2014-09-19T15:22:53-05:00 2013-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2013-01-01 222747589 NEWARK COMMUNITY HEALTH CENTER INC NEWA 9734831300 741 BROADWAY NEWARK NJ 07104 DR PAMELA CLARKE PHD MBA PRESIDENT / CEO 9734831300 2014-09-16 1 THOMAS LANNING P00851654 9732283500 2013 2015-11-30 17:44:51Z DR PAMELA CLARKE PHD M 741 BROADWAY NEWARK NJ 07104 24970950 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. 13 13 299 0 0 0 7928208 8782194 13397530 15747477 1282 1390 1067225 407234 22394245 24938295 0 0 0 0 13258924 14571649 0 0 0 6909151 6969858 20168075 21541507 2226170 3396788 9990312 13905001 3860520 4378421 6129792 9526580 TO OPERATE A FEDERALLY QUALIFIED HEALTH CENTER AND PROVIDE HEALTH CARE SERVICES TO ECONOMICALLY DISADVANTAGED INDIVIDUALS IN THIS AREA. 0 0 15827301 16173256 PROVIDE MEDICAL, DENTAL AND OTHER HEALTH SERVICES TO THE LARGELY MEDICALLY UNDERSERVED/UNINSURED POPULATION. 1630045 PROVIDE MEDICAL, DENTAL, NUTRITIONAL AND COUNSELING SERVICES TO THE HIV POPULATION 834477 INCREASE CAPACITY AND ENHANCE INFRASTRUCTURE IN EXISTING HEALTH CENTER LOCATIONS/SITES 18291823 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 1 299 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X X DAVE WHITE CFO 9734831300 741 BROADWAY NEWARK NJ 07104 BEATRICE SIMPKINS BOARD MEMBER 1.00 X 0 0 0 BLANCA GAMBOA BOARD MEMBER 1.00 X 0 0 0 CARMEN Z LOPEZ-TORRES BOARD MEMBER 1.00 X 0 0 0 CHIBEZE JONATHAN ACHEBE BOARD MEMBER 1.00 X 0 0 0 CHRISTINIA HALL BOARD MEMBER 1.00 X 0 0 0 DR DENISE C FYFFE PHD TREASURER 1.00 X X 0 0 0 DR DIANE R BROWN PHD BOARD MEMBER 1.00 X 0 0 0 DR JAMES N CLARK VICE-CHAIRMAN 1.00 X X 0 0 0 DR OMAR BEY CHAIRMAN 1.00 X X 0 0 0 JOSE CONTRERAS BOARD MEMBER 1.00 X 0 0 0 MICHAEL L MOORE ESQ SECRETARY 1.00 X X 0 0 0 OBED PRINVIL BOARD MEMBER 1.00 X 0 0 0 PRISCILLA PRINCEWILL BOARD MEMBER 1.00 X 0 0 0 DAVE WHITE CFO 40.00 X 122587 0 29958 DR PAMELA CLARKE PHD MBA PRESIDENT/CEO 40.00 X 210472 0 24835 HAROLD BROWN VICE PRESIDENT - ADM SERVICES 40.00 X 106259 0 26686 PATRICIA RAYA VICE PRESIDENT - ADM SERVICES 40.00 X 25385 0 0 FRACISCA MEREMIKWU OB/GYN 40.00 X 180297 0 18435 NEVEEN ELKHOLY CMO 40.00 X 176084 0 32900 ROBIN HILSENRATH OB/GYN 40.00 X 179655 0 1746 SHARON JOHNSON-BLOUNT OB/GYN 40.00 X 198980 0 34486 TABASSUM SABZWARI OB/GYN 40.00 X 180334 0 24017 1380053 0 193063 23 0 1 0 0 20640 8381534 380020 1394006 8782194 MEDICAID MANAGED CARE 621400 6717739 6717739 NEW JERSEY UNCOMPENSATED CARE 621400 3692661 3692661 SELF-PAY 621400 2092030 2092030 MEDICAID 621400 2008194 2008194 PRIVATE INSURANCE 621400 705864 705864 530989 530989 15747477 1390 1390 14110 20640 32655 -18545 -18545 MEANINGFUL USE 621400 314500 314500 OTHER INCOME 621400 111279 111279 425779 24938295 16173256 0 -17155 546182 447869 98313 11513082 9440728 2072354 174535 143119 31416 1288451 1056530 231921 1049399 860507 188892 180470 147985 32485 32755 26859 5896 88311 72415 15896 790917 648552 142365 420423 344744 75679 120199 98563 21636 488040 400193 87847 52273 42864 9409 44038 36111 7927 38313 31417 6896 640958 525586 115372 154055 126325 27730 DONATED VACCINES & SUPP 1363346 1363346 PROVISION FOR BAD DEBT 1284244 1284244 MEDICAL AND LAB SUPPLIE 840134 840134 EQUIPMENT RENTAL AND MA 220521 180827 39694 210861 172905 37956 21541507 18291823 3249684 0 761040 766585 268837 364171 1683304 3005385 472597 330161 13091768 4757548 5722952 8334220 1059490 1082387 22092 22092 9990312 13905001 1868687 997068 88065 29279 1903768 3352074 3860520 4378421 X 6129792 9526580 6129792 9526580 9990312 13905001 3396788 0 X X 0 1 X 1 1 1 X 5127705 7598208 8192717 7917340 8782194 37618164 197525 270900 261000 217336 60625 1007386 5325230 7869108 8453717 8134676 8842819 38625550 38625550 5991 4579 2150 1282 1390 15392 87775 127916 264682 1059087 425779 1965239 40606181 57540297 0.95120 0.95400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4937359 1968030 2969329 1303045 1076703 226342 1922704 1612993 309711 4928660 99822 4828838 8334220 DEFERRED RENT 86893 ACCRUED PAYROLL AND EMPLOYEE BENEFITS 926171 LINE OF CREDIT 249144 CONSTRUCTION LOAN 2089866 3352074 X 23851081 60625 -1180494 -1119869 24970950 -32655 -32655 24938295 20454293 60625 32655 93280 20361013 1180494 1180494 21541507 PART X, LINE 2: NCHC WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW JERSEY AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. NCHC HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2013 AND 2012. NCHC'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEARS 2010 AND 2009, 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 -1,180,494. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -32,655. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 32,655. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 1,180,494. ANNUAL GALA 34750 20640 14110 7045 15587 5780 4243 34750 20640 14110 7045 15587 5780 4243 32655 -18545 X X X X X 0 0 0 0 0 0 0 1 0 DAVE WHITE CFO 117587 0 5000 0 0 0 865 0 29093 0 152545 0 0 0 DR PAMELA CLARKE PHD MBA PRESIDENT/CEO 205472 0 5000 0 0 0 6219 0 18616 0 235307 0 0 0 FRACISCA MEREMIKWU OB/GYN 180297 0 0 0 0 0 1281 0 17154 0 198732 0 0 0 NEVEEN ELKHOLY CMO 176084 0 0 0 0 0 4922 0 27978 0 208984 0 0 0 ROBIN HILSENRATH OB/GYN 179655 0 0 0 0 0 1246 0 500 0 181401 0 0 0 SHARON JOHNSON-BLOUNT OB/GYN 198980 0 0 0 0 0 5393 0 29093 0 233466 0 0 0 TABASSUM SABZWARI OB/GYN 180334 0 0 0 0 0 0 0 24017 0 204351 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 2 1343229 FMV X FURNITURE 1 50777 FMV 0 0 0 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.