2017-09-20T11:42:43-05:00 2016-12-31 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2016-01-01 521999196 DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION DIST 2026380252 1620 I STREET NW NO 300 WASHINGTON DC 20006 TAMARA A SMITH PRESIDENT AND CEO 2026380252 2017-09-20 1 3019519090 75.103.231.202 2017-09-20 12:41:27 ED P 24E2B1EDDFB7997E904F8C8AA54720A5F314F67A BD562E21E20CC23E4DE975A836C0FC17197DED37 2016 2021-01-29 14:40:06Z TAMARA A SMITH 1620 I STREET NW NO 300 WASHINGTON DC 20006 3599382 0 X WWW.DCPCA.ORG X 1996 DC SEE PART III, LINE 1. 11 11 28 11 0 0 6847796 3157144 142350 137500 57380 24163 145646 54186 7193172 3372993 1331652 52000 0 0 2202308 2029552 0 0 0 2349966 2322407 5883926 4403959 1309246 -1030966 4178983 2418417 1279346 510639 2899637 1907778 X TO CREATE HEALTHIER COMMUNITIES THROUGH ADVOCACY AND THE DEVELOPMENT OF THE INFRASTRUCTURE AND TO SUPPORT A HIGH QUALITY, EQUITABLE, INTEGRATED HEALTH CARE SYSTEM THAT GIVES EVERY DC RESIDENT A FAIR SHOT AT A FULL AND HEALTHY LIFE. 0 0 984701 52000 QUALITY IMPROVEMENT AND OPERATIONS:REPRESENTS PROGRAMS COMMITTED TO IMPROVING ACCESS TO HIGH QUALITY PRIMARY CARE IN THE DISTRICT'S UNDERSERVED NEIGHBORHOODS. THESE PROGRAMS OFFER FUNDING FOR CAPITAL PROJECTS AND TECHNICAL ASSISTANCE, INCLUDING SUPPORT FOR FEDERALLY QUALIFIED HEALTH CENTERS AND SPECIAL PROGRAMS TO IMPROVE PRIMARY CARE FOR THOSE IN GREATEST NEED. INCLUDED ARE INITIATIVES AIMED AT EMPOWERING COMMUNITY HEALTH CENTERS TO TRANSFORM THEIR CULTURE BY EMBEDDING QUALITY IMPROVEMENT PRINCIPLES AND PRACTICES INTO THE FABRIC OF CLINIC OPERATIONS AND PATIENT CARE. 1999821 HEALTH INFORMATION TECHNOLOGY:REPRESENTS THE PROGRAMS DESIGNED TO DEVELOP AND IMPLEMENT ELECTRONIC MEDICAL RECORDS AT COMMUNITY HEALTH CARE CENTERS AND ENABLE THE ELECTRONIC EXCHANGE OF CLINICAL DATA BY ESTABLISHING A REGIONAL HEALTH INFORMATION EXCHANGE TO CONNECT HEALTH CENTERS AND HOSPITALS INTO A HEALTH INFORMATION SYSTEMS NETWORK. INCLUDES DATA MANAGEMENT INITIATIVES AIMED AT AGGREGATING CLINICAL DATA TO PRODUCE UTILIZATION AND QUALITY METRICS TO FACILITATE HEALTH CENTER PERFORMANCE AND POPULATION HEALTH OUTCOMES IMPROVEMENT. 434846 137500 POLICY AND EXTERNAL AFFAIRS:IDENTIFIES LEGISLATIVE, ADMINISTRATIVE, AND BUDGETARY OPPORTUNITIES TO SUPPORT HEALTH CENTER SUSTAINABILITY AND CONTINUED ACCESS TO COMPREHENSIVE, INTEGRATED PRIMARY CARE - ALL OF WHICH HELP OUR RESIDENTS GET AND STAY STRONG MENTALLY AND PHYSICALLY. SPECIFIC PROGRAMS ARE: - VALUE PAY REFORM - WORKS TO POSITION COMMUNITY HEALTH CENTERS FOR SUCCESS IN A VALUE-FOCUSED HEALTH SYSTEM BY: DEVELOPING AND IMPLEMENTING A HEALTH CENTER ALIGNMENT STRATEGY; PROMOTING FLEXIBLE, INTEGRATED, TEAM-BASED CARE WITH PRIMARY CARE AT THE CORE; AND, RECOGNIZING THE COMMUNITY HEALTH CENTER AS THE "QUARTERBACK" OF CARE DELIVERY, RESOURCE ALLOCATION, AND ACCOUNTABILITY. - DC HEALTH BENEFITS EXCHANGE AUTHORITY NAVIGATOR - PROVIDES SERVICES TO RESIDENTS WHO SEEK HELP WITH ENROLLMENT IN HEALTH INSURANCE OFFERED THROUGH THE HISTORIC EXPANSION OF HEALTH INSURANCE COVERAGE UNDER THE AFFORDABLE CARE ACT. 80777 AMERICORPS:REPRESENTS A SUBCONTRACT WITH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THESE PROGRAMS ARE DESIGNED TO SUPPORT AND ENCOURAGE INDIVIDUALS WHO HAVE AN INTEREST IN PURSUING CAREERS IN THE HEALTH PROFESSIONS BY PROVIDING THEM EXPERIENTIAL LEARNING IN WASHINGTON, DC COMMUNITY HEALTH CARE CENTERS, WHILE ALSO AUGMENTING AND STRENGTHENING PRIMARY AND PREVENTIVE HEALTH CARE SERVICES. 80777 3500145 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 1 28 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JOHN MATHEWSON 2026380252 1620 I STREET NW NO 300 WASHINGTON DC 20006 DONALD BLANCHON CHAIRMAN 1.00 X X 0 0 0 ALICIA WILSON VICE-CHAIR 1.00 X X 0 0 0 GEORGE JONES IMMEDIATE PAST CHAIRMAN 1.00 X X 0 0 0 CLAIRE MOONEY TREASURER 1.00 X X 0 0 0 RHONIQUE SHIELDS SECRETARY 1.00 X X 0 0 0 JULIE CHAPMAN DIRECTOR 1.00 X 0 0 0 MARIA GOMEZ DIRECTOR 1.00 X 0 0 0 FLORA TERRELL HAMILTON DIRECTOR 1.00 X 0 0 0 VINCENT A KEANE DIRECTOR 1.00 X 0 0 0 ED LAZERE DIRECTOR 1.00 X 0 0 0 KELLY SWEENEY MCSHANE DIRECTOR 1.00 X 0 0 0 JOHN MATHEWSON DIRECTOR, THEN INTERIM CEO (11/2016) 1.00 X 74466 0 0 JACQUELINE D BOWENS CEO (UNTIL 10/2016) 40.00 X 206737 0 16681 DONNA RAMOS-JOHNSON DIRECTOR & CHIEF TECHNOLOGY OFFICER 40.00 X 173138 0 30686 JAMES COSTELLO DEPUTY DIRECTOR, HIT OPERATIONS 40.00 X 123248 0 18329 PATRICIA QUINN DIRECTOR, POLICY & EXTERNAL AFFAIRS 40.00 X 119537 0 25341 GWENDOLYN YOUNG DIR., QUAL. IMPROVEMENT & OPERATIONS 40.00 X 109684 0 24176 806810 0 115213 5 0 1 0 HEALTHEC LLC 371 HOES LANE SUITE 300A PISCATAWAY NJ 08854 POPULATION HEALTH MGMT/ RISK ASSES. 196275 ECLINICALWORKS PO BOX 847950 BOSTON MA 02287 EMR LICENSING & MAINTENANCE SERVICES 163404 MARY'S CENTER 2333 ONTARIO ROAD NW WASHINGTON DC 20009 HEALTH CTR - IMPLEM. SUB-GRANTEE 150925 ZANE NETWORKS LLC 509 9TH STREET NW WASHINGTON DC 20004 TECHNICAL PROJECT MGMT. SERVICES 136730 PRINCE GEORGE'S COUNTY HEALTH 1701 MCCORMICK DRIVE 200 LARGO MD 20774 SUBCONTRACTOR FOR FEDERAL GRANT 113547 5 1464100 1693044 3157144 MEMBERSHIP 900099 137500 137500 137500 37983 37983 37250 0 37250 37250 37250 212569 226389 -13820 -13820 -13820 MISCELLANEOUS 900099 16936 16936 16936 3372993 137500 0 78349 X 52000 52000 501708 377617 124091 1218082 1061440 156642 58244 51456 6788 117237 100623 16614 134281 116104 18177 30566 30260 306 155629 155629 12556 12556 1080481 919925 160556 189 189 91917 58165 33752 226021 219240 6781 425535 327079 98456 63522 62805 717 62406 39368 23038 932 932 50926 34284 16642 18762 18762 BAD DEBT EXPENSE 38456 38456 EQUIPMENT 24354 24045 309 STAFF TRAINING 22678 22319 359 DUES, PUBS. AND SUBS. 4276 3010 1266 13201 216 12985 4403959 3500145 903814 0 527415 99974 16388 15408 1945943 926329 364263 296966 104714 44214 227417 143802 91830 83615 1045575 897256 82855 54655 4178983 2418417 909754 186503 200310 169282 324136 1279346 510639 X 1341035 1104152 1558602 803626 2899637 1907778 4178983 2418417 -1030966 39107 0 X 0 1 X 1 1 1 X 14493632 22451706 6570697 6847796 3157144 53520975 14493632 22451706 6570697 6847796 3157144 53520975 417298 53103677 66399 77352 170722 207002 75233 596708 465 16936 17401 54135084 497800 0.98090 0.98900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 64922 64922 4339037 4403959 370198 92550 0 0 1000000 488972 444196 370198 2303366 3455049 15657 80463 151269 64922 312311 250000 122243 111049 92550 575842 863763 30237 3693 26544 164705 121682 43023 32475 18427 14048 83615 DEFERRED RENT 324136 324136 X 3412450 39107 350 39457 3372993 0 3372993 4404309 350 350 4403959 0 4403959 PART X, LINE 2: FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, DCPCA HAS DOCUMENTED ITS 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 FINANCIAL STATEMENTS. 1 BREAD FOR THE CITY 1525 7TH STREET NW WASHINGTON DC 20001 521138207 501(C)(3) 6000 SCREEN 4 LIFE COMMUNITY OF HOPE 4 ATLANTIC STREET SW WASHINGTON DC 20032 521184749 501(C)(3) 8000 BIOTERRORISM PREPAREDNESS/SCREEN 4 LIFE FAMILY & MEDICAL COUNSELING SERVICES 2041 MLK KR AVE SE STEM-2 WASHINGTON DC 20020 521073362 501(C)(3) 10000 BIOTERRORISM PREPAREDNESS/SCREEN 4 LIFE LACLINICA DEL PUEBLO 2970 BELCREST CENTER DR UNIT 3 HYATTSVILLE MD 20782 521942551 501(C)(3) 10000 BIOTERRORISM PREPAREDNESS/SCREEN 4 LIFE MARY'S CENTER FOR MATERNAL AND CHILD CARE 2333 ONTARIO ROAD NW WASHINGTON DC 20009 521594116 501(C)(3) 6000 SCREEN 4 LIFE SO OTHERS MIGHT EAT 71 O STREET NW WASHINGTON DC 20001 237098123 501(C)(3) 6000 SCREEN 4 LIFE WHITMAN-WALKER HEALTH CENTER 1701 14TH STREET NW WASHINGTON DC 20009 521122122 501(C)(3) 6000 SCREEN 4 LIFE 7 0 PART I, LINE 2: THE FEES 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. X X X 0 0 0 0 0 0 0 1 0 JACQUELINE D BOWENS CEO (UNTIL 10/2016) 182340 0 24397 0 0 0 16681 0 0 0 223418 0 0 0 DONNA RAMOS-JOHNSON DIRECTOR & CHIEF TECHNOLOGY OFFICER 168138 0 5000 0 0 0 14300 0 16386 0 203824 0 0 0 PART I, LINE 7 JACQUELINE D. BOWENS AND DONNA RAMOS-JOHNSON RECEIVED BONUSES OF $24,397 AND $5,000, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 6 DCPCA HAS TWO CLASSES OR MEMBERS, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY HEALTH CENTERS. FORM 990, PART VI, SECTION A, LINE 7A EACH 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 11B THE 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 12C OFFICERS 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 15A THE 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 LAST COMPENSATION REVIEW TOOK PLACE IN JUNE 2015. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO USING THE SAME GUIDELINES DESCRIBED ABOVE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 918,765. MANAGEMENT AND GENERAL EXPENSES 92,113. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,010,878. HR FEES: PROGRAM SERVICE EXPENSES 1,160. MANAGEMENT AND GENERAL EXPENSES 45,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,403. RECRUITER FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,200.