DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (EIN 52-1999196)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349307282
Schema version
2011v1.2
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)
Timestamp2012-11-15T15:35:29-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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)
NameSHARON BASKERVILLEName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone2026380252Phone
Date Signed2012-08-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDANIEL L WEAVERName
PTINP01249346PTIN
Phone3019860600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHARON BASKERVILLENameOfPrincipalOfficerPerson

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 Receipts15509179GrossReceipts
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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees60TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year14257770ContributionsGrantsPriorYear
Contributions Grants Current Year15385117ContributionsGrantsCurrentYear
Program Service Revenue Prior Year69667ProgramServiceRevenuePriorYear
Program Service Revenue CY67150ProgramServiceRevenueCY
Investment Income Prior Year57961InvestmentIncomePriorYear
Investment Income Current Year56912InvestmentIncomeCurrentYear
Other Revenue Prior Year33614OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14419012TotalRevenuePriorYear
Total Revenue Current Year15509179TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6628453GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY913938GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2476414SalariesEtcPriorYear
Salaries Etc Current Year3146384SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4205682OtherExpensePriorYear
Other Expenses Current Year2776280OtherExpensesCurrentYear
Total Expenses Prior Year13310549TotalExpensesPriorYear
Total Expenses Current Year6836602TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1108463RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8672577RevenuesLessExpensesCY
Total Assets BOY19374242TotalAssetsBOY
Total Assets EOY29294740TotalAssetsEOY
Total Liabilities BOY11778846TotalLiabilitiesBOY
Total Liabilities EOY13997865TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7595396NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15296875NetAssetsOrFundBalancesEOY
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
Expense1981948Expense
Grants913938Grants
Revenue11763126Revenue
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)
Expense3374424Expense
Revenue3737128Revenue
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)
Expense450286Expense
Revenue523971Revenue
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
162867369628HEALTH REFORM - REPRESENTS A PROGRAM TO LEAD THE DISTRICT'S SAFETY NET HEALTH REFORM EFFORTS THROUGH RESEARCH, ANALYSIS, AND ACTION ON POLICY AND LEGISLATIVE INITIATIVES.
197491229459NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS
FieldValueIRS element (for citing)
Total Of Other Program Service Exp360358TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev599087TotalOfOtherProgramServiceRev
Total Program Service Expense6167016TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees60NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 (14 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 KEANE
DIRECTOR1.00X000
ALICIA WILSON
DIRECTOR1.00X000
ED LAZERE
DIRECTOR1.00X000
SHARON BASKERVILLE
CHIEF EXECUTIVE OFFICER40.00X173306025161
JUDITH MCCORMACK
CFO40.00X117563024643
DONNA RAMOS-JOHNSON
CTO40.00157592020695X
JAMES COSTELLO
DIR OF IT SUPPORT40.00108310015737X
MICHAEL WILLIAMS
CHIEF OF POLICY AND PROGRA40.00129953019744X
FieldValueIRS element (for citing)
Total Reportable Comp From Org686724TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation105980TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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
FORRESTER CONTRUCTION COMPANY
12231 PARKLAWN DRIVEROCKVILLEMD20852CONSTRUCTION4660350
CLINOVATIONS CREATIVE HEALTH SOLUTIONS
1701 PENNSYLVANIA AVENUE 450WASHINGTONDC20006PROGRAM CONSULTING1427660
MICROSOFT CORPORATION
1 MICROSOFT WAYREDMONDWA98052PROGRAM CONSULTING767373
LYNCH DEVELOPMENT PARTNERS
1508 U STREET NWWASHINGTONDC20009PROGRAM CONSULTING534961
LITTLE ARCHITECTS
5815 WESTPARK DRIVECHARLOTTENC28217PROGRAM CONSULTING440114
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants14700280GovernmentGrants
All Other Contributions684837AllOtherContributions
Total Contributions15385117TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEMBERSHIP DUESDescription
Business Code900099BusinessCode
Total Revenue Column67150TotalRevenueColumn
Related Or Exempt Function Income67150RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue67150TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56912TotalRevenueColumn
Exclusion$56,912ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15509179TotalRevenueColumn
Related Or Exempt Function Income67150RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$56,912ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total913938Total
Program Services913938ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total340673Total
Program Services288940ProgramServices
Management And General51733ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2255242Total
Program Services1912771ProgramServices
Management And General342471ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total152570Total
Program Services134514ProgramServices
Management And General18056ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total203643Total
Program Services181211ProgramServices
Management And General22432ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total194256Total
Program Services171267ProgramServices
Management And General22989ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total41459Total
Program Services13186ProgramServices
Management And General28273ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total185978Total
Program Services165111ProgramServices
Management And General20867ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total180162Total
Program Services142074ProgramServices
Management And General38088ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1808603Total
Program Services1805673ProgramServices
Management And General2930ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total362264Total
Program Services301038ProgramServices
Management And General61226ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total46520Total
Program Services45927ProgramServices
Management And General593ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total73874Total
Program Services67391ProgramServices
Management And General6483ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9395Total
Program Services9395ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total46339Total
Management And General46339ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total999Total
Management And General999ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
STAFF TRAINING1470894505258
DUES, PUBS AND SUBSCRIP54884853635
MISCELLANEOUS491277214

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6836602Total
Program Services6167016ProgramServices
Management And General669586ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY97490BOY
EOY2835370EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10309770BOY
EOY8986394EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY72500BOY
EOY170000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1210259BOY
EOY425462EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY6720EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14785134LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec134796LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6051781BOY
EOY14650338EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1604242BOY
EOY2192256EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY28200BOY
EOY28200EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19374242BOY
EOY29294740EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2275208BOY
EOY1125550EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY789137BOY
EOY260776EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8556415BOY
EOY12460585EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY158086BOY
EOY150954EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11778846BOY
EOY13997865EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6260736BOY
EOY14988335EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1334660BOY
EOY308540EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7595396BOY
EOY15296875EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19374242BOY
EOY29294740EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8672577ReconcilationRevenueExpenses
Reconcilation Other Changes-971098ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years8365998CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13674341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14666896CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14257770CurrentTaxYearMinus1Year
Current Tax Year15385117CurrentTaxYear
Total66350122Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8365998CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13674341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14666896CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14257770CurrentTaxYearMinus1Year
Current Tax Year15385117CurrentTaxYear
Total66350122Total
FieldValueIRS element (for citing)
Public Support Total17066350122PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184887CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years349107CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years175548CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57961CurrentTaxYearMinus1Year
Current Tax Year56912CurrentTaxYear
Total824415Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years153518CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75431CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57302CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year103281CurrentTaxYearMinus1Year
Current Tax Year67150CurrentTaxYear
Total456682Total
FieldValueIRS element (for citing)
Total Support67631219TotalSupport
Public Support Pertcentage1700.98110PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97460PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals21194FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals21194FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals6815408FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals6836602FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals491830FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals122958FilingOrganizationsTotals

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 Minus3702234CurrentYearMinus3
Current Year Minus2905407CurrentYearMinus2
Current Year Minus1815527CurrentYearMinus1
Current Year491830CurrentYear
Total2914998Total
FieldValueIRS element (for citing)
Lobbying Ceiling$4,372,497LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus343700CurrentYearMinus3
Current Year Minus235000CurrentYearMinus2
Current Year Minus118380CurrentYearMinus1
Current Year21194CurrentYear
Total118274Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3175559CurrentYearMinus3
Current Year Minus2226352CurrentYearMinus2
Current Year Minus1203882CurrentYearMinus1
Current Year122958CurrentYear
Total728751Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,093,127GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3053481BeginningOfYearBalance
Contributions4018963Contributions
Other Expenditures1312679OtherExpenditures
End Of Year Balance5759765EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.98000BoardDesignatedEOYBalance
Term Endowment EOY Balance0.02000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis101479OtherCostOrOtherBasis
Depreciation50943Depreciation
Book Value50536BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis98216OtherCostOrOtherBasis
Depreciation50567Depreciation
Book Value47649BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14585439OtherCostOrOtherBasis
Depreciation33286Depreciation
Book Value14552153BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14650338TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
Amount$150,954Amount
FieldValueIRS element (for citing)
Total Of Amounts150954TotalOfAmounts
Total Revenue15509179TotalRevenue
Total Expenses6836602TotalExpenses
Excess Or Deficit For Year8672577ExcessOrDeficitForYear
Net Unrealized GL On Investments88013NetUnrealizedGLOnInvestments
Other-$1,059,111OtherAmount
Total Adjustments-971098TotalAdjustments
Excess Or Deficit Per FS7701479ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15698069TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments88013NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities100877DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990188890RevenueNotRptdF990
Revenue Subtotal15509179RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015509179TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7996590TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities100877DonatedServicesUseOfFacilities
Losses Reported1059111LossesReported
Expenses Not Rptd F9901159988ExpensesNotRptdF990
Expenses Subtotal6836602ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906836602TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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 2011, THERE WERE NET ASSETS RESTRICTED FOR MEDICAL HOMES DC, SMALL CAPITAL PROJECTS AND SPECIFIC ASSISTANCE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 YEAR 2011 AND 2010. DCPCAS 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 2011 AND 2010. DCPCAS FORMS 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, THAT HAVE BEEN FILED AS OF DECEMBER 31, 2011, FOR YEARS 2010, 2009, AND 2008 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.
PART XI, LINE 8 - OTHER ADJUSTMENTS:LOSS ON PATIENT PORTAL SOFTWARE -1,059,111.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY OF HOPE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11413 GIRARD ST NWAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20009ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient521184749EINOfRecipient
IRC Section501C3IRCSection
Amount Of Cash Grant913938AmountOfCashGrant
Purpose Of GrantMEDICAL HOMES PAYMENTPurposeOfGrant

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 PREAPPROVED 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 (3 entries)

Base 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
17330600000146430105180198467000
JUDITH MCCORMACK
1175630000099340147090142206000
DONNA RAMOS-JOHNSON
1575920000080930126020178287000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 DEVELOPMENT 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.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 88,013. LOSS ON PATIENT PORTAL SOFTWARE -1,059,111. TOTAL TO FORM 990, PART XI, LINE 5: -971,098.CHANGES IN NET ASSETS OR FUND BALANCES:
THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.