2018-02-15T17:18:44-06:00 2017-03-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-04-01 431419937 MISSOURI COALITION FOR PRIMARY HEALTH CARE % JOSEPH E PIERLE MISS 5736364222 3325 EMERALD LANE JEFFERSON CITY MO 65109 JOSEPH E PIERLE CEO 5736364222 2018-01-31 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920180465000010 2018-02-15 P AECC51588B8B05B8A6088E029F5570AF8FA04FA6 C3432A87FBFF9491E59BD7298F2E512B0D9B3700 2016 2021-01-29 14:40:06Z MISSOURI PRIMARY CARE ASSOCIATION JOSEPH E PIERLE 3325 EMERALD LANE JEFFERSON CITY MO 65109 10745544 false X WWW.MO-PCA.ORG X 1984 MO TO IMPROVE ACCESS TO HIGH QUALITY, COMMUNITY BASED, AND AFFORDABLE PRIMARY HEALTH CARE IN MISSOURI. 29 29 22 32 0 0 9676534 7991430 2629761 2723746 20801 30368 0 0 12327096 10745544 13644 20838 0 0 1737304 1999448 0 0 18065 10003468 8230518 11754416 10250804 572680 494740 6992690 7714099 2048064 2274733 4944626 5439366 X TO BE MISSOURI'S LEADER IN SHAPING POLICIES AND PROGRAMS THAT IMPROVE ACCESS TO HIGH QUALITY, COMMUNITY BASED, AND AFFORDABLE PRIMARY HEALTH SERVICES. false false 2637360 87103 FQHC SERVICE EXPANSION - TO ASSIST MO FEDERALLY QUALIFIED HEALTH CENTERS TO IMPLEMENT, EXPAND OR MAINTAIN ACCESS SERVICES, DEVELOP NEW ACCESS POINTS, PURCHASE EQUIPMENT FOR DEVELOPMENT, RECRUIT QUALIFIED HEALTH PROFESSIONALS, EXPAND HOURS OF OPERATION, DEVELOP NEW OR ENHANCE EXISTING MANAGEMENT INFORMATION SYSTEMS, DEVELOP SLIDING FEE ADJUSTMENTS FOR INDIGENT PATIENT CHARGES, AND IMPLEMENT EXCELLENCE IN PRACTICE MODELS TO REDUCE INFECTIONS AND CHRONIC DISEASES. 1111294 10059 PRIMARY CARE ASSN. COOPERATIVE AGREEMENT - SUPPORTS OPERATIONS OF THE ASSOCIATION THROUGH GRANT FUNDING FROM THE BUREAU OF PRIMARY HEALTH CARE. 1012324 75799 WOMEN AND MINORITY HEALTH CARE OUTREACH - ESTABLISH AND IMPLEMENT OUTREACH PROGRAMS AND INITIAL HEALTH SCREENING SERVICES AND HEALTH EDUCATION. 5161544 20838 2550785 9922522 true true false true false false false false false false true false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 30 0 true 22 true false false false false false false false false false false X 29 29 true false false false true true false true true false false false true true true false true true false false X JOSEPH E PIERLE 5736364222 3325 EMERALD LANE JEFFERSON CITY MO 65109 DON MCBRIDE VICE PRES; PRESIDENT BEG 10/16 0.5 0.0 X X 0 0 0 ALAN STEVENS SECRETARY 0.5 0.0 X X 0 0 0 ROBERT MASSIE DDS DIRECTOR 0.5 0.0 X 0 0 0 GLORIA CRULL DIRECTOR 0.5 0.0 X 0 0 0 ALAN FREEMAN DIRECTOR 0.5 0.0 X 0 0 0 CHRIS STEWART PRESIDENT END 10/16; DIRECTOR 0.5 0.0 X X 0 0 0 ANDY GRIMM DIRECTOR 0.5 0.0 X 0 0 0 DWAYNE BUTLER DIRECTOR 0.5 0.0 X 0 0 0 HILDA FUENTES DIRECTOR 0.5 0.0 X 0 0 0 PAT RICHARDS DIRECTOR 0.5 0.0 X 0 0 0 LISA ODOM DIRECTOR END 7/16 0.5 0.0 X 0 0 0 RON CAMP DIRECTOR 0.5 0.0 X 0 0 0 DAVE BARBER DIRECTOR; VICE PRES BEG 10/16 0.5 0.0 X X 0 0 0 LINDA LLOYD DIRECTOR END 10/16 0.5 0.0 X 0 0 0 AMY BEECHNER MCCARTHY DIRECTOR END 12/16 0.5 0.0 X 0 0 0 ANGELA CLABON DIRECTOR 0.5 0.0 X 0 0 0 CHRIS JONES DIRECTOR 0.5 0.0 X 0 0 0 SCOTT CROUCH DIRECTOR 0.5 0.0 X 0 0 0 TIM SHRYACK DIRECTOR 0.5 0.0 X 0 0 0 TONIANN RICHARD DIRECTOR 0.5 0.0 X 0 0 0 JEFF DAVIS DIRECTOR 0.5 0.0 X 0 0 0 KAREN WHITE TREASURER 0.5 0.0 X X 0 0 0 MARK CONOVER DIRECTOR 0.5 0.0 X 0 0 0 LINDA HOPKINS DIRECTOR END 10/16 0.5 0.0 X 0 0 0 MATT YOUNGER DIRECTOR END 11/16 0.5 0.0 X 0 0 0 SHERIDAN WOOD DIRECTOR 0.5 0.0 X 0 0 0 SUSAN CURFMAN DIRECTOR 0.5 0.0 X 0 0 0 JAY GUFFEY DIRECTOR BEG 10/16 0.5 0.0 X 0 0 0 BROOKS MILLER DIRECTOR BEG 8/16; END 10/16 0.5 0.0 X 0 0 0 TERRY MACKEY DIRECTOR BEG 10/16 0.5 0.0 X 0 0 0 MICHAEL JOHNSON DIRECTOR BEG 10/16; END 3/17 0.5 0.0 X 0 0 0 KELLY MILLER DIRECTOR BEG 12/16 0.5 0.0 X 0 0 0 ROBERT STILES DIRECTOR 0.5 0.0 X 0 0 0 ROBERT MARSH DIRECTOR 0.5 0.0 X 0 0 0 DEANNA LAMB DIRECTOR BEG 01/17 0.5 0.0 X 0 0 0 GREG ROEBACK DIRECTOR BEG 03/17 0.5 0.0 X 0 0 0 JOSEPH PIERLE CHIEF EXECUTIVE OFFICER 50.0 0.0 X 284448 0 44128 DANIEL KEMPKER CHIEF FINANCIAL OFFICER 50.0 0.0 X 118296 0 15290 SUSAN WILSON COO END 12/16 50.0 0.0 X 129028 0 24442 531772 0 83860 3 false true false AZARA HEALTHCARE LLC 70 BLANCHARD RD BURLINGTON MA 01803 HLTH DATA ANALYTICS 1202049 UNIVERSITY OF MISSOURI - ST LOUIS 1 UNIVERSITY BLVD ST LOUIS MO 63121 PCHH ADMINISTRATION 596049 AFFINA HEALTHCARE 1717 BIDDLE ST ST LOUIS MO 63106 CNTRCTD HLTH-REL SVC 401825 JORDAN VALLEY COMMUNITY HEALTH CENT 440 E TAMPA ST SPRINGFIELD MO 65801 CNTRCTD HLTH-REL SVC 293740 COMPASS HEALTH 1800 COMMUNITY DRIVE CLINTON MO 64735 CNTRCTD HLTH-REL SVC 286600 21 415542 6879071 696817 7991430 FEES FOR SERVICE REVENUES 900099 1674139 1674139 MISCELLANEOUS INCOME 900099 533264 533264 PROGRAM ADMINISTRATION FEES 900099 267547 267547 REGISTRATION/WORKSHOP FEES 900099 142770 142770 REIMBURSED FEES 900099 106026 106026 2723746 30368 30368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10745544 2723746 30368 X 20838 20838 0 0 0 495831 441196 42750 11885 0 1084743 1050234 31358 3151 95857 92053 3052 752 211946 204883 5938 1125 111071 106423 3496 1152 0 155905 152531 3374 41479 34535 6944 89038 89038 0 0 6530201 6482331 47870 27513 27320 193 114447 80545 33902 94979 92811 2168 0 59503 58152 1351 171200 163398 7802 0 343359 334626 8733 0 0 55244 53970 1274 21399 20797 602 INTERPROGRAM 458169 458169 LICENSES, DUES, SUBSCRIPTIONS 34203 31925 2278 MISCELLANEOUS 33879 15785 18094 10250804 9922522 310217 18065 0 0 3879305 4457939 1545704 1487174 333061 570611 0 0 0 0 0 0 0 0 4326 25197 1759114 586708 1227651 1172406 0 0 0 0 0 0 0 0 2643 772 6992690 7714099 1560594 1859046 0 0 207723 187694 0 0 0 0 0 0 279747 227993 0 0 0 0 2048064 2274733 X 4944626 5439366 0 0 0 0 4944626 5439366 6992690 7714099 494740 X false true X true true true X 7301272 8317280 6783570 9676534 7991430 40070086 0 0 7301272 8317280 6783570 9676534 7991430 40070086 897162 39172924 1795 5766 15123 20801 30368 73853 0 0 40143939 10674142 0.97581 0.98794 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 89038 89038 9922522 10011560 650578 162645 false 599771 535624 719831 650584 2505810 3758715 82244 90306 85119 89038 346707 149943 133906 179958 165635 629442 944163 0 178912 178912 0 1102319 286642 815677 0 39923 7773 32150 0 184856 170738 14118 0 253104 121555 131549 1172406 10745544 10745544 10745544 10250804 10250804 10250804 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. X true true X X X X false false false false false false false true false JOSEPH PIERLE CHIEF EXECUTIVE OFFICER 237176 0 18516 0 28756 0 13476 0 30652 0 328576 0 0 0 SUSAN WILSON COO END 12/16 122020 0 5000 0 2008 0 6470 0 17972 0 153470 0 0 0 SCHEDULE J, PART I, LINE 1A GROSS-UP PAYMENTS: SUSAN WILSON AND DANIEL KEMPKER RECEIVED BONUS GROSS-UPS THAT WERE TREATED AS TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 7 BONUSES: JOSEPH PIERLE, CEO, WAS ELIGIBLE FOR A GROSS BONUS OF UP TO TEN PERCENT OF HIS GROSS BASE ANNUAL SALARY BASED ON THE RESULTS OF HIS ANNUAL PERFORMANCE EVALUATION. BONUSES WERE ALSO PROVIDED FOR DANIEL KEMPKER, CFO, AND SUSAN WILSON, COO. THEIR BONUSES WERE DETERMINED BY THE CEO AFTER EVALUATING THEIR JOB PERFORMANCE AND THE MARKET. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: MISSOURI COALITION FOR PRIMARY HEALTH CARE ALSO PROVIDES THE FOLLOWING SERVICES: -SUPPORT, TRAINING, AND TECHNICAL ASSISTANCE TO COMMUNITY HEALTH CENTERS -SUPPORT TO PRIMARY CARE PROVIDERS AND OTHER HEALTH CARE PROFESSIONALS IN ADOPTING ELECTRONIC HEALTH RECORDS (EHR) AND UTILIZING HEALTH INFORMATION TECHNOLOGY EFFECTIVELY TO IMPROVE THE QUALITY OF HEALTH CARE IN MISSOURI -SUPPORT FOR ADOPTION, IMPLEMENTATION, AND UPGRADE OF ELECTRONIC HEALTH RECORDS SYSTEMS, APPLICATION AND PAYMENT OF HIT MEANINGFUL USE INCENTIVES AND LEVERAGING PATIENT DATA FOR CLINICAL QUALITY IMPROVEMENT -SUPPORT FOR SUBLICENSING OF DATA WAREHOUSE/CLINICAL QUALITY MEASURES REPORTING SYSTEMS TO MEMBERS -PRACTICE COACHING SUPPORT TOWARD ACHIEVEMENT OF NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) RECOGNITION AS PATIENT CENTERED MEDICAL HOMES -CLINICAL QUALITY MEASURES REPORTING TO MO HEALTHNET DIVISION AND TO PROVIDERS PARTICIPATING IN THE MISSOURI PRIMARY CARE HEALTH HOME INITIATIVE FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR BUSINESS RELATIONSHIP: ORGANIZATION DIRECTORS AND OFFICERS ANDY GRIMM, DAVE BARBER, ROBERT MASSIE, DWAYNE BUTLER, GLORIA CRULL, RON CAMP, AND DON MCBRIDE ALL SHARE A BUSINESS RELATIONSHIP. ORGANIZATION DIRECTORS AND OFFICERS ALAN FREEMAN, ALAN STEVENS, ANGELA CLABON, CHRIS STEWART, DAVE BARBER, JEFF DAVIS, KAREN WHITE, AND ROBERT MASSIE ALL SHARE A BUSINESS RELATIONSHIP IN ADDITION TO THE ABOVE RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: MEMBERSHIP IN THE CORPORATION SHALL BE LIMITED, NOT AS TO NUMBER, BUT AS TO PERSONS REPRESENTING ORGANIZATIONS AND INTEREST PERTINENT TO THE INTEREST/BUSINESS OR GOVERNANCE OF PRIMARY CARE ORGANIZATIONS OR AS OTHERWISE DEFINED IN THE BYLAWS OF THE CORPORATION. ORGANIZATIONAL OR VOTING MEMBERSHIP SHALL INCLUDE ONE REPRESENTATIVE FROM EACH OF THE SECTION 330 FEDERALLY FUNDED HEALTH CENTERS IN THE STATE OF MISSOURI THAT DESIRES TO BE A MEMBER OF THE ORGANIZATION. EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF MEMBERS. EACH OF THE MEMBERS MAY APPOINT ONE DIRECTOR TO THE BOARD OF DIRECTORS TO SERVE A ONE YEAR TERM. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CFO AND CEO REVIEW THE FORM 990 AND THE CEO SIGNS THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: ANNUALLY, MEMBERS AND EMPLOYEES ARE REQUIRED TO SIGN A DISCLOSURE CONCERNING CONFLICT OF INTEREST FORM. IF THERE IS A CONFLICT OF INTEREST, AN ATTACHED STATEMENT IS TO BE MADE WITH THE DISCLOSURE FORM. DISCLOSURE FORMS ARE REVIEWED BY THE CEO OR HIS DESIGNEE, OR THE BOARD PRESIDENT IN SPECIAL SITUATIONS, TO DETERMINE WHETHER ANY CONFLICTS OF INTEREST ARE DISCLOSED. IN THE EVENT CONFLICTS ARE DISCLOSED, THE DISCLOSURE CONCERNING CONFLICT OF INTEREST FORMS LAYS OUT COURSES OF ACTION TO TAKE. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW: THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO INCLUDES AN ANNUAL REVIEW IN MARCH BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE TAKES INTO ACCOUNT JOB PERFORMANCE FOR THE PREVIOUS YEAR AS WELL AS DATA OF OTHER COMPARABLE-SIZED ORGANIZATIONS. THE EXECUTIVE COMMITTEE'S DELIBERATION AND DECISION ARE CONTEMPORANEOUSLY SUBSTANTIATED AND A RECOMMENDATION IS MADE TO THE BOARD. THE COMPENSATION PACKAGE IS ULTIMATELY APPROVED BY THE ENTIRE BOARD. DURING THE YEAR ENDED MARCH 31, 2017, THE BOARD ENGAGED A CONSULTING FIRM TO RESEARCH EXECUTIVE COMPENSATION AND MAKE A RECOMMENDATION FOR A SALARY RANGE FOR MPCA'S CHIEF EXECUTIVE AS WELL AS ITS OPERATING OFFICER, FINANCE OFFICER, AND ONE OTHER UPPER LEVEL MANAGEMENT POSITION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: THE BREAKOUT OF OTHER FEES FOR SERVICES IS AS FOLLOWS: SUBRECIPIENT/CONSORTIA COST: $2,025,659 HEALTH INITIATIVE SERVICES 931,292 PROGRAMS FOR WOMEN & MINORITY HEALTHCARE 720,629 FQHC/CMHC MENTAL HEALTH AND PRIMARY CARE INTEGRATION 299,323 COMMUNITY HEALTH WORKER PROGRAM 87,800 CHRONIC DISEASE COLLARBORATIVE 10,714 NACHC MILLION HEARTS HYPERTENSION ----------- $4,075,417 TOTAL SUBRECIPIENT/CONSORTIA COST CONTRACTED SERVICES: $ 746,641 MO PC HEALTH HOME INITIATIVE 342,057 DRVS (AZARA) 223,177 MFH POPULATION HEALTH CHRONIC PAIN 358,036 HEALTH CENTER CONTROLLED NETWORKS 125,025 CHC PRIMARY CARE AND MENTAL HEALTH INTEGRATION 97,421 BASE (BPHC) 87,615 MISSOURI HEALTH+ (IPA) 74,250 SERVICE EXPANSION 72,977 CHRONIC DISEASE COLLABORATIVE 64,120 MU CHRONIC PAIN ECHO 2 57,500 COMMUNITY HEALTH WORKER PROGRAM 47,587 MPCA MEMBERSHIP 39,039 HCFGKC ROADMAP TO PAYMENT REFORM 37,050 MFH ROADMAP TO PAYMENT REFORM 26,354 DELTA SERVICES 17,850 MOQUIN SERVICES 16,050 MFH PLANNING FOR STL-AHC 2,280 GHRI TAKING ACTION ON OVERUSE 19,755 MISCELLANEOUS PROGRAMS ----------- $2,454,784 TOTAL CONTRACTED SERVICES $6,530,201 TOTAL OTHER FEES FOR SERVICES MISSOURI COMMUNITY HEALTH FOUNDATION INC 3325 EMERALD LANE JEFFERSON CITY MO 65109 272883394 SUPPORT MO 501(C)(3) 7 MPCA true false false false false false false false false false false false true false true true false true true false MISSOURI COMMUNITY HEALTH FOUNDATION INC R 458169 FMV