2016-02-01T08:20:38-06:00 2015-06-30 560587513 HAIGH BYRD & LAMBERT LLP PO BOX 53349 FAYETTEVILLE NC 283053349 990 2014-07-01 201822815 CAROLINA COLLABORATIVE COMMUNITY CARE INC CARO 9104851250 225 GREEN STREET FAYETTEVILLE NC 28301 KARIN SUESS EXECUTIVE DIRECTOR 9104851250 2016-01-28 1 TONYA R STRICKLAND P00095788 9104831437 2014 2016-04-25 22:37:26Z KARIN SUESS 225 GREEN STREET FAYETTEVILLE NC 28301 6109494 0 X WWW.CAROLINACCC.COM X 2004 NC IMPROVE HEALTH OUTCOMES AND REDUCE MEDICAID COSTS 10 10 93 10 0 0 386006 435507 5496006 5671539 2342 2448 0 0 5884354 6109494 0 0 0 0 3271035 3947187 0 0 0 2726947 2709522 5997982 6656709 -113628 -547215 2671363 2062375 285035 223262 2386328 1839113 X ORGANIZATION PROVIDES CARE MANAGEMENT, CASE MANAGEMENT, DISEASE MANAGEMENT AND POPULATION MANAGEMENT SERVICES TO THE CAROLINA ACCESS MEDICAID POPULATION. ORGANIZATION ALSO WORKS COOPERATIVELY WITH COMMUNITY PHYSICIANS, HOSPITALS, HEALTH DEPARTMENT, DEPARTMENT OF SOCIAL SERVICES, AND MENTAL HEALTH CENTERS TO DEVELOP AND IMPLEMENT PROGRAMS THAT MEET THE HEALTH CARE NEEDS FOR THIS POPULATION WHILE REDUCING HEALTH CARE COSTS. 0 0 5774929 5671539 PRO-ACTIVELY MANAGES THE HEALTH CARE OF MEDICAID ENROLLEES BY EMPLOYING SUCH TOOLS AS RISK STRATIFICATION, DISEASE MANAGEMENT, CASE MANAGEMENT, AND ACCESS MANAGEMENT TO ESTABLISH THE CARE MANAGEMENT PROCESSES AND SUPPORT MECHANISMS NEEDED TO IMPROVE MEDICAID ENROLLEE CARE.CLINICAL IMPROVEMENT INITIATIVES INCLUDE: CASE MANAGEMENT OF HIGH RISK / HIGH COST PATIENTS, AGED / BLIND / DISABLED CHRONIC CARE MANAGEMENT, PREGNANCY HOME INITIATIVES, CHRONIC PAIN INITIATIVES, PALLIATIVE CARE INITIATIVES, ASTHMA DISEASE MANAGEMENT, HYPERTENSION / STROKE PREVENETION, DIABETES DISEASE MANAGEMENT, EMERGENCY DEPARTMENT INITIATIVES, PHARMACY MANAGEMENT INITIATIVES, AND MENTAL HEALTH INITIATIVES. 224862 HEALTHNET GRANT (TDE) - COORDINATES THE RECEIPT OF HEALTH SERVICES TO LOW INCOME, UNINSURED RESIDENTS OF CUMBERLAND COUNTY THROUGH A NETWORK OF COLLABORATING HEALTHCARE PARTNERS. THESE INCLUDE THE LOCAL HOSPITAL, HEALTH DEPARTMENT, LOCALLY BASED COMMUNITY ORGANIZATIONS, AND INDIGENT CARE PROGRAMS. ENROLLEES ARE PROVIDED A MEDICAL HOME, ASSISTANCE IN GAINING ACCESS TO SPECIALTY CARE, MEDICATION ASSISTANCE PROGRAMS, AND CASE MANAGEMENT / DISEASE MANAGEMENT FOR HIGH RISK AND HIGH COST CONDITIONS. 176000 PROVIDE COMPREHENSIVE MEDICAL AND EDUCATIONAL SERVICES TO UNINSURED DIABETIC RESIDENTS OF CUMBERLAND COUNTY. 169846 169846 6345637 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 12 0 1 93 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DR KARIN SUESS 9104851250 225 GREEN STREET STE 1006 FAYETTEVILLE NC 28301 KARIN SUESS EXECUTIVE DIRECTOR 40.00 X 129938 0 2832 DEBORAH TEASLEY CHAIRMAN 10.00 X 0 0 0 ROXIE WELLS VICE CHAIRMAN 10.00 X 0 0 0 CANDICE YORK TREASURER 10.00 X 0 0 0 ANGELA WALL SECRETARY 10.00 X 0 0 0 CYNDY KERN BOARD MEMBER 10.00 X 0 0 0 BUCK WILSON BOARD MEMBER 10.00 X 0 0 0 GAURI DAIVI BOARD MEMBER 10.00 X 0 0 0 HANK DEBNAM BOARD MEMBER 10.00 X 0 0 0 REUBEN RIVERS MEDICAL DIRECTOR 5.00 X 9350 0 0 BRENDA SPARKS FORMER EXECUTIVE DIRECTOR 10.00 X 116230 0 0 255518 0 2832 2 0 0 0 HEIDI MIDDENDORF 180 PROVIDENCE RD STE 5 CHAPEL HILL NC 27514 CARE MANAGEMENT 116314 1 100723 334784 435507 MEDICAID PAYMENTS 624100 5366965 5366965 HEALTH CHECK 624100 127043 127043 HEALTH CHOICE 624100 99259 99259 CASE MANAGEMENT SERVIC 624100 78272 78272 5671539 2448 2448 6109494 5671539 0 2448 129938 103950 25988 3164889 3008440 156449 20174 19165 1009 360571 343786 16785 271615 259143 12472 4336 4336 15500 500 15000 497605 475016 22589 627 609 18 31634 25649 5985 174998 160351 14647 34124 34124 18678 18678 19185 18288 897 13164 11887 1277 OBCM TO CCHD 1615696 1615696 CLINICAL SUPPORT / LABS 151764 151764 SUPPLIES & PROGRAM EXPE 35194 23783 11411 TELEPHONE 25893 23727 2166 71124 51081 20043 6656709 6345637 311072 0 963395 1798125 1381383 111750 125000 103585 69922 24542 20951 215788 157345 67682 58443 5776 3184 2671363 2062375 285035 223262 285035 223262 X 2248388 1839113 137940 0 2386328 1839113 2671363 2062375 -547215 0 X 0 1 X 1 0 X 55499 129669 270099 386006 435507 1276780 55499 129669 270099 386006 435507 1276780 1276780 8525 10867 4887 2342 2448 29069 1305849 26128846 0.97770 0.97400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 215788 157345 58443 58443 6109494 0 6109494 0 6109494 6656709 0 6656709 0 6656709 FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE / AUDIT COMMITTEE WAS PROVIDED A DRAFT OF THE FORM 990 FOR THEIR REVIEW PRIOR TO THE SUBMISSION OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST STATEMENT AND POLICY ARE REVIEWD AND SIGNED BY THE BOARD MEMBERS ANNUALLY AT THE BOARD RETREAT. ALL NEW EMPLOYEES RECEIVE AND SIGN A CONFLICT OF INTERST STATEMENT DURING ORIENTATION. ALL EMPLOYEES REVIEW AND SIGN THE CONFLICT OF INTEREST STATEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR PERFORMS A SELF EVALUATION AND PRESENTS IT TO THE BOARD OF DIRECTORS. THE BOARD PERFORMS A REVIEW IN THE ABSENCE OF THE EXECUTIVE DIRECTOR. THE BOARD REVIEWS A MARKET ANALYSIS OF COMPARABLE SALARIES IN THE NONPROFIT INDUSTRY. THE BOARD PREPARES THE FINAL EVALUATION WHICH IS SIGNED BY THE EXECUTIVE DIRECTOR AND KEPT IN THE EXECUTIVE DIRECTOR'S PERSONNEL FILE. KEY EMPLOYEES ARE ALSO GIVEN A SELF EVALUATION THAT IS COMPLETED AND RETURNED TO THE EMPLOYEE'S SUPERVISOR. THE SUPERVISOR THEN EVALUATES THE EMPLOYEE AND DISCUSSES THE EVALUATION WITH THE EMPLOYEE. THE EMPLOYEE SIGNS THE EVALUATION AND IT IS KEPT IN THE EMPLOYEE'S PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES INFORMATION AVAILABLE TO THE PUBLIC AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES UPON REQUEST