River Hills Community Health Center
Legal name: River Hills Community Health Center Inc
Nonprofit profile at a glance
- EIN
- 421489471
- IRS 990 coverage
- 2010–2025
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2025
- Location
- Ottumwa, IA, USA
- Phone
- 641-683-5773
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $32,309,799
- Expenses
- $33,523,490
- Assets
- $30,241,865
- Liabilities
- $8,395,796
Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
17 people listed
Executive titles in this filing
- JOY ALEXANDER (CEO)
Highest reported compensation
- CYNDI MCCORMICK (PSYCHIATRIST): $383,007 total reported compensation
- ADEL DIMASSI (PHYSICIAN): $344,816 total reported compensation
- KEN JONES (DENTIST): $293,870 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Our mission is to improve the health outcomes of our patients by providing exceptional health care services.
What it reported doing in 2025
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.
Operating model
- Revenue model
- Earned-program. 78% 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.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 65
- Transparency & Controls: 74
- Accountability: 100
- Sustainability: 24
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 74.2%; rating input score 74
- Program expense ratio: 72.5%; rating input score 72
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 64th 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: -3.8%; rating input score 12; 12th percentile among comparable filings
- Total-asset coverage ratio: 0.9; rating input score 26; 26th percentile among comparable filings
- Liabilities to assets ratio: 0.28; rating input score 43; 43rd percentile among comparable filings
- Officer compensation ratio: 6.4%; rating input score 47; 47th percentile among comparable filings
Growth
- Program expense growth: 10% per year; rating input score 100; 67th percentile among comparable filings
- Revenue growth: 8.6% per year; rating input score 100; 67th percentile among comparable filings
- Asset growth: 11% per year; rating input score 100; 71st percentile among comparable filings
Details
- What they do: 8 programs and campaigns described on the official site · 6 operating locations identified
- Where the money goes: 74.2% of revenue deployed · 72.5% of spending went to programs
- Governance: 9 of 9 board members independent · 9 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $24.3M in reported program spending
- Leadership: top reported pay $383K · 17 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $966K reported
- Consistency: 30 of 30 current checks pass
- Schedules: 6 filed schedules · includes major donors and executive pay
- Filing history: 16 filing years from 2010 to 2025
- Contacts: How to reach this organization
- Money network: 8 filed money-flow records
- Related organizations: Filed and resolved organization relationships.
- 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 — Sustainability: Operating margin scored 12/100.
- High — Sustainability: Total-asset coverage ratio scored 26/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 43/100.
- Moderate — Sustainability: Officer compensation ratio scored 47/100.