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A MESSAGE FROM OUR CEO

As we close out the celebration of the Iowa Primary Care Association’s (Iowa PCA) 35th anniversary, I am honored to share the remarkable journey we have undertaken together. As we reflect on three and a half decades of unwavering commitment to Iowa’s community health centers (CHCs), it fills me with immense pride to witness the collective impact Iowa’s CHCs have made on the lives of so many individuals. While several CHCs in Iowa were created before our founding, the establishment of the Iowa PCA marks the beginning of a unified, statewide movement.

Our mission has held steady since our inception: enhancing community health centers’ capacity to care. Our focus remains laser focused on supports and direct services that enhance the resilience and impact of community health centers, essential community providers that a quarter million Iowans rely on every year for a growing array of medical, behavioral health, oral health, pharmaceutical, and other services focused on wholeperson health.

Over those 35 years, we have experienced rapid and dynamic growth, opportunity, and more than our fair share of challenges. And I could not be prouder that Iowa’s CHCs are proactive in our anticipation of and preparation for changes that lie ahead, collaborative in our approach to building cost-effective systems and ensuring our entire network can advance together, and willing to be innovative and take carefully thought-through risks to move us forward. That legacy is a testament to the creative, dedicated, and passionate leaders and staff at Iowa’s CHCs and the Iowa PCA. Our commitment to tackling some of healthcare’s most pressing challenges head-on has fueled a culture of innovation that continues to drive us forward.

With the creation of INConcertCare and IowaHealth+ – our sister organizations propelling us forward in data analytics, population health management and value-based care – our network serves as a supportive ecosystem for Iowa’s CHCs as we collectively tackle the challenges of the next 35 years.

Looking ahead, we remain committed to our core values. We will continue to adapt and innovate to meet the evolving needs of Iowa’s CHCs and the communities they support, always striving to deliver the highest standard of care in partnership with the communities in which we serve.

Together, we can build a healthier future for generations of Iowans to come. Thank you for your continued support and partnership for this essential work!

AARON TODD , MPP, MHCDS Chief Executive Officer Iowa Primary Care Association, INConcertCare, and IowaHealth+

BOARD OF DIRECTORS

ANDREA

JAMES KAMMERER

CHRISTINE KEMP

CHAD WOLBERS

KELLY

DANIEL

RENAE

IOWA PCA BOARD MEMBERS

Daniel Zinnel, Chair

Tom Bowman, Vice Chair

Joy Alexander, Treasurer

Joe Lock, Secretary

Joel Dougherty

Renae Kruckenberg

James Kammerer

Chad Wolbers

Kyle Ahlenstorf

Christine Kemp

Kelly Huntsman

Emily Tuschen

Andrea Buckley

Rich Gehrig

Ursula Livermore, MD

Danielle O’Brien-Day, LMHC, NCC

Lucas Lemburg, DDS

INCC BOARD MEMBERS

Christine Kemp, Chair

Kelly Huntsman, Vice Chair

Renae Kruckenberg, Secretary

Joel Dougherty, Treasurer

Tom Bowman

Joe Lock

Kyle Ahlenstorf

Joy Alexander

Andrea Buckley

Emily Tuschen

Rich Gehrig

Chad Wolbers

James Kammerer

Sharon Duclos, MD

IH+ BOARD MEMBERS

Joe Lock, Chair

Emily Tuschen, Vice Chair

Kyle Ahlenstorf, Secretary

Kelly Huntsman, Treasurer

Joel Dougherty

Renae Kruckenberg

James Kammerer

Andrea Buckley

Christine Kemp

Joy Alexander

Chad Wolbers

Aaron Todd

Michael Piplani, MD

William Schoenenberger

BOARD CLINICAL REPRESENTATIVES

URSULA LIVERMORE, MD

SHARON DUCLOS, MD

MICHAEL PIPLANI, MD

DANIELLE DAY O’BRIEN, LMHC, NCC

IOWA PCA, INCC, & IH+ SENIOR LEADERSHIP TEAM

Senior

Senior Director of Transformation

CLINICAL CONSULTING

AARON TODD MPP, MHCDS, Chief & Technology

MD, FAAP, Clinical Leadership Consultant

MPA, Senior Director of Partnerships & Development

DHA, Senior Director of Workforce Innovation & Interim CFO

Director of Engagement

ENHANCING COMMUNITY HEALTH IN IOWA

The network of the Iowa Primary Care Association, along with our sister companies INConcertCare and IowaHealth+, is a supportive ecosystem sought by states across the country for how Primary Care Associations, Health Center Controlled Networks (HCCNs), and Clinically Integrated Networks (CINs) can be intentionally integrated and leveraged to support and enhance the work of community health centers.

ORGANIZATIONAL ALIGNMENT

Our work is focused on integrating and leveraging technical assistance, staff expertise, and financial resources across our three organizations to align strategic activities and optimize deliverables and outcomes. Our network utilizes a data-driven, member-engaged approach to identify priority initiatives, develop appropriate interventions, strategically deploy resources and assistance, and evaluate success. Our joint mission and vision statements and strategic plan ensure all three organizations are moving in the same strategic direction.

ECONOMIC IMPACT & COST SAVINGS CREATING

The CHC program presents an unparalleled opportunity to address critical healthcare access and population health outcome vulnerabilities that result from a lack of primary care services. The CHC model has proven to increase access to primary care, lower costs, drive economic activity, and improve community health.

2,200 individuals employed by Iowa’s

STATE IMPACT

Iowa’s CHCs produced $626.6 million in economic output and $260.2 million in labor income in 2021, according to a National Association of Community Health Centers (NACHC) and Matrix Global Advisors (MGA) analysis in 2023. This is felt most strongly in rural and under-resourced areas, bolstering quality of life. In total, Iowa’s CHCs employ over 2,200 individuals, often serving as the largest employer in rural areas.

NATIONAL IMPACT

CHCs provide healthcare access to more than 31.5 million patients annually – or 1 in every 11 people – in every state, territory, and the District of Columbia. According to the NACHC/MGA analysis, CHCs save the U.S. healthcare system over $24 billion annually while creating more than $85 billion in economic activity, including more than $37 billion in labor income.

According to NACHC, for every $1 invested solely in federal Health Center Program 330 funding, Iowa’s community health centers collectively generate $5.13 in total economic activity across the state.

LOWER COST OF CARE

A University of Chicago study of 13 states found CHCs each year save Medicaid on average $2,317

CHCs provide healthcare access to more than

31.5 million

PATIENTS ANNUALLY

1 in every 11 people

(or 24%) per person in total cost of care when compared to other providers. In Iowa, the cost of care at CHCs is 27% lower than other providers. Iowa CHCs provide care to 16% of all Iowa Medicaid beneficiaries while representing only 2% of the state of Iowa’s total Medicaid expenditures. Additionally, Iowa’s CHCs engage with Iowa’s managed care organizations to monitor total cost of care for attributed patients and employ sophisticated population health management and patient engagement approaches to reign in costs while ensuring quality outcomes.

CAPITAL INVESTMENTS AND EXPANSION

The growth of CHCs, both with physical space and number of patients receiving care, has a significant impact on their communities. Capital investments to pay for expansion or renovations to existing CHCs stimulate economic activity in construction and associated professions while increasing access to care of communities. Patient growth requires a commensurate increase in CHC staff to provide care, creating more healthy citizens and ever larger economic impacts on the local community. With appropriate investments, CHCs could provide care to 1 in 10 Iowans by 2030.

CHCs save the U.S. healthcare system over while creating more than

$24 billion ANNUALLY $85 billion in economic activity, including more than $37 billion in labor income

CLOSING THE PRIMARY CARE GAP

Over 100 million Americans— nearly one-third of the nation— do not have access to a usual source of primary care due to a shortage of providers in their local community, according to Closing the Primary Care Gap: How Community Health Centers Can Address the Nation’s Primary Care Crisis, by NACHC and HealthLandscape at the American Academy of Family Physicians (AAFP).

Only 1 in 10 of the medically disenfranchised population are uninsured, demonstrating that access to a usual source of primary care requires more than having insurance. Many people who have insurance are still unable to access primary care in their community due to a shortage of providers.

Over half of medically disenfranchised individuals have an income below 200% of the Federal Poverty Level. These individuals face additional cost barriers that may prevent them from traveling long distances to access care.

Almost a quarter of the medically disenfranchised population are children. Access to primary care for children is critical, yet too many children are not receiving the

care they need to grow up to be healthy and productive citizens.

Without CHCs, 15 million more patients would be at risk of not having a usual source of primary care. Investing in community health centers is an investment in local communities.

CHCs

IOWA’S COMMUNITY HEALTH CENTERS

STATEWIDE IMPACT

868,483

TOTAL CLINICAL VISITS

241,126

TOTAL PATIENTS*

34,513

TOTAL VIRTUAL VISITS

2,265

TOTAL HEALTH CENTER STAFF

PATIENT DEMOGRAPHICS

153,652

ADULT PATIENTS

87,474 CHILDREN & ADOLESCENTS

3,404 VETERANS

10,262 PATIENTS EXPERIENCING HOMELESSNESS

The high-quality care that patients receive at CHCs is driven by an integrated, multidisciplinary team, drawing on a range of clinical disciplines and administrative expertise.

The pressures from workforce shortages in the healthcare sector have been growing and compounding for years due to many factors, including an increase in the number of primary care providers nearing retirement, worsening shortages in multiple clinical disciplines, increased market competition resulting in higher wages, and providers leaving the workforce entirely.

CREATING CAREER PATHWAYS

As we work collaboratively with Iowa’s CHCs to meaningfully implement rootlevel solutions to the most pressing workforce needs, the Iowa PCA developed a Medical Assistant (MA) Apprenticeship Program and a Dental Assistant (DA) Apprenticeship Program. Over the last two years, MAs and DAs were identified as the top two areas of focus by CHC teams.

Thanks to support from the Telligen Community Initiative and program development by the Washington Association for Community Health, the programs are designed to pave the way

HEALTHCARE WORKFORCE SUPPORTING THE

for aspiring healthcare professionals to embark on fulfilling careers in medicine and dentistry. Our implementation goals include attracting and recruiting community-based, non-traditional students through this cost-effective option that ensures access to these programs and no student debt upon completion of either apprenticeship program.

Since the fall of 2023, cohorts for both MA and DA roles have trained nine apprentices. Each apprentice works with their dedicated mentor, a seasoned professional, gaining valuable insights and honing their skills in clinical settings. Upon completion of the program, apprentices will emerge with a solid foundation and national industry-recognized certifications, opening doors to exciting career opportunities and pathways for further education and specialization while making a difference in the lives of patients in our most medically under-resourced communities. In the future, the Iowa PCA aims to expand and enhance our programs through the expansion of mentor support, partnerships with industry leaders and community and outreach engagement.

WORKFORCE INNOVATION

The Iowa PCA recently invested in a new position focused primarily on workforce challenges and innovation: the Senior

Director of Workforce Innovation. This role was created due to the increasingly complex workforce challenges facing the healthcare industry and CHCs specifically, and our need to focus full-time efforts on developing a comprehensive strategic vision and capacity to direct ongoing and new collaborative workforce solutions and innovation. This work will ensure we anticipate and proactively prepare for future healthcare CHC workforce needs and challenges. In late 2023, Samantha Cannon, DHA, joined the Iowa PCA team in this new role. Samantha’s tenure, experience, and leadership at Infinity Health, an Iowa CHC, was in a broad array of roles, including 10+ years as CEO and earlier roles as the CFO and Resource Development Director. Samantha has experienced many challenges and, in close collaboration with her team, brought innovative solutions to rural communities to increase access and sustain and grow their workforce. Samantha is a result-oriented, collaborative leader who is passionate and committed to supporting community health. We are excited to engage more intentionally with other organizations to enhance existing and develop new partnerships as we embark on this new chapter!

LEADERS IN VALUE-BASED CARE

IowaHealth+ is more than a healthcare network. We focus on a whole-lifestyle approach to keeping people well, delivering more than just healthcare services to patients and their families, regardless of insurance status or ability to pay.

Through strategic network discussions focused on primary care’s value and ability to transform care for patients and our healthcare system, IowaHealth+ was born. IowaHealth+ is a primary care-led clinically integrated network owned and managed by 11 CHCs and the Iowa PCA. We are proactively defining our path forward in valuebased care in ways that reinvest in CHC’s integrated care model while safeguarding the essential mission of CHCs.

Over the last year, IowaHealth+ has taken the opportunity to leverage shared goals and transition nine of our eleven IowaHealth+ member CHCs to a centralized electronic health record (EHR) platform, helping to transform how we capture and report information about our patients, standardizing workflows and approaches for better ways of delivering care. We have also had a significant focus on digital

patient engagement with the new EHR platform, already surpassing patient utilization of patient portals/apps for communicating and sharing patient information as compared to previous EHR systems.

At IowaHealth+, we have experienced many successes over the years. Since 2016, IowaHealth+ has earned significant financial resources through our strong partnerships with Iowa’s three Managed Care Organizations (MCOs) – Iowa Total Care, Molina Healthcare, and Wellpoint. Through these partnerships, we can engage with the MCOs to strategically address patient access challenges across the state and have meaningfully improved patient outcomes and reduced the per capita cost growth rate for Iowa’s Medicaid program. Our engagements with the MCOs are supporting our capacity building for the data infrastructure and

care team evolution necessary to be successful in today’s and tomorrow’s healthcare system.

For our aging populations, our network also participates in the Medicare Shared Savings Program (MSSP) and through a partnership with Main Street Health for Medicare Advantage programs. We worked with Main Street Health, a value-based provider focused on rural healthcare, to co-design its first CHC-led network partnership that has since been adopted in other states.

We are proactively defining our path forward in valuebased care in ways that reinvest in CHC’s integrated care model while safeguarding the essential mission of CHCs.

Through these contracts and partnerships, we have successfully moved as a network to reduce cost while improving health outcomes for our patients –with a particular focus on helping them manage diabetes and high blood pressure and ensure patients who were hospitalized for a mental health condition were followed up with appropriately and timely.

Patients of CHCs are often from under-resourced

communities that have been historically marginalized due to disinvestments in their communities. We know supporting patients is not as simple as telling someone with high blood pressure to eat better and get more exercise. Each patient has unique and complex health and social needs, some of which are quite daunting. Some are experiencing homelessness, have language barriers, or are worried about things like getting their water shut off or lacking access to any sort of reliable transportation. In this context, we are incredibly proud of our network’s ability to support patients’ health goals and improve outcomes while continuing to find cost-effective solutions.

As we continue to see rising costs in healthcare, clinically integrated networks like IowaHealth+ are unique bright spots making a difference to help reduce costs to the system while ensuring patients have access to high-quality care. Our value-based care strategy and partnerships support further investment in our integrated care model and innovations to ensure we are ready to rise to the many challenges facing our healthcare system today and in the future.

OUR OWN DATA FUTURE

Health information technology is an integral part of CHCs’ ability to provide high-quality, accessible healthcare services. As our world becomes more reliant on technology and the conveniences it provides to a wide array of services, maximizing these opportunities helps to expand our ability to care. From accessing healthcare services through telehealth in rural communities to identifying populations to provide tailored interventions for improved health outcomes, having data at our fingertips is imperative to move our healthcare system forward.

INConcertCare (INCC), a sister organization of the Iowa PCA, provides essential technology and data support to Iowa’s network of CHCs through centralized strategy development and vendor management. These essential roles are coupled with robust services and support focused on electronic health records (EHR) systems, data analytics, and reporting.

In 2023, 11 of Iowa’s community health centers collectively implemented the OCHIN Epic EHR platform. This project was managed by INCC and is a first-of-its-kind model to provide a centralized, EHR solution to connect CHCs across the state. It enhances how Iowa’s CHCs and our clinically integrated network connect with other systems, share data, standardize workflows, make informed decisions, and collaborate with partners.

Following the implementation of OCHIN Epic, INCC significantly expanded our capacity to support custom reporting and analytics to inform clinical care, operations, and population health management. While an EHR provides vast amounts of data, strategic work is required to turn this data into actionable information. Our team of data scientists works closely with INCC, the Iowa PCA, IowaHealth+, and CHC staff to understand and enhance their work through data and drive exploration and innovation.

This year, we took a significant step in our journey by purposefully understanding differences in health behaviors, access, and outcomes among the patient population and communities served by CHCs. By disaggregating data, we can identify populations that are not receiving the care and support they need to achieve optimal health outcomes.

Moving forward, our enhanced access to data and technology will further propel our ability to support access, improve outcomes, reduce per capita costs, and maximize our ability to partner and inform others working to transform the healthcare system for the better.

From accessing healthcare services through telehealth in rural communities, to identifying populations to provide tailored interventions for improved health outcomes, having data at our fingertips is imperative to move our healthcare system forward.

THE ELEVEN COMMUNITY HEALTH CENTERS INCLUDE:

All Care Health Center: Council Bluffs

Community Health Care: Davenport; Clinton; Muscatine; Moline, IL; East Moline, IL; Rock Island, IL

Community Health Center of Fort Dodge: Fort Dodge; Dayton; Mason City; Eagle Grove; Clarion

Community Health Centers of Southeastern Iowa: West Burlington; Burlington; Keokuk; Columbus City

Crescent Community Health Center: Dubuque

Infinity Health: Leon; Lamoni; Albia; Centerville; Chariton; Corydon; Mt. Ayr; Knoxville; Osceola; Princeton, MO; Bethany, MO

Peoples Community Health Clinic: Waterloo; Clarksville

Primary Health Care, Inc.: Des Moines; Urbandale; Ames; Marshalltown

River Hills Community Health Center: Ottumwa; Centerville; Richland; Oskaloosa; Sigourney; Fairfield

Siouxland Community Health Center: Sioux City; South Sioux City, NE

United Community Health Center: Storm Lake

ENHANCING COMMUNITY HEALTH IN IOWA THROUGH TECHNOLOGY & DATA SHARING

We continue to see our healthcare system evolve to increasingly focus on the value of care provided instead of the volume of patients being seen. As part of this evolution, the role of robust health information technology is key to helping providers improve patient outcomes at a lower cost to the overall system.

As we continue our evolution to provide the best care possible and to respond to the ever-changing healthcare system, eleven of Iowa’s CHCs collectively implemented the OCHIN Epic electronic health record (EHR) in 2023. OCHIN is a nonprofit leader in accessible healthcare innovation and a trusted solutions partner, offering integrated support to a wide range of community-based providers for more than 20 years. Centrally contracted and supported by INCC, this massive collaborative effort establishes a unique national model, providing a centralized, EHR solution to connect CHCs in both rural and urban areas of the state.

This collaborative initiative provides many benefits to the participating CHCs and our partners, including:

• Implementation of standardized workflows and other operations, engagement in peer learning to enhance efficiencies and patient outcomes, and reduce costs for members

• Shared analytics and reporting infrastructure and supports, providing enhanced data analyses and dashboards for informed decision-making, automated and customized reporting tools

• Improved access to key external clinical information to aid delivery of patient care through Care Everywhere

• Enhanced patient engagement through MyChart, the patient portal, which provides patients the ability to connect with their care teams, play an active role in their care, and make the best healthcare decisions they can for themselves and their families

• Automated and aggregated data sharing with partners, reducing costs and improving the timeliness of information exchange

PARTNERSHIP

By leveraging the statewide network and support of INCC, CHCs have moved into stabilization and optimization of the system. CHC team members such as Epic Support Analysts (ESAs), Project Managers, Report Analysts, Super Users, and other subject matter experts have benefited from robust discussion and shared knowledge.

Robin Howard, Director of Network Success at OCHIN, shared her thoughts on the significance of the partnership between the Iowa CHCs, INCC and OCHIN. “Through this partnership, we have a strategic focus that aligns with the Iowa PCA, INCC and community health center priorities. The continued partnership with the INCC team offers essential support to both OCHIN and the individual community health centers. We are stronger together and this continued focus will help reduce the challenges community health centers face in today’s everchanging environment.”

A NOTE FROM OUR BOARD OF DIRECTORS

CEO, Proteus, Inc.

CHRISTINE KEMP

Board Chair

INConcertCare CEO, Peoples Community Health Clinic

Board Chair

IowaHealth+

President & CEO, Eastern Iowa Health Center

FROM INFANTS TO THE ELDERLY, OUR COMMITMENT EXTENDS TO ALL, REGARDLESS OF INSURANCE STATUS OR FINANCIAL MEANS.

As healthcare providers dedicated to supporting under-resourced communities, we witness firsthand the myriad challenges patients encounter when seeking healthcare. Whether in rural or urban settings, our patients confront obstacles like transportation limitations, food insecurity, and housing instability, all of which exacerbate their ability to access affordable healthcare and reach their personal health goals. These barriers often result in adverse health outcomes and disrupt our patients’ ability to lead productive lives, hampering their capacity to work, learn, and contribute to their local communities.

Our state’s CHCs collectively provide care to nearly 250,000 patients annually, forming a robust network for affordable and accessible primary care in Iowa. From infants to the elderly, our commitment extends to all, regardless of insurance status or financial means, and through care that is provided in an intentional and compassionate manner. Through our integrated care model, patients can access medical, oral health, behavioral health, and pharmacy services, often under one roof. With dedicated resources aimed at addressing barriers to care, we are steadfast in our mission to ensure our patients can lead healthy, fulfilling lives.

In recent years, there has been a notable shift in the healthcare landscape, with a greater emphasis placed on the value of care rather than the sheer volume of visits. Iowa’s CHCs have embraced this transition towards value-based care, championing the delivery of comprehensive, coordinated services at a lower overall cost. Studies have demonstrated that our CHCs provide care at a remarkable 27% lower cost compared to other providers, offering an exceptional return on investment for state and federal resources, as well as our partners.

Iowa’s CHCs are leading the nation in helping patients achieve their healthiest lives. Each year, the Health Resources and Services Administration (HRSA) recognizes outstanding achievements by Health Center Program awardees in the areas of quality, access, and health information technology for the most recently completed calendar year by awarding Community Health Quality Recognition (CHQR) badges.

Seven – half – of Iowa’s 14 CHCs were recognized with the Gold Health Center Quality Leader badge, meaning they perform in the top 10% of all CHCs nationwide. To put it another way, 50% of

Iowa’s CHCs perform among the top 10% of the 1,400 CHCs across the nation! This is a remarkable accomplishment.

One Iowa CHC also achieved the Silver Health Center Quality Leader badge, performing in the top 11-20% nationally. And one of the Iowa CHCs receiving a Gold Health Center Quality Leader badge also received the National Quality Leader for their work to improve heart health, performing in the top 4% of all CHCs nationwide. Iowans are fortunate to have such a high caliber CHC network to call upon.

Nevertheless, we acknowledge that significant healthcare access gaps persist. A recent study revealed that over 100 million Americans—almost a third of the nation—lack access to a consistent source of primary care due to provider shortages in their local communities. Through continued investments in CHCs, we can play a pivotal role in bridging these gaps, providing an integrated healthcare home, and ensuring that all individuals receive the care they need and deserve.

JOE LOCK

ALL CARE HEALTH CENTER

JOEL DOUGHERTY Chief Executive Officer jdougherty@allcarehealthcenter.org

(712) 325-1990 www.allcarehealthcenter.org

LOCATIONS RACE

All Care Health Center 902 South 6th Street Council Bluffs, IA 51501

Florence M. Lakin Health Center 1415 Avenue J, Suite 2 Council Bluffs, IA 51501

New Visions Homeless Services Clinic 14135 North 15th Street Council Bluffs, IA 51501

Mobile Clinic Various Locations in Council Bluffs Area

Pottawattamie, Harrison, Shelby, Audubon, Cass, Montgomery, Mills, Fremont, Page

24,408 100+ VETERANS

5,608 TOTAL PATIENTS

71 EMPLOYEES

700 PATIENTS EXPERIENCING HOMELESSNESS

COMMUNITY HEALTH CARE, INC.

TOM BOWMAN Chief Executive Officer tbowman@chcqca.org

146,866

TOTAL VISITS

46,159

TOTAL PATIENTS

376 EMPLOYEES

CHC Davenport Medical Clinic

500 West River Drive Davenport, IA 52801

CHC Davenport Dental Clinic 125 Scott Street Davenport, IA 52801

CHC Homeless Clinic

500 West River Drive

Davenport, IA 52801

CHC Edgerton Women’s Clinic 1510 East Rusholme Street

Davenport, IA 52803

CHC Outreach Clinic 902 West 4th Street Davenport, IA 52802

Clinton Medical & Dental Clinic 925 South 4th Street Clinton, IA 52732

Muscatine Medical Clinic 2925 Cedar Street, Suite 2 Muscatine, IA 52761

Muscatine Dental Clinic

312 Iowa Avenue Muscatine, IA 52761

CHC at The Project of the Quad Cities 4101 John Deere Road

Moline, IL 61265

Moline Medical Clinic 1106 4th Avenue

Moline, IL 61265

East Moline Medical Clinic 708 15th Avenue East Moline, IL 61265

Rock Island Medical & Dental Clinic

2750 11th Street Rock Island, IL 61201

CHC at Robert Young Center 2200 3rd Avenue

Rock Island, IL 61201

SCHOOL-BASED CLINICS

Smart Junior High School

Sudlow Junior High School

Williams Junior High School

Wood Junior High School

Bowlesburg Elementary School

Glenview Middle School

Hilcrest Elementary School

Ridgewood Elementary School

Wells Elementary School

1,724 PATIENTS EXPERIENCING HOMELESSNESS

Clinton, Muscatine, Scott, Rock Island, IL

COMMUNITY HEALTH CENTER OF FORT DODGE

RENAE KRUCKENBERG Chief Executive Officer rkruckenberg@chcfortdodge.com

Community Health Center of Fort Dodge

126 North 10th Street Fort Dodge, IA 50501

Clarion Clinic

303 North Main Street Clarion, IA 50525

Dayton Clinic

24 South Main Street Dayton, IA 50530

Mason City Clinic

404 North Federal Avenue Mason City, IA 50401

Eagle Grove Clinic

306 West Broadway Street Eagle Grove, IA 50533

43,537

12,705 TOTAL

100 EMPLOYEES

Webster, Cerro Gordo, Wright

IOWA, INC. (CHC/SEIA)

JAMES KAMMERER

Interim Chief Executive Officer jameskammerer@chcseia.com

(319) 753-2300 www.chcseia.com

West Burlington Medical, Pediatric and Dental Clinic 1706 West Agency Road West Burlington, IA 52655

Behavioral Health Clinic

400 South Broadway Street West Burlington, IA 52601

Burlington Clinic

400 South Broadway Street Burlington, IA 52601

Keokuk Medical Clinic

400 North 17th Street Keokuk, IA 52632 Des Moines | Henry | Lee COUNTY

Keokuk Dental Clinic 1618 Main Street Keokuk, IA 52632

Louisa County Clinic 2409 Spring Street Columbus City, IA 52737

Administrative Office Burlington, IA

TOTAL VISITS

74,478 381+ VETERANS PROVIDED CARE

17,872

TOTAL PATIENTS 1,157 PATIENTS EXPERIENCING HOMELESSNESS

189 EMPLOYEES

PATIENT INCOME

RACE & ETHNICITY

PATIENT AGE

CRESCENT COMMUNITY HEALTH CENTER

CHAD WOLBERS

Interim Chief Executive Officer cwolbers@crescentchc.org

35,880 334+ VETERANS

9,193

TOTAL

349

Crescent Community Health Center 1690 Elm Street, Suite 300 Dubuque, IA 52001

EASTERN IOWA HEALTH CENTER

JOE LOCK President & Chief Executive Officer jlock@eihc.co

(319) 730-7300 www.easterniowahealthcenter.org

Family Medicine, Women’s Health, Behavioral Health 1201 3rd Avenue SE Cedar Rapids, IA 52403

Pediatrics 1225 3rd Avenue SE Cedar Rapids, IA 52403

Dental Health 1210 4th Avenue SE Cedar Rapids, IA 52403

Women’s Health – Vinton 502 North 9th Avenue Vinton, IA 52349

Administrative Headquarters 1030 5th Avenue SE, Suite 2400 Cedar Rapids, IA 52403

TOTAL VISITS

46,427 82+ VETERANS PROVIDED

12,937

TOTAL PATIENTS 2,261 PATIENTS EXPERIENCING HOMELESSNESS

EMPLOYEES

Linn | Benton | Iowa | Johnson | Jones

INFINITY HEALTH

KYLE AHLENSTORF Chief Executive Officer kyle.ahlenstorf@weareinfinityhealth.org

LOCATIONS (641) 446 - 2383 www.weareinfinityhealth.org

Leon Facility 302 NE 14th St Leon, IA 50144

Lamoni 802 East Ackerly Lamoni, IA 50140

Albia 117 South Main Street Albia, IA 52531

Centerville 221 East State Street Centerville, IA 52544

Chariton Behavioral Health 1711 Osceola Avenue Chariton, IA 52544

Corydon 102-104 North Franklin Corydon, IA 50060

Mt. Ayr 1201 East South Street

Mount Ayr, IA 50854

Osceola Behavioral Health 219 West Washington Street Osceola, IA 50213

Osceola Dental

131 West Washington Street Osceola, IA 50213

Knoxville 1504 North Lincoln Street Knoxville, IA 50138

Bethany, MO

2600 Miller St Bethany, MO 64424

Princeton, MO 606 West Main Street Princeton, MO 64673

SCHOOL-BASED CLINICS

Lamoni Community School District

Central Decatur - North Elementary/Jr-Sr High School

Albia High School

Grant Center

Kendall Center

Lincoln Center

Mt. Ayr Junior/Senior SBHC

Mt. Ayr Elementary

Wayne Community School District North Mercer School

52,151 394+

9,854

TOTAL PATIENTS 145 PATIENTS EXPERIENCING

111 EMPLOYEES

WATERLOO | CLARKSVILLE

PEOPLES COMMUNITY HEALTH CLINIC

Executive Officer

DES MOINES | AMES | MARSHALLTOWN | URBANDALE

PRIMARY HEALTH CARE, INC.

KELLY HUNTSMAN Chief Executive Officer khuntsman@phcinc.net

(515) 248-1447

www.phciowa.org

Administrative Office

1200 University Ave., #200

Des Moines, IA 50314

University Medical

1200 University Ave., #120 Des Moines, IA 50314

University Dental

1200 University Ave., #100

Des Moines, IA 50314

The Project of PHC

1200 University Ave., #120 Des Moines, IA 50314

Pharmacy

1200 University Ave., #105

Des Moines, IA 50314

Homeless Support Services

1200 University Ave., #110A

Des Moines, IA 50314

Engebretsen Medical

2353 SE 14th Street

Des Moines, IA 50320

Engebretsen Dental

2353 SE 14th Street

Des Moines, IA 50320

East Side Campus

TOTAL VISITS

134,140 391+ VETERANS PROVIDED CARE

39,393

TOTAL PATIENTS

412 EMPLOYEES

2,009 PATIENTS EXPERIENCING HOMELESSNESS

97,453 MEDICAL VISITS

21,099 DENTAL VISITS

PHC at Mercy

250 Laurel Street Des Moines, IA 50314

West Side Medical 7555 Hickman Road Urbandale, IA 50322

Marshalltown

Medical & Dental Clinic

101 Iowa Ave. W. Marshalltown, IA 50158

Ames Medical & Dental Clinic

3510 Lincoln Way Ames, IA 50010

Mobile Health Unit

Various Locations Around Central Iowa

SCHOOL-BASED LOCATIONS

East High School Hoover/Meredith Campus Kurtz Opportunity Center

Marshall, Polk, Story, Harden, Grundy, Tama, Jasper, Warren, Madison, Dallas, Boone

3509 East 29th Street Des Moines, IA 50317 VISITS BY SERVICE TYPE

9,953 BEHAVIORAL HEALTH VISITS

5,635 ENABLING SERVICES VISITS

INSURANCE SOURCE

PATIENT INCOME

RACE & ETHNICITY

PATIENT AGE

PROMISE COMMUNITY HEALTH CENTER

EMILY

Chief Executive Officer etuschen@promisechc.org

20,457

6,431

PROTEUS, INC.

DANIEL ZINNEL Chief Executive Officer danielz@proteusinc.net

Iowa City Office 1548 South Gilbert Street Iowa City, IA 52240

Proteus, Inc. provides services throughout the state of Iowa. COUNTY SERVICE AREA

Migrant workers are individuals whose principal employment is in agriculture, who have been so employed within the last 24 months, and who establish for the purposes of such employment a temporary abode. Seasonal workers are individuals whose principal employment is in agriculture on a seasonal basis and who are not migratory agricultural workers.

3,064

1,155

12 EMPLOYEES

RIVER HILLS COMMUNITY HEALTH CENTER

JOY ALEXANDER Chief Executive Officer jalexander@riverhillshealth.org

Administrative Office 116 West Main Street Ottumwa, IA 52501

Patient Accounts & Medical Records Office 116 West Main Street Ottumwa, IA 52501

Wapello County Clinic – Ottumwa

201 South Market Street Ottumwa, IA 52501

Wapello County Clinic – Ottumwa Counseling Services

216 South Market Street Ottumwa, IA 52501

Keokuk County Clinic – Richland 100 West Main Street Richland, IA 52585

Appanoose County Clinic – Centerville 1015 North 18th Street, Suite C Centerville, IA 52544

Keokuk County Clinic – Sigourney

300 West Kelly Street Sigourney, IA 52591

Mahaska County Clinic – Oskaloosa 1417 A Ave East, Suite 100 Oskaloosa, IA 52577

Jefferson County Clinic – Fairfield

2000 South Main Street Fairfield, IA 52556

SCHOOL BASED LOCATIONS

Fairfield High School

Pence Elementary

Sigourney Elementary School

Sigourney Junior-Senior High School

Pekin Community Schools

Washington Elementary

Cardinal Community School

Fairfield Middle School

Ottumwa High School

COUNTY SERVICE AREA

85,022 232+ VETERANS

TOTAL VISITS

22,244

TOTAL PATIENTS 142 PATIENTS EXPERIENCING HOMELESSNESS

199 EMPLOYEES

SIOUX CITY | SOUTH SIOUX CITY, NE

SIOUXLAND COMMUNITY HEALTH CENTER

ANDREA BUCKLEY Interim Chief Executive Officer abuckley@slandchc.com

(712) 252-2477 www.slandchc.com

Siouxland Community Health Center 1021 Nebraska Street

Sioux City, IA 51105

Siouxland Community Health of Nebraska 3410 Futures Drive

South Sioux City, NE 68776

Behavioral Health Clinic 1122 Pierce Street

Sioux City, IA 51105

Plymouth | Woodbury | Dakota, NE

124,499

34,190

TOTAL

UNITED COMMUNITY HEALTH CENTER

19,277

5,775

ANNUAL AWARDS

Each year, the Iowa PCA celebrates the amazing accomplishments of those dedicated to Iowa’s Community Health Center Movement.

CARL KULCZYK MEMORIAL AWARD

Pharmacists like Heather Rickertsen enable thousands of patients to live healthier and fuller lives by guiding them on the best pharmaceutical therapies for their unique health circumstances. Heather has been with Crescent CHC since the very beginning, initially as a consultant. Heather strongly advocates for the 340B Prescription Drug Program, ensuring patients can access affordable prescriptions and comprehensive services. As CHCs have weathered continued attacks on the program, Heather has worked tirelessly to ensure the patient remained the focus of the efforts while supporting Crescent CHC’s vision of quality care for all, resulting in a healthy community.

OUTSTANDING PROVIDER AWARD

UNSUNG HERO AWARD

KAILEE JENNESS SOCIAL WORKER PROMISE COMMUNITY HEALTH CENTER

This award was established in recognition of Carl Kulczyk’s outstanding contributions to the Iowa PCA and community health field prior to his death in 2008. The award is presented to individuals who have made outstanding contributions to his/her organization or community. Heather’s impact as a clinical pharmacist, patient advocate, and valued team member at Crescent CHC is an excellent demonstration of the legacy of Carl Kulczyk.

Infinity Health in May 2010 and in recognition of her leadership skills and dedication to the mission of Infinity Health, Danielle was promoted to the Behavioral Health Director role in 2012. Under her leadership, the behavioral health department has flourished. When Danielle was offered another promotion to Infinity Health’s administrative team, she would only accept if she could continue seeing patients. Rather than accept a fully administrative position, Danielle has insisted on maintaining a 50% therapy caseload, and she is routinely one of the most efficient, productive providers. More importantly, Danielle is loved by her patients and respected by her team. She models the mission and vision of Infinity Health, demonstrating compassion and consideration for both patients and team members. Danielle has served as the Behavioral Health Representative for the Iowa PCA’s Board of Directors. Her service and expertise as an outstanding provider have been tremendously beneficial for CHCs across the state.

Community Health Center, Kailee has already made a tremendous impact on the patients and staff. Kailee shows empathy, compassion, and true caring for the patients that meet with her. Kailee is constantly looking for ways to improve the lives of others. If she cannot fulfill a specific need for a patient, she finds other ways to help offset expenses – for example, providing a box of diapers so those funds could instead be used for an appointment or groceries. She is a patient person and makes everyone feel special through the time and encouragement she gives them. She has hard conversations with people and meets them where they are in life. Her dedication to Promise’s patients and the Community Health Center Movement demonstrates that she is a true healthcare hero.

HEATHER RICKERTSEN DIRECTOR OF CLINICAL PHARMACY SERVICES

DANIELLE O’BRIEN-DAY BEHAVIORAL HEALTH DIRECTOR INFINITY HEALTH

IMPACT AWARD

COMMUNICATORS OF THE YEAR

This award recognizes Delta Dental of Iowa’s exemplary dedication, innovation, and outstanding contributions to support oral health in Iowa and, specifically, in partnership with Iowa’s CHCs. We value the partnership built between our organizations as we collaborate to improve oral health access. Their unwavering commitment to our mutual values and goals has expanded the physical footprint of community health centers across Iowa, enabled systems deployment that facilitates true integration across services, and expanded access to oral care services in communities that otherwise would go without.

This award recognizes All Care Health Center for their outstanding communications including exceptional patient engagement, social media, and other forms of marketing. We believe that their communication and marketing embodies the spirit of the Community Health Center Movement. Their impact has not only made a difference, it has also inspired others around them.

ADVOCATES OF THE YEAR

Advocacy is at the heart of the Community Health Center Movement. Advocates work to ensure CHCs, as well as our patients, teams, and communities, have the necessary resources and a supportive policy environment to improve access and outcomes. This award recognizes Community Health Care, Inc.’s, engagement in advocacy, including exceptional performance on grassroots advocacy through the VoterVoice system and engagement with state and federal elected officials. Their persistence and relationshipbuilding are integral parts of our success as we continue to enjoy strong bipartisan support in Washington, DC, and at the Iowa Capitol.

DELTA DENTAL OF IOWA FOUNDATION

ALL CARE HEALTH CENTER

COMMUNITY HEALTH CARE, INC.

SUPPORTING COMMUNITY HEALTH CENTERS THROUGH ADVOCACY ACTION

Advocacy is the backbone of the Community Health Center Movement. With strong bi-partisan support, community health centers (CHCs) provide quality, affordable care to rural and other underresourced communities. Investments in the CHC Model provide a strong return on investment for both federal and state resources.

Our statewide advocacy amplifies the voices of our patients and communities. Strong relationships with elected officials allow us to bring forward the most pressing health challenges for their constituents. Advocacy also supports CHCs by creating opportunities to support their local communities with resources to support access, technology and equipment, telehealth, expanded services, integrated care including behavioral health and dental services, and more.

During the last year, the Iowa PCA, our member CHCs, and national advocacy partners have achieved important wins including:

STRONG BI-PARTISAN SUPPORT

Iowa’s community health centers continue to maintain strong relationships at both the state and federal levels, resulting in bipartisan support for the program. We continually host federal, state, and local elected officials at our member CHCs, allowing an opportunity for these individuals to tour the facilities, learn about their impactful work, and interact directly with providers, care teams, and even patients.

PROTECTING ACCESS TO AFFORDABLE PRESCRIPTION DRUGS

In 2023 state legislative session, the Iowa PCA, member CHCs, and allied organizations led the development and unanimous passage of state legislation to support the 340B Drug Pricing Program. This legislation prevents discriminatory contracting against 340B providers. In 2024, we engaged with our key champions and started conversations regarding the need for additional protections for the program. The 340B Program is vital for Iowa’s healthcare system as it allows patients of CHCs and other eligible program participants to access affordable prescription drugs. The program also provides resources to support CHC operations, allowing for increased access to an array of services in rural and other under-resourced areas, reducing the need for tax-funded support,

INVESTING IN COMMUNITY HEALTH

Investments in CHCs and related workforce programs such as the Teaching Health Center Graduate Medical Education program and the National Health Service Corps with funds through federal funding, state funding, and private giving. This was the largest increase in funding in several years.

BUILDING THE HEALTHCARE WORKFORCE

The Iowa PCA and community health centers supported efforts to make policy changes at the state and federal level to support the healthcare workforce. This included expansion of non-certified nurse midwives and changes to allow enhanced usage of Physician Assistants, marriage and family therapists, and mental health counselors.

EXPANDING MATERNAL HEALTH COVERAGE

In 2024, the Iowa PCA collaborated with statewide partners to successfully advocate for the passage of 12 months postpartum coverage for Medicaid. Access to quality care is vital both during pregnancy and beyond, providing a foundation for optimal health for years to come. This key state strategy will help to address maternal mortality.

YOUR VOICE MAKES A DIFFERENCE

Nearly 250,000 Iowans receive care through over 800,000 visits annually at Iowa’s CHCs where patients have access to comprehensive, integrated behavioral health, dental, medical, and pharmacy services, often under one roof.

Iowa’s CHCs work to meet the needs of all their patients, ensuring that under-resourced communities have access to quality, affordable services.

WE NEED YOUR SUPPORT!

Community health centers rely on advocates to tell their story and to share their impact in their communities. Through grassroots organization and mobilization, we have the ability to make real change.

Scan the QR code below to sign up for VoterVoice to quickly respond to action alerts and to remind your legislators to support the CHC Movement.

VOTERVOICE

VoterVoice is a safe and easy-to-use online tool allowing you to connect with lawmakers. With just a few simple steps, you can easily communicate with your legislators and make a difference in our state.

Through VoterVoice, we have the power to:

• Engage our supporters

• Amplify our message

• Directly impact policy by engaging with lawmakers

• Measure our reach

A NOTE FROM OUR PREMIER SPONSOR & SPONSOR LIST

FORVIS Mazars takes great pride in being the Premier Sponsor for the Iowa PCA, IowaHealth+, INCC, and member community health centers for the 2023-2024 term. We consider it an honor to contribute to the remarkable efforts underway in Iowa’s community health sector. CHCs are an integral part of FORVIS Mazars’ service portfolio. Through our ongoing collaboration, we’ve witnessed firsthand how these organizations exemplify the positive impact of supporting under-resourced populations on community well-being, economic vitality, and the healthcare landscape as a whole. We eagerly anticipate the continuation of our partnership and pledge our ongoing support to this critical component of the healthcare system for years to come.