Iowa Health System

Also known as Unitypoint Health

West Des Moines, IA · EIN 42-1435199 · 501(c)(3) · Supporting organization (509(a)(3))
Latest filing: Form 990 for calendar year 2024 (tax year 2024) · View the filing · Correct or respond

Iowa Health System reported $442.4 million in revenue and $493.8 million in expenses for calendar year 2024. Of every $100 it spent, $77.48 went to program services, $22.52 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 87.0% of the total. The highest compensation it reported for one person was $2,373,014 (EX-OFFICIO MEMBER/CEO). 438 people received more than $100,000 in reportable compensation. Revenue rose 10% between 2019 and 2024. Source: Form 990, 2024.

Where $100 of spending went

Calendar year 2024 · Form 990, Part IX, line 25 · total expenses $494M

Program services$77.48 $383M
Management & general$22.52 $111M
Fundraising$0.00 $0

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

Calendar year 2024 · Form 990, Part VIII · total revenue $442M

Contributions & grants (non-government)$0.03 $139K
Government grants$0.24 $1.1M
Program service revenue$87.01 $385M
Investment income$9.32 $41M
Other revenue$3.40 $15M

The 990 scorecard · same measures for every charity, no grades

2024 filing. Median across 5,634 covered charities in this category, from their latest filings.
Measure	2024	Median
Program services Part IX 25(B) ÷ 25(A)	77.5%	85.6%
Management & general Part IX 25(C) ÷ 25(A)	22.5%	13.7%
Fundraising Part IX 25(D) ÷ 25(A)	0.0%	0.0%
Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h	$0.00	$0.00
Contributions & grants share of revenue Part VIII 1h ÷ 12	0.3%	1.3%
Government grants share of revenue Part VIII 1e ÷ 12	0.2%	0.1%
Program service revenue share Part VIII 2g ÷ 12	87.0%	93.7%
Highest reported compensation Part VII-A, columns D–F	$2,373,014	$975,831
Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A)	0.48%	1.34%
People paid over $100,000 Part VII, line 2	438	27
Net assets, in months of expenses Part X 33(B) ÷ monthly expenses	-1.4	6.6
Independent voting board members Part VI 1a–1b	10 of 13	88.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

2024 · Form 990, Part III · the three largest programs by expense

$383M expenses · 100.0% of program spending · revenue $402M

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…

$68,000 expenses · 0.0% of program spending · grants $68,000

Community benefitiowa Health System 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; health professional's education; subsidized health services; research, and cash and in-kind contributions to community groups. Iowa Health System collaborates with other hospitals, churches, schools, chambers of commerce and daycare centers to improve community health and expand access to health care. Iowa Health System has dedicated staff to…

Highest reported compensation

2024 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here

Role	From this org	From related orgs	Other	Total
EX-OFFICIO MEMBER/CEO Director/trustee, officer, 40.00 hrs/week	$1,996,308	$0	$376,706	$2,373,014
STRATEGY OFFICER SVP (TO 07/24) Key employee, 40.00 hrs/week	$2,199,214	$0	$38,232	$2,237,446
FRMR PRESIDENT/CEO (TO 10/23) Former, 0.00 hrs/week	$1,523,135	$0	$23,385	$1,546,520
SVP CFO Officer, 40.00 hrs/week	$941,690	$0	$113,114	$1,054,804
SVP COO-EAST Key employee, 40.00 hrs/week	$799,714	$0	$143,169	$942,883
SVP COO-WEST Key employee, 40.00 hrs/week	$798,296	$0	$136,439	$934,735
UPC PRESIDENT Key employee, 1.00 hrs/week	$0	$793,456	$103,744	$897,200
CHIEF OF GOVT AFFAIRS & PHIL OFF Key employee, 40.00 hrs/week	$835,661	$0	$43,900	$879,561

438 people received more than $100,000 in reportable compensation from Iowa Health System (Part VII, line 2). Compensation of current officers, directors and key employees totaled $15M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked

RevenueExpenses

Filing	Revenue	Expenses	Programs	Net assets	Top pay
2024 ⓘ	$442M	$494M	77.5%	−$56M	$2,373,014
2023 ⓘ	$495M	$487M	80.4%	−$7.3M	$4,926,772
2022 ⓘ	$470M	$483M	81.0%	−$101M	$2,394,595
2021 ⓘ	$438M	$437M	84.1%	−$123M	$2,144,889
2020 ⓘ	$440M	$460M	85.7%	−$112M	$3,950,402
2019 ⓘ	$403M	$409M	81.2%	−$76M	$2,620,699

Governance answers, as filed

2024 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means

Voting board members, and how many are independent Part VI, lines 1a–1b13 · 10 independent
Audited financial statements Part XII 2bYes
Conflict-of-interest policy Part VI 12aYes
Whistleblower policy Part VI 13Yes
Document retention policy Part VI 14Yes
Independent process for top executive pay Part VI 15aYes
Board given the 990 before filing Part VI 11aYes
Family or business ties among insiders Part VI 2No
Aware of a significant diversion of assets Part VI 5No
Excess benefit transaction with an insider Part IV 25aNo
Loans to or from insiders outstanding Part IV 26No
Lobbying, or a 501(h) election in effect Part IV 4Yes
Over $15,000 of professional fundraising services Part IV 18No
Over $10,000 of activity outside the U.S. Part IV 14bNo
Employees Part I, line 53,067

Largest outside contractors

2024 · Form 990, Part VII, Section B · businesses only

H&R ACCOUNTS INC Collection services	$6,895,137
APPRISE MD LLC Provider consulting	$6,381,437
HEARTLAND BUSINESS SYSTEMS LLC Technology services	$6,186,810
FACTORY MUTUAL INSURANCE COMPANY Loss prevention services	$4,862,119
CLINISYS INC Laboratory services	$2,189,504

Individuals listed as contractors are left out. 73 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from Iowa Health System's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Iowa Health System, you can publish a response that is linked from this page.

Report a correction Respond as Iowa Health System How this works

Similar-sized charities in this cause

Ssm Cardinal Glennon Children's Hospital
St Louis, MO · revenue $441M · programs 87.6% · 2024
University of Louisville Physicians
Louisville, KY · revenue $442M · programs 85.7% · FY2025
Episcopal Health Services
Garden City, NY · revenue $441M · programs 83.9% · 2024
North Shore-LIJ Anesthesiology PC
Westbury, NY · revenue $443M · programs 90.8% · 2024
Methodist Le Bonheur Healthcare
Memphis, TN · revenue $440M · programs 27.6% · 2024

All health care charities · Largest charities in Iowa

Questions people ask

How much of Iowa Health System's spending goes to programs?

In calendar year 2024, Iowa Health System reported that 77.5% of its $493.8 million in expenses went to program services, 22.5% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Iowa Health System pay its top executive?

The largest total compensation Iowa Health System reported for one person in calendar year 2024 was $2,373,014, for the role of EX-OFFICIO MEMBER/CEO (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Iowa Health System get its money?

Of $442.4 million in revenue in calendar year 2024, 0.3% came from contributions and grants (including 0.2% from government grants) and 87.0% from program service revenue (Form 990, Part VIII).

Is Iowa Health System a registered charity?

The IRS lists EIN 42-1435199 as a 501(c)(3) organization (supporting organization (509(a)(3))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

2024: Form 990 for calendar year 2024, object 202523179349312502 · read the filing · XML
2023: Form 990 for calendar year 2023, object 202443199349309429 · read the filing
2022: Form 990 for calendar year 2022, object 202303189349307905 · read the filing
2021: Form 990 for calendar year 2021, object 202223189349314197 · read the filing
2020: Form 990 for calendar year 2020, object 202133179349301928 · read the filing
2019: Form 990 for calendar year 2019, object 202043189349306999 · read the filing

All filings for EIN 42-1435199: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.