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Iowa · Nonprofit

GREAT RIVER HEALTH SYSTEM INC

GREAT RIVER HEALTH SYSTEM INC (Iowa) receives grants from 3 organizations whose IRS filings report $1,077,775 to it, the largest being FAMILY PLANNING COUNCIL OF IOWA ($980,516). 1 of them have funded it in more than one year.

Revenue FY2025
$75M
Funders on record
3
Grants received
$1.1M
Net assets
$33M
1/3 repeat fundersgrants exceed reported revenue in one year
01What it does

What Great River Health System Inc does

Mission

Great river health system, inc. (grhs) is a non-stock, not-for-profit corporation organized for the purpose of serving as a holding company of various subsidiaries providing health care.

As stated on its FY2025 Form 990.

Program

  1. 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.

    $3,716,953 spentof which $3,716,953 as grants$49,466,496 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $3,716,953.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($6k) Expenses 100 ($105k) Net assets 100 ($40M)2018 Revenue 371 ($23k) Expenses 1469 ($1.5M) Net assets 111 ($44M)2019 Revenue 169 ($10k) Expenses 140 ($146k) Net assets 112 ($44M)2020 Revenue 9629 ($584k) Expenses 9 ($9k) Net assets 106 ($42M)2021 Revenue 187203 ($11M) Expenses 11232 ($12M) Net assets 105 ($41M)2022 Revenue 458325 ($28M) Expenses 25452 ($27M) Net assets 101 ($40M)2023 Revenue 709904 ($43M) Expenses 35531 ($37M) Net assets 45 ($18M)2024 Revenue 648528 ($39M) Expenses 41540 ($44M) Net assets 38 ($15M)2025 Revenue 1230274 ($75M) Expenses 54102 ($57M) Net assets 84 ($33M)
'17'18'19'20'21'22'23'24'25
Revenue (1230274)Expenses (54102)Net assets (84)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2022 to 2023, from $43M to $22M (−49%).

$40M
$45M
$45M
$44M
$45M
$43M
$22M
$22M
$41M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

34% of GREAT RIVER HEALTH SYSTEM INC’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 5 of the last 9 reported years ran a deficit.

−$99k
’17
−$1.5M
’18
−$136k
’19
$574k
’20
−$424k
’21
$1.1M
’22
$5.8M
’23
−$4.2M
’24
$18M
’25
1.7
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Dr Michael Mccoy

CEO

Board chair

Robert Engberg

Chairman

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed16171915129141415
Joined·+2+4+2+0+0+7+5+1
No longer listed·12633250
03Who funds it

Who funds it, year by year

2018 → 2023: the base broadened from 1 funder to 2 funders, grant income rose $52k → $175k.

Funder
'18
'19
'20
'21
'22
'23
'24*
'25*
total
funders
1
1
2
1
1
2
1
1

Left out of every figure on this page: $36M from 4 payers (the payer shares this organization's board, largest Southeast Iowa Regional Medical Center Inc). These are real filings, and they are not money GREAT RIVER HEALTH SYSTEM INC raised.

From the IRS filings of GREAT RIVER HEALTH SYSTEM INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

GREAT RIVER HEALTH SYSTEM INC leans on a few funders — its largest provides 91% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund GREAT RIVER HEALTH SYSTEM INC.

91%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2018 100% · 2019 100% · 2020 66% · 2021 100% · 2022 100% · 2023 85% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

100% of GREAT RIVER HEALTH SYSTEM INC's grant income comes from Iowa funders.

IA

In-state vs out-of-state, by year

’18
’19
’20
’21
’22
’23
Iowa out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

GREAT RIVER HEALTH SYSTEM INC runs a healthier operating margin than three-quarters of the 2,843 health nonprofits its size.

Operating margin24% · top quartile
Months of reserve1.7mo · below the median
Revenue growth (annualized)225% · top quartile

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Organizations like GREAT RIVER HEALTH SYSTEM INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Iowa

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

7% of spending goes to programs.

Program 7%Management 93%Fundraising 0%

Governance

8
board members
88%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 11 related entities

  • Southeast Iowa Regional Medical Center · exempt
  • Grhs Holdings Inc · exempt
  • Great River Health Foundation Inc · exempt
  • Henry County Health Center Inc · exempt
  • Southeast Renal Dialysis Lc · partnership

Screen this organization

A dated, signed PDF of the compliance screen for GREAT RIVER HEALTH SYSTEM INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds GREAT RIVER HEALTH SYSTEM INC?
GREAT RIVER HEALTH SYSTEM INC (Iowa) receives grants from 3 organizations whose IRS filings report $1,077,775 to it, the largest being FAMILY PLANNING COUNCIL OF IOWA ($980,516). 1 of them have funded it in more than one year.
How many funders does GREAT RIVER HEALTH SYSTEM INC have?
IRS filings report 3 organizations giving $1,077,775 in grants to GREAT RIVER HEALTH SYSTEM INC, 1 of which have funded it in more than one year.
Who is the largest funder of GREAT RIVER HEALTH SYSTEM INC?
FAMILY PLANNING COUNCIL OF IOWA is the largest funder on record, with $980,516 in grants. The full list of funders is on this page.
How can an organization like GREAT RIVER HEALTH SYSTEM INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Iowa. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 3 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing