2015-04-08T14:35:30-05:00 2014-06-30 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2013-07-01 520939952 NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS INC NATI 3013470400 7501 WISCONSIN AVENUE NO 1100W BETHESDA MD 20814 MARY HAWBECKER CFO 3013470400 2015-04-08 1 3019519090 2013 2016-02-25 16:41:14Z THOMAS J VAN COVERDEN 7501 WISCONSIN AVENUE NO 1100W BETHESDA MD 20814 33947681 0 X WWW.NACHC.ORG X 1972 DC SEE PART III, LINE 1. 33 33 99 33 28770 0 14682907 15827409 17167303 17826150 3888 2411 160972 291711 32015070 33947681 0 0 0 0 13909995 14797251 0 0 360278 17621823 18712647 31531818 33509898 483252 437783 21132393 20675920 15477827 14583571 5654566 6092349 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 13911842 2302444 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. 15827066 15523706 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. 29738908 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 55 0 1 99 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 CA X MARY L HAWBECKER 3013470400 7501 WISCONSIN AVENUE SUITE 1100W BETHESDA MD 20814 GARY M WILTZ CHAIR OF THE BOARD 1.00 X X 0 0 0 RICARDO GUZMAN CHAIR-ELECT 1.00 X X 0 0 0 KAUILA CLARK IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 JAMES LUISI 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 LATHRAN J WOODARD SECRETARY 1.00 X X 0 0 0 FORREST N OLSON TREASURER 1.00 X X 0 0 0 MICHAEL A WURTSMITH CONSUMER/BRD. MBR. REP. 1.00 X 0 0 0 WILFORD A PAYNE PARLIAMENTARIAN 1.00 X 0 0 0 FRANCES M ANTHES BOARD MEMBER 1.00 X 0 0 0 TESS STACK KUENNING BOARD MEMBER 1.00 X 0 0 0 MARK K BRYANT BOARD MEMBER 1.00 X 0 0 0 LINDA S MULLER BOARD MEMBER 1.00 X 0 0 0 RICHARD SHINN BOARD MEMBER 1.00 X 0 0 0 LOLITA A LOPEZ BOARD MEMBER 1.00 X 0 0 0 TARY BROWN BOARD MEMBER 1.00 X 0 0 0 ROLAND J GARDNER BOARD MEMBER 1.00 X 0 0 0 BERNEICE MILLS-THOMAS BOARD MEMBER 1.00 X 0 0 0 HENRY TAYLOR BOARD MEMBER 1.00 X 0 0 0 SIP MOUDEN BOARD MEMBER 1.00 X 0 0 0 ROSALYN JOHNSON BOARD MEMBER 1.00 X 0 0 0 THEODORE J BOESEN JR BOARD MEMBER 1.00 X 0 0 0 DENNIS W KRUSE BOARD MEMBER 1.00 X 0 0 0 JOHN SANTISTEVAN BOARD MEMBER 1.00 X 0 0 0 JOHN MENGENHAUSEN BOARD MEMBER 1.00 X 0 0 0 RICHARD P BETTINI BOARD MEMBER 1.00 X 0 0 0 WILLIAM D HOBSON JR BOARD MEMBER 1.00 X 0 0 0 LESLYN PHELPS BOARD MEMBER 1.00 X 0 0 0 ANITA MONOIAN BOARD MEMBER 1.00 X 0 0 0 PAUL KAYE BOARD MEMBER 1.00 X 0 0 0 FELIX M VALBUENA JR BOARD MEMBER 1.00 X 0 0 0 ELLEN ADLAM BOARD MEMBER 1.00 X 0 0 0 RITA SORRENTO BOARD MEMBER 1.00 X 0 0 0 THOMAS J VAN COVERDEN PRESIDENT & CEO 40.00 X 951179 0 54833 L DAVID TAYLOR CHIEF OPERATING OFFICER 40.00 X 473095 0 38995 MARY L HAWBECKER SVP OF OPERATIONS & CFO 40.00 X 458767 0 46146 DANIEL HAWKINS SVP OF PROGRAMS & POLICY 40.00 X 435488 0 77235 JOSEPH GALLEGOS SVP OF WEST COAST OPERATIONS 40.00 X 349399 0 34237 CLAUDIA GIBSON SVP OF COMMUNICATIONS 40.00 X 313427 0 42270 GLENDA WHITE AVP AND CHIEF OF STAFF 40.00 X 255726 0 16735 SHAWN FRICK AVP, PCA & NETWORK RELATIONS 40.00 X 257892 0 24218 JULIE SCHMIDT AVP, TRAINING & TECH. ASSISTANCE 40.00 X 264444 0 27132 LIL ANDERSON FORMER BOARD MEMBER 1.00 X 90544 0 0 ROBERT HOCH FORMER BOARD MEMBER 1.00 X 36600 0 0 KEITH OWEN HORWOOD FORMER BOARD MEMBER 1.00 X 11000 0 0 3897561 0 361801 31 1 1 0 FELDESMAN TUCKER LEIFER FEIDELL & BAN 2001 L ST NW 300 WASHINGTON DC 20052 LEGAL CONSULTING / TECHNICAL ASSISTANCE 463172 MARTIN BLANCK & ASSOCIATES 2034 EISENHOWER AVE 270 ALEXANDRIA VA 22314 TECH. ASST. & CLINICAL, PCA NETWORK MGMT 448089 COMMUNITY HEALTH ASSISTANCE 420 SOUTH WATER ST 215 MARINE CITY MI 48039 CONSULTING & ADVOCACY 300000 GEOFFREY PETERSON 501 SLATERS LANE SUITE 7 ALEXANDRIA VA 22314 CONSULTING & ADVOCACY 300000 GEORGE WASHINGTON UNIVERSITY 2100 M STREET WASHINGTON DC 20052 TECH. ASST & CLINICAL PROGRAM MGMT 269858 13 12697715 3129694 15827409 MEMBERSHIP DUES 900099 11489865 11489865 CONF./CONVENTIONS 900099 5189508 5189508 HEALTH CENTER FEES 900099 756880 756880 PUBLICATIONS 900099 269873 241103 28770 ADVERTISING 541800 90963 90963 29061 29061 17826150 2411 2411 291711 291711 33947681 17797380 28770 294122 X 2581073 1359486 1221587 142644 142644 8889933 7523032 1176442 190459 364814 268669 86622 9523 2135014 1735671 353602 45741 683773 533883 138289 11601 521235 495373 23932 1930 57468 47147 9551 770 382508 382508 3401741 3400780 889 72 551244 497231 45863 8150 227808 186894 37861 3053 1492517 1224461 248056 20000 856176 846154 627 9395 3253887 3253193 352 342 283910 232920 47186 3804 58508 48000 9724 784 SUBCONTRACTS 6481630 6481630 PRINTING & PUBLICATIONS 392522 388760 3418 344 CREDIT CARD FEES 190488 190488 DUES & SUBSCRIPTIONS 179484 176936 1675 873 381521 323048 5036 53437 33509898 29738908 3410712 360278 1189 1189 10600087 12430770 7103003 4606956 90115 75819 53568 74164 327773 382638 3237381 1582527 1884125 1654854 894488 1271485 178045 178045 21132393 20675920 6696004 6237647 4410854 4053062 623043 632755 3747926 3660107 15477827 14583571 X 5654566 6092349 5654566 6092349 21132393 20675920 437783 0 X 0 1 X 1 1 1 X 13323871 15784560 15712672 14682907 15827409 75331419 13323871 15784560 15712672 14682907 15827409 75331419 897693 74433726 177354 175337 234007 164860 294122 1045680 76377099 84031298 0.97460 0.98680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3275 546725 550000 32948113 33498113 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 760000 990000 925711 550000 3225711 250000 250000 250000 250000 1000000 1500000 9617 22527 7510 3275 42929 0 1 X 1979004 504497 1474507 747054 583401 163653 511323 494629 16694 1654854 COMMUNITY HEALTH CENTER RELIEF FUND 7355 REFUNDABLE ADVANCES 1455831 DEFERRED IMPROVEMENT ALLOWANCE 1474507 DEFERRED RENT ABATEMENT 722414 3660107 X 33836107 0 33836107 111574 111574 33947681 33398324 0 33398324 111574 111574 33509898 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, 2014 AND 2013, 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. THE FEDERAL FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER IT IS FILED. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE 111,574. REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE ON FORM 990. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE 111,574. REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE 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 690284 0 134690 0 126205 0 34514 0 20319 0 1006012 0 0 0 L DAVID TAYLOR CHIEF OPERATING OFFICER 357137 0 52264 0 63694 0 17857 0 21138 0 512090 0 0 0 MARY L HAWBECKER SVP OF OPERATIONS & CFO 343399 0 50254 0 65114 0 17170 0 28976 0 504913 0 0 0 DANIEL HAWKINS SVP OF PROGRAMS & POLICY 342638 0 33428 0 59422 0 17132 0 60103 0 512723 0 0 0 JOSEPH GALLEGOS SVP OF WEST COAST OPERATIONS 288677 0 26000 0 34722 0 14434 0 19803 0 383636 0 0 0 CLAUDIA GIBSON SVP OF COMMUNICATIONS 265860 0 19453 0 28114 0 13293 0 28977 0 355697 0 0 0 GLENDA WHITE AVP AND CHIEF OF STAFF 224749 0 31500 0 -523 0 6438 0 10297 0 272461 0 0 0 SHAWN FRICK AVP, PCA & NETWORK RELATIONS 234520 0 24000 0 -628 0 4583 0 19635 0 282110 0 0 0 JULIE SCHMIDT AVP, TRAINING & TECH. ASSISTANCE 236800 0 30000 0 -2356 0 11840 0 15292 0 291576 0 0 0 LIL ANDERSON FORMER BOARD MEMBER 90544 0 0 0 0 0 0 0 0 0 90544 0 0 0 ROBERT HOCH FORMER BOARD MEMBER 36600 0 0 0 0 0 0 0 0 0 36600 0 0 0 KEITH OWEN HORWOOD FORMER BOARD MEMBER 11000 0 0 0 0 0 0 0 0 0 11000 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. 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 JUNE 2014. 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 1,703,760. MANAGEMENT AND GENERAL EXPENSES 445. FUNDRAISING EXPENSES 36. TOTAL EXPENSES 1,704,241. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 1,697,020. MANAGEMENT AND GENERAL EXPENSES 444. FUNDRAISING EXPENSES 36. TOTAL EXPENSES 1,697,500. FORM 990, PART VIII, LINE 2E: ADVERTISING INCOME FROM EMPLOYMENT ADS RELATED TO PLACING DOCTORS IN COMMUNITY HEALTH CENTERS LOCATED IN UNDERPRIVILEGED COMMUNITIES. THIS ACTIVITY IS 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 HIS/HER FORMER POSITION ON THE NACHC BOARD OF DIRECTORS.