Civic Intelligence

Butler County Community Health

EIN 31-1694200 • 501(c)3 • Hamilton, OH

Profile

To support the development and operation of healthcare clinics. To raise community awareness of the healthcare need and raise funding for and improve access to affordable, quality healthcare. To provide management and administrative services to the clinics. To sponsor and support healthcare services and educational programs primarily for the benefit of the poor and medically underserved. The organization is the sponsor for the wic program in butler county, ohio.

300 High Street 4th FL PO Box 837Hamilton, OH 45012

www.myprimaryhealthsolutions.org

Siviq Scores

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

Liabilities / Assets

50th percentile

0.24x

Higher debt load relative to assets than 50% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

34th percentile

0.18x

Higher debt load relative to revenue than 34% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

57th percentile

7.1%

Higher net margin than 57% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

64th percentile

$464,290

Higher top officer pay than 64% of similar nonprofits.

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

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

76th percentile

14%

Faster asset growth than 76% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

49th percentile

8.2%

Faster revenue growth than 49% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$35,289,625

Up $8,689,397 (+33%) from 2022

Liabilities

Up

$8,493,953

Up $2,363,184 (+39%) from 2022

Net Assets

Up

$26,795,672

Up $6,326,213 (+31%) from 2022

Revenue

Up

$46,079,961

Up $14,152,407 (+44%) from 2022

Expenses

Up

$42,809,651

Up $12,009,848 (+39%) from 2022

Net Income

Up

$3,270,310

Up $2,142,559 (+190%) from 2022

Trend Graphs

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2010: $3,091,374Liabilities 2010: $644,208Net Assets 2010: $2,447,1662010Assets 2011: $7,760,278Liabilities 2011: $1,663,087Net Assets 2011: $6,097,1912011Assets 2012: $7,945,191Liabilities 2012: $1,770,293Net Assets 2012: $6,174,8982012Assets 2013: $8,128,774Liabilities 2013: $1,855,770Net Assets 2013: $6,273,0042013Assets 2014: $9,390,235Liabilities 2014: $2,460,701Net Assets 2014: $6,929,5342014Assets 2015: $10,507,614Liabilities 2015: $2,871,422Net Assets 2015: $7,636,1922015Assets 2016: $11,676,348Liabilities 2016: $2,995,443Net Assets 2016: $8,680,9052016Assets 2017: $12,362,585Liabilities 2017: $2,731,785Net Assets 2017: $9,630,8002017Assets 2018: $14,612,822Liabilities 2018: $3,610,966Net Assets 2018: $11,001,8562018Assets 2019: $19,334,360Liabilities 2019: $6,939,782Net Assets 2019: $12,394,5782019Assets 2020: $22,374,049Liabilities 2020: $9,948,634Net Assets 2020: $12,425,4152020Assets 2021: $23,606,055Liabilities 2021: $4,587,724Net Assets 2021: $19,018,3312021Assets 2022: $26,600,228Liabilities 2022: $6,130,769Net Assets 2022: $20,469,4592022Assets 2024: $35,289,625Liabilities 2024: $8,493,953Net Assets 2024: $26,795,6722024

Highlighted filing

2024

Assets$35,289,625
Liabilities$8,493,953
Net Assets$26,795,672

Operations Trend

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

$60M$40M$20M$0Expenses 2010: $5,862,7282010Expenses 2011: $6,573,4902011Expenses 2012: $7,135,2612012Revenue 2013: $8,026,774Expenses 2013: $7,928,668Net Income 2013: $98,1062013Revenue 2014: $9,705,164Expenses 2014: $9,187,446Net Income 2014: $517,7182014Revenue 2015: $11,577,984Expenses 2015: $10,803,326Net Income 2015: $774,6582015Revenue 2016: $15,689,045Expenses 2016: $14,598,999Net Income 2016: $1,090,0462016Revenue 2017: $17,519,525Expenses 2017: $16,569,630Net Income 2017: $949,8952017Revenue 2018: $20,389,251Expenses 2018: $19,018,195Net Income 2018: $1,371,0562018Revenue 2019: $24,586,840Expenses 2019: $23,194,118Net Income 2019: $1,392,7222019Revenue 2020: $26,925,813Expenses 2020: $26,894,976Net Income 2020: $30,8372020Revenue 2021: $34,006,096Expenses 2021: $27,356,293Net Income 2021: $6,649,8032021Revenue 2022: $31,927,554Expenses 2022: $30,799,803Net Income 2022: $1,127,7512022Revenue 2024: $46,079,961Expenses 2024: $42,809,651Net Income 2024: $3,270,3102024

Highlighted filing

2024

Revenue$46,079,961
Expenses$42,809,651
Net Income$3,270,310

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.3$8.49$26.8$46.1$42.8$3.27
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.6$6.13$20.5$31.9$30.8$1.13
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$23.6$4.59$19.0$34.0$27.4$6.65
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.4$9.95$12.4$26.9$26.9$0.03
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$19.3$6.94$12.4$24.6$23.2$1.39
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.6$3.61$11.0$20.4$19.0$1.37
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.4$2.73$9.63$17.5$16.6$0.95
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.7$3.00$8.68$15.7$14.6$1.09
2015Detailed filing. Detailed filing data is available for this year.$10.5$2.87$7.64$11.6$10.8$0.77
2014Detailed filing. Detailed filing data is available for this year.$9.39$2.46$6.93$9.71$9.19$0.52
2013Detailed filing. Detailed filing data is available for this year.$8.13$1.86$6.27$8.03$7.93$0.10
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.95$1.77$6.17$7.14
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.76$1.66$6.10$6.57
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.09$0.64$2.45$5.86
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 14, 2025
Return Version
2024v5.1
Gross Receipts
$59,082,479
Mission and Program Overview

Mission

To support the development and operation of healthcare clinics. To raise community awareness of the healthcare need and raise funding for and improve access to affordable, quality healthcare. To provide management and administrative services to the clinics. To sponsor and support healthcare services and educational programs primarily for the benefit of the poor and medically underserved. The organization is the sponsor for the wic program in butler county, ohio.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,118,780$11,295,281▲ $176,501
Investments in Publicly Traded Securities$3,911,590$7,009,859▲ $3,098,269
Savings and Temporary Cash Investments$6,833,661$5,447,903▼ $1,385,758
Accounts Receivable$5,432,870$5,372,027▼ $60,843
Cash and Non-Interest-Bearing Accounts$1,026,513$1,142,461▲ $115,948
Pledges and Grants Receivable$441,522$403,522▼ $38,000
Prepaid Expenses and Deferred Charges$215,178$398,629▲ $183,451
Inventories for Sale or Use$212,859$375,250▲ $162,391
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$30,931,381$35,289,625▲ $4,358,244
Other Assets Total$1,738,408$3,844,693▲ $2,106,285
Liabilities
Accounts Payable and Accrued Expenses$3,756,848$3,485,949▼ $270,899
Other Liabilities$1,498,994$2,733,099▲ $1,234,105
Mortgage Notes Payable Secured by Investment Property$2,119,256$2,018,456▼ $100,800
Deferred Revenue$72,255$256,449▲ $184,194
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$7,447,353$8,493,953▲ $1,046,600
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$23,484,028$26,795,672▲ $3,311,644
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$23,484,028$26,795,672▲ $3,311,644
Total Liabilities and Net Assets / Fund Balance$30,931,381$35,289,625▲ $4,358,244

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,119,616$3,151,398$11,271,014
Equipment$1,534,192$4,090,942$5,625,134
Leasehold Improvements$174,240$973,170$1,147,410
Land$961,045-$961,045
Other Land Buildings$506,188$0$506,188
Other Assets Org$818,125--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Stephen RollerCEO/presidentFT$349,798$114,492$464,290
Erica MoormanPhysicianFT$245,450$80,464$325,914
Bayan AbunarMedical DoctorFT$286,232$29,808$316,040
Andrea MeirickChief Operating OfficerFT$219,961$94,282$314,243
Lilliam OrtizPediatricianFT$251,268$49,461$300,729
Ryan RandallChief Financial OfficerFT$187,151$113,375$300,526
John GreeneNurse PractionerFT$115,583$156,060$271,643
Heather PetersonPediatricianFT$228,480$33,444$261,924

Board Members and Trustees

NameTitle
David MancusoPast President
William GrothPresident/treasurer
Karen MuellerVice Chair
Arvind JoshiTrustee
Chad CreechTrustee
Cynamon TrokhanTrustee
Dennis KiddTrustee
Gustavo CocinaTrustee
Jeffrey DiverTrustee
Josue ColonTrustee
Michele MillerTrustee
Neil CohenTrustee
Rebecca ReynoldsTrustee
Sandra RutledgeTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
GC Construction & Development ServicesMaintenance20200 NW 2nd AVENUE, Miami Gardens, FL 33169$1,613,119
Coronis Health RCM LLCBilling5963 Exchange Drive Suites 114-117, Sykesville, MD 21784$877,534
Cloudmed Solutions LLC340B Referral Service1100 Peachtree Street Ste 1900, Atlanta, GA 30309$436,296
US Pack Script LLCDelivery Service225 Lynx Lane Suite 5, Orlando, FL 32804$289,229
Molecular Designs LLCLab Services2868 Acton Road Suite 207, Vestavia Hills, AL 35243$237,426
Revenue and Support

Revenue Composition

Contributions and Grants
$9,212,332
Program Service Revenue
$25,935,251
Investment Income
$601,230
Other Revenue
$10,331,148
All Other Contributions
$4,356,434
Change in Net Assets
$3,270,310

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$2,946,753Market value
Other Non Cash Contri Table6$162,568Market value
Other Non Cash Contri Table6$23,468Market value
Total Noncash Contributions13$3,132,789-

Audited Revenue Reconciliation

Revenue per Audited Statements
$59,082,479
Revenue Not Reported on Financial Statements
$-13,002,518
Revenue Not Reported on Form 990
$41,334
Other Revenue Adjustments
$-13,002,518
Total Revenue per Audited Statements
$59,123,813
Total Revenue per Form 990
$46,079,961
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$27,524,757
Other Expenses$15,284,894
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$19,521,797$2,942,737$0$22,464,534
Fees for Services Other$1,447,565$1,197,663$0$2,645,228
Information Technology$817,916$1,662,765$0$2,480,681
Occupancy$1,616,171$553,379$0$2,169,550
Payroll Taxes$1,499,286$116,679$0$1,615,965
Other Employee Benefits$1,460,508$113,661$0$1,574,169
Office Expenses$744,937$616,334$0$1,361,271
Current Officers, Directors, Trustees, and Key Employees$942,756$136,303$0$1,079,059
Depreciation Depletion$785,057$198,394$0$983,451
Pension Plan Contributions$733,915$57,115$0$791,030
Insurance$86,746$71,771$0$158,517
Travel$79,687$65,931$0$145,618
Fees for Services Accounting$56,423$46,683$0$103,106
Other Expenses$32,085$58,279$0$90,364
Fees for Services Legal$42,920$35,510$0$78,430
Interest$0$72,886$0$72,886
Conferences and Meetings$12,630$10,449$0$23,079
Advertising$3,296$2,727$0$6,023
Total Functional Expenses$34,763,677$8,045,974$0$42,809,651

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$55,812,169
Expenses per Audited Statements$42,809,651
Total Expenses per Form 990$42,809,651
Expenses Not Reported on Form 990$13,002,518
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$2,733,099
Lease Liability-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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, Part VI, Line 11B Review of form 990 by governing body

The 2024 form 990 was prepared by forvis mazars, llp and then reviewed in detail by management prior to the return being filed with the internal revenue service.

Form 990, Part VI, Line 12C Conflict of interest policy

An annual disclosure form must be signed by board members and officers. The organization reviews situations that cause conflicts throughout the year.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

Ceo compensation is set by the board of directors. Salary surveys are utilized to determine appropriate salary ranges. Deliberations are documented in the board minutes. A compensation survey was conducted in 2024 by joy fry, director of human resources.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The ceo reviews the compensation packages of other officers and key employees annually utilizing applicable salary surveys to determine the scale of pay. Physicians sign individual employment contracts.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing documents, conflict of interest polcy and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Butler County Community Health Consortium Inc
EIN
31-1694200
Phone
5134541460
Address
300 High Street 4th FL PO Box 837, Hamilton, OH 45012
Doing Business As
Primary Health Solutions

Signing Officer

Name
Ryan
Title
Randall
Phone
5134541460
Signed
2025-10-14
Discuss with paid preparer
Yes

Organization Details

Formed
2002
Legal Domicile
Oh
Voting Board Members
14
Independent Board Members
14
Employees
404
Volunteers
1

Preparer

Firm
Forvis Mazars LLP
Address
312 Walnut Street Suite 3000, Cincinnati, OH 45202
Preparer
Aaron Hershberger
Phone
5136218300
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Change in fair value of interest rate swap - 15705;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The organization has been recognized as exempt from income taxes under section 501 of the internal revenue code and a similar provision of state law. However, the organization is subject to federal income tax on any unrelated business taxable income. The organization files tax returns in the u.s. Federal jurisdiction.

Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990

Change in fair value of interest rate swap - 15705

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

340b costs of goods sold included in income - -12948977 rental expenses included in income - -53541

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

340b costs of goods sold included in income - 12948977 rental expenses included in income - 53541

Raw XML AppendixShowing 400 of 1,008 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/AccountsReceivableGrp/EOYAmt05372027
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IRS990/ActivityOrMissionDesc0TO SUPPORT THE DEVELOPMENT AND OPERATION OF HEALTHCARE CLINICS. TO RAISE COMMUNITY AWARENESS OF THE HEALTHCARE NEED AND RAISE FUNDING FOR AND IMPROVE ACCESS TO AFFORDABLE, QUALITY HEALTHCARE. TO PROVIDE MANAGEMENT AND ADMINISTRATIVE SERVICES TO THE CLINICS. TO SPONSOR AND SUPPORT HEALTHCARE SERVICES AND EDUCATIONAL PROGRAMS PRIMARILY FOR THE BENEFIT OF THE POOR AND MEDICALLY UNDERSERVED. THE ORGANIZATION IS THE SPONSOR FOR THE WIC PROGRAM IN BUTLER COUNTY, OHIO.
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IRS990/Desc0PROVIDING PRIMARY CARE HEALTH (MEDICAL, DENTAL, VISION, BEHAVIORAL) SERVICES TO THE UNDERSERVED POPULATION OF BUTLER COUNTY, OHIO. THERE WERE 152,307 PATIENT ENCOUNTERS IN 2024. THE ORGANIZATION ALSO IS THE PROVIDER OF WIC SERVICES FOR BUTLER COUNTY.
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