STRATEGY STUDIO / PUBLIC DATA EXPLORER

NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS INC (EIN 52-0939952)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-22
IRS object ID
201321129349300222
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-04-22T14:38:07-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN521392008EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GELMAN ROSENBERG & FREEDMANBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14550 MONTGOMERY AVE SUITE 650NAddressLine1
CityBETHESDACity
StateMDState
ZIP Code208142930ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520939952EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NATIONAL ASSOCIATION OF COMMUNITYBusinessNameLine1
Business Name Line2HEALTH CENTERS INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNATINameControl
Phone3013470400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17501 WISCONSIN AVENUE NO 1100WAddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY HAWBECKERName
TitleCFOTitle
Phone3013470400Phone
Date Signed2013-04-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3019519090Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonTHOMAS J VAN COVERDENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17501 WISCONSIN AVENUE NO 1100WAddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32527085GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NACHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionSEE PART III, LINE 1.ActivityOrMissionDescription
Nbr Voting Members Governing Body33NbrVotingMembersGoverningBody
Nbr Independent Voting Members33NbrIndependentVotingMembers
Total Nbr Employees100TotalNbrEmployees
Total Nbr Volunteers33TotalNbrVolunteers
Total Gross UBI41202TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15784560ContributionsGrantsPriorYear
Contributions Grants Current Year15712672ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16559730ProgramServiceRevenuePriorYear
Program Service Revenue CY16580406ProgramServiceRevenueCY
Investment Income Prior Year10637InvestmentIncomePriorYear
Investment Income Current Year6917InvestmentIncomeCurrentYear
Other Revenue Prior Year164700OtherRevenuePriorYear
Other Revenue Current Year227090OtherRevenueCurrentYear
Total Revenue Prior Year32519627TotalRevenuePriorYear
Total Revenue Current Year32527085TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13807064SalariesEtcPriorYear
Salaries Etc Current Year13251747SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year348340TotalFundrsngExpCurrentYear
Other Expense Prior Year17767743OtherExpensePriorYear
Other Expenses Current Year18160003OtherExpensesCurrentYear
Total Expenses Prior Year31574807TotalExpensesPriorYear
Total Expenses Current Year31411750TotalExpensesCurrentYear
Revenues Less Expenses Prior Year944820RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1115335RevenuesLessExpensesCY
Total Assets BOY16000776TotalAssetsBOY
Total Assets EOY19285148TotalAssetsEOY
Total Liabilities BOY11944797TotalLiabilitiesBOY
Total Liabilities EOY14113834TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4055979NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5171314NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13592939Expense
Revenue1970571Revenue
DescriptionFOR 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14525934Expense
Revenue14609835Revenue
DescriptionTHROUGH 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense28118873TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109668NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees100NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members33NbrVotingGoverningBodyMembers
Number Independent Voting Members33NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARY L HAWBECKERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3013470400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17501 WISCONSIN AVENUE SUITE 1100WAddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
KAUILA CLARK
CHAIR OF THE BOARD1.00XX000
GARY WILTZ
CHAIR-ELECT1.00XX000
ANITA MONOIAN
IMMEDIATE PAST CHAIR1.00XX000
JAMES LUISI
SPEAKER OF THE HOUSE1.00XX000
LATHRAN J WOODARD
VICE-SPEAKER OF THE HOUSE1.00XX000
RICARDO GUZMAN
SECRETARY1.00XX000
JOHN MENGENHAUSEN
TREASURER1.00XX000
MICHAEL A WURTSMITH
CONSUMER/BRD. MBR. REP.1.00X000
RACHEL A GONZALES-HANSON
PARLIAMENTARIAN1.00X000
FRANCES M ANTHES
BOARD MEMBER1.00X000
TESS STACK KUENNING
BOARD MEMBER1.00X000
PALOMA HERNANDEZ
BOARD MEMBER1.00X000
ISOLINA MIRANDA
BOARD MEMBER1.00X000
PATRICIA DEITCH
BOARD MEMBER1.00X000
VINCENT A KEANE
BOARD MEMBER1.00X000
MARY BUFWACK
BOARD MEMBER1.00X000
ROLAND J GARDNER
BOARD MEMBER1.00X000
BERNEICE MILLS-THOMAS
BOARD MEMBER1.00X000
FORREST OLSON
BOARD MEMBER1.00X000
SIP MOUDEN
BOARD MEMBER1.00X000
DAVID B VLIET
BOARD MEMBER1.00X000
DENNIS W KRUSE
BOARD MEMBER1.00X000
SUSETTE M SCHWARTZ
BOARD MEMBER1.00X000
PAM LOCKEN
BOARD MEMBER1.00X000
STANLEY J BRASHER
BOARD MEMBER1.00X000
WILLIAM D HOBSON JR
BOARD MEMBER1.00X000
AVEIN SAATY-TAFOYA
BOARD MEMBER1.00X000
LESLYN PHELPS
BOARD MEMBER1.00X000
THOMAS TROMPETER
BOARD MEMBER1.00X000
GRACE WANG
BOARD MEMBER1.00X000
KEITH HORWOOD
BOARD MEMBER1.00X000
RITA SORRENTO
BOARD MEMBER1.00X000
ROSETTA MINNEFIELD
BOARD MEMBER1.00X000
THOMAS J VAN COVERDEN
PRESIDENT & CEO40.00X10481620-111004
L DAVID TAYLOR
CHIEF OPERATING OFFICER40.00X434600027733
MARY L HAWBECKER
SVP OF OPERATIONS & CFO40.00X417920038341
DANIEL HAWKINS
SVP OF PROGRAMS & POLICY40.00386844067418X
JOSEPH GALLEGOS
SVP OF WEST COAST OPERATIONS40.00313501031890X
TOM CURTIN
CHIEF MEDICAL OFFICER40.00241969017331X
CLAUDIA GIBSON
SVP OF COMMUNICATIONS40.00276657039738X
BRUCE STURM
EXEC. DIR., INNOV. CARE NETWORKS40.00264625026625X
SHAWN FRICK
AVP, PCA & NETWORK RELATIONS40.00229475023670X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3613753TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation161742TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
US STRATEGIES CORPORATION
1055 N FAIRFAX DRALEXANDRIAVA33401CONSULTING & ADVOCACY480000
FELDESMAN TUCKER LEIFER FEIDELL & BAN
2001 L ST NW 300WASHINGTONDC20052LEGAL CONSULTING / TECHNICAL ASSISTANCE428163
MARTIN BLANCK & ASSOCIATES
2034 EISENHOWER AVE SUITE 270ALEXANDRIAVA22314TECH. ASST. & CLINICAL, PCA NETWORK MGMT364794
COMMUNITY HEALTH ASSOCIATES
22811 GREATER MACK AVEST CLAIR SHORESMI48080CONSULTING & ADVOCACY300000
GEORGE WASHINGTON UNIVERSITY
2100 M STREETWASHINGTONDC20052TECH. ASST & CLINICAL PROGRAM MGMT277153
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Government Grants12882283GovernmentGrants
All Other Contributions2830389AllOtherContributions
Total Contributions15712672TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEMBERSHIP DUES9000991110138811101388
CONF./CONVENTIONS90009949431134943113
PUBLICATIONS90009923469319349141202
HEALTH CENTER FEES900099123051123051
CONSULTING9000998256882568

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column95593TotalRevenueColumn
Related Or Exempt Function Income95593RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue16580406TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6917TotalRevenueColumn
Exclusion$6,917ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column227090TotalRevenueColumn
Exclusion$227,090ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32527085TotalRevenueColumn
Related Or Exempt Function Income16539204RelatedOrExemptFunctionIncome
Unrelated Business Revenue41202UnrelatedBusinessRevenue
Exclusion$234,007ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2342896Total
Program Services1357258ProgramServices
Management And General985638ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total20200Total
Program Services20200ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8228357Total
Program Services6873025ProgramServices
Management And General1133869ManagementAndGeneral
Fundraising221463Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total344860Total
Program Services393929ProgramServices
Management And General-60142ManagementAndGeneral
Fundraising11073Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1670514Total
Program Services1247380ProgramServices
Management And General378173ManagementAndGeneral
Fundraising44961Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total644920Total
Program Services505061ProgramServices
Management And General126246ManagementAndGeneral
Fundraising13613Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total454036Total
Program Services419279ProgramServices
Management And General31523ManagementAndGeneral
Fundraising3234Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45327Total
Program Services37776ProgramServices
Management And General6848ManagementAndGeneral
Fundraising703Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total680000Total
Program Services680000ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4406245Total
Program Services4400094ProgramServices
Management And General4090ManagementAndGeneral
Fundraising2061Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total666419Total
Program Services617977ProgramServices
Management And General43458ManagementAndGeneral
Fundraising4984Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total188404Total
Program Services157100ProgramServices
Management And General28392ManagementAndGeneral
Fundraising2912Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1353921Total
Program Services1128358ProgramServices
Management And General204577ManagementAndGeneral
Fundraising20986Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total855628Total
Program Services841432ProgramServices
Management And General726ManagementAndGeneral
Fundraising13470Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2807621Total
Program Services2806592ProgramServices
Management And General656ManagementAndGeneral
Fundraising373Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total770Total
Program Services642ProgramServices
Management And General116ManagementAndGeneral
Fundraising12Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total273319Total
Program Services227784ProgramServices
Management And General41299ManagementAndGeneral
Fundraising4236Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total36891Total
Program Services30745ProgramServices
Management And General5574ManagementAndGeneral
Fundraising572Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUBCONTRACTS53424865342486
PRINTING & PUBLICATIONS3803373767933079465
CREDIT CARD FEES184818184818
DUES & SUBSCRIP.14472514198016241121

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total339056Total
Program Services328164ProgramServices
Management And General8791ManagementAndGeneral
Fundraising2101Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31411750Total
Program Services28118873ProgramServices
Management And General2944537ManagementAndGeneral
Fundraising348340Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1189BOY
EOY1189EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9038639BOY
EOY10846846EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5002971BOY
EOY4731635EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY187301BOY
EOY374815EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY53987BOY
EOY50732EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY501140BOY
EOY262484EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3395446LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1273646LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY353585BOY
EOY2121800EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY716642BOY
EOY673599EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY145322BOY
EOY222048EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16000776BOY
EOY19285148EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6225407BOY
EOY5884088EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4774655BOY
EOY4883134EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY118626BOY
EOY618629EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY826109BOY
EOY2727983EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11944797BOY
EOY14113834EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4055979BOY
EOY5171314EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4055979BOY
EOY5171314EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16000776BOY
EOY19285148EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1115335ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13550265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13534914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13323871CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15784560CurrentTaxYearMinus1Year
Current Tax Year15712672CurrentTaxYear
Total71906282Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13550265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13534914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13323871CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15784560CurrentTaxYearMinus1Year
Current Tax Year15712672CurrentTaxYear
Total71906282Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total39983AmountsSubstContributorsTotal
Public Support Total17071866299PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years279413CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193554CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years177354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year175337CurrentTaxYearMinus1Year
Current Tax Year234007CurrentTaxYear
Total1059665Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1506CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33401CurrentTaxYearMinus3Years
Total34907Total
FieldValueIRS element (for citing)
Total Support73000854TotalSupport
Gross Receipts From Admissions Etc77904555GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98450PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98120PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals22527FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals967473FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals990000FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals30421750FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals31411750FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3680000CurrentYearMinus3
Current Year Minus2820000CurrentYearMinus2
Current Year Minus1760000CurrentYearMinus1
Current Year990000CurrentYear
Total3250000Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus3673CurrentYearMinus3
Current Year Minus211644CurrentYearMinus2
Current Year Minus19617CurrentYearMinus1
Current Year22527CurrentYear
Total44461Total

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance118629BeginningBalance
Additions During Year500000AdditionsDuringYear
Ending Balance618629EndingBalance
Included On FS1IncludedOnFS

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1968084OtherCostOrOtherBasis
Depreciation121559Depreciation
Book Value1846525BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis922691OtherCostOrOtherBasis
Depreciation687182Depreciation
Book Value235509BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis504671OtherCostOrOtherBasis
Depreciation464905Depreciation
Book Value39766BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2121800TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
COMMUNITY HEALTH CENTER RELIEF FUND$8,376
REFUNDABLE ADVANCES$681,630
DEFERRED IMPROVEMENT ALLOWANCE$1,846,525
DEFERRED RENT ABATEMENT$191,452
FieldValueIRS element (for citing)
Total Of Amounts2727983TotalOfAmounts
Total Revenue32527085TotalRevenue
Total Expenses31411750TotalExpenses
Excess Or Deficit For Year1115335ExcessOrDeficitForYear
Excess Or Deficit Per FS1115335ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt32474436TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal32474436RevenueSubtotal
Other Revenues Not Included52649OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt52649RevenueNotRptdOnFinStmt
Total Revenue Per Form99032527085TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt31359101TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal31359101ExpensesSubtotal
Other Expenses Not Included52649OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt52649ExpensesNotRptdOnFinStmt
Total Expenses Per Form99031411750TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:IN JUNE 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) RELEASED FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES. FOR THE YEARS ENDED JUNE 30, 2012 AND 2011, NACHC HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE IRS 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 XII, LINE 4B - OTHER ADJUSTMENTS:EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE 52,649. REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE ON FORM 990.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE 52,649. REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE ON FORM 990.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS J VAN COVERDEN
626108031059201114620-1309220199180937158000
L DAVID TAYLOR
323933057575053092073990203340462333000
MARY L HAWBECKER
311473052421054026099520283890456261000
DANIEL HAWKINS
315242058027013575065650608530454262000
JOSEPH GALLEGOS
2643180202080289750126350192550345391000
TOM CURTIN
136823020540103092050550122760259300000
CLAUDIA GIBSON
2457690126120182760118490278890316395000
BRUCE STURM
2537500125000-1625064380201870291250000
SHAWN FRICK
2100000200000-525045830190870253145000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationTOM CURTIN RECEIVED SEVERANCE PAYMENTS OF $84,858 DURING 2011. THIS AMOUNT IS INCLUDED IN PART II, COLUMN (B)(III).Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6NACHC'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 FQHC'S WITH A SIMILAR MISSION NETWORK MEMBERS - HEALTH CENTER LED NETWORKS INDIVIDUAL MEMBERSHIP - OPEN TO ALL
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BALL 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 11THE 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 12CNACHC 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 15THE 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 2012.
FORM 990, PART VI, SECTION C, LINE 19THE 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 8: NEGATIVE PENSION EXPENSE - WHEN NACHC UPDATED THE 403(B) PLAN DOCUMENT IN ORDER TO BE IN COMPLIANCE WITH THE NEW ERISA REQUIREMENTS, IT WAS NOTED THAT THE PREVIOUS BROKER WAS NOT PERFORMING TESTING RELATED TO THE 401(A)(17) COMPENSATION LIMITS. CONSEQUENTLY, SOME EMPLOYEES HAD RECEIVED EXCESS CONTRIBUTIONS. UPON A DETAILED REVIEW BY AN ERISA ATTORNEY, IT WAS DETERMINED THAT THE ISSUES IDENTIFIED DID NOT CONSTITUTE A MAJOR FAILURE AND, THEREFORE, NACHC SHOULD PROCEED ON A PATH OF SELF-CORRECTION. AFTER ESTABLISHING A REASONABLE APPROACH FOR DETERMINING EARNINGS ON EXCESS CONTRIBUTIONS, NACHC PROCESSED THE FORFEITURES AND DEDUCTED THE EXCESS CONTRIBUTIONS FROM THE INDIVIDUAL ACCOUNTS THAT WERE IMPACTED, THUS RESULTING IN A NEGATIVE RETIREMENT EXPENSE FOR THOSE EMPLOYEES. THE NACHC EXECUTIVE AND COMPENSATION COMMITTEES RECOMMENDED TO THE NACHC BOARD THAT IMPACTED EMPLOYEES RECEIVE A BONUS FOR THE AMOUNTS FORFEITED, GIVEN THAT IT WAS THE INTENTION OF NACHC FOR THESE EMPLOYEES TO RECEIVE THIS COMPENSATION.