2015-09-10T16:59:51-05:00 2014-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2014-01-01 222747589 NEWARK COMMUNITY HEALTH CENTER INC NEWA 9734831300 741 BROADWAY NEWARK NJ 07104 DR PAMELA CLARKE PHD MBA PRESIDENT / CEO 9734831300 2015-09-10 1 THOMAS LANNING P00851654 9732283500 2014 2016-02-25 16:41:14Z DR PAMELA CLARKE PHD M 741 BROADWAY NEWARK NJ 07104 28126702 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 11 351 13 0 0 8782194 11355102 15747477 15645933 1390 521 407234 1105108 24938295 28106664 0 0 0 0 14571649 16387776 0 0 0 6969858 6814609 21541507 23202385 3396788 4904279 13905001 21502787 4378421 7071928 9526580 14430859 X TO OPERATE A FEDERALLY QUALIFIED HEALTH CENTER AND PROVIDE HEALTH CARE SERVICES TO ECONOMICALLY DISADVANTAGED INDIVIDUALS IN THIS AREA. 1 0 16064608 16754829 PROVIDE MEDICAL, DENTAL AND OTHER HEALTH SERVICES TO THE LARGELY MEDICALLY UNDERSERVED/UNINSURED POPULATION. 1643744 PROVIDE MEDICAL, DENTAL, NUTRITIONAL AND COUNSELING SERVICES TO THE HIV POPULATION 788869 INCREASE CAPACITY AND ENHANCE INFRASTRUCTURE IN EXISTING HEALTH CENTER LOCATIONS/SITES 355571 PARTICIPATION IN 340B PROGRAM 355571 18852792 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 7 0 1 351 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 X TOMAS BACALZO 9734831300 741 BROADWAY NEWARK NJ 07104 BEATRICE SIMPKINS MEMBER 1.00 X 0 0 0 BLANCA GAMBOA MEMBER 1.00 X 0 0 0 CARMEN Z LOPEZ-TORRES MEMBER 1.00 X 0 0 0 CHIBEZE JONATHAN ACHEBE MEMBER 1.00 X 0 0 0 CHRISTINIA HALL MEMBER 1.00 X 0 0 0 DR DENISE C FYFFE PHD CHAIRMAN 1.00 X X 0 0 0 DR JAMES N CLARK VICE-CHAIRMAN 1.00 X 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 DAVE WHITE CFO 40.00 X 88691 0 12165 DR PAMELA CLARKE PRESIDENT/CEO 40.00 X 245246 0 18123 MAUREEN SWEENEY-MCDONOUGH VICE PRESIDENT - ADM SERVICES 40.00 X 34615 0 0 PATRICIA RAYA VICE PRESIDENT - ADM SERVI 40.00 X 83662 0 0 TOMAS BACALZO CHIEF FINANCIAL OFFICER 40.00 X 31154 0 0 EDWINA VERNER PEDIATRICIAN 40.00 X 167565 0 10345 FRANCESCA MEREMIKWU OB/GYN 40.00 X 193749 0 39014 NEVEEN ELKHOLY CMO 40.00 X 179200 0 38585 ROBIN HILSENRATH OB/GYN 40.00 X 179961 0 7390 SHARON JOHNSON BLOUNT OB/GYN 40.00 X 166146 0 37142 1369989 0 162764 21 0 1 0 0 19725 11031205 304172 1099245 11355102 MEDICAID MANAGED CARE 621400 8325039 8325039 MEDICAID 621400 2676903 2676903 NEW JERSEY UNCOMPENSATED CARE 621400 2264610 2264610 PRIVATE INSURANCE 621400 959801 959801 SELF-PAY 621400 763722 763722 655858 655858 15645933 521 521 16250 19725 20038 -3788 -3788 PHARMACY PROGRAM 621400 963171 963171 MCD UNISYS-MEANINGFUL USE 621400 102000 102000 ADDITIONAL INCOME 621400 43725 43725 1108896 28106664 16754829 0 -3267 513656 421200 92456 12806815 10501588 2305227 296505 243151 53354 1353593 1110023 243570 1417207 1162191 255016 156305 18971 137334 55772 6769 49003 89422 10853 78569 591514 71794 519720 369066 302634 66432 93378 11334 82044 513843 385382 128461 75674 62053 13621 45501 37311 8190 50619 37964 12655 555600 416700 138900 163795 122846 40949 MEDICAL AND LAB SUPPLIE 1226130 1226130 PROVISION FOR BAD DEBT 1205358 1205358 DONATED VACCINES & SUPP 1099245 1099245 EQUIPMENT RENTAL AND MA 233269 174952 58317 290118 224343 65775 23202385 18852792 4349593 0 766585 1187862 364171 763329 3005385 4658963 330161 257881 18843421 5313148 8334220 13530273 1082387 1082387 22092 22092 13905001 21502787 1923236 2381947 29279 611197 2425906 4078784 4378421 7071928 X 9526580 14430859 9526580 14430859 13905001 21502787 4904279 0 X X 0 1 X 1 1 1 X 7598208 8192717 7917340 8782194 11355102 43845561 270900 261000 217336 60625 75325 885186 7869108 8453717 8134676 8842819 11430427 44730747 44730747 4579 2150 1282 1390 521 9922 127916 264682 1103155 439889 1125146 3060788 47801457 63629692 0.93580 0.95120 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2010 AMOUNT: $ 127,916. 2011 AMOUNT: $ 264,682. 2012 AMOUNT: $ 1,059,087. 2013 AMOUNT: $ 425,779. 2014 AMOUNT: $ 1,108,896. FUNDRAISING - 2012 AMOUNT: $ 44,068. 2013 AMOUNT: $ 14,110. 2014 AMOUNT: $ 16,250. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4939881 2310654 2629227 1324946 1146030 178916 2021972 1735389 286583 10556622 121075 10435547 13530273 DEFERRED RENT 66180 LINE OF CREDIT 167855 CONSTRUCTION LOAN 3844749 4078784 X 27100419 75325 -1101608 -1026283 28126702 -20038 -20038 28106664 22196140 75325 20038 95363 22100777 1101608 1101608 23202385 PART X, LINE 2: NCHC HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2014 AND 2013. NCHC'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEARS 2011 AND 2010, RESPECTIVELY, ARE CLOSED AND AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT -1,101,608. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -20,038. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 20,038. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 1,101,608. ANNUAL GALA 35975 19725 16250 386 5000 7494 4250 2908 35975 19725 16250 386 5000 7494 4250 2908 20038 -3788 X X X X X 0 0 0 0 0 0 0 1 0 DR PAMELA CLARKE PRESIDENT/CEO 235246 0 10000 0 0 0 6943 0 11180 0 263369 0 0 0 EDWINA VERNER PEDIATRICIAN 166765 0 800 0 0 0 0 0 10345 0 177910 0 0 0 FRANCESCA MEREMIKWU OB/GYN 191249 0 2500 0 0 0 5952 0 33062 0 232763 0 0 0 NEVEEN ELKHOLY CMO 176700 0 2500 0 0 0 5523 0 33062 0 217785 0 0 0 ROBIN HILSENRATH OB/GYN 179161 0 800 0 0 0 5395 0 1995 0 187351 0 0 0 SHARON JOHNSON BLOUNT OB/GYN 165346 0 800 0 0 0 5081 0 32061 0 203288 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 1099245 FMV 0 0 0 FORM 990, PART III, LINE 2 IN APRIL 2014, NCHC BEGAN PARTICIPATING IN SECTION 340B OF THE PUBLIC HEALTH SERVICE ACT, LIMITATION ON PRICES OF DRUGS PURCHASED BY COVERED ENTITIES. PARTICIPATION IN THIS PROGRAM ALLOWS NCHC TO PURCHASE PHARMACEUTICALS AT DISCOUNTED RATES FOR PRESCRIPTIONS TO ELIGIBLE PATIENTS. 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 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.