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Nonprofiteer
← OPTIMA HEALTH OF NORTH CAROLINA LLC

Form 990-EZ for tax year 2022

Filed by OPTIMA HEALTH OF NORTH CAROLINA LLC.

Totals

Total revenue
not reported
Total expenses
$7,705
Contributions and grants received
not reported
Grants paid
not reported
Program service revenue
$0
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)
not reported
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program service expenses (Part III)
not reported

Mission and programs · 2022

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 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part IV

  • Dennis Matheis

    PRES/CEO/BRD MEMBER THRU 9/1/22

    Total calculated
    $0
    Hours/week
    0.25

  • James Hilbert

    TREASURER/BOARD MEMBER THRU 1/28/22

    Total calculated
    $0
    Hours/week
    0.25

  • Samuel Hawley

    ASSISTANT SECRETARY THRU 6/6/22

    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/BRD MEMBER EFF 9/1/22

    Total calculated
    $0
    Hours/week
    0.25

  • Earl J Barnes II

    SECRETARY EFF 9/1/22

    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
2022
Filed
25 May 2023
IRS schema version
2022v5.0
Source object
202301459349200315

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