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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>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, 2011 AND 2010, 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 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.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
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        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE ON FORM 990.</Explanation>
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        <NamePerson>JOSEPH GALLEGOS</NamePerson>
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        <NamePerson>TOM CURTIN</NamePerson>
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        <NamePerson>CLAUDIA GIBSON</NamePerson>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NamePerson>CRAIG KENNEDY</NamePerson>
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        <NamePerson>ROGER SCHWARTZ</NamePerson>
        <BaseCompensationFilingOrg>196250</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19250</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>UPON THE RECOMMENDATION OF THE COMPENSATION SPECIALIST HIRED BY THE NACHC COMPENSATION COMMITTEE, IN 2005 NACHC ESTABLISHED A DEFERRED COMPENSATION PLAN TO PROVIDE THE CEO A REASONABLE LEVEL OF RETIREMENT BENEFITS. THE AMOUNT OF DEFERRED COMPENSATION IS CALCULATED BASED UPON ONE MONTH'S ANNUAL SALARY FOR EACH OF HIS 35 YEARS OF EMPLOYMENT WITH NACHC. THE DEFERRED COMPENSATION WAS TO BE PAID OUT IN TWO INSTALLMENTS; THE SECOND INSTALLMENT OF $865,353 WAS PAID OUT DURING THIS TAX REPORTING YEAR.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>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 FQHC'S WITH A SIMILAR MISSION NETWORK MEMBERS - HEALTH CENTER LED NETWORKS INDIVIDUAL MEMBERSHIP - OPEN TO ALL</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>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 ON JUNE 15, 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>