2019-05-03T11:42:00-05:00 2018-06-30 521855942 TATE & TRYON 2021 L STREET NW 400 WASHINGTON DC 20036 990 2017-07-01 396095459 NATIONAL ASSOCIATION OF STATES UNITED FOR AGING AND DISABILITIES INC NATI 2028982578 241 18TH STREET S NO 403 ARLINGTON VA 22202 MARTHA ROHERTY EXECUTIVE DIRECTOR 2028982578 2019-05-03 1 ELIZABETH HELLER P00397829 2022932200 216.59.105.130 2019-05-03 11:41:57 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8B6C6DF7A8E3B84B5AE7D1943EC3750B5C691B8F 2017 2019-02-21 02:37:17Z X NASUAD MARTHA ROHERTY 241 18TH STREET S NO 403 ARLINGTON VA 22202 4479576 0 X WWW.NASUAD.ORG X 1965 WI TO IMPROVE SYSTEMS AND SUPPORTS FOR PEOPLE WHO ARE OLDER OR HAVE A DISABILITY. 8 8 15 16 0 163 1262918 1291436 3223012 3188070 -4453 70 3233 0 4484710 4479576 0 0 0 0 1770135 1683220 0 0 853 2483030 2488628 4253165 4171848 231545 307728 1716800 2237587 1504537 1717596 212263 519991 X TO DESIGN, IMPROVE, AND SUSTAIN STATE SYSTEMS DELIVERING HOME AND COMMUNITY-BASED SERVICES AND SUPPORTS FOR PEOPLE WHO ARE OLDER OR HAVE A DISABILITY, AND THEIR CAREGIVERS. 0 0 1081719 1069878 MEMBERSHIP SERVICES - PROVIDE TELEPHONIC AND ONSITE TECHNICAL ASSISTANCE AND SUPPORT TO STATE AGING AND DISABILITY DIRECTORS AND LONG TERM SERVICES AND SUPPORTS MEDICAID DIRECTORS; SUPPORT TWO WEBSITES; A WEEKLY ELECTRONIC NEWSLETTER; AND ALL STATE CALLS TO SUPPORT IMPROVEMENT IN HOME AND COMMUNITY BASED SERVICES AND SUPPORTS FOR SENIORS, INDIVIDUALS WITH DISABILITIES AND THEIR CAREGIVERS. 847540 1803223 CONFERENCES - TWO CONFERENCES PER YEAR. ONE LARGE MULTIDISCIPLINE CONFERENCE PROVIDING INFORMATION, PROMISING PRACTICES, TECHNOLOGY ADVANCES, AND FEDERAL GUIDANCE, ON HOME AND COMMUNITY BASED SERVICES FOR CONSUMERS OF ALL AGES AND ABILITIES. A SECOND SMALLER CONFERENCE. 773309 651660 BUSINESS ACUMEN FOR THE AGING NETWORK - PROVIDING STATES COMMUNITY BASED ORGANIZATIONS TOOLS AND TECHNICAL ASSISTANCE AS THE STATES MIGRATE FROM FEE FOR SERVICE MEDICAID PROGRAMS INTO MANAGED LONG TERM SERVICES AND SUPPORTS. 316580 225118 INFORMATION AND REFERRAL - THE NATIONAL I&R SUPPORT CENTER PROVIDES TRAINING AND TECHNICAL ASSISTANCE TO STATE AND AREA AGENCIES ON AGING THAT PROVIDE INFORMATION AND REFERRAL SERVICES TO SENIORS AND INDIVIDUALS WITH DISABILITIES. 97122 93311 IMPROVING ORAL HEALTH FOR SENIORS AND INDIVIDUALS WITH DISABILITIES - WORKING WITH STATE AGENCIES TO DETERMINE WHAT PROGRAMS ARE AVAILABLE TO PROVIDE ORAL HEALTH PROGRAMS FOR SENIORS AND INDIVIDUALS WITH DISABILITIES. DISSEMINATION OF PROMISING PRACTICES WITHIN THE STATES. 104269 105537 NATIONAL CORE INDICATORS-AGING AND DISABILITY - PROVIDING STATES WITH THE TRAINING AND SUPPORT TO PARTICIPATE IN THE NCI-AD PROJECT WITH THE OBJECTIVE OF HELPING STATES TO MEASURE THE PERFORMANCE OF THEIR STATE AGENCIES BY OBTAINING INFORMATION ON THE QUALITY OF LIFE OF THE CONSUMERS ENROLLED IN OLDER AMERICANS ACT PROGRAMS AND THE MEDICAID PROGRAM. 37130 25000 OMBUDSMAN - PROVIDING SUPPORT TO THE NATIONAL RESOURCE CENTER ON OMBUDSMAN PROGRAMS. NASUAD PROVIDES TECHNICAL GUIDANCE TO THE STATE AGENCIES AND FACILITATES IMPROVED COMMUNICATIONS. 140079 106172 IMPROVING ENROLLMENT IN SPECIAL PROGRAMS FOR INDIVIDUALS WITH DISABILITIES IN MEDICARE - WORKING WITH THE NATIONAL COUNCIL ON AGING TO IMPROVE ENROLLMENT OF INDIVIDUALS WITH DISABILITIES IN PROGRAMS SPECIFICALLY FOR LOW-INCOME MEDICARE POPULATIONS. SERVING AS AN EXPERT IN THE DISABILITY FIELD. 81670 GOVERNMENT RELATIONS - EDUCATING STATE AGENCY MEMBERS ON FEDERAL APPROPRIATIONS, REGULATIONS, LAWS, AND ACTIONS THAT MAY IMPACT STATE LONG TERM SERVICES AND SUPPORT PROGRAMS. 138974 149280 TRUVEN - NASUAD SERVES AS A SUBCONTRACTOR TO TRUVEN HEALTH (IBM WATSON HEALTH) UNDER A CONTRACT BY THE CENTERS FOR MEDICAID & CHIP SERVICES TO SERVE AS THE TECHNICAL ASSISTANCE CONTRACTOR FOR THE MEDICAID INNOVATION ACCELERATOR PROGRAM. THIS PROGRAM OFFERS TARGETED PROGRAM SUPPORT TO MEDICAID AGENCIES TO PROMOTE COMMUNITY INTEGRATION FOR MEDICAID BENEFICIARIES USING COMMUNITY-BASED LONG-TERM SERVICES AND SUPPORTS. THE FOCUS OF THIS PROJECT IS SUPPORTING TECHNICAL ASSISTANCE ON VALUE-BASED PAYMENT FOR COMMUNITY-BASED LONG TERM SERVICES AND SUPPORTS. 364844 250397 OTHER PROGRAM SERVICES 1280668 954815 3983236 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 1 15 1 1 1 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 2028982578 241 18TH STREET S NO 403 ARLINGTON VA 22202 LORA CONNOLLY PRESIDENT 4.00 X X 0 0 0 DUANE MAYES VICE PRESIDENT 4.00 X X 0 0 0 JAMES ROTHROCK FIRST VP 4.00 X X 0 0 0 YONDA SNYDER SECOND VP 4.00 X X 0 0 0 CURTIS CUNNINGHAM TREASURER 4.00 X X 0 0 0 JEN BURNETT SECRETARY 4.00 X X 0 0 0 CLAUDIA SCHLOSBERG SECRETARY 4.00 X X 0 0 0 GARY JESSEE PAST PRESIDENT 4.00 X X 0 0 0 ALICE BONNER AT LARGE 2.00 X 0 0 0 BETSY RITTER AT LARGE 2.00 X 0 0 0 KARI BENSON AT LARGE 2.00 X 0 0 0 KATHLEEN DOUGHERTY AT LARGE 2.00 X 0 0 0 NELS HOLMGREN AT LARGE 2.00 X 0 0 0 MARTHA ROHERTY EXECUTIVE DIRECTOR 40.00 X 254591 0 33776 CAMILLE DOBSON DEPUTY EXECUTIVE DIRECTOR 40.00 X 193540 0 23969 RACHEL FELDMAN SR DIRECTOR CORPORATE RELATIONS 40.00 X 100689 0 24155 ERICA ANDERSON LINDQUIST SR DIRECTOR BUSINESS ACUMEN 40.00 X 112741 0 654 NANETTE RELAVE SR DIRECTOR NATL I&R SUPPORT CENTER 36.00 X 109148 0 23751 DAMON TERZAGHI SR DIRECTOR MEDICAID POLICY & PLANNING 40.00 X 137299 0 25454 ROBERT ALONSO CHIEF FINANCIAL OFFICER 40.00 X 124492 0 16049 1032500 0 147808 7 0 1 0 HUMAN SERVICES RESEARCH INSTITUTE 2336 MASSACHUSETTS AVENUE NW WASHINGTON DC 20008 CONSULTING 225757 1 1291436 1291436 CONF & REGISTRATION 900099 1793223 1793223 MEMBERSHIP DUES 900099 602825 602825 NCI-AD STATE FEES 900099 353167 353167 CONSULTING INCOME 900099 345544 345544 CONTRACT REVENUE 900099 93311 93311 3188070 70 70 4479576 3188070 0 70 X 509128 486110 22914 104 872242 832808 39256 178 90364 86279 4067 18 116449 111184 5241 24 95037 90741 4277 19 11073 10573 498 2 115247 110036 5187 24 905343 864412 40746 185 163826 156420 7373 33 41664 39780 1875 9 200056 191011 9004 41 149926 143147 6748 31 678320 647652 30529 139 61127 58364 2751 12 903 862 41 MISCELLANEOUS 110719 105712 4983 24 PRINTING & PUBS 50424 48145 2269 10 4171848 3983236 187759 853 1062810 1374834 303595 410963 88954 245522 801 41579 43267 535848 383527 208381 152321 10680 10680 1716800 2237587 330881 468344 1144606 1227367 29050 21885 1504537 1717596 X 212263 519991 212263 519991 1716800 2237587 307728 0 X X 0 1 X 1 1 1 X 1623656 1465203 1739573 1834442 1894261 8557135 1623656 1465203 1739573 1834442 1894261 8557135 8557135 432 693 304 40 70 1539 1806 8967 3233 14006 8572680 9435332 0.99820 0.99790 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 1,806. 2015 AMOUNT: $ 8,967. 2016 AMOUNT: $ 3,233. 193162 145522 47640 342686 238005 104681 152321 LEASE INCENTIVE LIABILITY 20111 TAX DEFERRED ANNUITY WITHHOLDING 1774 21885 4479576 0 4479576 0 4479576 4171848 0 4171848 0 4171848 X X 0 0 0 0 0 0 0 0 0 MARTHA ROHERTY EXECUTIVE DIRECTOR 243188 0 0 0 11403 0 17500 0 18826 0 290917 0 0 0 CAMILLE DOBSON DEPUTY EXECUTIVE DIRECTOR 184743 0 2000 0 6797 0 11819 0 12852 0 218211 0 0 0 DAMON TERZAGHI SR DIRECTOR MEDICAID POLICY & PLANNI 137049 0 250 0 0 0 9842 0 19268 0 166409 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE OFFICERS OF THE ASSOCIATION AND THE PAST PRESIDENTS OF THE ASSOCIATION WHILE THEY SERVE ON THE BOARD. THIS COMMITTEE SHALL HAVE THE AUTHORITY TO ACT ON MATTERS BETWEEN MEETINGS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 ELIGIBILITY - MEMBERS OF THE ASSOCIATION SHALL BE THE STATE AGENCY ON AGING AND/OR DISABILITIES AND LTSS MEDICAID DIRECTORS, AS IDENTIFIED BY THE STATE. THE TERM "STATE" INCLUDES THE DISTRICT OF COLUMBIA, THE VIRGIN ISLANDS, GUAM, AMERICAN SAMOA, THE TRUST TERRITORY OF THE PACIFIC ISLANDS, AND THE NORTHERN MARIANA ISLANDS. REPRESENTATIVES SHALL BE THE DIRECTOR OF THE STATE AGENCY ON AGING AND/OR DISABILITIES AND LTSS MEDICAID DIRECTORS OR AN INDIVIDUAL DESIGNATED BY THE DIRECTOR OF THE STATE AGENCY ON AGING AND/OR DISABILITIES OR MEDICAID AGENCY. FORM 990, PART VI, SECTION A, LINE 7A VOTING - EACH ACTIVE STATE IS ENTITLED TO ONE VOTE ON EACH MATTER FOR CONSIDERATION. THE PERSON DESIGNATED BY THE STATE WILL CAST THE VOTE, IN THE ABSENCE OF AN EFFECTIVE PROXY PROVIDING OTHERWISE. IF THE MEMBERSHIP IS IN THE NAME OF TWO OR MORE PERSONS, ONE VOTE BINDS ALL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHIEF OPERATING OFFICER AND THEN BY THE EXECUTIVE DIRECTOR PRIOR TO FILING. THE DRAFT IRS FORM 990 IS PROVIDED TO NASUAD'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ASSOCIATION RELIES ON ANNUAL SELF-REPORTING OF ANY POTENTIAL CONFLICTS OF INTEREST INVOLVING STAFF OR BOARD MEMBERS TO THE EXECUTIVE DIRECTOR. IF A STAFF OR BOARD MEMBER IDENTIFIES A POTENTIAL CONFLICT OF INTEREST, THE EXECUTIVE DIRECTOR WILL WORK WITH THAT INDIVIDUAL TO ENSURE THAT ANY RISK BE MITIGATED OR AVOIDED. THIS MAY INCLUDE ESTABLISHING PROTOCOLS FOR NON-DISCLOSURE OF INFORMATION, AND WORKING WITH REPRESENTATIVES OF WHERE THE POTENTIAL CONFLICT MIGHT EXIST TO ADDRESS SITUATIONS IN ADVANCE. THERE ARE CURRENTLY NO KNOWN CONFLICTS OF INTEREST WITH THE BOARD OR STAFF OF THE ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 15 AN ANNUAL PERFORMANCE EVALUATION OF EACH EMPLOYEE SHALL BE CONDUCTED AT THE END OF THE CALENDAR YEAR. 1. THE EMPLOYEE AND THE SUPERVISOR WILL REVIEW ALL EVALUATIONS JOINTLY. UPON COMPLETION, THE EVALUATION WILL BECOME PART OF THE EMPLOYEE'S PERSONNEL FILE. ALL PERFORMANCE EVALUATIONS WILL BE FORWARDED TO THE ACCOUNTING DEPT. FOR INCLUSION IN AN EMPLOYEE'S PERSONNEL FILE. 2. EVALUATIONS OF STAFF WILL BE CONDUCTED UTILIZING STANDARDIZED NASUAD EVALUATION FORMS. THE EVALUATION WILL INCLUDE A DISCUSSION OF GOALS AND OBJECTIVES OF THE EMPLOYEE FOR THE NEXT YEAR. 3. EMPLOYEES HAVE THE RIGHT TO FILE, IN WRITING, AN ACCEPTANCE OR REJECTION OF THE ANNUAL EVALUATION AND THE DOCUMENT WILL BE PLACED IN THE EMPLOYEE'S PERSONNEL FILE. THE EMPLOYEE MUST SIGN AND RESPOND TO THE EVALUATION WITHIN TEN (10) DAYS. 4. IF THE REPORT IS SUBSTANDARD, ANOTHER APPRAISAL SHOULD BE GIVEN WITHIN NINETY (90) DAYS AND AGAIN IN NINETY (90) DAYS UNTIL THE DEFICIENCY IS RESOLVED. 5. THE EXECUTIVE COMMITTEE, USING AN EVALUATION FORMAT DEVELOPED BY THE EXECUTIVE COMMITTEE BASED ON THE JOB DESCRIPTION AND PERFORMANCE IN FURTHERING ASSOCIATION OBJECTIVES, WILL CONDUCT AN EVALUATION OF THE EXECUTIVE DIRECTOR OF NASUAD. 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 OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 864,412. MANAGEMENT AND GENERAL EXPENSES 40,746. FUNDRAISING EXPENSES 185. TOTAL EXPENSES 905,343. FORM 990, PART XII, LINE 2C: THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR.