Charity Search / HEART TO HEART INTERNATIONAL INC
International Affairs (Q330) IRS Verified DX Registered 990 on File

HEART TO HEART INTERNATIONAL INC

EIN: 48-1108359 · LENEXA, KS 66219-9600 · United States · FY 2023 Data
4 out of 5 75 / 100 Based on 2+ years of filings
Financial strength (30%) 63/100
Reliability (20%) 55/100
Effectiveness (25%) 100/100
Impact (25%) 80/100
Financial data: FY 2023 · Scored 9/13/2026
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HEART TO HEART INTERNATIONAL INC logo
CharityAI™ Score
Not yet evaluated
Mission Statement

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.

Financial Overview — FY 2023
$410.1M
Total Revenue
$400.6M
Total Expenses
$79.9M
Net Assets
76
Employees
Revenue Sources
Expense Breakdown
Program Expense Ratio 99.4%
Fundraising Efficiency N/A
Operating Reserve 2.39x
Liability-to-Asset 0.7%
Revenue Diversification 99.7%
Executive Compensation $758K
Compared with Peers
FY 2023
Compared with 82 similar organizations (United States, International Affairs, $100M and over in expenses), FY 2023.
This organization Middle half of peers (P25–P75) Peer median
Ratio This org Peer median Position (P10 → P90)
Program expense ratio
Program expenses / total expenses · higher is better
99.4% 88.5%
P10P90
Top quarter
Admin expense ratio
Management and general / total expenses · lower is better
0.4% 6.9%
P10P90
Top quarter
Fundraising expense ratio
Fundraising expenses / total expenses · lower is better
0.2% 1.4%
P10P90
Top quarter
Operating reserve
Months of expenses covered by net assets · higher is better
2.4 mo 4.1 mo
P10P90
Below median
Liabilities to assets
Total liabilities / total assets · lower is better
0.7% 29.5%
P10P90
Top quarter
Revenue concentration
Share of revenue from the largest source · lower is better
99.7% 98.6%
P10P90
Bottom quarter
Revenue growth
Year over year revenue growth
45.4% 6.1%
P10P90
Expense growth
Year over year expense growth
43.8% 10.0%
P10P90
Surplus margin
Surplus as a share of revenue
2.3% 0.0%
P10P90
Impact
1 program
Outcome / Program People Served Cost / Service # Completed Duration
Installation of POC lab in free and charitable clinics provides access to testing 23,832 $21.12 Per Year
Financial History
Year Revenue Expenses Net Assets Program % Staff
2023 $410.1M $400.6M $79.9M 99.4% 76
2022 $282.1M $278.7M $70.3M 99.3% 68
2021 $283.6M $335.3M N/A 89
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Organization Details
EIN
48-1108359
State
KS
City
LENEXA
ZIP
66219-9600
Classification
Q330
Category
International Affairs
Rating
4★
Coverage
A
Last Updated
Aug 2026
IRS Ruling Year
1992
Foundation Code
15
Form 990
On File
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