2016-08-04T10:45:46-05:00 2015-12-31 221478099 COHNREZNICK LLP 4 Becker Farm Road Roseland NJ 07068 990 2015-01-01 222747589 NEWARK COMMUNITY HEALTH CENTER INC NEWA 9734831300 741 BROADWAY NEWARK NJ 07104 Dr Pamela Clarke phd mba president / ceo 9734831300 2016-08-03 1 THOMAS LANNING P00851654 9732283500 2015 2016-12-15 16:53:06Z DR PAMELA CLARKE PHD M 741 BROADWAY NEWARK NJ 07104 29686586 0 X www.nchcfqch.org X 1986 NJ NEWARK COMMUNITY HEALTH CENTERS, INC. ("NCHC") OPERATES A HEALTHCARE CENTER IN ESSEX COUNTY, NEW JERSEY. NCHC PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY UNDERSERVED POPULATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. 11 11 373 2 0 0 11355102 8982719 15645933 17797904 521 560 1105108 2886658 28106664 29667841 0 0 0 0 16387776 19237060 0 0 0 6814609 9216945 23202385 28454005 4904279 1213836 21502787 23106147 7071928 7461452 14430859 15644695 TO OPERATE A FEDERALLY QUALIFIED HEALTH CENTER AND PROVIDE HEALTH CARE SERVICES TO ECONOMICALLY DISADVANTAGED INDIVIDUALS IN THIS AREA. 0 0 12666323 20686013 PROVIDE MEDICAL, DENTAL AND OTHER HEALTH SERVICES TO THE LARGELY MEDICALLY UNDERSERVED/UNINSURED POPULATION. 7821616 PROVIDE MEDICAL, DENTAL, NUTRITIONAL AND COUNSELING SERVICES TO THE HIV POPULATION 2916099 INCREASE CAPACITY AND ENHANCE INFRASTRUCTURE IN EXISTING HEALTH CENTER LOCATIONS/SITES 23404038 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 9 0 1 373 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X Tomas Bacalzo 9734831300 741 BROADWAY NEWARK NJ 07104 CHRISTINIA HALL MEMBER 1.00 X 0 0 0 DR DENISE C FYFFE PHD CHAIRMAN 1.00 X X 0 0 0 DROMAR BEY VICE CHAIRMAN 1.00 X X 0 0 0 FLORENCE ERICSON MEMBER 1.00 X 0 0 0 JOSE CONTRERAS MEMBER 1.00 X 0 0 0 MICHAEL L MOORE SECRETARY 1.00 X X 0 0 0 OBED PRINVIL TREASURER 1.00 X X 0 0 0 priscilla princewill MEMBER 1.00 X 0 0 0 SHERLIN SIMON MEMBER 1.00 X 0 0 0 TEMI BOYO MEMBER 1.00 X 0 0 0 YOLANDA EASTERLING MEMBER 1.00 X 0 0 0 DR PAMELA CLARKE PRESIDENT/CEO 40.00 X 267308 0 34419 Maureen Sweeney-Mcdonough VICE PRESIDENT - ADM SERV thru 1/15 40.00 X 15577 0 0 SYLVESTER FOOTE VICE PRESIDENT - ADM SERVI 40.00 X 88599 0 3500 TOMAS BACALZO CHIEF FINANCIAL OFFICER 40.00 X 150913 0 11400 FRANCESCA MEREMIKWU OB/GYN 40.00 X 220596 0 50845 ROBIN HILSENRATH OB/GYN 40.00 X 193326 0 14261 SEBASTIAN KABIAWU ACTING CHIEF MEDICAL OFFICER 40.00 X 190134 0 32344 SHARON JOHNSON BLOUNT OB/GYN 40.00 X 215967 0 50845 STACY MEVS-REED FAMILY PRACITCE 40.00 X 199023 0 19817 1541443 0 217431 32 0 1 0 0 12917 8621107 348695 1364484 8982719 MEDICAID MANAGED CARE 621400 10335720 10335720 MEDICAID 621400 2814494 2814494 NEW JERSEY UNCOMPENSATED CARE 621400 2063691 2063691 PRIVATE INSURANCE 621400 1599820 1599820 SELF-PAY 621400 646534 646534 337645 337645 17797904 782 782 222 -222 -222 -222 16850 12917 18523 -1673 -1673 PHARMACY PROGRAM 621400 2625952 2625952 MCD UNISYS-MEANINGFUL USE 621400 131750 131750 ADDITIONAL INCOME 621400 130629 130629 2888331 29667841 20686013 0 -891 571716 468807 102909 15084294 12369121 2715173 329591 270265 59326 1653509 1355878 297631 1597950 1310319 287631 125879 31470 94409 134532 33633 100899 120968 30242 90726 682230 170557 511673 512200 420004 92196 94024 23506 70518 592100 444075 148025 58737 48164 10573 46762 38345 8417 157420 129084 28336 773606 580204 193402 184504 138378 46126 MEDICAL AND LAB SUPPLIE 1987922 1987922 DONATED VACCINES & supp 1364484 1364484 PROVISION FOR BAD DEBT 1314933 1314933 EQUIPMENT RENTAL AND MA 327255 268349 58906 739389 606298 133091 28454005 23404038 5049967 0 1187862 3023905 763329 417647 4658963 4038097 99282 110218 21395062 6086754 13530273 15308308 1082387 180691 207972 21502787 23106147 2381947 2025722 611197 71142 5146449 4078784 218139 7071928 7461452 X 14430859 15644695 14430859 15644695 21502787 23106147 1213836 0 X X 0 1 X 1 1 1 X 8192717 7917340 8782194 11355102 8982719 45230072 261000 217336 60625 75325 80375 694661 8453717 8134676 8842819 11430427 9063094 45924733 45924733 2150 1282 1390 521 782 6125 264682 1103155 439889 1125146 2905181 5838053 51768911 72644539 0.88710 0.93580 X Schedule A, Part II, Line 10, Explanation of Other Income: Medicaid - 2011 Amount: $ 148,750. FUNDRAISING - 2012 Amount: $ 44,068. 2013 Amount: $ 14,110. 2014 Amount: $ 16,250. 2015 Amount: $ 16,850. OTHER INCOME - 2011 Amount: $ 100,432. 2012 Amount: $ 839,437. 2013 Amount: $ 111,279. NJ HITEC - 2011 Amount: $ 15,500. LABS - 2012 Amount: $ 219,650. MEANINGFUL USE - 2013 Amount: $ 314,500. 2014 Amount: $ 102,000. 2015 Amount: $ 131,750. PHARMACY PROGRAM - 2014 Amount: $ 963,171. 2015 Amount: $ 2,625,952. ADDITIONAL INCOME - 2014 Amount: $ 43,725. 2015 Amount: $ 130,629. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16543781 2789383 13754398 1352870 1204572 148298 2834320 1929573 904747 664091 163226 500865 15308308 DEFERRED RENT 45463 LINE OF CREDIT 172676 218139 X 28516806 80375 -1249933 -1169558 29686364 -18523 -18523 29667841 27302970 80375 18523 98898 27204072 1249933 1249933 28454005 Part X, Line 2: NCHC HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2015 AND 2014. NCHC'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEARS 2012 ARE CLOSED AND AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. NCHC HAS FILED ALL REQUIRED PAYROLL TAX RETURNS AND PAYRoLL TAXES DUE HAVE BEEN PAID. NCHC RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES, AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. Part XI, Line 2d - Other Adjustments: Provision for Bad Debt -1,249,933. Part XI, Line 4b - Other Adjustments: fundraising expense -18,523. Part XII, Line 2d - Other Adjustments: fundraising expense 18,523. Part XII, Line 4b - Other Adjustments: Provision for Bad Debt 1,249,933. Annual Gala 29767 12917 16850 212 5000 7324 4200 1787 29767 12917 16850 212 5000 7324 4200 1787 18523 -1673 X X X X X 0 0 0 0 0 0 0 1 0 DR PAMELA CLARKE PRESIDENT/CEO 245908 0 20000 0 1400 0 24000 0 10419 0 301727 0 0 0 TOMAS BACALZO CHIEF FINANCIAL OFFICER 145913 0 5000 0 0 0 1212 0 10188 0 162313 0 0 0 FRANCESCA MEREMIKWU OB/GYN 214096 0 6500 0 0 0 18000 0 32845 0 271441 0 0 0 ROBIN HILSENRATH OB/GYN 193326 0 0 0 0 0 13500 0 761 0 207587 0 0 0 SEBASTIAN KABIAWU ACTING CHIEF MEDICAL OFFICER 185134 0 5000 0 0 0 8100 0 24244 0 222478 0 0 0 SHARON JOHNSON BLOUNT OB/GYN 214677 0 1290 0 0 0 18000 0 32845 0 266812 0 0 0 STACY MEVS-REED FAMILY PRACITCE 192523 0 6500 0 0 0 1537 0 18280 0 218840 0 0 0 Part I, Line 7 amounts included in schedule J part ii column b(ii) represent payments for bonuses. these amounts were approved by the board and were included on the individuals' w-2's. X 1 1364484 VACCINES 0 0 0 Part I, Column (b): amounts in column b represent the number of contributors. Form 990, Part VI, Section B, line 11 THE FORM 990 IS REVIEWED IN DETAIL BY THE CEO AND CFO OF THE ORGANIZATION. AFTER THEIR REVIEW AND APPROVAL, THE 990 IS SENT TO THE BOARD OF DIRECTORS PRIOR TO FILING. Form 990, Part VI, Section B, line 12c every member of nchc's board of directors signed and received a copy of the conflict of interest policy. Board members attend regular meetings and training. conflict of interest related issues are discussed at various staff meetings and quarterly all staff trainings. Form 990, Part VI, Section B, line 15 THE PROCESS FOR DETERMINING COMPENSATION OF the ceo and OTHER KEY OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION IS BY USING INDUSTRY DATA AND NJ PCA DATA. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XII, Line 2c The organization has an audit committee. this process has not changed from last year.