NEWARK COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NEWARK COMMUNITY HEALTH CENTERS INC (EIN 22-2747589)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-12
IRS object ID
201203179349302185
Schema version
2011v1.2
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)
Timestamp2012-11-12T13:48:28-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone9732283500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts18515244GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NCHCFQHC.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 Employees260TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7598208ContributionsGrantsPriorYear
Contributions Grants Current Year8192717ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8783057ProgramServiceRevenuePriorYear
Program Service Revenue CY10055695ProgramServiceRevenueCY
Investment Income Prior Year4579InvestmentIncomePriorYear
Investment Income Current Year2150InvestmentIncomeCurrentYear
Other Revenue Prior Year127916OtherRevenuePriorYear
Other Revenue Current Year264682OtherRevenueCurrentYear
Total Revenue Prior Year16513760TotalRevenuePriorYear
Total Revenue Current Year18515244TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year383938GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY102383GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11151427SalariesEtcPriorYear
Salaries Etc Current Year12918458SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5139233OtherExpensePriorYear
Other Expenses Current Year5904644OtherExpensesCurrentYear
Total Expenses Prior Year16674598TotalExpensesPriorYear
Total Expenses Current Year18925485TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-160838RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-410241RevenuesLessExpensesCY
Total Assets BOY6330660TotalAssetsBOY
Total Assets EOY6765696TotalAssetsEOY
Total Liabilities BOY2016797TotalLiabilitiesBOY
Total Liabilities EOY2862074TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4313863NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3903622NetAssetsOrFundBalancesEOY
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
Expense13030994Expense
Grants102383Grants
Revenue10320377Revenue
DescriptionPROVIDE MEDICAL, DENTAL AND OTHER HEALTH SERVICES TO THE LARGELY MEDICALLY UNDERSERVED/UNINSURED POPULATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1024832Expense
Revenue0Revenue
DescriptionPROVIDE MEDICAL, DENTAL, NUTRITIONAL AND COUNSELING SERVICES TO THE HIV POPULATIONDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1507833Expense
Revenue0Revenue
DescriptionINCREASE CAPACITY AND ENHANCE INFRASTRUCTURE IN EXISTING HEALTH CENTER LOCATIONS/SITESDescription
FieldValueIRS element (for citing)
Total Program Service Expense15563659TotalProgramServiceExpense
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 Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees260NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
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 (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BEATRICE SIMPKINS
BOARD MEMBER1.00X000
CARMEN LOPEZ-TORRES
BOARD MEMBER1.00X000
CHRISTINIA HALL
BOARD MEMBER1.00X000
CREIG K JACKSON
BOARD MEMBER1.00X000
DENISE FYFFE PHD
TREASURER1.00X000X
DIANE R BROWN PHD
BOARD MEMBER1.00X000
JAMES CLARK
VICE-CHAIRMAN1.00X000X
JENNIE ORTIZ
BOARD MEMBER1.00X000
MICHAEL MOORE
SECRETARY1.00X000X
OBED PRINVIL
BOARD MEMBER1.00X000
OMAR BEY
CHAIRMAN1.00X000X
JEAN JEAN
CFO40.00246200X
NAVEEN ELKHOLY
CMO40.00156264027135X
PAMELA CLARKE PHD MBA
PRESIDENT/CEO40.00188868012497X
RAUL DEOCERA CPA
CFO40.003066500X
AMELIA BLISSETT
OB/GYN40.00170289011462X
NORMA MILANES-ROBERTS
OB/GYN40.00193575023992X
PADMA SIRIPURAPU
EMPLOYEE40.00166041038984X
SHARON JOHNSON-BLOUNT
OB/GYN40.00190544039901X
WILLIAM LAGRADA
IM40.00176299025173X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1275007TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation179144TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants5512670GovernmentGrants
All Other Contributions2680047AllOtherContributions
Noncash Contributions919864NoncashContributions
Total Contributions8192717TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID MANAGED CARE62140034722283472228
NEW JERSEY UNCOMPENSAT62140028420392842039
MEDICAID62140018224751822475
SELF-PAY62140012037761203776
MEDICARE621400362179362179

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column352998TotalRevenueColumn
Related Or Exempt Function Income352998RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10055695TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2150TotalRevenueColumn
Exclusion$2,150ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID621400148750148750
OTHER INCOME621400100432100432
NJ HITEC6214001550015500
FieldValueIRS element (for citing)
Total Other Revenue264682TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18515244TotalRevenueColumn
Related Or Exempt Function Income10320377RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,150ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total102383Total
Program Services102383ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total417891Total
Program Services339127ProgramServices
Management And General78764ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10393020Total
Program Services8434146ProgramServices
Management And General1958874ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total187053Total
Program Services151797ProgramServices
Management And General35256ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1920494Total
Program Services1558520ProgramServices
Management And General361974ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total87115Total
Program Services70694ProgramServices
Management And General16421ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total88607Total
Program Services71905ProgramServices
Management And General16702ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total94475Total
Program Services83280ProgramServices
Management And General11195ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1140852Total
Program Services919216ProgramServices
Management And General221636ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total460671Total
Program Services359551ProgramServices
Management And General101120ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total447564Total
Program Services363197ProgramServices
Management And General84367ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total91333Total
Management And General91333ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total27715Total
Management And General27715ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total455957Total
Program Services369954ProgramServices
Management And General86003ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total111760Total
Program Services90695ProgramServices
Management And General21065ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL AND LAB SUPPLIE920803920803
DONATED VACCINES919864919864
PROVISION FOR BAD DEBT578663578663
EQUIPMENT RENTAL AND MA16894913710631843

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total310316Total
Program Services92758ProgramServices
Management And General217558ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18925485Total
Program Services15563659ProgramServices
Management And General3361826ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY566958BOY
EOY253202EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY483770BOY
EOY271484EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1280110BOY
EOY1025127EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23545BOY
EOY191887EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8076911LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3506436LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3144880BOY
EOY4570475EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY809305BOY
EOY431429EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22092BOY
EOY22092EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6330660BOY
EOY6765696EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY655839BOY
EOY1325697EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY311926BOY
EOY213988EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1049032BOY
EOY1322389EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2016797BOY
EOY2862074EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4313863BOY
EOY3903622EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4313863BOY
EOY3903622EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6330660BOY
EOY6765696EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-410241ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years4483070CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3801378CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5127705CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7598208CurrentTaxYearMinus1Year
Current Tax Year8192717CurrentTaxYear
Total29203078Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years325125CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years325125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years197525CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year270900CurrentTaxYearMinus1Year
Current Tax Year261000CurrentTaxYear
Total1379675Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4808195CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4126503CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5325230CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7869108CurrentTaxYearMinus1Year
Current Tax Year8453717CurrentTaxYear
Total30582753Total
FieldValueIRS element (for citing)
Public Support Total17030582753PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37598CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4579CurrentTaxYearMinus1Year
Current Tax Year2150CurrentTaxYear
Total69185Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years346402CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68121CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87775CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year127916CurrentTaxYearMinus1Year
Current Tax Year264682CurrentTaxYear
Total894896Total
FieldValueIRS element (for citing)
Total Support31546834TotalSupport
Gross Receipts From Admissions Etc43734595GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.96940PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97300PublicSupportPertcentPriorYear
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 Basis3981813OtherCostOrOtherBasis
Depreciation1336675Depreciation
Book Value2645138BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1280355OtherCostOrOtherBasis
Depreciation936054Depreciation
Book Value344301BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2040336OtherCostOrOtherBasis
Depreciation1233707Depreciation
Book Value806629BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis774407OtherCostOrOtherBasis
Book Value774407BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4570475TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DEFERRED RENT$82,848
CURRENT PORTION OF DUE TO STATE OF NEW JERSEY$60,000
ACCRUED PAYROLL AND EMPLOYEE BENEFITS$848,112
DUE TO STATE OF NEW JERSEY$31,429
LINE OF CREDIT$300,000
FieldValueIRS element (for citing)
Total Of Amounts1322389TotalOfAmounts
Total Revenue18515244TotalRevenue
Total Expenses18925485TotalExpenses
Excess Or Deficit For Year-410241ExcessOrDeficitForYear
Excess Or Deficit Per FS-410241ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18776244TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities261000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990261000RevenueNotRptdF990
Revenue Subtotal18515244RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018515244TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19186485TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities261000DonatedServicesUseOfFacilities
Expenses Not Rptd F990261000ExpensesNotRptdF990
Expenses Subtotal18925485ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018925485TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationNCHC 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 FILED ALL REQUIRED PAYROLL TAX RETURNS AND PAYROLL TAXES DUE HAVE BEEN PAID. NCHC HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2011 AND 2010. NCHC'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEARS 2008 AND 2007, RESPECTIVELY, ARE CLOSED AND AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
PATERSON HEALTH CENTER INC
32 CLINTON STREETPATERSONNJ07522222290124501(C)335160GRANT FOR IMPROVING THE QUALITY OF CARE OF THE UNDERSERVED POPULATIONS BY IMPLEMENTING A HIGH-IMPACT ELECTRONIC HEALTH RECORD (HER) SYSTEM.
NORTH HUDSON COMMUNITY ACTION CORPORATION
800 31ST STREETUNION CITYNJ07087221818699501(C)367223GRANT FOR IMPROVING THE QUALITY OF CARE OF THE UNDERSERVED POPULATIONS BY IMPLEMENTING A HIGH-IMPACT ELECTRONIC HEALTH RECORD (HER) SYSTEM.

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE I PART II, LINE 1AIdentifier
ExplanationNCHC RECEIVED A GRANT FROM HRSA FOR ELECTRONIC RECORD INITIATIVE. RECEIPT OF THIS GRANT WAS MADE WITH THE UNDERSTANDING THAT SOME AMOUNTS WOULD BE APPROPRIATED TO DIFFERENT HEALTH CENTERS FOR THEIR ELECTRONIC RECORDS IMPLEMENTATION. THE AMOUNTS PAID TO PATERSON HEALTH CENTER AND NORTH HUDSON COMMUNITY ACTION CORPORATION WERE IN SATISFACTION OF THIS UNDERSTANDING.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base 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
NAVEEN ELKHOLY
1562640000048600222750183399000
PAMELA CLARKE PHD MBA
188868000005004074930201365000
AMELIA BLISSETT
170289000003970074920181751000
NORMA MILANES-ROBERTS
1935750000016500074920217567000
PADMA SIRIPURAPU
16604100000165000224840205025000
SHARON JOHNSON-BLOUNT
19054400000165000234010230445000
WILLIAM LAGRADA
1762990000022000031730201472000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990919864NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4ELIMINATION OF COO, CREATION OF VICE PRESIDENT FOR ADMINISTRATIVE SERVICES POSITION TO FACILITATE SMOOTH AND EFFICIENT OPERATIONS.
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. DENISE FYFFE, PHD - KESSLER FOUNDATION RESEARCH CENTER 1199 PLEASANT VALLEY WEST ORANGE, NJ 07052. JAMES CLARK - 90 WASHINGTON STREET, EAST ORANGE, NJ 07017. MICHAEL MOORE - GENOVA BURNS & GIANTOMASI 494 BROAD STREET, NEWARK, NJ 07102. OMAR BEY - 400 OSBORNE TERRACE, L3, NEWARK, NJ 07112.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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