2015-05-15T14:17:21-05:00 2014-06-30 561945391 MCMILLAN PATE & COMPANY LLP 615 OBERLIN ROAD SUITE 200 RALEIGH NC 27605 990 2013-07-01 205408367 NORTH CAROLINA COMMUNITY CARE NETWORKS INC NORT 9197452350 2300 REXWOODS DRIVE SUITE 200 RALEIGH NC 27607 MARK BENTON PRESIDENT AND COO 9197452350 2015-05-15 1 MELISSA K KRAGEL P01342003 9198369200 2013 2016-03-07 17:11:31Z MARK BENTON 2300 REXWOODS DRIVE SUITE 200 RALEIGH NC 27607 35171526 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 7 181 10 8153 7153 26439730 31417839 3564486 3644358 -51230 3028 0 8153 29952986 35073378 157429 4053852 0 0 11759406 14641884 880729 268849 1097363 16121927 18404086 28919491 37368671 1033495 -2295293 18292529 17167934 5150404 6321102 13142125 10846832 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 13213662 1833548 CLINICAL PROGRAMS: THIS AREA IS RESPONSIBLE FOR THE DEVELOPMENT AND IMPLEMENTATION OF CLINICAL AND QUALITY IMPROVEMENT INITIATIVES FOR COMMUNITY CARE AT SEVERAL LEVELS - THE PRACTICE/MEDICAL HOME, THE NETWORK, AND THE CENTRAL OFFICE. THIS PROGRAM DEVELOPS AND IMPLEMENTS POPULATION MANAGEMENT INITIATIVES THAT INCLUDE CARE AND DISEASE MANAGEMENT, ACUTE CARE AND PREVENTION AND SCREENING. SOME OF OUR CORE INITIATIVES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: ASTHMA, DIABETES, CONGESTIVE HEART FAILURE, CHILDHOOD OBESITY, STROKE PREVENTION, PALLIATIVE CARE, CHRONIC DISEASE INCLUDING THE SELF-MANAGEMENT OF CHRONIC DISEASE, MENTAL HEALTH INTEGRATION AND HIGH RISK OBSTETRIC CARE (OB).OTHER CLINICAL PROGRAM EFFORTS INCLUDE DIRECTING POPULATION MANAGEMENT ACTIVITIES FOR THE FOURTEEN NETWORKS, SUCH AS TRANSITIONAL SUPPORT, POPULATION STRATIFICATION TO IDENTIFY THE HIGHEST RISK AND MOST IMPACTFUL ENROLLEES AND CARE MANAGEMENT ACTIVITIES. IT ALSO INCLUDES ONGOING TRAINING AND TECHNICAL ASSISTANCE FOR ALL PROGRAM EFFORTS STATEWIDE SO THAT EXPECTATIONS ARE STANDARDIZED ACROSS ALL NETWORKS. EXAMPLES OF ONGOING TRAINING EFFORTS INCLUDE BUT ARE NOT LIMITED TO: QUALITY IMPROVEMENT, CARE MANAGEMENT, MOTIVATION INTERVIEWING, CHRONIC PAIN MANAGEMENT, DISEASE MANAGEMENT, NEW HIRE ORIENTATION, TARGETED WORKGROUPS, ETC.IN ADDITION, THE PERFORMANCE MEASURES AND DATA ANALYTICS ARE ESTABLISHED FOR N3CN STATEWIDE. THE PROCESS INCLUDES DEVELOPING SYSTEMS FOR COLLECTING 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.THE FOLLOWING TWO INITIATIVES ARE ALSO INCLUDED IN CLINICAL PROGRAMS:BEHAVIORAL HEALTH:THIS PROGRAM HAS BEEN PUT IN PLACE TO DEVELOP AND IMPLEMENT AN INTEGRATED BEHAVIORAL HEALTH INITIATIVE TO IMPROVE THE COORDINATION OF CARE FOR BEHAVIORAL HEALTH PATIENTS WITHIN THE PRIMARY CARE MODEL LEADING TO HIGHER QUALITY OF CARE AND REDUCTION IN EXPENDITURES. INITIAL EFFORTS ARE FOCUSED ON HIRING AND MENTORING LOCAL PSYCHIATRISTS IN ALL 14 NETWORKS, ENGAGING PRIMARY CARE PROVIDERS IN THE DEVELOPMENT OF THE PROGRAM, AND IDENTIFYING QUALITY IMPROVEMENT ACTIVITIES FOR STATEWIDE IMPLEMENTATION.PREGNANCY HOME:THIS PROGRAM IS DESIGNED TO PROVIDE COMPREHENSIVE, COORDINATED MATERNITY CARE TO HIGH RISK PREGNANT MEDICAID PATIENTS AND CREATE PREGNANCY HOMES. THE PROGRAM AIMS TO IMPROVE THE QUALITY OF MATERNITY CARE, IMPROVE OUTCOMES FOR MOTHERS AND BABIES, AND REDUCE UNNECESSARY MEDICAL CARE COSTS. THE PROGRAM ENGAGES OBSTETRICAL PROVIDERS WILLING TO SERVE AS PREGNANCY HOMES IN THE IMPLEMENTATION OF EVIDENCE-BASED BEST PRACTICE GUIDELINES. THE NETWORK MAY COLLABORATE WITH LOCAL HEALTH DEPARTMENTS TO PERFORM THE TARGETED CARE MANAGEMENT ACTIVITIES AIMED AT THE HIGH RISK PREGNANT WOMEN. 9941208 1352810 INFORMATICS CENTER: THE INFORMATICS CENTER (IC) CONTAINS HEALTH INFORMATION ABOUT PROGRAM PARTICIPANTS OBTAINED AND/OR INPUTTED DIRECTLY FROM HEALTH CARE PROVIDERS, CARE MANAGERS AND/OR THE PRIMARY CARE MEDICAL RECORD. SOME OF THE DATA ELEMENTS INCLUDES, BUT ARE NOT LIMITED: PHARMACY DATA, LABORATORY RESULTS, AND REAL-TIME HOSPITAL ADMISSION/DISCHARGE/TRANSFER DATA FROM A MAJORITY OF THE LARGE NC HOSPITALS. THE DATA IS CURRENTLY ACCESSED BY COMMUNITY CARE NETWORKS TO IDENTIFY PATIENTS IN NEED OF CARE COORDINATION; TO FACILITATE DISEASE MANAGEMENT, POPULATION MANAGEMENT, AND PHARMACY MANAGEMENT INITIATIVES; AND TO MONITOR QUALITY, COST AND UTILIZATION. THE IC ALSO HOUSES MEDICARE AND MEDICAID PAID CLAIMS DATA.THE INFORMATICS CENTER IS AN INFRASTRUCTURE MAINTAINED IN CONNECTION WITH HEALTH CARE QUALITY INITIATIVES FOR THE STATE OF NORTH CAROLINA AS SPONSORED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF MEDICAL ASSISTANCE, OFFICE OF RURAL HEALTH AND COMMUNITY CARE, AND THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES' CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). 4255654 3905000 38308 GENERAL MISSIONS: THIS PROGRAM INCLUDES A VAST RANGE OF ACTIVITIES CONSISTENT WITH N3CN'S CHARITABLE PURPOSES OF FOSTERING AND ENHANCING QUALITY, EFFICIENCY, AND ACCESS TO HEALTH CARE SERVICES IN NORTH CAROLINA. THE OVERARCHING GOAL IS TO EDUCATE, SHOWCASE, AND SHARE THE SUCCESSES OF N3CN'S PATIENT CENTERED MEDICAL HOME MODEL THROUGHOUT THE STATE. N3CN'S ABILITY TO DEMONSTRATE ITS INNOVATIVE THINKING AND SUCCESSFUL IMPLEMENTATION HAS RECEIVED NATIONAL ATTENTION. ORGANIZATIONS HAVE INVITED N3CN TO PRESENT ITS MODEL AND SERVICES TO LEADERSHIP, STAFF, LEGISLATURES, AND COMMUNITIES ACROSS THE UNITED STATES. 2597273 419545 PHARMACY PROGRAMS: THIS PROGRAM IS RESPONSIBLE FOR PHARMACY BENEFITS FACILITATION AND MEDICATION MANAGEMENT AND RECONCILIATION SERVICES. THE PRIMARY GOAL OF PHARMACY BENEFITS FACILITATION IS TO MINIMIZE PATIENT THERAPY DISRUPTION, MINIMIZE PRESCRIBER WORKFLOW DISRUPTION AND MINIMIZE PHARMACY WORKFLOW DISRUPTION. THE PRIMARY GOALS OF THE MEDICATION MANAGEMENT AND RECONCILIATION SERVICES ARE TO PROVIDE A SUITE OF PATIENT LEVEL SERVICES THAT ENHANCE COORDINATION, PRESCRIBING AND PATIENT USE OF MEDICATIONS. 936620 148852 NETWORK INITIATIVES: THIS PROGRAM IS RESPONSIBLE FOR REVIEWING AND FOSTERING SPECIALIZED PROJECTS AND INITIATIVES DEVELOPED BY THE FOURTEEN NETWORKS. 811174 CALL CENTER: THIS PROGRAM IS STAFFED WITH NURSES AND HEALTH EDUCATORS TO PROVIDE PROACTIVE OUTREACH ON TARGETED INITIATIVES, SUCH AS NON-URGENT EMERGENCY ROOM AND CHRONIC PAIN UTILIZATION. 4345067 148852 419545 31755591 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 88 0 181 1 1 1 0 0 0 0 0 0 0 0 0 X 7 7 0 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 X KATHERINE BRANTLEY 9197452350 2300 REXWOODS DRIVE SUITE 200 RALEIGH NC 27607 MICHELLE BROOKS BOARD MEMBER/CHAIR 0.50 X X 0 0 0 MARCI MILES BOARD MEMBER/CHAIR/SECRETARY 0.50 X X 0 0 0 JOHN MORROW MD BOARD MEMBER 0.50 X 0 0 0 GARY SALAMIDO BOARD MEMBER STARTING 2/2014 0.50 X 0 0 0 TOM SIBERT MD BOARD MEMBER/CHAIR STARTING 2/2014 0.50 X X 0 0 0 PAUL CUNNINGHAM MD BOARD MEMBER THROUGH 9/2013 0.50 X 0 0 0 PAM SHIPMAN BOARD MEMBER THROUGH 9/2013 0.50 X 0 0 0 WILLIAM PULLY BOARD MEMBER/TREAS. THROUGH 8/2013 0.50 X X 0 0 0 ELIZABETH TILSON MD BOARD MEMBER 0.50 X 0 0 0 BRIAN TOOMEY BOARD MEMBER STARTING 10/2013 0.50 X 0 0 0 RICHARD HUDSPETH MD BOARD MEMBER THROUGH 9/2013 0.50 X 0 0 0 LYDIA NEWMAN BOARD MEMBER THROUGH 9/2013 0.50 X 0 0 0 MARK BENTON COO STARTING 2/2014 40.00 X 75190 0 4273 SHAWN PARKER INTERIM SECRETARY 38.00 2.00 X 137816 0 14609 DANIEL A EDELSON CFO, ASST TREASURER 28.00 2.00 X 172866 0 0 L ALLEN DOBSON MD PRESIDENT 15.00 5.00 X 206387 0 0 TORLEN WADE EXECUTIVE VICE PRESIDENT 33.00 7.00 X 195708 0 14416 CAROL A DUBARD MD EMPLOYEE 34.00 2.00 X 183384 0 16811 EILEEN CIESCO EMPLOYEE 35.00 5.00 X 155667 0 12948 MICHAEL S LANCASTER EMPLOYEE 40.00 X 216960 0 18177 ROY WATKINS MD EMPLOYEE 32.00 X 187154 0 16118 MICHAEL RHOADES EMPLOYEE 20.00 20.00 X 171695 0 11164 MARIAN EARLS MD EMPLOYEE 32.00 X 157730 0 15709 JUDITH O'NEAL EMPLOYEE 30.00 10.00 X 155560 0 13904 2016117 0 138129 11 0 1 1 TREO SOLUTIONS INC 125 DEFREEST DRIVE TROY NY 12180 PROGRAMMATIC SERVICES 1337500 ACCESSCARE 3000 AERIAL CENTER PARKWAY SUITE 1 MORRISVILLE NC 27560 PROGRAMMATIC SERVICES 1133229 RELIGENT HEALTH LLC 3419 MEDFORD ROAD DURHAM NC 27705 PROFESSIONAL SERVICES 1005066 COMMUNITY CARE OF THE LOWER CAPE FEAR 1209 CULBRETH DR STE 200 WILMINGTON NC 28405 PROGRAMMATIC SERVICES 851959 MANATT PHELPS & PHILLIPS LLP 11355 W OLYMPIC BLVD LOS ANGELES CA 90064 STRATEGIC PLANNING SERVICES 775000 31 475363 7030689 23911787 31417839 SERVICE FEES 900099 3592037 3592037 52321 52321 3644358 3175 3175 48358 57796 48358 49643 0 8153 8153 8153 147 -147 -147 -147 35073378 3644211 8153 3175 4053852 4053852 1396613 421013 880911 94689 10459745 8739093 1556574 164078 460553 380679 71285 8589 1389710 1116974 259825 12911 935263 743905 171894 19464 45439 5256 34658 5525 71153 71153 126000 126000 268849 268849 1315810 658680 307088 350042 21997 19939 2058 337555 266629 64289 6637 1002514 981471 20502 541 650860 562684 74175 14001 246551 170140 30242 46169 287404 251143 33456 2805 1886851 1493772 328365 64714 94485 12275 81875 335 CONTRACT SERVICES 11077884 10676181 364118 37585 SPECIAL PROJECTS 758988 758988 CHART AUDIT 405147 405147 75448 37770 37249 429 37368671 31755591 4515717 1097363 7557525 5413955 3595218 2598392 0 3346210 3770668 2490756 398407 385626 7661541 4747337 2948178 2914204 22533 18791 18292529 17167934 4822228 5776175 328176 307463 0 237464 5150404 6321102 X 12726337 10670057 415788 176775 13142125 10846832 18292529 17167934 -2295293 0 X X 0 1 X 1 1 1 X 7231986 13898055 19596765 26439730 31417839 98584375 35327 85560 75318 37360 233565 7231986 13933382 19682325 26515048 31455199 98817940 1402434 97415506 10348 6612 10049 8260 3175 38444 8153 8153 98864537 8777364 0.98530 0.96080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 167509 167509 37201162 37368671 1000000 250000 0 0 630326 1000000 1000000 1000000 3630326 5445489 55000 106786 208440 167509 537735 157582 250000 250000 250000 907582 1361373 17500 34000 27090 0 78590 100717 12267 88450 4553961 2703454 1850507 3006863 2031616 975247 2914204 DEFERRED RENT 237464 237464 X 35274287 102761 102761 35171526 -98148 -98148 35073378 37569580 102761 98148 200909 37368671 0 37368671 PART X, LINE 2: N3CN FOLLOWS THE PROVISIONS OF FASB ASC 740-10 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. FASB ASC 740-10 PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT, AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT THE ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSET -147. RENTAL EXPENSES INCLUDED ON FORM 990, PART VIII, LINE 6B -98,001. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSET 147. RENTAL EXPENSES INCLUDED ON FORM 990, PART VIII, LINE 6B 98,001. X X 1 G PEYTON MAYNARD AND ASSOCIATES INC 401 TRANSYLVANIA AVENUE RALEIGH NC 27609 CULTIVATION OF NEW BUSINESS OPPORTUNITIES 0 0 72000 0 CANSLER COLLABORATIVE RESOURCES INC PO BOX 99235 RALEIGH NC 27624 CULTIVATION OF NEW BUSINESS OPPORTUNITIES 0 0 62933 0 CONCINNITY SERVICES LLC 3935 NORTHHAMPTON ROAD DURHAM NC 27707 CULTIVATION OF NEW BUSINESS OPPORTUNITIES 0 0 60161 0 RELIGENT HEALTH LLC 3419 MEDFORD ROAD DURHAM NC 27705 CULTIVATION OF NEW BUSINESS OPPORTUNITIES 0 0 54654 0 ALAN SETH HIRSCH 421 WESTWOOD DRIVE CHAPEL HILL NC 27516 CULTIVATION OF NEW BUSINESS OPPORTUNITIES 0 0 10450 0 MEDICATION MANAGEMENT LLC PO BOX 35282 GREENSBORO NC 27425 CULTIVATION OF NEW BUSINESS OPPORTUNITIES 0 0 8651 0 268849 NC 1 COMMUNITY CARE OF WESTERN NORTH CAROLINA INC 53 SOUTH FRENCH BROAD AVENUE SUITE 300 ASHEVILLE NC 28801 562097503 501(C)(3) 148852 NETWORK INITIATIVES PROGRAM COMMUNITY CARE OF NORTH CAROLINA INC 2300 REXWOODS DRIVE SUITE 200 RALEIGH NC 27607 463355510 501(C)(3) 3900000 GENERAL MISSIONS PROGRAM 2 0 PART I, LINE 2: THE NETWORK INITIATIVES PROGRAM USES GRANT APPLICATIONS, PROGRESS REPORTS, AND FINAL REPORTS TO MONITOR THE USE OF FUNDS. EACH INTERIM AND FINAL REPORT INCLUDES AN EXPENDITURE REPORT. NORTH CAROLINA COMMUNITY CARE NETWORKS REVIEWS THESE DOCUMENTS AND SENDS PAYMENTS PERIODICALLY AS THESE DOCUMENTS ARE REVIEWED AND APPROVED. AMOUNTS GRANTED IN FURTHERANCE OF NORTH CAROLINA COMMUNITY CARE NETWORKS' CORPORATE PURPOSES RELATED TO GENERAL MISSIONS WERE APPROVED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS RECEIVED REPORTS ON THE SPENDING OF THESE GRANT FUNDS AT REGULARLY SCHEDULED MEETINGS. X X X 0 0 0 0 0 0 0 0 0 SHAWN PARKER INTERIM SECRETARY 137816 0 0 0 0 0 7122 0 7487 0 152425 0 0 0 DANIEL A EDELSON CFO, ASST TREASURER 172866 0 0 0 0 0 0 0 0 0 172866 0 0 0 L ALLEN DOBSON MD PRESIDENT 206387 0 0 0 0 0 0 0 0 0 206387 0 0 0 TORLEN WADE EXECUTIVE VICE PRESIDENT 195708 0 0 0 0 0 9548 0 4868 0 210124 0 0 0 CAROL A DUBARD MD EMPLOYEE 183384 0 0 0 0 0 9169 0 7642 0 200195 0 0 0 EILEEN CIESCO EMPLOYEE 155667 0 0 0 0 0 6333 0 6615 0 168615 0 0 0 MICHAEL S LANCASTER EMPLOYEE 216960 0 0 0 0 0 10427 0 7750 0 235137 0 0 0 ROY WATKINS MD EMPLOYEE 187154 0 0 0 0 0 9368 0 6750 0 203272 0 0 0 MICHAEL RHOADES EMPLOYEE 171695 0 0 0 0 0 4414 0 6750 0 182859 0 0 0 MARIAN EARLS MD EMPLOYEE 157730 0 0 0 0 0 7959 0 7750 0 173439 0 0 0 JUDITH O'NEAL EMPLOYEE 155560 0 0 0 0 0 4682 0 9222 0 169464 0 0 0 SCHEDULE J PART II L. ALLEN DOBSON, JR. MD WAS COMPENSATED BY THE UNRELATED ORGANIZATION CAROLINAS PHYSICIANS NETWORK (DBA CABARRUS FAMILY MEDICINE) FOR HIS SERVICES TO NC COMMUNITY CARE NETWORKS. RELIGENT HEALTH LLC ENTITY MORE THAN 5% OWNED BY PRESIDENT OF N3CN DURING THE TAX YEAR. 813658 PROFESSIONAL SERVICES PROVIDED BY RELIGENT HEALTH, LLC 0 SCHEDULE L, PART IV, ADDITIONAL INFORMATION: AS OF 4/2/14, N3CN'S PRESIDENT NO LONGER HAS AN OWNERSHIP INTEREST IN RELIGENT HEALTH, LLC. FORM 990, PART VI, SECTION A, LINE 3 NORTH CAROLINA COMMUNITY CARE NETWORKS HAS INDEPENDENT CONTRACTORS THAT SERVED IN THE ROLES OF PRESIDENT, CHIEF FINANCIAL OFFICER AND ASSISTANT TREASURER, CHIEF OF STAFF, AND CHIEF INFORMATION OFFICER DURING PART OF THE YEAR. FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING REPRESENT SIGNIFICANT CHANGES MADE TO GOVERNING DOCUMENTS: THE BOARD OF DIRECTORS SHALL CONSIST OF NOT LESS THAT FIVE NOR MORE THAN THIRTEEN PERSONS. DIRECTORS NEED NOT BE MEMBERS OF THE CORPORATION, BUT SHALL BE COMPOSED OF INDIVIDUALS WITH EXPERIENCE IN HEALTH CARE INCLUDING: (I) AN INDIVIDUAL WITH HEALTH CARE FINANCE OR HEALTH ACTUARIAL EXPERTISE; (II) AN INDIVIDUAL WITH EXPERTISE IN HEALTH INFORMATION TECHNOLOGY; (III) REPRESENTATIVES OF THE PROVIDER COMMUNITY; (IV) AN INDIVIDUAL WITH KNOWLEDGE OF AND EXPERIENCE WORKING IN THE HEALTH INSURANCE INDUSTRY, AND (V) INDIVIDUALS THAT BROADLY REPRESENT PARTICIPANTS IN THE COMMUNITY CARE OF NORTH CAROLINA PROGRAM. PROCESSES FOR TERMS, NOMINATION, APPROVAL, ELECTION, AND REMOVAL SHALL BE SET BY AND ARE RESERVED TO THE CORPORATE MEMBER. THE PRESIDENT OF THE CORPORATION, EX OFFICIO, SHALL BE A MEMBER OF THE BOARD OF DIRECTORS. A MAJORITY OF THE DIRECTORS IN OFFICE IMMEDIATELY BEFORE A MEETING BEGINS SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS. SEE SCHEDULE O RESPONSES TO FORM 990, PART VI, QUESTIONS 6 AND 7 FOR ADDITIONAL CHANGES TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER SHALL BE COMMUNITY CARE OF NORTH CAROLINA, INC. THE CORPORATE MEMBER SHALL ACT THROUGH ITS BOARD OF DIRECTORS AND SHALL BE ENTITLED TO VOTE ON ALL MATTERS RESERVED TO THE CORPORATE MEMBER, UNLESS OTHERWISE SPECIFIED IN THE BYLAWS. THE TERM OF THE CORPORATE MEMBER SHALL BE PERPETUAL. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER SHALL HAVE THE RIGHT TO APPROVE THE APPOINTMENT OF A DIRECTOR OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING REPRESENT GOVERNANCE DECISIONS SUBJECT TO APPROVAL OF THE CORPORATE MEMBER: 1) OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, 2) INCURRENCE OF INDEBTEDNESS, 3) PROPOSED SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY, 4) APPOINTMENT OR REMOVAL OF THE PRESIDENT OR DIRECTOR OF THE CORPORATION, 5) VOLUNTARY DISSOLUTION OF THE CORPORATION, 6) VENDOR AGREEMENTS INVOLVING 20% OR MORE OF THE CORPORATION'S OPERATING EXPENSE, AND 6) ESTABLISHMENT OF LONG RANGE PLANS AND STRATEGIES. FORM 990, PART VI, SECTION B, LINE 11 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 ADDITION, IF THE BOARD OF DIRECTORS OR PRESIDENT/CEO HAS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER, OR EMPLOYEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE REPONSE AND AFTER MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCE, THE BOARD OF DIRECTORS DETERMINES THAT THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. 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 INCREASES 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. FORM 990, PART VII MICHELLE BROOKS - 4207 DUNHAGAN ROAD, GREENVILLE, NC 27858. MARCI MILES - 3000 AERIAL CENTER PARKWAY STE. 101, MORRISVILLE, NC 27560. JOHN MORROW, MD - 201 GOVERNMENT CIRCLE, GREENVILLE, NC 27834. GARY SALAMIDO - 701 CORPORATE CENTER DRIVE, STE 400, RALEIGH, NC 27607. TOM SIBERT, MD - 760 SCOTT ROAD, LEWISVILLE, NC 27023. PAUL CUNNINGHAM, MD - 600 MOYE BLVD, AD52, GREENVILLE, NC 27834. PAM SHIPMAN - 4855 MILESTONE AVE, KANNAPOLIS, NC 28081. WILLIAM PULLY - 2400 WESTON PKWY, CARY, NC 27513. DANIEL A. EDELSON - 8104 FALLSTON COURT, RALEIGH, NC 27613. MICHAEL S. LANCASTER - 2320 HONEYSUCKLE COURT, CHAPEL HILL, NC 27514. MICHAEL RHOADES - 5100 NORTHCREEK DRIVE, WILMINGTON, NC 28409. ELIZABETH TILSON, MD - 2500 BLUE RIDGE ROAD, STE 330, RALEIGH, NC 27607. BRIAN TOOMEY - 299 LLOYD STREET, CARRBORO, NC 27510. RICHARD HUDSPETH, MD - 53 SOUTH FRENCH BLVD, SUITE 306, ASHEVILLE, NC 28801. LYDIA NEWMAN - 1209 CULBRETH DRIVE, SUITE 200, WILMINGTON, NC 28405. FORM 990, PART XII, LINE 2C NORTH CAROLINA COMMUNITY CARE NETWORKS HAS NOT CHANGED THEIR OVERSIGHT PROCESS OF THE AUDIT NOR THEIR SELECTION PROCESS FOR THEIR INDEPENDENT ACCOUNTANT FROM PRIOR YEARS. THE FINANCE COMMITTEE SERVES AS THE OVERSEEING COMMITTEE FOR THE AUDIT PROCESS. NORTH CAROLINA HEALTH INFORMATION EXCHANGE 2300 REXWOODS DRIVE SUITE 300 RALEIGH NC 27607 273541505 PROVIDE SECURE AND SCALABLE SERVICES FOR THE USE OF HEALTH CARE INFORMATION NC 501(C)(3) LINE 7 COMMUNITY CARE OF NORTH CAROLINA INC 0 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 SERVICES NC 501(C)(3) LINE 7 0 CCNC SERVICES INC 2300 REXWOODS DRIVE SUITE 320 RALEIGH NC 27607 464810820 SOFTWARE SERVICES NC N/A C 0 1 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 NORTH CAROLINA HEALTH INFORMATION EXCHANGE A 48358 CASH AMOUNT NORTH CAROLINA HEALTH INFORMATION EXCHANGE C 475363 CASH AMOUNT NORTH CAROLINA HEALTH INFORMATION EXCHANGE L 478603 CASH AMOUNT NORTH CAROLINA HEALTH INFORMATION EXCHANGE O 416363 CASH AMOUNT NORTH CAROLINA HEALTH INFORMATION EXCHANGE Q 560061 CASH AMOUNT CCNC SERVICES INC Q 262935 CASH AMOUNT