Form 990 for tax year 2023
Filed by WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC.
Totals
- Total revenue
- $27,254,270
- Total expenses
- $31,345,825
- Contributions and grants received
- $9,511,677
- Grants paid
- $0
- Program services expenses (Part IX)
- $29,601,830
- Management and general expenses
- $1,743,995
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $29,601,830
Program services were 94.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
THOMAS VAN BLARICOM
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CHUCK GUTIERREZ
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
RAYMOND LELAND EDWARDS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
JONELLA JODY CROSS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
MARIA SPADARO
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DAN MULLINIX
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
GREGORY WHEELER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
TARA IRBY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
BRENT WYATT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
LAURA ZAPATER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
AMY STEVENS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
KIM WAGENAAR
CHIEF EXECUTIVE OFFICER
- Total calculated
- $244,829
- From this org
- $215,829
- From related orgs
- $0
- Other
- $29,000
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $215,829
- Bonus
- $0
- Other
- $0
- Deferred
- $9,260
- Nontaxable benefits
- $19,740
- Filer's total
- $244,829
-
CODY MCKINNEY
CHIEF FINANCIAL OFFICER
- Total calculated
- $162,490
- From this org
- $140,158
- From related orgs
- $0
- Other
- $22,332
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $140,158
- Bonus
- $0
- Other
- $0
- Deferred
- $6,022
- Nontaxable benefits
- $16,310
- Filer's total
- $162,490
-
ANN RUBINO
CHIEF OPERATIONAL OFFICER
- Total calculated
- $169,394
- From this org
- $159,742
- From related orgs
- $0
- Other
- $9,652
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $159,742
- Bonus
- $0
- Other
- $0
- Deferred
- $6,646
- Nontaxable benefits
- $3,006
- Filer's total
- $169,394
-
CARMEN ROBINSON
CHIEF MEDICAL DIRECTOR
- Total calculated
- $42,379
- From this org
- $39,023
- From related orgs
- $0
- Other
- $3,356
- Hours/week
- 40
-
JOSEPH BLIZZARD
CHIEF PHARMACY OFFICER
- Total calculated
- $196,482
- From this org
- $186,718
- From related orgs
- $0
- Other
- $9,764
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $186,718
- Bonus
- $0
- Other
- $0
- Deferred
- $7,189
- Nontaxable benefits
- $2,575
- Filer's total
- $196,482
-
STEVEN WALLENIUS
FORMER CHIEF MEDICAL DIRECTOR
- Total calculated
- $226,553
- From this org
- $194,608
- From related orgs
- $0
- Other
- $31,945
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $194,608
- Bonus
- $0
- Other
- $0
- Deferred
- $8,281
- Nontaxable benefits
- $23,664
- Filer's total
- $226,553
-
KASEE METCALF
DENTAL DIRECTOR
- Total calculated
- $236,452
- From this org
- $227,355
- From related orgs
- $0
- Other
- $9,097
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $227,355
- Bonus
- $0
- Other
- $0
- Deferred
- $5,575
- Nontaxable benefits
- $3,522
- Filer's total
- $236,452
-
HEATHER BERKHEIMER
DENTIST
- Total calculated
- $181,401
- From this org
- $165,954
- From related orgs
- $0
- Other
- $15,447
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $165,954
- Bonus
- $0
- Other
- $0
- Deferred
- $3,634
- Nontaxable benefits
- $11,813
- Filer's total
- $181,401
-
ADDISON FULLER
STAFF PHYSICIAN
- Total calculated
- $226,573
- From this org
- $211,487
- From related orgs
- $0
- Other
- $15,086
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $211,487
- Bonus
- $0
- Other
- $0
- Deferred
- $8,904
- Nontaxable benefits
- $6,182
- Filer's total
- $226,573
-
WADE DAVIS
STAFF PHYSICIAN
- Total calculated
- $227,370
- From this org
- $214,836
- From related orgs
- $0
- Other
- $12,534
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $214,836
- Bonus
- $0
- Other
- $0
- Deferred
- $6,764
- Nontaxable benefits
- $5,770
- Filer's total
- $227,370
-
JENNIFER ABBOTT
STAFF PHYSICIAN
- Total calculated
- $238,483
- From this org
- $214,044
- From related orgs
- $0
- Other
- $24,439
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $214,044
- Bonus
- $0
- Other
- $0
- Deferred
- $9,277
- Nontaxable benefits
- $15,162
- Filer's total
- $238,483
-
PATRICK CONTINO
STAFF PHYSICIAN
- Total calculated
- $224,386
- From this org
- $214,988
- From related orgs
- $0
- Other
- $9,398
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $214,988
- Bonus
- $0
- Other
- $0
- Deferred
- $6,402
- Nontaxable benefits
- $2,996
- Filer's total
- $224,386
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
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
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
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.
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 June 2024
- IRS schema version
- 2023v5.0
- Source object
- 202441659349300919
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