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        <ManagementAndGeneral>119050</ManagementAndGeneral>
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        <ManagementAndGeneral>2233</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>47520</ManagementAndGeneral>
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        <ProgramServices>4001172</ProgramServices>
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        <ProgramServices>3126203</ProgramServices>
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        <Description>Disp. of fixed assets</Description>
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        <ManagementAndGeneral>27774</ManagementAndGeneral>
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        <ManagementAndGeneral>3148</ManagementAndGeneral>
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        <EOY>78973</EOY>
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        <EOY>1619650</EOY>
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        <EOY>650650</EOY>
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        <EOY>2270300</EOY>
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        <EOY>6832789</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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      <AuditCommittee>1</AuditCommittee>
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      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
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        <CurrentTaxYearMinus1Year>25741658</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25984367</CurrentTaxYear>
        <Total>107890907</Total>
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        <CurrentTaxYearMinus1Year>25741658</CurrentTaxYearMinus1Year>
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        <CurrentTaxYearMinus1Year>54509</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12795</CurrentTaxYear>
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        <CurrentYearMinus2>250000</CurrentYearMinus2>
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        <CurrentYear>250000</CurrentYear>
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      <Form990ScheduleDPartXIV>
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        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>NACCHO performed an evaluation of uncertain tax positions for the year ended June 30, 2010, and determined that there were no matters that would require recognition in the financial statements or which may have any effect on its tax-exempt status.</Explanation>
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          <BusinessNameLine1>Grace Gorenflo</BusinessNameLine1>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Of the five classes of memberships, only the active members are entitled to vote. The active members of NACCHO are local public health departments, including offices of state and territorial health departments which are providing public health services locally or regionally, and tribal health departments, which have paid the annual service fee established by the Board of Directors and which meet any other criteria established for this class by the Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The regional, at large, and tribal members of the board of directors are elected by all active members by a plurality of votes cast in the annual election.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>A draft Form 990 is prepared by NACCHO's audit firm based on information supplied by NACCHO. NACCHO's Chief Financial Officer reviews the draft Form 990 against the information supplied by NACCHO and the prior year's Form 990. Any issues identified are discussed and resolved with the audit firm. NACCHO's Chief Financial Officer reviews the draft Form 990 with NACCHO's Executive Director. Any issues identified are discussed and resolved. If necessary, NACCHO's audit firm is brought into the discussion. NACCHO's Board or Executive Committee reviews the draft Form 990. The Executive Committee is authorized to conduct the affairs of NACCHO between the meetings of the Board. The Board is scheduled to meet 3 times each year and the Executive Committee is scheduled to meet 12 times each year. Any issues identified are discussed. Unresolved issues are sent to NACCHO staff to answer and report back to the Board or Executive Committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>NACCHO has separate Conflict of Interest policies for Board Members and employees. Each board member and employee is required to sign a form annually in agreement with this policy. When potential conflicts of interest arise, officers and directors shall identify the potential conflict to the full Committee or Board of Directors, which will determine whether a conflict exists and what steps shall be taken to avoid an appearance of impropriety by NACCHO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The Executive Director's compensation is determined by the Board's Executive Committee acting as the Compensation Committee. The determination is based on a review of data from comparable organizations by the Executive Committee. A contract is formalized with the Executive Director. Any subsequent change to this determination is done by negotiation between the Executive Director and NACCHO's Executive Committee. For other key employees the Executive Committee may review data for similarly qualified person(s) in comparable positions at similarly situated organizations through the use of surveys produced by various organizations. The Executive Director, with consultation from the President and Executive Committee when requested, sets the salary ranges for the other key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>NACCHO's governing documents, conflict of interest policy, and financial statements are available to the public at NACCHO's office upon request. NACCHO's federal Form 990 is available via internet at www.guidestar.org.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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