Iowa Physicians Clinic Medical Foundation

Nonprofit profile at a glance

EIN
421411630
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
West Des Moines, IA, USA
Phone
5154719200
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Reported finances

Revenue
$615,062,040
Expenses
$627,840,707
Assets
$291,806,440
Liabilities
$286,151,221

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

Leadership & pay

58 people listed

Executive titles in this filing

  • PATRICIA NEWLAND MD - BOARD MEMBER (PRESIDENT - UNITYPOINT CLINIC)

Highest reported compensation

  • HIMANSHU TANDON MD (PHYSICIAN): $2,303,102 total reported compensation
  • BHAVIK PATEL MD (PHYSICIAN): $2,155,215 total reported compensation
  • RAJEEV FERNANDO MD (PHYSICIAN): $1,963,273 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.

What it reported doing in 2024

Community benefitscharity care and means-tested programs: Iowa physicians clinic medical foundation provides charity care and other means-tested programs with the goal to improve the community's overall health and access to care. This includes health-care services regardless of the patient's insurance coverage or financial status. Charity care and partial to full financial assistance is provided to patients on a case-by-case basis. Charity care was made available at a value of $3,010,663 in 2024. Oftentimes, Iowa physicians clinic medical foundation receives payments from payors or patients that are less than it charges for services. Iowa physicians clinic medical foundation participates in medicaid and other government-sponsored health-care programs. Iowa physicians clinic medical foundation's net cost of providing care for which it receives payment below its cost is $50,811,313 for 2024. Total charity care and means-tested programs reported value: $53,821,976.other benefits: Iowa physicians clinic medical foundation provides several other benefits that assist the community. Programs include, but are not limited to, community health improvement services, health professional's education, subsidized health services, research, and cash and in-kind contributions to community groups. Iowa physicians clinic medical foundation collaborates with other health-care providers, churches, schools, chambers of commerce and daycare centers to improve community health and expand access to health care. Total other benefits reported value: $5,389,811.

Operating model

Revenue model
Earned-program. 75% 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. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 86
  • Transparency & Controls: 67
  • Accountability: 73
  • Sustainability: 17
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 97.4%; rating input score 97
  • Program expense ratio: 95.4%; rating input score 95
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 53.8%; rating input score 54; 14th 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: -2.1%; rating input score 19; 19th percentile among comparable filings
  • Total-asset coverage ratio: 0.46; rating input score 17; 17th percentile among comparable filings
  • Liabilities to assets ratio: 0.98; rating input score 8; 8th percentile among comparable filings
  • Officer compensation ratio: 5%; rating input score 17; 17th percentile among comparable filings

Growth

  • Program expense growth: 5.7% per year; rating input score 100; 47th percentile among comparable filings
  • Revenue growth: 7.8% per year; rating input score 100; 65th percentile among comparable filings
  • Asset growth: 9.5% per year; rating input score 100; 67th percentile among comparable filings

Details

  • Where the money goes: 97.4% of revenue deployed · 95.4% of spending went to programs
  • Governance: 7 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $598.8M in reported program spending
  • Leadership: top reported pay $2.3M · 58 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $9.2M reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 48 filed money-flow records
  • Related organizations: 79 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 — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 54/100.
  • High — Sustainability: Operating margin scored 19/100.
  • High — Sustainability: Total-asset coverage ratio scored 17/100.
  • High — Sustainability: Liabilities to assets ratio scored 8/100.
  • High — Sustainability: Officer compensation ratio scored 17/100.