Great River Health
Legal name: Great River Health System Inc
Nonprofit profile at a glance
- EIN
- 421193185
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- West Burlington, IA, US
- Phone
- 319.768.1000
- Rating
- 56
- Verdict
- MIXED
- Rating confidence
- Moderate
- Sector
- Fund Raising and/or Fund Distribution
Reported finances
- Revenue
- $74,579,186
- Expenses
- $56,700,181
- Assets
- $40,641,153
- Liabilities
- $7,297,513
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
15 people listed
Executive titles in this filing
- DR MICHAEL MCCOY (CEO)
- MATT WENZEL (FORMER PRESIDENT/CEO)
- TERESA COLGAN - EXEC (VP CHIEF EXECUTIVE OFFICER)
Highest reported compensation
- DR MICHAEL MCCOY (CEO): $1,136,923 total reported compensation
- MATT WENZEL (FORMER PRESIDENT/CEO): $975,975 total reported compensation
- JEREMY ALEXANDER (CFO): $749,117 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Improving the health and well-being of the communities we serve.
What it reported doing in 2024
Great 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.
Operating model
- Revenue model
- Earned-program. 66% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Grant intermediary. The nonprofit sent 100% of its reported program spending out as grants.
The verdict
MIXED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.
Rating breakdown
- Financial Efficiency: 5
- Transparency & Controls: 96
- Accountability: 93
- Sustainability: 59
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 5%; rating input score 5
- Program expense ratio: 6.6%; rating input score 7
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Pass
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 87.5%; rating input score 88; 34th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 24%; rating input score 90; 90th percentile among comparable filings
- Total-asset coverage ratio: 0.72; rating input score 28; 28th percentile among comparable filings
- Liabilities to assets ratio: 0.18; rating input score 71; 71st percentile among comparable filings
- Officer compensation ratio: 9.4%; rating input score 4; 4th percentile among comparable filings
Growth
- Program expense growth: 28.3% per year; rating input score 100; 96th percentile among comparable filings
- Revenue growth: 25.5% per year; rating input score 100; 96th percentile among comparable filings
- Asset growth: -1.7% per year; rating input score 0; 4th percentile among comparable filings
Details
- What they do: 4 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 5% of revenue deployed · 6.6% of spending went to programs
- Governance: 7 of 8 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $3.7M in reported program spending
- Leadership: top reported pay $1.1M · 15 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $4.8M reported
- Consistency: 29 of 29 current checks pass
- Schedules: 7 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 12 filed money-flow records
- Related organizations: 13 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Financial Efficiency: Mission deployment rate scored 5/100.
- High — Financial Efficiency: Program expense ratio scored 7/100.
- High — Sustainability: Total-asset coverage ratio scored 28/100.
- High — Growth: Asset growth scored 0/100.
- High — Sustainability: Officer compensation ratio scored 4/100.