CAREREACH INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CAREREACH INC (EIN 56-2097503)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2018-09-13
- IRS object ID
- 201842569349300954
- Schema version
- 2017v2.3
- 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 | 2018-09-13T14:20:33-04:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | 2017-07-01 | 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 | JENNIFER WEHE-DAVIS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8282593879 | PhoneNum |
| Signature | 2018-09-12 | 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 | 2018-09-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER WEHE-DAVIS | PrincipalOfficerNm |
| Gross Receipts | $10,889,300 | 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 | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,074,922 | PYContributionsGrantsAmt |
| CY Contributions Grants | $959,994 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,946,430 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,922,615 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,705 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,659 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,064 | PYOtherRevenueAmt |
| CY Other Revenue | $5,032 | CYOtherRevenueAmt |
| PY Total Revenue | $10,027,121 | PYTotalRevenueAmt |
| CY Total Revenue | $10,889,300 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,513,026 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,803,262 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,656,062 | PYOtherExpensesAmt |
| CY Other Expenses | $3,552,623 | CYOtherExpensesAmt |
| PY Total Expenses | $10,169,088 | PYTotalExpensesAmt |
| CY Total Expenses | $10,355,885 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$141,967 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $533,415 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,648,274 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,110,169 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $764,995 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $693,475 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,883,279 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,416,694 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CASE MANAGEMENT SERVICES TO MEDICAID RECIPIENTS IN WESTERN NORTH CAROLINA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,361,077 | ExpenseAmt |
| Revenue | $9,929,306 | RevenueAmt |
| Desc | TO PROVIDE ENHANCED CASE MANAGEMENT SERVICES TO RECIPIENTS OF MEDICAID IN WESTERN NORTH CAROLINA AS MEMBERS OF THE CAROLINA ACCESS PROGRAM. | Desc |
| Total Program Service Expenses | $9,361,077 | 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 | false | 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 | 12 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | JENNIFER WEHE-DAVIS | 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 |
| JIM HOLLAND | ||||||
| TREASURER | 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 | ||||||
| DIRECTOR | 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 | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $127,200 | $0 | $15,534 | |
| DR TERESA HERBERT | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| DR ROY WATKINS | ||||||
| SENIOR MED. | 30.00 | Yes (X) | $93,775 | $0 | $2,840 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $220,975 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $18,374 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $197,900 | GovernmentGrantsAmt |
| All Other Contributions | $762,094 | AllOtherContributionsAmt |
| Total Contributions | $959,994 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ENHANCED CARE MGMT FEE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $9,922,615 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,922,615 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,922,615 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,659 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,659 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,032 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,032 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,032 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,889,300 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,929,306 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,975 | TotalAmt |
| Management And General | $220,975 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,561,324 | TotalAmt |
| Program Services | $5,189,526 | ProgramServicesAmt |
| Management And General | $371,798 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,020,963 | TotalAmt |
| Program Services | $917,854 | ProgramServicesAmt |
| Management And General | $103,109 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,830 | TotalAmt |
| Program Services | $2,503 | ProgramServicesAmt |
| Management And General | $6,327 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,850 | TotalAmt |
| Management And General | $13,850 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,391 | TotalAmt |
| Program Services | $159,940 | ProgramServicesAmt |
| Management And General | $175,451 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,146 | TotalAmt |
| Program Services | $105,457 | ProgramServicesAmt |
| Management And General | $36,689 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,884 | TotalAmt |
| Program Services | $90,053 | ProgramServicesAmt |
| Management And General | $7,831 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,067 | TotalAmt |
| Program Services | $291,702 | ProgramServicesAmt |
| Management And General | $25,365 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,926 | TotalAmt |
| Program Services | $175,062 | ProgramServicesAmt |
| Management And General | $4,864 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,280 | TotalAmt |
| Program Services | $7,618 | ProgramServicesAmt |
| Management And General | $662 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,392 | TotalAmt |
| Program Services | $8,035 | ProgramServicesAmt |
| Management And General | $11,357 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DEPT HEALTH PCM | $1,150,745 | $1,150,745 | |
| DEPARTMENT OF PUBLIC HEAL | $999,830 | $999,830 | |
| EQUIPMENT RENTAL | $111,779 | $102,332 | $9,447 |
| SUPPORT TO OTHERS | $79,171 | $79,171 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,332 | TotalAmt |
| Program Services | $81,249 | ProgramServicesAmt |
| Management And General | $7,083 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,355,885 | TotalAmt |
| Program Services | $9,361,077 | ProgramServicesAmt |
| Management And General | $994,808 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,133 | BOYAmt |
| EOY | $1,050,313 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,811,001 | BOYAmt |
| EOY | $1,812,660 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,820 | BOYAmt |
| EOY | $189,221 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,033 | BOYAmt |
| EOY | $10,516 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $82,477 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $74,912 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,845 | BOYAmt |
| EOY | $7,565 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $26,452 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,442 | BOYAmt |
| EOY | $13,442 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,648,274 | BOYAmt |
| EOY | $3,110,169 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,888 | BOYAmt |
| EOY | $93,948 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $703,107 | BOYAmt |
| EOY | $599,527 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $764,995 | BOYAmt |
| EOY | $693,475 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,883,279 | BOYAmt |
| EOY | $2,416,694 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,883,279 | BOYAmt |
| EOY | $2,416,694 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,648,274 | BOYAmt |
| EOY | $3,110,169 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $533,415 | ReconcilationRevenueExpnssAmt |
| 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 | $2,191,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,564,954 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,354,749 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,074,922 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $959,994 | CurrentTaxYearAmt |
| Total | $7,145,987 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,191,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,564,954 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,354,749 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,074,922 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $959,994 | CurrentTaxYearAmt |
| Total | $7,145,987 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $7,145,987 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,571 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,530 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,702 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,705 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,659 | CurrentTaxYearAmt |
| Total | $8,167 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,154,154 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $9,929,306 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99890 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99880 | 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 D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $82,477 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,912 | DepreciationAmt |
| Book Value | $7,565 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,565 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PAID TIME OFF | $253,158 |
| ADVANCE FROM GRANTORS AND CONTRACTS | $206,792 |
| ACCRUED PAYROLL | $139,577 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $599,527 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $10,889,300 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $10,889,300 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $10,889,300 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,355,885 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $10,355,885 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $10,355,885 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 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 2017 PAYROLL REPORTING FOR EMPLOYEES WAS REPORTED UNDER TOTALSOURCE'S EIN THE ORGANIZATION EMPLOYED 115 EMPLOYEES DURING THE YEAR, NONE OF WHICH ARE REPORTED ON A W-3 FOR THE ORGANIZATION THEREFORE PART V LINE 2A IS -0-. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 WAS PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD 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 AFTER AN ANNUAL REVIEW WITH REGIONAL NON-PROFIT AND CCNC NETWORK BENCHMARK DATA BEING PROVIDED FOR COMPARISON. |
| 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. |
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 |
| Share Of Total Income | -$13,548 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $26,452 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.03470 | OwnershipPct |
| 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 |
| Involved | $40,000 | InvolvedAmt |
| Method Of Amount Determination | ESTIMATES VALUE OF SERVIC | MethodOfAmountDeterminationTxt |
Comments