2018-08-13T15:03:39-05:00 2017-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2016-10-01 201929953 HARNETT HEALTH SYSTEM FOUNDATION HARN 9108911000 800 TILGHMAN DRIVE DUNN NC 28334 JESSICA LANG CFO 9108911000 2018-08-10 1 JOHN NORMAN P01506766 7049985200 2018-08-10 2016 2022-09-23 18:48:47Z CORNELIA STEWART 800 TILGHMAN DRIVE DUNN NC 28334 267685 0 X HTTP://MYHARNETTHEALTH.ORG/ABOUTFOUNDATION/ X 2004 NC THE FOUNDATIONS PURPOSE IS TO SUPPLEMENT, ENHANCE AND ENRICH THE FACILITIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 13 13 0 30 0 0 119047 242628 0 0 3065 11109 -3100 -8447 119012 245290 0 0 0 0 8335 22917 0 0 0 18245 70973 26580 93890 92432 151400 1363300 1454442 105600 5641 1257700 1448801 THE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE, AND ENRICH THE FACILITIIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 0 0 84953 HARNETT HEALTH FOUNDATION'S MISSION IS TO RAISE AWARENESS, INSPIRE ENGAGEMENT, AND INVESTMENT IN LOCAL HEALTH CARE TO IMPROVE THE QUALITY OF LIFE OF OUR FAMILIES AND NEIGHBORS. THEY ARE ADVANCING HEALTHCARE & CONTRIBUTING TO A THRIVING COMMUNITY THROUGH COMMUNITY ENGAGEMENT, NEEDED DEVELOPMENT IN HARNETT HEALTH FACILITIES AND STATE-OF-THE-ART EQUIPMENT. DURING FY 2017, $37,598 WAS PROVIDED TO HARNETT HEALTH SYSTEM TO MAKE RENOVATIONS AND PROVIDE TRAINING TO STAFF. 84953 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X SAMANTHA NISHNICK 9108921000 800 TILGHMAN DRIVE DUNN NC 28334 X CORNELIA T STEWART CHAIR 4.00 X X 0 0 0 DAL SNIPES VICE CHAIR 4.00 X X 0 0 0 EMMETT ALDREDGE SECRETARY 4.00 X X 0 0 0 EDDIE TOBLER TREASURER 4.00 X 0 0 0 JIMMY JOHNSON BOARD MEMBER 1.00 X 0 0 0 LD BLACK BOARD MEMBER 1.00 X 0 0 0 WALTER WEEKS BOARD MEMBER 1.00 X 0 0 0 ANDY BOWMAN BOARD MEMBER 1.00 X 0 0 0 CHRIS STEWART BOARD MEMBER 1.00 X 0 0 0 THOMAS BUTLER BOARD MEMBER 1.00 X 0 0 0 OLALEKAN FOLARIN BOARD MEMBER 1.00 X 0 0 0 SUSAN CHRISCOE BOARD MEMBER 1.00 X 0 0 0 KEITH TRIPP BOARD MEMBER 1.00 X 0 0 0 KEVIN JACKSON PRESIDENT HHS 1.00 X 0 0 0 0 0 0 0 0 0 0 0 89311 1157 152160 242628 12165 12165 1056 -1056 -1056 -1056 12892 89311 21339 -8447 -8447 245290 0 0 2662 22917 22917 8937 8937 53195 53195 1288 1288 7553 7553 93890 84953 8937 0 197839 276030 64797 33547 600000 600000 600000 500664 544865 1363300 1454442 105600 5641 105600 5641 X 1160434 1443160 97266 5641 1257700 1448801 1363300 1454442 151400 39701 0 X X 0 1 X 1 1 1 X 200301 340371 60712 81193 153317 835894 200301 340371 60712 81193 153317 835894 835894 1042 579 618 3065 12165 17469 853363 0.97950 0.98800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 600000 600000 600000 INVESTMENTS HELD TO MATURITY 544865 C 544865 X PART X, LINE 2: THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2017. GOLF TOURNAMENT 60965 57744 3221 2582 639 4406 BLESS YOUR HEART 41238 31567 9671 2500 4671 5000 1542 102203 89311 12892 5082 5310 5000 5948 21340 -8448 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE SECRETARY AND THE TREASUER. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE ORGANIZATION TO THE EXTENT PERMITTED BY LAW DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B JESSICA LANG, CORPORATE DIRECTOR - FINANCIAL OPERATIONS, WILL REVIEW THE 990 FORM WITH THE BOARD AND ANSWER ANY OF THEIR QUESTIONS. THE BOARD WILL THEN VOTE TO APPROVE OR NOT APPROVE THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE LEADERSHIP OF THE BOARD OF TRUSTEES(THROUGHOUT THE YEAR IF NEEDED) AND ADMINISTERED TO ALL VOTING BOARD MEMBERS FORM 990, PART VI, SECTION B, LINE 15A THE CONFLICT OF INTERST POLICY IS REVIEWED ANNUALLY BY THE LEADERSHIP OF THE BOARD OF TRUSTEES(THROUGHOUT THE YEAR IF NEEDED) AND ADMINISTERED TO ALL VOTING BOARD MEMBERS FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HARNETT HEALTH SYSTEM INC PO BOX 1706 DUNN NC 28335 560603898 HOSPITAL NC 501(C)(3) HOSPITAL N/A 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0