2016-02-16T16:44:09-06:00 2015-03-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2014-04-01 431419937 MISSOURI COALITION FOR PRIMARY HEALTH CARE % JOSEPH E PIERLE MISS 5736364222 3325 EMERALD LANE JEFFERSON CITY MO 65109 JOSEPH E PIERLE CHIEF EXECUTIVE OFFI 5736364222 2016-02-16 true Brian D Todd P00422601 4178658701 2014 2016-08-17 19:52:53Z MISSOURI PRIMARY CARE ASSOCIATION JOSEPH E PIERLE 3325 EMERALD LANE JEFFERSON CITY MO 65109 8618687 false X WWW.MO-PCA.ORG X 1984 MO TO IMPROVE ACCESS TO HIGH QUALITY, COMMUNITY BASED, AND AFFORDABLE PRIMARY HEALTH CARE IN MISSOURI 28 28 21 34 0 0 8317280 6783570 1447833 1819994 -186913 15123 0 0 9578200 8618687 17060 17500 0 0 1581696 1783049 0 0 15143 7637576 6281381 9236332 8081930 341868 536757 6726317 6115891 2674005 1526822 4052312 4589069 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 1693871 43104 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. 1108251 5650 PRIMARY CARE ASSN. GRANT - SUPPORTS OPERATIONS OF THE ASSOCIATION THROUGH GRANT FUNDING FROM THE BUREAU OF PRIMARY HEALTH CARE. 1081327 82074 WOMEN AND MINORITY HEALTH CARE OUTREACH - ESTABLISH AND IMPLEMENT OUTREACH PROGRAMS AND INITIAL HEALTH SCREENING SERVICES AND HEALTH EDUCATION. 3829032 17500 1689166 7712481 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 true false true false false false false false false false false false false false false false true true true false false true 47 0 true 21 true false false false false false false false false false false X 28 28 true false false false true true false true true false false true true true true false true true false false X JOSEPH E PIERLE 5736364222 3325 EMERALD LANE JEFFERSON CITY MO 65109 DON MCBRIDE DIRECTOR, SECRETARY BEG 10/14 0.5 0.0 X X 0 0 0 ALAN STEVENS DIRECTOR 0.5 0.0 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, VICE PRES. BEG 10/14 0.5 0.0 X X 0 0 0 CHRIS STEWART VICE PRES. END 10/14, DIRECTOR 0.5 0.0 X X 0 0 0 ANDY GRIMM DIRECTOR 0.5 0.0 X 0 0 0 BEN ERNST PRESIDENT END 10/14, DIRECTOR 0.5 0.0 X X 0 0 0 DWAYNE BUTLER TREASURER 0.5 0.0 X X 0 0 0 HILDA FUENTES DIRECTOR 0.5 0.0 X 0 0 0 PAT RICHARDS SECRETARY END 10/14, DIRECTOR 0.5 0.0 X X 0 0 0 LAURA HEEBNER DIRECTOR ENDING 10/14 0.5 0.0 X 0 0 0 LISA ODOM DIRECTOR 0.5 0.0 X 0 0 0 RON CAMP DIRECTOR 0.5 0.0 X 0 0 0 DAVE BARBER DIRECTOR 0.5 0.0 X 0 0 0 DON HOLLOMAN DIRECTOR ENDED 10/2014 0.5 0.0 X 0 0 0 LINDA LLOYD DIRECTOR 0.5 0.0 X 0 0 0 AMY BEECHNER MCCARTHY DIRECTOR 0.5 0.0 X 0 0 0 ANGELA CLABON DIRECTOR 0.5 0.0 X 0 0 0 BOB STEELE DIRECTOR ENDING 11/14 0.5 0.0 X 0 0 0 CHRIS JONES DIRECTOR 0.5 0.0 X 0 0 0 LANCE MAYFIELD DIRECTOR ENDING 9/14 0.5 0.0 X 0 0 0 MIKE SCHWEND DIRECTOR ENDING 6/14 0.5 0.0 X 0 0 0 SCOTT CROUCH DIRECTOR 0.5 0.0 X 0 0 0 TERRY MACKEY 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 PATTY MARTENS DIRECTOR 0.5 0.0 X 0 0 0 TOBY BARNETT DIRECTOR BEG 10/14 - END 1/15 0.5 0.0 X 0 0 0 TERRI TRIMBLE DIRECTOR BEGINNING 11/14 0.5 0.0 X 0 0 0 JEFF DAVIS DIRECTOR BEGINNING 1/15 0.5 0.0 X 0 0 0 KAREN WHITE DIRECTOR BEGINNING 9/14 0.5 0.0 X 0 0 0 MARK CONOVER DIRECTOR BEGINNING 7/14 0.5 0.0 X 0 0 0 JODI WALTMAN DIRECTOR 0.5 0.0 X 0 0 0 JOSEPH PIERLE CEO 50.0 0.0 X 247270 0 46942 DANIEL KEMPKER CHIEF FINANCIAL OFFICER 50.0 0.0 X 111730 0 15281 SUSAN WILSON CHIEF OPERATING OFFICER 50.0 0.0 X 121609 0 22645 DANIEL O'NEILL CHF DEV OFCR; MO HLTH PLS CEO 45.0 0.0 X 121811 0 10522 602420 0 95390 4 false true false AZARA HEALTHCARE LLC HEALTH REPORTING 620189 AFFINA HEALTHCARE HEALTHCARE SERVICES 380957 MISSOURI INSTITUTE OF MENTAL HEALTH MED STUDENT AID 313719 BJK PEOPLE'S HEALTH CENTERS HEALTHCARE SERVICES 288038 CHC OF CENTRAL MISSOURI HEALTHCARE SERVICES 285520 18 370548 5518185 894837 6783570 PROGRAM ADMINISTRATION FEES 900099 236778 236778 REGISTRATION/WORKSHOP FEES 900099 139281 139281 REIMBURSED FEES 900099 147923 147923 FEES FOR SERVICE REVENUES 900099 1080134 1080134 MISCELLAENOUS INCOME 900099 215878 215878 1819994 15123 15123 0 0 0 0 0 0 0 0 0 0 8618687 1819994 15123 X 17500 17500 0 0 0 371240 342857 24550 3833 0 1056900 994489 55161 7250 68586 65976 2056 554 184113 178279 4363 1471 102210 98319 3043 848 0 19516 13417 6099 34818 34580 238 66000 18000 48000 0 0 4830092 4684052 144853 1187 20360 20360 182587 145404 37183 66219 64651 1568 0 62998 62048 950 153096 144722 8374 0 368559 362045 6514 0 0 57931 57148 783 11096 11068 28 INTERPROGRAM 355719 355719 MISCELLANEOUS 37984 28240 9744 LICENSES, DUES & SUBSCRIPTIONS 14406 13607 799 8081930 7712481 354306 15143 0 0 3550165 3456322 1648431 1088582 157998 221511 0 0 0 0 0 0 0 0 4618 25780 1757557 481360 1323120 1276197 0 0 39474 39474 0 0 0 0 2511 8025 6726317 6115891 1789111 1147588 0 0 416912 44845 0 0 0 0 0 0 388133 334389 0 0 79849 0 2674005 1526822 X 4052312 4589069 0 0 0 0 4052312 4589069 6726317 6115891 536757 X false true X true true true X 19146941 9649495 7301272 8317280 6783570 51198558 0 0 19146941 9649495 7301272 8317280 6783570 51198558 218552 50980006 1008 2366 1795 5766 15123 26058 0 0 51224616 4869277 0.99523 0.99982 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 90306 90306 7622175 7712481 535624 133906 false 654660 590351 599771 535624 2380406 3570609 112411 135577 82244 90306 420538 163665 147588 149943 133906 595102 892653 178912 178912 1142242 235355 906887 184856 143902 40954 251547 102103 149444 1276197 8618687 8618687 8618687 8081930 8081930 8081930 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. true MISSOURI HEALTH ADVOCACY ALLIANCE 606 EAST CAPITOL AVE JEFFERSON CITY MO 65101 263426303 501(C)(3) 10000 EVENT SUPPORT 1 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: DURING FISCAL YEAR 2015, THE ORGANIZATION MADE SEVERAL CONTRIBUTIONS TO MEMBER ORGANIZATIONS FOR EVENT SUPPORT. MPCA CAN MONITOR THE USE OF THESE FUNDS BY SEEING THAT THE EVENT WAS ACCOMPLISHED. X true true X X X X false false false false false false false true false JOSEPH PIERLE CEO 218362 0 20419 0 8489 0 22439 0 24503 0 294212 0 0 0 SCHEDULE J, PART I, LINE 1A GROSS-UP PAYMENTS: SUSAN WILSON AND DANIEL KEMPKER RECEIVED ANNUAL BONUS GROSS-UPS THAT WERE TREATED AS TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 7 BONUSES: JOSEPH PIERLE, CEO, IS 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, ON AN ANNUAL BASIS. 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 SYSTEM 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 RELATIONSHIPS: ANDY GRIMM, DAVE BARBER, ROBERT MASSIE, DWAYNE BUTLER, GLORIA CRULL AND DON MCBRIDE ALL SHARE A BUSINESS 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 HAVE A MEMBER. 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 EMAIL TO THE ENTIRE BOARD OF DIRECTORS FOR REVIEW. ONCE ALL COMMENTS AND QUESTIONS HAVE BEEN RESOLVED, 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 FORM 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 BOARD MEMBERS WHICH IS EVALUATED BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE TAKES INTO ACCOUNT JOB PERFORMANCE FOR THE PREVIOUS YEAR AS WELL AS COMPARABILITY 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. ADDITIONALLY DURING THE YEAR ENDED MARCH 31, 2015, THE BOARD ENGAGED A CONSULTING FIRM TO RESEARCH EXECUTIVE COMPENSATION AND MAKE A RECOMMENDATION FOR A 2014 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 BY REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: THE BREAKOUT OF OTHER FEES FOR SERVICES IS AS FOLLOWS: SUBRECIPIENT/CONSORTIA COST: ADVANCED PRIMARY CARE PRACTICE DEMONSTRATION $ 113,055 DISTRIBUTION OF FUNDING TO FQHCS FOR OUTREACH PROGRAMS FOR WOMEN AND MINORITY HEALTHCARE $ 1,025,925 FQHC/CMHC MENTAL HEALTH AND PRIMARY CARE INTEGRATION $ 533,001 GRANT ADMINISTRATOR/EXPANSION & ORAL HEALTH INITIATIVE SERVICES $ 1,289,676 BIOTERRORISM EMERGENCY PREPAREDNESS $ 139,941 CHRONIC DISEASE COLLABORATIVE $ 61,825 RCHN GATEWAY TO MARKETPLACE $ 81,703 ----------- TOTAL SUBRECIPIENT/CONSORTIA COST $ 3,245,126 CONTRACTED SERVICES: BASE (BPHC) $ 135,845 OUTREACH & ENROLLMENT $ 22,222 HEALTH CENTER CONTROLLED NETWORKS $ 173,328 CMS APCP DEMONSTRATION $ 7,517 CHC PRIMARY CARE & MENTAL HEALTH INTEGRATION $ 157,787 PRIMO $ 1,782 CHRONIC DISEASE COLLABORATIVE $ 60,002 NEW START CHC TECHNICAL ASSISTANCE $ 12,510 MFH MEDICAID INITIATIVE $ 43,676 ADVOCACY (MFH) $ 13,857 PRACTICE COACHING $ 37,307 PRACTICE COACHING - CMHC $ 5,000 HCFGKC MEDICAID INITIATIVE $ 93,399 RCHN GATEWAY TO MARKETPLACE $ 22,921 MPCA MEMBERSHIP $ 144,853 IPA/MISSOURI HEALTH PLUS $ 2,737 DELTA SERVICES $ 22,505 MO PC HEALTH HOME INITIATIVE $ 90,195 MO CLINICAL & QUALITY CONFERENCE $ 5,940 BKD CFO BOOTCAMP $ 10,974 TRANSFORMING PAIN MANAGEMENT (PFIZER) $ 113,849 MO PC HOME HEALTH INITIATIVE $ 104,288 MOSBIRT (UMSL-MIMH) $ 8,721 DRVS (AZARA) $ 276,058 TOBACCO CESSATION QI $ 10,919 NACHC MILLION HEARTS HYPERTENSION $ 3,647 MISCELLANEOUS PROGRAMS $ 3,127 ----------- TOTAL CONTRACTED SERVICES $ 1,584,966 ----------- TOTAL OTHER FEES FOR SERVICES $ 4,830,092 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 370718 FMV