ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS (EIN 52-1529448)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-12
IRS object ID
201942249349301289
Schema version
2017v2.3
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)
Return2019-08-12T13:44:27-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521446779PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON LAMBERT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14242 SIX FORKS ROAD SUITE 1500AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27609ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521529448EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF MATERNAL AND CHILD HEALTHBusinessNameLine1Txt
Business Name Line2PROGRAMSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlASSOBusinessNameControlTxt
Phone2027750436PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11825 K STREET NW NO 250AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJONATHAN WEBBPersonNm
Person TitleCEOPersonTitleTxt
Phone2027750436PhoneNum
Signature2019-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJ CALVIN MARKSPreparerPersonNm
PTINP01226973PTIN
Phone9197196400PhoneNum
Preparation2019-08-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address34.206.232.202IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-12IPDt
IP Tm13:44:23IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2E4AA9B0BD21389F9E6AEBAFCFEB9328BA0AD9FFAtSubmissionCreationDeviceId
At Submission Filing Device Id9C238F1B6484ABD2E08FB3ED1A4A2692AD2A909BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJONATHAN WEBBPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11825 K STREET NW NO 250AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,967,692GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMCHP.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionTO PROTECT AND PROMOTE THE OPTIMAL HEALTH OF WOMEN, CHILDREN, AND FAMILIESActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee40TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$22,777NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,980,721PYContributionsGrantsAmt
CY Contributions Grants$5,466,805CYContributionsGrantsAmt
PY Program Service Revenue$485,075PYProgramServiceRevenueAmt
CY Program Service Revenue$440,795CYProgramServiceRevenueAmt
PY Investment Income$21,338PYInvestmentIncomeAmt
CY Investment Income$32,918CYInvestmentIncomeAmt
PY Other Revenue$21,785PYOtherRevenueAmt
CY Other Revenue$19,217CYOtherRevenueAmt
PY Total Revenue$6,508,919PYTotalRevenueAmt
CY Total Revenue$5,959,735CYTotalRevenueAmt
PY Grants And Similar Paid$556,335PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$833,046CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,986,520PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,852,295CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,996CYTotalFundraisingExpenseAmt
PY Other Expenses$2,712,442PYOtherExpensesAmt
CY Other Expenses$2,340,200CYOtherExpensesAmt
PY Total Expenses$6,255,297PYTotalExpensesAmt
CY Total Expenses$6,025,541CYTotalExpensesAmt
PY Revenues Less Expenses$253,622PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$65,806CYRevenuesLessExpensesAmt
Total Assets BOY$2,811,900TotalAssetsBOYAmt
Total Assets EOY$3,130,199TotalAssetsEOYAmt
Total Liabilities BOY$1,404,842TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,801,213TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,407,058NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,328,986NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE ASSOCIATION OF MATERNAL & CHILD HEALTH PROGRAMS IS TO PROTECT AND PROMOTE THE OPTIMAL HEALTH OF WOMEN, CHILDREN, AND FAMILIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,948,707ExpenseAmt
Grant$833,046GrantAmt
DescMATERNAL AND CHILD HEALTH (MCH) PROGRAMS AND POLICY: THE RESEARCH AND EDUCATION PROGRAMS ARE INTENDED TO STRENGHTEN AND SUPPORT STATE LEADERSHIP CAPACITY AND ACCOUNTABILITY IN STATE MATERNAL AND CHILD HEALTH PROGRAMS. AMCHP PARTNERED WITH FEDERAL AGENCIES, NATIONAL ORGANIZATIONS, AND OTHER KEY STAKEHOLDERS AND STAFF TO ENHANCE LEADERSHIP CAPACITY OF THE MCH WORKFORCE, ENCOURAGE AND SUPPORT ENGAGEMENT OF INDIVIDUALS AND FAMILIES WITHIN THE MCH POPOPULATION, AND STRENGTHEN THE STATE MCH PROGRAMS' ABILITY TO CARRY OUT CORE FUNCTIONS OF PUBLIC HEALTH PRACTICE TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$359,977ExpenseAmt
DescLEGISLATIVE ACTIVITIES: THE ASSOCIATION OF MATERNAL & CHILD HEALTH PROGRAMS PROVIDES REGULAR INFORMATION TO ITS MEMBERSHIP AND STAKEHOLDERS ON PUBLIC POLICY ISSUES AFFECTING THE FIELD OF MATERNAL AND CHILD HEALTH. THESE ISSUES INCLUDE FEDERAL BUDGET ALLOCATIONS INCLUDING SEQUESTRATION, CHANGES IN PROGRAMS PROVIDING HEALTH INSURANCE COVERAGE TO MCH POPULATIONS, AND THE STATUS OF A RANGE OF PROGRAMS ADMINISTERED AT THE STATE LEVEL IN PARTNERSHIP WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. ACTIVITIES INCLUDE PUBLICATION OF NEWSLETTERS, DEVELOPMENT OF POLICY ANALYSIS, LEARNING OPPORTUNITIES FOR STATES TO SHARE THEIR PERSPECTIVES WITH EACH OTHER, AND ALLOWABLE ACTIVITIES TO EDUCATE POLICYMAKERS AND ASSURE THEY HAVE INFORMATION TO SUPPORT DECISIONS AFFECTING MCH POPULATIONS AND PROGRAMS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$322,427ExpenseAmt
Revenue$440,795RevenueAmt
DescANNUAL CONFERENCE: THE ANNUAL CONFERENCE DIRECTLY DELIVERED EDUCATIONAL FORUMS ON MCH ISSUES, FOSTERED EXCHANGE OF IDEAS AND EXPERIENCES AMONG MEMBERS AND THEIR PARTNERS, AND DISTRIBUTED INFORMATION ON STATE AND NATIONAL MCH ACTIVITIES AND STATE APPROACHES TO ADDRESS MCH PROBLEMS. IT WAS ALSO A FORUM FOR NUMEROUS TECHNICAL ASSISTANCE SESSIONS THAT PROMOTE EFFECTIVE PRACTICES FOR STATE MCH PROGRAMS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$76,033ExpenseAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$76,033TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$5,707,144TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document67IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee40EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JONATHAN WEBBBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2027750436PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11825 K STREET NW STE 250AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SUSAN CHACON
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MICHAEL WARREN
PAST PRESIDENT (TO JUL '18)2.00Yes (X)Yes (X)$0$0$0
EILEEN FORLENZA
PAST PRESIDENT (TO FEB '18)2.00Yes (X)Yes (X)$0$0$0
CATE WILCOX
PRESIDENT-ELECT2.00Yes (X)Yes (X)$0$0$0
KARIN DOWNS
TREASURER2.00Yes (X)Yes (X)$0$0$0
SUSAN COLBURN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
CORNELIA DEAGLE
DIRECTOR2.00Yes (X)$0$0$0
ANGELA DURAND
DIRECTOR AT LARGE2.00Yes (X)$0$0$0
RODNEY FARLEY
DIRECTOR AT LARGE (TO FEB '18)2.00Yes (X)$0$0$0
LACY FEHRENBACH
DIRECTOR (FROM JUL '18)2.00Yes (X)$0$0$0
DEBORAH GARNEAU
DIRECTOR2.00Yes (X)$0$0$0
MANDA HALL
DIRECTOR2.00Yes (X)$0$0$0
RACHEL HUTSON
DIRECTOR2.00Yes (X)$0$0$0
MARCUS JOHNSON-MILLER
DIRECTOR2.00Yes (X)$0$0$0
MARILYN KACICA
DIRECTOR (TO FEB '18)2.00Yes (X)$0$0$0
ALAN MEASE
DIRECTOR AT LARGE (FROM JUL '18)2.00Yes (X)$0$0$0
CONNIE MITCHELL
DIRECTOR2.00Yes (X)$0$0$0
GINA MONEY
FAMILY REPRESENTATIVE2.00Yes (X)$0$0$0
SHIRLEY PAYNE
DIRECTOR2.00Yes (X)$0$0$0
BELINDA PETTIFORD
DIRECTOR2.00Yes (X)$0$0$0
DONNA YADRICH
FAMILY REPRESENTATIVE2.00Yes (X)$0$0$0
LORI FREEMAN
CEO (TO JUN '18)40.00Yes (X)$232,447$0$38,188
BARBARA LAUR
INTERIM CEO (FROM JUN '18)40.00Yes (X)$0$0$0
CAROLINE STAMPFEL
DIRECTOR OF PROGRAMS35.00$118,711$0$16,729Yes (X)
JEANETTE KOWALIK
ASSOCIATE DIRECTOR35.00$110,257$0$22,378Yes (X)
NIKEISHA OGLETREE
ASSOCIATE DIRECTOR35.00$110,204$0$26,611Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$571,619TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$103,906TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$526,955MembershipDuesAmt
Government Grants$4,751,627GovernmentGrantsAmt
All Other Contributions$188,223AllOtherContributionsAmt
Total Contributions$5,466,805TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescREGISTRATION FEESDesc
Business900099BusinessCd
Total Revenue Column$440,795TotalRevenueColumnAmt
Related Or Exempt Func Income$440,795RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$440,795TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,342TotalRevenueColumnAmt
Exclusion$27,342ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,533SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,957SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,576SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,576TotalRevenueColumnAmt
Exclusion$5,576ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescSALE OF MAILING LISTDesc
Business900099BusinessCd
Total Revenue Column$152TotalRevenueColumnAmt
Exclusion$152ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,065TotalRevenueColumnAmt
Exclusion$19,065ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$19,217OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,959,735TotalRevenueColumnAmt
Related Or Exempt Func Income$440,795RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$52,135ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$833,046TotalAmt
Program Services$833,046ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$276,947TotalAmt
Program Services$223,007ProgramServicesAmt
Management And General$53,105ManagementAndGeneralAmt
Fundraising$835FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,689,012TotalAmt
Program Services$1,350,181ProgramServicesAmt
Management And General$333,568ManagementAndGeneralAmt
Fundraising$5,263FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$160,776TotalAmt
Program Services$130,762ProgramServicesAmt
Management And General$29,553ManagementAndGeneralAmt
Fundraising$461FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$564,335TotalAmt
Program Services$458,980ProgramServicesAmt
Management And General$103,735ManagementAndGeneralAmt
Fundraising$1,620FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$161,225TotalAmt
Program Services$129,660ProgramServicesAmt
Management And General$31,076ManagementAndGeneralAmt
Fundraising$489FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,275TotalAmt
Management And General$29,275ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,982TotalAmt
Management And General$7,982ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$399,483TotalAmt
Program Services$302,531ProgramServicesAmt
Management And General$95,752ManagementAndGeneralAmt
Fundraising$1,200FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$127,194TotalAmt
Program Services$91,482ProgramServicesAmt
Management And General$35,712ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$219,433TotalAmt
Program Services$19,694ProgramServicesAmt
Management And General$199,739ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$333,129TotalAmt
Management And General$333,129ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$619,624TotalAmt
Program Services$592,902ProgramServicesAmt
Management And General$26,722ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$435,023TotalAmt
Program Services$400,801ProgramServicesAmt
Management And General$34,222ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$75,411TotalAmt
Management And General$75,411ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,203TotalAmt
Program Services$1,827ProgramServicesAmt
Management And General$9,376ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES & SUBSCRIPTIONS$29,672$26,993$2,679
EQUIPMENT$14,937$14,937
ALLOCATION OF M&G$0$1,122,709-$1,126,820$4,111

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$37,834TotalAmt
Program Services$22,569ProgramServicesAmt
Management And General$15,248ManagementAndGeneralAmt
Fundraising$17FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,025,541TotalAmt
Program Services$5,707,144ProgramServicesAmt
Management And General$304,401ManagementAndGeneralAmt
Fundraising$13,996FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$155,880BOYAmt
EOY$669,251EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$182,084BOYAmt
EOY$186,876EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$236,376BOYAmt
EOY$257,675EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$601,348BOYAmt
EOY$385,926EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$110,933BOYAmt
EOY$175,576EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$757,574LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$149,610LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$683,375BOYAmt
EOY$607,964EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$775,091BOYAmt
EOY$780,118EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$66,813BOYAmt
EOY$66,813EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,811,900BOYAmt
EOY$3,130,199EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$482,953BOYAmt
EOY$683,960EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$197,078BOYAmt
EOY$249,627EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$724,811BOYAmt
EOY$867,626EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,404,842BOYAmt
EOY$1,801,213EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,407,058BOYAmt
EOY$1,328,986EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,407,058BOYAmt
EOY$1,328,986EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,811,900BOYAmt
EOY$3,130,199EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$65,806ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$12,266NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,394,037CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,597,370CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,969,129CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,980,721CurrentTaxYearMinus1YearAmt
Current Tax Year$5,466,805CurrentTaxYearAmt
Total$27,408,062TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,394,037CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,597,370CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,969,129CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,980,721CurrentTaxYearMinus1YearAmt
Current Tax Year$5,466,805CurrentTaxYearAmt
Total$27,408,062TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,545,117SubstantialContributorsTotAmt
Public Support Total170$25,862,945PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,989CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$63,253CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,221CurrentTaxYearMinus1YearAmt
Current Tax Year$27,342CurrentTaxYearAmt
Total$180,573TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,097CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$96,818CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$363,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,785CurrentTaxYearMinus1YearAmt
Current Tax Year$19,217CurrentTaxYearAmt
Total$509,133TotalAmt
FieldValueIRS element (for citing)
Total Support$28,097,768TotalSupportAmt
Gross Receipts Rltd Activities$2,301,283GrossReceiptsRltdActivitiesAmt
Public Support CY1700.92050PublicSupportCY170Pct
Public Support PY1700.89730PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$31,612FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$31,612FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$5,993,929FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$6,025,541FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$451,277FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$112,819FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$438,043CurrentYearMinus3Amt
Current Year Minus2$476,890CurrentYearMinus2Amt
Current Year Minus1$462,765CurrentYearMinus1Amt
Current Year$451,277CurrentYearAmt
Total$1,828,975TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$2,743,463LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$15,899CurrentYearMinus3Amt
Current Year Minus2$18,249CurrentYearMinus2Amt
Current Year Minus1$10,731CurrentYearMinus1Amt
Current Year$31,612CurrentYearAmt
Total$76,491TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$109,511CurrentYearMinus3Amt
Current Year Minus2$119,223CurrentYearMinus2Amt
Current Year Minus1$115,691CurrentYearMinus1Amt
Current Year$112,819CurrentYearAmt
Total$457,244TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$685,866GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$631,673OtherCostOrOtherBasisAmt
Depreciation$114,850DepreciationAmt
Book Value$516,823BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,901OtherCostOrOtherBasisAmt
Depreciation$34,760DepreciationAmt
Book Value$91,141BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$607,964TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED RENT$395,126
DEFERRED TENANT IMPROVEMENT$472,500
FieldValueIRS element (for citing)
Total Liability$867,626TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,939,487TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$12,266NetUnrealizedGainsInvstAmt
Revenue Not Reported-$12,266RevenueNotReportedAmt
Revenue Subtotal$5,951,753RevenueSubtotalAmt
Investment Expenses Not Incld$7,982InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$7,982RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,959,735TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,017,559TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,017,559ExpensesSubtotalAmt
Investment Expenses Not Incld2$7,982InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$7,982ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,025,541TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFOR THE YEAR ENDED SEPTEMBER 30, 2018, AMCHP HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (38 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
NATIONAL INSTITUTE FOR CHILDREN'S HEALTH QUALITY
30 WINTER ST 6TH FLOORBOSTONMA02108010647374501(C)(3)$273,068MCEH COIIN PROJECT SUBGRANTEE FOR QI AND LEARNING COMMUNITY PLATFORM
CENTER FOR HEALTH POLICY DEVELOPMENT
10 FREE ST 2ND FLOORPORTLANDME04101521576801501(C)(3)$61,741MCEH COIIN PROJECT SUBGRANTEE POLICY AND MEDICAID EXPERTISE, PROVISION OF TA TO TEAMS
THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS
2231 CRYSTAL DR 450ARLINGTONVA22202351044487501(C)(3)$59,527MCEH COIIN PROJECT SUBGRANTEE REPRESENTING STATE HEALTH OFFICIALS TO ENGAGE IN LEAD PREVENTION ACTIVITIES
FAMILY VOICES
PO BOX 37188ALBUQUERQUENM87176850430800501(C)(3)$38,158STATE TITLE V LEADERSHIP PROJECT SUBGRANTEE FOR FAMILY ENGAGEMENT DELIVERABLES INCLUDING CASE STUDIES, WEBINARS, AND LEARNING EVENTS
BOSTON UNIVERSITY GRANTS RECEIVABLE
881 COMMONWEALTH AVE 4TH FLOORBOSTONMA02215042103547501(C)(3)$34,453MCH WORKFORCE DEVELOPMENT CENTER SUBGRANTEE FOR POLICY EXPERTISE IN HEALTH CARE FINANCE FOR CYSHCN
GREEN & HEALTHY HOMES INITIATIVE
2714 HUDSON STBALTIMOREMD21224521786577501(C)(3)$32,500MCEH COIIN PROJECT SUBGRANTEE FOR HOUSING AND LEAD REMEDIATION EXPERTISE
NATIONAL ENVIRONMENTAL HEALTH ASSOCIATION
720 S COLORADO BLVD SUITE 1000-NDENVERCO80246840469910501(C)(3)$21,404MCEH COIIN PROJECT SUBGRANTEE FOR A PUBLIC HEALTH APPROACH TO REDUCING CHILDRENS EXPOSURE TO LEAD
UNIVERSITY OF NEBRASKA
1400 R STLINCOLNNE68588470049123501(C)(3)$20,927SDOH COIIN PROJECT SUBGRANTEE FOR LOCAL MCH EXPERTISE
CHILDREN'S FORUM INC
2807 REMINGTON GREEN CIRCLETALLAHASSEEFL32308650165007501(C)(3)$15,728LTSAE SYSTEMS GRANT PROJECT
REGENT OF THE UNIVERSITY OF MINNESOTA
PO BOX 1450MINNEAPOLISMN55485416007513501(C)(3)$15,650ACT EARLY STATE SYSTEMS GRANTS
UNIVERSITY OF THE VIRGIN ISLANDS
2 JOHN BREWERS BAYCHARLOTTE AMALIEVI00802660432514501(C)(3)$11,939LTSAE STATE SYSTEMS GRANT
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
55 N LAKE AVEWORCESTERMA01655043167352115$11,114LTSAE STATE SYSTEMS GRANTS
WASHINGTON STATE DEPARTMENT OF HEALTH
111 ISRAEL RD SETUMWATERWA98501115$11,110AYAH-COIIN PROJECT SUBGRANTEE TO IMPLEMENT ADOLESCENT WELL VISIT COIIN IN WA
GREENVILLE HEALTH SYSTEMS
300 E MCBEE AVE STE 302GREENVILLESC29601576007863501(C)(3)$10,741LTSAE SYSTEMS GRANT PROJECT
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
PO BOX 402420ATLANTAGA30348566001393501(C)(3)$10,017LTSAE STATE SYSTEMS GRANTS
GEORGIA DEPARTMENT OF PUBLIC HEALTH
STATE OF GEORGIA BLDG 2 PEACHTREEATLANTAGA30303900676388115$10,000LTSAE STATE SYSTEMS GRANTSST 5
SIGNAL CENTERS INC
109 N GERMANTOWN RDCHATTANOOGATN37411620587285501(C)(3)$10,000ACT EARLY STATE SYSTEMS GRANTS
MARYLAND DEPARTMENT OF HEALTH
201 W PRESTON STBALTIMOREMD21201115$10,000AYAH-COIIN PROJECT SUBGRANTEE TO IMPLEMENT ADOLESCENT WELL VISIT COIIN IN MD
UNIVERSITY OF NEW HAMPSHIRE
5 CHENELL DR STE 301CONCORDNH03301026000937115$10,000AYAH-COIIN PROJECT SUBGRANTEE TO IMPLEMENT ADOLESCENT WELL VISIT COIIN IN NH
YOUNG INVINCIBLES
1725 DESALES ST NWWASHINGTONDC20036462214021501(C)(3)$10,000AYAH-COIIN PROJECT SUBGRANTEE TO PROVIDE ANALYSIS OF INSURANCE FOR YOUNG ADULTS
WYOMING PRIMARY CARE ASSOCIATION INC
1816 CENTRAL AVECHEYENNEWY82001830317641501(C)(3)$9,960AYAH-COIIN PROJECT SUBGRANTEE TO IMPLEMENT ADOLESCENT WELL VISIT COIIN IN WY
CABARRUS HEALTH ALLIANCE
300 MOORESVILLE RDKANNAPOLISNC28081115$9,936SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT
POSTPARTUM SUPPORT INTERNATIONAL
6706 SW 54TH AVEPORTLANDOR97219770196208501(C)(3)$9,829STATE TITLE V LEADERSHIP PROJECT SUBGRANTEE TO REPLICATE A BEST PRACTICE FROM INNOVATION STATION NEW
WISCONSIN ALLIANCE FOR WOMEN'S HEALTH
147 S BUTLER ST 1ST FLOORMADISONWI53703810287566501(C)(3)$9,000STATE TITLE V LEADERSHIP PROJECT SUBGRANTEE TO REPLICATE A BEST PRACTICE FROM INNOVATION STATION
THE UNIVERSITY OF MONTANA
32 CAMPUS DRMISSOULAMT59812816001713501(C)(3)$8,960ACT EARLY STATE SYSTEMS GRANTS
UNIVERSITY OF GUAM
UNIVERSITY DRMANGILAOGU96923980032933501(C)(3)$8,700ACT EARLY STATE SYSTEMS GRANT
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
MSC09 5222 1 UNIVERSITY OF NEWALBUQUERQUENM87106856000642501(C)(3)$8,567LTSAE STATE SYSTEMS GRANTMEXICO
NEW JERSEY DEPARTMENT OF HEALTH
PO BOX 360TRENTONNJ08625115$8,105AYAH-COIIN PROJECT SUBGRANTEE TO IMPLEMENT ADOLESCENT WELL VISIT COIIN IN NJ
MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES
PO BOX 570JEFFERSON CITYMO65102115$8,000MCEH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN ACTIVITIES IN MO
MINNESOTA DEPARTMENT OF HEALTH
3333 DIVISION ST 212ST CLOUDMN56301115$6,321AYAH-COIIN PROJECT SUBGRANTEE TO IMPLEMENT ADOLESCENT WELL VISIT COIIN IN MN
LOUISVILLE DEPARTMENT OF HEALTH AND WELLNESS
400 E GRAY STLOUISVILLEKY40202115$6,000SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT
NEW MEXICO DEPARTMENT OF HEALTH PUBLIC HEALTH DIVISION
PO BOX 25307ALBUQUERQUENM87125856000565115$6,000SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT
OHIO DEPARTMENT OF HEALTH
246 N HIGH STCOLUMBUSOH43215115$6,000SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT
OUNCE OF PREVENTION FUND
111 NORTH GADSDEN ST STE 100TALLAHASSEEFL32301363186328501(C)(3)$6,000SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT
RHODE ISLAND DEPARTMENT OF HEALTH
3 CAPITOL HILLPROVIDENCERI02908115$6,000SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT
SOUTHERN NEVADA HEALTH DISTRICT
280 S DECATUR BLVDLAS VEGASNV89107115$6,000SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT
MASSACHUSETTS DEPARTMENT OF HEALTH
250 WASHINGTON STBOSTONMA02108115$6,000SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT
UC DAVIS PEDIATRICS
2521 STOCKTON BLVD 3200SACRAMENTOCA95817946081352501(C)(3)$5,465LTSAE STATE SYSTEMS GRANTS
FieldValueIRS element (for citing)
Total501c3 Org38Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION REQUIRES PROGRESS REPORTS, FINAL REPORTS, FINANCIAL STATUS REPORTS, AND CONFERENCE CALLS TO MONITOR THE USE OF GRANT FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonLORI FREEMANPersonNm
TitleCEO (TO JUN '18)TitleTxt
Base Compensation Filing Org$232,447BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$17,434DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$20,754NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$270,635TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERSHIP OF THE ASSOCIATION IS COMPRISED OF TITLE V PROGRAM (STATE AND TERRITORY MCH/CYSHCN PROGRAM), REGULAR MEMBERS, AND ASSOCIATE MEMBERS. EACH TITLE V PROGRAM MAY APPOINT UP TO FIVE DELEGATES, WHO HAVE VOTING AUTHORITY ON BEHALF OF THE TITLE V PROGRAM MEMBERS. ONLY DELEGATES ARE ELIGIBLE TO VOTE IN THE ELECTION OF ASSOCIATION OFFICERS AND DIRECTORS, AND ONLY DELEGATES ARE ELIGIBLE FOR ELECTION AS OFFICERS AND DIRECTORS, EXCEPT FOR THE TWO FAMILY REPRESENTATIVE POSITIONS ON THE BOARD OF DIRECTORS. REGULAR MEMBERS ARE STAFF OF TITLE V PROGRAMS OR INDIVIDUALS WHO WORK IN PARTNERSHIPS WITH TITLE V PROGRAMS, INCLUDING FAMILY LIAISONS WORKING IN CONNECTION WITH STATE TITLE V PROGRAMS. ASSCOIATE MEMBERS ARE INDIVIDUALS AND ORGANIZATIONS INTERESTED IN MATERNAL AND CHILD HEALTH.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS ARE ALLOWED TO VOTE IN ELECTIONS. ASSOCIATE MEMBERS ARE NOT ELIGIBLE TO VOTE ON ANY MATTER OR TO HOLD AND OFFICE OR BOARD OF DIRECTOR POSITION, BUT MAY SERVE ON COMMITTEES OF THE ASSOCIATION.
FORM 990, PART VI, SECTION A, LINE 7BREGULAR MEMBER ARE ELIGIBLE TO VOTE ON ALL MATTERS BEFORE THE ASSOCIATION, EXCEPT ELECTION OF OFFICERS AND DIRECTORS INCLUDING REMOVAL OF DIRECTORS AND CERTAIN AMENDMENTS TO THE BYLAWS. ASSOCIATE MEMBERS ARE NOT ELIGIBLE TO VOTE ON ANY MATTER OR TO HOLD AND OFFICE OR BOARD OF DIRECTOR POSITION, BUT MAY SERVE ON COMMITTEES OF THE ASSOCIATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE DRAFT 990 WAS PREPARED BY EXTERNAL ACCOUNTANTS AND REVIEWED BY SENIOR MANAGEMENT. THE DRAFT WAS PROVIDED TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW AND COMMENT. A FINAL COPY OF FORM 990 WAS SENT TO THE ENTIRE BOARD BEFORE IT WAS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL AMCHP DIRECTORS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT THAT DISCLOSES ANY EXISTING OR POTENTIAL RELATIONSHIPS THAT MAY LEAD TO AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST. BOARD MEMBERS ARE RESPONSIBLE FOR INFORMING THE GOVERNANCE COMMITTEE CHAIR OF ANY SUBSEQUENT CHANGES IN A TIMELY MANNER. THE GOVERNANCE COMMITTEE CHAIR REVIEWS ALL CONFLICT OF INTEREST STATEMENTS. THESE STATEMENTS MAY BE DISTRIBUTED TO THE BOARD OF DIRECTORS AND CHIEF EXECUTIVE OFFICER AND ALSO MAY BE DISCLOSED PUBLICLY. ON REQUEST, AN INTERESTED BOARD MEMBER, OFFICER, OR STAFF MEMBER DOES NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OF DIRECTORS, OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. HOWEVER, THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION IN SUCH A DISCUSSION OR DEBATE UNLESS OBJECTED TO BY ANY PRESENT BOARD OR COMMITTEE MEMBER FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST OR ANY CONDITION LISTED ABOVE. THE BOARD OF DIRECTORS DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO, THE BOARD VOTES TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKES ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT AMCHP'S BEST INTEREST. VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED.
FORM 990, PART VI, SECTION B, LINE 15ATHE CEO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD ON AN ANNUAL BASIS. IN CONJUNCTION WITH A 360 DEGREE PERFORMANCE MANAGEMENT SYSTEM, THE BOARD USES MARKET SURVEYS OF OTHER NGOS. THE PROCESS AND DECISION IS DOCUMENTED IN WRITTEN FORM AND PLACED IN THE PERSONNEL FILES. WITH AN ESTABLISHED COMPENSATION SYSTEM, THE CEO DETERMINES THE SALARIES OF THE OTHER EMPLOYEES. THE LAST COMPENSATION REVIEW TOOK PLACE IN AUGUST 2018.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.

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