2022-11-14T15:13:46-06:00 2021-12-31 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2021-01-01 562120959 FORSYTH MEDICAL CENTER FOUNDATION FORS 3367182803 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 FRED HARGETT EVP & CFO 3367182803 2022-11-14 1 FRED HARGETT 999009999 AERRIAL M ORR P01598400 4048748300 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z NOVANT HEALTH FORSYTH MEDICAL CENTER FOUNDATION CARL ARMATO 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 49598396 0 X WWW.SUPPORTNOVANTHEALTH.ORG X 1981 NC SEE SCHEDULE O 20 14 9 51 0 0 2719712 2644941 0 0 1831401 9177840 -3411 1273 4547702 11824054 4196767 7031295 0 0 306348 623088 0 0 399865 1833568 354945 6336683 8009328 -1788981 3814726 76412896 87707112 329734 5354662 76083162 82352450 X SEE SCHEDULE O 0 0 7282405 7031295 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. 7282405 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 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 9 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 20 14 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NC X X KAREN DAUGHERTY 3367182803 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 ALLEN ELMS MD TRUSTEE 0.20 0.00 X 0 0 0 BAILEY DAVID TRUSTEE 0.20 0.00 X 0 0 0 BARRETT ROLLAND MD TRUSTEE 0.20 45.00 X 0 9562 0 BOVENDER KAREN TRUSTEE 0.20 0.00 X 0 75 0 BROWN TADELRO TRUSTEE 0.20 0.00 X 0 0 0 CAMERON MARY TRUSTEE (1/1/21-6/10/21) 0.20 0.00 X 0 0 0 CARD JOHN MD TRUSTEE 0.20 45.00 X 0 393118 43521 DIGGS BRENDA TRUSTEE 0.20 0.00 X 0 0 0 ELY JOSEPH VICE CHAIR 0.20 0.00 X X 0 0 0 FULLER-ANDREWS LEESHA SEC 0.20 0.00 X X 0 0 0 GROTE THOMAS MD TRUSTEE 0.20 45.00 X 0 859366 41009 HARDING ANDREW TRUSTEE 0.20 0.00 X 0 0 0 HARGRAVE ASHLEIGH TRUSTEE 0.20 45.00 X 0 173193 20355 HAYES WILLIAM TRUSTEE 0.20 0.00 X 0 0 0 LOGAN JOSEPH TRUSTEE 0.20 0.00 X 0 0 0 MADDEN ELIZABETH TREASURER 0.20 0.00 X X 0 0 0 MARSHALL DEBORAH CHAIR 0.20 0.00 X X 0 0 0 POLONSKY SHERRY TRUSTEE 0.20 0.00 X 0 0 0 PRATT DAMON TRUSTEE 0.20 0.00 X 0 0 0 SCHNEIDER ANDREW MD TRUSTEE 0.20 0.00 X 0 0 0 WARREN REBA TRUSTEE (1/1/21-6/10/21) 0.20 0.00 X 0 0 0 WILLARD RONNIE TRUSTEE 0.20 0.00 X 0 0 0 WOLFE IV JOHN TRUSTEE (1/1/21-6/10/21) 0.20 0.00 X 0 0 0 CAULKINS DOROTHY SVP FOUNDATIONS 8.30 41.50 X 0 605589 112629 EGAN HEATHER CHIEF DEVELOPMENT OFFICER 45.00 0.00 X 148988 0 41355 HENDERSON KIMBERLY FMR SVP FOUNDATIONS 0.00 50.00 X 0 826515 134137 148988 2867418 393006 1 1 1 0 0 39712 2605229 5407 2644941 1040141 1040141 45907019 37769320 8137699 8137699 8137699 6295 39712 5022 1273 1273 11824054 0 0 9179113 6877549 6877549 153746 153746 517031 129311 87906 299814 14171 3543 2409 8219 54919 13735 9338 31846 36967 9242 6284 21441 104294 104294 4921 2116 1033 1772 30746 15373 15373 12703 3627 6033 3043 952 238 162 552 29785 29785 2632 898 501 1233 853 367 179 307 16712 7126 3620 5966 MISCELLANEOUS 133355 61130 72071 154 REPAIRS AND MAINTENANCE 13644 3411 2319 7914 OTHER SUPPLIES 1547 35 590 922 MEDICAL SUPPLIES 1431 615 301 515 1370 343 233 794 8009328 7282405 327058 399865 767076 1243828 1225146 1121277 11853 8683 196941 79773 121241 117168 59142928 65100422 15144652 20115734 76412896 87707112 77198 94825 252536 5259837 329734 5354662 X 64589588 71031181 11493574 11321269 76083162 82352450 76412896 87707112 X 3814726 1850562 85 603915 X 0 1 X 1 1 1 X 2835503 2617056 2090974 2719712 2644941 12908186 2835503 2617056 2090974 2719712 2644941 12908186 3814550 9093636 738294 1092826 1223815 962053 1040141 5057129 -19991 -23093 -18620 -3411 1273 -63842 17901473 57897 0.50800 0.50470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11493574 2081442 271160 70827 2454080 11321269 12447741 1914567 117023 50841 2934916 11493574 12307011 1435742 234221 69505 1459728 12447741 11924629 2719034 -111564 39421 2185667 12307011 11815684 2485091 193146 33832 2535460 11924629 0.00000 1.00000 0.00000 0 0 196941 79773 117168 117168 OTHER SECURITIES 20115734 F 20115734 0 DUE TO AFFILIATE 5259837 5259837 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, 2021 AND 2020. GARDEN PARTY 46007 39712 6295 5022 46007 39712 6295 5022 5022 1273 1 THE CENTERS FOR EXCEPTIONAL CHILDREN INC 2315 COLISEUM DRIVE WINSTONSALEM NC 27106 560615188 501(C)(3) 16230 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) 5843048 0 TO SUPPORT NHFMC, NHCMC, NHKMC, AND FMCI NOVANT MEDICAL GROUP INC 2085 FRONTIS PLAZA BLVD WINSTONSALEM NC 27103 581728803 501(C)(3) 11213 0 TO SUPPORT NOVANT MEDICAL GROUP, INC. FOUNDATION HEALTH SYSTEMS CORP 2085 FRONTIS PLAZA BLVD WINSTONSALEM NC 27103 561373175 501(C)(3) 500001 0 TO SUPPORT TODAY'S WOMAN COMMUNITY CARE CLINIC OF ROWAN COUNTY INC 315 MOCKSVILLE AVE STE G SALISBURY NC 28144 561964773 501(C)(3) 250000 0 COMMUNITY OUTREACH NOVANT HEALTH INC 2085 FRONTIS PLAZA BLVD WINSTONSALEM NC 27103 561376950 501(C)(3) 7057 0 TO SUPPORT NOVANT HEALTH, INC 7 0 EMPLOYEE EMERGENCY FUND 64 39579 SCHOLARSHIPS 5 15960 PATIENT TRANSPORTATION 381 7415 FMV CAB FARES FOR INDIGENT PATIENTS PATIENT ASSISTANCE - ZOLL VEST 8 25600 FMV ZOLL LIFE VESTS PATIENT ASSISTANCE 587 65192 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 HENDERSON KIMBERLY FMR SVP FOUNDATIONS 0 391045 0 315644 0 119826 0 104831 0 29306 0 960652 0 58300 GROTE THOMAS MD TRUSTEE 0 589830 0 238308 0 31228 0 17400 0 23609 0 900375 0 0 CAULKINS DOROTHY SVP FOUNDATIONS 0 341242 0 221204 0 43143 0 82817 0 29812 0 718218 0 0 CARD JOHN MD TRUSTEE 0 314038 0 33860 0 45220 0 17219 0 26302 0 436639 0 7500 HARGRAVE ASHLEIGH TRUSTEE 0 154720 0 18358 0 115 0 9401 0 10954 0 193548 0 0 EGAN HEATHER CHIEF DEVELOPMENT OFFICER 135156 0 10499 0 3333 0 8594 0 32761 0 190343 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 CARD, JOHN $7,500 HENDERSON, KIMBERLY $58,300 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. ELIGIBLE EXECUTIVES WILL BE NOMINATED BY THE CEO AND APPROVED BY THE NOVANT HEALTH COMPENSATION AND LEADERSHIP COMMITTEE ("THE COMMITTEE") TO PARTICIPATE. 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 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 2,300 PHYSICIANS AND OVER 35,000 TEAM MEMBERS WHO MAKE HEALTHCARE REMARKABLE AT MORE THAN 800 LOCATIONS, INCLUDING 14 MEDICAL CENTERS AND HUNDREDS OF OUTPATIENT FACILITIES AND PHYSICIAN CLINICS. HEADQUARTERED IN WINSTON SALEM, NC, NOVANT HEALTH IS COMMITTED TO MAKING HEALTHCARE REMARKABLE FOR PATIENTS AND COMMUNITIES, SERVING MORE THAN SIX MILLION PATIENTS ANNUALLY. IN 2021, NOVANT HEALTH WAS THE HIGHEST-RANKING HEALTHCARE SYSTEM IN NORTH CAROLINA TO BE INCLUDED ON FORBES' BEST EMPLOYERS FOR DIVERSITY LIST. DIVERSITY MBA MAGAZINE RANKED NOVANT HEALTH FIRST IN THE NATION ON ITS 2021 LIST OF "BEST PLACES FOR WOMEN & DIVERSE MANAGERS TO WORK." IN 2021, THE NOVANT HEALTH SYSTEM REPORTED $7.4 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 2021, ITS GIFTS, GRANTS, AND EARNINGS FROM INVESTMENTS TOUCHED VIRTUALLY EVERY SERVICE AREA AT NOVANT HEALTH FORSYTH MEDICAL CENTER. SOME EXAMPLES ARE AS FOLLOWS: - 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. DURING COVID-19, CARE WAS PROVIDED BY FIRST STEPS RNS THROUGH A VIRTUAL PLATFORM. PATIENTS WERE CONNECTED WITH A RANGE OF COMMUNITY RESOURCES, NOTABLY POSTPARTUM DEPRESSION 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. - A MONTHLY SUPPORT GROUP FOR PATIENTS WITH DEMENTIA AND THEIR CAREGIVERS. DURING COVID-19, THESE ACTIVITIES WERE OFFERED OVER A VIRTUAL PLATFORM. - 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. - 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. - 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 EQUIPMENT FOR FORSYTH CONNECTS, A HOME VISIT PROGRAM FOR NEW MOTHERS RESIDING IN FORSYTH COUNTY. THROUGH THESE GRANTS AND OTHERS, THE WOMEN'S COUNCIL HAS PROVIDED OVER $1,200,000 SINCE ITS FOUNDING. - MAJOR RENOVATION OF THE NOVANT HEALTH FORSYTH MEDICAL CENTER'S CANCER INSTITUTE HAS BROUGHT NEW INNOVATIONS TO ONCOLOGY PATIENTS THROUGH A NEW DEVELOPMENTAL THERAPEUTICS' UNIT. - 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/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/OUR-IMPA CT.ASPX 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 $1,124,000,000, INCLUDING $193,000,000 IN FINANCIAL ASSISTANCE FOR 2021. 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. THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES AND THE ORGANIZATION'S ONLY OFFICERS, OTHER THAN THE TOP MANAGEMENT OFFICIAL, ARE STATE LAW BOARD OFFICERS. THESE EMPLOYEES DO NOT HOLD A CORPORATE POSITION OF INFLUENCE THAT RESULTS IN REVIEW OF THEIR COMPENSATION BY THE PARENT ORGANIZATION'S COMPENSATION AND LEADERSHIP COMMITTEE. 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: AFFILIATE TRANSFER: 848,952. PLEDGES RECEIVABLE: -245,037. 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