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 ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS
Employer identification number
52-1426663
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.") ....
25,984,367
26,741,271
25,557,993
24,960,423
22,967,719
126,211,773
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
25,984,367
26,741,271
25,557,993
24,960,423
22,967,719
126,211,773
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)..
8,206,147
6
Public support. Subtract line 5 from line 4.
118,005,626
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..
25,984,367
26,741,271
25,557,993
24,960,423
22,967,719
126,211,773
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
12,795
11,401
26,268
45,399
50,708
146,571
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.)..
2,167
267
8,316
10,750
11
Total support (Add lines 7 through 10).
126,369,094
12
Gross receipts from related activities, etc. (see instructions)
..................
12
11,754,518
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
93.380 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
91.910 %
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 ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS
Employer identification number
52-1426663
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
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.
FORM 990, PART VI, SECTION A, LINE 7A
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.
FORM 990, PART VI, SECTION B, LINE 11
A DRAFT FEDERAL FORM 990 IS PREPARED BY NACCHO'S AUDIT FIRM BASED ON INFORMATION SUPPLIED BY NACCHO. NACCHO'S CHIEF FINANCIAL OFFICER REVIEWS THE DRAFT FEDERAL FORM 990 AGAINST THE INFORMATION SUPPLIED BY NACCHO AND THE PRIOR YEAR FEDERAL FORM 990. ANY ISSUES IDENTIFIED ARE DISCUSSED AND RESOLVED WITH THE AUDIT FIRM. NACCHO'S CHIEF FINANCIAL OFFICER REVIEWS THE DRAFT FEDERAL 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 OF DIRECTORS OR EXECUTIVE COMMITTEE REVIEWS THE DRAFT FEDERAL FORM 990. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO CONDUCT THE AFFAIRS OF NACCHO BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS SCHEDULED TO MEET 4 TIMES EACH YEAR AND THE EXECUTIVE COMMITTEE IS SCHEDULED TO MEET 11 TIMES EACH YEAR. ANY ISSUES IDENTIFIED ARE DISCUSSED. UNRESOLVED ISSUES ARE SENT TO NACCHO STAFF TO ANSWER AND REPORT BACK TO THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12C
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 COMPLIANCE WITH THIS POLICY. WHEN POTENTIAL CONFLICTS OF INTEREST ARISE, OFFICERS AND DIRECTORS SHALL PRESENT THE POTENTIAL CONFLICT TO THE FULL EXECUTIVE COMMITTEE OR BOARD OF DIRECTORS, WHO WILL DETERMINE WHETHER A CONFLICT EXISTS AND WHAT STEPS SHALL BE TAKEN TO AVOID AN IMPROPRIETY BY NACCHO.
FORM 990, PART VI, SECTION B, LINE 15
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.
FORM 990, PART VI, SECTION C, LINE 19
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 THE INTERNET AT WWW.GUIDESTAR.ORG.
FORM 990, PART IX, LINE 11G
BUSINESS CONSULTING: PROGRAM SERVICE EXPENSES 4,475,082. MANAGEMENT AND GENERAL EXPENSES 31,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,506,549. HR TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 206,001. MANAGEMENT AND GENERAL EXPENSES 9,122. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,123. RECRUITING FEES: PROGRAM SERVICE EXPENSES 13,412. MANAGEMENT AND GENERAL EXPENSES 27,270. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,682. COMMUNICATION AND PUBLICATION: PROGRAM SERVICE EXPENSES 87,248. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,248. ACCREDITATION: PROGRAM SERVICE EXPENSES 604,140. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 604,140.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.