Civic Intelligence

Northwest Community Care Network Inc

EIN 02-0774853 • 501(c)3 • Winston Salem, NC

Profile

Northwest community care network operates a primary care case management program (ppcm) that is designed to provide a more efficient and effective healthcare delivery system for medicaid recipients. It brings together primary care providers, hospitals, health departments, department of social services and other community providers to manage the health care needs of medicaid recipients. Its service area includes the counties of davie, davidson, forsyth, stokes, surry, wilkes and yadkin. These counties comprise the network members. Its care managers assist in developing, implementing and evaluating enhanced managed care strategies for medicaid recipients. It receives a monthly fee to perform the service from the state of north carolina's medicaid program for each medicaid recipient enrolled.

2000 West 1st Street 605Winston Salem, NC 27104

www.nwcommunitycare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

67th percentile

0.29x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

91st percentile

2.21x

Higher debt load relative to revenue than 91% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

2nd percentile

-223%

Higher net margin than 2% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

100th percentile

$2,453,054

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 360.3% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

20th percentile

-4.0%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

1st percentile

-83%

Faster revenue growth than 1% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Down

$5,222,993

Down $219,514 (-4.0%) from 2023

Liabilities

Up

$1,501,356

Up $1,302,032 (+653%) from 2023

Net Assets

Down

$3,721,637

Down $1,521,546 (-29%) from 2023

Revenue

Down

$680,822

Down $3,293,521 (-83%) from 2023

Expenses

Down

$2,202,368

Down $4,459,527 (-67%) from 2023

Net Income

Up

-$1,521,546

Up $1,166,006 (+43%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0Assets 2011: $3,867,113Liabilities 2011: $421,898Net Assets 2011: $3,445,2152011Assets 2012: $5,092,583Liabilities 2012: $595,143Net Assets 2012: $4,497,4402012Assets 2013: $5,440,200Liabilities 2013: $603,573Net Assets 2013: $4,836,6272013Assets 2014: $5,092,185Liabilities 2014: $1,079,249Net Assets 2014: $4,012,9362014Assets 2015: $5,226,226Liabilities 2015: $943,357Net Assets 2015: $4,282,8692015Assets 2016: $5,715,399Liabilities 2016: $572,007Net Assets 2016: $5,143,3922016Assets 2017: $6,076,150Liabilities 2017: $665,092Net Assets 2017: $5,411,0582017Assets 2018: $6,530,795Liabilities 2018: $637,136Net Assets 2018: $5,893,6592018Assets 2019: $7,015,477Liabilities 2019: $792,781Net Assets 2019: $6,222,6962019Assets 2020: $8,555,813Liabilities 2020: $452,003Net Assets 2020: $8,103,8102020Assets 2021: $9,471,255Liabilities 2021: $544,913Net Assets 2021: $8,926,3422021Assets 2022: $8,511,749Liabilities 2022: $581,014Net Assets 2022: $7,930,7352022Assets 2023: $5,442,507Liabilities 2023: $199,324Net Assets 2023: $5,243,1832023Assets 2024: $5,222,993Liabilities 2024: $1,501,356Net Assets 2024: $3,721,6372024

Highlighted filing

2024

Assets$5,222,993
Liabilities$1,501,356
Net Assets$3,721,637

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2011: $7,073,741Expenses 2011: $7,350,245Net Income 2011: -$276,5042011Expenses 2012: $9,136,0062012Revenue 2013: $12,295,740Expenses 2013: $11,956,553Net Income 2013: $339,1872013Revenue 2014: $12,927,096Expenses 2014: $13,750,787Net Income 2014: -$823,6912014Revenue 2015: $13,896,999Expenses 2015: $13,627,066Net Income 2015: $269,9332015Revenue 2016: $12,132,451Expenses 2016: $11,271,928Net Income 2016: $860,5232016Revenue 2017: $11,722,932Expenses 2017: $11,455,266Net Income 2017: $267,6662017Revenue 2018: $11,964,436Expenses 2018: $11,481,835Net Income 2018: $482,6012018Revenue 2019: $10,802,203Expenses 2019: $10,473,166Net Income 2019: $329,0372019Revenue 2020: $7,182,327Expenses 2020: $5,301,213Net Income 2020: $1,881,1142020Revenue 2021: $8,041,991Expenses 2021: $7,098,462Net Income 2021: $943,5292021Revenue 2022: $7,826,672Expenses 2022: $8,087,324Net Income 2022: -$260,6522022Revenue 2023: $3,974,343Expenses 2023: $6,661,895Net Income 2023: -$2,687,5522023Revenue 2024: $680,822Expenses 2024: $2,202,368Net Income 2024: -$1,521,5462024

Highlighted filing

2024

Revenue$680,822
Expenses$2,202,368
Net Income-$1,521,546

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.22$1.50$3.72$0.68$2.20$1.52
2023Detailed filing. Detailed filing data is available for this year.$5.44$0.20$5.24$3.97$6.66$2.69
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.51$0.58$7.93$7.83$8.09$0.26
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.47$0.54$8.93$8.04$7.10$0.94
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.56$0.45$8.10$7.18$5.30$1.88
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.02$0.79$6.22$10.8$10.5$0.33
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.53$0.64$5.89$12.0$11.5$0.48
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.08$0.67$5.41$11.7$11.5$0.27
2016Detailed filing. Detailed filing data is available for this year.$5.72$0.57$5.14$12.1$11.3$0.86
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.23$0.94$4.28$13.9$13.6$0.27
2014Detailed filing. Detailed filing data is available for this year.$5.09$1.08$4.01$12.9$13.8$0.82
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.44$0.60$4.84$12.3$12.0$0.34
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.09$0.60$4.50$9.14
2011Summary only. Only limited summary data is available for this year.$3.87$0.42$3.45$7.07$7.35$0.28
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$680,822
Mission and Program Overview

Mission

Northwest community care network operates a primary care case management program (ppcm) that is designed to provide a more efficient and effective healthcare delivery system for medicaid recipients. It brings together primary care providers, hospitals, health departments, department of social services and other community providers to manage the health care needs of medicaid recipients. Its service area includes the counties of davie, davidson, forsyth, stokes, surry, wilkes and yadkin. These counties comprise the network members. Its care managers assist in developing, implementing and evaluating enhanced managed care strategies for medicaid recipients. It receives a monthly fee to perform the service from the state of north carolina's medicaid program for each medicaid recipient enrolled.

Developing, implementing and evaluating enhanced managed care strategies for medicaid recipients

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$5,152,921$5,222,993▲ $70,072
Prepaid Expenses and Deferred Charges$190,070$0▼ $190,070
Land, Buildings, and Equipment, Net$86,629$0▼ $86,629
Accounts Receivable$12,887$0▼ $12,887
Total Assets$5,442,507$5,222,993▼ $219,514
Liabilities
Accounts Payable and Accrued Expenses$199,324$1,501,356▲ $1,302,032
Total Liabilities$199,324$1,501,356▲ $1,302,032
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,243,183$3,721,637▼ $1,521,546
Total Net Assets Fund Balance$5,243,183$3,721,637▼ $1,521,546
Total Liabilities and Net Assets / Fund Balance$5,442,507$5,222,993▼ $219,514
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Terry G WilliamsChair$952,718$1,500,336$2,453,054

Board Members and Trustees

NameTitle
Jennifer HoulihanBoard Member
Josh SwiftBoard Member
Richard W Lord MdBoard Member
Samantha AngeBoard Member
Scott Vogler MdBoard Member
Ted Nifong MdBoard Member
Susan Albert MdBoard Member, Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Cornerstone Health Enablement SolutionsIt Software & Consulting1701 WESTCHESTER DR ST 850, High Point, NC 27262$588,672
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$646,654
Investment Income
$24,168
Other Revenue
$10,000
Change in Net Assets
$-1,521,546
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,065,628
Salaries, Compensation, and Employee Benefits$136,740
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Information Technology$911,165$89,139-$1,000,304
Fees for Services Other$811,658$157,671-$969,329
Other Salaries and Wages$112,471$8,943-$121,414
Depreciation Depletion$77,084$9,545-$86,629
Other Employee Benefits$14,197$1,129-$15,326
Occupancy$3,759$730-$4,489
Office Expenses$4,015$393-$4,408
Travel$427$42-$469
Total Functional Expenses$1,934,776$267,592$0$2,202,368
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of the corporation is wake forest university baptist medical center, a north carolina nonprofit organization.

Form 990, Part VI, Section A, Line 7A

The organization's sole member, wake forest university baptist medical center, appoints three directors. The board of directors appoints one director who is a resident of, or is otherwise associated with, each of the counties that the organization serves. The board of directors appoints one department of social services (dss) director to represent the interests of dss departments. The several dss in the counties jointly discuss and submit to the board of directors their recommended appointee. The board of directors appoints one local management entities (lme) director to represent the interests of such lmes. The several lmes jointly discuss and submit to the board of directors their recommended appointee. The board of directors appoints one physician whose practice is a part of the organization's affiliated primary care network to represent the interest of such primary care physicians. The board of directors appoints one individual who is employed by forsyth medical center to represent the interest of its hospitals and primary care practices. The board of directors appoints one medicare beneficiary who resides in the organization's area of operation to represent the interest of such medicare beneficiaries.

Form 990, Part VI, Section A, Line 7B

The sole member alone can amend the articles and bylaws of the organization.

Form 990, Part VI, Section B, Line 11B

The filing organization's board of directors receives a copy of the form 990 with sufficient time to permit review, comment and questions prior to its filing. If modifications are required following such review, the revised form 990 is redistributed prior to its filing with the irs, along with a summary of the modifications.

Form 990, Part VI, Section B, Line 12C

The organization requires officers, directors and key employees to annually review the conflict of interest policy and determine any potential conflicts of interest. All officers, directors and key employees are required to determine and report potential conflicts annually, and as they arise. Any items disclosed are reviewed and managed in accordance with the organization's policy on conflicts of interest.

Form 990, Part VI, Section B, Line 15

The filing organization does not pay compensation to directors for their effort devoted to the organization. Certain officers and directors are employed by unrelated but affiliated organizations, wake forest university baptist medical center (wfubmc) and charlotte mecklenburg hospital authority (cmha) and the determination of the compensation of such individuals is conducted via the process utilized by the wfubmc board, as follows: the advocate health compensation and benefits committee ("the committee") of the advocate health, inc. Board of directors ("the board") has authority as the board delegates to it, for the review and approval of executive compensation. The committee relies upon an external, independent compensation consultant retained directly by the committee to provide third-party compensation comparability data for evaluating the competitiveness and reasonableness of executive compensation and benefits programs relative to market practices for similarly situated healthcare organizations. In evaluating compensation, the committee follows corporate governance best practice such as adherence to the company's executive compensation philosophy and review processes; processes to ensure committee member and compensation consultant independence; data from healthcare organizations of comparable size, structure, and complexity; and establishment of the rebuttable presumption of reasonableness, per irs guidelines. Minutes of the deliberations of the committee are maintained in the advocate health, inc. Legal department.

Form 990, Part VI, Section C, Line 19

The organization's articles of incorporation are available to the public on request and are available on the website of the north carolina secretary of state. The organization's bylaws are not published, but provisions from the bylaws are included as necessary in the organization's policies, and are attached to the form 1023 filed for the organization with the irs, which is publicly available. The conflict of interest policy and financial statements are available to the public on request.

Filing and Contact Details

Filer

Filer Name
Northwest Community Care Network Inc
EIN
02-0774853
Phone
3367164445
Address
2000 WEST 1ST STREET 605, WINSTON SALEM, NC 27104

Signing Officer

Name
Bradley a Clark
Title
SVP & CFO
Phone
3367164445
Signed
2025-11-12

Organization Details

Principal Officer
Terry Williams
Formed
2006
Legal Domicile
Nc
Voting Board Members
8
Independent Board Members
6
Employees
0
Volunteers
8
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Professional fees: program service expenses 811,658. Management and general expenses 157,671. Fundraising expenses 0. Total expenses 969,329.

Financial Statement Notes

PART X, LINE 2:

The organization has evaluated uncertain tax positions for its calendar years ended december 31, 2024 and 2023, including a quantification of tax risk in areas such as unrelated business taxable income and the taxation of its joint ventures. This evaluation did not have a material effect on the organization's financial statements for the calendar years ended december 31, 2024 and 2023.

Raw XML AppendixShowing 400 of 588 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0199324
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IRS990/AccountsReceivableGrp/BOYAmt012887
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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0DEVELOPING, IMPLEMENTING AND EVALUATING ENHANCED MANAGED CARE STRATEGIES FOR MEDICAID RECIPIENTS
IRS990/AnnualDisclosureCoveredPrsnInd01
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IRS990/Desc0THE ORGANIZATION COORDINATED, FACILITATED AND MANAGED THE DELIVERY OF MEDICAID DIRECT SERVICES TO APPROXIMATELY 7,900 DUALLY ENROLLED, MEDICAID/MEDICARE PATIENTS IN THE NORTHWEST PIEDMONT AREA OF NORTH CAROLINA, SUCCESSFULLY IMPROVING THE QUALITY OF MATERNITY CARE AND RELATED OUTCOMES FOR MOTHERS AND BABIES, AND REDUCING MEDICAL CARE COSTS DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2024.
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IRS990/MissionDesc0THE ORGANIZATION OPERATES A PRIMARY CARE CASE MANAGEMENT PROGRAM (PPCM) THAT IS DESIGNED TO PROVIDE A MORE EFFICIENT AND EFFECTIVE HEALTHCARE DELIVERY SYSTEM FOR MEDICAID RECIPIENTS, BRINGING TOGETHER PRIMARY CARE PROVIDERS, HOSPITALS, HEALTH DEPARTMENTS, DEPARTMENT OF SOCIAL SERVICES AND OTHER COMMUNITY PROVIDERS TO MANAGE THE HEALTH CARE NEEDS OF MEDICAID RECIPIENTS. THE ORGANIZATION'S SERVICE AREA INCLUDES THE COUNTIES OF DAVIE, DAVIDSON, FORSYTH, STOKES, SURRY, WILKES AND YADKIN. THESE COUNTIES COMPRISE THE NETWORK MEMBERS. THE ORGANIZATION RECEIVES A MONTHLY FEE FROM THE STATE OF NORTH CAROLINA'S MEDICAID PROGRAM TO ASSIST IN DEVELOPING, IMPLEMENTING AND EVALUATING ENHANCED MANAGED CARE STRATEGIES FOR MEDICAID RECIPIENTS.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0TERRY G WILLIAMS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JENNIFER HOULIHAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1BOARD MEMBER
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1460182
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0CERTAIN OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP) AND/OR RECEIVED PAYMENTS FOR SEVERANCE. THE DETERMINATION OF THE PAYMENT AMOUNT FROM THE NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS, OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES RECEIVED PAYMENTS FOR SEVERANCE AND/OR FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: SEVERENCE: NONE JENNIFER HOULIHAN 13,108 TERRY WILLIAMS 189,417
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1TERRY G. WILLIAMS WAS COMPENSATED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (CMHA, DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR COMPENSATION.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE SOLE MEMBER OF THE CORPORATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A NORTH CAROLINA NONPROFIT ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S SOLE MEMBER, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, APPOINTS THREE DIRECTORS. THE BOARD OF DIRECTORS APPOINTS ONE DIRECTOR WHO IS A RESIDENT OF, OR IS OTHERWISE ASSOCIATED WITH, EACH OF THE COUNTIES THAT THE ORGANIZATION SERVES. THE BOARD OF DIRECTORS APPOINTS ONE DEPARTMENT OF SOCIAL SERVICES (DSS) DIRECTOR TO REPRESENT THE INTERESTS OF DSS DEPARTMENTS. THE SEVERAL DSS IN THE COUNTIES JOINTLY DISCUSS AND SUBMIT TO THE BOARD OF DIRECTORS THEIR RECOMMENDED APPOINTEE. THE BOARD OF DIRECTORS APPOINTS ONE LOCAL MANAGEMENT ENTITIES (LME) DIRECTOR TO REPRESENT THE INTERESTS OF SUCH LMES. THE SEVERAL LMES JOINTLY DISCUSS AND SUBMIT TO THE BOARD OF DIRECTORS THEIR RECOMMENDED APPOINTEE. THE BOARD OF DIRECTORS APPOINTS ONE PHYSICIAN WHOSE PRACTICE IS A PART OF THE ORGANIZATION'S AFFILIATED PRIMARY CARE NETWORK TO REPRESENT THE INTEREST OF SUCH PRIMARY CARE PHYSICIANS. THE BOARD OF DIRECTORS APPOINTS ONE INDIVIDUAL WHO IS EMPLOYED BY FORSYTH MEDICAL CENTER TO REPRESENT THE INTEREST OF ITS HOSPITALS AND PRIMARY CARE PRACTICES. THE BOARD OF DIRECTORS APPOINTS ONE MEDICARE BENEFICIARY WHO RESIDES IN THE ORGANIZATION'S AREA OF OPERATION TO REPRESENT THE INTEREST OF SUCH MEDICARE BENEFICIARIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE SOLE MEMBER ALONE CAN AMEND THE ARTICLES AND BYLAWS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW, THE REVISED FORM 990 IS REDISTRIBUTED PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A SUMMARY OF THE MODIFICATIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DETERMINE AND REPORT POTENTIAL CONFLICTS ANNUALLY, AND AS THEY ARISE. ANY ITEMS DISCLOSED ARE REVIEWED AND MANAGED IN ACCORDANCE WITH THE ORGANIZATION'S POLICY ON CONFLICTS OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE FILING ORGANIZATION DOES NOT PAY COMPENSATION TO DIRECTORS FOR THEIR EFFORT DEVOTED TO THE ORGANIZATION. CERTAIN OFFICERS AND DIRECTORS ARE EMPLOYED BY UNRELATED BUT AFFILIATED ORGANIZATIONS, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC) AND CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY (CMHA) AND THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE ADVOCATE HEALTH COMPENSATION AND BENEFITS COMMITTEE ("THE COMMITTEE") OF THE ADVOCATE HEALTH, INC. BOARD OF DIRECTORS ("THE BOARD") HAS AUTHORITY AS THE BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT RETAINED DIRECTLY BY THE COMMITTEE TO PROVIDE THIRD-PARTY COMPENSATION COMPARABILITY DATA FOR EVALUATING THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS RELATIVE TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. IN EVALUATING COMPENSATION, THE COMMITTEE FOLLOWS CORPORATE GOVERNANCE BEST PRACTICE SUCH AS ADHERENCE TO THE COMPANY'S EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES TO ENSURE COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; DATA FROM HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE, STRUCTURE, AND COMPLEXITY; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ADVOCATE HEALTH, INC. LEGAL DEPARTMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 811,658. MANAGEMENT AND GENERAL EXPENSES 157,671. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 969,329.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART IX, LINE 11G
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
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IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdDisregardedEntitiesGrp/DirectControllingEntityName/BusinessNameLine1Txt0NORTHWEST COMMUNITY CARE NETWORK INC
IRS990ScheduleR/IdDisregardedEntitiesGrp/DisregardedEntityName/BusinessNameLine1Txt0EMTIRO HEALTH LLC
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IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/AddressLine1Txt02000 W 1ST STREET STE 605
IRS990ScheduleR/IdDisregardedEntitiesGrp/USAddress/CityNm0WINSTONSALEM
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0NC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0REAL ESTATE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0HIGH POINT HEALTH CARE VENTURES INC
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IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt0REAL ESTATE
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt1INVESTMENT
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0MS LAND HOLDING CO
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt1HHI-WS LLC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt01901 MOONEY STREET
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt11201 EDWARDS MILL RD ST 300
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm0WINSTON SALEM
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm1RALEIGH
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