Mercy Health: $4.6B Revenue, $4.5B Expenses

Mercy Health earns an A on the NonprofitTruth efficiency rubric — a top-tier rating that reflects healthy operating reserves, reasonable officer compensation, and steady multi-year revenue. The composite score of 85/100 places it in the upper bracket of U.S. tax-exempt organizations.

On revenue, Mercy Health is among the largest U.S. nonprofits: $4.6B in 2018 reported revenue. Organizations at this scale typically operate hospitals, university systems, or national federations — the financial pattern looks more like a corporation than the small-charity stereotype. Financial health is a strength: Mercy Health carries a healthy operating-reserve cushion against $4.5B in annual expenses, the kind of balance-sheet stability that helps an organization weather funding gaps without cutting programs.

Five-year revenue trajectory is strongly positive: Mercy Health has grown materially in real terms, which usually signals successful fundraising and program expansion. Officer compensation is modest relative to organizational size: Mercy Health reports $23.1M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $4.6B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. Mercy Health is categorized under Health — the largest segment of U.S. nonprofit revenue, dominated by hospitals, hospital systems, and health-research organizations. The financial profile in this category is capital-intensive, with large balance sheets and program service revenue that often dwarfs donations.