DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (EIN 52-1999196)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-11
IRS object ID
201322549349300802
Schema version
2012v2.1
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)
Timestamp2013-09-11T15:00:40-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN521711839EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COUNCILOR BUCHANAN & MITCHELL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17910 WOODMONT AVENUE SUITE 500AddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521999196EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDISTNameControl
Phone2026380252Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11411 K STREET NW NO 300AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJACQUELINE BOWENSName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone2026380252Phone
Date Signed2013-09-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDANIEL L WEAVERName
PTINP01249346PTIN
Phone3019860600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJACQUELINE BOWENSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11411 K STREET NW NO 300AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14617331GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DCPCA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionTO FACILITATE AN INTEGRATED HEALTH CARE SYSTEM IN THE DISTRICT OF COLUMBIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees44TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15385117ContributionsGrantsPriorYear
Contributions Grants Current Year14479132ContributionsGrantsCurrentYear
Program Service Revenue Prior Year67150ProgramServiceRevenuePriorYear
Program Service Revenue CY71800ProgramServiceRevenueCY
Investment Income Prior Year56912InvestmentIncomePriorYear
Investment Income Current Year66399InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15509179TotalRevenuePriorYear
Total Revenue Current Year14617331TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year913938GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY24644884GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3146384SalariesEtcPriorYear
Salaries Etc Current Year2505555SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2776280OtherExpensePriorYear
Other Expenses Current Year1751591OtherExpensesCurrentYear
Total Expenses Prior Year6836602TotalExpensesPriorYear
Total Expenses Current Year28902030TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8672577RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14284699RevenuesLessExpensesCY
Total Assets BOY29294740TotalAssetsBOY
Total Assets EOY13383639TotalAssetsEOY
Total Liabilities BOY13997865TotalLiabilitiesBOY
Total Liabilities EOY12392269TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15296875NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY991370NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF DCPCA IS TO FACILITATE THE DEVELOPMENT AND SUSTAINABILITY OF AN EFFECTIVE INTEGRATED HEALTH CARE SYSTEM IN THE DISTRICT OF COLUMBIA THAT GUARANTEES ACCESS TO PRIMARY HEALTH CARE AND ELIMINATES DISPARITIES IN HEALTH OUTCOMES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense25387001Expense
Grants24644884Grants
Revenue11170000Revenue
DescriptionMEDICAL HOMES - REPRESENTS A PROGRAM COMMITTED TO IMPROVING ACCESS TO HIGH QUALITY PRIMARY CARE IN THE DISTRICT'S MEDICALLY UNDERSERVED NEIGHBORHOODS. MEDICAL HOMES DC OFFERS FUNDING FOR CAPITAL PROJECTS, TECHNICAL ASSISTANCE, AND SPECIAL PROGRAMS TO IMPROVE PRIMARY CARE FOR THOSE IN GREATEST NEED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2329339Expense
Revenue2532920Revenue
DescriptionHEALTH INFORMATION TECHNOLOGY - REPRESENTS AN INITIATIVE TO IMPROVE HEALTH STATUS, MINIMIZE HEALTH DISPARITIES, AND REDUCE OVERALL DISTRICT-FUNDED HEALTHCARE COSTS THROUGH THE UTILIZITION OF INFORMATION TECHNOLOGY ADVANCEMENT. THESE I.T. ADVANCEMENTS INCLUDE THE ABILITY TO PROVIDE ONE ELECTRONIC PATIENT HEALTH RECORD PER PERSON, BETTER MANAGE THEIR OPERATIONS AND BILLING, RELAY SYMPTOM AND DISEASE DATA FROM THE HEALTH CENTER TO DOH SURVEILLANCE SYSTEMS, IMPROVE COORDINATION AND CONTINUITY OF CARE, AND IMPROVE SERVICES BY WAY OF EFFICIENCIES GAINED THROUGH THE AUTOMATION OF THE HEALTH RECORDS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense296785Expense
Revenue466066Revenue
DescriptionHEALTH ACCESS INTERVENTION - REPRESENTS THE PROGRAMS DESIGNED TO EDUCATE AND INVOLVE DISTRICT RESIDENTS IN SHAPING THE PRIMARY CARE SYSTEM AND USING IT APPROPRIATELY TO MEET THE MANY HEALTH NEEDS OF THEIR FAMILIES AND THEIR COMMUNITIES.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
159553194085HEALTH REFORM - REPRESENTS A PROGRAM TO LEAD THE DISTRICT'S SAFETY NET HEALTH REFORM EFFORTS THROUGH RESEARCH, ANALYSIS, AND ACTION ON POLICY AND LEGISLATIVE INITIATIVES.
181042214566AMERICORPS
FieldValueIRS element (for citing)
Total Of Other Program Service Exp340595TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev408651TotalOfOtherProgramServiceRev
Total Program Service Expense28353720TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees44NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2026380252TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11411 K STREET NW SUITE 300AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RHONIQUE SHIELDS-HARRIS
CHAIR1.00XX000
GEORGE JONES
VICE CHAIR1.00XX000
DONALD BLANCHON
SECRETARY1.00XX000
JOHN MATHEWSON
TREASURER1.00XX000
JULIE CHAPMAN
DIRECTOR1.00X000
KELLY SWEENEY MCSHANE
DIRECTOR1.00X000
VINCENT A KEANE
DIRECTOR1.00X000
ALICIA WILSON
DIRECTOR1.00X000
ED LAZERE
DIRECTOR1.00X000
SHARON BASKERVILLE
CHIEF EXECUTIVE OFFICER40.00X179607022127
JUDITH MCCORMACK
CFO40.00X120519022417
DONNA RAMOS-JOHNSON
CTO40.00159683019906X
JAMES COSTELLO
DIR OF IT SUPPORT40.00109014014275X
FieldValueIRS element (for citing)
Total Reportable Comp From Org568823TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation78725TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HARVEY CLEARY
207A PERRY PARKWAY SUITE 1GAITHERSBURGMD20877PROGRAM CONSULTING4260535
FORRESTER CONTRUCTION COMPANY
12231 PARKLAWN DRIVEROCKVILLEMD20852CONSTRUCTION3353208
CLINOVATIONS CREATIVE HEALTH SOLUTIONS
1701 PENNSYLVANIA AVENUE 450WASHINGTONDC20006PROGRAM CONSULTING567681
LITTLE ARCHITECTS
5815 WESTPARK DRIVECHARLOTTENC28217PROGRAM CONSULTING490214
LYNCH DEVELOPMENT PARTNERS
1508 U STREET NWWASHINGTONDC20009PROGRAM CONSULTING388282
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants13977996GovernmentGrants
All Other Contributions501136AllOtherContributions
Total Contributions14479132TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP DUES9000995730057300
SPONSORSHIPS9000991450014500
FieldValueIRS element (for citing)
Total Program Service Revenue71800TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column66399TotalRevenueColumn
Exclusion$66,399ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14617331TotalRevenueColumn
Related Or Exempt Function Income71800RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$66,399ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total24644884Total
Program Services24644884ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total344670Total
Program Services295121ProgramServices
Management And General49549ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1769473Total
Program Services1498920ProgramServices
Management And General270553ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total101715Total
Program Services93359ProgramServices
Management And General8356ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total130830Total
Program Services120082ProgramServices
Management And General10748ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total158867Total
Program Services145815ProgramServices
Management And General13052ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4723Total
Management And General4723ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43019Total
Program Services16726ProgramServices
Management And General26293ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total102028Total
Program Services87238ProgramServices
Management And General14790ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total94740Total
Program Services74206ProgramServices
Management And General20534ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total964810Total
Program Services963000ProgramServices
Management And General1810ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total377833Total
Program Services312808ProgramServices
Management And General65025ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total23892Total
Program Services22575ProgramServices
Management And General1317ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total65948Total
Program Services56308ProgramServices
Management And General9640ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total55425Total
Program Services8054ProgramServices
Management And General47371ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2990Total
Management And General2990ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
STAFF TRAINING1382912900929
DUES, PUBS AND SUBSCRIP17921369423
MISCELLANEOUS562355207

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28902030Total
Program Services28353720ProgramServices
Management And General548310ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2835370BOY
EOY710611EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8986394BOY
EOY7431627EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY170000BOY
EOY162500EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY425462BOY
EOY2704051EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6720BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis355411LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec190221LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14650338BOY
EOY165190EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2192256BOY
EOY2181460EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY28200BOY
EOY28200EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29294740BOY
EOY13383639EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1125550BOY
EOY2783053EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY260776BOY
EOY610198EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12460585BOY
EOY8865455EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY150954BOY
EOY133563EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13997865BOY
EOY12392269EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14988335BOY
EOY747724EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY308540BOY
EOY243646EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15296875BOY
EOY991370EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29294740BOY
EOY13383639EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-14284699ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-20806ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13674341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14666896CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14257770CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15385117CurrentTaxYearMinus1Year
Current Tax Year14479132CurrentTaxYear
Total72463256Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13674341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14666896CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14257770CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15385117CurrentTaxYearMinus1Year
Current Tax Year14479132CurrentTaxYear
Total72463256Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total179117AmountsSubstContributorsTotal
Public Support Total17072284139PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years349107CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years175548CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57961CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56912CurrentTaxYearMinus1Year
Current Tax Year66399CurrentTaxYear
Total705927Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75431CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57302CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67150CurrentTaxYearMinus1Year
Current Tax Year71800CurrentTaxYear
Total374964Total
FieldValueIRS element (for citing)
Total Support73544147TotalSupport
Public Support Pertcentage1700.98290PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98110PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals36352FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals36352FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals28865678FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals28902030FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3905407CurrentYearMinus3
Current Year Minus2815527CurrentYearMinus2
Current Year Minus1491830CurrentYearMinus1
Current Year1000000CurrentYear
Total3212764Total
FieldValueIRS element (for citing)
Lobbying Ceiling$4,819,146LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus335000CurrentYearMinus3
Current Year Minus218380CurrentYearMinus2
Current Year Minus121194CurrentYearMinus1
Current Year36352CurrentYear
Total110926Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3226352CurrentYearMinus3
Current Year Minus2203882CurrentYearMinus2
Current Year Minus1122958CurrentYearMinus1
Current Year250000CurrentYear
Total803192Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,204,788GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance14804337BeginningOfYearBalance
Contributions10141415Contributions
Other Expenditures24674086OtherExpenditures
End Of Year Balance271666EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6157219BeginningOfYearBalance
Contributions10303238Contributions
Other Expenditures1656120OtherExpenditures
End Of Year Balance14804337EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5369747BeginningOfYearBalance
Contributions2078660Contributions
Other Expenditures1291188OtherExpenditures
End Of Year Balance6157219EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5759765BeginningOfYearBalance
Contributions1339316Contributions
Other Expenditures1729334OtherExpenditures
End Of Year Balance5369747EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3053481BeginningOfYearBalance
Contributions4018963Contributions
Other Expenditures1312679OtherExpenditures
End Of Year Balance5759765EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.10310BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.89690TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis101479OtherCostOrOtherBasis
Depreciation64230Depreciation
Book Value37249BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis136270OtherCostOrOtherBasis
Depreciation64349Depreciation
Book Value71921BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis117662OtherCostOrOtherBasis
Depreciation61642Depreciation
Book Value56020BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings165190TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
Amount$133,563Amount
FieldValueIRS element (for citing)
Total Of Amounts133563TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14680306TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-20806NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities83781DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99062975RevenueNotRptdF990
Revenue Subtotal14617331RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014617331TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28985811TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities83781DonatedServicesUseOfFacilities
Expenses Not Rptd F99083781ExpensesNotRptdF990
Expenses Subtotal28902030ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028902030TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:BOARD DESIGNATED FUNDS ARE TO BE USED BY DCPCA TO ACQUIRE PROPERTIES TO DEVELOP NEW SITES FOR COMMUNITY HEALTH CENTERS IN WARDS 7 AND 8. TEMPORARILY RESTRICTED FUNDS ARE USED BASED ON THE DONORS INTENT. AS OF THE END OF 2012, THERE WERE NET ASSETS RESTRICTED FOR MEDICAL HOMES DC AND SPECIFIC ASSISTANCE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:DCPCA IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE LAW. THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, DCPCA MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF DCPCA AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR THE CURRENT YEAR OR PRIOR YEAR. DCPCA'S POLICY WOULD BE TO RECOGNIZE INTEREST AND PENALTIES, IF ANY, ON TAX POSITIONS RELATED TO ITS UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. NO INTEREST AND PENALTIES WERE ASSESSED OR RECORDED DURING THE CURRENT YEAR OR PRIOR YEAR. DCPCA'S FORMS 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, THAT HAVE BEEN FILED AS OF DECEMBER 31, 2012, FOR YEARS 2011, 2010, AND 2009 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNITY HEALTH CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11220 12TH STREET SEAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20003ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient521572431EINOfRecipient
IRC Section501C3IRCSection
Amount Of Cash Grant24644884AmountOfCashGrant
Purpose Of GrantMEDICAL HOMES PAYMENTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: ALL GRANTEES WENT THROUGH A COMPETITIVE PROCESS AND HAD TO SUBMIT AN APPLICATION. THE APPLICATIONS WERE REVIEWED AND SELECTED BY AN ADVISORY COMMITTEE. SOME GRANTEES WERE GIVEN PLANNING GRANTS AND THEN LATER CONSTRUCTION GRANTS FOR LARGER PROJECTS. THESE ARE MANAGED BY THE GRANTEE. EACH GRANTEE WAS REQUIRED TO USE A THIRD PARTY DEVELOPMENT CONSULTANT THAT WAS PRE-APPROVED BY DCPCA. THIS THIRD PARTY REVIEWS ALL DISBURSEMENT REQUESTS PRIOR TO DCPCA APPROVAL. THIS PROVIDES AN ADDITIONAL ASSURANCE TO DCPCA THAT THE EXPENSES ARE LEGITIMATE TO THE PROJECT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SHARON BASKERVILLE
CHIEF EXECUTIVE OFFICER1796070000013432086950201734000
DONNA RAMOS-JOHNSON
CTO1596830000010049098570179589000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6DCPCA SHALL HAVE A VOTING MEMBERSHIP CONSISTING OF COMMUNITY-BASED CLINICS, CONSUMERS, HEALTH CARE PROFESSIONALS, HOSPITALS, MANAGED CARE ORGANIZATIONS, TEACHING INSTITUTIONS AND OTHER ENTITIES WHICH SUBSCRIBE TO THE PURPOSES OF DCPCA.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS SHALL BE ELECTED BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS, AFTER RECEIVING NOMINATIONS FROM THE MEMBERSHIP AND NOMINATIONS COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11A DRAFT COPY INCLUDING ALL RELATED SCHEDULES AND ATTACHMENTS IS GIVEN TO THE FINANCE AND AUDIT COMMITTEE MEMBERS FOR REVIEW AND APPROVAL FOR ISSUANCE. ONCE APPROVED, THE CHAIRMAN OF THE FINANCE AND AUDIT COMMITTEE REPORTS TO THE BOARD THE REVIEW AND APPROVAL TOOK PLACE AND THE FORM HAS BEEN FILED.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT AND DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE CEO IS DETERMINED BY THE EXECUTIVE COMMITTEE AND IS REVIEWED ANNUALLY. ADJUSTMENTS TO THE CEO'S SALARY IS GUIDED BY THE FOLLOWING FACTORS: (A) THE INTRINSIC QUALITY OF THEIR 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; (D) ADDITIONAL, SIMILAR, FACTORS THE COMMITTEE DEEMS APPROPRIATE. 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 19IT IS AVAILABLE ON-LINE, IT IS AVAILABLE IMMEDIATELY FOR IN-PERSON REQUESTS AND WITHIN 48 HOURS FOR REQUESTS IN WRITING.
THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

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