2024-02-01T04:28:10-06:00 2023-03-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2022-04-01 581319204 TRI-COUNTY COMMUNITY HEALTH COUNCIL INC TRI- 9105677008 PO BOX 340 FOUR OAKS NC 27524 JOHNSON TILGHMAN CHAIRMAN 9105677008 2024-01-30 1 JOHNSON TILGHMAN 999009999 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2024-01-23 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z COMMWELL HEALTH JOHNSON TILGHMAN PO BOX 340 FOUR OAKS NC 27524 27520635 0 X WWW.COMMWELLHEALTH.ORG X 1977 NC PROVIDER OF COMPREHENSIVE, COMPASSIONATE, HIGH QUALITY PRIMARY MEDICAL, DENTAL, PHARMACY AND BEHAVIORAL HEALTH SERVICES IN SOUTHEASTERN NORTH CAROLINA. 14 14 325 14 0 0 17573604 17758159 9679696 9699085 20828 16967 49038 29957 27323166 27504168 0 0 0 0 16821321 18396388 0 0 0 8127517 8786392 24948838 27182780 2374328 321388 27703568 29493885 4429508 5898437 23274060 23595448 X PROVIDER OF COMPREHENSIVE, COMPASSIONATE, HIGH QUALITY PRIMARY MEDICAL, DENTAL, PHARMACY AND BEHAVIORAL HEALTH SERVICES IN SOUTHEASTERN NORTH CAROLINA. 0 0 11494682 5449785 MEDICAL: AS A FEDERALLY QUALIFIED HEALTH CENTER, COMMWELL HEALTH PROVIDES COMPREHENSIVE PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO THE COMMUNITIES IT SERVES, WITH SPECIAL EMPHASIS ON VULNERABLE POPULATIONS AND AGRICULTURAL WORKERS. COMMWELL HEALTH SERVED 22,431 PATIENTS, REPRESENTING 78,241 VISITS DURING CY 2022 (SOURCE: UDS). THE ORGANIZATION OPERATES 16 FIXED PERFORMANCE SITE LOCATIONS IN SIX COUNTIES. OF THE PATIENTS SERVED, 64 PERCENT OF PATIENTS HAD INCOMES OF LESS THAN 100 PERCENT OF THE FEDERAL POVERTY LEVEL. 2 PERCENT OF PATIENTS HAD INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL. OVER HALF - 45 PERCENT - OF COMMWELL HEALTH PATIENTS WERE UNINSURED. OTHER ON-SITE COMMWELL HEALTH SERVICES INCLUDE CARE COORDINATION, PEDIATRICS, PHARMACY AND MAIL-ORDER PHARMACY, WIC/NUTRITION; HIV, OB/GYN, LABORATORY AND X-RAY, CASE MANAGEMENT, SUBSTANCE ABUSE INTENSIVE OUTPATIENT AND OUTPATIENT SERVICES, PSYCHIATRIC CARE, AND CHRONIC DISEASE MANAGEMENT (HIV, DIABETES). COMMWELL HEALTH PROVIDES MEDICAL SERVICES TO 20,272 PATIENTS REPRESENTING 42,732ENCOUNTERS. 5933485 2813146 DENTAL: COMMWELL HEALTH PROVIDED DENTAL SERVICES TO 11,957 PATIENTS REPRESENTING 22,058 VISITS DURING CY 2022. COMMWELL HEALTH OPERATES SEVEN DENTAL PRACTICE LOCATIONS IN FIVE COUNTIES ACROSS SOUTHEASTERN NORTH CAROLINA. THESE AREAS HAVE BEEN DESIGNATED AS DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS FOR LOW INCOME POPULATIONS. COMMWELL HEALTH OPERATES ONE MOBILE DENTAL UNIT THAT PROVIDES DENTAL CARE TO STUDENTS IN THREE SCHOOLS SYSTEMS IN SAMPSON AND JOHNSTON COUNTIES. 3084832 1462561 BEHAVIORAL HEALTH: COMMWELL PROVIDED BEHAVIORAL HEALTH SERVICES (SUBSTANCE USE AND MENTAL HEALTH CARE) TO 2,424 PATIENTS REPRESENTING 11,468 VISITS. THE ORGANIZATION EMPLOYS LCSWS, PSYCHIATRISTS AND LICENSED CLINICAL ADDICTION SPECIALISTS. COMMWELL HEALTH OPERATES THE STATE'S ONLY BILINGUAL SUBSTANCE ABUSE RESIDENTIAL FACILITY FOR MEN AND PROVIDES RESIDENTIAL SERVICES TO OVER 100 MEN ANNUALLY. THE ORGANIZATION OPERATES A SIX-BED TRANSITIONAL LIVING FACILITY FOR WOMEN IN WAYNE COUNTY. COMMWELL HEALTH'S "BUILDING BRIDGES" PROGRAM LOCATED IN CLINTON, SAMPSON COUNTY PROVIDES WALK-IN BEHAVIORAL HEALTH CRISIS SERVICES, DESIGNED TO REDUCE BEHAVIORAL HEALTH RELATED EMERGENCY ROOM UTILIZATION AT NEARBY HOSPITALS. 20512999 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 82 0 1 325 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHERYL SUZANNE STANLEY 9105677008 PO BOX 340 FOUR OAKS NC 27524 GARY MAC HERRING BOARD MEMBER 0.50 X 0 0 0 ISABELL ELLIOTT BOARD MEMBER 0.50 X 0 0 0 JESSICA HERRING BOARD MEMBER 0.50 X 0 0 0 JOHNSON TILGHMAN CHAIRMAN 0.50 X X 0 0 0 LETICIA SOLAR BOARD MEMBER 0.50 X 0 0 0 MARY BLAIZES SECRETARY 0.50 X X 0 0 0 MARY CRUMPLER BOARD MEMBER 0.50 X 0 0 0 NANCY BLACKMAN BOARD MEMBER 0.50 X 0 0 0 PHIL MILLS TREASURER 0.50 X X 0 0 0 RAYMOND LINDSEY BOARD MEMBER 0.50 X 0 0 0 SILVIA CENDEJAS ASST. SECRETARY 0.50 X X 0 0 0 SPENCER MCALPINE VICE CHAIR 0.50 X X 0 0 0 VANESSA BURGESS BOARD MEMBER 0.50 X 0 0 0 WILLIAM TAYLOR JR BOARD MEMBER 0.50 X 0 0 0 CHERYL STANLEY CFO 40.00 X 144653 0 21352 PAMELA TRIPP CEO 40.00 X 563162 0 23979 APRIL BURKS MEDICAL PROVIDER 40.00 X 180852 0 11896 CARLOS LEWIS MEDICAL PROVIDER 40.00 X 191370 0 11283 SHRADDHA SHARMA MEDICAL PROVIDER 40.00 X 195450 0 16144 TAMARA DUNN COO/CNO 40.00 X 179795 0 16315 TERRON YODER DENTIST 40.00 X 168494 0 31437 1623776 0 132406 35 0 1 0 CALVIN DAVENPORT INC 3540 HUNTER HILL ROAD ROCKY MOUNT NC 27804 CONSTRUCTION/RENOVATION 1105918 OAKLEY COLLIER ARCHITECTS 109 CANDLEWOOD ROAD ROCKY MOUNT NC 28403 ARCHITECT/CONSTRUCTION 210817 POOLE PAVING & STRIPING OF NC LLC 12591 HWY 50 WILLOW SPRINGS NC 27592 PAVING 148785 JAN-PRO OF WILMINGTON 775 S KERR AVE WILMINGTON NC 28403 CLEANING 143817 4 16597544 1160615 22808 17758159 MEDICAID 621400 2862484 2862484 OTHER THRID PARTY 621400 2131237 2131237 SELF-PAY 621400 1995307 1995307 340B PHARMACY 621400 1716400 1716400 MEDICARE 621400 993657 993657 9699085 33434 33434 3550 0 3550 3550 3550 16467 -16467 -16467 -16467 26407 26407 26407 27504168 9725492 0 20517 680081 527812 152269 15226937 11817625 3409312 417521 324038 93483 893431 693391 200040 1178418 914570 263848 9048 9048 314022 314022 2284818 1397412 887406 71458 71458 214941 166816 48125 1411124 1100677 310447 484062 370803 113259 195224 151513 43711 70068 56265 13803 908010 729132 178878 201430 161748 39682 EQUIP. & EQUIP. RENTAL 703676 565052 138624 PHARMACEUTICALS 605593 605593 CONSUMABLE SUPPLIES 483760 375446 108314 REPAIRS AND MAINTENANCE 278030 223258 54772 551128 260390 290738 27182780 20512999 6669781 0 11222969 2195297 969372 9494593 1558107 799126 947630 1610862 221922 237152 83106 26036 23627426 9325684 12566410 14301742 134052 829077 27703568 29493885 2672681 3526748 14649 9025 1742178 1657059 0 705605 4429508 5898437 X 23274060 22903169 692279 23274060 23595448 27703568 29493885 321388 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1459168 1459168 12764097 4496392 8267705 642141 252790 389351 6468456 4576502 1891954 2293564 2293564 14301742 OPERATING LEASE LIABILITY 705605 705605 X 27595026 90858 90858 27504168 0 27504168 27273638 90858 90858 27182780 0 27182780 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF MARCH 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. X X X 0 0 0 0 0 0 0 1 0 PAMELA TRIPP CEO 514162 0 37600 0 11400 0 21168 0 2811 0 587141 0 0 0 SHRADDHA SHARMA MEDICAL PROVIDER 184893 0 10557 0 0 0 7905 0 8239 0 211594 0 0 0 CARLOS LEWIS MEDICAL PROVIDER 180437 0 10933 0 0 0 3781 0 7502 0 202653 0 0 0 TERRON YODER DENTIST 140709 0 27785 0 0 0 7424 0 24013 0 199931 0 0 0 TAMARA DUNN COO/CNO 161915 0 17880 0 0 0 7309 0 9006 0 196110 0 0 0 APRIL BURKS MEDICAL PROVIDER 167825 0 13027 0 0 0 0 0 11896 0 192748 0 0 0 CHERYL STANLEY CFO 130073 0 14580 0 0 0 6158 0 15194 0 166005 0 0 0 PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) REPRESENTS MERIT BONUS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS W-2, AND APPROVED BY THE BOARD. X 1 22808 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBERS OF CONTRIBUTORS. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED AS A FEDERALLY QUALIFIED HEALTH CENTER, AND THEREFORE DOES NOT MEET THE DEFINITION OF A GENERAL HOSPITAL. AS A RESULT, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CEO AND THEN PRESENTED TO THE FINANCIAL OVERSIGHT COMMITTEE FOR REVIEW AND APPROVAL. IT IS THEN PRESENTED TO THE BOARD MEMBERS FOR FINAL REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH BOARD MEMBER ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURE. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS CONFLICTS OF INTEREST POLICY AT EACH BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION SURVEYS BY NORTH CAROLINA ASSOCIATION OF COMUNITY HEALTH CENTER AND OTHER SIMILAR ORGANIZATIONS IS USED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.