2023-05-25T12:29:33-05:00 2022-12-31 990EZ 2022-01-01 823623430 OPTIMA HEALTH OF NORTH CAROLINA LLC OPTI 7574557020 6015 POPLAR HALL DRIVE NORFOLK VA 23502 COLIN DROZDOWSKI PRESIDENT 7574557020 2023-05-25 COLIN DROZDOWSKI 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X WWW.OPTIMAHEALTH.COM X X 0 X 0 7705 7705 -7705 7705 0 X 7705 0 7705 0 0 0 7705 0 X TO SUPPORT OPTIMA FAMILY CARE OF NORTH CAROLINA INC, A 501(C)(3) MEDICAID HMO. THE ENTITY WAS ORGANIZED TO OWN AND OPERATE ONE OR MORE CAPITATED CONTRACTS FOR THE DELIVERY OF MEDICAID AND NC HEALTH CHOICE SERVICES THROUGH ITS OWNERSHIP AND OPERATION OF OPTIMA FAMILY CARE OF NORTH CAROLINA, INC., A 501(C)(3) MEDICAID HMO. 0 0 DENNIS MATHEIS PRES/CEO/BRD MEMBER THRU 9/1/22 0.25 0 0 0 JAMES HILBERT TREASURER/BOARD MEMBER THRU 1/28/22 0.25 0 0 0 SAMUEL HAWLEY ASSISTANT SECRETARY THRU 6/6/22 0.25 0 0 0 MEGAN PERRY BOARD MEMBER 0.25 0 0 0 BRIAN D SMITH BOARD MEMBER 0.25 0 0 0 COLIN S DROZDOWSKI PRES/CEO/BRD MEMBER EFF 9/1/22 0.25 0 0 0 EARL J BARNES II SECRETARY EFF 9/1/22 0.25 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CORPORATE OFFICERS 6015 POPLAR HALL DRIVE NORFOLK VA 23502 7574557020 0 0 0 0 0 1 0 0 0 0 0 NONE NONE 1 X X 2 OPTIMA FAMILY CARE OF NORTH CAROLINA INC 823610648 10 1 0 0 SENTARA HEALTHCARE 521271901 7 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV SECTION A LINE 1 THE SUPPORTED ORGANIZATIONS DESIGNATED IN OPTIMA HEALTH OF NORTH CAROLINA LLC'S ARTICLES OF INCORPORATION INCLUDE SENTARA HEALTHCARE, OPTIMA FAMILY CARE OF NORTH CAROLINA, INC. AND SUCH OTHER ORGANIZATIONS AS MAY BE OPERATED, SUPERVISED OR CONTROLLED BY SENTARA HEALTHCARE THAT ARE ALSO DESCRIBED IN SECTIONS 501(A) AND/OR 501(C)(3) OF THE IRC. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: OTHER EXPENSE. AMOUNT: 7,705. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: INVESTMENT IN AFFILIATES. BEG. OF YEAR AMOUNT: 7,705. END OF YEAR AMOUNT: 0. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.