2024-05-15T12:45:47-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 460867190 IOWA MEDICAL EDUCATION COLLABORATIVE % PRIMARY HEALTH CARE INC IOWA 5152473121 1111 6TH AVENUE DES MOINES IA 503142610 KELLY HUNTSMAN PRESIDENT 5152473121 2023-09-26 true KELLY HUNTSMAN XXX-XX-XXXX Krystal K Creach P01248198 4178658701 2 2022 2023-04-26 12:10:37Z KELLY HUNTSMAN 1111 6TH AVENUE DES MOINES IA 503142610 4997351 false X N/A X 2012 IA TO ENHANCE THE QUALITY OF PRIMARY AND SPECIALTY MEDICAL SERVICES IN POLK COUNTY, IOWA, AND ADJACENT COMMUNITIES, PARTICULARLY UNDERSERVED AND RURAL COMMUNITIES. 6 6 0 6 0 0 5112980 4997351 0 0 0 0 0 0 5112980 4997351 5100980 4985351 0 0 0 0 0 0 0 12000 12000 5112980 4997351 0 0 0 0 0 0 0 TO ENHANCE THE QUALITY OF PRIMARY AND SPECIALTY MEDICAL SERVICES. false false 4997351 4985351 IOWA MEDICAL EDUCATION COLLABORATIVE (IMEC) IS THE PRODUCT OF A MASTER PARTICIPATION AGREEMENT BETWEEN PRIMARY HEALTH CARE, INC AN MERCY ONE DES MOINES FOR THE PURPOSE OF FACILITATING GRADUATE MEDICAL EDUCATION ACTIVITIES AND PROGRAMS INCLUDING MULTIPLE RESIDENCY TRAINING PROGRAMS. 4997351 true true false false false false false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false false false false false false false false false false false false true 0 0 0 false false false false false false false false false false false false X 6 6 true false false false false false false true true false false true true true true true true false false false X PRIMARY HEALTH CARE INC 5152481447 1200 UNIVERSITY AVE 200 DES MOINES IA 50314 X KELLY HUNTSMAN PRESIDENT 2.0 0.0 X X 0 0 0 DR HEIDI SHRECK MEMBER 2.0 0.0 X 0 0 0 NATHAN SIMPSON MEMBER 2.0 0.0 X 0 0 0 JESSICA ZUZGA-REED SECRETARY BEG 11/22 2.0 0.0 X X 0 0 0 DEB BAGNALL MEMBER 2.0 0.0 X 0 0 0 RANDY RUBIN TREASURER 2.0 0.0 X X 0 0 0 DR LISA LAURENT SECRETARY END 09/22 2.0 0.0 X X 0 0 0 0 0 0 0 false false false 0 197351 4800000 4997351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4997351 4985351 4985351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12000 12000 0 0 0 0 0 0 0 0 0 0 0 0 4997351 4997351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false true true false false false false false false false false true false true SCHEDULE E, PART I, LINE 3 NON-DISCRIMINATION POLICY: IOWA MEDICAL EDUCATION COLLABORATIVE COMPLIES WITH APPLICABLE FEDERAL CIVIL RIGHTS LAWS AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, AGE, DISABILITY OR SEX. IOWA MEDICAL EDUCATION COLLABORATIVE DOES NOT EXCLUDE PEOPLE OR TREAT THEM DIFFERENTLY BECAUSE OF RACE, COLOR, NATIONAL ORIGIN, AGE, DISABILITY OR SEX. SCHEDULE E, PART I, LINE 4D FINANCIAL AID: FUNDING APPROVED FROM US DEPT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES SERVICES ADMINISTRATION, BUREAU OF HEALTH PROFESSIONALS TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION GRANT. THIS GRANT IS PASSED THROUGH TO IMEC FROM PRIMARY HEALTH CARE, INC. SCHEDULE E, PART I, LINE 6B GOVERNMENTAL FINANCIAL ASSISTANCE: FUNDING APPROVED FROM US DEPT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES SERVICES ADMINISTRATION, BUREAU OF HEALTH PROFESSIONS, TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION GRANT. THIS GRANT IS PASSED THROUGH TO IMEC FROM PRIMARY HEALTH CARE, INC. true MERCY ONE DES MOINES MEDICAL CENTER 1111 6TH AVENUE DES MOINES IA 50314 420680448 501(C)(3) 4207383 SUPPORT PRIMARY HEALTH CARE 1200 UNIVSERITY AVE DES MOINES IA 50314 421350092 501(C)(3) 777968 SUPPORT 2 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: DUE TO A MASTER PARTICIPATION AGREEMENT, THE ORGANIZATION PASSES THROUGH THE RURAL RESIDENCY TRAINING GRANT TO PRIMARY HEALTH CARE AND MERCY MEDICAL CENTER-DES MOINES FOR THE PURPOSE OF FACILITATING A RESIDENCY PROGRAM. THIS PASS THROUGH GRANT COVERS THE CERTIFIED RESIDENT TRAINING PROGRAMS OPERATED COLLECTIVELY BY BOTH GRANT RECIPIENTS. FORM 990, PART VI, LINE 2 BOARD OF DIRECTORS: DIRECTORS HUNTSMAN, SHRECK, AND SIMPSON ARE ALL EMPLOYEES AT PRIMARY HEALTH CENTER, INC AND ZUZGA-REED, BAGNALL, AND RUBIN ARE ALL EMPLOYEES AT MERCY MEDICAL CENTER - DES MOINES. 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 INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 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 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.