NORTH CAROLINA HEALTHCARE FOUNDATION INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CAROLINA HEALTHCARE FOUNDATION INC (EIN 56-0773039)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202113139349303626
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T13:28:43-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560773039 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA HEALTHCARE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 9196772400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4449 | AddressLine1Txt |
| City | CARY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27519 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN J LAWLER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9196772400 | PhoneNum |
| Signature | 2021-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEPHEN | PersonFirstNm |
| Person Last | LAWLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
| Preparation | 2021-11-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN J LAWLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4449 | AddressLine1Txt |
| City | CARY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27519 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,557,291 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | NCHA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OTO FOSTER AND ACCELERATE THE COLLECTIVE IMPACT OF HOSPITALS, HEALTH SYSTEMS AND COMMUNITY PARTNERS TO IMPROVE THE HEALTH OF NORTH CAROLINIANS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 55 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,008,294 | PYContributionsGrantsAmt |
| CY Contributions Grants | $37,148,805 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $721,413 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $401,430 | CYProgramServiceRevenueAmt |
| PY Investment Income | $143,416 | PYInvestmentIncomeAmt |
| CY Investment Income | -$103,343 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,873,123 | PYTotalRevenueAmt |
| CY Total Revenue | $37,446,892 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,817,387 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $8,726,370 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,782,823 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,984,281 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,903,075 | PYOtherExpensesAmt |
| CY Other Expenses | $25,118,059 | CYOtherExpensesAmt |
| PY Total Expenses | $5,503,285 | PYTotalExpensesAmt |
| CY Total Expenses | $35,828,710 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $369,838 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,618,182 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,804,352 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,910,378 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,577,357 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,608,124 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,226,995 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,302,254 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO FOSTER AND ACCELERATE THE COLLECTIVE IMPACT OF HOSPITALS, HEALTH SYSTEMS AND COMMUNITY PARTNERS TO IMPROVE THE HEALTH OF NORTH CAROLINIANS. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,494,593 | ExpenseAmt |
| Grant | $8,726,370 | GrantAmt |
| Revenue | $401,430 | RevenueAmt |
| Desc | THE NORTH CAROLINA HOSPITAL FOUNDATION CARRIES OUT ACTIVITIES THAT FOSTER AND ACCELERATE THE COLLECTIVE IMPACT OF HOSPITALS, HEALTH SYSTEMS AND COMMUNITY PARTNERS TO IMPROVE THE HEALTH OF NORTH CAROLINIANS.IN 2020 NCHF PARTNERED WITH PRIVATE PHILANTHROPY, CORPORATE PARTNERS, AND MAJOR GIFT DONORS TO DEPLOY RESOURCES TO ORGANIZATIONS RESPONDING TO THE COVID-19 CRISIS TO ADDRESS EMERGING, ACUTE, AND LONG-TERM NEEDS. NCHF DISTRIBUTED FUNDS TO 39 ORGANIZATIONS | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $23,224,851 | ExpenseAmt |
| Desc | THE STATE OF NORTH CAROLINA ALLOCATED FUNDS TO NCHF USED TO PURCHASE SUPPLIES AND EQUIPMENT NECESSARY FOR LIFE SAFETY, HEALTH, AND SANITATION, INCLUDING PERSONAL PROTECTIVE EQUIPMENT TO SUPPORT NORTH CAROLINA'S RESPONSE TO THE COVID-19 CRISIS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AWARDED FUNDS TO SUPPORT THE URGENT PREPAREDNESS AND RESPONSE NEEDS OF HOSPITALS, HEALTH SYSTEMS, AND HEALTH CARE WORKERS ON THE FRONT LINES OF THE COVID-19 OUTBREAK. FUNDS SUPPORTED ACTIVITIES TO PREPARE HEALTH CARE SYSTEMS AND PROVIDERS TO IDENTIFY, ISOLATE, ASSESS, TRANSPORT AND TREAT PATIENTS WITH COVID-19 OR OTHER ILLNESSES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $35,719,444 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 55 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFREY WEEGAR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9196774231 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 WESTON PARKWAY | AddressLine1Txt |
| City | CARY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27513 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| STEPHEN J LAWLER | |||||||
| PRESIDENT | 7.50 | 30.00 | Yes (X) | Yes (X) | $0 | $822,662 | $50,008 |
| JULIA WACKER | |||||||
| EXECUTIVE DIRECTOR | 37.50 | Yes (X) | $0 | $182,814 | $15,125 | ||
| JEFFREY WEEGAR | |||||||
| CFO | 6.00 | 31.50 | Yes (X) | $0 | $184,868 | $21,179 | |
| PAUL CUNNINGHAM MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VANESSA ERVIN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GREG GOMBAR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LIN HOLLOWELL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHUCK MANTOOTH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEAH MCCALL DEVLIN DDS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALLEN SMART | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CASSIUS WILLIAMS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PHYLLIS WINGATE | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,190,344 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $86,312 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| IBM CORPORATION | |||||
| 3039 CORNWALLIS ROAD | RESEARCH TRIANGLE PARK | NC | 27709 | INFORMATION TECHNOLOGY SERVICES | $277,500 |
| TSNE MISSIONWORKS | |||||
| 88 SOUTH STREET STUIE 700 | BOSTON | MA | 02111 | CONSULTING SERVICES | $241,943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $27,311,389 | GovernmentGrantsAmt |
| All Other Contributions | $9,837,416 | AllOtherContributionsAmt |
| Total Contributions | $37,148,805 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEETING REGISTRATION | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $401,430 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $401,430 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $401,430 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,056 | TotalRevenueColumnAmt |
| Exclusion | $7,056 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $110,399 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$110,399 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$110,399 | TotalRevenueColumnAmt |
| Exclusion | -$110,399 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,446,892 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $401,430 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$103,343 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,726,370 | TotalAmt |
| Program Services | $8,726,370 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,585,261 | TotalAmt |
| Program Services | $1,511,899 | ProgramServicesAmt |
| Management And General | $73,362 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,692 | TotalAmt |
| Program Services | $51,207 | ProgramServicesAmt |
| Management And General | $2,485 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,286 | TotalAmt |
| Program Services | $215,814 | ProgramServicesAmt |
| Management And General | $10,472 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,042 | TotalAmt |
| Program Services | $113,533 | ProgramServicesAmt |
| Management And General | $5,509 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,526 | TotalAmt |
| Program Services | $607,526 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,415 | TotalAmt |
| Program Services | $534,415 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,275 | TotalAmt |
| Program Services | $2,275 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,874 | TotalAmt |
| Program Services | $13,668 | ProgramServicesAmt |
| Management And General | $206 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,750 | TotalAmt |
| Program Services | $154,526 | ProgramServicesAmt |
| Management And General | $4,224 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,734 | TotalAmt |
| Program Services | $56,943 | ProgramServicesAmt |
| Management And General | $1,791 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,793 | TotalAmt |
| Program Services | $16,622 | ProgramServicesAmt |
| Management And General | $171 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,070 | TotalAmt |
| Program Services | $351,587 | ProgramServicesAmt |
| Management And General | $7,483 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88 | TotalAmt |
| Management And General | $88 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| COVID-19 RELATED EXPENS | $23,224,851 | $23,224,851 | |
| DUES, SUBSCRIPTIONS, ET | $138,208 | $138,208 | |
| GENERAL & ADMIN | $3,475 | $3,475 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,828,710 | TotalAmt |
| Program Services | $35,719,444 | ProgramServicesAmt |
| Management And General | $109,266 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,512,953 | BOYAmt |
| EOY | $6,700,792 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,383 | BOYAmt |
| EOY | $990,761 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $8,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $49,557 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $49,557 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,857,016 | BOYAmt |
| EOY | $4,210,325 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,804,352 | BOYAmt |
| EOY | $11,910,378 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,568 | BOYAmt |
| EOY | $3,201,177 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,984 | BOYAmt |
| EOY | $32,400 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,031,805 | BOYAmt |
| EOY | $1,374,547 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,577,357 | BOYAmt |
| EOY | $4,608,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,047,409 | BOYAmt |
| EOY | $2,874,279 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,179,586 | BOYAmt |
| EOY | $4,427,975 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,226,995 | BOYAmt |
| EOY | $7,302,254 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,804,352 | BOYAmt |
| EOY | $11,910,378 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,618,182 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $457,077 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,834,711 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,595,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,299,952 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,008,294 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,148,805 | CurrentTaxYearAmt |
| Total | $54,886,952 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $721,413 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $401,430 | CurrentTaxYearAmt |
| Total | $1,122,843 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,834,711 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,595,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,299,952 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,729,707 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,550,235 | CurrentTaxYearAmt |
| Total | $56,009,795 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $56,009,795 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $131,529 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $133,417 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $141,742 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,056 | CurrentTaxYearAmt |
| Total | $550,891 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $131,529 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $133,417 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $141,742 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,056 | CurrentTaxYearAmt |
| Total | $550,891 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,966,240 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,728,607 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,437,099 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,871,449 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,557,291 | CurrentTaxYearAmt |
| Total | $56,560,686 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99030 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97490 | PublicSupportPY509Pct |
| Investment Income CY | 0.00970 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02510 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,557 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,557 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATE | $1,309,341 |
| ACCRUED COMPENSATION | $65,206 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,374,547 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,592,580 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $457,077 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $457,077 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,135,503 | RevenueSubtotalAmt |
| Other Revenues Not Included | $27,311,389 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $27,311,389 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,446,892 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,517,321 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,517,321 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $27,311,389 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $27,311,389 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $35,828,710 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE FOUNDATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | GOVERNMENT GRANT REVENUE 27,311,389. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GOVERNMENT GRANT EXPENSES 27,311,389. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (79 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| ALCOHOL DRUG COUNCIL OF NC | ||||||||
| 1121 SITUS CT SUITE 360 | RALEIGH | NC | 27606 | 560771084 | 501(C)(3) | $149,897 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| ALLEGHANY COUNTY MEMORIAL HOSPITAL INC | ||||||||
| PO BOX 947 | SPARTA | NC | 28675 | 560525657 | 501(C)(3) | $10,400 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| APPALACHIAN REGIONAL HEALTHCARE SYSTEM | ||||||||
| PO BOX 2600 | BOONE | NC | 28607 | 201067022 | 501(C)(3) | $150,000 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| ASHE MEMORIAL HOSPITAL (F) | ||||||||
| 200 HOSPITAL AVENUE | JEFFERSON | NC | 28640 | 560603900 | 501(C)(3) | $264,825 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| BENSON AREA MEDICAL CENTER INC | ||||||||
| 3333 NC HWY 242 N | BENSON | NC | 275047844 | 561181412 | 501(C)(3) | $35,455 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| BLACK RIVER HEALTH SERVICES INC | ||||||||
| 301 S CAMPBELL ST | BURGAW | NC | 28425 | 237356223 | 501(C)(3) | $25,383 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| BOYS & GIRLS CLUB OF HENDERSON COUNTY | ||||||||
| PO BOX 1460 | HENDERSONVILLE | NC | 28793 | 561803125 | 501(C)(3) | $50,000 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| BOYS & GIRLS CLUB OF NORTH CENTRAL NC | ||||||||
| 105 WEST ST | OXFORD | NC | 27565 | 562525793 | 501(C)(3) | $25,300 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| BOYS & GIRLS CLUBS OF THE ALBEMARLE INC | ||||||||
| 131 MORRISTOWN RD | EDENTON | NC | 27932 | 611546080 | 501(C)(3) | $25,003 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| BRYNN MARR HOSPITAL | ||||||||
| 192 VILLAGE DRIVE | JACKSONVILLE | NC | 28548 | 561317433 | C-CORP | $143,000 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CALDWELL MEMORIAL HOSPITAL INCORPORATED | ||||||||
| 321 MULBERRY STREET | LENOIR | NC | 28645 | 560554202 | 501(C)(3) | $149,318 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CAMINO COMMUNITY DEVELOPMENT CORP | ||||||||
| 133 STETSON DR | CHARLOTTE | NC | 28262 | 562015959 | 501(C)(3) | $93,500 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| CAPE FEAR VALLEY - BLADEN HEALTHCARE | ||||||||
| 501 S POPLAR ST | ELIZABETHTOWN | NC | 28337 | 800164702 | 501(C)(3) | $72,193 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CATAWBA VALLEY MEDICAL CENTER | ||||||||
| 810 FAIRGROVE CHURCH RD SE | HICKORY | NC | 28602 | 560789196 | 509(A)(1) | $75,717 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CHARLES A CANNON JR MEMORIAL HOSPITAL (F) | ||||||||
| PO BOX 767 | LINVILLE | NC | 28646 | 560529974 | 501(C)(3) | $67,893 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CHATHAM HOSPITAL (F) | ||||||||
| PO BOX 649 | SILER CITY | NC | 27344 | 560611546 | 501(C)(3) | $67,893 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CHEROKEE INDIAN HOSPITAL AUTHORITY (F) | ||||||||
| 1 HOSPITAL RDNCALLER BOX C-268 | CHEROKEE | NC | 28719 | 050524222 | 7871 | $25,556 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CHOWAN INC (VIDANT CHOWAN HOSPITAL) | ||||||||
| 211 VIRGINIA ROAD | EDENTON | NC | 27932 | 562101090 | 501(C)(3) | $73,643 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CLAY COUNTY NC EMERGENCY MEDICAL SERVICES | ||||||||
| PO BOX 118 | HAYESVILLE | NC | 28904 | 566000287 | 509(A)(1) | $147,093 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | ||||||||
| 500 JEFFERSON ST | WHITEVILLE | NC | 28472 | 560538020 | 501(C)(3) | $149,900 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CONE HEALTH | ||||||||
| 1200 NORTH ELM STREET | GREENSBORO | NC | 27401 | 581588823 | 501(C)(3) | $148,198 | NC EMERGENCY DEPARTMENT PEER SUPPORT PILOT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CONE HEALTH BEHAVIORAL HEALTH HOSPITAL | ||||||||
| 1200 N ELM STREET | GREENSBORO | NC | 27401 | 530532302 | 501(C)(3) | $78,739 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CROSSNORE SCHOOL & CHILDREN'S HOME | ||||||||
| PO BOX 249 | CROSSNORE | NC | 28616 | 560567980 | 501(C)(3) | $25,000 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| CUMBERLAND COUNTY HOSPITAL SYSTEM INC | ||||||||
| 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 560845796 | 501(C)(3) | $200,859 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| CURAMERICAS GLOBAL INC | ||||||||
| 318 W MILLBROOK RD 105 | RALEIGH | NC | 27609 | 561400098 | 501(C)(3) | $249,996 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| DAVIE MEDICAL CENTER | ||||||||
| 329 NC HWY 801N | BERMUDA RUN | NC | 27006 | 562276994 | 501(C)(3) | $25,556 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| DLP PERSON MEMORIAL HOSPITAL | ||||||||
| 615 RIDGE ROAD | ROXBORO | NC | 27573 | 560543247 | C-CORP | $33,556 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| EAGLE MARKET STREETS DEVELOPMENT CORPORATION CDC | ||||||||
| 70 SOUTH MARKET ST | ASHEVILLE | NC | 28801 | 582140995 | 501(C)(3) | $50,022 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| ELIZABETH CITY STATE UNIVERSITY | ||||||||
| 1704 WEEKSVILLE RD | ELIZABETH CITY | NC | 27909 | 561047680 | 501(C)(3) | $131,841 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| EPISCOPAL FARMWORKER MINISTRY | ||||||||
| 2989 EASY STREET | DUNN | NC | 28334 | 204942554 | N/A - RELIGIOUS ORGA | $56,225 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| ERLANGER WESTERN CAROLINA HOSPITAL (F) | ||||||||
| 3990 E HWY 64 ALT | MURPHY | NC | 28906 | 561844262 | 509(A)(1) | $189,412 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL (F) | ||||||||
| 520 ALLEN STREET | TROY | NC | 27932 | 561936354 | 501(C)(3) | $57,493 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS | ||||||||
| 6408 FAYETTEVILLE RD RAEFORD | RAEFORD | NC | 28376 | 561936354 | 501(C)(3) | $25,556 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| FIRSTHEALTH OF THE CAROLINAS INC | ||||||||
| PO BOX 3000 155 MEMORIAL DR | PINEHURST | NC | 28374 | 561936354 | 501(C)(3) | $150,000 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| FORSYTH MEDICAL CENTER FOUNDATION DBA NOVANT HEALTH FORSYTH MEDICAL CENTE | ||||||||
| 220 HAWTHORNE LANE | CHARLOTTE | NC | 28204 | 581413074 | 501(C)(3) | $149,975 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| GRANVILLE HEALTH SYSTEM (F) | ||||||||
| PO BOX 947 | OXFORD | NC | 27565 | 264073395 | 509(A)(1) | $167,956 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| HARNETT HEALTH SYSTEM | ||||||||
| 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 560603898 | 501(C)(3) | $10,400 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| HEALTH EDUCATION FOUNDATION OF EASTERN NC INC | ||||||||
| 1631 SOUTH WESLEYAN BOULEVARD | ROCKY MOUNT | NC | 278040368 | 237338802 | 501(C)(3) | $500,000 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| HEARTWOOD REFUGE & RETREAT CENTER | ||||||||
| 1020 STATE STREET | HENDERSONVILLE | NC | 28739 | 820983637 | 501(C)(3) | $27,790 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| HINTON RURAL LIFE CENTER INC | ||||||||
| 2330 HINTON CENTER ROAD | HAYESVILLE | NC | 289044862 | 560842073 | 501(C)(3) | $142,385 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| HISPANIC LIAISON OF CHATHAM COUNTY | ||||||||
| 200 N CHATHAM AVENUE | SILER CITY | NC | 27344 | 561974043 | 501(C)(3) | $98,480 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| HOUSE OF MERCY INC | ||||||||
| PO BOX 808 | BELMONT | NC | 28012 | 561733055 | 501(C)(3) | $55,000 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| IREDELL MEMORIAL HOSPITAL INC | ||||||||
| 557 BROOKDALE DR | STATESVILLE | NC | 28677 | 560591303 | 509(A)(1) | $149,563 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| J ARTHUR DOSHER MEMORIAL HOSPITAL FOUNDATION INC | ||||||||
| 924 N HOWE ST | SOUTHPORT | NC | 28461 | 560845824 | 501(C)(3) | $107,893 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| JORDAN PEER RECOVERY INC | ||||||||
| 14623 ARGOS PL | UPPER MARLBORO | MD | 20774 | 842396823 | 501(C)(3) | $148,418 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES (F) | ||||||||
| 1570 NC 8 89 HWY NORTH | DANBURY | NC | 27016 | 561793620 | 501(C)(3) | $57,493 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| LINCOLN COMMUNITY HEALTH CENTER INCORPORATED | ||||||||
| 1301 FAYETTEVILLE STREET | DURHAM | NC | 27707 | 561031244 | 501(C)(3) | $90,530 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| LUTHERAN SERVICES CAROLINAS | ||||||||
| 1416 S MARTIN LUTHER KING JR AVE | SALISBURY | NC | 28145 | 201457236 | 501(C)(3) | $148,500 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| MH MISSION HOSPITAL LLLP | ||||||||
| 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 832048706 | C-CORP | $39,005 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| NC ASSOCIATION OF FREE AND CHARITABLE CLINICS | ||||||||
| 1399 ASHLEYBROOK LN SUITE 110 | WINSTONSALEM | NC | 27103 | 562062170 | 501(C)(3) | $262,500 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| NC COMMUNITY HEALTH CENTER ASSOCIATION | ||||||||
| 4917 WATERS EDGE DR 165 | RALEIGH | NC | 27606 | 561240332 | 501(C)(3) | $262,500 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| NEIGHBORS IN MINISTRY INC | ||||||||
| PO BOX 1036 | BREVARD | NC | 28712 | 562032133 | 501(C)(3) | $28,600 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| NORTH CAROLINA COALITION AGAINST DOMESTIC VIOLENCE INC | ||||||||
| 3710 UNIVERSITY DRIVE STE 140 | DURHAM | NC | 27707 | 611077481 | 501(C)(3) | $149,881 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| NORTH CAROLINA FARMWORKERS PROJECT INC | ||||||||
| PO BOX 352 | BENSON | NC | 27504 | 561870955 | 501(C)(3) | $37,840 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER FOUNDATION | ||||||||
| 200 HAWTHORNE LANE BELK HOUSE | CHARLOTTE | NC | 27401 | 581413074 | 501(C)(3) | $63,158 | NC EMERGENCY DEPARTMENT PEER SUPPORT PILOT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| ONSLOW MEMORIAL HOSPITAL | ||||||||
| 317 WESTERN BLVD | JACKSONVILLE | NC | 28546 | 562014989 | 509(A)(1) | $162,157 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| PARDEE HOSPITAL FOUNDATION | ||||||||
| 561 FLEMING STREET | HENDERSONVILLE | NC | 28739 | 561930028 | 509(A)(1) | $145,618 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| PELETAH MINISTRIES | ||||||||
| PO BOX 14253 | NEW BERN | NC | 28561 | 611662965 | 501(C)(3) | $91,960 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| PENDER MEMORIAL HOSPITAL | ||||||||
| 507 E FREMONT ST BURGAW | BURGAW | NC | 28425 | 560653348 | 509(A)(1) | $77,325 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| PISGAH LEGAL SERVICES | ||||||||
| 62A CHARLOTTE STREET | ASHEVILLE | NC | 28801 | 561191115 | 501(C)(3) | $85,800 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| REFUGEE COMMUNITY PARTNERSHIP | ||||||||
| PO BOX 461 | CARRBORO | NC | 27510 | 263608741 | 501(C)(3) | $116,050 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| SAMPSON REGIONAL MEDICAL CENTER INC | ||||||||
| PO BOX 260 | CLINTON | NC | 28328 | 560562304 | 509(A)(1) | $132,927 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| SOUTHEASTERN HEALTH | ||||||||
| PO BOX 1408 | LUMBERTON | NC | 28359 | 560530233 | 501(C)(3) | $382,839 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| ST LUKE'S HOSPITAL | ||||||||
| 101 HOSPITAL DR | COLUMBUS | NC | 28722 | 560554222 | 501(C)(3) | $209,818 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| SURRY MEDICAL MINISTRIES FOUNDATION | ||||||||
| PO BOX 349 | MOUNT AIRY | NC | 27030 | 561829347 | 501(C)(3) | $60,000 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| SWAIN COMMUNITY HOSPITAL | ||||||||
| 45 PLATEAU ST | BRYSON | NC | 28713 | 320441929 | C-CORP | $57,493 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY DBA ATRIUM HEALTH DIVISION | ||||||||
| 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 560529945 | 509(A)(1) | $39,189 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| THE OUTER BANKS HOSPITAL (F) | ||||||||
| 4800 S CROATAN HWY | NAGS HEAD | NC | 279599704 | 562112733 | 501(C)(3) | $57,493 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO | ||||||||
| 1111 SPRING GARDEN ST ROOM 2511 | GREENSBORO | NC | 274125013 | 566001468 | 501(C)(3) | $60,483 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE TRIANGLE AREA INC | ||||||||
| 801 CORPORATE CENTER DRIVE SUITE | RALEIGH | NC | 27607 | 560591307 | 501(C)(3) | $169,050 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | 200 |
| UNC HEALTH CARE SYSTEM | ||||||||
| 211 FRIDAY CENTER DRIVE SUITE 2108 | CHAPEL HILL | NC | 27517 | 562206970 | 501(C)(3) | $67,119 | NC EMERGENCY DEPARTMENT PEER SUPPORT PILOT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION INC DBA VIDANT H | ||||||||
| PO BOX 8489 | GREENVILLE | NC | 278358489 | 200777374 | 501(C)(3) | $55,391 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| VIDANT BERTIE HOSPITAL | ||||||||
| 1403 S KING STREET | WINDSOR | NC | 27983 | 562003393 | 501(C)(3) | $58,326 | SMALL RURAL HEALTH IMPROVEMENT GRANT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| VIDANT DUPLIN HOSPITAL | ||||||||
| PO BOX 278 | KENANSVILLE | NC | 28349 | 566011594 | 501(C)(3) | $25,556 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | ||||||||
| MEDICAL CENTER BLVD | WINSTONSALEM | NC | 27157 | 510190238 | 501(C)(3) | $220,188 | NC EMERGENCY DEPARTMENT PEER SUPPORT PILOT PROGRAM. ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| WAKEMED | ||||||||
| 3000 NEW BERN AVENUE | RALEIGH | NC | 27610 | 566017737 | 501(C)(3) | $150,000 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| WASHINGTON COUNTY HOSPITAL | ||||||||
| 958 US-64 | PLYMOUTH | NC | 27962 | 426037892 | 501(C)(3) | $203,743 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| WESTERN CAROLINA MEDICAL SOCIETY FOUNDATION INC | ||||||||
| 304 SUMMIT ST | ASHEVILLE | NC | 28803 | 455586998 | 501(C)(3) | $150,000 | SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. | |
| WILLIAMSTON HOSPITAL CORPORATION | ||||||||
| 310 S MCCASKEY RD | WILLIAMSTON | NC | 27892 | 621749107 | 501(C)(3) | $25,556 | ASPR - NORTH CAROLINA COVID-19 HOSPITAL PREPAREDNESS PROGRAM | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 63 | Total501c3OrgCnt |
| Total Other Org | 16 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL GRANTS RECEIVED BY NCHF ARE GOVERNED BY CONTRACTS WITH THE GRANTOR WHICH OUTLINE GRANT TERMS AND CONDITIONS INCLUDING DETAILED MONITORING, REPORTING, PERFORMANCE AND PAYMENT REQUIREMENTS. FOR ANY GRANT THAT INVOLVES A SUB-AWARD, OR RE-GRANTING OF FUNDS TO ANOTHER ORGANIZATION TO PERFORM A BODY OF WORK UNDER THE PRIMARY GRANT, NCHF COLLECTS APPLICATIONS AND EXECUTES DETAILED CONTRACTS WITH SUB-AWARD RECIPIENTS. EACH NCHF GRANT HAS AN ASSIGNED PROGRAM LEAD WHO IS RESPONSIBLE FOR PROVIDING PROGRAM OVERSIGHT TO ENSURE THAT ALL CONTRACT EXPECTATIONS ARE MET AND THAT ALL SUB-AWARD RECIPIENTS ARE ALSO MEETING THEIR CONTRACT OBLIGATIONS. NCHF DIRECTOR OF OPERATIONS ALSO HAS BUDGET OVERSIGHT OF ALL GRANT CONTRACTS AND ENSURES COMPLIANCE WITH CONTRACT TERMS AND CONDITIONS. GRANT SUB-AWARD RECIPIENTS MUST PRODUCE PERFORMANCE REPORTS AND DETAILED INVOICES, WITH SUPPORTING DOCUMENTATION, IN ORDER TO RECEIVE GRANT FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN J LAWLER | ||||||||||||||
| PRESIDENT | $0 | $635,250 | $0 | $187,412 | $0 | $0 | $0 | $38,000 | $0 | $12,008 | $0 | $872,670 | $0 | $0 |
| JULIA WACKER | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $162,225 | $0 | $20,589 | $0 | $0 | $0 | $3,774 | $0 | $11,351 | $0 | $197,939 | $0 | $0 |
| JEFFREY WEEGAR | ||||||||||||||
| CFO | $0 | $184,868 | $0 | $0 | $0 | $0 | $0 | $9,750 | $0 | $11,429 | $0 | $206,047 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE EXECUTIVE COMPENSATION COMMITTEE OF THE NCHA, INC., A RELATED ORGANIZATION, REVIEWS THE COMPENSATION OF THE PRESIDENT AND OTHER KEY EXECUTIVES. IN ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THE EXECUTIVE COMPENSATION COMMITTEE MAY ENGAGE THE PROFESSIONAL SERVICES OF INDEPENDENT LEGAL COUNSEL, COMPENSATION EXPERTS, ACCOUNTANTS, AND OTHER EXPERTS AND ADVISORS. |
| PART I, LINE 4B | A RELATED ORGANIZATION MAINTAINS A NON-QUALIFIED RETENTION BENEFIT PLAN UNDER SECTION 457(F) COVERING FIVE KEY EMPLOYEES. THE COVERED EMPLOYEES RECEIVE AN ANNUAL BENEFIT EQUAL TO A CERTAIN PERCENTAGE OF THEIR ORDINARY SALARY. THE PARTICIPANTS CAN ELECT TO INVEST THEIR ANNUAL BENEFIT IN A CAPITAL ACCUMULATION ACCOUNT OR CHOOSE OTHER FRINGE BENEFITS. FOR THE CURRENT YEAR, THE ORGANIZATION ACCRUED $25,000 TO THE PLAN FOR STEPHEN J. LAWLER. THIS AMOUNT IS INCLUDED IN SCHEDULE J, PART II. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | NCHF PARTNERED WITH PRIVATE PHILANTHROPY, CORPORATE PARTNERS, AND MAJOR GIFT DONORS TO DEPLOY RESOURCES TO ORGANIZATIONS RESPONDING TO THE COVID-19 CRISIS TO ADDRESS EMERGING, ACUTE, AND LONG-TERM NEEDS. THE STATE OF NORTH CAROLINA ALLOCATED FUNDS TO NCHF USED TO PURCHASE SUPPLIES AND EQUIPMENT NECESSARY FOR LIFE SAFETY, HEALTH, AND SANITATION, INCLUDING PERSONAL PROTECTIVE EQUIPMENT TO SUPPORT NORTH CAROLINA'S RESPONSE TO THE COVID-19 CRISIS. THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AWARDED FUNDS TO SUPPORT THE URGENT PREPAREDNESS AND RESPONSE NEEDS OF HOSPITALS, HEALTH SYSTEMS, AND HEALTH CARE WORKERS ON THE FRONT LINES OF THE COVID-19 OUTBREAK. FUNDS SUPPORTED ACTIVITIES TO PREPARE HEALTH CARE SYSTEMS AND PROVIDERS TO IDENTIFY, ISOLATE, ASSESS, TRANSPORT AND TREAT PATIENTS WITH COVID-19 OR OTHER ILLNESSES |
| FORM 990, PART VI, SECTION A, LINE 7A | THE POWER AND AUTHORITY OF THE CORPORATION SHALL BE VESTED IN ITS BOARD OF TRUSTEES WHICH SHALL HAVE NOT LESS THAN TEN MEMBERS, CONSISTING OF HEALTHCARE, COMMUNITY, PHILANTHROPIC, FINANCIAL, AND CORPORATE LEADERS. ALL MEMBERS SHALL BE APPOINTED BY THE BOARD OF TRUSTEES OF NCHA, INC. AT LEAST TWO MEMBERS WILL ALSO SERVE ON THE BOARD OF TRUSTEES OF NCHA, INC. EACH MEMBER SHALL SERVE A THREE-YEAR TERM. A MEMBER MAY SERVE NO MORE THAN TWO FULL CONSECUTIVE TERMS. THE INITIAL TERMS BEGINNING IN 2019 SHALL BE STAGGERED SO THAT APPROXIMATELY ONE-THIRD OF THE TERMS EXPIRE IN 2020, ONE THIRD IN 2021, AND ONE-THIRD IN 2022. THE BOARD OF TRUSTEES OF NCHA, INC. SHALL ALSO FILL ANY VACANCY FOR THE UNEXPIRED TERM. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT COPY OF THE 990 WAS SUBMITTED TO THE FOUNDATION BOARD FOR REVIEW PRIOR TO THE FORM 990 BEING FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST POLICY ANNUALLY DISCLOSING ANY POSSIBLE CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMPENSATION COMMITTEE OF NCHA, INC., A RELATED ORGANIZATION, WILL ANNUALLY MONITOR AND REVIEW EXECUTIVE COMPENSATION AND BENEFIT PROGRAMS, IN AGGREGATE, TO ENSURE CONSISTENCY WITH THE OVERALL COMPENSATION PHILOSOPHY AND GUIDING PRINCIPLES AND OBJECTIVES. AT ITS DISCRETION, THE EXECUTIVE COMPENSATION COMMITTEE MAY DELEGATE "DAY TO DAY" RESPONSIBILITY TO ADMINISTER COMPENSATION AND BENEFIT PROGRAMS TO NCHA'S PRESIDENT FOR ALL OTHER EXECUTIVE OR ADMINISTRATIVE POSITIONS NOT COVERED UNDER THIS POLICY, I.E., ALL POSITIONS BELOW VICE PRESIDENT. THE EXECUTIVE COMPENSATION POLICY WILL BE ANNUALLY REVIEWED AND ANY PROPOSED MODIFICATIONS, PRESENTED FOR APPROVAL TO THE FULL BOARD. IN SETTING AN EXAMPLE FOR ITS MEMBER ORGANIZATIONS, THE EXECUTIVE COMPENSATION COMMITTEE WILL ALSO UNDERTAKE THE RESPONSIBILITY FOR COMPLIANCE WITH THE 1996 TAXPAYER BILLS OF RIGHTS 2 AND THE ESTABLISHMENT OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" THAT IS DEFINED IN SECTION 4958 OF THE INTERNAL REVENUE CODE. IN ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THE EXECUTIVE COMPENSATION COMMITTEE MAY ENGAGE THE PROFESSIONAL SERVICES OF INDEPENDENT LEGAL COUNSEL, COMPENSATION EXPERTS, ACCOUNTANTS, AND OTHER EXPERTS AND ADVISORS. FOR EXTERNAL COMPARISON PURPOSES, COMPENSATION IS REVIEWED AGAINST THE COMPENSATION PACKAGES OF OTHER STATE ASSOCIATIONS THAT FAIRLY REPRESENT THE MARKET FOR EXECUTIVE TALENT, AND MAY INCLUDE SOME OR ALL OF THE FOLLOWING CHARACTERISTICS: -- SIMILAR INDUSTRY AND/OR ANNUAL REVENUES SIZE -- SIMILAR STATE SIZE (POPULATION) AND MEMBERSHIP SIZE -- EMPLOYERS THAT ARE PRIMARILY FOCUSED ON THE SOUTHEAST REGION OF THE UNITED STATES -- ORGANIZATIONS WITH WHICH WE COMPETE FOR TALENT INDIVIDUAL SALARIES WILL BE BASED UPON SUCH FACTORS AS COMPETENCIES, CREDENTIALS, EXPERIENCE, PERFORMANCE, RELEVANT PRIOR EARNINGS HISTORY, AND MARKETABILITY. ANNUAL SALARY INCREASES WILL REFLECT SUCH FACTORS AS MARKET MOVEMENT OR INFLATION, INDIVIDUAL PERFORMANCE, COMPANY PERFORMANCE, GENERAL ECONOMIC CONDITIONS, AND THE AVAILABILITY OF FUNDS. IF A SALARY EXCEEDS THE RANGE MAXIMUM OR 75TH PERCENTILE, THE EXECUTIVE COMPENSATION COMMITTEE MUST APPROVE AND DOCUMENT ITS RATIONALE. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION PROVIDES COPIES UPON REQUEST AND ALLOWS INSPECTION AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES COPIES UPON REQUEST AND ALLOWS INSPECTION AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NCHA INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4449 | AddressLine1Txt |
| City | CARY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27519 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560641290 | EIN |
| Primary Activities | PROVIDES LEADERSHIP TO HOSPITALS IN NC & PROMOTES QUALITY HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(6) | ExemptCodeSectionTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA HEALTHCARE ENTERPRISES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4449 | AddressLine1Txt |
| City | CARY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27519 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561653026 | EIN |
| Primary Activities | SUPPORT SERVICES RELATED TO FOR-PROFIT ACTIVITIES. | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| NCHA INC | |
| K | $58,734 |
| NCHA INC | |
| O | $607,526 |