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River Hills Community Health Center

Ottumwa, IA · EIN 42-1489471 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending February 28, 2026 (tax year 2025) · View the filing · Correct or respond

River Hills Community Health Center reported $32.3 million in revenue and $33.5 million in expenses for the fiscal year ending February 28, 2026. Of every $100 it spent, $72.46 went to program services, $27.54 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: 77.9% of the total. Government grants made up 16.1%. The highest compensation it reported for one person was $383,007 (PSYCHIATRIST). 33 people received more than $100,000 in reportable compensation. Revenue rose 81% between FY2020 and FY2026. Source: Form 990, FY2026.

Where $100 of spending went

The fiscal year ending February 28, 2026 · Form 990, Part IX, line 25 · total expenses $34M

For 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 February 28, 2026 · Form 990, Part VIII · total revenue $32M

The 990 scorecard · same measures for every charity, no grades

FY2026 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2026Median
Program services
Part IX 25(B) ÷ 25(A)
72.5%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
27.5%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
18.7%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
16.1%0.1%
Program service revenue share
Part VIII 2g ÷ 12
77.9%93.7%
Highest reported compensation
Part VII-A, columns D–F
$383,007$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
1.14%1.34%
People paid over $100,000
Part VII, line 2
3327
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
7.86.6
Independent voting board members
Part VI 1a–1b
9 of 988.9%

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

FY2026 · Form 990, Part III · the three largest programs by expense
$18M expenses · 74.7% of program spending · revenue $19M

River Hills Community Health center served more than 14,865 medical and mental health patients during the fiscal year 2026. A significant number of the patients served were below the poverty level

$6.2M expenses · 25.3% of program spending · revenue $6.4M

River Hills Community Health center served more than 12,871 dental patients during the fiscal year 2026. A significant number of the patients served were below the poverty level

Highest reported compensation

FY2026 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
PSYCHIATRIST
Highest compensated employee, 40.00 hrs/week
$333,829$0$49,178$383,007
PHYSICIAN
Highest compensated employee, 40.00 hrs/week
$343,712$0$1,104$344,816
DENTIST
Highest compensated employee, 40.00 hrs/week
$275,066$0$18,804$293,870
DENTIST
Highest compensated employee, 40.00 hrs/week
$240,726$0$21,152$261,878
DENTIST
Highest compensated employee, 40.00 hrs/week
$243,969$0$8,279$252,248
CEO
Officer, 40.00 hrs/week
$183,216$0$52,646$235,862
COO
Officer, 40.00 hrs/week
$160,950$0$35,896$196,846
CFO
Officer, 40.00 hrs/week
$161,344$0$7,500$168,844

33 people received more than $100,000 in reportable compensation from River Hills Community Health Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $506K (Part IX, line 5).

7 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$10M$20M$30M$40MFY2020FY2021FY2022FY2023FY2024FY2025FY2026$32M$34M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2026 ⓘ$32M$34M72.5%$22M$383,007
FY2025 ⓘ$30M$30M73.1%$23M$396,866
FY2024 ⓘ$30M$29M72.1%$24M$386,509
FY2023 ⓘ$28M$25M71.1%$22M$358,193
FY2022 ⓘ$23M$21M70.4%$19M$338,525
FY2021 ⓘ$20M$18M69.6%$16M$337,177
FY2020 ⓘ$18M$17M69.0%$15M$280,699

Governance answers, as filed

FY2026 · 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–1b9 · 9 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 2No
  • 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 5255

Private foundation grants it received

3 private foundations reported grants to River Hills Community Health Center totaling $21,188 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from River Hills Community Health Center's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for River Hills Community Health Center, you can publish a response that is linked from this page.

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Questions people ask

How much of River Hills Community Health Center's spending goes to programs?

In the fiscal year ending February 28, 2026, River Hills Community Health Center reported that 72.5% of its $33.5 million in expenses went to program services, 27.5% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does River Hills Community Health Center pay its top executive?

The largest total compensation River Hills Community Health Center reported for one person in the fiscal year ending February 28, 2026 was $383,007, for the role of PSYCHIATRIST (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does River Hills Community Health Center get its money?

Of $32.3 million in revenue in the fiscal year ending February 28, 2026, 18.7% came from contributions and grants (including 16.1% from government grants) and 77.9% from program service revenue (Form 990, Part VIII).

Is River Hills Community Health Center a registered charity?

The IRS lists EIN 42-1489471 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024, 2025. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2026: Form 990 for the fiscal year ending February 28, 2026, object 202612389349300806 · read the filing
  • FY2025: Form 990 for the fiscal year ending February 28, 2025, object 202513249349301326 · read the filing
  • FY2024: Form 990 for the fiscal year ending February 29, 2024, object 202442059349300119 · read the filing
  • FY2023: Form 990 for the fiscal year ending February 28, 2023, object 202312279349302376 · read the filing
  • FY2022: Form 990 for the fiscal year ending February 28, 2022, object 202231959349300543 · read the filing
  • FY2021: Form 990 for the fiscal year ending February 28, 2021, object 202111749349300011 · read the filing
  • FY2020: Form 990 for the fiscal year ending February 29, 2020, object 202041779349300119 · read the filing

All filings for EIN 42-1489471: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.