HEARTLAND HEALTH CENTER

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2010

Legal Domicile

Principal Officer

TAMI SMITH

Phone

3083824297

Tax Period

2024-01-01 to 2024-12-31

HEARTLAND HEALTH CENTER, founded in 2010, is a mid-sized nonprofit in the Health Care sector that reported $10.3M in total revenue in fiscal year 2024. Expenses of $11.5M exceeded revenue, resulting in a 12% operating deficit.

Mission

TO BE A TRUSTED SOURCE OF INTEGRATED HEALTHCARE IN OUR COMMUNITY.

Program Service Accomplishments

Program 1

Expenses: $8,845,097 Revenue: $7,519,861

TO COLLABORATE WITH FEDERAL, STATE AND COMMUNITY PARTNERS TO PROVIDE AFFORDABLE QUALITY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE SERVICES TO LOW-INCOME AND/OR UNINSURED INDIVIDUALS.DURING 2024...

TO COLLABORATE WITH FEDERAL, STATE AND COMMUNITY PARTNERS TO PROVIDE AFFORDABLE QUALITY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE SERVICES TO LOW-INCOME AND/OR UNINSURED INDIVIDUALS.DURING 2024, HEARTLAND HEALTH CENTER EXPANDED TO THE COMMUNITY OF HASTINGS, NEBRASKA AND IS NOW SERVING RESIDENTS OF ADAMS, CLAY, NUCKOLLS AND WEBSTER COUNTIES. THE TOTAL NUMBER OF UNDUPLICATED PATIENTS SERVED FOR THE YEAR WAS 9,892, AN INCREASE OF 13% FROM THE PRIOR YEAR, AND THE TOTAL NUMBER OF ENCOUNTERS DURING THE YEAR WAS 29,763, AN INCREASE OF 18% FROM THE PRIOR YEAR.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $2,673,812

Program Service Revenue $7,519,861

Investment Income $104,066

Other Revenue $0

TOTAL REVENUE $10,297,739

Expense Breakdown

Grants Paid $0

Salaries & Benefits $7,020,308

Fundraising Expenses $0

Program Expenses $8,845,097

Other Expenses $4,492,081

TOTAL EXPENSES $11,512,389

Year-over-Year Comparison

	2024	2023	Change
Revenue	$10,297,739	$10,320,727	0.0%
Expenses	$11,512,389	$9,749,156	+0.2%
Net Income	$-1,214,650	$571,571	-3.1%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

116

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$323,376

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
BRAD BELL	CHAIRMAN	2.00	Officer Director	$0	$0	$0
BOB ALMQUIST	VICE CHAIRMAN	2.00	Officer Director	$0	$0	$0
HERSON CASTANEDA	TREASURER THRU 12/2024	2.00	Officer Director	$0	$0	$0
SUSAN AGUILAR	SECRETARY	2.00	Officer Director	$0	$0	$0
ANGELICA FLORES	DIRECTOR	2.00	Director	$0	$0	$0
ROCKY NEWMAN	DIRECTOR	2.00	Director	$0	$0	$0
DEB ROSS	DIRECTOR	2.00	Director	$0	$0	$0
NANCY JIMENEZ	DIRECTOR THRU 7/2024	2.00	Director	$0	$0	$0
BRITNY JACOBO	DIRECTOR	2.00	Director	$0	$0	$0
RACHEL BROWN	DIRECTOR	2.00	Director	$0	$0	$0
ADAM PRIMM	DIRECTOR	2.00	Director	$0	$0	$0
TAMI SMITH	CEO	40.00	Officer	$194,977	$7,154	$202,131
TRACEY LUKASIEWICZ	CFO	40.00	Officer	$110,058	$11,187	$121,245
RAFAILA RAMIREZ	DENTIST	36.00	Highest	$210,234	$13,089	$223,323
REBECCA BECKLER	DENTIST	40.00	Highest	$179,872	$15,251	$195,123
MICHELLE CLARK	NP	36.00	Highest	$119,955	$17,506	$137,461
MONICA SCHMUCKER	NP	36.00	Highest	$131,066	$17,216	$148,282
BRANDON JAHNKE	PHYSICIAN	27.00	Highest	$134,726	$0	$134,726

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$10,297,739	$11,512,389	$6,336,218	$-1,214,650
2023	$10,320,727	$9,749,156	$6,342,564	$571,571
2022	$9,687,768	$8,260,781	$6,008,207	$1,426,987
2021	$7,571,748	$6,211,045	$3,193,553	$1,360,703
2020	$5,476,718	$5,203,375	$1,898,376	$273,343
2019	$3,399,222	$3,721,892	$1,308,567	$-322,670
2018	$3,288,538	$3,179,280	$1,588,913	$109,258