Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Iowa · Illinois · Ranked 136 of 1033 by CEO pay.

Catholic Health Initiatives - Iowa

Robert Ritz, Director; CEO Mercy Health Network. Fiscal year ending 2025-06.

$2.5M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.44%
of expenses spent on charity care
Schedule H Part I line 7a
28.9%
CEO pay as a share of all charity care
Robert Ritz’s pay of $2,471,013 equals 28.9 percent of the $8,559,386 the system spent on charity care in the same year.

Most of the reported compensation ($2,416,873 of $2,471,013) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$1,962,826,679
Total expenses
$1,952,110,632
Net assets
$536,738,991
Employees
13,379
Hospitals covered
7 facilities across 4 filings
Charity care, net
$8,559,386
Bad debt
$82,191,043
Medicare surplus (shortfall), as filed
($44,812,668)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$2,416,873
Other compensation, including deferred pay and nontaxable benefits (col. F)
$54,140
CEO total compensation (D+E+F)
$2,471,013 to Robert Ritz

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Catholic Health Initiatives - Iowa, EIN 42-0680448, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$69.5M Of which charity care to patients who could not pay (line 7a)$8.6M (12%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($82.2M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Catholic Health Initiatives - Iowa Corp42-06804482025-06$1.0B$2.7M0.28%990
Genesis Health System42-14188472025-06$736.1M$3.8M0.56%990
Genesis Health System36-36163142025-06$157.0M$1.8M1.05%990
Genesis Medical Center Aledo45-44756832025-06$21.1M$198,0961.03%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Catholic Health Initiatives - Iowa: CEO pay $2.5M, charity care 0.44% of expenses