2014-05-08T13:35:13-05:00 2013-06-30 521855942 TATE AND TRYON 2021 L STREET NW SUITE 400 WASHINGTON DC 20036 990 2012-07-01 943212616 NATIONAL PACE ASSOCIATION NATI 7035351565 801 N FAIRFAX STREET NO 309 ALEXANDRIA VA 223141757 SHAWN BLOOM 7035351567 2014-05-08 1 FREDERICK LONGWOOD P00439715 2022932200 2012 2015-11-30 17:44:51Z NPA SHAWN BLOOM 801 N FAIRFAX STREET NO 309 ALEXANDRIA VA 223141757 6543153 0 X WWW.NPAONLINE.ORG X 1994 CA INCREASE THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES TO OLDER ADULTS IN THE U.S. 19 19 17 100 23958 0 6912 43851 3278157 3879073 7526 21509 155350 242181 3447945 4186614 0 40000 0 0 1961077 2367351 0 0 0 1434207 1607281 3395284 4014632 52661 171982 1348083 1497195 362486 318515 985597 1178680 X NATIONAL PACE ASSOCIATION'S PRINCIPAL PURPOSE IS TO INCREASE THE PROVISION OF QUALITY, COMPREHENSIVE HEALTH CARE SERVICES TO FRAIL, OLDER ADULTS IN THE UNITED STATES THROUGH THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, AND TO SUPPORT, MAINTAIN, AND PROMOTE THROUGH EDUCATION THE PACE MODEL OF CARE. 0 0 1458163 237895 MEMBER SERVICES - A COLLECTION OF EFFORTS UNDERTAKEN TO ASSIST NATIONAL PACE ASSOCIATION MEMBERS WITH COMPLEX ISSUES THEY FACE. 1303499 40000 PUBLIC POLICY - NPA MAINTAINS AN ACTIVE VOICE ON REGULATORY ISSUES AND WORKS WITH STATES TO IMPLEMENT PACE PROGRAMS. 983300 826914 EDUCATION - CONFERENCE AND EDUCATION REGARDING THE PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY (PACE). 3744962 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 27 0 1 17 1 1 1 0 0 0 0 0 0 0 0 0 X 19 19 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X THE ORGANIZATION 7035351565 801 N FAIRFAX STREET NO 309 ALEXANDRIA VA 223141757 BRUCE ROBERTSON 1.00 0.00 X X 0 0 0 KATHRYN MCGUIRE 1.00 0.00 X X 0 0 0 TIM COX 1.00 0.00 X X 0 0 0 KARREN WEICHERT 1.00 0.00 X X 0 0 0 JUDITH BASKINS 1.00 0.00 X 0 0 0 JAKE BELL 1.00 0.00 X 0 0 0 ROBERT EDMONDSON 1.00 0.00 X 0 0 0 MARSHA FRETWELL MD 1.00 0.00 X 0 0 0 ROSEMARY CASTILLO 1.00 0.00 X 0 0 0 JOANN GAGO 1.00 0.00 X 0 0 0 ELLEN GARCIA 1.00 0.00 X 0 0 0 JOSEPH HEALY JR 1.00 0.00 X 0 0 0 MATTHEW MCNABNEY MD 1.00 0.00 X 0 0 0 JOAN KWIATKOWSKI 1.00 0.00 X 0 0 0 SUSAN NELSON MD 1.00 0.00 X 0 0 0 GRACE LI 1.00 0.00 X 0 0 0 WAYNE OLSON 1.00 0.00 X 0 0 0 KAREN LONGO 1.00 0.00 X 0 0 0 DAVID WILNER MD 1.00 0.00 X 0 0 0 SHAWN BLOOM 40.00 0.00 X 253671 0 43864 RHONDA ROSE 40.00 0.00 X 116543 0 18651 RAYMOND FITZGERALD 40.00 0.00 X 202930 0 21546 CHRISTINE VAN REENEN 32.00 0.00 X 154296 0 21209 AMEETA MISTRY 40.00 0.00 X 135872 0 15141 SHARON PEARCE 40.00 0.00 X 120152 0 7031 ROBERT GREENWOOD 40.00 0.00 X 107687 0 37544 1091151 0 164986 7 0 1 0 UNIVERSITY OF ROCHESTER 601 ELMWOOD AVENUE BOX 644 ROCHESTER NY 14642 DATA SERVICES AND RESEARCH 207831 MEHLMAN VOGEL CASTAGNETTI INC 1341 G STREET NW SUITE 1100 WASHINGTON DC 20005 CONSULTING 120170 TOTAL BENCHMARK SOLUTIONS 2625 REDWING ROAD SUITE 230 FORT COLLINS CO 80526 DATA SERVICES 105000 3 43851 43851 MEMBERSHIP FEES 900099 2790306 2790306 CONFERENCE FEES 900099 672239 672239 MEMBERSHIP SERVICES 900099 237895 237895 EDUCATIONAL EVENTS 900099 154675 154675 SERVICE FEES 900099 23958 23958 3879073 19492 19492 119893 119893 2358556 2356539 2017 2017 2017 OTHER INCOME 900099 122288 122288 122288 4186614 3855115 23958 263690 X 40000 40000 663411 534073 129338 1400740 1124913 275827 54706 44720 9986 122028 99754 22274 126466 103381 23085 12777 7283 5494 19770 19770 3930 3930 596398 506254 90144 105380 44595 60785 16883 16883 133765 133765 82046 52596 29450 177225 177225 16026 16026 8716 8716 HOTEL AND CATERING 302812 302812 MISCELLANEOUS 91829 48408 43421 BANK AND PAYROLL FEES 22482 22482 DUES AND SUBSCRIPTIONS 12155 7176 4979 5087 634889 -629802 4014632 3744962 269670 0 801189 732003 374824 656374 119040 51863 20389 25419 169695 138159 32641 31536 1348083 1497195 266923 281203 83641 24325 11922 12987 362486 318515 X 985597 1178680 985597 1178680 1348083 1497195 171982 21101 0 X X 0 1 X 1 0 X 2403263 2597033 2845523 2407073 2834157 13087049 565567 279611 201754 810138 1064809 2921879 2968830 2876644 3047277 3217211 3898966 16008928 0 0 0 16008928 13948 14401 11022 149896 139385 328652 13948 14401 11022 149896 139385 328652 53354 40089 69544 68180 122288 353455 3036132 2931134 3127843 3435287 4160639 16691035 0.95910 0.96860 0.01970 0.01470 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12: INCOME FROM ACTIVITIES NOT REGULARLY CARRIED ON. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 187092 187092 3818538 4005630 350282 87571 0 0 298715 295266 316483 350282 1260746 1891119 141360 177806 282213 187092 788471 74679 73817 79121 87571 315188 472782 16026 15057 969 42756 32310 10446 110913 90792 20121 31536 DEFERRED RENT LIABILITY 12987 12987 X 4203785 21101 21101 4182684 3930 3930 4186614 4010702 0 4010702 3930 3930 4014632 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS INCLUDE THOSE NET ASSETS WHOSE USE BY NPA HAS BEEN DONOR RESTRICTED BY SPECIFIED PURPOSE OR TIME LIMITATIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: NPA BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND THEREFORE DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. NPA'S INCOME TAX RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND OTHER STATE AND LOCAL TAXING AUTHORITIES FOR THREE YEARS AFTER THEY WERE FILED. 1 GOVERNMENT OF THE DISTRICT OF COLUMBIA - DEPARTMENT OF HEALTH CARE FINANCE 899 NORTH CAPITOL STREET NE WASHINGTON DC 20002 N/A 40000 FMV SETTING A MEDICAID PAYMENT RATE FOR PACE IN DC 0 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: EACH RECIPIENT IS REQUIRED TO PROVIDE THE ORGANIZATION WITH A NARRATIVE AND FINANCIAL REPORT ON THE DISPOSITION OF FUNDS RECEIVED. X X X 0 0 0 0 0 1 0 0 0 SHAWN BLOOM 253395 0 0 0 276 0 15000 0 30948 0 299619 0 0 0 RAYMOND FITZGERALD 202750 0 0 0 180 0 12165 0 11489 0 226584 0 0 0 CHRISTINE VAN REENEN 154020 0 0 0 276 0 9388 0 13929 0 177613 0 0 0 AMEETA MISTRY 135596 0 0 0 276 0 4499 0 12897 0 153268 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 BOB EDMONDSON IS CEO OF ON LOK AND GRACE LI REPORTS TO BOB. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION HAS FIVE CLASSES OF MEMBERS: PROVIDER MEMBERS, PROSPECTIVE PROVIDER MEMBERS, TECHNICAL ASSISTANCE MEMBERS, EXPLORING PACE MEMBERS, AND ASSOCIATE MEMBERS. ONLY PROVIDER MEMBERS AND PROSPECTIVE PROVIDER MEMBERS SHALL HAVE THE RIGHT TO VOTE AND HOLD OFFICE IN THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PROVIDER MEMBERS AND PROSPECTIVE PROVIDER MEMBERS EACH SHALL HAVE THE RIGHT TO VOTE AND HOLD OFFICE IN THE CORPORATION. PROVIDER MEMBERS SHALL BE: (1) ENTITIES THAT OPERATE PACE PROGRAMS UNDER SECTIONS 1894 AND 1934 OF THE SOCIAL SECURITY ACT, (2) ENTITIES THAT OPERATE PACE PROGRAMS UNDER DUAL MEDICARE AND MEDICAID WAIVERS, EXCEPT FOR FOR-PROFIT ENTITIES, (3) ORGANIZATIONS OPERATING UNDER DUAL MEDICARE AND MEDICAID CAPITATION THAT PREDOMINANTLY SERVE THE FRAIL ELDERLY, OR (4) PRE-PACE PROGRAMS, OR THOSE ORGANIZATIONS OPERATING UNDER MEDICAID CAPITATION ONLY. ALL PROVIDER MEMBERS SHALL BE NOT-FOR-PROFIT CORPORATIONS OPERATING UNDER 501(C)(3) TAX STATUS. PROVIDER MEMBERS SHALL HAVE THE FOLLOWING RIGHTS AND PRIVILEGES: (1) THE RIGHT TO NOMINATE ONE EMPLOYEE OF ANY CURRENT PROVIDER MEMBER, OR AN EMPLOYEE OF ANY PROVIDER MEMBER'S SPONSORING ORGANIZATION, TO SERVE ON THE CORPORATION'S BOARD OF DIRECTORS; (2) THE RIGHT TO VOTE IN EACH ANNUAL ELECTION TO FILL OPEN SEATS ON THE BOARD OF DIRECTORS, OR VOTE ON ANY MATTER SUBMITTED TO A VOTE OF THE MEMBERS OF THE CORPORATION; (3) THE RIGHT TO HAVE EITHER THE MEDICAL DIRECTOR (OR EQUIVALENT) OR A PRIMARY CARE PROFESSIONAL OF THE PROVIDER MEMBER SERVE ON THE PRIMARY CARE COMMITTEE; (4) THE PRIVILEGE TO HAVE SPECIFIC PERSONS ASSOCIATED WITH THE PROVIDER MEMBER SERVE ON STANDING AND WORKING COMMITTEES OF THE BOARD OF DIRECTORS UPON THE REQUEST OF THE BOARD OF DIRECTORS; AND (5) THE PRIVILEGE TO ACCESS CERTAIN MATERIALS, INCLUDING OFFICIAL PUBLICATIONS AND OTHER DOCUMENTS DISTRIBUTED BY THE CORPORATION, AS WELL AS CONFERENCES OFFERED BY THE CORPORATION. PROSPECTIVE PROVIDER MEMBERS SHALL BE: (1) ENTITIES THAT ARE EVALUATING OR PURSUING PACE DEVELOPMENT, OR (2) ENTITIES THAT ARE COMPLETING OR HAVE SUBMITTED PACE PROVIDER APPLICATIONS. ALL PROSPECTIVE PROVIDER MEMBERS SHALL BE NOT-FOR-PROFIT CORPORATIONS OPERATING UNDER 501(C)(3) TAX STATUS. PROSPECTIVE PROVIDER MEMBERS SHALL HAVE THE FOLLOWING RIGHTS AND PRIVILEGES: (1) THE RIGHT TO NOMINATE ONE EMPLOYEE OF ANY CURRENT PROSPECTIVE PROVIDER MEMBER, OR AN EMPLOYEE OF ANY PROSPECTIVE PROVIDER MEMBER'S SPONSORING ORGANIZATION, TO SERVE ON THE CORPORATION'S BOARD OF DIRECTORS; (2) THE RIGHT TO VOTE IN EACH ANNUAL ELECTION TO FILL OPEN SEATS ON THE BOARD OF DIRECTORS, OR VOTE ON ANY MATTER SUBMITTED TO A VOTE OF THE MEMBERS OF THE CORPORATION; (3) THE PRIVILEGE TO HAVE SPECIFIC PERSONS ASSOCIATED WITH THE PROSPECTIVE PROVIDER MEMBER SERVE ON STANDING AND WORKING COMMITTEES OF THE BOARD OF DIRECTORS UPON THE REQUEST OF THE BOARD OF DIRECTORS; AND (4) THE PRIVILEGE TO ACCESS CERTAIN MATERIALS, INCLUDING OFFICIAL PUBLICATIONS AND OTHER DOCUMENTS DISTRIBUTED BY THE CORPORATION, AS WELL AS CONFERENCES OFFERED BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE VICE PRESIDENT OF FINANCE AND OPERATIONS BEFORE IT IS FILED. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C 1. DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 2. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. 3. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST A. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. B. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER NPA CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. C. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN NPA'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO NPA AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 4. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY A. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. RECORDS OF PROCEEDINGS THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN - 1. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. 2. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. ANNUAL STATEMENTS EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON - A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THAT NPA IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY REVIEWED THE PRESIDENT/CEO'S COMPENSATION IN SEPTEMBER AS PART OF THE ANNUAL PERFORMANCE EVALUATION PROCESS. SALARY SURVEYS CONDUCTED BY INDEPENDENT FIRMS WERE OBTAINED TO PROVIDE A MARKET ANALYSIS OF SALARIES FOR THIS POSITION. THE SURVEYS WERE PROVIDED TO THE EXECUTIVE COMMITTEE AS PART OF THEIR DETERMINATION PROCESS. AT THE CONCLUSION OF THE PROCESS A SALARY DETERMINATION WAS MADE BY THE EXECUTIVE COMMITTEE, DOCUMENTED IN COMPLIANCE WITH THE ORGANIZATION'S POLICIES, AND PROVIDED TO THE FINANCE DEPARTMENT FOR INCLUSION IN THE NEXT PAY CYCLE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 502,538. MANAGEMENT AND GENERAL EXPENSES 90,144. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 592,682. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,716. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,716. FORM 990, PART XII, LINE 2C: THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PREVIOUS YEAR.