2021-05-11T11:48:07-05:00 2020-06-30 560574444 CHERRY BEKAERT LLP 3800 GLENWOOD AVE SUITE 200 RALEIGH NC 27612 990 2019-07-01 205408367 NORTH CAROLINA COMMUNITY CARE NETWORKS INC NORT 9197452442 1000 CENTREGREEN WAY NO 300 CARY NC 27513 CHRISTOPHER C WOODFIN EXECUTIVE VP & CFO 9197452442 2021-05-10 1 AMANDA ADAMS P00748038 9197821040 2019 2022-09-23 18:48:47Z X CHRISTOPHER C WOODFIN 1000 CENTREGREEN WAY NO 300 CARY NC 27513 120911591 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. 7 5 0 6 0 0 18808 0 84557613 111019351 412797 307018 0 0 84989218 111326369 0 0 0 0 0 0 0 0 532524 88077786 97851297 88077786 97851297 -3088568 13475072 33889591 48990851 10349768 11994708 23539823 36996143 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 75240640 111019351 CLINICAL PROGRAMS: THE PURPOSE OF N3CN CLINICAL PROGRAMS ARE 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. 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 PROVIDES PRACTICE SUPPORT SERVICES THAT SUPPORT PRIMARY CARE PRACTICES AND OBSTETRIC PRACTICES IN THE MEDICAID PROGRAM. THESE SERVICES ALSO SUPPORT PRIMARY CARE AND MATERNITY QUALITY INITIATIVES AND HIGH VALUE CARE. 9042357 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 LEVELS, AND PROVIDE THE BASIS FOR MEASURING IMPROVEMENT AND IMPACT ON THE ENROLLED POPULATION. 84282997 1 0 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 28 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN FELMET 9197452442 1000 CENTREGREEN WAY NO 300 CARY NC 27513 THOMAS WROTH MD MPH PRESIDENT 32.00 6.00 X X 0 383889 25047 MICHELLE BROOKS RN MSN CHAIR 0.50 0.50 X X 0 0 0 TOM BACON DRPH BOARD MEMBER 0.50 0.50 X 0 0 0 ANITA SCHAMBACH BOARD MEMBER 0.50 0.50 X 0 0 0 JEFF SIMMS MSPH MDIV BOARD MEMBER 0.50 0.00 X 0 0 0 WILLIAM STEWART MD FAAP BOARD MEMBER 0.50 0.50 X X 0 120762 0 DAVID TAYLOE MD BOARD MEMBER 0.50 0.00 X 0 0 0 L ALLEN DOBSON JR MD CEO 0.50 39.50 X 0 472378 25105 CHRISTOPHER WOODFIN EVP & CFO 1.00 39.00 X 0 427609 26422 DENISE HEWSON EVP CARE MGMT. & PROVIDER SERVICES 9.00 31.00 X 0 401248 25074 CARLOS JACKSON CHIEF DATA & ANALYTICS OFFICER 1.00 39.00 X 0 275142 27127 RONALD SMITH EVP STRATEGIC INTIATIVES 1.00 35.00 X 0 376772 20409 GEORGE BAKOLIA SVP & CIO 1.00 39.00 X 0 354815 9706 WILLIAM TAYLOR SVP BUSINESS DEVELOPMENT 1.00 39.00 X 0 290305 21251 TORLEN WADE SPECIAL ASSISTANT TO THE PRESIDENT 1.00 31.00 X 0 294393 14906 SCOTT TREMAYNE SVP FINANCE 1.00 39.00 X 0 276556 27103 0 3673869 222150 0 0 1 0 COMM CARE PART OF GTR MECKLENBURG 4701 HEDGEMORE DR STE 30 CHARLOTTE NC 28209 PRIMARY CARE CASE MGMT 22435088 COMM CARE PLAN OF EASTERN CAROLINA PO BOX 6028 GREENVILLE NC 278356028 PRIMARY CARE CASE MGMT 22318450 NW COMMUNITY CARE NETWORK 2000 W FIRST ST STE 70 WINSTONSALEM NC 27104 PRIMARY CARE CASE MGMT 16392671 COMM CARE OF THE LOWER CAPE FEAR 1209 CULBERTH DR STE 200 WILMINGTON NC 28405 PRIMARY CARE CASE MGMT 11778460 N PIEDMONT COMM HEALTH NTWRK 411 W CHAPEL HILL ST 3RD FL DURHAM NC 27701 PRIMARY CARE CASE MGMT 10291046 17 CLINICAL PROGRAM FEES 621990 110514533 110514533 SERVICE FEES 900099 340205 340205 PROGRAM-RELATED INTEREST 900099 158565 158565 RENTAL INCOME 531120 6031 6031 17 17 111019351 323541 323541 9568699 9585222 -16523 -16523 -16523 111326369 111019351 0 307018 X 38697 38697 45107204 42446178 2633880 27146 2680847 1723531 916729 40587 384526 384526 434350 338400 91779 4171 2985 2985 181403 181403 SHARED SERVICES 38877218 29630821 8788762 457635 SPECIAL PROJECTS 10144067 10144067 97851297 84282997 13035776 532524 6587327 23924379 6414581 617812 15831 64016 2345433 4428998 302724 202057 4929311 3520815 229796 1408496 15327222 10758002 2666677 7587091 33889591 48990851 10060344 11989280 289424 5428 10349768 11994708 X 23539823 36996143 23539823 36996143 33889591 48990851 13475072 -18752 0 X 0 1 X 1 0 X 26089949 24895596 52910142 18808 103914495 26089949 24895596 52910142 18808 103914495 103914495 932 357055 482106 840093 104754588 200949168 0.99200 0.99740 X 97812600 97812600 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 250000 250000 250000 250000 1000000 1500000 615231 4272 610959 2079659 1282122 797537 2234421 2234421 0 1408496 SECURITY DEPOSITS 95619 DUE FROM AFFILATE 7491472 7587091 DEFERRED RENT 5428 5428 X 111429954 -18752 99422 80670 111349284 38697 -61612 -22915 111326369 97973634 161034 161034 97812600 38697 38697 97851297 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, 2020. 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, 2020 AND 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: REIMBURSEMENT OF EXPENSES FROM RELATED ORGANIZATION 99,422. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON THE DISPOSAL OF ASSETS -61,612. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES REIMBURSED BY RELATED ORGANIZATION 99,422. LOSS ON THE DISPOSAL OF ASSETS 61,612. 1 0 0 0 0 0 1 0 0 THOMAS WROTH MD MPH PRESIDENT 0 325595 0 58294 0 0 0 14000 0 11047 0 408936 0 0 L ALLEN DOBSON JR MD CEO 0 410578 0 61800 0 0 0 14000 0 11105 0 497483 0 0 CHRISTOPHER WOODFIN EVP & CFO 0 363635 0 63974 0 0 0 14000 0 12422 0 454031 0 0 DENISE HEWSON EVP CARE MGMT. & PROVIDER SERVICES 0 339148 0 62100 0 0 0 14000 0 11074 0 426322 0 0 CARLOS JACKSON CHIEF DATA & ANALYTICS OFFICER 0 238098 0 37044 0 0 0 14000 0 13127 0 302269 0 0 RONALD SMITH EVP STRATEGIC INTIATIVES 0 328182 0 48590 0 0 0 11099 0 9310 0 397181 0 0 GEORGE BAKOLIA SVP & CIO 0 145267 0 43762 0 165786 0 8289 0 1417 0 364521 0 0 WILLIAM TAYLOR SVP BUSINESS DEVELOPMENT 0 252669 0 37636 0 0 0 12176 0 9075 0 311556 0 0 TORLEN WADE SPECIAL ASSISTANT TO THE PRESIDENT 0 247819 0 46574 0 0 0 12858 0 2048 0 309299 0 0 SCOTT TREMAYNE SVP FINANCE 0 228556 0 48000 0 0 0 14000 0 13103 0 303659 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/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A MR. GEORGE BAKOLIA, SVP & CHIEF INFORMATION OFFICER, RECEIVED A SEVERANCE PAYMENT OF $145,874. PART I, LINE 6 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 15.00% 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 HIMSELF/HERSELF FROM THE DISCUSSION AND VOTING PROCESS. A CHANGE IN THE ORGANIZATIONS 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, 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 42,446,178. MANAGEMENT AND GENERAL EXPENSES 2,633,880. FUNDRAISING EXPENSES 27,146. TOTAL EXPENSES 45,107,204. COMMUNITY CARE OF NORTH CAROLINA INC 1000 CENTREGREEN WAY SUITE 300 CARY NC 27513 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 0 0 1 0 1 1 1 0 0