NORTH CAROLINA COMMUNITY CARENETWORKS INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CAROLINA COMMUNITY CARENETWORKS INC (EIN 20-5408367)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-04
- IRS object ID
- 202601249349302665
- Schema version
- 2024v5.5
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-04T14:44:45-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 882730877 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT ADVISORY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 GLENWOOD AVE SUITE 200 | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | 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 | 110 DONMOOR COURT | AddressLine1Txt |
| City | GARNER | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27529 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT TREMAYNE | PersonNm |
| Person Title | EXECUTIVE VP & CFO | PersonTitleTxt |
| Phone | 9197452442 | PhoneNum |
| Signature | 2026-05-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELANIE MCPEAK | PreparerPersonNm |
| PTIN | P01346034 | PTIN |
| Phone | 9197821040 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT TREMAYNE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 DONMOOR COURT | AddressLine1Txt |
| City | GARNER | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27529 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $64,848,546 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.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 | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $39,102,612 | PYContributionsGrantsAmt |
| CY Contributions Grants | $40,837,196 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $180,344 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,413 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,849,269 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,795,889 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $1,319,951 | CYOtherRevenueAmt |
| PY Total Revenue | $43,132,225 | PYTotalRevenueAmt |
| CY Total Revenue | $45,964,449 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,310,000 | 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 | $199,643 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,385,282 | PYOtherExpensesAmt |
| CY Other Expenses | $30,559,157 | CYOtherExpensesAmt |
| PY Total Expenses | $27,385,282 | PYTotalExpensesAmt |
| CY Total Expenses | $31,869,157 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,746,943 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,095,292 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $118,681,968 | TotalAssetsBOYAmt |
| Total Assets EOY | $125,593,437 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,274,732 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,160,351 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $106,407,236 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $122,433,086 | 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 | $22,452,576 | ExpenseAmt |
| Grant | $1,310,000 | GrantAmt |
| Revenue | $1,331,364 | RevenueAmt |
| Desc | CLINICAL PROGRAMS: THE PURPOSE OF N3CN CLINICAL PROGRAMS IS TO PROVIDE HIGH VALUE SERVICES TO THE STATE OF NORTH CAROLINA TO IMPROVE THE HEALTH OF MEDICAID BENEFICIARIES AND IMPROVE QUALITY IN THE HEALTHCARE DELIVERY SYSTEM. SOME OF THE CORE INITIATIVES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: COMPLEX CASE MANAGEMENT, CARE COORDINATION, FOSTER CHILD PROGRAM, PHARMACY PROGRAM, AND QUALITY IMPROVEMENT PROGRAM FOR ADVANCED MEDICAL HOMES. THE PROGRAM DEVELOPS AND IMPLEMENTS POPULATION MANAGEMENT INITIATIVES THAT ARE SUPPORTED BY DATA ANALYTICS AND POPULATION HEALTH TOOLS. USING ANALYTICS, THE PROGRAM TARGETS INDIVIDUALS THAT WOULD BENEFIT MOST FROM CARE MANAGEMENT SERVICES TO HIGH NEED MEDICAID ENROLLEES. N3CN ALSO PROMOTES QUALITY OF CARE AND HEALTH EQUITY IN THE PRIMARY CARE PRACTICES THAT CARE FOR MEDICAID ENROLLEES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,988,915 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $27,441,491 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| 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 | 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 | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 |
| 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 | 110 DONMOOR COURT | AddressLine1Txt |
| City | GARNER | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27529 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JEFFREY SIMMS MSPH | |||||||||
| CHAIR | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID TAYLOE MD | |||||||||
| SECRETARY (TERM 1/2025) | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH AINSWORTH MD | |||||||||
| BOARD MEMBER (START 6/2025) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| TOM BACON DRPH | |||||||||
| BOARD MEMBER | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DEE JONES MBA | |||||||||
| BOARD MEMBER (START 6/2025) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| MARILYN PEARSON MD | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| REBECCA WHITAKER PHD MSPH | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM STEWART MD | |||||||||
| BOARD MEMBER (TERM 1/2025) | 0.50 | 0.50 | Yes (X) | $0 | $119,875 | $0 | |||
| THOMAS WROTH | |||||||||
| PRESIDENT & CEO | 1.00 | 35.00 | Yes (X) | Yes (X) | $0 | $676,973 | $775,372 | ||
| ANNA BOONE | |||||||||
| VP CLIN PERFORMANCE/ ED OF N3CN | 20.00 | 20.00 | Yes (X) | $0 | $267,267 | $27,728 | |||
| LYDIA NEWMAN | |||||||||
| EVP/COO | 1.00 | 39.00 | Yes (X) | $0 | $514,821 | $171,937 | |||
| DENISE HEWSON | |||||||||
| EVP CTR FOR COMMUNITY BASED CARE | 1.00 | 39.00 | Yes (X) | $0 | $544,100 | $42,025 | |||
| CARLOS JACKSON | |||||||||
| EVP & CHIEF DATA/ANALYTICS OFFICER | 1.00 | 39.00 | Yes (X) | $0 | $371,099 | $145,875 | |||
| TANYA BULLOCK | |||||||||
| EVP/CRO/CCO (START 9/1/24) | 1.00 | 39.00 | Yes (X) | $0 | $337,263 | $38,592 | |||
| SCOTT TREMAYNE | |||||||||
| EVP/CFO (START 9/1/24) | 1.00 | 39.00 | Yes (X) | $0 | $455,570 | $38,519 | |||
| WILLIAM TAYLOR | |||||||||
| EVP BUSINESS DEVELOPMENT | 1.00 | 39.00 | Yes (X) | $0 | $448,276 | $129,353 | |||
| RONALD SMITH | |||||||||
| EXECUTIVE BUSINESS ADVISOR | 0.00 | 40.00 | $0 | $537,109 | $28,842 | Yes (X) | |||
| KRISHNA VENUGOPAL | |||||||||
| SENIOR VP/CHIEF TECHNOLOGY OFFICER | 1.00 | 39.00 | $0 | $381,110 | $32,992 | Yes (X) | |||
| ROY WATKINS | |||||||||
| SENIOR MEDICAL DIRECTOR | 1.00 | 39.00 | $0 | $320,775 | $36,837 | Yes (X) | |||
| CLAUDE COLIN FELMET | |||||||||
| SENIOR VP OF FINANCE/HR | 1.00 | 39.00 | $0 | $307,611 | $48,421 | Yes (X) | |||
| JENNIFER WEHE-DAVIS | |||||||||
| SENIOR VP STATEWIDE | 1.00 | 39.00 | $0 | $300,250 | $48,969 | Yes (X) | |||
| CHRISTOPHER WOODFIN | |||||||||
| EVP CORP SVCS/CFO (TERM 4/19/24) | 1.00 | 39.00 | $0 | $317,863 | $17,390 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,899,962 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,582,852 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMM CARE PLAN OF EASTERN CAROLINA | |||||
| PO BOX 6028 | GREENVILLE | NC | 278356028 | PRIMARY CARE CASE MGMT | $1,147,356 |
| COMM CARE PART OF GTR MECKLENBURG | |||||
| 4701 HEDGEMORE DR STE 30 | CHARLOTTE | NC | 28209 | PRIMARY CARE CASE MGMT | $1,086,864 |
| NW COMMUNITY CARE NETWORK | |||||
| 2000 W FIRST ST STE 70 | WINSTONSALEM | NC | 27104 | PRIMARY CARE CASE MGMT | $619,656 |
| FIRST-CITIZENS BANK & TRUST COMPANY | |||||
| PO BOX 27131 | RALEIGH | NC | 276117131 | INVESTMENT FEES | $116,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $40,837,196 | GovernmentGrantsAmt |
| Total Contributions | $40,837,196 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SERVICES/RENT - AFFILIATE | Desc |
| Business | 531120 | BusinessCd |
| Total Revenue Column | $11,413 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,413 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,413 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,497,744 | TotalRevenueColumnAmt |
| Exclusion | $3,497,744 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,182,242 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,884,097 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $298,145 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $298,145 | TotalRevenueColumnAmt |
| Exclusion | $298,145 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HIGHWOOD DEBT FORGIVENESS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,319,951 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,319,951 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,319,951 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,964,449 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,331,364 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,795,889 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,310,000 | TotalAmt |
| Program Services | $1,310,000 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,010 | TotalAmt |
| Management And General | $116,010 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,850,512 | TotalAmt |
| Program Services | $4,541,542 | ProgramServicesAmt |
| Management And General | $299,498 | ManagementAndGeneralAmt |
| Fundraising | $9,472 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,060,027 | TotalAmt |
| Program Services | $4,765,916 | ProgramServicesAmt |
| Management And General | $290,984 | ManagementAndGeneralAmt |
| Fundraising | $3,127 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,790,846 | TotalAmt |
| Program Services | $1,651,565 | ProgramServicesAmt |
| Management And General | $139,281 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,284 | TotalAmt |
| Program Services | $7,523 | ProgramServicesAmt |
| Management And General | $146,761 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,786 | TotalAmt |
| Program Services | $74,837 | ProgramServicesAmt |
| Management And General | $124,880 | ManagementAndGeneralAmt |
| Fundraising | $6,069 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SHARED SERVICES | $18,304,750 | $15,037,026 | $3,088,277 | $179,447 |
| ASSET RENTAL EXPENSE | $71,777 | $53,082 | $17,167 | $1,528 |
| CECL ADJUSTMENT | $5,165 | $5,165 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,869,157 | TotalAmt |
| Program Services | $27,441,491 | ProgramServicesAmt |
| Management And General | $4,228,023 | ManagementAndGeneralAmt |
| Fundraising | $199,643 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,024,612 | BOYAmt |
| EOY | $12,797,536 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,723,676 | BOYAmt |
| EOY | $65,233,125 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $392,152 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,447 | BOYAmt |
| EOY | $904,003 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,307 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,074,438 | BOYAmt |
| EOY | $46,149,013 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,523,488 | BOYAmt |
| EOY | $117,608 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,681,968 | BOYAmt |
| EOY | $125,593,437 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,672,202 | BOYAmt |
| EOY | $1,683,454 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,602,530 | BOYAmt |
| EOY | $1,476,897 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,274,732 | BOYAmt |
| EOY | $3,160,351 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,407,236 | BOYAmt |
| EOY | $122,433,086 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,407,236 | BOYAmt |
| EOY | $122,433,086 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,681,968 | BOYAmt |
| EOY | $125,593,437 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $14,095,292 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,930,558 | NetUnrlzdGainsLossesInvstAmt |
| 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 | $122,637,918 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,197,944 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $44,505,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,102,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,837,196 | CurrentTaxYearAmt |
| Total | $296,281,136 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $122,637,918 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,197,944 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $44,505,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,102,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,837,196 | CurrentTaxYearAmt |
| Total | $296,281,136 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $296,281,136 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $227,178 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $223,435 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,177,134 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,585,281 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,497,744 | CurrentTaxYearAmt |
| Total | $8,710,772 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $304,991,908 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $6,348,627 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97140 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98510 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 C IRS990ScheduleC
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $31,753,147 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $31,753,147 | 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER CURRENT LIABILITIES | Desc |
| Amt | $1,476,897 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,476,897 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $47,778,997 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,930,558 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,930,558 | RevenueNotReportedAmt |
| Revenue Subtotal | $45,848,439 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $116,010 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $116,010 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $45,964,449 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,753,147 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,753,147 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $116,010 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $116,010 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $31,869,157 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | N3CN IS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(C)(3) AND THE APPLICABLE STATE TAX STATUTES. IN ADDITION, N3CN QUALIFIES FOR THE CHARITABLE CONTRIBUTIONS DEDUCTION UNDER SECTION 170(B)(1)(A) OF THE IRC. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GAAP. MANAGEMENT BELIEVES N3CN CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2025. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THAT CCNC HAD NO SIGNIFICANT UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2025 OR 2024. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|---|---|
| ABC PEDIATRICS OF ASHEVILLE PA | ||||||||
| 64 PEACHTREE ROAD STE 100 | ASHEVILLE | NC | 28803 | 202320946 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| AMITY MEDICAL GROUP INC - DALLS HWY | ||||||||
| 610 E WT HARRIS BLVD | CHARLOTTE | NC | 28215 | 471195624 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| B&D INTEGRATED HEALTH SERVICES | ||||||||
| 249 E NC-54 HWY SUITE 320 | DURHAM | NC | 27713 | 810629304 | $75,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| BECKFORD AVENUE MEDICAL CENTER PA | ||||||||
| 176 SOUTH BECKFORD DRIVE | HENDERSON | NC | 27536 | 560993646 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| BLUE RIDGE HEALTH - RAINBOW PEDIATRICS (STE A) | ||||||||
| 220 5TH AVE EAST | HENDERSONVILLE | NC | 28792 | 560794933 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| BURLINGTON PEDIATRICS PA | ||||||||
| 530 WEST WEBB AVE | BURLINGTON | NC | 27217 | 561211337 | $15,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| CAROLINA PEDIATRICS OF THE TRIAD PA | ||||||||
| 2707 HENRY ST | GREENSBORO | NC | 27405 | 561567536 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| CLAY COMPREHENSIVE HEALTH SERVICES | ||||||||
| 241 CHURCH STREET | HAYESVILLE | NC | 28904 | 561080214 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| CORNELIUS F CATHCART PEDIATRICS PA-HENDERSON | ||||||||
| 451 RUIN CREEK ROAD SUITE 101 | HENDERSON | NC | 27536 | 561444175 | $75,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| CORNERSTONE MEDICAL CLINIC | ||||||||
| 7704 ENGLAND STREET | CHARLOTTE | NC | 28273 | 562318841 | $50,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| COUNTY OF UNION | ||||||||
| 500 N MAIN ST | MONROE | NC | 28112 | 566000345 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | GOVERNMENT |
| DAYSPRING FAMILY MEDICINE ASSOCIATES PLLC | ||||||||
| 250 W KINGS HIGHWAY | EDEN | NC | 27288 | 561612698 | $15,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| DESTINY TOTAL HEALTHCARE PLLC | ||||||||
| 407 E FREMONT ST | BURGAW | NC | 28425 | 853205153 | $15,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| EASTERN PEDIATRICS PA | ||||||||
| 913 E ARLINGTON BLVD | GREENVILLE | NC | 27858 | 203149020 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| ECU HEALTH BERTIE HOSPITAL | ||||||||
| 1403 S KING STREET | WINDSOR | NC | 27983 | 562072002 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| FARMVILLE INTERNAL MEDICINE | ||||||||
| 3485 N MAIN STREET | FARMVILLE | NC | 27828 | 300210241 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| FIRST CARE MEDICAL CLINIC - MONROE | ||||||||
| 404 SOUTH SUTHERLAND AVENUE | MONROE | NC | 28112 | 561867003 | $112,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| GREENVILLE PEDIATRIC SERVICES INC | ||||||||
| 300 BETHESDA DRIVE | GREENVILLE | NC | 27834 | 560985160 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| HIGH COUNTRY HOUSE CALL | ||||||||
| 1006 S JEFFERSON AVE | WEST JEFFERSON | NC | 28694 | 812781347 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| HIGH POINT PEDIATRICS PLLC | ||||||||
| 404 WESTWOOD AVE STE 103 | HIGH POINT | NC | 27262 | 561620201 | $15,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| HODGES FAMILY PRACTICE INC | ||||||||
| 610 N FAYETTEVILLE ST 202 | ASHEBORO | NC | 27203 | 562144402 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| HOT SPRINGS HEALTH PROGRAM INC | ||||||||
| 590 MEDICAL PARK DR | MARSHALL | NC | 28753 | 560986537 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| IMPERIAL HEALTH SERVICES LLC | ||||||||
| 707 S MAIN ST | KANNAPOLIS | NC | 28081 | 821597354 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| KAREN L SMITH MD PA | ||||||||
| 929 W PROSPECT AVENUE | RAEFORD | NC | 28376 | 134230804 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| MOUNTAIN AREA HEALTH EDUCATION CENTER INC | ||||||||
| 121 HENDERSONVILLE RD | ASHEVILLE | NC | 28803 | 561071426 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| MY OMNI HOUSE CALLS INC | ||||||||
| 10926 DAVID TAYLOR DRIVE SUITE 120 | CHARLOTTE | NC | 282620039 | 465453007 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| NOVANT HEALTH MEDICAL GROUP LLC | ||||||||
| 5175 OLD CLEMMONS SCHOOL ROAD | CLEMMONS | NC | 27012 | 581728803 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| OPEN WATER MEDICAL - MOREHEAD CITY | ||||||||
| 1620C LIVE OAK ST | BEAUFORT | NC | 28516 | 561753052 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| PATIENT CENTERED CARE PLLC | ||||||||
| 5917 OLEANDER DRIVE STE 202 | WILMINGTON | NC | 28403 | 260584856 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| PIRATE PEDIATRICS PA | ||||||||
| 306 CAMPDEN WAY | GREENVILLE | NC | 27858 | 452635255 | $62,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| PREMIER HEALTH CENTER PLLC | ||||||||
| 409 WAKE CHAPEL RD | FUQUAY VARINA | NC | 27526 | 260578816 | $50,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| PRONTO HEALTH PLLC | ||||||||
| 4101 BURLINGTON RD STE-D | GREENSBORO | NC | 27405 | 920500365 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| QUALITY HOME CARE SERVICES | ||||||||
| 3607 BEATTIES FORD RD | CHARLOTTE | NC | 28216 | 562480615 | $50,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| SALISBURY PEDIATRIC ASSOCIATES | ||||||||
| 129 WOODSON ST | SALISBURY | NC | 28144 | 560988747 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| SURRY MEDICAL MINISTRIES FOUNDATION INC | ||||||||
| 951 ROCKFORD STREET | MOUNT AIRY | NC | 27030 | 561829347 | $12,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| UNIFOUR PEDIATRICS PA | ||||||||
| 3411 GRAYSTONE PLACE SE | CONOVER | NC | 28613 | 202998046 | $37,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| VANCE FAMILY MEDICINE PA | ||||||||
| 381 RUIN CREEK ROAD | HENDERSON | NC | 27536 | 561892600 | $10,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| WAKE SPECIALTY PHYSICIANS LLC DBA WAKEMED CHILDRENS PEDIATRICS CARY | ||||||||
| 110 KILDAIRE PARK DR | CARY | NC | 27518 | 264169156 | $75,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES HOMINY VALLEY HEALTH CENT | ||||||||
| 1914 SMOKEY PARK HWY | CANDLER | NC | 28715 | 561852922 | $87,500 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | 501 ( C ) 3 |
| WESTERN WAKE PEDIATRICS PA | ||||||||
| 940 SE CARY PARKWAY SUITE 200 | CARY | NC | 27518 | 202023756 | $15,000 | $0 | PROMOTE AND SUPPORT THE IMPLEMENTATION AND EXPANSION OF COLLABORATIVE CARE MANAGEMENT (COCM), AN EVIDENCE-BASED MODEL INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAID-ENROLLED PRIMARY CARE PRACTICES FOR PATIENTS WITH MILD TO MODERATE CONDITIONS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 10 | Total501c3OrgCnt |
| Total Other Org | 30 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | N3CN APPROVES GRANTS TO ALIGNED ORGANIZATIONS TO HELP EXPAND ACCESS TO CARE, EXTEND OPERATING HOURS, IMPROVE QUALITY, CREATE A PHYSICIAN PIPELINE, WITH AN ULTIMATE GOAL OF IMPROVING HEALTH OUTCOMES FOR NORTH CAROLINA'S MOST VULNERABLE CITIZENS. ONCE GRANT APPLICATIONS ARE VALIDATED AND APPROVED, A CONTRACT IS DRAFTED THAT CONTAINS THE TERMS FOR USE OF THE FUNDING. FUNDING IS TO BE UTILIZED IN ACCORDANCE WITH THE APPLICANT'S 501 ( C ) (3) PURPOSE AND AS DIRECTED IN THE CONTRACT. GRANT RECIPIENTS WILL PROVIDE REPORTS ON GRANT PARTICIPATION ENROLLMENT, UTILIZATION, AND RESPONSES TO BE DELIVERED ON A REGULAR SCHEDULE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS WROTH | ||||||||||||||
| PRESIDENT & CEO | $0 | $518,639 | $0 | $156,262 | $0 | $2,072 | $0 | $741,075 | $0 | $34,297 | $0 | $1,452,345 | $0 | $0 |
| LYDIA NEWMAN | ||||||||||||||
| EVP/COO | $0 | $376,599 | $0 | $136,150 | $0 | $2,072 | $0 | $138,008 | $0 | $33,929 | $0 | $686,758 | $0 | $0 |
| DENISE HEWSON | ||||||||||||||
| EVP CTR FOR COMMUNITY BASED CARE | $0 | $399,828 | $0 | $141,750 | $0 | $2,522 | $0 | $17,250 | $0 | $24,775 | $0 | $586,125 | $0 | $0 |
| WILLIAM TAYLOR | ||||||||||||||
| EVP BUSINESS DEVELOPMENT | $0 | $336,990 | $0 | $108,800 | $0 | $2,486 | $0 | $107,250 | $0 | $22,103 | $0 | $577,629 | $0 | $0 |
| RONALD SMITH | ||||||||||||||
| EXECUTIVE BUSINESS ADVISOR | $0 | $428,851 | $0 | $106,543 | $0 | $1,715 | $0 | $14,328 | $0 | $14,514 | $0 | $565,951 | $0 | $0 |
| CARLOS JACKSON | ||||||||||||||
| EVP & CHIEF DATA/ANALYTICS OFFICER | $0 | $285,163 | $0 | $84,390 | $0 | $1,546 | $0 | $112,716 | $0 | $33,159 | $0 | $516,974 | $0 | $0 |
| SCOTT TREMAYNE | ||||||||||||||
| EVP/CFO (START 9/1/24) | $0 | $339,088 | $0 | $115,050 | $0 | $1,432 | $0 | $16,845 | $0 | $21,674 | $0 | $494,089 | $0 | $0 |
| KRISHNA VENUGOPAL | ||||||||||||||
| SENIOR VP/CHIEF TECHNOLOGY OFFICER | $0 | $269,596 | $0 | $110,094 | $0 | $1,420 | $0 | $14,575 | $0 | $18,417 | $0 | $414,102 | $0 | $0 |
| TANYA BULLOCK | ||||||||||||||
| EVP/CRO/CCO (START 9/1/24) | $0 | $255,744 | $0 | $80,054 | $0 | $1,465 | $0 | $17,196 | $0 | $21,396 | $0 | $375,855 | $0 | $0 |
| ROY WATKINS | ||||||||||||||
| SENIOR MEDICAL DIRECTOR | $0 | $253,596 | $0 | $64,918 | $0 | $2,261 | $0 | $15,082 | $0 | $21,755 | $0 | $357,612 | $0 | $0 |
| CLAUDE COLIN FELMET | ||||||||||||||
| SENIOR VP OF FINANCE/HR | $0 | $233,703 | $0 | $71,742 | $0 | $2,166 | $0 | $15,939 | $0 | $32,482 | $0 | $356,032 | $0 | $0 |
| JENNIFER WEHE-DAVIS | ||||||||||||||
| SENIOR VP STATEWIDE | $0 | $235,835 | $0 | $62,671 | $0 | $1,744 | $0 | $15,671 | $0 | $33,298 | $0 | $349,219 | $0 | $0 |
| CHRISTOPHER WOODFIN | ||||||||||||||
| EVP CORP SVCS/CFO (TERM 4/19/24) | $0 | $105,132 | $0 | $0 | $0 | $212,731 | $0 | $7,317 | $0 | $10,073 | $0 | $335,253 | $0 | $0 |
| ANNA BOONE | ||||||||||||||
| VP CLIN PERFORMANCE/ ED OF N3CN | $0 | $212,875 | $0 | $53,335 | $0 | $1,057 | $0 | $13,476 | $0 | $14,252 | $0 | $294,995 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | NORTH CAROLINA 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. |
| PART I, LINE 4B | DURING THE YEAR, THE EVALUATION AND COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CCNC IMPLEMENTED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH INCLUDED A ONE-TIME CATCH-UP CREDIT FOR PRIOR YEARS OF SERVICE AS AN EXECUTIVE AT CCNC. IN ADDITION, THE EVALUATION AND COMPENSATION COMMITTEE APPROVED A ONE-TIME CONTRIBUTION OF THE PRESIDENT & CEO'S INCENTIVE BONUS TO THE SERP. IN ACCORDANCE WITH FORM 990 REPORTING REQUIREMENTS, THE FULL VALUE OF THIS CREDIT IS REPORTED AS DEFERRED COMPENSATION FOR APPLICABLE PARTICIPANTS IN THE CURRENT YEAR. THESE AMOUNTS ARE NOT CURRENTLY PAID AND ARE SUBJECT TO FUTURE VESTING AND DISTRIBUTION. THE RESULTED IN A ONE-TIME INCREASE IN REPORTED COMPENSATION AND IS NOT INDICATIVE OF ONGOING ANNUAL COMPENSATION LEVELS. A. PART I, LINE 4B: I. THOMAS WROTH - $723,824.91 SERP CONTRIBUTION (INCL. ONE-TIME CATCH-UP CREDIT AND BONUS DEFERRAL) II. LYDIA NEWMAN - $120,758.00 SERP CONTRIBUTION (INCL. ONE-TIME CATCH-UP CREDIT) III. CARLOS JACKSON - $95,466.48 SERP CONTRIBUTION (INCL. ONE-TIME CATCH-UP CREDIT) |
| PART I, LINE 6 | NORTH CAROLINA COMMUNITY CARE NETWORKS, INC. (N3CN) DOES NOT HAVE ANY EMPLOYEES. ALL INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY COMMUNITY CARE OF NORTH CAROLINA, INC., (CCNC) A RELATED ORGANIZATION. N3CN REIMBURSES CCNC UNDER A SHARED SERVICES AGREEMENT. CCNC'S ANNUAL INCENTIVE COMPENSATION PLAN IS STRUCTURED AROUND THE ACHIEVEMENT OF MULTIPLE OPERATIONAL PERFORMANCE OBJECTIVES FOR THE FISCAL YEAR, WITH BOARD-ESTABLISHED NET INCOME TARGETS REPRESENTING ONE COMPONENT WITHIN THE COMPREHENSIVE FRAMEWORK OF WEIGHTED EVALUATION METRICS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE PRESIDENT & CEO IS A MEMBER OF THE BOARD, BUT DOES NOT HAVE THE SAME VOTING RIGHTS AS THE OTHER MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER IS COMMUNITY CARE OF NORTH CAROLINA, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | ANY VACANCY OCCURRING ON THE BOARD OF DIRECTORS MAY BE FILLED BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING DIRECTORS, SUBJECT TO THE APPROVAL OF THE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE CORPORATE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS, PROVIDED THOSE ACTIONS HAVE ALREADY BEEN APPROVED BY THE BOARD OF DIRECTORS OF THE CORPORATION: 1. APPROVAL OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, AND ANY MATERIAL VARIANCES THEREFROM, AND APPROVAL OF LONG-RANGE FINANCIAL PLANS. 2. APPROVAL OF THE INCURRENCE OF ANY INDEBTEDNESS OF THE CORPORATION IN EXCESS OF AMOUNTS DETERMINED FROM TIME TO TIME BY RESOLUTION OF THIS CORPORATION'S CORPORATE MEMBER. 3. APPROVAL OF MERGERS OR CONSOLIDATIONS OF THE CORPORATION WITH ANY DOMESTIC OR FOREIGN CORPORATION. 4. THE SALE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF ASSETS OF THE CORPORATION WITH A FAIR MARKET VALUE IN EXCESS OF AN AMOUNT DETERMINED FROM TIME TO TIME BY THIS CORPORATION'S CORPORATE MEMBER OTHER THAN IN THE ORDINARY COURSE OF BUSINESS. 5. APPOINTMENT OR REMOVAL OF THE PRESIDENT OF THE CORPORATION. 6. APPOINTMENT OR REMOVAL OF A DIRECTOR OF THE CORPORATION. 7. AMENDMENTS TO THE ARTICLES OF INCORPORATION AND/OR BYLAWS OF THE CORPORATION. 8. VOLUNTARY DISSOLUTION OF THE CORPORATION. 9. APPROVAL OF VENDOR AGREEMENTS INVOLVING 20% OR MORE OF THIS CORPORATION'S OPERATING EXPENSE OF THE CORPORATION. 10. ESTABLISHMENT OF LONG RANGE PLANS AND STRATEGIES FOR THIS CORPORATION, INCLUDING ISSUES RELATING TO MARKETING, STRATEGIC DIRECTION, AND ONGOING OPERATIONS. 11. DEVELOPMENT OF POLICIES REGARDING THE IMPLEMENTATION OF ANY OF THE RESERVED POWERS DESCRIBED ABOVE. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY MANAGEMENT AND PROVIDED TO EACH VOTING MEMBER OF THE BOARD IN FULL BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER, EMPLOYEE AND CONTRACTOR 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 THEMSELF FROM THE DISCUSSION AND VOTING PROCESS. A CHANGE IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY DIRECTS STAFF TO "IDENTIFY POSSIBLE CLASSES OF BOARD MEMBERSHIP BASED ON CONTRACTUAL RELATIONSHIPS BETWEEN COMPANIES THAT EMPLOY THE BOARD MEMBER AND COMPANIES FOR WHICH THE MEMBER IS A BOARD MEMBER, AND TO RESEARCH BOARD POWERS THAT MIGHT BE RESERVED FOR BOARD MEMBERS OF PARTICULAR IDENTIFIED CLASSES." ALL PERSONNEL, INDEPENDENT CONTRACTORS, AND MEMBERS OF THE BOARD OF DIRECTORS ARE PROVIDED TRAINING AND GUIDANCE ON CONFLICTS OF INTEREST, AND REQUIRED TO DISCLOSE ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS ON AN ANNUAL BASIS. THE HUMAN RESOURCES, LEGAL, AND GOVERNANCE, RISK, COMPLIANCE AND CONTROLS (GRC) DEPARTMENTS REVIEW AND ENFORCE COMPLIANCE AS NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 15 | NORTH CAROLINA COMMUNITY CARE NETWORKS, INC. ("N3CN") DOES NOT HAVE ANY EMPLOYEES. ALL INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY CCNC, A RELATED ORGANIZATION. N3CN REIMBURSES CCNC UNDER A SHARED SERVICES AGREEMENT. CCNC'S COMPENSATION PHILOSOPHY, OVERSEEN BY THE EVALUATION AND COMPENSATION COMMITTEE (ECC) OF THE BOARD OF DIRECTORS, IS DESIGNED TO 1) ATTRACT AND RETAIN EXECUTIVES TO MEET THE CHALLENGES OF THE RAPIDLY CHANGING HEALTHCARE INDUSTRY, 2) MOTIVATE AND REWARD THOSE EXECUTIVES FOR SUPERIOR PERFORMANCE MEASURED BY THE FULFILLMENT OF THE MISSION AND EXECUTION OF CORPORATE GOALS AND STRATEGIC IMPERATIVES, AND 3) ENSURE THAT TOTAL COMPENSATION PROVIDED TO EXECUTIVES IS REASONABLE, EQUITABLE AND MARKET COMPETITIVE. THE ECC ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM AN ANNUAL EXECUTIVE COMPENSATION STUDY UTILIZING DATA FROM PUBLISHED SURVEYS OF ORGANIZATIONS OF SIMILAR SIZE, SCOPE, COMPLEXITY AND BUSINESS SECTOR TO CCNC. FOR ALL OTHER EMPLOYEES, HUMAN RESOURCES BENCHMARKS AGAINST MARKET DATA PROVIDED BY INDUSTRY-RECOGNIZED COMPENSATION SURVEYS. THEY ALSO REGULARLY CONDUCT INTERNAL ASSESSMENTS TO ENSURE INTERNAL PAY EQUITY. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE OFFICE OF THE ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,541,542. MANAGEMENT AND GENERAL EXPENSES 299,498. FUNDRAISING EXPENSES 9,472. TOTAL EXPENSES 4,850,512. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY CARE OF NORTH CAROLINA INC | ||||||||||
| 110 DONMOOR COURT | GARNER | NC | 27529 | 463355510 | FOSTER AND ENHANCE QUALITY, EFFICIENCY AND ACCESS TO HEALTH CARE | NC | 501(C)(3) | LINE 7 | 0 | |
| INDEPENDENT CARE HEALTH BENEFITS TRUST | ||||||||||
| 110 DONMOOR COURT | GARNER | NC | 27529 | 856586606 | MULTIPLE EMPLOYER WELFARE ARANGEMENT | NC | 501(C)(9) | 0 | COMMUNITY CARE OF NORTH CAROLINA | |
| 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | 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 |