Primary Health Care
Legal name: Primary Health Care Inc
Nonprofit profile at a glance
- EIN
- 421350092
- IRS 990 coverage
- 2013–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Des Moines, IA, US
- Phone
- (515) 248-1447
- Rating
- 86
- Verdict
- STRONG
- Rating confidence
- Standard
- Sector
- Ambulatory Health Center, Community Clinic
Reported finances
- Revenue
- $65,660,546
- Expenses
- $68,537,765
- Assets
- $35,654,777
- Liabilities
- $15,969,456
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
28 people listed
Executive titles in this filing
- KELLY HUNTSMAN (CEO TO STRAGEY OFFICER 1/25)
- NATHANIEL SIMPSON (COO TO CEO 12/2024)
Highest reported compensation
- MAUREEN TACKE (PHYSICIAN - FAMILY PRACTICE): $286,189 total reported compensation
- ALAN BOLLINGER (PHYSICIAN - FAMILY PRACTICE): $281,672 total reported compensation
- HEIDI SHRECK (CMO TO PHYSICIAN 10/2024): $267,196 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Primary Health Care provides comprehensive, compassionate, and accessible healthcare to all individuals, regardless of their ability to pay.
What it reported doing in 2024
Primary health care's HIV program expanded in january 2013. It provides comprehensive primary medical, dental, mental health, and nurse care management services to patients with HIV disease. Services also include testing, supportive services such as housing and case management, counseling, and referrals. These programs served hundreds of patients with HIV during the year, and thousand at risk for contracting the disease. Funding comes from hrsa's ryan white parts b and c, hud's hopwa program, the cdc, and Iowa department of public health.
Operating model
- Revenue model
- Mixed. Its operating money came from several sources; no one source provided a clear majority.
- Distribution model
- Direct operator. The filing allocates 84% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 90
- Transparency & Controls: 83
- Accountability: 95
- Sustainability: 21
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 89.8%; rating input score 90
- Program expense ratio: 86%; rating input score 86
- Fundraising efficiency: $2,377.89 raised per $1 spent on fundraising; rating input score 98; 98th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -4.4%; rating input score 14; 14th percentile among comparable filings
- Total-asset coverage ratio: 0.52; rating input score 19; 19th percentile among comparable filings
- Liabilities to assets ratio: 0.45; rating input score 40; 40th percentile among comparable filings
- Officer compensation ratio: 3.5%; rating input score 31; 31st percentile among comparable filings
Growth
- Program expense growth: 8.7% per year; rating input score 100; 68th percentile among comparable filings
- Revenue growth: 7.9% per year; rating input score 100; 66th percentile among comparable filings
- Asset growth: 9.6% per year; rating input score 100; 68th percentile among comparable filings
Details
- What they do: 10 programs and campaigns described on the official site · 4 operating locations identified
- Where the money goes: 89.8% of revenue deployed · 86% of spending went to programs
- Governance: 13 of 13 board members independent · 8 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $59M in reported program spending
- Leadership: top reported pay $286K · 28 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $3.4M reported
- Consistency: 38 of 38 current checks pass
- Schedules: 7 filed schedules · includes major donors, grants, and executive pay
- Filing history: 12 filing years from 2013 to 2024
- Contacts: How to reach this organization
- Money network: 15 filed money-flow records
- Related organizations: 1 filed related-organization link
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Sustainability: Operating margin scored 14/100.
- High — Sustainability: Total-asset coverage ratio scored 19/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- Moderate — Sustainability: Officer compensation ratio scored 31/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 40/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.