Iowa Primary Care Association

What Iowa Primary Care Association does

Iowa Primary Care Association (Iowa PCA) is a Des Moines-based nonprofit association founded in 1988 that supports Iowa's 14 community health center (CHC) organizations and their 110+ service locations through advocacy, workforce development, technical assistance, training, and health information technology services. The association operates alongside two sister entities — INConcertCare (a health IT organization that managed the centralized OCHIN Epic EHR implementation for 11 of 14 Iowa CHCs) and IowaHealth+ (a clinically integrated network of 11 CHCs pursuing value-based care) — forming an integrated ecosystem for community health delivery. Since July 1, 2025, Iowa PCA has served as the statewide Behavioral Health Administrative Service Organization (BH-ASO) for Iowa Health and Human Services following the enactment of House File 2673, providing free system navigation services to all Iowans across seven behavioral health districts via the Your Life Iowa 24/7 hotline and 30+ in-person sites.

Iowa PCA's revenue model is overwhelmingly grant- and contract-driven rather than commercial: primary funding streams include HRSA federal grants (including the federal Health Center Program 330 funding that generates $4.40 in economic activity per $1 invested), the Iowa HHS BH-ASO state contract, CMS Rural Health Transformation Program funding (approximately $209 million associated with the Healthy Hometowns initiative), the NIH AIM-AHEAD grant ($523,750 for Year 1), and Wellmark Foundation grants ($5 million for school-based mental health). Services are provided free at the point of use; the organization does not sell products commercially. Distribution is achieved through the 14 CHC member network, over 100 contracted behavioral health providers, school-based telehealth partnerships (Classroom Clinic, Hazel Health), the Your Life Iowa hotline, and district advisory councils across all seven behavioral health districts. Combined headcount across Iowa PCA, INConcertCare, and IowaHealth+ exceeds 100 team members.

Technology infrastructure centers on the OCHIN Epic EHR platform managed through INConcertCare — a first-of-its-kind centralized EHR deployment across 11 Iowa CHCs — supplemented by the SNMIS billing platform for behavioral health services. The organization is currently developing a fairness-aware AI/ML model through its NIH AIM-AHEAD grant, designed to identify patients at risk of co-occurring chronic medical and behavioral health conditions within CHC EHR systems, using partner technologies including NOLA AI's Atomic AI framework and Foresight Health Solutions' Caliper Tool. Quality outcomes include 50% of Iowa CHCs ranked in the top 20% nationally (three Gold and two Silver HRSA Health Center Quality Leader awards in 2025), 27% lower cost of care compared to other providers, and over 16,700 behavioral health system navigation interactions plus 4,929 referrals handled since July 2025.

Name

Iowa Primary Care Association

Legal name

Iowa Primary Care Association

Website

https://iowapca.org

Company type

Private

Founded year

1988

Operating status

Operating

Headcount range

11–50 employees

Short description

Iowa Primary Care Association is a Des Moines-based nonprofit, founded in 1988, that supports 14 Iowa community health centers operating 110+ locations serving over 263,000 Iowans, and serves as the statewide Behavioral Health Administrative Service Organization, providing advocacy, training, health IT, and free system navigation services.

Ownership category

akta.pro rank

Product category

Community Health Services / Healthcare Association Services

NAICS

Professional Organizations (81392), Administration of Public Health Programs (923120)

SIC

Services-Membership Organizations (8600), Services-Social Services (8300)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industries

Integrated Primary Care in Behavioral Health Settings (HLAFAGAM), Care Management & Population Health Program Administration (HLAEALAG)

Keywords

• Community health centers
• Behavioral health services
• Healthcare workforce training
• Rural health transformation
• Primary care association

Headquarters

HQ city

Des Moines

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Grant Funding & Government Contracts: Primary revenue through HRSA federal grants, CMS Rural Health Transformation Program funding, and Iowa HHS contracts for serving as the Behavioral Health Administrative Service Organization. The Healthy Hometowns initiative is funded through CMS with approximately $209 million.
2. Health Center Program Funding: Federal Health Center Program 330 funding supports community health centers, generating $4.40 in total economic activity per $1 invested and delivering care to over 263,000 Iowans.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

The Iowa Primary Care Association is a nonprofit membership association that supports Iowa's 14 community health centers and 110+ service locations through advocacy, workforce development, technical assistance, and specialized training. It serves as the statewide Behavioral Health Administrative Service Organization (BH-ASO), providing free system navigation to all Iowans across seven behavioral health districts, and operates alongside sister companies INConcertCare (health IT, including OCHIN Epic EHR implementation) and IowaHealth+ (clinically integrated network for value-based care).

Product overview

Iowa Primary Care Association is a nonprofit association supporting Iowa's 14 community health centers and the statewide Behavioral Health Delivery System. The organization operates alongside two sister companies—INConcertCare (health IT services including OCHIN Epic EHR implementation) and IowaHealth+ (clinically integrated network for value-based care)—forming an integrated ecosystem for community health support. Core services include the Behavioral Health Administrative Service Organization (BH-ASO) managing system navigation across seven behavioral health districts, the Healthy Hometowns Rural Health Transformation initiative with Communities of Care Co-Location and School-Based Services programs, provider toolkits, and workforce development including Medical/Dental Assistant apprenticeships. The association also hosts the annual Iowa Community Health Conference and Financial Leadership Symposium for professional development.

Differentiator

Problem solved

Functional benefit

Brands

• BH-ASO: Behavioral Health Administrative Service Organization - the statewide ASO role for Iowa's redesigned Behavioral Health System
• Healthy Hometowns
• Communities of Care Co-Location
• Hometown Connections School-Based Services

Products and services

• Behavioral Health Administrative Service Organization (BH-ASO) Statewide administrative service organization responsible for ensuring all Iowans have clear, consistent pathways to behavioral health care through a unified operational approach across seven behavioral health districts.
• Behavioral Health System Navigation Free system navigation services connecting Iowans with behavioral health providers, facilities, and community-based resources for mental health, substance use, housing, and other social needs support; available 24/7 through Your Life Iowa.
• Healthy Hometowns Initiative Iowa's Rural Health Transformation Program submission to CMS, aimed at building a high-quality, sustainable system of care in rural communities, including Communities of Care Co-Location and School-Based Services (Hometown Connections) programs.
• Hometown Connections School-Based Services Rural health transformation initiative expanding access to medical, behavioral/mental, and dental health services in rural Iowa school settings through community partnerships and coordinated school-based care.
• Communities of Care Co-Location Initiative supporting collaboration in rural Iowa by encouraging multiple providers and organizations to work together in shared spaces to improve care coordination and reduce barriers to access, including primary care, behavioral health, oral health, and community-based supports.
• Iowa Community Health Conference Annual premier conference on community health and rural healthcare bringing together community health centers and healthcare leaders for inspiration, reflection, and education. Next conference scheduled October 13-15, 2026 at the Iowa Events Center.
• Financial Leadership Symposium Event for nonprofit and behavioral health leaders focused on practical strategies for financial stability, operational challenges, and long-term organizational sustainability. Sessions offered in Ames and Cedar Rapids in June 2026.
• Medical Assistant and Dental Assistant Apprenticeship Program Earn-to-learn 12+ month apprenticeship programs with full-time paid employment, online coursework, and national certification exam preparation. Training developed in partnership with Washington Association for Community Health.
• INConcertCare (Health IT Services) Health information technology organization providing essential technology and data support to Iowa's community health centers through centralized strategy development and vendor management, including OCHIN Epic EHR implementation.
• IowaHealth+ (Clinically Integrated Network) Clinically integrated network owned and managed by 11 Iowa community health centers and the Iowa PCA, dedicated to providing payor-agnostic value-based care while furthering the CHC mission.
• Fairness-Aware AI/ML Model for Community Health Centers AI/ML model designed to help community health centers more quickly and effectively care for patients with medically complex, high-risk conditions by recognizing patients at risk of experiencing both chronic medical conditions and behavioral health concerns.
• Virtual Mental Health Services for Youth Virtual mental health services delivered to Iowa youth in schools through partnerships with Classroom Clinic and Hazel Health, available regardless of insurance status.

Quantifiable outcome

• 50% of Iowa CHCs (7 of 14) achieved recognition in top 20% nationally for quality
• +4 more outcomes

Named customers15 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability4 records

Feature3 records

Partnerships

16 partnerships are on record, tiered core, strategic and minor.

• Classroom CliniccoreStrategic or Co-development Partner · 1 July 2025Partnership to deliver virtual mental health services to students in Iowa school districts. Classroom Clinic provides telehealth services to over 1,000 students across nearly 60 school districts with support from Iowa PCA and Wellmark Foundation.
• Hazel HealthcoreStrategic or Co-development Partner · 1 July 2025Partnership to provide virtual therapy and services to students regardless of insurance status in schools lacking adequate access. Marked as a major step forward in expanding school-based mental health care across Iowa.
• Iowa Health and Human Services (Iowa HHS)coreStrategic or Co-development Partner · 1 July 2025State agency partnership for Behavioral Health Service System transformation. Iowa PCA serves as statewide BH-ASO. Partners on Your Life Iowa program, Healthy Hometowns initiative, and school-based mental health services.
• Your Life IowacoreStrategic or Co-development Partner · 1 July 2025Statewide 24/7 resource for mental health, substance use, gambling, and addiction support. Iowans access system navigation services through this program.
• IowaHealth+ (Sister Company)coreStrategic or Co-development Partner · 1 July 2025Clinically integrated network owned by 11 Iowa CHCs and Iowa PCA, dedicated to payor-agnostic value-based care while furthering CHC mission.
• INConcertCare (Sister Company)coreTechnology or Integration · 1 July 2025Health information technology organization providing Epic EHR platform, data analytics, and population health support to Iowa CHCs.
• Foresight Health Solutions (FHS)strategicStrategic or Co-development Partner · 4 February 2025AI-powered analytics partner for NIH AIM-AHEAD grant project. Provides expertise with Caliper Tool for community health analytics.
• NOLA AIstrategicStrategic or Co-development Partner · 4 February 2025AI research partner for NIH AIM-AHEAD grant. Provides proprietary Atomic AI framework and technology for developing fairness-aware AI/ML models.
• Vivyo (Huzefa Dossaji)strategicStrategic or Co-development Partner · 4 February 2025AI and healthcare expertise contributor to NIH AIM-AHEAD grant project. Assisted in grant writing and provides combined AI and healthcare expertise.
• Elite Program Specialists (Chrystal Matthews)minorImplementation/ SI/ Consulting Partner · 4 February 2025Consulting support for grant writing and program development assistance for NIH AIM-AHEAD project.
• OCHINstrategicTechnology or IntegrationHealth information technology partner. Iowa PCA CEO Aaron Todd serves on OCHIN board of directors. INConcertCare manages OCHIN Epic EHR implementation for Iowa CHCs.
• National Association of Community Health CentersstrategicStrategic or Co-development PartnerNational advocacy organization. Iowa PCA CEO Aaron Todd serves on board of directors.
• Primary Care Leadership CouncilminorStrategic or Co-development PartnerBoard membership for Iowa PCA CEO Aaron Todd.
• Greater Des Moines Supportive HousingminorStrategic or Co-development PartnerBoard membership for Iowa PCA CEO Aaron Todd.
• SolutionPoint+strategicStrategic or Co-development PartnerVeteran-owned organization conducting Crisis Intervention Training (CIT) for law enforcement and first responders. 40-hour in-person training with hands-on scenarios.
• Iowa Department of Health and Human ServicescoreStrategic or Co-development PartnerPartnership for Financial Leadership Symposium for nonprofit and behavioral health organizations. Two sessions in Ames and Cedar Rapids focused on financial resilience and operational sustainability.

Scale indicators11 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Massachusetts League of Community Health Centers: Massachusetts state-level association supporting CHCs through advocacy, training, and operational support. Direct functional peer to Iowa PCA with strong overlap in workforce development and quality improvement programs.
• California Primary Care Association: State-level PCA supporting California community health centers through advocacy, workforce development, training, and quality improvement. Operates the same trade association model as Iowa PCA but at significantly larger scale.
• Ohio Association of Community Health Centers: Ohio state primary care association providing advocacy and technical assistance to member health centers. Operates the same model as Iowa PCA but in a larger and more urban state environment.
• Illinois Primary Health Care Association: Statewide association representing Illinois community health centers through training, advocacy, and quality support. Closely mirrors Iowa PCA's structure and serves as a strong comparable for assessing Midwest PCA economics.
• Health Center Association of Nebraska: Nebraska state PCA supporting CHCs with technical assistance, workforce development, and policy advocacy. Comparable neighbor-state peer especially relevant for rural care delivery analysis.
• Oregon Primary Care Association: State-level primary care association providing TA, training, and advocacy to Oregon CHCs. Highly comparable to Iowa PCA in mission, structure, and rural care orientation, making it a strong state-by-state peer.

Emerging players

• Hazel Health: School-based virtual mental health provider partnering with Iowa PCA to deliver telehealth services in Iowa schools. Comparable as an emerging telehealth player operating at the intersection of pediatric behavioral health and community health centers.

Broad incumbents

• National Association of Community Health Centers (NACHC): National-level primary care association representing all federally funded health centers. Directly comparable to Iowa PCA as the parent trade body; Iowa PCA's CEO Aaron Todd sits on its board, evidencing operational comparability.
• OCHIN: National health information network providing Epic EHR and data infrastructure to community health centers; a strategic technology partner to INConcertCare (Iowa PCA's HIT subsidiary) and strongly linked to Iowa PCA via shared board membership.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/iowapca
• Facebookfacebook.com/iowapca

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Iowa Primary Care Association