2024-03-28T11:21:41-05:00 2023-07-31 882730877 CHERRY BEKAERT ADVISORY LLC 3800 GLENWOOD AVE SUITE 200 RALEIGH NC 27612 990 2022-08-01 581567854 MEDICAL REVIEW OF NORTH CAROLINA INC MEDI 9194615500 3600 GLENWOOD AVENUE 120 RALEIGH NC 27612 STEVEN MARTIN PRESIDENT AND CEO 9194615500 2024-03-14 1 STEVEN MARTIN 999009999 0 AMY DOSIK P00890743 9197821040 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CONSTELLATION QUALITY HEALTH STEVEN MARTIN 3600 GLENWOOD AVENUE 120 RALEIGH NC 27612 110680677 0 X WWW.THECAROLINASCENTER.ORG X 1983 NC CCME HELPS PEOPLE BY IMPROVING THE QUALITY OF HEALTHCARE. 9 9 81 9 0 0 6083892 7153605 0 0 4858042 -1678774 0 0 10941934 5474831 280000 515000 0 0 4692023 5583670 0 0 0 2910498 4223079 7882521 10321749 3059413 -4846918 38116214 35550312 803144 1276491 37313070 34273821 X CCME IS A NON-PROFIT ORGANIZATION THAT HAS BUILT ITS SOLID REPUTATION ON ADVANCING THE QUALITY OF HEALTH CARE FOR MEDICARE AND MEDICAID CONSUMERS. WITH OUR STRONG TIES TO EVERY PROVIDER SETTING IN THE HEALTH CARE SYSTEM, OUR STAFF OF HIGHLY SKILLED AND EXPERIENCED MEDICAL AND CLINICAL PERSONNEL WORK TO HELP PEOPLE BY IMPROVING THE QUALITY OF HEALTH CARE. OUR ULTIMATE GOAL IS TO EMPOWER OUR CLIENTS WITH DATA AND KNOWLEDGE TO IMPROVE THE QUALITY OF THEIR HEALTH CARE SERVICES. AT CCME, WE BELIEVE THAT TO TRANSFORM HEALTH CARE, WE MUST CONTINUOUSLY ASPIRE TO BE THE BEST IN EVERYTHING WE DO. TO ACHIEVE THIS GOAL, WE REMAIN DEDICATED TO UPHOLDING OUR CORPORATE VALUES. 0 0 4195546 TOP PROGRAM SERVICE ACCOMPLISHMENT: EXTERNAL QUALITY REVIEW ORGANIZATION, OUTPATIENT SPECIALIZED THERAPIES, AND PREPAYMENT CLAIMS QUALITY AND COMPLIANCE REVIEW CONTRACT FOR STATE MEDICAID PROGRAMS. 568237 SECOND MAJOR PROGRAM SERVICE ACCOMPLISHMENT: FEDERAL SUBCONTRACTOR PERFORMANCE AS QUALITY INNOVATION NETWORK FOR THE STATE OF SOUTH CAROLINA SERVING MEDICARE RECIPIENTS WORKING WITH CMS QUALITY INITIATIVES. 515000 515000 GRANT TO CCME FOUNDATION (CREATED IN 2019). THE CCME FOUNDATION WORKS TO IMPROVE THE HEALTH OF INDIVIDUALS AND COMMUNITIES. IT PROVIDES CHARITABLE GRANTS TO NON-PROFIT ORGANIZAIONS TO BUILD ON OR UNDERTAKE NEW IMPROVEMENT PROJECTS. FUNDING IS PRIORITIZED ON A PROJECTS' POTENTIAL TO IMPACT HTE COMMUNITY IN TEMRS OF ACCESS TO HEALTH CARE AND RELATED SERVICES USING MEASURABLE OUTCOMES. 5278783 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 2 0 1 81 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X STEPHEN DILLE 9194615500 3600 GLENWOOD AVE STE 120 RALEIGH NC 27612 JOHN R MANGUM MD CHAIRMAN 2.00 X X 3000 0 0 JEFFREY L PERKINS VICE-CHAIRMAN 2.00 X X 3000 0 0 KAREN REEVES SECRETARY 2.00 X X 2500 0 0 MICHELLE BROOKS TREASURER 2.00 X X 3000 0 0 IAN B BUCHANAN DIRECTOR 2.00 X 2500 0 0 JOEL K BUTLER DIRECTOR 2.00 X 0 0 0 DONALD J DIPETTE DIRECTOR 2.00 X 2500 0 0 CHARLES T FROCK DIRECTOR 2.00 X 2000 0 0 JOHN H MAGILL DIRECTOR 2.00 X 0 0 0 ANDREA C MCCALL DIRECTOR 2.00 X 0 0 0 MEERA NARASIMHAN DIRECTOR 2.00 X 3000 0 0 STEVEN MARTIN PRESIDENT AND CEO 40.00 X 310999 0 28601 STEPHEN DILLE CHIEF OPERATING AND FINANCIAL OFFICER 40.00 X 203524 0 12017 PRISCILLA SMITH DIRECTOR OF STATE REVIEW SERVICES 40.00 X 140121 0 21255 KAREN SOUTHARD PROGRAM DIRECTOR 40.00 X 130812 0 20830 MATT BARNES SOFTWARE DEVELOPMENT ENGINEER 40.00 X 108460 0 19674 JULIE THOMPSON RESEARCH ANALYST 40.00 X 107644 0 19636 SHELLY CROTTY QUALITY IMPROVEMENT COORDINATOR 40.00 X 105912 0 19550 JOYCE ROZMAN 1122-41522 FORMER PRESIDENT & CEO 40.00 X 184430 0 13920 1313402 0 155483 12 1 1 0 HEALTH MANAGEMENT SYSTEMS INC 4601 SIX FORKS RD SUITE 306 RALEIGH NC 27609 EXTERNAL QUALITY REVIEW SERVICE 504130 COMPUTER SERVICE PARTNERS (CSP) 1310 NOWELL ROAD RALEIGH NC 27607 COMPUTER/IT SERVICES 396210 AQURATE HEALTH DATA MGMT INC 2008 PRINCESSA DRVE WESLEY CHAPEL NC 28104 EXTERNAL QUALITY REVIEW SERVICE 276451 DATASTAT 3975 RESEARCH PARK DR ANN ARBOR MI 48108 INFORMATION TECHNOLOGY DATA SVCS 191361 WEBFARGO 4601 CREEKSTONE DR SUITE 175 DURHAM NC 27703 PROFESSIONAL DATA CONSULTING 180930 7 7153605 7153605 1075014 1075014 102452058 105205846 -2753788 -2753788 -2753788 5474831 0 0 -1678774 X 515000 515000 703924 703924 3796457 2719737 1076720 213252 129653 83599 552558 335945 216613 317479 193021 124458 34797 5934 28863 54609 54609 112306 112306 2466946 1252848 1214098 238185 27421 210764 760113 50600 709513 197681 29374 168307 100551 14911 85640 58954 587 58367 34532 34532 46134 46134 DUES & SUBSCRIPTIONS 74010 1688 72322 RECRUITMENT 33570 33570 CONTINUING EDUCATION 9389 2064 7325 1302 1302 10321749 5278783 5042966 0 310479 761872 2201227 2212775 185790 170344 211695 118388 107931 93307 35310787 31827376 0 484638 38116214 35550312 803144 860906 53255 0 362330 803144 1276491 X 37313070 34273821 37313070 34273821 38116214 35550312 -4846918 1807669 0 X 0 1 X 1 1 1 X 8477411 9088709 8469381 6083892 7153605 39272998 8477411 9088709 8469381 6083892 7153605 39272998 39272998 963295 1024708 821119 1850400 1075014 5734536 45007534 0.87260 0.87320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 211695 118388 93307 93307 OPERATING LEASE LIABILITY 362330 362330 X 7170346 1807669 152 1807821 5362525 112306 112306 5474831 9972594 278151 278151 9694443 112306 515000 627306 10321749 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY THE PROVISIONS OF GAAP RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT HAS EVALUATED ALL TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THE ORGANIZATION HAD NO UNCERTAIN INCOME TAX POSITIONS AT JULY 31, 2023. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE OF CCME FOUNDATION 152. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF CCME FOUNDATION 278,151. PART XII, LINE 4B - OTHER ADJUSTMENTS: FOUNDATION GRANT 515,000. 1 CAROLINAS CENTER FOR MEDICAL EXCELLENCE FOUNDATION 501 SILVERSIDE ROAD SUITE 123 WILMINGTON DE 19809 832066990 IRC 501(C)(3) 515000 0 GENERAL SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION ONLY MAKES GRANTS TO THE CCME FOUNDATION. ALTHOUGH THE FOUNDATION DOES NOT MEET THE CRITERIA TO BE SHOWN AS A RELATED ORGANIZATION IN SCHEDULE R BECAUSE THE BOARD OF DIRECTORS IS SELF-PERPETUATING, THE ORGANIZATION CREATED THE FOUNDATION AND THE CLOSE RELATIONSHIP BETWEEN THE ORGANIZATIONS SERVES TO MONITOR THE USE OF THE FUNDS. X X X X 0 0 0 0 0 0 0 0 0 STEVEN MARTIN PRESIDENT AND CEO 310999 0 0 0 0 0 15550 0 13051 0 339600 0 0 0 STEPHEN DILLE CHIEF OPERATING AND FINANCIAL OFFICE 203524 0 0 0 0 0 10176 0 1841 0 215541 0 0 0 JOYCE ROZMAN 1122-41522 FORMER PRESIDENT & CEO 144430 0 40000 0 0 0 9222 0 4698 0 198350 0 0 0 PRISCILLA SMITH DIRECTOR OF STATE REVIEW SERVICES 140121 0 0 0 0 0 7006 0 14249 0 161376 0 0 0 KAREN SOUTHARD PROGRAM DIRECTOR 130812 0 0 0 0 0 6541 0 14289 0 151642 0 0 0 PART I, LINE 3 THE SALARY OF THE PRESIDENT AND CEO IS BASED ON EXECUTIVE COMPENSATION SURVEYS FOR SIMILAR ORGANIZATIONS AND AN ANNUAL PERFORMANCE EVALUATION CONDUCTED BY THE BOARD CHAIRMAN AND EXECUTIVE COMMITTEE. THE COMPENSATION AMOUNT IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. FORM 990, PART VI, SECTION A, LINE 4 WE ADOPTED THE NAME CONSTELLATION QUALITY HEALTH AS A NEW DBA. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE MANAGEMENT TEAM REVIEWS AND APPROVES THE FORM 990. THE 990 IS DISTRIBUTED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ALL STAFF SEMI-ANNUALLY SIGN AND ALL BOARD MEMBERS ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CCME CORPORATE COMPLIANCE PROGRAM AND ALL RELATED COMPLIANCE POLICIES; (2) HAS READ AND UNDERSTANDS THE CCME CORPORATE COMPLIANCE PROGRAM AND ALL RELATED COMPLIANCE POLICIES; (3) HAS AGREED TO COMPLY WITH THE CCME CORPORATE COMPLIANCE PROGRAM AND ALL RELATED COMPLIANCE POLICIES; AND, (4) UNDERSTANDS THAT CCME IS A NOT-FOR-PROFIT ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES AND WHICH DO NOT, DIRECTLY OR INDIRECTLY, IMPROPERLY INURE TO THE BENEFIT OF ANY PRIVATE PERSON. IN THE EVENT OF A CONFLICT, THE CONFLICT MUST BE IMMEDIATELY REMEDIED, OR THE DIRECTOR, OFFICER, MEMBER OF A COMMITTEE, OR STAFF MEMBER WILL BE DISMISSED. IN ADDITION, THE CCME BOARD MUST FORMALLY DECLARE THEIR OWNERSHIP AND AFFILIATION STATUS IN WRITING ANNUALLY AND AT OTHER TIMES SHOULD THEIR INDIVIDUAL STATUS CHANGE. FORM 990, PART VI, SECTION B, LINE 15 THE SALARY OF THE PRESIDENT AND CEO IS BASED ON EXECUTIVE COMPENSATION SURVEYS FOR SIMILAR ORGANIZATIONS AND AN ANNUAL PERFORMANCE EVALUATION CONDUCTED BY THE BOARD CHAIRMAN AND EXECUTIVE COMMITTEE. THE COMPENSATION AMOUNT IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. CCME'S HUMAN RESOURCES STAFF DOES AN EXTERNAL MARKET SURVEY EVERY OTHER YEAR OF ALL STAFF SALARIES TO ENSURE THEY ARE WITHIN AN APPROPRIATE RANGE GEOGRAPHICALLY. RAISES ARE GIVEN BASED ON A MERIT BASED PERFORMANCE SYSTEM. INTERNAL EQUITY IS ALSO CONSIDERED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT PROVIDED TO THE PUBLIC. FORM 990, PART IX, LINE 11G SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 568,237. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 568,237. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 397,843. MANAGEMENT AND GENERAL EXPENSES 1,055,380. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,453,223. PHYSICIAN CONSULTANTS: PROGRAM SERVICE EXPENSES 6,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,918. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 279,850. MANAGEMENT AND GENERAL EXPENSES 158,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 438,568. CAROLINAS CENTER FOR MEDICAL EXCELLENCE LLC 12040 REGENCY PARKWAY STE 100 CARY NC 27518 275490759 SC QIO CONTRACT (10 SOW) SC 0 62954 MEDICAL REVIEW OF NC INC DBA CAROLINAS CENTER FOR MEDICAL EXCELLENCE CCME FOUNDATION 501 SILVERSIDE RS WILMINGTON DE 19809 832066990 CHARITABLE ACTIVITIES DE 501(C)(3) PF MEDICAL REVIEW OF NC INC 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 CAROLINAS CENTER FOR MEDICAL EXCELLENCE FOUNDATION B 515000 CASH