Great River Health System
Great River Health System reported $74.6 million in revenue and $56.7 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $6.56 went to program services, $93.44 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 66.3% of the total. The highest compensation it reported for one person was $1,136,923 (CEO). 39 people received more than $100,000 in reportable compensation. Revenue rose 12676% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $57MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $75MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 6.6% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 93.4% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 33.5% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 66.3% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,136,923 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 2.01% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 39 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 7.1 | 6.6 |
| Independent voting board members Part VI 1a–1b | 7 of 8 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseGreat River Health System is a regional integrated health-system that includes southeast iowa regional medical center, henry county health center, pharmacies, medical equipment and supplies providers, physician clinics, and staffing agency
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| CEO Director/trustee, officer, 24.00 hrs/week | $1,089,131 | $0 | $47,792 | $1,136,923 |
| FORMER PRESIDENT/CEO Former, 24.00 hrs/week | $975,975 | $0 | $0 | $975,975 |
| CFO Officer, 1.00 hrs/week | $689,029 | $0 | $60,088 | $749,117 |
| EXECUTIVE VP CHIEF MEDICAL Highest compensated employee, 40.00 hrs/week | $527,995 | $0 | $54,374 | $582,369 |
| VP CHIEF EXECUTIVE OFFICER Highest compensated employee, 40.00 hrs/week | $503,277 | $0 | $49,926 | $553,203 |
| VP CHIEF HUMAN RESOURCES Highest compensated employee, 40.00 hrs/week | $440,442 | $0 | $55,563 | $496,005 |
| VP CHIEF CLINICAL OPERATIONS Highest compensated employee, 40.00 hrs/week | $429,411 | $0 | $58,456 | $487,867 |
| EXECUTIVE VP CHIEF COMPLIANCE Highest compensated employee, 40.00 hrs/week | $314,467 | $0 | $44,387 | $358,854 |
39 people received more than $100,000 in reportable compensation from Great River Health System (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.8M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b8 · 7 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5389
- Volunteers Part I, line 612
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| HEARTLAND BUSINESS SYSTEMS It consulting | $2,096,748 |
| REVENTICS INC Software consulting | $1,741,319 |
| GARVISH IMMIGRATION LAW GROUP LLC Law firm | $309,226 |
| HENRY COUNTY SOLDIERS' & SAILORS' MEMORI Ems services | $270,000 |
Individuals listed as contractors are left out. 9 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Great River Health System's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Great River Health System, you can publish a response that is linked from this page.
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Of every $100 Great River Health System spent in FY2025, $6.56 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- The Ranken-Jordan Home For Convalescent Crippled ChildrenMaryland Heights, MO · revenue $75M · programs 84.0% · FY2025
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Questions people ask
How much of Great River Health System's spending goes to programs?
In the fiscal year ending June 30, 2025, Great River Health System reported that 6.6% of its $56.7 million in expenses went to program services, 93.4% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Great River Health System pay its top executive?
The largest total compensation Great River Health System reported for one person in the fiscal year ending June 30, 2025 was $1,136,923, for the role of CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Great River Health System get its money?
Of $74.6 million in revenue in the fiscal year ending June 30, 2025, 33.5% came from contributions and grants and 66.3% from program service revenue (Form 990, Part VIII).
Is Great River Health System a registered charity?
The IRS lists EIN 42-1193185 as a 501(c)(3) organization (supporting organization (509(a)(3))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202631249349302058 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202521139349300042 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202421309349301927 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202331339349300328 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202211329349306371 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202111379349305631 · read the filing
All filings for EIN 42-1193185: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.