2017-05-12T14:20:02-05:00 2016-06-30 521511275 RAFFA PC 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2015-07-01 521426663 NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS NATI 2027835550 1100 17TH STREET NW 7TH FLOOR WASHINGTON DC 20036 JEROME CHESTER MS MBA CHIEF FINANCIAL OFFICER 2027835550 2017-05-12 1 FRANK H SMITH P00639053 2028225000 2017-05-12 2015 2021-01-29 14:40:06Z LAMAR HASBROUCK 1100 17TH STREET NW 7TH FLOOR WASHINGTON DC 20036 27709106 0 X WWW.NACCHO.ORG X 1985 DC PROMOTE HEALTH AND EQUITY, COMBAT DISEASES, AND IMPROVE THE QUALITY AND LENGTH OF ALL LIVES. 24 24 158 24 0 0 21108174 24612362 2647831 2979682 21784 51226 54860 65836 23832649 27709106 14957 333665 0 0 10914212 12336861 0 0 0 13400074 15323052 24329243 27993578 -496594 -284472 8382723 8429660 5803140 6184082 2579583 2245578 X THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS' (NACCHO) MISSION IS TO BE A LEADER, PARTNER, CATALYST, AND VOICE FOR LOCAL PUBLIC HEALTH DEPARTMENTS IN ORDER TO ENSURE THE CONDITIONS THAT PROMOTE EQUITY AND HEALTH, TO COMBAT DISEASE, AND TO LENGTHEN AND IMPROVE THE QUALITY OF ALL LIVES. 0 0 9209999 0 156833 COMMUNITY HEALTH - NACCHO'S COMMUNITY AND ENVIRONMENTAL HEALTH PROGRAMS ASSIST LOCAL HEALTH DEPARTMENTS TO PROMOTE HEALTH AND PREVENT DISEASE IN COMMUNITIES. THIS IS ACHIEVED BY PROVIDING RESOURCES, TOOLS, TECHNICAL ASSISTANCE AND TRAINING. PROGRAMS INCLUDE THOSE IN THE AREAS OF MATERNAL, CHILD, AND ADOLESCENT HEALTH, ACCESS TO PRIMARY CARE AND MENTAL HEALTH, INJURY PREVENTION, TRAFFIC SAFETY, FOOD SAFETY, CLIMATE CHANGE, BIRTH DEFECTS PREVENTION, DISABILITY AND HEALTH, CHRONIC DISEASE PREVENTION, TOBACCO CONTROL, IMMUNIZATION, INFECTIOUS DISEASE PREVENTION AND CONTROL, AND HIV AND SEXUALLY TRANSMITTED INFECTION (STI) PREVENTION. 7876458 0 1010654 PREPAREDNESS - NACCHO COLLECTS AND CREATES TOOLS AND RESOURCES FOR, AND PROVIDES INFORMATION, TRAINING, AND TECHNICAL ASSISTANCE TO, LOCAL HEALTH DEPARTMENTS. THESE ACTIVITIES ENHANCE THE READINESS OF LOCAL HEALTH DEPARTMENTS TO RESPOND TO PUBLIC HEALTH EMERGENCIES AND OTHER DISASTERS. NACCHO ALSO SERVES AS A CONDUIT THROUGH WHICH LOCAL INPUT CAN INFORM POLICY AND PRACTICE ON ISSUES RELATED TO PUBLIC HEALTH PREPAREDNESS AT THE NATIONAL LEVEL. 3498855 PUBLIC HEALTH AND INFRASTRUCTURE SYSTEMS - NACCHO WORKS COLLABORATIVELY WITH KEY PARTNERS AND LOCAL HEALTH DEPARTMENTS TO ASSESS AND ASSURE SERVICES TO PEOPLE AND THE CONDITIONS IN WHICH PEOPLE LIVE TO PROTECT AND PROMOTE PUBLIC HEALTH FOR THEIR COMMUNITIES. NACCHO PROVIDES TRAINING, RESEARCH, TOOLS AND TECHNICAL ASSISTANCE TO IMPROVE LOCAL HEALTH DEPARTMENT CAPACITY AND EFFECTIVENESS IN AREAS SUCH AS INFORMATICS, COMMUNITY SYSTEMS STRATEGIC PLANNING, HEALTH EQUITY AND SOCIAL JUSTICE, NATIVE AMERICAN HEALTH, WORKFORCE DEVELOPMENT, INTERNATIONAL HEALTH, AND ACCREDITATION. 2113453 333665 229309 ALL OTHER PROGRAMS 1666475 0 1312376 MEMBERSHIP AND PUBLIC AFFAIRS 458632 ADVOCACY 4238560 333665 1541685 24823872 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 99 0 1 158 1 0 0 0 0 0 0 0 0 0 0 X 24 24 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA CT MI NJ PA TX X JEROME CHESTER MS MBA 2025074246 1100 17TH STREET NW 7TH FLOOR WASHINGTON DC 20036 SWANNIE JETT DRPH MSC PRESIDENT 2.00 2.00 X X 0 0 0 CLAUDE-ALIX JACOB MPH PRESIDENT-ELECT 2.00 X X 0 0 0 ALINA ALONSO MD VICE PRESIDENT 2.00 X X 0 0 0 GEORGIA HEISE DRPH IMMEDIATE PAST PRESIDENT 2.00 X X 0 0 0 SARA H CODY MD BOARD MEMBER 2.00 X 0 0 0 MELODY COUNTS MD MHM BOARD MEMBER 2.00 X 0 0 0 DELLA COX-VIERIA RN MPH BOARD MEMBER 2.00 X 0 0 0 MURIEL DELAVERGNE-BROWNRNMPH BOARD MEMBER 2.00 X 0 0 0 PRAMOD DWIVEDI DRPH BOARD MEMBER 2.00 X 0 0 0 BOB ENGLAND MD MPH BOARD MEMBER 2.00 X 0 0 0 WINIFRED HOLLAND MPH MA LMHC BOARD MEMBER 2.00 X 0 0 0 MELANIE HUTTON BSN RN BOARD MEMBER 2.00 X 0 0 0 JOSEPH P ISER MD DRPH MSC BOARD MEMBER 2.00 X 0 0 0 JENNIFER C KERTANIS MPH BOARD MEMBER 2.00 X 0 0 0 CRYSTAL MILLER DRPH MPH BOARD MEMBER 2.00 X 0 0 0 GRETCHEN MUSICANT RN MPH BOARD MEMBER 2.00 X 0 0 0 WILLIAM S PAUL MD MPH BOARD MEMBER 2.00 X 0 0 0 GEORGE ROBERTS JR FACHE MHA BOARD MEMBER 2.00 2.00 X 0 0 0 UMAIR SHAH MD MPH BOARD MEMBER 2.00 X 0 0 0 SCOTT SJOQUIST MS RS BOARD MEMBER 2.00 X 0 0 0 LLOYD LEE TORNEY SMITH MS BOARD MEMBER 2.00 X 0 0 0 KEVIN SUMNER MPH BOARD MEMBER 2.00 X 0 0 0 BRIAN BOWDEN MSC EX-OFFICIO 2.00 X 0 0 0 CRYSTAL SWANN MS EX-OFFICIO 2.00 X 0 0 0 LAMAR HASBROUCK EXECUTIVE DIRECTOR - AS OF 02/2015 53.11 2.00 X 282749 3927 20489 JOHN MERICSKO CHIEF FINANCIAL OFFICER 56.28 2.00 X 169245 2351 26448 MARK JORRISTMA COO - UNTIL 11/2015 45.40 X 175137 0 23031 LAURA HANEN CHIEF, GOV'T & PUBLIC AFFAIRS 38.10 X 153653 0 26661 DAWN RICHARDSON SENIOR DIRECTOR 43.08 X 137240 0 25636 CAROLYN LEEP SENIOR DIRECTOR 40.00 X 136523 0 8931 BHARTESH TRIPATHI CONTROLLER 40.00 X 136130 0 21998 J LEE SNOWDEN LYNN SENIOR DIRECTOR, HUMAN RESOURCES 40.00 X 128350 0 19596 1319027 6278 172790 18 0 1 0 DELCOR TECH SOLUTIONS 8380 COLESVILLE RD SUITE 550 SILVER SPRING MD 20910 INFORMATION TECHNOLOGY 324035 MILES DESIGN LLC 55 MONUMENT CIRCLE SUITE 1300 INDIANAPOLIS IN 46204 INFORMATION TECHNOLOGY 253400 PUBLIC HEALTH INSTITUTE 555 12TH ST 10TH FLOOR OAKLAND CA 94607 PROGRAM SUPPORT 232973 BOSTON CHILDREN'S HOSPITAL PO BOX 414413 BOSTON MA 022414413 PROGRAM SUPPORT 145000 CAMBRIDGE LEADERSHIP ASSOCIATE 259 W 30TH ST 16TH FL NEW YORK NY 10001 PROGRAM SUPPORT 108424 9 22682974 1929388 24612362 CONFERENCES/MEETINGS 900099 1586270 1315760 270510 MEMBERSHIP DUES 900099 801725 801725 CONSULTING 900099 452556 452556 PROJECT FEES 900099 130000 130000 HONORARIUM 900099 4400 4400 4731 4731 2979682 51226 51226 22609 22609 REBATES 900099 30475 30475 MAILING LABEL REVENUE 900099 7007 7007 MISCELLANEOUS 900099 5745 5745 43227 27709106 2709172 0 387572 X 333665 333665 670761 140470 530291 9371871 7909554 1462317 380031 323777 56254 1180875 978907 201968 733323 593411 139912 71941 23426 48515 45667 45667 4086140 3994429 91711 707992 618388 89604 1306842 1124629 182213 1119200 894322 224878 1731639 1672260 59379 1219553 1199616 19937 10853 8749 2104 29360 23353 6007 MRC SPONSOR FEES 2547730 2547730 SUBCONTRACTS 2299168 2299168 TRAINING 101585 95565 6020 DUES & SUBSCRIPTIONS 44675 41746 2929 707 707 27993578 24823872 3169706 0 500 500 3334860 2872743 4153488 4444867 127413 12524 381969 589094 1827998 1775704 63306 52294 244936 245725 76251 211913 8382723 8429660 3195829 4214566 2231981 1777910 375330 191606 5803140 6184082 X 2507988 2160835 71595 84743 2579583 2245578 8382723 8429660 -284472 -49533 0 X 0 1 X 1 1 1 X 25557993 24960423 22967719 21097499 24612362 119195996 25557993 24960423 22967719 21097499 24612362 119195996 4338610 114857386 26268 45399 50708 62040 80842 265257 2167 267 8316 14604 5745 31099 119492352 12720086 0.96120 0.94650 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2011 AMOUNT: $ 2,167. 2012 AMOUNT: $ 267. 2013 AMOUNT: $ 8,316. 2014 AMOUNT: $ 14,604. 2015 AMOUNT: $ 5,745. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 94728 117408 212136 27781442 27993578 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 102914 89368 113793 212136 518211 250000 250000 250000 250000 1000000 1500000 31643 32222 53234 94728 211827 811933 811933 0 1016065 963771 52294 52294 DEFERRED RENT 191606 191606 X PART X, LINE 2: NACCHO PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OR THAT MAY HAVE ANY EFFECT ON ITS TAX-EXEMPT STATUS. 1 THE FOUNDATION FOR THE PUBLIC'S HEALTH 1100 17TH STREET NW 7TH FLOOR WASHINGTON DC 20036 472127796 501(C)(3) 333665 PROGRAM SUPPORT 1 0 PART I, LINE 2: FPH IS A RELATED ORGANIZATION OF NACCHO WHO IS FISCALLY RESPONSIBLE TO SUPPORT FPH UNTIL FPH IS ABLE TO COVER ITS OWN EXPENSES. X X X X 1 0 0 0 0 0 0 0 0 LAMAR HASBROUCK EXECUTIVE DIRECTOR - AS OF 02/2015 268992 3736 0 0 13757 191 5690 79 14518 202 302957 4208 0 0 JOHN MERICSKO CHIEF FINANCIAL OFFICER 169245 2351 0 0 0 0 8683 121 17402 242 195330 2714 0 0 MARK JORRISTMA COO - UNTIL 11/2015 162567 0 0 0 12570 0 6152 0 16879 0 198168 0 0 0 LAURA HANEN CHIEF, GOV'T & PUBLIC AFFAIRS 153653 0 0 0 0 0 8287 0 18374 0 180314 0 0 0 DAWN RICHARDSON SENIOR DIRECTOR 137240 0 0 0 0 0 7173 0 18463 0 162876 0 0 0 BHARTESH TRIPATHI CONTROLLER 136130 0 0 0 0 0 7000 0 14998 0 158128 0 0 0 PART I, LINE 4A CHIEF OPERATING OFFICER, MARK JORRITSMA, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $12,570 FOR THE YEAR ENDED DECEMBER 31, 2015. FORM 990, PART VI, SECTION A, LINE 6 OF THE FIVE CLASSES OF MEMBERSHIPS, ONLY THE ACTIVE MEMBERS ARE ENTITLED TO VOTE. THE ACTIVE MEMBERS OF NACCHO ARE LOCAL PUBLIC HEALTH DEPARTMENTS, INCLUDING OFFICES OF STATE AND TERRITORIAL HEALTH DEPARTMENTS WHICH ARE PROVIDING PUBLIC HEALTH SERVICES LOCALLY OR REGIONALLY, AND TRIBAL HEALTH DEPARTMENTS, WHICH HAVE PAID THE ANNUAL SERVICE FEE ESTABLISHED BY THE BOARD OF DIRECTORS AND WHICH MEET ANY OTHER CRITERIA ESTABLISHED FOR THIS CLASS BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE REGIONAL, AT LARGE, AND TRIBAL MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY ALL ACTIVE MEMBERS BY A PLURALITY OF VOTES CAST IN THE ANNUAL ELECTION. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT FEDERAL FORM 990 IS PREPARED BY NACCHO'S AUDIT FIRM BASED ON INFORMATION SUPPLIED BY NACCHO. NACCHO'S CHIEF FINANCIAL OFFICER REVIEWS THE DRAFT FEDERAL FORM 990 AGAINST THE INFORMATION SUPPLIED BY NACCHO AND THE PRIOR YEAR FEDERAL FORM 990. ANY ISSUES IDENTIFIED ARE DISCUSSED AND RESOLVED WITH THE AUDIT FIRM. NACCHO'S CHIEF FINANCIAL OFFICER REVIEWS THE DRAFT FEDERAL FORM 990 WITH NACCHO'S EXECUTIVE DIRECTOR. ANY ISSUES IDENTIFIED ARE DISCUSSED AND RESOLVED. IF NECESSARY, NACCHO'S AUDIT FIRM IS BROUGHT INTO THE DISCUSSION. NACCHO'S BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE REVIEWS THE DRAFT FEDERAL FORM 990. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO CONDUCT THE AFFAIRS OF NACCHO BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS SCHEDULED TO MEET 4 TIMES EACH YEAR AND THE EXECUTIVE COMMITTEE IS SCHEDULED TO MEET 11 TIMES EACH YEAR. ANY ISSUES IDENTIFIED ARE DISCUSSED. UNRESOLVED ISSUES ARE SENT TO NACCHO STAFF TO ANSWER AND REPORT BACK TO THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C NACCHO HAS SEPARATE CONFLICT OF INTEREST POLICIES FOR BOARD MEMBERS AND EMPLOYEES. EACH BOARD MEMBER AND EMPLOYEE IS REQUIRED TO SIGN A FORM ANNUALLY IN COMPLIANCE WITH THIS POLICY. WHEN POTENTIAL CONFLICTS OF INTEREST ARISE, OFFICERS AND DIRECTORS SHALL PRESENT THE POTENTIAL CONFLICT TO THE FULL EXECUTIVE COMMITTEE OR BOARD OF DIRECTORS, WHO WILL DETERMINE WHETHER A CONFLICT EXISTS AND WHAT STEPS SHALL BE TAKEN TO AVOID AN IMPROPRIETY BY NACCHO. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE BOARD'S EXECUTIVE COMMITTEE ACTING AS THE COMPENSATION COMMITTEE. THE DETERMINATION IS BASED ON A REVIEW OF DATA FROM COMPARABLE ORGANIZATIONS BY THE EXECUTIVE COMMITTEE. A CONTRACT IS FORMALIZED WITH THE EXECUTIVE DIRECTOR. ANY SUBSEQUENT CHANGE TO THIS DETERMINATION IS DONE BY NEGOTIATION BETWEEN THE EXECUTIVE DIRECTOR AND NACCHO'S EXECUTIVE COMMITTEE. THE LAST COMPENSATION REVIEW FOR THE EXECUTIVE DIRECTOR WAS PERFORMED ON 10/17/2016. FOR OTHER KEY EMPLOYEES THE EXECUTIVE COMMITTEE MAY REVIEW DATA FOR SIMILARLY QUALIFIED PERSON(S) IN COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS THROUGH THE USE OF SURVEYS PRODUCED BY VARIOUS ORGANIZATIONS. THE EXECUTIVE DIRECTOR, WITH CONSULTATION FROM THE PRESIDENT AND EXECUTIVE COMMITTEE WHEN REQUESTED, SETS THE SALARY RANGES FOR THE OTHER KEY EMPLOYEES. THE LAST COMPENSATION REVIEW FOR THESE INDIVIDUALS WAS PERFORMED ON 11/17/2015. FORM 990, PART VI, SECTION C, LINE 19 NACCHO'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT NACCHO'S OFFICE UPON REQUEST. NACCHO'S FEDERAL FORM 990 IS AVAILABLE VIA THE INTERNET AT WWW.GUIDESTAR.ORG. FORM 990, PART IX, LINE 11G BUSINESS CONSULTING: PROGRAM SERVICE EXPENSES 3,702,484. MANAGEMENT AND GENERAL EXPENSES 16,996. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,719,480. HR TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 260,025. MANAGEMENT AND GENERAL EXPENSES 51,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,421. RECRUITING FEES: PROGRAM SERVICE EXPENSES 6,995. MANAGEMENT AND GENERAL EXPENSES 23,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,314. HONORARIA: PROGRAM SERVICE EXPENSES 24,925. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,925. THE FOUNDATION FOR THE PUBLIC'S HEALTH 1100 17TH STREET NW 7TH FLOOR WASHINGTON DC 20036 472127796 SUPPORT LOCAL HEALTH DEPARTMENTS DC 501(C)(3) LINE 7 NACCHO 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 THE FOUNDATION FOR THE PUBLIC'S HEALTH B 333665 COST