2017-04-06T15:31:27-05:00 2016-06-30 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2015-07-01 520939952 NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS INC NATI 3013470400 7501 WISCONSIN AVENUE NO 1100W BETHESDA MD 20814 MARY HAWBECKER CFO 3013470400 2017-04-06 1 3019519090 2015 2021-01-29 14:40:06Z THOMAS J VAN COVERDEN 7501 WISCONSIN AVENUE NO 1100W BETHESDA MD 20814 38330854 0 X WWW.NACHC.ORG X 1972 DC SEE PART III, LINE 1. 33 33 112 33 76125 0 16376643 17629141 19427744 20430959 6407 -3946 274676 272004 36085470 38328158 0 0 0 0 16000978 17389899 0 0 642918 18702904 20278025 34703882 37667924 1381588 660234 25377863 24502793 17903926 16368622 7473937 8134171 TO PROMOTE THE PROVISION OF HIGH QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTH CARE THAT IS COORDINATED, CULTURALLY AND LINGUISTICALLY COMPETENT, AND COMMUNITY DIRECTED FOR ALL MEDICALLY UNDERSERVED POPULATIONS. 0 0 15659244 1352862 FOR PURPOSES OF STRENGTHENING OPERATIONAL PERFORMANCE AND CLINICAL EFFECTIVENESS, PROVIDED TECHNICAL ASSISTANCE AND EDUCATIONAL TRAINING TO COMMUNITY HEALTH CENTER ADMINISTRATIVE, MANAGEMENT AND CLINICAL STAFF, AS WELL AS COMMUNITY BOARD MEMBERS, IN AREAS SURROUNDING FINANCIAL MANAGEMENT, CLINICAL OPERATIONS, HEALTH INFORMATION TECHNOLOGY, WORKFORCE AND LEADERSHIP DEVELOPMENT, AND NON-PROFIT GOVERNANCE. THIS ACTIVITY WAS FUNDED BY GRANTS AND CONTRACTS WITH THE FEDERAL GOVERNMENT AND PRIVATE FOUNDATIONS. 17630914 19078097 THROUGH PUBLICATIONS, CONFERENCES AND TOPIC-SPECIFIC SEMINARS, DEVELOPED AND DISSEMINATED PROGRAMMATIC, REGULATORY AND RESEARCH INFORMATION ON ISSUES AFFECTING COMMUNITY-BASED HEALTH CENTER PROGRAMS AND THE DELIVERY OF PRIMARY AND PREVENTIVE CARE TO MEDICALLY UNDERSERVED POPULATIONS. BOTH MEMBERS AND NON-MEMBERS ATTEND CONFERENCES AND SEMINARS. 33290158 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 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 72 0 1 112 1 1 1 0 0 0 0 0 0 0 0 0 X 33 33 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X MARY L HAWBECKER 3013470400 7501 WISCONSIN AVENUE SUITE 1100W BETHESDA MD 20814 J RICARDO GUZMAN CHAIR OF THE BOARD 1.00 X X 0 0 0 JAMES LUISI CHAIR-ELECT 1.00 X X 0 0 0 GARY M WILTZ IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 HENRY TAYLOR SPEAKER OF THE HOUSE 1.00 X X 0 0 0 GRACE WANG VICE-SPEAKER OF THE HOUSE 1.00 X X 0 0 0 PALOMA HERNANDEZ SECRETARY 1.00 X X 0 0 0 MICHAEL HOLMES TREASURER 1.00 X X 0 0 0 YVONNE G DAVIS CONSUMER/BRD. MBR. REP. 1.00 X X 0 0 0 RACHEL GONZALES-HANSON PARLIAMENTARIAN 1.00 X X 0 0 0 FRANCES M ANTHES BOARD MEMBER 1.00 X 0 0 0 THEODORE J BOESEN JR BOARD MEMBER 1.00 X 0 0 0 TARY L BROWN BOARD MEMBER 1.00 X 0 0 0 SANTOS CAMARILLO BOARD MEMBER 1.00 X 0 0 0 BENJAMIN H FLORES BOARD MEMBER 1.00 X 0 0 0 PHILIP A HAREWOOD BOARD MEMBER 1.00 X 0 0 0 BRUCE A JOHNSON BOARD MEMBER 1.00 X 0 0 0 VINCENT A KEANE BOARD MEMBER 1.00 X 0 0 0 DENNIS W KRUSE BOARD MEMBER 1.00 X 0 0 0 TESS STACK KUENNING BOARD MEMBER 1.00 X 0 0 0 TARA MCCOLLUM PLESE BOARD MEMBER 1.00 X 0 0 0 LARRY MCREYNOLDS BOARD MEMBER 1.00 X 0 0 0 JOHN MENGENHAUSEN BOARD MEMBER 1.00 X 0 0 0 DANIEL MILLER BOARD MEMBER 1.00 X 0 0 0 BERNEICE MILLS-THOMAS BOARD MEMBER 1.00 X 0 0 0 ISOLINA MIRANDA BOARD MEMBER 1.00 X 0 0 0 ANITA MONOIAN BOARD MEMBER 1.00 X 0 0 0 SEFERINO MONTANO BOARD MEMBER 1.00 X 0 0 0 CHERI RINEHART BOARD MEMBER 1.00 X 0 0 0 JOHN SANTISTEVAN BOARD MEMBER 1.00 X 0 0 0 THOMAS TROMPETER BOARD MEMBER 1.00 X 0 0 0 FELIX M VALBUENA JR BOARD MEMBER 1.00 X 0 0 0 VIRGINIA FUATA BOARD MEMBER 1.00 X 0 0 0 RITA SORRENTO BOARD MEMBER 1.00 X 0 0 0 THOMAS J VAN COVERDEN PRESIDENT & CEO 37.50 X 1056046 0 64067 L DAVID TAYLOR CHIEF OPERATING OFFICER 37.50 X 519489 0 45292 MARY L HAWBECKER SVP OF OPERATIONS & CFO 37.50 X 500716 0 48265 DANIEL HAWKINS SVP OF PROGRAMS & POLICY 37.50 X 488648 0 32580 JOSEPH GALLEGOS SVP OF WEST COAST OPERATIONS 37.50 X 373921 0 39862 CLAUDIA GIBSON SVP OF COMMUNICATIONS 37.50 X 353193 0 50224 GLENDA WHITE AVP AND CHIEF OF STAFF 37.50 X 308167 0 25062 SHAWN FRICK AVP, PCA & NETWORK RELATIONS 37.50 X 272736 0 26185 JULIE SCHMIDT AVP, TRAINING & TECH. ASSISTANCE 37.50 X 280380 0 37991 ROBERT HOCH FORMER BOARD MEMBER (SEE SCH. O) 1.00 X 40200 0 0 4193496 0 369528 47 1 1 0 FELDESMAN TUCKER LEIFER FEIDELL & BAN 2001 L ST NW 300 WASHINGTON DC 20052 LEGAL CONSULTING / TECHNICAL ASSISTANCE 440125 MARTIN BLANCK & ASSOCIATES 2034 EISENHOWER AVE 270 ALEXANDRIA VA 22314 TECH. ASST. & CLINICAL, PCA NETWORK MGMT 416265 GEOFFREY PETERSON 501 SLATERS LANE SUITE 7 ALEXANDRIA VA 22314 CONSULTING & ADVOCACY 336000 COMMUNITY HEALTH ASSISTANCE 420 SOUTH WATER ST 215 MARINE CITY MI 48039 CONSULTING & ADVOCACY 300000 CSI SOLUTIONS LLC 6701 DEMOCRACY BLVD 300 BETHESDA MD 20817 CONSULTING 229000 15 15609972 2019169 17629141 MEMBERSHIP DUES 900099 12469417 12469417 CONF./CONVENTIONS 900099 6631087 6631087 HEALTH CENTER FEES 900099 933921 933921 PUBLICATIONS 900099 251163 175038 76125 ADVERTISING 541800 107655 107655 37716 37716 20430959 -1250 -1250 272004 272004 2696 -2696 -2696 -2696 38328158 20354834 76125 268058 X 2845951 1431533 1414418 85750 85750 10619863 8924077 1303228 392558 427936 323937 85760 18239 2629850 2142688 389951 97211 780549 604943 152413 23193 515097 490271 21615 3211 63175 52284 9482 1409 690000 690000 5124217 5121312 2529 376 572882 525356 38180 9346 185650 153772 27755 4123 1525757 1262716 229017 34024 1028874 1012467 852 15555 3503455 3501429 410 1616 318398 263506 47792 7100 53839 44557 8081 1201 SUBCONTRACTS 5384807 5384807 PRINTING & PUBLICATIONS 502901 501738 753 410 CREDIT CARD FEES 271694 271694 DUES & SUBSCRIPTIONS 195153 191039 1530 2584 342126 310282 1082 30762 37667924 33290158 3734848 642918 1189 1189 14055930 11278933 6908918 9581898 833311 125838 81830 85700 296696 304609 3562976 2053353 1640008 1509623 1381936 1436958 178045 178045 25377863 24502793 7772456 8347698 5026682 3224999 627246 509930 4477542 4285995 17903926 16368622 X 7473937 8134171 7473937 8134171 25377863 24502793 660234 0 X 0 1 X 1 1 1 X 15712672 14682907 15827409 16376643 17629141 80228772 15712672 14682907 15827409 16376643 17629141 80228772 339489 79889283 234007 164860 294122 281083 270754 1244826 81473598 91243443 0.98060 0.98080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3432 936568 940000 36721162 37661162 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 925711 550000 850000 940000 3265711 250000 250000 250000 250000 1000000 1500000 7510 3275 3964 3432 18181 0 1 X 2030663 910683 1119980 975450 632429 343021 556863 510241 46622 1509623 COMMUNITY HEALTH CENTER RELIEF FUND 6104 REFUNDABLE ADVANCES 2428560 DEFERRED IMPROVEMENT ALLOWANCE 1091298 DEFERRED RENT ABATEMENT 760033 4285995 X 38231852 0 38231852 96306 96306 38328158 37571618 0 37571618 96306 96306 37667924 PART IV, LINE 2B: NACHC RECEIVED FUNDS RESULTING FROM CLASS ACTION SETTLEMENTS BETWEEN MAJOR MANUFACTURERS OF BRAND NAME PRESCRIPTION DRUGS AND PURCHASERS OF THOSE DRUGS, WHICH WERE DESIGNATED FOR USE BY FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). AS PART OF THE SETTLEMENT AGREEMENTS, IT WAS AGREED THAT NACHC WOULD ACT AS THE ADMINISTRATOR OF THE FUNDS AND DISTRIBUTE THE SETTLEMENT FUNDS TO APPROVED FQHC. PART X, LINE 2: FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, NACHC 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE 99,002. REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE ON FORM 990. LOSS ON DISPOSAL OF FIXED ASSETS REPORTED AS AN EXPENSE -2,696. ON FINANCIAL STATEMENTS AND REPORTED AS REVENUE ON FORM 990. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE 99,002. REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE ON FORM 990. LOSS ON DISPOSAL OF FIXED ASSETS REPORTED AS AN EXPENSE -2,696. ON FINANCIAL STATEMENTS AND REPORTED AS REVENUE ON FORM 990. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 THOMAS J VAN COVERDEN PRESIDENT & CEO 761038 0 148495 0 146513 0 38052 0 26015 0 1120113 0 0 0 L DAVID TAYLOR CHIEF OPERATING OFFICER 393742 0 57621 0 68126 0 19687 0 25605 0 564781 0 0 0 MARY L HAWBECKER SVP OF OPERATIONS & CFO 378598 0 55405 0 66713 0 18930 0 29335 0 548981 0 0 0 DANIEL HAWKINS SVP OF PROGRAMS & POLICY 372231 0 47911 0 68506 0 18612 0 13968 0 521228 0 0 0 JOSEPH GALLEGOS SVP OF WEST COAST OPERATIONS 310623 0 23066 0 40232 0 15531 0 24331 0 413783 0 0 0 CLAUDIA GIBSON SVP OF COMMUNICATIONS 288904 0 28324 0 35965 0 14445 0 35779 0 403417 0 0 0 GLENDA WHITE AVP AND CHIEF OF STAFF 237313 0 46305 0 24549 0 11866 0 13196 0 333229 0 0 0 SHAWN FRICK AVP, PCA & NETWORK RELATIONS 254847 0 18739 0 -850 0 12742 0 13443 0 298921 0 0 0 JULIE SCHMIDT AVP, TRAINING & TECH. ASSISTANCE 257187 0 25214 0 -2021 0 12859 0 25132 0 318371 0 0 0 ROBERT HOCH FORMER BOARD MEMBER (SEE SCH. O) 40200 0 0 0 0 0 0 0 0 0 40200 0 0 0 PART I, LINE 1A FIRST CLASS AIRFARE MUST BE APPROVED IN ADVANCE BY THE AUTHORIZING BODY AND WILL BE CONSIDERED UNDER THE FOLLOWING CONDITIONS: - NO LESS THAN FIRST CLASS SERVICE IS REASONABLY AVAILABLE OR THE FARE FOR COACH IS THE SAME OR HIGHER. DOCUMENTATION SUPPORTING THAT THIS IS THE CASE IS REQUIRED. - WHEN USE OF FIRST-CLASS IS NECESSARY TO ACCOMMODATE A DISABILITY OR OTHER SPECIAL NEED. PART I, LINE 7 BONUS COMPENSATION HAS BEEN REFLECTED IN PART II, COLUMN (B)(II). FORM 990, PART VI, SECTION A, LINE 6 NACHC'S MEMBERS HAVE THE RIGHT TO ELECT MEMBERS TO NACHC'S GOVERNING BOARD. THERE ARE NOT DIFFERENT CLASSES OF MEMBERS. NACHC HAS THE FOLLOWING MEMBERSHIP CATEGORIES: - ORGANIZATIONAL MEMBERS: FEDERALLY QUALIFIED HEALTH CENTERS OR FQHC LOOK-A-LIKES (ONLY MEMBERSHIP CATEGORY WITH VOTING RIGHTS); ASSOCIATE MEMBERS: NOT-FOR-PROFIT ORGANIZATIONS SUPPORTING FQHCS WITH A SIMILAR MISSION; NETWORK MEMBERS; HEALTH CENTER LED NETWORKS; AND INDIVIDUAL MEMBERSHIP - OPEN TO ALL. FORM 990, PART VI, SECTION A, LINE 7A THE HOUSE OF DELEGATES ELECTS THE OFFICERS OF THE ASSOCIATION, REVIEWS AND APPROVES AN ANNUAL REPORT FROM THE BOARD, AND TAKES OTHER ACTIONS AND ACTIVITIES AS MAY BE REQUIRED BY THE BYLAWS. ALL ELECTIONS AND ALL MATTERS BROUGHT BEFORE THE HOUSE OF DELEGATES, EXCEPT BYLAWS AND AMENDMENTS AND DISSOLUTION, ARE DECIDED BY MAJORITY VOTE OF THE ORGANIZATIONAL MEMBERS PRESENT AT THE HOUSE OF DELEGATES. FORM 990, PART VI, SECTION A, LINE 7B ALL ELECTIONS AND ALL MATTERS BROUGHT BEFORE THE HOUSE OF DELEGATES, EXCEPT BYLAWS, AMENDMENTS AND DISSOLUTION, ARE DECIDED BY MAJORITY VOTE OF THE ORGANIZATIONAL MEMBERS PRESENT AT THE HOUSE OF DELEGATES. FORM 990, PART VI, SECTION B, LINE 11 THE NACHC BOARD HAS APPOINTED THE AUDIT COMMITTEE TO REVIEW THE 990 PRIOR TO ITS FILING WITH THE IRS. THE AUDIT COMMITTEE CHAIR PRESENTED THE 990 TO THE EXECUTIVE COMMITTEE. OTHERS CAN REQUEST A COPY OF THE 990. FORM 990, PART VI, SECTION B, LINE 12C NACHC HAS A CONFLICT OF INTEREST POLICY, THE PRIMARY PURPOSE OF WHICH IS TO PROVIDE GUIDANCE TO EMPLOYEES, AGENTS, OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF NACHC TO AVOID: (1) USING THEIR POSITIONS FOR PURPOSES THAT ARE MOTIVATED BY A DESIRE FOR PRIVATE FINANCIAL OR OTHER GAIN FOR THEMSELVES OR OTHERS SUCH AS THOSE WITH WHOM THEY HAVE FAMILY, BUSINESS, OR OTHER TIES; AND (2) VIOLATING THEIR DUTY TO NACHC BY INAPPROPRIATELY DISCLOSING CONFIDENTIAL INFORMATION ABOUT NACHC. THE POLICY IS SIGNED BY THE INDIVIDUAL AND UPDATED EVERY TWO YEARS. THE POLICY REQUIRES THAT ANY CONFLICT OF INTEREST BE DISCLOSED IMMEDIATELY UPON ITS IDENTIFICATION. IN ADDITION, EMPLOYEES DISCLOSE TO THE COO (AND IF THE COO DETERMINES THAT A POTENTIALLY SERIOUS CONFLICT COULD ARISE, MUST DISCLOSE TO THE CHAIR OF THE BOARD), IN WRITING, THE SPECIFICS OF ANY PLANS TO ACCEPT SUPPLEMENTAL OUTSIDE EMPLOYMENT SO THAT NACHC MAY DETERMINE WHETHER SUCH OUTSIDE EMPLOYMENT OR CONSULTANCY HAS THE POTENTIAL FOR CONFLICTING WITH THE INTERESTS OF NACHC. NACHC'S PRIOR APPROVAL OF SUCH OUTSIDE EMPLOYMENT OR CONSULTANCY IS REQUIRED. NO MEMBER OF THE BOARD OF DIRECTORS VOTES ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT MEMBER, OR WHICH CONFLICTS WITH THAT MEMBER'S OBLIGATIONS TO ANOTHER ORGANIZATION'S BOARD OF DIRECTORS OR TO HIS/HER EMPLOYER. PROVIDED THAT THE MEMBER OF THE BOARD OF DIRECTORS HAS FIRST DISCLOSED A CONFLICT OR POTENTIAL CONFLICT, AND ABSTAINS FROM VOTING IN THAT REGARD, HE/SHE MAY PARTICIPATE IN DISCUSSIONS RELATING TO THAT MATTER. HOWEVER, UPON MOTION MADE, SECONDED, AND ADOPTED BY A MAJORITY OF THE MEMBERS PRESENT, THE BOARD OF DIRECTORS MAY EXCLUDE A MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT FROM DISCUSSIONS OF MATTERS INVOLVING NACHC'S PROPRIETARY INFORMATION OR SIMILARLY SENSITIVE MATTERS THE DISCLOSURE OF WHICH WOULD NOT BE IN NACHC'S BEST INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE NACHC BOARD HAS ADOPTED A "COMPENSATION PHILOSOPHY AND HAS APPOINTED A "COMPENSATION COMMITTEE" TO OVERSEE THE CEO'S AND EXECUTIVE TEAM'S COMPENSATION. EVERY THREE TO FIVE YEARS, THE COMPENSATION COMMITTEE CHAIR CONTRACTS WITH A COMPENSATION SPECIALIST TO PERFORM AN IN-DEPTH REVIEW OF EXECUTIVE COMPENSATION AND DETERMINE THAT COMPENSATION IS REASONABLE AND CONSISTENT WITH THE "COMPENSATION PHILOSOPHY". ON AN ANNUAL BASIS, PRIOR TO ADJUSTMENTS OR BONUSES, THE CHAIR RECEIVES AN UPDATE OF THE REPORT TO ENSURE THAT OVERALL COMPENSATION IS REASONABLE. THE COMPENSATION COMMITTEE REPORTS TO THE EXECUTIVE COMMITTEE AND THE EXECUTIVE COMMITTEE GIVES A SUMMARY TO THE FULL BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE APPROVES THE CEO'S AND CFO'S COMPENSATION ON AN ANNUAL BASIS. THE CEO APPROVES THE COMPENSATION FOR THE EXECUTIVE TEAM. THE LAST COMPENSATION REVIEW TOOK PLACE IN MAY 2016. FORM 990, PART VI, SECTION C, LINE 19 THE BYLAWS AND ANNUAL REPORT ARE INCLUDED ON THE NACHC WEBSITE AT WWW.NACHC.COM. ALL OTHER DOCUMENTS ARE MADE AVAILABLE UPON REQUEST THROUGH OUR COMMUNICATIONS DIVISION OR BY CONTACTING THE CFO. FORM 990, PART IX, LINE 11G PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 2,948,687. MANAGEMENT AND GENERAL EXPENSES 2,529. FUNDRAISING EXPENSES 376. TOTAL EXPENSES 2,951,592. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 2,172,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,172,625. FORM 990, PART VIII, LINE 2E: ADVERTISING INCOME IS GENERATED FROM EMPLOYMENT ADS PLACED BY COMMUNITY HEALTH CENTERS OR SUPPORT ORGANIZATION FOR ALL STAFFING NEEDS INCLUDING MEDICAL, EXECUTIVE AND ADMINISTRATIVE. COMMUNITY HEALTH CENTERS ARE LOCATED IN UNDERPRIVILEDGED COMMUNITIES; IDENTIFYING QUALIFIED PERSONNEL TO SERVE THESE COMMUNITIES IS DIRECTLY RELATED TO NACHC'S EXEMPT PURPOSE. FORM 990, PART VII, COMPENSATION TO FORMER BOARD MEMBERS: COMPENSATION PAID TO FORMER BOARD MEMBERS IS FOR CONSULTING SERVICES NOT RELATED TO FORMER POSITIONS ON THE NACHC BOARD OF DIRECTORS.