2022-11-09T09:05:21-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2021-01-01 560773039 NORTH CAROLINA HEALTHCARE FOUNDATION INC NORT 9196772400 PO BOX 4449 CARY NC 27513 JEFFREY WEEGAR CHIEF FINANCIAL OFFICER 9196772400 2022-11-08 1 JEFFREY WEEGAR 999009999 JOHN NORMAN P01506766 7049985200 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z STEPHEN J LAWLER PO BOX 4449 CARY NC 27513 5315507 0 X NCHA.ORG X 1961 NC SEE SCHEDULE OTO FOSTER AND ACCELERATE THE COLLECTIVE IMPACT OF HOSPITALS, HEALTH SYSTEMS AND COMMUNITY PARTNERS TO IMPROVE THE HEALTH OF NORTH CAROLINIANS. 9 8 58 12 0 0 37148805 4617424 401430 271986 -103343 426097 0 0 37446892 5315507 8726370 150000 0 0 1984281 2218240 0 0 0 25118059 1652509 35828710 4020749 1618182 1294758 11910378 9829729 4608124 1232718 7302254 8597011 X TO FOSTER AND ACCELERATE THE COLLECTIVE IMPACT OF HOSPITALS, HEALTH SYSTEMS AND COMMUNITY PARTNERS TO IMPROVE THE HEALTH OF NORTH CAROLINIANS. 1 1 1333439 CARONOVA - WORK ALONGSIDE PAYORS, PROVIDERS, SUBJECT MATTER EXPERTS, COMMUNITY MEMBERS AND PATIENTS TO FIND THE SMARTEST, MOST EFFICIENT WAY TO SCALE AND SUSTAIN IDEAS, AND BRING THE VISION OF BETTER HEALTH INTO REALITY. 972599 0 0 NORTH CAROLINA COMMUNITY HEALTH - PROVIDING ACCESS TO COORDINATED PRIMARY AND SPECIALTY HEALTHCARE SERVICES FOR THE LOW-INCOME AND UNINSURED INDIVIDUALS TO ADDRESS CHRONIC HEALTH ISSUES. 611738 271225 EDUCATION - PROVIDING EDUCATION SERVICES FOR EXISTING AND FUTURE HEALTHCARE LEADERS. 1056114 150000 761 PATIENT SAFETY AND HEALTHCARE IMPROVEMENT -- $463,388RURAL HEALTH - $303,495OTHER PROGRAMS - $289,231 1056114 150000 761 3973890 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 0 1 0 0 0 1 26 0 58 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X JEFFREY WEEGAR 9196774231 2400 WESTON PARKWAY CARY NC 27513 STEPHEN J LAWLER PRESIDENT 7.50 30.00 X X 0 903781 140233 VANESSA ERVIN BOARD MEMBER 1.00 X 0 0 0 GREG GOMBAR BOARD MEMBER 1.00 X 0 0 0 LIN B HOLLOWELL III BOARD MEMBER 1.00 X 0 0 0 CHUCK MANTOOTH BOARD MEMBER 1.00 1.00 X 0 0 0 ALLEN SMART BOARD MEMBER 1.00 X 0 0 0 MICHAEL C TARWATER BOARD MEMBER 1.00 X 0 0 0 MICHAEL R WALDRUM MD BOARD MEMBER 1.00 1.00 X 0 0 0 PHYLLIS WINGATE BOARD MEMBER 1.00 X 0 0 0 LINWOOD JONES EXECUTIVE DIRECTOR 7.50 30.00 X 0 661486 24912 MILLIE HARDING EXECUTIVE DIRECTOR 7.50 30.00 X 0 352755 22087 JULIA WACKER EXECUTIVE DIRECTOR 30.00 7.50 X 0 210411 12562 JEFFREY WEEGAR CFO 7.50 30.00 X 0 244619 18663 LESLIE PETERSON VP OF EDUCATION 7.50 30.00 X 0 152769 10781 0 2525821 229238 0 0 1 0 TSNE MISSIONWORKS 88 SOUTH STREET STUIE 700 BOSTON MA 02111 CONSULTING SERVICES AND TECHNICAL ASSIST 328973 1 4617424 4617424 SPONSORSHIP AND MEETIN 621300 271225 271225 761 761 271986 426097 426097 5315507 271986 0 426097 X 150000 150000 1790339 1768251 22088 67564 66730 834 231077 228226 2851 129260 127665 1595 595132 595132 21034 21034 623059 623059 36848 36848 20289 10851 9438 104125 102818 1307 16765 16765 193229 186159 7070 1457 1457 MISCELLANEOUS 40571 40352 219 4020749 3973890 46859 0 6700792 4917052 990761 276572 8500 0 49557 49557 0 0 4210325 4636105 11910378 9829729 3201177 228512 32400 7500 1374547 996706 4608124 1232718 X 2874279 3493314 4427975 5103697 7302254 8597011 11910378 9829729 X 1294758 -1 X 0 1 X 1 1 1 X 3595190 4299952 5008294 37148805 4710731 54762972 721413 401430 274611 1397454 3595190 4299952 5729707 37550235 4985342 56160426 0 0 0 56160426 133417 137147 141742 7056 426097 845459 133417 137147 141742 7056 426097 845459 3728607 4437099 5871449 37557291 5411439 57005885 0.98520 0.99030 0.01480 0.00970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49557 49557 0 0 DUE TO AFFILIATE 918921 ACCRUED COMPENSATION 77785 996706 X 5315507 0 5315507 0 5315507 4020749 0 4020749 0 4020749 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE FOUNDATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021. 1 BOYS & GIRLS CLUB OF HENDERSON COUNTY PO BOX 1460 HENDERSONVILLE NC 28793 561803125 501(C)(3) 25000 0 SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. CAMINO COMMUNITY DEVELOPMENT CORP 133 STETSON DR CHARLOTTE NC 28262 562015959 501(C)(3) 25000 0 SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. CROSSNORE SCHOOL & CHILDREN'S HOME PO BOX 249 CROSSNORE NC 28616 560567980 501(C)(3) 25000 0 SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. CUMBERLAND COUNTY HOSPITAL SYSTEM INC 1638 OWEN DR FAYETTEVILLE NC 28304 560845796 501(C)(3) 25000 0 SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. PELETAH MINISTRIES PO BOX 14253 NEW BERN NC 28561 611662965 501(C)(3) 25000 0 SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. REFUGEE COMMUNITY PARTNERSHIP PO BOX 461 CARRBORO NC 27510 263608741 501(C)(3) 25000 0 SUPPORTING UNDERSERVED POPULATIONS DISPROPORTIONATELY AFFECTED BY COVID-19. 6 PART I, LINE 2: ALL GRANTS RECEIVED BY NCHF ARE GOVERNED BY CONTRACTS WITH THE GRANTOR WHICH OUTLINE GRANT TERMS AND CONDITIONS INCLUDING DETAILED MONITORING, REPORTING, PERFORMANCE AND PAYMENT REQUIREMENTS. FOR ANY GRANT THAT INVOLVES A SUB-AWARD, OR RE-GRANTING OF FUNDS TO ANOTHER ORGANIZATION TO PERFORM A BODY OF WORK UNDER THE PRIMARY GRANT, NCHF COLLECTS APPLICATIONS AND EXECUTES DETAILED CONTRACTS WITH SUB-AWARD RECIPIENTS. EACH NCHF GRANT HAS AN ASSIGNED PROGRAM LEAD WHO IS RESPONSIBLE FOR PROVIDING PROGRAM OVERSIGHT TO ENSURE THAT ALL CONTRACT EXPECTATIONS ARE MET AND THAT ALL SUB-AWARD RECIPIENTS ARE ALSO MEETING THEIR CONTRACT OBLIGATIONS. NCHF DIRECTOR OF OPERATIONS ALSO HAS BUDGET OVERSIGHT OF ALL GRANT CONTRACTS AND ENSURES COMPLIANCE WITH CONTRACT TERMS AND CONDITIONS. GRANT SUB-AWARD RECIPIENTS MUST PRODUCE PERFORMANCE REPORTS AND DETAILED INVOICES, WITH SUPPORTING DOCUMENTATION, IN ORDER TO RECEIVE GRANT FUNDS. 1 1 0 0 0 0 0 0 0 STEPHEN J LAWLER PRESIDENT 0 692000 0 209633 0 2148 0 126400 0 13833 0 1044014 0 0 LINWOOD JONES EXECUTIVE DIRECTOR 0 271036 0 44734 0 345716 0 13000 0 11912 0 686398 0 0 MILLIE HARDING EXECUTIVE DIRECTOR 0 231317 0 56893 0 64545 0 13000 0 9087 0 374842 0 0 JULIA WACKER EXECUTIVE DIRECTOR 0 178448 0 30823 0 1140 0 3774 0 8788 0 222973 0 0 JEFFREY WEEGAR CFO 0 207618 0 35861 0 1140 0 9750 0 8913 0 263282 0 0 LESLIE PETERSON VP OF EDUCATION 0 139313 0 11722 0 1734 0 2095 0 8686 0 163550 0 0 PART I, LINE 3 THE EXECUTIVE COMPENSATION COMMITTEE OF THE NCHA, INC., A RELATED ORGANIZATION, REVIEWS THE COMPENSATION OF THE PRESIDENT AND OTHER KEY EXECUTIVES. IN ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THE EXECUTIVE COMPENSATION COMMITTEE ROUTINELY ENGAGES THE PROFESSIONAL SERVICES OF INDEPENDENT LEGAL COUNSEL, COMPENSATION EXPERTS, ACCOUNTANTS, AND OTHER EXPERTS AND ADVISORS. PART I, LINES 4A-B NCHA, A RELATED ORGANIZATION, MAINTAINS A NON-QUALIFIED RETENTION BENEFIT PLAN COVERING KEY EMPLOYEES. THE COVERED EMPLOYEES RECEIVE AN ANNUAL BENEFIT EQUAL TO A CERTAIN PERCENTAGE OF THEIR ORDINARY SALARY. THE PRESIDENT RECEIVES A FLAT CONTRIBUTION ANNUALLY. FOR THE CURRENT YEAR, NCHA CONTRIBUTED THE FOLLOWING AMOUNTS TO THE PLAN FOR THESE INDIVIDUALS. SEE SCHEDULE J, PART II. STEPHEN LAWLER - $25,000 LINWOOD JONES - $28,594 MILLIE HARDING - $20,586 FOR THE CURRENT YEAR THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS OF ACCUMULATED FUNDS UNDER THE NON-QUALIFIED PLAN OF THE LISTED AMOUNTS. MILLIE HARDING - $139,858 LINWOOD JONES - $17,913 FORM 990, PART III, LINE 2 TO ACCELERATE THE ADOPTION OF SAFER OPIOID PRESCRIBING PRACTICES IN HEALTH SYSTEMS AND COMMUNITY-BASED SETTINGS. FORM 990, PART III, LINE 3 NCHF SATISFIED THE PROGRAM REQUIREMENTS OF THE GRANT ISSUED BY THE STATE OF NORTH CAROLINA WHICH ALLOCATED FUNDS TO NCHF TO PURCHASE SUPPLIES AND EQUIPMENT NECESSARY FOR LIFE SAFETY, HEALTH, AND SANITATION, INCLUDING PERSONAL PROTECTIVE EQUIPMENT TO SUPPORT NORTH CAROLINA'S RESPONSE TO THE COVID-19 CRISIS. UPON EXPIRATION OF THIS GRANT, THE REMAINING FUNDS WERE RETURNED TO THE STATE OF NORTH CAROLINA IN 2021. UPON FISCAL YEAR ENDED DECEMBER 31, 2021, NCHF CEASED OPERATIONS OF MEMBERSHIP MEETINGS AND MEMBER EDUCATION ON BEHALF OF NCHA, INC., ITS RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE POWER AND AUTHORITY OF THE CORPORATION SHALL BE VESTED IN ITS BOARD OF TRUSTEES WHICH SHALL HAVE NOT LESS THAN TEN MEMBERS, CONSISTING OF HEALTHCARE, COMMUNITY, PHILANTHROPIC, FINANCIAL, AND CORPORATE LEADERS. ALL MEMBERS SHALL BE APPOINTED BY THE BOARD OF TRUSTEES OF NCHA, INC. AT LEAST TWO MEMBERS WILL ALSO SERVE ON THE BOARD OF TRUSTEES OF NCHA, INC. EACH MEMBER SHALL SERVE A THREE-YEAR TERM. A MEMBER MAY SERVE NO MORE THAN TWO FULL CONSECUTIVE TERMS. THE INITIAL TERMS BEGINNING IN 2019 SHALL BE STAGGERED SO THAT APPROXIMATELY ONE-THIRD OF THE TERMS EXPIRE IN 2020, ONE THIRD IN 2021, AND ONE-THIRD IN 2022. THE BOARD OF TRUSTEES OF NCHA, INC. SHALL ALSO FILL ANY VACANCY FOR THE UNEXPIRED TERM. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE 990 WAS SUBMITTED TO THE FOUNDATION BOARD FOR REVIEW PRIOR TO THE FORM 990 BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST POLICY ANNUALLY DISCLOSING ANY POSSIBLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF NCHA, INC., A RELATED ORGANIZATION, WILL ANNUALLY MONITOR AND REVIEW EXECUTIVE COMPENSATION AND BENEFIT PROGRAMS, IN AGGREGATE, TO ENSURE CONSISTENCY WITH THE OVERALL COMPENSATION PHILOSOPHY AND GUIDING PRINCIPLES AND OBJECTIVES. AT ITS DISCRETION, THE EXECUTIVE COMPENSATION COMMITTEE MAY DELEGATE "DAY TO DAY" RESPONSIBILITY TO ADMINISTER COMPENSATION AND BENEFIT PROGRAMS TO NCHA'S PRESIDENT FOR ALL OTHER EXECUTIVE OR ADMINISTRATIVE POSITIONS NOT COVERED UNDER THIS POLICY, I.E., ALL POSITIONS BELOW VICE PRESIDENT. THE EXECUTIVE COMPENSATION POLICY WILL BE ANNUALLY REVIEWED AND ANY PROPOSED MODIFICATIONS, PRESENTED FOR APPROVAL TO THE FULL BOARD. IN SETTING AN EXAMPLE FOR ITS MEMBER ORGANIZATIONS, THE EXECUTIVE COMPENSATION COMMITTEE WILL ALSO UNDERTAKE THE RESPONSIBILITY FOR COMPLIANCE WITH THE 1996 TAXPAYER BILLS OF RIGHTS 2 AND THE ESTABLISHMENT OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" THAT IS DEFINED IN SECTION 4958 OF THE INTERNAL REVENUE CODE. IN ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THE EXECUTIVE COMPENSATION COMMITTEE MAY ENGAGE THE PROFESSIONAL SERVICES OF INDEPENDENT LEGAL COUNSEL, COMPENSATION EXPERTS, ACCOUNTANTS, AND OTHER EXPERTS AND ADVISORS. FOR EXTERNAL COMPARISON PURPOSES, COMPENSATION IS REVIEWED AGAINST THE COMPENSATION PACKAGES OF OTHER STATE ASSOCIATIONS THAT FAIRLY REPRESENT THE MARKET FOR EXECUTIVE TALENT, AND MAY INCLUDE SOME OR ALL OF THE FOLLOWING CHARACTERISTICS: -- SIMILAR INDUSTRY AND/OR ANNUAL REVENUES SIZE -- SIMILAR STATE SIZE (POPULATION) AND MEMBERSHIP SIZE -- EMPLOYERS THAT ARE PRIMARILY FOCUSED ON THE SOUTHEAST REGION OF THE UNITED STATES -- ORGANIZATIONS WITH WHICH WE COMPETE FOR TALENT INDIVIDUAL SALARIES WILL BE BASED UPON SUCH FACTORS AS COMPETENCIES, CREDENTIALS, EXPERIENCE, PERFORMANCE, RELEVANT PRIOR EARNINGS HISTORY, AND MARKETABILITY. ANNUAL SALARY INCREASES WILL REFLECT SUCH FACTORS AS MARKET MOVEMENT OR INFLATION, INDIVIDUAL PERFORMANCE, COMPANY PERFORMANCE, GENERAL ECONOMIC CONDITIONS, AND THE AVAILABILITY OF FUNDS. IF A SALARY EXCEEDS THE RANGE MAXIMUM OR 75TH PERCENTILE, THE EXECUTIVE COMPENSATION COMMITTEE MUST APPROVE AND DOCUMENT ITS RATIONALE. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION PROVIDES COPIES UPON REQUEST AND ALLOWS INSPECTION AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES COPIES UPON REQUEST AND ALLOWS INSPECTION AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART IX, LINE 11G CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 623,059. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 623,059. FORM 990, PART XI, LINE 9: MISCELLANEOUS -1. NCHA INC PO BOX 4449 CARY NC 27519 560641290 PROVIDES LEADERSHIP TO HOSPITALS IN NC & PROMOTES QUALITY HEALTHCARE NC 501(C)(6) 0 NORTH CAROLINA HEALTHCARE ENTERPRISES INC PO BOX 4449 CARY NC 27519 561653026 SUPPORT SERVICES RELATED TO FOR-PROFIT ACTIVITIES. NC C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 NCHA INC K 62000 NCHA INC O 533131