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Nonprofiteer
← CAROLINA HEALTHCARE ASSOCIATES INC

Form 990 for tax year 2022

Filed by CAROLINA HEALTHCARE ASSOCIATES INC.

Totals

Total revenue
$70,804,082
Total expenses
$70,804,082
Contributions and grants received
$714,359
Grants paid
$0
Program services expenses (Part IX)
$70,804,082
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$70,804,082

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BARBARA BIEHNER

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.2 + 0.2 related

  • DANA L COOK

    CHAIR

    Total calculated
    $0
    Hours/week
    0.2

  • HEATHER DAVIS DO

    TRUSTEE

    Total calculated
    $290,507
    From this org
    $0
    From related orgs
    $290,507
    Other
    $0
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $290,507 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $290,507 related

  • MITCH LAMM

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.2

  • HOWARD ROCKNESS PHD

    TREASURER

    Total calculated
    $0
    Hours/week
    0.2

  • DANIEL E GOODWIN

    PRESIDENT

    Total calculated
    $448,468
    From this org
    $0
    From related orgs
    $395,420
    Other
    $53,048
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $280,894 related
    Bonus
    $0 + $33,808 related
    Other
    $0 + $80,718 related
    Deferred
    $0 + $18,202 related
    Nontaxable benefits
    $0 + $34,846 related
    Filer's total
    $0 + $448,468 related

  • NAVIN C BHOJWANI MD

    SVP OF NOVANT HEALTH, INC.

    Total calculated
    $1,048,501
    From this org
    $0
    From related orgs
    $908,204
    Other
    $140,297
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $533,211 related
    Bonus
    $0 + $321,885 related
    Other
    $0 + $53,108 related
    Deferred
    $0 + $102,300 related
    Nontaxable benefits
    $0 + $37,997 related
    Filer's total
    $0 + $1,048,501 related

  • JOHN S HOWARD

    SVP OF NOVANT HEALTH, INC.

    Total calculated
    $1,007,399
    From this org
    $0
    From related orgs
    $865,155
    Other
    $142,244
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $532,070 related
    Bonus
    $0 + $299,094 related
    Other
    $0 + $33,991 related
    Deferred
    $0 + $100,652 related
    Nontaxable benefits
    $0 + $41,592 related
    Filer's total
    $0 + $1,007,399 related

  • JOHN MANN MD

    SVP OF NOVANT HEALTH, INC.

    Total calculated
    $1,140,029
    From this org
    $0
    From related orgs
    $979,412
    Other
    $160,617
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $596,981 related
    Bonus
    $0 + $322,622 related
    Other
    $0 + $59,809 related
    Deferred
    $0 + $112,545 related
    Nontaxable benefits
    $0 + $48,072 related
    Filer's total
    $0 + $1,140,029 related

  • PAMELA OLIVER MD

    EVP OF NOVANT HEALTH, INC.

    Total calculated
    $1,502,055
    From this org
    $0
    From related orgs
    $1,304,291
    Other
    $197,764
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $701,293 related
    Bonus
    $0 + $541,038 related
    Other
    $0 + $61,960 related
    Deferred
    $0 + $163,933 related
    Nontaxable benefits
    $0 + $33,831 related
    Filer's total
    $0 + $1,502,055 related

  • FRED HARGETT

    EVP & CFO

    Total calculated
    $2,417,516
    From this org
    $0
    From related orgs
    $2,355,664
    Other
    $61,852
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,092,939 related
    Bonus
    $0 + $843,828 related
    Other
    $0 + $418,897 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $43,552 related
    Filer's total
    $0 + $2,417,516 related

  • NASAR SIDDIQI

    PHYSICIAN

    Total calculated
    $948,501
    From this org
    $917,333
    From related orgs
    $0
    Other
    $31,168
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $896,368
    Bonus
    $0
    Other
    $20,965
    Deferred
    $18,300
    Nontaxable benefits
    $12,868
    Filer's total
    $948,501

  • MICHAEL S JASKOLKA

    PHYSICIAN

    Total calculated
    $966,772
    From this org
    $905,936
    From related orgs
    $0
    Other
    $60,836
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $903,545
    Bonus
    $0
    Other
    $2,391
    Deferred
    $16,802
    Nontaxable benefits
    $44,034
    Filer's total
    $966,772

  • OLUWOLE A ODUNUSI

    PHYSICIAN

    Total calculated
    $899,160
    From this org
    $846,422
    From related orgs
    $0
    Other
    $52,738
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $845,914
    Bonus
    $0
    Other
    $508
    Deferred
    $15,875
    Nontaxable benefits
    $36,863
    Filer's total
    $899,160

  • HISHAM HATOUM

    FACULTY/PHYSICIAN

    Total calculated
    $761,564
    From this org
    $725,847
    From related orgs
    $0
    Other
    $35,717
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $724,723
    Bonus
    $0
    Other
    $1,124
    Deferred
    $2,123
    Nontaxable benefits
    $33,594
    Filer's total
    $761,564

  • BRIAN J GILMORE

    PHYSICIAN

    Total calculated
    $742,189
    From this org
    $689,937
    From related orgs
    $0
    Other
    $52,252
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $668,458
    Bonus
    $0
    Other
    $21,479
    Deferred
    $17,278
    Nontaxable benefits
    $34,974
    Filer's total
    $742,189

  • EDWIN J OLLIE

    FORMER OFFICER

    Total calculated
    $830,211
    From this org
    $0
    From related orgs
    $798,784
    Other
    $31,427
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $568,367 related
    Bonus
    $0 + $224,465 related
    Other
    $0 + $5,952 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $13,127 related
    Filer's total
    $0 + $830,211 related

  • AMY E MESSIER

    FORMER OFFICER

    Total calculated
    $791,523
    From this org
    $0
    From related orgs
    $738,024
    Other
    $53,499
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $484,954 related
    Bonus
    $0 + $55,544 related
    Other
    $0 + $197,526 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $35,199 related
    Filer's total
    $0 + $791,523 related

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 — 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

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE ORGANIZATION'S PRESIDENT IS DETERMINED AND PAID BY NHNHRMC, A RELATED ORGANIZATION. IN DETERMINING THEIR COMPENSATION, NHNHRMC USES THE FOLLOWING METHODS: - INDEPENDENT COMPENSATION CONSULTANT - APPROVAL BY NHNHRMC'S EXECUTIVE COMMITTEE
PART I, LINE 4B
PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONE NONQUALIFIED FRED HARGETT - $11,892 JOHN MANN - $11,846 AMY MESSIER - $196,300 PAMELA OLIVER - $11,892 EQUITY-BASED NONE PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") IS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES, AND TO OFFER COMPETITIVE TOTAL COMPENSATION. GENERALLY, ANNUAL CONTRIBUTIONS TO THE PLAN OR PAYMENTS TO PARTICIPANTS WILL BE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF JANUARY 1ST OF THE PREVIOUS PLAN YEAR AND ARE REPORTED IN COLUMN (C) OF SCHEDULE J. PRIOR TO MAKING THE CONTRIBUTIONS OR PAYMENTS, THE NOVANT HEALTH COMPENSATION AND LEADERSHIP COMMITTEE ("COMMITTEE") WILL APPROVE THE AMOUNTS AS TO REASONABLENESS, WHEN COMBINED WITH ALL OTHER ANNUAL COMPENSATION. A 3 YEAR CLASS-YEAR VESTING PERIOD WILL APPLY UP TO AGE 62, WHEN ALL MONEY WOULD BE VESTED AND PAID OUT TO THE PARTICIPANT. OTHERWISE, VESTING WILL OCCUR ON JANUARY 1ST OF EACH YEAR FOR THE APPROPRIATE CLASS-YEAR VESTING PERIOD. THE COMMITTEE REVIEWS, APPROVES, AND OVERSEES ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS.
PART I, LINE 7
PART I, LINE 7: INDIVIDUALS LISTED ON PART II RECEIVED DISCRETIONARY BONUSES DURING CALENDAR YEAR 2022. THESE BONUSES WERE BASED ON LEADER EVALUATION MANAGER GOALS.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 December 2023
IRS schema version
2022v5.0
Source object
202303489349300605

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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