Unity Healthcare

Nonprofit profile at a glance

EIN
420680337
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Muscatine, IA, USA
Phone
3097792200
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Reported finances

Revenue
$74,800,322
Expenses
$62,027,321
Assets
$89,283,861
Liabilities
$25,428,803

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

Leadership & pay

24 people listed

Executive titles in this filing

  • SHAWN MORROW (BOARD MEMBER/MARKET PRESIDENT)
  • ROBERT ERICKSON (FORMER PRESIDENT/CEO)

Highest reported compensation

  • KATHERINE MARCHIK TO 124 (SR VP FINANCE/CFO): $916,964 total reported compensation
  • TOYOSI OLUTADE MD (MARKET CHIEF MEDICAL OFFICER): $892,809 total reported compensation
  • RHONDA SOWARDS MD (MEDICAL DIRECTOR): $750,598 total reported compensation

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

Overview

Mission

The mission of trinity-muscatine is to improve the health of the people and communities we serve.

What it reported doing in 2024

Community benefit, including charity carecharity care and means-tested programs: unity healthcare 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 $490,327 in 2024. Oftentimes, unity healthcare receives payments from payors or patients that are less than it charges for services. Unity healthcare participates in medicaid and other government-sponsored health-care programs. Total charity care and means-tested programs reported value: $480,628.other benefits: unity healthcare provides several other benefits that assist the community. Programs may include, but are not limited to, community health improvement services and community benefit operations such as prevention and health screenings; continuing education for health professionals; subsidized health services; research; and cash and in-kind contributions to community groups. Unity healthcare collaborates with other hospitals, churches, schools, chambers of commerce and daycare centers to improve community health and expand access to health care. Unity healthcare has dedicated staff to assist community benefit efforts. Total other benefits reported value: $1,379,596.

Operating model

Revenue model
Earned-program. 94% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 97% 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 total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 76
  • Transparency & Controls: 69
  • Accountability: 83
  • Sustainability: 67
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 79.2%; rating input score 79
  • Program expense ratio: 96.4%; rating input score 96
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 86.7%; rating input score 87; 1st 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: 97.3%; rating input score 97; 32nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 71.4%; rating input score 71; 22nd 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: 17.1%; rating input score 85; 85th percentile among comparable filings
  • Total-asset coverage ratio: 1.44; rating input score 52; 52nd percentile among comparable filings
  • Liabilities to assets ratio: 0.28; rating input score 57; 57th percentile among comparable filings
  • Officer compensation ratio: 2.9%; rating input score 39; 39th percentile among comparable filings

Growth

  • Program expense growth: 4% per year; rating input score 100; 31st percentile among comparable filings
  • Revenue growth: 2.4% per year; rating input score 100; 17th percentile among comparable filings
  • Asset growth: 5.9% per year; rating input score 100; 44th percentile among comparable filings

Details

  • Where the money goes: 79.2% of revenue deployed · 96.4% of spending went to programs
  • Governance: 10 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $59.8M in reported program spending
  • Leadership: top reported pay $917K · 24 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.2M reported
  • Consistency: 35 of 37 current checks pass · 2 findings to review
  • Schedules: 10 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 80 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 — Sustainability: Total-asset coverage ratio scored 52/100.
  • Moderate — Sustainability: Officer compensation ratio scored 39/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 57/100.