1Txt>
          <CityNm>STEUBENVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43952</ZIPCd>
        </USAddress>
        <RecipientEIN>203924355</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>24846</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OKLAHOMA LIONS SERVICE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4123 NW 10TH</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73107</ZIPCd>
        </USAddress>
        <RecipientEIN>237396135</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>7327</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OUR LADY OF HOPE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4232 MERCIER</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64111</ZIPCd>
        </USAddress>
        <RecipientEIN>440546494</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>32195</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RESTORE GLOBAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9525 MONROE ROAD STE 150</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28270</ZIPCd>
        </USAddress>
        <RecipientEIN>260745879</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>54642</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF THE RIO GRAND VALLEY HUMANITARIAN RESPITE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>111 SOUTH 15TH STREET</AddressLine1Txt>
          <CityNm>MCALLEN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78501</ZIPCd>
        </USAddress>
        <RecipientEIN>680599307</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>17085</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERVIEW HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>722 REYNOLDS AVENUE</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66101</ZIPCd>
        </USAddress>
        <RecipientEIN>481072716</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>7064</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOCIAL WELFARE BOARD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>904 S 10TH SUITE A</AddressLine1Txt>
          <CityNm>ST JOSEPH</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>645032406</ZIPCd>
        </USAddress>
        <RecipientEIN>800308973</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>11254</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST MARYS HEALTH WAGON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5626 PATRIOT DR</AddressLine1Txt>
          <CityNm>WISE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24293</ZIPCd>
        </USAddress>
        <RecipientEIN>043739083</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>28316</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CENTER FOR HEALING AND HOPE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>902 S MAIN</AddressLine1Txt>
          <CityNm>GOSHEN</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46527</ZIPCd>
        </USAddress>
        <RecipientEIN>020560511</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>42740</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE HEALTH HUT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>310 WEST MISSISSIPPI AVE</AddressLine1Txt>
          <CityNm>RUSTON</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71270</ZIPCd>
        </USAddress>
        <RecipientEIN>273764078</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>38505</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TOMAGWA HEALTHCARE MINISTRIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>455 SCHOOL STREET SUITE 30</AddressLine1Txt>
          <CityNm>TOMBALL</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77375</ZIPCd>
        </USAddress>
        <RecipientEIN>760280324</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>108021</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UBI CARITAS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4450 HIGHLAND AVE</AddressLine1Txt>
          <CityNm>BEAUMONT</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77705</ZIPCd>
        </USAddress>
        <RecipientEIN>760558225</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>47271</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED HEALTH PARTNERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6846 ANTOINE DR</AddressLine1Txt>
          <CityNm>HOUSTON</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77091</ZIPCd>
        </USAddress>
        <RecipientEIN>611757254</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>104230</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF KANSAS MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3901 RAINBOW BLVD</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66160</ZIPCd>
        </USAddress>
        <RecipientEIN>481108830</RecipientEIN>
        <IRCSectionDesc>501 (C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>24691</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST VIRGINIA HEALTH RIGHT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1520 EAST WASHINGTON STREET</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25311</ZIPCd>
        </USAddress>
        <RecipientEIN>311066881</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>8715</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WOMEN OF WORTH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1513 DEAN STREET</AddressLine1Txt>
          <CityNm>ROME</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30161</ZIPCd>
        </USAddress>
        <RecipientEIN>800306378</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>95687</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WYANDOTTE COUNTY JUVENILE DETENTION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>710 NORTH 7TH STREET SUITE 20</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66101</ZIPCd>
        </USAddress>
        <RecipientEIN>481194075</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>39790</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YONKOFA PROJECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4756 HAMMERMILL ROAD SUITE 404</AddressLine1Txt>
          <CityNm>TUCKER</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30084</ZIPCd>
        </USAddress>
        <RecipientEIN>452545452</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>5170</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>MEDICAL SUPPLIES &amp; EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>MEDICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>49</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>357</ContributionCnt>
        <NoncashContributionsRptF990Amt>371976169</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>AVERAGE WHOLESALE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>HEART TO HEART INTERNATIONAL AMENDED AND RESTATED ITS BYLAWS ON MARCH 20, 2019. SIGNIFICANT CHANGES INCLUDE: - UPDATES TO THE MISSION STATEMENT, VISION, AND GUIDING PRINCIPLES - REVISION OF THE REQUIRED NUMBER OF THE GOVERNING BODY'S VOTING MEMBERS: THE TOTAL WAS REDUCED FROM 12 TO 15 BOARD MEMBERS TO 7 TO 12 BOARD MEMBERS - REVISION TO QUORUM REQUIREMENTS: ACTIONS BY THE BOARD OF DIRECTORS NOW REQUIRE MAJORITY CONSENT, RATHER THAN UNANIMOUS CONSENT. - UPDATES TO THE DUTIES OF THE GOVERNING BODY'S VOTING MEMBERS, THROUGH THE ADDITION AND REMOVAL OF CERTAIN STANDING COMMITTEES: THE ORGANIZATION HAS ADDED A BUILDING CONSTRUCTION/ACQUISITION COMMITTEE AND NO LONGER HAS A GLOBAL LEADERSHIP COUNCIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS REVIEWED BY THE CEO AND THE FINANCE/AUDIT COMMITTEE OF THE BOARD. THE BOARD OF DIRECTORS WILL RECEIVE A COPY OF THE TAX RETURN PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL CONDUCT AN ANNUAL EVALUATION OF THE PRESIDENT AND CEO AND SUBMIT SALARY AND EMPLOYMENT AGREEMENT RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR APPROVAL. THE ORGANIZATION UTILIZES THIRD PARTY DATA TO COMPARE ITS COMPENSATION ARRANGEMENTS TO THOSE OF SIMILARLY QUALIFIED INDIVIDUALS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS AND ENSURE THEY ARE REASONABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE ORGANIZATION ALSO PROVIDES A COPY OF ITS FORM 990 TO CHARITY NAVIGATOR TO BE MADE AVAILABLE AT WWW.CHARITYNAVIGATOR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEART TO HEART INTERNATIONAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 15566</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66285</ZIPCd>
        </USAddress>
        <EIN>823603257</EIN>
        <PrimaryActivitiesTxt>SUPPORT HEART TO HEART INTERNATIONAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEART TO HEART INTERNATIONAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>REGALORX INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 15566</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66285</ZIPCd>
        </USAddress>
        <EIN>833558266</EIN>
        <PrimaryActivitiesTxt>PROVIDE ASSISTANCE TO INDIVIDUALS WITH LIFE THREATENING DISEASES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEART TO HEART INTERNATIONAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>REGALORX INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>66072</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST OR ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>REGALORX INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>630868</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST OR ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>