2025-11-14T21:21:54-06:00 2024-12-31 991856619 GRANT THORNTON ADVISORS LLC 1415 VANTAGE PARK DRIVE SUITE 500 CHARLOTTE NC 28203 990 2024-01-01 843954696 IMPACT HEALTH IMPA 8282789970 866 HENDERSONVILLE RD ASHEVILLE NC 28803 LAURIE STRADLEY EXECUTIVE DIRECTOR 8287716710 2025-11-14 1 1 MICHELE MELCHIOR P00488037 7046323500 2024 2025-03-06 01:10:19Z LAURIE STRADLEY 866 HENDERSONVILLE RD ASHEVILLE NC 28803 15477618 0 X WWW.IMPACTHEALTH.ORG X 2019 NC TO LEAD WNC'S PARTICIPATION IN THE HEALTHY OPPORTUNITIES PILOT PROGRAM FOR MEDICAID. 11 8 15 8 0 0 14228239 15386274 0 0 0 91344 0 0 14228239 15477618 8069568 9683125 0 0 1899102 3105689 0 0 0 1125246 3584173 11093916 16372987 3134323 -895369 10426902 10208472 185065 811783 10241837 9396689 X IMPACT HEALTH IS A DYNAMIC START-UP ENTITY CREATED BY DOGWOOD HEALTH TRUST TO LEAD WESTERN NORTH CAROLINA'S (WNC'S) PARTICIPATION IN THE STATE OF NORTH CAROLINA'S HEALTHY OPPORTUNITIES PILOT PROGRAM FOR MEDICAID. 0 0 12973239 9683125 0 SEE SCHEDULE O 12973239 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 15 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X IMPACT HEALTH - FINANCE DEPARTMENT 8336149400 866 HENDERSONVILLE ROAD ASHEVILLE NC 28803 SUSAN MIMS BOARD CHAIR 5.00 40.00 X X 0 576570 40392 GREG BYERS DIRECTOR TERM END (DEC 2024) 5.00 40.00 X 0 307779 46942 ALEX HOWARD DIRECTOR TERM END (NOV 2024) 5.00 40.00 X 0 257917 36369 PAULA SWEPSON-AVERY DIRECTOR 1.00 0.00 X 1000 0 0 STEVE NORTH VICE-CHAIR 1.00 0.00 X X 0 0 0 JOHNNA REED TREASURER 1.00 0.00 X X 0 0 0 ANGELICA WIND SECRETARY 1.00 0.00 X X 0 0 0 KATHEY AVERY DIRECTOR 1.00 0.00 X 0 0 0 VICKIE BRADLEY DIRECTOR 1.00 0.00 X 0 0 0 MARGARITA RAMIREZ DIRECTOR TERM END (JUNE 2024) 1.00 0.00 X 0 0 0 ANDREW ZUCCHINO DIRECTOR 1.00 0.00 X 0 0 0 LAURIE STRADLEY EXECUTIVE DIRECTOR 40.00 0.00 X 215016 0 41743 DIONNE GREENLEE-JONES SR. DIR. INNOV. & EQUITY DEV. 40.00 0.00 X 148468 0 11821 HANNAH ERICKSON DIRECTOR OF OPERATIONS 40.00 0.00 X 138644 0 11676 AMANDA BAUMAN DIRECTOR OF PROGRAMS 40.00 0.00 X 114537 0 23228 JENNIFER CALDWELL DIRECTOR OF COMMUNICATIONS 40.00 0.00 X 115320 0 28680 732985 1142266 240851 5 0 1 1 CONFIGO HEALTH INC 1201 WILSON BLVD - FLOOR 27 ARLINGTON VA 22209 DATA INFRASTRUCTURE DEVELOPMENT 1770729 INNOVACCOR INC 101 MISSION STREET - SUITE 1950 SANFRANCISCO CA 94105 SOFTWARE 165600 FORMATION PR BRAND 735 LOCUST STREET HENDERSONVILLE NC 28792 MARKETING & PR 156315 CCR CONSULTING PO BOX 1144 ALBEMARLE NC 28002 CONSULTING 112935 JEAN VEILLEUX 1 CLUB KNOLL ROAD ASHEVILLE NC 28804 LEGAL WORK 104850 6 6500000 8857575 28699 15386274 91344 91344 15477618 0 0 91344 9683125 9683125 2439713 2015753 423960 73326 73326 400686 355208 45478 191964 165438 26526 180388 14491 165897 5300 5300 2582576 566377 2016199 6638 6638 345994 30222 315772 43174 42994 180 138908 8362 130546 18448 18448 EMPLOYEE EDUCATION 217081 0 217081 PAYROLL, HIRING AND P&C 20510 2051 18459 MISCELLANEOUS 15078 10592 4486 PHONE EXPENSES 10078 10078 16372987 12973239 3399748 0 10416397 1351820 7605690 5654 1161115 4851 89847 10426902 10208472 58009 284857 0 14345 127056 512581 185065 811783 X 10241837 9396689 10241837 9396689 10426902 10208472 X -895369 50221 X 0 1 X 1 0 X 6611628 9936010 14228239 15386274 46162151 6611628 9936010 14228239 15386274 46162151 17998096 28164055 91344 91344 46253495 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 PAYABLE TO DHT 512581 512581 1 ABC PEDIATRICS OF ASHEVILLE PA 64 PEACHTREE RD ASHEVILLE NC 28804 202320946 501(C)(3) 18270 0 HOP CAPACITY BUILDING FUNDS APPALACHIAN SUSTAINABLE AGRICULTURE PROJECT 306 W HAYWOOD STREET ASHEVILLE NC 28801 061642769 501(C)(3) 63333 0 HOP CAPACITY BUILDING FUNDS ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRY INC 20TH STREET ASHEVILLE NC 28806 560945001 501(C)(3) 191001 0 HOP CAPACITY BUILDING FUNDS ASHEVILLE BUNCOMBE INSTITUTE OF PARITY ACHIEVEMENT PO BOX 448 ASHEVILLE NC 28802 200937410 501(C)(3) 266452 0 HOP CAPACITY BUILDING FUNDS ASHEVILLE PEDIATRIC ASSOCIATES PA 2 MEDICAL PARK DR SUITE 1000 ASHEVILLE NC 28803 560954228 501(C)(3) 21244 0 HOP CAPACITY BUILDING FUNDS BEACON OF HOPE SERVICES 120 CALVARY DRIVE PO BOX 877 MARSHALL NC 28753 562441353 501(C)(3) 215721 0 HOP CAPACITY BUILDING FUNDS BIG IVY COMMUNITY DEVELOPMENT CLUB PO BOX 424 BARNARDSVILLE NC 28709 561890924 501(C)(3) 122572 0 HOP CAPACITY BUILDING FUNDS BLUE RIDGE WOMEN IN AGRICULTURE 969 W KING STREET BOONE NC 28607 342011588 501(C)(3) 93160 0 HOP CAPACITY BUILDING FUNDS BOUNTY & SOUL 999 OLD US HWY 70 WEST BLACK MOUNTAIN NC 28711 464759362 501(C)(3) 425286 0 HOP CAPACITY BUILDING FUNDS BURKE UNITED CHRISTIAN MINISTRIES 305 B WEST UNION STREET MORGANTON NC 28655 591771449 501(C)(3) 536192 0 HOP CAPACITY BUILDING FUNDS C2LIFE FOUNDATION 114 SOUTH STERLING STREET SUITE 8 MORGANTON NC 28655 851065378 501(C)(3) 269164 0 HOP CAPACITY BUILDING FUNDS CAJA SOLIDARIA INC 663 DELAWARE LANE HENDERSONVILLE NC 28791 873887309 501(C)(3) 261345 0 HOP CAPACITY BUILDING FUNDS CENTRO UNIDO LATINO AMERICANO 79 ACADEMY STREET MARION NC 28752 562678411 501(C)(3) 113000 0 HOP CAPACITY BUILDING FUNDS CHILDREN & FAMILY RESOURCE CENTER OF HENDERSON COUNTY INC 851 CASE STREET HENDERSONVILLE NC 28792 562113878 501(C)(3) 100723 0 HOP CAPACITY BUILDING FUNDS COMMUNITY HOUSING COALITION OF MADISON COUNTY INC 13 S MAIN STREET ROOM 304 MARSHALL NC 28753 113660564 501(C)(3) 186708 0 HOP CAPACITY BUILDING FUNDS DAYSPRING FOUNDATION 825 MERRIMON AVENUE ASHEVILLE NC 28804 851463864 501(C)(3) 120533 0 HOP CAPACITY BUILDING FUNDS EDEN OF ABUNDANCE 133 COURTLAND STREET SPINDALE NC 28160 861384832 501(C)(3) 94100 0 HOP CAPACITY BUILDING FUNDS ELIADA HOMES INC 2 LAKEWOOD RD HENDERSONVILLE NC 28792 560611587 501(C)(3) 236837 0 HOP CAPACITY BUILDING FUNDS FIRST METHODIST CHURCH OF WAYNESVILLE 566 S HAYWOOD STREET WAYNESVILLE NC 28786 570728628 501(C)(3) 91394 0 HOP CAPACITY BUILDING FUNDS FIVE POINT CENTER INC PO BOX 2363 ROBBINSVILLE NC 28771 854240234 501(C)(3) 339939 0 HOP CAPACITY BUILDING FUNDS FOUR SQUARE COMMUNITY ACTION INC PO BOX 2290 ANDREWS NC 28901 566068400 501(C)(3) 133884 0 HOP CAPACITY BUILDING FUNDS FRENCH BROAD PEDIATRICS 40 N MERRIMON AVESUITE 117 ASHEVILLE NC 28804 800782469 501(C)(3) 13641 0 HOP CAPACITY BUILDING FUNDS GATEWAY WELLNESS FOUNDATION 135 SOUTH MAIN STREET MARION NC 28752 463395393 501(C)(3) 197300 0 HOP CAPACITY BUILDING FUNDS HAYWOOD CHRISTIAN MINISTRY INC 150 BRANNER AVENUE WAYNESVILLE NC 28786 561389676 501(C)(3) 134855 0 HOP CAPACITY BUILDING FUNDS HAYWOOD PATHWAYS CENTER INC 179 HEMLOCK STREET WAYNESVILLE NC 28786 472608669 501(C)(3) 91650 0 HOP CAPACITY BUILDING FUNDS HAYWOOD PEDIATRIC & ADOLESCENT MEDICINE GROUP PA 15 FACILITY DRIVE CLYDE NC 28721 561095353 501(C)(3) 17343 0 HOP CAPACITY BUILDING FUNDS HAYWOOD STREET CONGREGATION 297 HAYWOOD STREET ASHEVILLE NC 28801 455301549 501(C)(3) 93204 0 HOP CAPACITY BUILDING FUNDS HELPMATE PO BOX 2263 ASHEVILLE NC 28802 561276293 501(C)(3) 60000 0 HOP CAPACITY BUILDING FUNDS HENDERSONVILLE PEDIATRICS PA 600 BEVERLY HANKS CENTER HENDERSONVILLE NC 28792 561024215 501(C)(3) 49735 0 HOP CAPACITY BUILDING FUNDS HIGHTS INC PO BOX 865 CULLOWHEE NC 28723 261566023 501(C)(3) 128733 0 HOP CAPACITY BUILDING FUNDS HINTON RURAL LIFE CENTER INC PO BOX 27 HAYNESVILLE NC 28904 560842073 501(C)(3) 164699 0 HOP CAPACITY BUILDING FUNDS HOMEWARD BOUND WNC 37 MONTFORD AVENUE ASHEVILLE NC 28801 561568917 501(C)(3) 157128 0 HOP CAPACITY BUILDING FUNDS INTERFAITH ASSISTANCE MINISTRY INC 310 FREEMAN STREET HENDERSONVILLE NC 28792 581556963 501(C)(3) 306210 0 HOP CAPACITY BUILDING FUNDS LAND OF SKY REGIONAL COUNCIL 339 NEW LEICESTER HWY SUITE 140 ASHEVILLE NC 28806 561024369 501(C)(3) 219442 0 HOP CAPACITY BUILDING FUNDS LEGAL AID OF NORTH CAROLINA INC PO BOX 26087 RALEIGH NC 27611 311784161 501(C)(3) 211819 0 HOP CAPACITY BUILDING FUNDS MACON PROGRAM FOR PROGRESS INC PO BOX 700 FRANKLIN NC 28734 566065297 501(C)(3) 105277 0 HOP CAPACITY BUILDING FUNDS MANNA FOOD BANK INC 627 SWANNANOA RIVER RD ASHEVILLE NC 28805 581514800 501(C)(3) 75816 0 HOP CAPACITY BUILDING FUNDS MCDOWELL LFAC PO BOX 851 NEBO NC 28761 832141213 501(C)(3) 130953 0 HOP CAPACITY BUILDING FUNDS MCDOWELL MISSION MINISTRIES PO BOX 297 MARION NC 28752 561872125 501(C)(3) 185285 0 HOP CAPACITY BUILDING FUNDS MOTHER EARTH FOOD INC 29 HAWK HILL ROAD ASHEVILLE NC 28806 831383812 501(C)(3) 16000 0 HOP CAPACITY BUILDING FUNDS MOUNTAIN AREA HEALTH EDUCATION CENTER INC 121 HENDERSONVILLE RD ASHEVILLE NC 28803 561071426 501(C)(3) 35000 0 HOP CAPACITY BUILDING FUNDS MOUNTAIN AREA PEDIATRIC ASSOCIATES PA 500 CENTREPARK DRIVE ASHEVILLE ASHEVILLE NC 28805 561989591 501(C)(3) 22275 0 HOP CAPACITY BUILDING FUNDS MOUNTAIN COMMUNITY HEALTH PARTNERSHIP 86 N MITCHELL AVE BAKERSVILLE NC 28705 561084427 501(C)(3) 110000 0 HOP CAPACITY BUILDING FUNDS MOUNTAIN HOUSING OPPORTUNITIES INC 64 CLINGMAN AVENUE SUITE 101 ASHEVILLE NC 28801 581816998 501(C)(3) 94999 0 HOP CAPACITY BUILDING FUNDS MOUNTAIN PROJECTS INC 2177 ASHEVILLE RD WAYNESVILLE NC 28786 560849092 501(C)(3) 154138 0 HOP CAPACITY BUILDING FUNDS NEIGHBORS FEEDING NEIGHBORS FOOD MINISTRY 14 JACKSONTOWN ROAD SPRUCE PINE NC 28777 830928892 501(C)(3) 60000 0 HOP CAPACITY BUILDING FUNDS NEW HOPE OF MCDOWELL 62 N MADISON STREET MARION NC 28752 561379760 501(C)(3) 91573 0 HOP CAPACITY BUILDING FUNDS OPERATION GATEWAY INC 50 S FRENCH BROAD AVE SUITE 207 ASHEVILLE NC 28801 862870516 501(C)(3) 85000 0 HOP CAPACITY BUILDING FUNDS OUR VOICE 35 WOODFIN ST ASHEVILLE NC 28801 581491531 501(C)(3) 127335 0 HOP CAPACITY BUILDING FUNDS PISGAH LEGAL SERVICES 62A CHARLOTTE STREET ASHEVILLE NC 28801 561191115 501(C)(3) 10000 0 HOP CAPACITY BUILDING FUNDS REINVESTMENT PARTNERS 110 E GEER STREET /PO BOX 1929 DURHAM NC 27702 311587628 501(C)(3) 10000 0 HOP CAPACITY BUILDING FUNDS RESOURCES EDUCATION ASSISTANCE COUNSELING AND HOUSING OF MACON COUNTY PO BOX 228 FRANKLIN NC 28744 561689264 501(C)(3) 87149 0 HOP CAPACITY BUILDING FUNDS RESTORATION HOUSE WNC 81 ACADEMY ST BRYSON CITY NC 28713 474539555 501(C)(3) 185821 0 HOP CAPACITY BUILDING FUNDS RUTHERFORD HOUSING PARTNERSHIP INC 718 W MAIN STREET FOREST CITY NC 28043 562086573 501(C)(3) 194042 0 HOP CAPACITY BUILDING FUNDS SAFE OF TRANSYLVANIA COUNTY 515 NORTH BOARD STREET SUITE 1 BREVARD NC 28712 581640904 501(C)(3) 60000 0 HOP CAPACITY BUILDING FUNDS SAFELIGHT INC 133 5TH AVE W HENDERSONVILLE NC 28792 561469847 501(C)(3) 96527 0 HOP CAPACITY BUILDING FUNDS SIXTH AVENUE PSYCHIATRIC REHABILITATION PTNRS INC 218 WEST ALLEN STREET SUITE B HENDERSONVILLE NC 28739 205599815 501(C)(3) 157235 0 HOP CAPACITY BUILDING FUNDS SMART START OF TRANSYLVANIA COUNTY PO BOX 1676 BREVARD NC 28712 311489864 501(C)(3) 35000 0 HOP CAPACITY BUILDING FUNDS SOUTHERN RECONCILIATION MINISTRIES PO BOX 1147 BURNSVILLE NC 28714 561373255 501(C)(3) 88815 0 HOP CAPACITY BUILDING FUNDS THE EBLEN FOUNDATION DBA EBLEN CHARITIES 50 WESTGATE PARKWAY ASHEVILLE NC 28806 561758077 501(C)(3) 80902 0 HOP CAPACITY BUILDING FUNDS THE HOUSING ASSISTANCE CORP 214 N KING STREET HENDERSONVILLE NC 28792 581831757 501(C)(3) 100166 0 HOP CAPACITY BUILDING FUNDS TOE RIVER AGGREGATION CENTER TRAINING ORGANIZATION REGIONAL INC PO BOX 1507 BURNSVILLE NC 28714 455100047 501(C)(3) 231623 0 HOP CAPACITY BUILDING FUNDS TRANSYLVANIA HABITAT FOR HUMANITY 692 ECUSTA ROAD BREVARD NC 28712 581581118 501(C)(3) 60000 0 HOP CAPACITY BUILDING FUNDS TRINITY UNITED METHODIST CHURCH DBA COUNTERFLOWSAFE SHELTER 87 HAYWOOD ROAD ASHEVILLE NC 28806 560556764 501(C)(3) 110000 0 HOP CAPACITY BUILDING FUNDS TRYON SEVENTH-DAY ADVENTIST CHURCH 2820 LYNN RD TRYON NC 28782 561395046 501(C)(3) 160000 0 HOP CAPACITY BUILDING FUNDS UNETE INC 26 PHILLIP STREET CANTON NC 28716 863291832 501(C)(3) 60000 0 HOP CAPACITY BUILDING FUNDS UNITED WAY OF RUTHERFORD COUNTY PO BOX 823 SPINDALE NC 28160 561030597 501(C)(3) 64000 0 HOP CAPACITY BUILDING FUNDS W4H ASHEVILLE DBA WORKING WHEELS 76 WEAVERVILLE ROAD ASHEVILLE NC 28804 814965358 501(C)(3) 115790 0 HOP CAPACITY BUILDING FUNDS WEGIVEASHARE INC PO BOX 2032 ASHEVILLE NC 28802 852809644 501(C)(3) 105991 0 HOP CAPACITY BUILDING FUNDS WESTERN CAROLINA COMMUNITY ACTION INC DBA WNCSOURCE 220 KING CREEK BLVD HENDERSONVILLE NC 28792 560846319 501(C)(3) 10000 0 HOP CAPACITY BUILDING FUNDS WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC 257 BILTMORE AVENUE PO BOX 338 ASHEVILLE NC 28801 561852922 501(C)(3) 170383 0 HOP CAPACITY BUILDING FUNDS WNC FROM THE GROUND UP 38 E MAIN ST SYLVA NC 28779 991743701 501(C)(3) 150207 0 HOP CAPACITY BUILDING FUNDS WNC LIGHTHOUSE INC 135 TAYLOR ROAD BRYSON CITY NC 28713 872312142 501(C)(3) 149405 0 HOP CAPACITY BUILDING FUNDS YOUNG MEN'S CHRISTIAN ASSOCIATION OF AVERY COUNTY PO BOX 707 LINVILLE NC 28646 204910495 501(C)(3) 13000 0 HOP CAPACITY BUILDING FUNDS YOUNG MENS CHRISTIAN ASSOCIATION OF WESTERN NORTH CAROLINA 40 N MERRIMON AVENUE SUITE 309 ASHEVILLE NC 28804 560530013 501(C)(3) 134635 0 HOP CAPACITY BUILDING FUNDS 77 0 PART I, LINE 2: THE ORGANIZATION RECEIVES A DETAILED BUDGET PROPOSAL FROM ALL HUMAN SERVICE ORGANIZATIONS (HSOS) PRIOR TO FUNDS BEING APPROVED AND DISTRIBUTED. THE WRITTEN PROPOSAL CONTAINS DETAILS CONCERNING THE PURPOSE AND USES OF THE PROPOSED FUNDING. AN INDEPENDENT COMMITTEE OF THE BOARD REVIEWS THE APPPLICATION. ONCE FUNDS AMOUNTS ARE APPROVED, HSOS ENTER INTO A CONTRACT WITH IMPACT HEALTH THAT OBLIGATES THEM TO THE TERMS OF THE PILOT, AND QUARTERLY GRANT REPORTING. THE HSOS UNDERGO ANNUAL AUDITS, PERIODIC DESKTPOP AND SITE VISITS, AND FREQUENT VERBAL UPDATES TO ENSURE COMPLIANCE WITH THE CONTRACT. 0 0 0 0 0 0 0 1 0 SUSAN MIMS BOARD CHAIR 0 569970 0 3000 0 3600 0 20070 0 20322 0 616962 0 0 GREG BYERS DIRECTOR TERM END (DEC 2024) 0 301179 0 3000 0 3600 0 18701 0 28241 0 354721 0 0 ALEX HOWARD DIRECTOR TERM END (NOV 2024) 0 251317 0 3000 0 3600 0 15438 0 20931 0 294286 0 0 LAURIE STRADLEY EXECUTIVE DIRECTOR 200975 0 10441 0 3600 0 12426 0 29317 0 256759 0 0 0 DIONNE GREENLEE-JONES SR. DIR. INNOV. & EQUITY DEV. 141987 0 2881 0 3600 0 0 0 11821 0 160289 0 0 0 HANNAH ERICKSON DIRECTOR OF OPERATIONS 132400 0 2644 0 3600 0 0 0 11676 0 150320 0 0 0 PART I, LINE 3 IMPACT HEALTH RELIES ON ITS SOLE MEMBER, DOGWOOD HEALTH TRUST, TO DETERMINE COMPENSATION FOR THE OFFICERS OF IMPACT HEALTH AS FOLLOWS: INDEPENDENT COMPENSATION CONSULTANT PART I, LINE 7 THE ORGANIZATION SET VARIOUS ORGANIZATION GOALS, THESE OBJECTIVES ARE DEFINED WITHIN INTERNAL PERFORMANCE POLICIES. BONUSES ARE AWARDED ONCE THESE ORGANIZATIONAL GOALS ARE MET (AS APPLICABLE). FORM 990, PART III, LINE 4A THE ORGANIZATION IMPLEMENTED, AS A NETWORK LEAD, THE STATE OF NORTH CAROLINA'S HEALTHY OPPORTUNITIES PILOT PROGRAM FOR MEDICAID. FUNCTIONING AS THE NETWORK LEAD FOR WESTERN NORTH CAROLINA'S HEALTHY OPPORTUNITIES PROGRAM, IMPACT HEALTH: 1. OPERATE THE HEALTHY OPPORTUNITY PILOT ON BEHALF OF NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES 2. SUPPORT AND COORDINATE THE WNC HSO NETWORK FOR THE INTEGRATION OF SOCIAL AND CLINICAL CARE TO SUPPORT THE HEALTH OF PARTICIPATING MEMBERS 3. SUPPORTS CAPACITY BUILDING, TRAINING, TECHNICAL ASSISTANCE AND CONVENINGS FOR THE WNC HSO NETWORK 4. COLLECTS AND REPORTS DATA TO INFORM EVALUATION EFFORTS. 5. OPERATES THE IMPACT PRIMARY CARE NETWORK TO SUPPORT LOCAL PRIVATE PRACTICES (FAMILY MEDICINE AND PEDIATRICS) TO IMPROVE THE COORDINATION OF SOCIAL AND CLINICAL CARE FOR MEMBERS 6. OPERATES THE IMPACT EXECLLENCE PROGRAM TO IMPROVE OPERATIONS OF SOCIAL CARE HUBS IN COMMUNITES OUTSIDE OF THE WNC NETWORK FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF IMPACT HEALTH IS DOGWOOD HEALTH TRUST. FORM 990, PART VI, SECTION A, LINE 7A DOGWOOD HEALTH TRUST, AS THE SOLE MEMBER, IS ENTITLED TO ALL RIGHTS AND POWERS OF A MEMBER SET FORTH IN THE BYLAWS AS PROVIDED UNDER NORTH CAROLINA LAW. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS SHALL NOT BE EFFECTIVE UNLESS APPROVED BY DOGWOOD HEALTH TRUST, AS THE SOLE MEMBER: 1. ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR AMENDMENT OR REPEAL OF THE BYLAWS 2. ELECTION, APPOINTMENT, OR REMOVAL OF, WITH OR WITHOUT CAUSE, A DIRECTOR OF THE BOARD OF IMPACT HEALTH 3. MERGER, CONSOLIDATION, DISPOSITION, DISSOLUTION, OR LIQUIDATION OF IMPACT HEALTH, OR SALE OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS 4. THE SALE, LEASE, OR OTHER TRANSFER OF A MATERIAL PORTION, SUBSTANTIALLY ALL OR ALL OF THE ASSETS OF IMPACT HEALTH 5. THE SELECTION AND REMOVAL OF THE CHAIR OF IMPACT HEALTH 6. APPROVAL OF IMPACT HEALTH'S ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS THERETO 7. INCURRENCE OR GUARANTEE OF INDEBTEDNESS GREATER THAN $0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY A NATIONALLY RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S SENIOR MANAGEMENT AND FINANCIAL TEAM. UPON COMPLETION, THE ORGANIZATION'S EXTERNAL ACCOUNTING FIRM PRESENTS THE FORM 990 TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS TO ENABLE THEM TO FULFILL THEIR DUE DILIGENCE AND OVERSIGHT RESPONSIBILITIES. A COPY OF THE FINAL FORM 990 IS SHARED WITH THE FULL BOARD OF DIRECTORS PRIOR TO ITS ELECTRONIC FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, EMPLOYEE, AND SUBCONTRACTOR IS REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THAT ARISE BY VIRTUE OF THEIR RELATIONSHIP TO THE ORGANIZATION, BOARD SERVICE, OR POSITION WITHIN THE ORGANIZATION. THE BOARD (OR COMMITTEE THEREOF), WITH ASSISTANCE FROM THE EXECUTIVE DIRECTOR, MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL QUESTIONNAIRE/DISCLOSURE STATEMENT THAT IS DISTRIBUTED TO THESE INDIVIDUALS. THE ORGANIZATION ALSO REQUESTS COIS FROM ITS NCDHHS-APPROVED SUBCONTRACTORS. POTENTIAL CONFLICTS ARE INVESTIGATED AND MANAGED IMMEDIATELY. IN THE EVENT OF A CONFLICT, INDIVIDUALS ARE PROHIBITED FROM PARTICIPATING IN GOVERNING BODY DELIBERATIONS AND DECISIONS TO WHICH THE CONFLICT IS RELATED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS ESTABLISHED BY DOGWOOD HEALTH TRUST, A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION LEVELS ARE ESTABLISHED WITHIN COMPETITIVE RANGES DETERMINED VIA COMPARISON WITH OTHER SIMILAR ORGANIZATIONS AND LOCAL MARKET CONDITIONS. THE BOARD CONSIDERS COMPENSATION AGAINST BENCHMARKS THAT HR RECEIVES FROM AN EXTERNAL CONSULTANT FOR SALARY BENCHMARKING. CONTEMPORANEOUS DOCUMENTATION AND RECORDS ARE KEPT IN RELATION TO THE DECISIONS MADE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC BY RETAINING A COPY AT ITS PLACE OF BUSINESS IN ADDITION TO POSTING IT ON THE ORGANIZATION'S WEBSITE. THE FORM 990 IS ALSO AVAILABLE ON WWW.GUIDESTAR.ORG. THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT ORDINARILY MADE AVAILABLE TO THE PUBLIC, BUT, IF REQUESTED, WILL BE PROVIDED AT MANAGEMENT'S DISCRETION. FORM 990, PART XI, LINE 9: GRANT RECOVERIES 50,221. DOGWOOD HEALTH TRUST 890 HENDERSONVILLE ROAD ASHEVILLE NC 28803 830590696 GRANT MAKING NC 501(C)(3) PF N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0