Form 990 for tax year 2023
Filed by NORTHWEST COMMUNITY CARE NETWORK INC.
Totals
- Total revenue
- $3,974,343
- Total expenses
- $6,661,895
- Contributions and grants received
- $1,257
- Grants paid
- $263
- Program service revenue
- $4,192,527
- Investment income
- -$219,441
- Other revenue
- $0
- Total assets, end of year
- $5,442,507
- Total liabilities, end of year
- $199,324
- Net assets or fund balances, end of year
- $5,243,183
- Program services expenses (Part IX)
- $5,998,607
- Management and general expenses
- $663,288
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $5,998,607
Program services were 90.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$1,257
-
2a · Program service revenue: CASE MANAGEMENT FEES
total $3,319,339 · related or exempt $3,319,339
-
2b · Program service revenue: PROVIDER SERVICE FEES
total $873,188 · related or exempt $873,188
-
3 · Investment income
total $33,464 · excluded $33,464
-
7b · Less cost or other basis and sales expenses
other assets $252,905
-
7c · Gain or loss
other assets -$252,905
-
7d · Net gain or loss
total -$252,905 · excluded -$252,905
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $263 · program services $263
-
7 · Other salaries and wages
total $4,032,015 · program services $3,602,529 · management and general $429,486
-
9 · Other employee benefits
total $716,051 · program services $639,778 · management and general $76,273
-
11f · Fees: investment management
total $1,476 · program services $981 · management and general $495
-
11g · Fees: other
total $1,567,657 · program services $1,464,906 · management and general $102,751
-
12 · Advertising and promotion
total $14,488 · program services $11,658 · management and general $2,830
-
13 · Office expenses
total $37,712 · program services $30,345 · management and general $7,367
-
14 · Information technology
total $11,472 · program services $9,231 · management and general $2,241
-
16 · Occupancy
total $27,360 · program services $22,015 · management and general $5,345
-
17 · Travel
total $25,988 · program services $20,911 · management and general $5,077
-
19 · Conferences, conventions and meetings
total $14,835 · program services $11,937 · management and general $2,898
-
22 · Depreciation, depletion and amortization
total $186,234 · program services $162,856 · management and general $23,378
-
23 · Insurance
total $26,344 · program services $21,197 · management and general $5,147
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $6,577,185 · end of year $5,152,921
-
4 · Accounts receivable
beginning of year $1,254,750 · end of year $12,887
-
9 · Prepaid expenses and deferred charges
beginning of year $154,045 · end of year $190,070
-
10a · Land, buildings and equipment: cost or other basis
$521,000
-
10b · Land, buildings and equipment: accumulated depreciation
$434,371
-
10c · Land, buildings and equipment, net
beginning of year $525,769 · end of year $86,629
-
17 · Accounts payable and accrued expenses
beginning of year $568,818 · end of year $199,324
-
19 · Deferred revenue
beginning of year $12,196 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $7,868,193 · end of year $5,243,183
-
28 · Net assets with donor restrictions
beginning of year $62,542 · end of year $0
Mission and programs · 2023
Mission
THE ORGANIZATION OPERATES A PRIMARY CARE CASE MANAGEMENT PROGRAM (PPCM) THAT IS DESIGNED TO PROVIDE A MORE EFFICIENT AND EFFECTIVE HEALTHCARE DELIVERY SYSTEM FOR MEDICAID RECIPIENTS, BRINGING TOGETHER PRIMARY CARE PROVIDERS, HOSPITALS, HEALTH DEPARTMENTS, DEPARTMENT OF SOCIAL SERVICES AND OTHER COMMUNITY PROVIDERS TO MANAGE THE HEALTH CARE NEEDS OF MEDICAID RECIPIENTS. THE ORGANIZATION'S SERVICE AREA INCLUDES THE COUNTIES OF DAVIE, DAVIDSON, FORSYTH, STOKES, SURRY, WILKES AND YADKIN. THESE COUNTIES COMPRISE THE NETWORK MEMBERS. THE ORGANIZATION RECEIVES A MONTHLY FEE FROM THE STATE OF NORTH CAROLINA'S MEDICAID PROGRAM TO ASSIST IN DEVELOPING, IMPLEMENTING AND EVALUATING ENHANCED MANAGED CARE STRATEGIES FOR MEDICAID RECIPIENTS.
Activities or mission (Part I)
DEVELOPING, IMPLEMENTING AND EVALUATING ENHANCED MANAGED CARE STRATEGIES FOR MEDICAID RECIPIENTS
-
THE ORGANIZATION COORDINATED, FACILITATED AND MANAGED THE DELIVERY OF MEDICAID DIRECT SERVICES TO APPROXIMATELY 9,500 DUALLY ENROLLED, MEDICAID/MEDICARE PATIENTS IN THE NORTHWEST PIEDMONT AREA OF NORTH CAROLINA, SUCCESSFULLY IMPROVING THE QUALITY OF MATERNITY CARE AND RELATED OUTCOMES FOR MOTHERS AND BABIES, AND REDUCING MEDICAL CARE COSTS DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2023.EMTIRO HEALTH, LLC SUPPORTS PROVIDERS, SYSTEMS AND PAYERS WITH UNPARALLELED EXPERTISE AND KNOWLEDGE ACHIEVED THROUGH DATA ANALYTICS TO ACHIEVE IMPROVED OUTCOMES AND PATIENT EXPERIENCE AT A LOWER COST OF CARE, WORKING DIRECTLY WITH PATIENTS TO ADDRESS SYSTEMIC BARRIERS TO TOTAL WELLBEING AND BRIGHTER FUTURES THROUGH CARE MANAGEMENT SOLUTIONS.
Expenses $5,998,607 · Grants $263 · Revenue $4,192,527
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
TERRY G WILLIAMS
CHAIR
- Total calculated
- $1,962,384
- From this org
- $1,681,163
- From related orgs
- $0
- Other
- $281,221
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $888,845
- Bonus
- $750,375
- Other
- $41,943
- Deferred
- $250,841
- Nontaxable benefits
- $30,380
- Filer's total
- $1,962,384
-
JENNIFER HOULIHAN
BOARD MEMBER
- Total calculated
- $380,988
- From this org
- $0
- From related orgs
- $345,035
- Other
- $35,953
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $274,514 related
- Bonus
- $0 + $69,607 related
- Other
- $0 + $914 related
- Deferred
- $0 + $18,294 related
- Nontaxable benefits
- $0 + $17,659 related
- Filer's total
- $0 + $380,988 related
-
JOSH SWIFT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
RICHARD W LORD MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 38 related
-
SAMANTHA ANGE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
SCOTT VOGLER MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
SUSAN ALBERT MD
BOARD MEMBER, SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
TED NIFONG MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION
- TERRY G. WILLIAMS WAS COMPENSATED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (CMHA, DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR COMPENSATION.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
501(C)(3) · HEALTHCARE · NC
-
501(C)(3) · HEALTHCARE · NC
Directly controlled by WFU BAPTIST MEDICAL CENTER
-
LEXINGTON MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · NC
Directly controlled by LEXINGTON MEDICAL CENTER
-
501(C)(3) · HEALTHCARE · NC
Directly controlled by WFU BAPTIST MEDICAL CENTER
-
501(C)(3) · HEALTHCARE · NC
Directly controlled by WFU BAPTIST MEDICAL CENTER
-
WRMC HOSPITAL OPERATING CORPORATION
501(C)(3) · HEALTHCARE · NC
Directly controlled by WFU BAPTIST MEDICAL CENTER
-
501(C)(3) · HEALTHCARE · NC
Directly controlled by WFU BAPTIST MEDICAL CENTER
-
HIGH POINT REGIONAL HEALTH FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · NC
Directly controlled by HIGH POINT REGIONAL HEALTH
-
WILKES MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · NC
Directly controlled by WRMC HOSPITAL OPERATING CORP
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
HEALTHCARE MANAGEMENT · NC · income $3,628,574 · assets $5,044,518
Directly controlled by NORTHWEST COMMUNITY CARE NETWORK INC
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
REAL ESTATE · NC
-
INVESTMENT · NC
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
HIGH POINT HEALTH CARE VENTURES INC
C · REAL ESTATE · NC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 14 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202403209349301800
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