FORSYTH MEMORIAL HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: FORSYTH MEMORIAL HOSPITAL INC (EIN 56-0928089)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-15
IRS object ID: 201813199349301596
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-15T08:41:49-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560928089	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FORSYTH MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FORS	BusinessNameControlTxt
Phone	3367182803	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2085 FRONTIS PLAZA BLVD	AddressLine1Txt
City	WINSTON SALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27103	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FRED HARGETT	PersonNm
Person Title	EVP & CFO	PersonTitleTxt
Phone	3367182803	PhoneNum
Signature	2018-11-12	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	170.98.106.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-12	IPDt
IP Tm	16:15:49	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	78A4C4F87B604C240469A634FCB01368FEDB2C97	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2E0617DCF860B22C3F0F9F24470DBB0FF68CD602	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	NOVANT HEALTH FORSYTH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CARL ARMATO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2085 FRONTIS PLAZA BLVD	AddressLine1Txt
City	WINSTON SALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27103	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,326,578,146	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NOVANTHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1968	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	7439	TotalEmployeeCnt
Total Volunteers	735	TotalVolunteersCnt
Total Gross UBI	-$316,493	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$542,994	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,638,188	PYContributionsGrantsAmt
CY Contributions Grants	$5,895,007	CYContributionsGrantsAmt
PY Program Service Revenue	$1,300,239,247	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,307,553,317	CYProgramServiceRevenueAmt
PY Investment Income	$566,932	PYInvestmentIncomeAmt
CY Investment Income	$698,869	CYInvestmentIncomeAmt
PY Other Revenue	$13,059,103	PYOtherRevenueAmt
CY Other Revenue	$12,224,669	CYOtherRevenueAmt
PY Total Revenue	$1,315,503,470	PYTotalRevenueAmt
CY Total Revenue	$1,326,371,862	CYTotalRevenueAmt
PY Grants And Similar Paid	$789,402	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$900,964	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$463,276,050	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$486,715,719	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$692,997,809	PYOtherExpensesAmt
CY Other Expenses	$712,590,014	CYOtherExpensesAmt
PY Total Expenses	$1,157,063,261	PYTotalExpensesAmt
CY Total Expenses	$1,200,206,697	CYTotalExpensesAmt
PY Revenues Less Expenses	$158,440,209	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$126,165,165	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,421,062,231	TotalAssetsBOYAmt
Total Assets EOY	$1,544,644,500	TotalAssetsEOYAmt
Total Liabilities BOY	$78,366,912	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$82,153,583	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,342,695,319	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,462,490,917	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$957,760,537	ExpenseAmt
Grant	$900,964	GrantAmt
Revenue	$1,310,865,134	RevenueAmt
Desc	FORSYTH MEMORIAL HOSPITAL, INC. (FMH), KERNERSVILLE MEDICAL CENTER (KMC), AND CLEMMONS MEDICAL CENTER (CMC) CARRY OUT THE PURPOSE OF THE FORSYTH COUNTY BOARD OF COMMISSIONERS BY ADVANCING AND SUPPORTING THE PROMOTION OF THE HEALTH OF THE INHABITANTS OF FORSYTH COUNTY AND THE KERNERSVILLE AREA OF NC. FMH, KMC, AND CMC MAINTAIN AN OPEN DOOR POLICY, ACCEPTING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. FMH HAS 927 LICENSED BEDS. DURING 2017 THERE WERE 233,515 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 6 DAYS, AN AVERAGE DAILY CENSUS OF 640, AND 40,913 DISCHARGES. THERE WERE 23,755 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 1,139,149 OUTPATIENT ENCOUNTERS AND 85,225 EMERGENCY DEPARTMENT VISITS.(CONTINUED ON SCHEDULE O)	Desc
Total Program Service Expenses	$957,760,537	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	7439	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAREN DAUGHERTY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3367182803	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2085 FRONTIS PLAZA BLVD	AddressLine1Txt
City	WINSTON SALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27103	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BAREFOOT SAMUEL
TRUSTEE	2.00	Yes (X)	$0	$0	$0
BROWN CANDICE
TRUSTEE	2.00	Yes (X)	$0	$0	$0
CARROLL JOE
TRUSTEE	2.00	Yes (X)	$0	$0	$0
EDWARDS JOEL MD
TRUSTEE	2.00	Yes (X)	$358,073	$0	$78,379
ELY JOSEPH
CHAIR	2.00	Yes (X)	$0	$375	$0	Yes (X)
FORIEST BRYANT
TRUSTEE	2.00	Yes (X)	$0	$0	$0
HARDING LARI
TRUSTEE	2.00	Yes (X)	$0	$0	$0
HAUSER CHARLES
TRUSTEE	2.00	Yes (X)	$0	$0	$0
JOHNSON JOIA
VICE CHAIR	2.00	Yes (X)	$0	$0	$0	Yes (X)
LAMBE CLARENCE
SEC/TREAS	2.00	Yes (X)	$0	$0	$0	Yes (X)
LEON CHRISTOPHER
TRUSTEE	2.00	Yes (X)	$0	$0	$0
LOBO LUIS
TRUSTEE	2.00	Yes (X)	$0	$0	$0
PAEZ DORIS
TRUSTEE	2.00	Yes (X)	$0	$47,439	$6,120
THOMASON JASON MD
TRUSTEE	2.00	Yes (X)	$0	$17,160	$0
WOLFE III JOHN
TRUSTEE	2.00	Yes (X)	$0	$0	$0
MORRIS JOHN
ASST SEC	2.00		$0	$346,362	$88,122	Yes (X)
SANZ SEAN
PRESIDENT & COO	60.00		$649,064	$0	$155,777	Yes (X)
SMITH HARRY
SVP HOSPITAL OPERATIONS	60.00		$0	$1,092,392	$194,938	Yes (X)
BRIGHT JANET
VP NURSING & MARKET CNO	60.00		$212,295	$0	$53,687		Yes (X)
JARRETT-PULLIAM KIMBERLY
FMR VP NURSING & MARKET CNO	60.00		$21,731	$487,619	$78,592		Yes (X)
MOTEW STEPHEN MD
SVP & MARKET PRESIDENT	60.00		$744,585	$0	$161,650		Yes (X)
NYCUM LAWRENCE
SVP MEDICAL AFFAIRS	2.00		$715,080	$0	$143,611		Yes (X)
SETLIFF MICHAEL
PRESIDENT & COO	60.00		$415,136	$0	$84,402		Yes (X)
MCDONALD COLIN
NEUROLOGIST	40.00		$765,456	$0	$80,177			Yes (X)
POWERS JOHN
CARDIOLOGIST	40.00		$735,043	$0	$97,306			Yes (X)
PRELI ROBERT
CARDIOLOGIST	40.00		$745,491	$0	$103,570			Yes (X)
TURNER SAMUEL
CARDIOLOGIST	40.00		$715,816	$0	$92,643			Yes (X)
ZEYLIKMAN YURIY
NEUROLOGIST	40.00		$1,003,807	$0	$93,625			Yes (X)
LINDSAY JEFFERY
FMR PRES - FMH/COO WS MKT	0.00		$0	$1,780,027	$89,691				Yes (X)
MIHAL DENISE
FMR PRES - FMH/COO WS MKT	0.00		$0	$1,327,983	$84,429				Yes (X)
GREGORY CHERE MD
FMR SVP WOMEN'S SERVICES	60.00		$0	$646,953	$125,367				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,081,577	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,746,310	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,812,086	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	517	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RENTENBACH CONSTRUCTORS
800 SOUTH GAY STREET	KNOXVILLE	TN	37902	CONSTRUCTION SERVICES	$13,319,971
LABORATORY CORPORATION OF AMERICA HOLDIN
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	$13,218,263
CROSS COUNTRY STAFFING
PO BOX 404674	ATLANTA	GA	30384	STAFFING SERVICES	$11,344,827
CROTHALL HEALTH CARE INC
955 CHESTERBROOK BLVD S300	WAYNE	PA	19087	FACILITY SERVICES	$10,402,798
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	FOOD MANAGEMENT SERVICES	$9,998,394

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	88	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,439,109	RelatedOrganizationsAmt
Government Grants	$1,213,965	GovernmentGrantsAmt
All Other Contributions	$241,933	AllOtherContributionsAmt
Noncash Contributions	$17,000	NoncashContributionsAmt
Total Contributions	$5,895,007	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$1,258,836,737	$1,258,836,737
PHARMACY	446110	$45,327,614	$45,327,614
MOBILE MRI SERVICES	621512	$2,054,514	$2,054,514
VALUE BASED INCENTIVE	900099	$888,953	$888,953
LAB SERVICES	621511	$408,985	$408,985

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,514	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,514	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,307,553,317	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$371,382	TotalRevenueColumnAmt
Exclusion	$371,382	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,573,346	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,573,346	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,573,346	TotalRevenueColumnAmt
Exclusion	$3,573,346	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$451,603	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$124,116	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$327,487	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$327,487	TotalRevenueColumnAmt
Exclusion	$327,487	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$93,872	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$82,168	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,704	TotalRevenueColumnAmt
Exclusion	$11,704	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA MEALS	722514	$3,427,785	$3,427,785
DIALYSIS SERVICES	621492	$2,157,507		$2,157,507
CHILD DEVELOPMENT CENTER	624410	$1,630,853	$1,417,728		$213,125

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,423,474	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,154,310	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$529,618	UnrelatedBusinessRevenueAmt
Exclusion	$798,782	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,639,619	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,326,371,862	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,310,865,134	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$316,493	UnrelatedBusinessRevenueAmt
Exclusion	$9,928,214	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$796,167	TotalAmt
Program Services	$796,167	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$104,797	TotalAmt
Program Services	$104,797	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,793,898	TotalAmt
Management And General	$3,793,898	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$92,284	TotalAmt
Management And General	$92,284	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$386,744,351	TotalAmt
Program Services	$374,136,485	ProgramServicesAmt
Management And General	$12,607,866	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,972,510	TotalAmt
Program Services	$14,484,406	ProgramServicesAmt
Management And General	$488,104	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$56,015,415	TotalAmt
Program Services	$54,189,312	ProgramServicesAmt
Management And General	$1,826,103	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$25,097,261	TotalAmt
Program Services	$24,279,090	ProgramServicesAmt
Management And General	$818,171	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,454	TotalAmt
Management And General	$7,454	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,125	TotalAmt
Management And General	$4,125	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$105,289,347	TotalAmt
Program Services	$90,398,130	ProgramServicesAmt
Management And General	$14,891,217	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$801,626	TotalAmt
Program Services	$775,589	ProgramServicesAmt
Management And General	$26,037	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,512,544	TotalAmt
Program Services	$5,103,158	ProgramServicesAmt
Management And General	$409,386	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,862,870	TotalAmt
Program Services	$6,693,334	ProgramServicesAmt
Management And General	$169,536	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$28,587,307	TotalAmt
Program Services	$27,655,361	ProgramServicesAmt
Management And General	$931,946	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,593,326	TotalAmt
Program Services	$1,535,012	ProgramServicesAmt
Management And General	$58,314	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$252,796	TotalAmt
Program Services	$244,555	ProgramServicesAmt
Management And General	$8,241	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,881,861	TotalAmt
Program Services	$13,429,312	ProgramServicesAmt
Management And General	$452,549	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,747,456	TotalAmt
Program Services	$22,973,289	ProgramServicesAmt
Management And General	$774,167	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,919,513	TotalAmt
Program Services	$1,718,802	ProgramServicesAmt
Management And General	$200,711	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
CORPORATE SUPPORT	$194,602,106	$194,602,106
MEDICAL SUPPLIES	$127,028,011		$127,028,011
DRUGS	$104,264,889		$104,264,889
ACCRUED UBIT	-$14,580	-$14,580

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$98,249,363	TotalAmt
Program Services	$87,950,838	ProgramServicesAmt
Management And General	$10,298,525	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,200,206,697	TotalAmt
Program Services	$957,760,537	ProgramServicesAmt
Management And General	$242,446,160	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$443,975	BOYAmt
EOY	-$35,834	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$159,164,389	BOYAmt
EOY	$152,939,255	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,390,219	BOYAmt
EOY	$11,777,628	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,469,776	BOYAmt
EOY	$22,911,348	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,083,555	BOYAmt
EOY	$602,988	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$546,190,321	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$318,837,320	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$201,298,291	BOYAmt
EOY	$227,353,001	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,952	BOYAmt
EOY	$436,444	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,015,047	BOYAmt
EOY	$31,015,047	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$993,192,027	BOYAmt
EOY	$1,097,644,623	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,421,062,231	BOYAmt
EOY	$1,544,644,500	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,418,693	BOYAmt
EOY	$54,688,468	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$144,251	BOYAmt
EOY	$149,755	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,803,968	BOYAmt
EOY	$27,315,360	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,366,912	BOYAmt
EOY	$82,153,583	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,342,695,319	BOYAmt
EOY	$1,462,490,917	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,342,695,319	BOYAmt
EOY	$1,462,490,917	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,421,062,231	BOYAmt
EOY	$1,544,644,500	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$126,165,165	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$6,369,567	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$4,125	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$65,544	OtherActivitiesAmt
Total Lobbying Expenditures	$69,669	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II-B, LINE 1:	LINE 1A THERE IS LIMITED ENGAGEMENT OF THE BOARD. LINE 1B THERE IS MINIMAL TIME OF SENIOR LEADERS. LINE 1G THERE IS LIMITED CONTACT MADE BY SENIOR LEADERS DURING ADVOCACY DAY.
LINE 1I	DUES PAID TO CERTAIN ORGANIZATIONS WHICH INCLUDE A PORTION RELATED TO LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,727,897	OtherCostOrOtherBasisAmt
Book Value	$10,727,897	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$146,091,558	OtherCostOrOtherBasisAmt
Depreciation	$27,345,643	DepreciationAmt
Book Value	$118,745,915	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,433,865	OtherCostOrOtherBasisAmt
Depreciation	$9,488,615	DepreciationAmt
Book Value	$3,945,250	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$331,156,703	OtherCostOrOtherBasisAmt
Depreciation	$264,977,586	DepreciationAmt
Book Value	$66,179,117	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,780,298	OtherCostOrOtherBasisAmt
Depreciation	$17,025,476	DepreciationAmt
Book Value	$27,754,822	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$227,353,001	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATE	$1,097,621,121
FEDERAL INCOME TAX RECEIVABLE	$23,502

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,097,644,623	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
THIRD PARTY PAYMENT PAYABLE	$8,613,030
NOTES PAYABLE	$14,033,306
PATIENT REFUNDS	$4,637,024
OTHER LIABILITIES	$32,000

Field	Value	IRS element (for citing)
Total Liability	$27,315,360	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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, 2017 AND 2016.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	0	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,598,741	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,598,741	NetCommunityBenefitExpnsAmt
Total Expense	0.03630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$158,251,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$123,788,025	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,463,486	NetCommunityBenefitExpnsAmt
Total Expense	0.03010	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,883,464	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,709,421	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$174,043	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$202,733,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$126,497,446	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,236,270	NetCommunityBenefitExpnsAmt
Total Expense	0.06660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$881,225	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$745,646	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,843,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,206,658	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,637,062	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,654,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,510,988	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,143,873	NetCommunityBenefitExpnsAmt
Total Expense	0.00970	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,128,009	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,128,009	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$319,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,827,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,853,225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,974,340	NetCommunityBenefitExpnsAmt
Total Expense	0.02100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$256,561,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$156,350,671	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,210,610	NetCommunityBenefitExpnsAmt
Total Expense	0.08760	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$159,222	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$159,222	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,315	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,315	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$320,037	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$320,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$55,035,515	BadDebtExpenseAmt
Reimbursed By Medicare	$210,100,099	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$206,973,262	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,126,837	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
FMH DBA NH FORSYTH MEDICAL CENTER
1	3333 SILAS CREEK PARKWAY	WINSTONSALEM	NC	27103	WWW.NOVANTHEALTH.ORG	H0209	Yes (X)	Yes (X)	Yes (X)	A
FMH DBA NH KERNERSVILLE MEDICAL CENTER
2	1750 KERNERSVILLE MEDICAL PARKWAY	KERNERSVILLE	NC	27284	WWW.NOVANTHEALTH.ORG	H0209	Yes (X)	Yes (X)	Yes (X)	A
FMH DBA NH CLEMMONS MEDICAL CENTER
3	6915 VILLAGE MEDICAL CIRCLE	CLEMMONS	NC	27012	WWW.NOVANTHEALTH.ORG	H0209	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FORSYTH MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.NOVANTHEALTH.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.NOVANTHEALTH.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	0	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: FMH DBA NH FORSYTH MEDICAL CENTER, - FACILITY 2: FMH DBA NH KERNERSVILLE MEDICAL CENTER, - FACILITY 3: FMH DBA NH CLEMMONS MEDICAL CENTER
FORSYTH MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 3J:	FORSYTH MEMORIAL HOSPITAL, INC.PART V, SECTION B, LINE 3E:SEVERAL SOCIAL, BEHAVIORAL, AND CLINICAL HEALTH NEEDS WERE IDENTIFIED IN THE NEEDS ASSESSMENT. ONCE THE HEALTH NEEDS WERE IDENTIFIED, SURVEYS AND COMMUNITY MEETINGS WERE CONDUCTED IN WHICH THE VARIOUS COMMUNITY STAKEHOLDERS RANKED THE HEALTH ISSUES ACCORDING TO THE YEARS OF POTENTIAL LIFE LOST AND MAGNITUDE OF IMPACT. THE INFORMATION GATHERED WAS THEN MATRIXED AND SCORED IN ORDER TO RANK THE FOCUS AREAS AND PRIORITIZE THE IDENTIFIED HEALTH NEEDS. FURTHER PRIORITIZATION OCCURRED WITH THE REVIEW BY THE ORGANIZATION'S BOARD.
FORSYTH MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 5:	WHILE CONDUCTING THE CHNA, THE HOSPITAL FACILITY(IES) SOLICITED INPUT FROM, AND CONSULTED WITH, A VARIETY OF COMMUNITY REPRESENTATIVES INCLUDING, BUT NOT LIMITED TO, REPRESENTATIVES OF CITY AND COUNTY GOVERNMENT INCLUDING HEALTH DEPARTMENTS, COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES/UNIVERSITIES, COMMUNITY COALITIONS AND OTHER SOCIAL SERVICE AGENCIES. INPUT WAS GATHERED THROUGH COMMUNITY MEETINGS, STAKEHOLDERS INTERVIEWS, AND SOLICITED THROUGH WRITTEN COMMENTS THROUGHOUT THE SURVEY PERIOD UNTIL THE FINAL COMMUNITY PRIORITY SETTING MEETING(S) AND SURVEY. THE SCOPE OF EXPERTISE WAS BROAD AND INCLUDED SUCH AREAS AS PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH DISPARITIES, AND SOCIAL SERVICES.
FORSYTH MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 11:	THE HOSPITAL FACILITY(IES) IS/ARE A PART OF NOVANT HEALTH, AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM. AS SUCH, NOVANT HEALTH INCLUDES MULTIPLE HOSPITAL FACILITIES AND HAS ENGAGED IN CHNAS FOR ALL OF THE COMMUNITIES BEING SERVED. THE FACILITY'S CHNA IDENTIFIED MULTIPLE NEEDS FOR THE COMMUNITY SERVED. THE NEEDS IDENTIFIED WERE REVIEWED AND PRIORITIZED BY THE CHNA RESOURCE GROUP AND SUBSEQUENTLY BY EACH FACILITY'S BOARD. THEY EVALUATED EACH DOCUMENTED NEED AND ITS INTERSECTION WITH THE ORGANIZATION'S VISION, COMMITMENTS, AND KEY STRENGTHS BEFORE FURTHER PRIORITIZING THE HEALTH NEEDS AND AGREEING UPON THE TOP HEALTH PRIORITIES TO BE ADDRESSED. WHERE POSSIBLE, WE HAVE LEVERAGED THE SYSTEM'S STRENGTHS AND RESOURCES TO BEST ADDRESS THOSE NEEDS THAT ARE HIGHEST IN PRIORITY AND CONSISTENT ACROSS COMMUNITIES. NOVANT HEALTH AND EACH OF ITS HOSPITAL FACILITIES HAVE ADOPTED AND EXECUTED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE PRIORITIZED COMMUNITY HEALTH NEEDS FROM THE CHNAS. THE IMPLEMENTATION STRATEGIES OUTLINE THE PLAN THAT THE HOSPITAL FACILITY(IES) WILL UNDERTAKE TO MEET THOSE HEALTH NEEDS IN EACH OF ITS COMMUNITIES. CERTAIN NEEDS THAT WERE IDENTIFIED BY THE CHNA HAVE NOT BEEN ADDRESSED. IT WAS DETERMINED THAT THERE ARE OTHER RESOURCES IN THE COMMUNITY THAT CAN MORE APPROPRIATELY ADDRESS THESE NEEDS BASED ON SCOPE OF SERVICES AND SKILL SET. FOR MORE DETAILED INFORMATION, REFER TO THE PUBLICLY AVAILABLE IMPLEMENTATION PLAN AVAILABLE ON THE WEBSITE; REFER TO THE URL GIVEN PREVIOUSLY FOR THE POSTING OF THE PLAN.
FORSYTH MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 13H:	OTHER ELIGIBILITY CRITERIA EXPLAINED IN THE FAP INCLUDE THE FOLLOWING: FREE CARE IS ONLY APPLICABLE TO MEDICALLY NECESSARY SERVICES; PROVIDER BASED PHYSICIAN CLINICS REQUIRE THAT PATIENTS MUST HAVE BEEN TREATED BY AN AFFILIATED MEDICAL GROUP PRIMARY CARE PHYSICIAN WITHIN THE PREVIOUS THREE YEARS; PATIENTS MUST BE UNABLE TO ACCESS ENTITLEMENT PROGRAMS; PATIENTS WITH SPECIAL CIRCUMSTANCES SUCH AS BANKRUPTCY MAY ALSO BE ELIGIBLE FOR CHARITY CARE. SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP APART V, LINE 16A, FAP WEBSITE:HTTP://WWW.NOVANTHEALTH.ORG/HOME/PATIENTS--VISITORS/YOUR-HEALTHCARE-COSTS/FINANCIAL-ASSISTANCE-FOR-THE-UNINSURED.ASPXSCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP APART V, LINE 16B, FAP APPLICATION WEBSITE:HTTP://WWW.NOVANTHEALTH.ORG/HOME/PATIENTS--VISITORS/YOUR-HEALTHCARE-COSTS/FINANCIAL-ASSISTANCE-FOR-THE-UNINSURED.ASPXSCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP APART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTP://WWW.NOVANTHEALTH.ORG/HOME/PATIENTS--VISITORS/YOUR-HEALTHCARE-COSTS/FINANCIAL-ASSISTANCE-FOR-THE-UNINSURED.ASPX
FORSYTH MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 24:	IT IS POSSIBLE FOR A FINANCIAL ASSISTANCE POLICY (FAP) ELIGIBLE PATIENT TO BE CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGE FOR A NON-EMERGENCY OR NON-MEDICALLY NECESSARY SERVICE. HOWEVER, IF THE SERVICE IS DEEMED AN EMERGENCY OR A MEDICAL NECESSITY, THEN THE FAP ELIGIBLE PATIENT WOULD NOT BE CHARGED FOR CARE AND WOULD NOT RECEIVE A BILL ONCE FAP ELIGIBILITY HAD BEEN ESTABLISHED.

Field	Value	IRS element (for citing)
Facility	57	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (57 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - NH ARCADIA FAMILY MEDICINE
12208 NC HWY 150 NORTH	WINSTONSALEM	NC	27127	PHYSICIAN CLINIC
2 - NH BREAST CENTER
2025 FRONTIS PLAZA BLVD SUITE 123	WINSTONSALEM	NC	27103	IMAGING CENTER
3 - NH CARDIOLOGY CLEMMONS
7114 VILLAGE MEDICAL CIRCLE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
4 - NH CARDIOLOGY KERNERSVILLE
1710 KVILLE MEDICAL PKWY STE 205	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
5 - NH CARDIOLOGY MT AIRY
694 RIVERSIDE DR	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
6 - NH CARDIOLOGY WINSTON-SALEM
186 KIMEL PARK DRIVE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
7 - NH CHAIR CITY FAMILY MEDICINE
903 RANDOLPH ST	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
8 - NH CLEMMONS FAMILY MEDICINE
6301 STADIUM DRIVE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
9 - NH DAVIE MEDICAL ASSOCIATES
485 VALLEY ROAD	MOCKSVILLE	NC	27028	PHYSICIAN CLINIC
10 - NH FORSYTH ENDOCRINE CONSULTANTS
755 HIGHLAND OAKS DRIVE SUITE 201	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
11 - NH FORSYTH FAMILY MEDICINE
400 JONESTOWN ROAD	WINSTONSALEM	NC	27104	PHYSICIAN CLINIC
12 - NH FORSYTH INTERNAL MEDICINE
1381 WESTGATE CENTER DRIVE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
13 - NH GATEWAY FAMILY MEDICINE
390 SALEM AVENUE	WINSTONSALEM	NC	27101	PHYSICIAN CLINIC
14 - NH HAWTHORNE OUTPATIENT SURGERY
1999 S HAWTHORNE ROAD	WINSTONSALEM	NC	27103	AMBULATORY SURGERY CENTER
15 - NH HILLSDALE MEDICAL ASSOCIATES
121 MEDICAL DRIVE	ADVANCE	NC	27006	PHYSICIAN CLINIC
16 - NH IMAGING KERNERSVILLE
445 PINEVIEW DRIVE SUITE 100	KERNERSVILLE	NC	27284	IMAGING CENTER
17 - NH IMAGING MAPLEWOOD
3155 MAPLEWOOD AVENUE	WINSTONSALEM	NC	27103	IMAGING CENTER
18 - NH INFECTIOUS DISEASE SPECIALISTS
1381 WESTGATE CENTER DRIVE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
19 - NH INPATIENT CARE SPECIALISTS KVILLE
1750 KERNERSVILLE MEDICAL PKWY	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
20 - NH KERNERSVILLE FAMILY MEDICINE
291 BROAD STREET	WINSTONSALEM	NC	27284	PHYSICIAN CLINIC
21 - NH LEWISVILLE FAMILY MEDICINE
1225 LEWISVILLE-CLEMMONS ROAD	LEWISVILLE	NC	27023	PHYSICIAN CLINIC
22 - NH LEXINGTON PRIMARY CARE
110 WEST MEDICAL PARK DRIVE	LEXINGTON	NC	27292	PHYSICIAN CLINIC
23 - NH MAPLEWOOD FAMILY MEDICINE
ROBINHOOD MEDICAL PLAZA BLDG 100	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
24 - NH METCALF RHEUMATOLOGY
1551 WESTBROOK PLAZA DR SUITE 200	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
25 - NH MOUNTAINVIEW MEDICAL
216 MOORE ROAD	KING	NC	27021	PHYSICIAN CLINIC
26 - NH NEW GARDEN MEDICAL ASSOCIATES
1941 NEW GARDEN RD SUITES 212 216	GREENSBORO	NC	27410	PHYSICIAN CLINIC
27 - NH NORTH POINT MEDICAL ASSOCIATES
1995 BETHABARA ROAD	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
28 - NH NORTHWEST FAMILY MEDICINE
7607 NC HIGHWAY 68 N STE B	OAK RIDGE	NC	27310	PHYSICIAN CLINIC
29 - NH ONCOLOGY SPECIALISTS
1213 LEXINGTON AVENUE STE B	LEXINGTON	NC	27360	PHYSICIAN CLINIC
30 - NH ONCOLOGY SPECIALISTS
1710 KVILLE MEDICAL PKWY STE 116	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
31 - NH ONCOLOGY SPECIALISTS
276 OLD MOCKSVILLE ROAD SUITE 800	STATESVILLE	NC	28625	PHYSICIAN CLINIC
32 - NH ONCOLOGY SPECIALISTS
445 PINEVIEW DRIVE SUITE 200	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
33 - NH ONCOLOGY SPECIALISTS
865 WESTLAKE DRIVE	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
34 - NH ORTHOPEDICS & SPORTS MEDICINE
211 OLD LEXINGTON RD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
35 - NH PFAFFTOWN FAMILY MEDICINE
4611 YADKINVILLE ROAD	PFAFFTOWN	NC	27040	PHYSICIAN CLINIC
36 - NH PILOT MOUNTAIN MEDICAL CARE
207 MEDICAL STREET	PILOT MOUNTAIN	NC	27041	PHYSICIAN CLINIC
37 - NH PREMIER MEDICAL ASSOCIATES
3333 BROOKVIEW HILLS BLVD STE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC	202-204
38 - NH PSYCHIATRIC MEDICINE
175 KIMEL PARK DRIVE SUITE 100	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
39 - NH PSYCHIATRIC MEDICINE
309 PINEYWOOD ROAD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
40 - NH RHEUMATOLOGY AND ARTHRITIS
1551 WESTBROOK PLAZA DR SUITE 200	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
41 - NH RURAL HALL FAMILY MEDICINE
290 WEST WALL ST	RURAL HALL	NC	27045	PHYSICIAN CLINIC
42 - NH SALEM FAMILY MEDICINE
105 VEST MILL CIRCLE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
43 - NH SPORTS MEDICINE
2337 WINTERHAVEN LANE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
44 - NH SURRY MEDICAL ASSOCIATES
2133 ROCKFORD ST SUITE 1400	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
45 - NH SURRY MEDICAL ASSOCIATES
865 WESTLAKE DRIVE	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
46 - NH THOMASVILLE MEDICAL ASSOCIATES
309 PINEYWOOD ROAD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
47 - NH TRIAD ENDOCRINE
500 PINEVIEW DR SUITE 101	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
48 - NH UROLOGY PARTNERS
1710 KVILLE MEDICAL PKWY STE 201	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
49 - NH UROLOGY PARTNERS
2010 BALDWIN LANE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
50 - NH VILLAGE POINT FAMILY MEDICINE
7130 VILLAGE MEDICAL CIRCLE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
51 - NH WEST FORSYTH INTERNAL MED & PED
105 STADIUM OAKS DRIVE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
52 - NH WINSTON-SALEM CARDIOLOGY
445 PINEVIEW DRIVE SUITE 220	WINSTONSALEM	NC	27284	PHYSICIAN CLINIC
53 - NH WINSTON-SALEM HEALTH CARE
175 KIMEL PARK DRIVE SUITE 250	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
54 - NH WINSTON-SALEM HEALTH CARE
250 CHARLOIS BLVD	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
55 - NH W-S HEALTH CARE PSYCHIATRY
280 CHARLOIS BLVD 3RD FLOOR	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
56 - NH WOUND CARE & HYPERBARIC MEDICINE
1901 S HAWTHORNE ROAD SUITE 220	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
57 - NH YADKIN MEDICAL ASSOCIATES
305 EAST LEE AVENUE	YADKINVILLE	NC	27055	PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	OTHER CRITERIA BESIDES INCOME AND FPG USED IN DETERMINING ELIGIBILITY FOR FREE CARE INCLUDE: (1) RESIDENCY - PATIENTS MUST RESIDE WITHIN THE SERVICE AREA OF THE HOSPITAL; (2) THE KIND OF SERVICE PROVIDED - ONLY MEDICALLY NECESSARY SERVICES ARE COVERED; (3) PATIENT STATUS - IN PROVIDER BASED PHYSICIAN CLINICS, PATIENTS MUST HAVE BEEN TREATED BY AN AFFILIATED MEDICAL GROUP PRIMARY CARE PHYSICIAN WITHIN THE PREVIOUS THREE YEARS; AND (4) ACCESS TO HEALTH CARE COVERAGE - PATIENTS MUST BE UNABLE TO ACCESS EMPLOYER SPONSORED HEALTH PLANS OR ENTITLEMENT PROGRAMS. LASTLY, THE PATIENT MUST BE WITHOUT SUBSTANTIAL LIQUID ASSETS (I.E. CASH-ON-HAND). ASSETS SUCH AS HOUSES, CARS, PENALIZED RETIREMENT SAVINGS FUNDS, ETC. ARE NOT CONSIDERED LIQUID ASSETS. SUBSTANTIAL ASSETS ARE DEFINED AS ENOUGH CASH-ON-HAND TO COVER THE MEDICAL EXPENSES WITHOUT PLACING A HARDSHIP ON THE PATIENT. PATIENTS WITH SPECIAL CIRCUMSTANCES SUCH AS BANKRUPTCY MAY ALSO BE ELIGIBLE FOR CHARITY CARE; DETERMINATION IS MADE ON A CASE BY CASE BASIS UNDER THESE CIRCUMSTANCES.
PART I, LINE 6A:	PART I, LINE 6A:THE ORGANIZATION IS A PART OF NOVANT HEALTH, AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM. THE COMMUNITY BENEFIT REPORT IS PREPARED BY A RELATED ORGANIZATION. NOVANT HEALTH, INC. IS THE NOVANT HEALTH PARENT COMPANY AND PRODUCES A COMMUNITY BENEFIT REPORT REPRESENTING THE HEALTH SYSTEM AS A WHOLE. THE REPORT CAN BE FOUND AT HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT.ASPX. 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 HOSPITAL 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.
PART I, LINE 7:	COSTS REPORTED IN THE TABLE FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AMOUNTS ARE CALCULATED USING AN ENTITY SPECIFIC COST TO CHARGE RATIO BASED ON WORKSHEET 2 (CCR).
PART I, LN 7 COL(F):	PART I, LN 7 COL(F):THE AMOUNT OF BAD DEBT REMOVED FROM TOTAL EXPENSES (DENOMINATOR) WAS $55,035,515.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES ADDRESSES THE UNDERLYING CAUSES OF HEALTH PROBLEMS AND IMPACTS THE HEALTH OF OUR COMMUNITY THROUGH PARTNERSHIPS WITH LOCAL AGENCIES DEDICATED TO IMPROVING THE LIVES OF ALL INDIVIDUALS. OUTREACH INCLUDES PROVIDING SUPPORT TO ORGANIZATIONS SUCH AS LOCAL YMCA'S, UNITED WAY PARTNER AGENCIES, CHAMBERS OF COMMERCE AND OTHER LOCAL COMMUNITY ORGANIZATIONS, ASSISTING WITH COMMUNITY AND COUNTY COALITIONS, AND PROVIDING EDUCATION SEMINARS AND TRAINING FOR COMMUNITY WORKFORCES.
PART III, LINE 2:	THE ALLOWANCE FOR BAD DEBT IS DETERMINED BASED ON MANAGEMENT'S ASSESSMENT OF SEVERAL FACTORS, INCLUDING HISTORICAL COLLECTION RESULTS, THE AGE OF THE ACCOUNTS, CHANGES IN COLLECTION PATTERNS AND GENERAL INDUSTRY CONDITIONS.
PART III, LINE 4:	FOOTNOTE 2 (ACCOUNTS RECEIVABLE) ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE BAD DEBT EXPENSE.
PART III, LINE 8:	THE METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 IS DETERMINED BY FOLLOWING THE MEDICARE PRINCIPLES OF ALLOWABLE COSTS. COST FOR THE OVERHEAD DEPARTMENTS ARE STEPPED DOWN TO THE REMAINING COST CENTERS BASED ON STATISTICS FOR EACH OVERHEAD COST CENTER. ONCE THE STEP-DOWN PROCESS IS COMPLETE, A COST TO CHARGE RATIO ("CCR") IS DEVELOPED FOR EACH COST CENTER. THE CCR IS THEN APPLIED TO THE MEDICARE REVENUE BY COST CENTER AND TOTALED. IT SHOULD BE NOTED THAT THE MEDICARE COST REPORTS DO NOT ADDRESS ANY MANAGED CARE MEDICARE REVENUES, COSTS, OR RELATED SHORTFALL. THE TOTAL REVENUES REPORTED AS RECEIVED FROM MEDICARE IN LINE 5 OF SECTION B ARE ONLY REPRESENTATIVE OF MEDICARE FEE FOR SERVICE PAYMENTS RECEIVED. THE ALLOWABLE COSTS ON LINE 6 ARE SIGNIFICANTLY LOWER THAN THE ACTUAL EXPENDITURES. AS SUCH, THE SHORTFALL IS UNDERESTIMATED.EVERY HOSPITAL TREATS MEDICARE PATIENTS. SOME HOSPITALS ARE LOCATED IN HIGH MEDICARE POPULATION AREAS; OTHERS PROVIDE SERVICES DISPROPORTIONATELY USED BY MEDICARE PATIENTS. MEDICARE RATES AND NUMBERS OF MEDICARE PATIENTS ARE NOT NEGOTIATED. AS REIMBURSEMENT RATES DECLINE RELATIVE TO COSTS OF CARE, HOSPITALS CONTINUE TO SERVE THE MEDICARE POPULATION. WITHOUT THIS SERVICE THESE PATIENTS WOULD BECOME AN OBLIGATION ON THE GOVERNMENT. ANY UNREIMBURSED COSTS OF THIS CARE ARE A COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT.
PART III, LINE 9B:	PART III, LINE 9BTHE ORGANIZATION'S BILLING AND COLLECTIONS POLICY DOES EXPLAIN ACTIONS AGAINST PATIENTS WHO HAVE OUTSTANDING DELINQUENT AMOUNTS, BUT THE POLICY DOES NOT CONTAIN PROVISIONS FOR COLLECTION PRACTICES AGAINST PATIENTS WHO ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP) BECAUSE FAP ELIGIBLE PATIENTS RECEIVE 100% FREE CARE AND THEREFORE DO NOT RECEIVE BILLS ONCE FAP ELIGIBILITY HAS BEEN ESTABLISHED.
PART VI, LINE 2:	PART VI, LINE 2: NEEDS ASSESSMENTTHE ORGANIZATION IS PART OF NOVANT HEALTH, AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM, WHICH HAS A COMMUNITY BENEFIT DEPARTMENT ("CB DEPARTMENT") COMPRISED OF COMMUNITY BENEFIT PROFESSIONALS AND AN ASSOCIATED ADVISORY WORKING GROUP ("THE COMMUNITY BENEFIT GROUP") THAT INCLUDES REPRESENTATIVES FROM INTERNAL AUDIT, LEGAL, AND TAX. THE CB DEPARTMENT IS RESPONSIBLE FOR COORDINATING THE PREPARATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR EACH HOSPITAL WITHIN THE SYSTEM, INCLUDING THE CHNAS REPORTED IN PART V, SECTION B. EACH HOSPITAL AND THE COMMUNITY BENEFIT GROUP WORK TOGETHER TO IDENTIFY ORGANIZATIONS AND RESOURCES WITHIN ITS COMMUNITY THAT CONTRIBUTE TO THE PROCESS. THESE ORGANIZATIONS AND RESOURCES INCLUDE PUBLIC HEALTH DEPARTMENTS, LOCAL COMMUNITY COALITIONS REPRESENTING THE MEDICALLY UNDERSERVED, UNITED WAY, LOCAL UNIVERSITIES, ETC. COMMUNITY HEALTH ASSESSMENTS PREPARED BY OTHER ORGANIZATIONS IN THE COMMUNITY ARE USED IN COMBINATION WITH INTERNAL HOSPITAL DATA AND INFORMATION COLLECTED FROM LOCAL AGENCIES TO PREPARE THE HOSPITAL'S CHNA. IN ADDITION TO ADDRESSING NEEDS IDENTIFIED THROUGH THE CHNA, EACH HOSPITAL MAY RESPOND TO REQUESTS FOR SPECIFIC COMMUNITY BENEFIT ACTIVITIES OR PROGRAMS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS.
PART VI, LINE 3:	PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION IS COMMITTED TO PROVIDING OUTSTANDING HEALTHCARE TO ALL MEMBERS OF OUR COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. OUR FINANCIAL COUNSELING TEAMS ARE CONSTANTLY WORKING WITH THE PATIENTS WITHIN OUR COMMUNITIES TO UNDERSTAND THEIR NEEDS AND ENSURE THAT OUR POLICIES AND PROCESSES ADDRESS THESE NEEDS. WE ALSO MAINTAIN CONTRACTS WITH MEDICAID ELIGIBILITY VENDORS AND THESE TEAMS OFFER ADDITIONAL SUPPORT IN PROCESSING AND ASSESSING HOW WE SERVE THE FINANCIAL NEEDS OF OUR PATIENTS. BASED ON THE ASSESSMENTS OF OUR COMMUNITIES, THE ORGANIZATION HAS DEVELOPED FINANCIAL ASSISTANCE POLICIES AND PROGRAMS THAT ADDRESS THE FINANCIAL NEEDS OF OUR PATIENTS. WE PRIDE OURSELVES ON THE TRANSPARENCY OF OUR PROGRAMS AND THE EDUCATION WE OFFER OUR PATIENTS AROUND OUR FINANCIAL ASSISTANCE POLICIES. OUR PROGRAMS ARE DOCUMENTED ON OUR WEBSITE, ALONG WITH CONTACT INFORMATION FOR OUR FINANCIAL COUNSELORS. ADDITIONALLY, OUR PROGRAMS ARE DOCUMENTED ON PATIENT FLYERS THROUGHOUT THE ORGANIZATION'S FACILITIES AND PHYSICIAN OFFICES. OUR PATIENT ACCESS SPECIALISTS, FINANCIAL COUNSELORS AND BUSINESS OFFICE TEAMS WORK WITH ALL ELIGIBLE PATIENTS TO EDUCATE THEM ON THE VARIOUS OPTIONS AVAILABLE VIA OUR FINANCIAL ASSISTANCE PROGRAMS OR GOVERNMENT SPONSORED CARE. THEY ALSO REFERENCE OUR FINANCIAL ASSISTANCE POLICY IN ALL CONVERSATIONS RELATED TO PATIENTS BILLS. FINALLY, WE WORK WITH LOCAL AREA FREE HEALTH CLINICS AND OTHER CHARITABLE ORGANIZATIONS TO PROVIDE CONTINUATION OF CARE FOR THEIR PATIENTS. IN ADDITION TO OUR FINANCIAL COUNSELING PROCESSES USED TO IDENTIFY CHARITY CARE PATIENTS, OUR COLLECTIONS PROCESSES WITHIN OUR BUSINESS OFFICES ALSO HELP IDENTIFY PATIENTS WHO ARE ALREADY ELIGIBLE FOR CHARITY OR WHO MAY BE ELIGIBLE BASED ON THEIR STATUS WITHIN THE FEDERAL POVERTY GUIDELINES ("FPG"). WE UTILIZE PREVIOUSLY SUBMITTED PATIENT DOCUMENTATION AND CREDIT AGENCY REPORTED FPG FOR DETERMINATION. SUPPORTING DOCUMENTS ARE VALID 6 MONTHS FROM THE DATE OF SUBMISSION. OUR POLICIES ARE CONSIDERED FLUID AND ARE UPDATED FREQUENTLY BASED ON LOCAL AND NATIONAL MARKET STANDARDS AND NATIONAL ECONOMIC CONDITIONS. ANY UPDATES TO OUR POLICIES REQUIRE MULTI-LEVEL LEADERSHIP APPROVAL AND ARE ULTIMATELY APPROVED BY THE ORGANIZATION'S BOARD.
PART VI, LINE 4:	PART VI, LINE 4: COMMUNITY INFORMATIONTHE FORSYTH MEMORIAL HOSPITAL, INC. FORM 990 INCLUDES THE OPERATIONS OF ONE LICENSED HOSPITAL WITH FACILITIES IN THREE LOCATIONS. FORSYTH MEMORIAL HOSPITAL, INC. DBA NOVANT HEALTH FORSYTH MEDICAL CENTER, AS NOVANT HEALTH KERNERSVILLE MEDICAL CENTER AND AS NOVANT HEALTH CLEMMONS MEDICAL CENTERTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA, WHICH IS FORSYTH COUNTY, NORTH CAROLINA. THIS IS AN URBAN AREA.THERE ARE FOUR NONPROFIT ACUTE CARE HOSPITAL FACILITIES IN THE COMMUNITY, THREE OF WHICH ARE THE ORGANIZATION AND ONE OF WHICH IS PART OF THE NOVANT HEALTH SYSTEM. THERE IS ALSO ONE ACADEMIC TEACHING HOSPITAL. ACCORDING TO SG2 DATA, THE SPECIFIC POPULATION GROUPS (ETHNIC AND CULTURAL) ARE AS FOLLOWS: WHITE NON-HISPANIC (233,635) 59.1%; BLACK NON-HISPANIC (93,754) 23.7%; HISPANIC (49,823) 12.6%; ASIAN AND PACIFIC ISLAND NON-HISPANIC (9,385) 2.4%; OTHERS (8,951) 2.2%; FOR A TOTAL POPULATION OF 395,548.ACCORDING TO US CENSUS BUREAU DATA, THE MEDIAN HOUSEHOLD INCOME LEVEL WAS $46,283.ACCORDING TO SG2 DATA, THE AGE BREAKDOWN IS AS FOLLOWS: 0-17 YEARS (92,188) 23.3%; 18-64 YEARS (241,595) 61.1%; 65+ YEARS (61,765) 15.6%.
PART VI, LINE 5:	PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHE ORGANIZATION FURTHERS ITS EXEMPT PURPOSES BY DOING THE FOLLOWING:1. ADOPTING A FINANCIAL ASSISTANCE POLICY;2. REMAINING CERTIFIED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDES SERVICES TO ALL BENEFICIARIES OF MEDICARE, MEDICAID, AND OTHER GOVERNMENT PAYMENT PROGRAMS, AND PROVIDING SERVICES IN A NONDISCRIMINATORY MANNER TO SUCH BENEFICIARIES;3. OPERATING A FULL-TIME EMERGENCY ROOM WHICH IS OPEN TO AND ACCEPTS ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY;4. MAINTAINING AN OPEN MEDICAL STAFF, SUBJECT TO EXCLUSIVE CONTRACTS FOR HOSPITAL-BASED SERVICES SUCH AS ANESTHESIOLOGY, RADIOLOGY, PATHOLOGY, HOSPITALIST, AND EMERGENCY DEPARTMENT SERVICES, TO THE EXTENT AN EXCLUSIVE CONTRACT FOR THOSE SERVICES IS REQUIRED TO OBTAIN PROPER STAFFING COVERAGE OR TO PERMIT A MORE EFFICIENT DELIVERY OF THOSE SERVICES WITHIN THE HOSPITAL FACILITY;5. MAINTAINING A GOVERNING BOARD CONSISTING PRIMARILY OF A BROAD CROSS-SECTION OF LEADERS IN THE COMMUNITY;6. ADOPTING AND APPLYING A CONFLICT OF INTEREST POLICY, WHICH APPLIES TO THE GOVERNING BOARD AND ORGANIZATION OFFICERS;7. PROVIDING HEALTH EDUCATION LECTURES AND WORKSHOPS;8. PROVIDING HEALTH FAIRS, EDUCATION ON SPECIFIC DISEASES OR CONDITIONS, AND HEALTH PROMOTION AND WELLNESS PROGRAMS TO THE COMMUNITIES IT SERVES;9. PROVIDING SUPPORT GROUPS AND SELF HELP PROGRAMS TO THE COMMUNITIES IT SERVES;10. PROVIDING COMMUNITY-BASED CLINICAL SERVICES, INCLUDING WITHOUT LIMITATION, HEALTH SCREENINGS AND CLINICS FOR UNINSURED OR UNDERINSURED PERSONS TO THE COMMUNITIES IT SERVES;11. PROVIDING HEALTHCARE SUPPORT SERVICES, INCLUDING WITHOUT LIMITATION, INFORMATION AND REFERRAL TO COMMUNITY SERVICES, CASE MANAGEMENT OF UNDERINSURED AND UNINSURED PERSONS, TELEPHONE INFORMATION SERVICES AND ASSISTANCE TO ENROLL IN PUBLIC PROGRAMS, SUCH AS STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) AND MEDICAID TO THE COMMUNITIES IT SERVES;12. PROVIDING SUBSIDIZED HEALTH SERVICES AND CLINICAL PROGRAMS TO THE COMMUNITIES IT SERVES;13. PROVIDING CASH AND IN-KIND CONTRIBUTIONS TO NONPROFIT COMMUNITY HEALTHCARE ORGANIZATIONS IN THE COMMUNITIES IT SERVES; AND14. GENERALLY PROMOTING THE HEALTH, WELLNESS, AND WELFARE OF THE COMMUNITIES IT SERVES BY PROVIDING QUALITY HEALTHCARE SERVICES AT REASONABLE COST.PLEASE SEE THE NOVANT HEALTH COMMUNITY BENEFIT REPORT, LOCATED AT HTTP://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMPANY-INFORMATION/FINANCIAL-PROFILE/COMMUNITY-BENEFIT-REPORT.ASPX.PLEASE NOTE THAT THE NUMERIC INFORMATION 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 HOSPITAL ASSOCIATION REPORTING GUIDELINES.
PART VI, LINE 6:	PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, A NOT-FOR-PROFIT INTEGRATED GROUP OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS. NOVANT HEALTH IS RANKED AS ONE OF OUR NATION'S TOP 20 INTEGRATED HEALTHCARE SYSTEMS CARING FOR PATIENTS AND COMMUNITIES IN GEORGIA, NORTH CAROLINA, SOUTH CAROLINA, AND VIRGINIA. EACH HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITY IT SERVES, AS REPORTED INDIVIDUALLY ON EACH HOSPITAL'S FORM 990, SCHEDULE H. THE COMMUNITY BENEFIT OF THE SYSTEM AS A WHOLE IS DOCUMENTED IN A SYSTEM-WIDE COMMUNITY BENEFIT REPORT, LOCATED AT HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT.ASPX. PLEASE NOTE THAT THE NUMERIC INFORMATION 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 HOSPITAL 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. THERE ARE SIGNIFICANT COMMUNITY BENEFIT ACTIVITIES WITHIN NOVANT HEALTH WHICH MAY NOT BE REPORTABLE ON A SCHEDULE H BECAUSE THEY ARE NOT CONDUCTED BY AN ENTITY WHICH OWNS OR OPERATES A HOSPITAL.IN ADDITION TO HOSPITALS, NOVANT HEALTH INCLUDES A PHYSICIAN ORGANIZATION WITH PRACTICES IN NORTH CAROLINA, SOUTH CAROLINA, AND VIRGINIA AND FIVE HOSPITAL FOUNDATIONS WHICH SUPPORT AND ENHANCE THE ACTIVITIES IN THOSE HOSPITALS' COMMUNITIES. FURTHER, NOVANT HEALTH INCLUDES AMBULATORY SURGERY CENTERS, IMAGING CENTERS, REHABILITATION CENTERS, AND OTHER OUTPATIENT FACILITIES; ALL DEDICATED TO PROMOTING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES.
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT	NOVANT HEALTH, INC. FILES A SYSTEM-WIDE COMMUNITY BENEFIT REPORT PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES WITH THE NORTH CAROLINA MEDICAL CARE COMMISSION AS PART OF THE DOCUMENTATION REQUIRED FOR THE ISSUANCE OF TAX EXEMPT BOND FINANCING.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVENUE	DALLAS	TX	75231	135613797	501(C)(3)	$105,000	COMMUNITY OUTREACH
AMERICAN HEROES OF NORTH CAROLINA
609 EUGENE CT STE B	GREENSBORO	NC	27401	475500360	501(C)(3)	$7,500	COMMUNITY OUTREACH
COMMUNITY CARE CENTER OF FORSYTH COUNTY INC
2135 NEW WALKERTOWN RD	WINSTONSALEM	NC	27101	581403699	501(C)(3)	$25,000	COMMUNITY OUTREACH
CRISIS CONTROL MINISTRY INC
200 EAST TENTH STREET	WINSTONSALEM	NC	27101	237348168	501(C)(3)	$15,000	COMMUNITY OUTREACH
DAVIE COMMUNITY FOUNDATION INC
107 N SALISBURY STREET	MOCKSVILLE	NC	27028	581850531	501(C)(3)	$10,000	COMMUNITY OUTREACH
FAMILY SERVICES INC
1200 SOUTH BROAD STREET	WINSTONSALEM	NC	27101	560689235	501(C)(3)	$14,250	COMMUNITY OUTREACH
FORSYTH FUTURES
100 N CHERRY STREET	WINSTONSALEM	NC	27101	561092807	501(C)(3)	$25,000	COMMUNITY OUTREACH
FORSYTH TECHNICAL COMMUNITY COLLEGE
2100 SILAS CREEK PARKWAY	WINSTONSALEM	NC	27103	561070364	501(C)(3)	$100,000	COMMUNITY OUTREACH
HOSPICE & PALLIATIVE CARE CENTER
101 HOSPICE LANE	WINSTONSALEM	NC	27103	581343313	501(C)(3)	$9,560	COMMUNITY OUTREACH
HOSPITAL HOSPITALITY HOUSE OF WINSTON-SALEM
1970 BALDWIN LANE	WINSTONSALEM	NC	27103	203604576	501(C)(3)	$9,732	COMMUNITY OUTREACH
INSIGHT HUMAN SERVICES INC
665 WEST FOURTH STREET	WINSTONSALEM	NC	27101	560951129	501(C)(3)	$20,000	COMMUNITY OUTREACH
JDRF INTERNATIONAL
26 BROADWAY 15TH FL	NEW YORK	NY	10004	231907729	501(C)(3)	$57,000	COMMUNITY OUTREACH
LEWISVILLE-CLEMMONS CHAMBER OF COMMERCE
3540 CLEMMONS ROAD NO 112	CLEMMONS	NC	27012	743215354	501(C)(6)	$5,200	COMMUNITY OUTREACH
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVE	WHITE PLAINS	NY	10605	131846366	501(C)(3)	$13,000	COMMUNITY OUTREACH
NORTH CAROLINA BLACK REPERTORY CO INC
610 COLISEUM DR STE 1	WINSTONSALEM	NC	27106	581518704	501(C)(3)	$10,000	COMMUNITY OUTREACH
OLD HICKORY COUNCIL INC
6600 SILAS CREEK PKWY	WINSTONSALEM	NC	27106	560529985	501(C)(3)	$14,360	COMMUNITY OUTREACH
RONALD MCDONALD HOUSE OF WINSTON-SALEM
419 S HAWTHORNE ROAD	WINSTONSALEM	NC	27103	581454715	501(C)(3)	$7,500	COMMUNITY OUTREACH
SAMARITAN MINISTRIES
414 E NORTHWEST BLVD	WINSTONSALEM	NC	27105	561490019	501(C)(3)	$10,500	COMMUNITY OUTREACH
SENIOR SERVICES INC
2895 SHOREFAIR DRIVE	WINSTONSALEM	NC	27105	561085968	501(C)(3)	$37,500	COMMUNITY OUTREACH
SUSAN G KOMEN NORTHWEST NC
5005 LBJ FREEWAY SUITE 250	DALLAS	TX	75244	752891104	501(C)(3)	$18,000	COMMUNITY OUTREACH
THE ARTS COUNCIL INC
251 N SPRUCE STREET	WINSTONSALEM	NC	27101	560526856	501(C)(3)	$10,000	COMMUNITY OUTREACH
THE SCIENCE CENTER & ENVIRONMENTAL PARK OF FORSYTH COUNTY
400 W HANES MILL RD	WINSTONSALEM	NC	27105	560815746	501(C)(3)	$6,850	COMMUNITY OUTREACH
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
PO BOX 26170	GREENSBORO	NC	27402	566001468	501(C)(3)	$5,250	COMMUNITY OUTREACH
THE WINSTON-SALEM FOUNDATION
751 WEST FOURTH ST STE 200	WINSTONSALEM	NC	27101	566037615	501(C)(3)	$50,340	COMMUNITY OUTREACH
UNITED WAY OF FORSYTH COUNTY INC
301 N MAIN ST STE 1700	WINSTONSALEM	NC	27101	237357234	501(C)(3)	$40,000	COMMUNITY OUTREACH
WINSTON-SALEM ALLIANCE
100 N MAIN ST SUITE 250	WINSTONSALEM	NC	27101	311726654	501(C)(6)	$35,000	COMMUNITY OUTREACH
WINSTON-SALEM POLICE FOUNDATION INC
PO BOX 24011	WINSTONSALEM	NC	27114	475289473	501(C)(3)	$25,000	COMMUNITY OUTREACH
WINSTON-SALEM STATE UNIVERSITY FOUNDATION INC
601 S MARTIN LUTHER KING JR DR	WINSTONSALEM	NC	27110	560989620	501(C)(3)	$35,000	COMMUNITY OUTREACH
WINSTON-SALEM SYMPHONY ASSOCIATION
201 NORTH BROAD STREET SUITE 200	WINSTONSALEM	NC	27101	560692826	501(C)(3)	$15,000	COMMUNITY OUTREACH
WINSTON-SALEM URBAN LEAGUE
201 WEST FIFTH STREET	WINSTONSALEM	NC	27101	560532301	501(C)(3)	$10,000	COMMUNITY OUTREACH

Field	Value	IRS element (for citing)
Total501c3 Org	28	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
MEDICATION FOR INDIGENT PATIENTS	703	$71,643	FMV	MEDICATION ASSISTANCE
PATIENT ASSISTANCE	11				$17,057
PATIENT TRANSPORTATION	1963	$16,097	FMV	TRANSPORTATION ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2 : PROCEDURES FOR MONITORING THE USE OF THE GRANT FUNDS	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EDWARDS JOEL MD
TRUSTEE	$331,992	$0	$12,263	$0	$13,818	$0	$56,862	$0	$21,516	$0	$436,451	$0	$0	$0
MORRIS JOHN
ASST SEC	$0	$268,336	$0	$63,654	$0	$14,372	$0	$64,909	$0	$23,213	$0	$434,484	$0	$7,500
SANZ SEAN
PRESIDENT & COO	$411,334	$0	$221,203	$0	$16,527	$0	$121,920	$0	$33,857	$0	$804,841	$0	$0	$0
SMITH HARRY
SVP HOSPITAL OPERATIONS	$0	$588,606	$0	$378,396	$0	$125,390	$0	$154,679	$0	$40,259	$0	$1,287,330	$0	$82,500
BRIGHT JANET
VP NURSING & MARKET CNO	$184,615	$0	$21,601	$0	$6,079	$0	$43,258	$0	$10,429	$0	$265,982	$0	$0	$0
JARRETT-PULLIAM KIMBERLY
FMR VP NURSING & MARKET CNO	$11,680	$293,652	$0	$187,692	$10,051	$6,275	$0	$65,225	$430	$12,937	$22,161	$565,781	$0	$0
MOTEW STEPHEN MD
SVP & MARKET PRESIDENT	$434,129	$0	$273,152	$0	$37,304	$0	$131,343	$0	$30,307	$0	$906,235	$0	$7,500	$0
NYCUM LAWRENCE
SVP MEDICAL AFFAIRS	$419,373	$0	$265,195	$0	$30,512	$0	$114,842	$0	$28,769	$0	$858,691	$0	$7,500	$0
SETLIFF MICHAEL
PRESIDENT & COO	$255,153	$0	$143,480	$0	$16,503	$0	$59,037	$0	$25,365	$0	$499,538	$0	$0	$0
MCDONALD COLIN
NEUROLOGIST	$353,435	$0	$22,855	$0	$389,166	$0	$38,571	$0	$41,605	$0	$845,632	$0	$0	$0
POWERS JOHN
CARDIOLOGIST	$504,495	$0	$221,299	$0	$9,249	$0	$59,700	$0	$37,606	$0	$832,349	$0	$0	$0
PRELI ROBERT
CARDIOLOGIST	$486,298	$0	$249,478	$0	$9,715	$0	$65,700	$0	$37,870	$0	$849,061	$0	$0	$0
TURNER SAMUEL
CARDIOLOGIST	$453,598	$0	$261,589	$0	$629	$0	$59,700	$0	$32,943	$0	$808,459	$0	$0	$0
ZEYLIKMAN YURIY
NEUROLOGIST	$353,349	$0	$19,703	$0	$630,755	$0	$59,700	$0	$33,925	$0	$1,097,432	$0	$0	$0
LINDSAY JEFFERY
FMR PRES - FMH/COO WS MKT	$0	$864,258	$0	$720,751	$0	$195,018	$0	$59,700	$0	$29,991	$0	$1,869,718	$0	$7,500
MIHAL DENISE
FMR PRES - FMH/COO WS MKT	$0	$665,743	$0	$495,668	$0	$166,572	$0	$64,738	$0	$19,691	$0	$1,412,412	$0	$7,500
GREGORY CHERE MD
FMR SVP WOMEN'S SERVICES	$0	$384,201	$0	$251,650	$0	$11,102	$0	$91,132	$0	$34,235	$0	$772,320	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ACCOUNT CAN BE USED ONLY FOR AN APPROVED LIST OF EXPENDITURES. ALL OPTIONS OTHER THAN A DEFERRED, AT-RISK, COMPENSATION OPTION ARE CONSIDERED TAXABLE AND ARE INCLUDED IN THE EXECUTIVE'S TAXABLE INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: WE PROVIDE TEMPORARY HOUSING ALLOWANCES IN CERTAIN EXECUTIVE RECRUITMENT AND RELOCATION PACKAGES. IN THE CASE THAT SUCH EXPENSE IS NOT REIMBURSABLE UNDER THE ACCOUNTABLE PLAN RULES, 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. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: IN CASES WHERE CORPORATE MEMBERSHIPS ARE NOT AVAILABLE, A MEMBERSHIP MAY BE OBTAINED IN AN EXECUTIVE'S NAME WITH A "BUSINESS USE ONLY" RESTRICTION.
PART I, LINE 3	THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM. NOVANT HEALTH, INC. IS THE PARENT ORGANIZATION AND USES THE PROCESS DESCRIBED IN PART VI, LINE 15A OF THIS RETURN TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION. 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 NONQUALIFIED EQUITY-BASED SMITH, HARRY 82,500
PART I, LINE 4A - SEVERANCE PLAN:	ELIGIBLE EXECUTIVES MAY RECEIVE SEVERANCE PAY THAT IS BASED ON ANNUAL COMPENSATION FOR A SPECIFIED PERIOD OF TIME. THE SEVERANCE PAY WOULD BE PAID ONLY IN THE EVENT OF CERTAIN TYPES OF EMPLOYMENT TERMINATION, AND IS FURTHER CONTINGENT ON THE SATISFACTION OF OTHER CONDITIONS SUCH AS COMPLIANCE WITH A NON-COMPETITION COVENANT. ANY CURRENT YEAR PAYMENTS HAVE BEEN INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(III) OF SCHEDULE J. THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE NOVANT HEALTH BOARD REVIEWS, APPROVES, AND OVERSEES ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS, INCLUDING THE AMOUNTS AWARDED UNDER THIS SEVERANCE PLAN.
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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SARA LITTLE	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF STEPHEN MOTEW, MD, KEY EMPLOYEE	RelationshipDescriptionTxt
Transaction	$92,284	TransactionAmt
Transaction	COMPENSATION PAID BY THE FILING ORGANIZATION TO THE INTERESTED PERSON.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PI, L1: ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES	FORSYTH MEMORIAL HOSPITAL, INC. DOING BUSINESS AS NOVANT HEALTH FORSYTH MEDICAL CENTER ("NHFMC"), NOVANT HEALTH CLEMMONS MEDICAL CENTER ("NHCMC") AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER ("NHKMC") 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 MORE THAN 1,500 PHYSICIANS AND OVER 28,000 EMPLOYEES WHO MAKE HEALTHCARE REMARKABLE AT OVER 580 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 4.7 MILLION PATIENTS ANNUALLY. DIVERSITY MBA HAS RECOGNIZED THE ORGANIZATION AS ONE OF THE 50 BEST PLACES FOR WOMEN AND MANAGERS OF DIVERSE BACKGROUNDS TO WORK AND SK&A RANKS NOVANT HEALTH AMONG THE TOP 25 INTEGRATED HEALTH SYSTEMS IN THE NATION. IN 2017, THE NOVANT HEALTH SYSTEM REPORTED $4.6 BILLION IN REVENUES. GENERAL INFORMATION NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH CLEMMONS MEDICAL CENTER, AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER EXIST TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE WITH A VISION OF PROVIDING A REMARKABLE PATIENT EXPERIENCE IN EVERY DIMENSION, EVERY TIME. THEY ACCOMPLISH THAT MISSION BY PROVIDING HEALTHCARE SERVICES TO ALL WHO ENTRUST THEIR CARE TO THEM AND BY SUPPORTING THE GREATER WINSTON SALEM, CLEMMONS AND KERNERSVILLE, NC COMMUNITIES THROUGH PARTNERSHIPS AND OUTREACH. THE HOSPITALS SUPPORT ORGANIZATIONS THAT PROVIDE HEALTH SERVICES, EDUCATION AND ASSISTANCE TO THE UNINSURED AND THE OVERALL COMMUNITY. IN ITS SIXTH FULL YEAR OF OPERATION, NOVANT HEALTH FORSYTH MEDICAL CENTER AFFILIATE HOSPITAL, NOVANT HEALTH KERNERSVILLE MEDICAL CENTER IN KERNERSVILLE, NC FOCUSED ON PROVIDING A REMARKABLE PATIENT EXPERIENCE VIA A FAST-ACCESS EMERGENCY DEPARTMENT, GENERAL, ORTHOPEDIC AND EYE SURGICAL SERVICES, CONSISTENT QUALITY, AND EXCELLENT SERVICE TO RESIDENTS IN THE KERNERSVILLE AREA, WESTERN GUILFORD AND ROCKINGHAM COUNTIES OF NORTH CAROLINA, AS WELL AS EASTERN STOKES AND FORSYTH COUNTIES OF NORTH CAROLINA. NOVANT HEALTH FORSYTH MEDICAL CENTER'S AFFILIATE HOSPITAL, NOVANT HEALTH CLEMMONS MEDICAL CENTER IN CLEMMONS, NC FOCUSED ON PROVIDING A REMARKABLE PATIENT EXPERIENCE VIA A FAST-ACCESS EMERGENCY DEPARTMENT, GENERAL, ORTHOPEDIC, PODIATRIC, TRANSITIONAL/INFUSION SERVICES AND EAR, NOSE AND THROAT SURGICAL SERVICES, PROVIDING CONSISTENT QUALITY AND EXCELLENT SERVICE TO RESIDENTS IN WESTERN FORSYTH COUNTY, DAVIE COUNTY AND YADKIN COUNTIES OF NORTH CAROLINA. IN ADDITION TO OUR QUALITY OF SERVICES AND COMPREHENSIVE CATEGORIES OF THOSE SERVICES, WE'RE VERY PROUD OF OUR PATIENT FINANCIAL ASSISTANCE PROGRAM. WE WORK WITH PATIENTS TO HELP QUALIFY THEM FOR PUBLIC ASSISTANCE, ESTABLISH A REASONABLE PAYMENT PLAN, DISCOUNT THEIR BILL, OR PROVIDE FREE CARE FOR THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE. COMMUNITY OUTREACH COMMUNITY OUTREACH IS A CRITICAL COMPONENT TO THE MISSION OF NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH KERNERSVILLE MEDICAL CENTER, AND NOVANT HEALTH CLEMMONS MEDICAL CENTER. EACH YEAR, OUR PHYSICIANS, NURSES AND STAFF HOLD SCREENINGS, TEACH PROGRAMS, HOST SEMINARS AND VOLUNTEER COUNTLESS HOURS TO HELP IMPROVE THE LIVES OF THOSE IN THE TRIAD AND SURROUNDING COUNTIES IN MANY UNIQUE WAYS. A FEW EXAMPLES OF THIS ARE AS FOLLOWS: FREE COMMUNITY SCREENINGS - IN 2017, NOVANT HEALTH FORSYTH MEDICAL CENTER HELD 464 FREE SCREENING EVENTS THAT SERVED A TOTAL OF 7,937 SCREENING PARTICIPANTS. LOCATIONS INCLUDE NOVANT HEALTH TRIAD CAMPUSES, LOCAL PUBLIC SCHOOLS, YMCA/YWCA, RETAIL OUTLETS, CORPORATIONS, FAITH COMMUNITIES, AND SENIOR CENTERS. THE VARIOUS EVENTS SCREENED FOR DIABETES, PERIPHERAL ARTERY DISEASE, BONE DENSITY, BLOOD PRESSURE AND HEART HEALTH. COMMUNITY EDUCATION - AS ACTIVE COMMUNITY PARTNERS, NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH CLEMMONS MEDICAL CENTER, AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER REGULARLY HOST AND/OR DELIVER GENERAL HEALTH EDUCATION SESSIONS AND WELLNESS PROGRAMS THROUGHOUT THE YEAR. IN 2017, 422 FREE EDUCATIONAL EVENTS SERVED 8,931 INDIVIDUALS. LOCATIONS INCLUDE CAMPUS FACILITIES, PUBLIC SCHOOLS, YMCA/YWCA, RECREATION CENTERS, PUBLIC LIBRARIES, SENIOR CENTERS, CORPORATIONS, FAITH COMMUNITIES, AND NEIGHBORHOOD EVENTS. ALL SCREENING AND EDUCATION PARTICIPANTS ARE OFFERED ONGOING 1:1 WELLNESS COACHING WITH A CERTIFIED COACH. IN 2017, THERE WERE 474 NEW INDIVIDUALS WHO ENGAGED IN THE ONGOING COACHING PROCESS FOR AT LEAST THREE MONTHS. SUPPORT GROUPS - NOVANT HEALTH FORSYTH MEDICAL CENTER AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER HOST A FULL RANGE OF SUPPORT GROUPS THAT PROVIDE EMOTIONAL SUPPORT SERVICES TO THOSE IMPACTED BY A VARIETY OF CHRONIC DISEASES AND HEALTHCARE ISSUES. FROM DIABETES AND WEIGHT MANAGEMENT, PROSTATE CANCER AND YOUNG STROKE SURVIVORS, THE HOSPITALS OFFER OPPORTUNITIES FOR INDIVIDUALS TO MAKE CONNECTIONS WITH OTHERS FACING SIMILAR HEALTH ISSUES AND CHALLENGES. ALL SUPPORT GROUPS ARE FREE AND OPEN TO ANYONE IN THE COMMUNITY.
FORM 990, PART I, LINE 1	NEW TECHNOLOGY & SERVICES A CONCURRENT ELECTRONIC HEALTH RECORD (EHR) INITIATIVE HAS BEEN IMPLEMENTED BY BOTH THE ACUTE AND AMBULATORY FACILITIES IN THE NOVANT HEALTH SYSTEM. CLINICIANS CAN SHARE PATIENTS' MEDICAL INFORMATION BETWEEN PHYSICIAN OFFICES, OUTPATIENT CENTERS AND HOSPITALS. THIS SHARING OF INFORMATION IMPROVES SAFETY AND COORDINATION OF CARE AND PROMOTES CONNECTIVITY AND COMMUNICATION BETWEEN HOSPITAL CAREGIVERS, SPECIALISTS AND PRIMARY CARE PROVIDERS. EMBARKING ON THE JOURNEY TO CREATE A SHARED EHR IS THE MOST SIGNIFICANT AND IMPORTANT INVESTMENT NOVANT HEALTH HAS EVER MADE FOR ITS PATIENTS AND TEAM MEMBERS. IN 2017, KERNERSVILLE MEDICAL CENTER OPENED AN INTERMEDIATE CARE UNIT TO BRIDGE THE GAP BETWEEN THE INTENSIVE CARE UNIT AND THE MEDICAL/SURGICAL FLOOR. THIS UNIT HAS 6 BEDS AND PROVIDES SPECIALTY CARE FOR PATIENTS IN THE KERNERSVILLE COMMUNITY. KERNERSVILLE MEDICAL CENTER HAS ALSO ADDED TRANSITIONAL CARE, WHICH IS A NEW HEALTHCARE DELIVERY MODEL THAT ALLOWS PATIENTS TO RECEIVE CARE AT THE MEDICAL CENTER DURING THE DAY AND GO HOME AT NIGHT. THIS MODEL LEADS TO SHORTER HOSPITAL STAYS AND LOWER COSTS FOR PATIENTS. DURING A TRANSITIONAL CARE APPOINTMENT, PROVIDERS EVALUATE A PATIENT'S SYMPTOMS, PROVIDE MEDICATIONS IF NEEDED, ORDER ANY NECESSARY TESTS AND ANSWER ANY QUESTIONS A PATIENT MAY HAVE. IN 2017, THE NOVANT HEALTH CLEMMONS MEDICAL CENTER EXPANSION WAS COMPLETED. THE MEDICAL CENTER BECAME A FULL-SERVICE HOSPITAL WITH THE COMPLETION OF ITS $49 MILLION EXPANSION. WITH THE EXPANSION, CLEMMONS MEDICAL CENTER ADDED 36 MEDICAL SURGICAL BEDS, SIX OBSERVATION BEDS AND THREE ADDITIONAL OPERATING ROOMS, BRINGING THE TOTAL TO FIVE. CLEMMONS MEDICAL CENTER WILL NOW HAVE AN INCREASED FOCUS ON ORTHOPEDIC CARE, INCLUDING JOINT REPLACEMENT, AND A NEW HEALTHCARE DELIVERY MODEL THAT ALLOWS SHORTER HOSPITAL STAYS AT LOWER COSTS. AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) - THE HEART STROKE RECOGNITION PROGRAM (HSRP) ASSESSES KEY QUALITY PERFORMANCE MEASURES THAT ARE BASED ON NATIONAL EVIDENCE BASED GUIDELINES FOR SECONDARY PREVENTION OF CARDIOVASCULAR DISEASE AND STROKE. PROGRAM MEASURES INCLUDE, BLOOD PRESSURE CONTROL, USE OF ASPIRIN, SMOKING AND TOBACCO USE CESSATION ASSISTANCE, BODY MASS INDEX SCREENING, AND MORE. NATIONAL COMMITTEE FOR QUALITY ASSURANCE - PATIENT-CENTERED MEDICAL HOME RECOGNITION NCQA'S PATIENT-CENTERED MEDICAL HOME PREVALIDATION PROGRAM EVALUATES ELECTRONIC HEALTH RECORD (EHR) SYSTEMS, ADVANCED REGISTRIES, POPULATION HEALTH MANAGEMENT TOOLS AND OTHER RELATED TECHNOLOGY SOLUTIONS TO IDENTIFY ALIGNMENT WITH PATIENT-CENTERED MEDICAL HOME RECOGNITION STANDARDS REQUIREMENT.
FORM 990, PART I, LINE 1	AWARDS INCLUDE: GET WITH THE GUIDELINES STROKE AWARDS NOVANT HEALTH FORSYTH MEDICAL CENTER: GOLD PLUS WITH TARGET STROKE ELITE PLUS HONOR ROLL GET WITH THE GUIDELINES HEART FAILURE AWARDS NOVANT HEALTH FORSYTH MEDICAL CENTER: GOLD PLUS WITH TARGET HEART FAILURE HONOR ROLL ADDITIONAL CERTIFICATIONS FOR FORSYTH MEDICAL CENTER INCLUDE: - AMERICAN ASSOCIATION FOR CARDIOVASCULAR AND PULMONARY REHABILITATION - AMERICAN DIABETES ASSOCIATION - SELF MANAGEMENT EDUCATION RECOGNITION - CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY (AAGL) - INTERNATIONAL ASSOCIATION FOR HEALTHCARE SECURITY AND SAFETY - NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID - ONCOLOGY REHAB PARTNERS STAR PROGRAM CERTIFICATION - THE JOINT COMMISSION - HIP FRACTURE CERTIFICATION - THE JOINT COMMISSION - TOTAL HIP JOINT REPLACEMENT CERTIFICATION - THE JOINT COMMISSION - ADVANCED PALLIATIVE CARE PROGRAM CERTIFICATION - THE JOINT COMMISSION - COMPREHENSIVE STROKE CENTER - THE JOINT COMMISSION - TOTAL KNEE JOINT REPLACEMENT CERTIFICATION ADDITIONAL CERTIFICATIONS FOR KERNERSVILLE MEDICAL CENTER INCLUDE: - INTERNATIONAL ASSOCIATION FOR HEALTHCARE SECURITY AND SAFETY - NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID ADDITIONAL CERTIFICATIONS FOR EACH HOSPITAL INCLUDE: - COLLEGE OF AMERICAN PATHOLOGY - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - CLIA - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - MEDICARE ACCREDITATION THE JOINT COMMISSION - NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH KERNERSVILLE MEDICAL CENTER, AND NOVANT HEALTH CLEMMONS MEDICAL CENTER HAVE ALL BEEN ACCREDITED BY THE JOINT COMMISSION, AN INDEPENDENT ORGANIZATION THAT EVALUATES A HEALTHCARE ORGANIZATION'S PERFORMANCE IN AREAS THAT MOST AFFECT PATIENT HEALTH AND SAFETY. THE COMMISSION ON CANCER (COC) - RECENTLY ANNOUNCED THAT NOVANT HEALTH FORSYTH MEDICAL CENTER'S DERRICK L. DAVIS REGIONAL CANCER CENTER RECEIVED ACCREDITATION WITH COMMENDATIONS. BECAUSE NOVANT HEALTH FORSYTH MEDICAL CENTER ACHIEVED THE MAXIMUM AVAILABLE 7 COMMENDATIONS AND NO DEFICIENCIES, THE CENTER HAS ALSO BEEN THE RECIPIENT OF THE COC'S OUTSTANDING ACHIEVEMENT AWARD. THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) - THE ANCC AWARDED THE NURSING PROGRAMS AT NOVANT HEALTH FORSYTH MEDICAL CENTER AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER FOR ITS EXCELLENCE AND QUALITY IN NURSING CARE BY NAMING IT WITH MAGNET RECOGNITION. ONLY FIVE PERCENT OF ALL HOSPITALS NATIONWIDE HAVE EARNED THIS HIGH HONOR, WHICH RECOGNIZES FACILITIES THAT PROVIDE THE HIGHEST LEVEL OF NURSING CARE. THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION - NOVANT HEALTH FORSYTH MEDICAL CENTER IS RECOGNIZED AS AN ADVANCED COMPREHENSIVE STROKE CENTER, FOCUSING ON COMPREHENSIVE CARE OF THE COMPLEX STROKE PATIENT. SOCIETY OF CHEST PAIN CENTERS - NOVANT HEALTH FORSYTH MEDICAL CENTER RECEIVED THE CHEST PAIN ACCREDITATION BY THE SOCIETY OF CHEST PAIN CENTERS. THIS ACCREDITATION DEMONSTRATES A SEAMLESS AND STANDARDIZED PROCESS OF QUALITY CARE DELIVERY AT NOVANT HEALTH CHEST PAIN FACILITIES. ADDITIONAL ACCREDITATIONS FOR NOVANT HEALTH FORSYTH MEDICAL CENTER INCLUDE: - AMERICAN COLLEGE OF RADIOLOGY - AMERICAN COLLEGE OF RADIOLOGY - RADIATION ONCOLOGY - AMERICAN COLLEGE OF SURGEONS - CANCER CENTER - AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS - COMMISSION OF ACCREDITATION OF REHABILITATION FACILITIES - INTERSOCIETAL ACCREDITATION COMMISSION CAROTID STENTING - INTERSOCIETAL ACCREDITATION COMMISSION ECHOCARDIOGRAPHY LABORATORIES - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - COLLEGE OF AMERICAN PATHOLOGY ADDITIONAL ACCREDITATIONS FOR KERNERSVILLE MEDICAL CENTER INCLUDE: - AMERICAN COLLEGE OF RADIOLOGY - AMERICAN COLLEGE OF RADIOLOGY - MAMMOGRAPHY - INTERSOCIETAL ACCREDITATION COMMISSION ECHOCARDIOGRAPHY LABORATORIES - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - COLLEGE OF AMERICAN PATHOLOGY COMMUNITY BENEFIT REPORT HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-INVOLVEMENT/ COMMUNITY-BENEFIT.ASPX THE COMMUNITY BENEFIT 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 HOSPITAL 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 $794,000,000, INCLUDING $138,000,000 IN FINANCIAL ASSISTANCE FOR 2017.
FORM 990, PART I, LINE 6:	THE NUMBER OF VOLUNTEERS REPORTED INCLUDES THOSE VOLUNTEERS SERVING AS BOARD MEMBERS.
FORM 990, PART III, LINE 1: MISSION, VISION, AND VALUES	MISSION: NOVANT HEALTH EXISTS TO IMPROVE THE HEALTH OF 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 BY SHOWING THEM 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 ONE ANOTHER 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 WE APPROACH EACH SERVICE OPPORTUNITY WITH A POSITIVE, FLEXIBLE ATTITUDE. HONESTY AND PERSONAL INTEGRITY GUIDE ALL THAT WE DO. - TEAMWORK: THE NEEDS AND EXPECTATIONS OF ANY ONE CUSTOMER ARE GREATER THAN THAT WHICH 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. 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. OUR PROMISE TO PATIENTS: WE ARE MAKING YOUR HEALTHCARE EXPERIENCE REMARKABLE. WE WILL BRING YOU WORLD-CLASS CLINICIANS, CARE AND TECHNOLOGY - WHEN AND WHERE YOU NEED THEM. WE ARE REINVENTING THE HEALTHCARE EXPERIENCE TO BE SIMPLER, MORE CONVENIENT AND MORE AFFORDABLE, SO THAT YOU CAN FOCUS ON GETTING BETTER AND STAYING HEALTHY.
FORM 990, PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS	KMC HAS 50 LICENSED BEDS. DURING 2017 THERE WERE 9,715 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 3 DAYS, AN AVERAGE DAILY CENSUS OF 27, AND 2,862 DISCHARGES. THERE WERE 4,404 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 47,896 OUTPATIENT ENCOUNTERS AND 33,590 EMERGENCY DEPARTMENT VISITS. CMC HAS 36 LICENSED BEDS. DURING 2017 THERE WERE 1,490 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 2 DAYS, AN AVERAGE DAILY CENSUS OF 10, AND 748 DISCHARGES. THERE WERE 2,023 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 24,241 OUTPATIENT ENCOUNTERS AND 17,860 EMERGENCY DEPARTMENT VISITS.
FORM 990, PART VI, SECTION A, LINE 6	FORM 990, PART VI, SECTION A, LINE 6: CLASSES OF MEMBERS OR STOCKHOLDERS THE CORPORATION IS A NONPROFIT CORPORATION WITH MEMBERS (OR A MEMBER).
FORM 990, PART VI, SECTION A, LINE 7A	FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF MEMBERS AND THEIR RIGHTS NOVANT HEALTH, INC. ELECTS ALL MEMBERS OF THE GOVERNING BODY OF FORSYTH MEMORIAL HOSPITAL,INC.
FORM 990, PART VI, SECTION A, LINE 7B	FORM 990, PART VI, SECTION A, LINE 7B: DECISIONS SUBJECT TO APPROVAL OF MEMBERS NOVANT HEALTH, INC. HAS CERTAIN RESERVED POWERS, SUCH AS APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS OF THE CORPORATION, AND TO ADOPT CERTAIN POLICIES WHICH SHALL BE IMPLEMENTED BY THE CORPORATION 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 15B	FORM 990, PART VI, SECTION B, LINE 15A: COMPENSATION PROCESS FOR TOP OFFICIAL 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 EXECUTIVES ("EXECUTIVES") SERVING AS THE TOP MANAGEMENT OFFICIAL(S) 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 B, LINE 15B: COMPENSATION PROCESS FOR OFFICERS 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 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 VII, SECTION A, COLUMN B: RELATED ORGANIZATIONS	THE ORGANIZATION EMPLOYS CERTAIN EXECUTIVES WHOSE ROLES ARE SUCH THAT THEY PROVIDE SERVICES TO NOT ONLY THE ORGANIZATION, BUT ALSO TO SOME OR ALL OF THE OTHER TAX-EXEMPT ORGANIZATIONS WITHIN THE HEALTHCARE SYSTEM. FOR EXAMPLE, MANY OF THESE EXECUTIVES' ROLES FOCUS ON PARTICULAR SERVICE LINES WHICH CROSS THE VARIOUS GEOGRAPHIC MARKETS OUR ORGANIZATIONS SERVE, THUS THE SERVICES PROVIDED BY THESE EXECUTIVES MAY BENEFIT AND BE RECEIVED BY MULTIPLE ORGANIZATIONS WITHIN THE SYSTEM. THE EXECUTIVES DO NOT ALLOCATE THEIR HOURS BETWEEN THE VARIOUS ORGANIZATIONS, BUT RATHER THEIR TIME SPENT ON SERVICES TO THE ORGANIZATION IS INCLUSIVE OF SERVICES TO ALL OF THE ORGANIZATIONS THEY SERVE WITHIN THE SYSTEM.
FORM 990, PART VII, SECTION B: INDEPENDENT CONTRACTORS	THE FILING ENTITY IS PART OF THE NOT-FOR-PROFIT INTEGRATED HEALTHCARE SYSTEM KNOWN AS NOVANT HEALTH. NOVANT HEALTH, INC., THE PARENT, A SUPPORTING ORGANIZATION, IS RESPONSIBLE FOR CERTAIN CORPORATE SUPPORT FUNCTIONS INCLUDING ACCOUNTS PAYABLE AND ISSUES FORMS 1099 FOR CERTAIN ENTITIES IN THE SYSTEM INCLUDING THE FILING ENTITY. INFORMATION REPORTED IN PART VII, SECTION B REPRESENTS THE EXPENSES PAID ON BEHALF OF THE FILING ENTITY TO INDEPENDENT CONTRACTORS OVER $100,000.
FORM 990, PART IX, LINE 6: COMPENSATION OF DISQUALIFIED PERSONS	THE AMOUNTS REPORTED HERE INCLUDE AMOUNTS ATTRIBUTABLE TO DISQUALIFIED PERSONS (DQP) AS DEFINED IN THE INSTRUCTIONS, BUT NOW ALSO INCLUDES AMOUNTS ATTRIBUTABLE TO INDIVIDUALS THAT MAY NOT DEFINITIVELY BE CONSIDERED DQPS UNDER THE 4958 RULES. WE HAVE OPTED TO TAKE A MORE EXPANSIVE APPROACH AS TO WHO MAY BE CONSIDERED A DQP AND REPORT THEM HERE AS WELL.
FORM 990, PART XI, LINE 9:	CONTRIBUTIONS: -2,545,099. MALPRACTICE INSURANCE: -1,631,523. AFFILIATE TRANSFERS: -2,309,885. PARTNERSHIP ADJUSTMENT: 118,796. BOOK ADJUSTMENT: -1,850. ROUNDING: -6.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EXCEL IMAGING LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	204253946	INACTIVE	NC	$0	$0	FORSYTH MEMORIAL HOSPITAL INC
SALEM MRI LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103		INACTIVE	NC	$0	$0	EXCEL IMAGING LLC
THE BREAST CLINIC MRI LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103		INACTIVE	NC	$0	$0	EXCEL IMAGING LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
AUXILIARY OF FORSYTH MEMORIAL HOSPITAL
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	560862112	HEALTHCARE	NC	501(C)(3)	LINE 10	FORSYTH MEMORIAL HOSPITAL INC	Yes (1)
BRUNSWICK NOVANT MEDICAL CENTER FOUNDATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	274616751	HEALTHCARE	NC	501(C)(3)	LINE 7	BRUNSWICK COMMUNITY HOSPITAL LLC	0
CAROLINA MEDICORP ENTERPRISES INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	581466368	HEALTHCARE	NC	501(C)(3)	LINE 12B, II	NOVANT MEDICAL GROUP INC	0
COMMUNITY GENERAL HEALTH PARTNERS INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	560636250	HEALTHCARE	NC	501(C)(3)	LINE 3	NOVANT HEALTH TRIAD REGION LLC	0
COMMUNITY GENERAL HOSPITAL FOUNDATION INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561828629	HEALTHCARE	NC	501(C)(3)	LINE 7	COMMUNITY GENERAL HEALTH PARTNERS INC	0
FORSYTH MEDICAL CENTER FOUNDATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	562120959	HEALTHCARE	NC	501(C)(3)	LINE 7	FORSYTH MEMORIAL HOSPITAL INC	Yes (1)
FOUNDATION HEALTH SYSTEMS CORP
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561373175	HEALTHCARE	NC	501(C)(3)	LINE 10	NOVANT HEALTH INC	0
MEDICAL PARK HOSPITAL INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561340424	HEALTHCARE	NC	501(C)(3)	LINE 3	NOVANT HEALTH TRIAD REGION LLC	0
NMG SERVICES INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	562098809	HEALTHCARE	NC	501(C)(3)	LINE 10	NOVANT HEALTH INC	0
NOVANT HEALTH INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561376950	HEALTHCARE	NC	501(C)(3)	LINE 12C, III-FI		0	N/A
NOVANT MEDICAL GROUP INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	581728803	HEALTHCARE	NC	501(C)(3)	LINE 3	NMG SERVICES INC	0
PERSONAL CARE SERVICES
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	541291284	HEALTHCARE	VA	501(C)(3)	LINE 10	PRINCE WILLIAM HEALTH SYSTEM	0
PRESBYTERIAN HOSPITAL FOUNDATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	581413074	HEALTHCARE	NC	501(C)(3)	LINE 7	NOVANT HEALTH SOUTHERN PIEDMONT REGION LLC	0
PRESBYTERIAN MEDICAL CARE CORPORATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561376368	HEALTHCARE	NC	501(C)(3)	LINE 3	NOVANT HEALTH SOUTHERN PIEDMONT REGION LLC	0
PRINCE WILLIAM HEALTH SYSTEM
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	541278944	HEALTHCARE	VA	501(C)(3)	LINE 12C, III-FI	NOVANT HEALTH UVA HEALTH SYSTEM	0
PRINCE WILLIAM HOSPITAL
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	540696355	HEALTHCARE	VA	501(C)(3)	LINE 3	PRINCE WILLIAM HEALTH SYSTEM	0
PWHS FOUNDATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	541307595	HEALTHCARE	VA	501(C)(3)	LINE 7	PRINCE WILLIAM HEALTH SYSTEM	0
ROWAN HEALTH SERVICES CORPORATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561424814	HEALTHCARE	NC	501(C)(3)	LINE 12C, III-FI	NOVANT HEALTH INC	0
ROWAN REGIONAL MEDICAL CENTER AUXILIARY
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	237022472	HEALTHCARE	NC	501(C)(3)	LINE 10	ROWAN REGIONAL MEDICAL CENTER INC	0
ROWAN REGIONAL MEDICAL CENTER FOUNDATION INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561424818	HEALTHCARE	NC	501(C)(3)	LINE 7	ROWAN REGIONAL MEDICAL CENTER INC	0
ROWAN REGIONAL MEDICAL CENTER INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	560547479	HEALTHCARE	NC	501(C)(3)	LINE 3	ROWAN HEALTH SERVICES CORPORATION	0
SELF INSURANCE FUND - NOVANT HEALTH INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	581867242	HEALTHCARE	NC	501(C)(3)	LINE 12C, III-FI	NOVANT HEALTH INC	0
THE PRESBYTERIAN HOSPITAL
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	560554230	HEALTHCARE	NC	501(C)(3)	LINE 3	NOVANT HEALTH SOUTHERN PIEDMONT REGION LLC	0
CULPEPER MEMORIAL HOSPITAL INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	540622371	HEALTHCARE	VA	501(C)(3)	LINE 3	NOVANT HEALTH UVA HEALTH SYSTEM	0
NOVANT HEALTH UVA HEALTH SYSTEM
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	810868533	HEALTHCARE	VA	501(C)(3)	LINE 12A, I	NOVANT HEALTH INC	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ADEPT HEALTH INC FKA NOVANT HEALTH SHARED SERVICES INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	562226937	ADMIN SERVICES	NC	N/A	C	0
CHOICEHEALTH INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561896065	MANAGED CARE	NC	N/A	C	0
COMMUNICARE INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561952950	RENTAL REAL ESTATE	NC	N/A	C	0
KERNERSVILLE MEDICAL CENTER PARK OWNERS' ASSOCIATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	471511401	RENTAL REAL ESTATE	NC	N/A	C	0
MEDQUEST INC & SUBSIDIARIES
3480 PRESTON RIDGE RD STE 600	ALPHARETTA	GA	30005	223860764	DIAGNOSTIC IMAGING	DE	N/A	C	0
NOVANT HEALTH FOUNDATION INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	813895369	INACTIVE	NC	N/A	C	0
NOVANT HEALTH TRINOVA INSURANCE PROTECTED CELL INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	812963143	INSURANCE	NC	N/A	C	0
ROWAN MEDICAL ALLIANCE INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561992669	INSURANCE	NC	N/A	C	0
ROWAN MEDICAL FACILITIES INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561424672	MEDICAL SUPPLIES	NC	N/A	C	0
SALEM DIAGNOSTICS INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561513621	HEALTH RELATED	NC	N/A	C	0
SALEM HEALTH SERVICES INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561342654	HEALTH RELATED	NC	N/A	C	0
THE PARK AT MONROE PROPERTY OWNERS ASSOCIATION INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	463910256	RENTAL REAL ESTATE	NC	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FORSYTH MEDICAL CENTER FOUNDATION
C	$4,366,837	CASH
AUXILIARY OF FORSYTH MEMORIAL HOSPITAL INC
C	$46,614	CASH & FMV
FORSYTH MEDICAL CENTER FOUNDATION
R	$2,309,885	CASH