Mercy Health Services - Iowa Corp

Nonprofit profile at a glance

EIN
311373080
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Mason City, IA, USA
Phone
5153589200
Rating
74
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Community Health Systems

Official website

Reported finances

Revenue
$933,901,198
Expenses
$1,016,202,656
Assets
$1,394,159,720
Liabilities
$1,227,717,403

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

23 people listed

Executive titles in this filing

  • ROBERT RITZ (DIRECTOR; REGIONAL PRESIDENT & CEO)
  • THOMAS CLARK (PRESIDENT WESTERN IOWA REGION)
  • DOUGLAS STRONG (FORMER KEY EMP; CEO HOLY CROSS HLTH)

Highest reported compensation

  • ROBERT RITZ (DIRECTOR; REGIONAL PRESIDENT & CEO): $2,471,013 total reported compensation
  • LINDA ROSS (DIR; CHIEF LEGAL OFFICER TRINITY): $2,013,680 total reported compensation
  • YEN LIU MD (PHYSICIAN, DERMATOLOGY NORTH IOWA): $1,679,952 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

We, mercy health services-Iowa and trinity health, serve together in the spirit of the gospel as a compassionate and transforming healing presence within our communities.mercy health services-Iowa is a member of trinity health.

What it reported doing in 2024

Mercy health services-Iowa (mhs-ia) is comprised of four hospital divisions in the state of Iowa that provided over 120,000 patient days of health care services to their communities throughout the state of Iowa and surrounding states.please visit schedule h and our website for additional information about our services, recognitions, and awards: www.mercyone.org

Operating model

Revenue model
Earned-program. 93% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 71
  • Accountability: 52
  • Sustainability: 30
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 97.2%; rating input score 97
  • Program expense ratio: 88.8%; rating input score 89
  • Fundraising efficiency: $11.9 raised per $1 spent on fundraising; rating input score 46; 46th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 88%; rating input score 88; 21st percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 33.3%; rating input score 33; 10th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -8.8%; rating input score 9; 9th percentile among comparable filings
  • Total-asset coverage ratio: 1.37; rating input score 50; 50th percentile among comparable filings
  • Liabilities to assets ratio: 0.88; rating input score 14; 14th percentile among comparable filings
  • Officer compensation ratio: 0.5%; rating input score 84; 84th percentile among comparable filings

Growth

  • Program expense growth: 3.7% per year; rating input score 100; 29th percentile among comparable filings
  • Revenue growth: 2.9% per year; rating input score 100; 22nd percentile among comparable filings
  • Asset growth: 3% per year; rating input score 100; 20th percentile among comparable filings

Details

  • Where the money goes: 97.2% of revenue deployed · 88.8% of spending went to programs
  • Governance: 1 of 3 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $902.5M in reported program spending
  • Leadership: top reported pay $2.5M · 23 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $92.4M reported
  • Consistency: 40 of 41 current checks pass · 1 finding to review
  • Schedules: 10 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: 27 filed money-flow records
  • Related organizations: 332 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Accountability: Independent voting board scored 33/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Financial Efficiency: Fundraising efficiency scored 46/100.
  • High — Sustainability: Operating margin scored 9/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 50/100.
  • High — Sustainability: Liabilities to assets ratio scored 14/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.