NEWARK COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NEWARK COMMUNITY HEALTH CENTERS INC (EIN 22-2747589)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201303199349302805
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T09:34:54-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14 BECKER FARM ROADAddressLine1
CityROSELANDCity
StateNJState
ZIP Code070681739ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222747589EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEWARK COMMUNITY HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWANameControl
Phone9734831300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1741 BROADWAYAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR PAMELA CLARKE PHD MBAName
TitlePRESIDENT / CEOTitle
Phone9734831300Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone9732283500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR PAMELA CLARKE PHD MNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1741 BROADWAYAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22419307GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NCHCFQCH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionNEWARK 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees307TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8192717ContributionsGrantsPriorYear
Contributions Grants Current Year7928208ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10055695ProgramServiceRevenuePriorYear
Program Service Revenue CY13397530ProgramServiceRevenueCY
Investment Income Prior Year2150InvestmentIncomePriorYear
Investment Income Current Year1282InvestmentIncomeCurrentYear
Other Revenue Prior Year264682OtherRevenuePriorYear
Other Revenue Current Year1067225OtherRevenueCurrentYear
Total Revenue Prior Year18515244TotalRevenuePriorYear
Total Revenue Current Year22394245TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year102383GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12918458SalariesEtcPriorYear
Salaries Etc Current Year13258924SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5904644OtherExpensePriorYear
Other Expenses Current Year6909151OtherExpensesCurrentYear
Total Expenses Prior Year18925485TotalExpensesPriorYear
Total Expenses Current Year20168075TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-410241RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2226170RevenuesLessExpensesCY
Total Assets BOY6765696TotalAssetsBOY
Total Assets EOY9990312TotalAssetsEOY
Total Liabilities BOY2862074TotalLiabilitiesBOY
Total Liabilities EOY3860520TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3903622NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6129792NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE A FEDERALLY QUALIFIED HEALTH CENTER AND PROVIDE HEALTH CARE SERVICES TO ECONOMICALLY DISADVANTAGED INDIVIDUALS IN THIS AREA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15157614Expense
Revenue14456617Revenue
DescriptionPROVIDE MEDICAL, DENTAL AND OTHER HEALTH SERVICES TO THE LARGELY MEDICALLY UNDERSERVED/UNINSURED POPULATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1466245Expense
DescriptionPROVIDE MEDICAL, DENTAL, NUTRITIONAL AND COUNSELING SERVICES TO THE HIV POPULATIONDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense751766Expense
DescriptionINCREASE CAPACITY AND ENHANCE INFRASTRUCTURE IN EXISTING HEALTH CENTER LOCATIONS/SITESDescription
FieldValueIRS element (for citing)
Total Program Service Expense17375625TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees307NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVE WHITE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9734831300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1741 BROADWAYAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07104ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BEATRICE SIMPKINS
BOARD MEMBER1.00X000
CARMEN Z LOPEZ-TORRES
BOARD MEMBER1.00X000
CHRISTINIA HALL
BOARD MEMBER1.00X000
CRIEG K JACKSON
BOARD MEMBER1.00X000
DENISE C FYFFE PHD
TREASURER1.00X000X
DIANE R BROWN PHD
BOARD MEMBER1.00X000
DR JAMES N CLARKE
VICE-CHAIRMAN1.00X000X
DR OMAR BEY
CHAIRMAN1.00X000X
JENNIE ORTIZ
BOARD MEMBER1.00X000
MICHAEL L MOORE ESQ
SECRETARY1.00X000X
OBED PRINVIL
BOARD MEMBER1.00X000
PRISCILLA PRINCEWILL
BOARD MEMBER1.00X000
CHIBEZE ACHEBE
BOARD MEMBER1.00X000
DAVE WHITE
CFO40.00429840250X
HAROLD BROWN
VICE PRESIDENT - ADMINISTRATIVE SERVICES40.00119505023542X
JEAN JEAN
CFO40.003938500X
PAMELA CLARKE PHD MBA
PRESIDENT/CEO40.00193742025447X
NEVEEN ELKHOLY
CMO40.00168861039294X
PAULINE WALKS
PEDIATRICIAN40.00153925027267X
ROMMEL MONTILUS
IM40.0014758102101X
SHARON JOHNSON-BLOUNT
OB/GYN40.00195472044238X
EDWINA VERNER
PEDIATRICIAN40.00155830012610X
RACQUEL BENFORD
FORMER COO0.005084000X
PETER VELEZ
FORMER CEO0.008358300X
RACQUEL BENFORD
FORMER COO0.0029766000X
PETER VELEZ
FORMER CEO0.0041791700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2067285TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation174749TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events10868FundraisingEvents
Government Grants4307114GovernmentGrants
All Other Contributions3610226AllOtherContributions
Noncash Contributions1902006NoncashContributions
Total Contributions7928208TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID MANAGED CARE62140055901905590190
NEW JERSEY UNCOMPENSATED CARE62140031729153172915
MEDICAID62140018745691874569
SELF-PAY62140018273201827320
PRIVATE INSURANCE621400551611551611

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column380925TotalRevenueColumn
Related Or Exempt Function Income380925RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13397530TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1282TotalRevenueColumn
Exclusion$1,282ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events33200GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events10868CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses25062FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column8138TotalRevenueColumn
Exclusion$8,138ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME621400839437839437
LABS621400219650219650
FieldValueIRS element (for citing)
Total Other Revenue1059087TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22394245TotalRevenueColumn
Related Or Exempt Function Income14456617RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,420ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total653010Total
Program Services545682ProgramServices
Management And General107328ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10272652Total
Program Services8584243ProgramServices
Management And General1688409ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total164062Total
Program Services137097ProgramServices
Management And General26965ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1204944Total
Program Services1006899ProgramServices
Management And General198045ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total964256Total
Program Services805771ProgramServices
Management And General158485ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total103874Total
Program Services86801ProgramServices
Management And General17073ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total102837Total
Program Services85935ProgramServices
Management And General16902ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121797Total
Program Services101779ProgramServices
Management And General20018ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total861841Total
Program Services720189ProgramServices
Management And General141652ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total496308Total
Program Services414735ProgramServices
Management And General81573ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total221187Total
Program Services184833ProgramServices
Management And General36354ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total480120Total
Program Services393698ProgramServices
Management And General86422ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total61396Total
Program Services51305ProgramServices
Management And General10091ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total21684Total
Program Services17781ProgramServices
Management And General3903ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total620717Total
Program Services508988ProgramServices
Management And General111729ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total146592Total
Program Services122499ProgramServices
Management And General24093ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DONATED VACCINES12017061201706
PROVISION FOR BAD DEBT10827241082724
MEDICAL AND LAB SUPPLIE10005831000583
EQUIPMENT RENTAL AND MA17696114787529086

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total208824Total
Program Services174502ProgramServices
Management And General34322ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20168075Total
Program Services17375625ProgramServices
Management And General2792450ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY253202BOY
EOY761040EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY271484BOY
EOY268837EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1025127BOY
EOY1683304EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY191887BOY
EOY472597EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9839542LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4116590LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4570475BOY
EOY5722952EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY431429BOY
EOY1059490EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22092BOY
EOY22092EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6765696BOY
EOY9990312EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1325697BOY
EOY1868687EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY213988BOY
EOY88065EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1322389BOY
EOY1903768EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2862074BOY
EOY3860520EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3903622BOY
EOY6129792EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3903622BOY
EOY6129792EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6765696BOY
EOY9990312EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2226170ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3894378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5127705CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7598208CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8192717CurrentTaxYearMinus1Year
Current Tax Year7917340CurrentTaxYear
Total32730348Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years325125CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years197525CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years270900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year261000CurrentTaxYearMinus1Year
Current Tax Year217336CurrentTaxYear
Total1271886Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4219503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5325230CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7869108CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8453717CurrentTaxYearMinus1Year
Current Tax Year8134676CurrentTaxYear
Total34002234Total
FieldValueIRS element (for citing)
Public Support Total17034002234PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18867CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5991CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4579CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2150CurrentTaxYearMinus1Year
Current Tax Year1282CurrentTaxYear
Total32869Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68121CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87775CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years127916CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year264682CurrentTaxYearMinus1Year
Current Tax Year1059087CurrentTaxYear
Total1607581Total
FieldValueIRS element (for citing)
Total Support35642684TotalSupport
Gross Receipts From Admissions Etc49816500GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95400PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96940PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4833277OtherCostOrOtherBasis
Depreciation1631389Depreciation
Book Value3201888BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1280355OtherCostOrOtherBasis
Depreciation1005620Depreciation
Book Value274735BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1902056OtherCostOrOtherBasis
Depreciation1398888Depreciation
Book Value503168BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1823854OtherCostOrOtherBasis
Depreciation80693Depreciation
Book Value1743161BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5722952TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DEFERRED RENT$89,075
CURRENT PORTION OF DUE TO STATE OF NEW JERSEY$31,429
ACCRUED PAYROLL AND EMPLOYEE BENEFITS$903,840
LINE OF CREDIT$285,008
CONSTRCUTION LOAN$594,416
FieldValueIRS element (for citing)
Total Of Amounts1903768TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt21528857TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities217336DonatedSrvcAndUseOfFacilities
Other Revenues-1082724OtherRevenues
Revenue Not Rptd F990-865388RevenueNotRptdF990
Revenue Subtotal22394245RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99022394245TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19302687TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities217336DonatedServicesUseOfFacilities
Expenses Not Rptd F990217336ExpensesNotRptdF990
Expenses Subtotal19085351ExpensesSubtotal
Other Expenses Not Included1082724OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1082724ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020168075TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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, 2012 AND 2011. NCHC'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEARS 2009 AND 2008, 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 -1,082,724.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 1,082,724.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GALANameOfEvent1
Gross Receipts Event144068GrossReceiptsEvent1
Charitable Contributions Event110868CharitableContributionsEvent1
Gross Revenue Event133200GrossRevenueEvent1
Rent Facility Costs Event15000RentFacilityCostsEvent1
Food And Beverage Event111767FoodAndBeverageEvent1
Entertainment Event14350EntertainmentEvent1
Other Direct Expenses Event13945OtherDirectExpensesEvent1
Gross Receipts Total44068GrossReceiptsTotal
Charitable Contributions Total10868CharitableContributionsTotal
Gross Revenue Total Events33200GrossRevenueTotalEvents
Rent Facility Costs Total Events5000RentFacilityCostsTotalEvents
Food And Beverage Total Events11767FoodAndBeverageTotalEvents
Entertainment Total Events4350EntertainmentTotalEvents
Other Direct Expenses Total Events3945OtherDirectExpensesTotalEvents
Direct Expense Summary Events25062DirectExpenseSummaryEvents
Net Income Summary8138NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAMELA CLARKE PHD MBA
PRESIDENT/CEO1887420500000016632088150219189000
NEVEEN ELKHOLY
CMO16886100000137690255250208155000
PAULINE WALKS
PEDIATRICIAN1539250000064090208580181192000
SHARON JOHNSON-BLOUNT
OB/GYN19379701675000170000272380239710000
EDWINA VERNER
PEDIATRICIAN1558300000000126100168440000
RACQUEL BENFORD
FORMER COO0000508400000050840000
PETER VELEZ
FORMER CEO0000835830000083583000
RACQUEL BENFORD
FORMER COO000029766000000297660000
PETER VELEZ
FORMER CEO000041791700000417917000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4APER AGREEMENT, PETER VELEZ AND RACQUEL BENFORD RECIEVED COMPENSATORY PAYMENTS OF $334,333 AND $203,360 RESPECTIVELY.
PART I, LINE 7AMOUNTS 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.

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990700300NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9901201706NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held1AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ARRANGEMENT:Identifier
Return ReferencePART I, LINE 30B:ReturnReference
ExplanationPROPERTY MUST BE HELD AS LONG AS THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4THE BOARD MEMBERS VOTED TO AMEND ARTICLE V SECTION 4 OF THE BY-LAWS. THE TERM LIMIT FOR BOARD MEMBERS WAS CHANGED TO THREE YEAR WITH A MAXIMUM OF THREE CONSECUTIVE TERMS, OR NINE CONSECUTIVE YEARS.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CEVERY 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIIBEATRICE SIMPKINS - 60 HINRICHS PLACE, BLOOMFIELD, NJ 07003. CARMEN Z. LOPEZ-TORRES - 248 REYNOLDS TERRACE, #3J, ORANGE, NJ 08040. CHRISTINIA HALL - 16 LLEWELLYN ROAD, MONTCLAIR, NJ 07042. CRIEG K. JACKSON - 63 WEST ALBERT ST, APT B, RAHWAY, NJ 07065. DENISE C. FYFFE, PHD - KESSLER FNDN RSRCH CENTER 1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052. DIANE R. BROWN, PHD - 683 HOES LANE WEST, 310 PO BOX 9, PISCATWAY, NJ 08854. DR. JAMES N CLARKE - 90 WASHINGTON STREET, EAST ORANGE, NJ 07017. DR. OMAR BEY - 400 OSBORNE TERRACE, L13, NEWARK, NJ 07112. JENNIE ORTIZ - 409 MOUNT PROSPECT AVENUE, NEWARK, NJ 07104. MICHAEL L. MOORE, ESQ - GENOVA BURNS & GIANTOMASI 494 BROAD STREET, NEWARK, NJ 07102. OBED PRINVIL - 39 PLACE END PLACE, EAST ORGANGE, NJ 07018.CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS AN AUDIT COMMITTEE. THIS PROCESS HAS NOT CHANGED FROM LAST YEAR.

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