2018-08-09T12:34:14-05:00 2017-09-30 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS RD STE 1500 RALEIGH NC 27609 990 2016-10-01 521529448 ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS ASSO 2027750436 1825 K STREET NW NO 250 WASHINGTON DC 20006 BARBARA LAUR INTERIM CEO 2027750436 2018-08-09 1 J CALVIN MARKS P01226973 9197196400 2018-08-09 2016 2022-09-23 18:48:47Z BARBARA LAUR 1825 K STREET NW NO 250 WASHINGTON DC 20006 6616480 0 X WWW.AMCHP.ORG X 1987 DC TO PROTECT AND PROMOTE THE OPTIMAL HEALTH OF WOMEN, CHILDREN, AND FAMILIES 19 19 47 100 0 0 5969129 5980721 412810 485075 90685 21338 363216 21785 6835840 6508919 1142697 556335 0 0 2972564 2986520 0 0 31593 2422546 2712442 6537807 6255297 298033 253622 2524223 2811900 1400682 1404842 1123541 1407058 X THE MISSION OF THE ASSOCIATION OF MATERNAL & CHILD HEALTH PROGRAMS IS TO PROTECT AND PROMOTE THE OPTIMAL HEALTH OF WOMEN, CHILDREN, AND FAMILIES. 0 0 5417747 556335 MATERNAL AND CHILD HEALTH PROGRAMS (MCH) AND POLICY: THE RESEARCH AND EDUCATION PROGRAMS ARE INTENDED TO STRENGTHEN AND SUPPORT 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 AND BUILD CAPACITY FOR MCH POPULATIONS, AND STRENGTHEN THE CAPACITY OF STATE MCH PROGRAMS IN CARRYING OUT THE CORE FUNCTIONS OF PUBLIC HEALTH PRACTICE TO IMPROVE MATERNAL CHILD HEALTH OUTCOMES. 289207 LEGISLATIVE 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. 234572 485075 ANNUAL 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. 78200 MEMBERSHIP AND COMMUNICATIONS 78200 6019726 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 54 0 1 47 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X BARBARA LAUR 2027750436 1825 K STREET NW STE 250 WASHINGTON DC 20006 X MICHAEL WARREN PRESIDENT 2.00 X X 0 0 0 EILEEN FORLENZA PAST PRESIDENT 2.00 X X 0 0 0 SUSAN CHACON PRESIDENT-ELECT 2.00 X X 0 0 0 KARIN DOWNS TREASURER 2.00 X X 0 0 0 VALERIE RICKER TREASURER (TO MAR '17) 2.00 X X 0 0 0 SUSAN COLBURN SECRETARY 2.00 X X 0 0 0 MARY ELLEN CUNNINGHAM DIRECTOR (TO MAR '17) 2.00 X 0 0 0 CORNELIA DEAGLE DIRECTOR (FROM MAR '17) 2.00 X 0 0 0 ANGELA DURAND DIRECTOR AT LARGE 2.00 X 0 0 0 RODNEY FARLEY DIRECTOR AT LARGE 2.00 X 0 0 0 DEBORAH GARNEAU DIRECTOR (FROM MAR '17) 2.00 X 0 0 0 MANDA HALL DIRECTOR (FROM MAR '17) 2.00 X 0 0 0 RACHEL HUTSON DIRECTOR (FROM MAR '17) 2.00 X 0 0 0 DONNA JOHNSON DIRECTOR AT LARGE (TO MAR '17) 2.00 X 0 0 0 MARCUS JOHNSON-MILLER DIRECTOR (FROM MAR '17) 2.00 X 0 0 0 MARILYN KACICA DIRECTOR 2.00 X 0 0 0 MARY FRANCES KORNAK DIRECTOR (TO MAR '17) 2.00 X 0 0 0 LINDA MCELWAIN DIRECTOR (TO MAR '17) 2.00 X 0 0 0 CONNIE MITCHELL DIRECTOR (FROM MAR '17) 2.00 X 0 0 0 GINA MONEY FAMILY REPRESENTATIVE 2.00 X 0 0 0 SHIRLEY PAYNE DIRECTOR 2.00 X 0 0 0 BELINDA PETTIFORD DIRECTOR 2.00 X 0 0 0 HEATHER SMITH DIRECTOR (TO MAR '17) 2.00 X 0 0 0 CATE WILCOX DIRECTOR 2.00 X 0 0 0 DONNA YADRICH FAMILY REPRESENTATIVE 2.00 X 0 0 0 LORI FREEMAN CEO 40.00 X 209818 0 35515 BRENT EWIG DIRECTOR OF PUBLIC POLICY & GOV 35.00 X 146685 0 16102 CAROLINE STAMPFEL DIRECTOR OF PROGRAMS 35.00 X 107850 0 15810 464353 0 67427 3 0 1 0 0 523385 4432438 1024898 5980721 REGISTRATION FEES 900099 485075 467900 17175 485075 21221 21221 107678 107561 117 117 117 SALE OF MAILING LIST 900099 5097 5097 16688 16688 21785 6508919 467900 0 60298 513479 513479 42856 42856 275006 224596 48442 1968 1790264 1462383 315126 12755 167835 136908 29695 1232 587034 478859 103863 4312 166381 135909 29287 1185 8045 8045 39517 39517 7667 7667 499563 460381 39182 141201 115459 25547 195 329062 146464 182598 330781 7409 323372 670801 662277 8524 549976 531688 17493 795 74199 74199 8977 1821 7156 DUES & SUBSCRIPTIONS 32929 31815 1114 EQUIPMENT 13117 13117 ALLOCATION OF M&G 0 1064079 -1073230 9151 6607 3343 3264 6255297 6019726 203978 31593 32933 155880 243878 182084 292281 236376 1046876 601348 117003 110933 757574 74199 4671 683375 669742 775091 116839 66813 2524223 2811900 773478 482953 627204 197078 0 724811 1400682 1404842 X 1123541 1407058 1123541 1407058 2524223 2811900 253622 29895 0 X 0 1 X 1 1 1 X 4074300 4394037 5597370 5969129 5980721 26015557 4074300 4394037 5597370 5969129 5980721 26015557 2070740 23944817 23428 30768 37989 63253 21221 176659 1895 8097 96818 363216 21785 491811 26684027 2162758 0.89730 0.90040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10731 10731 6244566 6255297 462765 115691 0 0 395490 438043 476890 462765 1773188 2659782 17214 15899 18249 10731 62093 98873 109511 119223 115691 443298 664947 631673 57425 574248 125901 16774 109127 683375 DEFERRED RENT 199811 DEFERRED TENANT IMPROVEMENT 525000 724811 X 6531147 29895 29895 6501252 7667 7667 6508919 6247630 0 6247630 7667 7667 6255297 PART X, LINE 2: FOR THE YEAR ENDED SEPTEMBER 30, 2017, AMCHP HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 1 UNIVERSITY OF NORTH CAROLINA OFFICE OF SPONSORED RESEARCH PO BOX 402420 ATLANTA GA 30348 566001393 501(C )(3) 66245 KELLOGG BIRTH OUTCOMES FAMILY VOICES PO BOX 37188 ALBUQUERQUE NM 87176 850430800 501(C )(3) 47318 PARTNERSHIP FOR STATE TITLE V MCH LEADERSHIP COMMUNITY COOPERATIVE AGREEMENT GEORGIA DEPARTMENT OF PUBLIC HEALTH 2 PEACHTREE ST NW 15TH FLOOR ATLANTA GA 30303 900676388 115 47252 KELLOGG BIRTH OUTCOMES BOSTON UNIVERSITY GRANTS RECEIVABLE 881 COMMONWEALTH AVE 4TH FLOOR BOSTON MA 02215 042103547 501(C )(3) 36545 NATIONAL CENTER FOR MCH WORKFORCE DEVELOPMENT NEW MEXICO DEPARTMENT OF HEALTH PO BOX 25307 ALBUQUERQUE NM 87125 856000565 115 34791 BIRTH OUTCOMES COLLABORATIVE CENTER FOR HEALTH POLICY DEVELOPMENT 10 FREE ST 2ND FLOOR PORTLAND ME 04101 521576801 501(C )(3) 34000 LPFC PHASE III SOUTHEAST LOUISIANA AREA HEALTH EDUCATION CENTER 1302 J W DAVIS DR HAMMOND LA 70403 721191867 501(C )(3) 26039 BIRTH OUTCOMES COLLABORATIVE ARKANSAS DEPARTMENT OF HEALTH 4815 W MARKHAM ST LITTLE ROCK AR 72205 716007358 115 20310 BIRTH OUTCOMES COLLABORATIVE NORTH DAKOTA DEPARTMENT OF HEALTH 600 E BOULEVARD AVE BISMARCK ND 58505 450309764 115 14939 KELLOGG BIRTH OUTCOMES THE STATE OF ALASKA DIVISION OF PUBLIC HEALTH 410 W WILLOUGHBY AVE STE 103 JUNEAU AK 99801 926001185 115 14890 KELLOGG BIRTH OUTCOMES NATIONAL INSTITUTE FOR CHILDREN'S HEALTH QUALITY 30 WINTER ST 6TH FLOOR BOSTON MA 02108 010647374 501(C )(3) 13371 BIRTH OUTCOMES COLLABORATIVE ILLINOIS DEPARTMENT OF PUBLIC HEALTH 535 W JEFFERSON 1ST FLOOR SPRINGFIELD IL 62761 010632628 115 12990 KELLOGG BIRTH OUTCOMES ARKANSAS BREASTFEEDING COALITION PO BOX 251592 LITTLE ROCK AR 72225 396006492 501(C )(3) 11734 KELLOGG BIRTH OUTCOMES UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL 55 N LAKE AVE WORECESTER MA 01655 043167352 115 11486 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER MSC09 5222 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE NM 87106 856000642 501(C )(3) 11302 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM CHILDREN'S FORUM INC 2807 REMINGTON GREEN CIRCLE TALLAHASSEE FL 32308 650165007 501(C )(3) 10279 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM GREENVILLE HEALTH SYSTEM 300 E MCBEE AVE STE 302 GREENVILLE SC 29601 576007863 501(C )(3) 10000 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM REGENT OF THE UNIVERSITY OF MINNESOTA PO BOX 1450 MINNEAPOLIS MN 55485 416007513 501(C )(3) 9778 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM UNIVERSITY OF GUAM UNIVERSITY DR MANGILAO GU 96923 980032933 501(C )(3) 9550 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM THE UNIVERSITY OF MONTANA 32 CAMPUS DR MISSOULA MT 59812 816001713 501(C )(3) 9067 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM HEALTHY MOTHERS HEALTHY BABIES COALITION OF HAWAII 310 PAOAKALANI AVE STE 202A HONOLULU HI 96815 990299264 501(C )(3) 7504 PARTNERSHIP FOR STATE TITLE V MCH LEADERSHIP COMMUNITY COOPERATIVE AGREEMENT UC DAVIS PEDIATRICS 2521 STOCKTON BLVD STE 3200 SACRAMENTO CA 95817 946081352 501(C )(3) 7439 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM UNIVERSITY OF SOUTH CAROLINA GRANTS AND CONTRACTING 1244 BLOSSOM ST STE 106 COLUMBIA SC 29208 576001153 501(C )(3) 6866 BIRTH OUTCOMES COLLABORATIVE UNIVERSITY OF THE VIRGIN ISLANDS 2 JOHN BREWERS BAY CHARLOTTE AMALIE VI 00802 660432514 501(C )(3) 6619 OSTLTS PARTNERSHIP-CBA OF THE PUBLIC HEALTH SYSTEM THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER 910 MADISON STE 823 MEMPHIS TN 38163 626001636 501(C )(3) 5776 BIRTH OUTCOMES COLLABORATIVE 25 0 FEDERAL SUBGRANTS 87 42856 PART I, LINE 2: THE ORGANIZATION REQUIRES PROGRESS REPORTS, FINAL REPORTS, FINANCIAL STATUS REPORTS, AND CONFERENCE CALLS TO MONITOR THE USE OF GRANT FUNDS. X X 0 0 0 0 0 0 0 1 0 LORI FREEMAN CEO 209818 0 0 0 0 0 16549 0 18966 0 245333 0 0 0 BRENT EWIG DIRECTOR OF PUBLIC POLICY & GOV 145485 0 1200 0 0 0 11281 0 4821 0 162787 0 0 0 PART I, LINE 7 BRENT EWIG WAS PROVIDED A NON-FIXED BONUS PAYMENT BASED ON HIS YEARLY PERFORMANCE EVALUATION AND ACHIEVEMENT OF GOALS AND AS PART OF EXECUTIVE/SENIOR STAFF LEADERSHIP AS THE DIRECTOR OF POLICY AND GOVERNMENT AFFAIRS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP OF THE ASSOCIATION IS COMPRISED OF TITLE V PROGRAM (STATE AND TERRITORY MCH/CYSHCN PROGRAM) AND REGULAR 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. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ARE ALLOWED TO VOTE IN ELECTIONS FORM 990, PART VI, SECTION A, LINE 7B REGULAR 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. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C ALL 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 15A THE CEO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD. THE BOARD USES MARKET SURVEYS OF OTHER NGOS AND DOCUMENTS THE PROCESS AND DECISION IN WRITTEN FORM IN THE PERSONNEL FILES. THE REVIEW IS CONDUCTED ANNUALLY. THE CEO DETERMINES THE SALARIES OF THE OTHER EMPLOYEES. THE LAST COMPENSATION REVIEW TOOK PLACE IN JUNE 2017. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII: FORM 990 FOR 2015 ERONEOUSLY USED CALENDAR YEAR 2016 COMPENSATION INFORMATION. THE CURRENT RETURN CORRECTLY PRESENTS COMPENSATION INFORMATION FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR.