GRHS HOLDINGS INC (EIN 421193186) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1983

Legal Domicile

Principal Officer

DR MICHAEL MCCOY

Phone

3197681000

Tax Period

2023-07-01 to 2024-06-30

GRHS HOLDINGS INC, founded in 1983, is a community nonprofit that reported $8.0M in total revenue in fiscal year 2023. Revenue fell 86% from the prior year — a significant decline worth monitoring. Expenses of $40.2M exceeded revenue, resulting in a 401% operating deficit.

Mission

PROVIDE SUPPORT TO SOUTHEAST IOWA REGIONAL MEDICAL CENTER AND HENRY COUNTY MEDICAL CENTER.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $0

Investment Income $8,039,119

Other Revenue $750

TOTAL REVENUE $8,039,869

Expense Breakdown

Grants Paid $40,000,000

Salaries & Benefits $0

Fundraising Expenses $0

Program Expenses $40,000,000

Other Expenses $248,153

TOTAL EXPENSES $40,248,153

Year-over-Year Comparison

	2023	2022	Change
Revenue	$8,039,869	$58,320,351	-0.9%
Expenses	$40,248,153	$31,450,378	+0.3%
Net Income	$-32,208,284	$26,869,973	-2.2%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

N/A

Employees

N/A

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,839,726

Total Directors

$1,839,726

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
JEREMY ALEXANDER	SECRETARY/TREASURER/CFO	1.00	Officer Director	$0	$48,195	$630,528
DR MICHAEL MCCOY	PRESIDENT/CEO	24.00	Officer Director	$0	$51,041	$880,902
HOPE DUNN	VICE CHAIRMAN	1.00	Officer Director	$0	$20,003	$328,296
MATT WENZEL	FORMER PRESIDENT/CEO	24.00		$0	$11,287	$1,380,867
JAMES KAMMERER	FORMER VICE CHAIRMAN	1.00		$0	$15,983	$859,410

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	No data	No data	No data	No data
2024	$8,039,869	$40,248,153	$260,663,070	$-32,208,284
2023	$58,320,351	$31,450,378	$271,619,322	$26,869,973
2022	$363,462,071	$25,310,888	$283,753,455	$338,151,183
2021	$5,952,725	$311,195	$164,670,758	$5,641,530
2020	$6,146,980	$322,564	$159,830,199	$5,824,416
2019	$4,309,363	$315,085	$157,647,766	$3,994,278
2018	$4,269,642	$417,625	$155,471,494	$3,852,017

GRHS HOLDINGS INC