2025-08-14T12:37:13+00:00 2024-09-30 440160260 Forvis Mazars LLP 820 Massachusetts Ave Suite 1370 Indianapolis IN 46204 990 2023-10-01 351875364 Heart City Health Center Inc HEAR 5742930052 236 SIMPSON AVE ELKHART IN 46516 LaLaesha Black CEO 5742930052 2025-08-14 true Nicole Fishback P01279475 3173834000 2025-08-15 2023 2025-03-06 01:10:19Z LaLaesha Black 236 SIMPSON AVE ELKHART IN 46516 17379995 false X WWW.HEARTCITYHEALTH.ORG X 1993 IN HEART CITY HEALTH CENTER, INC. IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING COMPREHENSIVE PRIMARY HEALTHCARE AND EDUCATION FOR THE ELKHART COMMUNITY. 10 10 190 8 9880 0 5148199 4295852 10986748 9789831 106422 285021 325366 80346 16566735 14451050 500 0 0 10372350 11058134 0 0 6845112 6059081 17217962 17117215 -651227 -2666165 13148151 12535985 3276253 5295518 9871898 7240467 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. false false 7570637 8374144 HEART CITY HEALTH CENTER, INC. (HEART CITY) PROVIDES MEDICAL AND BEHAVIORAL HEALTHCARE IN THE AREA OF ADULTS AND PEDIATRICS TO THE PRIMARILY MEDICARE, MEDICAID, AND UNINSURED POPULATION OF ELKHART COUNTY. DURING THE YEAR ENDED SEPTEMEBER 30, 2024, HEART CITY PROVIDED 35,028 MEDICAL VISITS AND 5,902 BEHAVIORAL HEALTH VISITS TO 14,418 PATIENTS. 2143325 2236013 HEART CITY HAS AN ONSITE PHARMACY AT OUR SIMPSON STREET LOCATION WHICH PROVIDES CONVENIENT PRESCRIPTION SERVICES TO OUR PATIENTS AND THE COMMUNITY. PHARMACY FILLED 31,914 PRESCRIPTIONS AND SERVED 2,801 INDIVIDUAL PATIENTS. 1552225 1415687 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 3,014 PATIENTS PROVIDING 5,835 VISITS. VARIOUS DENTAL SERVICES PROVIDED INCLUDE: EXAMINATIONS; TREATMENT PLANNING; CHILDREN'S DENTISTRY; CLEANING/DENTAL HYGIENE; EXTRACTIONS; FILLINGS; RADIOGRAPHS; AND PATIENT EDUCATION. 11266187 true true false false false false false false false true false true false true true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 38 0 true 190 true true true false false false false false false false false false false false X 10 10 false false false false false false false true true false false false true true true true true true true true true IN X LaLaesha Black 5749701448 236 SIMPSON AVE ELKHART IN 46516 Angelia Washington Treasurer 1.0 0.0 X X 0 0 0 Arvis Dawson Secretary 1.0 0.0 X X 0 0 0 Tara Morris Board Chair 1.0 0.0 X X 0 0 0 Anthony England Board Member 1.0 0.0 X 0 0 0 Beatrice Phillips Board Member 1.0 0.0 X 0 0 0 Daniel Weddington Board Member 1.0 0.0 X 0 0 0 Delia Grajeda Board Member 1.0 0.0 X 0 0 0 Nancy Poikonen Board Member 1.0 0.0 X 0 0 0 Nicole Williams Board Member 1.0 0.0 X 0 0 0 Robert Taylor Board Member 1.0 0.0 X 0 0 0 Daria Sztaba CFO 40.0 0.0 X 100534 0 9013 Esleen Fultz CEO 40.0 0.0 X 284016 0 15320 Lalaesha Black COO 40.0 0.0 X 152324 0 0 Christine Dankwa PHYSICIAN MD/DO 40.0 0.0 X 185478 0 4646 Dwayne Johnson Physician MD/DO 40.0 0.0 X 175781 0 25331 Erin Farrell Physician MD/DO 40.0 0.0 X 174884 0 8454 Mark R Green PHYSICIAN MD/DO 40.0 0.0 X 180606 0 21118 Mary P McManmon Associate Medical Director 40.0 0.0 X 230020 0 13706 1483643 0 97588 15 false true false Curative PO Box 122549 Dallas TX 75312 Locum tenens services 395039 Chartspan Medical Technologies PO Box 530074 Dept 999278 Atlanta GA 303539278 Chronic care management 175174 Integrated Chiropractic Associates 5715 Towncenter Dr Suite6 Granger IN 46530 Chiropractic services 151812 Forvis Mazars MASSACHUSETTS AVE Suite 1370 Indianapolis IN 46204 Accounting and assurance services 150503 Momentum Marketing Consultants 334 S Elkhart Ave Elkhart IN 46516 Marketing services 147133 7 3957945 337907 295837 4295852 MEDICAL SERVICES 624100 8290859 8290859 DENTAL SERVICES 624100 1415687 1415687 MEDICAL RECORDS 624100 1512 1512 MISCELLANEOUS REVENUE 900099 81773 81773 0 0 0 0 9789831 106688 106688 0 0 951611 0 757382 15896 194229 -15896 178333 178333 2236013 2155667 80346 70466 9880 0 0 0 0 0 14451050 9860297 9880 285021 X 561207 561207 0 0 8808859 5472416 3336443 101606 63122 38484 906756 563313 343443 679706 422261 257445 75744 75744 155472 155472 12729 12729 2990622 2930549 60073 0 160783 101546 59237 502749 31219 471530 461516 291479 170037 437488 27166 410322 60506 28438 32068 61366 28842 32524 118079 74575 43504 653299 488949 164350 95581 95581 DUES & SUBSCRIPTIONS 133458 84288 49170 Other Expenses 67682 42745 24937 EMPLOYEE RELATIONS 47888 30245 17643 LICENSES 24119 23827 292 0 0 0 0 17117215 11266187 5851028 0 12600 12600 2046851 624309 421049 201585 2879913 2976109 0 0 0 0 411216 374693 62078 51095 10202067 4848487 4967051 5353580 2318764 1507849 28629 28629 0 987112 0 418424 13148151 12535985 1364106 3058058 0 0 1876709 1815337 35438 422123 3276253 5295518 9871898 7240467 9871898 7240467 13148151 12535985 -2666165 18354 16380 0 X false true X true true true X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 5563602 5187836 4690388 5148199 4295852 24885877 6764406 9951155 12120716 13137855 12013446 53987578 0 0 0 12328008 15138991 16811104 18286054 16309298 78873455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78873455 81690 59514 73514 76222 106688 397628 60781 77191 41551 17357 196880 142471 136705 115065 93579 106688 594508 0 0 0 0 0 0 0 12470479 15275696 16926169 18379633 16415986 79467963 0.9925 0.9922 0.01 0.01 X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 213700 213700 2522479 783575 1738904 480217 248929 231288 1991083 1461236 529847 4994588 2354747 2639841 5353580 Investment in Hands and Health LLC 987112 C 987112 Drugs and Pharmaceuticals Held 0 Finance / Operating Lease Liabilities 422123 422123 X 16628722 18354 16380 2155667 2190401 14438321 12729 0 12729 14451050 19260153 2155667 2155667 17104486 12729 0 12729 17117215 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 COGS - PHARMACY - 2155667 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 COGS - PHARMACY - 2155667 X false true X X X false false false false false false false true false Esleen Fultz CEO 276698 0 7318 0 0 0 6987 0 8333 0 299336 0 0 0 Lalaesha Black COO 152324 0 0 0 0 0 0 0 0 0 152324 0 0 0 Mary P McManmon Associate Medical Director 230020 0 0 0 0 0 5373 0 8333 0 243726 0 0 0 Dwayne Johnson Physician MD/DO 175781 0 0 0 0 0 0 0 25331 0 201112 0 0 0 Erin Farrell Physician MD/DO 174884 0 0 0 0 0 650 0 7804 0 183338 0 0 0 Christine Dankwa PHYSICIAN MD/DO 185478 0 0 0 0 0 4646 0 0 0 190124 0 0 0 Mark R Green PHYSICIAN MD/DO 180606 0 0 0 0 0 4667 0 16451 0 201724 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments THE ORGANIZATION PROVIDED FOR THE GROSS UP OF BONUS PAYMENTS TO OFFICERS AND HIGHEST COMPENSATED EMPLOYEES, WHICH WAS INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses THE ORGANIZATION DOES NOT FOLLOW A WRITTEN POLICY REGARDING THE GROSS-UP PAYMENTS PROVIDED TO OFFICERS AND HIGHEST COMPENSATED EMPLOYEES, HOWEVER THESE PAYMENTS ARE APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. Schedule J, Part I, Line 7 Non-fixed payments THE BONUS PAYMENTS ARE BASED ON LENGTH OF SERVICE FOR THE YEAR TO WHICH THE BONUS RELATES AND POSITION HELD. BONUS IS PAID ONLY IF PAYMENT RECEIVED FROM MANAGED CARE ENTITY FOR MEETING TARGETS. THE BOARD OF DIRECTORS DETERMINES WHETHER IT IS TO BE SHARED WITH EMPLOYEES EACH YEAR. THE EXECUTIVE BOARD MEMBERS ALSO DECIDE THE ANNUAL BONUS FOR THE CEO AS PART OF THE PERFORMANCE EVALUATION. THE BONUS IS A PERCENTAGE OF THE EXISTING COMPENSATION, NOT BASED ON THE COMPENSATION WITH RAISE. THE BONUS IS BASED ON NATIONAL COMPENSATION PACKAGE REPORTS AND PERFORMANCE OF THE CEO. OPTIONS FOR THE BONUS ARE LISTED ON THE EVALUATION AS WELL AS AN OPTION FOR NO BONUS. THE EXECUTIVE COMMITTEE AGREE ON THE AMOUNT AND FILE THEIR DECISION WITH EVALUATION AND RAISE INFORMATION WITH HEART CITY HEALTH'S ATTORNEY, BARNES & THORNBURG. X 19 295837 Market value false true false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - Heart City Health Center reported the number of Contributions Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL COMPENSATION FOR THE ORGANIZATION'S CEO IS DETERMINED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE BASED ON A PERFORMANCE EVALUATION AND INTERVIEW WITH THE CEO. EACH EXECUTIVE BOARD MEMBER COMPLETES AN EVALUATION, AND THEN THE EXECUTIVE COMMITTEE REPORTS THE FINDINGS AND ANY CHANGES IN COMPENSATION TO THE CEO AND IT IS SENT TO THE HEART CITY HEALTH'S ATTORNEY. ANY CHANGES IN COMPENSATION ARE BASED ON COMPILED NATIONAL BENCHMARKING SALARY REPORTS. THIS PROCESS HAS BEEN PERFORMED ANNUALLY IN THE PAST. HOWEVER, A REVIEW AND COMPENSATION CHANGE HAS NOT OCCURRED SINCE THE LAST ONE ON SEPTEMBER OF 2024. THE EVALUATION AND REVIEW PROCESS IS SIGNED BY THE EXECUTIVE BOARD COMMITTEE AND IS DOCUMENTED AND ON FILE WITH HEART CITY HEALTH'S ATTORNEY, BARNES AND THORNBURG. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE ORGANIZATION'S CEO COMPLETES AN ANNUAL PERFORMANCE EVALUATION FOR THE CFO; BASED ON THE OUTCOME OF THE PERFORMANCE EVALUATION AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) SALARY SURVEYS, THE CFO'S COMPENSATION IS REVIEWED AND ADJUSTED AS NECESSARY. THE ORGANIZATION'S CEO ALSO COMPLETES AN ANNUAL PERFORMANCE EVALUATION FOR THE CMO; BASED ON THE OUTCOME OF THE PERFORMANCE EVALUATION AND GENERAL COMPENSATION GUIDELINES SET BY THE BOARD, THE CMO'S EMPLOYMENT CONTRACT IS UPDATED AS NECESSARY. THESE PERFORMANCE EVALUATIONS AND COMPENSATION/EMPLOYMENT CONTRACT UPDATES WERE LAST COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 2024. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION'S FORM 990 IS REVIEWED IN DETAIL BY THE EXECUTIVE MANAGEMENT. Form 990, Part VI, Line 12c Conflict of interest policy AN ANNUAL CONFLICT OF INTEREST FORM IS FILLED OUT BY EACH BOARD MEMBER. ALL OTHER EMPLOYEES SIGN THE CODE OF CONDUCT POLICY AT THE TIME OF HIRE WHICH COVERS CONFLICTS OF INTEREST. THE CEO AND THE BOARD LIAISON REVIEW THE CONFLICT OF INTEREST FORMS TO DETERMINE IF ANY POTENTIAL CONFLICT OF INTEREST EXISTS. IF A POTENTIAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CEO AND EXECUTIVE COMMITTEE OF THE BOARD, CONSISTING OF THE CHAIR, VICE CHAIR, SECRETARY AND TREASURER, MEET TO DISCUSS WHETHER ANY ACTUAL CONFLICTS OF INTEREST EXIST. ALTHOUGH NO CONFLICTS HAVE BEEN NOTED IN THE PAST, IF A CONFLICT OF INTEREST WAS TO ARISE, RESTRICTIONS WOULD BE IMPOSED AND THE BOARD MEMBER WOULD BE REQUIRED TO EXCUSE THEMSELVES FROM ANY DISCUSSIONS AND/OR VOTES RELATED TO THE CONFLICTING ISSUE. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. Form 990, Part IX, Line 11g Other Fees Lab Services - Total Expense: 8106, Program Service Expense: 8106, Management and General Expenses: , Fundraising Expenses: ; Dental Labs - Total Expense: 13326, Program Service Expense: 13326, Management and General Expenses: , Fundraising Expenses: ; Contracted Services- Labor - Total Expense: 718491, Program Service Expense: 718491, Management and General Expenses: , Fundraising Expenses: ; EHR/PM Fees - Total Expense: 311564, Program Service Expense: 311564, Management and General Expenses: , Fundraising Expenses: ; Contracted Services - Total Expense: 1373633, Program Service Expense: 1373633, Management and General Expenses: , Fundraising Expenses: ; Interpreting Services - Total Expense: 180007, Program Service Expense: 180007, Management and General Expenses: , Fundraising Expenses: ; Contracted Service- Chartspan - Total Expense: 142168, Program Service Expense: 142168, Management and General Expenses: , Fundraising Expenses: ; Claims Processing - Total Expense: 18898, Program Service Expense: 18898, Management and General Expenses: , Fundraising Expenses: ; Professional Fees- Consulting Services - Total Expense: 60073, Program Service Expense: , Management and General Expenses: 60073, Fundraising Expenses: ; Professional Fees- Payroll Services - Total Expense: 27978, Program Service Expense: 27978, Management and General Expenses: , Fundraising Expenses: ; Telephone Service - Total Expense: 105835, Program Service Expense: 105835, Management and General Expenses: , Fundraising Expenses: ; Employee Uniforms - Total Expense: 8808, Program Service Expense: 8808, Management and General Expenses: , Fundraising Expenses: ; Fundraising Expense - Total Expense: 21735, Program Service Expense: 21735, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE: THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE FOLLOWING OFFICERS OF THE CORPORATION, ALL OF WHOM SHALL HAVE THE RIGHT TO VOTE: CHAIRPERSON, VICE CHAIR, SECRETARY AND TREASURER. THE CHIEF EXECUTIVE OFFICER SHALL BE A NON-VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE THE FOLLOWING GENERAL AUTHORITY; THE EXECUTIVE COMMITTEE SHALL BE COMPROMISED EXCLUSIVELY OF BOARD MEMBERS AND SHALL ACT FOR THE CORPORATION IN THE INTERIM PERIODS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS ONLY WITH RESPECT TO MATTERS OF AN URGENT NATURE AND THEN TO THE MAXIMUM EXTENT FEASIBLE, IN COMPLIANCE WITH THE ESTABLISHED POLICIES AND EXPRESSED POSITIONS OF THE BOARD. ANY SUCH ACTIONS BY THE EXECUTIVE COMMITTEE ON BEHALF OF THE CORPORATION SHALL REQUIRE RATIFICATION AT THE FOLLOWING REGULAR OR SPECIAL MEETING WHERE A QUORUM IS PRESENT. THE CHAIRPERSON OF THE BOARD OF DIRECTORS OR ANY THREE (3) EXECUTIVE COMMITTEE MEMBERS CONVENES. SAID WRITTEN NOTICE SHALL BE DELIVERED TO THE REMAINING MEMBERS OF THE EXECUTIVE COMMITTEE. A MAJORITY OF THE OFFICERS PRESENT AND IN PERSON, SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF EXECUTIVE COMMITTEE BUSINESS.