Civic Intelligence

Unitypoint Rural Health Alliance

EIN 85-2370921 • 501(c)9 • West Des Moines, IA

Profile

NONE

1776 West Lakes Pkwy Ste 400West Des Moines, IA 50266
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

24th percentile

0.00x

Higher debt load relative to assets than 24% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

22nd percentile

0.00x

Higher debt load relative to revenue than 22% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Net Margin

61st percentile

10%

Higher net margin than 61% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

87th percentile

$309,893

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Asset Growth

97th percentile

54%

Faster asset growth than 97% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

46th percentile

6.5%

Faster revenue growth than 46% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$12,698,527

Up $4,451,402 (+54%) from 2023

Liabilities

Up

$9,170

Up $889 (+11%) from 2023

Net Assets

Up

$12,689,357

Up $4,450,513 (+54%) from 2023

Revenue

Up

$29,580,721

Up $1,805,675 (+6.5%) from 2023

Expenses

Up

$26,587,148

Up $2,050,240 (+8.4%) from 2023

Net Income

Down

$2,993,573

Down $244,565 (-7.6%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2021: $3,657,607Liabilities 2021: $6,580Net Assets 2021: $3,651,0272021Assets 2022: $3,084,455Liabilities 2022: $8,422Net Assets 2022: $3,076,0332022Assets 2023: $8,247,125Liabilities 2023: $8,281Net Assets 2023: $8,238,8442023Assets 2024: $12,698,527Liabilities 2024: $9,170Net Assets 2024: $12,689,3572024

Highlighted filing

2024

Assets$12,698,527
Liabilities$9,170
Net Assets$12,689,357

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MRevenue 2021: $21,953,031Expenses 2021: $18,796,239Net Income 2021: $3,156,7922021Revenue 2022: $23,900,177Expenses 2022: $24,894,676Net Income 2022: -$994,4992022Revenue 2023: $27,775,046Expenses 2023: $24,536,908Net Income 2023: $3,238,1382023Revenue 2024: $29,580,721Expenses 2024: $26,587,148Net Income 2024: $2,993,5732024

Highlighted filing

2024

Revenue$29,580,721
Expenses$26,587,148
Net Income$2,993,573

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jun 25, 2025
Return Version
2024v5.0
Gross Receipts
$32,680,745
Mission and Program Overview

Mission

NONE

To provide for the payment of life, sick, accident and other permissible benefits offered under the plan to the participating employees and other participants through insurance and other qualifying benefits.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$8,238,844$12,689,357▲ $4,450,513
Savings and Temporary Cash Investments-$8,161,496-
Cash and Non-Interest-Bearing Accounts$4,099,395--
Investments in Publicly Traded Securities$3,644,690$3,888,409▲ $243,719
Investments Other Securities$67,880$42,734▼ $25,146
Prepaid Expenses and Deferred Charges$8,840$13,101▲ $4,261
Total Assets$8,247,125$12,698,527▲ $4,451,402
Other Assets Total$426,320$592,787▲ $166,467
Liabilities
Accounts Payable and Accrued Expenses$8,281$9,170▲ $889
Total Liabilities$8,281$9,170▲ $889
Net Assets / Fund Balance
Total Net Assets Fund Balance$8,238,844$12,689,357▲ $4,450,513
Total Liabilities and Net Assets / Fund Balance$8,247,125$12,698,527▲ $4,451,402
Compensation and Service Providers

Board Members and Trustees

NameTitle
Brian EvansTrustee
Chris StipeTrustee
James RoetmanTrustee
Matt JohnsonTrustee
Michelle SleiterTrustee
Wade WeisTrustee
Chad ButterfieldTrustee Chai
Rob ColerickTrustee Secr
Gary JordanTrustee Trea

Highest Paid Contractors

ContractorServicesLocationCompensation
Assured PartnersIns. Consulting4200 UNIVERSTIY AVE SUITE 200, West Des Moines, IA 50266$310,037
MillimanActuary Service1120 SOUTH 101ST STREET, Omaha, NE 68124$106,080
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$29,592,318
Investment Income
$-11,597
Other Revenue
$0
Change in Net Assets
$2,993,573

Audited Revenue Reconciliation

Revenue per Audited Statements
$29,580,721
Revenue Not Reported on Form 990
$436,838
Total Revenue per Audited Statements
$30,017,559
Total Revenue per Form 990
$29,580,721
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,136,648
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$22,450,500
Other Expenses---$997,857
Fees for Services Other---$441,100
Fees for Services Accounting---$75,445
Fees for Services Legal---$39,728
Fees for Service Investment Mgmnt Fees---$24,627
All Other Expenses---$21,705
Total Functional Expenses$0$0$0$26,587,148

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$26,587,148
Expenses per Audited Statements$26,562,521
Total Expenses per Audited Statements$26,562,521
Expenses Not Reported on Financial Statements$24,627
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 4

During the year, the trust agreement was amended to add "qualified affiliates" of member institutions as permissible beneficiaries.

Form 990, Page 6, Part VI, Line 11B

Each year before the final version of the trust's annual information return on form 990 is filed with the internal revenue service, the chair of unitypoint rural health alliance benefits trust shall distribute or cause to be distributed to each trustee a copy of the trust's form 990, complete with all schedules and attachments to be filed. Distribution may be made in paper or electronic form, or by providing the trustees with a password- protected website on which the entire form 990 can be viewed.

Form 990, Page 6, Part VI, Line 12C

Each trustee and member of a committee with governing board delegated powers shall annually sign a statement which affirms such person: a. Has received a copy of the conflicts of interest policy, b. Has read and understands the policy, and c. Has agreed to comply with the policy. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. An interested person shall leave the meeting during the discussion of, and vote on, the transaction or arrangement involving the possible conflict of interest. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the governing board or committee shall determine by majority vote of the disinterested trustee whether the transaction or arrangement is in the organization's best interest, for its own benefit, and whether it is fair and reasonable.

Form 990, Page 6, Part VI, Line 19

No documents are available to the public.

Filing and Contact Details

Filer

Filer Name
Unitypoint Rural Health Alliance
EIN
85-2370921
Phone
5152416161
Address
1776 WEST LAKES PKWY STE 400, WEST DES MOINES, IA 50266

Signing Officer

Name
Gary Jordan
Title
Trustee Treasurer
Phone
7123355224
Signed
2025-06-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Chad Butterfield
Formed
2020
Legal Domicile
Ia
Voting Board Members
9
Independent Board Members
8
Employees
0
Volunteers
9

Preparer

Firm
Mhcs Pc
Address
1601 W LAKES PKWY STE 300, WEST DES MOINES, IA 50266
Preparer
Alexandra Kafer CPA
Phone
5152883279
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Member contributions 995,475

Financial Statement Notes

Schedule D, Page 3, Part X

The veba trust funding the benefits of the plan received an exemption letter from the internal revenue service dated may 13, 2021, stating that the trust is tax-exempt under the provisions of section 501(c)(9) of the internal revenue code (irc). Unrelated business income tax, if any, would be recorded as an administrative expense of the plan. No federal or state income taxes have been recorded in the fiscal year ending december 31, 2024 and 2023 for unrelated business taxable income. In addition, the plan and the trust are required to operate in conformity with the irc to maintain the tax-exempt status of the trust. The plan administrator believes that the plan is being operated in compliance with the applicable requirements of the irc and, therefore, believes that the related trust is tax-exempt. Accounting principles generally accepted in the united states of america require plan management to evaluate income tax positions taken by the plan and recognize a tax liability (or asset) if the plan has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service. The plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any tax periods.

Schedule D, Page 4, Part XI, Line 2D

Investment expenses -24,627

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE VEBA TRUST FUNDING THE BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE DATED MAY 13, 2021, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). UNRELATED BUSINESS INCOME TAX, IF ANY, WOULD BE RECORDED AS AN ADMINISTRATIVE EXPENSE OF THE PLAN. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN THE FISCAL YEAR ENDING DECEMBER 31, 2024 AND 2023 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE INCOME TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY TAX PERIODS.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1INVESTMENT EXPENSES -24,627
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 4, PART XI, LINE 2D
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IRS990ScheduleD/TotalRevenuePerForm990Amt029580721
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0TRUSTEE
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DURING THE YEAR, THE TRUST AGREEMENT WAS AMENDED TO ADD "QUALIFIED AFFILIATES" OF MEMBER INSTITUTIONS AS PERMISSIBLE BENEFICIARIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EACH YEAR BEFORE THE FINAL VERSION OF THE TRUST'S ANNUAL INFORMATION RETURN ON FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE, THE CHAIR OF UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST SHALL DISTRIBUTE OR CAUSE TO BE DISTRIBUTED TO EACH TRUSTEE A COPY OF THE TRUST'S FORM 990, COMPLETE WITH ALL SCHEDULES AND ATTACHMENTS TO BE FILED. DISTRIBUTION MAY BE MADE IN PAPER OR ELECTRONIC FORM, OR BY PROVIDING THE TRUSTEES WITH A PASSWORD- PROTECTED WEBSITE ON WHICH THE ENTIRE FORM 990 CAN BE VIEWED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH TRUSTEE AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, AND C. HAS AGREED TO COMPLY WITH THE POLICY. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED TRUSTEE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4MEMBER CONTRIBUTIONS 995,475
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0UNITYPOINT RURAL HEALTH ALLIANCE BE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1PEOPLE'S MEMORIAL HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2BUENA VISTA REGIONAL HEALTHCARE FOU
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3CHEROKEE REGIONAL MEDICAL CENTER FO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt4CLARKE COUNTY HOSPITAL FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt5GREENE COUNTY MEDICAL CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt6HUMBOLDT COUNTY MEMORIAL HOSPITAL F
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt7LORING HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt8POCAHONTAS COMMUNITY HEALTHCARE FOU
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt9GUTHRIE COUNTY HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0852360065
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PLAN SPONS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt01776 WEST LAKES PARKWAY STE 400
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0WEST DES MOINES
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd050266
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IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
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IRS990ScheduleR/SupplementalInformationDetail/ExplanationTxt0PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: NAME OF RELATED ORGANIZATION: UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS PLAN PRIMARY ACTIVITY: PLAN ADMINISTRATION
IRS990ScheduleR/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE R
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IRS990/SubjectToProxyTaxInd0false
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IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsGrp/EOYAmt012698527
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IRS990/TotalGrossUBIAmt00
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IRS990/TotalLiabilitiesGrp/EOYAmt09170
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IRS990/TotalVolunteersCnt09
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ReturnHeader/BuildTS02025-03-06 01:10:19Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0GARY JORDAN
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ReturnHeader/BusinessOfficerGrp/SignatureDt02025-06-25
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0UNITYPOINT RURAL HEALTH ALLIANCE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0BENEFITS TRUST
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