2018-06-12T15:18:56-05:00 2017-07-31 560574444 CHERRY BEKAERT LLP 1111 Metropolitan Ave Ste 1000 Charlotte NC 28204 990 2016-08-01 581567854 Medical Review of North Carolina Inc MEDI 9194615500 12040 Regency Parkway No 100 Cary NC 27518 JOY HOGAN ROZMAN PRESIDENT & CHIEF EXECUTIVE OFFICER 9194615500 2018-06-11 1 Amanda Adams P00748038 7043771678 38.142.98.34 2018-06-11 09:41:28 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 18694F53AD11E15FFCEA276DE93F63B2E746D691 2016 2018-06-14 16:35:46Z The Carolinas Center for Medical Excellence JOY HOGAN ROZMAN 12040 Regency Parkway No 100 Cary NC 27518 21212673 0 X WWW.THECAROLINASCENTER.ORG X 1983 NC CCME helps people by improving the quality of healthcare. 9 9 109 0 0 0 0 0 8266034 8637880 3380904 1311302 174646 0 11821584 9949182 0 0 0 0 6580204 5935532 0 0 0 2822810 2679478 9403014 8615010 2418570 1334172 22258696 24523017 920549 805468 21338147 23717549 X CCME 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. 0 0 5446138 6098124 External Quality Review Organization, Outpatient Specialized Therapies, and Prepayment Claims Quality and Compliance Review Contracts for State Medicaid Programs 2616521 2272754 Federal Subcontractor performance as Quality Innovation Network for the State of South Carolina serving Medicare recipients working with CMS Quality Initiatives. 160205 267002 Subcontractor performance as Hospital Innovation and Improvement Network (HIIN) 8222864 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 31 0 1 109 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X JOY HOGAN ROZMAN 9194615500 12040 Regency Parkway Suite 100 CARY NC 27518 Charles Davant III MD Board of Directors 2.00 X 2000 0 0 Paul Donahue Board of Directors 2.00 X 2000 0 0 Charles T Frock Board of Directors 2.00 X 1500 0 0 Roger A Gaddy MD Board of Directors 2.00 X 1500 0 0 Daniel T Lackland DrPH Board of Directors 2.00 X 1750 0 0 Thelma C Lennon Board of Directors 2.00 X 2000 0 0 Marilyn J Schaffner Board of Directors 2.00 X 1500 0 0 Timothy Shannon Board of Directors 2.00 X 1250 0 0 John B Smith Jr MD Board of Directors 2.00 X 2000 0 0 Joyce H Rozman PRESIDENT AND CEO 40.00 X 326576 0 26725 Sarah Fuquay Vice President, Finance 40.00 X 115323 0 16525 Maryanne Volkringer Vice President, Operations 40.00 X 66082 0 3657 Karen Southard SC STATE DIRECTOR 40.00 X 112209 0 14407 Cheryl Anderson Medical Safety Pharmacist 40.00 X 112082 0 15534 747772 0 76848 5 0 1 0 Health Management Systems Inc 4601 Six Forks Rd Suite 306 Raleigh NC 27609 External Quality Review Service 588150 Computer Service Partners Inc 1310 Nowell Rd Raleigh NC 27607 Information Technology software, hardwar 567538 Island Peer Review Organization 1979 Marcus Avenue Lake Success NY 11042 External Quality Review Service 154931 Webfargo 4601 Creekstone Dr Suite 175 Durham NC 27703 Professional Data Consulting 154788 Tierpoint 4120 Main at North Hills Ave Suite Raleigh NC 27609 Information Technology data svcs 139992 5 Medical Quality & Review Services 900099 8637880 8637880 8637880 735303 735303 11839490 11263491 575999 575999 575999 9949182 8637880 0 1311302 X 554888 537574 17314 4345015 4211633 133382 172967 167452 5515 508457 492244 16213 354205 342911 11294 74376 26720 47656 36700 35530 1170 59296 59296 1274437 1235223 39214 224982 203488 21494 436195 423032 13163 184619 179957 4662 155740 151159 4581 24612 14169 10443 76749 74302 2447 29941 28986 955 CONTINUING EDUCATION 33135 32517 618 RECRUITMENT 22737 22145 592 Storage 22728 22284 444 Dues & Subscriptions 21444 19808 1636 1787 1730 57 8615010 8222864 392146 0 1485152 1903114 2784774 2216408 212913 212331 1050232 845136 145329 205096 17630528 19986068 22258696 24523017 919708 805365 841 103 920549 805468 X 21338147 23717549 21338147 23717549 22258696 24523017 1334172 1045230 0 X 0 1 X 1 1 1 X 33534727 14972913 8187229 8266034 8637880 73598783 33534727 14972913 8187229 8266034 8637880 73598783 0 8211061 8211061 8211061 8211061 65387722 479256 1000783 1293474 1067618 735303 4576434 479256 1000783 1293474 1067618 735303 4576434 5385 6821 12206 34019368 15980517 9480703 9333652 9373183 78187423 0.83630 0.95470 0.05850 0.04520 X 1050232 845136 205096 205096 DEFERRED RENT 103 103 X 10935116 1045230 1045230 9889886 59296 59296 9949182 8555714 0 8555714 59296 59296 8615010 Part X, Line 2: Management 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. X X X X 0 0 0 0 0 0 0 0 0 Joyce H Rozman PRESIDENT AND CEO 296576 0 30000 0 0 0 13250 0 13475 0 353301 0 0 0 Form 990, Part III, Line 1 Excellence - 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 11b THE 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 12c All 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 15 The 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 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. Form 990, Part IX, line 11g Other 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. carolinas center for medical excellence llc 12040 REGENCY PARKWAY STE 100 CARY NC 27518 275490759 SC qio contract (10 SOW) SC 0 62954 medical review of north carolina inc dba carolinas center for medical exc