NATIONAL INSTITUTE FOR CHILDRENS HEALTH QUALITY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NATIONAL INSTITUTE FOR CHILDRENS HEALTH QUALITY INC (EIN 01-0647374)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-15
IRS object ID
201222289349301207
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)
Timestamp2012-08-15T08:47:28-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042571780EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER ARONSON FINNING & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121 EAST MAIN STAddressLine1
CityWESTBOROUGHCity
StateMAState
ZIP Code01581ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010647374EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NATIONAL INITIATIVE FOR CHILDREN'SBusinessNameLine1
Business Name Line2HEALTHCARE QUALITYINCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNATINameControl
Phone6173912702Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREET 6TH FLOORAddressLine1
CityBOSTONCity
StateMAState
ZIP Code021084720ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES HOMERName
TitleCEOTitle
Phone6173912707Phone
Date Signed2012-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY CICOLINI CPAName
PTINP00837468PTIN
Phone5083669100Phone
Date Prepared2012-08-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES HOMERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line130 WINTER STREET 6TH FLOORAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02108ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7124437GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NICHQ.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionIMPROVEMENT OF CHILDREN'S HEALTHCARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees44TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4425561ContributionsGrantsPriorYear
Contributions Grants Current Year7113189ContributionsGrantsCurrentYear
Program Service Revenue Prior Year355989ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year9046InvestmentIncomePriorYear
Investment Income Current Year7287InvestmentIncomeCurrentYear
Other Revenue Prior Year20285OtherRevenuePriorYear
Other Revenue Current Year3961OtherRevenueCurrentYear
Total Revenue Prior Year4810881TotalRevenuePriorYear
Total Revenue Current Year7124437TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1846767SalariesEtcPriorYear
Salaries Etc Current Year2358105SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2564209OtherExpensePriorYear
Other Expenses Current Year3795943OtherExpensesCurrentYear
Total Expenses Prior Year4410976TotalExpensesPriorYear
Total Expenses Current Year6154048TotalExpensesCurrentYear
Revenues Less Expenses Prior Year399905RevenuesLessExpensesPriorYear
Revenues Less Expenses CY970389RevenuesLessExpensesCY
Total Assets BOY2132645TotalAssetsBOY
Total Assets EOY3224836TotalAssetsEOY
Total Liabilities BOY515201TotalLiabilitiesBOY
Total Liabilities EOY637003TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1617444NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2587833NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE PURPOSE OF THE ORGANIZATION IS TO ENGAGE IN THE FOLLOWING ACTIVITIES:EDUCATIONAL AND RESEARCH ACTIVITIES FOR THE IMPROVEMENT OF CHILDREN'S HEALTHCARE QUALITY, INCLUDING (1) RESEARCH INTO EFFECTIVE METHODS OF DELIVERY AND IMPROVEMENT OF CHILDREN'S HEALTHCARE (2) PROVISION OF EDUCATIONAL SERVICES TO CLINICIANS AND HEALTHCARE DELIVERY ORGANIZATIONS (3) WORKING WITH PHYSICIANS, HEALTHCARE ORGANIZATIONS AND FEDERAL, STATE AND LOCAL GOVERNMENTS AND THEIR AGENCIES TO IMPROVE QUALITY MANAGEMENT AND DELIVERY OF CHILDREN'S HEALTHCARE (4) EDUCATING PATIENTS AND CONSUMERS ABOUT CHILDREN'S HEALTHCARE QUALITY (5) DEVELOPING EDUCATIONAL MATERIALS AND PUBLICATION AND CONDUCT COURSES, CONFERENCES AND SEMINARS RELATING TO CHILDREN'S HEALTHCARE QUALITY. THE CORPORATION IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1015574Expense
DescriptionCOACHING AND TECHNICAL ASSISTANCE PROGRAMS ARE DESIGNED FOR ORGANIZATIONS THAT WOULD LIKE THE ABILITY TO ORGANIZE AND FACILITATE THEIR OWN LEARNING COLLABORATIVES. NICHQ FACILITY AND STAFF ASSIST A TEAM WITH AN ORGANIZATIONAL STRUCTURE THAT MIRRORS THE NICHQ STAFF OF A LEARNING COLLABORATIVE IN THE STRATEGIC PLANNING, DEVELOPMENT AND IMPLEMENTATION OF A COLLABORATIVE. THE TEAM PROVIDES TRAINING, TOOLS AND TECHNICAL SUPPORT AS WELL AS CONTINUOUS FEEDBACK AND COACHING DESIGNED TO HELP THE TEAMS SPREAD IMPROVEMENTS TO THE COLLABORATIVE PARTICIPANTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4448288Expense
DescriptionCOLLABORATIVE IMPROVEMENTS REGIONAL IMPROVEMENT PARTNERSHIPS: SINCE ESTABLISHING THE VERMONT CHILD HEALTH IMPROVEMENT PROGRAM WHEN FIRST OPERATING, NICHQ HAS BUILT LOCAL CAPACITY TO SUSTAIN IMPROVEMENT. NICHQ WORKS WITH STATE GOVERNMENT, PROFESSIONAL SOCIETIES AND OTHER STATE AND REGIONAL ENTITIES TO CREATE AND SUPPORT SUCH LOCAL CAPABILITIES. THE CHILDHOOD OBESITY ACTION NETWORK (COAN)IS A NEW APPROACH TO LEARNING AND SHARING AMONG HEALTH CARE PROVIDERS AT BOTH THE LOCAL AND NATIONAL LEVELS. THE AIM OF THE NETWORK IS TO ACCELERATE THE REDUCTION IN CHILDHOOD OBESITY THROUGH THE SHARING AND USE OF BEST PRACTICES IN ASSESSMENT, PREVENTION AND TREATMENT. THE COAN USES SEVERAL VEHICLES FOR DISSEMINATING THESE VALIDATED BEST PRACTICES INCLUDING A WEBSITE, CONFERENCE CALLS, AN ANNUAL CONFERENCE AND POLICY MEETING TO IDENTIFY TO COMMUNICATE POLICY AND PRACTICE LEVERS THAT PROMOTE AND SUSTAIN IMPROVEMENT EFFORTS.THE LONG TERM, ULTIMATE GOAL OF THIS PROGRAM IS A REDUCTION IN THE PREVALENCE OF OBESITY AMONG CHILDREN, AND THE ELIMINATION OF DISPARITIES IN OBESITY BETWEEN WHITE AND MINORITY CHILDRENDescription
FieldValueIRS element (for citing)
Total Program Service Expense5463862TotalProgramServiceExpense
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 Liabilities0ReportOtherLiabilities
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 Activities0FundraisingActivities
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 Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
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 With109647NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees44NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
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 FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT A BOWERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6173912707TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line130 WINTER STREET 6TH FLOORAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02108ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
KAREN COX RN PHD
BOARD MEMBER1.00X000
STEPHEN DANCE
TREASURER/CFO40.00X8242100X
FAY DONOHUE
BOARD CHAIR1.00X000X
BILL ADAMS
BOARD MEMBER1.00X000
STEVEN KAIRYS
BOARD MEMBER1.00X000
MICHAL REGUNBERG
BOARD MEMBER1.00X000
JOAN WOOD
BOARD MEMBER1.00X000
DAVID BERGMAN
BOARD MEMBER1.00X000
GINA POLA-MONEY
BOARD MEMBER1.00X000
KAVITA PATEL
BOARD MEMBER1.00X000
WENDY WARRING
BOARD MEMBER1.00X000
CHARLES HOMER
PRESIDENT/CEO40.0027890902519X
RACHEL STEELE
COO/PROGRAM DIRECTOR40.0015275305432X
FieldValueIRS element (for citing)
Total Reportable Comp From Org514083TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7951TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OASIS TECHNOLOGY
175 PORTLAND STREETBOSTONMA02114SUBCONTRACTOR518450
AMERICAN ACADEMY OF PEDIATRICS
36957 EAGLES WAYCHICAGOIL60678SUBCONTRACTOR324278
SICKLE CELL DISEASE ASSOC OF AMERICA
231 E BALTIMORE ST SUITE 800BALTIMOREMD21202SUBCONTRACTOR186574
BOSTON MEDICAL CENTER
660 HARRISON AVENUE 2ND FLOORBOSTONMA02118SUBCONTRACTOR186526
CALIFORNIA MEDICAL ASSOC FDTN
3835 N FREEWAY BLVD SUITE 100SACRAMENTOCA95384SUBCONTRACTOR163614
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Government Grants5180982GovernmentGrants
All Other Contributions1932207AllOtherContributions
Total Contributions7113189TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7287TotalRevenueColumn
Exclusion$7,287ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS90009922112211
HONORARIA51119017501750
FieldValueIRS element (for citing)
Total Other Revenue3961TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7124437TotalRevenueColumn
Related Or Exempt Function Income3961RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,287ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total522034Total
Program Services482150ProgramServices
Management And General39884ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1459817Total
Program Services1334734ProgramServices
Management And General125083ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total210867Total
Program Services192946ProgramServices
Management And General17921ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total165387Total
Program Services151594ProgramServices
Management And General13793ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1750Total
Management And General1750ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36750Total
Management And General36750ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2913929Total
Program Services2845080ProgramServices
Management And General68849ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5730Total
Program Services5130ProgramServices
Management And General600ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total137717Total
Program Services56612ProgramServices
Management And General81105ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total89112Total
Program Services63647ProgramServices
Management And General25465ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total192382Total
Management And General192382ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total237309Total
Program Services206655ProgramServices
Management And General30654ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total124817Total
Program Services110993ProgramServices
Management And General13824ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21848Total
Management And General21848ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DUES AND SUBSCRIPTIONS1650584198086
MISCELLANEOUS16094390212192
BAD DEBT20002000

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6154048Total
Program Services5463862ProgramServices
Management And General690186ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1132265BOY
EOY1661415EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY119204BOY
EOY120444EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY808563BOY
EOY1340674EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY42493BOY
EOY42667EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis171072LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec111436LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30120BOY
EOY59636EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2132645BOY
EOY3224836EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY515201BOY
EOY637003EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY515201BOY
EOY637003EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1532701BOY
EOY1939206EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY84743BOY
EOY648627EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1617444BOY
EOY2587833EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2132645BOY
EOY3224836EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses970389ReconcilationRevenueExpenses
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 Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2780261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2488216CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3376927CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4425561CurrentTaxYearMinus1Year
Current Tax Year7113189CurrentTaxYear
Total20184154Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years471302CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years479156CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years311228CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year355989CurrentTaxYearMinus1Year
Total1617675Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3251563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2967372CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3688155CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4781550CurrentTaxYearMinus1Year
Current Tax Year7113189CurrentTaxYear
Total21801829Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50921801829PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years52330CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22170CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9046CurrentTaxYearMinus1Year
Current Tax Year7287CurrentTaxYear
Total99756Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years52330CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22170CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9046CurrentTaxYearMinus1Year
Current Tax Year7287CurrentTaxYear
Total99756Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17223CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83721CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105219CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20285CurrentTaxYearMinus1Year
Current Tax Year3961CurrentTaxYear
Total230409Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3321116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3073263CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3802297CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4810881CurrentTaxYearMinus1Year
Current Tax Year7124437CurrentTaxYear
Total22131994Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98510PublicSupportPercentage509
Prior Year Support Percentage0.98010PriorYearSupportPercentage
Investment Income Percentage0.00450InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00660PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis125448OtherCostOrOtherBasis
Depreciation93668Depreciation
Book Value31780BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis45624OtherCostOrOtherBasis
Depreciation17768Depreciation
Book Value27856BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings59636TotalOfBookValueLandBuildings
Total Revenue7124437TotalRevenue
Total Expenses6154048TotalExpenses
Excess Or Deficit For Year970389ExcessOrDeficitForYear
Excess Or Deficit Per FS970389ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7124437TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal7124437RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907124437TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6154048TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6154048ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906154048TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationNICHQ FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD WHICH REQUIRES NICHQ TO REPORT UNCERTAIN TAX POSITIONS, RELATED INTEREST AND PENALTIES, AND TO ADJUST ITS ASSETS AND LIABILITIES RELATED TO UNRECOGNIZED TAX BENEFITS AND ACCRUED INTEREST AND PENALTIES ACCORDINGLY. AT DECEMBER 31, 2011, NICHQ DETERMINED THAT IT HAD NO TAX POSITIONS THAT DID NOT MEET THE "MORE LIKELY THAN NOT" THRESHOLD OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. NICHQ FILES INFORMATION RETURNS IN THE UNITED STATES (FEDERAL) AND MASSACHUSETTS (STATE) JURISDICTIONS. THESE RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE LAST THREE YEARS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
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 (2 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
CHARLES HOMER
278909000000025190281428000
RACHEL STEELE
152753000000054320158185000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSARAH DONOHUE-ROLFENamePerson
FieldValueIRS element (for citing)
RelationshipDAUGHTER OF FAY DONOHUE, THE BOARD CHAIR OF NICHQRelationship
Amount Of Transaction36237AmountOfTransaction
Description Of TransactionSARAH DONOHUE-ROLFE IS AN EMPLOYEE AT NICHQ AND THE DAUGHTER OF THE BOARD CHAIR OF NICHQ. SHE EARNED $36,237 FOR THE YEAR ENDED DECEMBER 31, 2011.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11NICHQ'S FINANCE COMMITTEE RECEIVES THE FORM 990 AFTER IT HAS BEEN PREPARED BY ITS AUDITORS AND THEN REVIEWED BY THE FINANCE DEPARTMENT. THE FINANCE COMMITTEE WILL THEN APPROVE IT AND PRESENT TO THE BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CTHROUGH UPDATED REVIEWS OF CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ANNUAL PERFORMANCE AND COMPENSATION REVIEW WITH QUARTERLY REVIEW OF GOALS PREVIOUSLY ESTABLISHED.
FORM 990, PART VI, SECTION C, LINE 19NICHQ MAKES ITS FINANCIAL STATEMENTS, POLICIES, AND FEDERAL FORMS AVAILABLE TO THE PUBLIC UPON REQUEST. NICHQ STATES THIS ON ITS WEBSITE.
PART XI, LINE 2CTHE BOARD OF DIRECTORS FOR NICHQ ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AS WELL AS APPROVAL OF THE INDEPENDENT ACCOUNTANT.

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