2023-05-10T18:40:14-05:00 2022-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 3800 GLENWOOD AVE SUITE 200 RALEIGH NC 27612 990 2021-07-01 205408367 NORTH CAROLINA COMMUNITY CARE NETWORKS INC NORT 9197452442 1255 CRESCENT GREEN DRIVE 200 CARY NC 27518 CHRISTOPHER C WOODFIN EXECUTIVE VP & CFO 9197452442 2023-05-08 1 CHRISTOPHER WOODFIN 999009999 AMANDA ADAMS P00748038 9197821040 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X CHRISTOPHER C WOODFIN 1255 CRESCENT GREEN DRIVE 200 CARY NC 27518 81315114 0 X COMMUNITYCARENC.ORG X 2006 NC TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF ALL NORTH CAROLINIANS BY BUILDING AND SUPPORTING BETTER COMMUNITY-BASED HEALTH CARE DELIVERY SYSTEMS. 9 7 0 9 0 0 0 49197944 122885231 4322491 33427 128762 0 0 122918658 53649197 0 0 0 0 111448 111448 0 0 257748 100273674 39356514 100385122 39467962 22533536 14181235 71055528 81852676 11509754 9687121 59545774 72165555 X THE PRIMARY EXEMPT PURPOSE IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF ALL NORTH CAROLINIANS BY BUILDING AND SUPPORTING BETTER COMMUNITY-BASED HEALTH CARE DELIVERY SYSTEMS. 0 0 27401581 4322491 CLINICAL PROGRAMS: THE PURPOSE OF N3CN CLINICAL PROGRAMS IS TO PROVIDE HIGH VALUE SERVICES TO THE STATE OF NORTH CAROLINA TO IMPROVE THE HEALTH OF MEDICAID BENEFICIARIES AND IMPROVE QUALITY IN THE HEALTHCARE DELIVERY SYSTEM. SOME OF THE CORE INITIATIVES INCLUDE, BUT IS NOT LIMITED TO, THE FOLLOWING: COMPLEX CASE MANAGEMENT, CARE COORDINATION, FOSTER CHILD PROGRAM, PHARMACY PROGRAM, AND QUALITY IMPROVEMENT PROGRAM FOR ADVANCED MEDICAL HOMES. THE PROGRAM DEVELOPS AND IMPLEMENTS POPULATION MANAGEMENT INITIATIVES THAT ARE SUPPORTED BY DATA ANALYTICS AND POPULATION HEALTH TOOLS. USING ANALYTICS, THE PROGRAM TARGETS INDIVIDUALS THAT WOULD BENEFIT MOST FROM CARE MANAGEMENT SERVICES TO HIGH NEED MEDICAID ENROLLEES. N3CN ALSO PROMOTES QUALITY OF CARE AND HEALTH EQUITY IN THE PRIMARY CARE PRACTICES THAT CARE FOR MEDICAID ENROLLEES. 5519827 DATA ANALYTICS: PERFORMANCE MEASURES AND DATA ANALYTICS HAVE BEEN ESTABLISHED ON A STATEWIDE BASIS. THE PROCESS INCLUDES DEVELOPING SYSTEMS FOR COLLECTION AND ANALYZING DATA AND REPORTING PERFORMANCE MEASURE RESULTS. THESE REPORTS ARE CREATED AT THE PROGRAM, REGIONAL, AND PRACTICE LEVEL, AND PROVIDE THE BASIS FOR MEASURING IMPROVEMENT AND IMPACT ON THE ENROLLED POPULATION. 32921408 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN FELMET 9197452442 1255 CRESCENT GREEN DRIVE 200 CARY NC 27518 JEFF SIMMS MSPH CHAIR 0.50 0.50 X X 0 0 0 DAVID TAYLOE MD SECRETARY 0.50 0.50 X X 0 0 0 DELTON ATKINSON MPH DIRECTOR 0.50 0.00 X 0 0 0 TOM BACON DRPH DIRECTOR 0.50 0.50 X 0 0 0 MICHELLE BROOKS RN MSN DIRECTOR 0.05 0.05 X 0 0 0 MARILYN PEARSON DIRECTOR 0.50 0.50 X 0 0 0 ANITA SCHAMBACH DIRECTOR 0.50 0.00 X 0 0 0 BILL STEWART MD FAAP DIRECTOR 0.50 0.50 X 111448 0 0 REBECCA WHITAKER PHD MSPH DIRECTOR 0.50 0.00 X 0 0 0 THOMAS WROTH PRESIDENT & CEO 1.00 35.00 X 0 613910 34680 CHRISTOPHER WOODFIN EVP & CFO 1.00 39.00 X 0 545715 34245 DENISE HEWSON EVP CARE MANAGEMENT & PROVIDER SERVICES 1.00 39.00 X 0 510049 32200 CARLOS JACKSON EVP & CHIEF DATA & ANALYTICS 1.00 39.00 X 0 347488 34948 LYDIA NEWMAN EVP & CHIEF ADMINISTRATIVE OFFICER 1.00 39.00 X 0 344028 33124 WILLIAM TAYLOR EVP BUSINESS DEVELOPMENT 1.00 39.00 X 0 390901 25835 RONALD SMITH EXECUTIVE BUSINESS ADVISOR 1.00 39.00 X 0 530005 24848 SCOTT TREMAYNE SVP FINANCE 1.00 39.00 X 0 368916 34844 TANYA BULLOCK SVP GOVERNANCE, RISK AND COMPLIANCE 1.00 39.00 X 0 315555 30190 KRISHNA VENUGOPAL SVP & CHIEF TECHNOLOGY OFFICER 1.00 39.00 X 0 318077 14314 TORLEN WADE SPECIAL ASSISTANT TO THE PRESIDENT 1.00 31.00 X 0 342207 0 111448 4626851 299228 1 0 1 0 COMM CARE PART OF GTR MECKLENBURG 4701 HEDGEMORE DR STE 30 CHARLOTTE NC 28209 PRIMARY CARE CASE MGMT 6838536 COMM CARE PLAN OF EASTERN CAROLINA PO BOX 6028 GREENVILLE NC 278356028 PRIMARY CARE CASE MGMT 5308938 NW COMMUNITY CARE NETWORK 2000 W FIRST ST STE 70 WINSTONSALEM NC 27104 PRIMARY CARE CASE MGMT 4501800 N PIEDMONT COMM HEALTH NTWRK 411 W CHAPEL HILL ST 3RD FL DURHAM NC 27701 PRIMARY CARE CASE MGMT 2849602 COMM CARE OF THE LOWER CAPE FEAR 1209 CULBERTH DR STE 200 WILMINGTON NC 28405 PRIMARY CARE CASE MGMT 2710919 9 49197944 49197944 SERVICES/RENT - AFFILIATE 531120 4007295 4007295 PROGRAM-RELATED INTEREST 900099 315196 315196 4322491 223435 223435 27571244 27665917 -94673 -94673 -94673 53649197 4322491 0 128762 X 111448 111448 55241 55241 7435997 7033885 402112 3318 3318 1268276 828571 435583 4122 2979257 2341005 634669 3583 4386912 3277779 1046789 62344 82985 25710 56782 493 2154 2154 331871 331871 SHARED SERVICES 22528935 19407284 2934445 187206 281568 1702 279866 39467962 32921408 6288806 257748 23677447 14908372 454730 345879 76268 136296 6816311 99794 102801 536947 536947 1116709 0 25510253 38575828 13412867 27674649 71055528 81852676 11383528 2556055 3658289 126226 3472777 11509754 9687121 X 59545774 72165555 59545774 72165555 71055528 81852676 14181235 -1561454 0 X 0 1 X 1 0 X 85787834 84418605 110514533 122637918 49197944 452556834 85787834 84418605 110514533 122637918 49197944 452556834 452556834 932 357055 323541 227178 223435 1132141 453688975 5285062 0.99750 0.98850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39412721 39412721 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 250000 250000 250000 250000 1000000 1500000 536947 536947 0 0 SECURITY DEPOSITS 94494 DUE FROM AFFILATE 27580155 27674649 DEFERRED RENT 274288 OTHER LIABILITIES 78125 EXIT OBLIGATION 3120364 3472777 X 52032502 -1561454 -1561454 53593956 55241 55241 53649197 39412721 0 39412721 55241 55241 39467962 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND THE APPLICABLE STATE TAX STATUTES. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTIONS DEDUCTION UNDER SECTION 170(B)(1)(A) OF THE U.S. INTERNAL REVENUE CODE. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. MANAGEMENT BELIEVES THAT THE ORGANIZATION CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2022. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THAT THE ORGANIZATION HAD NO SIGNIFICANT UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2022 AND 2021. 1 0 0 0 0 0 1 0 0 THOMAS WROTH PRESIDENT & CEO 0 430041 0 109300 0 74569 0 14500 0 20180 0 648590 0 0 CHRISTOPHER WOODFIN EVP & CFO 0 384068 0 105998 0 55649 0 14500 0 19745 0 579960 0 0 RONALD SMITH EXECUTIVE BUSINESS ADVISOR 0 383846 0 99290 0 46869 0 11512 0 13336 0 554853 0 0 DENISE HEWSON EVP CARE MANAGEMENT & PROVIDER SERVI 0 360749 0 98835 0 50465 0 14500 0 17700 0 542249 0 0 WILLIAM TAYLOR EVP BUSINESS DEVELOPMENT 0 289087 0 78020 0 23794 0 14500 0 11335 0 416736 0 0 SCOTT TREMAYNE SVP FINANCE 0 250273 0 78325 0 40318 0 14500 0 20344 0 403760 0 0 CARLOS JACKSON EVP & CHIEF DATA & ANALYTICS 0 255609 0 66748 0 25131 0 14500 0 20448 0 382436 0 0 LYDIA NEWMAN EVP & CHIEF ADMINISTRATIVE OFFICER 0 268687 0 74050 0 1291 0 14500 0 18624 0 377152 0 0 TANYA BULLOCK SVP GOVERNANCE, RISK AND COMPLIANCE 0 220975 0 68282 0 26298 0 14500 0 15690 0 345745 0 0 TORLEN WADE SPECIAL ASSISTANT TO THE PRESIDENT 0 142326 0 0 0 199881 0 0 0 0 0 342207 0 0 KRISHNA VENUGOPAL SVP & CHIEF TECHNOLOGY OFFICER 0 225950 0 53345 0 38782 0 11932 0 2382 0 332391 0 0 PART I, LINE 3 NORTH CAROLINA COMMUNITY CARE NETWORKS, INC. (N3CN) DOES NOT HAVE ANY EMPLOYEES. ALL INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY COMMUNITY CARE OF NORTH CAROLINA, INC., (CCNC) A RELATED ORGANIZATION. N3CN REIMBURSES CCNC UNDER A SHARED SERVICES AGREEMENT. CCNC USED THE FOLLOWING PROCEDURES TO ESTABLISH THE COMPENSATION OF THE ORGANIZATIONS' CEO: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A TORLEN WADE, SPECIAL ASSISTANT TO THE PRESIDENT, RECEIVED SEVERANCE PAYMENTS OF $199,881 FROM CCNC. PART I, LINE 6 NORTH CAROLINA COMMUNITY CARE NETWORKS, INC. (N3CN) DOES NOT HAVE ANY EMPLOYEES. ALL INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY COMMUNITY CARE OF NORTH CAROLINA, INC., (CCNC) A RELATED ORGANIZATION. N3CN REIMBURSES CCNC UNDER A SHARED SERVICES AGREEMENT. CCNC'S INCENTIVE COMPENSATION PLAN IS PARTIALLY BASED ON ACHIEVING CERTAIN NET INCOME GOALS ESTABLISHED BY THE BOARD OF DIRECTORS. TOTAL INCENTIVE PAYMENTS WERE CAPPED AT 17.00% OF TOTAL SALARY EXPENSE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS COMMUNITY CARE OF NORTH CAROLINA, INC. FORM 990, PART VI, SECTION A, LINE 7A ANY VACANCY OCCURRING ON THE BOARD OF DIRECTORS MAY BE FILLED BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING DIRECTORS, SUBJECT TO THE APPROVAL OF THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS, PROVIDED THOSE ACTIONS HAVE ALREADY BEEN APPROVED BY THE BOARD OF DIRECTORS OF THE CORPORATION: 1. APPROVAL OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, AND ANY MATERIAL VARIANCES THEREFROM, AND APPROVAL OF LONG-RANGE FINANCIAL PLANS. 2. APPROVAL OF THE INCURRENCE OF ANY INDEBTEDNESS OF THE CORPORATION IN EXCESS OF AMOUNTS DETERMINED FROM TIME TO TIME BY RESOLUTION OF THIS CORPORATION'S CORPORATE MEMBER. 3. APPROVAL OF MERGERS OR CONSOLIDATIONS OF THE CORPORATION WITH ANY DOMESTIC OR FOREIGN CORPORATION. 4. THE SALE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF ASSETS OF THE CORPORATION WITH A FAIR MARKET VALUE IN EXCESS OF AN AMOUNT DETERMINED FROM TIME TO TIME BY THIS CORPORATION'S CORPORATE MEMBER OTHER THAN IN THE ORDINARY COURSE OF BUSINESS. 5. APPOINTMENT OR REMOVAL OF THE PRESIDENT OF THE CORPORATION. 6. APPOINTMENT OR REMOVAL OF A DIRECTOR OF THE CORPORATION. 7. AMENDMENTS TO THE ARTICLES OF INCORPORATION AND/OR BYLAWS OF THE CORPORATION. 8. VOLUNTARY DISSOLUTION OF THE CORPORATION. 9. APPROVAL OF VENDOR AGREEMENTS INVOLVING 20% OR MORE OF THIS CORPORATION'S OPERATING EXPENSE OF THE CORPORATION. 10. ESTABLISHMENT OF LONG RANGE PLANS AND STRATEGIES FOR THIS CORPORATION, INCLUDING ISSUES RELATING TO MARKETING, STRATEGIC DIRECTION, AND ONGOING OPERATIONS. 11. DEVELOPMENT OF POLICIES REGARDING THE IMPLEMENTATION OF ANY OF THE RESERVED POWERS DESCRIBED ABOVE. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY MANAGEMENT AND PROVIDED TO EACH VOTING MEMBER OF THE BOARD IN FULL BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND EMPLOYEE SIGNS A STATEMENT ANNUALLY. THE CORPORATION SHALL CONDUCT PERIODIC REVIEWS OF ITS ACTIVITIES TO ENSURE THAT IT IS OPERATING IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT IS NOT ENGAGING IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER WOULD RECUSE THEMSELF FROM THE DISCUSSION AND VOTING PROCESS. A CHANGE IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY DIRECTS STAFF TO "IDENTIFY POSSIBLE CLASSES OF BOARD MEMBERSHIP BASED ON CONTRACTUAL RELATIONSHIPS BETWEEN COMPANIES THAT EMPLOY THE BOARD MEMBER AND COMPANIES FOR WHICH THE MEMBER IS A BOARD MEMBER, AND TO RESEARCH BOARD POWERS THAT MIGHT BE RESERVED FOR BOARD MEMBERS OF PARTICULAR IDENTIFIED CLASSES." ALL PERSONNEL, INDEPENDENT CONTRACTORS AND MEMBERS OF THE BOARD OF DIRECTORS ARE PROVIDED TRAINING AND GUIDANCE ON CONFLICTS OF INTEREST, AND REQUIRED TO DISCLOSE ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS ON AN ANNUAL BASIS. THE HUMAN RESOURCES AND LEGAL DEPARTMENTS REVIEW AND ENFORCE COMPLIANCE AS NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 NORTH CAROLINA COMMUNITY CARE NETWORKS, INC. ("N3CN") DOES NOT HAVE ANY EMPLOYEES. ALL INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY COMMUNITY CARE OF NORTH CAROLINA, INC. ("CCNC"), A RELATED ORGANIZATION. N3CN REIMBURSES CCNC UNDER A SHARED SERVICES AGREEMENT. CCNC'S EVALUATION AND COMPENSATION COMMITTEE RECOMMENDED, AND CCNC'S BOARD APPROVED A CORPORATE COMPENSATION PHILOSOPHY ON JUNE 3, 2013. THE PHILOSOPHY INCLUDES: PAYING AT A LEVEL TO ATTRACT AND RETAIN QUALIFIED AND TALENTED EXECUTIVES; COMPENSATION BASED ON BENCHMARKS AND SIMILARLY SIZED NON-PROFITS WITH SIMILAR EXECUTIVE STRUCTURES; COMPENSATION AT OR SLIGHTLY ABOVE MEDIAN; BASE SALARY LINKED TO PERFORMANCE AND SKILLS. EXECUTIVE COMPENSATION IS EVALUATED AND APPROVED BY CCNC'S EVALUATION AND COMPENSATION COMMITTEE AND RATIFIED BY CCNC'S BOARD OF DIRECTORS. CEO COMPENSATION IS EVALUATED AND RECOMMENDED BY THE EVALUATION AND COMPENSATION COMMITTEE ANNUALLY AND IS APPROVED BY THE BOARD OF DIRECTORS. FOR ALL OTHER OFFICERS AND KEY EMPLOYEES, HUMAN RESOURCES BENCHMARKS AGAINST MARKET DATA PROVIDED BY INDUSTRY RECOGNIZED SURVEYS. THEY ALSO CONDUCT AN INTERNAL ASSESSMENT TO ENSURE INTERNAL EQUITY. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE OFFICE OF THE ORGANIZATION. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 7,033,885. MANAGEMENT AND GENERAL EXPENSES 402,112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,435,997. COMMUNITY CARE OF NORTH CAROLINA INC 1255 CRESCENT GREEN DR STE 200 CARY NC 27518 463355510 FOSTER AND ENHANCE QUALITY, EFFICIENCY AND ACCESS TO HEALTH CARE NC 501(C)(3) LINE 7 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0