Form990EZ
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Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
bullet Do not enter social security numbers on this form as it may be made public.


bullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-1150
2018
Open to Public
Inspection
A
For the 2018 calendar year, or tax year beginning 01-01-2018, and ending 12-31-2018
B
Check if applicable:
C Name of organization
North Carolina Healthcare Quality
Alliance
Number and street (or P. O. box, if mail is not delivered to street address)PO Box 6624
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code Raleigh, NC27628
D Employer identification number

27-2498233
E Telephone number

(919) 604-2116
F Group Exemption
Numberbullet  
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bulletwww.nchqa.orgJ Tax-exempt status (check only one) - Click to see attachment(   ) bullet (insert no.) or
K Form of organization:  
L Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ ...........................bullet $ 114,135
Part
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I) Check if the organization used Schedule O to respond to any question in this Part I.....................
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received .................... 1 108,164
2 Program service revenue including government fees and contracts ............... 2  
3 Membership dues and assessments ........................... 3  
4 Investment income ........................... 4 5,971
5a Gross amount from sale of assets other than inventory ..... 5a  
b Less: cost or other basis and sales expenses ....... 5b 0
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c  
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) 6a  
b Gross income from fundraising events (not including $   of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceeds $15,000) ..6b 0
c Less: direct expenses from gaming and fundraising events ... 6c 0
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d  
7a Gross sales of inventory, less returns and allowances ...... 7a  
b Less: cost of goods sold ............. 7b 0
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c  
8 Other revenue (describe in Schedule O) .......... 8  
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 .............. Bullet 9 114,135
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ............ 10 20,000
11 Benefits paid to or for members ................ 11  
12 Salaries, other compensation, and employee benefits ................ 12 191,447
13 Professional fees and other payments to independent contractors ............ 13 33,042
14 Occupancy, rent, utilities, and maintenance ................... 14  
15 Printing, publications, postage, and shipping .............. 15 483
16 Other expenses (describe in Schedule O) .............. 16 16,738
17 Total expenses. Add lines 10 through 16 .............. Bullet 17 261,710
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9) ............ 18 -147,575
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return) ............ 19 542,401
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20  
21 Net assets or fund balances at end of year. Combine lines 18 through 20 ....... 21 394,826
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2018)
Page 2
Form 990-EZ (2018)
Page 2
Part Balance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year
22Cash, savings, and investments................
544,390
22
370,651
23Land and buildings....................
 
23
 
24Other assets (describe in Schedule O) ..........
6,030
24
25,739
25Total assets......................
550,420
25
396,390
26
Total liabilities (describe in Schedule O) .............
8,019
26
1,564
27Net assets or fund balances (line 27 of column (B) must agree with line 21)
542,401
27
394,826
Part Statement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? NCHQA seeks to provide the trusted place where leaders from across North Carolina's health care system can work together to improve the quality of health care and the health of all North Carolinians. Our Board of Directors fully reflects the complex dynamics of health care delivery, uniting physicians and other health care professionals, hospitals, payers, government, business, academics and other key entities. Our strength lies in organizing these diverse stakeholders around a common mission: the transformation of health care delivery in our state. NCHQA has three core objectives: [1] provide leadership for the improvement of health care delivery in North Carolina; [2] promote and facilitate transparency and public accountability; and [3] foster innovative and sustainable activities and interventions that improve the quality and value of health care.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Healthcare Leadership-NCHQA continued program planning and policy discussion surrounding staterural health needs and behavioral and mental health needs. NCHQA has worked with approximately 15-20 organizations throughout the state to identify rural needs related to opioid overdose and misuse and to identify strategies for supporting providers and communities to reduce opioid deaths and expand substance use disorder treatment services.
(Grants $ 87,502) If this amount includes foreign grants, check here ...MediumBullet
28a  
29 Heart Health Now! - NCHQA has worked with health care stakeholders to coordinate the Heart Health Now! External Advisory Committee of 12 members, which supports primary care practices statewide in addressing cardiovascular disease. In 2018, the committee met for its final meeting to provide guidance and oversight to the final stages of project implementation. NCHQA has worked with NCAHEC, UNC, and Community Care of North Carolina to support primary care at over 200 sites in identifying risk factors for cardiovascular disease and providing tools to improve outcomes for over 400,000 high-risk patients.
(Grants $ 6,764) If this amount includes foreign grants, check here ...MediumBullet
29a  
30 Choosing Wisely - NCHQA has executed the Choosing Wisely campaign in North Carolina through two clinical partners and three non-clinical partners. Choosing Wisely is a campaign funded by the ABIM Foundation designed to avoid the use of unnecessary medicals tests, treatments, and procedures. The clinical partners have addressed inappropriate use of specific tests and treatments through the patient and provider relationship, including 1) antibiotics for viral-based illnesses; 2) DEXA scans in women under 65 and men under 70; 3) carotid artery stenosis screening for asymptomatic patients; and 4) annual Pap tests for women between the ages of 30 and 65. NCHQA has encouraged and coordinated reviewing and sharing of data amongst the partners, along with strategies for disseminating informational materials amongst providers and patients. We estimate that the clinical partners have worked with over 250 medical professionals.NCHQA has also coordinated regular feedback sessions between partners to share progress, setbacks, and strategies for improvement and broader dissemination of project efforts. The non-clinical partners have focused on community outreach and public education to inform patient and provider populations about inappropriate medical tests. We estimate that these non-clinical partners have reached over 400 providers and patients in the community. NCHQA has worked with these partners and community organizations, such as community health centers and local health departments, to provide information and educational material about Choosing Wisely and the specific tests and treatments addressed in North Carolina. These cumulative efforts have successfully reduced antibiotic use, DEXA scans, and annual Pap tests in the partner clinical settings and have provided tools for additional settings to engage patients and providers in conversations about the necessity of these interventions.
(Grants $ 61,615) If this amount includes foreign grants, check here ...MediumBullet
30a 20,000
Opioid Practice Support - In July of 2018, NCHQA began working with Area L AHEC to implement an opioid practice support initiative that has been funded by The Duke Endowment. In this program, NCHQA convened state stakeholders to create pain management protocols and opioid patient safety materials to support health care providers in rural counties. NCHQA worked with Area L AHEC to convene community stakeholders to recruit providers and provide feedback on the protocols and opioid issues in Edgecombe, Halifax, and Northampton counties. Through this engagement of state and community stakeholders, NCHQA aims to support rural providers in reducing opioid prescribing and overdose deaths in their communities.
(Grants $ 48,517) If this amount includes foreign grants, check here ...MediumBullet
 
31 Other program services (describe in Schedule O) ................
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet
31a
32 Total program service expenses (add lines 28a through 31a).......... bullet 32 204,398
Part
List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated — see the instructions for Part IV)Check if the organization used Schedule O to respond to any question in this Part IV............
(a) Name and title (b) Average
hours per week
devoted to position
(c) Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-)
(d) Health benefits, contributions to employee benefit plans, and
deferred compensation
(e) Estimated amount
of other compensation
Alan Hirsch  
 
President/CEO
13.00 82,148    
Dee Jones  
 
Treasurer
0.25 0    
Don Bradley  
 
Treasurer
0.75 1,000    
Ron Cromartie  
 
Board Member
0.25 0    
Jack Bailey  
 
Secretary
0.25 0    
Gina Upchurch  
 
Board Member
0.25 0    
Rahul Rajkumar  
 
Board Member
0.25 0    
Conrad Flick  
 
Board Member
0.25 0    
Sam Cykert  
 
Chairman
1.50 0    
Thomas Penders  
 
Board Member
0.10 0    
Cherry Beasley  
 
Board Member
0.10 0    
Annette Dubard  
 
Vice Chair
0.50 0    
Brian Caveney  
 
Board Member
0.25 0    
Chris Collins  
 
Board Member
0.25 0    
Warren Newton  
 
Secretary
0.50 0    
Nelson Dollar  
 
Board Member
0.25 0    
Steve Lawler  
 
Board Member
0.25 0    
Robert Rich  
 
Board Member
0.10 0    
Dev Sangvai  
 
Board Member
0.25 0    
Dave Richard  
 
Exec Com Member
0.50 0    
Benjamin Money  
 
Exec Com Member
0.50 0    
Betsey Tilson  
 
Board Member
0.25 0    
Christoph Diasio  
 
Board Member
0.25 0    
Sandhya Gopal  
 
Director of Operations
40.00 88,050 7,028  
Form 990-EZ (2018)
Page 3
Form 990-EZ (2018)
Page 3
Part
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
Yes
 
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions) ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O
35b
 
No
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes," complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
 
b
Did the organization file Form 1120-POL for this year?...................
37b
 
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..
38a
 
No
b
If “Yes," complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
0
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
0
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet   ; section 4912 bullet   ; section 4955 bullet  
b
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I
40b
 
No
c
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958bullet  
d
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimbursed by the organizationbullet  
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T ................
40e
 
No
41List the states with which a copy of this return is filed. bullet
42aThe organization's books are in care of bulletSandhya Gopal
Telephone no.bullet (919) 604-2116
Located at bulletPO Box 6624Raleigh,NC ZIP + 4bullet276286624
Yes
No
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . .
42b
 
No
If “Yes," enter the name of the foreign country: bullet
See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR)
c
At any time during the calendar year, did the organization maintain an office outside the U.S.? . . .
42c
 
No
If “Yes," enter the name of the foreign country: bullet
43......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed insteadof Form 990-EZ.............................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completedinstead of Form 990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule O ............................
44d
 
No
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?.........
45a
 
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions).........................
45b
 
No
Form 990-EZ (2018)
Page 4
Form 990-EZ (2018)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes," complete Schedule C, Part I. ...........
46
 
No
Part
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47- 49b and 52, and complete the tables for lines 50 and 51. Check if the organization used Schedule O to respond to any question in this Part VI ..................
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................
47
 
No
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
No
b
If "Yes," was the related organization a section 527 organization?................
49b
 
No
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee (b) Average
hours per week
devoted to position
(c) Reportable compensation
(Forms W-2/1099-MISC)
(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
NONE
f
Total number of other employees paid over $100,000 .............bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and business address of each independent contractor (b) Type of service (c) Compensation
NONE
d
Total number of other independent contractors each receiving over $100,000..........bullet  


52
Did the organization complete Schedule A? NOTE. All section 501(c)(3) organizations must attach a
completed Schedule A ........................................bullet

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet 2019-11-15
Signature of officer Date
JumboBullet Alan HirschPresident/CEO
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Darren Hunicutt
Preparer's signature
Date
 
PTIN
P01294583
Firm's name bullet
MIG MURPHY SISTROM CPA PC
 
Firm's EIN bullet20-8021147
Firm's address bullet
2216 Whitley Dr
 
DURHAM, NC277071469
Phone no. (919) 419-1119
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2018)

Additional Data


Software ID: 18007218
Software Version: 2018v3.1

Form 990-EZ, Special Condition Description:
Special Condition Description