UnityPoint Health

Legal name: Iowa Health System

Nonprofit profile at a glance

EIN
421435199
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
West Des Moines, IA, USA
Phone
5152416161
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Management & Technical Assistance

Official website

Reported finances

Revenue
$442,361,665
Expenses
$493,788,445
Assets
$1,157,835,703
Liabilities
$1,213,796,465

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

49 people listed

Executive titles in this filing

  • SCOTT KIZER BOARD SECRETARY (EX-OFFICIO MEMBER/CEO)
  • JAMES ARNETT (MARKET PRESIDENT/MADISON)
  • JENNIFER FRIEDLY (MARKET PRESIDENT/WATERLOO)
  • LEAH GLASGO (MARKET PRESIDENT/FORT DODGE)
  • SHAWN MORROW (MARKET PRESIDENT/QUAD CITIES)
  • PATRICIA NEWLAND MD (UPC PRESIDENT)

Highest reported compensation

  • SCOTT KIZER BOARD SECRETARY (EX-OFFICIO MEMBER/CEO): $2,373,014 total reported compensation
  • DANIEL CARPENTER CHIEF (STRATEGY OFFICER SVP (TO 07/24)): $2,237,446 total reported compensation
  • CLAY HOLDERMAN (FRMR PRESIDENT/CEO (TO 10/23)): $1,546,520 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To improve the health of the people and communities we serve. Every day, patients and their loved ones turn to UnityPoint Health - Waterloo, seeking comfort and healing. At the Allen Foundation, we are deeply honored to join hands with you to ensure exceptional care and support remains close to home and is available when patients need it most. We invite you to meet your dedicated partners in giving: the members of the Allen Foundation team and the Allen Foundation Board of Directors. We look forward to working with you to explore meaningful ways to support the causes close to your heart, bringing hope and healing to patients and families. Our work begins with our vision:.

What it reported doing in 2024

Affiliate support servicesiowa health system (d/b/a unitypoint health) is organized to support the missions of several related charitable, tax-exempt organizations including the folowing markets, Iowa health des moines (des moines), trinity regional health system (quad cities), st. Luke's healthcare (cedar rapids), allen health systems (waterloo), trinity health systems (fort dodge), st. Luke's health system (sioux city), finley tri-states health group (dubuque), meriter health services (madison), and Iowa physicians clinic medical foundation (dba unitypoint clinic), unitypoint at home, as well as multiple rural affiliates. The support services provided to these organizations are to construct, own, lease, manage, operate, provide and maintain any facilities, programs, services (management or otherwise) and related activities in furtherance of health-care or health education. Facilities include hospitals, self-care facilities, clinics, educational facilities, and other establishments created to carry through health-care and educational programs. The primary purpose of the corporation is to engage in and conduct charitable, educational, religious and scientific activities in accordance with previously stated purposes.

Operating model

Revenue model
Earned-program. 88% of the money available for current operations came from fees and other program revenue.
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

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and liabilities are high compared with assets.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 91
  • Accountability: 87
  • Sustainability: 26
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.2%; rating input score 80
  • Program expense ratio: 77.5%; rating input score 77
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 88.2%; rating input score 88; 21st percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 76.9%; rating input score 77; 25th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -11.6%; rating input score 7; 7th percentile among comparable filings
  • Total-asset coverage ratio: 2.34; rating input score 68; 68th percentile among comparable filings
  • Liabilities to assets ratio: 1.05; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 4.8%; rating input score 19; 19th percentile among comparable filings

Growth

  • Program expense growth: 3.3% per year; rating input score 100; 24th percentile among comparable filings
  • Revenue growth: 5.9% per year; rating input score 100; 52nd percentile among comparable filings
  • Asset growth: 4.7% per year; rating input score 100; 34th percentile among comparable filings

Details

  • What they do: 3 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 80.2% of revenue deployed · 77.5% of spending went to programs
  • Governance: 10 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $382.6M in reported program spending
  • Leadership: top reported pay $2.4M · 49 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $26.5M reported
  • Consistency: 36 of 37 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 58 filed money-flow records
  • Related organizations: 84 filed related-organization links
  • 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.

  • High — Sustainability: Operating margin scored 7/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.
  • High — Sustainability: Officer compensation ratio scored 19/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.