2024-05-15T13:07:03-05:00 2023-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 3800 GLENWOOD AVE SUITE 200 RALEIGH NC 27612 990 2022-07-01 205408367 NORTH CAROLINA COMMUNITY CARE NETWORKS INC NORT 9197452442 110 DONMOOR COURT GARNER NC 27529 THOMAS WROTH PRESIDENT AND CEO 9197452442 2024-05-14 1 THOMAS WROTH 999009999 1 AMY DOSIK P00890743 9197821040 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X THOMAS WROTH 110 DONMOOR COURT GARNER NC 27529 71703855 0 X COMMUNITYCARENC.ORG X 2006 NC TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF ALL NORTH CAROLINIANS BY BUILDING AND SUPPORTING BETTER COMMUNITY-BASED HEALTH CARE DELIVERY SYSTEMS. 8 6 0 8 0 0 49197944 44505466 4322491 267115 128762 687185 0 0 53649197 45459766 0 0 0 0 111448 346389 0 0 311611 39356514 29154850 39467962 29501239 14181235 15958527 81852676 101426297 9687121 12212303 72165555 89213994 X THE PRIMARY EXEMPT PURPOSE IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF ALL NORTH CAROLINIANS BY BUILDING AND SUPPORTING BETTER COMMUNITY-BASED HEALTH CARE DELIVERY SYSTEMS. 0 0 20025168 267115 CLINICAL PROGRAMS: THE PURPOSE OF N3CN CLINICAL PROGRAMS ARE 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. 4584550 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. 24609718 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN FELMET 9197452442 110 DONMOOR COURT GARNER NC 27529 JEFF SIMMS MSPH MDIV CHAIR 0.50 0.50 X X 0 0 0 DAVID TAYLOE MD SECRETARY 0.50 0.50 X X 0 0 0 DELTON ATKINSON MPH DIRECTOR 0.50 0.00 X 0 0 0 TOM BACON DRPH DIRECTOR 0.50 0.50 X 0 0 0 MARILYN PEARSON MD DIRECTOR 0.50 0.50 X 0 0 0 REBECCA WHITAKER PHD MSPH DIRECTOR 0.50 0.00 X 0 0 0 WILLIAM STEWART MD FAAP DIRECTOR 0.50 0.50 X 65011 0 0 THOMAS WROTH PRESIDENT & CEO 1.00 35.00 X X 0 559366 42967 CHRISTOPHER WOODFIN EVP & CFO 1.00 39.00 X 0 522463 39742 DENISE HEWSON EVP CENTER FOR COMMUNITY BASED PRIMARY CARE 1.00 39.00 X 0 469181 37112 CARLOS JACKSON EVP & CHIEF DATA & ANALYTICS OFFICER 1.00 39.00 X 0 333458 41563 LYDIA NEWMAN EVP & CHIEF ADMINISTRATIVE OFFICER 1.00 39.00 X 0 428538 40269 WILLIAM TAYLOR EVP BUSINESS DEVELOPMENT 1.00 39.00 X 0 392790 28554 ANNA BOONE EXECUTIVE DIRECTOR 1.00 39.00 X 0 255247 26132 RONALD SMITH EXECUTIVE BUSINESS ADVISOR 1.00 39.00 X 0 523959 28563 SCOTT TREMAYNE SVP FINANCE 1.00 39.00 X 0 357981 41465 TANYA BULLOCK SVP GOVERNANCE, RISK AND C 1.00 39.00 X 0 308191 34935 KRISHNA VENUGOPAL SVP & CHIEF TECHNOLOGY OFF 1.00 39.00 X 0 319117 15185 ROY WATKINS SENIOR MEDICAL DIRECTOR 1.00 31.00 X 0 298153 32167 65011 4768444 408654 0 0 1 0 COMM CARE PART OF GTR MECKLENBURG 4701 HEDGEMORE DR STE 30 CHARLOTTE NC 28209 PRIMARY CARE CASE MGMT 2016000 COMM CARE PLAN OF EASTERN CAROLINA PO BOX 6028 GREENVILLE NC 278356028 PRIMARY CARE CASE MGMT 1806329 NW COMMUNITY CARE NETWORK 2000 W FIRST ST STE 70 WINSTONSALEM NC 27104 PRIMARY CARE CASE MGMT 1021475 MECKLENBURG COUNTY 700 E FOURTH ST CHARLOTTE NC 28202 PRIMARY CARE CASE MGMT 412250 WAKE COUNTY PO BOX 550 RALEIGH NC 27602 PRIMARY CARE CASE MGMT 379747 19 44505466 44505466 SERVICES/RENT - AFFILIATE 531120 267115 267115 267115 1177134 1177134 25754140 26244089 -489949 -489949 -489949 45459766 267115 0 687185 X 346389 346389 104643 104643 5451994 4935455 516527 12 1865996 1519550 326417 20029 1881998 1841352 40646 102436 21976 79955 505 74858 29811 44126 921 568 568 SHARED SERVICES 19435019 16238891 2907710 288418 ASSET RENTAL EXPENSE 237338 22115 213497 1726 29501239 24609718 4579910 311611 14908372 53443667 454730 529926 136296 147814 102801 105796 19637 19637 0 0 38575828 40160806 27674649 7038288 81852676 101426297 2556055 1920638 3658289 984035 3472777 9307630 9687121 12212303 X 72165555 89213994 72165555 89213994 81852676 101426297 15958527 1089912 0 X 0 1 X 1 0 X 84418605 110514533 122637918 49197944 44505466 411274466 84418605 110514533 122637918 49197944 44505466 411274466 411274466 357055 323541 227178 223435 1177134 2308343 413582809 5509553 0.99440 0.99750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29396595 29396595 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 250000 250000 250000 250000 1000000 1500000 19637 19637 0 0 SECURITY DEPOSITS 81052 DUE FROM AFFILATE 977751 OPERATING LEASE ROU ASSETS 5979485 7038288 OTHER LIABILITIES 78125 OPERATING LEASE LIABILITIES 9229505 9307630 X 46445035 1089912 1089912 45355123 104643 104643 45459766 29396596 0 29396596 104643 104643 29501239 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND THE APPLICABLE STATE TAX STATUTES. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTIONS DEDUCTION UNDER SECTION 170(B)(1)(A) OF THE U.S. INTERNAL REVENUE CODE. MANAGEMENT HAS EVALUATED THE EFFECT OF THE GUIDANCE PROVIDED BY U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. MANAGEMENT BELIEVES THAT THE ORGANIZATION CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT JUNE 30, 2023. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS AND DETERMINED THAT THE ORGANIZATION HAD NO SIGNIFICANT UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2023 AND 2022. 0 0 0 0 0 0 1 0 0 THOMAS WROTH PRESIDENT & CEO 0 444239 0 113486 0 1641 0 15250 0 27717 0 602333 0 0 CHRISTOPHER WOODFIN EVP & CFO 0 395911 0 124137 0 2415 0 15250 0 24492 0 562205 0 0 RONALD SMITH EXECUTIVE BUSINESS ADVISOR 0 395561 0 126755 0 1643 0 12434 0 16129 0 552522 0 0 DENISE HEWSON EVP CENTER FOR COMMUNITY BASED PRIMA 0 368505 0 98168 0 2508 0 15250 0 21862 0 506293 0 0 LYDIA NEWMAN EVP & CHIEF ADMINISTRATIVE OFFICER 0 331808 0 95108 0 1622 0 14904 0 25365 0 468807 0 0 WILLIAM TAYLOR EVP BUSINESS DEVELOPMENT 0 306166 0 84321 0 2303 0 15250 0 13304 0 421344 0 0 SCOTT TREMAYNE SVP FINANCE 0 259969 0 96830 0 1182 0 15250 0 26215 0 399446 0 0 CARLOS JACKSON EVP & CHIEF DATA & ANALYTICS OFFICER 0 260549 0 71496 0 1413 0 15250 0 26313 0 375021 0 0 TANYA BULLOCK SVP GOVERNANCE, RISK AND C 0 228320 0 78574 0 1297 0 15250 0 19685 0 343126 0 0 KRISHNA VENUGOPAL SVP & CHIEF TECHNOLOGY OFF 0 252500 0 65417 0 1200 0 12525 0 2660 0 334302 0 0 ROY WATKINS SENIOR MEDICAL DIRECTOR 0 233242 0 62827 0 2084 0 13204 0 18963 0 330320 0 0 ANNA BOONE EXECUTIVE DIRECTOR 0 196801 0 57535 0 911 0 12839 0 13293 0 281379 0 0 PART I, LINE 3 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. CCNC USED THE FOLLOWING PROCEDURES TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN COMPENSATION CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. 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 INCENTIVE COMPENSATION PLAN IS PARTIALLLY BASED ON ACHIEVING CERTAIN NET INCOME GOALS ESTABLISHED BY THE BOARD OF DIRECTORS. TOTAL INCENTIVE PAYMENTS WERE CAPPED AT 17% OF TOTAL SALARY EXPENSES. 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, AND EMPLOYEE SIGNS A STATEMENT ANNUALLY. THE CORPORATION SHALL CONDUCT PERIODIC REVIEWS OF ITS ACTIVITIES TO ENSURE THAT IT IS OPERATING IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT IS NOT ENGAGING IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER WOULD RECUSE THEMSELF FROM THE DISCUSSION AND VOTING PROCESS. 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 4,935,455. MANAGEMENT AND GENERAL EXPENSES 516,527. FUNDRAISING EXPENSES 12. TOTAL EXPENSES 5,451,994. 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 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0