2013-04-22T14:38:07-05:00 2012-06-30 521392008 GELMAN ROSENBERG & FREEDMAN 4550 MONTGOMERY AVE SUITE 650N BETHESDA MD 208142930 990 2011-07-01 520939952 NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS INC NATI 3013470400 7501 WISCONSIN AVENUE NO 1100W BETHESDA MD 20814 MARY HAWBECKER 3013470400 2013-04-22 1 3019519090 2011 2016-03-07 17:11:31Z X THOMAS J VAN COVERDEN 7501 WISCONSIN AVENUE NO 1100W BETHESDA MD 20814 32527085 0 X WWW.NACHC.ORG X 1972 DC SEE PART III, LINE 1. 33 33 100 33 41202 0 15784560 15712672 16559730 16580406 10637 6917 164700 227090 32519627 32527085 0 0 0 0 13807064 13251747 0 0 348340 17767743 18160003 31574807 31411750 944820 1115335 16000776 19285148 11944797 14113834 4055979 5171314 TO PROMOTE THE PROVISION OF HIGH QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTH CARE THAT IS COORDINATED, CULTURALLY AND LINGUISTICALLY COMPETENT, AND COMMUNITY DIRECTED FOR ALL MEDICALLY UNDERSERVED POPULATIONS. 0 0 13592939 1970571 FOR PURPOSES OF STRENGTHENING OPERATIONAL PERFORMANCE AND CLINICAL EFFECTIVENESS, PROVIDED TECHNICAL ASSISTANCE AND EDUCATIONAL TRAINING TO COMMUNITY HEALTH CENTER ADMINISTRATIVE, MANAGEMENT AND CLINICAL STAFF, AS WELL AS COMMUNITY BOARD MEMBERS, IN AREAS SURROUNDING FINANCIAL MANAGEMENT, CLINICAL OPERATIONS, HEALTH INFORMATION TECHNOLOGY, WORKFORCE AND LEADERSHIP DEVELOPMENT, AND NON-PROFIT GOVERNANCE. THIS ACTIVITY WAS FUNDED BY GRANTS AND CONTRACTS WITH THE FEDERAL GOVERNMENT AND PRIVATE FOUNDATIONS. 14525934 14609835 THROUGH PUBLICATIONS, CONFERENCES AND TOPIC-SPECIFIC SEMINARS, DEVELOPED AND DISSEMINATED PROGRAMMATIC, REGULATORY AND RESEARCH INFORMATION ON ISSUES AFFECTING COMMUNITY-BASED HEALTH CENTER PROGRAMS AND THE DELIVERY OF PRIMARY AND PREVENTIVE CARE TO MEDICALLY UNDERSERVED POPULATIONS. BOTH MEMBERS AND NON-MEMBERS ATTEND CONFERENCES AND SEMINARS. 28118873 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 68 0 1 100 1 1 1 0 0 0 0 0 0 0 0 0 X 33 33 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X MARY L HAWBECKER 3013470400 7501 WISCONSIN AVENUE SUITE 1100W BETHESDA MD 20814 KAUILA CLARK 1.00 X X 0 0 0 GARY WILTZ 1.00 X X 0 0 0 ANITA MONOIAN 1.00 X X 0 0 0 JAMES LUISI 1.00 X X 0 0 0 LATHRAN J WOODARD 1.00 X X 0 0 0 RICARDO GUZMAN 1.00 X X 0 0 0 JOHN MENGENHAUSEN 1.00 X X 0 0 0 MICHAEL A WURTSMITH 1.00 X 0 0 0 RACHEL A GONZALES-HANSON 1.00 X 0 0 0 FRANCES M ANTHES 1.00 X 0 0 0 TESS STACK KUENNING 1.00 X 0 0 0 PALOMA HERNANDEZ 1.00 X 0 0 0 ISOLINA MIRANDA 1.00 X 0 0 0 PATRICIA DEITCH 1.00 X 0 0 0 VINCENT A KEANE 1.00 X 0 0 0 MARY BUFWACK 1.00 X 0 0 0 ROLAND J GARDNER 1.00 X 0 0 0 BERNEICE MILLS-THOMAS 1.00 X 0 0 0 FORREST OLSON 1.00 X 0 0 0 SIP MOUDEN 1.00 X 0 0 0 DAVID B VLIET 1.00 X 0 0 0 DENNIS W KRUSE 1.00 X 0 0 0 SUSETTE M SCHWARTZ 1.00 X 0 0 0 PAM LOCKEN 1.00 X 0 0 0 STANLEY J BRASHER 1.00 X 0 0 0 WILLIAM D HOBSON JR 1.00 X 0 0 0 AVEIN SAATY-TAFOYA 1.00 X 0 0 0 LESLYN PHELPS 1.00 X 0 0 0 THOMAS TROMPETER 1.00 X 0 0 0 GRACE WANG 1.00 X 0 0 0 KEITH HORWOOD 1.00 X 0 0 0 RITA SORRENTO 1.00 X 0 0 0 ROSETTA MINNEFIELD 1.00 X 0 0 0 THOMAS J VAN COVERDEN 40.00 X 1048162 0 -111004 L DAVID TAYLOR 40.00 X 434600 0 27733 MARY L HAWBECKER 40.00 X 417920 0 38341 DANIEL HAWKINS 40.00 X 386844 0 67418 JOSEPH GALLEGOS 40.00 X 313501 0 31890 TOM CURTIN 40.00 X 241969 0 17331 CLAUDIA GIBSON 40.00 X 276657 0 39738 BRUCE STURM 40.00 X 264625 0 26625 SHAWN FRICK 40.00 X 229475 0 23670 3613753 0 161742 30 0 1 0 US STRATEGIES CORPORATION 1055 N FAIRFAX DR ALEXANDRIA VA 33401 CONSULTING & ADVOCACY 480000 FELDESMAN TUCKER LEIFER FEIDELL & BAN 2001 L ST NW 300 WASHINGTON DC 20052 LEGAL CONSULTING / TECHNICAL ASSISTANCE 428163 MARTIN BLANCK & ASSOCIATES 2034 EISENHOWER AVE SUITE 270 ALEXANDRIA VA 22314 TECH. ASST. & CLINICAL, PCA NETWORK MGMT 364794 COMMUNITY HEALTH ASSOCIATES 22811 GREATER MACK AVE ST CLAIR SHORES MI 48080 CONSULTING & ADVOCACY 300000 GEORGE WASHINGTON UNIVERSITY 2100 M STREET WASHINGTON DC 20052 TECH. ASST & CLINICAL PROGRAM MGMT 277153 14 12882283 2830389 15712672 MEMBERSHIP DUES 900099 11101388 11101388 CONF./CONVENTIONS 900099 4943113 4943113 PUBLICATIONS 900099 234693 193491 41202 HEALTH CENTER FEES 900099 123051 123051 CONSULTING 900099 82568 82568 95593 95593 16580406 6917 6917 227090 227090 32527085 16539204 41202 234007 2342896 1357258 985638 20200 20200 8228357 6873025 1133869 221463 344860 393929 -60142 11073 1670514 1247380 378173 44961 644920 505061 126246 13613 454036 419279 31523 3234 45327 37776 6848 703 680000 680000 4406245 4400094 4090 2061 666419 617977 43458 4984 188404 157100 28392 2912 1353921 1128358 204577 20986 855628 841432 726 13470 2807621 2806592 656 373 770 642 116 12 273319 227784 41299 4236 36891 30745 5574 572 SUBCONTRACTS 5342486 5342486 PRINTING & PUBLICATIONS 380337 376793 3079 465 CREDIT CARD FEES 184818 184818 DUES & SUBSCRIP. 144725 141980 1624 1121 339056 328164 8791 2101 31411750 28118873 2944537 348340 1189 1189 9038639 10846846 5002971 4731635 187301 374815 53987 50732 501140 262484 3395446 1273646 353585 2121800 716642 673599 145322 222048 16000776 19285148 6225407 5884088 4774655 4883134 118626 618629 826109 2727983 11944797 14113834 X 4055979 5171314 4055979 5171314 16000776 19285148 1115335 0 X 0 1 1 X 1 1 X 13550265 13534914 13323871 15784560 15712672 71906282 13550265 13534914 13323871 15784560 15712672 71906282 39983 71866299 279413 193554 177354 175337 234007 1059665 1506 33401 34907 73000854 77904555 0.98450 0.98120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22527 967473 990000 30421750 31411750 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 680000 820000 760000 990000 3250000 250000 250000 250000 250000 1000000 1500000 673 11644 9617 22527 44461 1 118629 500000 618629 1 1968084 121559 1846525 922691 687182 235509 504671 464905 39766 2121800 COMMUNITY HEALTH CENTER RELIEF FUND 8376 REFUNDABLE ADVANCES 681630 DEFERRED IMPROVEMENT ALLOWANCE 1846525 DEFERRED RENT ABATEMENT 191452 2727983 32527085 31411750 1115335 1115335 32474436 0 32474436 52649 52649 32527085 31359101 0 31359101 52649 52649 31411750 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN JUNE 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) RELEASED FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES. FOR THE YEARS ENDED JUNE 30, 2012 AND 2011, NACHC HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE IRS FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER IT IS FILED. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE 52,649. REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE ON FORM 990. PART XIII, LINE 4B - OTHER ADJUSTMENTS: EXHIBITOR COMMISSION EXPENSE NETTED AGAINST CONFERENCE 52,649. REVENUE ON FINANCIAL STATEMENTS AND REPORTED AS EXPENSE ON FORM 990. X X X X X 1 0 0 0 0 0 0 0 0 THOMAS J VAN COVERDEN 626108 0 310592 0 111462 0 -130922 0 19918 0 937158 0 0 0 L DAVID TAYLOR 323933 0 57575 0 53092 0 7399 0 20334 0 462333 0 0 0 MARY L HAWBECKER 311473 0 52421 0 54026 0 9952 0 28389 0 456261 0 0 0 DANIEL HAWKINS 315242 0 58027 0 13575 0 6565 0 60853 0 454262 0 0 0 JOSEPH GALLEGOS 264318 0 20208 0 28975 0 12635 0 19255 0 345391 0 0 0 TOM CURTIN 136823 0 2054 0 103092 0 5055 0 12276 0 259300 0 0 0 CLAUDIA GIBSON 245769 0 12612 0 18276 0 11849 0 27889 0 316395 0 0 0 BRUCE STURM 253750 0 12500 0 -1625 0 6438 0 20187 0 291250 0 0 0 SHAWN FRICK 210000 0 20000 0 -525 0 4583 0 19087 0 253145 0 0 0 PART I, LINE 4A TOM CURTIN RECEIVED SEVERANCE PAYMENTS OF $84,858 DURING 2011. THIS AMOUNT IS INCLUDED IN PART II, COLUMN (B)(III). FORM 990, PART VI, SECTION A, LINE 6 NACHC'S MEMBERS HAVE THE RIGHT TO ELECT MEMBERS TO NACHC'S GOVERNING BOARD. THERE ARE NOT DIFFERENT CLASSES OF MEMBERS. NACHC HAS THE FOLLOWING MEMBERSHIP CATEGORIES: ORGANIZATIONAL MEMBERS - FEDERALLY QUALIFIED HEALTH CENTERS OR FQHC LOOK-A-LIKES (ONLY MEMBERSHIP CATEGORY WITH VOTING RIGHTS) ASSOCIATE MEMBERS - NOT FOR PROFIT ORGANIZATIONS SUPPORTING FQHC'S WITH A SIMILAR MISSION NETWORK MEMBERS - HEALTH CENTER LED NETWORKS INDIVIDUAL MEMBERSHIP - OPEN TO ALL FORM 990, PART VI, SECTION A, LINE 7A THE HOUSE OF DELEGATES ELECTS THE OFFICERS OF THE ASSOCIATION, REVIEWS AND APPROVES AN ANNUAL REPORT FROM THE BOARD, AND TAKES OTHER ACTIONS AND ACTIVITIES AS MAY BE REQUIRED BY THE BYLAWS. ALL ELECTIONS AND ALL MATTERS BROUGHT BEFORE THE HOUSE OF DELEGATES, EXCEPT BYLAWS AND AMENDMENTS AND DISSOLUTION, ARE DECIDED BY MAJORITY VOTE OF THE ORGANIZATIONAL MEMBERS PRESENT AT THE HOUSE OF DELEGATES. FORM 990, PART VI, SECTION A, LINE 7B ALL ELECTIONS AND ALL MATTERS BROUGHT BEFORE THE HOUSE OF DELEGATES, EXCEPT BYLAWS, AMENDMENTS AND DISSOLUTION, ARE DECIDED BY MAJORITY VOTE OF THE ORGANIZATIONAL MEMBERS PRESENT AT THE HOUSE OF DELEGATES. FORM 990, PART VI, SECTION B, LINE 11 THE NACHC BOARD HAS APPOINTED THE AUDIT COMMITTEE TO REVIEW THE 990 PRIOR TO ITS FILING WITH THE IRS. THE AUDIT COMMITTEE CHAIR PRESENTED THE 990 TO THE EXECUTIVE COMMITTEE. OTHERS CAN REQUEST A COPY OF THE 990. FORM 990, PART VI, SECTION B, LINE 12C NACHC HAS A CONFLICT OF INTEREST POLICY, THE PRIMARY PURPOSE OF WHICH IS TO PROVIDE GUIDANCE TO EMPLOYEES, AGENTS, OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF NACHC TO AVOID: (1) USING THEIR POSITIONS FOR PURPOSES THAT ARE MOTIVATED BY A DESIRE FOR PRIVATE FINANCIAL OR OTHER GAIN FOR THEMSELVES OR OTHERS SUCH AS THOSE WITH WHOM THEY HAVE FAMILY, BUSINESS, OR OTHER TIES; AND (2) VIOLATING THEIR DUTY TO NACHC BY INAPPROPRIATELY DISCLOSING CONFIDENTIAL INFORMATION ABOUT NACHC. THE POLICY IS SIGNED BY THE INDIVIDUAL AND UPDATED EVERY TWO YEARS. THE POLICY REQUIRES THAT ANY CONFLICT OF INTEREST BE DISCLOSED IMMEDIATELY UPON ITS IDENTIFICATION. FORM 990, PART VI, SECTION B, LINE 15 THE NACHC BOARD HAS ADOPTED A "COMPENSATION PHILOSOPHY" AND HAS APPOINTED A "COMPENSATION COMMITTEE" TO OVERSEE THE CEO'S AND EXECUTIVE TEAM'S COMPENSATION. EVERY THREE TO FIVE YEARS, THE COMPENSATION COMMITTEE CHAIR CONTRACTS WITH A COMPENSATION SPECIALIST TO PERFORM AN IN-DEPTH REVIEW OF EXECUTIVE COMPENSATION AND DETERMINE THAT COMPENSATION IS REASONABLE AND CONSISTENT WITH THE "COMPENSATION PHILOSOPHY". ON AN ANNUAL BASIS, PRIOR TO ADJUSTMENTS OR BONUSES, THE CHAIR RECEIVES AN UPDATE OF THE REPORT TO ENSURE THAT OVERALL COMPENSATION IS REASONABLE. THE COMPENSATION COMMITTEE REPORTS TO THE EXECUTIVE COMMITTEE AND THE EXECUTIVE COMMITTEE GIVES A SUMMARY TO THE FULL BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE APPROVES THE CEO'S AND CFO'S COMPENSATION ON AN ANNUAL BASIS. THE CEO APPROVES THE COMPENSATION FOR THE EXECUTIVE TEAM. THE LAST COMPENSATION REVIEW TOOK PLACE IN MAY 2012. FORM 990, PART VI, SECTION C, LINE 19 THE BYLAWS AND ANNUAL REPORT ARE INCLUDED ON THE NACHC WEBSITE AT WWW.NACHC.COM. ALL OTHER DOCUMENTS ARE MADE AVAILABLE UPON REQUEST THROUGH OUR COMMUNICATIONS DIVISION OR BY CONTACTING THE CFO. FORM 990, PART IX, LINE 8: NEGATIVE PENSION EXPENSE - WHEN NACHC UPDATED THE 403(B) PLAN DOCUMENT IN ORDER TO BE IN COMPLIANCE WITH THE NEW ERISA REQUIREMENTS, IT WAS NOTED THAT THE PREVIOUS BROKER WAS NOT PERFORMING TESTING RELATED TO THE 401(A)(17) COMPENSATION LIMITS. CONSEQUENTLY, SOME EMPLOYEES HAD RECEIVED EXCESS CONTRIBUTIONS. UPON A DETAILED REVIEW BY AN ERISA ATTORNEY, IT WAS DETERMINED THAT THE ISSUES IDENTIFIED DID NOT CONSTITUTE A MAJOR FAILURE AND, THEREFORE, NACHC SHOULD PROCEED ON A PATH OF SELF-CORRECTION. AFTER ESTABLISHING A REASONABLE APPROACH FOR DETERMINING EARNINGS ON EXCESS CONTRIBUTIONS, NACHC PROCESSED THE FORFEITURES AND DEDUCTED THE EXCESS CONTRIBUTIONS FROM THE INDIVIDUAL ACCOUNTS THAT WERE IMPACTED, THUS RESULTING IN A NEGATIVE RETIREMENT EXPENSE FOR THOSE EMPLOYEES. THE NACHC EXECUTIVE AND COMPENSATION COMMITTEES RECOMMENDED TO THE NACHC BOARD THAT IMPACTED EMPLOYEES RECEIVE A BONUS FOR THE AMOUNTS FORFEITED, GIVEN THAT IT WAS THE INTENTION OF NACHC FOR THESE EMPLOYEES TO RECEIVE THIS COMPENSATION.