Heartland Rural Physician Alliance Inc
Nonprofit profile at a glance
- EIN
- 455493195
- IRS 990 coverage
- 2015–2023
- Forms available
- Form 990 2023, Form 990-T 2020
- Location
- West Des Moines, IA, USA
- Phone
- 5152432000
- Rating confidence
- Limited
- Sector
- Health - General and Rehabilitative N.E.C.
Reported finances
- Revenue
- $0
- Expenses
- $45,665
- Assets
- $0
- Liabilities
- $0
Source: IRS Form 990. Selected filing: tax year 2023. Amounts in USD.
Leadership & pay
7 people listed
Executive titles in this filing
- KEVIN DE REGNIER DO (VICE PRESIDENT)
People named in this filing
- GEORGE KAPPOS MD (VOTING MEMBER)
- JEFFREY HOFFMANN DO (SECRETARY/TREASURER)
- KEVIN DE REGNIER DO (VICE PRESIDENT)
Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.
Source: IRS Form 990. Selected filing: tax year 2023. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To promote and provide access to cost-effective and efficient delivery of health care services to people living or working in rural Iowa and Nebraska.
What it reported doing in 2023
Heartland rural physician alliance (hrpa) ipa is the organizing body which allows independent rural practices and hospitals to come together to function as an accountable care organization (aco). At the beginning of 2016, hrpa practices began an aco agreement with wellmark bcbs, Iowa's largest commercial insurer. The wellmark aco gives practices access to patient and claims data, as well as technical support and assistance to improve the quality of care provided to patients. The participation also provides many opportunities for advanced learning regarding how to be accountable for healthcare costs while improving the quality of care provided to patients. The aco structure allows for practices to potentially receive shared savings, which has occurred in each year of our aco participation. Heartland's wellmark aco serves more than 6200 beneficiaries, mainly in rural Iowa. Hrpa also supports the activities of heartland health aco, a medicare shared savings aco that attempts to improve the healthcare provided to medicare beneficiaries and lower overall costs for those beneficiaries cared for in the aco practices, which are all heartland rpa members. Hrpa practices have been able to show excellent results on clinical quality and patient satisfaction scores which have generally improved over prior years' results. Heartland health aco serves over 7700 medicare beneficiaries, mostly in rural Iowa.
Operating model
- Revenue model
- No positive adjusted resources. The filing reports no positive adjusted operating resources.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
- The available evidence is not sufficient to produce an overall rating for this filing. This is not a warning sign.
Rating breakdown
- Financial Efficiency: 42
- Transparency & Controls: 91
- Accountability: 76
- Sustainability: 8
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: Limited
- Program expense ratio: 56.2%; rating input score 56
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 90.9%; rating input score 91; 18th percentile among comparable filings
- Pay-setting controls: Limited
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
- Governance controls: 3 of 7 controls in place; rating input score 43
- Conflict-of-interest policy: Pass
- Whistleblower policy: Fail
- Document-retention policy: Fail
- CEO compensation review process: NotApplicable
- Other executive compensation review process: NotApplicable
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Missing
- Independent financial-statement audit: Fail
Sustainability
- Operating margin: Limited
- Total-asset coverage ratio: 0; rating input score 3; 3rd percentile among comparable filings
- Liabilities to assets ratio: Limited
- Officer compensation ratio: 0%; rating input score 60; 60th percentile among comparable filings
Growth
- Program expense growth: 12.1% per year; rating input score 100; 78th percentile among comparable filings
- Revenue growth: 11.7% per year; rating input score 100; 89th percentile among comparable filings
- Asset growth: -4.5% per year; rating input score 0; 22nd percentile among comparable filings
Details
- Where the money goes: 56.2% of spending went to programs
- Governance: 7 of 7 board members independent · 3 of 7 filing controls reported
- Programs: 1 filed program accomplishment · $26K in reported program spending
- Leadership: top reported pay $0 · 7 people listed
- Consistency: 16 of 17 current checks pass · 1 finding to review
- Schedules: 5 filed schedules
- Filing history: 8 filing years from 2015 to 2023
- Contacts: How to reach this organization
- Related organizations: 1 filed related-organization link
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Financial Efficiency: Program expense ratio scored 56/100.
- Moderate — Accountability: Governance controls: 3 of 6 not reported.
- High — Sustainability: Total-asset coverage ratio scored 3/100.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
- High — Growth: Asset growth scored 0/100.