Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

Iowa · South Dakota · Not ranked: see note below.

Mercy Health Services - Iowa

Thomas Clark, President Western Iowa Region. Fiscal year ending 2025-06.

$1.0M
CEO total compensation
Form 990 Part VII, columns D+E+F
1.40%
of expenses spent on charity care
Schedule H Part I line 7a
7.0%
CEO pay as a share of all charity care

Not in the ranking because the chief executive could not be identified from the filing with confidence. The figures below are shown as filed.

Most of the reported compensation ($848,031 of $1,003,150) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: Robert Ritz, Director; Regional President & CEO, $2,471,013. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$933,901,198
Total expenses
$1,016,202,656
Net assets
$166,442,317
Employees
6,372
Hospitals covered
6 facilities across 1 filing
Charity care, net
$14,256,499
Bad debt
$19,262,760
Medicare surplus (shortfall), as filed
($43,394,293)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$848,031
Other compensation, including deferred pay and nontaxable benefits (col. F)
$155,119
CEO total compensation (D+E+F)
$1,003,150 to Thomas Clark

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, Mercy Health Services - Iowa, EIN 31-1373080, fiscal year ending 2025-06, as published by the IRS. CEO identification: president title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$42.6M Of which charity care to patients who could not pay (line 7a)$14.3M (33%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($19.3M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

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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Mercy Health Services - Iowa: CEO pay $1.0M, charity care 1.40% of expenses