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Nonprofiteer
← GREAT RIVER HEALTH SYSTEM INC

Form 990 for tax year 2022

Filed by GREAT RIVER HEALTH SYSTEM INC.

Totals

Total revenue
$43,034,353
Total expenses
$37,237,430
Contributions and grants received
$7,246,489
Grants paid
$500,000
Program service revenue
$35,755,975
Investment income
$31,889
Other revenue
$0
Total assets, end of year
$21,835,615
Total liabilities, end of year
$4,184,006
Net assets or fund balances, end of year
$17,651,609
Program services expenses (Part IX)
$500,000
Management and general expenses
$36,737,430
Fundraising expenses
$0
Program service expenses (Part III)
$500,000

Program services were 1.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MATT WENZEL

    PRESIDENT/CEO (THROUGH 10/12/22)

    Total calculated
    $1,175,711
    From this org
    $0
    From related orgs
    $1,122,540
    Other
    $53,171
    Hours/week
    24 + 19 related

    Schedule J breakdown matched by us

    Base
    $0 + $740,784 related
    Bonus
    $0 + $213,774 related
    Other
    $0 + $167,982 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $37,921 related
    Filer's total
    $0 + $1,175,711 related

  • JEREMY ALEXANDER

    CFO

    Total calculated
    $723,224
    From this org
    $0
    From related orgs
    $671,653
    Other
    $51,571
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $552,461 related
    Bonus
    $0 + $117,896 related
    Other
    $0 + $1,296 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $36,321 related
    Filer's total
    $0 + $723,224 related

  • DR MICHAEL MCCOY

    PRESIDENT/CEO

    Total calculated
    $675,775
    From this org
    $0
    From related orgs
    $624,684
    Other
    $51,091
    Hours/week
    24 + 19 related

    Schedule J breakdown matched by us

    Base
    $0 + $532,528 related
    Bonus
    $0 + $80,672 related
    Other
    $0 + $11,484 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $35,841 related
    Filer's total
    $0 + $675,775 related

  • CARA SANDERS

    FORMER HIGHEST COMPENSATED EMPLOYEE

    Total calculated
    $241,250
    From this org
    $234,941
    From related orgs
    $0
    Other
    $6,309
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $39,903
    Bonus
    $0
    Other
    $195,038
    Deferred
    $2,060
    Nontaxable benefits
    $4,249
    Filer's total
    $241,250

  • DANIEL LINHART

    VP FINANCE

    Total calculated
    $227,015
    From this org
    $173,153
    From related orgs
    $0
    Other
    $53,862
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,703
    Bonus
    $0
    Other
    $450
    Deferred
    $9,251
    Nontaxable benefits
    $44,611
    Filer's total
    $227,015

  • SHANE TAPPER

    VP INFORMATION SERVICES

    Total calculated
    $226,945
    From this org
    $203,650
    From related orgs
    $0
    Other
    $23,295
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $203,000
    Bonus
    $0
    Other
    $650
    Deferred
    $4,379
    Nontaxable benefits
    $18,916
    Filer's total
    $226,945

  • JANE VANFLEET

    VP REVENUE CYCLE

    Total calculated
    $214,802
    From this org
    $160,652
    From related orgs
    $0
    Other
    $54,150
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $156,190
    Bonus
    $0
    Other
    $4,462
    Deferred
    $8,650
    Nontaxable benefits
    $45,500
    Filer's total
    $214,802

  • JOSHUA GOELLER

    STRATEGY OFFICER

    Total calculated
    $214,282
    From this org
    $157,098
    From related orgs
    $0
    Other
    $57,184
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $156,798
    Bonus
    $0
    Other
    $300
    Deferred
    $8,556
    Nontaxable benefits
    $48,628
    Filer's total
    $214,282

  • DOUG MARTIN

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ROBERT ENGBERG

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • CARLA MCNAMEE

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DEANNA BARR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BILL MALCOM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOHN MCKILLIP

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
DR. MICHAEL MCCOY, HEALTH/SOCIAL CLUB DUES, $871. THIS AMOUNT WAS INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 3
THE COMPENSATION OF THE OFFICERS IS PAID BY RIVERVIEW SYSTEM LTD., A RELATED ORGANIZATION, BUT 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
PART I, LINE 4A
THE FOLLOWING RECIEVED A SEVERANCE PAYMENT. THIS AMOUNT WAS INCLUDED IN W-2 WAGES. CARA SANDERS $195,000 MATT WENZEL $164,442

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • RIVERVIEW SYSTEM LTD

    C · MEDICAL SERVICES · IA · 100% owned · share of income $15,340 · share of assets $144,027,975 · controlled entity

    Directly controlled by GRHS

  • GREAT RIVER MEDICAL SERVICES INC

    C · MEDICAL SERVICES · IA · 100% owned · controlled entity

    Directly controlled by GRHS

  • MUTUAL CONSULTING & MANAGEMENT SERVICES

    C · MANAGEMENT SERVICES · IA · 100% owned · share of income $3,565,622 · share of assets $20,773,286 · controlled entity

    Directly controlled by RIVERVIEW SYSTEM LTD

  • HERITAGE PARK PHARMACY

    C · PHARMACY · IA · 100% owned · share of income $2,986,723 · share of assets $20,631,533 · controlled entity

    Directly controlled by RIVERVIEW SYSTEM LTD

  • HERITAGE MEDICAL EQUIPMENT & SUPPLY

    C · MEDICAL SUPPLY · IA · 100% owned · share of income $2,074,339 · share of assets $4,001,070 · controlled entity

    Directly controlled by RIVERVIEW SYSTEM LTD

  • RIGHTCHOICE INC

    C · STAFFING AGENCY · IA · 100% owned · share of income $25 · controlled entity

    Directly controlled by RIVERVIEW SYSTEM LTD

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202421309349301927

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