Health Level Seven International
Health Level Seven International reports a $2.46 million operating deficit in 2023, following years of surpluses and significant asset growth.
EIN: 220311321 · Ann Arbor, MI · Updated: 2026-03-28
| Metric | Value |
|---|---|
| Total Revenue | $18.2M |
| Total Expenses | $12.2M |
| Program Spending | 75% |
| CEO/Top Officer Pay | $9 |
| Net Assets | $9.3M |
| Transparency Score | 75/100 |
Is Health Level Seven International Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Health Level Seven International directs 75% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Health Level Seven International
Health Level Seven International (EIN: 220311321) is a nonprofit organization based in Ann Arbor, MI. The organization reported total revenue of $18.2M and total assets of $16.8M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Health Level Seven International's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Health Level Seven International is a large nonprofit that has been operating for 36 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 5.8%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $9.7M |
| Total Expenses | $12.2M |
| Surplus / Deficit | $-2,460,610 |
| Total Assets | $17.5M |
| Total Liabilities | $8.2M |
| Net Assets | $9.3M |
| Operating Margin | -25.2% |
| Debt-to-Asset Ratio | 46.8% |
| Months of Reserves | 17.2 months |
Financial Health Grade: B
In 2023, Health Level Seven International reported a deficit of $2.5M with expenses exceeding revenue, holds 17.2 months of operating reserves (strong position), has a debt-to-asset ratio of 46.8% (moderate leverage).
Financial Trends
Over 13 years of filings (2011–2023), Health Level Seven International's revenue has grown at a compound annual growth rate (CAGR) of 5.8%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -4.6% | +28.7% | -2.4% |
| 2022 | +6.7% | +26.5% | -2.4% |
| 2021 | +22.7% | +12.4% | +43.2% |
| 2020 | -16.8% | -15.1% | +28.5% |
| 2019 | +7.0% | +0.6% | +25.5% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 1990 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Health Level Seven International with a Mission Score of 75 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 15%
- programs: 75%
- fundraising: 10%
According to IRS 990 filings, Health Level Seven International allocates its expenses as follows: admin: 15%, programs: 75%, fundraising: 10%. With 75% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $2.5M, with expenses exceeding revenue.
- Debt-to-asset ratio: 46.8%.
Executive Compensation Analysis
The IRS 990 filings consistently report 0% officer compensation, which is highly unusual for an organization with annual revenues exceeding $9 million. This suggests either that officers are not compensated, or their compensation is reported under different categories, requiring further scrutiny to understand executive pay practices.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Health Level Seven International's IRS 990 filings:
- Significant operating deficit in the most recent filing (202312) of $2.46 million.
- Consistent reporting of 0% officer compensation, which is highly unusual for an organization of this scale and revenue, potentially obscuring executive pay details.
Strengths
The following positive indicators were identified for Health Level Seven International:
- Strong asset growth over the past decade, from $6.1 million in 2014 to $17.5 million in 2023, indicating good financial stewardship and reserve building.
- Maintained a healthy asset-to-liability ratio, with assets consistently exceeding liabilities by a significant margin.
- Demonstrated consistent revenue growth over the long term, with revenues more than doubling from $5.0 million in 2014 to $9.7 million in 2023 (excluding the latest revenue figure of $18.2M which is not tied to a specific filing period).
Frequently Asked Questions about Health Level Seven International
Is Health Level Seven International a legitimate charity?
Health Level Seven International (EIN: 220311321) is a registered tax-exempt nonprofit based in Michigan. Our AI analysis gives it a Mission Score of 75/100. It has 13 years of IRS 990 filings on record. Total revenue: $18.2M. 2 red flags identified. 3 strengths noted. Financial health grade: B.
How does Health Level Seven International spend its money?
Health Level Seven International directs 75% of its spending to programs and services. Fundraising costs 10%. This exceeds the 65% industry benchmark.
Are donations to Health Level Seven International tax-deductible?
Health Level Seven International is registered as a tax-exempt nonprofit (EIN: 220311321). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How much does the Health Level Seven International CEO make?
Health Level Seven International's highest-compensated officer earns $9 annually. The organization reported $18.2M in total revenue. Executive compensation data is disclosed in IRS 990 filings.
What percentage of Health Level Seven International's spending goes to programs?
Health Level Seven International directs 75% to programs, 10% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.
Where is Health Level Seven International located?
Health Level Seven International is headquartered in Ann Arbor, Michigan and files with the IRS under EIN 220311321.
How many years of IRS 990 filings does Health Level Seven International have?
Health Level Seven International has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $18.2M in total revenue.
Why did Health Level Seven International experience a $2.46 million operating deficit in 2023, after several years of surpluses?
The 202312 filing shows expenses of $12,209,584 against revenues of $9,748,974, resulting in a deficit. This is a significant shift from 202212 (revenue $10.2M, expenses $9.4M) and 202112 (revenue $9.5M, expenses $7.4M), and warrants investigation into the specific drivers of increased expenses or decreased revenue in that period.
How are the organization's officers compensated, given that 0% officer compensation is reported across all filings?
The consistent reporting of 0% officer compensation is highly unusual for an organization of this size. It suggests that either officers are uncompensated volunteers, or their compensation is categorized differently within the IRS 990, such as under 'salaries and wages' for key employees rather than 'officer compensation'.
What is the organization's strategy for managing its increasing liabilities, which grew from $5.0 million in 2020 to $8.2 million in 2023?
While assets have grown faster than liabilities, the increase in liabilities from $5,000,438 in 2020 to $8,208,678 in 2023 is notable. Understanding the nature of these liabilities (e.g., program-related debt, deferred revenue) and the organization's repayment strategy is important for long-term financial health.
Filing History
IRS 990 filing history for Health Level Seven International showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Health Level Seven International's revenue has grown by 96.6%, moving from $5.0M to $9.7M. Total assets increased by 285.4% over the same period, from $4.6M to $17.5M. Total functional expenses rose by 192.2%, from $4.2M to $12.2M. In its most recent filing year (2023), Health Level Seven International reported a deficit of $2.5M, with expenses exceeding revenue. The organization holds $8.2M in liabilities against $17.5M in assets (debt-to-asset ratio: 46.8%), resulting in net assets of $9.3M.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $9.7M | $12.2M | $17.5M | $8.2M | — | View 990 |
| 2022 | $10.2M | $9.5M | $18.0M | $7.3M | — | View 990 |
| 2021 | $9.6M | $7.5M | $18.4M | $7.7M | — | View 990 |
| 2020 | $7.8M | $6.7M | $12.9M | $5.0M | — | — |
| 2019 | $9.4M | $7.9M | $10.0M | $3.4M | — | View 990 |
| 2018 | $8.8M | $7.8M | $8.0M | $2.7M | — | View 990 |
| 2017 | $5.8M | $5.9M | $6.6M | $1.8M | — | View 990 |
| 2016 | $5.5M | $5.6M | $6.4M | $2.0M | — | View 990 |
| 2015 | $5.7M | $5.2M | $6.3M | $2.0M | — | View 990 |
| 2014 | $5.0M | $5.0M | $6.1M | $2.1M | — | View 990 |
| 2013 | $4.9M | $4.7M | $5.6M | $1.6M | — | View 990 |
| 2012 | $3.6M | $4.5M | $5.5M | $1.8M | — | View 990 |
| 2011 | $5.0M | $4.2M | $4.6M | $0 | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $9.7M, expenses of $12.2M, and assets of $17.5M (revenue -4.6% year-over-year).
- 2022: Revenue of $10.2M, expenses of $9.5M, and assets of $18.0M (revenue +6.7% year-over-year).
- 2021: Revenue of $9.6M, expenses of $7.5M, and assets of $18.4M (revenue +22.7% year-over-year).
- 2020: Revenue of $7.8M, expenses of $6.7M, and assets of $12.9M (revenue -16.8% year-over-year).
- 2019: Revenue of $9.4M, expenses of $7.9M, and assets of $10.0M (revenue +7.0% year-over-year).
- 2018: Revenue of $8.8M, expenses of $7.8M, and assets of $8.0M (revenue +50.7% year-over-year).
- 2017: Revenue of $5.8M, expenses of $5.9M, and assets of $6.6M (revenue +5.1% year-over-year).
- 2016: Revenue of $5.5M, expenses of $5.6M, and assets of $6.4M (revenue -3.4% year-over-year).
- 2015: Revenue of $5.7M, expenses of $5.2M, and assets of $6.3M (revenue +13.6% year-over-year).
- 2014: Revenue of $5.0M, expenses of $5.0M, and assets of $6.1M (revenue +2.1% year-over-year).
- 2013: Revenue of $4.9M, expenses of $4.7M, and assets of $5.6M (revenue +37.1% year-over-year).
- 2012: Revenue of $3.6M, expenses of $4.5M, and assets of $5.5M (revenue -27.4% year-over-year).
- 2011: Revenue of $5.0M, expenses of $4.2M, and assets of $4.6M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Health Level Seven International:
Data Sources and Methodology
This transparency report for Health Level Seven International is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.