Civic Intelligence

Primary Health Care Inc

EIN 42-1350092 • 501(c)3 • Des Moines, IA

Profile

Primary health care provides medical, mental health, dental, and supportive services with exceptional compassion and respect. We are accessible to those who need the most help, including the homeless, children, refugees, and those living with hiv.

1200 University Ave 200Des Moines, IA 50314

www.phciowa.org

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.39x

Higher debt load relative to assets than 63% of similar nonprofits.

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

Liabilities / Revenue

39th percentile

0.23x

Higher debt load relative to revenue than 39% of similar nonprofits.

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

Net Margin

31st percentile

-0.4%

Higher net margin than 31% of similar nonprofits.

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

Top Officer Pay

37th percentile

$283,809

Higher top officer pay than 37% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

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

Asset Growth

53rd percentile

6.7%

Faster asset growth than 53% of similar nonprofits.

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

Revenue Growth

36th percentile

3.2%

Faster revenue growth than 36% of similar nonprofits.

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

Assets

Up

$36,744,976

Up $2,323,234 (+6.7%) from 2023

Liabilities

Up

$14,182,436

Up $2,601,755 (+22%) from 2023

Net Assets

Down

$22,562,540

Down $278,521 (-1.2%) from 2023

Revenue

Up

$62,439,320

Up $1,934,747 (+3.2%) from 2023

Expenses

Up

$62,717,841

Up $3,232,066 (+5.4%) from 2023

Net Income

Down

-$278,521

Down $1,297,319 (-127%) from 2023

Trend Graphs

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2011: $7,635,553Liabilities 2011: $1,445,403Net Assets 2011: $6,190,1502011Assets 2012: $9,625,906Liabilities 2012: $1,361,027Net Assets 2012: $8,264,8792012Assets 2013: $9,610,241Liabilities 2013: $1,614,452Net Assets 2013: $7,995,7892013Assets 2014: $10,954,531Liabilities 2014: $1,936,764Net Assets 2014: $9,017,7672014Assets 2015: $14,887,960Liabilities 2015: $3,452,560Net Assets 2015: $11,435,4002015Assets 2016: $17,230,053Liabilities 2016: $2,797,199Net Assets 2016: $14,432,8542016Assets 2017: $19,881,012Liabilities 2017: $3,528,237Net Assets 2017: $16,352,7752017Assets 2018: $21,387,275Liabilities 2018: $3,935,941Net Assets 2018: $17,451,3342018Assets 2019: $18,878,337Liabilities 2019: $2,978,759Net Assets 2019: $15,899,5782019Assets 2020: $23,482,894Liabilities 2020: $10,033,844Net Assets 2020: $13,449,0502020Assets 2021: $28,991,051Liabilities 2021: $7,885,115Net Assets 2021: $21,105,9362021Assets 2022: $30,783,155Liabilities 2022: $8,960,892Net Assets 2022: $21,822,2632022Assets 2023: $34,421,742Liabilities 2023: $11,580,681Net Assets 2023: $22,841,0612023Assets 2024: $36,744,976Liabilities 2024: $14,182,436Net Assets 2024: $22,562,5402024

Highlighted filing

2024

Assets$36,744,976
Liabilities$14,182,436
Net Assets$22,562,540

Operations Trend

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

$80M$60M$40M$20M$0-$20MRevenue 2011: $15,731,760Expenses 2011: $14,407,344Net Income 2011: $1,324,4162011Revenue 2012: $16,526,013Expenses 2012: $14,524,174Net Income 2012: $2,001,8392012Revenue 2013: $15,733,122Expenses 2013: $16,002,212Net Income 2013: -$269,0902013Revenue 2014: $22,584,188Expenses 2014: $21,562,210Net Income 2014: $1,021,9782014Revenue 2015: $31,500,611Expenses 2015: $29,082,978Net Income 2015: $2,417,6332015Revenue 2016: $36,855,599Expenses 2016: $33,858,145Net Income 2016: $2,997,4542016Revenue 2017: $37,437,326Expenses 2017: $35,505,432Net Income 2017: $1,931,8942017Revenue 2018: $43,257,617Expenses 2018: $42,159,058Net Income 2018: $1,098,5592018Revenue 2019: $42,316,900Expenses 2019: $43,868,656Net Income 2019: -$1,551,7562019Revenue 2020: $42,603,601Expenses 2020: $45,054,129Net Income 2020: -$2,450,5282020Revenue 2021: $57,901,861Expenses 2021: $50,244,975Net Income 2021: $7,656,8862021Revenue 2022: $53,851,997Expenses 2022: $53,135,670Net Income 2022: $716,3272022Revenue 2023: $60,504,573Expenses 2023: $59,485,775Net Income 2023: $1,018,7982023Revenue 2024: $62,439,320Expenses 2024: $62,717,841Net Income 2024: -$278,5212024

Highlighted filing

2024

Revenue$62,439,320
Expenses$62,717,841
Net Income-$278,521

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$36.7$14.2$22.6$62.4$62.7$0.28
2023Detailed filing. Detailed filing data is available for this year.$34.4$11.6$22.8$60.5$59.5$1.02
2022Detailed filing. Detailed filing data is available for this year.$30.8$8.96$21.8$53.9$53.1$0.72
2021Detailed filing. Detailed filing data is available for this year.$29.0$7.89$21.1$57.9$50.2$7.66
2020Detailed filing. Detailed filing data is available for this year.$23.5$10.0$13.4$42.6$45.1$2.45
2019Detailed filing. Detailed filing data is available for this year.$18.9$2.98$15.9$42.3$43.9$1.55
2018Detailed filing. Detailed filing data is available for this year.$21.4$3.94$17.5$43.3$42.2$1.10
2017Detailed filing. Detailed filing data is available for this year.$19.9$3.53$16.4$37.4$35.5$1.93
2016Detailed filing. Detailed filing data is available for this year.$17.2$2.80$14.4$36.9$33.9$3.00
2015Detailed filing. Detailed filing data is available for this year.$14.9$3.45$11.4$31.5$29.1$2.42
2014Detailed filing. Detailed filing data is available for this year.$11.0$1.94$9.02$22.6$21.6$1.02
2013Summary only. Only limited summary data is available for this year.$9.61$1.61$8.00$15.7$16.0$0.27
2012Summary only. Only limited summary data is available for this year.$9.63$1.36$8.26$16.5$14.5$2.00
2011Summary only. Only limited summary data is available for this year.$7.64$1.45$6.19$15.7$14.4$1.32
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 16, 2025
Return Version
2023v6.0
Gross Receipts
$62,451,094
Mission and Program Overview

Mission

Primary health care provides medical, mental health, dental, and supportive services with exceptional compassion and respect. We are accessible to those who need the most help, including the homeless, children, refugees, and those living with hiv.

Primary health care provides medical, mental health, dental, and supportive services with exceptional compassion and respect.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$13,618,484$14,141,277▲ $522,793
Savings and Temporary Cash Investments$5,273,031$6,954,848▲ $1,681,817
Accounts Receivable$2,385,459$3,097,564▲ $712,105
Pledges and Grants Receivable$3,176,901$2,851,926▼ $324,975
Cash and Non-Interest-Bearing Accounts$2,234,100$2,236,081▲ $1,981
Prepaid Expenses and Deferred Charges$869,506$778,842▼ $90,664
Investments Program Related$695,581$700,080▲ $4,499
Inventories for Sale or Use$52,971$78,192▲ $25,221
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$34,421,742$36,744,976▲ $2,323,234
Other Assets Total$6,115,709$5,906,166▼ $209,543
Liabilities
Other Liabilities$4,124,417$5,939,744▲ $1,815,327
Accounts Payable and Accrued Expenses$4,166,876$5,086,444▲ $919,568
Mortgage Notes Payable Secured by Investment Property$3,172,294$3,071,023▼ $101,271
Deferred Revenue$117,094$85,225▼ $31,869
Total Liabilities$11,580,681$14,182,436▲ $2,601,755
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$22,445,949$22,312,734▼ $133,215
Net Assets With Donor Restrictions$395,112$249,806▼ $145,306
Total Net Assets Fund Balance$22,841,061$22,562,540▼ $278,521
Total Liabilities and Net Assets / Fund Balance$34,421,742$36,744,976▲ $2,323,234

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$9,079,459$8,423,974$17,503,433
Equipment$1,837,447$2,493,216$4,330,663
Other Land Buildings$1,712,392-$1,712,392
Land$1,511,979-$1,511,979
Other Assets Org$1,157,777--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Maureen TackePhysician - Family PracticeFT$266,626$17,183$283,809
Heidi ShreckCMOFT$259,878$16,054$275,932
Susan KennedyPhysician - Family PracticeFT$252,307$14,784$267,091
Alan BollingerPhysician - Family PracticeFT$229,332$16,860$246,192
Kelly HuntsmanCEOFT$223,756$21,283$245,039
Jennifer GroosPhysician - PediatricsFT$188,075$14,382$202,457
Brian Wade AncellDentistFT$185,300$12,170$197,470
Elizabeth FrantumCFOFT$144,988$10,205$155,193
Nathaniel SimpsonCOOFT$117,397$12,234$129,631
Julie RaaschCQOFT$120,388$6,548$126,936
Jenny BrownHr DirectorFT$82,856$15,320$98,176
Jason KesslerMedical DirectorFT$89,622$1,630$91,252
Bery EngebretsenCVOPT$28,490$635$29,125

Board Members and Trustees

NameTitle
Scott Emison ClairChair
Karin DerryPast Chair
Ben BellusVice Chair
Alicia HugueletBoard Member
Billie WadeBoard Member
Denise EssmanBoard Member
Janet HicksBoard Member
Jeni NosbischBoard Member
Maryna SalasBoard Member
Sergio HernandezBoard Member
Sandy HansenBoard Member End 02/24
Roger LacoyBoard Secretary
Ted JohnsonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Azcon CorpContractor1920 SE 41ST ST, Grimes, IA 50111$535,488
Propio Language ServiceLanguage Services10801 MASTIN STREET STE 580, Overland Park, KS 66210$305,630
Quest DiagnosticsLab Testing ServicesPO BOX 775460, Chicago, IL 60677-5460$267,521
Forvis Mazars LLPAudit/tax/consultingPO BOX 1190, Springfield, MO 65801-1190$237,590
Eric R ZielRent1802 SE DELAWARE STE 103, Ankeny, IA 50021$230,628
Revenue and Support

Revenue Composition

Contributions and Grants
$29,326,717
Program Service Revenue
$33,011,790
Investment Income
$96,314
Other Revenue
$4,499
All Other Contributions
$4,889,267
Change in Net Assets
$-278,521

Audited Revenue Reconciliation

Revenue per Audited Statements
$60,891,377
Revenue Not Reported on Financial Statements
$1,547,943
Revenue Not Reported on Form 990
$682,243
Other Revenue Adjustments
$1,547,943
Total Revenue per Audited Statements
$61,573,620
Total Revenue per Form 990
$62,439,320
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$31,459,130
Other Expenses$23,338,554
Grants and Similar Amounts Paid$7,910,623
Professional Fundraising Fees$9,534
Total Fundraising Expense$9,534

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$19,710,128$4,392,239-$24,102,367
Fees for Services Other$4,802,085$616,022$0$5,418,107
Grants to Domestic Orgs$5,383,000--$5,383,000
Other Employee Benefits$2,857,819$624,017-$3,481,836
Information Technology$2,775,536$367,822-$3,143,358
Grants to Domestic Individuals$2,527,623--$2,527,623
Payroll Taxes$1,507,508$361,806-$1,869,314
Occupancy$1,338,424$173,647-$1,512,071
Office Expenses$1,211,719$230,565-$1,442,284
Depreciation Depletion$1,111,273$129,837-$1,241,110
Current Officers, Directors, Trustees, and Key Employees$768,284$383,000-$1,151,284
Pension Plan Contributions$693,466$160,863-$854,329
Insurance$86,049$239,600-$325,649
Travel$180,498$27,578-$208,076
Fees for Services Accounting-$205,521-$205,521
Conferences and Meetings$138,993$44,039-$183,032
Interest-$107,474-$107,474
Fees for Services Legal-$100,313-$100,313
Advertising$42,942$41,280-$84,222
Other Expenses$71,157$7,237-$78,394
Fees for Services Professional Fundraising--$9,534$9,534
Total Functional Expenses$54,298,400$8,409,907$9,534$62,717,841

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$62,717,841
Total Expenses per Audited Statements$61,706,835
Expenses per Audited Statements$61,385,731
Expenses Not Reported on Financial Statements$1,332,110
Other Expense Adjustments$1,332,110
Expenses Not Reported on Form 990$321,104
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Iowa Medical Education CollaborativeDes Moines, IA501c3support$5,280,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$9,534
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
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
ROU Liabilities$3,839,744
Due to Third Party$2,100,000
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
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, Part VI, Line 11B Review of form 990 by governing body

The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. The from 990 is reviewed at the first full board of directors meeting that is held after the return is completed.

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

The board of directors shall adopt and enforce a policy on conflicts of interest and self-dealing that requires disclosure by all directors and officers of the corporation, and other persons who are in a position to influence corporate decisions, of actual and potential conflicts of interest, and that will assure that no person holding such a position is permitted to vote on any issue, motion, or resolution that directly or indirectly inures to his or her benefit financially or with respect to which he or she may have any other conflict of interest, except that a voting director who has a conflict of interest may be counted in order to constitute a quorum, and may participate in the discussion of the issue, motion or resolution to the extent permitted by the conflict of interest policy or as otherwise determined by the board of directors.

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

Ceo salary is researched by the chief human resources officer, using market data. This information is given to the board personnel committee to review and recommend a salary to the full board. The board may approve, disapprove, or modify the recommendation. This detail is recorded in the board minutes.

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

The organization's governing documents and conflict of interest policy are available upon request in the organization's administrative offices.

Form 990, Part VI, Section A, Line 4

Significant changes to governing documents: with a majority vote, any member may be removed for negligence of board duties and responsibilities, illegal activities, and acting in a manner detrimental to primary health care.

Form 990, Part VI, Section B, Line 11B

Form 990 review process: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. The from 990 is reviewed at the first full board of directors meeting that is held after the return is completed.

Form 990, Part VI, Section B, Line 12C

Monitoring compliance with the conflict of interest policy: the board of directors shall adopt and enforce a policy on conflicts of interest and self-dealing that requires disclosure by all directors and officers of the corporation, and other persons who are in a position to influence corporate decisions, of actual and potential conflicts of interest, and that will assure that no person holding such a position is permitted to vote on any issue, motion, or resolution that directly or indirectly inures to his or her benefit financially or with respect to which he or she may have any other conflict of interest, except that a voting director who has a conflict of interest may be counted in order to constitute a quorum, and may participate in the discussion of the issue, motion or resolution to the extent permitted by the conflict of interest policy or as otherwise determined by the board of directors.

Form 990, Part VI, Section B, Line 15A

Compensation determination: ceo salary is researched by the chief human resources officer, using market data. This information is given to the board personnel committee to review and recommend a salary to the full board. The board may approve, disapprove, or modify the recommendation. This detail is recorded in the board minutes.

Form 990, Part VI, Section C, Line 19

Public disclosure: the organization's governing documents and conflict of interest policy are available upon request in the organization's administrative offices.

Filing and Contact Details

Filer

Filer Name
Primary Health Care Inc
EIN
42-1350092
Phone
5152481447
Address
1200 UNIVERSITY AVE 200, DES MOINES, IA 50314

Signing Officer

Name
Kelly Huntsman
Title
CEO
Signed
2025-04-16
Discuss with paid preparer
Yes

Organization Details

Formed
1989
Legal Domicile
Ia
Voting Board Members
12
Independent Board Members
12
Employees
550
Volunteers
13

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Krystal Creach
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D Description of other program services

(Expenses $ 3,234,782 including grants of $ 0)(Revenue $ 0) OTHER PROGRAM SERVICES: PRIMARY HEALTH CARE, INC. PROVIDES HOMELESS SUPPORT SERVICES FOR THE HOMELESS POPULATION OF CENTRAL IOWA.

Financial Statement Notes

Schedule D, Part X, Line 2

Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

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

Net Assets Released From Restriction - 372913

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

Temporarily Restricted Contributions - 227607 Contribution Revenue - 1332110 Loss on Disposal of Assets - -11774

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

Loss on Disposal of Assets - 11774

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

Grant Expense - 1332110

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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/Desc0COMMUNITY HEALTH CENTER CLUSTER OUR PRIMARY CARE CLINICS PROVIDE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES TO UNINSURED AND UNDER SERVED PATIENTS IN CENTRAL IOWA, REGARDLESS OF THEIR ABILITY TO PAY. PATIENT VISITS FOR THE FISCAL YEAR TOTALED 148,381.
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