2013-11-15T09:34:54-06:00 2012-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 070681739 990 2012-01-01 222747589 NEWARK COMMUNITY HEALTH CENTER INC NEWA 9734831300 741 BROADWAY NEWARK NJ 07104 DR PAMELA CLARKE PHD MBA 9734831300 2013-11-14 1 THOMAS LANNING P00851654 9732283500 2012 2016-02-25 16:41:14Z DR PAMELA CLARKE PHD M 741 BROADWAY NEWARK NJ 07104 22419307 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 11 307 0 0 0 8192717 7928208 10055695 13397530 2150 1282 264682 1067225 18515244 22394245 102383 0 0 0 12918458 13258924 0 0 0 5904644 6909151 18925485 20168075 -410241 2226170 6765696 9990312 2862074 3860520 3903622 6129792 TO OPERATE A FEDERALLY QUALIFIED HEALTH CENTER AND PROVIDE HEALTH CARE SERVICES TO ECONOMICALLY DISADVANTAGED INDIVIDUALS IN THIS AREA. 0 0 15157614 14456617 PROVIDE MEDICAL, DENTAL AND OTHER HEALTH SERVICES TO THE LARGELY MEDICALLY UNDERSERVED/UNINSURED POPULATION. 1466245 PROVIDE MEDICAL, DENTAL, NUTRITIONAL AND COUNSELING SERVICES TO THE HIV POPULATION 751766 INCREASE CAPACITY AND ENHANCE INFRASTRUCTURE IN EXISTING HEALTH CENTER LOCATIONS/SITES 17375625 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 11 0 1 307 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 0 1 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 NJ X X DAVE WHITE CFO 9734831300 741 BROADWAY NEWARK NJ 07104 BEATRICE SIMPKINS 1.00 X 0 0 0 CARMEN Z LOPEZ-TORRES 1.00 X 0 0 0 CHRISTINIA HALL 1.00 X 0 0 0 CRIEG K JACKSON 1.00 X 0 0 0 DENISE C FYFFE PHD 1.00 X X 0 0 0 DIANE R BROWN PHD 1.00 X 0 0 0 DR JAMES N CLARKE 1.00 X X 0 0 0 DR OMAR BEY 1.00 X X 0 0 0 JENNIE ORTIZ 1.00 X 0 0 0 MICHAEL L MOORE ESQ 1.00 X X 0 0 0 OBED PRINVIL 1.00 X 0 0 0 PRISCILLA PRINCEWILL 1.00 X 0 0 0 CHIBEZE ACHEBE 1.00 X 0 0 0 DAVE WHITE 40.00 X 42984 0 250 HAROLD BROWN 40.00 X 119505 0 23542 JEAN JEAN 40.00 X 39385 0 0 PAMELA CLARKE PHD MBA 40.00 X 193742 0 25447 NEVEEN ELKHOLY 40.00 X 168861 0 39294 PAULINE WALKS 40.00 X 153925 0 27267 ROMMEL MONTILUS 40.00 X 147581 0 2101 SHARON JOHNSON-BLOUNT 40.00 X 195472 0 44238 EDWINA VERNER 40.00 X 155830 0 12610 RACQUEL BENFORD 0.00 X 50840 0 0 PETER VELEZ 0.00 X 83583 0 0 RACQUEL BENFORD 0.00 X 297660 0 0 PETER VELEZ 0.00 X 417917 0 0 2067285 0 174749 17 1 1 0 0 10868 4307114 3610226 1902006 7928208 MEDICAID MANAGED CARE 621400 5590190 5590190 NEW JERSEY UNCOMPENSATED CARE 621400 3172915 3172915 MEDICAID 621400 1874569 1874569 SELF-PAY 621400 1827320 1827320 PRIVATE INSURANCE 621400 551611 551611 380925 380925 13397530 1282 1282 33200 10868 25062 8138 8138 OTHER INCOME 621400 839437 839437 LABS 621400 219650 219650 1059087 22394245 14456617 0 9420 653010 545682 107328 10272652 8584243 1688409 164062 137097 26965 1204944 1006899 198045 964256 805771 158485 103874 86801 17073 102837 85935 16902 121797 101779 20018 861841 720189 141652 496308 414735 81573 221187 184833 36354 480120 393698 86422 61396 51305 10091 21684 17781 3903 620717 508988 111729 146592 122499 24093 DONATED VACCINES 1201706 1201706 PROVISION FOR BAD DEBT 1082724 1082724 MEDICAL AND LAB SUPPLIE 1000583 1000583 EQUIPMENT RENTAL AND MA 176961 147875 29086 208824 174502 34322 20168075 17375625 2792450 0 253202 761040 271484 268837 1025127 1683304 191887 472597 9839542 4116590 4570475 5722952 431429 1059490 22092 22092 6765696 9990312 1325697 1868687 213988 88065 1322389 1903768 2862074 3860520 X 3903622 6129792 3903622 6129792 6765696 9990312 2226170 0 X X 0 1 X 1 1 1 X 3894378 5127705 7598208 8192717 7917340 32730348 325125 197525 270900 261000 217336 1271886 4219503 5325230 7869108 8453717 8134676 34002234 34002234 18867 5991 4579 2150 1282 32869 68121 87775 127916 264682 1059087 1607581 35642684 49816500 0.95400 0.96940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4833277 1631389 3201888 1280355 1005620 274735 1902056 1398888 503168 1823854 80693 1743161 5722952 DEFERRED RENT 89075 CURRENT PORTION OF DUE TO STATE OF NEW JERSEY 31429 ACCRUED PAYROLL AND EMPLOYEE BENEFITS 903840 LINE OF CREDIT 285008 CONSTRCUTION LOAN 594416 1903768 X 21528857 217336 -1082724 -865388 22394245 0 22394245 19302687 217336 217336 19085351 1082724 1082724 20168075 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. ANNUAL GALA 44068 10868 33200 5000 11767 4350 3945 44068 10868 33200 5000 11767 4350 3945 25062 8138 X X X X X 1 0 0 0 0 0 0 1 0 PAMELA CLARKE PHD MBA 188742 0 5000 0 0 0 16632 0 8815 0 219189 0 0 0 NEVEEN ELKHOLY 168861 0 0 0 0 0 13769 0 25525 0 208155 0 0 0 PAULINE WALKS 153925 0 0 0 0 0 6409 0 20858 0 181192 0 0 0 SHARON JOHNSON-BLOUNT 193797 0 1675 0 0 0 17000 0 27238 0 239710 0 0 0 EDWINA VERNER 155830 0 0 0 0 0 0 0 12610 0 168440 0 0 0 RACQUEL BENFORD 0 0 0 0 50840 0 0 0 0 0 50840 0 0 0 PETER VELEZ 0 0 0 0 83583 0 0 0 0 0 83583 0 0 0 RACQUEL BENFORD 0 0 0 0 297660 0 0 0 0 0 297660 0 0 0 PETER VELEZ 0 0 0 0 417917 0 0 0 0 0 417917 0 0 0 PART I, LINE 4A PER AGREEMENT, PETER VELEZ AND RACQUEL BENFORD RECIEVED COMPENSATORY PAYMENTS OF $334,333 AND $203,360 RESPECTIVELY. 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 700300 FMV X 2 1201706 FMV 1 0 0 DESCRIPTION OF ARRANGEMENT: PART I, LINE 30B: PROPERTY MUST BE HELD AS LONG AS THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER. FORM 990, PART VI, SECTION A, LINE 4 THE 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 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. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII BEATRICE 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. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS AN AUDIT COMMITTEE. THIS PROCESS HAS NOT CHANGED FROM LAST YEAR.