Civic Intelligence

Heart to Heart International

EIN 48-1108359 • 501(c)3 • Lenexa, KS

Profile

Heart to heart international seeks to improve healthcare access in the u.s. And around the world by ensuring quality care is provided equitably in medically under-resourced communities and in disaster situations.

11550 Renner BlvdLenexa, KS 66219

www.hearttoheart.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

15th percentile

0.02x

Higher debt load relative to assets than 15% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

5th percentile

0.00x

Higher debt load relative to revenue than 5% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

8th percentile

-24%

Higher net margin than 8% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

13th percentile

$212,677

Higher top officer pay than 13% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

2nd percentile

-68%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

4th percentile

-44%

Faster revenue growth than 4% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$25,466,294

Down $54,986,207 (-68%) from 2023

Liabilities

Down

$585,767

Down $5,774 (-1.0%) from 2023

Net Assets

Down

$24,880,527

Down $54,980,433 (-69%) from 2023

Revenue

Down

$231,376,583

Down $178,674,268 (-44%) from 2023

Expenses

Down

$286,359,597

Down $114,279,057 (-29%) from 2023

Net Income

Down

-$54,983,014

Down $64,395,211 (-684%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $26,873,704Liabilities 2010: $1,158,578Net Assets 2010: $25,715,1262010Assets 2011: $22,797,263Liabilities 2011: $1,828,212Net Assets 2011: $20,969,0512011Assets 2012: $42,618,319Liabilities 2012: $1,807,584Net Assets 2012: $40,810,7352012Assets 2013: $14,127,599Liabilities 2013: $1,260,948Net Assets 2013: $12,866,6512013Assets 2014: $27,466,439Liabilities 2014: $2,016,186Net Assets 2014: $25,450,2532014Assets 2015: $11,302,784Liabilities 2015: $1,404,450Net Assets 2015: $9,898,3342015Assets 2016: $10,024,102Liabilities 2016: $1,243,222Net Assets 2016: $8,780,8802016Assets 2017: $45,655,019Liabilities 2017: $625,637Net Assets 2017: $45,029,3822017Assets 2018: $35,001,968Liabilities 2018: $10,133,760Net Assets 2018: $24,868,2082018Assets 2019: $37,113,168Liabilities 2019: $7,953,080Net Assets 2019: $29,160,0882019Assets 2020: $125,734,000Liabilities 2020: $7,154,103Net Assets 2020: $118,579,8972020Assets 2021: $69,647,242Liabilities 2021: $2,753,066Net Assets 2021: $66,894,1762021Assets 2022: $70,691,850Liabilities 2022: $440,892Net Assets 2022: $70,250,9582022Assets 2023: $80,452,501Liabilities 2023: $591,541Net Assets 2023: $79,860,9602023Assets 2024: $25,466,294Liabilities 2024: $585,767Net Assets 2024: $24,880,5272024

Highlighted filing

2024

Assets$25,466,294
Liabilities$585,767
Net Assets$24,880,527

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $79,326,2342010Expenses 2011: $93,327,4382011Expenses 2012: $99,001,8142012Revenue 2013: $92,463,858Expenses 2013: $135,573,676Net Income 2013: -$43,109,8182013Revenue 2014: $99,532,617Expenses 2014: $86,928,582Net Income 2014: $12,604,0352014Revenue 2015: $127,123,343Expenses 2015: $142,407,410Net Income 2015: -$15,284,0672015Revenue 2016: $76,337,407Expenses 2016: $77,470,658Net Income 2016: -$1,133,2512016Revenue 2017: $138,486,995Expenses 2017: $102,077,614Net Income 2017: $36,409,3812017Revenue 2018: $229,310,573Expenses 2018: $249,470,612Net Income 2018: -$20,160,0392018Revenue 2019: $383,435,711Expenses 2019: $379,144,315Net Income 2019: $4,291,3962019Revenue 2020: $248,083,908Expenses 2020: $158,671,865Net Income 2020: $89,412,0432020Revenue 2021: $283,611,296Expenses 2021: $335,299,032Net Income 2021: -$51,687,7362021Revenue 2022: $282,060,621Expenses 2022: $278,693,966Net Income 2022: $3,366,6552022Revenue 2023: $410,050,851Expenses 2023: $400,638,654Net Income 2023: $9,412,1972023Revenue 2024: $231,376,583Expenses 2024: $286,359,597Net Income 2024: -$54,983,0142024

Highlighted filing

2024

Revenue$231,376,583
Expenses$286,359,597
Net Income-$54,983,014

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$25.5$0.59$24.9$231$286$55.0
2023Detailed filing. Detailed filing data is available for this year.$80.5$0.59$79.9$410$401$9.41
2022Detailed filing. Detailed filing data is available for this year.$70.7$0.44$70.3$282$279$3.37
2021Detailed filing. Detailed filing data is available for this year.$69.6$2.75$66.9$284$335$51.7
2020Detailed filing. Detailed filing data is available for this year.$126$7.15$119$248$159$89.4
2019Detailed filing. Detailed filing data is available for this year.$37.1$7.95$29.2$383$379$4.29
2018Detailed filing. Detailed filing data is available for this year.$35.0$10.1$24.9$229$249$20.2
2017Detailed filing. Detailed filing data is available for this year.$45.7$0.63$45.0$138$102$36.4
2016Detailed filing. Detailed filing data is available for this year.$10.0$1.24$8.78$76.3$77.5$1.13
2015Detailed filing. Detailed filing data is available for this year.$11.3$1.40$9.90$127$142$15.3
2014Detailed filing. Detailed filing data is available for this year.$27.5$2.02$25.5$99.5$86.9$12.6
2013Detailed filing. Detailed filing data is available for this year.$14.1$1.26$12.9$92.5$136$43.1
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.6$1.81$40.8$99.0
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.8$1.83$21.0$93.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.9$1.16$25.7$79.3
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 4, 2025
Return Version
2024v5.1
Gross Receipts
$231,864,121
Mission and Program Overview

Mission

Hhi strengthens communities through improving health access and providing humanitarian development and crisis relief worldwide. We collaborate with partners, engage volunteers and deploy resources to achieve this mission.

To provide humanitarian relief and development.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,667,100$9,271,393▼ $395,707
Savings and Temporary Cash Investments$10,841,415$7,548,058▼ $3,293,357
Investments in Publicly Traded Securities-$5,465,559-
Inventories for Sale or Use$59,580,965$2,883,318▼ $56,697,647
Accounts Receivable$135,930$123,325▼ $12,605
Prepaid Expenses and Deferred Charges$168,657$111,152▼ $57,505
Pledges and Grants Receivable$10,000$61,982▲ $51,982
Cash and Non-Interest-Bearing Accounts$674$1,507▲ $833
Total Assets$80,452,501$25,466,294▼ $54,986,207
Other Assets Total$47,760$0▼ $47,760
Liabilities
Deferred Revenue$329,693$319,945▼ $9,748
Accounts Payable and Accrued Expenses$261,848$265,822▲ $3,974
Total Liabilities$591,541$585,767▼ $5,774
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$79,449,336$23,534,237▼ $55,915,099
Net Assets With Donor Restrictions$411,624$1,346,290▲ $934,666
Total Net Assets Fund Balance$79,860,960$24,880,527▼ $54,980,433
Total Liabilities and Net Assets / Fund Balance$80,452,501$25,466,294▼ $54,986,207

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,856,267$1,397,989$9,254,256
Equipment$164,805$889,551$1,054,356
Other Land Buildings$682,807$287,463$970,270
Leasehold Improvements$481,514$465,339$946,853
Land$86,000-$86,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$22,058-▲ $3,899$3,207$22,500
2023$19,264-▲ $2,794-$22,058
2022$22,665-▼ $3,401-$19,264
2021$20,517-▲ $2,148-$22,665
2020$18,243-▲ $2,274-$20,517
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kimberly CarrollCEOFT$178,144$34,533$212,677
Anne DykesSenior VPFT$163,634$31,229$194,863
Agustina BoehringerCMOFT$136,970$12,250$149,220
Dan NealSenior VP of OperationsFT$105,469$24,141$129,610
Brian SinkVP of KitsFT$103,023$12,580$115,603
Tenagashaw TirunehVP of ProgramsFT$102,106$10,221$112,327

Board Members and Trustees

NameTitle
Wendy BlackburnChair
Alan EdelmanDirector
Anita NewtonDirector
Christian FrankDirector
David LangeDirector
James ZeebDirector
Jim MitchumDirector
Jordan KoenigDirector
Maurice LeeDirector
Rebecca CisekDirector
Sonja BachusDirector
Dan McclainSecretary
Austin BickfordTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$229,392,302
Program Service Revenue
$1,423,548
Investment Income
$543,283
Other Revenue
$17,450
All Other Contributions
$229,371,635
Change in Net Assets
$-54,983,014

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies35$220,640,133Fair Market Value (FMV)
Total Noncash Contributions35$220,640,133-

Audited Revenue Reconciliation

Revenue per Audited Statements
$231,354,525
Revenue Not Reported on Financial Statements
$22,058
Revenue Not Reported on Form 990
$1,423,332
Total Revenue per Audited Statements
$232,777,857
Total Revenue per Form 990
$231,376,583
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$274,299,443
Other Expenses$8,011,198
Salaries, Compensation, and Employee Benefits$4,048,956
Total Fundraising Expense$1,150,129
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Foreign Grants$263,897,257--$263,897,257
Grants to Domestic Orgs$10,159,694--$10,159,694
Other Salaries and Wages$1,360,368$850,992$463,684$2,675,044
Current Officers, Directors, Trustees, and Key Employees$506,360$212,677$194,863$913,900
Fees for Services Other$701,871$60,204$63,575$825,650
Office Expenses$478,446$14,995$204,203$697,644
Depreciation Depletion$339,268$277,582-$616,850
Travel$600,538$3,465$7,676$611,679
Occupancy$240,056$32,067$73,950$346,073
Payroll Taxes$261,782$1,693$1,058$264,533
Grants to Domestic Individuals$242,492--$242,492
Information Technology$108,802$15,784$46,032$170,618
Insurance$136,546$242$33,367$170,155
Other Employee Benefits$148,712$962$601$150,275
Fees for Services Accounting$47,732$525$15,478$63,735
Pension Plan Contributions$44,734$289$181$45,204
Advertising$9,294-$27,414$36,708
Fees for Service Investment Mgmnt Fees-$22,058-$22,058
Conferences and Meetings$7,091$1,028$3,000$11,119
Other Expenses$2,006$6,826$269$9,101
Fees for Services Legal$4,495$29$18$4,542
Total Functional Expenses$283,707,735$1,501,733$1,150,129$286,359,597

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$287,758,290
Total Expenses per Form 990$286,359,597
Expenses per Audited Statements$286,337,539
Expenses Not Reported on Form 990$1,420,751
Expenses Not Reported on Financial Statements$22,058
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Oceana Community HealthBoynton Beach, FL501(c)(3)Medical Assistance$11,216
Community IntiativesGreenwood, SC501(c)(3)Medical Assistance$7,351
Care Beyond the Boulevard IncKansas City, KS501(c)(3)Medical Assistance$1,766
The Medina ClinincGrandview, MO501(c)(3)Medical Assistance$784
AmericaresStamford, CT501(c)(3)Medical Assistance$0
Baal Perazim Wellness IncChicago, IL501(c)(3)Medical Assistance$0
Beheartfelt IncBarrigada, GU501(c)(3)Medical Assistance$0
Biguns Hope Disaster Response Services IncMiramar Beach, FL501(c)(3)Medical Assistance$0
Border Servant CorpsLas Cruces, NM501(c)(3)Medical Assistance$0
C-assist Family Health ClinicGarden City, MI501(c)(3)Medical Assistance$0
Catholic Charities Diocese of VeniceVenice, FL501(c)(3)Medical Assistance$0
Charitable Pharmacy of Central OhioColumbus, OH501(c)(3)Medical Assistance$0
Children Like LoniHouston, TX501(c)(3)Medical Assistance$0
Children-internationalKansas City, MO501(c)(3)Medical Assistance$0
Clark County School DistrictLas Vegas, NV501(c)(3)Medical Assistance$0
Coachella Valley Volunteers in MedicineIndio, CA501(c)(3)Medical Assistance$0
Community Care Clinic of BooneBoone, NC501(c)(3)Medical Assistance$0
Community Free Clinic IncHagerstown, MD501(c)(3)Medical Assistance$0
Confluence HrkcKansas City, MO501(c)(3)Medical Assistance$0
Convoy of HopeSpringfield, MO501(c)(3)Medical Assistance$0
DREAM CENTER WOMEN'S CLINICColorado Springs, CO501(c)(3)Medical Assistance$0
East Harris County Empowerment CouncilCrosby, TX501(c)(3)Medical Assistance$0
Eastern Band of the Cherokee Indian Tribal GovtCherokee, NCGovMedical Assistance$0
Faith Community HealthBrandson, MO501(c)(3)Medical Assistance$0
Faith Family Medical CenterNashville, TN501(c)(3)Medical Assistance$0
Faithful Path International MinistriesMission, TX501(c)(3)Medical Assistance$0
Genesee County Free Medical ClinicFlint, MI501(c)(3)Medical Assistance$0
Global Empowerment MissionDoral, FL501(c)(3)Medical Assistance$0
Good Neighbor HouseDayton, OH501(c)(3)Medical Assistance$0
Good360Alexandria, VA501(c)(3)Medical Assistance$0
Health and Hope ClinicPensacola, FL501(c)(3)Medical Assistance$0
Helping Mamas IncNorcross, GA501(c)(3)Medical Assistance$0
His Healing TouchLa Salle, MI501(c)(3)Medical Assistance$0
Ibn Sina FoundationHouston, TX501(c)(3)Medical Assistance$0
Jackson Free ClinicJackson, MS501(c)(3)Medical Assistance$0
Lebanon Valley Volunteers in MedicineLebanon, PA501(c)(3)Medical Assistance$0
Lifecycles Health Services IncCamden, NJ501(c)(3)Medical Assistance$0
Long Island CaresHauppauge, NY501(c)(3)Medical Assistance$0
Map InternationalBrunswick, GA501(c)(3)Medical Assistance$0
MedshareDecatur, GA501(c)(3)Medical Assistance$0
MedwishCleveland, OH501(c)(3)Medical Assistance$0
Mercy ShipsLindale, TX501(c)(3)Medical Assistance$0
Mercy and Truth Medical MissionsKansas City, KS501(c)(3)Medical Assistance$0
Miami-rescue-missionMiami, FL501(c)(3)Medical Assistance$0
Moab Free Health ClinicMoab, UT501(c)(3)Medical Assistance$0
Nc-medassistCharlotte, NC501(c)(3)Medical Assistance$0
Oklahoma Lions Service FoundationOklahoma City, OK501(c)(3)Medical Assistance$0
Open Door Health CenterHomestead, FL501(c)(3)Medical Assistance$0
Project HopeWashington, DC501(c)(3)Medical Assistance$0
Rise-against-hungerRaleigh, NC501(c)(3)Medical Assistance$0
Rogers Public SchoolsRogers, AR501(c)(3)Medical Assistance$0
Salvation Army - Texas DivisionDallas, TX501(c)(3)Medical Assistance$0
Salvation Army National HqAlexanadria, VA501(c)(3)Medical Assistance$0
San Jose ClinicHouston, TX501(c)(3)Medical Assistance$0
Save the Children Federation IncFairfield, CT501(c)(3)Medical Assistance$0
Society-of-championsHouston, TX501(c)(3)Medical Assistance$0
Southeast Missouri Health NetworkBenton, MO501(c)(3)Medical Assistance$0
St Joseph Primary CareRaleigh, NC501(c)(3)Medical Assistance$0
St Petersburg Free ClinicSt Petersburg, FL501(c)(3)Medical Assistance$0
Sunshine HealthFort Myers, FL501(c)(3)Medical Assistance$0
Tampa Bay Street MedicineTampa, FL501(c)(3)Medical Assistance$0
The Moore Wright GroupAberdeen, WA501(c)(3)Medical Assistance$0
Tomagwa Healthcare MinistriesTomball, TX501(c)(3)Medical Assistance$0
Trinity Health CenterHorn Lake, MS501(c)(3)Medical Assistance$0
Vecinos IncCullowhee, NC501(c)(3)Medical Assistance$0
Wildflower HealthcareSt Augustine, FL501(c)(3)Medical Assistance$0
Will-grundy Medical ClinicJoliet, IL501(c)(3)Medical Assistance$0
Wine to Water ErBoone, NC501(c)(3)Medical Assistance$0
World Emergency ReliefSan Dimas, CA501(c)(3)Medical Assistance$0
Wyandotte County Juvenile DetentionKansas City, KS501(c)(3)Medical Assistance$0
Wyco Care ConnectionKansas City, KS501(c)(3)Medical Assistance$0

International Summary

Offices
0
Employees
0
Spending
$263,897,257

International Compliance

Foreign grant records maintained
Yes
Activity in boycott countries
Yes
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanGrants to RecipientsDistribution of Medical Aid00$198,131,859
Middle East and North AfricaGrants to RecipientsDistribution of Medical Aid00$27,311,089
Russia and Neighboring StatesGrants to RecipientsDistribution of Medical Aid00$23,228,004
South AsiaGrants to RecipientsDistribution of Medical Aid00$7,849,463
Sub-saharan AfricaGrants to RecipientsDistribution of Medical Aid00$4,938,555
East Asia and the PacificGrants to RecipientsDistribution of Medical Aid00$2,427,062
North AmericaGrants to RecipientsDistribution of Medical Aid00$6,175
South AmericaGrants to RecipientsDistribution of Medical Aid00$5,050
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 4

The organization updated its by-laws on the number of people allowed on the board of directors at one time. The minimum remains 7 members while the maximum amount of members has increased from 12 to 15 members.

Form 990, Part VI, Section B, Line 11B

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.

Form 990, Part VI, Section B, Line 12C

The organization requires that directors and officers annually disclose interests that could give rise to conflicts. If a director has an interest that could give rise to conflict, that director recuses themselves from any discussion and voting that affects their interest.

Form 990, Part VI, Section B, Line 15A

The executive committee 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.

Form 990, Part VI, Section C, Line 19

The organization makes its annual report and financial statements available on its website. The governing documents, financial statements and conflict of interest policy are all available upon request. The organization also provides a copy of its form 990 to charity navigator to be made available at www.charitynavigator.org.

Filing and Contact Details

Filer

Filer Name
Heart to Heart International
EIN
48-1108359
Phone
9137645200
Address
11550 RENNER BLVD, LENEXA, KS 66219

Signing Officer

Name
Kimberly Carroll
Title
CEO
Phone
9137645200
Signed
2025-05-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kimberly Carroll
Formed
1992
Legal Domicile
Ks
Voting Board Members
13
Independent Board Members
13
Employees
81
Volunteers
11,991

Preparer

Firm
Rsm US Llp
Address
4622 PENNSYLVANIA AVE STE 1100, KANSAS CITY, MO 64112
Preparer
Kevin Ensminger
Phone
8167533000
Supplemental Narrative

Financial Statement Notes

PART V, LINE 4:

Endowment fund investment income is used 100% for programmatic activities.

PART X, LINE 2:

As nonprofit organizations described in irc section 501(c)(3), heart to heart international, inc., heart to heart international foundation and regalorx are exempt from federal and state income taxes, except on unrelated business income, under section 501(a). The organizations have been determined to not be private foundations and are classified as public charities. Unrelated business income tax, if any, is immaterial to the accompanying 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, 2024 or 2023, as management does not believe any material uncertainties exist.

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