SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
HEART TO HEART INTERNATIONAL
 
Employer identification number

48-1108359
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 20 1 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 104,174,366
RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 93,358,900
SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 19,376,750
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 1,502,242
EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 3,996,167
MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 5,267
SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 11,453
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 558,771
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES DISTRIBUTION OF MEDICAL AID 2,695,393
           
           
           
           
           
           
           
           
3a Sub-total .... 20 1 222,983,916
b Total from continuation sheets to Part I ... 0 0 2,695,393
c Totals (add lines 3a and 3b) 20 1 225,679,309
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   198,660 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EAST ASIA AND THE PACIFIC MEDICAL ASSISTANCE 0   1,209,969 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
MIDDLE EAST AND NORTH AFRICA MEDICAL ASSISTANCE 0   5,267 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   1,491,717 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EAST ASIA AND THE PACIFIC MEDICAL ASSISTANCE 0   351,954 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   3,112,982 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   34,483,480 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EUROPE (INCLUDING ICELAND & GREENLAND) MEDICAL ASSISTANCE 0   23,234 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   85,202 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 0   8,334,242 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   64,505,746 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SOUTH ASIA MEDICAL ASSISTANCE 0   7,202 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   40,440 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   16,198,859 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EUROPE (INCLUDING ICELAND & GREENLAND) MEDICAL ASSISTANCE 0   10,015 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   219,802 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EUROPE (INCLUDING ICELAND & GREENLAND) MEDICAL ASSISTANCE 0   13,103 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
NORTH AMERICA MEDICAL ASSISTANCE 0   558,771 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   72,295 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   78,383 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   314,803 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   6,269,456 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SOUTH ASIA MEDICAL ASSISTANCE 0   1,092,967 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   31,250,767 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SOUTH ASIA MEDICAL ASSISTANCE 0   2,740,498 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EAST ASIA AND THE PACIFIC MEDICAL ASSISTANCE 0   2,351,677 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   190,554 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   7,914 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   85,513 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   44,518 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 0   6,043 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 0   5,551 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SOUTH ASIA MEDICAL ASSISTANCE 0   15,493,655 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EAST ASIA AND THE PACIFIC MEDICAL ASSISTANCE 0   2,434,212 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   882,320 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SOUTH ASIA MEDICAL ASSISTANCE 0   33,404 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   21,367 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EUROPE (INCLUDING ICELAND & GREENLAND) MEDICAL ASSISTANCE 0   79,902 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   1,401,292 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   141,971 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   1,303,181 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   64,513 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SOUTH AMERICA MEDICAL ASSISTANCE 0   7,291 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   10,283,559 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   15,576,792 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN MEDICAL ASSISTANCE 0   381,108 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SOUTH ASIA MEDICAL ASSISTANCE 0   9,023 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 0   436,912 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 0   165,072 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 0   156,239 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 0   214,229 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
SUB-SAHARAN AFRICA MEDICAL ASSISTANCE 0   423,354 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
RUSSIA AND NEIGHBORING STATES MEDICAL ASSISTANCE 0   5,082 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
EUROPE (INCLUDING ICELAND & GREENLAND) MEDICAL ASSISTANCE 0   217,463 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, SCHOLARSHIPS 0   11,194 SCHOLARSHIPS OTHER
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, MEDICAL ASSISTANCE 0   156,521 PHARMACEUTICALS, MEDICAL SUPPLIES AND HYGIENE ITEMS FMV
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, ASSET TRANSFER 0   18,983 TRUCK FMV
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, ASSET TRANSFER 0   377,395 HOUSE AND LAND FMV
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
51
3 Enter total number of other organizations or entities .......................MediumBullet
10
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART I, LINE 2: RECIPIENT ORGANIZATIONS ARE REQUIRED TO PROVIDE HEART TO HEART WITH DISTRIBUTION REPORTS AND OTHER DOCUMENTATION SUCH AS PHOTOGRAPHS DETAILING THE HUMANITARIAN IMPACT OF THE DONATION. HEART TO HEART AND/OR DISTRIBUTION PARTNER ORGANIZATIONS STAFF PERSONALLY CONDUCT SITE VISITS AND FIELD INVESTIGATIONS FOR SPECIFIED RECIPIENTS EACH YEAR. BECAUSE OF THE GLOBAL RISK OF COVID19 AND IN ACCORDANCE WITH WHO AND CDC GUIDANCE; IN 2020 HEART TO HEART INTERNATIONAL RESTRICTED EMPLOYEE AND VOLUNTEER TRAVEL TO CRITICAL DISASTER RESPONSE ACTIVITY; BOTH DOMESTICALLY AND INTERNATIONALLY. THIS RESULTED IN A REDUCTION IN OPERATING EXPENSES FOR SEVERAL DEPARTMENTS AND PROGRAMS.
PART I, LINE 3: 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.
PART III ACCOUNTING METHOD:  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
Additional Data


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