MEDICAL REVIEW OF NORTH CAROLINA INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MEDICAL REVIEW OF NORTH CAROLINA INC (EIN 58-1567854)
Tax period
2016-08-01 to 2017-07-31
Filed
2018-06-12
IRS object ID
201831639349301103
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2018-06-12T15:18:56-05:00ReturnTs
Tax Period End2017-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560574444PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11111 Metropolitan Ave Ste 1000AddressLine1Txt
CityCharlotteCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581567854EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Medical Review of North Carolina IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEDIBusinessNameControlTxt
Phone9194615500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112040 Regency Parkway No 100AddressLine1Txt
CityCaryCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27518ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOY HOGAN ROZMANPersonNm
Person TitlePRESIDENT & CHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone9194615500PhoneNum
Signature2018-06-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmanda AdamsPreparerPersonNm
PTINP00748038PTIN
Phone7043771678PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.142.98.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-06-11IPDt
IP Tm09:41:28IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id18694F53AD11E15FFCEA276DE93F63B2E746D691AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1The Carolinas Center for Medical ExcellenceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOY HOGAN ROZMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112040 Regency Parkway No 100AddressLine1Txt
CityCaryCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27518ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,212,673GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THECAROLINASCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionCCME helps people by improving the quality of healthcare.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee109TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$8,266,034PYProgramServiceRevenueAmt
CY Program Service Revenue$8,637,880CYProgramServiceRevenueAmt
PY Investment Income$3,380,904PYInvestmentIncomeAmt
CY Investment Income$1,311,302CYInvestmentIncomeAmt
PY Other Revenue$174,646PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,821,584PYTotalRevenueAmt
CY Total Revenue$9,949,182CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,580,204PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,935,532CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,822,810PYOtherExpensesAmt
CY Other Expenses$2,679,478CYOtherExpensesAmt
PY Total Expenses$9,403,014PYTotalExpensesAmt
CY Total Expenses$8,615,010CYTotalExpensesAmt
PY Revenues Less Expenses$2,418,570PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,334,172CYRevenuesLessExpensesAmt
Total Assets BOY$22,258,696TotalAssetsBOYAmt
Total Assets EOY$24,523,017TotalAssetsEOYAmt
Total Liabilities BOY$920,549TotalLiabilitiesBOYAmt
Total Liabilities EOY$805,468TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,338,147NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,717,549NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCCME 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: EXCELLENCE, LEARNING ORGANIZATION, INNOVATION, TEAMWORK/COLLABORATION, CAN DO, TRUST/INTEGRITY & ALTRUISM. PLEASE SEE BELOW FOR MORE DETAILS REGARDING THESE VALUES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,446,138ExpenseAmt
Revenue$6,098,124RevenueAmt
DescExternal Quality Review Organization, Outpatient Specialized Therapies, and Prepayment Claims Quality and Compliance Review Contracts for State Medicaid ProgramsDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,616,521ExpenseAmt
Revenue$2,272,754RevenueAmt
DescFederal Subcontractor performance as Quality Innovation Network for the State of South Carolina serving Medicare recipients working with CMS Quality Initiatives.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$160,205ExpenseAmt
Revenue$267,002RevenueAmt
DescSubcontractor performance as Hospital Innovation and Improvement Network (HIIN)Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,222,864TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee109EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOY HOGAN ROZMANPersonNm
Phone9194615500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112040 Regency Parkway Suite 100AddressLine1Txt
CityCARYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27518ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Charles Davant III MD
Board of Directors2.00Yes (X)$2,000$0$0
Paul Donahue
Board of Directors2.00Yes (X)$2,000$0$0
Charles T Frock
Board of Directors2.00Yes (X)$1,500$0$0
Roger A Gaddy MD
Board of Directors2.00Yes (X)$1,500$0$0
Daniel T Lackland DrPH
Board of Directors2.00Yes (X)$1,750$0$0
Thelma C Lennon
Board of Directors2.00Yes (X)$2,000$0$0
Marilyn J Schaffner
Board of Directors2.00Yes (X)$1,500$0$0
Timothy Shannon
Board of Directors2.00Yes (X)$1,250$0$0
John B Smith Jr MD
Board of Directors2.00Yes (X)$2,000$0$0
Joyce H Rozman
PRESIDENT AND CEO40.00$326,576$0$26,725Yes (X)
Sarah Fuquay
Vice President, Finance40.00$115,323$0$16,525Yes (X)
Maryanne Volkringer
Vice President, Operations40.00$66,082$0$3,657Yes (X)
Karen Southard
SC STATE DIRECTOR40.00$112,209$0$14,407Yes (X)
Cheryl Anderson
Medical Safety Pharmacist40.00$112,082$0$15,534Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$747,772TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$76,848TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Health Management Systems Inc
4601 Six Forks Rd Suite 306RaleighNC27609External Quality Review Service$588,150
Computer Service Partners Inc
1310 Nowell RdRaleighNC27607Information Technology software, hardwar$567,538
Island Peer Review Organization
1979 Marcus AvenueLake SuccessNY11042External Quality Review Service$154,931
Webfargo
4601 Creekstone Dr Suite 175DurhamNC27703Professional Data Consulting$154,788
Tierpoint
4120 Main at North Hills Ave SuiteRaleighNC27609Information Technology data svcs$139,992
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMedical Quality & Review ServicesDesc
Business900099BusinessCd
Total Revenue Column$8,637,880TotalRevenueColumnAmt
Related Or Exempt Func Income$8,637,880RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,637,880TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$735,303TotalRevenueColumnAmt
Exclusion$735,303ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,839,490SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,263,491SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$575,999SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$575,999TotalRevenueColumnAmt
Exclusion$575,999ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,949,182TotalRevenueColumnAmt
Related Or Exempt Func Income$8,637,880RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,311,302ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$554,888TotalAmt
Program Services$537,574ProgramServicesAmt
Management And General$17,314ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,345,015TotalAmt
Program Services$4,211,633ProgramServicesAmt
Management And General$133,382ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$172,967TotalAmt
Program Services$167,452ProgramServicesAmt
Management And General$5,515ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$508,457TotalAmt
Program Services$492,244ProgramServicesAmt
Management And General$16,213ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$354,205TotalAmt
Program Services$342,911ProgramServicesAmt
Management And General$11,294ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$74,376TotalAmt
Program Services$26,720ProgramServicesAmt
Management And General$47,656ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,700TotalAmt
Program Services$35,530ProgramServicesAmt
Management And General$1,170ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$59,296TotalAmt
Management And General$59,296ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,274,437TotalAmt
Program Services$1,235,223ProgramServicesAmt
Management And General$39,214ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$224,982TotalAmt
Program Services$203,488ProgramServicesAmt
Management And General$21,494ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$436,195TotalAmt
Program Services$423,032ProgramServicesAmt
Management And General$13,163ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$184,619TotalAmt
Program Services$179,957ProgramServicesAmt
Management And General$4,662ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$155,740TotalAmt
Program Services$151,159ProgramServicesAmt
Management And General$4,581ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,612TotalAmt
Program Services$14,169ProgramServicesAmt
Management And General$10,443ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$76,749TotalAmt
Program Services$74,302ProgramServicesAmt
Management And General$2,447ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,941TotalAmt
Program Services$28,986ProgramServicesAmt
Management And General$955ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTINUING EDUCATION$33,135$32,517$618
RECRUITMENT$22,737$22,145$592
Storage$22,728$22,284$444
Dues & Subscriptions$21,444$19,808$1,636

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,787TotalAmt
Program Services$1,730ProgramServicesAmt
Management And General$57ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,615,010TotalAmt
Program Services$8,222,864ProgramServicesAmt
Management And General$392,146ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,485,152BOYAmt
EOY$1,903,114EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,784,774BOYAmt
EOY$2,216,408EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$212,913BOYAmt
EOY$212,331EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,050,232LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$845,136LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$145,329BOYAmt
EOY$205,096EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$17,630,528BOYAmt
EOY$19,986,068EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,258,696BOYAmt
EOY$24,523,017EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$919,708BOYAmt
EOY$805,365EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$841BOYAmt
EOY$103EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$920,549BOYAmt
EOY$805,468EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,338,147BOYAmt
EOY$23,717,549EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,338,147BOYAmt
EOY$23,717,549EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,258,696BOYAmt
EOY$24,523,017EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,334,172ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,045,230NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,534,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,972,913CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,187,229CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,266,034CurrentTaxYearMinus1YearAmt
Current Tax Year$8,637,880CurrentTaxYearAmt
Total$73,598,783TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,534,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,972,913CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,187,229CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,266,034CurrentTaxYearMinus1YearAmt
Current Tax Year$8,637,880CurrentTaxYearAmt
Total$73,598,783TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$8,211,061CurrentTaxYearAmt
Total$8,211,061TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$8,211,061CurrentTaxYearAmt
Total$8,211,061TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$65,387,722PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$479,256CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,000,783CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,293,474CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,067,618CurrentTaxYearMinus1YearAmt
Current Tax Year$735,303CurrentTaxYearAmt
Total$4,576,434TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$479,256CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,000,783CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,293,474CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,067,618CurrentTaxYearMinus1YearAmt
Current Tax Year$735,303CurrentTaxYearAmt
Total$4,576,434TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,385CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,821CurrentTaxYearMinus3YearsAmt
Total$12,206TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,019,368CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,980,517CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,480,703CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,333,652CurrentTaxYearMinus1YearAmt
Current Tax Year$9,373,183CurrentTaxYearAmt
Total$78,187,423TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.83630PublicSupportCY509Pct
Public Support PY5090.95470PublicSupportPY509Pct
Investment Income CY0.05850InvestmentIncomeCYPct
Investment Income PY0.04520InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,050,232OtherCostOrOtherBasisAmt
Depreciation$845,136DepreciationAmt
Book Value$205,096BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$205,096TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
Amt$103Amt
FieldValueIRS element (for citing)
Total Liability$103TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,935,116TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,045,230NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,045,230RevenueNotReportedAmt
Revenue Subtotal$9,889,886RevenueSubtotalAmt
Investment Expenses Not Incld$59,296InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$59,296RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,949,182TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,555,714TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$8,555,714ExpensesSubtotalAmt
Investment Expenses Not Incld2$59,296InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$59,296ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,615,010TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationManagement 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, 2017.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJoyce H RozmanPersonNm
TitlePRESIDENT AND CEOTitleTxt
Base Compensation Filing Org$296,576BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$30,000BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$13,250DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$13,475NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$353,301TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1Excellence - We aspire to be the best in everything we do; good is not enough. We recruit and retain the most competent people who are committed to a culture of excellence and continuous quality improvement. Learning Organization - We are a learning organization and value knowledge; developing, capturing, applying and managing knowledge is our most important work. Skilled, experienced, and knowledgeable employees are our most valuable asset. Innovation - We create value for our customers and partners by combining clinical expertise and applied technology to promote health care excellence. We embrace and approach change as an opportunity for improvement. Teamwork/Collaboration - Each of us succeeds individually when we as a corporate team achieve success. We work in collaboration with each other and our partners to improve health care. Can Do - We expect all employees to demonstrate individual leadership through a positive approach to every task, a "can do" attitude, and a restless determination to continually improve as part of our quality improvement culture. Trust/Integrity - We practice the highest ethical standards in all that we do. We build trust by honoring our commitments. In order to earn and maintain trust and demonstrate our integrity, we must be good citizens both corporately and individually. Altruism - As a non-profit company, our greatest obligation is to be of service and to promote the public good. Our ability to meet these obligations depends on maintaining a sound financial position.
Form 990, Part VI, Section B, line 11bTHE EXECUTIVE TEAM REVIEWS AND APPROVES OF THE 990 PRIOR TO FILING. IN ADDITION, THE BOARD RECEIVES A COPY OF THE 990 PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cAll 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 15The 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. The 2016 annual performance evaluation resulted in a performance bonus; however, base pay was not increased.
Form 990, Part VI, Section C, line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
Form 990, Part IX, line 11gOther Consultants: Program service expenses 367,856. Management and general expenses 39,214. Fundraising expenses 0. Total expenses 407,070. Data Services: Program service expenses 860,588. Management and general expenses 0. Fundraising expenses 0. Total expenses 860,588. Physician Consultants: Program service expenses 6,779. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,779.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1carolinas center for medical excellence llcBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112040 REGENCY PARKWAY STE 100AddressLine1Txt
CityCARYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27518ZIPCd
FieldValueIRS element (for citing)
EIN275490759EIN
Primary ActivitiesSC qio contract (10 SOW)PrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$62,954EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1medical review of north carolina inc dba carolinas center for medical excBusinessNameLine1Txt

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