Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
EIN 56-2249776 • 501(c)3 • Concord, NC
Profile
To plan, develop, and implement local strategies to improve health outcomes by assuring access to quality, cost effective, evidence-based medical care for our network's population while exceeding ccnc and other grantor requirements.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on the latest valid filing.
Top Officer Pay
81st percentile
Higher top officer pay than 81% of similar nonprofits.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
3rd percentile
Faster revenue growth than 3% of similar nonprofits.
Assets
Down$104,223
Down $1,421,231 (-93%) from 2019
Liabilities
Down$0
Down $95,771 (-100%) from 2019
Net Assets
Down$104,223
Down $1,325,460 (-93%) from 2019
Revenue
Down$4,741
Down $4,562,017 (-100%) from 2019
Expenses
Down$1,330,201
Down $3,400,441 (-72%) from 2019
Net Income
Down-$1,325,460
Down $1,161,576 (-709%) from 2019
Most recent year
2020 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To plan, develop, and implement local strategies to improve health outcomes by assuring access to quality, cost effective, evidence-based medical care for our network's population while exceeding ccnc and other grantor requirements.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $1,523,012 | $104,223 | ▼ $1,418,789 |
| Accounts Receivable | $2,204 | $0 | ▼ $2,204 |
| Prepaid Expenses and Deferred Charges | $202 | $0 | ▼ $202 |
| Pledges and Grants Receivable | $36 | $0 | ▼ $36 |
| Land, Buildings, and Equipment, Net | $0 | $0 | → $0 |
| Total Assets | $1,525,454 | $104,223 | ▼ $1,421,231 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $95,771 | $0 | ▼ $95,771 |
| Total Liabilities | $95,771 | $0 | ▼ $95,771 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $1,429,683 | $104,223 | ▼ $1,325,460 |
| Total Net Assets Fund Balance | $1,429,683 | $104,223 | ▼ $1,325,460 |
| Total Liabilities and Net Assets / Fund Balance | $1,525,454 | $104,223 | ▼ $1,421,231 |
| Name | Title |
|---|---|
| Dr W Fred Pilkington | Chairman |
| Leesa Bain | Vice Chair |
| Dr Thomas Trahey | Treasurer |
| Line Item | Amount |
|---|---|
| Other Expenses | $1,148,420 |
| Salaries, Compensation, and Employee Benefits | $181,781 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $132,803 | $33,201 | - | $166,004 |
| Fees for Services Accounting | $85,117 | - | - | $85,117 |
| Occupancy | $20,543 | $5,136 | - | $25,679 |
| Payroll Taxes | $12,622 | $3,155 | - | $15,777 |
| Fees for Services Other | $11,576 | - | - | $11,576 |
| Insurance | $2,798 | $700 | - | $3,498 |
| Other Expenses | $952 | $345 | - | $345 |
| Conferences and Meetings | $40 | $10 | - | $50 |
| Total Functional Expenses | $1,287,416 | $42,785 | $0 | $1,330,201 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“The organization's accountant provides a copy of the form 990 for distribution to all board members. This is done before the filing of the 990.”
“Board members must disclose any potential conflicts of interest annually.”
“An annual review is done by organization (including comparable market anaylsis).”
“990 available for public inspection upon request”
“The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.”
“Income tax status southern piedmont community care plan, inc. Qualifies as a tax-exempt organization under section 501(c)(3) of the internal revenue code and, therefore, has no provision for federal income taxes. The organization did not have any unrelated business income and is not classified by the internal revenue service as a private foundation. The organization has adopted asc 740-10, as it relates to uncertain tax positions for the year ended june 30, 2020, and has evaluated its tax positions for all open tax years. The organization is not currently under audit nor has the organization been contacted by the internal revenue service. Based on the evaluation of the tax positions of the organization, management believes all positions taken would be upheld under an examination. Therefore, no provision for the effects of uncertain tax positions has been recorded for the years ended june 30, 2020 and 2019.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LEESA BAIN |
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| IRS990/FormationYr | 0 | 2001 |
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| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
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| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 700 |
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| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
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| IRS990/MissionDesc | 0 | TO PLAN, DEVELOP, AND IMPLEMENT LOCAL STRATEGIES TO IMPROVE HEALTH OUTCOMES BY ASSURING ACCESS TO QUALITY, COST EFFECTIVE, EVIDENCE-BASED MEDICAL CARE FOR OUR NETWORK'S POPULATION WHILE EXCEEDING CCNC AND OTHER GRANTOR REQUIREMENTS. |
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| IRS990/NoListedPersonsCompensatedInd | 0 | X |
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| IRS990/PrincipalOfficerNm | 0 | DR W FRED PILKINGTON |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | INCOME TAX STATUS SOUTHERN PIEDMONT COMMUNITY CARE PLAN, INC. QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, HAS NO PROVISION FOR FEDERAL INCOME TAXES. THE ORGANIZATION DID NOT HAVE ANY UNRELATED BUSINESS INCOME AND IS NOT CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A PRIVATE FOUNDATION. THE ORGANIZATION HAS ADOPTED ASC 740-10, AS IT RELATES TO UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED JUNE 30, 2020, AND HAS EVALUATED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY THE INTERNAL REVENUE SERVICE. BASED ON THE EVALUATION OF THE TAX POSITIONS OF THE ORGANIZATION, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEARS ENDED JUNE 30, 2020 AND 2019. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
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| IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 0 | CASH. TRANSFERRED TO LOCAL NONPROFIT AND GOVERNMENTAL ORGANIZATIONS. |
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| IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 2 | CASH. TRANSFERRED TO LOCAL NONPROFIT AND GOVERNMENTAL ORGANIZATIONS. |
| IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 3 | CASH. TRANSFERRED TO LOCAL NONPROFIT AND GOVERNMENTAL ORGANIZATIONS. |
| IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 4 | CASH. TRANSFERRED TO LOCAL NONPROFIT AND GOVERNMENTAL ORGANIZATIONS. |
| IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 5 | CASH. TRANSFERRED TO LOCAL NONPROFIT AND GOVERNMENTAL ORGANIZATIONS. |
| IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 0 | PUBLIC HEALTH AUTHORITY OF CABARRUS COUNTY |
| IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 1 | COMMUNITY FREE CLINIC |
| IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 2 | COUNTY OF ROWAN |
| IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 3 | COMMUNITY CARE CLINIC OF ROWAN COUNTY INC |
| IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 4 | COUNTY OF STANLY DBA STANLY HEALTH DEPARTMENT |
| IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 5 | JOHN P MURRAY COMMUNITY CARE CLINIC INC |
| IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt | 0 | 2020-05-18 |
| IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt | 1 | 2020-05-18 |
| IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt | 2 | 2020-05-18 |
| IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt | 3 | 2020-05-18 |
| IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt | 4 | 2020-05-18 |
| IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt | 5 | 2020-05-18 |
| IRS990ScheduleN/DispositionOfAssetsDetail/EIN | 0 | 562016594 |
| IRS990ScheduleN/DispositionOfAssetsDetail/EIN | 1 | 582131301 |
| IRS990ScheduleN/DispositionOfAssetsDetail/EIN | 2 | 566000336 |
| IRS990ScheduleN/DispositionOfAssetsDetail/EIN | 3 | 561964773 |
| IRS990ScheduleN/DispositionOfAssetsDetail/EIN | 4 | 566001537 |
| IRS990ScheduleN/DispositionOfAssetsDetail/EIN | 5 | 562098720 |
| IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt | 0 | 332975 |
| IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt | 1 | 111500 |
| IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt | 2 | 307475 |
| IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt | 3 | 102250 |
| IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt | 4 | 110000 |
| IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt | 5 | 36550 |
| IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt | 0 | LOCAL GOVERNMENT ENTITY |
| IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt | 1 | 501(C)(3) |
| IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt | 2 | LOCAL GOVERNMENT ENTITY |
| IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt | 3 | 501(C)(3) |
| IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt | 4 | LOCAL GOVERNMENT ENTITY |
| IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt | 5 | 501(C)(3) |
| IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt | 0 | CASH (FMV) |
| IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt | 1 | CASH (FMV) |
| IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt | 2 | CASH (FMV) |
| IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt | 3 | CASH - FMV |
| IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt | 4 | CASH - FMV |
| IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt | 5 | CASH - FMV |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt | 0 | 300 MOORESVILLE RD |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt | 1 | 528-A LAKE CONCORD RD NE |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt | 2 | 130 WEST INNES ST |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt | 3 | 315G MOCKSVILLE AVE |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt | 4 | 1000 N FIRST ST STE 3 |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt | 5 | 303 YADKIN ST STE C |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm | 0 | KANNAPOLIS |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm | 1 | CONCORD |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm | 2 | SALISBURY |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm | 3 | SALISBURY |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm | 4 | ALBEMARLE |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm | 5 | ALBEMARLE |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd | 1 | NC |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd | 2 | NC |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd | 3 | NC |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd | 4 | NC |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd | 5 | NC |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd | 0 | 28081 |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd | 1 | 28025 |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd | 2 | 28146 |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd | 3 | 28144 |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd | 4 | 28001 |
| IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd | 5 | 28001 |
| IRS990ScheduleN/EmployeeOfSuccessor2Ind | 0 | 0 |
| IRS990ScheduleN/EmployeeOfSuccessorInd | 0 | 0 |
| IRS990ScheduleN/LiabilitiesPaidInd | 0 | 0 |
| IRS990ScheduleN/OwnerOfSuccessor2Ind | 0 | 0 |
| IRS990ScheduleN/OwnerOfSuccessorInd | 0 | 0 |
| IRS990ScheduleN/ReceiveCompensation2Ind | 0 | 0 |
| IRS990ScheduleN/ReceiveCompensationInd | 0 | 0 |
| IRS990ScheduleN/RequiredToNotifyAGInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION'S ACCOUNTANT PROVIDES A COPY OF THE FORM 990 FOR DISTRIBUTION TO ALL BOARD MEMBERS. THIS IS DONE BEFORE THE FILING OF THE 990. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | BOARD MEMBERS MUST DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ANNUALLY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | AN ANNUAL REVIEW IS DONE BY ORGANIZATION (INCLUDING COMPARABLE MARKET ANAYLSIS). |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION C, LINE 18 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | 0 |
| IRS990/TaxableDistributionsInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TerminateOperationsInd | 0 | 0 |
| IRS990/TotalAssetsBOYAmt | 0 | 1525454 |
| IRS990/TotalAssetsEOYAmt | 0 | 104223 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 1525454 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 104223 |
| IRS990/TotalCompGreaterThan150KInd | 0 | 0 |
| IRS990/TotalEmployeeCnt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 42785 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 1287416 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 1330201 |
| IRS990/TotalGrossUBIAmt | 0 | 4191 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 95771 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 0 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 95771 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | 1429683 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | 104223 |
| IRS990/TotalOtherCompensationAmt | 0 | 0 |
| IRS990/TotalProgramServiceExpensesAmt | 0 | 1287416 |
| IRS990/TotalReportableCompFromOrgAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 550 |
| IRS990/TotalRevenueGrp/TotalRevenueColumnAmt | 0 | 4741 |
| IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 4191 |
| IRS990/TotalVolunteersCnt | 0 | 0 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt | 0 | 1525454 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 104223 |
| IRS990/TotReportableCompRltdOrgAmt | 0 | 0 |
| IRS990/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990/TypeOfOrganizationCorpInd | 0 | X |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | 0 |
| IRS990/UponRequestInd | 0 | X |
| IRS990/USAddress/AddressLine1Txt | 0 | 300 MOORESVILLE RD |
| IRS990/USAddress/CityNm | 0 | KANNAPOLIS |
| IRS990/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990/USAddress/ZIPCd | 0 | 28081 |
| IRS990/VotingMembersGoverningBodyCnt | 0 | 0 |
| IRS990/VotingMembersIndependentCnt | 0 | 0 |
| IRS990/WebsiteAddressTxt | 0 | HTTP://WWW.CCOFSP.COM/ |
| IRS990/WhistleblowerPolicyInd | 0 | 1 |
| ReturnHeader/BuildTS | 0 | 2022-09-23 18:48:47Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | DR W FRED PILKINGTON |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | CHAIRMAN |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 7042621041 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2021-05-10 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | SOUTHERN PIEDMONT COMMUNITY CARE PLAN |
| ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt | 0 | INC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | SOUT |
| ReturnHeader/Filer/EIN | 0 | 562249776 |
| ReturnHeader/Filer/PhoneNum | 0 | 7042621041 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 6012 BAYFIELD PARKWAY NO 327 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | CONCORD |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | NC |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 28027 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 561220683 |
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