FORSYTH MEMORIAL HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: FORSYTH MEMORIAL HOSPITAL INC (EIN 56-0928089)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-12
IRS object ID: 202113169349309346
Schema version: 2020v4.1
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	2021-11-12T15:42:54-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH TRYON STREET SUITE 3800	AddressLine1Txt
City	CHARLOTTE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	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	2021-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	FRED	PersonFirstNm
Person Last	HARGETT	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SCOTT TIDWELL	PreparerPersonNm
PTIN	P01729213	PTIN
Phone	7043726300	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$1,551,533,794	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	7981	TotalEmployeeCnt
Total Volunteers	154	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,764,533	PYContributionsGrantsAmt
CY Contributions Grants	$49,327,067	CYContributionsGrantsAmt
PY Program Service Revenue	$1,498,133,546	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,496,176,082	CYProgramServiceRevenueAmt
PY Investment Income	-$360,296	PYInvestmentIncomeAmt
CY Investment Income	$409,589	CYInvestmentIncomeAmt
PY Other Revenue	$7,574,138	PYOtherRevenueAmt
CY Other Revenue	$5,460,108	CYOtherRevenueAmt
PY Total Revenue	$1,507,111,921	PYTotalRevenueAmt
CY Total Revenue	$1,551,372,846	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,103,779	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,835,053	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$584,808,516	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$572,676,488	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$813,508,722	PYOtherExpensesAmt
CY Other Expenses	$868,336,650	CYOtherExpensesAmt
PY Total Expenses	$1,399,421,017	PYTotalExpensesAmt
CY Total Expenses	$1,443,848,191	CYTotalExpensesAmt
PY Revenues Less Expenses	$107,690,904	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$107,524,655	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,827,333,103	TotalAssetsBOYAmt
Total Assets EOY	$2,063,331,863	TotalAssetsEOYAmt
Total Liabilities BOY	$128,402,528	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$260,050,611	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,698,930,575	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,803,281,252	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,171,909,069	ExpenseAmt
Grant	$2,835,053	GrantAmt
Revenue	$1,496,807,506	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 859 LICENSED BEDS. DURING 2020 THERE WERE 217,673 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 6 DAYS, AN AVERAGE DAILY CENSUS OF 595, AND 34,304 DISCHARGES. THERE WERE 20,115 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 1,103,316 OUTPATIENT ENCOUNTERS AND 77,334 EMERGENCY DEPARTMENT VISITS.(CONTINUED ON SCHEDULE O)	Desc
Total Program Service Expenses	$1,171,909,069	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
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
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 With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
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	7981	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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 (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	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
BERGER WILLIAM MD
TRUSTEE	0.20	45.00	Yes (X)	$0	$574,913	$52,090
EDWARDS JOEL MD
TRUSTEE	45.20	0.00	Yes (X)	$233,516	$0	$15,110
BAREFOOT SAMUEL
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
BROWN CANDICE
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
FORIEST BRYANT
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
HALL AVERY
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
HARDING LARI
VICE CHAIR	0.20	0.00	Yes (X)	$0	$0	$0	Yes (X)
HAUSER CHARLES
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
HORN MIKE
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
JOHNSON JOIA
CHAIR	0.20	0.00	Yes (X)	$0	$0	$0	Yes (X)
LANDRY ROBERT
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
LATHAM LINDA
SEC/TREAS	0.20	0.00	Yes (X)	$0	$0	$0	Yes (X)
LEON CHRISTOPHER
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
MARTIN TRACEY
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
OWENS MARK
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
WELTON CHARLES
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
WOLFE III JOHN
TRUSTEE	0.20	0.00	Yes (X)	$0	$0	$0
SMITH HARRY
FMR SVP HOSP OPS (1/1/20-8/5/20)	0.00	50.00		$0	$1,394,920	$46,260	Yes (X)
SETLIFF MICHAEL
PRES & COO	50.00	0.00		$788,781	$0	$123,544	Yes (X)
HEALY JOAN
ASST SEC	0.20	0.00		$112,678	$0	$0	Yes (X)
NYCUM LAWRENCE MD
FMR SVP & CCO (1/1/20-10/27/20)	50.00	0.00		$1,047,567	$0	$40,364		Yes (X)
MANN JOHN
PRESIDENT & COO	50.00	0.00		$710,866	$0	$130,475		Yes (X)
ROYSTER KIRSTEN
PRES & COO KMC	50.00	0.00		$589,399	$0	$26,493		Yes (X)
ELLIOTT KATHLEEN
ONCOLOGIST	45.00	0.00		$796,189	$0	$52,194			Yes (X)
FRIEDMAN ROLAND
UROLOGIST	45.00	0.00		$785,317	$0	$47,837			Yes (X)
COLLINS TIMOTHY
ONCOLOGIST	45.00	0.00		$760,643	$0	$52,227			Yes (X)
ZEYLIKMAN YURIY
NEUROLOGIST	45.00	0.00		$761,976	$0	$50,071			Yes (X)
BAKER WILLIAM
ONCOLOGIST	45.00	0.00		$724,799	$0	$49,202			Yes (X)
BRIGHT JANET
FMR VP NURSING & MARKET CNO	0.00	0.00		$155,248	$0	$5,610				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,466,979	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,969,833	TotReportableCompRltdOrgAmt
Total Other Compensation	$691,477	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	635	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
VANNOY CONSTRUCTION
PO BOX 635	JEFFERSON	NC	28640	CONSTRUCTION SERVICES	$26,737,202
LABORATORY CORPORATION OF AMERICA HOLDIN
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	$18,603,550
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	FOOD MANAGEMENT SERVICES	$13,109,690
AYA HEALTHCARE INC
PO BOX 123519	DALLAS	TX	75312	TRAVEL NURSING SERVICES	$9,401,444
TRIMEDX INC
PO BOX 636129	CINCINNATI	OH	45263	CLINICAL ENGINEERING SERVICES	$8,620,309

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	102	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,502,429	RelatedOrganizationsAmt
Government Grants	$46,585,535	GovernmentGrantsAmt
All Other Contributions	$239,103	AllOtherContributionsAmt
Total Contributions	$49,327,067	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$1,411,014,463	$1,411,014,463
PHARMACY	446110	$79,758,404	$79,758,404
PASS-THRU PATIENT REVENUE	621111	$3,730,398	$3,730,398
VALUE BASED INCENTIVE	900099	$1,637,777	$1,637,777
PHYSICIAN SERVICES	621111	$35,040	$35,040

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,496,176,082	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$230,618	TotalRevenueColumnAmt
Exclusion	$230,618	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$606,513	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	$606,513	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$606,513	TotalRevenueColumnAmt
Exclusion	$606,513	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$313,151	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$134,180	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$178,971	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$178,971	TotalRevenueColumnAmt
Exclusion	$178,971	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$54,901	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$26,768	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,133	TotalRevenueColumnAmt
Exclusion	$28,133	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA MEALS	722514	$2,331,962	$2,331,962
CHILD DEVELOPMENT CENTER	624410	$1,169,574	$1,169,574
PARKING	812930	$374,833	$374,833

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$949,093	TotalRevenueColumnAmt
Related Or Exempt Func Income	$631,424	RelatedOrExemptFuncIncomeAmt
Exclusion	$317,669	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,825,462	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,551,372,846	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,496,807,506	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,238,273	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,272,280	TotalAmt
Program Services	$1,272,280	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,562,773	TotalAmt
Program Services	$1,562,773	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,811,857	TotalAmt
Management And General	$3,811,857	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$202,774	TotalAmt
Management And General	$202,774	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$455,766,390	TotalAmt
Program Services	$437,535,734	ProgramServicesAmt
Management And General	$18,230,656	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,446,950	TotalAmt
Program Services	$16,749,072	ProgramServicesAmt
Management And General	$697,878	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$66,047,649	TotalAmt
Program Services	$63,405,744	ProgramServicesAmt
Management And General	$2,641,905	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,400,868	TotalAmt
Program Services	$28,224,833	ProgramServicesAmt
Management And General	$1,176,035	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,658	TotalAmt
Management And General	$3,658	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,180	TotalAmt
Program Services	$1,180	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$112,547,836	TotalAmt
Program Services	$92,955,520	ProgramServicesAmt
Management And General	$19,592,316	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,067,733	TotalAmt
Program Services	$1,032,719	ProgramServicesAmt
Management And General	$35,014	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,578,255	TotalAmt
Program Services	$3,620,718	ProgramServicesAmt
Management And General	$957,537	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,520,305	TotalAmt
Program Services	$9,305,861	ProgramServicesAmt
Management And General	$214,444	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$27,400,518	TotalAmt
Program Services	$26,321,608	ProgramServicesAmt
Management And General	$1,078,910	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$569,739	TotalAmt
Program Services	$542,115	ProgramServicesAmt
Management And General	$27,624	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$103,084	TotalAmt
Program Services	$98,961	ProgramServicesAmt
Management And General	$4,123	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,974,472	TotalAmt
Program Services	$18,974,472	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,989,093	TotalAmt
Program Services	$26,644,969	ProgramServicesAmt
Management And General	$2,344,124	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,697,197	TotalAmt
Program Services	$5,420,136	ProgramServicesAmt
Management And General	$277,061	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
CORPORATE SUPPORT	$203,566,506	$203,566,506
PHARMACEUTICALS	$158,342,043	$0	$158,342,043
MEDICAL SUPPLIES	$149,901,059	$171,754	$149,729,305
BAD DEBT	$89,104,651		$89,104,651

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$57,969,321	TotalAmt
Program Services	$41,064,375	ProgramServicesAmt
Management And General	$16,904,946	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,443,848,191	TotalAmt
Program Services	$1,171,909,069	ProgramServicesAmt
Management And General	$271,939,122	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$393,328	BOYAmt
EOY	$139,561	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$263,760,491	BOYAmt
EOY	$350,938,607	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$14,921,289	BOYAmt
EOY	$13,494,133	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,973,728	BOYAmt
EOY	$25,883,750	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$967,602	BOYAmt
EOY	$537,550	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$653,275,808	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$362,834,131	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$260,551,889	BOYAmt
EOY	$290,441,677	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$14,422,125	BOYAmt
EOY	$16,986,941	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	$1,217,327,604	BOYAmt
EOY	$1,333,894,597	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,827,333,103	BOYAmt
EOY	$2,063,331,863	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$68,765,444	BOYAmt
EOY	$198,690,472	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,637,084	BOYAmt
EOY	$61,360,139	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$128,402,528	BOYAmt
EOY	$260,050,611	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,698,930,125	BOYAmt
EOY	$1,803,280,802	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$450	BOYAmt
EOY	$450	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,698,930,575	BOYAmt
EOY	$1,803,281,252	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,827,333,103	BOYAmt
EOY	$2,063,331,863	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$107,524,655	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	$450	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$3,174,428	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$344	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$77,903	OtherActivitiesAmt
Total Lobbying Expenditures	$78,247	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 LOBBYING ACTIVITIES.
LINE 1I	DUES PAID TO CERTAIN ORGANIZATIONS WHICH INCLUDE A PORTION RELATED TO LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$450	BeginningYearBalanceAmt
End Year Balance	$450	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$363	BeginningYearBalanceAmt
Contributions	$87	ContributionsAmt
End Year Balance	$450	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Contributions	$363	ContributionsAmt
End Year Balance	$363	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

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	$167,326,521	OtherCostOrOtherBasisAmt
Depreciation	$48,012,373	DepreciationAmt
Book Value	$119,314,148	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,464,708	OtherCostOrOtherBasisAmt
Depreciation	$9,432,096	DepreciationAmt
Book Value	$10,032,612	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$386,326,141	OtherCostOrOtherBasisAmt
Depreciation	$285,866,885	DepreciationAmt
Book Value	$100,459,256	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$69,430,541	OtherCostOrOtherBasisAmt
Depreciation	$19,522,777	DepreciationAmt
Book Value	$49,907,764	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$290,441,677	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATE	$1,310,910,354
OTHER ASSETS	$331,069
RIGHT OF USE ASSETS	$22,653,174

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,333,894,597	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
THIRD PARTY PAYMENT PAYABLE	$16,208,503
NOTES PAYABLE	$16,543,591
PATIENT REFUNDS	$5,162,998
OPERATING LEASE	$23,445,047

Field	Value	IRS element (for citing)
Total Liability	$61,360,139	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE ENDOWMENT FUNDS ARE HELD FOR COMMUNITY ENGAGEMENT.

PART X, LINE 2:

PART X, LINE 2: LIABILITY UNDER FIN 48 (ASC 740) FOOTNOTE THE AUDIT FOR NOVANT HEALTH AND ITS AFFILIATES IS PREPARED ON A CONSOLIDATED BASIS. THE COMPANY IS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS. THIS EVALUATION INCLUDES A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF OUR FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE COMPANY'S CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
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	$56,295,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,295,918	NetCommunityBenefitExpnsAmt
Total Expense	0.04160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$158,640,224	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,328,324	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,311,900	NetCommunityBenefitExpnsAmt
Total Expense	0.02020	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,280,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,707,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$573,442	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$218,216,929	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$134,035,669	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,181,260	NetCommunityBenefitExpnsAmt
Total Expense	0.06220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$547,969	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$539,043	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,104,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,015,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,088,798	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,760,408	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,232,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,527,482	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,387,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,387,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$219,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$219,705	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,019,442	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,257,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,762,078	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,236,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$148,293,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,943,338	NetCommunityBenefitExpnsAmt
Total Expense	0.07310	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
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	$34,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$94,100	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$89,104,651	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$207,324,665	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$225,730,629	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,405,964	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	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 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	OtherOtherDesc
FMH DBA NOVANT HEALTH FORSYTH MEDICAL CENTER
1	3333 SILAS CREEK PARKWAY	WINSTONSALEM	NC	27103	WWW.NOVANTHEALTH.ORG	H0209	Yes (X)	Yes (X)	Yes (X)	A
FMH DBA NOVANT HEALTH KERNERSVILLE MED CENTER
2	1750 KERNERSVILLE MEDICAL PARKWAY	KERNERSVILLE	NC	27284	WWW.NOVANTHEALTH.ORG	H0209	Yes (X)	Yes (X)	Yes (X)	A
FMH DBA NOVANT HEALTH CLEMMONS MEDICAL CENTER
3	6915 VILLAGE MEDICAL CIRCLE	CLEMMONS	NC	27012	WWW.NOVANTHEALTH.ORG	H0209	Yes (X)	Yes (X)	Yes (X)	A
NOVANT HEALTH REHABILITATION HOSPITAL
4	2475 HILLCREST CENTER CIRCLE	WINSTONSALEM	NC	27103	WWW.ENCOMPASSHEALTH.COM/LOCATIONS/NOVA	H0291	Yes (X)			B	SPECIALTY - REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other ReasonOtherReasonInd
FORSYTH MEMORIAL HOSPITAL INC
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (1)	19	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	300.000000000000	0.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
NOVANT HEALTH REHABILITATION HOSPITAL
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		20	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (1)	20	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	300.000000000000	0.000000000000		Yes (X)			Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	0	0	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: FMH DBA NOVANT HEALTH FORSYTH MEDICAL CENTER, - FACILITY 2: FMH DBA NOVANT HEALTH KERNERSVILLE MED CENTER, - FACILITY 3: FMH DBA NOVANT HEALTH 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. THE PRIORITIZED IDENTIFIED HEALTH NEEDS AND SUPPORTING DATA ARE THEN REVIEWED AND DELIBERATED UPON FURTHER BY THE BOARD. AN IMPLEMENTATION PLAN IS CREATED FOR CERTAIN OF THE PRIORITIZED, IDENTIFIED HEALTH NEEDS AND ASSESSED REGULARLY THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT LIFE CYCLE. COMMUNITY PARTNERS WHO ARE CURRENTLY DOING THE WORK ARE IDENTIFIED AS POTENTIAL PARTNERS FOR COLLABORATION ON THOSE IDENTIFIED NEEDS THAT ARE NOT PART OF THE IMPLEMENTATION PLAN.
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, STAKEHOLDER'S INTERVIEWS, AND SOLICITED THROUGH WRITTEN COMMENTS THROUGHOUT THE SURVEY PERIOD UNTIL THE FINAL COMMUNITY PRIORITY SETTING MEETING(S) AND/OR SURVEY. THE SCOPE OF EXPERTISE WAS BROAD AND INCLUDED SUCH AREAS AS PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH DISPARITIES, AND SOCIAL SERVICES. DATA DERIVED FROM THESE EXERCISES IS BOTH QUANTITATIVE AND QUALITATIVE IN SCOPE.
FORSYTH MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 7D:	FORSYTH MEMORIAL HOSPITAL, INC.PART V, SECTION B, LINE 7BHTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/OUR-IMPACT.ASPXFORSYTH MEMORIAL HOSPITAL, INC.PART V, SECTION B, LINE 10AHTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/OUR-IMPACT.ASPX
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. CERTAIN OF THE NEEDS NOT ADDRESSED FALL OUTSIDE OF THE SCOPE OF TRADITIONAL HEALTHCARE (IE. DENTAL WORK) AND OTHERS ARE CANDIDATES FOR COLLABORATIVE WORK AND HAVE 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:HTTPS://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:HTTPS://WWW.NOVANTHEALTH.ORG/PORTALS/92/NOVANT_HEALTH/DOCUMENTS/PATIENTS_VISITORS/FINANCIAL_SERVICES/FINANCIAL%20ASSISTANCE%20APPLICATIONS/2019/FINANCIAL_ASSISTANCE/FAA_APP_ENGLISH.PDFSCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP APART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY:HTTPS://WWW.NOVANTHEALTH.ORG/PORTALS/92/NOVANT_HEALTH/DOCUMENTS/PATIENTS_VISITORS/FINANCIAL_SERVICES/FINANCIAL%20ASSISTANCE%20APPLICATIONS/2019/PLAIN_LANGUAGE/NOVANT%20HEALTH%20ACUTE%20PLS%20ENGLISH.PDF
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.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 4: NOVANT HEALTH REHABILITATION HOSPITAL
NOVANT HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 3J:	NOVANT HEALTH REHABILITATION HOSPITALPART 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. THE PRIORITIZED IDENTIFIED HEALTH NEEDS AND SUPPORTING DATA ARE THEN REVIEWED AND DELIBERATED UPON FURTHER BY THE BOARD. AN IMPLEMENTATION PLAN IS CREATED FOR CERTAIN OF THE PRIORITIZED, IDENTIFIED HEALTH NEEDS AND ASSESSED REGULARLY THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT LIFE CYCLE. COMMUNITY PARTNERS WHO ARE CURRENTLY DOING THE WORK ARE IDENTIFIED AS POTENTIAL PARTNERS FOR COLLABORATION ON THOSE IDENTIFIED NEEDS THAT ARE NOT PART OF THE IMPLEMENTATION PLAN.
NOVANT HEALTH REHABILITATION HOSPITAL 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, STAKEHOLDER'S INTERVIEWS, AND SOLICITED THROUGH WRITTEN COMMENTS THROUGHOUT THE SURVEY PERIOD UNTIL THE FINAL COMMUNITY PRIORITY SETTING MEETING(S) AND/OR SURVEY. THE SCOPE OF EXPERTISE WAS BROAD AND INCLUDED SUCH AREAS AS PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH DISPARITIES, AND SOCIAL SERVICES. DATA DERIVED FROM THESE EXERCISES IS BOTH QUANTITATIVE AND QUALITATIVE IN SCOPE.
NOVANT HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 7D:	NOVANT HEALTH REHABILITATION HOSPITALPART V, SECTION B, LINE 7BNOVANT HEALTH REHABILITATION HOSPITALPART V, SECTION B, LINE 10A
NOVANT HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 11:	THE FORSYTH MEMORIAL HOSPITAL, INC. INCLUDES THE OPERATIONS OF TWO LICENSED HOSPITALS; ONE WITH FACILITIES IN THREE LOCATIONS: FORSYTH MEMORIAL HOSPITAL, INC. DOING BUSINESS AS NOVANT HEALTH FORSYTH MEDICAL CENTER, AS NOVANT HEALTH KERNERSVILLE MEDICAL CENTER, AND AS NOVANT HEALTH CLEMMONS MEDICAL CENTER; AND NOVANT HEALTH REHABILITATION HOSPITAL, A LICENSED HOSPITAL OPERATED THROUGH A JOINT VENTURE. 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. CERTAIN OF THE NEEDS NOT ADDRESSED FALL OUTSIDE OF THE SCOPE OF TRADITIONAL HEALTHCARE (IE. DENTAL WORK) AND OTHERS ARE CANDIDATES FOR COLLABORATIVE WORK AND HAVE 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.
NOVANT HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H:	NOVANT HEALTH REHABILITATION HOSPITALSCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP BPART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/FILES/FINANCIAL-ASSISTANCE/2019-FINANCIAL-POLICY/NOVANT_FA_POLICY.PDF?LA=EN&HASH=77C51099FE74B3549A26469D6B5C465479CC77FASCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP BPART V, LINE 16B, FAP APPLICATION:HTTPS://WWW.ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/FILES/FINANCIAL-ASSISTANCE/2019_APPLICATION/NOVANT_FA_INST_APP.PDF?LA=EN&HASH=C17E842E930B98DF8A794D58BEF97AF1CA5C3310SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP BPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY:HTTPS://WWW.ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/FILES/FINANCIAL-ASSISTANCE/2019_PLAIN_LANGUAGE/NOVANT_FA_PLAIN_LANG_2.PDF?LA=EN&HASH=4B1FC5F7C19BAE59694B321B07BCB4E4FB2AA6A1
NOVANT HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 21D:	NOVANT HEALTH REHABILITATION HOSPITAL DOES NOT HAVE A DEDICATED EMERGENCY DEPARTMENT. THE HOSPITAL WILL APPRAISE EMERGENCIES, PROVIDE INITIAL TREATMENT, AND REFER OR TRANSFER AN INDIVIDUAL TO ANOTHER HOSPITAL/FACILITY, WHEN APPROPRIATE, WITHOUT DISCRIMINATION AND WITHOUT REGARD TO WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE.NOVANT HEALTH REHABILITATION HOSPITAL WILL NOT ENGAGE IN ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS DEMANDING THAT AN INDIVIDUAL PAY BEFORE RECEIVING INITIAL TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR PERMITTING DEBT COLLECTION ACTIVITIES THAT INTERFERE WITH HOSPITAL'S APPRAISAL AND PROVISION, WITHOUT DISCRIMINATION, OF SUCH INITIAL TREATMENT.

Field	Value	IRS element (for citing)
Facility	49	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (49 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 KERNERSVILLE MEDICAL PKWY	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC	SUITE 205
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 CLEMMONS OUTPATIENT SURGERY
7210 VILLAGE MEDICAL CIRCLE	CLEMMONS	NC	27012	AMBULATORY SURGERY CENTER
10 - NH DAVIE MEDICAL ASSOCIATES
485 VALLEY ROAD	MOCKSVILLE	NC	27028	PHYSICIAN CLINIC
11 - NH FORSYTH ENDOCRINE CONSULTANTS
755 HIGHLAND OAKS DRIVE SUITE 201	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
12 - NH FORSYTH FAMILY MEDICINE
400 JONESTOWN ROAD	WINSTONSALEM	NC	27104	PHYSICIAN CLINIC
13 - NH FORSYTH INTERNAL MEDICINE
1381 WESTGATE CENTER DRIVE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
14 - NH HAWTHORNE OUTPATIENT SURGERY
1999 S HAWTHORNE ROAD	WINSTONSALEM	NC	27103	AMBULATORY SURGERY CENTER
15 - NH IMAGING KERNERSVILLE
445 PINEVIEW DRIVE SUITE 100	KERNERSVILLE	NC	27284	IMAGING CENTER
16 - NH IMAGING MAPLEWOOD
3155 MAPLEWOOD AVENUE	WINSTONSALEM	NC	27103	IMAGING CENTER
17 - NH INFECTIOUS DISEASE SPECIALISTS
1381 WESTGATE CENTER DRIVE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
18 - NH INPATIENT CARE SPECIALISTS KERNERSVILLE
1750 KERNERSVILLE MEDICAL PKWY	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
19 - NH INTENSIVE DIABETES MANAGEMENT
1400 WESTGATE CENTER DRIVE STE 130	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
20 - NH KERNERSVILLE FAMILY MEDICINE
291 BROAD STREET	WINSTONSALEM	NC	27284	PHYSICIAN CLINIC
21 - NH KERNERSVILLE OUTPATIENT SURGERY
1730 KERNERSVILLE MEDICAL PKWY STE	KERNERSVILLE	NC	27284	AMBULATORY SURGERY CENTER	304
22 - NH LEWISVILLE FAMILY MEDICINE
1225 LEWISVILLE-CLEMMONS ROAD	LEWISVILLE	NC	27023	PHYSICIAN CLINIC
23 - NH LEXINGTON PRIMARY CARE
110 WEST MEDICAL PARK DRIVE	LEXINGTON	NC	27292	PHYSICIAN CLINIC
24 - NH MAPLEWOOD FAMILY MEDICINE
ROBINHOOD MEDICAL PLAZA BLDG 100	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
25 - NH MOUNTAINVIEW MEDICAL
216 MOORE ROAD	KING	NC	27021	PHYSICIAN CLINIC
26 - NH NORTH POINT MEDICAL ASSOCIATES
1995 BETHABARA ROAD	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
27 - NH ONCOLOGY SPECIALISTS
1213 LEXINGTON AVENUE STE B	LEXINGTON	NC	27360	PHYSICIAN CLINIC
28 - NH ONCOLOGY SPECIALISTS
1710 KERNERSVILLE MEDICAL PKWY STE	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC	116
29 - NH ONCOLOGY SPECIALISTS
276 OLD MOCKSVILLE ROAD SUITE 800	STATESVILLE	NC	28625	PHYSICIAN CLINIC
30 - NH ONCOLOGY SPECIALISTS
865 WESTLAKE DRIVE	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
31 - NH PFAFFTOWN FAMILY MEDICINE
4611 YADKINVILLE ROAD	PFAFFTOWN	NC	27040	PHYSICIAN CLINIC
32 - NH PILOT MOUNTAIN MEDICAL CARE
207 MEDICAL STREET	PILOT MOUNTAIN	NC	27041	PHYSICIAN CLINIC
33 - NH PREMIER MEDICAL ASSOCIATES
3333 BROOKVIEW HILLS BLVD STES	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC	202-204
34 - NH PSYCHIATRIC MEDICINE
175 KIMEL PARK DRIVE SUITE 100	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
35 - NH PSYCHIATRIC MEDICINE
309 PINEYWOOD ROAD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
36 - NH RHEUMATOLOGY AND ARTHRITIS
1551 WESTBROOK PLAZA DR SUITE 200	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
37 - NH SALEM FAMILY MEDICINE
105 VEST MILL CIRCLE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
38 - NH SURRY MEDICAL ASSOCIATES
2133 ROCKFORD ST SUITE 1400	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
39 - NH SURRY MEDICAL ASSOCIATES
865 WESTLAKE DRIVE	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
40 - NH THOMASVILLE MEDICAL ASSOCIATES
309 PINEYWOOD ROAD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
41 - NH TRIAD ENDOCRINE
500 PINEVIEW DR SUITE 101	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
42 - NH UROLOGY
140 KIMEL PARK DR SUITE 100	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
43 - NH UROLOGY
1730 KERNERSVILLE MEDICAL PKWY STE	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC	303
44 - NH UROLOGY
2010 BALDWIN LANE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
45 - NH WEST FORSYTH INTERNAL MED & PED
105 STADIUM OAKS DRIVE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
46 - NH WINSTON-SALEM HEALTH CARE
175 KIMEL PARK DRIVE SUITE 250	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
47 - NH WINSTON-SALEM HEALTH CARE
250 CHARLOIS BLVD	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
48 - NH WOUND CARE & HYPERBARIC MEDICINE
1901 S HAWTHORNE ROAD SUITE 220	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
49 - 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, REFERRED TO AS A COMMUNITY IMPACT REPORT, IS PREPARED BY A RELATED ORGANIZATION. NOVANT HEALTH, INC. IS THE 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-ENGAGEMENT/OUR-IMPACT.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 $89,104,651.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES ADDRESS 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. THROUGH THESE OUTREACH METHODS WE ARE ABLE TO SUCCESSFULLY WORK TOWARDS BRIDGING THE GAP OF NEED WITHIN OUR IDENTIFIED IMPACTED COMMUNITIES.
PART III, LINE 2:	IMPLICIT PRICE CONCESSIONS (FORMERLY LABELED BAD DEBT EXPENSE) ARE DETERMINED BASED ON MANAGEMENT'S ASSESSMENT OF CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE.
PART III, LINE 4:	THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS (FORMERLY LABELED BAD DEBT EXPENSE, AT COST) ON LINE 2 IS CALCULATED USING THE SAME METHODOLOGY AS CHARITY CARE AND OTHER COMMUNITY BENEFITS USING AN ENTITY SPECIFIC COST TO CHARGE RATIO (CCR). FOOTNOTE 2 (ACCOUNTS RECEIVABLE) ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES PRICE CONCESSIONS.
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:	THE 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 ENGAGEMENT DEPARTMENT COMPRISED OF COMMUNITY BENEFIT PROFESSIONALS. THE COMMUNITY ENGAGEMENT 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 ENGAGEMENT DEPARTMENT 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. THROUGH PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS WE ARE ABLE TO DRAW INFERENCE OF THE NEEDS NOT MET WITHIN THE IMMEDIATE COMMUNITIES WE SERVE, AND MEET OR EXCEED THOSE COMMUNITY MEMBER'S NEEDS. 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. ORGANIZATIONAL PARTNERSHIPS ESTABLISHED BY THE COMMUNITY BENEFIT DEPARTMENT ARE OFTEN LEVERAGED TO ADDRESS NEEDS THAT WERE IDENTIFIED IN THE CHNA, BUT WERE UNADDRESSED BY THE FACILITY IMPLEMENTATION PLAN.
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. NOVANT HEALTH REHABILITATION HOSPITAL HAS ADDITIONAL CRITERIA; PATIENTS ARE PRESUMED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, WITHOUT COMPLETING AN APPLICATION, IN THE FOLLOWING CIRCUMSTANCES:1. HOMELESSNESS2. DECEASED WITH NO ESTATE3. MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF4. RECENT MEDICAID COVERAGE, I.E. COVERAGE WITHIN THREE (3) MONTHS OF ADMISSION OR DISCHARGE.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 TWO LICENSED HOSPITALS; ONE 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 CENTER; AND NOVANT HEALTH REHABILITATION HOSPITAL, A LICENSED HOSPITAL OPERATED THROUGH A JOINT VENTURE.FORSYTH MEMORIAL HOSPITAL, INC. DBA NOVANT HEALTH FORSYTH MEDICAL CENTER AND NOVANT HEALTH REHABILITATION HOSPITALTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR NOVANT HEALTH FORSYTH MEDICAL CENTER AND NOVANT HEALTH REHABILITATION HOSPITAL IS DEFINED BY THE ZIP CODES THAT REPRESENT MORE THAN 75% OF THE HOSPITAL'S IN-PATIENT POPULATION. THIS INCLUDES THE CITY OF WINSTON-SALEM, THE TOWNS OF KERNERSVILLE, LEWISVILLE, RURAL HALL, WALNUT COVE, THE UNINCORPORATED COMMUNITY OF PFAFFTOWN, AND THE VILLAGE OF CLEMMONS, ALL OF WHICH ARE LOCATED IN FORSYTH COUNTY, NORTH CAROLINA. THE PRIMARY SERVICE AREA ALSO INCLUDES THE CITY OF LEXINGTON IN DAVIDSON COUNTY, THE TOWNS OF ADVANCE AND MOCKSVILLE, BOTH IN DAVIE COUNTY, THE CITY OF KING IN STOKES COUNTY, THE CITY OF MOUNT AIRY IN SURRY COUNTY, AND THE TOWN OF EAST BEND AND YADKINVILLE, BOTH IN YADKIN COUNTY. FORSYTH MEMORIAL HOSPITAL, INC. DBA NOVANT HEALTH CLEMMONS MEDICAL CENTERTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR NOVANT HEALTH CLEMMONS MEDICAL CENTER IS DEFINED BY THE ZIP CODES THAT REPRESENT MORE THAN 75% OF THE HOSPITAL'S IN-PATIENT POPULATION. THIS INCLUDES CITY OF WINSTON-SALEM, THE TOWN OF LEWISVILLE, AND THE VILLAGE OF CLEMMONS, ALL OF WHICH ARE LOCATED IN FORSYTH COUNTY, NORTH CAROLINA. THE PRIMARY SERVICE AREA ALSO INCLUDES THE TOWNS OF ADVANCE AND MOCKSVILLE, BOTH IN DAVIE COUNTY, NORTH CAROLINA, AND THE TOWNS OF EAST BEND AND YADKINVILLE, BOTH IN YADKIN COUNTY, NORTH CAROLINA.THE SECONDARY SERVICE AREA FOR NOVANT HEALTH CLEMMONS MEDICAL CENTER COVERS DAVIDSON AND STOKES COUNTIES. 66% OF THE PATIENTS IN THE PRIMARY SERVICE AREA RESIDE IN FORSYTH COUNTY AND 30% RESIDE IN DAVIE COUNTY, WHILE 66% OF THE PATIENTS IN THE PRIMARY AND SECONDARY SERVICE AREAS RESIDE IN FORSYTH COUNTY.FORSYTH MEMORIAL HOSPITAL, INC. DBA NOVANT HEALTH KERNERSVILLE MEDICAL CENTERTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR NOVANT HEALTH KERNERSVILLE MEDICAL CENTER IS DEFINED BY THE ZIP CODES THAT REPRESENT MORE THAN 75% OF THE HOSPITAL'S IN-PATIENT POPULATION. THIS INCLUDES CITY OF WINSTON-SALEM, THE TOWNS OF KERNERSVILLE, WALKERTOWN, WALNUT COVE, AND THE TOWNSHIP OF BELEWS CREEK, ALL OF WHICH ARE LOCATED IN FORSYTH COUNTY, NORTH CAROLINA. THE PRIMARY SERVICE AREA ALSO INCLUDES THE TOWN OF STOKESDALE IN GUILDFORD COUNTY, NORTH CAROLINA.THE SECONDARY SERVICE AREA FOR NOVANT HEALTH KERNERSVILLE MEDICAL CENTER COVERS DAVIDSON AND STOKES COUNTIES.FORSYTH COUNTY IS MOSTLY URBAN IN NATURE, WITH ONLY 7.4% OF THE POPULATION LIVING IN RURAL AREAS. THE COUNTY CONSISTS OF A LARGE URBAN CENTER SURROUNDED BY SMALLER, MORE RURAL COMMUNITIES. BASED ON 2018 ESTIMATES, FORSYTH COUNTY REMAINED THE FOURTH LARGEST COUNTY IN THE STATE OF NORTH CAROLINA WITH 379,099 RESIDENTS. FROM 2020 TO 2030, THE POPULATION OF FORSYTH COUNTY IS PROJECTED TO GROW BY 4.0% WHICH IS DOWN FROM 7.0% FOR THE 2010-2020 PERIOD. ADOLESCENTS (INDIVIDUALS 18 AND YOUNGER) MAKE UP AN ESTIMATED 22.9% OF THE POPULATION IN FORSYTH COUNTY, WHILE SENIORS (INDIVIDUALS 65 AND OLDER) MAKE UP 16.0% OF THE POPULATION. MEDIAN AGE CONTINUES TO INCREASE, AND WE CAN SEE A SHIFT IN THE POPULATION FROM ADOLESCENTS TO SENIORS AS OUR POPULATION CONTINUES TO AGE. THIS TREND MAY PUT A STRAIN ON HEALTHCARE SERVICES IN FORSYTH COUNTY BECAUSE HEALTH CARE FOR OLDER PERSONS IS DIFFERENT FROM THAT PROVIDED TO OTHER AGE GROUPS IN SEVERAL RESPECTS: GREATER RESOURCE DEMANDS, THE INTERTWINING OF PROFESSIONAL HEALTH SERVICES WITH SOCIAL SERVICES, THE FREQUENT OCCURRENCE OF IMPORTANT ETHICAL CONUNDRUMS, AND A HIGHER PREVALENCE OF PHYSICAL AND MENTAL DISABILITIES. NON-WHITE MINORITIES CURRENTLY MAKE UP ALMOST HALF (43.5%) OF THE RACIAL DEMOGRAPHIC IN FORSYTH COUNTY. THE SPECIFIC POPULATION GROUPS (ETHNIC AND CULTURAL) ARE AS FOLLOWS: WHITE NON-HISPANIC 56.5%; BLACK/AFRICAN-AMERICAN 27.5%; HISPANIC OR LATINO 13.0%; OTHER 3.0%.ACCORDING TO THE US CENSUS BUREAU DATA (2018), THE MEDIAN HOUSEHOLD INCOME LEVEL WAS $48,369 IN FORSYTH COUNTY. THE POVERTY RATE FOR FORSYTH COUNTY IS 19.1%.THERE ARE FOUR LICENSED HOSPITAL FACILITIES IN THE COMMUNITY, TWO OF WHICH ARE PART OF THE NOVANT HEALTH SYSTEM AND ONE IS A SPECIALITY HOSPITAL OPERATED BY THE FILING ENTITY THROUGH A JOINT VENTURE. THERE IS ALSO ONE ACADEMIC TEACHING HOSPITAL. STATISTICAL INFORMATION WAS GATHERED FROM VARIOUS STATE AND FEDERAL SOURCES, BUT PRIMARILY THE US CENSUS BUREAU. SPECIFIC REFERENCES AND OTHER SUPPORTING INFORMATION CAN BE FOUND IN THE ORGANIZATION'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AT:HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/OUR-IMPACT.ASPX
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 PROVIDE 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 HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/OUR-IMPACT.ASPXPLEASE 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 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-ENGAGEMENT/OUR-IMPACT.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 (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
THE SHALOM PROJECT INC
639 SOUTH GREEN STREET	WINSTONSALEM	NC	27101	202136431	501(C)(3)	$12,500	COMMUNITY OUTREACH
HOSPITAL HOSPITALITY HOUSE OF WINSTON-SALEM
1970 BALDWIN LANE	WINSTONSALEM	NC	27103	203604576	501(C)(3)	$17,500	COMMUNITY OUTREACH
CRISIS CONTROL MINISTRY INC
200 EAST TENTH STREET	WINSTONSALEM	NC	27101	237348168	501(C)(3)	$25,000	COMMUNITY OUTREACH
LEADERSHIP WINSTON-SALEM
624 W SIXTH STREET SUITE 110	WINSTONSALEM	NC	27101	581574887	501(C)(3)	$10,700	COMMUNITY OUTREACH
UNITED WAY OF FORSYTH COUNTY INC
301 N MAIN STREET SUITE 1700	WINSTONSALEM	NC	27101	237357234	501(C)(3)	$40,000	COMMUNITY OUTREACH
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVENUE	DALLAS	TX	75231	135613797	501(C)(3)	$92,720	COMMUNITY OUTREACH
YWCA OF WINSTON-SALEM AND FORSYTH COUNTY
313 INDERA MILLS COURT	WINSTONSALEM	NC	27101	560564345	501(C)(3)	$32,500	COMMUNITY OUTREACH
WINSTON-SALEM ALLIANCE
100 N MAIN STREET	WINSTONSALEM	NC	27101	311726654	501(C)(6)	$35,000	COMMUNITY OUTREACH
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVENUE	WHITE PLAINS	NY	10605	131846366	501(C)(3)	$17,500	COMMUNITY OUTREACH
CANCER SERVICES INC
3175 MAPLEWOOD AVENUE	WINSTONSALEM	NC	27103	560656375	501(C)(3)	$25,000	COMMUNITY OUTREACH
SENIOR SERVICES INC
2895 SHOREFAIR DRIVE	WINSTONSALEM	NC	27105	561085968	501(C)(3)	$44,000	COMMUNITY OUTREACH
THE SHEPHERD'S CENTER OF KERNERSVILLE INC
PO BOX 2044	KERNERSVILLE	NC	27285	561471510	501(C)(3)	$12,500	COMMUNITY OUTREACH
SHEPHERD'S CENTER OF GREATER WINSTON-SALEM INC
1700 EBERT STREET	WINSTONSALEM	NC	27103	561646960	501(C)(3)	$10,000	COMMUNITY OUTREACH
PIEDMONT TRIAD PARTNERSHIP
PO BOX 2672	HIGH POINT	NC	27261	561750279	501(C)(3)	$25,000	COMMUNITY OUTREACH
UNIVERSITY OF NORTH CAROLINA SCHOOL OF THE ARTS FOUNDATION INC
1533 SOUTH MAIN STREET	WINSTONSALEM	NC	27127	566064850	501(C)(3)	$9,700	COMMUNITY OUTREACH
EXCHANGE CLUB CENTER FOR PREVENTION OF CHILD ABUSE OF NC INC
500 WEST NORTHWEST BLVD	WINSTONSALEM	NC	27105	581443692	501(C)(3)	$11,067	COMMUNITY OUTREACH
RONALD MCDONALD HOUSE OF WINSTON-SALEM
419 S HAWTHORNE ROAD	WINSTONSALEM	NC	27103	581454715	501(C)(3)	$12,500	COMMUNITY OUTREACH
THE SCIENCE CENTER AND ENVIRONMENTAL PARK OF FORSYTH COUNTY DBA SCIWORKS
400 W HANES MILL ROAD	WINSTONSALEM	NC	27105	560815746	501(C)(3)	$210,000	COMMUNITY OUTREACH
MEDASSIST OF MECKLENBURG DBA NC MEDASSIST
4428 TAGGART CREEK ROAD	CHARLOTTE	NC	28208	562018957	501(C)(3)	$7,500	COMMUNITY OUTREACH
TRELLIS SUPPORTIVE CARE ROWAN LLC
101 HOSPICE LANE	WINSTONSALEM	NC	27103	453013461	501(C)(3)	$10,000	COMMUNITY OUTREACH
ABC OF NC CHILD DEVELOPMENT
905 FRIEDBERG CHURCH ROAD	WINSTONSALEM	NC	27127	300111894	501(C)(3)	$24,205	COMMUNITY OUTREACH
THE LEUKEMIA & LYMPHOMA SOCIETY INC
3 INTERNATIONAL DR	RYE BROOK	NY	10573	135644916	501(C)(3)	$9,300	COMMUNITY OUTREACH
FAMILY SERVICE OF HIGH POINT FOUNDATION INC
902 BONNER DRIVE	JAMESTOWN	NC	27282	560582016	501(C)(3)	$7,500	COMMUNITY OUTREACH
FORSYTH MEDICAL CENTER FOUNDATION
2085 FRONTIS PLAZA BLVD	WINSTONSALEM	NC	27103	562120959	501(C)(3)	$538,943	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	23	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
PATIENT ASSISTANCE	35	$12,682
MEDICATION FOR INDIGENT PATIENTS	1997		$119,118	FMV	MEDICATION FOR INDIGENT PATIENTS
PATIENT TRANSPORTATION	3785		$51,698	FMV	CAB FARES FOR INDIGENT PATIENTS
DISASTER RELIEF ASSISTANCE	2519	$1,379,275

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
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	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 (13 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
SMITH HARRY
FMR SVP HOSP OPS (1/1/20-8/5/20)	$0	$381,135	$0	$604,330	$0	$409,455	$0	$12,156	$0	$34,104	$0	$1,441,180	$0	$94,406
NYCUM LAWRENCE MD
FMR SVP & CCO (1/1/20-10/27/20)	$397,438	$0	$458,000	$0	$192,129	$0	$17,100	$0	$23,264	$0	$1,087,931	$0	$67,176	$0
SETLIFF MICHAEL
PRES & COO	$481,211	$0	$265,879	$0	$41,691	$0	$92,132	$0	$31,412	$0	$912,325	$0	$7,500	$0
ELLIOTT KATHLEEN
ONCOLOGIST	$491,226	$0	$286,554	$0	$18,409	$0	$17,100	$0	$35,094	$0	$848,383	$0	$7,500	$0
MANN JOHN
PRESIDENT & COO	$446,212	$0	$211,830	$0	$52,824	$0	$88,324	$0	$35,215	$6,936	$834,405	$6,936	$7,500	$0
FRIEDMAN ROLAND
UROLOGIST	$325,466	$0	$374,100	$0	$85,751	$0	$17,100	$0	$30,737	$0	$833,154	$0	$0	$0
COLLINS TIMOTHY
ONCOLOGIST	$574,122	$0	$155,205	$0	$31,316	$0	$17,100	$0	$35,127	$0	$812,870	$0	$7,500	$0
ZEYLIKMAN YURIY
NEUROLOGIST	$388,956	$0	$22,653	$0	$350,367	$0	$17,100	$0	$32,971	$0	$812,047	$0	$7,500	$0
BAKER WILLIAM
ONCOLOGIST	$357,083	$0	$345,596	$0	$22,120	$0	$16,820	$0	$32,382	$0	$774,001	$0	$0	$0
BERGER WILLIAM MD
TRUSTEE	$0	$351,673	$0	$195,773	$0	$27,467	$0	$17,100	$0	$34,990	$0	$627,003	$0	$7,500
ROYSTER KIRSTEN
PRES & COO KMC	$352,018	$0	$198,015	$0	$39,366	$0	$14,830	$0	$11,663	$0	$615,892	$0	$0	$0
EDWARDS JOEL MD
TRUSTEE	$211,109	$0	$1,612	$0	$20,795	$0	$12,442	$0	$2,668	$0	$248,626	$0	$0	$0
BRIGHT JANET
FMR VP NURSING & MARKET CNO	$0	$0	$0	$0	$155,248	$0	$0	$0	$5,610	$0	$160,858	$0	$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. THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND THAT AMOUNT IS INCLUDED IN THE EXECUTIVE'S INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS.
PART I, LINE 3	THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM AND RELIES UPON NOVANT HEALTH, INC., THE PARENT ORGANIZATION, TO USE THE PROCESS DESCRIBED IN PART VI, LINE 15A/15B OF THIS RETURN TO ESTABLISH COMPENSATION FOR CERTAIN EXECUTIVES. THIS PROCESS ADHERES TO THE REQUIREMENTS SET FORTH TO SECURE THE REBUTTABLE PRESUMPTION OF REASONABLENESS AND INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT AND DISINTERESTED MEMBERS OF A COMPENSATION COMMITTEE, CONSULTATION WITH INDEPENDENT COMPENSATION CONSULTANTS, THE UTILIZATION OF THIRD-PARTY COMPARABILITY DATA SUCH AS PUBLISHED COMPENSATION SURVEYS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION.
PART I, LINES 4A-B	PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE BRIGHT, JANET $156,305 NYCUM, LAWRENCE $71,965 SMITH, HARRY $248,175 NONQUALIFIED NYCUM, LAWRENCE $59,676 SMITH, HARRY $86,906 EQUITY-BASED NONE
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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MURPHY TAYLOR WILLIAM
FAMILY MEMBER OF TRACEY MARTIN, BOARD MEMBER	$41,916	COMPENSATION PAID BY THE FILING ORGANIZATION TO THE INTERESTED PERSON.	0
HEALY PATRICK
FAMILY MEMBER OF JOAN HEALY, BOARD OFFICER	$548,567	COMPENSATION PAID BY THE FILING ORGANIZATION TO THE INTERESTED PERSON	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 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 1,600 PHYSICIANS AND OVER 29,000 EMPLOYEES WHO MAKE HEALTHCARE REMARKABLE AT NEARLY 700 LOCATIONS, INCLUDING 15 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 FIVE MILLION PATIENTS ANNUALLY. IN 2020, NOVANT HEALTH WAS THE ONLY HEALTHCARE SYSTEM IN NORTH CAROLINA TO BE INCLUDED ON FORBES' BEST EMPLOYERS FOR DIVERSITY LIST. IN 2020, THE NOVANT HEALTH SYSTEM REPORTED $5.7 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 AND KERNERSVILLE COMMUNITIES THROUGH PARTNERSHIPS AND OUTREACH. THE HOSPITALS SUPPORT ORGANIZATIONS THAT PROVIDE HEALTH SERVICES, EDUCATION AND ASSISTANCE TO THE UNINSURED AND THE OVERALL COMMUNITY. NOVANT HEALTH FORSYTH MEDICAL CENTER AFFILIATE HOSPITAL, NOVANT HEALTH KERNERSVILLE MEDICAL CENTER IN KERNERSVILLE, NORTH CAROLINA, FOCUSED ON PROVIDING A REMARKABLE PATIENT EXPERIENCE THROUGHOUT THE COVID-19 PANDEMIC VIA A FAST-ACCESS EMERGENCY DEPARTMENT, 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, NORTH CAROLINA 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, CONSISTENT QUALITY, AND EXCELLENT SERVICE TO RESIDENTS IN WESTERN FORSYTH COUNTY, DAVIE COUNTY AND YADKIN COUNTY. IN ADDITION TO OUR QUALITY OF SERVICES AND COMPREHENSIVE CATEGORIES OF 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 OUR COMMUNITY. A FEW EXAMPLES OF THIS ARE AS FOLLOWS: SUPPORT GROUPS: - HEAD & NECK ONCOLOGY SUPPORT GROUP - GYN ONCOLOGY SUPPORT GROUP - GI WELLNESS SUPPORT GROUP - VIRTUAL BREAST CANCER NUTRITION SURVIVORSHIP CLASS - PROJECT CARE SCREENINGS: - GTS- A1C SCREENINGS - BREAST CANCER SCREENING - RY SCREENING AT RED H.E.A.R.R.T CLASSES AND TOURS: - BABY CAFE AND BREASTFEEDING CLASS - MATERNITY TOUR AT FORSYTH MEDICAL CENTER - NICU INFANT CPR AT FORSYTH MEDICAL CENTER - VIRTUAL NEWBORN CARE AT FORSYTH MEDICAL CENTER - VIRTUAL MEET OUR PEDIATRIC PROVIDER OTHER INITIATIVES INCLUDE: - GREATER WINSTON-SALEM MARKET SPANISH RADIO (EDUCATIONAL PROGRAM) - MASK DISTRIBUTION AND SCREENING SITES NEW TECHNOLOGY & SERVICES NOVANT HEALTH FORSYTH MEDICAL CENTER - NOVANT HEALTH LAUNCHED AN ARTIFICIAL INTELLIGENCE PROGRAM TO HELP SUPPORT STROKE CARE AT FIVE RURAL HOSPITALS IN NORTH CAROLINA - DAVIS REGIONAL MEDICAL CENTER (IN STATESVILLE), ASHE MEMORIAL HOSPITAL (IN JEFFERSON), UNC ROCKINGHAM HEALTH CARE (IN EDEN), HUGH CHATMAN MEMORIAL (IN ELKIN) AND NORTHERN REGIONAL HOSPITAL (IN MOUNT AIRY). THE PROGRAM IS CALLED VIZ.AI, AND IS DESIGNED TO REDUCE DELAYS IN CARE AND TRAVEL TIME TO FORSYTH MEDICAL CENTER - AN ADVANCED CERTIFIED COMPREHENSIVE STROKE CENTER. IN A RURAL HOSPITAL SETTING, IT OFTEN TAKES AT LEAST AN HOUR TO RECEIVE THE RESULTS FROM DIAGNOSTIC SCANS, BUT VIZ.AI SENDS THE SCAN RESULTS IMMEDIATELY TO THE "CLOUD" TO BE READ BY ARTIFICIAL INTELLIGENCE. IF THE PROGRAM DETECTS A LARGE BLOOD CLOT, IT SENDS AN ALERT TO THE RURAL EMERGENCY PHYSICIAN AS WELL AS THE INTERVENTIONAL NEUROLOGIST AT FORSYTH MEDICAL CENTER. THE ON-SITE CARE TEAM CAN THEN CONNECT VIA VIDEO WITH THE STROKE SPECIALIST AT NOVANT HEALTH FOR IMMEDIATE CONSULT SUPPORT. AS A RESULT, THE 60-MINUTE WAIT TIME HAS BEEN REDUCED TO UNDER 10 MINUTES IN MOST CASES, THUS DECREASING THE FREQUENCY OF TRANSFERS TO TERTIARY HOSPITALS. - NOVANT HEALTH PARTNERED WITH JVION, A LEADER IN ARTIFICIAL INTELLIGENCE, TO LAUNCH A CONGESTIVE HEART FAILURE READMISSION REDUCTION PROGRAM THAT WAS IMPLEMENTED AT FORSYTH MEDICAL CENTER. THE PROGRAM'S GOAL IS TO REDUCE READMISSIONS FOR CONGESTIVE HEART FAILURE PATIENTS BY 5%. JVION'S AI MACHINE LEARNING ALGORITHMS ARE DESIGNED TO HELP PREVENT PATIENT HARM AND REDUCE ASSOCIATED COSTS BY ENABLING CLINICAL STAFF TO FOCUS ATTENTION, RESOURCES AND INDIVIDUALIZED INTERVENTIONS ON PATIENTS WHOSE OUTCOMES CAN BE IMPROVED. UNLIKE TRADITIONAL AI AND PREDICTIVE ANALYTIC SOLUTIONS THAT MERELY IDENTIFY HIGH-RISK PATIENTS AND CAUSE ALARM FATIGUE, JVION'S MODEL PINPOINTS THE SPECIFIC PATIENTS WHO ARE ON A RISK TRAJECTORY THAT CAN BE CHANGED AND PROVIDES THE INDIVIDUAL PATIENT WITH RECOMMENDATIONS THAT WILL DRIVE BETTER OUTCOMES. - TO IMPROVE ACCESS TO SURGICAL SERVICES, NOVANT HEALTH PARTNERED WITH LEANTAAS, INC., A HEALTHCARE ANALYTICS SOFTWARE COMPANY, TO DEPLOY IQUEUE FOR OPERATING ROOMS ACROSS THE HEALTHCARE SYSTEM. THE NEW SOFTWARE PROGRAM IS DESIGNED TO IMPROVE SCHEDULING ACCESS FOR PATIENTS, OPTIMIZE OPERATING ROOM UTILIZATION, AND ENSURE NO SURGICAL BLOCK TIME IS WASTED. THE PROGRAM ALSO PROVIDES HOSPITAL LEADERSHIP WITH VALUABLE REAL-TIME DATA TO HAVE A BETTER UNDERSTANDING OF TRUE SURGICAL CAPACITY. - THROUGHOUT THE COVID-19 PANDEMIC, NOVANT HEALTH FORSYTH MEDICAL CENTER CONTINUED CONSTRUCTION ON ITS MULTIYEAR, MULTIPHASE PROJECT TO ENHANCE THE DELIVERY OF CARE AT THE HOSPITAL. FORSYTH MEDICAL CENTER'S $184.4 MILLION CAPITAL INVESTMENT INCLUDES RENOVATING 25 PERCENT OF PATIENT ROOMS, FORTIFYING FACILITY INFRASTRUCTURE, AND COMPLETING A MAJOR ENHANCEMENT FOR THE WOMEN'S AND CHILDREN'S CENTER.
FORM 990, PI, L1: CONTINUED	NOVANT HEALTH CLEMMONS MEDICAL CENTER - TO ENHANCE ITS IMAGING SERVICES, NOVANT HEALTH CLEMMONS MEDICAL CENTER RECENTLY REPLACED ITS 20 SLICE CT SCANNER WITH A NEW 64 SLICE SCANNER AND A 128 SLICE SCANNER. THE 64 SLICE SCANNER IS EQUIPPED WITH A FLUOROSCOPY PLATFORM WHICH ENABLES IMAGE GUIDED INTERVENTIONAL PROCEDURES, WHERE REAL TIME IMAGING IS USED TO TARGET AND TREAT SPECIFIC PARTS OF THE ANATOMY. THE 128 SLICE SCANNER IS PRIMARILY UTILIZED TO SUPPORT PATIENTS IN THE EMERGENCY ROOM BY PROVIDING SHORTER SCAN TIMES WITH SUPERIOR IMAGE QUALITY. BOTH SCANNERS ARE EQUIPPED WITH LOW DOSE RADIATION SOFTWARE PLATFORMS, ALLOWING FOR EXCELLENT IMAGE QUALITY WHILE ALSO ENSURING LOW DOSE RADIATION LEVELS FOR PATIENTS. - ROBOTIC-ASSISTED SURGERY IS NOW AVAILABLE FOR PATIENTS AT NOVANT HEALTH CLEMMONS MEDICAL CENTER. THE DA VINCI SURGICAL SYSTEM WAS ADDED TO THE HOSPITAL IN 2020, AND PROVIDES SURGEONS WITH AN ALTERNATIVE TO OPEN SURGERY AND CONVENTIONAL LAPAROSCOPY. THE ROBOTIC-ASSISTED SURGICAL PLATFORM ALLOWS SURGEONS TO COMPLETE COMPLEX AND DELICATE PROCEDURES TO BE PERFORMED THROUGH TINY INCISIONS WITH UNMATCHED PRECISION, MEANING LESS PAIN AND SHORTER RECOVERY TIMES FOR PATIENTS. THE SURGICAL SYSTEM HAS BEEN UTILIZED TO ASSIST WITH A VARIETY OF GENERAL SURGERIES, AND WILL BEGIN TO ASSIST WITH COLORECTAL SURGERY IN 2021. - TO DELIVER ON OUR PROMISE ON CONTINUE TO EXPAND SERVICES OFFERED TO THE CLEMMONS AND SURROUNDING COMMUNITY, CLEMMONS HAS PARTNERED WITH CARDIOLOGY TO OFFER OUTPATIENT CARDIAC SERVICES TO INCLUDE CARDIOVERSION AND TRANSESOPHAGEAL ECHOCARDIOGRAM (TEE). A TEE CAN DETECT BLOOD CLOTS, MASSES AND TUMORS LOCATED INSIDE THE HEART. IT CAN ALSO GAUGE THE SEVERITY OF CERTAIN VALVE PROBLEMS AND DETECT CONGENITAL HEART DISEASE. CARDIOVERSION IS A MEDICAL PROCEDURE THAT CAN ASSIST IN RESTORING NORMAL HEART RHYTHM IN PEOPLE WITH CERTAIN TYPES OF ABNORMAL HEARTBEATS. NOVANT HEALTH KERNERSVILLE MEDICAL CENTER - TO HELP ADDRESS THE PHYSICIAN AND NURSING SHORTAGE IN ACUTE CARE SETTINGS ACROSS THE UNITED STATES, NOVANT HEALTH LAUNCHED A NEW TELE-ICU PROGRAM TO EXPANDED ACCESS TO CRITICAL CARE SERVICES AT COMMUNITY HOSPITALS, INCLUDING NOVANT HEALTH KERNERSVILLE MEDICAL CENTER. THE TELE-ICU PROGRAM ENABLES 24/7 REMOTE MONITORING AND TREATMENT OF INTENSIVE CARE PATIENTS AT THE HOSPITAL. NOT ONLY DOES THIS NEW TECHNOLOGY IMPROVE ACCESS TO CRITICAL CARE SERVICES, BUT IT IS ALSO DESIGNED TO HELP REDUCE THE TRANSFER RATE TO TERTIARY HOSPITALS, SO PATIENTS CAN RECEIVE CARE CLOSER TO HOME. - TO ENHANCE IMAGING SERVICES, NOVANT HEALTH KERNERSVILLE MEDICAL CENTER ADDED A 128-SLICE CT IN 2020. THE NEW SCANNER NOT ONLY IMPROVES IMAGE QUALITY AND ACCESS FOR PATIENTS, BUT WILL ALSO BE UTILIZED TO ASSIST WITH HEARTFLOW STUDIES IN 2021. THESE NON-INVASIVE IMAGING STUDIES WILL HELP PROVIDERS VISUALIZE BLOCKAGES IN THE CORONARY ARTERIES, AND DEVELOP A MORE EFFECTIVE TREATMENT PLAN FOR THEIR PATIENTS. - ROBOTIC-ASSISTED SURGERY IS NOW AVAILABLE FOR PATIENTS AT NOVANT HEALTH KERNERSVILLE MEDICAL CENTER. THE DA VINCI SURGICAL SYSTEM WAS ADDED TO THE HOSPITAL IN 2020, AND IS DESIGNED TO ENHANCE THE SURGEON'S SKILLSET BY IMPROVING PRECISION, WHILE ALSO IMPROVING THE EXPECTED RECOVERY TIME FOR PATIENTS. THE STATE-OF-THE-ART SURGICAL SYSTEM HAS BEEN UTILIZED TO ASSIST WITH A VARIETY OF MINIMALLY INVASIVE GENERAL SURGERY, GYNECOLOGIC AND COLORECTAL PROCEDURES. AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS FORSYTH MEDICAL CENTER - CLINICAL EXCELLENCE AWARD BY VIZIENT - GET WITH THE GUIDELINES GOLD PLUS BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION (2020) - MISSION LIFELINE - STEMI RECEIVING GOLD PLUS ACHIEVEMENT AWARD BY THE AMERICAN HEART ASSOCIATION - ADVANCED COMPREHENSIVE STROKE CERTIFICATION BY THE JOINT COMMISSION - BABY-FRIENDLY DESIGNATION BY THE WORLD HEALTH ORGANIZATION AND THE UNITED NATIONS CHILDREN'S FUND - LEADER IN LGBTQ HEALTHCARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION (2020, 2019, 2018, 2017) - MAGNET RECOGNITION PROGRAM DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER ADDITIONAL CERTIFICATIONS FOR FORSYTH MEDICAL CENTER INCLUDE: - BABY FRIENDLY DESIGNATION - INTERNATIONAL ASSOCIATION FOR HEALTHCARE SECURITY AND SAFETY - NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID - TJC - COMPREHENSIVE STROKE CENTER CERTIFICATION - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - CLIA - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - MEDICARE KERNERSVILLE MEDICAL CENTER - LEADER IN LGBTQ HEALTHCARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION (2020, 2019, 2018, 2017) - STAGE 7 EMRAM AWARD BY HIMSS ANALYTICS. THIS RECOGNITION REPRESENTS NOVANT HEALTH'S ACHIEVEMENT OF THE HIGHEST LEVEL ON THE ELECTRONIC MEDICAL RECORD ADOPTION MODEL (EMRAM), WHICH MEANS THE HOSPITALS ARE USING ELECTRONIC MEDICAL RECORD TECHNOLOGY TO ITS FULLEST POTENTIAL TO PROVIDE ACCESS AND CARE TO OUR PATIENTS. (2018) - MAGNET RECOGNITION PROGRAM DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER ADDITIONAL CERTIFICATIONS FOR KERNERSVILLE MEDICAL CENTER INCLUDE: - METABOLIC & BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM - FDA MQSA CERTIFICATION - INTERNATIONAL ASSOCIATION FOR HEALTHCARE SECURITY AND SAFETY - NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - CLIA - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - MEDICARE CLEMMONS MEDICAL CENTER - GOLD SAFETY AWARD BY THE NORTH CAROLINA DEPARTMENT OF LABOR - LEADER IN LGBTQ HEALTHCARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION (2020, 2019, 2018) - 2018 AND 2019 GUARDIAN OF EXCELLENCE AWARD BY PRESS GANEY ASSOCIATES - HIP AND KNEE JOINT REPLACEMENT CERTIFICATION BY THE JOINT COMMISSION - MAGNET RECOGNITION PROGRAM DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER ADDITIONAL CERTIFICATIONS FOR CLEMMONS MEDICAL CENTER INCLUDE: - INTERNATIONAL ASSOCIATION FOR HEALTHCARE SECURITY AND SAFETY - NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID - TJC - HIP JOINT REPLACEMENT CERTIFICATION - TJC - KNEE JOINT REPLACEMENT CERTIFICATION - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - CLIA - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - MEDICARE ACCREDITATION NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH CLEMMONS MEDICAL CENTER AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER HAVE BEEN FULLY ACCREDITED BY THE JOINT COMMISSION, AN INDEPENDENT ORGANIZATION THAT EVALUATES A HEALTHCARE ORGANIZATION'S PERFORMANCE IN AREAS THAT MOST AFFECT PATIENT HEALTH AND SAFETY. IN ADDITION, WE HAVE EARNED SOME OF THE NATION'S TOP HONORS IN QUALITY CARE, INCLUDING BREAST CENTER ACCREDITATION. NOVANT HEALTH KERNERSVILLE MEDICAL CENTER ALSO MEETS ALL CRITERIA AS A COMPREHENSIVE CENTER UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). THE MBSAQIP STANDARDS ENSURE THAT BARIATRIC SURGICAL PATIENTS RECEIVE A MULTIDISCIPLINARY PROGRAM, NOT JUST A SURGICAL PROCEDURE, WHICH IMPROVES PATIENT OUTCOMES AND LONG-TERM SUCCESS.
FORM 990, PI, L1: CONTINUED	ADDITIONAL ACCREDITATIONS FOR NOVANT HEALTH FORSYTH MEDICAL CENTER: - AMERICAN ASSOCIATION OF BLOOD BANKS - AMERICAN COLLEGE OF RADIOLOGY: RADIATION ONCOLOGY - AMERICAN NURSES CREDENTIALING CENTER - NURSE RESIDENCY PROGRAM - AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS - PHARMACY RESIDENCY PROGRAM - COLLEGE OF AMERICAN PATHOLOGY - INTERSOCIETAL ACCREDITATION COMMISSION ECHOCARDIOGRAPHY LABORATORIES - NOVANT HEALTH CANCER INSTITUTE - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - NATIONAL ASSOCIATION EPILEPSY CENTERS ADDITIONAL ACCREDITATIONS FOR NOVANT HEALTH CLEMMONS MEDICAL CENTER - AMERICAN ASSOCIATION OF BLOOD BANKS - AMERICAN NURSES CREDENTIALING CENTER - NURSE RESIDENCY PROGRAM - COLLEGE OF AMERICAN PATHOLOGY ADDITIONAL ACCREDITATIONS FOR NOVANT HEALTH KERNERSVILLE MEDICAL CENTER - AMERICAN ASSOCIATION OF BLOOD BANKS - AMERICAN COLLEGE OF RADIOLOGY: MAMMOGRAPHY - AMERICAN COLLEGE OF RADIOLOGY: RADIATION ONCOLOGY - AMERICAN NURSES CREDENTIALING CENTER - NURSE RESIDENCY PROGRAM - COLLEGE OF AMERICAN PATHOLOGY - INTERSOCIETAL ACCREDITATION COMMISSION ECHOCARDIOGRAPHY LABORATORIES - NOVANT HEALTH CANCER INSTITUTE - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS COMMUNITY BENEFIT REPORT HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/OUR-IMPA CT.ASPX THE COMMUNITY BENEFIT REPORT, REFERRED TO AS A COMMUNITY IMPACT REPORT, PREPARED BY NOVANT HEALTH IS A SYSTEM-WIDE REPORT THAT INCLUDES QUALITATIVE AND QUANTITATIVE INFORMATION. PLEASE NOTE THAT THE NUMERIC DATA IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA 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 $1,018,000,000, INCLUDING $179,000,000 IN FINANCIAL ASSISTANCE FOR 2020.
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 EACH OTHER AND OUR CUSTOMERS. -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 WHAT ONE PERSON'S SERVICE EFFORTS CAN SATISFY. WE SUPPORT EACH OTHER SO THAT TOGETHER AS A TEAM, WE CAN BE SUCCESSFUL IN THE EYE OF THE CUSTOMER AS A QUALITY SERVICE PROVIDER. -COURAGE: WE ACT BOLDLY IN MAKING THE CHANGES NECESSARY TO ACHIEVE OUR MISSION, VISION AND PROMISE OF DELIVERING REMARKABLE HEALTHCARE. OUR PEOPLE AT NOVANT HEALTH, PEOPLE ARE OUR BUSINESS. WE TREAT EACH OTHER WITH RESPECT AND COMPASSION. WE EMBRACE THE DIFFERENCES IN OUR STRENGTHS WHILE FOSTERING AN ENVIRONMENT OF INCLUSION, EMPOWERMENT, INSPIRATION AND COURAGE. WE ALWAYS REMEMBER, OUR BUSINESS IS THE CARE OF ALL PEOPLE, STARTING WITH OUR TEAM MEMBERS. 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 2	LEARN ABOUT HOW WE ARE SERVING OUR COMMUNITIES IN THE PANDEMIC BY VISITING HTTPS://WWW.NOVANTHEALTH.ORG/PORTALS/92/ASSETS/DOCUMENTS/ANNUAL-FINANCIA L-INFORMATION/NOVANT-HEALTH-2020-ANNUAL-REPORT_RISING-UP.PDF
FORM 990, PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS	KMC HAS 50 LICENSED BEDS. DURING 2020 THERE WERE 11,749 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 4 DAYS, AN AVERAGE DAILY CENSUS OF 32, AND 2,942 DISCHARGES. THERE WERE 3,010 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 51,475 OUTPATIENT ENCOUNTERS AND 32,327 EMERGENCY DEPARTMENT VISITS. CMC HAS 36 LICENSED BEDS. DURING 2020 THERE WERE 4,597 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 2 DAYS, AN AVERAGE DAILY CENSUS OF 13, AND 2,377 DISCHARGES. THERE WERE 5,639 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 32,752 OUTPATIENT ENCOUNTERS AND 17,840 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). MEMBER HAS SOLE VOTING AUTHORITY OVER ALL MATTERS. IN ADDITION TO THESE POWERS, MEMBER HAS CETAIN RIGHTS SUBJECT TO THE RESERVED POWERS OF NOVANT HEALTH, INC.
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 15	FORM 990, PART VI, SECTION B, LINE 15A/15B: THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM COLLECTIVELY REFERRED TO AS "NOVANT HEALTH." NOVANT HEALTH, INC. IS THE PARENT ORGANIZATION AND INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH, INC. BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD) REVIEW, APPROVE, AND OVERSEE ALL ASPECTS OF COMPENSATION AND BENEFITS FOR CERTAIN LEADERS AND EXECUTIVES ("EXECUTIVES") SERVING AS OFFICERS, INCLUDING THE TOP MANAGEMENT OFFICIAL, OR KEY EMPLOYEES FOR NOVANT HEALTH ENTITIES. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT AND USES THIRD PARTY COMPARABILITY DATA FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS TO ENSURE THAT TOTAL COMPENSATION AND BENEFITS FOR EACH EXECUTIVE IS REASONABLE FOR THAT EXECUTIVE'S POSITION. THE COMMITTEE REVIEWS AND APPROVES EXECUTIVE COMPENSATION AND BENEFITS ANNUALLY, CONSISTENT WITH THE WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY OF NOVANT HEALTH, AND IN A MANNER THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THEREBY ASSURING THAT TOTAL COMPENSATION AND BENEFITS PROVIDED TO EACH EXECUTIVE IS REASONABLE.
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 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 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 XI, LINE 9:	CONTRIBUTIONS: -1,022,725. PARTNERSHIP ADJUSTMENT: -1,520,488. AFFILIATE TRANSFERS: -631,215.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 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
NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	825250651	HEALTHCARE	NC	$5,860,971	$9,965,107	FORSYTH MEMORIAL HOSPITAL INC
NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	821651821	HEALTHCARE	NC	$5,850,064	$11,354,672	FORSYTH MEMORIAL HOSPITAL INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 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 10	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
NOVANT HEALTH INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561376950	HEALTHCARE	NC	501(C)(3)	LINE 3		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 LLC	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 (9 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
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 TRINOVA INSURANCE PROTECTED CELL INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	812963143	INSURANCE	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	Yes (1)	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	$2,485,974	CASH
FORSYTH MEDICAL CENTER FOUNDATION
R	$631,215	CASH
FORSYTH MEDICAL CENTER FOUNDATION
B	$538,943	CASH