COMMUNITY CARE OF NORTH CAROLINA INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CARE OF NORTH CAROLINA INC (EIN 46-3355510)
- Tax period
- 2013-07-05 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201521359349305802
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T13:40:20-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 561945391 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCMILLAN PATE & COMPANY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 OBERLIN ROAD SUITE 200 | AddressLine1 |
| City | RALEIGH | City |
| State | NC | State |
| ZIP Code | 27605 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-05 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463355510 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE OF NORTH CAROLINA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 9197452350 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DRIVE SUITE 140 | AddressLine1 |
| City | RALEIGH | City |
| State | NC | State |
| ZIP Code | 27607 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS WOODFIN | PersonNm |
| Person Title | CFO AND TREASURER | PersonTitleTxt |
| Phone | 9197452350 | PhoneNum |
| Signature | 2015-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELISSA K KRAGEL | PreparerPersonNm |
| PTIN | P01342003 | PTIN |
| Phone | 9198369200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | TORLEN WADE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DRIVE SUITE 140 | AddressLine1 |
| City | RALEIGH | City |
| State | NC | State |
| ZIP Code | 27607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,971,374 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COMMUNITYCARENC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO FOSTER AND ENHANCE QUALITY, EFFICIENCY AND ACCESS TO HEALTH CARE SERVICES FOR PATIENTS IN NEED OF SUCH SERVICES, PARTICULARLY PATIENT POPULATIONS THAT ARE VULNERABLE AND/OR UNDERSERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $3,900,000 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $71,374 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| CY Total Revenue | $3,971,374 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $1,083,173 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $338,299 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $115,185 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $325,894 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $613,442 | CYOtherExpensesAmt |
| CY Total Expenses | $2,150,099 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $1,821,275 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $2,812,506 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $991,231 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $1,821,275 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PRIMARY EXEMPT PURPOSE IS TO FOSTER AND ENHANCE QUALITY, EFFICIENCY AND ACCESS TO HEALTH CARE SERVICES FOR PATIENTS IN NEED OF SUCH SERVICES, PARTICULARLY PATIENT POPULATIONS THAT ARE VULNERABLE AND/OR UNDERSERVED BY REASON OF THEIR LOW-INCOME STATUS, THE LOCATION OF THEIR RESIDENCE IN RELATION TO AVAILABLE CLINIC LOCATIONS, THEIR CHRONIC CONDITIONS OR OTHER CHARACTERISTICS; IN SUPPORT OF THE ENHANCEMENT OF QUALITY, EFFICIENCY AND ACCESS TO HEALTH CARE SERVICES, TO DEVELP AND PERFECT TECHNOLOGY, PROGRAMMATIC AND HUMAN RESOURCES TO ENABLE AND FACILITATE THE IMPLEMENTATION OF CARE COORDINATION, POPULATION HEALTH MANAGEMENT AND RELATED STRATEGIES; TO PROVIDE CARE COORDINATION, POPULATION HEALTH MANAGEMENT AND RELATED SERVICES AND RESOURCES TO CLINICAL SERVICE PROVIDERS AND OTHER ORGANIZATIONS, PARTICULARLY THOSE SERVING VULNERABLE PATIENT POPULATIONS, ACROSS THE ENTIRE CONTINUUM OF CARE THROUGHOUT THE UNITED STATES; AND TO FORM AND INVEST IN ENTITIES WHO MAY FURTHER SAID PURPOSE. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,214,476 | ExpenseAmt |
| Grant | $1,083,173 | GrantAmt |
| Revenue | $71,374 | RevenueAmt |
| Desc | 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, INC.'S MODEL OF PATIENT CENTRIC CARE BY DEMONSTRATING THE ORGANIZATION'S SUCCESS IN ESTABLISHING PATIENT CENTERED MEDICAL HOMES. CCNC, INC.'S ABILITY TO DEMONSTRATE ITS INNOVATIVE THINKING AND SUCCESSFUL IMPLEMENTATION HAS RECEIVED NATIONAL ATTENTION. ORGANIZATIONS HAVE INVITED CCNC, INC. 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, INC.'S ABILITY TO BRING ABOUT POSITIVE SOCIETAL CHANGE CCNC, INC. IS BUILDING LONG TERM RELATIONSHIPS WITH A NUMBER OF THESE ENTITIES. | Desc |
| Total Program Service Expenses | $1,214,476 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHERINE BRANTLEY | PersonNm |
| Phone | 9197452350 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DRIVE SUITE 200 | AddressLine1 |
| City | RALEIGH | City |
| State | NC | State |
| ZIP Code | 27607 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| MICHELLE BROOKS | |||||||
| BOARD MEMBER, CHAIR STARTING 8/2013 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD HUDSPETH MD | |||||||
| BOARD MEMBER STARTING 8/2013 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| LYDIA NEWMAN | |||||||
| BOARD MEMBER STARTING 8/2013 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| PAUL CUNNINGHAM MD | |||||||
| BOARD MEMBER STARTING 8/2013 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| BOB GRECZYN JR | |||||||
| BOARD MEMBER STARTING 9/2013 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| HENRY HAWTHORNE JR MD | |||||||
| BOARD MEMBER STARTING 1/2014 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT INGRAM | |||||||
| BOARD MEMBER 9/2013 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| BILL PULLY | |||||||
| BOARD MEMBER FOR 8/2013 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| PAM SHIPMAN | |||||||
| BOARD MEMBER FROM 8/2013 - 9/2013 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL EDELSON | |||||||
| TREASURER | 2.00 | $0 | $172,866 | $0 | 28.00 | Yes (X) | |
| TORLEN WADE | |||||||
| EXECUTIVE VICE PRESIDENT | 7.00 | $0 | $195,708 | $14,416 | 33.00 | Yes (X) | |
| SHAWN PARKER | |||||||
| SECRETARY | 2.00 | $0 | $137,816 | $14,609 | 38.00 | Yes (X) | |
| L ALLEN DOBSON JR MD | |||||||
| PRESIDENT/CEO | 5.00 | $0 | $206,387 | $0 | 15.00 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $712,777 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $29,025 | 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
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANATT PHELPS & PHILLIPS LLP | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11355 W OLYMPIC BLVD | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | STRATEGIC CONSULTATION SERVICES | ServicesDesc |
| Compensation | $210,000 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,900,000 | RelatedOrganizationsAmt |
| Total Contributions | $3,900,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SERVICE FEES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $71,374 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,374 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,374 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,971,374 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,374 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,083,173 | TotalAmt |
| Program Services | $1,083,173 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,691 | TotalAmt |
| Program Services | $6,258 | ProgramServicesAmt |
| Management And General | $20,623 | ManagementAndGeneralAmt |
| Fundraising | $17,810 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,809 | TotalAmt |
| Program Services | $25,057 | ProgramServicesAmt |
| Management And General | $79,715 | ManagementAndGeneralAmt |
| Fundraising | $113,037 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,516 | TotalAmt |
| Program Services | $2,423 | ProgramServicesAmt |
| Management And General | $4,279 | ManagementAndGeneralAmt |
| Fundraising | $5,814 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,187 | TotalAmt |
| Program Services | $8,080 | ProgramServicesAmt |
| Management And General | $13,771 | ManagementAndGeneralAmt |
| Fundraising | $14,336 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,096 | TotalAmt |
| Program Services | $4,802 | ProgramServicesAmt |
| Management And General | $9,621 | ManagementAndGeneralAmt |
| Fundraising | $12,673 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,093 | TotalAmt |
| Management And General | $12,093 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25 | TotalAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,185 | TotalAmt |
| Fundraising | $115,185 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,000 | TotalAmt |
| Management And General | $55,000 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,712 | TotalAmt |
| Program Services | $528 | ProgramServicesAmt |
| Management And General | $261,184 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,689 | TotalAmt |
| Program Services | $5,308 | ProgramServicesAmt |
| Management And General | $21,012 | ManagementAndGeneralAmt |
| Fundraising | $23,369 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,352 | TotalAmt |
| Management And General | $2,682 | ManagementAndGeneralAmt |
| Fundraising | $670 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,655 | TotalAmt |
| Program Services | $1,395 | ProgramServicesAmt |
| Management And General | $6,105 | ManagementAndGeneralAmt |
| Fundraising | $9,155 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,215 | TotalAmt |
| Program Services | $1,575 | ProgramServicesAmt |
| Management And General | $21,028 | ManagementAndGeneralAmt |
| Fundraising | $12,612 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,987 | TotalAmt |
| Program Services | $257 | ProgramServicesAmt |
| Management And General | $880 | ManagementAndGeneralAmt |
| Fundraising | $850 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322 | TotalAmt |
| Program Services | $36 | ProgramServicesAmt |
| Management And General | $123 | ManagementAndGeneralAmt |
| Fundraising | $163 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONTRACT SERVICES | Desc |
| Total | $175,828 | TotalAmt |
| Program Services | $75,535 | ProgramServicesAmt |
| Management And General | $100,293 | ManagementAndGeneralAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,564 | TotalAmt |
| Program Services | $49 | ProgramServicesAmt |
| Management And General | $1,295 | ManagementAndGeneralAmt |
| Fundraising | $220 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,150,099 | TotalAmt |
| Program Services | $1,214,476 | ProgramServicesAmt |
| Management And General | $609,729 | ManagementAndGeneralAmt |
| Fundraising | $325,894 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,812,406 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $100 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,812,506 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $966,105 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $25,126 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $991,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,743,843 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $77,432 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,821,275 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,812,506 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,821,275 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $3,900,000 | CurrentTaxYearAmt |
| Total | $3,900,000 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $3,900,000 | CurrentTaxYearAmt |
| Total | $3,900,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,900,000 | PublicSupportTotal170Amt |
| Total Support | $3,900,000 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $71,374 | GrossReceiptsRltdActivitiesAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SHORT YEAR EXPLANATION: | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS IN THE 2013 COLUMN ARE FOR THE SHORT TAX YEAR FROM 7/5/13 THROUGH 6/30/14. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| DENISE HEWSON | ||||||||
| 3414 BELLEVUE ROAD | RALEIGH | NC | 27609 | CULTIVATION OF NEW BUSINESS OPPORTUNITIES | 0 | $0 | $32,896 | $0 |
| CANSLER COLLABORATIVE RESOURCES INC | ||||||||
| PO BOX 99235 | RALEIGH | NC | 27624 | CULTIVATION OF NEW BUSINESS OPPORTUNITIES | 0 | $0 | $27,667 | $0 |
| CABARRUS FAMILY MEDICINE | ||||||||
| 270 COPPERFIELD BLVD SUITE 201 | CONCORD | NC | 28025 | CULTIVATION OF NEW BUSINESS OPPORTUNITIES | 0 | $0 | $20,638 | $0 |
| CONCINNITY SERVICES LLC | ||||||||
| 3935 NORTHAMPTON ROAD | DURHAM | NC | 27707 | CULTIVATION OF NEW BUSINESS OPPORTUNITIES | 0 | $0 | $14,600 | $0 |
| TOM GALLIGAN | ||||||||
| 601 DOWNPATRICK LANE | RALEIGH | NC | 27615 | CULTIVATION OF NEW BUSINESS OPPORTUNITIES | 0 | $0 | $7,500 | $0 |
| ROBERT HEWSON | ||||||||
| 3414 BELLEVUE ROAD | RALEIGH | NC | 27609 | CULTIVATION OF NEW BUSINESS OPPORTUNITIES | 0 | $0 | $6,100 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $109,401 | TotalRetainedByContractorsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| NORTH CAROLINA HEALTH INFORMATION EXCHANGE | |||||||
| 2300 REXWOODS DRIVE SUITE 390 | RALEIGH | NC | 27607 | 273541505 | 501(C)(3) | $250,000 | GENERAL MISSIONS PROGRAM |
| CCNC SERVICES INC | |||||||
| 2300 REXWOODS DRIVE SUITE 320 | RALEIGH | NC | 27607 | 464810820 | $833,173 | GENERAL MISSIONS PROGRAM | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF DIRECTORS APPROVES THE AWARD OF EACH GRANT IN FURTHERANCE OF THE GRANTOR'S CHARITABLE PURSPOSES. THE GRANTEE SUBMITS REPORTS AS FUNDS ARE EXPENDED. CCNC, INC. REVIEWS THESE REPORTS TO ENSURE THAT THE FUNDS WERE EXPENDED FOR THEIR INTENDED PURPOSE. | ExplanationTxt |
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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL EDELSON | ||||||||||||||
| TREASURER | $0 | $172,866 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $172,866 | $0 | $0 |
| TORLEN WADE | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $0 | $195,708 | $0 | $0 | $0 | $0 | $0 | $9,548 | $0 | $4,868 | $0 | $210,124 | $0 | $0 |
| SHAWN PARKER | ||||||||||||||
| SECRETARY | $0 | $137,816 | $0 | $0 | $0 | $0 | $0 | $7,122 | $0 | $7,487 | $0 | $152,425 | $0 | $0 |
| L ALLEN DOBSON JR MD | ||||||||||||||
| PRESIDENT/CEO | $0 | $206,387 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $206,387 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WAS USED BY THE FILING ORGANIZATION'S RELATED ORGANIZATION, NORTH CAROLINA COMMUNITY CARE NETWORKS, INC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | SINCE THIS IS THE ORGANIZATION'S INITIAL YEAR, ALL PROGRAM SERVICES WERE NOT PREVIOUSLY LISTED. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE, TO THE EXTENT AUTHORIZED BY LAW, SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD, EXCEPT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY TO: 1. REMOVE FROM, OR FILL VACANCIES, ON THE BOARD OR ANY OF ITS COMMITTEES; 2. REMOVE ANY OFFICERS; 3. AMEND THE CORPORATION'S BYLAWS; 4. APPROVE A MERGER, SALE OR DISSOLUTION OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAD AN INDEPENDENT CONTRACTOR PAID THROUGH THE RELATED ORGANIZATION NORTH CAROLINA COMMUNITY CARE NETWORKS THAT SERVED AS TREASURER DURING PART OF THE YEAR. |
| FORM 990, PART VI, SECTION A, LINE 4 | SINCE THIS IS THE ORGANIZATION'S INITIAL YEAR, THE ORGANIZATION FILED ARTICLES OF INCORPORATION FOR A NONPROFIT CORPORATION ON 7/5/2013 AND ADOPTED BYLAWS ON 8/5/2013. THE ORGANIZATION ALSO ADOPTED ORGANIZATIONAL RESOLUTIONS ON 8/5/2013. |
| 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 AND PRINCIPAL OFFICER 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 OR OFFICER 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 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. RICHARD HUDSPETH, MD - 53 SOUTH FRENCH BLVD, SUITE 306, ASHEVILLE, NC 28801. LYDIA NEWMAN - 1209 CULBRETH DRIVE, SUITE 200, WILMINGTON, NC 28405. PAUL CUNNINGHAM, MD - 600 MOYE BLVD, AD52, GREENVILLE, NC 27834. BOB GRECZYN, JR. - 2500 SUMNER BLVD, RALEIGH, NC 27616. HENRY HAWTHORNE, JR. MD - 1209 CULBRETH DRIVE, SUITE 200, WILMINGTON, NC 28405. ROBERT INGRAM - 280 S. MANGUM ST., SUITE 350, DURHAM, NC 27701. BILL PULLY - 2400 WESTON PARKWAY, CARY, NC 27513. PAM SHIPMAN - 4855 MILESTONE AVENUE, KANNAPOLIS, NC 28081. DANIEL EDELSON - 8104 FALLSTON COURT, RALEIGH, NC 27613. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA COMMUNITY CARE NETWORKS INC | ||||||||||
| 2300 REXWOODS DRIVE SUITE 200 | RALEIGH | NC | 27607 | 205408367 | BUILD AND SUPPORT BETTER COMMUNITY-BASED HEALTH CARE DELIVERY SYSTEMS | NC | 501(C)(3) | LINE 7 | COMMUNITY CARE OF NORTH CAROLINA INC | Yes (1) |
| 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 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCNC SERVICES INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DRIVE SUITE 320 | AddressLine1 |
| City | RALEIGH | City |
| State | NC | State |
| ZIP Code | 27607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464810820 | EIN |
| Primary Activities | SOFTWARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE OF NORTH CAROLINA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of EOY Assets | $1,029,893 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 |
|---|---|---|
| NORTH CAROLINA COMMUNITY CARE NETWORKS INC | ||
| C | $3,900,000 | CASH AMOUNT |
| NORTH CAROLINA COMMUNITY CARE NETWORKS INC | ||
| P | $655,613 | CASH AMOUNT |
| NORTH CAROLINA COMMUNITY CARE NETWORKS INC | ||
| Q | $261,661 | CASH AMOUNT |
| CCNC SERVICES INC | ||
| B | $833,273 | CASH AMOUNT |
| NORTH CAROLINA HEALTH INFORMATION EXCHANGE | ||
| B | $250,000 | CASH AMOUNT |