2018-05-14T14:58:47-05:00 2017-06-30 560574444 CHERRY BEKAERT LLP 1111 Metropolitan Ave Ste 1000 Charlotte NC 28204 990 2016-07-01 205408367 North Carolina Community Care Networks Inc NORT 9197452442 2300 Rexwoods Drive No 200 Raleigh NC 27607 Christopher C Woodfin Executive VP & CFO 9197452442 2018-05-11 1 Amanda Adams P00748038 7043771678 2016 2022-09-23 18:48:47Z Christopher C Woodfin 2300 Rexwoods Drive No 200 Raleigh NC 27607 28646954 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. 8 7 0 7 0 0 26089949 24895596 1736787 3751358 0 0 0 0 27826736 28646954 27818 2500000 0 0 7568733 0 0 0 77191 19339535 22862804 26936086 25362804 890650 3284150 8765352 13840495 766153 2557146 7999199 11283349 X The primary exempt purpose is to improve the health and quality of life of all North carolinians by building and supporting better community-based health care delivery systems. 0 0 5813210 3677859 Clinical Programs: This area is responsible for the development and implementation of clinical and quality improvement initiatives at several levels: the practice/medical home, the regional network, and the central office. This program develops and implements population management initiatives that include care management and disease management; acute care, prevention and screening. Some of our core initiatives include but are not limited to the following: complex case management, transitional care, asthma, palliative care, chronic disease including self-management of chronic disease, behavioral health integration and high risk obstetric care (OB). 14075288 54101 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, network and practice level and provide the basis for measuring improvement and impact on the enrolled population. 2511026 2500000 0 General Missions: CCNC, Inc. 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 CCNC's model of patient centric care by demonstrating the organization's success in establishing medical homes and the care management program. CCNC's ability to demonstrate its innovative thinking and successful implementation has received national attention. Organizations have invited CCNC 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 CCNC's ability to bring about positive societal change, CCNC is building long-term relationships with a number of these entities. 19398 19398 22399524 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X Colin Felmet 9197452442 2300 Rexwoods Drive No 200 Raleigh NC 27607 Tom Wroth President 36.00 1.00 X X 0 294200 22588 Michelle Brooks RN MSN Board Member 0.50 0.50 X 0 0 0 Art Kelley MD Board Member 0.50 0.50 X 0 0 0 Marci Miles RN BSN MBA Board Member 0.50 0.50 X 0 0 0 John Morrow MD MPH Board Member 0.50 0.50 X 0 0 0 Harold Pollard MD Board Member 0.50 0.00 X 0 0 0 Betsy Tilson MD MPH Board Member 0.50 0.50 X 0 0 0 Jennifer Wehe-Davis Board Member 0.50 0.50 X 0 0 0 Christopher Woodfin EVP of Corporate Services & CFO 1.00 40.00 X 0 324447 27924 Ronald Smith EVP Strategic Initiatives 1.00 40.00 X 0 115400 4772 Torlen Wade EVP for Business & Provider Partnerships 1.00 40.00 X 0 240840 17038 Troy Trygstad VP Pharmacy Programs 1.00 40.00 X 0 191368 19554 Denise Hewson SVP Physician Partnerships 1.00 40.00 X 0 296590 22754 Carol Dubard SVP Informatics & Evaluation 1.00 36.00 X 0 240410 18919 Roy Watkins Sr. Clinical Consultant 1.00 32.00 X 0 212084 19349 Judith O'Neal SVP of Strategic Planning, Communication and PR 1.00 40.00 X 0 191545 13443 JOE CLINE SVP HOSPITAL PARTNERSHIPS 1.00 40.00 X 0 182010 20565 0 2288894 186906 0 0 1 0 MMLLC PO Box 35282 Greensboro NC 27425 Consulting Services 295326 ESI Healthcare Business Sol 4144 N Central Expy Ste 210 Dallas TX 75204 Professional Services 192554 Spec Con Inc 901 Old Knight Road Knightdale NC 27545 General Construction 168914 Galen Healthcare 1120 Buckingham Rd Grosse Pointe Park MI 48230 professional Services 140045 NC Hospital Foundation Inc 2401 Weston Parkway Suite 203 Cary NC 27513 Consulting Services 105498 6 1540941 23348831 5824 24895596 GOVERNMENTAL FEES 900099 3600000 3600000 Service Fees 900099 131476 131476 Administrative Fees 900099 19882 19882 3751358 28646954 3751358 0 0 2500000 2500000 15949 15949 1018517 703648 314504 365 30804 19960 10844 485002 322268 160358 2376 101096 82985 10576 7535 430415 338212 90434 1769 Special Projects 13144218 13144218 SHARED SERVICES 6806152 4760417 1990519 55216 NETWORK EXPENSE 701084 427479 263725 9880 Equipment 117386 98007 19334 45 12181 2330 9846 5 25362804 22399524 2886089 77191 6922736 13299202 107358 0 983082 21776 235871 243684 7252292 6995250 497514 257042 18791 18791 8765352 13840495 439217 152623 7517 319419 2404523 766153 2557146 X 7957952 11265815 41247 17534 7999199 11283349 8765352 13840495 3284150 0 X 0 1 X 1 1 1 X 26439730 31471839 31593556 26089949 24895596 140490670 75318 3760 79078 26515048 31475599 31593556 26089949 24895596 140569748 140569748 8260 3175 1141 12576 140582324 11205379 0.99990 0.99980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 25362804 25362804 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 167509 89250 38984 295743 250000 250000 250000 250000 1000000 1500000 296783 286264 10519 3948416 3808473 139943 3007093 2900513 106580 257042 Deferred Rent 326570 DUE TO AFFILIATE 2077953 2404523 X 28646954 0 28646954 0 28646954 25362804 0 25362804 0 25362804 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 believes that the organization continues to satisfy the requirements of a tax-exempt organization at June 30, 2017. 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, 2017. 1 Community Care of North Carolina 2300 Rexwoods Drive Suite 140 Raleigh NC 27607 463355510 501(c)(3) 2500000 To implement and manage new care management system. 1 Part I, Line 2: THE ORGANIZATION USES GRANT APPLICATIONS, PROGRESS REPORTS, AND FINANCIAL REPORTS TO MONITOR THE USE OF FUNDS. ALL PERSONNEL AND NON-PERSONNEL EXPENSES ARE REVIEWED MONTHLY BY FINANCE AND PROGRAM STAFF FOR ACCURACY AND COMPLETENESS. THE BOARD OF DIRECTORS RECEIVES REPORTS ON THE SPENDING OF THESE GRANT FUNDS AT REGULARLY SCHEDULED MEETINGS. 0 0 0 0 0 0 0 0 0 Tom Wroth President 0 294200 0 0 0 0 0 14700 0 7888 0 316788 0 0 Christopher Woodfin EVP of Corporate Services & CFO 0 324447 0 0 0 0 0 16615 0 11309 0 352371 0 0 Torlen Wade EVP for Business & Provider Partners 0 240840 0 0 0 0 0 10987 0 6051 0 257878 0 0 Troy Trygstad VP Pharmacy Programs 0 191368 0 0 0 0 0 9989 0 9565 0 210922 0 0 Denise Hewson SVP Physician Partnerships 0 296590 0 0 0 0 0 13436 0 9318 0 319344 0 0 Carol Dubard SVP Informatics & Evaluation 0 240410 0 0 0 0 0 9613 0 9306 0 259329 0 0 Roy Watkins Sr. Clinical Consultant 0 212084 0 0 0 0 0 10050 0 9299 0 231433 0 0 Judith O'Neal SVP of Strategic Planning, Communica 0 191545 0 0 0 0 0 5745 0 7698 0 204988 0 0 JOE CLINE SVP HOSPITAL PARTNERSHIPS 0 182010 0 0 0 0 0 9526 0 11039 0 202575 0 0 Part I, Line 3 North Carolina Community Care Networks, Inc. does not have any employees. All individuals performing work for the organization are employed by Community Care of North Carolina, Inc., 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. Form 990, Part VI, Section A, line 4 The Bylaws were changed to facilitate "shared" committees and to update committee charters to reflect this change along with the elimination of the CCNC, Inc. Network Advisory Committee. Conflict of Interest policy was presented as a new single conflict of interest policy for both CCNC and N3CN along with motion to direct 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 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 The evaluation and compensation committee recommended, and the 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 the evaluation and compensation committee and ratified by the board of directors. CEO compensation is approved by the 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. Community Care of North Carolina Inc 2300 Rexwoods Drive Suite 140 Raleigh NC 27607 463355510 Foster and Enhance quality, efficiency and access to health care NC 501(c)(3) Line 7 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 community Care of North Carolina Inc B 2500000 cash community Care of North Carolina Inc J 839560 cash Community Care of North Carolina Inc M 12815277 Cash community Care of North Carolina Inc O 5657243 Cash community Care of North Carolina Inc P 6806152 cash community Care of North Carolina Inc Q 1540941 cash