2016-08-12T09:42:06-05:00 2015-09-30 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2014-10-01 521529448 ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS ASSO 2027750436 2030 M STREET NW NO 350 WASHINGTON DC 20036 LORI FREEMAN CHIEF EXECUTIVE OFFICER 2027750436 2016-08-12 1 3019519090 2014 2016-12-15 16:53:06Z SAM COOPER 2030 M STREET NW NO 350 WASHINGTON DC 20036 6152127 0 X WWW.AMCHP.ORG X 1987 DC SEE PART III, LINE 1. 16 16 45 250 0 0 4394037 5597370 365653 419950 30049 37385 8816 97422 4798555 6152127 309665 522065 0 0 2484954 2912697 0 0 26301 2115188 2453881 4909807 5888643 -111252 263484 2251819 2553316 1632128 1691118 619691 862198 X THE MISSION OF THE ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS IS TO PROVIDE STATE AND NATIONAL LEADERSHIP TO ASSURE THE HEALTH OF ALL MOTHERS, CHILDREN AND FAMILIES. THIS MISSION IS ACCOMPLISHED BY PROVIDING:- EDUCATIONAL FORUMS OF MATERNAL AND CHILD HEALTH (MCH) ISSUES; FOSTERING THE EXCHANGE OF IDEAS AND EXPERIENCE AMONG MCH PROGRAMS; DISTRIBUTING INFORMATION OF STATE AND NATIONAL MATERNAL AND CHILD HEALTH ACTIVITIES.- STRENGTHENING CURRENT LEADERSHIP AND FOSTERING NEW LEADERSHIP IN MATERNAL AND CHILD HEALTH PROGRAMS; DEVELOPING & RECOMMENDING CHILDREN AND FAMILIES AND DEVELOPING MODELS, STANDARDS AND GUIDELINES AND TECHNICAL ASSISTANCE TO PROMOTE EFFECTIVE STATE MCH PROGRAMS. 0 0 4984369 522065 MATERNAL AND CHILD HEALTH PROGRAMS 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. 356667 419950 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. 340192 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. 72620 MEMBERSHIP, COMMUNICATIONS AND OTHER PROGRAMS 6194 TRAINING AND TECHNICAL ASSISTANCE FOR HEALTH OFFICIALS 698 PARTNERSHIP AND COALITION MEETINGS 126 NATIONAL CENTER FOR HEALTH REFORM 79638 5760866 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 29 0 1 45 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X WENDY WEN 2027750436 2030 M STREET NW SUITE 350 WASHINGTON DC 200363305 SAM COOPER PRESIDENT 2.00 X X 0 0 0 MILLIE JONES PAST PRESIDENT 2.00 X X 0 0 0 EILEEN FORLENZA PRESIDENT-ELECT 2.00 X X 0 0 0 DEBRA WALDRON TREASURER (THROUGH 6/15) 2.00 X X 0 0 0 VALERIE RICKER SECRETARY & TREASURER (BEG. 7/15) 2.00 X X 0 0 0 RODNEY FARLEY DIRECTOR - AT- LARGE 2.00 X 0 0 0 MICHAEL WARREN INTERIM DIRECTOR - AT - LARGE 2.00 X 0 0 0 DONNA YADRICH FAMILY REPRESENTATIVE 2.00 X 0 0 0 SUSAN COLBURN FAMILY REPRESENTATIVE 2.00 X 0 0 0 MARILYN KACICA INTERIM REGION II DIRECTOR 2.00 X 0 0 0 MARY KORNAK INTERIM REGION III DIRECTOR 2.00 X 0 0 0 KRIS-TENA ALBERS REGION IV DIRECTOR 2.00 X 0 0 0 SUSAN CHACON REGION VI DIRECTOR 2.00 X 0 0 0 HEATHER SMITH INTERIM REGION VII DIRECTOR 2.00 X 0 0 0 LINDA MCELWAIN REGION VIII DIRECTOR 2.00 X 0 0 0 MARY ELLEN CUNNINGHAM INTERIM REGION IX DIRECTOR 2.00 X 0 0 0 MARILYN HARTZELL REGION X DIRECTOR 2.00 X 0 0 0 LORI FREEMAN CEO 40.00 X 200204 0 33426 LACY FEHRENBACH DIRECTOR OF PROGRAM TEAM 35.00 X 156068 0 28225 BRENT EWIG DIR., PUBLIC POL. & GOV'T AFF. TEAM 35.00 X 145219 0 13776 501491 0 75427 3 0 1 0 0 401105 2346915 2849350 5597370 REGISTRATION/EXHIBIT 900099 419950 419950 419950 37385 37385 604 604 LEASE TERM. INCENTIVE 900099 73210 73210 OTHER REVENUE 900099 23608 23608 96818 6152127 419950 0 134807 522065 522065 232432 198344 30881 3207 2090843 1826963 249580 14300 138888 121359 16579 950 292679 260494 31801 384 157855 137932 18843 1080 39296 39296 325967 212667 113300 210879 156404 54422 53 167198 46093 121105 275086 275086 845115 841019 3931 165 484699 479707 4939 53 37721 37721 10993 1438 9555 ALLOCATION OF M&G 0 918099 -923913 5814 SUBS. & PUBLICATIONS 24383 24358 25 EQUIPMENT 23139 7095 16044 DUES TO ORGANIZATIONS 7398 6034 1069 295 2007 795 1212 5888643 5760866 101476 26301 400632 303897 260069 253953 464771 1010607 1076 6512 119288 64983 450790 419920 68591 30870 788658 804967 148734 77527 2251819 2553316 239918 549794 84924 95285 1307286 1046039 1632128 1691118 X 619691 862198 619691 862198 2251819 2553316 263484 -20977 0 X 0 1 X 1 1 1 X 3668501 3927249 4074300 4394037 5597370 21661457 3668501 3927249 4074300 4394037 5597370 21661457 1031259 20630198 36146 39807 23428 30768 37989 168138 4220 3368 1895 8097 96818 114398 21943993 1797591 0.94010 0.97430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 15899 15899 5744967 5760866 438043 109511 0 0 369169 382279 395490 438043 1584981 2377472 60108 36506 17214 15899 129727 92292 95570 98873 109511 396246 594369 22450 2500 24950 164312 133442 30870 286478 286478 0 30870 DEFERRED RENT 103594 REFUNDABLE ADVANCES 942445 1046039 X 6131150 -20977 -20977 6152127 0 6152127 5888643 0 5888643 0 5888643 PART X, LINE 2: FOR THE YEAR ENDED SEPTEMBER 30, 2015, AMCHP HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 1 NATIONAL ACADEMY FOR STATE HEALTH POLICY 10 FREE STREET 2ND FLOOR PORTLAND ME 04101 521576801 501(C)(3) 95667 1, NATIONAL CONSENSUS FRAMEWORK FOR IMPROVING QUALITY SYSTEMS OF CARE FOR CYSHCN; 2,ACCESS TO CARE CORE REGENTS OF THE UNIVERSITY OF CALIFORNIA OFFICE OF RESEARCH SPONSORED PROGRAMS 1850 RESEARCH PARK DR SUIT DAVIES CA 95618 946036494 501(C)(3) 10669 1, REDUCE THE AVERAGE AGE OF AUTISM DIAGNOSIS BY EARLY INTERVENTION.2, ACT EARLY 2014 SYSTEMS GRANT NATIONAL ASSOCIATION OF MEDICAID DIRECTORS 444 N CAPITOL STREET NW SUITE 524 WASHINGTON DC 20001 237013310 501(C)(3) 17460 PRIMARY CESAREAN REDUCTION OFFICE OF SPONSORED RESEARCH UNIVERSITY OF NORTH CAROLINA PO BOX 402420 ATLANTA GA 30384 566001393 501(C)(3) 52624 1, EVERY WOMAN SOUTHEAST COALITION, 2, EVERY MOTHER INITIATIVE; 3, ACT EARLY 2014 SYSTEMS GRANT NEW YORK STATE DEPT OF HEALTH PLAZA CORNING TOWER RM 1805 ALBANY NY 12237 141402155 GOVERNMENT 23362 EVERY MOTHER INITIATIVE NORTH CAROLINA PUBLIC HEALTH FOUNDATION PO BOX 18763 RALEIGH NC 27619 470921425 501(C)(3) 36728 EVERY MOTHER INITIATIVE GEORGIA DEPARTMENT OF PUBLIC HEALTH 2 PEACHTREE ST ATLANTA GA 30303 900676388 GOVERNMENT 20849 1, EVERY MOTHER INITIATIVE; 2, BIRTH OUTCOME COLLABORATIVE DELAWARE CHILD DEATH NEAR DEATH AND STILLBIRTH COMMISSION 900 N KING ST SUITE 220 WILMINGTON DE 19801 516000279 GOVERNMENT 18862 EVERY MOTHER INITIATIVE REACHUP INC 2902 N ARMENIA AVE SUITE 100 TAMPA FL 33607 208437749 OTHER 9261 EVERY MOTHER INITIATIVE TREASURER - STATE OF OHIO 246 NORTH HIGH STREET COLUMBUS OH 43215 311334820 GOVERNMENT 18189 EVERY MOTHER INITIATIVE LOUISIANA OFFICE OF PUBLIC HEALTH 1450 POYDRAS ST STE 1552 NEW ORLEANS LA 70112 726000821 GOVERNMENT 10527 EVERY MOTHER INITIATIVE MISSOURI DEPARTMENT OF HEALTH 920 WILDWOOD DRIVE P O BOX 750 JEFFERSON CITY MO 65102 446000987 GOVERNMENT 8856 EVERY MOTHER INITIATIVE AWHONN 2000 L STREET NW SUITE 740 WASHINGTON DC 20036 521788738 501(C)(3) 25500 EVERY MOTHER INITIATIVE BOSTON UNIVERSITY 881 COMMONWEALTH AVE 4TH FL BOSTON MA 02215 042103547 501(C)(3) 61563 ACCESS TO CARE CORE UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER MSC09 5222 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE NM 87131 856000642 501(C)(3) 14024 ACT EARLY 2014 SYSTEMS GRANT THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL 104 AIRPORT DRIVE SUITE 2200 CB1350 CB1350 CHAPEL HILL NC 27599 566001393 501(C)(3) 9925 ACT EARLY 2014 SYSTEMS GRANT THE UNIVERSITY OF MONTANA 32 CAMPUS DRIVE MISSOULA MT 59812 816001713 501(C)(3) 6103 ACT EARLY 2014 SYSTEMS GRANT UNIVERSITY OF OKLAHOMA HEALTH SCIENCE CENTER 1000 STANTON L YOUNG BLVD LIB-121 OKLAHOMA CITY OK 73117 736017987 501(C)(3) 8897 ACT EARLY 2014 SYSTEMS GRANT BOARD OF REGENTS OF THE UNIVERSITY OF WISCONSIN SYSTEM 21 N PARK STREET SUITE 6401 MADISON WI 53715 396006492 501(C)(3) 12951 ACT EARLY 2014 SYSTEMS GRANT RUTGERS THE STATE UNIVERSITY OF NEW JERSEY ASB III 3 RUTGERS PLAZA NEW BRUNSWICK NJ 08901 462354111 GOVERNMENT 10768 ACT EARLY 2014 SYSTEMS GRANT WESTERN KENTUCKY UNIVERSITY 1906 COLLEGE HEIGHTS BLVD BOWLING GREEN KY 42101 616055628 501(C)(3) 8086 BIRTH OUTCOME COLLABORATIVE ROBERTSON CONSULTING GROUP INC P O BOX 51688 SARASOTA FL 34232 450480862 OTHER 11750 BIRTH OUTCOME COLLABORATIVE 20 2 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 0 0 LORI FREEMAN CEO 200204 0 0 0 0 0 15764 0 17662 0 233630 0 0 0 LACY FEHRENBACH DIRECTOR OF PROGRAM TEAM 156068 0 0 0 0 0 12150 0 16075 0 184293 0 0 0 BRENT EWIG DIR., PUBLIC POL. & GOV'T AFF. TEAM 145219 0 0 0 0 0 11215 0 2561 0 158995 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS TO BRING THEM IN COMPLIANCE WITH THE D.C. CORPORATION ACT OF 2010. CHANGES INCLUDED MODIFYING AS NEEDED DEFAULT PROVISIONS REGARDING BOARD QUORUMS, BOARD COMMITTEES, AND THE MINIMUM NUMBER OF OFFICERS; BIENNIAL REPORTS ARE NOW DUE ON OR BEFORE APRIL 1, INSTEAD OF JANUARY 15; CORPORATE RECORDS NEED TO BE MAINTAINED PERMANENTLY, ALTHOUGH THE RECORDS CAN BE KEPT DIGITALLY AND MINUTES OF BOARD MEETINGS, RESOLUTIONS, ARTICLES OF INCORPORATION AND BYLAWS AND ALL AMENDMENTS, FINANCIAL RECORDS, AND ANY OTHER CORPORATE GOVERNANCE ACTIONS NEED TO BE PRESERVED; HARD COPIES OF ALL FORMAL NOTICES TO BOARD MEMBERS, MINUTES OF BOARD MEETINGS, A CURRENT LIST OF THE NAMES AND BUSINESS ADDRESSES OF DIRECTORS AND OFFICERS, AND A COPY OF THE MOST RECENT BIENNIAL REPORT FOR THREE YEARS ARE REQUIRED; MORE STRUCTURE WAS REQUIRED REGARDING SITUATIONS IN WHICH A BOARD MEMBER WILL, OR MAY, BE INDEMNIFIED; UPDATES WERE MADE TO MEMBERSHIP PROVISIONS, AND ALLOW MEETINGS THROUGH USE OF MODERN TECHNOLOGY; SPECIAL MEETINGS MAY BE CALLED BY AT LEAST 10% OF THE VOTING MEMBERS, OR UP TO 25% AS THE ORGANIZATION'S GOVERNING DOCUMENTS MAY SPECIFY; VOTING PROVISIONS WERE UPDATED SO THAT MEMBERS MAY ACT WITHOUT A MEETING IF SPECIFIED PROCEDURES ARE FOLLOWED; AND EACH MEMBER IS ENTITLED TO ONE VOTE, UNLESS OTHERWISE SPECIFIED IN THE GOVERNING DOCUMENTS. 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), REGULAR, AND ASSOCIATE MEMBERS. EACH TITLE V PROGRAM IS ENTITLED TO APPOINT UP TO FIVE (5) DELEGATES, WHO SHALL HAVE THE SOLE VOTING AUTHORITY ON BEHALF OF THE TITLE V PROGRAM MEMBERS. ONLY DELEGATES SHALL BE ELIGIBLE TO VOTE IN THE ELECTION OF ASSOCIATION OFFICERS AND DIRECTORS, AND ONLY DELEGATES SHALL BE ELIGIBLE FOR ELECTION AS OFFICERS AND DIRECTORS, EXCEPT FOR THE TWO FAMILY REPRESENTATIVE POSITIONS ON THE BOARD OF DIRECTORS. REGULAR MEMBERS SHALL BE STAFF OF TITLE V PROGRAMS OR INDIVIDUALS WHO WORK IN PARTNERSHIP WITH TITLE V PROGRAMS, INCLUDING FAMILY LIAISONS WORKING IN CONNECTION WITH STATE TITLE V PROGRAMS. REGULAR MEMBERS SHALL BE ELIGIBLE TO VOTE ON ALL MATTERS BEFORE THE ASSOCIATION, EXCEPT ELECTION OF OFFICERS AND DIRECTORS. ASSOCIATE MEMBERSHIP IS OPEN TO BOTH INDIVIDUALS AND ORGANIZATIONS INTERESTED IN MATERNAL AND CHILD HEALTH. ASSOCIATE MEMBERS ARE NOT ELIGIBLE TO VOTE ON ANY MATTER OR TO HOLD AN OFFICE OR BOARD OF DIRECTOR POSITION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ARE ALLOWED TO VOTE IN ELECTIONS. FORM 990, PART VI, SECTION B, LINE 11 THE DRAFT 990 WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY SENIOR MANAGEMENT. THE DRAFT WAS PROVIDED TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW AND COMMENT. A FINAL COPY OF 990 WAS SENT TO THE ENTIRE BOARD BEFORE IT WAS FILED WITH 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 DISCUSSION 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 INTERESTS. VOTES ARE 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 2015. 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.