Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
National Health Council Inc
Employer identification number
13-1624107
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2,577,762
2,352,542
2,504,802
2,566,967
3,023,144
13,025,217
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
2,577,762
2,352,542
2,504,802
2,566,967
3,023,144
13,025,217
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
4,547,367
6
Public support. Subtract line 5 from line 4.
8,477,850
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
2,577,762
2,352,542
2,504,802
2,566,967
3,023,144
13,025,217
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
8,715
6,624
6,068
5,604
5,698
32,709
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
15,899
14,100
4,787
13,179
4,953
52,918
11
Total support (Add lines 7 through 10).
13,110,844
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
64.660 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
68.190 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
National Health Council Inc
Employer identification number
13-1624107
Return Reference
Explanation
Form 990, Part VI, Section A, line 6
NHC is made up of more than 100 national health-related organizations, divided into five membership categories: patient advocacy organizations, professional and membership associations, nonprofit organizations with an interest in health, business and industry, and associate members.
Form 990, Part VI, Section A, line 7a
NHC members elect the Board of Directors. The nominating committee is a standing committee required by the bylaws. The nominating committee prepares a slate of nominees for the Board. NHC membership approves the slate at the annual meeting.
Form 990, Part VI, Section B, line 11
FORM 990 Provided to the governing body before filing. The FORM 990 is first reviewed by the CFO, the EVP/COO and Chief Executive Officer. The FORM 990 is then distributed to the Audit Committee for comments/questions/feedback, then a copy is sent to the entire board before it is filed with the IRS.
Form 990, Part VI, Section B, line 12c
Each board member fills out a form to disclose any potential conflicts annually. After review by the CFO, each form is reviewed by the Chair of the Audit Committee. Any disclosures requiring follow up are followed up by the Chair of the Audit Committee. The forms are available upon request for review by any board member.
Form 990, Part VI, Section B, line 15a
Compensation of the Chief Executive Officer (CEO). The National Health Council Board of Directors has delegated the Executive Evaluation and Compensation Committee (EECC) the responsibility for reviewing and approving clearly defined objectives for the NHC CEO, evaluating the CEO's performance against the objectives, and defining and establishing the overall strategy and compensation of the CEO, consistent with the NHC's mission and values, and applicable legal and regulatory requirements. Compensation is compared to published surveys of compensation and benefits of chief executive officers of similar organizations on an annual basis. As appropriate, but no less than every three (3) years, the EECC reviews benchmark information provided by an independent outside salary and benifits consultant to ensure that compensation is reasonable and appropriate. The EECC has the sole authority to retain and terminate the compensation consultant, as well as the authority to retain and consult external legal, accounting and other advisors as needed. The EECC also reviews the employment and severance agreement provisions and any other contractual arrangements for the CEO to ensure the arrangements support the established compensation strategy. On an annual basis, the CEO prepares a detailed self-assessment that documents accomplishments during the past year. The CEO submits the self-assessment to the EECC which meets at least annually to deliberate and decide the CEO's compensation. Contemporaneous notes are taken of the meeting(s). The EECC reports committee decisions to the full board, including the CEO's performance against clearly defined objectives and compensation determinations. The EECC conducts a self-assessment at least annually and reviews its committee charter; any changes are recommended to the Board. Compensation of officers and key employees Part VI, Section B, Line 15b The process for establishing the compensation of the Executive Vice President/Chief Operating Officer (EVP/COO) is as follows: on an annual basis, the EVP/COO prepares a detailed self-assessment that documents accomplishments during the past year. The EVP/COO submits the self-assessment to the CEO. The CEO prepares a written evaluation, and after review and discussion with the EVP/COO, the CEO has sole authority to determine the compensation for the EVP/COO for the upcoming year. Compensation surveys for similarly qualified persons in functionally comparable positions at similarly situated organizations are consulted annually. In addition, the compensation is based on the range of the overall organization-wide amount established by the Board-approved annual budget. The process for establishing the compensation of the other staff officers and key employees is as follows: on an annual basis, the staff officers and key employees prepare detailed self-assessments that document their accomplishments during the past year. Self-assessments are submitted to the EVP/COO. The EVP/COO prepares written evaluations, and after review and discussion, the EVP/COO recommends to the CEO the compensation for the staff officers and key employees for the upcoming year. The CEO gives final approval of the compensation. Compensation surveys for similarly qualified persons in functionally comparable positions at similarly situated organizations are consulted annually to ascertain that the amounts are reasonable and appropriate. In addition, the compensation is based on the range of the overall organization-wide amount established by the Board-approved annual budget.
Form 990, Part VI, Section C, line 19
The organization considers all requests from the public for documents, including those documents not required to be made public. Some such documents are available on the NHC website.
Form 990, Part IX, line 11g
CONTRACT FEES: Program service expenses 792,321. Management and general expenses 2,952. Fundraising expenses 55. Total expenses 795,328. GRAPHIC DESIGN: Program service expenses 966. Management and general expenses 0. Fundraising expenses 0. Total expenses 966.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.