2018-11-07T15:41:37-06:00 2017-12-31 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2017-01-01 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 2018-11-07 1 3019519090 75.103.231.202 2018-11-07 16:41:33 ES P 4FA38BE9C690C82C721A5060F87FC7588CB81F81 D31143E05F356F1ED32FD3554BCC3B2CA226BB0E 2017 2019-02-21 02:37:17Z TAMARA A SMITH 1620 I STREET NW NO 300 WASHINGTON DC 20006 5567899 0 X WWW.DCPCA.ORG X 1996 DC SEE PART III, LINE 1. 11 11 25 11 0 0 3157144 4899440 137500 417618 24163 27593 54186 0 3372993 5344651 52000 72379 0 0 2029552 1980811 0 0 0 2322407 3916054 4403959 5969244 -1030966 -624593 2418417 2523875 510639 1163333 1907778 1360542 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 1207909 72000 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. 3181822 379 116118 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. 265969 301500 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. 4655700 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 1 0 0 0 0 0 0 0 0 0 1 14 0 1 25 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 TAMARA SMITH 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 INTERIM CEO (UNTIL 5/15/17) 40.00 X 0 0 0 TAMARA SMITH PRESIDENT AND CEO (FROM 5/15/17) 40.00 X 121653 0 10799 DONNA RAMOS-JOHNSON DIRECTOR & CHIEF TECHNOLOGY OFFICER 40.00 X 174106 0 31135 JAMES COSTELLO DEPUTY DIRECTOR, HIT OPERATIONS 40.00 X 130419 0 19351 PATRICIA QUINN DIRECTOR, POLICY & EXTERNAL AFFAIRS 40.00 X 123118 0 26352 GWENDOLYN YOUNG DIR., QUAL. IMPROVEMENT & OPERATIONS 40.00 X 123114 0 25550 672410 0 113187 5 0 1 0 ZANE NETWORKS LLC 1133 21ST STREET NW WASHINGTON DC 20036 TECHNICAL PROJECT MGMT. SERVICES 250148 THE MATTHEWSON GROUP 68147 WILSON LANE BETHESDA MD 20817 CONSULTING 243140 HEALTHEC LLC 343 THORNALL STREET SUITE 630 EDISON NJ 08837 POPULATION HEALTH MGMT/ RISK ASSES. 200705 YOUR PART TIME CONTROLLER 1500 WALNUT STREET SUITE 1200 PHILADEPHIA PA 19102 ACCOUNTING SERVICES 141986 4 3196750 1702690 4899440 MEMBERSHIP DUES 900099 301500 301500 HIE ACCESS & SUPPORT 900099 116118 116118 417618 40320 40320 210521 223248 -12727 -12727 -12727 5344651 417618 0 27593 X 72379 72379 337693 226505 111188 1307914 1165633 142281 75183 66351 8832 141647 121613 20034 118374 100429 17945 31000 31000 204663 204663 10521 10521 2401695 1890783 510912 121117 101940 19177 451695 447178 4517 355813 301317 54496 52685 40043 12642 39001 27337 11664 44619 37594 7025 10387 10387 BAD DEBT EXPENSE 147841 21341 126500 STAFF TRAINING 18323 16803 1520 EQUIPMENT 15403 13915 1488 DUES, PUBS. AND SUBS. 7166 4458 2708 4125 81 4044 5969244 4655700 1313544 0 99974 473473 15408 28842 926329 778622 296966 305650 44214 34837 257966 188421 83615 69545 897256 778251 54655 54655 2418417 2523875 186503 804415 26076 324136 332842 510639 1163333 X 1104152 1133839 803626 226703 1907778 1360542 2418417 2523875 -624593 77357 0 X 0 1 X 1 1 1 X 22451706 6570697 6847796 3157144 4899440 43926783 22451706 6570697 6847796 3157144 4899440 43926783 609704 43317079 77352 170722 207002 75233 40320 570629 465 16936 17401 44514813 858118 0.97310 0.98090 X 0 265969 265969 5703275 5969244 448462 112116 0 0 488972 444196 370198 448462 1751828 2627742 80463 151269 64922 265969 562623 122243 111049 92550 112116 437958 656937 30237 6463 23774 195254 152955 42299 32475 29003 3472 69545 DEFERRED RENT 332842 332842 X 5432548 77357 10540 87897 5344651 0 5344651 5979784 10540 10540 5969244 0 5969244 PART X, LINE 2: FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, 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) 9000 DC3C CANCER SCREENING PROJECT COMMUNITY OF HOPE 4 ATLANTIC STREET SW WASHINGTON DC 20032 521184749 501(C)(3) 9000 BIOTERRORISM PREPAREDNESS/SCREEN 4 LIFE FAMILY & MEDICAL COUNSELING SERVICES 2041 MLK KR AVE SE STEM-2 WASHINGTON DC 20020 521073362 501(C)(3) 12000 BIOTERRORISM PREPAREDNESS/SCREEN 4 LIFE LACLINICA DEL PUEBLO 2970 BELCREST CENTER DR UNIT 3 HYATTSVILLE MD 20782 521942551 501(C)(3) 9000 BIOTERRORISM PREPAREDNESS/SCREEN 4 LIFE MARY'S CENTER FOR MATERNAL AND CHILD CARE 2333 ONTARIO ROAD NW WASHINGTON DC 20009 521594116 501(C)(3) 12000 DC3C CANCER SCREENING PROJECT SO OTHERS MIGHT EAT 71 O STREET NW WASHINGTON DC 20001 237098123 501(C)(3) 12000 DC3C CANCER SCREENING PROJECT WHITMAN-WALKER HEALTH CENTER 1701 14TH STREET NW WASHINGTON DC 20009 521122122 501(C)(3) 9000 DC3C CANCER SCREENING PROJECT 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 0 0 DONNA RAMOS-JOHNSON DIRECTOR & CHIEF TECHNOLOGY OFFICER 174106 0 0 0 0 0 14508 0 16627 0 205241 0 0 0 THE MATTHEWSON GROUP JOHN MATTHEWSON, IN 243140 DURING 2017 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: THE MATTHEWSON GROUP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOHN MATTHEWSON, INTERIM CEO UNTIL 5/15/2017, IS THE MAJORITY OWNER OF THE MATTHEWSON GROUP.(D) DESCRIPTION OF TRANSACTION: DURING 2017, THE MATTHEWSON GROUP WAS PAID FOR CONSULTING SERVICES, INCLUDING PAYMENT FOR JOHN MATTHEWSON'S SERVICES AS INTERIM CEO. 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 2016. 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 843,818. MANAGEMENT AND GENERAL EXPENSES 380,448. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,224,266. HR FEES: PROGRAM SERVICE EXPENSES 2,348. MANAGEMENT AND GENERAL EXPENSES 59,164. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,512. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 71,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,300. SUB-CONTRACTORS: PROGRAM SERVICE EXPENSES 1,044,617. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,044,617.