HEART TO HEART INTERNATIONAL

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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

1992

Legal Domicile

Principal Officer

KIMBERLY CARROLL

Phone

9137645200

Tax Period

2024-01-01 to 2024-12-31

HEART TO HEART INTERNATIONAL, founded in 1992, is a major nonprofit in the International Affairs sector that reported $231.4M in total revenue in fiscal year 2024. Revenue fell 44% from the prior year — a significant decline worth monitoring. Expenses of $286.4M exceeded revenue, resulting in a 24% operating deficit.

Mission

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.

Program Service Accomplishments

Program 1

Expenses: $266,477,047 Revenue: $243,886

INTERNATIONAL HUMANITARIAN ASSISTANCE: HEART TO HEART STRENGTHENS COMMUNITES OUTSIDE THE UNITED STATES THROUGH IMPROVING HEALTH ACCESS, PROVIDING HUMANITARIAN DEVELOPMENT, AND CRISIS RELIEF.

Program 2

Expenses: $16,405,583

DOMESTIC HUMANITARIAN ASSISTANCE: HEART TO HEART STRENGTHENS COMMUNITIES WITHIN THE UNITED STATES THROUGH IMPROVING HEALTH ACCESS, PROVIDING HUMANITARIAN DEVELOPMENT, AND CRISIS RELIEF.

Program 3

Expenses: $825,105 Revenue: $1,179,662

INTERNATIONAL AND DOMESTIC EVENTS TO BUILD HYGIENE KITS FOR DISTRIBUTION TO PERSONS AFFECTED BY DISASTER OR OTHER HUMANITARIAN NEED.

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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 $229,392,302

Program Service Revenue $1,423,548

Investment Income $543,283

Other Revenue $17,450

TOTAL REVENUE $231,376,583

Expense Breakdown

Grants Paid $274,299,443

Salaries & Benefits $4,048,956

Fundraising Expenses $1,150,129

Program Expenses $283,707,735

Other Expenses $8,011,198

TOTAL EXPENSES $286,359,597

Year-over-Year Comparison

	2024	2023	Change
Revenue	$231,376,583	$410,050,851	-0.4%
Expenses	$286,359,597	$400,638,654	-0.3%
Net Income	$-54,983,014	$9,412,197	-6.8%

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

Volunteers

11991

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

$212,677

Total Directors

Key Employees

$194,863

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
WENDY BLACKBURN	CHAIR	1.00	Officer Director	$0	$0	$0
AUSTIN BICKFORD	TREASURER	1.00	Officer Director	$0	$0	$0
DAN MCCLAIN	SECRETARY	1.00	Officer Director	$0	$0	$0
SONJA BACHUS	DIRECTOR	1.00	Director	$0	$0	$0
REBECCA CISEK	DIRECTOR	1.00	Director	$0	$0	$0
ALAN EDELMAN	DIRECTOR	1.00	Director	$0	$0	$0
CHRISTIAN FRANK	DIRECTOR	1.00	Director	$0	$0	$0
JORDAN KOENIG	DIRECTOR	1.00	Director	$0	$0	$0
DAVID LANGE	DIRECTOR	1.00	Director	$0	$0	$0
MAURICE LEE	DIRECTOR	1.00	Director	$0	$0	$0
JIM MITCHUM	DIRECTOR	1.00	Director	$0	$0	$0
ANITA NEWTON	DIRECTOR	1.00	Director	$0	$0	$0
JAMES ZEEB	DIRECTOR	1.00	Director	$0	$0	$0
KIMBERLY CARROLL	CEO	40.00	Officer	$203,144	$9,533	$212,677
ANNE DYKES	SENIOR VP	40.00	Key Emp	$178,634	$16,229	$194,863
AGUSTINA BOEHRINGER	CMO	40.00	Highest	$136,970	$12,250	$149,220
BRIAN SINK	VP OF KITS	40.00	Highest	$103,023	$12,580	$115,603
DAN NEAL	SENIOR VP OF OPERATIONS	40.00	Highest	$105,469	$24,141	$129,610
TENAGASHAW TIRUNEH	VP OF PROGRAMS	40.00	Highest	$102,106	$10,221	$112,327

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
2025	No data	No data	No data	No data
2024	$231,376,583	$286,359,597	$25,466,294	$-54,983,014
2023	$410,050,851	$400,638,654	$80,452,501	$9,412,197
2022	$282,060,621	$278,693,966	$70,691,850	$3,366,655
2021	$283,611,296	$335,299,032	$69,647,242	$-51,687,736
2020	$248,083,908	$158,671,865	$125,734,000	$89,412,043
2019	$383,435,711	$379,144,315	$37,113,168	$4,291,396
2018	$229,310,573	$249,470,612	$35,001,968	$-20,160,039