2021-08-11T15:58:16-05:00 2020-09-30 420714325 RSM US LLP 801 NICOLLET MALL WEST TOWER STE 1200 MINNEAPOLIS MN 554022526 990 2019-10-01 562049697 CAROLINA HEALTHCARE ASSOCIATES INC CARO 9106675909 PO BOX 1649 WILMINGTON NC 28402 DAN GOODWIN PRESIDENT 9106675909 2021-08-09 1 KACIE MCEWEN P01599614 6123324300 2021-08-09 2019 2022-09-23 18:48:47Z X NHRMC PHYSICIANS GROUP DAN GOODWIN PO BOX 1649 WILMINGTON NC 28402 223929451 0 X N/A X 1997 NC CAROLINA HEALTHCARE ASSOCIATES, INC. WAS ESTABLISHED TO PROVIDE AFFORDABLE HEALTHCARE SERVICES TO THE RESIDENTS OF NEW HANOVER COUNTY AND SURROUNDING AREAS. CAROLINA HEALTHCARE ASSOCIATES CONSISTS OF ONCOLOGISTS, NURSE PRACTITIONERS, NEUROLOGISTS, CARDIOLOGISTS, UROLOGISTS, PSYCHIATRISTS, GASTROENTEROLOGISTS, FAMILY MEDICINE, INTERNAL MEDICINE, URGENT CARE, PRIMARY CARE, PEDIATRIC SURGEONS AND ORAL MAXILLOFACIAL SURGEONS. 8 7 891 0 0 0 37014464 51300014 171029897 172593469 -87811 -5802 93854 17654 208050404 223905335 12267 7625 0 0 53602795 57964860 0 0 0 156566295 155769846 210181357 213742331 -2130953 10163004 28608365 28867115 21003009 11098755 7605356 17768360 CAROLINA HEALTHCARE ASSOCIATES, INC. WAS ESTABLISHED TO PROVIDE AFFORDABLE HEALTHCARE SERVICES TO THE RESIDENTS OF NEW HANOVER COUNTY AND SURROUNDING AREAS. 0 0 213742331 7625 172593469 HEALTHCARE SERVICES TO THE RESIDENTS OF NEW HANOVER COUNTY AND THE SURROUNDING AREAS. 213742331 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 35 0 1 891 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 1 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X BRAD VASS VPCONTROLLER 9106675909 PO BOX 1649 WILMINGTON NC 28402 JOHN H GIZDIC FORMER OFFICER 0.00 40.00 X 0 1009444 28520 MICHAEL S JASKOLKA PHYSICIAN 40.00 1.00 X 849984 0 46672 WILLIAM J CURTIS PHYSICIAN 40.00 X 721133 0 35337 EDWIN J OLLIE TREASURER 2.00 40.00 X 0 634944 12303 WILLIAM W HOPE FORMER BOARD MEMBER 40.00 0.40 X 584547 0 43844 ELIZABETH ACQUISTA PHYSICIAN 40.00 X 564173 0 36549 TIMOTY NOVOSEL PHYSICIAN 40.00 X 564663 0 35695 WILLIAM HOOKS PHYSICIAN 40.00 X 538725 0 41122 AMY MESSIER CHIEF MEDICAL OFFICER 4.00 40.00 X 0 442617 25931 DAN GOODWIN PRESIDENT 40.00 X 0 278114 26252 TERENCE S MCDOWELL FORMER KEY EMPLOYEE 40.00 X 267114 0 8763 MARY RUDYK MEDICAL STAFF PRESIDENT 40.00 X 0 118110 0 ROBERT G GREER BOARD CHAIRMAN/MEMBER 0.30 0.30 X X 0 6000 0 JASON THOMPSON BOARD CHAIRMAN (AS OF 10/23/19) 0.30 0.30 X X 0 4800 0 DANA COOK BOARD SECRETARY (AS OF 10/23/19) 0.30 0.30 X X 0 4800 0 RHONDA AMOROSO BOARD SECRETARY (UNTIL 10/22/19) 0.30 0.30 X X 0 4800 0 BRIAN C ECKEL BOARD MEMBER/TREASURER 0.30 0.30 X X 0 4800 0 HOWARD ROCKNESS BOARD MEMBER 0.30 0.30 X 0 4800 0 JEROME FENNELL BOARD MEMBER/VICE CHAIR 0.30 0.30 X X 0 3600 0 JULIA OLSON-BOSEMAN BOARD MEMBER 0.30 0.30 X 0 2400 0 4090339 2519229 340988 68 1 1 0 ATRIUM HEALTH 208 NORTH CALDWELL STREET CHARLOTTE NC 28202 MANAGEMENT AND SERVICE FEES 143233071 SLEEPWORKS 430 WOODRUFF ROAD SUITE 450 GREENVILLE SC 29615 SLEEP STUDIES 716607 FENTRISS R WATTS PO BOX 375 ROCKY POINT NC 28457 CONSTRUCTION CONTRACTOR 596509 WILMINGTON 1202 MEDICAL CENTER DRIVE WILMINGTON NC 28401 MEDICAL AND HEALTHCARE 260488 4 47505072 3794942 51300014 MEDICAL SERVICES 621300 172593469 172593469 172593469 2130 2130 16184 24116 -7932 -7932 -7932 OTHER NON-OPERATING REVENUE 900099 17654 17654 17654 223905335 172593469 0 11852 7625 7625 46444977 46444977 1064554 1064554 7532569 7532569 2922760 2922760 3681391 3681391 14257088 14257088 205547 205547 92345 92345 190135 190135 6700895 6700895 396237 396237 2194507 2194507 2954509 2954509 PHYSICIAN FEES 92552660 92552660 MEDICAL EXPENSES 29224033 29224033 MAINTENANCE CONTRACTS 817360 817360 TELEPHONE 596184 596184 1906955 1906955 213742331 213742331 0 0 6085462 4121188 13777374 16317173 1464369 1373052 649691 581700 18922917 12448915 6631469 6474002 28608365 28867115 21003009 11098755 21003009 11098755 X 7605356 17768360 0 0 7605356 17768360 28608365 28867115 10163004 0 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3405836 2383966 1021870 15484593 10060737 5423856 32488 4212 28276 6474002 1 AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 7600 TO SUPPORT THE 2020 CAPE FEAR HEART BALL FUNDRAISER AND TO SUPPORT BUILDING HEALTHIER LIVES, FREE OF CARDIOVASCULAR DISEASES AND STROKES. 1 0 PART I, LINE 2: THE ORGANIZATION DONATES TO SPECIFIC EVENTS. 0 1 0 0 0 0 0 1 0 JOHN H GIZDIC FORMER OFFICER 0 920730 0 0 0 88714 0 0 0 28520 0 1037964 0 58806 MICHAEL S JASKOLKA PHYSICIAN 826513 0 0 0 23471 0 13800 0 32872 0 896656 0 0 0 WILLIAM J CURTIS PHYSICIAN 681844 0 0 0 39289 0 9179 0 26158 0 756470 0 0 0 EDWIN J OLLIE TREASURER 0 565939 0 0 0 69005 0 0 0 12303 0 647247 0 0 WILLIAM W HOPE FORMER BOARD MEMBER 545504 0 0 0 39043 0 19000 0 24844 0 628391 0 0 0 ELIZABETH ACQUISTA PHYSICIAN 541345 0 0 0 22828 0 14250 0 22299 0 600722 0 0 0 TIMOTY NOVOSEL PHYSICIAN 563410 0 0 0 1253 0 9500 0 26195 0 600358 0 0 0 WILLIAM HOOKS PHYSICIAN 507510 0 0 0 31215 0 14250 0 26872 0 579847 0 0 0 AMY MESSIER CHIEF MEDICAL OFFICER 0 402958 0 0 0 39659 0 0 0 25931 0 468548 0 0 DAN GOODWIN PRESIDENT 0 241266 0 0 0 36848 0 0 0 26252 0 304366 0 0 TERENCE S MCDOWELL FORMER KEY EMPLOYEE 170246 0 72125 0 24743 0 5866 0 2897 0 275877 0 0 0 PART I, LINE 3 THE ORGANIZATION'S PRESIDENT IS DETERMINED AND PAID BY NHRMC, A RELATED ORGANIZATION. UPON DETERMINING HIS COMPENSATION, NHRMC USES THE FOLLOWING METHODS: INDEPENDENT COMPENSATION CONSULTANT AND APPROVAL BY NHRMC'S EXECUTIVE COMMITTEE. PART I, LINE 4B AN IRC SECTION 457(F) PLAN PAYMENT OF $58,806 WAS PAID TO JOHN GIZDIC AND $3,800 WAS PAID TO ED OLLIE DURING CALENDAR YEAR 2019. PART I, LINE 7 A DISCRETIONARY BONUS WAS PAID TO TERENCE MCDOWELL OF $72,125 DURING CALENDER YEAR 2019. THIS BONUS WAS BASED ON HIS LEADER EVALUATION MANAGER GOALS. FORM 990, PART VI, SECTION A, LINE 3 A MANAGEMENT COMPANY, ATRIUM HEALTH (FORMERLY KNOWN AS CAROLINA HEALTHCARE SYSTEM), IS UTILIZED FOR DAY-TO-DAY OPERATIONS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE EXECUTIVE COMMITTEE OF NHRMC, A RELATED ORGANIZATION, SERVE AS THE BOARD OF DIRECTORS FOR CHA. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S PRESIDENT COMPLETES A REVIEW OF THE TAX FILING EACH YEAR BEFORE SUBMITTING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C PURSUANT TO NEW HANOVER REGIONAL MEDICAL CENTER'S CONFLICT OF INTEREST POLICY, CHA DIRECTORS AND VPS MUST COMPLETE A CONFLICT OF INTEREST FORM DURING THEIR ANNUAL PERFORMANCE EVALUATION PROCESS. THE DISCLOSURE FORMS ARE THEN REVIEWED BY NHRMC'S CORPORATE COMPLIANCE OFFICER. IF A DIRECTOR HAS A CONFLICT, IT IS DOCUMENTED AND THAT DIRECTOR WILL NOT PARTICIPATE IN THE VOTE WHEN THE PROPOSED CONTRACT IS CONSIDERED. FORM 990, PART VI, SECTION B, LINE 15 CHA FOLLOWS NHRMC POLICY ON COMPENSATION. THE NHRMC BOARD OF TRUSTEES IS RESPONSIBLE FOR APPROVING THE TOTAL ANNUAL COMPENSATION BUDGET FOR THE MEDICAL CENTER. THE NHRMC PRESIDENT/CEO, IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY, WILL RECOMMEND FOR APPROVAL BY THE EXECUTIVE COMMITTEE THE LEVEL OF COMPENSATION PAID TO UPPER LEVEL MANAGERS OF THE MEDICAL CENTER. RECOMMENDATIONS WILL BE DEVELOPED UTILIZING COMPETITIVE MARKET DATA SUPPLIED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM AS OUTLINED IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND APPROVED BY THE EXECUTIVE COMMITTEE. COMPENSATION FOR UPPER LEVEL MANAGERS WILL BE REVIEWED AT LEAST ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THE ORGANIZATIONS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 3B: CHA RECEIVED CARES ACT FUNDING, WHICH SUBJECTED IT TO SINGLE AUDIT REQUIREMENTS. AS OF THE TIME OF FILING, THIS AUDIT WAS STILL BEING COMPLETED. NEW HANOVER REGIONAL MEDICAL CENTER PO BOX 9000 2131 S 17TH STREET WILMINGTON NC 28401 560887181 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 LOWER CAPE FEAR HOSPICE INCORPORATED 1414 PHYSICIANS DRIVE WILMINGTON NC 28401 561216682 HOSPICE CARE NC 501(C)(3) LINE 7 NEW HANOVER REGIONAL MEDICAL CENTER 0 NEW HANOVER REGIONAL MEDICAL CENTER FOUNDATION INC 2001 S 17TH ST WILMINGTON NC 28401 561752396 SUPPORTING FOUNDATION NC 501(C)(3) LINE 12A, I NEW HANOVER REGIONAL MEDICAL CENTER 1 0 0 1 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0