2022-08-15T13:26:17-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-10-01 201929953 HARNETT HEALTH SYSTEM FOUNDATION HARN 9108911000 800 TILGHMAN DRIVE DUNN NC 28334 JESSICA LANG CPA CHIEF FINANCIAL OFFICER 9108911000 2022-08-13 1 JESSICA LANG CPA 999009999 JOHN NORMAN P01506766 7049985200 2022-08-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GENE LEWIS 800 TILGHMAN DRIVE DUNN NC 28334 96260 0 X HTTPS://WWW.HARNETTHEALTHCARES.COM/ X 2004 NC THE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE AND ENRICH THE FACILITIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 21 21 0 10 0 0 62243 61109 0 0 22380 35151 -3963 0 80660 96260 0 31217 0 0 25000 25000 0 0 0 10547 21166 35547 77383 45113 18877 1069058 1195290 28816 40263 1040242 1155027 THE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE, AND ENRICH THE FACILITIIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 0 0 77383 31217 HARNETT HEALTH FOUNDATION'S MISSION IS TO RAISE AWARENESS, INSPIRE ENGAGEMENT, AND INVESTMENT IN LOCAL HEALTH CARE TO IMPROVE THE QUALITY OF LIFE OF OUR FAMILIES AND NEIGHBORS. THEY ARE ADVANCING HEALTHCARE & CONTRIBUTING TO A THRIVING COMMUNITY THROUGH COMMUNITY ENGAGEMENT, NEEDED DEVELOPMENT IN HARNETT HEALTH FACILITIES AND STATE-OF-THE-ART EQUIPMENT. 77383 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 NC X SAMANTHA NISHNICK 9108921000 800 TILGHMAN DRIVE DUNN NC 28334 X GENE LEWIS CHAIR 4.00 X X 0 0 0 CHRIS STEWART VICE CHAIR 4.00 X X 0 0 0 EMMETT ALDREDGE III SECRETARY 4.00 X X 0 0 0 EDDIE TOBLER TREASURER 4.00 X X 0 0 0 WALTER WEEKS BOARD MEMBER 1.00 X 0 0 0 JIMMY JOHNSON BOARD MEMBER 1.00 X 0 0 0 MARCY SANTINI BOARD MEMBER 1.00 X 0 0 0 JOHN WILBOURNE BOARD MEMBER 1.00 X 0 0 0 JERRY MILTON BOARD MEMBER 1.00 X 0 0 0 OLALEKAN FOLARIN BOARD MEMBER 1.00 X 0 0 0 BO JONES BOARD MEMBER 1.00 X 0 0 0 ASHLYN THOMPSON BOARD MEMBER 1.00 X 0 0 0 CHRIS ZINKHAN BOARD MEMBER 1.00 X 0 0 0 DAVID STEPHENS BOARD MEMBER 1.00 X 0 0 0 GLEN MCFADDEN BOARD MEMBER 1.00 X 0 0 0 APRIL POPE BOARD MEMBER 1.00 X 0 0 0 TRIPP WOMBLE BOARD MEMBER 1.00 X 0 0 0 BRAD HEATH BOARD MEMBER 1.00 X 0 0 0 ANN MILTON BOARD MEMBER 1.00 X 0 0 0 JOE LANGLEY BOARD MEMBER 1.00 X 0 0 0 LORI LANGDON BOARD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 61109 61109 13342 13342 21809 0 21809 21809 21809 96260 0 0 35151 31217 31217 25000 25000 654 654 19709 19709 191 191 DUES AND SUBSCRIPTIONS 612 612 77383 77383 0 0 392985 84711 500 0 675573 1110579 1069058 1195290 28816 40263 28816 40263 X 1040242 1155027 1040242 1155027 1069058 1195290 18877 95908 0 X 0 1 X 1 0 X 153317 112747 106820 62243 61109 496236 153317 112747 106820 62243 61109 496236 496236 12165 17429 17667 13171 13342 73774 570010 0.87060 0.89050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 INVESTMENTS HELD TO MATURITY 1110579 C 1110579 X PART X, LINE 2: THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2021. 0 HARNETT HEALTH SYSTEM INC PO BOX 1706 DUNN NC 28335 560603898 31217 DONATION TO HARNETT HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE SECRETARY AND THE TREASUER. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE ORGANIZATION TO THE EXTENT PERMITTED BY LAW DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B JESSICA LANG, CHIEF FINANCIAL OFFICER, WILL REVIEW THE 990 FORM WITH THE BOARD AND ANSWER ANY OF THEIR QUESTIONS. THE BOARD WILL THEN VOTE TO APPROVE OR NOT APPROVE THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE LEADERSHIP OF THE BOARD OF TRUSTEES (THROUGHOUT THE YEAR IF NEEDED) AND ADMINISTERED TO ALL VOTING BOARD MEMBERS FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. HARNETT HEALTH SYSTEM INC PO BOX 1707 DUNN NC 28335 560603898 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 HARNETT HEALTH SYSTEM INC O 25000 FOUNDATION BOARD APPROVED $25K HARNETT HEALTH SYSTEM INC P 31217 FOUNDATION BOARD APPROVED