Heart City Health Center Inc

Nonprofit profile at a glance

EIN
351875364
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Elkhart, IN, USA
Phone
5742930052
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$15,186,176
Expenses
$18,270,400
Assets
$9,388,245
Liabilities
$6,738,499

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

18 people listed

Executive titles in this filing

  • ESLEEN FULTZ (CEO (END 03/01/25))
  • LALAESHA BLACK (COO (END 02/28/25); CEO (START 03/01/25))

Highest reported compensation

  • ESLEEN FULTZ (CEO (END 03/01/25)): $376,748 total reported compensation
  • BHAWNA JHA (DOCTOR (END 4/30/25)): $325,721 total reported compensation
  • MARY P MCMANMON (ASSOCIATE MEDICAL DIRECTOR): $243,517 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Heart city health center, inc. (heart city) is a non-profit, federally qualified health center (fqhc) providing affordable, high quality, primary health, behavioral health, dental and pharmaceutical care to residents of elkhart and surrounding counties. Heart city health center offers a sliding fee scale based on income and family size for the uninsured, under-insured and also accept medicaid, medicare and some private insurances. Heart city is committed to reducing health disparities among residents by providing professional and respectful service to elkhart and surrounding counties through education and high quality primary medical care for those in need and experiencing barriers to traditional health care. The majority of heart city's patients are at 100% or below the federal poverty guidelines, and almost 50% of patients are under the age of 18. Heart city is one of the few sites in the elkhart area that provides services to medicaid patients and the uninsured population.

What it reported doing in 2024

Heart city health center, inc.'s (heart city) licensed dentists and hygienists provide a low-cost option for quality general dentistry services to people of all ages, incomes and backgrounds, but primarily serves medicaid and uninsured patients. The dentists and hygienists served 3,463 patients providing 13,752 visits. Various dental services provided include: examinations; treatment planning; children's dentistry; cleaning/dental hygiene; extractions; fillings; radiographs; and patient education.

Operating model

Revenue model
Other-operating. 77% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 67
  • Transparency & Controls: 79
  • Accountability: 95
  • Sustainability: 11
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.2%; rating input score 81
  • Program expense ratio: 64.6%; rating input score 65
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th 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: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -20.3%; rating input score 5; 5th percentile among comparable filings
  • Total-asset coverage ratio: 0.51; rating input score 16; 16th percentile among comparable filings
  • Liabilities to assets ratio: 0.72; rating input score 17; 17th percentile among comparable filings
  • Officer compensation ratio: 10.1%; rating input score 20; 20th percentile among comparable filings

Growth

  • Program expense growth: 8.6% per year; rating input score 100; 64th percentile among comparable filings
  • Revenue growth: 7.9% per year; rating input score 100; 64th percentile among comparable filings
  • Asset growth: 4.4% per year; rating input score 100; 32nd percentile among comparable filings

Details

  • Where the money goes: 81.2% of revenue deployed · 64.6% of spending went to programs
  • Governance: 8 of 8 board members independent · 8 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $11.8M in reported program spending
  • Leadership: top reported pay $377K · 18 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.6M reported
  • Consistency: 39 of 39 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Operating margin scored 5/100.
  • High — Sustainability: Total-asset coverage ratio scored 16/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Liabilities to assets ratio scored 17/100.
  • High — Sustainability: Officer compensation ratio scored 20/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.