2021-08-13T08:16:57-05:00 2020-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-10-01 201929953 HARNETT HEALTH SYSTEM FOUNDATION HARN 9108911000 800 TILGHMAN DRIVE DUNN NC 28334 JESSICA LANG CPA CHIEF FINANCIAL OFFICER 9108911000 2021-08-12 1 JOHN NORMAN P01506766 7049985200 2021-08-12 2019 2022-09-23 18:48:47Z GENE LEWIS 800 TILGHMAN DRIVE DUNN NC 28334 129320 0 X HTTP://MYHARNETTHEALTH.ORG/ABOUTFOUNDATION/ X 2004 NC THE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE AND ENRICH THE FACILITIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 14 14 0 10 0 0 106820 62243 0 0 -428066 22380 -24570 -3963 -345816 80660 9000 0 0 0 0 25000 0 0 0 54563 10547 63563 35547 -409379 45113 986140 1069058 16617 28816 969523 1040242 THE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE, AND ENRICH THE FACILITIIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 0 0 35547 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. 35547 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 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 1 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 1 0 X X SAMANTHA NISHNICK 9108921000 800 TILGHMAN DRIVE DUNN NC 28334 X WALTER WEEKS CHAIR 4.00 X X 0 0 0 CHRIS STEWART VICE CHAIR 4.00 X X 0 0 0 EMMETT ALDREDGE SECRETARY 4.00 X X 0 0 0 EDDIE TOBLER TREASURER 4.00 X X 0 0 0 SUSAN CHRISCOE BOARD MEMBER 1.00 X 0 0 0 OLALEKAN FOLARIN BOARD MEMBER 1.00 X 0 0 0 JIMMY JOHNSON BOARD MEMBER 1.00 X 0 0 0 GENE LEWIS BOARD MEMBER 1.00 X 0 0 0 JERRY MILTON BOARD MEMBER 1.00 X 0 0 0 MARCY SANTINI BOARD MEMBER 1.00 X 0 0 0 CORNELIA T STEWART BOARD MEMBER 1.00 X 0 0 0 KEITH TRIPP BOARD MEMBER 1.00 X 0 0 0 JOHN WILBOURNE BOARD MEMBER 1.00 X 0 0 0 LD BLANK BOARD MEMBER 1.00 X 0 0 0 CORY HESS PRESIDENT 4.00 40.00 X 0 0 0 JESSICA LANG CHIEF FINANICAL OFFICER 4.00 40.00 X 0 0 0 0 0 0 0 0 0 0 0 17470 414 44359 62243 13171 13171 47986 38777 9209 9209 9209 5920 17470 9883 -3963 -3963 80660 0 0 18417 X 25000 25000 4894 4894 4134 4134 946 946 MISCELLANEOUS 573 573 35547 35547 0 0 343636 392985 8871 500 633633 675573 986140 1069058 16617 28816 16617 28816 X 0 0 969523 1040242 969523 1040242 986140 1069058 45113 25606 0 X 0 1 X 1 0 X 81193 153317 112747 106820 62243 516320 81193 153317 112747 106820 62243 516320 516320 3065 12165 17429 17667 13171 63497 579817 0.89050 0.91000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 INVESTMENTS HELD TO MATURITY 675573 C 675573 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, 2020. BLESS YOUR HEART 23390 17470 5920 1710 3484 4290 399 23390 17470 5920 1710 3484 4290 399 9883 -3963 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 B, LINE 15B THE CONFLICT OF INTERST 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. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 4,894. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,894. HARNETT HEALTH SYSTEM INC PO BOX 1707 DUNN NC 28335 560603898 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0