2012-11-12T13:48:28-06:00 2011-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 070681739 990 2011-01-01 222747589 NEWARK COMMUNITY HEALTH CENTER INC NEWA 9734831300 741 BROADWAY NEWARK NJ 07104 DR PAMELA CLARKE PHD MBA 9734831300 2012-11-07 1 THOMAS LANNING P00851654 9732283500 2011 2016-02-24 21:20:13Z DR PAMELA CLARKE PHD M 741 BROADWAY NEWARK NJ 07104 18515244 0 X WWW.NCHCFQHC.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 11 260 6 0 0 7598208 8192717 8783057 10055695 4579 2150 127916 264682 16513760 18515244 383938 102383 0 0 11151427 12918458 0 0 0 5139233 5904644 16674598 18925485 -160838 -410241 6330660 6765696 2016797 2862074 4313863 3903622 TO OPERATE A FEDERALLY QUALIFIED HEALTH CENTER AND PROVIDE HEALTH CARE SERVICES TO ECONOMICALLY DISADVANTAGED INDIVIDUALS IN THIS AREA. 0 0 13030994 102383 10320377 PROVIDE MEDICAL, DENTAL AND OTHER HEALTH SERVICES TO THE LARGELY MEDICALLY UNDERSERVED/UNINSURED POPULATION. 1024832 0 PROVIDE MEDICAL, DENTAL, NUTRITIONAL AND COUNSELING SERVICES TO THE HIV POPULATION 1507833 0 INCREASE CAPACITY AND ENHANCE INFRASTRUCTURE IN EXISTING HEALTH CENTER LOCATIONS/SITES 15563659 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 5 0 1 260 0 0 0 0 0 0 0 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 LOPEZ-TORRES 1.00 X 0 0 0 CHRISTINIA HALL 1.00 X 0 0 0 CREIG K JACKSON 1.00 X 0 0 0 DENISE FYFFE PHD 1.00 X X 0 0 0 DIANE R BROWN PHD 1.00 X 0 0 0 JAMES CLARK 1.00 X X 0 0 0 JENNIE ORTIZ 1.00 X 0 0 0 MICHAEL MOORE 1.00 X X 0 0 0 OBED PRINVIL 1.00 X 0 0 0 OMAR BEY 1.00 X X 0 0 0 JEAN JEAN 40.00 X 2462 0 0 NAVEEN ELKHOLY 40.00 X 156264 0 27135 PAMELA CLARKE PHD MBA 40.00 X 188868 0 12497 RAUL DEOCERA CPA 40.00 X 30665 0 0 AMELIA BLISSETT 40.00 X 170289 0 11462 NORMA MILANES-ROBERTS 40.00 X 193575 0 23992 PADMA SIRIPURAPU 40.00 X 166041 0 38984 SHARON JOHNSON-BLOUNT 40.00 X 190544 0 39901 WILLIAM LAGRADA 40.00 X 176299 0 25173 1275007 0 179144 19 0 1 0 0 5512670 2680047 919864 8192717 MEDICAID MANAGED CARE 621400 3472228 3472228 NEW JERSEY UNCOMPENSAT 621400 2842039 2842039 MEDICAID 621400 1822475 1822475 SELF-PAY 621400 1203776 1203776 MEDICARE 621400 362179 362179 352998 352998 10055695 2150 2150 MEDICAID 621400 148750 148750 OTHER INCOME 621400 100432 100432 NJ HITEC 621400 15500 15500 264682 18515244 10320377 0 2150 102383 102383 417891 339127 78764 10393020 8434146 1958874 187053 151797 35256 1920494 1558520 361974 87115 70694 16421 88607 71905 16702 94475 83280 11195 1140852 919216 221636 460671 359551 101120 447564 363197 84367 91333 91333 27715 27715 455957 369954 86003 111760 90695 21065 MEDICAL AND LAB SUPPLIE 920803 920803 DONATED VACCINES 919864 919864 PROVISION FOR BAD DEBT 578663 578663 EQUIPMENT RENTAL AND MA 168949 137106 31843 310316 92758 217558 18925485 15563659 3361826 0 566958 253202 483770 271484 1280110 1025127 23545 191887 8076911 3506436 3144880 4570475 809305 431429 22092 22092 6330660 6765696 655839 1325697 311926 213988 1049032 1322389 2016797 2862074 X 4313863 3903622 4313863 3903622 6330660 6765696 -410241 0 X X 0 1 1 X 1 1 X 4483070 3801378 5127705 7598208 8192717 29203078 325125 325125 197525 270900 261000 1379675 4808195 4126503 5325230 7869108 8453717 30582753 30582753 37598 18867 5991 4579 2150 69185 346402 68121 87775 127916 264682 894896 31546834 43734595 0.96940 0.97300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3981813 1336675 2645138 1280355 936054 344301 2040336 1233707 806629 774407 774407 4570475 DEFERRED RENT 82848 CURRENT PORTION OF DUE TO STATE OF NEW JERSEY 60000 ACCRUED PAYROLL AND EMPLOYEE BENEFITS 848112 DUE TO STATE OF NEW JERSEY 31429 LINE OF CREDIT 300000 1322389 18515244 18925485 -410241 -410241 18776244 261000 261000 18515244 0 18515244 19186485 261000 261000 18925485 0 18925485 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 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. 0 PATERSON HEALTH CENTER INC 32 CLINTON STREET PATERSON NJ 07522 222290124 501(C)3 35160 GRANT 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 STREET UNION CITY NJ 07087 221818699 501(C)3 67223 GRANT FOR IMPROVING THE QUALITY OF CARE OF THE UNDERSERVED POPULATIONS BY IMPLEMENTING A HIGH-IMPACT ELECTRONIC HEALTH RECORD (HER) SYSTEM. FORM 990, SCHEDULE I PART II, LINE 1A NCHC 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. X X X 0 0 0 0 0 0 0 0 0 NAVEEN ELKHOLY 156264 0 0 0 0 0 4860 0 22275 0 183399 0 0 0 PAMELA CLARKE PHD MBA 188868 0 0 0 0 0 5004 0 7493 0 201365 0 0 0 AMELIA BLISSETT 170289 0 0 0 0 0 3970 0 7492 0 181751 0 0 0 NORMA MILANES-ROBERTS 193575 0 0 0 0 0 16500 0 7492 0 217567 0 0 0 PADMA SIRIPURAPU 166041 0 0 0 0 0 16500 0 22484 0 205025 0 0 0 SHARON JOHNSON-BLOUNT 190544 0 0 0 0 0 16500 0 23401 0 230445 0 0 0 WILLIAM LAGRADA 176299 0 0 0 0 0 22000 0 3173 0 201472 0 0 0 X 1 919864 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 ELIMINATION OF COO, CREATION OF VICE PRESIDENT FOR ADMINISTRATIVE SERVICES POSITION TO FACILITATE SMOOTH AND EFFICIENT OPERATIONS. 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. 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. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS AN AUDIT COMMITTEE. THIS PROCESS HAS NOT CHANGED FROM LAST YEAR.