NORTH CAROLINA COMMUNITY CARENETWORKS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CAROLINA COMMUNITY CARENETWORKS INC (EIN 20-5408367)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-10
- IRS object ID
- 201901309349304540
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-10T15:21:06-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560574444 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 METROPOLITAN AVE STE 900 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205408367 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA COMMUNITY | BusinessNameLine1Txt |
| Business Name Line2 | CARE NETWORKS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 9197452442 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DRIVE NO 200 | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27607 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER C WOODFIN | PersonNm |
| Person Title | EXECUTIVE VP & CFO | PersonTitleTxt |
| Phone | 9197452442 | PhoneNum |
| Signature | 2019-04-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA ADAMS | PreparerPersonNm |
| PTIN | P00748038 | PTIN |
| Phone | 7043771678 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 40.137.115.169 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-04-24 | IPDt |
| IP Tm | 09:57:52 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 88D7A88AFC1BC15DCE619246A085D52B39BEAA6C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTOPHER C WOODFIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DRIVE NO 200 | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,953,698 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COMMUNITYCARENC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF ALL NORTH CAROLINIANS BY BUILDING AND SUPPORTING BETTER COMMUNITY-BASED HEALTH CARE DELIVERY SYSTEMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $24,895,596 | PYContributionsGrantsAmt |
| CY Contributions Grants | $52,910,142 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,751,358 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $42,624 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,732 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $28,646,954 | PYTotalRevenueAmt |
| CY Total Revenue | $52,951,034 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,500,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $179,955 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,862,804 | PYOtherExpensesAmt |
| CY Other Expenses | $37,656,168 | CYOtherExpensesAmt |
| PY Total Expenses | $25,362,804 | PYTotalExpensesAmt |
| CY Total Expenses | $37,656,168 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,284,150 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,294,866 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,840,495 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,454,567 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,557,146 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,876,352 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,283,349 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,578,215 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,594,166 | ExpenseAmt |
| Revenue | $42,624 | RevenueAmt |
| Desc | CLINICAL PROGRAMS: THE PURPOSE OF N3CN CLINICAL PROGRAMS ARE TO PROVIDE HIGH VALUE SERVICES TO THE STATE OF NC 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. HIGH NEEDS INDIVIDUALS INCLUDE THOSE THAT ARE TRANSITIONING OUT OF ACUTE CARE FACILITIES AND THOSE WITH MULTIPLE CHRONIC CONDITIONS INCLUDING BEHAVIORAL HEALTH CONDITIONS. N3CN PROVIDES COMPLEX CASE 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,940,048 | ExpenseAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,333 | ExpenseAmt |
| Desc | GENERAL MISSIONS: THE ORGANIZATION WAS CREATED TO ALLOW THE BENEFITS OF NORTH CAROLINA'S UNIQUE APPROACH TO HEALTHCARE TO BE MADE AVAILABLE MORE BROADLY, INCLUDING TO NEW POPULATIONS BEYOND MEDICAID RECIPIENTS. THE OVERARCHING GOAL IS TO EDUCATE, SHOWCASE, AND SHARE THE ORGANIZATION'S MODEL OF PATIENT CENTRIC CARE BY DEMONSTRATING THE ORGANIZATION'S SUCCESS IN ESTABLISHING MEDICAL HOMES AND THE CARE MANAGEMENT PROGRAM. THE ORGANIZATION'S ABILITY TO DEMONSTRATE ITS INNOVATIVE THINKING AND SUCCESSFUL IMPLEMENTATION HAS RECEIVED NATIONAL ATTENTION. ORGANIZATIONS HAVE INVITED THE ORGANIZATION TO PRESENT ITS MODEL AND SERVICES TO LEADERSHIP, STAFF, LEGISLATURES, AND COMMUNITIES. ORGANIZATIONS INCLUDE GOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES AS WELL AS SMALL AND LARGE COMPANIES THROUGHOUT THE COUNTRY. BY DEMONSTRATING THE ORGANIZATION'S ABILITY TO BRING ABOUT POSITIVE SOCIETAL CHANGE, THE ORGANIZATION IS BUILDING LONG-TERM RELATIONSHIPS WITH A NUMBER OF THESE ENTITIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $33,536,547 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 | COLIN FELMET | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9197452442 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DRIVE NO 200 | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27607 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MICHELLE BROOKS RN MSN | |||||||||
| BOARD MEMBER | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| L ALLEN DOBSON JR MD | |||||||||
| BOARD MEMBER | 0.50 | 40.00 | Yes (X) | $0 | $418,630 | $18,160 | |||
| ART KELLEY MD | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARCI MILES RN BSN MBA | |||||||||
| BOARD MEMBER | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JOHN MORROW MD MPH | |||||||||
| BOARD MEMBER | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| HAROLD POLLARD MD | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANITA SCHAMBACH | |||||||||
| BOARD MEMBER | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM STEWART MD FAAP | |||||||||
| BOARD MEMBER | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DAVID TAYLOE | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BETSY TILSON MD MPH | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER WEHE-DAVIS | |||||||||
| BOARD MEMBER | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS WROTH | |||||||||
| PRESIDENT | 26.00 | 14.00 | $0 | $327,382 | $23,757 | Yes (X) | |||
| CHRISTOPHER WOODFIN | |||||||||
| EVP OF CORPORATE SERVICES & CFO | 1.00 | 39.00 | $0 | $383,116 | $25,207 | Yes (X) | |||
| RONALD SMITH | |||||||||
| EVP STRATEGIC INITIATIVES | 1.00 | 29.00 | $0 | $276,752 | $17,803 | Yes (X) | |||
| TORLEN WADE | |||||||||
| EVP FOR BUSINESS & PROVIDER PARTNERSHIPS | 1.00 | 36.00 | $0 | $278,099 | $14,099 | Yes (X) | |||
| CARLOS JACKSON | |||||||||
| CHIEF DATA & ANALYTICS OFFICER | 1.00 | 39.00 | $0 | $163,245 | $20,077 | Yes (X) | |||
| DENISE HEWSON | |||||||||
| SVP PHYSICIAN PARTNERSHIPS | 10.00 | 30.00 | $0 | $334,096 | $24,280 | Yes (X) | |||
| GEORGE BAKOLIA | |||||||||
| SVP & CIO | 1.00 | 39.00 | $0 | $304,052 | $15,341 | Yes (X) | |||
| KARA TAFF | |||||||||
| SVP OPERATIONS | 39.00 | 1.00 | $0 | $223,630 | $19,372 | Yes (X) | |||
| JUDITH O'NEAL | |||||||||
| SVP OF STRATEGIC PLAN, COMM & PR | 1.00 | 39.00 | $0 | $216,739 | $16,368 | Yes (X) | |||
| SCOTT TREMAYNE | |||||||||
| VP OF FINANCE | 1.00 | 39.00 | $0 | $210,171 | $23,213 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,135,912 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $217,677 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICATION MANAGEMENT LLC | |||||
| PO BOX 35282 | GREENSBORO | NC | 27425 | CONSULTING SERVICES | $222,317 |
| NC HOSPITAL FOUNDATION INC | |||||
| 2401 WESTON PARKWAY SUITE 203 | CARY | NC | 27513 | CLINICAL DATA SERVICES | $174,392 |
| ESI HEALTHCARE BUSINESS SOLUTIONS LLC | |||||
| 4144 N CENTRAL EXPRESSWAY SUITE 2 | DALLAS | TX | 752041907 | CLINICAL DATA SERVICES | $140,395 |
| COMMUNITY CARE OF WESTERN NORTH CAROLINA | |||||
| 53 SOUTH FRENCH BROAD AVE SUITE 3 | ASHEVILLE | NC | 28801 | CLINICAL SERVICES | $130,000 |
| UNC CENTER FOR MATERNAL AND INFANT HEALT | |||||
| 3018 OLD CLINIC BLDG CB 7181 | CHAPEL HILL | NC | 275997181 | CLINICAL SERVICES | $109,719 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $27,682 | RelatedOrganizationsAmt |
| Government Grants | $32,877,692 | GovernmentGrantsAmt |
| All Other Contributions | $20,004,768 | AllOtherContributionsAmt |
| Noncash Contributions | $15,618,148 | NoncashContributionsAmt |
| Total Contributions | $52,910,142 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SERVICE FEES | 900099 | $23,330 | $23,330 |
| ADMINISTRATIVE FEES | 900099 | $19,294 | $19,294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $42,624 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $932 | TotalRevenueColumnAmt |
| Exclusion | $932 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,664 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,664 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,664 | TotalRevenueColumnAmt |
| Exclusion | -$2,664 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,951,034 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,624 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,732 | ExclusionAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,120,869 | TotalAmt |
| Program Services | $1,572,974 | ProgramServicesAmt |
| Management And General | $547,895 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,801 | TotalAmt |
| Program Services | $160,996 | ProgramServicesAmt |
| Management And General | $11,805 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,167 | TotalAmt |
| Program Services | $332,355 | ProgramServicesAmt |
| Management And General | $195,710 | ManagementAndGeneralAmt |
| Fundraising | $6,102 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,630 | TotalAmt |
| Program Services | $219,755 | ProgramServicesAmt |
| Management And General | $28,473 | ManagementAndGeneralAmt |
| Fundraising | $4,402 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,986,836 | TotalAmt |
| Program Services | $8,964,607 | ProgramServicesAmt |
| Management And General | $20,898 | ManagementAndGeneralAmt |
| Fundraising | $1,331 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320 | TotalAmt |
| Program Services | $320 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SPECIAL PROJECTS | $13,527,765 | $13,527,765 | ||
| SHARED SERVICES | $11,924,776 | $8,665,652 | $3,091,044 | $168,080 |
| EQUIPMENT | $108,574 | $88,589 | $19,946 | $39 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,430 | TotalAmt |
| Program Services | $3,534 | ProgramServicesAmt |
| Management And General | $23,895 | ManagementAndGeneralAmt |
| Fundraising | $1 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,656,168 | TotalAmt |
| Program Services | $33,536,547 | ProgramServicesAmt |
| Management And General | $3,939,666 | ManagementAndGeneralAmt |
| Fundraising | $179,955 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,299,202 | BOYAmt |
| EOY | $20,569,183 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $152,197 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,776 | BOYAmt |
| EOY | $5,045 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $100,932 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,684 | BOYAmt |
| EOY | $252,937 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,168,309 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,833,394 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,042 | BOYAmt |
| EOY | $334,915 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,678,131 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,791 | BOYAmt |
| EOY | $361,227 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,840,495 | BOYAmt |
| EOY | $28,454,567 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,623 | BOYAmt |
| EOY | $1,556,631 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,404,523 | BOYAmt |
| EOY | $319,721 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,557,146 | BOYAmt |
| EOY | $1,876,352 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,265,815 | BOYAmt |
| EOY | $26,578,215 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,534 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,283,349 | BOYAmt |
| EOY | $26,578,215 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,840,495 | BOYAmt |
| EOY | $28,454,567 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $15,294,866 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,471,839 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,593,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,089,949 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,895,596 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,910,142 | CurrentTaxYearAmt |
| Total | $166,961,082 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,760 | CurrentTaxYearMinus4YearsAmt |
| Total | $3,760 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,475,599 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,593,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,089,949 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,895,596 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,910,142 | CurrentTaxYearAmt |
| Total | $166,964,842 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $166,964,842 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,175 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,141 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $932 | CurrentTaxYearAmt |
| Total | $5,248 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $166,970,090 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,683,517 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99990 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $37,656,168 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $37,656,168 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $89,250 | CurrentYearMinus3Amt |
| Current Year Minus2 | $38,984 | CurrentYearMinus2Amt |
| Total | $128,234 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $419,507 | OtherCostOrOtherBasisAmt |
| Depreciation | $399,907 | DepreciationAmt |
| Book Value | $19,600 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,741,710 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,566,892 | DepreciationAmt |
| Book Value | $174,818 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,007,092 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,866,595 | DepreciationAmt |
| Book Value | $140,497 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $334,915 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $319,721 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $319,721 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $54,153,239 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,202,205 | OtherRevenueAmt |
| Revenue Not Reported | $1,202,205 | RevenueNotReportedAmt |
| Revenue Subtotal | $52,951,034 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $52,951,034 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $38,858,373 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,202,205 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,202,205 | ExpensesNotReportedAmt |
| Expenses Subtotal | $37,656,168 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $37,656,168 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2018. 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, 2018 AND 2017. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REIMBURSEMENT OF EXPENSES FROM RELATED ORGANIZATION 1,202,205. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES REIMBURSED BY RELATED ORGANIZATION 1,202,205. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L ALLEN DOBSON JR MD | ||||||||||||||
| BOARD MEMBER | $0 | $0 | $0 | $0 | $0 | $418,630 | $0 | $6,200 | $0 | $11,960 | $0 | $436,790 | $0 | $0 |
| THOMAS WROTH | ||||||||||||||
| PRESIDENT | $0 | $0 | $0 | $0 | $0 | $327,382 | $0 | $13,500 | $0 | $10,257 | $0 | $351,139 | $0 | $0 |
| CHRISTOPHER WOODFIN | ||||||||||||||
| EVP OF CORPORATE SERVICES & CFO | $0 | $0 | $0 | $0 | $0 | $383,116 | $0 | $13,500 | $0 | $11,707 | $0 | $408,323 | $0 | $0 |
| RONALD SMITH | ||||||||||||||
| EVP STRATEGIC INITIATIVES | $0 | $0 | $0 | $0 | $0 | $276,752 | $0 | $11,160 | $0 | $6,643 | $0 | $294,555 | $0 | $0 |
| TORLEN WADE | ||||||||||||||
| EVP FOR BUSINESS & PROVIDER PARTNERS | $0 | $0 | $0 | $0 | $0 | $278,099 | $0 | $11,753 | $0 | $2,346 | $0 | $292,198 | $0 | $0 |
| CARLOS JACKSON | ||||||||||||||
| CHIEF DATA & ANALYTICS OFFICER | $0 | $0 | $0 | $0 | $0 | $163,245 | $0 | $8,769 | $0 | $11,308 | $0 | $183,322 | $0 | $0 |
| DENISE HEWSON | ||||||||||||||
| SVP PHYSICIAN PARTNERSHIPS | $0 | $0 | $0 | $0 | $0 | $334,096 | $0 | $13,298 | $0 | $10,982 | $0 | $358,376 | $0 | $0 |
| GEORGE BAKOLIA | ||||||||||||||
| SVP & CIO | $0 | $0 | $0 | $0 | $0 | $304,052 | $0 | $13,275 | $0 | $2,066 | $0 | $319,393 | $0 | $0 |
| KARA TAFF | ||||||||||||||
| SVP OPERATIONS | $0 | $0 | $0 | $0 | $0 | $223,630 | $0 | $10,708 | $0 | $8,664 | $0 | $243,002 | $0 | $0 |
| JUDITH O'NEAL | ||||||||||||||
| SVP OF STRATEGIC PLAN, COMM & PR | $0 | $0 | $0 | $0 | $0 | $216,739 | $0 | $8,570 | $0 | $7,798 | $0 | $233,107 | $0 | $0 |
| SCOTT TREMAYNE | ||||||||||||||
| VP OF FINANCE | $0 | $0 | $0 | $0 | $0 | $210,171 | $0 | $11,167 | $0 | $12,046 | $0 | $233,384 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 6: | N3CN DOES NOT HAVE ANY EMPLOYEES. ALL INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY CCNC, A RELATED ORGANIZATION. N3CN REIMBURSES CCNC UNDER A SHARED SERVICES AGREEMENT. CCNC HAS AN INCENTIVE COMPENSATION PLAN WHICH IS PARTIALLY BASED ON ACHIEVING CERTAIN NET INCOME GOALS ESTABLISHED BY THE BOARD OF DIRECTORS. TOTAL INCENTIVE PAYMENTS WERE CAPPED AT 14.12% OF TOTAL SALARY EXPENSE. |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt |
|---|---|---|---|
| Yes (X) | CUST CONTRACTS | 1 | $15,582,306 |
| Yes (X) | EQUIPMENT | 1 | $35,842 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 TOME 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." |
| FORM 990, PART VI, SECTION B, LINE 15 | NORTH CAROLINA COMMUNITY CARE NETWORKS, INC. DOES NOT HAVE ANY EMPLOYEES. ALL INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY 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 APPROVED BY CCNC'S BOARD OF DIRECTORS. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE OF NORTH CAROLINA INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DRIVE SUITE 140 | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463355510 | EIN |
| Primary Activities | FOSTER AND ENHANCE QUALITY, EFFICIENCY AND ACCESS TO HEALTH CARE | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY CARE OF NORTH CAROLINA INC | ||
| J | $779,180 | CASH |
| COMMUNITY CARE OF NORTH CAROLINA INC | ||
| M | $13,360,800 | CASH |
| COMMUNITY CARE OF NORTH CAROLINA INC | ||
| O | $8,273,579 | CASH |
| COMMUNITY CARE OF NORTH CAROLINA INC | ||
| P | $11,499,197 | CASH |
| COMMUNITY CARE OF NORTH CAROLINA INC | ||
| Q | $1,229,887 | CASH |