2020-11-02T12:38:46-06:00 2019-12-31 990 2019-01-01 560636250 COMMUNITY GENERAL HEALTH PARTNERS INC COMM 3367182803 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 FRED HARGETT EVP & CFO 3367182803 2020-10-31 170.98.106.254 2020-10-31 08:24:58 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A2315309B7343EB998963AA05290CF11231D17E5 2019 2021-01-29 14:40:06Z NOVANT HEALTH THOMASVILLE MEDICAL CENTER CARL ARMATO 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 113513300 0 X WWW.NOVANTHEALTH.ORG X 1929 NC SEE SCHEDULE O 19 15 734 88 0 0 70081 8866 103101984 112147445 30784 42360 1365933 1223449 104568782 113422120 99761 116539 0 0 41380131 42393737 0 0 0 58946872 64400984 100426764 106911260 4142018 6510860 77772511 83404744 7974718 7383991 69797793 76020753 X SEE SCHEDULE O 0 0 84688226 116539 112192459 CONSISTENT WITH THE ORGANIZATION'S EXEMPT PURPOSE, COMMUNITY GENERAL HEALTH PARTNERS, INC (CGHP) PROMOTES THE HEALTH AND WELL-BEING OF THE INHABITANTS OF THE COMMUNITY IN WHICH THE ORGANIZATION OPERATES, SERVING ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. DURING 2019, CGHP HAD 146 LICENSED BEDS. THERE WERE 25,399 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 5 DAYS AND AN AVERAGE DAILY CENSUS OF 70. THERE WERE 4,662 DISCHARGES; 5,540 INPATIENT AND OUTPATIENT SURGERIES; 62,622 OUTPATIENT ENCOUNTERS AND 35,689 EMERGENCY DEPARTMENT VISITS. 84688226 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 734 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NC X X KAREN DAUGHERTY 3367182803 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 X LINDSAY JEFFERY FMR PRES-FMH/COO WS MKT 0.00 50.00 X 0 2114621 55112 MIHAL DENISE FMR PRES - FMH/COO WS MKT 0.00 50.20 X 0 1694262 44291 SMITH HARRY SVP HOSPITAL OPERATIONS 0.00 50.00 X 0 1328697 161733 TRAHEY THOMAS VP MED AFFAIRS 0.00 50.00 X 0 663953 63057 MARKS PHILLIP MD TRUSTEE 0.20 45.00 X 0 522808 48471 CAILLAT ALEXANDRE MD TRUSTEE 0.20 45.00 X 0 519801 50426 GREEAR ALLISON FMR INTERIM CGHP PRES 0.00 0.00 X 0 443833 43397 APPLEBAUM JONATHAN CGHP PRES 50.00 0.00 X 426508 0 38216 MORRIS JOHN ASST SEC 0.20 45.00 X 0 395561 47121 PEARSON NANCY DIR NURSING 45.00 0.00 X 155874 0 42543 ANDERSON JENNIFER PHARMACIST 45.00 0.00 X 157509 0 31955 HILL ALEASE REGISTERED NURSE 45.00 0.00 X 146268 0 23527 SPANGLER JACOB PHARMACIST 45.00 0.00 X 139030 0 18459 HUDSON NATHAN MGR PHARMACY 45.00 0.00 X 142521 0 13560 RICE CAROLYN ASST SEC 0.20 45.00 X 0 77650 25679 HEATH SHANNON ASST SEC 45.00 0.00 X 54888 2262 22651 BRODY JEFFREY MD TRUSTEE 0.20 0.00 X 0 10000 0 RAMSAY DAVID MD TRUSTEE 0.20 0.00 X 0 3500 0 BAREFOOT SAMUEL CHAIR 0.20 0.20 X X 0 0 0 CLIFTON DAVID TRUSTEE 0.20 0.00 X 0 0 0 CRAVER KELLY SEC 0.20 0.00 X X 0 0 0 DAVIS MARK DDS TRUSTEE 0.20 0.00 X 0 0 0 FORIEST BRYANT TRUSTEE 0.20 0.40 X 0 0 0 HOLT DONNIE VICE CHAIR 0.20 0.00 X X 0 0 0 LEONARD THOMAS TRUSTEE 0.20 0.00 X 0 0 0 MCCLURE FRED TREASURER 0.20 0.00 X X 0 0 0 MORRIS PAULINE TRUSTEE 0.20 0.00 X 0 0 0 ORMAN JED TRUSTEE 0.20 0.00 X 0 0 0 OWEN LAURA TRUSTEE 0.20 0.00 X 0 0 0 PERDUE LARRY TRUSTEE 0.20 0.00 X 0 0 0 PIOTTI WILLIAM TRUSTEE 0.20 0.00 X 0 0 0 STANSFIELD KARRIE MD TRUSTEE 0.20 0.00 X 0 0 0 WARD LARRY TRUSTEE 0.20 0.00 X 0 0 0 1222598 7776948 730198 34 1 1 0 LITWIN CONSTRUCTION 731 CLINARD ROAD THOMASVILLE NC 27360 CONSTRUCTION SERVICES 2310055 DAVIDSON ANESTHESIA CONSULTANTS PA 270 OLD LEXINGTON RD THOMASVILLE NC 27360 HEALTH SERVICES 1537500 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 FOOD MANAGEMENT SERVICES 1370901 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 1144800 CROSS COUNTRY STAFFING EAST PO BOX 404674 ATLANTA GA 30384 STAFFING SERVICES 391344 19 8866 8866 NET PATIENT REVENUE 622110 112147445 112147445 112147445 12164 12164 12598 0 12598 12598 12598 45786 15590 30196 30196 30196 117464 75590 41874 41874 CHILD DEVELOPMENT CENTER 624410 699767 699767 CAFETERIA MEALS 722514 393257 393257 MISCELLANEOUS REVENUE 900099 75953 45014 30939 1168977 113422120 112192459 0 1220795 X 115914 115914 625 625 541384 541384 21996 21996 32350605 30409568 1941037 1280907 1204053 76854 6016650 5655649 361001 2182195 2051263 130932 12000 12000 11412085 11030571 381514 239811 239310 501 397630 298468 99162 1047393 1040212 7181 2281527 2123376 158151 39871 37518 2353 7193 6761 432 922303 922303 2927769 2666443 261326 137102 114178 22924 CORPORATE SUPPORT 17834908 17834908 BAD DEBT 12791303 12791303 MEDICAL SUPPLIES 8705769 8705769 PHARMACEUTICALS 2672348 2672348 2971972 2602594 369378 106911260 84688226 22223034 0 2152 -1760 11504766 14890333 1618784 1746035 2124490 2497607 71000 82500 78233518 53791490 21579995 24442028 1102917 1105505 39768407 38642496 77772511 83404744 4013934 3977631 3960784 3406360 7974718 7383991 X 69797793 76020753 69797793 76020753 77772511 83404744 X 6510860 -287900 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10845 10845 0 PART II-B, LINE 1: LINE 1I DUES PAID TO CERTAIN ORGANIZATIONS WHICH INCLUDE A PORTION RELATED TO LOBBYING ACTIVITIES. 184862 184862 38571156 24770580 13800576 35710240 27001715 8708525 3767260 2019195 1748065 24442028 DUE FROM AFFILIATE 38642496 38642496 0 THIRD PARTY PAYMENT PAYABLE 1034955 OTHER LIABILITIES 2195801 PATIENT REFUNDS 175604 3406360 X 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, 2019 AND 2018. 1 1 X 1 X 300.000000000000 0 0 1 0 1 1 7576965 0 7576965 0.08050 18351062 14042403 4308659 0.04580 25928027 14042403 11885624 0.12630 77043 264 76779 0.00080 414986 0 414986 0.00440 12090428 7588305 4502123 0.04780 26000 0 26000 0.00030 12608457 7588569 5019888 0.05330 38536484 21630972 16905512 0.17960 49020 0 49020 0.00050 601 0 601 0.00000 225 0 225 0.00000 31610 0 31610 0.00030 81456 81456 0.00080 1 12791303 0 17479043 10365516 7113527 X 1 0 1 1 CGHP DBA NH THOMASVILLE MEDICAL CENTER 207 OLD LEXINGTON ROAD THOMASVILLE NC 27360 WWW.NOVANTHEALTH.ORG H0112 X X X NOVANT HEALTH THOMASVILLE MEDICAL CENTER 1 0 0 1 X X X X X X X X 19 1 0 0 1 X SEE SECTION C X 1 19 1 SEE SECTION C 0 1 X 300.000000000000 0.000000000000 X X X X 1 1 X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 1 X 0 X X X X 1 X 0 1 NOVANT HEALTH THOMASVILLE MEDICAL CENTER PART V, SECTION B, LINE 3J: NOVANT HEALTH THOMASVILLE MEDICAL CENTER: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. NOVANT HEALTH THOMASVILLE MEDICAL CENTER PART V, SECTION B, LINE 5: WHILE CONDUCTING THE CHNA, THE HOSPITAL FACILITY(IES) SOLICITED INPUT FROM, AND CONSULTED WITH, A VARIETY OF COMMUNITY REPRESENTATIVES INCLUDING, BUT NOT LIMITED TO, REPRESENTATIVES OF CITY AND COUNTY GOVERNMENT INCLUDING HEALTH DEPARTMENTS, COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES/UNIVERSITIES, COMMUNITY COALITIONS AND OTHER SOCIAL SERVICE AGENCIES. INPUT WAS GATHERED THROUGH COMMUNITY MEETINGS, STAKEHOLDERS INTERVIEWS, AND SOLICITED THROUGH WRITTEN COMMENTS THROUGHOUT THE SURVEY PERIOD UNTIL THE FINAL COMMUNITY PRIORITY SETTING MEETING(S) AND SURVEY. THE SCOPE OF EXPERTISE WAS BROAD AND INCLUDED SUCH AREAS AS PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH DISPARITIES, AND SOCIAL SERVICES. DATA DERIVED FROM THESE EXERCISES IS BOTH QUANTITATIVE AND QUALITATIVE IN SCOPE. NOVANT HEALTH THOMASVILLE MEDICAL CENTER PART V, SECTION B, LINE 7D: NOVANT HEALTH THOMASVILLE MEDICAL CENTERPART V, SECTION B, LINE 7HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/COMMUNITY-BENEFIT.ASPXNOVANT HEALTH THOMASVILLE MEDICAL CENTERPART V, SECTION B, LINE 10AHTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/COMMUNITY-BENEFIT.ASPX NOVANT HEALTH THOMASVILLE MEDICAL CENTER PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY(IES) IS/ARE A PART OF NOVANT HEALTH, AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM. AS SUCH, NOVANT HEALTH INCLUDES MULTIPLE HOSPITAL FACILITIES AND HAS ENGAGED IN CHNAS FOR ALL OF THE COMMUNITIES BEING SERVED. THE FACILITY'S CHNA IDENTIFIED MULTIPLE NEEDS FOR THE COMMUNITY SERVED. THE NEEDS IDENTIFIED WERE REVIEWED AND PRIORITIZED BY THE CHNA RESOURCE GROUP AND SUBSEQUENTLY BY EACH FACILITY'S BOARD. THEY EVALUATED EACH DOCUMENTED NEED AND ITS INTERSECTION WITH THE ORGANIZATION'S VISION, COMMITMENTS, AND KEY STRENGTHS BEFORE FURTHER PRIORITIZING THE HEALTH NEEDS AND AGREEING UPON THE TOP HEALTH PRIORITIES TO BE ADDRESSED. WHERE POSSIBLE, WE HAVE LEVERAGED THE SYSTEM'S STRENGTHS AND RESOURCES TO BEST ADDRESS THOSE NEEDS THAT ARE HIGHEST IN PRIORITY AND CONSISTENT ACROSS COMMUNITIES. NOVANT HEALTH AND EACH OF ITS HOSPITAL FACILITIES HAVE ADOPTED AND EXECUTED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE PRIORITIZED COMMUNITY HEALTH NEEDS FROM THE CHNAS. THE IMPLEMENTATION STRATEGIES OUTLINE THE PLAN THAT THE HOSPITAL FACILITY(IES) WILL UNDERTAKE TO MEET THOSE HEALTH NEEDS IN EACH OF ITS COMMUNITIES. CERTAIN NEEDS THAT WERE IDENTIFIED BY THE CHNA HAVE NOT BEEN ADDRESSED. IT WAS DETERMINED THAT THERE ARE OTHER RESOURCES IN THE COMMUNITY THAT CAN MORE APPROPRIATELY ADDRESS THESE NEEDS BASED ON SCOPE OF SERVICES AND SKILL SET. FOR MORE DETAILED INFORMATION, REFER TO THE PUBLICLY AVAILABLE IMPLEMENTATION PLAN AVAILABLE ON THE WEBSITE; REFER TO THE URL GIVEN PREVIOUSLY FOR THE POSTING OF THE PLAN. NOVANT HEALTH THOMASVILLE MEDICAL CENTER 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. NOVANT HEALTH THOMASVILLE MEDICAL CENTER:PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.NOVANTHEALTH.ORG/HOME/PATIENTS--VISITORS/YOUR-HEALTHCARE-COSTS/FINANCIAL-ASSISTANCE-FOR-THE-UNINSURED.ASPXNOVANT HEALTH THOMASVILLE MEDICAL CENTER:PART 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.PDFNOVANT HEALTH THOMASVILLE MEDICAL CENTER:PART 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 NOVANT HEALTH THOMASVILLE MEDICAL CENTER 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 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/COMMUNITY-BENEFIT.ASPX.PLEASE NOTE THAT THE NUMERIC DATA IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES. IT SHOULD NOT BE RELIED UPON AS THE ORGANIZATION'S FORM 990, SCHEDULE H COMMUNITY BENEFIT REPORT, ITS COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION STRATEGY. PART I, LINE 7: COSTS REPORTED IN THE TABLE FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AMOUNTS ARE CALCULATED USING AN ENTITY SPECIFIC COST TO CHARGE RATIO BASED ON WORKSHEET 2 (CCR). PART I, LN 7 COL(F): PART I, LN 7 COL(F):THE AMOUNT OF BAD DEBT REMOVED FROM TOTAL EXPENSES (DENOMINATOR) WAS $12,791,303. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES ADDRESSES THE UNDERLYING CAUSES OF HEALTH PROBLEMS AND IMPACTS THE HEALTH OF OUR COMMUNITY THROUGH PARTNERSHIPS WITH LOCAL AGENCIES DEDICATED TO IMPROVING THE LIVES OF ALL INDIVIDUALS. OUTREACH INCLUDES PROVIDING SUPPORT TO ORGANIZATIONS SUCH AS LOCAL YMCA'S, UNITED WAY PARTNER AGENCIES, CHAMBERS OF COMMERCE AND OTHER LOCAL COMMUNITY ORGANIZATIONS, ASSISTING WITH COMMUNITY AND COUNTY COALITIONS, AND PROVIDING EDUCATION SEMINARS AND TRAINING FOR COMMUNITY WORKFORCES. 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 (ANALOGOUS TO 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 BENEFIT DEPARTMENT ("CBE DEPARTMENT") COMPRISED OF COMMUNITY BENEFIT PROFESSIONALS. THE CBE 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 CBE 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 AND 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. 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 INFORMATIONCOMMUNITY GENERAL HEALTH PARTNERS, INC. DBA NOVANT HEALTH THOMASVILLE MEDICAL CENTERTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR NOVANT HEALTH THOMASVILLE MEDICAL CENTER IS DEFINED BY THE ZIP CODES THAT REPRESENT MORE THAN 75% OF THE HOSPITAL'S IN-PATIENT POPULATION. THIS INCLUDES THE CITIES OF LEXINGTON AND THOMASVILLE, BOTH IN DAVIDSON COUNTY, NORTH CAROLINA, AND THE CITY OF TRINITY IN RANDOLPH COUNTY, NORTH CAROLINA. THE SECONDARY SERVICE AREA OF NOVANT HEALTH THOMASVILLE MEDICAL CENTER COVERS THE SAME GEOGRAPHIC AREA, ENCOMPASSING DAVIDSON AND RANDOLPH COUNTIES. THOUGH THERE TWO COUNTIES IN THE NOVANT HEALTH THOMASVILLE MEDICAL CENTER PRIMARY SERVICE AREAS, 93% OF THE PATIENTS IN THE PRIMARY SERVICE AREA RESIDE IN DAVIDSON COUNTY, WHILE 89% OF THE PATIENTS IN THE PRIMARY AND SECONDARY SERVICE AREAS RESIDE IN DAVIDSON COUNTY.DAVIDSON COUNTY IS MORE RURAL IN NATURE. IT HAS 18 MUNICIPALITIES, INCLUDING THOMASVILLE, THE MOST POPULATED CITY, AND LEXINGTON, THE COUNTY SEAT. BASED ON 2018 ESTIMATES, DAVIDSON COUNTY HAD 166,614 RESIDENTS, WHICH IS A 2.3% INCREASE SINCE THE 2010 U.S. CENSUS. DAVIDSON COUNTY'S RATE OF GROWTH WAS SMALLER THAN THE NORTH CAROLINA'S GROWTH RATE IN COMPARISON TO 2017 AND REMAINS SMALLER IN 2010-2020 AND 2020-2030 GROWTH PROJECTIONS. CHILDREN UNDER 18 MAKE UP 21.9% OF THE POPULATION IN DAVIDSON COUNTY, WHILE SENIORS MAKE UP 18.2% OF THE POPULATION. OVER THE NEXT 15 YEARS, THE SENIOR POPULATION IN DAVIDSON COUNTY IS PROJECTED TO STEADILY INCREASE. THIS TREND MAY PUT A STRAIN ON HEALTHCARE SERVICES IN DAVIDSON 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. NONWHITE MINORITIES CURRENTLY MAKE UP 20.0% OF THE RACIAL DEMOGRAPHIC IN DAVIDSON COUNTY. THE SPECIFIC POPULATION GROUPS (ETHNIC AND CULTURAL) ARE AS FOLLOWS: WHITE NON-HISPANIC 79.7%; BLACK/AFRICAN-AMERICAN 9.9%; HISPANIC OR LATINO 7.3%; OTHER 3.1%.ACCORDING TO THE US CENSUS BUREAU DATA, THE MEDIAN HOUSEHOLD INCOME LEVEL WAS $45,806. THE POVERTY RATE FOR DAVIDSON COUNTY IS 15.8%.THERE ARE TWO NONPROFIT ACUTE CARE HOSPITALS IN THE COMMUNITY, ONE OF WHICH IS THE ORGANIZATION.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/COMMUNITY-BENEFIT.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/COMMUNITY-BENEFIT.ASPX.PLEASE NOTE THAT THE NUMERIC INFORMATION IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES. 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/COMMUNITY-BENEFIT.ASPX. PLEASE NOTE THAT THE NUMERIC INFORMATION IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES. IT SHOULD NOT BE RELIED UPON AS THE ORGANIZATION'S FORM 990, SCHEDULE H COMMUNITY BENEFIT REPORT, ITS COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION STRATEGY. THERE ARE SIGNIFICANT COMMUNITY BENEFIT ACTIVITIES WITHIN NOVANT HEALTH WHICH MAY NOT BE REPORTABLE ON A SCHEDULE H BECAUSE THEY ARE NOT CONDUCTED BY AN ENTITY WHICH OWNS OR OPERATES A HOSPITAL.IN ADDITION TO HOSPITALS, NOVANT HEALTH INCLUDES A PHYSICIAN ORGANIZATION WITH PRACTICES IN NORTH CAROLINA, SOUTH CAROLINA, AND VIRGINIA AND FIVE HOSPITAL FOUNDATIONS WHICH SUPPORT AND ENHANCE THE ACTIVITIES IN THOSE HOSPITALS' COMMUNITIES. FURTHER, NOVANT HEALTH INCLUDES AMBULATORY SURGERY CENTERS, IMAGING CENTERS, REHABILITATION CENTERS, AND OTHER OUTPATIENT FACILITIES; ALL DEDICATED TO PROMOTING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT NOVANT HEALTH, INC. FILES A SYSTEM-WIDE COMMUNITY BENEFIT REPORT PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES WITH THE NORTH CAROLINA MEDICAL CARE COMMISSION AS PART OF THE DOCUMENTATION REQUIRED FOR THE ISSUANCE OF TAX EXEMPT BOND FINANCING. 1 BUSINESS HIGH POINT INC PO BOX 5025 HIGH POINT NC 27262 560473292 501(C)(6) 10000 COMMUNITY OUTREACH DAVIDSON COUNTY COMMUNITY COLLEGE FOUNDATION INC PO BOX 1974 LEXINGTON NC 27292 237079347 501(C)(3) 20000 COMMUNITY OUTREACH SMART START OF DAVIDSON COUNTY INC 306 EAST HIGHWAY 64 LEXINGTON NC 27292 561859989 501(C)(3) 6000 COMMUNITY OUTREACH TOM A FINCH COMMUNITY YMCA INC 1010 MENDENHALL STREET THOMASVILLE NC 27360 561004370 501(C)(3) 29329 COMMUNITY OUTREACH THE SALVATION ARMY 7361 AIRLINE HIGHWAY BATON ROUGE LA 70805 580660607 501(C)(3) 10000 COMMUNITY OUTREACH 4 1 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS 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. X X X X 1 1 0 1 0 0 0 0 0 0 0 LINDSAY JEFFERY FMR PRES-FMH/COO WS MKT 0 987316 0 836381 0 290924 0 24300 0 30812 0 2169733 0 7500 MIHAL DENISE FMR PRES - FMH/COO WS MKT 0 728775 0 640413 0 325074 0 24300 0 19991 0 1738553 0 7500 SMITH HARRY SVP HOSPITAL OPERATIONS 0 611704 0 409752 0 307241 0 120187 0 41546 0 1490430 0 94406 TRAHEY THOMAS VP MED AFFAIRS 0 358811 0 242257 0 62885 0 24300 0 38757 0 727010 0 7500 MARKS PHILLIP MD TRUSTEE 0 394692 0 26495 0 101621 0 15135 0 33336 0 571279 0 22500 CAILLAT ALEXANDRE MD TRUSTEE 0 365403 0 86976 0 67422 0 24300 0 26126 0 570227 0 7500 GREEAR ALLISON FMR INTERIM CGHP PRES 0 221319 0 140343 0 82171 0 9407 0 33990 0 487230 0 0 APPLEBAUM JONATHAN CGHP PRES 248320 0 138780 0 39408 0 16238 0 21978 0 464724 0 0 0 MORRIS JOHN ASST SEC 0 228652 0 126620 0 40289 0 22287 0 24834 0 442682 0 7500 PEARSON NANCY DIR NURSING 126068 0 14854 0 14952 0 8200 0 34343 0 198417 0 0 0 ANDERSON JENNIFER PHARMACIST 153706 0 3533 0 270 0 9575 0 22380 0 189464 0 0 0 HILL ALEASE REGISTERED NURSE 138491 0 7525 0 252 0 0 0 23527 0 169795 0 0 0 SPANGLER JACOB PHARMACIST 135347 0 3626 0 57 0 8268 0 10191 0 157489 0 0 0 HUDSON NATHAN MGR PHARMACY 134580 0 7208 0 733 0 4010 0 9550 0 156081 0 0 0 PART I, LINE 1A 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 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, LINE 4B PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONE NONQUALIFIED 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. MARY PERDUE FAMILY MEMBER OF LARRY PERDUE, BOARD MEMBER 21996 COMPENSATION PAID BY THE FILING ORGANIZATION TO THE INTERESTED PERSON. 0 FORM 990, PI, L1: ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES COMMUNITY GENERAL HEALTH PARTNERS INC., DOING BUSINESS AS NOVANT HEALTH THOMASVILLE MEDICAL CENTER ("NHTMC"), 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. NOVANT HEALTH IS RANKED AS ONE OF THE NATION'S TOP 25 INTEGRATED HEALTH SYSTEMS IN THE NATION BY SK&A. IN 2019, THE NOVANT HEALTH SYSTEM REPORTED $5.4 BILLION IN REVENUES. GENERAL INFORMATION NHTMC, A NOVANT HEALTH COMMUNITY HOSPITAL, FOCUSED ON COMMUNITY SUPPORT, QUALITY, UNSURPASSED SERVICE AND MAINTAINING A REMARKABLE STAFF DURING 2019. IN ADDITION TO OUR QUALITY AND COMPREHENSIVE CATEGORIES OF SERVICE, 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 TO THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE. COMMUNITY OUTREACH COMMUNITY OUTREACH IS A CRITICAL COMPONENT TO THE MISSION OF NOVANT HEALTH THOMASVILLE MEDICAL CENTER. A FEW EXAMPLES OF THIS ARE AS FOLLOWS: DURING THE THOMASVILLE, NC CHAMBER'S "EVERYBODY'S DAY FESTIVAL, AND ARCHDALE, NC CHAMBER'S "BUSH HILL FESTIVAL" NHTMC PROVIDED COMPLIMENTARY BREAST FEEDING AND DIAPER CHANGING STATIONS. AT THE DENTON, NC "FALL FESTIVAL" TEAM MEMBERS TOOK BLOOD PRESSURE AND PROVIDED INFORMATION ABOUT HEALTHY EATING AND THE IMPORTANCE OF HAVING A REGULAR HEALTH SCREENING TO REDUCE HEALTH RISKS. NHTMC DISTRIBUTED EDUCATIONAL MATERIALS TO THE COMMUNITY TO ASSIST WITH EFFORTS TO RAISE AWARENESS OF THE IMPORTANCE OF HAND WASHING, RECEIVING A FLU VACCINATION AND PROVIDE OTHER FLU PRECAUTION TIPS. DURING NHTMC'S ANNUAL "MARTIN LUTHER KING JR. HEALTH FAIR" HELD IN COOPERATION WITH THE MLK JR. SOCIAL ACTION COMMITTEE, COMMUNITY MEMBERS WERE OFFERED WELLNESS EDUCATION AND COMPLIMENTARY SCREENINGS FOR VISION, HEARING, BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENING, WITH COUNSELING, TO REDUCE IDENTIFIED HEALTH RISKS FOR HEART DISEASE, STROKE, AND DIABETES. HUNDREDS OF COMMUNITY MEMBERS ATTENDED NHTMC'S BLOOD PRESSURE AND BLOOD SUGAR SCREENINGS OFFERED AROUND THE COMMUNITY, AND WE PARTNERED FOR FOLLOW-UP VISITS WITH A PHYSICIAN WHEN THE NEED AROSE. NHTMC STAFF ATTENDS YEAR-ROUND EVENTS AT SENIOR SERVICES, AREA SCHOOL PTO FAIRS, LOCAL CHURCHES AND CIVIC EVENTS TO REACH OUT TO THE COMMUNITY TO IMPROVE HEALTH. NHTMC PARTNERED WITH MANY ORGANIZATIONS IN NORTH CAROLINA TO PROVIDE VOLUNTEER HOURS INCLUDING FAMILY SERVICES OF DAVIDSON COUNTY, HOSPICE OF DAVIDSON COUNTY, DAVIDSON COUNTY UNITED WAY, THOMASVILLE LIONS CLUB, THOMASVILLE ROTARY, CHAMBERS OF COMMERCE IN ARCHDALE, THOMASVILLE AND LEXINGTON, DAVIDSON WORKS, AS WELL AS COMMUNITIES IN SCHOOLS OF THOMASVILLE AND DAVIDSON COUNTY. NHTMC HOSTED THE THIRD LIGHTS OF HOPE PARTNERING WITH THE ADDICTS MOM GROUP ("TAM") TO HELP RAISE AWARENESS OF ADDICTION AND TO REMEMBER VICTIMS OF THE DISEASE, INCLUDING THOSE LOST TO THE ONGOING OPIOID EPIDEMIC AND THEIR FAMILIES. THIS YEAR A MOBILE WAS HUNG IN THE HOSPITAL LOBBY THROUGHOUT THE MONTH OF SEPTEMBER PICTURING SOME OF THE SMILING FACES OF THOSE WHO BECAME VICTIMS OF THE OPIOID EPIDEMIC. THE MOBILE ALONG WITH INFORMATION PROVIDED WAS A USED TO START CONVERSATIONS ABOUT THE ISSUES OF ADDICTION FACED LOCALLY AND ACROSS THE COUNTRY. NHTMC COORDINATED WITH DAVIDSON COUNTY STOP PRESCRIPTION ABUSE NOW TO HELP PROMOTE COMMUNITY EDUCATION ON THE DRUG ABUSE ISSUES WITHIN THE COUNTY. THE HOSPITAL PARTNERED WITH THE NEW COUNTY SUBSTANCE ABUSE COORDINATOR TO CONNECT WITH LEADERS IN THE COUNTY TO HOLD SEMINARS WITH AREA SCHOOL GROUPS AND CLERGY. NHTMC OFFERS A DROP BOX FOR THE COMMUNITY TO PROPERLY DISPOSE OF MEDICATION. NHTMC HOSTED A VARIETY OF FREE SEMINARS TO HELP PROMOTE EDUCATION AND WELLNESS AND GAVE FREE COMMUNITY TALKS ON A VARIETY OF HEALTH AND WELLNESS RELATED TOPICS INCLUDING PARENTING CLASSES, STRESS MANAGEMENT, SKIN CANCER SCREENING, STROKE PREVENTION, WOMEN'S HEART ISSUES, HEALTHY EATING, END OF LIFE DECISIONS AND DIABETES MANAGEMENT. THESE PROGRAMS WERE HELD AT LOCATIONS ACROSS THE COUNTY. THE HOSPITAL WORKED CLOSELY WITH CORPORATE WELLNESS TO OFFER REGULAR PAD SCREENINGS FOR THE COMMUNITY UTILIZING SPACE IN THE HOSPITAL'S PAIN CENTER. THE NHTMC FOOD AND NUTRITION DEPARTMENT PREPARES NEARLY 75 MEALS EACH WEEKDAY FOR THE MEALS ON WHEELS PROGRAM TO ASSIST IN PROVIDING COST EFFECTIVE AND HIGHLY NUTRITIOUS MEALS FOR HOMEBOUND RESIDENTS. THE LEARNING PLACE, NHTMC'S ONSITE CHILD DEVELOPMENT CENTER, IN COLLABORATION WITH SMART START, SERVES AS A NC PRE-K LOCATION. THIS INITIATIVE OFFERS A QUALITY PRESCHOOL PROGRAM TO PREPARE KIDS FOR KINDERGARTEN WHO HAVE ENGLISH AS A SECOND LANGUAGE, CHILDREN WITH DISABILITIES, AND CHILDREN THAT ARE FINANCIALLY CHALLENGED. NHTMC OFFERS THE COMMUNITY A SEXUAL ASSAULT NURSE EXAMINER ("SANE") ROOM FOR VICTIMS OF SEXUAL ASSAULT AND PROVIDES TRAINED SANE NURSES TO SERVE RESIDENTS THROUGHOUT THE COUNTY. IN 2019, THE HOSPITAL PARTNERED WITH FAMILY SERVICES OF DAVIDSON COUNTY TO RAISE AWARENESS AND FUNDING FOR THESE PROGRAMS AND WORKED CLOSELY WITH LOCAL LAW ENFORCEMENT TO HELP PROVIDE TRAINING. ONE OF THE NHTMC SANE NURSES VOLUNTEERS TWICE MONTHLY ON THE COUNTYWIDE OFFENDER FOCUS GROUP HOSTED BY LOCAL LAW ENFORCEMENT. TO ASSIST PATIENTS WITH END OF LIFE CARE, NHTMC PARTNERS WITH HOSPICE OF DAVIDSON COUNTY TO PROVIDE OFFICE SPACE FOR THEIR NURSE TO ASSIST IN COORDINATING HOSPICE SERVICES WITH PATIENTS AND FAMILIES. IN 2019, THE HOSPITAL PARTNERED WITH DAVIDSON COUNTY SENIOR SERVICES AND HOSPICE OF DAVIDSON COUNTY TO HOST SEVERAL FREE SEMINARS FOR COMMUNITY MEMBERS TO LEARN ABOUT ADVANCE DIRECTIVES AND COMPLETE THE DIRECTIVES ON THE SPOT. NHTMC'S ONCOLOGY PROGRAM COORDINATOR ASSISTS CANCER PATIENTS AND THEIR FAMILIES THROUGH THEIR CANCER JOURNEY OF TREATMENTS AND PROCEDURES, HOSTS FEEL GOOD FRIDAY FOR ANY CANCER PATIENT AND THEIR FAVORITE CAREGIVER, PROVIDING THEM A FREE LUNCH AND TIME FOR CHAIR MASSAGES, HAIRCUTS, HAND MASSAGES, MANICURES, ENTERTAINMENT AND CRAFT TIME. THE MUSCLES TO MOTION PROGRAM THAT PROVIDES ANY CANCER PATIENT WHO IS COMPLETING OR HAS COMPLETED TREATMENT IN THE LAST YEAR, AT LEAST 11 SESSIONS OF EXERCISE TO BUILD STRENGTH AND ENDURANCE. THE PROGRAM HAS ALSO INCLUDES THE PINK WAND PROGRAM TO PROVIDE INSTRUCTION AND EXERCISES FOR EVERYONE HAVING A LUMPECTOMY OR MASTECTOMY. NHTMC HAS INITIATED SEVERAL PROGRAMS TO HELP MEET THE MEDICAL NEEDS OF SENIORS. WE OFFER THE AREA'S ONLY GERIATRIC BEHAVIORAL HEALTH UNIT WITH 45 BEDS. FAMILIES FROM ACROSS THE STATE ENTRUST THEIR FAMILY MEMBERS TO OUR CARE ON THIS DEDICATED UNIT. NHTMC'S CONNECTIONLINK PROGRAM HOSTED LUNCH AND LEARNS ON A VARIETY OF HEALTH ISSUES LINKING COMMUNITY MEMBERS AGED 55 YEARS OF AGE AND OLDER WITH MEDICAL SERVICES TO IMPROVE THEIR QUALITY OF LIFE. THE THREE LOCATIONS IN THOMASVILLE, LEXINGTON AND ARCHDALE, AVERAGED MONTHLY ATTENDANCE TOTALING MORE THAN 350 SENIORS. NHTMC PROUDLY PARTNERS WITH LOCAL HIGH SCHOOLS AND COLLEGES TO SERVE AS A TRAINING SITE FOR MEDICAL PROFESSIONALS INCLUDING NURSING ASSISTANTS, LAB TECHS, NURSES AND PHARMACISTS. BASIC PERSONAL CARE ITEMS SUCH AS COMBS, SHAMPOO, TOOTHPASTE AND SOAP ITEMS WERE DISTRIBUTED TO STUDENTS IN THOMASVILLE, LEXINGTON, AND DAVIDSON COUNTY, NC COMMUNITY IN SCHOOLS PROGRAMS TO ASSIST SCHOOL OFFICIALS TO MEET THEIR BASIC NEEDS IN ADDITION TO THEIR EDUCATIONAL NEEDS. HEALTH ROOMS AT SCHOOLS THROUGHOUT THE COUNTY WERE PROVIDED NEEDED SUPPLIES TO ASSIST THE NURSE IN BASIC MEDICAL CARE FOR STUDENTS NEEDING ON SITE SERVICES. THE HOSPITAL'S HISPANIC LATINO ADVISORY COUNCIL HOSTED A NUMBER OF FREE PROGRAMS ACROSS THE COUNTY WORKING CLOSELY WITH AREA CHURCHES TO ADDRESS NEEDS OF THE HISPANIC COMMUNITY INCLUDING CHOICES AND CHAMPIONS FOR ADVANCED DIRECTIVES AND PREGNANCY/BIRTHING CLASSES. FORM 990, PART III, LINE 1: MISSION, VISION, AND VALUES MISSION NOVANT HEALTH EXISTS TO IMPROVE THE HEALTH OF COMMUNITIES, ONE PERSON AT A TIME. VISION WE, THE NOVANT HEALTH TEAM, WILL DELIVER THE MOST REMARKABLE PATIENT EXPERIENCE, IN EVERY DIMENSION, EVERY TIME. VALUES -COMPASSION: WE TREAT OUR CUSTOMERS AND THEIR FAMILIES, STAFF AND OTHER HEALTHCARE PROVIDERS AS FAMILY MEMBERS BY SHOWING THEM KINDNESS, PATIENCE, EMPATHY AND RESPECT. -DIVERSITY AND INCLUSION: WE RECOGNIZE THAT EVERY PERSON IS DIFFERENT, EACH SHAPED BY UNIQUE LIFE EXPERIENCES. THIS ENABLES US TO BETTER UNDERSTAND ONE ANOTHER AND OUR CUSTOMERS. BY ENGAGING THE STRENGTHS AND TALENTS OF EACH TEAM MEMBER, WE ENSURE A STRONG ORGANIZATION CAPABLE OF PROVIDING REMARKABLE HEALTHCARE TO OUR PATIENTS, FAMILIES AND COMMUNITIES. -PERSONAL EXCELLENCE: WE STRIVE TO GROW PERSONALLY AND PROFESSIONALLY, AND WE APPROACH EACH SERVICE OPPORTUNITY WITH A POSITIVE, FLEXIBLE ATTITUDE. HONESTY AND PERSONAL INTEGRITY GUIDE ALL THAT WE DO. -TEAMWORK: THE NEEDS AND EXPECTATIONS OF ANY ONE CUSTOMER ARE GREATER THAN THAT WHICH ONE PERSON'S SERVICE EFFORTS CAN SATISFY. WE SUPPORT EACH OTHER SO THAT TOGETHER AS A TEAM, WE CAN BE SUCCESSFUL IN THE EYE OF THE CUSTOMER AS A QUALITY SERVICE PROVIDER. -COURAGE: WE ACT BOLDLY IN MAKING THE CHANGES NECESSARY TO ACHIEVE OUR MISSION, VISION AND PROMISE OF DELIVERING REMARKABLE HEALTHCARE. OUR PEOPLE WE ARE AN INCLUSIVE TEAM OF PURPOSE-DRIVEN PEOPLE INSPIRED AND UNITED BY OUR PASSION TO CARE FOR EACH OTHER, OUR PATIENTS AND OUR COMMUNITIES. OUR PROMISE TO PATIENTS WE ARE MAKING YOUR HEALTHCARE EXPERIENCE REMARKABLE. WE WILL BRING YOU WORLD-CLASS CLINICIANS, CARE AND TECHNOLOGY - WHEN AND WHERE YOU NEED THEM. WE ARE REINVENTING THE HEALTHCARE EXPERIENCE TO BE SIMPLER, MORE CONVENIENT AND MORE AFFORDABLE, SO THAT YOU CAN FOCUS ON GETTING BETTER AND STAYING HEALTHY. FORM 990, PI, L1: CONTINUED TO HELP RAISE AWARENESS OF MENTAL HEALTH ISSUES, THE HOSPITAL HAS HOSTED NUMEROUS FREE SHOWINGS OF THE DOCUMENTARY "RESILIENCE: THE BIOLOGY OF STRESS AND THE SCIENCE OF HOPE" WITH COMMUNITY MEMBERS AND SERVICE AGENCIES ACROSS THE COUNTY TO START THE CONVERSATION OF ADVERSE CHILDHOOD EXPERIENCES AND THE IMPACT PHYSICALLY AND MENTALLY ON HEALTH OUTCOMES. NHTMC PARTNERED WITH THE THOMASVILLE AREA CHAMBER OF COMMERCE TO HOST FREE QUARTERLY BUSINESS LEADER ROUNDTABLE BREAKFASTS TO PROVIDE BUSINESS AND INDUSTRY WITH FACTUAL HEALTH INFORMATION ON A VARIETY OF TOPICS INCLUDING RESILIENCY IN THE WORKPLACE, COST OF UNMANAGED CHRONIC DISEASE ON THE WORKPLACE AND PREDIABETES IN THE WORKPLACE. NHTMC PARTNERED WITH THOMASVILLE ROTARY TO ADDRESS CHILDHOOD OBESITY IMPLEMENTING A PROGRAM FOR AREA AFTERSCHOOL PROGRAMS. THE HOSPITAL DIABETES EDUCATOR WORKED WITH CHILDREN IN GRADES 3 - 5 WEEKLY FOR 12 WEEKS TO EDUCATE PARTICIPANTS ON HEALTHY LIFESTYLE CHOICES ENCOURAGING FITNESS AND POSITIVE SELF-WORTH IN ORDER TO REDUCE THE RISKS OF HEALTH RELATED CHRONIC DISEASES AND PREVENTABLE ACCIDENTS AND CREATE A POSITIVE INFLUENCE ON EACH OTHER AND THE COMMUNITY. HANDOUTS WERE SHARED WITH PARENTS OF THE STUDENTS TO HELP REINFORCE HEALTH INFORMATION. TRAIN THE TRAINER SESSIONS WERE ALSO HELD SO THAT EMPLOYEES OF THE CHILD DEVELOPMENT CENTERS COULD HELP TO REINFORCE SESSIONS MOVING FORWARD. NEW TECHNOLOGY & SERVICES A CONCURRENT ELECTRONIC HEALTH RECORD (EHR) INITIATIVE IS BEING UNDERTAKEN BY BOTH THE ACUTE AND AMBULATORY FACILITIES IN THE NOVANT HEALTH SYSTEM. IN JULY 2013, NOVANT HEALTH MEDICAL GROUP FINALIZED THE IMPLEMENTATION OF THE EHR IN ALL PHYSICIAN PRACTICES ACROSS THE NOVANT HEALTH SYSTEM. MANY NOVANT HEALTH FACILITIES HAVE SUCCESSFULLY IMPLEMENTED THE EHR AND CLINICIANS CAN NOW SHARE PATIENTS' MEDICAL INFORMATION BETWEEN PHYSICIAN OFFICES, OUTPATIENT CENTERS AND HOSPITALS. THIS SHARING OF INFORMATION IMPROVES SAFETY AND COORDINATION OF CARE AND PROMOTES CONNECTIVITY AND COMMUNICATION BETWEEN HOSPITAL CAREGIVERS, SPECIALISTS AND PRIMARY CARE PROVIDERS. EMBARKING ON THE JOURNEY TO CREATE A SHARED EHR IS THE MOST SIGNIFICANT AND IMPORTANT INVESTMENT NOVANT HEALTH HAS EVER MADE FOR ITS PATIENTS, STAFF AND PHYSICIANS. A NEW STEREOTACTIC BREAST BIOPSY SUITE WAS OPENED TO ENABLE PATIENTS TO REMAIN IN THEIR HOME COUNTY TO RECEIVE THIS SERVICE. THE NEW BREAST IMAGINING USES LOW-DOSE X-RAYS TO HELP LOCATE A BREAST ABNORMALITY AND REMOVE A TISSUE SAMPLE FOR EXAMINATION UNDER A MICROSCOPE. THIS IS A MINIMALLY INVASIVE PROCEDURE LEAVING LITTLE TO NO SCARRING AND IS USED TO EVALUATE CALCIUM DEPOSITS OR TINY MASSES THAT ARE NOT VISIBLE ON ULTRASOUND. THE BREAST CLINIC INITIATED PROCESS OF THE NURSE NAVIGATOR COORDINATOR MEETING WITH PATIENTS TO COMMUNICATE BREAST BIOPSY PATHOLOGY RESULTS, PROVIDING MUCH NEEDED SUPPORT AND EDUCATION, AS WELL AS BEGINNING THE NAVIGATION PROCESS TOWARDS COMPREHENSIVE EVALUATION, PLANNING AND TREATMENT. THE HOSPITAL ALSO PURCHASED A 128 SLICE COMPUTERIZED TOMOGRAPHY (CT) SCANNER - PROVIDING MORE DETAILED INFORMATION THAN NORMAL X-RAY IMAGES. THEY CAN SHOW THE SOFT TISSUES, BLOOD VESSELS, AND BONES IN VARIOUS PARTS OF THE BODY. THE CT SCANNER'S X-RAY DETECTOR CAN SEE HUNDREDS OF DIFFERENT LEVELS OF DENSITY. A CT SCAN IS VALUABLE IN DIAGNOSING THE HEAD INJURIES SUCH AS BLOOD CLOTS OR SKULL FRACTURES, TUMORS, AND INFECTIONS. IN 2019, NHTMC CONTINUED TO PARTNER WITH AREA LIONS CLUBS TO OFFER FREE SPOT SCREENINGS (NONINVASIVE EYE SCREENING) TO ASSIST COMMUNITY MEMBERS IN RECEIVING APPROPRIATE EYE CARE. THESE SCREENINGS WERE OFFERED FREE OF CHARGE MONTHLY AT DAVIDSON MEDICAL MINISTRIES IN LEXINGTON AND THOMASVILLE, NC AREA SCHOOLS AND AT HEALTH FAIRS. COMPLIMENTARY BLOOD PRESSURE MACHINES WERE PROVIDED AT THE THOMASVILLE, LEXINGTON AND ARCHDALE-TRINITY, NC YMCAS FOR USE BY ANY COMMUNITY PERSON DURING HOURS THE CENTERS ARE OPEN. NHTMC'S BABY CAFE PROGRAM EXTENDED INTO SEVERAL NEW COMMUNITIES INCLUDING LEXINGTON AND HIGH POINT, NC. BABY CAFE, A FREE, DROP-IN GATHERING FOR PREGNANT AND BREASTFEEDING WOMEN IN THE COMMUNITY, PROVIDES ATTENDEES BREASTFEEDING HELP AND SUPPORT FROM A LACTATION CONSULTANT TO MEET THEIR BREASTFEEDING GOALS. CURRENTLY, APPROXIMATELY 80% OF ALL US WOMEN START BREASTFEEDING, BUT OF THOSE MOMS, APPROXIMATELY 60% DO NOT REACH THEIR OWN GOALS. IN AN EFFORT TO IMPROVE THESE RATES, BABY CAFE OFFERS SUPPORT ON ALL ASPECTS OF BREASTFEEDING AND ITS IMPACT ON DAILY LIFE FROM PRENATAL TO WEANING, AS WELL AS ASSISTANCE WITH PUMPING AND MAINTAINING SUPPLY IF MOMS RETURN TO WORK OUTSIDE THE HOME. LACTATION CONSULTANTS HOSTED CAFES MONDAY, TUESDAY, AND WEDNESDAY MORNINGS AND THURSDAY EVENINGS FREE OF CHARGE. DATA COLLECTED THROUGH THE PROGRAM REPORTED A TOTAL OF 217 MOTHERS PARTICIPATING IN THE PROGRAM. AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS - LEAPFROG SAFETY GRADE "A" - LEAPFROG TOP HOSPITAL AWARD - CMS 3-STAR RATING - ACCREDITED HOSPITAL BY THE JOINT COMMISSION - ACCREDITED CHEST PAIN CENTER FROM SOCIETY OF CHEST PAIN CENTERS - AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD - BABY FRIENDLY DESIGNATION BY WORLD HEALTH ORGANIZATION - BREAST CARE CENTER ACCREDITED BY NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) - CLINICAL LAB IMPROVEMENT AMENDMENTS CERTIFICATIONS (CLIA) - DISEASE SPECIFIC CERTIFICATION FROM JOINT COMMISSION FOR COPD - LAB ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGY (CAP) - LEARNING PLACE FIVE STAR RATING DIV. OF CHILD DEVELOPMENT AND EARLY EDUCATION - RADIOLOGY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY - THE JOINT COMMISSION ADVANCE PRIMARY STROKE CERTIFICATION - SLEEP CENTER ACCREDITED BY THE ACCREDITATION COMMISSION FOR HEALTH CARE - NURSING IMPROVING CARE FOR HEALTH SYSTEM ELDERS (NICHE) CERTIFICATION FOR GERIATRIC BEHAVIORAL HEALTH UNIT - CARDIOVASCULAR LAB ACCREDITED BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) - AMERICAN COMMISSION ON CANCER CERTIFICATION - NORTH CAROLINA DEPARTMENT OF LABOR GOLD SAFETY AWARD ACCREDITATION NOVANT HEALTH THOMASVILLE MEDICAL CENTER HAS 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. COMMUNITY BENEFIT REPORT HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-ENGAGEMENT/COMMUNIT Y-BENEFIT.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 $993,000,000, INCLUDING $152,000,000 IN FINANCIAL ASSISTANCE FOR 2019. 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 IN ALL MATTERS, AND RESERVES CERTAIN POWERS TO 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 THE BOARD MEMBERS OF COMMUNITY GENERAL HEALTH PARTNERS. 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 IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 2,377,211. MANAGEMENT AND GENERAL EXPENSES 200,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,577,224. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 578,278. MANAGEMENT AND GENERAL EXPENSES 54,557. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 632,835. COLLECTION SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 126,138. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,138. CREDENTIALING FEES: PROGRAM SERVICE EXPENSES 12,196. MANAGEMENT AND GENERAL EXPENSES 778. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,974. RECRUITMENT: PROGRAM SERVICE EXPENSES 444. MANAGEMENT AND GENERAL EXPENSES 28. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 472. FOOD SERVICE: PROGRAM SERVICE EXPENSES 1,449,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,449,281. PROFESSIONAL PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 6,613,161. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,613,161. FORM 990, PART IX, LINE 6: COMPENSATION OF DISQUALIFIED PERSONS THE AMOUNTS REPORTED HERE INCLUDE AMOUNTS ATTRIBUTABLE TO DISQUALIFIED PERSONS (DQP) AS DEFINED IN THE INSTRUCTIONS, BUT NOW ALSO INCLUDES AMOUNTS ATTRIBUTABLE TO INDIVIDUALS THAT MAY NOT DEFINITIVELY BE CONSIDERED DQPS UNDER THE 4958 RULES. WE HAVE OPTED TO TAKE A MORE EXPANSIVE APPROACH AS TO WHO MAY BE CONSIDERED A DQP AND REPORT THEM HERE AS WELL. FORM 990, PART XI, LINE 9: AFFILIATE TRANSFERS -176,826. MALPRACTICE INSURANCE -113,658. EQUITY IN EARNINGS 2,584. 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