DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (EIN 52-1999196)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-10
IRS object ID
202123149349305162
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-10T14:04:44-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521392008PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GELMAN ROSENBERG & FREEDMANBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14550 MONTGOMERY AVE SUITE 800NAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP208142930ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521999196EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DISTRICT OF COLUMBIA PRIMARY CAREBusinessNameLine1Txt
Business Name Line2ASSOCIATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlDISTBusinessNameControlTxt
Phone2026380252PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 I STREET NW NO 300AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTAMARA A SMITHPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone2026380252PhoneNum
Signature2021-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTAMARAPersonFirstNm
Person LastSMITHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD J LOCASTRO CPAPreparerPersonNm
PTINP00288314PTIN
Phone3019519090PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTAMARA A SMITHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 I STREET NW NO 300AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,565,304GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DCPCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionSEE PART III, LINE 1.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee28TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,850,830PYContributionsGrantsAmt
CY Contributions Grants$3,782,035CYContributionsGrantsAmt
PY Program Service Revenue$1,789,275PYProgramServiceRevenueAmt
CY Program Service Revenue$2,565,733CYProgramServiceRevenueAmt
PY Investment Income$48,314PYInvestmentIncomeAmt
CY Investment Income$43,140CYInvestmentIncomeAmt
PY Other Revenue$4,285PYOtherRevenueAmt
CY Other Revenue$3,303CYOtherRevenueAmt
PY Total Revenue$5,692,704PYTotalRevenueAmt
CY Total Revenue$6,394,211CYTotalRevenueAmt
PY Grants And Similar Paid$60,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$139,650CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,670,884PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,129,408CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,165,006PYOtherExpensesAmt
CY Other Expenses$3,306,591CYOtherExpensesAmt
PY Total Expenses$5,895,890PYTotalExpensesAmt
CY Total Expenses$6,575,649CYTotalExpensesAmt
PY Revenues Less Expenses-$203,186PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$181,438CYRevenuesLessExpensesAmt
Total Assets BOY$2,477,944TotalAssetsBOYAmt
Total Assets EOY$2,910,433TotalAssetsEOYAmt
Total Liabilities BOY$1,016,990TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,059,464TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,460,954NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,850,969NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO CREATE HEALTHIER COMMUNITIES THROUGH ADVOCACY AND THE STRENGTHENING AND SUPPORT OF HEALTH INFORMATION TECHNOLOGY (HIT) & HEALTH INFORMATION EXCHANGE (HIE) INFRASTRUCTURE TO SUPPORT A HIGH QUALITY, EQUITABLE, INTEGRATED HEALTH CARE SYSTEM (CONTINUED ON SCHEDULE O)THAT GIVES EVERY DC RESIDENT A FAIR SHOT AT A FULL AND HEALTHY LIFE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,673,001ExpenseAmt
Grant$91,000GrantAmt
DescQUALITY IMPROVEMENT AND OPERATIONS:DCPCA'S QUALITY IMPROVEMENT PROGRAMS FOCUS ON THE PROVISION OF TECHNICAL ASSISTANCE AND TRAINING TO HEALTH CENTERS TO SUPPORT IMPROVEMENTS IN ACCESS, OPERATIONAL EXCELLENCE, AND HEALTH OUTCOMES. THROUGH PARTNERSHIPS WITH EXPERIENCED CONTENT EXPERTS, DCPCA DEVELOPS AND FACILITATES TRAINING SESSIONS, CONFERENCES, ON-SITE TECHNICAL ASSISTANCE, AND PEER GROUPS TO ACCELERATE THE USE OF INNOVATIVE AND EVIDENCE-BASED BEST PRACTICES. DCPCA ASSISTS HEALTH CENTERS LEVERAGE DATA AND HIT TO IMPROVE CARE PROCESSES AND OUTCOMES, AND PREPARE PROVIDERS FOR ALTERNATIVE DELIVERY AND PAYMENT SYSTEMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,391,531ExpenseAmt
Grant$0GrantAmt
Revenue$2,421,233RevenueAmt
DescHEALTH INFORMATION TECHNOLOGY:HEALTH INFORMATION TECHNOLOGY PROGRAM ACCOMPLISHMENTS HAVE PRIMARILY FOCUSED ON PLANNING, IMPLEMENTING AND MANAGING TECHNOLOGY INITIATIVES THAT SUPPORT THE HEALTH CARE DELIVERY OPERATIONS OF OUR COMMUNITY HEALTH CENTER MEMBERS. THESE INITIATIVES INCLUDE: HOSTING AND SUPPORTING THE USE OF ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGIES; IMPLEMENTING HEALTH DATA EXCHANGE AND INTEGRATION STRATEGIES TO ENABLE IMPROVEMENTS IN CARE COORDINATION; FACILITATING POPULATION HEALTH REPORTING; AND PROVIDING CLINICAL DATA REPORTING SERVICES TO SUPPORT THE HEALTH CENTERS' QI OBJECTIVES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$586,627ExpenseAmt
DescCONNECTED CARE NETWORK:TO DEVELOP, IMPLEMENT, PROMOTE AND SUPPORT CLINICAL INTEGRATED SERVICES AND PROGRAMS THAT ENHANCE AND EXPAND THE CAPABILITY OF FEDERALLY QUALIFIED HEALTH CENTERS TO PROVIDE QUALITY HEALTH CARE SERVICES TO POPULATIONS, INCLUDING THOSE WHO ARE UNDERSERVED IN THE DISTRICT OF COLUMBIA.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$472,742ExpenseAmt
Grant$48,650GrantAmt
Revenue$144,500RevenueAmt
DescPOLICY AND ADVOCACY:DCPCA'S POLICY AND ADVOCACY INITIATIVES IDENTIFY AND TAKE ACTION ON OPPORTUNITIES TO SUPPORT HEALTH CENTER SUSTAINABILITY AS WELL AS ADDRESS THE SOCIAL DETERMINANTS OF HEALTH MAINLY THROUGH THE DC PACT (POSITIVE ACCOUNTABLE COMMUNITY TRANSFORMATION) COALITION, WHOSE VISION IS TO ALIGN CLINICAL AND COMMUNITY SERVICES SO AS TO CREATE A SEAMLESS COMMUNITY OF CARE THAT IMPROVES HEALTH AND INCREASES HEALTH EQUITY IN THE DISTRICT OF COLUMBIA. DCPCA POLICY AND ADVOCACY INITIATIVES HAVE ALSO BROUGHT TOGETHER VARIOUS MEMBER FQHCS (FEDERALLY QUALIFIED HEALTH CENTERS) AND FQHC-LOOK-ALIKES LEADERSHIP AND POLICY MAKING TEAMS ON THE SAME PLATFORM FOR A MORE UNIFIED AND COORDINATED LEGISLATIVE, ADMINISTRATIVE, AND BUDGETARY PRIORITIES, TO ENSURE CONTINUED ACCESS TO HIGH QUALITY, COMPREHENSIVE, CULTURALLY INFORMED AND INTEGRATED PRIMARY HEALTH CARE, FOCUSED ON VALUE FOR BOTH DC RESIDENTS, HEALTH CENTERS AND DISTRICT OF COLUMBIA HEALTH CARE POLICY ADMINISTRATORS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$472,742TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$48,650TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$144,500TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$6,123,901TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document40IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee28EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAMARA SMITHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2026380252PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 I STREET NW NO 300AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KELLY SWEENEY MCSHANE
CHAIR2.000.00Yes (X)Yes (X)$0$0$0
MARIA GOMEZ
VICE-CHAIR1.000.00Yes (X)Yes (X)$0$0$0
MARSHA LILLE-BLANTON
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
ZEYNEP ORHAN
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
DONALD BLANCHON
DIRECTOR1.000.00Yes (X)$0$0$0
ROBERT BERENSON
DIRECTOR1.000.00Yes (X)$0$0$0
GEORGE JONES
DIRECTOR1.000.00Yes (X)$0$0$0
FLORA TERRELL HAMILTON
DIRECTOR1.000.00Yes (X)$0$0$0
VINCENT A KEANE
DIRECTOR1.000.00Yes (X)$0$0$0
CATALINA SOL
DIRECTOR1.000.00Yes (X)$0$0$0
NASEEMA SHAFI
DIRECTOR1.000.00Yes (X)$0$0$0
TOMI OGUNDIMU
DIRECTOR1.000.00Yes (X)$0$0$0
MIGUEL MCINNIS
DIRECTOR1.000.00Yes (X)$0$0$0
TAMARA SMITH
PRESIDENT & CHIEF EXECUTIVE OFFICER40.000.00Yes (X)$241,739$0$28,181
PETER KIBURI
DIRECTOR OF FINANCE40.000.00Yes (X)$134,428$0$22,755
DONNA RAMOS-JOHNSON
DIRECTOR & CHIEF TECHNOLOGY OFFICER40.000.00$199,000$0$34,662Yes (X)
PATRICIA QUINN
DIR. OF POLICY & EXTERNAL AFFAIRS40.000.00$143,236$0$31,045Yes (X)
JAMES COSTELLO
DIRECTOR, HEALTH INFO. TECH. OPER.40.000.00$143,624$0$21,403Yes (X)
BRANDON BATISTE
COO, CCN (UNTIL 10/2020)40.000.00$146,320$0$8,981Yes (X)
MEGAN LOUCKS
DIRECTOR OF QUALITY IMPROVEMENT40.000.00$135,011$0$13,434Yes (X)
ALLYSON SMITH
DIRECTOR OF POPULATION HEALTH, CCN40.000.00$109,025$0$22,391Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,252,383TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$182,852TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ZANE NETWORKS LLC
1133 21ST STREET NWWASHINGTONDC20036HIT TECHNICAL ASSISTANCE SERVICES$507,185
DIGITAL CONVENTIONS
801 MOUNT VERNON PL NWWASHINGTONDC20001TELEHEALTH DIGITAL SVCS/TECH SUPPORT$492,405
CLINOVATIONS GOVERNMENT AND HEALTH
1325 G ST NW 500WASHINGTONDC20005HIT TECHNICAL ASSISTANCE SERVICES$285,789
ECLINICALWORKS
TWO TECHNOLOGY DRIVEWESTBOROUGHMA01581EMR LICENSING AND MAINTENANCE SERVICES$278,668
JOHN SNOW INC
44 FARNSWORTH STREETBOSTONMA02210SMHP SUD TECHINAL ASSISTANCE SERVICES$171,500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$1,262,636GovernmentGrantsAmt
All Other Contributions$2,519,399AllOtherContributionsAmt
Total Contributions$3,782,035TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HIE ACCESS & SUPPORT900099$2,261,865$2,261,865
HIE-HIT CONTRACT900099$159,368$159,368
MEMBERSHIP DUES900099$144,500$144,500
FieldValueIRS element (for citing)
Total Program Service Revenue$2,565,733TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,599TotalRevenueColumnAmt
Exclusion$37,599ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$176,634SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$171,093SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,541SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,541TotalRevenueColumnAmt
Exclusion$5,541ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$3,303TotalRevenueColumnAmt
Exclusion$3,303ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,303OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,394,211TotalRevenueColumnAmt
Related Or Exempt Func Income$2,565,733RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$46,443ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$139,650TotalAmt
Program Services$139,650ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$660,765TotalAmt
Program Services$314,849ProgramServicesAmt
Management And General$345,916ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,935,194TotalAmt
Program Services$1,915,116ProgramServicesAmt
Management And General$20,078ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$140,273TotalAmt
Program Services$140,196ProgramServicesAmt
Management And General$77ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$174,363TotalAmt
Program Services$164,418ProgramServicesAmt
Management And General$9,945ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$218,813TotalAmt
Program Services$190,080ProgramServicesAmt
Management And General$28,733ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,559TotalAmt
Program Services$49,559ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,112TotalAmt
Management And General$11,112ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,453,908TotalAmt
Program Services$1,453,908ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$138,875TotalAmt
Program Services$121,263ProgramServicesAmt
Management And General$17,612ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,171,939TotalAmt
Program Services$1,171,756ProgramServicesAmt
Management And General$183ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$355,709TotalAmt
Program Services$355,709ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,078TotalAmt
Program Services$5,230ProgramServicesAmt
Management And General$5,848ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,661TotalAmt
Program Services$5,661ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,517TotalAmt
Program Services$7,517ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,216TotalAmt
Program Services$21,216ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,597TotalAmt
Program Services$15,597ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$20,625$16,125$4,500
EQUIPMENT$17,632$17,199$433
STAFF TRAINING$13,862$10,861$3,001
DUES, PUBS. AND SUBS.$7,806$7,806

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,495TotalAmt
Program Services$185ProgramServicesAmt
Management And General$4,310ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,575,649TotalAmt
Program Services$6,123,901ProgramServicesAmt
Management And General$451,748ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$437,597BOYAmt
EOY$629,690EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,718BOYAmt
EOY$20,247EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$401,427BOYAmt
EOY$248,123EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$577,873BOYAmt
EOY$759,610EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$69,033BOYAmt
EOY$66,161EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$483,558LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$289,207LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,093BOYAmt
EOY$194,351EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$873,548BOYAmt
EOY$937,596EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$54,655BOYAmt
EOY$54,655EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,477,944BOYAmt
EOY$2,910,433EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$524,135BOYAmt
EOY$641,563EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$18,240BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$150,000BOYAmt
EOY$100,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$12,596EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$324,615BOYAmt
EOY$305,305EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,016,990BOYAmt
EOY$1,059,464EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$889,183BOYAmt
EOY$1,763,669EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$571,771BOYAmt
EOY$87,300EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,460,954BOYAmt
EOY$1,850,969EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,477,944BOYAmt
EOY$2,910,433EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$181,438ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$34,549NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$536,904OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,157,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,899,440CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,203,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,850,830CurrentTaxYearMinus1YearAmt
Current Tax Year$3,782,035CurrentTaxYearAmt
Total$18,893,408TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,157,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,899,440CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,203,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,850,830CurrentTaxYearMinus1YearAmt
Current Tax Year$3,782,035CurrentTaxYearAmt
Total$18,893,408TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$117,011SubstantialContributorsTotAmt
Public Support Total170$18,776,397PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$75,233CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,320CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,706CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,678CurrentTaxYearMinus1YearAmt
Current Tax Year$37,599CurrentTaxYearAmt
Total$230,536TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,936CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$1,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,285CurrentTaxYearMinus1YearAmt
Current Tax Year$3,303CurrentTaxYearAmt
Total$25,524TotalAmt
FieldValueIRS element (for citing)
Total Support$19,149,468TotalSupportAmt
Gross Receipts Rltd Activities$7,109,815GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98050PublicSupportCY170Pct
Public Support PY1700.93180PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$6,575,649FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$6,575,649FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$478,782FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$119,696FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$448,462CurrentYearMinus3Amt
Current Year Minus2$407,598CurrentYearMinus2Amt
Current Year Minus1$444,795CurrentYearMinus1Amt
Current Year$478,782CurrentYearAmt
Total$1,779,637TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$2,669,456LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$19,775CurrentYearMinus3Amt
Current Year Minus2$13,575CurrentYearMinus2Amt
Total$33,350TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$112,116CurrentYearMinus3Amt
Current Year Minus2$101,900CurrentYearMinus2Amt
Current Year Minus1$111,199CurrentYearMinus1Amt
Current Year$119,696CurrentYearAmt
Total$444,911TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$667,367GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,237OtherCostOrOtherBasisAmt
Depreciation$14,772DepreciationAmt
Book Value$15,465BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$411,096OtherCostOrOtherBasisAmt
Depreciation$234,918DepreciationAmt
Book Value$176,178BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,225OtherCostOrOtherBasisAmt
Depreciation$39,517DepreciationAmt
Book Value$2,708BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$194,351TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
Amt$305,305Amt
FieldValueIRS element (for citing)
Total Liability$305,305TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,417,648TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$34,549NetUnrealizedGainsInvstAmt
Revenue Not Reported$34,549RevenueNotReportedAmt
Revenue Subtotal$6,383,099RevenueSubtotalAmt
Investment Expenses Not Incld$11,112InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$11,112RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,394,211TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,564,537TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,564,537ExpensesSubtotalAmt
Investment Expenses Not Incld2$11,112InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$11,112ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,575,649TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFOR THE YEAR ENDED DECEMBER 31, 2020, THE ORGANIZATIONS HAVE DOCUMENTED THEIR CONSIDERATION OF FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
CHILDREN'S NATIONAL HOSPITAL
1 INVENTA PLACE 3RD FLSILVER SPRINGMD20910521640403501(C)(3)$48,650HHS-OAS OFFICE OF POPULATION AFFAIRS - DC NEXT! PROJECT
FAMILY MEDICAL & COUNSLING SERVICES INC
2041 MARTIN LUTHER KING JR AVE SEWASHINGTONDC20020521073362501(C)(3)$52,750DISTRICT OF COLUMBIA COLORECTAL CANCER CONTROL (DC3C) PROGRAMSUITE M-2
LA CLINICA DEL PUEBLO INC
2815 15TH ST NWWASHINGTONDC20009521942551501(C)(3)$12,750DISTRICT OF COLUMBIA COLORECTAL CANCER CONTROL (DC3C) PROGRAM
MARY'S CENTER FOR MATERNAL & CHILD CARE
23333 ONTARIO ROAD NEWASHINGTONDC20009521594116501(C)(3)$12,750DISTRICT OF COLUMBIA COLORECTAL CANCER CONTROL (DC3C) PROGRAM
UNITY HEALTH CARE INC
1100 NEW JERSEY AVE SE SUITE 500WASHINGTONDC20003521572431501(C)(3)$12,750DISTRICT OF COLUMBIA COLORECTAL CANCER CONTROL (DC3C) PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE GRANTS WERE PROVIDED FOR CLINICAL QUALITY IMPROVEMENT INITIATIVES AND PARTICIPATION IN CARE COORDINATION AND MANAGEMENT TRAINING, PATIENT RESEARCH, DATA COLLECTION, AND STAFF TRAINING SUPPORT. HEALTH CENTERS COMMITTED TO AND SIGNED PARTICIPATION AGREEMENTS IN ORDER TO BE ELIGIBLE FOR THE GRANT AWARDS THAT WERE USED TO SUPPORT STAFF ALLOCATION OF TIME FOR CLINICAL QUALITY IMPROVEMENT TRAINING INITIATIVES, CARE COORDINATION/PRACTICE MANAGEMENT ACTIVITIES, PATIENT RESEARCH AND DATA COLLECTION. DCPCA CLINICAL STAFF MONITORED PARTICIPATION AND DATA SUBMISSION TO ENSURE THE TERMS OF THE AGREEMENT WERE ADHERED TO.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TAMARA SMITH
PRESIDENT & CHIEF EXECUTIVE OFFICER$230,439$0$11,300$0$0$0$18,986$0$9,195$0$269,920$0$0$0
DONNA RAMOS-JOHNSON
DIRECTOR & CHIEF TECHNOLOGY OFFICER$190,000$0$9,000$0$0$0$16,272$0$18,390$0$233,662$0$0$0
PATRICIA QUINN
DIR. OF POLICY & EXTERNAL AFFAIRS$136,236$0$7,000$0$0$0$11,648$0$19,397$0$174,281$0$0$0
JAMES COSTELLO
DIRECTOR, HEALTH INFO. TECH. OPER.$143,624$0$0$0$0$0$12,208$0$9,195$0$165,027$0$0$0
PETER KIBURI
DIRECTOR OF FINANCE$134,428$0$0$0$0$0$11,208$0$11,547$0$157,183$0$0$0
BRANDON BATISTE
COO, CCN (UNTIL 10/2020)$146,320$0$0$0$0$0$5,833$0$3,148$0$155,301$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationBONUS COMPENSATION IS REPORTED IN PART II, COLUMN (B)(II).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6DCPCA HAS TWO CLASSES OR MEMBERS: FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS (FQHCS) AND FQHC LOOK-ALIKES AND OTHER COMMUNITY HEALTH CENTERS.
FORM 990, PART VI, SECTION A, LINE 7AEACH FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER IS ABLE TO NOMINATE AND ELECT ITS CEO AS A MEMBER OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY OUTSIDE ACCOUNTANTS AND A DRAFT COPY, INCLUDING ALL RELATED SCHEDULES AND ATTACHMENTS, WAS GIVEN TO THE AUDIT AND COMPLIANCE COMMITTEE MEMBERS FOR REVIEW AND APPROVAL. ONCE APPROVED, THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE PROVIDED A FINAL COPY OF THE 990 TO THE FULL BOARD BEFORE IT WAS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND THE BOARD OF DIRECTORS ARE ANNUALLY REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT AND DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICT. IF A DCPCA DIRECTOR IS AN OFFICER OR DIRECTOR OF OR HOLDS A SIMILAR POSITION WITH OR HAS A FINANCIAL INTEREST IN ANOTHER ENTITY AND PARTICIPATES OR IS PRESENT AT A MEETING OF THE BOARD OF DIRECTORS WHERE DCPCA AUTHORIZES A CONTRACT OR TRANSACTION WITH SUCH OTHER ENTITY, THE DIRECTOR: (1) DISCLOSES THE MATERIAL FACTS AS TO THE RELATIONSHIP OR INTEREST AND AS TO THE CONTRACT OR TRANSACTION TO THE BOARD OF DIRECTORS OR ENSURES THAT SUCH FACTS ARE KNOWN TO THE DIRECTORS ENTITLED TO VOTE THEREON; AND (2) RECUSE HIMSELF/HERSELF FROM DISCUSSION, LOBBYING, AND VOTING ON THE MATTER. ANY VOTE ON THE CONTRACT OR TRANSACTION MUST BE APPROVED BY THE BOARD OF DIRECTORS BY THE AFFIRMATIVE VOTES OF A MAJORITY OF THE DISINTERESTED DIRECTORS EVEN THOUGH THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM. THE MINUTES OF MEETINGS AT WHICH SUCH VOTES ARE TAKEN RECORD THE DISCLOSURE, RECUSAL AND RATIONALE FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION OF THE CEO IS DETERMINED BY THE EXECUTIVE COMMITTEE AND IS REVIEWED ANNUALLY. ADJUSTMENTS TO THE CEO'S SALARY ARE GUIDED BY THE FOLLOWING FACTORS: (A) THE INTRINSIC QUALITY OF HIS/HER MANAGEMENT, INTELLECTUAL LEADERSHIP, AND PUBLIC REPRESENTATION OF THE ASSOCIATION; (B) THE ASSOCIATION'S FINANCIAL PERFORMANCE AND STABILITY; (C) THE COMPENSATION OF CHIEF EXECUTIVES OF OTHER, SIMILAR ORGANIZATIONS BASED ON SURVEYS AND COMPENSATION STUDIES; AND (D) ADDITIONAL, SIMILAR, FACTORS THE COMMITTEE DEEMS APPROPRIATE. THE COMPENSATION PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES MEMORANDUM. THE ANNUAL COMPENSATION REVIEW TAKES PLACE IN OCTOBER OF EACH YEAR, ON OR ABOUT THE CEO DATE-OF-HIRE ANNIVERSARY. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO USING SIMILAR GUIDELINES DESCRIBED ABOVE.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONSULTANTS: PROGRAM SERVICE EXPENSES 1,361,752. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,361,752. H.R. FEES: PROGRAM SERVICE EXPENSES 90,705. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,705. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,451. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,451.
FORM 990, PART XI, LINE 9:PPP FUNDING RECOGNIZED AS A CONDITIONAL CONTRIBUTION 536,904. IN THE AUDITED FINANCIAL STATEMENTS, BUT NOT FORGIVEN BY THE SBA UNTIL 2021.
FORM 990, PART XI, LINE 9 - OTHER CHANGE IN NET ASSETS:ON APRIL 15, 2020, THE ORGANIZATION RECEIVED LOAN PROCEEDS IN THE AMOUNT OF $549,500 UNDER THE PAYCHECK PROTECTION PROGRAM (PPP). UNDER THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT (CARES ACT), THE PROMISSORY NOTE MUST BE USED FOR CERTAIN EXPENDITURES WITHIN A 24-WEEK PERIOD TO ULTIMATELY BE FORGIVEN BY THE SMALL BUSINESS ADMINISTRATION. DURING THE YEAR ENDED DECEMBER 31, 2020, THE ORGANIZATION EXPENDED AND TRACKED THE PPP FUNDS FOR PURPOSES OUTLINED IN THE CARES ACT GUIDANCE AND BELIEVED THEY HAD MET ALL CONDITIONS SET FORTH FOR FULL FORGIVENESS. ACCORDINGLY, UNDER GUIDANCE FOUND IN FASB ASC 958-605, THE ORGANIZATION HAS RECOGNIZED THE PPP FUNDING AS A CONDITIONAL GRANT BY WHICH ALL CONDITIONS HAVE BEEN MET. THE ORGANIZATION HAD DEEMED THE FORGIVENESS BY THE SBA TO BE HIGHLY PROBABLE, AN ADMINISTRATIVE TASK ONLY, AND NOT A BARRIER TO RECOGNITION. ON DECEMBER 22, 2020, THE ORGANIZATION APPLIED FOR FORGIVENESS AFTER COMPLETING THE 24-WEEK PERIOD, AND RECEIVED NOTIFICATION IN JUNE 2021 THAT THE POTENTIAL FORGIVENESS AMOUNT WAS DETERMINED TO BE $536,904. DCPCA RECORDED $536,904 OF GRANT INCOME IN CONTRIBUTIONS ON STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS, AND THE REMAINING OUTSTANDING PRINCIPAL OF $12,596 IN LOAN PAYABLE ON THE STATEMENT OF FINANCIAL POSITION. PRINCIPAL AND INTEREST BALANCE WILL BE PAID DURING THE YEAR ENDED DECEMBER 31, 2021. HOWEVER, FOR FORM 990 REPORTING PURPOSES, THE PPP LOAN WILL NOT BE REPORTED AS REVENUE UNTIL THE TAX YEAR WHEN THE AMOUNT IS FORGIVEN (2021).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1DC CONNECTED CARE NETWORKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11620 I STREET NW SUITE 300AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd
FieldValueIRS element (for citing)
EIN833113364EIN
Primary ActivitiesSEE PART VIIPrimaryActivitiesTxt
Legal Domicile StateDCLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART II, COLUMN (B):FormAndLineReferenceDesc
ExplanationDC CONNECTED CARE NETWORK'S PURPOSE IS TO DEVELOP, IMPLEMENT, PROMOTE AND SUPPORT CLINICAL INTEGRATED SERVICES AND PROGRAMS THAT ENHANCE AND EXPAND THE CAPABILITY OF FEDERALLY QUALIFIED HEALTH CENTERS TO PROVIDE QUALITY HEALTH CARE SERVICES TO POPULATIONS, INCLUDING THOSE WHO ARE UNDERSERVED IN THE DISTRICT OF COLUMBIA.ExplanationTxt

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