2023-11-14T12:09:43-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2022-01-01 562120959 FORSYTH MEDICAL CENTER FOUNDATION FORS 3362772411 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 GEOFFREY GARDNER CFO 3362772411 2023-11-14 1 GEOFFREY GARDNER 999009999 0 AERRIAL M ORR P01598400 4048748300 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NOVANT HEALTH FORSYTH MEDICAL CENTER FOUNDATION CARL ARMATO 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 42546993 0 X WWW.SUPPORTNOVANTHEALTH.ORG X 1981 NC SEE SCHEDULE O 26 21 6 45 0 0 2644941 3907496 0 0 9177840 2607752 1273 0 11824054 6515248 7031295 3392881 0 0 623088 452754 0 0 216209 354945 390981 8009328 4236616 3814726 2278632 87707112 76328659 5354662 256484 82352450 76072175 X SEE SCHEDULE O 0 0 3545506 3392881 0 FORSYTH MEDICAL CENTER FOUNDATION FOCUSES ITS EFFORTS ON RAISING COMMUNITY SUPPORT AND FUNDING THROUGH CHARITABLE GIVING FOR MUCH-NEEDED PROGRAMS, IMPROVED FACILITIES, AND STATE-OF-THE-ART TECHNOLOGY FOR NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH KERNERSVILLE MEDICAL CENTER, AND NOVANT HEALTH CLEMMONS MEDICAL CENTER. 3545506 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 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 1 0 0 0 1 0 0 6 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 26 21 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NC X X WENDI STOCKSTILL 3362772411 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 THOMAS GROTE MD TRUSTEE 0.20 45.00 X 0 749943 42637 JOHN CARD MD TRUSTEE 0.20 45.00 X 0 425035 43002 JALEEMA SPEAKS MD TRUSTEE 0.20 45.00 X 0 381016 38263 ASHLEIGH HARGRAVE TRUSTEE 0.20 45.00 X 0 201151 22066 ROLLAND BARRETT MD TRUSTEE 0.20 0.00 X 0 2750 0 ELMS ALLEN MD TRUSTEE 0.20 0.00 X 0 0 0 DAVID BAILEY TRUSTEE 0.20 0.00 X 0 45 0 KAREN BOVENDER TRUSTEE 0.20 0.00 X 0 0 0 TADELRO BROWN TRUSTEE 0.20 0.00 X 0 0 0 BRENDA DIGGS TRUSTEE 0.20 0.00 X 0 0 0 JOSEPH ELY VICE CHAIR 0.20 0.20 X X 0 115 0 LEESHA FULLER-ANDREWS SECRETARY 0.20 0.00 X X 0 0 0 ANDREW HARDING TRUSTEE 0.20 0.00 X 0 0 0 WILLIAM HAYES TRUSTEE 0.20 0.00 X 0 0 0 JOSEPH LOGAN TRUSTEE 0.20 0.00 X 0 0 0 ELIZABETH MADDEN TREASURER 0.20 0.00 X X 0 0 0 DEBORAH MARSHALL CHAIR 0.20 0.00 X X 0 115 0 SHERRY POLONSKY TRUSTEE 0.20 0.00 X 0 0 0 DAMON PRATT TRUSTEE 0.20 0.00 X 0 0 0 ANDREW SCHNEIDER MD TRUSTEE 0.20 0.20 X 0 1320 0 RONNIE WILLARD TRUSTEE 0.20 0.00 X 0 0 0 BONNIE DONAHUE TRUSTEE 0.20 0.00 X 0 0 0 STEPHANIE FLORES DE VALGAZ TRUSTEE 0.20 0.00 X 0 0 0 MARY FOWLER TRUSTEE 0.20 0.00 X 0 0 0 LARRY PULLIAM TRUSTEE 0.20 0.00 X 0 0 0 EVA WU TRUSTEE 0.20 0.00 X 0 0 0 FRED HARGETT EVP & CFO 0.20 50.00 X 0 2355664 61852 DOROTHY CAULKINS SVP FOUNDATIONS 10.00 40.00 X 0 626052 106133 HEATHER EGAN EXECUTIVE DIRECTOR 25.00 25.00 X 157780 0 43534 KIMBERLY HENDERSON FMR SVP FOUNDATIONS 0.00 50.00 X 0 911387 133449 157780 5654593 490936 1 1 1 0 0 3907496 1100 3907496 968399 968399 37671098 36031745 1639353 1639353 1639353 6515248 0 0 2607752 3057749 3057749 335132 335132 201314 201314 215415 53853 36620 124942 3432 858 583 1991 7670 2149 1356 4165 24923 6231 4237 14455 133332 133332 5185 2278 1071 1836 66810 33405 33405 33625 10987 13384 9254 32795 32795 7356 2622 1424 3310 1591 684 334 573 12371 4957 3264 4150 537 537 OTHER SUPPLIES 15838 376 6280 9182 REPAIRS AND MAINTENANCE 8055 2014 1369 4672 DUES AND SUBSCRIPTIONS 3861 966 656 2239 TRAINING & EDUCATION 3475 869 591 2015 66150 30376 35754 20 4236616 3545506 474901 216209 1243828 980307 1121277 1880615 8683 35499 196941 92144 117168 104797 65100422 65922423 20115734 7405018 87707112 76328659 94825 84807 5259837 171677 5354662 256484 X 71031181 63494882 11321269 12577293 82352450 76072175 87707112 76328659 X 2278632 -8218364 -340543 X 0 1 X 1 1 1 X 2617056 2090974 2719712 2644941 3907496 13980179 2617056 2090974 2719712 2644941 3907496 13980179 4702742 9277437 1092826 1223815 962053 1040141 968399 5287234 0 0 0 1273 1273 19268686 7497 0.48150 0.50800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11321269 2974912 -140614 133741 1444533 12577293 11493574 2081442 271160 70827 2454080 11321269 12447741 1914567 117023 50841 2934916 11493574 12307011 1435742 234221 69505 1459728 12447741 11924629 2719034 -111564 39421 2185667 12307011 0.00000 1.00000 0.00000 0 0 196941 92144 104797 104797 OTHER SECURITIES 7405018 F 7405018 0 DUE TO AFFILIATES 171677 171677 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD FOR AFFILIATE HOSPITAL SERVICE COSTS RELATED TO VARIOUS CENTERS AT THE ACUTE CARE FACILITIES AND SUPPORT FOR THE SURROUNDING COMMUNITY. THE VARIOUS ENDOWMENT FUNDS SUPPORT CANCER SERVICES, BEHAVIORAL HEALTH MEDICAL PROGRAMS, NEUROLOGY/STROKE PROGRAMS & EDUCATION, MEDICAL STAFF DEVELOPMENT, NURSING EDUCATION, REHABILITATION SERVICES, NEONATAL SERVICES, WOMEN'S HEALTH SERVICES, ASSISTANCE TO EMPLOYEES, AND OTHER PROGRAMS THAT BENEFIT NOVANT HEALTH FACILITIES. PART X, LINE 2: PART X, LINE 2: LIABILITY UNDER FIN 48 (ASC 740) FOOTNOTE THE AUDIT FOR NOVANT HEALTH AND ITS AFFILIATES IS PREPARED ON A CONSOLIDATED BASIS. THE COMPANY IS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS. THIS EVALUATION INCLUDES A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF OUR FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE COMPANY'S CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. 1 COMMUNITY CARE CENTER FOR FORSYTH COUNTY 2135 NEW WALKERTOWN ROAD WINSTONSALEM NC 27101 581403699 501(C)(3) 250000 0 COMMUNITY OUTREACH FORSYTH HEALTHCARE INC 515 N CLEVELAND AVE WINSTONSALEM NC 27101 320097975 501(C)(3) 250000 0 COMMUNITY OUTREACH FORSYTH MEMORIAL HOSPITAL INC 2085 FRONTIS PLAZA BLVD WINSTONSALEM NC 27103 560928089 501(C)(3) 2028542 0 TO SUPPORT NHFMC, NHCMC, NHKMC, AND FMCI FOUNDATION HEALTH SYSTEMS CORP 2085 FRONTIS PLAZA BLVD WINSTONSALEM NC 27103 561373175 501(C)(3) 500000 0 TO SUPPORT TODAY'S WOMAN NOVANT MEDICAL GROUP INC 2085 FRONTIS PLAZA BLVD WINSTONSALEM NC 27103 581728803 501(C)(3) 20832 0 TO SUPPORT NOVANT MEDICAL GROUP, INC. THE PRESBYTERIAN HOSPITAL 2085 FRONTIS PLAZA BLVD WINSTONSALEM NC 27103 560554230 501(C)(3) 8375 0 TO SUPPORT THE PRESBYTERIAN HOSPITAL 6 0 EMPLOYEE EMERGENCY FUND 154 95336 MAMMOGRAMS 499 124058 MEDICATION FOR INDIGENT PATIENTS 229 4842 FMV MEDICATION FOR INDIGENT PATIENTS PATIENT ASSISTANCE 1687 61820 PATIENT TRANSPORTATION 3 125 FMV CAB FARES FOR INDIGENT PATIENTS SCHOLARSHIPS 6 23000 PATIENT ASSISTANCE - ZOLL VEST 8 25951 FMV ZOLL LIFE VESTS PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE FILING ORGANIZATION IS PART OF THE INTEGRATED HEALTHCARE SYSTEM OPERATED BY NOVANT HEALTH, INC. ("NOVANT HEALTH"), THE PARENT ORGANIZATION. NOVANT HEALTH'S BYLAWS AUTHORIZE IT TO ESTABLISH CERTAIN POLICIES FOR ALL OF ITS SUBSIDIARIES WITHIN THE SYSTEM. NOVANT HEALTH HAS ESTABLISHED A SYSTEM-WIDE CORPORATE POLICY WITH STANDARDIZED GUIDELINES THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE FILING ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS ARE MAINTAINED VIA THE GENERAL LEDGER. FUNDS ARE GENERALLY NOT TRACKED AFTER BEING GRANTED, AS THE ORIGINAL ELIGIBILITY AND SELECTION CRITERIA HAVE ALREADY BEEN MET. X X X X 1 1 0 1 0 0 0 0 0 0 0 FRED HARGETT EVP & CFO 0 1092939 0 843828 0 418897 0 18300 0 43552 0 2417516 0 7500 KIMBERLY HENDERSON FMR SVP FOUNDATIONS 0 493499 0 281252 0 136636 0 105150 0 28299 0 1044836 0 61348 THOMAS GROTE MD TRUSTEE 0 593776 0 122011 0 34156 0 18300 0 24337 0 792580 0 0 DOROTHY CAULKINS SVP FOUNDATIONS 0 350321 0 229149 0 46582 0 75116 0 31017 0 732185 0 0 JOHN CARD MD TRUSTEE 0 342519 0 27898 0 54618 0 18144 0 24858 0 468037 0 7500 JALEEMA SPEAKS MD TRUSTEE 0 231302 0 129938 0 19776 0 14778 0 23485 0 419279 0 0 ASHLEIGH HARGRAVE TRUSTEE 0 173985 0 26935 0 231 0 10560 0 11506 0 223217 0 0 HEATHER EGAN EXECUTIVE DIRECTOR 148105 0 7818 0 1857 0 9381 0 34153 0 201314 0 0 0 PART I, LINE 1A PART I, LINE 1A: FRINGE OR EXPENSE EXPLANATION FIRST-CLASS OR CHARTER TRAVEL: FIRST-CLASS OR CHARTER TRAVEL IS NOT A COVERED TRAVEL EXPENSE FOR EXECUTIVES; THEY ARE LIMITED TO BUSINESS OR COACH CLASS FARES FOR COMMERCIAL FLIGHTS. HOWEVER, CHARTER TRAVEL IS AVAILABLE TO CERTAIN EXECUTIVES, BOARD MEMBERS, AND APPROVED BUSINESS PERSONNEL MEETING APPLICABLE POLICY CRITERIA. TRAVEL FOR COMPANIONS: COMPANIONS ARE ALLOWED ON CERTAIN CHARTER FLIGHTS PAID FOR BY THE ORGANIZATION. IN THAT CASE, THE VALUE OF THE COMPANION'S FLIGHT IS CALCULATED UNDER APPLICABLE TAX LAWS AND THAT AMOUNT IS INCLUDED IN THE EXECUTIVE'S TAXABLE INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS. DISCRETIONARY SPENDING ACCOUNT: CERTAIN EXECUTIVES RECEIVE A DISCRETIONARY SPENDING ACCOUNT. THE DOLLAR AMOUNT IN THE ACCOUNT IS PRE-APPROVED BY THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE NOVANT HEALTH BOARD OF TRUSTEES. THE EXECUTIVE MAY DEFER THE AMOUNT TO A RETIREMENT ACCOUNT OR THE AMOUNT IS TREATED AS COMPENSATION AND IS SPREAD OUT OVER THE COURSE OF THE YEAR IN THE EXECUTIVE'S PAYCHECKS AS TAXABLE INCOME. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: WE PROVIDE TEMPORARY HOUSING ALLOWANCES IN CERTAIN EXECUTIVE RECRUITMENT AND RELOCATION PACKAGES. THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND THAT AMOUNT IS INCLUDED IN THE EXECUTIVE'S INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS. PART I, LINE 3 THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM AND RELIES UPON NOVANT HEALTH, INC., THE PARENT ORGANIZATION, TO USE THE PROCESS DESCRIBED IN PART VI, LINE 15A/15B OF THIS RETURN TO ESTABLISH COMPENSATION FOR CERTAIN EXECUTIVES. THIS PROCESS ADHERES TO THE REQUIREMENTS SET FORTH TO SECURE THE REBUTTABLE PRESUMPTION OF REASONABLENESS AND INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT AND DISINTERESTED MEMBERS OF A COMPENSATION COMMITTEE, CONSULTATION WITH INDEPENDENT COMPENSATION CONSULTANTS, THE UTILIZATION OF THIRD-PARTY COMPARABILITY DATA SUCH AS PUBLISHED COMPENSATION SURVEYS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. PART I, LINE 4B PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONE NONQUALIFIED JOHN CARD $10,975 FRED HARGETT $11,892 KIMBERLY HENDERSON $91,918 EQUITY-BASED NONE PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") IS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES, AND TO OFFER COMPETITIVE TOTAL COMPENSATION. GENERALLY, ANNUAL CONTRIBUTIONS TO THE PLAN OR PAYMENTS TO PARTICIPANTS WILL BE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF JANUARY 1ST OF THE PREVIOUS PLAN YEAR AND ARE REPORTED IN COLUMN (C) OF SCHEDULE J. PRIOR TO MAKING THE CONTRIBUTIONS OR PAYMENTS, THE NOVANT HEALTH COMPENSATION AND LEADERSHIP COMMITTEE ("COMMITTEE") WILL APPROVE THE AMOUNTS AS TO REASONABLENESS, WHEN COMBINED WITH ALL OTHER ANNUAL COMPENSATION. A 3 YEAR CLASS-YEAR VESTING PERIOD WILL APPLY UP TO AGE 62, WHEN ALL MONEY WOULD BE VESTED AND PAID OUT TO THE PARTICIPANT. OTHERWISE, VESTING WILL OCCUR ON JANUARY 1ST OF EACH YEAR FOR THE APPROPRIATE CLASS-YEAR VESTING PERIOD. THE COMMITTEE REVIEWS, APPROVES, AND OVERSEES ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS. FORM 990, PI, L1: ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES FORSYTH MEDICAL CENTER FOUNDATION, DOING BUSINESS AS NOVANT HEALTH FORSYTH MEDICAL CENTER FOUNDATION ("THE FOUNDATION") WAS FORMED TO ACCEPT GIFTS, SEEK GRANTS AND INVEST FUNDS TO SUPPORT FORSYTH MEMORIAL HOSPITAL DOING BUSINESS AT NOVANT HEALTH FORSYTH MEDICAL CENTER AS WELL AS THEIR STRATEGIC PARTNERS PROVIDING HEALTHCARE IN THE COMMUNITY. THE FOUNDATION'S MISSION IS SUPPORTING THE NOVANT HEALTH SYSTEM AND IMPROVING THE HEALTH OF OUR COMMUNITIES, ONE PERSON AT A TIME. NOVANT HEALTH FORSYTH MEDICAL CENTER FOUNDATION IS AN INTEGRAL PART OF THE NOVANT HEALTH SYSTEM (COLLECTIVELY KNOWN AS "NOVANT HEALTH"), A NOT-FOR-PROFIT INTEGRATED GROUP OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS. NOVANT HEALTH CONSISTS OF OVER 1,800 PHYSICIANS AND OVER 35,000 TEAM MEMBERS WHO MAKE HEALTHCARE REMARKABLE AT MORE THAN 800 LOCATIONS, INCLUDING 15 MEDICAL CENTERS AND HUNDREDS OF OUTPATIENT FACILITIES AND PHYSICIAN CLINICS. HEADQUARTERED IN WINSTON SALEM, NORTH CAROLINA, NOVANT HEALTH IS COMMITTED TO MAKING HEALTHCARE REMARKABLE FOR PATIENTS AND COMMUNITIES PROVIDING NEARLY SIX MILLION PATIENT VISITS ANNUALLY. IN 2022, THE NOVANT HEALTH SYSTEM REPORTED $7.6 BILLION IN REVENUES. GENERAL INFORMATION NOVANT HEALTH FORSYTH MEDICAL CENTER FOUNDATION SUPPORTS PATIENTS, FAMILIES AND CAREGIVERS AS WELL AS TEAM MEMBERS WITH PROGRAMS AND SERVICES WITHIN NOVANT HEALTH FORSYTH MEDICAL CENTER, PROVIDING EXPANDED TREATMENT AND PREVENTION OPTIONS. THE FOUNDATION ALSO PROVIDES A MISSION-ALIGNED GRANT TO COMMUNITY PARTNERS THAT HELP SUPPLEMENT HEALTHCARE AND PREVENTION PROGRAMS FOR UNDERSERVED PATIENTS AT THE COMMUNITY CARE CENTER. ITS DIVERSE BOARD OF COMMUNITY LEADERS IN WINSTON SALEM, CLEMMONS, AND KERNERSVILLE, NC PROVIDES STEWARDSHIP AND OVERSIGHT OF THE ORGANIZATION'S OPERATIONS AND ACTIVITIES. COMMUNITY OUTREACH COMMUNITY OUTREACH IS A CRITICAL COMPONENT TO THE MISSION OF NOVANT HEALTH FORSYTH MEDICAL CENTER FOUNDATION. IN 2022, ITS GIFTS, GRANTS, AND EARNINGS FROM INVESTMENTS TOUCHED VIRTUALLY EVERY INSTITUTE AT NOVANT HEALTH FORSYTH MEDICAL CENTER. SOME EXAMPLES ARE AS FOLLOWS: - SALARY SUPPORT FOR COMMUNITY HEALTH WORKERS, WHO ENGAGE WITH PATIENTS FACING CHRONIC HEALTH CONDITIONS LIKE COPD AND CONGESTIVE HEART FAILURE. PATIENTS PARTICIPATE IN A 90-DAY PROGRAM WHICH GIVES THEM NEEDED TOOLS TO MANAGE THEIR DISEASES AND DECREASES ED UTILIZATION RATES. - FUNDING TO RENOVATE AN EXTERIOR GARDEN FOR BEHAVIORAL HEALTH PATIENTS TO EXPERIENCE THE HEALING POWER OF NATURE. - RESTRICTED GIFTS FROM FOUNDATION FUNDS WENT TO SUPPORT ONCOLOGY NURSE NAVIGATORS, PATIENT SUPPORT, TRANSPORTATION, NURSING EDUCATION FINANCIAL AWARDS, MAMMOGRAMS, PATIENT TRANSPORTATION, MEDICATION, AND STAFF EDUCATION. - FIRST STEPS, AN IN-HOME NURSE VISIT PROGRAM FOR NEW MOTHERS WHO DELIVER AT NOVANT HEALTH FACILITIES. THIS PROGRAM SUPPORTS PATIENTS IN FORSYTH AND DAVIDSON COUNTIES, AND CONNECTS PATIENTS WITH A RANGE OF COMMUNITY RESOURCES, NOTABLY POSTPARTUM DEPRESSION SCREENING AND SUPPORT. - DENTAL WORK FOR PATIENTS WITH HEAD AND NECK CANCER. MANY OF THESE PATIENTS REQUIRE EXPENSIVE ORAL SURGERY BEFORE THEY ARE ABLE TO UNDERGO TREATMENT. - ONGOING FUNDING FOR ANGEL EYE CAMERAS IN THE NICU AT NOVANT HEALTH FORSYTH MEDICAL CENTER. THIS TECHNOLOGY PROVIDES FAMILIES WITH AN OPPORTUNITY TO SEE THEIR BABIES WHEN THEY CANNOT BE AT THE BEDSIDE. FAMILIES CAN LOG IN 24 HOURS A DAY, PROVIDING PEACE OF MIND AND ASSURANCE THAT THEIR NEWBORNS ARE BEING CARED FOR. - BLOOD PRESSURE CUFFS AND SCALES FOR PATIENTS WHO HAVE CHRONIC HEART DISEASE. THIS WAS NEEDED ESPECIALLY DURING COVID-19, WHEN PATIENTS WERE NOT ABLE TO EASILY VISIT A PROVIDER'S OFFICE OR PHARMACY TO MONITOR THEIR WEIGHT. - FUNDING FOR NOVANT HEALTH TODAY'S WOMAN, AN OBSTETRICS, GYNECOLOGY AND PEDIATRIC CLINIC WHICH CARES FOR PATIENTS IN AN UNDERSERVED COMMUNITY. BILINGUAL TEAM MEMBERS PROVIDE A RANGE OF SERVICES, INCLUDING TRANSPORTATION TO AND FROM APPOINTMENTS. - FINANCIAL ASSISTANCE TO SUPPORT RENT, UTILITIES, AND GROCERIES FOR TEAM MEMBERS FACING EMERGENCIES OR OTHER FINANCIAL CHALLENGES. - EMERGENCY HOUSING SUPPORT FOR TEAM MEMBERS DISPLACED DURING A CHEMICAL FIRE IN WINSTON-SALEM. - THE WOMEN'S COUNCIL OF NOVANT HEALTH FORSYTH MEDICAL CENTER FOUNDATION HAS A MISSION TO ENGAGE WOMEN IN RAISING THE STANDARD FOR WOMEN'S HEALTH AND EXPANDING HEALTHCARE OPPORTUNITIES FOR ALL WOMEN, REGARDLESS OF THEIR ECONOMIC CIRCUMSTANCES. THE WOMEN'S COUNCIL HAS PROVIDED GRANTS FOR MAMMOGRAPHY, MEDICATION AND TRANSPORTATION SUPPORT FOR WOMEN BATTLING GYNECOLOGIC CANCER; FUNDING FOR A PART-TIME LICENSED CLINICAL SOCIAL WORKER AT NOVANT HEALTH TODAY'S WOMAN; AND FINANCIAL SUPPORT FOR WOMEN WHO CANNOT AFFORD ADVANCED BREAST HEALTH SCREENINGS. THROUGH THESE GRANTS AND OTHERS, THE WOMEN'S COUNCIL HAS PROVIDED OVER $1,300,000 SINCE ITS FOUNDING. - FUNDING SUPPORTED CLINICAL PASTORAL EDUCATION PROGRAM AT NOVANT HEALTH FORSYTH MEDICAL CENTER WHICH ALLOWED US TO EXPAND OUR SPIRITUAL CARE TO OUR PATIENTS. - A HEALING GARDEN AT THE EMPLOYEE ENTRANCE OF NOVANT HEALTH KERNERSVILLE MEDICAL CENTER. COMMUNITY BENEFIT REPORT HTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS/ THE COMMUNITY BENEFIT REPORT, REFERRED TO AS A COMMUNITY IMPACT REPORT, PREPARED BY NOVANT HEALTH IS A SYSTEM-WIDE REPORT THAT INCLUDES QUALITATIVE AND QUANTITATIVE INFORMATION. PLEASE NOTE THAT THE NUMERIC DATA IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HEALTHCARE ASSOCIATION REPORTING GUIDELINES. IT SHOULD NOT BE RELIED UPON AS THE ORGANIZATION'S FORM 990, SCHEDULE H COMMUNITY BENEFIT REPORT, ITS COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION STRATEGY. IN THIS REPORT, THE NOVANT HEALTH SYSTEM'S COMMUNITY BENEFIT WAS APPROXIMATELY $1,566,000,000, INCLUDING $213,000,000 IN FINANCIAL ASSISTANCE FOR 2022. FORM 990, PART III, LINE 1: MISSION, VISION AND VALUES MISSION NOVANT HEALTH EXISTS TO IMPROVE THE HEALTH OF OUR COMMUNITIES, ONE PERSON AT A TIME. VISION WE, THE NOVANT HEALTH TEAM, WILL DELIVER THE MOST REMARKABLE PATIENT EXPERIENCE, IN EVERY DIMENSION, EVERY TIME. VALUES -COMPASSION: WE TREAT OUR CUSTOMERS AND THEIR FAMILIES, STAFF AND OTHER HEALTHCARE PROVIDERS AS FAMILY MEMBERS WITH KINDNESS, PATIENCE, EMPATHY AND RESPECT. -DIVERSITY AND INCLUSION: WE RECOGNIZE THAT EVERY PERSON IS DIFFERENT, EACH SHAPED BY UNIQUE LIFE EXPERIENCES. THIS ENABLES US TO BETTER UNDERSTAND EACH OTHER AND OUR CUSTOMERS. BY ENGAGING THE STRENGTHS AND TALENTS OF EACH TEAM MEMBER, WE ENSURE A STRONG ORGANIZATION CAPABLE OF PROVIDING REMARKABLE HEALTHCARE TO OUR PATIENTS, FAMILIES AND COMMUNITIES. -PERSONAL EXCELLENCE: WE STRIVE TO GROW PERSONALLY AND PROFESSIONALLY AND APPROACH EACH SERVICE OPPORTUNITY WITH A POSITIVE, FLEXIBLE ATTITUDE. HONESTY AND PERSONAL INTEGRITY GUIDE ALL WE DO. -TEAMWORK: THE NEEDS AND EXPECTATIONS OF ANY ONE CUSTOMER ARE GREATER THAN WHAT ONE PERSON'S SERVICE EFFORTS CAN SATISFY. WE SUPPORT EACH OTHER SO THAT TOGETHER AS A TEAM, WE CAN BE SUCCESSFUL IN THE EYE OF THE CUSTOMER AS A QUALITY SERVICE PROVIDER. -COURAGE: WE ACT BOLDLY IN MAKING THE CHANGES NECESSARY TO ACHIEVE OUR MISSION, VISION AND PROMISE OF DELIVERING REMARKABLE HEALTHCARE. -SAFETY: WE EMBRACE A CULTURE IN WHICH "FIRST, DO NO HARM" IS THE FOUNDATION OF REMARKABLE HEALTHCARE. OUR WORK ENVIRONMENT IS ONE OF OPEN COMMUNICATION, HIGH-RELIABILITY, AND A RELENTLESS QUEST TOWARD ZERO EVENTS OF PREVENTABLE HARM. OUR PEOPLE WE ARE AN INCLUSIVE TEAM OF PURPOSE-DRIVEN PEOPLE INSPIRED AND UNITED BY OUR PASSION TO CARE FOR EACH OTHER, OUR PATIENTS AND OUR COMMUNITIES. WE ALWAYS REMEMBER, OUR BUSINESS IS THE CARE OF ALL PEOPLE, STARTING WITH OUR TEAM MEMBERS. OUR PROMISE WE ARE RELENTLESSLY PURSUING REMARKABLE CARE EVERY DAY - SO YOU CAN EXPECT THE COMPASSIONATE, EXPERT, PERSONAL EXPERIENCE YOU DESERVE. FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF MEMBERS AND THEIR RIGHTS FORSYTH MEMORIAL HOSPITAL, INC. APPOINTS THE MAJORITY OF THE FORSYTH MEDICAL CENTER FOUNDATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B FORM 990, PART VI, SECTION B, LINE 11: ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE BOARD HAS DELEGATED REVIEW OF THE FORM 990 TO NOVANT HEALTH'S BOARD OF TRUSTEES' AUDIT AND COMPLIANCE COMMITTEE ("THE COMMITTEE"), WHICH OVERSEES TAX MATTERS FOR ENTITIES IN THE NOVANT HEALTH SYSTEM. THE COMMITTEE IS THE REVIEW BODY FOR ALL OF THE FORM 990S FILED FOR ORGANIZATIONS WITHIN THE NOVANT HEALTH SYSTEM. THE COMMITTEE MEETS BEFORE THE FORM 990S ARE FILED WITH THE IRS AND AFTER ALL BOARD MEMBERS HAVE BEEN PROVIDED A PAPER OR ELECTRONIC COPY OF THE FORM 990 AND A SUMMARY OF ITS CONTENTS. THE VICE PRESIDENT OF TAX AND LEGAL COUNSEL FOR NOVANT HEALTH ATTEND THE MEETING TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C FORM 990, PART VI, SECTION B, LINE 12C: MONITORING AND ENFORCEMENT OF COI THE ORGANIZATION'S TRUSTEE CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES, PRINCIPAL OFFICERS OR MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS INCLUDING ANY APPLICABLE DISREGARDED ENTITIES. ALL TRUSTEES ARE SENT AN ANNUAL DISCLOSURE QUESTIONNAIRE. THE TRUSTEE ANNUAL DISCLOSURE QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. WITH RESPECT TO PARTICULAR TRANSACTIONS THAT COME BEFORE THE BOARD, THE CONFLICT OF INTEREST POLICY WOULD BE FOLLOWED. THE POTENTIAL CONFLICT OF INTEREST WOULD BE DISCLOSED BY THE BOARD MEMBER BEFORE A VOTE ON THE TRANSACTION AND THE REST OF THE BOARD WOULD DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF THE REST OF THE BOARD DETERMINED THAT A CONFLICT OF INTEREST EXISTED THEN THE BOARD MEMBER WITH THE CONFLICT OF INTEREST WOULD NOT PARTICIPATE IN THE DELIBERATIONS AND VOTE. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 15A/15B: THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM COLLECTIVELY REFERRED TO AS "NOVANT HEALTH." NOVANT HEALTH, INC. IS THE PARENT ORGANIZATION AND INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH, INC. BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD) REVIEW, APPROVE, AND OVERSEE ALL ASPECTS OF COMPENSATION AND BENEFITS FOR CERTAIN LEADERS AND EXECUTIVES ("EXECUTIVES") SERVING AS OFFICERS, INCLUDING THE TOP MANAGEMENT OFFICIAL, OR KEY EMPLOYEES FOR NOVANT HEALTH ENTITIES. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT AND USES THIRD PARTY COMPARABILITY DATA FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS TO ENSURE THAT TOTAL COMPENSATION AND BENEFITS FOR EACH EXECUTIVE IS REASONABLE FOR THAT EXECUTIVE'S POSITION. THE COMMITTEE REVIEWS AND APPROVES EXECUTIVE COMPENSATION AND BENEFITS ANNUALLY, CONSISTENT WITH THE WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY OF NOVANT HEALTH, AND IN A MANNER THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THEREBY ASSURING THAT TOTAL COMPENSATION AND BENEFITS PROVIDED TO EACH EXECUTIVE IS REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: GOVERNING DOCUMENTS DISCLOSURE THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINING ALL ORGANIZATIONS IN THE NOVANT HEALTH SYSTEM ARE POSTED TO THE NOVANT HEALTH WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: AFFLILIATE TRANSFERS 556,116. PLEDGE ADJUSTMENT -896,659. FORM 990, SCHEDULE B, PART I THE ORGANIZATION IS REPORTING IN THE CURRENT TAX PERIOD THE BALANCE OF UNPAID PLEDGES RECEIVED BUT NOT PREVIOUSLY REPORTED ON FORM 990 TO ALIGN WITH ACCRUAL BASIS OF ACCOUNTING. THE ORGANIZATION PREVIOUSLY REPORTED PLEDGES AS CASH PAYMENTS WERE RECEIVED. 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