Heart to Heart International

Legal name: Heart to Heart International Inc

Overview

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. Our commitment begins with **Humanity** , the central belief that all human suffering must be addressed wherever it is found, and extends through **Impartiality** , ensuring that aid is delivered strictly on the basis of need, without regard to nationality, race, gender, religious belief, class, or political opinion. We maintain **Neutrality** , meaning we do not take sides in political or ideological controversies, and **Independence** , ensuring our sole objective is the relief of suffering, free from any political, economic, or military influence. This principled approach allows us to uphold the dignity of every person we serve and focus solely on our mission to provide...

What it reported doing in 2025

International humanitarian assistance: heart to heart strengthens communites outside the united states through improving health access, providing humanitarian development, and crisis relief.

Operating model

Revenue model
Donor-supported. 99% of the money available for current operations came from contributions and gifts.
Distribution model
Grant intermediary. The nonprofit sent 99% of its reported program spending out as grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

Nonprofit profile at a glance

EIN
481108359
IRS 990 coverage
2010–2025
Official website data refreshed
Sep 2026
Forms available
Form 990 2025, Form 990-T 2025
Headquarters
Lenexa, KS, USA
Phone
9137645200
Rating
86
Verdict
STRONG
Rating confidence
Standard
Sector
International Relief

Official website

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 91
  • Transparency & Controls: 76
  • Accountability: 95
  • Sustainability: 58
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 86.4%; rating input score 86
  • Program expense ratio: 98.8%; rating input score 99
  • Fundraising efficiency: $287.61 raised per $1 spent on fundraising; rating input score 93; 93rd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 19th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: 2 of 8 controls in place; rating input score 25
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Fail
    • Conducts field audits: Fail
    • May suspend future funding: Fail
    • Requires financial reports: Fail
    • Conducts site visits: Pass
    • Requires grant agreements: Fail
    • May require repayment: Fail
  • Grant itemization coverage: 99.1%; rating input score 99; 41st percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 12.6%; rating input score 76; 76th percentile among comparable filings
  • Total-asset coverage ratio: 0.24; rating input score 8; 8th percentile among comparable filings
  • Liabilities to assets ratio: 0.03; rating input score 85; 85th percentile among comparable filings
  • Officer compensation ratio: 0.3%; rating input score 84; 84th percentile among comparable filings

Growth

  • Program expense growth: 9.8% per year; rating input score 100; 67th percentile among comparable filings
  • Revenue growth: 9.9% per year; rating input score 100; 72nd percentile among comparable filings
  • Asset growth: 8.4% per year; rating input score 100; 61st percentile among comparable filings

Details

  • What they do: Mission, programs, and operating context captured from the official website.
  • Where the money goes: 86.4% of revenue deployed · 98.8% of spending went to programs
  • Governance: 13 of 13 board members independent · 8 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $299.9M in reported program spending
  • Leadership: top reported pay $226K · 19 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $448K reported
  • Consistency: 37 of 38 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 16 annual filings from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 76 filed money-flow records
  • Related organizations: 69 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Leadership & pay

19 people listed

Highest reported compensation

  • KIMBERLY CARROLL (CEO & PRESIDENT): $226,450 total reported compensation
  • DAN NEAL (SENIOR VP OF OPERATIONS): $149,684 total reported compensation
  • TENAGASHAW TIRUNEH (SVP OF PROGRAMS): $134,995 total reported compensation

Source: IRS Form 990. Selected filing: FY2025.