CAREREACH INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CAREREACH INC (EIN 56-2097503)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2019-10-21
- IRS object ID
- 201912949349301361
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-10-21T14:11:10-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 561042836 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOULD KILLIAN CPA GROUP PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 COXE AVE | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 288012354 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562097503 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE OF WESTERN NORTH | BusinessNameLine1Txt |
| Business Name Line2 | CAROLINA INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 8282593879 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 53 SOUTH FRENCH BROAD AVENUE | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PEGGY WILLIAMS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8282593879 | PhoneNum |
| Signature | 2019-10-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAN MULLINIX CPA | PreparerPersonNm |
| PTIN | P01306232 | PTIN |
| Phone | 8282580363 | PhoneNum |
| Preparation | 2019-10-21 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.88.174.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-10-21 | IPDt |
| IP Tm | 14:11:10 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5B4B014D3C0DF90E9B7B74635B07C25FA50D2D30 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 315351684D9033C77BAD003E724E98B6FE7D3195 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PEGGY WILLIAMS | PrincipalOfficerNm |
| Gross Receipts | $7,759,877 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CCWNC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CASE MANAGEMENT SERVICES TO MEDICAID RECIPIENTS IN WESTERN NORTH CAROLINA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $959,994 | PYContributionsGrantsAmt |
| CY Contributions Grants | $994,389 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,922,615 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,752,099 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,659 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,791 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,032 | PYOtherRevenueAmt |
| CY Other Revenue | $6,598 | CYOtherRevenueAmt |
| PY Total Revenue | $10,889,300 | PYTotalRevenueAmt |
| CY Total Revenue | $7,759,877 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,803,262 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,443,560 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,552,623 | PYOtherExpensesAmt |
| CY Other Expenses | $2,522,947 | CYOtherExpensesAmt |
| PY Total Expenses | $10,355,885 | PYTotalExpensesAmt |
| CY Total Expenses | $7,966,507 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $533,415 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$206,630 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,110,169 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,725,836 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $693,475 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $366,977 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,416,694 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,358,859 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE CASE MANAGEMENT SERVICES TO MEDICAID RECIPIENTS IN WESTERN NORTH CAROLINA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $6,967,975 | ExpenseAmt |
| Revenue | $6,765,488 | RevenueAmt |
| Desc | TO BE A PARTNER IN THE HEALTH SAFETY NET SYSTEM OF WESTERN NORTH CAROLINA AND BRIDGE CONNECTIONS BETWEEN THE MEDICAL SYSTEM, COMMUNITY RESOURCES, AND COMMUNITY MEMBERS TO CREATIVELY SOLVE COMPLEX HEALTH PROBLEMS THROUGH DIRECT SERVICES SUPPORT PROGRAMS AND HEALTH INITIATIVES. | Desc |
| Total Program Service Expenses | $6,967,975 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PEGGY WILLIAMS | PersonNm |
| Phone | 8282593879 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 53 SOUTH FRENCH BROAD AVE | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DR HARALD KOWA | ||||||
| CHAIRMAN | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR CHAD SMOKER | ||||||
| VICE CHAIRMA | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR JOHN ROWE | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| DR DIANA CURRAN | ||||||
| SECRETARY | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR EVAN BEASLEY | ||||||
| TREASURER | 0.25 | Yes (X) | $0 | $0 | $0 | |
| MS SONYA GRECK | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| DR STEVE NORTH | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER WEHE-DAVIS | ||||||
| FORMER EXEC | 40.00 | Yes (X) | $140,266 | $0 | $17,500 | |
| DR TERESA HERBERT | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| DR ROY WATKINS | ||||||
| SENIOR MED. | 40.00 | Yes (X) | $195,975 | $0 | $8,700 | |
| PEGGY WILLIAMS | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $96,470 | $0 | $15,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $432,711 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $41,200 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $196,233 | GovernmentGrantsAmt |
| All Other Contributions | $798,156 | AllOtherContributionsAmt |
| Total Contributions | $994,389 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ENHANCED CARE MGMT FEE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,752,099 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,752,099 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,752,099 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,791 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,791 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,598 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,598 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,598 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,759,877 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,765,488 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,269 | TotalAmt |
| Program Services | $170,860 | ProgramServicesAmt |
| Management And General | $276,409 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,086,769 | TotalAmt |
| Program Services | $3,810,885 | ProgramServicesAmt |
| Management And General | $275,884 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $909,522 | TotalAmt |
| Program Services | $684,590 | ProgramServicesAmt |
| Management And General | $224,932 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,270 | TotalAmt |
| Management And General | $8,270 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,550 | TotalAmt |
| Management And General | $14,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,369 | TotalAmt |
| Program Services | $170,486 | ProgramServicesAmt |
| Management And General | $14,883 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378 | TotalAmt |
| Program Services | $378 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,336 | TotalAmt |
| Program Services | $46,619 | ProgramServicesAmt |
| Management And General | $53,717 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,510 | TotalAmt |
| Program Services | $66,159 | ProgramServicesAmt |
| Management And General | $7,351 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,108 | TotalAmt |
| Program Services | $230,497 | ProgramServicesAmt |
| Management And General | $25,611 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,126 | TotalAmt |
| Program Services | $100,310 | ProgramServicesAmt |
| Management And General | $2,816 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,565 | TotalAmt |
| Program Services | $6,808 | ProgramServicesAmt |
| Management And General | $757 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,959 | TotalAmt |
| Program Services | $8,035 | ProgramServicesAmt |
| Management And General | $10,924 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DEPT HEALTH PCM | $735,151 | $735,151 | |
| DEPARTMENT OF PUBLIC HEAL | $661,030 | $661,030 | |
| SUPPORT TO OTHERS | $161,390 | $161,390 | |
| RESERVE PROJECTS | $76,955 | $76,955 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,250 | TotalAmt |
| Program Services | $114,777 | ProgramServicesAmt |
| Management And General | $5,473 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,966,507 | TotalAmt |
| Program Services | $6,967,975 | ProgramServicesAmt |
| Management And General | $998,532 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,050,313 | BOYAmt |
| EOY | $495,572 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,812,660 | BOYAmt |
| EOY | $2,199,692 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,221 | BOYAmt |
| EOY | $21,120 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,516 | BOYAmt |
| EOY | $9,452 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,599 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $64,599 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,565 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,452 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,442 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,110,169 | BOYAmt |
| EOY | $2,725,836 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,948 | BOYAmt |
| EOY | $73,613 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599,527 | BOYAmt |
| EOY | $293,364 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,475 | BOYAmt |
| EOY | $366,977 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,416,694 | BOYAmt |
| EOY | $1,983,648 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $375,211 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,416,694 | BOYAmt |
| EOY | $2,358,859 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,110,169 | BOYAmt |
| EOY | $2,725,836 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$206,630 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $175,247 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$26,452 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,564,954 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,354,749 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,074,922 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $959,994 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $994,389 | CurrentTaxYearAmt |
| Total | $5,949,008 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,564,954 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,354,749 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,074,922 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $959,994 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $994,389 | CurrentTaxYearAmt |
| Total | $5,949,008 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $261,172 | SubstantialContributorsTotAmt |
| Public Support Total170 | $5,687,836 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,530 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,702 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,705 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,659 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,791 | CurrentTaxYearAmt |
| Total | $13,387 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,962,395 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $16,694,794 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95400 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99890 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,599 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,599 | DepreciationAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PAYROLL | $245,558 |
| ACCRUED PAID TIME OFF | $47,806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $293,364 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,759,877 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,759,877 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,759,877 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,992,959 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $26,452 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $26,452 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,966,507 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,966,507 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XII, LINE 2D | FormAndLineReferenceDesc |
| Explanation | CCNC IMPAIRMENT LOSS 26,452 | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| JENNIFER WEHE-DAVIS | |||
| FORMER EXEC DIRECTOR | $140,266 | $17,500 | $157,766 |
| DR ROY WATKINS | |||
| SENIOR MED. DIRECTOR | $195,975 | $8,700 | $204,675 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | THE ORGANIZATION STARTED TO USE TOTALSOURCE FOR PROCESSING PAYROLL DURING CALENDAR YEAR 2016. AS SUCH, THE ORGANIZATION'S 2018 PAYROLL REPORTING FOR EMPLOYEES WAS REPORTED UNDER TOTALSOURCE'S EIN THE ORGANIZATION EMPLOYED 101 EMPLOYEES DURING THE CALENDAR YEAR 2018, NONE OF WHICH ARE REPORTED ON A W-3 FOR THE ORGANIZATION THEREFORE PART V LINE 2A IS -0-. |
| FORM 990, PAGE 2, PART III, LINE 3 | THE ORGANIZATION SEEKS TO ENGAGE IN ACTIVITIES THAT WILL IMPROVE THE CONDITIONS FOR MEDICAL CARE IN THE REGION. THE ORGANIZATION HAS BEEN THROUGH A MAJOR TRANSITION IN FY 2019. THROUGH MARCH 1, 2019 THE ORGANIZATION PROVIDED AN INTEGRATED MODEL WHERE PRIVATE AND PUBLIC PROVIDERS COLLABORATE IN FORMING A COMMUNITY NETWORK TO SERVE MEDICAID RECIPIENTS, DUALLY ELIGIBLE RECIPIENTS AND LOW INCOME UNINSURED ADULTS. PRIOR TO MARCH 1, 2019 THE MEMBERSHIP OF THE ORGANIZATION CONSISTED OF PUBLIC HEALTH DEPARTMENTS, DEPARTMENTS OF SOCIAL SERVICES, HOSPITAL SYSTEMS AND THE LOCAL MANAGEMENT ENTITY OF BUNCOMBE, CHEROKEE, CLAY, GRAHAM, HAYWOOD, HENDERSON, JACKSON, MACON, MADISON, MCDOWELL, MITCHELL, POLK, SWAIN, TRANSYLVANIA, AND YANCEY COUNTIES, AS WELL AS MULTIPLE PRIVATE PHYSICIAN GROUPS. ALL OF THESE MEMBERSHIP ORGANIZATIONS HAD AGREED TO PARTICIPATE IN THE CAROLINA ACCESS II PROGRAM (COMMUNITY CARE OF NORTH CAROLINA - CCNC) OF THE NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE AND THE ORGANIZATION'S NETWORK. COMMUNITY CARE OF WESTERN NORTH CAROLINA CONTINUES ITS REGIONAL HEALTH IMPROVEMENT WORK AS AN INDEPENDENT, NON-PROFIT PARTNER TO OUR MEDICAL AND SAFETY NET SYSTEM. CCWNC'S BOARD AND STAFF WORKED WITH A STRATEGIC BUSINESS CONSULTANT TO CREATE A BUSINESS DEVELOPMENT PLAN TO GUIDE THE ORGANIZATION THROUGH THIS TRANSITION. FY2020 WILL SEE THE ORGANIZATION GO THROUGH A REBRANDING PROCESS, CONTINUE EXISTING GRANTS AND PROGRAMS, AND SEEK NEW OPPORTUNITIES TO SERVE THE PEOPLE OF WESTERN NORTH CAROLINA. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 WAS PRESENTED TO ALL BOARD MEMBERS IN SUFFICIENT TIME FOR THEIR DETAILED REVIEW OF ALL PERTINENT ITEMS AND STATEMENTS PRIOR TO FILING OF THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THERE IS A VERBAL DISCUSSION AT THE BOARD OF DIRECTORS MEETING TO DISCUSS COMPLIANCE WITH THE PUBLISHED CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DISCUSSED AND VOTED ON BY THE BOARD OF DIRECTORS AND UPDATED AFTER AN ANNUAL REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ORGANIZATIONAL AND OTHER GOVERNING DOCUMENTS ARE MAINTAINED AT THE BUSINESS LOCATION AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CCNC IMPAIRMENT LOSS -26,452 |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE PHYSICIAN NTWK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 REXWOODS DR | AddressLine1Txt |
| Address Line2 | 1ST FLOOR | AddressLine2Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371808774 | EIN |
| Primary Activities | CLINICAL | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCNC LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Method Of Amount Determination | ESTIMATES VALUE OF SERVIC | MethodOfAmountDeterminationTxt |
Comments