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      <Desc>NFP - Nurse Family Partnership ProgramThe Organization's Nurse-Family Partnership (NFP) program is an evidence-based, intensive nurse home-visitation program for at-risk, low-income mothers living in Mecklenburg County. Validated by four decades of research, including multiple randomized-controlled trials, NFP is a proven model that breaks the cycle of poverty by improving pregnancy outcomes, improving child health and development, and improving the economic self-sufficiency of the family. The Organization's NFP program served 1022 mothers and babies during the year ended June 30, 2024. Through the addition of a secondary, more broadly focused maternal child health program in 2021, A Guided Journey, NFP has been successful in enhancing its service to mothers who are especially vulnerable, clinically-complex and at-risk for poor maternal and child health outcomes. In 2024, Care Rings NFP performance outcomes reached a historic high, with 91% of mothers delivering full term and 91% of babies born at a healthy birth weight.</Desc>
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        <Desc>A Guided Journey Program (Maternal Health)Launched in 2021, the Organizations A Guided Journey (AGJ), is a maternal-child health initiative that employs residents living in six priority health zip codes to serve as Community Health Workers. These state-certified individuals work in their own communities to educate and support pregnant and new moms, providing information, guidance and connection to needed resources. AGJ is a complement to NFP and for the year ended June 30, 2024, served 493 families who may have not qualified for or needed the intensive, long-term support provided through NFP. AGJ seeks to intentionally address social determinants of health needs for families, such as access to timely care, food assistance, transportation, childcare and housing. Through this long-term case management program, families are empowered and provided with education and support to promote healthy lifestyles. The program is supported with an abundance of community partnerships. In 2024, AGJ was expanded through the receipt of a federal Healthy Start Enhanced Grant from the US Department of Health &amp; Human Services. This expansion seeks to reduce the well-documented racial and ethnic differences in the rates of infant death and adverse maternal health outcomes in the Charlotte-Mecklenburg community. Care Ring was the only organization of the 10 nationally awarded that identifies as a standalone non-profit, with others being housed within government funded public health institutions. In 2024, 91% of women completed post-partum visits within 6 weeks of delivery, having established a medical home. Maturing the model, AGJ also began measuring early childhood outcomes in 2024. Through strong literacy education, 66% of AGJ families read to their child at least 3 days a week, compared to the national average of 55%.</Desc>
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        <Desc>Clinic Program The Clinic is a primary care medical home for the uninsured and underserved, serving 1,674 patients for the year ended June 30, 2024. The clinic has a special focus on supporting patients to successfully manage chronic illnesses such as diabetes and hypertension, reducing disparities in health outcomes and preventing unnecessary utilization of the emergency room and inpatient hospital stays. In 2024, Care Ring was awarded a Gold Standard from the National Association of Free Clinics, a measure of the Clinics high standard of care and quality outcomes. In the last fiscal year, 75% of patients with diabetes demonstrated improved control and a hemoglobin A1c of less than 9%. Additionally, 69% of patients with hypertension had controlled blood pressure. Care Rings Clinic ensures its patients have access to recommended preventive screenings to address disparities in early detection and cancer mortality. As an example, in the last fiscal year, 80% of Care Ring patients were up to date on cervical cancer screening. Lastly, in addition to physical health care, patients are screened for social determinants of health needs using a state-supported, standardized assessment tool. This service ensures holistic care is provided, addressing issues such as food insecurity, housing instability and transportation - all barriers to accessing timely care.</Desc>
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        <PersonNm>Miguel Guevara</PersonNm>
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        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>To support the organization's mission.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is a North Carolina not-for-profit corporation and is exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code. The Organization is not classified as a private foundation. Additionally, management believes the Organization does not have income subject to unrelated business income tax. Accordingly, no provision for income taxes is required in the financial statements. The Organization's income tax returns are subject to review and examination by various taxing authorities. The Organization is not aware of any activities that would jeopardize its tax-exempt status. The Organization is not aware of any activities that are subject to tax on unrelated business income or excise taxes. U.S. GAAP requires the Organization to recognize a tax benefit or expense from an uncertain tax position only if it is more likely that not that the tax position will be sustained on examination by the tax authorities, based on the technical merits of the position. Management believes the Organization had no uncertain tax positions as of June 30, 2024, and 2023.</ExplanationTxt>
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        <PersonNm>Tchernavia Montgomery</PersonNm>
        <TitleTxt>Executive Dir.</TitleTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: A Guided Journey Program (Maternal Health)Launched in 2021, the Organizations A Guided Journey (AGJ), is a maternal-child health initiative that employs residents living in six priority health zip codes to serve as Community Health Workers. These state-certified individuals work in their own communities to educate and support pregnant and new moms, providing information, guidance and connection to needed resources. AGJ is a complement to NFP and for the year ended June 30, 2024, served 493 families who may have not qualified for or needed the intensive, long-term support provided through NFP. AGJ seeks to intentionally address social determinants of health needs for families, such as access to timely care, food assistance, transportation, childcare and housing. Through this long-term case management program, families are empowered and provided with education and support to promote healthy lifestyles. The program is supported with an abundance of community partnerships. In 2024, AGJ was expanded through the receipt of a federal Healthy Start Enhanced Grant from the US Department of Health &amp; Human Services. This expansion seeks to reduce the well-documented racial and ethnic differences in the rates of infant death and adverse maternal health outcomes in the Charlotte-Mecklenburg community. Care Ring was the only organization of the 10 nationally awarded that identifies as a standalone non-profit, with others being housed within government funded public health institutions. In 2024, 91% of women completed post-partum visits within 6 weeks of delivery, having established a medical home. Maturing the model, AGJ also began measuring early childhood outcomes in 2024. Through strong literacy education, 66% of AGJ families read to their child at least 3 days a week, compared to the national average of 55%. OTHER PROGRAM SERVICES 5: Psysicians Reach Out Program (PRO)The Organization's Physicians Reach Out Program (PRO) provides the uninsured with access to comprehensive health care, including primary care, specialty care, labs, diagnostic tests and hospital-based services. For every dollar invested in PRO, the Organization leverages $120 in donated charges provided by a robust network of approximately 1,600 volunteer physicians and allied health professionals. For the year ended June 30, 2024, PRO provided approximately $70.1 million in donated medical and dental charges to 6,168 patients enrolled in the program. The program coordinated 2,863 specialty care referrals, including 108 referrals for cancer treatment, 218 referrals to surgery and 133 pediatric specialty care referrals.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is reviewed by the internal committee prior to being filed with the IRS. The Board of Directors will also receive a copy of the 990 prior to it being filed with the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization effectively monitors and enforces compliance with the conflict of interest policy that is reviewed annually.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Care Ring Executive Committee of the Board of Directors evaluates the Executive Director's compensation. The Executive Committee is comprised of the Board Chair, Vice Chair, Treasurer, Secretary, The Executive Committee Chair, and the Human Resources Director (non-voting). The committee first meets to confirm the goals and consider compensation. The committee uses three salary survey sources (Ascent Peer Analysis, Non-profit Times, and Employer's Association) to benchmark compensation for the position. In addition to the salary survey data, the committee consults the annual budget prepared by the Treasurer and Controller. The annual budget contains a detailed schedule of compensation for employees and the Executive Director. Once the committee reaches a consensus regarding performance, it discusses compensation relative to the annual benchmarks and established objectives. The committee presents its findings and recommendations for review and approval during an executive session at the board meeting. The Executive Director is not present for the session. Following the executive session, the Board Chair informs the Executive Director of the Board's compensation decision. The process described here was last completed in 2024.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and financial statements are available upon request.</ExplanationTxt>
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