Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 2,283,636 | 2,244,852 | 2,854,587 | 3,263,668 | 3,376,861 | 14,023,604 |
| 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 | 2,283,636 | 2,244,852 | 2,854,587 | 3,263,668 | 3,376,861 | 14,023,604 |
| 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).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 14,023,604 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,283,636 | 2,244,852 | 2,854,587 | 3,263,668 | 3,376,861 | 14,023,604 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 30 | 198 | 125 | 103 | 456 | |
| 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 VI.).. | 42,586 | 42,586 | ||||
| 11 | Total support Add lines 7 through 10. | 14,066,646 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | OTHER INCOME 42,586 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | RECRUITMENT OF LICENSED PROVIDERS THROUGH ADVERTISEMENTS, MARKETING COMMUNITY HEALTH CENTERS AT MEDICAL SCHOOLS, RESIDENCY PROGRAMS, PROFESSIONAL CONFERENCES AND MEETINGS; OFFERS TRAINING IN CREDENTIALING FOR ALL LICENSED HEALTH CARE PROFESSIONALS; AND MONITORS NEEDS AND TRENDS IN ORDER TO RETAIN QUALIFIED PROVIDERS IN MEDICALLY UNDERSERVED AREAS. OUTREACH - IS DESIGNED TO INCREASE THE NUMBER OF PEOPLE WHO HAVE ACCESS TO A REGULAR SOURCE OF COMPREHENSIVE, COMMUNITY BASED PREVENTIVE AND PRIMARY CARE AS WELL AS TO INCREASE THE NUMBER OF PEOPLE ENROLLED IN MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), AND MEDICARE. OPTIMIZING COMPREHENSIVE CLINICAL CARE - THIS PROGRAM INCORPORATES THE TENANTS OF: COMPLIANCE AND PERFORMANCE IMPROVEMENT (CPI); PATIENT CENTERED (OR PRIMARY CARE) MEDICAL HOME (PCMH); AND MEANINGFUL USE (MU) OF ELECTRONIC HEALTH RECORDS (EHRS) AND IMPROVES THE HEALTH STATUS OF UNDERSERVED PEOPLE THROUGH ACCESS REDESIGN CONCEPTS AND TEACHING HEALTH CENTERS TO MONITOR HEALTH STATUS OF PATIENTS THROUGH DATA COLLECTION AND ANALYSIS. TACHC STAFF ANALYZES DATA AND COACHES CENTERS ON IMPROVING OVERALL HEALTH STATUS BY CREATING ACTIONABLE DATA THAT THE HEALTH CENTERS USE TO IMPROVE ACCESS TO AND QUALITY OF CARE. CAPITAL DEVELOPMENT - IS DESIGNED TO INCREASE THE AVAILABILITY OF CAPITAL FOR BUILDINGS AND EQUIPMENT NEEDED BY COMMUNITY HEALTH CENTERS AND ASSISTS THE CENTERS IN UNDERSTANDING THEIR FINANCIAL POSITION IN ORDER TO ENABLE THE CENTERS TO OBTAIN PRIVATE CAPITAL. COMMUNITY DEVELOPMENT - IS DESIGNED TO INCREASE THE NUMBER OF COMMUNITIES ACROSS THE STATE THAT ARE IN THE PROCESS OF MOVING TOWARDS DEVELOPMENT OF THE INFRASTRUCTURE NECESSARY TO SUPPORT A COMMUNITY HEALTH CENTER. COMMUNITY DEVELOPMENT ALSO ENCOMPASSES TRAINING/TECHNICAL ASSISTANCE FOR ESTABLISHED COMMUNITY HEALTH CENTERS REGARDING SERVICE EXPANSION AND CENTER SUSTAINABILITY, AND INCLUDES BOARD TRAININGS. INTERNET CONNECTIVITY - PROVIDES INTERNET CONNECTIVITY TO COMMUNITY HEALTH CENTER SITES TO FACILITATE CONTINUING MEDICAL EDUCATION, GENERAL TELEMEDICINE, AND DISSEMINATION OF DISASTER PREPAREDNESS INFORMATION. PURCHASING GROUPS - ADMINISTER JOINT INITIATIVES FOR ALL MEMBER CENTERS IN THE AREAS OF PHARMACY, LAB, MEDICAL SUPPLIES, DENTAL SUPPLIES, AND HEALTH PROMOTION MATERIALS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION IS A MEMBERSHIP ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 7A | MEMBERS ELECT THE BOARD OF DIRECTORS AT AN ANNUAL MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 11B | OUR AUDITOR PREPARES AN INITIAL DRAFT OF THE FORM 990. THE DRAFT IS REVIEWED BY MANAGEMENT AND A FINAL DRAFT IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND RECOMMENDATION FOR APPROVAL TO THE FULL BOARD OF DIRECTORS. THE FULL BOARD OF DIRECTORS RECEIVES THE 990 AND VOTES ON ITS ACCEPTANCE PRIOR TO ITS FILING WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | AT THE FIRST BOARD MEETING HELD IMMEDIATELY AFTER ELECTIONS EACH YEAR, THE BOARD PACKET INCLUDES BOTH A ROLES AND RESPONSIBILITIES AND CONFLICT OF INTEREST ATTESTATIONS. THESE ARE COVERED AT THE MEETING BY THE CHAIR OR BY THE TACHC COMPLIANCE OFFICER AND COLLECTED SHORTLY THEREAFTER. THEY ARE KEPT ON FILE AND, IF ANY CONFLICTS ARE NOTED, REVIEWED PRIOR TO BOARD MEETINGS OR POTENTIAL ACTIONS THAT MIGHT ARISE AND RESULT IN A CONFLICT. BOARD MEMBERS SELF-REPORT AND RECUSE THEMSELVES (AND ABSTAIN FROM VOTING) IF AN ISSUE COMES UP THAT MIGHT BE CONSIDERED A CONFLICT THEREAFTER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | IN 2007 A SALARY STUDY WAS DONE FOR THE ORGANIZATION'S ENTIRE STAFF AND WAS REVIEWED BY THE COMPENSATION COMMITTEE. SUCH A STUDY IS DONE EVERY FEW YEARS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | IN 2007 A SALARY STUDY WAS DONE FOR THE ORGANIZATION'S ENTIRE STAFF AND WAS REVIEWED BY THE COMPENSATION COMMITTEE. SUCH A STUDY IS DONE EVERY FEW YEARS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTUAL CONSULTANTS 862,504 19,560 0 |
| FORM 990, PART XI, LINE 9 | REVENUES REPORTED FROM CONSOLIDATED ENTITY 238,881 REVENUES ELIMINATED ON CONSOLIDATION -175,000 EXPENSES REPORTED FROM CONSOLIDATED ENTITY -184,749 EXPENSES ELIMINATED ON CONSOLIDATION 175,000 FEDERAL INCOME TAX PROVISION -6,091 |
| FORM 990, PART XI, LINE 9 | ADJUSTMENT FOR CONSOLIDATED FINANCIAL STATEMENTS -48,041 |
| Software ID: | |
| Software Version: |