Liabilities / Assets
5th percentile
Higher debt load relative to assets than 5% of similar nonprofits.
EIN 42-1193186 • 501(c)3 • West Burlington, IA
Profile
To provide support to southeast iowa regional medical center and henry county health center, each of which is a non-profit 501(c)(3) organization that provides health care services to all individuals regardless of their ability to pay.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
5th percentile
Higher debt load relative to assets than 5% of similar nonprofits.
Liabilities / Revenue
5th percentile
Higher debt load relative to revenue than 5% of similar nonprofits.
Net Margin
91st percentile
Higher net margin than 91% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
13th percentile
Faster asset growth than 13% of similar nonprofits.
Revenue Growth
1st percentile
Faster revenue growth than 1% of similar nonprofits.
Assets
Down$260,663,070
Down $10,956,252 (-4.0%) from 2023
Liabilities
Down$1,066,943
Down $76,813 (-6.7%) from 2023
Net Assets
Down$259,596,127
Down $10,879,439 (-4.0%) from 2023
Revenue
Down$8,039,869
Down $50,280,482 (-86%) from 2023
Expenses
Up$40,248,153
Up $8,797,775 (+28%) from 2023
Net Income
Down-$32,208,284
Down $59,078,257 (-220%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide support to southeast iowa regional medical center (sirmc). Sirmc is a non-profit organization which provides health care services to all individuals, regardless of their ability to pay.
Provide support to southeast iowa regional medical center and henry county medical center.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $268,408,243 | $257,478,597 | ▼ $10,929,646 |
| Cash and Non-Interest-Bearing Accounts | $2,067,084 | $2,117,290 | ▲ $50,206 |
| Total Assets | $271,619,322 | $260,663,070 | ▼ $10,956,252 |
| Other Assets Total | $1,143,995 | $1,067,183 | ▼ $76,812 |
| Liabilities | |||
| Other Liabilities | $1,143,756 | $1,066,943 | ▼ $76,813 |
| Total Liabilities | $1,143,756 | $1,066,943 | ▼ $76,813 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $270,475,566 | $259,596,127 | ▼ $10,879,439 |
| Total Net Assets Fund Balance | $270,475,566 | $259,596,127 | ▼ $10,879,439 |
| Total Liabilities and Net Assets / Fund Balance | $271,619,322 | $260,663,070 | ▼ $10,956,252 |
| Name | Title |
|---|---|
| Matt Wenzel | Former President/CEO |
| Dr Michael Mccoy | President/CEO |
| James Kammerer | Former Vice Chairman |
| Hope Dunn | Vice Chairman |
| Jeremy Alexander | Secretary/treasurer/CFO |
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $40,000,000 |
| Other Expenses | $248,153 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $40,000,000 | - | - | $40,000,000 |
| Fees for Services Other | - | $248,091 | - | $248,091 |
| Office Expenses | - | $62 | - | $62 |
| Total Functional Expenses | $40,000,000 | $248,153 | $0 | $40,248,153 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Southeast Iowa Regional Medical Center Inc | West Burlington, IA | 501(c)(3) | Operating Support | $40,000,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Payable Under Investment Loan Agreement | $1,066,943 |
“Matt wenzel, dr. Michael mccoy, james kammerer, jeremy alexander, and hope dunn have business relationships by serving as officers and/or board members of for-profit entities related to grhs holdings, inc.”
“All executive leadership functions for grhs holdings, inc. Are provided by great river health system, inc.”
“Great river health system, inc. Is the sole member of grhs holdings, inc.”
“The sole member, great river health system, inc (grhs), has the sole power to elect or remove all board members of grhs holdings. The nominating committee shall present a recommendation for the election of directors to the board, which upon approval of the board and the subsequent approval of grhs, shall be elected to the board.”
“The grhs board of directors has the following specific powers related to all subsidiary corporations and affiliated organizations: 1. Elect or remove the board of directors, or any other member of the board of directors; 2. Amend the articles of incorporation or the bylaws; 3. Dissolve or approve merger with any other corporate entity; 4. Approve strategic or other business plans; 5. Approve capital and operating budgets; 6. Approval of any indebtedness incurred; 7. Transfer, sell or close any facility, department or function; 8. Approve any charitable disbursements, whether internal or external, in excess of one hundred thousand dollars ($100,000.00) in the aggregate during any fiscal year; 9. The sale, disposition or any encumbrance (other than routine lease transactions) of any real estate; 10. Adopt, amend, or terminate employee benefit programs or plans; 11. Appoint or terminate the chief executive officer; 12. Approve the election of any officer or chairperson of the board of directors; and 13. To take any other action necessary deemed in the best interests of grhs.”
“Grhs holdings, inc. Does not have committees with authority to act on behalf of the board.”
“The form 990 was prepared by an external accountant. A draft of the form 990 was reviewed in detail by a member of the accounting department, director of finance and cfo. Any necessary adjustments were made prior to finalizing the form. A copy of the final form 990 was made available to the board members for their review prior to filing with the irs. Any questions of the board members were addressed through the accounting department.”
“Both corporate and subsidiary board members are provided education regarding conflicts of interest. This education is provided by the chief compliance officer. All board members are required to complete a conflict of interest disclosure form. Relationships noted on this form may be discussed with the respective board member if there are questions. If an individual has a conflict of interest, they may not participate in discussions relating to the transaction in question and may not vote on matters related to the transaction. Conflict of interest proceedings arising from conflicts of interest are documented in the board minutes.”
“Compensation of the officers of grhs holdings inc is paid by great river health system, inc. The compensation for the ceo and other officers is determined by the executive compensation committee of great river health system, inc. The role of the compensation committee is to act on behalf of the board in adopting, reviewing and maintaining an executive compensation philosophy. The compensation committee is comprised of five board members, all of whom are independent from the ceo and other officers. The compensation committee reviews the compensation of the ceo and other officers on an annual basis. The deliberations and decisions are documented in minutes taken at the meetings. Great river health system, inc. Participates and utilizes three executive salary surveys to determine compensation ranges. The committee reviews prevailing market data to ensure continued market competitiveness. The compensation committee also engages an independent third party compensation consulting group biennially to assess and validate the entirety of the executive compensation and benefits packages to ensure regulatory compliance, external competitiveness, and internal equity. The most recent year of an independent third party review was 2024.”
“Grhs holdings, inc. Makes its governing documents, conflict of interest policy, and financial statements available upon request.”
“The process for oversight and selection of an independent accountant has not changed from the prior year.”
“The organization is exempt from income taxes under section 501(c)(3) of the internal revenue code. However, the organization is subject to federal income tax on any unrelated business taxable income. Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the combined financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDE SUPPORT TO SOUTHEAST IOWA REGIONAL MEDICAL CENTER AND HENRY COUNTY MEDICAL CENTER. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | CHERYL ALBIN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3197681000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1221 SOUTH GEAR AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WEST BURLINGTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 52655 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 2067084 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2117290 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 40000000 |
| IRS990/CYInvestmentIncomeAmt | 0 | 8039119 |
| IRS990/CYOtherExpensesAmt | 0 | 248153 |
| IRS990/CYOtherRevenueAmt | 0 | 750 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -32208284 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 40248153 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 8039869 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/Desc | 0 | SUPPORT SOUTHEAST IOWA REGIONAL MEDICAL CENTER AND HENRY COUNTY HEALTH CENTER, EACH OF WHICH IS A NON-PROFIT 501(C)(3) ORGANIZATION. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 40000000 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 248091 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 248091 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 42.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 19.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 42.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 19.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 42.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 24.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 24.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 48195 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 51041 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 20003 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 11287 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 15983 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JEREMY ALEXANDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DR MICHAEL MCCOY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | HOPE DUNN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MATT WENZEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JAMES KAMMERER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 582333 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 829861 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 308293 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 1369580 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 843427 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | SECRETARY/TREASURER/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | FORMER PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | FORMER VICE CHAIRMAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1983 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 471831 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantAmt | 0 | 40000000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 40000000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 40000000 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 62043321 |
| IRS990/GrossReceiptsAmt | 0 | 69611359 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 7567288 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 7567288 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 268408243 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 257478597 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 61571490 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE SUPPORT TO SOUTHEAST IOWA REGIONAL MEDICAL CENTER AND HENRY COUNTY HEALTH CENTER, EACH OF WHICH IS A NON-PROFIT 501(C)(3) ORGANIZATION THAT PROVIDES HEALTH CARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 270475566 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 259596127 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 471831 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 471831 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 21328845 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 270475566 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 259596127 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 62 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 62 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1143995 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1067183 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1143756 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1066943 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCALLANEOUS INCOME |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 750 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 750 |
| IRS990/OtherRevenueTotalAmt | 0 | 750 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | DR MICHAEL MCCOY |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 31354146 |
| IRS990/PYInvestmentIncomeAmt | 0 | 58319601 |
| IRS990/PYOtherExpensesAmt | 0 | 96232 |
| IRS990/PYOtherRevenueAmt | 0 | 750 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 26869973 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 31450378 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 58320351 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -32208284 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | 1 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | SOUTHEAST IOWA REGIONAL MEDICAL CENTER IS NOT NAMED IN THE GOVERNING DOCUMENTS BECAUSE THE GOVERNING DOCUMENTS IDENTIFY GREAT RIVER HEALTH SYSTEM AND "ANY SUBSIDIARY CORPORATION OR ORGANIZATION" OF GREAT RIVER HEALTH SYSTEM, WHICH INCLUDES SOUTHEAST IOWA REGIONAL MEDICAL CENTER. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | HENRY COUNTY HEALTH CENTER IS NOT NAMED IN THE GOVERNING DOCUMENTS BECAUSE THE GOVERNING DOCUMENTS IDENTIFY GREAT RIVER HEALTH SYSTEM AND "ANY SUBSIDIARY CORPORATION OR ORGANIZATION" OF GREAT RIVER HEALTH SYSTEM, WHICH INCLUDES HENRY COUNTY HEALTH CENTER. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 2 | GHRS HOLDINGS, INC. IDENTIFIES GREAT RIVER HEALTH SYSTEM INC. (GRHS) AS ITS SUPPORTED ORGANIZATION WITHIN ITS GOVERNING DOCUMENTS. THIS IS PERMISSIBLE UNDER G.C.M. 39508,, WHICH SPECIFICALLY PROVIDES THAT AN ORGANIZATION CAN BE REGARDED AS "OPERATED EXCLUSIVELY" TO SUPPORT OR BENEFIT ONE OR MORE SPECIFIED PUBLICLY SUPPORTED ORGANIZATIONS EVEN IF IT SUPPORTS OR BENEFITS ANOTHER SUPPORTING ORGANIZATION, SO LONG AS THE PARENT ORGANIZATION IS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND IS OPERATED, SUPERVISED, OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH SUCH PUBLICLY SUPPORTED ORGANIZATIONS. GRHS IS THE PARENT TO GRHS HOLDINGS, INC., HENRY COUNTY HEALTH CENTER, INC. AND SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC. ALL ORGANIZATIONS ARE MANAGED BY COMMON EXECUTIVE LEADERSHIP AND THERE IS BOARD MEMBER OVERLAP. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 3 | GRHS HOLDINGS, INC. IS A SUBSIDIARY OF GREAT RIVER HEALTH SYSTEM, INC. (GRHS). GRHS IS THE OVERALL PARENT COMPANY OF ALL ENTITIES AND AN INTEGRATED HEALTH CARE SYSTEM, ALL OF WHOM ULTIMATELY SUPPORT HENRY COUNTY HEALTH CENTER AND SOUTHEAST IOWA REGIONAL MEDICAL CENTER. GRHS HOLDINGS, INC. SUPPORTS HENRY COUNTY MEDICAL CENTER, A 501(C)(3) ORGANIZATION CLASSIFIED AS A PUBLIC CHARITY UNDER IRC SECTION 170(B)(1)(A)(III). GREAT RIVER HEALTH FOUNDATION, INC. COMPLETED THE CALCULATIONS FOR THE SECTION 509(A)(2) PUBLIC SUPPORT TEST FOR HENRY COUNTY MEDICAL CENTER FOR THE PERIOD 7/1/18 - 6/30/2024 AND DETERMINED THAT IT WOULD QUALIFY AS A PUBLICLY SUPPORTED ORGANIZATION UNDER IRC SECTION 509(A)(2). |
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| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 2 | PART IV, SECTION A, LINE 1: |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 3 | PART IV, SECTION A, LINE 2: |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE COMBINED FINANCIAL STATEMENTS. |
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| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | THE ONLY TRANSFERS ARE MADE TO RELATED ORGANIZATIONS. COMMON EXECUTIVE OVERSIGHT BETWEEN THE ORGANIZATIONS ENSURES THAT ALL TRANSFERRED ASSETS ARE USED FOR APPROPRIATE CHARITABLE PURPOSES. |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | MATT WENZEL |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | DR MICHAEL MCCOY |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | JAMES KAMMERER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | JEREMY ALEXANDER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 4 | HOPE DUNN |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | FORMER VICE CHAIRMAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | SECRETARY/TREASURER/CFO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 4 | VICE CHAIRMAN |
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| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | DR. MICHAEL MCCOY, HEALTH/SOCIAL CLUB DUES, $74.90. THIS AMOUNT WAS INCLUDED IN TAXABLE COMPENSATION. |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 1 | THE COMPENSATION OF THE OFFICERS IS PAID BY AND DETERMINED BY GREAT RIVER HEALTH SYSTEM. THE FOLLOWING WERE USED BY GREAT RIVER HEALTH SYSTEM IN DETERMINING THE OFFICERS COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. WRITTEN EMPLOYMENT CONTRACT 5. COMPENSATION SURVEY OR STUDY 6. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 2 | MATT WENZEL RECEIVED A SEVERANCE PAYMENT OF $855,096. JAMES KAMMERER RECEIVED A SEVERANCE PAYMENT OF $459,928. THESE AMOUNTS WERE INCLUDED IN W-2 WAGES. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 1A |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART I, LINE 3 |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | PART I, LINE 4A |
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| IRS990ScheduleJ/WrittenPolicyRefTAndEExpnssInd | 0 | 1 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | MATT WENZEL, DR. MICHAEL MCCOY, JAMES KAMMERER, JEREMY ALEXANDER, AND HOPE DUNN HAVE BUSINESS RELATIONSHIPS BY SERVING AS OFFICERS AND/OR BOARD MEMBERS OF FOR-PROFIT ENTITIES RELATED TO GRHS HOLDINGS, INC. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | ALL EXECUTIVE LEADERSHIP FUNCTIONS FOR GRHS HOLDINGS, INC. ARE PROVIDED BY GREAT RIVER HEALTH SYSTEM, INC. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | GREAT RIVER HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF GRHS HOLDINGS, INC. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE SOLE MEMBER, GREAT RIVER HEALTH SYSTEM, INC (GRHS), HAS THE SOLE POWER TO ELECT OR REMOVE ALL BOARD MEMBERS OF GRHS HOLDINGS. THE NOMINATING COMMITTEE SHALL PRESENT A RECOMMENDATION FOR THE ELECTION OF DIRECTORS TO THE BOARD, WHICH UPON APPROVAL OF THE BOARD AND THE SUBSEQUENT APPROVAL OF GRHS, SHALL BE ELECTED TO THE BOARD. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE GRHS BOARD OF DIRECTORS HAS THE FOLLOWING SPECIFIC POWERS RELATED TO ALL SUBSIDIARY CORPORATIONS AND AFFILIATED ORGANIZATIONS: 1. ELECT OR REMOVE THE BOARD OF DIRECTORS, OR ANY OTHER MEMBER OF THE BOARD OF DIRECTORS; 2. AMEND THE ARTICLES OF INCORPORATION OR THE BYLAWS; 3. DISSOLVE OR APPROVE MERGER WITH ANY OTHER CORPORATE ENTITY; 4. APPROVE STRATEGIC OR OTHER BUSINESS PLANS; 5. APPROVE CAPITAL AND OPERATING BUDGETS; 6. APPROVAL OF ANY INDEBTEDNESS INCURRED; 7. TRANSFER, SELL OR CLOSE ANY FACILITY, DEPARTMENT OR FUNCTION; 8. APPROVE ANY CHARITABLE DISBURSEMENTS, WHETHER INTERNAL OR EXTERNAL, IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000.00) IN THE AGGREGATE DURING ANY FISCAL YEAR; 9. THE SALE, DISPOSITION OR ANY ENCUMBRANCE (OTHER THAN ROUTINE LEASE TRANSACTIONS) OF ANY REAL ESTATE; 10. ADOPT, AMEND, OR TERMINATE EMPLOYEE BENEFIT PROGRAMS OR PLANS; 11. APPOINT OR TERMINATE THE CHIEF EXECUTIVE OFFICER; 12. APPROVE THE ELECTION OF ANY OFFICER OR CHAIRPERSON OF THE BOARD OF DIRECTORS; AND 13. TO TAKE ANY OTHER ACTION NECESSARY DEEMED IN THE BEST INTERESTS OF GRHS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | GRHS HOLDINGS, INC. DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE FORM 990 WAS PREPARED BY AN EXTERNAL ACCOUNTANT. A DRAFT OF THE FORM 990 WAS REVIEWED IN DETAIL BY A MEMBER OF THE ACCOUNTING DEPARTMENT, DIRECTOR OF FINANCE AND CFO. ANY NECESSARY ADJUSTMENTS WERE MADE PRIOR TO FINALIZING THE FORM. A COPY OF THE FINAL FORM 990 WAS MADE AVAILABLE TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. ANY QUESTIONS OF THE BOARD MEMBERS WERE ADDRESSED THROUGH THE ACCOUNTING DEPARTMENT. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | BOTH CORPORATE AND SUBSIDIARY BOARD MEMBERS ARE PROVIDED EDUCATION REGARDING CONFLICTS OF INTEREST. THIS EDUCATION IS PROVIDED BY THE CHIEF COMPLIANCE OFFICER. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. RELATIONSHIPS NOTED ON THIS FORM MAY BE DISCUSSED WITH THE RESPECTIVE BOARD MEMBER IF THERE ARE QUESTIONS. IF AN INDIVIDUAL HAS A CONFLICT OF INTEREST, THEY MAY NOT PARTICIPATE IN DISCUSSIONS RELATING TO THE TRANSACTION IN QUESTION AND MAY NOT VOTE ON MATTERS RELATED TO THE TRANSACTION. CONFLICT OF INTEREST PROCEEDINGS ARISING FROM CONFLICTS OF INTEREST ARE DOCUMENTED IN THE BOARD MINUTES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | COMPENSATION OF THE OFFICERS OF GRHS HOLDINGS INC IS PAID BY GREAT RIVER HEALTH SYSTEM, INC. THE COMPENSATION FOR THE CEO AND OTHER OFFICERS IS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF GREAT RIVER HEALTH SYSTEM, INC. THE ROLE OF THE COMPENSATION COMMITTEE IS TO ACT ON BEHALF OF THE BOARD IN ADOPTING, REVIEWING AND MAINTAINING AN EXECUTIVE COMPENSATION PHILOSOPHY. THE COMPENSATION COMMITTEE IS COMPRISED OF FIVE BOARD MEMBERS, ALL OF WHOM ARE INDEPENDENT FROM THE CEO AND OTHER OFFICERS. THE COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF THE CEO AND OTHER OFFICERS ON AN ANNUAL BASIS. THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN MINUTES TAKEN AT THE MEETINGS. GREAT RIVER HEALTH SYSTEM, INC. PARTICIPATES AND UTILIZES THREE EXECUTIVE SALARY SURVEYS TO DETERMINE COMPENSATION RANGES. THE COMMITTEE REVIEWS PREVAILING MARKET DATA TO ENSURE CONTINUED MARKET COMPETITIVENESS. THE COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTING GROUP BIENNIALLY TO ASSESS AND VALIDATE THE ENTIRETY OF THE EXECUTIVE COMPENSATION AND BENEFITS PACKAGES TO ENSURE REGULATORY COMPLIANCE, EXTERNAL COMPETITIVENESS, AND INTERNAL EQUITY. THE MOST RECENT YEAR OF AN INDEPENDENT THIRD PARTY REVIEW WAS 2024. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | GRHS HOLDINGS, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 10 | THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION A, LINE 2 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION A, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION A, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION A, LINE 7B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION A, LINE 8B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 9 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 10 | FORM 990, PART XII, LINE 2C: |
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