UnityPoint at Home

Nonprofit profile at a glance

EIN
421477471
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, US
Phone
5152416161
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$286,316,649
Expenses
$288,174,806
Assets
$95,368,838
Liabilities
$27,849,283

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

Leadership & pay

30 people listed

Executive titles in this filing

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

Highest reported compensation

  • PATRICIA NEWLAND MD - BOARD MEMBER (PRESIDENT - UNITYPOINT CLINIC): $897,200 total reported compensation
  • DAVID WILLIAMS MD TO 0420 (FORMER SVP CHIEF CLINICAL OFFICER-UP): $868,677 total reported compensation
  • JESSICA MEISNER TO 0222 (FMR VP HUMAN RESOURCES): $824,273 total reported compensation

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

Overview

Mission

Improve the health of the people and communities we serve. The Government & External Affairs team supports public policy, regulatory affairs, state and federal government relations and community benefit and economic impact on behalf of our health system. Our team helps elected officials, government agencies, health and advocacy organizations, media outlets and communities have a clear understanding of UnityPoint Health, our mission and the full spectrum of services we provide, as well as our economic impact on those we serve. Government & External Affairs HomeNurse.jpg.

What it reported doing in 2024

Health care servicesunitypoint at home provides home health services for people in need with the purpose to improve the community's overall health and access to care. Highest priority is given to low-income individuals but services are available to all residents. All services are provided regardless of an individual's race, creed, sex, nationality, handicap, age or ability to compensate for services rendered. Home health care services provided and people served may include but are not limited to: case management, certified nursing, private duty nursing, palliative care, hospice, infusion services, home medical equipment, maternal health clinics, nursing care, support to high risk new parents and newborns, parenting support, child health clinics, health maintenance visits and screeenings, immunization clinics, senior citizens, disabled, ill, handicapped and terminally ill. Services may be provided on a one-time, intermittent, part-time or long-term basis. Unitypoint at home made 319,466 home visits in 2024.

Operating model

Revenue model
Earned-program. 99% 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: 79
  • Transparency & Controls: 68
  • Accountability: 73
  • Sustainability: 29
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.7%; rating input score 89
  • Program expense ratio: 88.3%; rating input score 88
  • 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: 95.6%; rating input score 96; 28th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

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: -0.6%; rating input score 24; 24th percentile among comparable filings
  • Total-asset coverage ratio: 0.33; rating input score 11; 11th percentile among comparable filings
  • Liabilities to assets ratio: 0.29; rating input score 56; 56th percentile among comparable filings
  • Officer compensation ratio: 1.4%; rating input score 66; 66th percentile among comparable filings

Growth

  • Program expense growth: 11.1% per year; rating input score 100; 78th percentile among comparable filings
  • Revenue growth: 9.4% per year; rating input score 100; 74th percentile among comparable filings
  • Asset growth: 5.7% per year; rating input score 100; 42nd percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 88.7% of revenue deployed · 88.3% of spending went to programs
  • Governance: 7 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $254.5M in reported program spending
  • Leadership: top reported pay $897K · 30 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.7M reported
  • Consistency: 34 of 35 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 16 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 — Accountability: Independent voting board scored 54/100.
  • High — Sustainability: Operating margin scored 24/100.
  • High — Sustainability: Total-asset coverage ratio scored 11/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 56/100.