2020-08-13T08:44:28-05:00 2019-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2018-10-01 201929953 HARNETT HEALTH SYSTEM FOUNDATION HARN 9108911000 800 TILGHMAN DRIVE DUNN NC 28334 JESSICA LANG CPA CHIEF FINANCIAL OFFICER 9108911000 2020-08-12 1 JOHN NORMAN P01506766 7049985200 2020-08-11 67.137.57.251 2020-08-12 15:35:42 ED P 4352940A9571D7C5DDA6B43C112B0F5A28A64F72 C7045CBC9FEEFDC3BC9385C32B7CC9B9CF6029B2 2018 2020-09-22 18:59:49Z CORNELIA STEWART 800 TILGHMAN DRIVE DUNN NC 28334 425895 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. 13 13 0 14 0 0 112747 106820 0 0 12213 -428066 -5937 -24570 119023 -345816 0 9000 0 0 0 0 0 0 0 195708 54563 195708 63563 -76685 -409379 1408331 986140 13186 16617 1395145 969523 THE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE, AND ENRICH THE FACILITIIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 0 0 36353 9000 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. DURING THE YEAR ENDED SEPTEMBER 30 2019, THE FOUNDATION PROVIDED $9,000 TO HARNETT HEALTH SYSTEM TO HELP WITH THE PHARMACY DRUG ASSISTANCE PROGRAM 36353 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 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 CORNELIA T STEWART 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 CHRIS STEWART BOARD MEMBER 1.00 X 0 0 0 JERRY MILTON BOARD MEMBER 1.00 X 0 0 0 WALTER WEEKS BOARD MEMBER 1.00 X 0 0 0 LD BLACK BOARD MEMBER 1.00 X 0 0 0 JIMMY JOHNSON BOARD MEMBER 1.00 X 0 0 0 OLALEKAN FOLARIN BOARD MEMBER 1.00 X 0 0 0 KEITH TRIPP 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 THOMAS BUTLER VICE CHAIR 4.00 X 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 98598 1151 7071 106820 17667 17667 144098 140000 129831 600000 14267 -460000 -445733 -445733 17310 98598 41880 -24570 -24570 -345816 0 0 -452636 X 9000 9000 4500 4500 22710 22710 23968 23968 2985 2985 MISCELLANEOUS 400 400 63563 36353 27210 0 159151 343636 25164 8871 600000 624016 633633 1408331 986140 13186 16617 13186 16617 X 1381959 0 13186 969523 1395145 969523 1408331 986140 -409379 -16243 0 X 0 1 X 1 0 X 60712 81193 153317 112747 106820 514789 60712 81193 153317 112747 106820 514789 514789 618 3065 12165 17429 17667 50944 565733 0.91000 0.95670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 INVESTMENTS HELD TO MATURITY 633633 C 633633 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, 2019. GOLF TOURNAMENT 31313 27263 4050 2640 859 4620 BLESS YOUR HEART 28110 20850 7260 2320 4273 5180 778 1 56485 50485 6000 3500 6000 11710 115908 98598 17310 4960 8632 11180 17108 41880 -24570 1 HARNETT HEALTH SYSTEM INC PO BOX 1707 DUNN NC 28335 560603898 501(C)(3) 9000 PHARMACY DRUG ASSISTANCE PROGRAM 1 PART I, LINE 2: THE ORGANIZATION PROVIDES GRANTS TO HARNETT HEALTH SYSTEM, INC., A RELATED ORGANIZATION THAT THE ORGANIZATION SUPPORTS. 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 SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,710. 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