Form 990-EZ for tax year 2023
Filed by OPTIMA HEALTH OF NORTH CAROLINA LLC.
Totals
- Total revenue
- $20,562
- Total expenses
- not reported
- Contributions and grants received
- not reported
- Grants paid
- not reported
- Program service revenue
- not reported
- Membership dues (line 3)
- not reported
- Investment income (line 4)
- not reported
- Gain or loss on sale of assets (line 5c)
- not reported
- Gaming and fundraising events, net (line 6d)
- not reported
- Gross profit on inventory sales (line 7c)
- not reported
- Other revenue (line 8)
- $20,562
- Total assets, end of year
- $20,562
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $20,562
- Program service expenses (Part III)
- not reported
Mission and programs · 2023
Primary exempt purpose
TO SUPPORT OPTIMA FAMILY CARE OF NORTH CAROLINA INC, A 501(C)(3) MEDICAID HMO.
-
THE ENTITY WAS ORGANIZED TO OWN AND OPERATE ONE OR MORE CAPITATED CONTRACTS FOR THE DELIVERY OF MEDICAID AND NC HEALTH CHOICE SERVICES THROUGH ITS OWNERSHIP AND OPERATION OF OPTIMA FAMILY CARE OF NORTH CAROLINA, INC., A 501(C)(3) MEDICAID HMO.
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part IV
-
JAMES HILBERT
TREASURER THRU 4/2023
- Total calculated
- $0
- Hours/week
- 0.25
-
MEGAN PERRY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.25
-
BRIAN D SMITH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.25
-
COLIN S DROZDOWSKI
PRES/CEO/BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.25
-
EARL J BARNES II
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.25
-
SHARILYN CAMPBELL
TREASURER EFF 5/2023
- Total calculated
- $0
- Hours/week
- 0.25
Compensation is as filed in Part IV of the Form 990-EZ: compensation, contributions to benefit plans, expense account, 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.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990_ez
- Tax year
- 2023
- Filed
- 15 May 2024
- IRS schema version
- 2023v5.0
- Source object
- 202401369349202390
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