As is true of all tax exempt organizations, UnityPoint Health and its tax exempt affiliate entities are required by federal law to file an annual informational return IRS Form 990 "Return of Organizations Exempt from Income Tax" and to make that report available to the public upon request. The governing board of UnityPoint Health is made up of community leaders from throughout its Iowa and western Illinois service region. These community leaders have determined that its mission is to improve the health of the people and communities it serves.
UnityPoint Health fully understands that its exemption from federal income tax is a privilege that must be continuously earned and maintained. UnityPoint Health is supportive of current IRS and Congressional efforts to increase the reporting of information concerning tax exempt organizations' activities. UnityPoint Health also is supportive of compliance with applicable law, transparency in its operations and disclosure of executive compensation, and wishes to continue its history of a strong, informed governance accountable to the constituents served by the organization.
UnityPoint Health is proud of these goals and considers many of its policies and practices to be industry leading. In its efforts to be a forward-thinking industry leader and transparent organization, UnityPoint Health corporate policies as well as the information made publicly available go beyond IRS requirements Examples include:
Part I: Summary (Includes: Mission statement, number of board members, independent board members, volunteers and financial data)
Part II: Signature Block
Part III: Program Service Accomplishments (Includes: Mission statement and program service accomplishments)
Part IV: Checklist of required schedules
Part V: Statements regarding other IRS Filings & Tax Compliance
Part VI: Governance, management and disclosure (Includes: Number of board members and independent board members, narratives of policies and public disclosure)
Part VII: Compensation of officers, directors, trustees, key employees, highest compensated employees and independent contractors
Part VIII: Statement of Revenue (Includes all income)
Part IX: Statement of Functional Expenses (Includes all expenses)
Part X: Balance Sheet
Schedule A: Public Charity Status and public support (Includes information from 2012-2016)
Schedule B: Schedule of Contributors (Contributions greater than $5,000 must be reported)
Schedule C: Lobbying expenditures
Schedule D: Supplemental Financial Statements (Includes: Donor funds, endowment funds, depreciation, investments, other liabilities and reconciliation of revenue and expenses per audit report)
Schedule E: Schools (Includes checklist and narratives that are to be completed by schools)
Schedule F: Statements of activities Outside the U.S.
Schedule G: Supplemental information regarding Fundraising or Gaming activities (Activities greater than $15,000 must be reported)
Schedule H: Hospitals (Includes: Facility information, charity care and other community benefits, community building activities and bad debt and collection practices.)
Schedule I: Grants and other assistance to organizations, governments and individuals in the U.S. (Includes: Grants, scholarships or other specific assistance greater than $5,000 that must be reported)
Schedule J: Compensation information (Completed for individuals that receive more than $150,000 in Part VII of core form)
Schedule K: Supplemental information on Tax Exempt Bonds
Schedule L: Transactions with interested persons (Includes: Conflict of interest information and excess benefit transactions)
Schedule M: Non-cash Contributions
Schedule N: Liquidation, Termination, dissolution or significant disposition of assets
Schedule O: Supplemental Information (Narratives and for the above schedules and core form are printed on this schedule)
Schedule R: Related Organizations and Unrelated Partnerships (Includes: Related tax-exempt organizations, related partnerships, related corporations or trusts and transactions with related organizations)
UnityPoint Health and its affiliate entities' most recent tax year IRS Form 990, and IRS Form 990-T is available on this Web site. Printed copies may be obtained by calling the UnityPoint Health Tax Services office at (515) 224-7132, visiting in person or sending a letter to UnityPoint Health Tax Services, 4949 Westown Parkway, Suite 255, West Des Moines, IA 50266.
The UnityPoint Health IRS Form 990 has been prepared as a Portable Document File (PDF). You must download the PDF file to your computer and have the Adobe Acrobat Reader application to view the pages of the document. If you don't have your computer configured to access PDF files, you may download the Adobe Acrobat Reader software for free from Adobe's Web site. We recommend you download the latest version of Acrobat Reader. It's available for both IBM compatibles and Macintosh. After downloading the software, follow the text files for direction on how to install the software on your computer.
UnityPoint Health believes that, as an organization exempt from federal income tax, it has a responsibility to the public to provide community benefits, including charity care. When reporting community benefits, UnityPoint Health has adopted guidelines from collaboration between the Veterans Health Administration and the Catholic Health Association. This approach has support from U.S. Sens. Charles Grassley (R-Iowa) and Max Baucus (D-Mont.) to improve tax-exempt organization transparency. The IRS adopted this approach as part of the Form 990 redraft for tax year 2008.
These standards define community benefits as programs or activities that provide treatment and/or promote health and healing as a response to identified community needs. These community benefits increase access to health care and improve community health. To qualify as community benefits, the programs or activities cannot be provided for marketing purposes.
A community benefit must respond to an identified community need and meet at least one of the following criteria:
Community Benefit Includes:
Community Benefit Does Not Include:
Criteria for Determining Community Benefit Services:
The cost of the program or services can be counted as quantifiable community benefit if the program:
Do not count as quantifiable community benefit if the program is: