Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 2,928,046 | 3,277,350 | 2,446,623 | 2,194,862 | 1,972,056 | 12,818,937 |
| 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 | 2,928,046 | 3,277,350 | 2,446,623 | 2,194,862 | 1,972,056 | 12,818,937 |
| 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. | 12,818,937 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,928,046 | 3,277,350 | 2,446,623 | 2,194,862 | 1,972,056 | 12,818,937 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 304 | 1,414 | 2,305 | 2,305 | 2,198 | 8,526 |
| 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.).. | 9,587 | 12,591 | 16,242 | 9,584 | 57,708 | 105,712 |
| 11 | Total support. Add lines 7 through 10 | 12,933,175 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) |
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| 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) |
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| 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): |
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| 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 | ||||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART 1 LINE 1 | GROUNDED IN HUMAN RIGHTS AND SOCIAL JUSTICE, THE NHCHC MISSION IS TO BUILD AN EQUITABLE, HIGH-QUALITY HEALTH CARE SYSTEM THROUGH TRAINING, RESEARCH, AND ADVOCACY IN THE MOVEMENT TO END HOMELESSNESS. |
| FORM 990, PART III, LINE 1 | GROUNDED IN HUMAN RIGHTS AND SOCIAL JUSTICE, THE NHCHC MISSION IS TO BUILD AN EQUITABLE, HIGH-QUALITY HEALTH CARE SYSTEM THROUGH TRAINING, RESEARCH, AND ADVOCACY IN THE MOVEMENT TO END HOMELESSNESS. THROUGH ITS WORK, THE COUNCIL STRIVES TO: CREATE AND DISSEMINATE KNOWLEDGE REGARDING THE INTERACTION OF INADEQUATE HOUSING AND POOR HEALTH; MAINTAIN ACTIVE RELATIONSHIPS WITH A BROAD RANGE OF SERVICE PROVIDERS, CONSUMER AND ADVOCACY GROUPS, ACADEMIC INSTITUTIONS AND PUBLIC OFFICIALS IN THE USA AND INTERNATIONALLY; PROMOTE CLINICAL PRACTICES BY TRAINING, TECHNICAL ASSISTANCE, RESEARCH, PUBLICATIONS AND ADVOCACY OF PUBLIC POLICIES THAT WILL IMPROVE THE HEALTH STATUS OF PEOPLE WITHOUT HOMES OR AT RISK OF HOMELESSNESS; DEMONSTRATE ITS COMMITMENT TO HUMAN RIGHTS AND ADHERENCE TO ITS FOUNDING PRINCIPLES IN ITS ACTIVITIES, GOVERNANCE STRUCTURE, INTERNAL COUNCIL POLICIES AND EXTERNAL PARTNERSHIPS. |
| FORM 990, PART III LINE 4A | PROJECT SUPPORT: PROVIDE NATIONAL, STATE AND LOCALLEVEL TRAINING TO HEALTH CENTERS, MEDICAL RESPITE PROGRAMS AND OTHER SAFETY NET PROGRAMS ON THE UNIQUE FEATURES OF HOMELESS POPULATIONS AND THE PROGRAMS THAT SERVE THEM INCLUDING OVER 300 HEALTH CENTERS WITH HOMELESSSPECIFIC FUNDING THAT PROVIDE CARE FOR OVER 1,000,000 HOMELESS PATIENTS PER YEAR AND 100 MEDICAL RESPITE PROGRAMS. PROGRAM SERVICES INCLUDE: VIRTUAL TRAININGS, AND A NATIONAL CONFERENCE, PLUS SITESPECIFIC TRAININGS AND TECHNICAL ASSISTANCE FROM PEER EXPERTS IN THE FIELD. THE COUNCIL MAINTAINS A COMPREHENSIVE WEBSITE OF HEALTH CARE FOR THE HOMELESS INFORMATION AND REGULAR PUBLICATIONS. WE ASSIST 116 MEDICAL RESPITE PROGRAMS THROUGH: THE PROVISION OF TECHNICAL ASSISTANCE, DEVELOPMENT AND DISTRIBUTION OF RESOURCE MATERIALS, AND DEVELOPMENT AND PROMOTION OF FORMAL STANDARDS; DEVELOP AND DISSEMINATE ANALYSIS OF PUBLIC POLICIES AFFECTING HOMELESSNESS AND HEALTH; CONDUCT EVIDENCE-BASED RESEARCH ON ISSUES INCLUDING HOW THE SOCIAL DETERMINANTS OF HEALTH DISPROPORTIONALLY IMPACT THE HEALTH OUTCOMES OF INDIVIDUALS EXPERIENCING HOMELESSNESS, DEMONSTRATE THE VALUE AND IMPACT OF HEALTH CARE FOR THE HOMELESS (HCH) CARE PROVIDERS, OF THE OVERALL HCH PROGRAM ON COMMUNITY HEALTH, AND OF MEDICAL RESPITE'S IMPACT ON PEOPLE EXPERIENCING HOMELESSNESS AND ON THE HEALTH CARE SYSTEM; EDUCATE AND ORGANIZE CONSUMERS OF HOMELESS HEALTH CARE TO CONDUCT COMMUNITYBASED RESEARCH AND TO GAIN A GREATER VOICE IN THEIR OWN CARE; COLLABORATE WITH PROVIDERS OF PERMANENT SUPPORTIVE HOUSING, PUBLIC HEALTH AUTHORITIES, ALLIED HEALTH PROFESSIONS, SCHOOLS AND OTHERS TO ADVANCE TOPICS OF COMMON CONCERN. THE COUNCIL PROVIDED SUPPORT AND TECHNICAL ASSISTANCE TRAININGS, SITE VISITS, AND INFORMATION FOR 325 TA REQUESTS AND 203 UNIQUE ORGANIZATIONS COVERING TOPICS RANGING FROM THE HCH BEST PRACTICES, MEDICAL RESPITE, STREET MEDICINE, OUTREACH, AND COSTING TOOLS. 89 HOMELESS CONSUMER REQUESTS WERE ALSO ANSWERED. WORK WAS ALSO DONE TO PROMOTE MEDICATION ASSISTED TREATMENT. THE COUNCIL RESPONDED TO THE COVID-19 PANDEMIC BY QUICKLY DIRECTING OUR EFFORTS TO SUPPORTING THE HCH AND MEDICAL RESPITE PROGRAMS ON THE FRONT LINE BY CONVENING FORUMS WHERE THEY COULD LEARN FROM EACH OTHER, SHARE EMERGING BEST PRACTICES. WE CONDUCTED MANY TOWN HALLS AND VIRTUAL COFFEE CHATS FOR THIS PURPOSE, AS WELL AS RESPONDING TO SPECIFIC TA REQUESTS, PUBLISHING SEVERAL WHITE PAPERS AND POLICY BRIEFS. WE ALSO INFORMED THE PUBLIC ABOUT THE IMPORTANCE OF ADDRESSING THE HEALTH NEEDS OF PEOPLE EXPERIENCING HOMELESSNESS DURING THE PANDEMIC THROUGH MEDIA INTERVIEWS. WE STRENGTHENED PARTNERSHIPS WITH SEVERAL ORGANIZATIONS AND GOVERNMENT AGENCIES, ESPECIALLY THE CDC AND HUD, WHICH INCORPORATED SOME OF OUR SUGGESTIONS IN THE GUIDANCE THEY ISSUED FOR STATES, CITIES, AND SHELTERS. IN ADDITION, THE COUNCIL, ITS MEMBERS, AND OTHER ORGANIZATIONS SERVING THOSE IN NEED OF HEALTH CARE AND HOUSING WERE POSITIVELY IMPACTED BY TWO MAJOR GRANTS IN SPRING 2020. THE COUNCIL SERVED AS THE GRANTMAKING PARTNER ON BEHALF OF TWO FUNDERSUNITEDHEALTH FOUNDATION AND KAISER PERMANENTEOF $2.5 MILLION TO SUPPORT 36 ORGANIZATIONS TO PROVIDE HEALTH CARE FOR PEOPLE EXPERIENCING HOMELESSNESS IN THE FACE OF THE COVID-19 PANDEMIC. |
| FORM 990, PART VI, SECTION A, LINE 6 | LINE 6 EXPLANATION - TWO CLASSES OF MEMBERS ARE ESTABLISHED IN THE BYLAWS: (1) DUESPAYING ORGANIZATIONAL (AGENCY) MEMBERS AND (2) INDIVIDUAL MEMBERS, WHO DO NOT PAY DUES. INDIVIDUAL MEMBERS INCLUDE THREE INDIVIDUAL MEMBERSHIP GROUPS (CLINICIANS, CONSUMERS AND RESPITE CARE PROVIDERS) WHO ELECT REPRESENTATIVES TO THE GOVERNING MEMBERSHIP AND TO THE BOARD. ORGANIZATIONAL MEMBERS EACH APPOINT ONE REPRESENTATIVE TO THE GOVERNING MEMBERSHIP. THE GOVERNING MEMBERSHIP IN TURN ELECTS ADDITIONAL MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS THE LEGALLY RESPONSIBLE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7A | LINE 7A EXPLANATION ANNUALLY, A NOMINATING COMMITTEE SOLICITS ALL GOVERNING MEMBERS FOR RECOMMENDATIONS FOR BOARD AND OFFICER POSITIONS, AND DEVELOPS A SLATE OF CANDIDATES ACCORDING TO BOARDAPPROVED DIVERSITY GUIDELINES. THE BOARD AND OFFICERS ARE ELECTED ANNUALLY BY THE GOVERNING MEMBERSHIP DURING THE ANNUAL MEETING. BOARD MEMBERS ARE ELECTED FOR STAGGERED TWOYEAR TERMS. ADDITIONAL MEMBERS SERVE ON THE BOARD BY VIRTUE OF APPOINTMENT BY THE PRESIDENT OF THE BOARD AS CHAIRS OF STANDING COMMITTEES. OFFICERS SERVE ONE-YEAR TERMS. |
| FORM 990, PART VI, SECTION B, LINE 11B | LINE 11A EXPLANATION - REVIEWED INDIVIDUALLY BY MEMBERS OF THE FINANCE AND AUDIT COMMITTEE AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, EACH MEMBER OF THE BOARD AS IDENTIFIED IN THE BYLAWS, IS REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO DISCLOSE THE EXISTENCE OF ANY POSSIBLE CONFLICTS OF INTEREST AND SIGN A PRESCRIBED FORM TO VERIFY THESE ACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CEO'S PERFORMANCE TO DETERMINE COMPENSATION. THE PROCESS MAY INCLUDE SURVEY OF STAFF AND MEMBERSHIP, SURVEY OF BOARD OF DIRECTORS AND/OR SURVEY OF THE BOARD'S EXECUTIVE COMMITTEE. THE PRESIDENT OF THE BOARD REVIEWS THE BOARD'S EVALUATION WITH THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S CHARTER AND BYLAWS, BOARD MINUTES, TAX RETURNS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. BYLAWS AND OTHER DOCUMENTS ARE MADE AVAILABLE ON WWW.NHCHC.ORG. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 61,538. MANAGEMENT AND GENERAL EXPENSES 31,917. FUNDRAISING EXPENSES 1,654. TOTAL EXPENSES 95,109. PROGRAM CONTRACTORS: PROGRAM SERVICE EXPENSES 238,427. MANAGEMENT AND GENERAL EXPENSES 53,910. FUNDRAISING EXPENSES 7,108. TOTAL EXPENSES 299,445. |
| Software ID: | |
| Software Version: |