2025-10-10T08:19:43-05:00 2024-12-31 561945391 MPCOMPANY LLP 4600 MARRIOTT DRIVE SUITE 300 RALEIGH NC 27612 990 2024-01-01 561846599 NORTH CAROLINA PHYSICIANS HEALTH PROGRAM INC NORT 9198704480 220 HORIZON DRIVE 201 RALEIGH NC 27615 JOSEPH JORDAN PHD CEO 9198704480 2025-09-23 1 0 MARTHA REGISTER-FUTRELL P01373521 9198369200 2025-09-23 2024 2025-03-06 01:10:19Z NORTH CAROLINA PROFESSIONALS HEALTH PROGRAM JOSEPH JORDAN PHD 220 HORIZON DRIVE 201 RALEIGH NC 27615 3266730 0 X WWW.NCPHP.ORG X 1993 NC NCPHP MONITORED 336 HEALTHCARE PROFESSIONALS IN 2024 AND COMPLETED SCREENING INTERVIEWS FOR 237 HEALTHCARE PROFESSIONALS TO HELP IDENTIFY AND ASSIST POTENTIALLY IMPAIRED PHYSICIANS, PHYSICIAN ASSISTANTS, PERFUSIONISTS, ANESTHESIA ASSISTANTS, PHARMACISTS, PHARMACY PERSONNEL, VETERINARIANS, VETERINARIAN TECHNICIANS, AND LICENSED CLINICAL MENTAL HEALTH COUNSELORS IN THE STATE OF NORTH CAROLINA IN PRESERVING THEIR HEALTH AND RETURNING THEM TO TREATING PATIENTS. 15 15 17 25 0 0 2303940 2600353 384482 370853 120531 196732 0 0 2808953 3167938 312842 322601 0 0 1611225 1737729 0 0 45519 504709 567346 2428776 2627676 380177 540262 7588780 8306705 506486 372518 7082294 7934187 ENCOURAGING THE WELL-BEING AND RECOVERY OF MEDICAL PROFESSIONALS THROUGH COMPASSION, SUPPORT, AND ACCOUNTABILITY. 0 0 2185568 322601 365900 NORTH CAROLINA PHYSICIANS HEALTH PROGRAM ASSISTS IMPAIRED PHYSICIANS, PHYSICIAN ASSISTANTS, PHARMACISTS, VETERINARIANS, AND LICENSED CLINICAL MENTAL HEALTH COUNSELORS THROUGH INTERVENTION AND REFERRAL TO TREATMENT. 101623 4953 PROGRAM EDUCATION: NORTH CAROLINA PHYSICIANS HEALTH PROGRAM ADVOCATES FOR IMPAIRED PHYSICIANS, PHYSICIANS ASSISTANTS, PHARMACISTS, VETERINARIANS, AND LICENSED CLINICAL MENTAL HEALTH COUNSELORS BY EDUCATING THE HEALTHCARE COMMUNITY ABOUT THEIR SERVICES. 2287191 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 17 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X CINDY CLARK 9198704480 220 HORIZON DRIVE 201 RALEIGH NC 27615 SAM ALOIAN PA-C CHAIR 0.00 X 0 0 0 STEPHEN EZZO MD VICE CHAIR 0.00 X 0 0 0 DAVID TOLENTINO DO BOARD MEMBER 0.00 X 0 0 0 RONALD MAY MD BOARD MEMBER 0.00 X 0 0 0 CONOR BROCKETT JD BOARD MEMBER 0.00 X 0 0 0 KIRBY SHERIDAN BOARD MEMBER 0.00 X 0 0 0 DOUGLAS JAFFE DO BOARD MEMBER 0.00 X 0 0 0 MISCHELLE CORBIN BOARD MEMBER 0.00 X 0 0 0 CHRIS SAIN PHARMD BOARD MEMBER 0.00 X 0 0 0 SARAH YOUNG MD BOARD MEMBER 0.00 X 0 0 0 VINAY SARANGA MD BOARD MEMBER 0.00 X 0 0 0 MARK NEWELL MD BOARD MEMBER 0.00 X 0 0 0 ROBERT RICH MD BOARD MEMBER 0.00 X 0 0 0 JOSHUA MALCOLM JD BOARD MEMBER 0.00 X 0 0 0 GINA SCARZELLA DVM BOARD MEMBER 0.00 X 0 0 0 JOSEPH JORDAN PHD CEO 37.50 X 299078 0 12995 CINDY CLARK DIRECTOR OF OPERATIONS/SEC/TREAS 37.50 X 109841 0 7766 CLARK GAITHER MD MEDICAL DIRECTOR 20.00 X 101528 0 0 EMILY KING ASSOCIATE MEDICAL DIRECTOR 37.50 X 148494 0 0 JERRY SMITH CLINICAL COORDINATOR 37.50 X 100948 0 0 759889 0 20761 5 0 1 0 0 2149306 451047 2600353 PHYSICIAN CONTRACT FEE 900099 365900 365900 MISCELLANEOUS PROGRAM 900099 4953 4953 370853 162517 162517 133007 97756 1036 35251 -1036 34215 34215 3167938 370853 0 196732 248601 248601 74000 74000 530677 426902 85830 17945 883733 832235 38953 12545 79176 70633 6857 1686 141372 128774 9949 2649 102771 91684 8898 2189 26951 26489 371 91 36700 36700 59007 59007 28830 27602 986 242 45622 28238 16709 675 19769 17636 1712 421 117368 104703 10165 2500 91314 80712 8675 1927 15975 14621 1087 267 7 5 2 49780 44409 4311 1060 52429 46770 4542 1117 OTHER EXPENSES 23594 23177 212 205 2627676 2287191 294966 45519 330763 196016 97992 101446 135020 147213 84675 94172 39230 61653 428930 377190 176888 51740 6371659 7200241 352553 432042 0 22182 7588780 8306705 225359 194885 1295 1540 279832 176093 506486 372518 X 5718796 6544298 1363498 1389889 7082294 7934187 7588780 8306705 X 540262 316376 -4745 X 0 1 X 1 0 X 2009992 2222292 2183069 2303940 2600353 11319646 2009992 2222292 2183069 2303940 2600353 11319646 11319646 105692 87899 100248 134504 162517 590860 11910506 1748252 0.95040 0.95490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34212 22172 12040 394718 355018 39700 51740 OFFICE LEASE LIABILITY 176093 176093 3426343 316376 316376 3109967 59007 -1036 57971 3167938 2574450 1036 4745 5781 2568669 59007 59007 2627676 PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT -1,036. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT 4,745. 1 NORTH CAROLINA MEDICAL SOCIETY FOUNDATION INC PO BOX 27167 RALEIGH NC 27611 566088142 501(C)(3) 248601 0 FUNDING FOR TREATMENT OF INDIVIDUAL MEDICAL PROFESSIONALS PHARMACY PROGRAM GRANT FUND SCHOLARSHIPS ARE GRANTED TO PHARMACIST MEMBERS OF THE NCPHP TO HELP DEFRAY THE COST OF ASSESSMENT, RESIDENTIAL TREATMENT, OR OUTPATIENT TREATMENT AS RECOMMENDED BY THE NCPHP. 19 74000 PART I, LINE 2: NC PHYSICIANS HEALTH PROGRAM (NCPHP) REMITS TREATMENT SCHOLARSHIP DONATIONS DIRECTLY TO THE NCMS FOUNDATION WHO MANAGES THE SCHOLARSHIP FUND. THE NCMS FOUNDATION REMITS THE SCHOLARSHIPS DIRECTLY TO THE INSTITUTION PROVIDING THE TREATMENT. PARTICIPANTS ARE REQUIRED TO SUBMIT AN ONLINE APPLICATION THROUGH THE NCMS FOUNDATION. THE NCMS FOUNDATION STAFF REVIEWS AND APPROVES ALL SCHOLARSHIP APPLICATIONS. NCPHP ONLY VERIFIES THAT THE PARTICIPANTS AND PROVIDERS ARE LEGITIMATE. X 1 1 X 0 0 0 0 0 0 0 0 0 JOSEPH JORDAN PHD CEO 299078 0 0 0 0 0 0 0 12995 0 312073 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE PRESIDENT OF THE NORTH CAROLINA MEDICAL SOCIETY, THE NORTH CAROLINA MEDICAL BOARD, THE NORTH CAROLINA HOSPITAL ASSOCIATION BOARD OF DIRECTORS, THE NORTH CAROLINA ACADEMY OF PHYSICIAN ASSISTANTS, THE NORTH CAROLINA MEDICAL SOCIETY ALLIANCE, THE NORTH CAROLINA VETERINARY MEDICAL BOARD, THE NORTH CAROLINA VETERINARY MEDICAL ASSOCIATION, AND THE NORTH CAROLINA PHYSICIANS HEALTH PROGRAM'S EXECUTIVE COMMITTEE ITSELF CAN APPOINT MEMBERS TO THE BOARD OF DIRECTORS. THEREFORE, PER 990 INSTRUCTIONS, THESE ORGANIZATIONS ARE MEMBERS. HOWEVER, NC PHYSICIANS HEALTH PROGRAM DOES NOT COLLECT MEMBERSHIP DUES AND THESE ORGANIZATIONS ARE NOT CONSIDERED MEMBERS PER NC PHYSICIANS HEALTH PROGRAM'S GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT OF THE NORTH CAROLINA MEDICAL SOCIETY, THE NORTH CAROLINA MEDICAL BOARD, THE NORTH CAROLINA HOSPITAL ASSOCIATION BOARD OF DIRECTORS, THE NORTH CAROLINA ACADEMY OF PHYSICIAN ASSISTANTS, THE NORTH CAROLINA MEDICAL SOCIETY ALLIANCE, THE NORTH CAROLINA VETERINARY MEDICAL BOARD, THE NORTH CAROLINA VETERINARY MEDICAL ASSOCIATION, AND THE NORTH CAROLINA PHYSICIANS HEALTH PROGRAM'S EXECUTIVE COMMITTEE ITSELF CAN APPOINT MEMBERS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B CINDY CLARK, DIRECTOR OF OPERATIONS AND JOSEPH JORDAN, CEO WILL REVIEW THE TAX RETURN PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IT SHALL BE THE CONTINUING RESPONSIBILITY OF BOARD, OFFICERS, MANAGEMENT EMPLOYEES AND OTHERS AS MAY BE DESIGNATED BY THE BOARD TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. IF AN INDIVIDUAL HAS AN INTEREST IN ANOTHER RELATIONSHIP OR ORGANIZATION WHICH ACTUALLY PREVENTS THAT PERSON FROM BEING OBJECTIVE, HE OR SHE SHOULD DISCLOSE THIS TO THE CHAIR, AND RECUSE HIMSELF FROM DISCUSSION OR VOTE. IF THE INDIVIDUAL DOES NOT APPROPRIATELY EXCUSE HIMSELF OR HERSELF, BUT THE MAJORITY OF THE REMAINING DIRECTORS BELIEVE THAT HE OR SHE SHOULD BE RECUSED, THE CHAIR SHALL REQUIRE THAT PERSON TO RECUSE HIMSELF OR HERSELF FROM DISCUSSION AND VOTE. FORM 990, PART VI, SECTION B, LINE 15A SALARY FOR THE CEO IS APPROVED BY THE CHAIR AND THE FINANCE COMMITTEE. SALARIES FOR ALL OTHER OFFICERS AND EMPLOYEES ARE APPROVED BY THE CEO AND FINANCE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 NORTH CAROLINA PHYSICIANS HEALTH PROGRAM MAKES AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST. FORM 990, PART XI, LINE 9: BAD DEBT -4,745.