About Grhs Holdings
GRHS HOLDINGS INC directs virtually all of its philanthropic dollars to supporting regional acute care providers in southeast Iowa, providing large unrestricted operating support to local hospitals. Funding is narrowly focused on sustaining hospital operations and health system capacity rather than broad philanthropic diversification.
Focus Areas
Unrestricted operating support for Southeast Iowa regional hospitals (primarily Southeast Iowa Regional Medical Center)Stabilizing local health system operations in the Burlington/West Burlington areaCapital and operational support for regional acute care delivery (Great River Health System)
Giving Approach
Highly concentrated and large-scale giving: almost all dollars go to one core grantee (multiple grants to Southeast Iowa Regional Medical Center) with a single smaller grant to another regional health system; few total grants and a focus on substantial operating support rather than many small or diversified awards.
Funding Style
operating supportgeneral operating supportunrestricted/core supportoverhead/core costs funding
About Grhs Holdings
Grhs Holdings Inc’s recent grantmaking is defined by very large operating support for Southeast Iowa’s acute-care system. In 2025, it gave $40,000,000 to Southeast Iowa Regional Medical Center Inc in West Burlington for operating support, following a $30,154,146 grant in 2024 and a $25,000,000 grant in 2023 to the same recipient. That pattern shows a sustained commitment to keeping regional hospital operations funded at a scale far above typical local philanthropy. The foundation also supported Great River Health System with a $1,200,000 operating grant in 2024, reinforcing its focus on the health system that serves the Burlington and West Burlington area. Across the available record, the giving is narrowly concentrated on hospital operations and health system capacity, rather than a broad mix of causes. Leadership is listed as Dr. Michael McCoy. The foundation’s latest 990 on file is 2025, with annual grants of $96,354,146 and total assets of $260,663,070.
What Grhs Holdings Funds
Grhs Holdings Inc concentrates on operating support for regional hospitals. A core example is the $40,000,000 grant to Southeast Iowa Regional Medical Center Inc for operating support, followed by two earlier operating grants of $30,154,146 and $25,000,000 to the same hospital system. It also supports the broader health system infrastructure behind local acute care. In 2024, the foundation gave $1,200,000 to Great River Health System for operating support, showing that its funding extends beyond a single facility to the wider delivery network. The active program list adds another layer: community grants through the Great River Health Foundation support local health-related nonprofit programs and community health initiatives in Southeast Iowa and Iowa. The foundation also maintains scholarship programs tied to healthcare education, including support for students in its service area.
How Grhs Holdings Gives
Typical grant size is large: the p25 is $19,050,000, the median is $27,577,073, and the p75 is $32,615,610. The recent record shows repeated support to the same hospital recipient across 2023, 2024, and 2025, pointing to recurring operating support rather than one-off awards. The foundation is structured as a corporate grantmaker with a local geographic scope, and it does not fund individuals. Active scholarship programs accept unsolicited applications, while Great River Health Foundation Community Grants are administered through the foundation rather than open unsolicited intake.
Financial Snapshot
Annual Giving
$40M
Total Assets
$260.7M
Total Revenue
$8M
Total Expenses
$40.2M
Typical Grant Size
Most grants fall between $19.1M and $32.6M, with a median of $27.6M.
25th Percentile
$19.1M
Median
$27.6M
75th Percentile
$32.6M
Geographic Reach
Local1 state funded
About 100% of grants go to recipients in IA.
Funding intensity
LowHigh
Headquarters
Leadership
DR MICHAEL MCCOY
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