IOWA PRIMARY CARE ASSOCIATION INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- IOWA PRIMARY CARE ASSOCIATION INC (EIN 42-1311646)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-08
- IRS object ID
- 202411299349303591
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-08T15:26:56-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1551 N WATERFRONT PKWY STE 300 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 672066601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421311646 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IOWA PRIMARY CARE ASSOCIATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % TAMI GILLMORE | InCareOfNm |
| Business Name Control | IOWA | BusinessNameControlTxt |
| Phone | 5153488061 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SW 7TH STREET Suite 300 | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50309 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMI GILLMORE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5153488061 | PhoneNum |
| Signature | 2024-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TAMI | PersonFirstNm |
| Person Last | GILLMORE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNELL LINOT | PreparerPersonNm |
| PTIN | P01663908 | PTIN |
| Phone | 3162652811 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | AARON TODD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SW 7TH STREET STE 300 | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,245,130 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.IOWAPCA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | ENHANCING COMMUNITY HEALTH CENTERS' CAPCAITY TO CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 55 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,977,806 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,446,014 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,271,574 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,669,545 | CYProgramServiceRevenueAmt |
| PY Investment Income | $439 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,637 | CYInvestmentIncomeAmt |
| PY Other Revenue | $121,710 | PYOtherRevenueAmt |
| CY Other Revenue | $122,934 | CYOtherRevenueAmt |
| PY Total Revenue | $7,371,529 | PYTotalRevenueAmt |
| CY Total Revenue | $8,245,130 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,385,348 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,522,046 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,093,499 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,028,489 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,699,615 | PYOtherExpensesAmt |
| CY Other Expenses | $1,477,613 | CYOtherExpensesAmt |
| PY Total Expenses | $7,178,462 | PYTotalExpensesAmt |
| CY Total Expenses | $8,028,148 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $193,067 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $216,982 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,027,786 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,481,476 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,316,724 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,553,432 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,711,062 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,928,044 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ENHANCING COMMUNITY HEALTH CENTERS' CAPACITY TO CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,239,515 | ExpenseAmt |
| Revenue | $3,427,446 | RevenueAmt |
| Desc | IOWA PRIMARY CARE ASSOCIATION HAS A MANAGEMENT AGREEMENT WITH IN CONCERTCARE, INC., A NON-PROFIT HEALTH CENTER CONTROLLED NETWORK RECOGNIZED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AND IOWA HEALTH CENTERS FOR ACCOUNTABILITY-WEST, LLC. IOWA PRIMARY CARE ASSOCIATION PERFORMS TECHNICAL SERVICES FOR IN CONCERTCARE, INC. IN A VARIETY OF AREAS INCLUDING CLINICAL APPLICATIONS EDUCATION, TRAINING AND SUPPORT, MEANINGFUL USE CERTIFICATION, CLINICAL QUALITY AND PERFORMANCE IMPROVEMENT, AND HEALTHCARE ANALYTICS AND REPORTING. IOWA PRIMARY CARE ASSOCIATION ALSO PROVIDES ALL ADMINISTRATIVE, FINANCIAL AND MANAGERIAL SERVICES FOR BOTH ORGANIZATIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $972,482 | ExpenseAmt |
| Grant | $270,000 | GrantAmt |
| Desc | IOWA PRIMARY CARE ASSOCIATION PARTNERS WITH IOWA DEPARTMENT OF PUBLIC HEALTH TO PROVIDE ADVANCEMENT IN THE JEDI-B SPACE. THIS INCLUDED ASSESSMENTS WITH OUR IOWA FEDERALLY QUALIFIED HEALTH CENTERS' COMMUNITIES TO BE ABLE TO MEET ALL FQHC COMMUNITIES WHERE THEY ARE. WE ALSO DEVELOPED TRAINING AND ENGAGMENT TOOLS FOR FQHCS TO USE WITH STAFF, BOARD AND COMMUNITY MEMBERS. DEVELOPED TRAINING AND ENGAGMENT TOOLS FOR FQHCS TO USE WITH STAFF, BOARD AND COMMUNITY MEMBERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $922,546 | ExpenseAmt |
| Desc | IOWA PRIMARY CARE ASSOCIATION IS SUPPORTED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION TO PROVIDE TECHNICAL, CLINICAL AND ADMINISTRATIVE NON-FINANCIAL ASSISTANCE TO FEDERALLY QUALIFIED HEALTH CENTER GRANTEES, LOOK-ALIKES AND MIGRANT HEALTH PROGRAMS IN IOWA TO MEET PROGRAM REQUIREMENTS AND IMPROVE PERFORMANCE. IN ADDITION, THE COMPANY WORKS WITH COMMUNITIES TO EVALUATE THE COMMUNITY HEALTH CENTER MODEL AS A SOLUTION TO A COMMUNITY'S NEED FOR INCREASED ACCESS TO HEALTH CARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,727,602 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,252,046 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $242,099 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $7,862,145 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 55 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMI GILLMORE | PersonNm |
| Phone | 5153488061 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SW 7TH STREET SUITE 300 | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50309 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| AARON TODD | ||||||||
| CHIEF EXECUTIVE OFFICER | 22.0 | 19.0 | Yes (X) | $119,508 | $105,979 | $16,830 | ||
| KELLY FRETT | ||||||||
| CHIEF OPERATING OFFICER | 22.0 | 18.0 | Yes (X) | $102,808 | $84,116 | $12,893 | ||
| SARAH DIXON | ||||||||
| SR DIRECTOR PARTNERSHIPS & DEV | 32.0 | 8.0 | $114,295 | $28,574 | $19,254 | Yes (X) | ||
| AMANDA CARLSON | ||||||||
| DIRECTOR OF ACCOUNTING | 27.0 | 13.0 | $72,871 | $35,891 | $18,945 | Yes (X) | ||
| MICHAELA KELLER | ||||||||
| CLINICAL INFORMATICS MANAGER | 22.0 | 18.0 | $58,242 | $49,614 | $18,799 | Yes (X) | ||
| TAMI GILLMORE | ||||||||
| CHIEF FINANCIAL OFFICER | 22.0 | 18.0 | Yes (X) | $57,539 | $47,077 | $13,679 | ||
| JOY ALEXANDER | ||||||||
| TREASURER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TONY FLORES | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| MARI KAPTAIN-DAHLEN | ||||||||
| CHAIR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RICH GEHRIG | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| TOM BOWMAN | ||||||||
| SECRETARY | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SAMANTHA CANNON | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| CHRISTINE KEMP | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| EMILY TUSCHEN | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| KELLY HUNTSMAN | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| GARY COLLINS | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| RENAE KRUCKENBERG | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| JOE LOCK | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| DANIEL ZINNEL | ||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BILL WYPYSKI | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| URSULA LIVERMORE | ||||||||
| EX-OFFICIO BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DANIELLE O'BRIEN-DAY | ||||||||
| EX-OFFICIO BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| LUCAS LEMBURG | ||||||||
| EX-OFFICIO BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $525,263 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $351,251 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $100,400 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRIMARY CARE DEVELOPMENT CORPORATIO | |||||
| 45 BROADWAY SUITE 530 | NEW YORK | NY | 10006 | PROG DEV & CONSULT | $197,000 |
| THE CHARTIS GROUP | |||||
| 220 W KINZIE 3RD FLOOR | CHICAGO | IL | 60654 | PROG DEV & CONSULT | $130,738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $464,464 | MembershipDuesAmt |
| Government Grants | $3,275,184 | GovernmentGrantsAmt |
| All Other Contributions | $706,366 | AllOtherContributionsAmt |
| Total Contributions | $4,446,014 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT FEES | 900099 | $3,427,446 | $3,427,446 |
| RECRUITING INCOME | 900099 | $9,500 | $9,500 |
| ANNUAL MEETING | 900099 | $228,198 | $228,198 |
| OTHER REVENUE | 900099 | $4,401 | $4,401 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,669,545 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,637 | TotalRevenueColumnAmt |
| Exclusion | $6,637 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GAIN ON INVESTMENT IN EQUITY INVESTEE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $122,934 | TotalRevenueColumnAmt |
| Exclusion | $122,934 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $122,934 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,245,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,669,545 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $129,571 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,522,046 | TotalAmt |
| Program Services | $1,522,046 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,390 | TotalAmt |
| Program Services | $303,390 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,849,539 | TotalAmt |
| Program Services | $3,832,778 | ProgramServicesAmt |
| Management And General | $16,761 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,909 | TotalAmt |
| Program Services | $197,865 | ProgramServicesAmt |
| Management And General | $44 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,309 | TotalAmt |
| Program Services | $323,309 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,342 | TotalAmt |
| Program Services | $353,018 | ProgramServicesAmt |
| Management And General | $1,324 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,701 | TotalAmt |
| Program Services | $20,701 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,906 | TotalAmt |
| Program Services | $9,852 | ProgramServicesAmt |
| Management And General | $2,054 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,304 | TotalAmt |
| Program Services | $56,304 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,749 | TotalAmt |
| Program Services | $80,749 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,760 | TotalAmt |
| Program Services | $590,760 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,012 | TotalAmt |
| Program Services | $11,204 | ProgramServicesAmt |
| Management And General | $1,808 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,765 | TotalAmt |
| Program Services | $73,831 | ProgramServicesAmt |
| Management And General | $7,934 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,235 | TotalAmt |
| Program Services | $54,235 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,128 | TotalAmt |
| Program Services | $34,128 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,758 | TotalAmt |
| Program Services | $88,919 | ProgramServicesAmt |
| Management And General | $13,839 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,230 | TotalAmt |
| Program Services | $177,536 | ProgramServicesAmt |
| Management And General | $13,694 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493 | TotalAmt |
| Program Services | $374 | ProgramServicesAmt |
| Management And General | $119 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,252 | TotalAmt |
| Management And General | $101,252 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,887 | TotalAmt |
| Program Services | $42,207 | ProgramServicesAmt |
| Management And General | $680 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| LICENSES, DUES, SUBSCRIPTIONS | $34,777 | $28,543 | $6,234 |
| RECRUITING & RETENTION | $58,056 | $57,808 | $248 |
| REPAIRS & MAINTENANCE | $2,600 | $2,588 | $12 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,028,148 | TotalAmt |
| Program Services | $7,862,145 | ProgramServicesAmt |
| Management And General | $166,003 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,819 | BOYAmt |
| EOY | $93,685 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $626,794 | BOYAmt |
| EOY | $753,431 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $591,726 | BOYAmt |
| EOY | $547,316 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,348 | BOYAmt |
| EOY | $24,596 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,194 | BOYAmt |
| EOY | $110,816 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $701,635 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $281,659 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,204 | BOYAmt |
| EOY | $419,976 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,160 | BOYAmt |
| EOY | $705,094 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,541 | BOYAmt |
| EOY | $826,562 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,027,786 | BOYAmt |
| EOY | $3,481,476 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $975,568 | BOYAmt |
| EOY | $852,273 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,385 | BOYAmt |
| EOY | $131,053 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,600 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,171 | BOYAmt |
| EOY | $570,106 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,316,724 | BOYAmt |
| EOY | $1,553,432 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,711,062 | BOYAmt |
| EOY | $1,928,044 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,711,062 | BOYAmt |
| EOY | $1,928,044 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,027,786 | BOYAmt |
| EOY | $3,481,476 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $216,982 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,539,207 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,611,317 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,393,972 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,977,806 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,446,014 | CurrentTaxYearAmt |
| Total | $16,968,316 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,539,207 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,611,317 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,393,972 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,977,806 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,446,014 | CurrentTaxYearAmt |
| Total | $16,968,316 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $555,717 | SubstantialContributorsTotAmt |
| Public Support Total170 | $16,412,599 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,111 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,324 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $726 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $439 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,637 | CurrentTaxYearAmt |
| Total | $14,237 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,161 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $67,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $234,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,710 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $122,934 | CurrentTaxYearAmt |
| Total | $637,951 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,620,504 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $13,431,862 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.93145 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96250 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $19,675 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $200 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $80,749 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $100,624 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, LINE II-B, LINE 1(I) | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS CAMPBELL/PATTERSON CONSULTING, LLP AN ANNUAL FEE OF $80,749 FOR LOBBYING EFFORTS IN IOWA. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $329,502 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,430 | DepreciationAmt |
| Book Value | $199,072 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $372,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $151,229 | DepreciationAmt |
| Book Value | $220,904 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $419,976 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | IOWA HEALTH + | Desc |
| Book Value | $705,094 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $705,094 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED AFFILIATES | $430,296 |
| ROU LEASE ASSET | $396,266 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $826,562 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROU LEASE LIABILITY | Desc |
| Amt | $570,106 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $570,106 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $8,245,130 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $8,245,130 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $8,245,130 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,028,148 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $8,028,148 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $8,028,148 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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 | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ALL CARE HEALTH CENTER | |||||||
| 902 S 6TH STREET | COUNCIL BLUFFS | IA | 51501 | 421466508 | 501(C)(3) | $51,133 | IDPH COLCAN |
| COMMUNITY HEALTH CARE | |||||||
| 500 W RIVER DR | DAVENPORT | IA | 52801 | 421060724 | 501(C)(3) | $76,500 | GILEAD, IDPH COLCAN |
| COMMUNITY HEALTH CENTER OF FORT DODGE | |||||||
| 126 NORTH 10TH STREET | FORT DODGE | IA | 50501 | 200597324 | 501(C)(3) | $42,156 | HRSA NOHI |
| COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IA | |||||||
| 1706 WEST AGENCY ROAD | WEST BURLINGTON | IA | 52655 | 421527584 | 501(C)(3) | $216,785 | GILEAD, COLCAN, HRSA MNOHI, NACHC, VETADMIN |
| CRESCENT COMMUNITY HEALTH CENTER | |||||||
| 1690 ELM STREET STE 300 | DUBUQUE | IA | 52001 | 481302204 | 501(C)(3) | $45,027 | GILEAD, BRST/CERV, CC TRAINING, HRSA NOHI |
| EASTERN IOWA HEALTH CENTER | |||||||
| 1201 3RD AVENUE SE | CEDAR RAPIDS | IA | 52403 | 202405575 | 501(C)(3) | $78,744 | COLCAN, NACHC |
| PEOPLES COMMUNITY HEALTH CLINIC | |||||||
| 905 FRANKLIN STREET | WATERLOO | IA | 50703 | 421058629 | 501(C)(3) | $35,661 | GILEAD |
| PRIMARY HEALTH CARE INC | |||||||
| 1200 UNIVERSITY SUITE 200 | DES MOINES | IA | 50314 | 421350092 | 501(C)(3) | $137,329 | CC TRAINING, COLCAN, NACHC |
| SIOUXLAND COMMUNITY HEALTH CENTER | |||||||
| 1021 NEBRASKA STREET | SIOUX CITY | IA | 51105 | 421374894 | 501(C)(3) | $35,000 | GILEAD, BRST/CERV, COLCAN, HRSA NOHI |
| IN CONCERTCARE INC | |||||||
| 9943 HICKMAN RD STE 103 | URBANDALE | IA | 50322 | 391899361 | 501(c)(4) | $552,432 | HEALTH IT |
| PROMISE COMMUNITY HEALTH CENTER | |||||||
| 338 1ST AVENUE NW | SIOUX CENTER | IA | 51250 | 205896415 | 501(C)(3) | $74,590 | SAFETY NET |
| RIVER HILLS COMMUNITY HEALTH CENTER | |||||||
| 201 S MARKET ST | OTTUMWA | IA | 52501 | 421489471 | 501(C)(3) | $105,625 | IDPH COLCAN |
| PROTEUS INC | |||||||
| 1221 CENTER ST SUITE 16 | DES MOINES | IA | 50309 | 421186501 | 501(C)(3) | $28,067 | IDPH |
| INFINITY HEALTH | |||||||
| 302 NE 14TH STREET | LEON | IA | 50144 | 391908462 | 501(C)(3) | $32,432 | IDPH |
| UNITED COMMUNITY HEALTH CENTER | |||||||
| 715 W MILWAUKEE AVE | STORM LAKE | IA | 50588 | 300225826 | 501(C)(3) | $10,567 | IDPH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 14 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE I, PART I, LINE 2 | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: GRANTS PROVIDED INCLUDE THE DEPARTMENT OF VETERANS AFFAIRS, NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, JSI RESEARCH TRAINING INSTITUTE, NATIONAL NURSE-LED CARE CONSORTIUM AND IOWA DEPARTMENT OF PUBLIC HEALTH GRANTS WHICH GRANTEES APPLY FOR. THE REQUESTS ARE REVIEWED AND GRANT MONEY IS AWARDED UPON APPROVAL. |
| SCHEDULE I, PART II | PASS THROUGH GRANTS & ASSISTANCE: THE ORGANIZATION HAS CONTRACTS WITH THE IOWA DEPARTMENT OF PUBLIC HEALTH, NATIONAL NURSE-LED CARE CONSORTIUM, NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, MICHIGAN PRIMARY CARE ASSOCIATION AND DEPARTMENT OF VETERAN AFFAIRS TO PASS THROUGH GRANTS TO OTHER ORGANIZATIONS. CONTRACTS INCLUDE: IOWA DEPARTMENT OF PUBLIC HEALTH - BREAST AND CERVICAL CANCER SCREENING PROJECT, COLORECTAL CANCER SCREENING, NATIONAL NURSE-LED CARE CONSORTIUM - ROUTINIZING THE FOCUS OPT-OUT MEDICAL ASSISTANT-INITIATED PREVENTIVE SCREENING PROJECT, MICHIGAN PRIMARY CARE ASSOCATION - MIDWEST NETWORK FOR ORAL HEALTH INTEGRATION WORK PLAN AND BENCHMARKS, NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS - CONTINUOUS SUPPORT OF NACHC'S CDC FUNDED CANCER TRANSFORMATION WORK AND DEPARTMENT OF VETERAN AFFAIRS- PROJECT TO SUPPORT THE IOWA CITY VA HEALTH CARE SYSTEM AND RURAL HEALTH RESOURCES. THE ORGANIZATION IS AWARDED MONEY FROM THE ORGANIZATIONS LISTED ABOVE, AND THEN THAT MONEY IS DISBURSED TO THE OTHER PARTICIPATING ORGANIZATIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AARON TODD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $113,876 | $100,984 | $5,632 | $4,995 | $0 | $0 | $6,875 | $6,096 | $2,045 | $1,814 | $128,428 | $113,889 | $0 | $0 |
| KELLY FRETT | ||||||||||||||
| CHIEF OPERATING OFFICER | $96,044 | $78,582 | $6,764 | $5,534 | $0 | $0 | $5,763 | $4,715 | $1,328 | $1,087 | $109,899 | $89,918 | $0 | $0 |
| SARAH DIXON | ||||||||||||||
| SR DIRECTOR PARTNERSHIPS & DEV | $104,693 | $26,174 | $9,602 | $2,400 | $0 | $0 | $6,628 | $1,657 | $8,775 | $2,194 | $129,698 | $32,425 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | NON-FIXED PAYMENTS: BONUS PAYMENTS ARE BASED ON MEETING QUARTERLY PERFORMANCE GOALS AND ORGANIZATIONAL STRATEGIC GOALS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES: IN ADDITION TO THE THREE LARGEST PROGRAMS, IOWA PRIMARY CARE ASSOCIATION PROVIDES OTHER TECHNICAL ASSISTANCE TO COMMUNITY HEALTH CENTERS AND MIGRANT HEALTH PROGRAMS IN IOWA IN THE AREAS OF ADVOCACY AND POLICY, PROVIDER RECRUITMENT AND WORKFORCE DEVELOPMENT, HEALTH INFORMATION TECHNOLOGY, EXPANSION OF ORAL HEALTH SERVICES TO THE UNDERSERVED AND QUALITY AND PERFORMANCE IMPROVEMENT. IN ADDITION TO THE SERVICES PROVIDED TO COMMUNITY HEALTH CENTERS AND MIGRANT HEALTH PROGRAMS IN IOWA DESCRIBED PREVIOUSLY, IOWA PRIMARY CARE ASSOCIATION PROVIDES TECHNICAL, ADMINISTRATIVE AND/OR PROGRAMMATIC ASSISTANCE TO THE UNIVERSITY OF IOWA AND THE IOWA ASSOCIATION OF RURAL HEALTH CLINICS. |
| FORM 990, PART V, LINE 2A AND PART IX, LINES 5, 7, 8, 9, & 10 | COMMON PAYMASTER: IOWA PRIMARY CARE ASSOCIATION CONTRACTS WITH FOCUS ONESOURCE, A PROFESSIONAL EMPLOYER ORGANIZATION, TO FILE ALL EMPLOYEE PAYROLL TAXES AND W-3 FILINGS. THE SALARY EXPENSES, PAYROLL TAXES, PENSION EXPENSES, AND EMPLOYEE BENEFITS LISTED ON PART IX ARE PAID BY IOWA PRIMARY CARE ASSOCIATION AND ALLOCATED TO IN CONCERTCARE AND IOWA HEALTH CENTERS FOR ACCOUNTABILITY-WEST, LLC FOR THE EMPLOYEES THAT ARE WORKING ON THEIR RESPECTIVE PROGRAMS. THESE EXPENSES ARE REIMBURSED BY IN CONCERTCARE AND IOWA HEALTH CENTERS FOR ACCOUNTABILITY-WEST, LLC TO IOWA PRIMARY CARE ASSOCIATION AS PART OF THE MANAGEMENT AGREEMENT REFERENCED IN PART III, LINE 4A. |
| FORM 990, PART VI, SECTION B, LINE 6 & 7A | MEMBERS: THE ORGANIZATION HAS MEMBERS WHO PAY A FEE TO BELONG TO THE ASSOCIATION. THERE ARE THREE CATEGORIES OF MEMBERS WITHIN THE ASSOCIATION: DIRECTING MEMBERS, AFFILIATE MEMBERS AND ASSOCIATE MEMBERS. -DIRECTING MEMBERS ARE 14 FEDERALLY FUNDED COMMUNITY HEALTH CENTERS LOCATED IN THE STATE OF IOWA. AS DIRECTING MEMBERS, THESE ORGANIZATIONS AND THEIR SUCCESSORS WOULD BE ENTITLED TO ELECT THE BOARD OF DIRECTORS OF THE ORGANIZATION. -AFFILIATE MEMBERS INCLUDE ONE REPRESENTATIVE FROM THE CLINICAL COMPONENT OF THE ORGANIZATION AND ANY ASSOCIATION OR STATE DEPARTMENT INTERESTED IN PRIMARY CARE. AFFILIATE MEMBERS OR REPRESENTATIVES OF THESE ORGANIZATIONS ARE INVITED TO ATTEND AND PARTICIPATE IN ALL MEETINGS OF THE ASSOCIATION. BUT, THESE REPRESENTATIVES WOULD NOT HAVE VOTING PRIVILEGES ON MATTERS BROUGHT BEFORE THE ASSOCIATION. -ASSOCIATE MEMBERS INCLUDE HEALTH CLINICS OR INDIVIDUAL PROFESSIONALS ENGAGED OR INTERESTED IN PRIMARY HEALTH CARE. THESE REPRESENTATIVES WOULD NOT HAVE VOTING PRIVILEGES ON MATTERS BROUGHT BEFORE THE ASSOCIATION. -EACH MEMBER IS ENTITLED TO BE REPRESENTED BY ONE INDIVIDUAL AT ALL BOARD MEETINGS OF THE ASSOCIATION. EACH MEMBER SHALL SELECT ITS OWN REPRESENTATIVE BY WHATEVER METHOD IT DEEMS APPROPRIATE. EACH MEMBER SHALL SUBMIT TO THE SECRETARY THE NAME AND MAILING ADDRESS OF THE REPRESENTATIVE ON OR BEFORE DECEMBER 31 OF EACH YEAR OR WITHIN 30 DAYS OF REPRESENTATIVE. |
| FORM 990, PART VI, SECTION B, LINE 11B | 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. PRIOR TO BEING FILED, A DRAFT OF THE FORM 990 IS REVIEWED BY MANAGEMENT AND THE BOARD FINANCE COMMITTEE. THE PUBLIC DISCLOSURE COPY IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: PER THE IOWA PRIMARY CARE ASSOCIATION CONFLICT OF INTEREST POLICY, THE IOWA PCA REQUIRES THAT ALL EMPLOYEES, AGENTS, OFFICERS, AND MEMBERS OF THE BOARD OF DIRECTORS AND CANDIDATES FOR BOARD MEMBERSHIP DISCLOSE IN WRITING (AND UPDATE AT LEAST ANNUALLY) ALL BUSINESS, CIVIC, COMMUNITY, BOARD, COMMITTEE, AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST AND WHERE APPLICABLE, PROVIDE A STATEMENT SUGGESTING HOW SUCH CONFLICT COULD BE AVOIDED OR MITIGATED. TO COMPLY WITH THIS POLICY, THE IOWA PRIMARY CARE ASSOCIATION GATHERS FULL CONFLICT OF INTEREST QUESTIONNAIRES ANNUALLY FROM KEY EMPLOYEES AND BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION REVIEW POLICY: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF IOWA PRIMARY CARE ASSOCIATION LAST REVIEWED THE COMPENSATION OF THE CEO IN JULY 2023 USING SALARY INFORMATION COMPILED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). THE CEO'S SALARY IS PAID BY IOWA PRIMARY CARE ASSOCIATION AND IS ALLOCATED TO IN CONCERTCARE BASED ON ACTUAL WORK PERFORMED. THE BOARD CHAIR RETAINS A FILE DOCUMENTING THE COMPENSATION REVIEW PROCESS. |
| FORM 990, PART VI, SECTION B, LINE 15B | OTHER OFFICER COMPENSATION REVIEW POLICY: THE CHIEF EXECUTIVE OFFICER REVIEWED AND APPROVED THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER IN JULY 2023 USING SALARY INFORMATION COMPILED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). THE CHIEF EXECUTIVE OFFICER RETAINS A FILE DOCUMENTING THE COMPENSATION REVIEW PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE AT THE ORGANIZATION OFFICES OR UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INCONCERTCARE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SW 7TH STREET SUITE 300 | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391899361 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Exempt Code Section | 501(C) (4) | ExemptCodeSectionTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IOWA PCA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| INCONCERTCARE INC | ||
| L | $1,855,928 | FMV |
| INCONCERTCARE INC | ||
| B | $552,432 | FMV |
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