Heartland Health System Inc

Heartland Health System Inc shows significant asset growth despite a recent operational deficit.

EIN: 201890414 · Mattoon, IL · NTEE: E22 · Updated: 2026-03-28

$44.2MRevenue

$65.1MAssets

75/100Mission Score (Good)

E22

About Heartland Health System Inc

Heartland Health System Inc (EIN: 201890414) is a nonprofit organization based in Mattoon, IL, classified under NTEE code E22. The organization reported total revenue of $44.2M and total assets of $65.1M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Heartland Health System Inc's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

AI Transparency Report

Heartland Health System Inc demonstrates a generally stable financial position with consistent revenue streams over the past three years, averaging around $38-40 million annually. While the organization reported a deficit in the 202306 period with expenses exceeding revenue by approximately $1.8 million, this follows two years of surpluses. A notable aspect is the significant increase in assets from $11.1 million in 202206 to $27.8 million in 202306, indicating substantial growth or investment. The organization's transparency is bolstered by its consistent filing of IRS Form 990s, and the reported 0% officer compensation across all filings suggests a lean administrative structure at the executive level, or that compensation is reported under other categories, which warrants further investigation for a complete picture.

Spending efficiency appears reasonable given the nature of a health system. Without a detailed breakdown of program, administrative, and fundraising expenses from the provided data, it's challenging to precisely quantify efficiency ratios. However, the consistent operational scale and asset growth suggest effective management of resources to support its mission. The increase in liabilities alongside assets in 202306 (from $4.1 million to $22.6 million) could indicate strategic borrowing for expansion or capital improvements, which is common for growing healthcare entities.

Overall, Heartland Health System Inc appears to be a financially active and growing entity. The lack of reported officer compensation is a positive indicator for donor confidence regarding executive pay, though it's important to understand how leadership is compensated if not through direct officer compensation. The recent deficit in 202306 should be monitored, but the overall trend of asset growth and consistent revenue suggests a healthy, albeit dynamic, financial operation.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Heartland Health System Inc 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: 10%
programs: 85%
fundraising: 5%

According to IRS 990 filings, Heartland Health System Inc allocates its expenses as follows: admin: 10%, programs: 85%, fundraising: 5%. With 85% directed toward programs, this reflects a strong commitment to its charitable mission.

Executive Compensation Analysis

The reported 0% officer compensation across all three filing periods is highly unusual for an organization of this size ($38-44 million in annual revenue and $65 million in assets), suggesting that executive compensation may be reported under other expense categories or that leadership is compensated through an affiliated entity, which could obscure a full understanding of executive pay.

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 Heartland Health System Inc's IRS 990 filings:

Unusually low (0%) reported officer compensation, potentially obscuring true executive pay.
Operational deficit in the most recent filing period (202306) where expenses exceeded revenue by $1.8 million.
Significant increase in liabilities alongside assets in 202306, which could indicate increased debt burden.

Strengths

The following positive indicators were identified for Heartland Health System Inc:

Consistent revenue generation, averaging $38-40 million annually.
Substantial asset growth, from $11.1 million in 202206 to $27.8 million in 202306, indicating expansion or investment.
Consistent filing of IRS Form 990s, demonstrating transparency in reporting.

Frequently Asked Questions about Heartland Health System Inc

Is Heartland Health System Inc a good charity?

Based on the available data, Heartland Health System Inc appears to be a financially stable and growing organization. Its consistent revenue, significant asset growth, and reported 0% officer compensation are positive indicators. However, the recent deficit in 202306 and the unusual reporting of executive compensation warrant further investigation for a complete assessment.

Why did assets increase so dramatically in 2023?

Assets increased from $11,169,711 in 202206 to $27,864,710 in 202306. This significant jump could be due to capital investments, acquisition of new property or equipment, or an increase in financial investments. Further details from the full 990 filing would be needed to pinpoint the exact reasons.

What caused the deficit in the 202306 period?

In the 202306 period, expenses ($39,898,941) exceeded revenue ($38,061,941) by approximately $1.8 million. This deficit could be attributed to increased operational costs, one-time expenses, or investments that are not immediately revenue-generating. A detailed breakdown of expenses from the full 990 would clarify the specific causes.

How is executive leadership compensated if officer compensation is 0%?

The consistent reporting of 0% officer compensation for an organization of this scale is highly unusual. It suggests that executive compensation might be reported under other expense categories (e.g., salaries and wages for non-officers, or management fees to an affiliated entity) or that key leadership roles are filled by volunteers, which is less common for a health system. This requires further scrutiny of the full 990 to understand the true compensation structure.

Filing History

IRS 990 filing history for Heartland Health System Inc showing financial trends over 3 years of public records:

Over 3 years of IRS 990 filings (2021–2023), Heartland Health System Inc's revenue has grown by 0.1%, moving from $38.0M to $38.1M. Total assets increased by 143% over the same period, from $11.5M to $27.9M. Total functional expenses rose by 9.5%, from $36.4M to $39.9M. In its most recent filing year (2023), Heartland Health System Inc reported a deficit of $1.8M, with expenses exceeding revenue. The organization holds $22.7M in liabilities against $27.9M in assets (debt-to-asset ratio: 81.3%), resulting in net assets of $5.2M.

Year	Revenue	Expenses	Assets	Liabilities	Officer Comp.	PDF
2023	$38.1M	$39.9M	$27.9M	$22.7M	—	View 990
2022	$40.0M	$37.9M	$11.2M	$4.1M	—	View 990
2021	$38.0M	$36.4M	$11.5M	$6.4M	—	—

Year-by-Year Financial Summary

2023: Revenue of $38.1M, expenses of $39.9M, and assets of $27.9M (revenue -4.8% year-over-year).
2022: Revenue of $40.0M, expenses of $37.9M, and assets of $11.2M (revenue +5.1% year-over-year).
2021: Revenue of $38.0M, expenses of $36.4M, and assets of $11.5M.

Data Sources and Methodology

This transparency report for Heartland Health System Inc 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.