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Nonprofiteer
← WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC.

Totals

Total revenue
$26,328,391
Total expenses
$26,061,227
Contributions and grants received
$9,787,738
Grants paid
$0
Program service revenue
$16,503,629
Investment income
$31,062
Other revenue
$5,962
Total assets, end of year
$16,917,920
Total liabilities, end of year
$5,219,094
Net assets or fund balances, end of year
$11,698,826
Program services expenses (Part IX)
$24,530,884
Management and general expenses
$1,530,343
Fundraising expenses
$0
Program service expenses (Part III)
$24,530,884

Program services were 94.1% 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

  • LELAND EDWARDS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • GABRIELA VOLKOMER

    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
    $245,331
    From this org
    $225,954
    From related orgs
    $0
    Other
    $19,377
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,954
    Bonus
    $0
    Other
    $0
    Deferred
    $6,735
    Nontaxable benefits
    $12,642
    Filer's total
    $245,331

  • CODY MCKINNEY

    CHIEF FINANCIAL OFFICER

    Total calculated
    $156,665
    From this org
    $139,829
    From related orgs
    $0
    Other
    $16,836
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,829
    Bonus
    $0
    Other
    $0
    Deferred
    $4,254
    Nontaxable benefits
    $12,582
    Filer's total
    $156,665

  • ANN RUBINO

    CHIEF OPERATIONAL OFFICER

    Total calculated
    $163,959
    From this org
    $157,739
    From related orgs
    $0
    Other
    $6,220
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,739
    Bonus
    $0
    Other
    $0
    Deferred
    $4,158
    Nontaxable benefits
    $2,062
    Filer's total
    $163,959

  • JOSEPH BLIZZARD

    CHIEF PHARMACY OFFICER

    Total calculated
    $163,933
    From this org
    $157,325
    From related orgs
    $0
    Other
    $6,608
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,325
    Bonus
    $0
    Other
    $0
    Deferred
    $4,034
    Nontaxable benefits
    $2,574
    Filer's total
    $163,933

  • STEVEN WALLENIUS

    MEDICAL DIRECTOR

    Total calculated
    $242,098
    From this org
    $219,870
    From related orgs
    $0
    Other
    $22,228
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,870
    Bonus
    $0
    Other
    $0
    Deferred
    $6,081
    Nontaxable benefits
    $16,147
    Filer's total
    $242,098

  • KASEE METCALF

    DENTAL DIRECTOR

    Total calculated
    $230,669
    From this org
    $219,207
    From related orgs
    $0
    Other
    $11,462
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,207
    Bonus
    $0
    Other
    $0
    Deferred
    $3,558
    Nontaxable benefits
    $7,904
    Filer's total
    $230,669

  • MARY HAYES

    STAFF PHYSICIAN

    Total calculated
    $228,721
    From this org
    $203,340
    From related orgs
    $0
    Other
    $25,381
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $203,340
    Bonus
    $0
    Other
    $0
    Deferred
    $5,765
    Nontaxable benefits
    $19,616
    Filer's total
    $228,721

  • ADDISON FULLER

    STAFF PHYSICIAN

    Total calculated
    $222,200
    From this org
    $204,383
    From related orgs
    $0
    Other
    $17,817
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,383
    Bonus
    $0
    Other
    $0
    Deferred
    $5,175
    Nontaxable benefits
    $12,642
    Filer's total
    $222,200

  • WADE DAVIS

    STAFF PHYSICIAN

    Total calculated
    $220,273
    From this org
    $204,772
    From related orgs
    $0
    Other
    $15,501
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,772
    Bonus
    $0
    Other
    $0
    Deferred
    $3,087
    Nontaxable benefits
    $12,414
    Filer's total
    $220,273

  • JENNIFER ABBOTT

    STAFF PHYSICIAN

    Total calculated
    $228,765
    From this org
    $190,156
    From related orgs
    $0
    Other
    $38,609
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,156
    Bonus
    $0
    Other
    $0
    Deferred
    $5,799
    Nontaxable benefits
    $32,810
    Filer's total
    $228,765

  • AMIT PATEL

    STAFF PHYSICIAN

    Total calculated
    $205,966
    From this org
    $180,631
    From related orgs
    $0
    Other
    $25,335
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,631
    Bonus
    $0
    Other
    $0
    Deferred
    $5,940
    Nontaxable benefits
    $19,395
    Filer's total
    $213,966

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

  • 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
2022
Filed
17 May 2023
IRS schema version
2022v5.0
Source object
202311389349300821

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