FORSYTH MEMORIAL HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: FORSYTH MEMORIAL HOSPITAL INC (EIN 56-0928089)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201923199349301482
Schema version: 2018v3.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T07:36:40-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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	2019-11-11	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
IP	2019-11-11	IPDt
IP Tm	12:11:29	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	188B3C7D3A98A2E439561FF9EFF6E804112DA9D7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A2315309B7343EB998963AA05290CF11231D17E5	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	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	$1,417,283,176	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NOVANTHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1968	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	7907	TotalEmployeeCnt
Total Volunteers	769	TotalVolunteersCnt
Total Gross UBI	$254,048	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$4,983	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,895,007	PYContributionsGrantsAmt
CY Contributions Grants	$2,758,815	CYContributionsGrantsAmt
PY Program Service Revenue	$1,307,553,317	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,404,103,334	CYProgramServiceRevenueAmt
PY Investment Income	$698,869	PYInvestmentIncomeAmt
CY Investment Income	$377,048	CYInvestmentIncomeAmt
PY Other Revenue	$12,224,669	PYOtherRevenueAmt
CY Other Revenue	$9,796,685	CYOtherRevenueAmt
PY Total Revenue	$1,326,371,862	PYTotalRevenueAmt
CY Total Revenue	$1,417,035,882	CYTotalRevenueAmt
PY Grants And Similar Paid	$900,964	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,180,904	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$486,715,719	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$548,238,589	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$712,590,014	PYOtherExpensesAmt
CY Other Expenses	$747,284,720	CYOtherExpensesAmt
PY Total Expenses	$1,200,206,697	PYTotalExpensesAmt
CY Total Expenses	$1,296,704,213	CYTotalExpensesAmt
PY Revenues Less Expenses	$126,165,165	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$120,331,669	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,544,644,500	TotalAssetsBOYAmt
Total Assets EOY	$1,692,009,282	TotalAssetsEOYAmt
Total Liabilities BOY	$82,153,583	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$95,643,703	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,462,490,917	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,596,365,579	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,071,982,101	ExpenseAmt
Grant	$1,180,904	GrantAmt
Revenue	$1,407,512,229	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 2018 THERE WERE 235,639 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 6 DAYS, AN AVERAGE DAILY CENSUS OF 646, AND 39,834 DISCHARGES. THERE WERE 25,835 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 1,154,748 OUTPATIENT ENCOUNTERS AND 84,972 EMERGENCY DEPARTMENT VISITS.(CONTINUED ON SCHEDULE O)	Desc
Total Program Service Expenses	$1,071,982,101	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	7907	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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 (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BAREFOOT SAMUEL
TRUSTEE	2.00	Yes (X)	$0	$0	$0
BROWN CANDICE
TRUSTEE	2.00	Yes (X)	$0	$0	$0
CARROLL JOE
TRUSTEE	2.00	Yes (X)	$0	$0	$0
EDWARDS JOEL MD
TRUSTEE	2.00	Yes (X)	$548,967	$0	$36,480
ELY JOSEPH
CHAIR	2.00	Yes (X)	$0	$0	$0	Yes (X)
FORIEST BRYANT
TRUSTEE	2.00	Yes (X)	$0	$0	$0
HARDING LARI
TRUSTEE	2.00	Yes (X)	$0	$0	$0
HAUSER CHARLES
TRUSTEE	2.00	Yes (X)	$0	$0	$0
JOHNSON JOIA
VICE CHAIR	2.00	Yes (X)	$0	$0	$0	Yes (X)
LAMBE CLARENCE
SEC/TREAS	2.00	Yes (X)	$0	$0	$0	Yes (X)
LATHAM LINDA
TRUSTEE	2.00	Yes (X)	$0	$0	$0
LEON CHRISTOPHER
TRUSTEE	2.00	Yes (X)	$0	$0	$0
LOBO LUIS
TRUSTEE	2.00	Yes (X)	$0	$0	$0
THOMASON JASON MD
TRUSTEE	2.00	Yes (X)	$0	$0	$0
WOLFE III JOHN
TRUSTEE	2.00	Yes (X)	$0	$0	$0
MORRIS JOHN
ASST SEC	2.00		$0	$393,030	$47,612	Yes (X)
SANZ SEAN
FMR PRES & COO	60.00		$427,205	$0	$24,159	Yes (X)
SETLIFF MICHAEL
PRES & COO FMH INCL KMC	60.00		$529,052	$0	$73,480	Yes (X)
SMITH HARRY
SVP HOSPITAL OPERATIONS	60.00		$0	$1,131,009	$154,164	Yes (X)
BRIGHT JANET
CNO	60.00		$246,687	$0	$18,101		Yes (X)
MOTEW STEPHEN
SVP	60.00		$867,372	$0	$126,435		Yes (X)
NYCUM LAWRENCE
SVP	60.00		$791,442	$0	$124,147		Yes (X)
ROYSTER KIRSTEN
PRES & COO KMC	60.00		$27,635	$409,049	$32,954		Yes (X)
BRAVO JULIO
RHEUMATOLOGIST	40.00		$775,154	$0	$61,567			Yes (X)
MCDONALD COLIN
NEUROLOGIST	40.00		$726,529	$0	$58,534			Yes (X)
NOUREDDINE NIZAR
CARDIOLOGIST	40.00		$719,011	$0	$58,909			Yes (X)
PRELI ROBERT
CARDIOLOGIST	40.00		$728,277	$0	$60,397			Yes (X)
ZEYLIKMAN YURIY
NEUROLOGIST	40.00		$1,008,046	$0	$58,811			Yes (X)
LINDSAY JEFFERY
FMR PRES - FMH/COO WS MKT	0.00		$0	$1,905,834	$54,246				Yes (X)
MIHAL DENISE
FMR PRES - FMH/COO WS MKT	0.00		$0	$1,457,418	$43,808				Yes (X)
GREGORY CHERE
FMR SVP	0.00		$0	$743,181	$110,198				Yes (X)
JARRETT-PULLIAM KIMBERLY
FMR CNO	0.00		$0	$342,132	$23,934				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,395,377	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,381,653	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,167,936	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	625	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
LABORATORY CORPORATION OF AMERICA HOLDIN
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	$14,362,411
CROSS COUNTRY STAFFING
PO BOX 404674	ATLANTA	GA	30384	STAFFING SERVICES	$13,119,382
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	FOOD MANAGEMENT SERVICES	$11,238,945
CROTHALL HEALTH CARE INC
1500 LIBERTY RIDGE DR STE 210	WAYNE	PA	19087	FACILITY SERVICES	$11,236,179
SPECTRUM MEDICAL GROUP PA
3001 LYNDHURST AVE	WINSTON SALEM	NC	27103	HEALTH SERVICES	$5,969,990

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	98	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,521,373	RelatedOrganizationsAmt
All Other Contributions	$237,442	AllOtherContributionsAmt
Total Contributions	$2,758,815	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$1,356,252,739	$1,356,252,739
PHARMACY	446110	$46,995,099	$46,995,099
MOBILE MRI SERVICES	621512	$2,902,974	$2,902,974
LAB SERVICES	621511	$938,695	$938,695
VALUE BASED INCENTIVE	900099	$912,860	$912,860

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,899,033	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$3,899,033	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,404,103,334	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$230,691	TotalRevenueColumnAmt
Exclusion	$230,691	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$261,661	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	$261,661	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$261,661	TotalRevenueColumnAmt
Exclusion	$261,661	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$316,264	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$169,907	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$146,357	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$146,357	TotalRevenueColumnAmt
Exclusion	$146,357	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$87,799	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$77,387	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,412	TotalRevenueColumnAmt
Exclusion	$10,412	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA MEALS	722514	$3,636,259	$3,636,259
DIALYSIS SERVICES	621492	$2,066,090		$2,066,090
CHILD DEVELOPMENT CENTER	624410	$1,684,492	$1,430,444		$254,048

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,137,771	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,342,805	RelatedOrExemptFuncIncomeAmt
Exclusion	$794,966	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,524,612	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,417,035,882	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,407,512,229	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$254,048	UnrelatedBusinessRevenueAmt
Exclusion	$6,510,790	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,076,131	TotalAmt
Program Services	$1,076,131	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$104,773	TotalAmt
Program Services	$104,773	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,863,572	TotalAmt
Management And General	$3,863,572	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$432,761,617	TotalAmt
Program Services	$419,043,074	ProgramServicesAmt
Management And General	$13,718,543	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,670,228	TotalAmt
Program Services	$20,014,982	ProgramServicesAmt
Management And General	$655,246	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$63,026,636	TotalAmt
Program Services	$61,028,692	ProgramServicesAmt
Management And General	$1,997,944	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,916,536	TotalAmt
Program Services	$27,031,582	ProgramServicesAmt
Management And General	$884,954	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,050	TotalAmt
Management And General	$8,050	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,487	TotalAmt
Management And General	$1,487	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$111,059,849	TotalAmt
Program Services	$106,071,431	ProgramServicesAmt
Management And General	$4,988,418	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,015,276	TotalAmt
Program Services	$1,015,276	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,666,625	TotalAmt
Program Services	$5,267,192	ProgramServicesAmt
Management And General	$399,433	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,693,526	TotalAmt
Program Services	$8,693,526	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$26,903,154	TotalAmt
Program Services	$26,903,154	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,582,134	TotalAmt
Program Services	$886,937	ProgramServicesAmt
Management And General	$695,197	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$243,847	TotalAmt
Management And General	$243,847	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,904,168	TotalAmt
Program Services	$13,904,168	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,925,258	TotalAmt
Program Services	$25,925,258	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,049,175	TotalAmt
Program Services	$1,852,862	ProgramServicesAmt
Management And General	$196,313	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
CORPORATE SUPPORT	$183,906,642	$183,906,642
MEDICAL SUPPLIES	$133,572,306		$133,572,306
DRUGS	$119,593,919		$119,593,919
ACCRUED UBIT	-$40,438	-$40,438

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$113,199,742	TotalAmt
Program Services	$99,996,838	ProgramServicesAmt
Management And General	$13,202,904	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,296,704,213	TotalAmt
Program Services	$1,071,982,101	ProgramServicesAmt
Management And General	$224,722,112	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$35,834	BOYAmt
EOY	$37,164	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$152,939,255	BOYAmt
EOY	$160,863,070	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,777,628	BOYAmt
EOY	$13,452,882	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$22,911,348	BOYAmt
EOY	$23,191,358	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$602,988	BOYAmt
EOY	$799,157	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$566,597,406	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$332,882,934	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$227,353,001	BOYAmt
EOY	$233,714,472	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$436,444	BOYAmt
EOY	$13,275,998	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	$1,097,644,623	BOYAmt
EOY	$1,215,660,134	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,544,644,500	BOYAmt
EOY	$1,692,009,282	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,688,468	BOYAmt
EOY	$65,310,957	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$149,755	BOYAmt
EOY	$98,891	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,315,360	BOYAmt
EOY	$30,233,855	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$82,153,583	BOYAmt
EOY	$95,643,703	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,462,490,917	BOYAmt
EOY	$1,596,365,216	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$363	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,462,490,917	BOYAmt
EOY	$1,596,365,579	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,544,644,500	BOYAmt
EOY	$1,692,009,282	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$120,331,669	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$1,469	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$13,544,462	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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$59,660	OtherActivitiesAmt
Total Lobbying Expenditures	$59,660	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LINE 1I	FormAndLineReferenceDesc
Explanation	DUES PAID TO CERTAIN ORGANIZATIONS WHICH INCLUDE A PORTION RELATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$363	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
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	$158,569,260	OtherCostOrOtherBasisAmt
Depreciation	$34,187,077	DepreciationAmt
Book Value	$124,382,183	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,091,040	OtherCostOrOtherBasisAmt
Depreciation	$10,602,121	DepreciationAmt
Book Value	$3,488,919	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$341,647,490	OtherCostOrOtherBasisAmt
Depreciation	$269,273,182	DepreciationAmt
Book Value	$72,374,308	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,561,719	OtherCostOrOtherBasisAmt
Depreciation	$18,820,554	DepreciationAmt
Book Value	$22,741,165	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$233,714,472	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATE	$1,215,636,632
FEDERAL INCOME TAX RECEIVABLE	$23,502

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,215,660,134	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
THIRD PARTY PAYMENT PAYABLE	$9,300,551
NOTES PAYABLE	$16,052,025
PATIENT REFUNDS	$4,881,279

Field	Value	IRS element (for citing)
Total Liability	$30,233,855	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, 2018 AND 2017.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,008,023	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,008,023	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,250,005	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$112,176,299	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,073,706	NetCommunityBenefitExpnsAmt
Total Expense	0.04400	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500,181	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,271,678	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$228,503	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$216,758,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,447,977	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,310,232	NetCommunityBenefitExpnsAmt
Total Expense	0.08320	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$976,909	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$893,580	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,965,472	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,984,616	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,980,856	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,676,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,276,107	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,400,404	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,170,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$460	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,170,259	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$428,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$428,550	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,218,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,344,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,873,649	NetCommunityBenefitExpnsAmt
Total Expense	0.01860	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$268,976,370	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$143,792,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,183,881	NetCommunityBenefitExpnsAmt
Total Expense	0.10180	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,799	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$166,799	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$237,386	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$237,386	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,670	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$456	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$456	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,090	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$116,090	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$546,901	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$546,901	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$66,870,056	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$216,420,737	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$215,211,037	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,209,700	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
FMH DBA NOVANT HEALTH FORSYTH MEDICAL CENTER
1	3333 SILAS CREEK PARKWAY	WINSTONSALEM	NC	27103	WWW.NOVANTHEALTH.ORG	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	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	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

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

Supplemental Information SupplementalInformationGrp (7 entries)

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

Field	Value	IRS element (for citing)
Facility	57	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (57 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
2 - NH ARCADIA FAMILY MEDICINE
12208 NC HWY 150 NORTH	WINSTONSALEM	NC	27127	PHYSICIAN CLINIC
3 - NH BREAST CENTER
2025 FRONTIS PLAZA BLVD SUITE 123	WINSTONSALEM	NC	27103	IMAGING CENTER
4 - NH CARDIOLOGY CLEMMONS
7114 VILLAGE MEDICAL CIRCLE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
5 - NH CARDIOLOGY KERNERSVILLE
1710 KVILLE MEDICAL PKWY STE 205	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
6 - NH CARDIOLOGY MT AIRY
694 RIVERSIDE DR	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
7 - NH CARDIOLOGY WINSTON-SALEM
186 KIMEL PARK DRIVE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
8 - NH CHAIR CITY FAMILY MEDICINE
903 RANDOLPH ST	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
9 - NH CLEMMONS FAMILY MEDICINE
6301 STADIUM DRIVE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
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 GATEWAY FAMILY MEDICINE
390 SALEM AVENUE	WINSTONSALEM	NC	27101	PHYSICIAN CLINIC
15 - NH HAWTHORNE OUTPATIENT SURGERY
1999 S HAWTHORNE ROAD	WINSTONSALEM	NC	27103	AMBULATORY SURGERY CENTER
16 - NH HILLSDALE MEDICAL ASSOCIATES
121 MEDICAL DRIVE	ADVANCE	NC	27006	PHYSICIAN CLINIC
17 - NH IMAGING KERNERSVILLE
445 PINEVIEW DRIVE SUITE 100	KERNERSVILLE	NC	27284	IMAGING CENTER
18 - NH IMAGING MAPLEWOOD
3155 MAPLEWOOD AVENUE	WINSTONSALEM	NC	27103	IMAGING CENTER
19 - NH INFECTIOUS DISEASE SPECIALISTS
1381 WESTGATE CENTER DRIVE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
20 - NH INPATIENT CARE SPECIALISTS KVILLE
1750 KERNERSVILLE MEDICAL PKWY	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
21 - NH KERNERSVILLE FAMILY MEDICINE
291 BROAD STREET	WINSTONSALEM	NC	27284	PHYSICIAN CLINIC
22 - NH KERNERSVILLE OUTPATIENT SURGERY
1730 KVILLE MEDICAL PKWY STE 304	KERNERSVILLE	NC	27284	AMBULATORY SURGERY CENTER
23 - NH LEWISVILLE FAMILY MEDICINE
1225 LEWISVILLE-CLEMMONS ROAD	LEWISVILLE	NC	27023	PHYSICIAN CLINIC
24 - NH LEXINGTON PRIMARY CARE
110 WEST MEDICAL PARK DRIVE	LEXINGTON	NC	27292	PHYSICIAN CLINIC
25 - NH MAPLEWOOD FAMILY MEDICINE
ROBINHOOD MEDICAL PLAZA BLDG 100	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
26 - NH METCALF RHEUMATOLOGY
1551 WESTBROOK PLAZA DR SUITE 200	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
27 - NH MOUNTAINVIEW MEDICAL
216 MOORE ROAD	KING	NC	27021	PHYSICIAN CLINIC
28 - NH NEW GARDEN MEDICAL ASSOCIATES
1941 NEW GARDEN RD SUITES 212 216	GREENSBORO	NC	27410	PHYSICIAN CLINIC
29 - NH NORTH POINT MEDICAL ASSOCIATES
1995 BETHABARA ROAD	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
30 - NH NORTHWEST FAMILY MEDICINE
7607 NC HIGHWAY 68 N STE B	OAK RIDGE	NC	27310	PHYSICIAN CLINIC
31 - NH ONCOLOGY SPECIALISTS
1213 LEXINGTON AVENUE STE B	LEXINGTON	NC	27360	PHYSICIAN CLINIC
32 - NH ONCOLOGY SPECIALISTS
1710 KVILLE MEDICAL PKWY STE 116	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
33 - NH ONCOLOGY SPECIALISTS
276 OLD MOCKSVILLE ROAD SUITE 800	STATESVILLE	NC	28625	PHYSICIAN CLINIC
34 - NH ONCOLOGY SPECIALISTS
865 WESTLAKE DRIVE	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
35 - NH ORTHOPEDICS & SPORTS MEDICINE
211 OLD LEXINGTON RD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
36 - NH PFAFFTOWN FAMILY MEDICINE
4611 YADKINVILLE ROAD	PFAFFTOWN	NC	27040	PHYSICIAN CLINIC
37 - NH PILOT MOUNTAIN MEDICAL CARE
207 MEDICAL STREET	PILOT MOUNTAIN	NC	27041	PHYSICIAN CLINIC
38 - NH PREMIER MEDICAL ASSOCIATES
3333 BROOKVIEW HILLS BLVD STE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC	202-204
39 - NH PSYCHIATRIC MEDICINE
175 KIMEL PARK DRIVE SUITE 100	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
40 - NH PSYCHIATRIC MEDICINE
309 PINEYWOOD ROAD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
41 - NH RHEUMATOLOGY AND ARTHRITIS
1551 WESTBROOK PLAZA DR SUITE 200	WINSTONSALEM	NC	27106	PHYSICIAN CLINIC
42 - NH SALEM FAMILY MEDICINE
105 VEST MILL CIRCLE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
43 - NH SPINE SPECIALISTS
5380 US HIGHWAY 158 SUITE 110	ADVANCE	NC	27006	PHYSICIAN CLINIC
44 - NH SPORTS MEDICINE
2337 WINTERHAVEN LANE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
45 - NH SURRY MEDICAL ASSOCIATES
2133 ROCKFORD ST SUITE 1400	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
46 - NH SURRY MEDICAL ASSOCIATES
865 WESTLAKE DRIVE	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
47 - NH THOMASVILLE MEDICAL ASSOCIATES
309 PINEYWOOD ROAD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
48 - NH TRIAD ENDOCRINE
500 PINEVIEW DR SUITE 101	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
49 - NH UROLOGY
140 KIMEL PARK DR SUITE 100	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
50 - NH UROLOGY PARTNERS
1710 KVILLE MEDICAL PKWY STE 201	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
51 - NH UROLOGY PARTNERS
2010 BALDWIN LANE	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
52 - NH VILLAGE POINT FAMILY MEDICINE
7130 VILLAGE MEDICAL CIRCLE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
53 - NH WEST FORSYTH INTERNAL MED & PED
105 STADIUM OAKS DRIVE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
54 - NH WINSTON-SALEM CARDIOLOGY
445 PINEVIEW DRIVE SUITE 220	WINSTONSALEM	NC	27284	PHYSICIAN CLINIC
55 - NH WINSTON-SALEM HEALTH CARE
175 KIMEL PARK DRIVE SUITE 250	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
56 - NH WINSTON-SALEM HEALTH CARE
250 CHARLOIS BLVD	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
57 - NH WOUND CARE & HYPERBARIC MEDICINE
1901 S HAWTHORNE ROAD SUITE 220	WINSTONSALEM	NC	27103	PHYSICIAN CLINIC
58 - 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-INVOLVEMENT/COMMUNITY-BENEFIT.ASPX. PLEASE NOTE THAT THE NUMERIC DATA IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES. IT SHOULD NOT BE RELIED UPON AS THE ORGANIZATION'S FORM 990, SCHEDULE H COMMUNITY BENEFIT REPORT, ITS COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION STRATEGY.
PART I, LINE 7:	COSTS REPORTED IN THE TABLE FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AMOUNTS ARE CALCULATED USING AN ENTITY SPECIFIC COST TO CHARGE RATIO BASED ON WORKSHEET 2 (CCR).
PART I, LN 7 COL(F):	PART I, LN 7 COL(F):THE AMOUNT OF BAD DEBT REMOVED FROM TOTAL EXPENSES (DENOMINATOR) WAS $66,870,056
PART II, COMMUNITY BUILDING ACTIVITIES:	THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES ADDRESSES THE UNDERLYING CAUSES OF HEALTH PROBLEMS AND IMPACTS THE HEALTH OF OUR COMMUNITY THROUGH PARTNERSHIPS WITH LOCAL AGENCIES DEDICATED TO IMPROVING THE LIVES OF ALL INDIVIDUALS. OUTREACH INCLUDES PROVIDING SUPPORT TO ORGANIZATIONS SUCH AS LOCAL YMCA'S, UNITED WAY PARTNER AGENCIES, CHAMBERS OF COMMERCE AND OTHER LOCAL COMMUNITY ORGANIZATIONS, ASSISTING WITH COMMUNITY AND COUNTY COALITIONS, AND PROVIDING EDUCATION SEMINARS AND TRAINING FOR COMMUNITY WORKFORCES.
PART III, LINE 2:	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 (ANALOGOUS TO BAD DEBT EXPENSE) 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 7 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 ("CB DEPARTMENT") COMPRISED OF COMMUNITY BENEFIT PROFESSIONALS AND AN ASSOCIATED ADVISORY WORKING GROUP ("THE COMMUNITY BENEFIT GROUP") THAT INCLUDES REPRESENTATIVES FROM INTERNAL AUDIT, LEGAL, AND TAX. THE CB DEPARTMENT IS RESPONSIBLE FOR COORDINATING THE PREPARATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR EACH HOSPITAL WITHIN THE SYSTEM, INCLUDING THE CHNAS REPORTED IN PART V, SECTION B. EACH HOSPITAL AND THE COMMUNITY BENEFIT GROUP WORK TOGETHER TO IDENTIFY ORGANIZATIONS AND RESOURCES WITHIN ITS COMMUNITY THAT CONTRIBUTE TO THE PROCESS. THESE ORGANIZATIONS AND RESOURCES INCLUDE PUBLIC HEALTH DEPARTMENTS, LOCAL COMMUNITY COALITIONS REPRESENTING THE MEDICALLY UNDERSERVED, UNITED WAY, LOCAL UNIVERSITIES, ETC. COMMUNITY HEALTH ASSESSMENTS PREPARED BY OTHER ORGANIZATIONS IN THE COMMUNITY ARE USED IN COMBINATION WITH INTERNAL HOSPITAL DATA AND INFORMATION COLLECTED FROM LOCAL AGENCIES TO PREPARE THE HOSPITAL'S CHNA. IN ADDITION TO ADDRESSING NEEDS IDENTIFIED THROUGH THE CHNA, EACH HOSPITAL MAY RESPOND TO REQUESTS FOR SPECIFIC COMMUNITY BENEFIT ACTIVITIES OR PROGRAMS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS.
PART VI, LINE 3:	PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION IS COMMITTED TO PROVIDING OUTSTANDING HEALTHCARE TO ALL MEMBERS OF OUR COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. OUR FINANCIAL COUNSELING TEAMS ARE CONSTANTLY WORKING WITH THE PATIENTS WITHIN OUR COMMUNITIES TO UNDERSTAND THEIR NEEDS AND ENSURE THAT OUR POLICIES AND PROCESSES ADDRESS THESE NEEDS. WE ALSO MAINTAIN CONTRACTS WITH MEDICAID ELIGIBILITY VENDORS AND THESE TEAMS OFFER ADDITIONAL SUPPORT IN PROCESSING AND ASSESSING HOW WE SERVE THE FINANCIAL NEEDS OF OUR PATIENTS. BASED ON THE ASSESSMENTS OF OUR COMMUNITIES, THE ORGANIZATION HAS DEVELOPED FINANCIAL ASSISTANCE POLICIES AND PROGRAMS THAT ADDRESS THE FINANCIAL NEEDS OF OUR PATIENTS. WE PRIDE OURSELVES ON THE TRANSPARENCY OF OUR PROGRAMS AND THE EDUCATION WE OFFER OUR PATIENTS AROUND OUR FINANCIAL ASSISTANCE POLICIES. OUR PROGRAMS ARE DOCUMENTED ON OUR WEBSITE, ALONG WITH CONTACT INFORMATION FOR OUR FINANCIAL COUNSELORS. ADDITIONALLY, OUR PROGRAMS ARE DOCUMENTED ON PATIENT FLYERS THROUGHOUT THE ORGANIZATION'S FACILITIES AND PHYSICIAN OFFICES. OUR PATIENT ACCESS SPECIALISTS, FINANCIAL COUNSELORS AND BUSINESS OFFICE TEAMS WORK WITH ALL ELIGIBLE PATIENTS TO EDUCATE THEM ON THE VARIOUS OPTIONS AVAILABLE VIA OUR FINANCIAL ASSISTANCE PROGRAMS OR GOVERNMENT SPONSORED CARE. THEY ALSO REFERENCE OUR FINANCIAL ASSISTANCE POLICY IN ALL CONVERSATIONS RELATED TO PATIENTS BILLS. FINALLY, WE WORK WITH LOCAL AREA FREE HEALTH CLINICS AND OTHER CHARITABLE ORGANIZATIONS TO PROVIDE CONTINUATION OF CARE FOR THEIR PATIENTS. IN ADDITION TO OUR FINANCIAL COUNSELING PROCESSES USED TO IDENTIFY CHARITY CARE PATIENTS, OUR COLLECTIONS PROCESSES WITHIN OUR BUSINESS OFFICES ALSO HELP IDENTIFY PATIENTS WHO ARE ALREADY ELIGIBLE FOR CHARITY OR WHO MAY BE ELIGIBLE BASED ON THEIR STATUS WITHIN THE FEDERAL POVERTY GUIDELINES ("FPG"). WE UTILIZE PREVIOUSLY SUBMITTED PATIENT DOCUMENTATION AND CREDIT AGENCY REPORTED FPG FOR DETERMINATION. SUPPORTING DOCUMENTS ARE VALID 6 MONTHS FROM THE DATE OF SUBMISSION. OUR POLICIES ARE CONSIDERED FLUID AND ARE UPDATED FREQUENTLY BASED ON LOCAL AND NATIONAL MARKET STANDARDS AND NATIONAL ECONOMIC CONDITIONS. ANY UPDATES TO OUR POLICIES REQUIRE MULTI-LEVEL LEADERSHIP APPROVAL AND ARE ULTIMATELY APPROVED BY THE ORGANIZATION'S BOARD.
PART VI, LINE 4:	PART VI, LINE 4: COMMUNITY INFORMATIONTHE FORSYTH MEMORIAL HOSPITAL, INC. FORM 990 INCLUDES THE OPERATIONS OF ONE LICENSED HOSPITAL WITH FACILITIES IN THREE LOCATIONS: FORSYTH MEMORIAL HOSPITAL, INC. DBA NOVANT HEALTH FORSYTH MEDICAL CENTER, AS NOVANT HEALTH KERNERSVILLE MEDICAL CENTER, AND AS NOVANT HEALTH CLEMMONS MEDICAL CENTER. THE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREAS OF THE FACILITIES LISTED ABOVE INCLUDE THE CITY OF WINSTON-SALEM, THE TOWNS OF BETHANIA, KERNERSVILLE, LEWISVILLE, RURAL HALL, WALKERTOWN, AND THE VILLAGE OF CLEMMONS, ALL OF WHICH ARE LOCATED IN FORSYTH COUNTY, NORTH CAROLINA. THE SECONDARY SERVICE AREA COVERS A SEVEN COUNTY RADIUS INCLUDING: DAVIDSON, DAVIE, GUILFORD, STOKES, SURRY, WILKES, AND YADKIN COUNTIES. FORSYTH COUNTY IS MORE URBAN IN NATURE. THE COUNTY CONSISTS OF A LARGE URBAN CENTER SURROUNDED BY SMALLER, MORE RURAL COMMUNITIES. ACCORDING TO THE US CENSUS BUREAU DATA, THE MEDIAN HOUSEHOLD INCOME LEVEL WAS $49,402.ACCORDING TO SG2 DATA, THE SPECIFIC POPULATION GROUPS (ETHNIC AND CULTURAL) FOR THE PRIMARY AND SECONDARY SERVICE AREAS ARE AS FOLLOWS:PRIMARY SERVICE AREAETHNICITY POPULATION % OF POPULATIONWHITE 233,910 58.76%BLACK/AFRICAN AMERICAN 94,848 23.83%HISPANIC/LATINO 50,160 12.60%ASIAN/PACIFIC ISLANDERS 9,946 2.50%OTHER 9,203 2.31%TOTAL POPULATION 398,067 100%SECONDARY SERVICE AREAETHNICITY POPULATION % OF POPULATIONWHITE 560,152 65.90%BLACK/AFRICAN AMERICAN 171,235 20.15%HISPANIC/LATINO 70,425 8.29%ASIAN/PACIFIC ISLANDERS 28,614 3.37%OTHER 19,586 2.30%TOTAL POPULATION 850,012 100%ACCORDING TO SG2 DATA, THE AGE BREAKDOWN FOR THE PRIMARY AND SECONDARY SERVICE AREAS IS AS FOLLOWS:PRIMARY SERVICE AREAETHNICITY POPULATION % OF POPULATION0-17 92,161 23.15%18-64 242,138 60.83%65+ 63,768 16.02%TOTAL POPULATION 398,067 100.00%SECONDARY SERVICE AREAETHNICITY POPULATION % OF POPULATION0-17 186,347 21.92%18-64 514,730 60.56%65+ 148,935 17.52%TOTAL POPULATION 850,012 100.00%THERE ARE FIVE NONPROFIT ACUTE CARE HOSPITAL FACILITIES IN THE COMMUNITY, FOUR OF WHICH ARE PART OF THE NOVANT HEALTH SYSTEM. THERE IS ALSO ONE ACADEMIC TEACHING HOSPITAL.
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 HTTP://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMPANY-INFORMATION/FINANCIAL-PROFILE/COMMUNITY-BENEFIT-REPORT.ASPX.PLEASE NOTE THAT THE NUMERIC INFORMATION IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES.
PART VI, LINE 6:	PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, A NOT-FOR-PROFIT INTEGRATED GROUP OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS. NOVANT HEALTH IS RANKED AS ONE OF OUR NATION'S TOP 20 INTEGRATED HEALTHCARE SYSTEMS - CARING FOR PATIENTS AND COMMUNITIES IN NORTH CAROLINA, SOUTH CAROLINA, AND VIRGINIA. EACH HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITY IT SERVES, AS REPORTED INDIVIDUALLY ON EACH HOSPITAL'S FORM 990, SCHEDULE H. THE COMMUNITY BENEFIT OF THE SYSTEM AS A WHOLE IS DOCUMENTED IN A SYSTEM-WIDE COMMUNITY BENEFIT REPORT, LOCATED AT HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT.ASPX. PLEASE NOTE THAT THE NUMERIC INFORMATION IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES. IT SHOULD NOT BE RELIED UPON AS THE ORGANIZATION'S FORM 990, SCHEDULE H COMMUNITY BENEFIT REPORT, ITS COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION STRATEGY. THERE ARE SIGNIFICANT COMMUNITY BENEFIT ACTIVITIES WITHIN NOVANT HEALTH WHICH MAY NOT BE REPORTABLE ON A SCHEDULE H BECAUSE THEY ARE NOT CONDUCTED BY AN ENTITY WHICH OWNS OR OPERATES A HOSPITAL.IN ADDITION TO HOSPITALS, NOVANT HEALTH INCLUDES A PHYSICIAN ORGANIZATION WITH PRACTICES IN NORTH CAROLINA, SOUTH CAROLINA, AND VIRGINIA AND FIVE HOSPITAL FOUNDATIONS WHICH SUPPORT AND ENHANCE THE ACTIVITIES IN THOSE HOSPITALS' COMMUNITIES. FURTHER, NOVANT HEALTH INCLUDES AMBULATORY SURGERY CENTERS, IMAGING CENTERS, REHABILITATION CENTERS, AND OTHER OUTPATIENT FACILITIES; ALL DEDICATED TO PROMOTING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES.
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT	NOVANT HEALTH, INC. FILES A SYSTEM-WIDE COMMUNITY BENEFIT REPORT PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES WITH THE NORTH CAROLINA MEDICAL CARE COMMISSION AS PART OF THE DOCUMENTATION REQUIRED FOR THE ISSUANCE OF TAX EXEMPT BOND FINANCING.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ABC OF NC FOUNDATION
905 FRIEDBERG CHURCH ROAD	WINSTONSALEM	NC	27127	911963813	501(C)(3)	$15,000	$0	COMMUNITY OUTREACH
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVENUE	DALLAS	TX	75231	135613797	501(C)(3)	$105,000	$0	COMMUNITY OUTREACH
CANCER SERVICES INC
3175 MAPLEWOOD AVENUE	WINSTONSALEM	NC	27103	560656375	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
COMMUNITY CARE CENTER FOR FORSYTH COUNTY
2135 NEW WALKERTOWN ROAD	WINSTONSALEM	NC	27101	581403699	501(C)(3)	$25,000	$0	COMMUNITY OUTREACH
CRISIS CONTROL MINISTRY INC
200 EAST TENTH STREET	WINSTONSALEM	NC	27101	237348168	501(C)(3)	$15,000	$0	COMMUNITY OUTREACH
DAVIE COMMUNITY FOUNDATION INC
107 N SALISBURY STREET	MOCKSVILLE	NC	27028	581850531	501(C)(3)	$11,250	$0	COMMUNITY OUTREACH
EXPERIMENT IN SELF-RELIANCE INC
PO BOX 135	WINSTONSALEM	NC	27102	566060100	501(C)(3)	$15,000	$0	COMMUNITY OUTREACH
FAMILY SERVICES INC
1200 SOUTH BROAD STREET	WINSTONSALEM	NC	27101	560689235	501(C)(3)	$25,000	$0	COMMUNITY OUTREACH
FORSYTH TECHNICAL COMMUNITY COLLEGE
2100 SILAS CREEK PARKWAY	WINSTONSALEM	NC	27103	561070364	501(C)(3)	$100,000	$0	COMMUNITY OUTREACH
GREENSBORO AREA CHAMBER OF COMMERCE
111 W FEBRUARY ONE PLACE	GREENSBORO	NC	27401	560245040	501(C)(6)	$50,000	$0	COMMUNITY OUTREACH
HANDS ON NORTHWEST NORTH CAROLINA
751 WEST FOURTH STREET SUITE 200	WINSTONSALEM	NC	27101	260824793	501(C)(3)	$26,000	$0	COMMUNITY OUTREACH
HOSPICE & PALLIATIVE CARECENTER
101 HOSPICE LANE	WINSTONSALEM	NC	27103	581343313	501(C)(3)	$12,500	$0	COMMUNITY OUTREACH
HOSPITAL HOSPITALITY HOUSE OF WINSTON-SALEM
1970 BALDWIN LANE	WINSTONSALEM	NC	27103	203604576	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
INSIGHT HUMAN SERVICES INC
665 WEST FOURTH STREET	WINSTONSALEM	NC	27101	560951129	501(C)(3)	$20,000	$0	COMMUNITY OUTREACH
JDRF INTERNATIONAL
26 BROADWAY 15TH FL	NEW YORK	NY	10004	231907729	501(C)(3)	$15,000	$0	COMMUNITY OUTREACH
LEADERSHIP WINSTON-SALEM
624 W SIXTH STREET SUITE 110	WINSTONSALEM	NC	27101	581574887	501(C)(3)	$6,456	$0	COMMUNITY OUTREACH
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVENUE	WHITE PLAINS	NY	10605	131846366	501(C)(3)	$13,000	$0	COMMUNITY OUTREACH
MEDASSIST OF MECKLENBURG DBA NC MEDASSIST
4428 TAGGART CREEK ROAD	CHARLOTTE	NC	28208	562018957	501(C)(3)	$7,500	$0	COMMUNITY OUTREACH
NATIONAL CYCLING CENTER INC
145 KIMEL PARK DR	WINSTONSALEM	NC	27103	472950622	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
OLD HICKORY COUNCIL INC
6600 SILAS CREEK PKWY	WINSTONSALEM	NC	27106	560529985	501(C)(3)	$14,360	$0	COMMUNITY OUTREACH
PIEDMONT TRIAD PARTNERSHIP
PO BOX 2672	HIGH POINT	NC	27261	561750279	501(C)(3)	$25,000	$0	COMMUNITY OUTREACH
RONALD MCDONALD HOUSE OF WINSTON-SALEM
419 S HAWTHORNE ROAD	WINSTONSALEM	NC	27103	581454715	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
SAMARITAN MINISTRIES
414 E NORTHWEST BLVD	WINSTONSALEM	NC	27105	561490019	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
SECOND HARVEST FOOD BANK OF NORTHWEST NC INC
3655 REED STREET	WINSTNSALEM	NC	27107	581457912	501(C)(3)	$20,000	$0	COMMUNITY OUTREACH
SENIOR SERVICES INC
2895 SHOREFAIR DRIVE	WINSTONSALEM	NC	27105	561085968	501(C)(3)	$45,000	$0	COMMUNITY OUTREACH
SUSAN G KOMEN NORTHWEST NC
1106 BURKE STREET	WINSTONSALEM	NC	27101	752891104	501(C)(3)	$10,000	$0	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)	$9,100	$0	COMMUNITY OUTREACH
THE SHALOM PROJECT INC
639 SOUTH GREEN STREET	WINSTONSALEM	NC	27101	202136431	501(C)(3)	$12,000	$0	COMMUNITY OUTREACH
THE SHEPHERD'S CENTER OF KERNERSVILLE INC
PO BOX 2044	KERNERSVILLE	NC	27285	561471510	501(C)(3)	$7,500	$0	COMMUNITY OUTREACH
UNITED WAY OF FORSYTH COUNTY INC
301 N MAIN STREET SUITE 1700	WINSTONSALEM	NC	27101	237357234	501(C)(3)	$40,000	$0	COMMUNITY OUTREACH
UNIVERSITY OF NORTH CAROLINA SCHOOL OF THE ARTS FOUNDATION INC
1533 SOUTH MAIN STREET	WINSTONSALEM	NC	27127	566064850	501(C)(3)	$8,300	$0	COMMUNITY OUTREACH
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVD	WINSTONSALEM	NC	27157	223849199	501(C)(3)	$150,000	$0	COMMUNITY OUTREACH
WINSTON-SALEM ALLIANCE
100 N MAIN STREET	WINSTONSALEM	NC	27101	311726654	501(C)(6)	$35,000	$0	COMMUNITY OUTREACH
WINSTON-SALEM FOUNDATION
751 WEST FOURTH STREET SUITE 200	WINSTONSALEM	NC	27101	566037615	501(C)(3)	$50,500	$0	COMMUNITY OUTREACH
WINSTON-SALEM POLICE FOUNDATION INC
PO BOX 24011	WINSTONSALEM	NC	27114	475289473	501(C)(3)	$25,000	$0	COMMUNITY OUTREACH
WINSTON-SALEM SYMPHONY ASSOCIATION
201 NORTH BROAD STREET SUITE 200	WINSTONSALEM	NC	27101	560692826	501(C)(3)	$15,000	$0	COMMUNITY OUTREACH
YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHWEST NORTH CAROLINA
301 N MAIN STREET SUITE 1900	WINSTONSALEM	NC	27101	560530015	501(C)(3)	$16,000	$0	COMMUNITY OUTREACH
MORAVIAN HOME INCORPORATED
1000 SALEMTOWNE DRIVE	WINSTONSALEM	NC	27106	560963926	501(C)(3)	$40,000		COMMUNITY OUTREACH

Field	Value	IRS element (for citing)
Total501c3 Org	36	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
PATIENT ASSISTANCE	22	$20,840
MEDICATION FOR INDIGENT PATIENTS	551		$36,231	FMV	MEDICATION FOR INDIGENT PATIENTS
PATIENT TRANSPORTATION	3085		$47,702	FMV	CAB FARES FOR INDIGENT PATIENTS

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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EDWARDS JOEL MD
TRUSTEE	$391,343	$0	$125,621	$0	$32,003	$0	$16,500	$0	$19,980	$0	$585,447	$0	$0	$0
MORRIS JOHN
ASST SEC	$0	$258,746	$0	$101,077	$0	$33,207	$0	$24,000	$0	$23,612	$0	$440,642	$0	$7,500
SANZ SEAN
FMR PRES & COO	$85,208	$0	$257,849	$0	$84,148	$0	$15,201	$0	$8,959	$0	$451,365	$0	$25,550	$0
SETLIFF MICHAEL
PRES & COO FMH INCL KMC	$324,981	$0	$168,313	$0	$35,758	$0	$45,450	$0	$28,030	$0	$602,532	$0	$0	$0
SMITH HARRY
SVP HOSPITAL OPERATIONS	$0	$590,928	$0	$386,327	$0	$153,754	$0	$116,199	$0	$37,965	$0	$1,285,173	$0	$84,750
BRIGHT JANET
CNO	$185,469	$0	$36,075	$0	$25,143	$0	$7,446	$0	$10,655	$0	$264,788	$0	$0	$0
MOTEW STEPHEN
SVP	$457,344	$0	$275,852	$0	$134,176	$0	$95,850	$0	$30,585	$0	$993,807	$0	$63,750	$0
NYCUM LAWRENCE
SVP	$437,172	$0	$268,532	$0	$85,738	$0	$92,949	$0	$31,198	$0	$915,589	$0	$35,625	$0
ROYSTER KIRSTEN
PRES & COO KMC	$7,398	$260,633	$0	$131,192	$20,237	$17,224	$21,591	$0	$817	$10,546	$50,043	$419,595	$0	$0
BRAVO JULIO
RHEUMATOLOGIST	$450,437	$0	$296,199	$0	$28,518	$0	$23,688	$0	$37,880	$0	$836,722	$0	$7,500	$0
MCDONALD COLIN
NEUROLOGIST	$390,729	$0	$17,205	$0	$318,595	$0	$16,500	$0	$42,034	$0	$785,063	$0	$0	$0
NOUREDDINE NIZAR
CARDIOLOGIST	$461,490	$0	$225,200	$0	$32,321	$0	$22,533	$0	$36,375	$0	$777,919	$0	$7,500	$0
PRELI ROBERT
CARDIOLOGIST	$478,472	$0	$219,466	$0	$30,339	$0	$24,000	$0	$36,397	$0	$788,674	$0	$7,500	$0
ZEYLIKMAN YURIY
NEUROLOGIST	$358,868	$0	$14,320	$0	$634,858	$0	$24,000	$0	$34,811	$0	$1,066,857	$0	$0	$0
LINDSAY JEFFERY
FMR PRES - FMH/COO WS MKT	$0	$915,320	$0	$762,396	$0	$228,118	$0	$24,000	$0	$30,246	$0	$1,960,080	$0	$7,500
MIHAL DENISE
FMR PRES - FMH/COO WS MKT	$0	$676,022	$0	$583,872	$0	$197,524	$0	$24,000	$0	$19,808	$0	$1,501,226	$0	$7,500
GREGORY CHERE
FMR SVP	$0	$406,827	$0	$250,606	$0	$85,748	$0	$78,427	$0	$31,771	$0	$853,379	$0	$60,000
JARRETT-PULLIAM KIMBERLY
FMR CNO	$0	$132,377	$0	$182,864	$0	$26,891	$0	$16,173	$0	$7,761	$0	$366,066	$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, LINE 4B	PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED GREGORY, CHERE MD 52,500 MOTEW, STEPHEN 56,250 NYCUM, LAWRENCE 28,125 SANZ, SEAN 25,550 SMITH, HARRY 77,250
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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 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 28,000 EMPLOYEES WHO MAKE HEALTHCARE REMARKABLE AT OVER 640 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 FOUR MILLION PATIENTS ANNUALLY. NOVANT HEALTH IS RANKED AS ONE OF THE NATION'S TOP 25 INTEGRATED HEALTH SYSTEMS BY SK&A. IN 2018, THE NOVANT HEALTH SYSTEM REPORTED $5 BILLION IN REVENUES. GENERAL INFORMATION NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH CLEMMONS MEDICAL CENTER, AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER EXIST TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE WITH A VISION OF PROVIDING A REMARKABLE PATIENT EXPERIENCE IN EVERY DIMENSION, EVERY TIME. THEY ACCOMPLISH THAT MISSION BY PROVIDING HEALTHCARE SERVICES TO ALL WHO ENTRUST THEIR CARE TO THEM AND BY SUPPORTING THE GREATER WINSTON SALEM, CLEMMONS AND KERNERSVILLE, NC COMMUNITIES THROUGH PARTNERSHIPS AND OUTREACH. THE HOSPITALS SUPPORT ORGANIZATIONS THAT PROVIDE HEALTH SERVICES, EDUCATION AND ASSISTANCE TO THE UNINSURED AND THE OVERALL COMMUNITY. IN ITS SEVENTH FULL YEAR OF OPERATION, NOVANT HEALTH FORSYTH MEDICAL CENTER AFFILIATE HOSPITAL, NOVANT HEALTH KERNERSVILLE MEDICAL CENTER IN KERNERSVILLE, NC FOCUSED ON PROVIDING A REMARKABLE PATIENT EXPERIENCE VIA A FAST-ACCESS EMERGENCY DEPARTMENT, GENERAL, ORTHOPEDIC AND EYE SURGICAL SERVICES, CONSISTENT QUALITY, AND EXCELLENT SERVICE TO RESIDENTS IN THE KERNERSVILLE AREA, WESTERN GUILFORD AND ROCKINGHAM COUNTIES OF NORTH CAROLINA, AS WELL AS EASTERN STOKES AND FORSYTH COUNTIES OF NORTH CAROLINA. NOVANT HEALTH FORSYTH MEDICAL CENTER'S AFFILIATE HOSPITAL, NOVANT HEALTH CLEMMONS MEDICAL CENTER IN CLEMMONS, NC FOCUSED ON PROVIDING A REMARKABLE PATIENT EXPERIENCE VIA A FAST-ACCESS EMERGENCY DEPARTMENT, GENERAL, ORTHOPEDIC, PODIATRIC, TRANSITIONAL/INFUSION SERVICES AND EAR, NOSE AND THROAT SURGICAL SERVICES, PROVIDING CONSISTENT QUALITY AND EXCELLENT SERVICE TO RESIDENTS IN WESTERN FORSYTH COUNTY, DAVIE COUNTY AND YADKIN COUNTY OF NORTH CAROLINA. 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 THE TRIAD AND SURROUNDING COUNTIES IN MANY UNIQUE WAYS. A FEW EXAMPLES OF THIS ARE AS FOLLOWS: FREE COMMUNITY SCREENINGS - IN 2018, NOVANT HEALTH FORSYTH MEDICAL CENTER HELD 426 FREE SCREENING EVENTS THAT SERVED MORE THAN 4,300 SCREENING PARTICIPANTS. LOCATIONS INCLUDE NOVANT HEALTH TRIAD CAMPUSES, LOCAL PUBLIC SCHOOLS, YMCA/YWCA, HOMELESS SHELTERS, CORPORATIONS, FAITH COMMUNITIES, AND SENIOR CENTERS. THE VARIOUS EVENTS SCREENED FOR A1C, ABI, BONE DENSITY, BLOOD PRESSURE, BREAST CANCER AND HEART HEALTH. COMMUNITY EDUCATION - AS ACTIVE COMMUNITY PARTNERS, NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH CLEMMONS MEDICAL CENTER, AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER REGULARLY HOST AND/OR DELIVER GENERAL HEALTH EDUCATION SESSIONS AND WELLNESS PROGRAMS THROUGHOUT THE YEAR. IN 2018, 431 FREE EDUCATIONAL EVENTS SERVED MORE THAN 9,000 INDIVIDUALS. LOCATIONS INCLUDE CAMPUS FACILITIES, PUBLIC SCHOOLS, YMCA/YWCA, RECREATION CENTERS, PUBLIC LIBRARIES, SENIOR CENTERS, CORPORATIONS, HOMELESS SHELTERS, FAITH COMMUNITIES, AND NEIGHBORHOOD EVENTS. IN 2018, NEARLY 700 WELLNESS COACH SESSIONS WERE PROVIDED WITH A CERTIFIED COACH, EITHER IN 1:1 OR GROUP SETTINGS. SUPPORT GROUPS - NOVANT HEALTH FORSYTH MEDICAL CENTER AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER HOST A FULL RANGE OF SUPPORT GROUPS THAT PROVIDE EMOTIONAL SUPPORT SERVICES TO THOSE IMPACTED BY A VARIETY OF CHRONIC DISEASES AND HEALTHCARE ISSUES. FROM DIABETES AND WEIGHT MANAGEMENT, PROSTATE CANCER AND NURSING MOTHERS BREASTFEEDING, THE HOSPITALS OFFER OPPORTUNITIES FOR INDIVIDUALS TO MAKE CONNECTIONS WITH OTHERS FACING SIMILAR HEALTH ISSUES AND CHALLENGES. ALL SUPPORT GROUPS ARE FREE AND OPEN TO ANYONE IN THE COMMUNITY. IN 2018, 81 SUPPORT GROUPS WERE PROVIDED TO MORE THAN 2,000 ATTENDEES.
FORM 990, PART I, LINE 1	ARTS & HEALING - NOVANT HEALTH FORSYTH MEDICAL CENTER OFFERS HEALING THROUGH MUSIC IN THE FORM OF PARTNERSHIPS WITH THE WINSTON-SALEM SYMPHONY AS WELL AS VOLUNTEER PERCUSSIONISTS AND PIANISTS. MUSIC IS AVAILABLE WEEKLY WHERE MUSICIANS ROTATE THROUGH LOBBY AND PATIENT CARE AREAS, INCLUDING PALLIATIVE SPACES. HEALING IS ALSO AVAILABLE IN THE FORM OF ART CLASSES, WHICH ARE HELD WEEKLY FOR EXPECTANT MOTHERS IN THE ANTE-PARTUM UNIT. SCHOOL PARTNERSHIPS - NOVANT HEALTH HAS PARTNERED WITH THE DAVIE, DAVIDSON AND ROWAN-SALISBURY SCHOOL SYSTEMS TO PROVIDE ATHLETIC TRAINERS AND RAPID PHYSICIAN ACCESS TO 14 SCHOOLS. THESE ATHLETIC TRAINERS PROVIDE ONGOING SPORTS PERFORMANCE, INJURY AND SAFETY MANAGEMENT THROUGH THE SCHOOL YEAR TO STUDENT ATHLETES. AS PART OF THIS INITIATIVE, NOVANT HEALTH DONATED AUTOMATED EXTERNAL DEFIBRILLATORS TO PARTNER SCHOOLS SO THAT THEY ARE BETTER EQUIPPED TO MANAGE ON-CAMPUS MEDICAL EMERGENCIES. NOVANT HEALTH KERNERSVILLE MEDICAL CENTER, THE COMMUNITY'S FIRST HOSPITAL, OPENED IN MARCH 2011 AND IS A STATE-OF-THE-ART MEDICAL/SURGICAL FACILITY WITH 50 IN-PATIENT ROOMS, AN EMERGENCY DEPARTMENT WHICH IS OPEN 24/7, CRITICAL CARE BEDS AND SURGICAL SUITES. SOME KEY SERVICES INCLUDE: INTERMEDIATE CARE UNIT - NEWLY EXPANDED IN 2018, KERNERSVILLE MEDICAL CENTER HAS AN INTERMEDIATE CARE UNIT TO BRIDGE THE GAP BETWEEN THE INTENSIVE CARE UNIT AND THE MEDICAL/SURGICAL FLOOR. THIS UNIT HAS 12 BEDS AND PROVIDES SPECIALTY CARE FOR PATIENTS IN THE KERNERSVILLE COMMUNITY. TRANSITIONAL CARE & INFUSION SERVICES - KERNERSVILLE MEDICAL CENTER HAS ALSO ADDED TRANSITIONAL CARE, WHICH IS A NEW HEALTHCARE DELIVERY MODEL THAT ALLOWS PATIENTS TO RECEIVE CARE AT THE MEDICAL CENTER DURING THE DAY AND GO HOME AT NIGHT. THIS MODEL LEADS TO SHORTER HOSPITAL STAYS AND LOWER HEALTHCARE COSTS. DURING A TRANSITIONAL CARE APPOINTMENT, PROVIDERS EVALUATE A PATIENT'S SYMPTOMS, PROVIDE MEDICATIONS IF NEEDED, ORDER ANY NECESSARY TESTS AND ANSWER ANY QUESTIONS A PATIENT MAY HAVE. RESPIRATORY AND PULMONARY SERVICES - KERNERSVILLE MEDICAL CENTER SPECIALISTS TREAT A WIDE RANGE OF RESPIRATORY AND PULMONARY DISEASES AND CONDITIONS INCLUDING: ASTHMA, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), EMPHYSEMA, LUNG CANCER, PNEUMONIA, SLEEP APNEA, SNORING AND MANY OTHERS. BREAST CENTER - NOVANT HEALTH BREAST CENTER OFFERS COMPREHENSIVE BREAST HEALTH CARE, INCLUDING MAMMOGRAPHY SCREENINGS, DIAGNOSTIC AND STEREOTACTIC PROCEDURES, BIOPSIES, CHEMOTHERAPY, RADIATION TREATMENT AND GENERAL AND PLASTIC SURGERY. NOVANT HEALTH KERNERSVILLE MEDICAL OFFICE BUILDING AND OUTPATIENT SURGERY CENTER - IN FALL 2016, NOVANT HEALTH BEGAN CONSTRUCTION ON A MEDICAL OFFICE BUILDING LOCATED ON THE CAMPUS OF NOVANT HEALTH KERNERSVILLE MEDICAL CENTER. THE NEW BUILDING, COMPLETED IN 2017, IS 60,000 SQUARE FEET AND HOUSES PHYSICIAN OFFICES AND SUITES, TWO OPERATING ROOMS AND A PROCEDURE ROOM. THE AMBULATORY SURGERY CENTER, LOCATED ON THE SECOND FLOOR OF THE MEDICAL OFFICE BUILDING WAS COMPLETED IN 2018. NOVANT HEALTH CLEMMONS MEDICAL CENTER BEGAN CONSTRUCTION ON A THREE-STORY, 60,000-SQUARE-FOOT MEDICAL OFFICE BUILDING THAT WILL SERVE AS A MULTI-SPECIALTY AMBULATORY SURGICAL CENTER FOR COMMUNITY MEMBERS. THE AMBULATORY SURGICAL CENTER MODEL LEADS TO SHORTER HOSPITAL STAYS AND LOWER HEALTHCARE COSTS FOR CLEMMONS PATIENTS. NEW TECHNOLOGY & SERVICES A CONCURRENT ELECTRONIC HEALTH RECORD (EHR) INITIATIVE HAS BEEN IMPLEMENTED BY BOTH THE ACUTE AND AMBULATORY FACILITIES IN THE NOVANT HEALTH SYSTEM. CLINICIANS CAN SHARE PATIENTS' MEDICAL INFORMATION BETWEEN PHYSICIAN OFFICES, OUTPATIENT CENTERS AND HOSPITALS. THIS SHARING OF INFORMATION IMPROVES SAFETY AND COORDINATION OF CARE AND PROMOTES CONNECTIVITY AND COMMUNICATION BETWEEN HOSPITAL CAREGIVERS, SPECIALISTS AND PRIMARY CARE PROVIDERS. EMBARKING ON THE JOURNEY TO CREATE A SHARED EHR IS THE MOST SIGNIFICANT AND IMPORTANT INVESTMENT NOVANT HEALTH HAS EVER MADE FOR ITS PATIENTS, AND TEAM MEMBERS. AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS NATIONAL COMMITTEE FOR QUALITY ASSURANCE - THE HEART STROKE RECOGNITION PROGRAM (HSRP) ASSESSES KEY QUALITY PERFORMANCE MEASURES THAT ARE BASED ON NATIONAL EVIDENCE BASED GUIDELINES FOR SECONDARY PREVENTION OF CARDIOVASCULAR DISEASE AND STROKE. PROGRAM MEASURES INCLUDE BLOOD PRESSURE CONTROL, USE OF ASPIRIN, SMOKING AND TOBACCO USE CESSATION ASSISTANCE, BODY MASS INDEX SCREENING, AND MORE. NATIONAL COMMITTEE FOR QUALITY ASSURANCE - PATIENT-CENTERED MEDICAL HOME RECOGNITION NCQA'S PATIENT-CENTERED MEDICAL HOME PREVALIDATION PROGRAM EVALUATES ELECTRONIC HEALTH RECORD (EHR) SYSTEMS, ADVANCED REGISTRIES, POPULATION HEALTH MANAGEMENT TOOLS AND OTHER RELATED TECHNOLOGY SOLUTIONS TO IDENTIFY ALIGNMENT WITH PATIENT-CENTERED MEDICAL HOME RECOGNITION STANDARDS REQUIREMENT. AWARDS INCLUDE: GET WITH THE GUIDELINES STROKE AWARDS NOVANT HEALTH FORSYTH MEDICAL CENTER: GOLD PLUS WITH TARGET STROKE ELITE PLUS HONOR ROLL GET WITH THE GUIDELINES HEART FAILURE AWARDS NOVANT HEALTH FORSYTH MEDICAL CENTER: GOLD PLUS WITH TARGET HEART FAILURE HONOR ROLL
FORM 990, PART I, LINE 1	HEALTH INFORMATION AND MANAGEMENT SYSTEMS SOCIETY (HIMSS) STAGE 7 ACUTE CARE AWARD - THIS RECOGNITION REPRESENTS NOVANT HEALTH KERNERSVILLE MEDICAL CENTER'S ACHIEVEMENT OF THE HIGHEST LEVEL ON THE ELECTRONIC MEDICAL RECORD ADOPTION MODEL (EMRAM), WHICH MEANS THAT WE ARE UTILIZING ELECTRONIC MEDICAL RECORD TECHNOLOGY TO ITS FULLEST POTENTIAL TO PROVIDE ACCESS AND CARE TO OUR PATIENTS. LEADERS IN LGBTQ HEALTHCARE EQUALITY - NOVANT HEALTH FORSYTH MEDICAL CENTER AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER HAVE BEEN RECOGNIZED AS "LEADER IN LGBTQ HEALTHCARE EQUALITY" BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION, THE EDUCATIONAL ARM OF THE COUNTRY'S LARGEST LESBIAN, GAY, BISEXUAL AND TRANSGENDER CIVIL RIGHTS ORGANIZATION. FACILITIES AWARDED THIS TITLE MEET KEY CRITERIA, INCLUDING PATIENT AND EMPLOYEE NONDISCRIMINATION POLICIES, A GUARANTEE OF EQUAL VISITATION FOR SAME-SEX PARTNERS AND PARENTS, AND LGBTQ HEALTH EDUCATION FOR KEY STAFF MEMBERS. ADDITIONAL CERTIFICATIONS FOR FORSYTH MEDICAL CENTER INCLUDE: - AMERICAN ASSOCIATION FOR CARDIOVASCULAR AND PULMONARY REHABILITATION - AMERICAN DIABETES ASSOCIATION - SELF MANAGEMENT EDUCATION RECOGNITION - CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY (AAGL) - INTERNATIONAL ASSOCIATION FOR HEALTHCARE SECURITY AND SAFETY - NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID - ONCOLOGY REHAB PARTNERS STAR PROGRAM CERTIFICATION - THE JOINT COMMISSION - HIP FRACTURE CERTIFICATION - THE JOINT COMMISSION - TOTAL HIP JOINT REPLACEMENT CERTIFICATION - THE JOINT COMMISSION - ADVANCED PALLIATIVE CARE PROGRAM CERTIFICATION - THE JOINT COMMISSION - COMPREHENSIVE STROKE CENTER - THE JOINT COMMISSION - MINIMALLY INVASIVE COLORECTAL SURGERY CENTER ADDITIONAL CERTIFICATIONS FOR KERNERSVILLE MEDICAL CENTER INCLUDE: - INTERNATIONAL ASSOCIATION FOR HEALTHCARE SECURITY AND SAFETY - NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID ADDITIONAL CERTIFICATIONS FOR EACH HOSPITAL INCLUDE: - COLLEGE OF AMERICAN PATHOLOGY - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - CLIA - UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - MEDICARE ACCREDITATION THE JOINT COMMISSION - NOVANT HEALTH FORSYTH MEDICAL CENTER, NOVANT HEALTH KERNERSVILLE MEDICAL CENTER, AND NOVANT HEALTH CLEMMONS MEDICAL CENTER HAVE ALL BEEN ACCREDITED BY THE JOINT COMMISSION, AN INDEPENDENT ORGANIZATION THAT EVALUATES A HEALTHCARE ORGANIZATION'S PERFORMANCE IN AREAS THAT MOST AFFECT PATIENT HEALTH AND SAFETY. THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) - THE ANCC AWARDED THE NURSING PROGRAMS AT NOVANT HEALTH FORSYTH MEDICAL CENTER AND NOVANT HEALTH KERNERSVILLE MEDICAL CENTER FOR ITS EXCELLENCE AND QUALITY IN NURSING CARE BY NAMING IT WITH MAGNET RECOGNITION. ONLY FIVE PERCENT OF ALL HOSPITALS NATIONWIDE HAVE EARNED THIS HIGH HONOR, WHICH RECOGNIZES FACILITIES THAT PROVIDE THE HIGHEST LEVEL OF NURSING CARE. THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION - NOVANT HEALTH FORSYTH MEDICAL CENTER IS RECOGNIZED AS AN ADVANCED COMPREHENSIVE STROKE CENTER, FOCUSING ON COMPREHENSIVE CARE OF THE COMPLEX STROKE PATIENT. SOCIETY OF CHEST PAIN CENTERS - NOVANT HEALTH FORSYTH MEDICAL CENTER RECEIVED THE CHEST PAIN ACCREDITATION BY THE SOCIETY OF CHEST PAIN CENTERS. THIS ACCREDITATION DEMONSTRATES A SEAMLESS AND STANDARDIZED PROCESS OF QUALITY CARE DELIVERY AT NOVANT HEALTH CHEST PAIN FACILITIES. ADDITIONAL ACCREDITATIONS FOR NOVANT HEALTH FORSYTH MEDICAL CENTER INCLUDE: - AMERICAN COLLEGE OF RADIOLOGY - AMERICAN COLLEGE OF RADIOLOGY - RADIATION ONCOLOGY - AMERICAN COLLEGE OF SURGEONS - CANCER CENTER - AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS - COMMISSION OF ACCREDITATION OF REHABILITATION FACILITIES - INTERSOCIETAL ACCREDITATION COMMISSION CAROTID STENTING - INTERSOCIETAL ACCREDITATION COMMISSION ECHOCARDIOGRAPHY LABORATORIES - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - COLLEGE OF AMERICAN PATHOLOGY ADDITIONAL ACCREDITATIONS FOR KERNERSVILLE MEDICAL CENTER INCLUDE: - AMERICAN COLLEGE OF RADIOLOGY - AMERICAN COLLEGE OF RADIOLOGY - MAMMOGRAPHY - INTERSOCIETAL ACCREDITATION COMMISSION ECHOCARDIOGRAPHY LABORATORIES - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - COLLEGE OF AMERICAN PATHOLOGY COMMUNITY BENEFIT REPORT HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNI TY-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 $884,000,000, INCLUDING $155,000,000 IN FINANCIAL ASSISTANCE FOR 2018.
FORM 990, PART III, LINE 1: MISSION, VISION, AND VALUES	MISSION NOVANT HEALTH EXISTS TO IMPROVE THE HEALTH OF COMMUNITIES, ONE PERSON AT A TIME. VISION WE, THE NOVANT HEALTH TEAM, WILL DELIVER THE MOST REMARKABLE PATIENT EXPERIENCE, IN EVERY DIMENSION, EVERY TIME. VALUES -COMPASSION: WE TREAT OUR CUSTOMERS AND THEIR FAMILIES, STAFF AND OTHER HEALTHCARE PROVIDERS AS FAMILY MEMBERS BY SHOWING THEM KINDNESS, PATIENCE, EMPATHY AND RESPECT. -DIVERSITY AND INCLUSION: WE RECOGNIZE THAT EVERY PERSON IS DIFFERENT, EACH SHAPED BY UNIQUE LIFE EXPERIENCES. THIS ENABLES US TO BETTER UNDERSTAND ONE ANOTHER AND OUR CUSTOMERS. BY ENGAGING THE STRENGTHS AND TALENTS OF EACH TEAM MEMBER, WE ENSURE A STRONG ORGANIZATION CAPABLE OF PROVIDING REMARKABLE HEALTHCARE TO OUR PATIENTS, FAMILIES AND COMMUNITIES. -PERSONAL EXCELLENCE: WE STRIVE TO GROW PERSONALLY AND PROFESSIONALLY, AND WE APPROACH EACH SERVICE OPPORTUNITY WITH A POSITIVE, FLEXIBLE ATTITUDE. HONESTY AND PERSONAL INTEGRITY GUIDE ALL THAT WE DO. -TEAMWORK: THE NEEDS AND EXPECTATIONS OF ANY ONE CUSTOMER ARE GREATER THAN THAT WHICH ONE PERSON'S SERVICE EFFORTS CAN SATISFY. WE SUPPORT EACH OTHER SO THAT TOGETHER AS A TEAM, WE CAN BE SUCCESSFUL IN THE EYE OF THE CUSTOMER AS A QUALITY SERVICE PROVIDER. -COURAGE: WE ACT BOLDLY IN MAKING THE CHANGES NECESSARY TO ACHIEVE OUR MISSION, VISION AND PROMISE OF DELIVERING REMARKABLE HEALTHCARE. OUR PEOPLE WE ARE AN INCLUSIVE TEAM OF PURPOSE-DRIVEN PEOPLE INSPIRED AND UNITED BY OUR PASSION TO CARE FOR EACH OTHER, OUR PATIENTS AND OUR COMMUNITIES. OUR PROMISE TO PATIENTS WE ARE MAKING YOUR HEALTHCARE EXPERIENCE REMARKABLE. WE WILL BRING YOU WORLD-CLASS CLINICIANS, CARE AND TECHNOLOGY - WHEN AND WHERE YOU NEED THEM. WE ARE REINVENTING THE HEALTHCARE EXPERIENCE TO BE SIMPLER, MORE CONVENIENT AND MORE AFFORDABLE, SO THAT YOU CAN FOCUS ON GETTING BETTER AND STAYING HEALTHY.
FORM 990, PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS	KMC HAS 50 LICENSED BEDS. DURING 2018 THERE WERE 10,955 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 3 DAYS, AN AVERAGE DAILY CENSUS OF 30, AND 3,251 DISCHARGES. THERE WERE 4,368 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 51,849 OUTPATIENT ENCOUNTERS AND 35,997 EMERGENCY DEPARTMENT VISITS. CMC HAS 36 LICENSED BEDS. DURING 2018 THERE WERE 4,219 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 2 DAYS, AN AVERAGE DAILY CENSUS OF 12, AND 2,118 DISCHARGES. THERE WERE 3,298 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 27,739 OUTPATIENT ENCOUNTERS AND 20,062 EMERGENCY DEPARTMENT VISITS.
FORM 990, PART VI, SECTION A, LINE 6	FORM 990, PART VI, SECTION A, LINE 6: CLASSES OF MEMBERS OR STOCKHOLDERS THE CORPORATION IS A NONPROFIT CORPORATION WITH MEMBERS (OR A MEMBER).
FORM 990, PART VI, SECTION A, LINE 7A	FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF MEMBERS AND THEIR RIGHTS NOVANT HEALTH, INC. ELECTS ALL MEMBERS OF THE GOVERNING BODY OF FORSYTH MEMORIAL HOSPITAL,INC.
FORM 990, PART VI, SECTION A, LINE 7B	FORM 990, PART VI, SECTION A, LINE 7B: DECISIONS SUBJECT TO APPROVAL OF MEMBERS NOVANT HEALTH, INC. HAS CERTAIN RESERVED POWERS, SUCH AS APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS OF THE CORPORATION, AND TO ADOPT CERTAIN POLICIES WHICH SHALL BE IMPLEMENTED BY THE CORPORATION BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990, PART VI, SECTION B, LINE 11: ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE BOARD HAS DELEGATED REVIEW OF THE FORM 990 TO NOVANT HEALTH'S BOARD OF TRUSTEES' AUDIT AND COMPLIANCE COMMITTEE ("THE COMMITTEE"), WHICH OVERSEES TAX MATTERS FOR ENTITIES IN THE NOVANT HEALTH SYSTEM. THE COMMITTEE IS THE REVIEW BODY FOR ALL OF THE FORM 990S FILED FOR ORGANIZATIONS WITHIN THE NOVANT HEALTH SYSTEM. THE COMMITTEE MEETS BEFORE THE FORM 990S ARE FILED WITH THE IRS AND AFTER ALL BOARD MEMBERS HAVE BEEN PROVIDED A PAPER OR ELECTRONIC COPY OF THE FORM 990 AND A SUMMARY OF ITS CONTENTS. THE VICE PRESIDENT OF TAX AND LEGAL COUNSEL FOR NOVANT HEALTH ATTEND THE MEETING TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	FORM 990, PART VI, SECTION B, LINE 12C: MONITORING AND ENFORCEMENT OF COI THE ORGANIZATION'S TRUSTEE CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES, PRINCIPAL OFFICERS OR MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS INCLUDING ANY APPLICABLE DISREGARDED ENTITIES. ALL TRUSTEES ARE SENT AN ANNUAL DISCLOSURE QUESTIONNAIRE. THE TRUSTEE ANNUAL DISCLOSURE QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. WITH RESPECT TO PARTICULAR TRANSACTIONS THAT COME BEFORE THE BOARD, THE CONFLICT OF INTEREST POLICY WOULD BE FOLLOWED. THE POTENTIAL CONFLICT OF INTEREST WOULD BE DISCLOSED BY THE BOARD MEMBER BEFORE A VOTE ON THE TRANSACTION AND THE REST OF THE BOARD WOULD DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF THE REST OF THE BOARD DETERMINED THAT A CONFLICT OF INTEREST EXISTED THEN THE BOARD MEMBER WITH THE CONFLICT OF INTEREST WOULD NOT PARTICIPATE IN THE DELIBERATIONS AND VOTE.
FORM 990, PART VI, SECTION B, LINE 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 A, COLUMN B: RELATED ORGANIZATIONS	THE ORGANIZATION EMPLOYS CERTAIN EXECUTIVES WHOSE ROLES ARE SUCH THAT THEY PROVIDE SERVICES TO NOT ONLY THE ORGANIZATION, BUT ALSO TO SOME OR ALL OF THE OTHER TAX-EXEMPT ORGANIZATIONS WITHIN THE HEALTHCARE SYSTEM. FOR EXAMPLE, MANY OF THESE EXECUTIVES' ROLES FOCUS ON PARTICULAR SERVICE LINES WHICH CROSS THE VARIOUS GEOGRAPHIC MARKETS OUR ORGANIZATIONS SERVE, THUS THE SERVICES PROVIDED BY THESE EXECUTIVES MAY BENEFIT AND BE RECEIVED BY MULTIPLE ORGANIZATIONS WITHIN THE SYSTEM. THE EXECUTIVES DO NOT ALLOCATE THEIR HOURS BETWEEN THE VARIOUS ORGANIZATIONS, BUT RATHER THEIR TIME SPENT ON SERVICES TO THE ORGANIZATION IS INCLUSIVE OF SERVICES TO ALL OF THE ORGANIZATIONS THEY SERVE WITHIN THE SYSTEM.
FORM 990, PART VII, SECTION B: INDEPENDENT CONTRACTORS	THE FILING ENTITY IS PART OF THE NOT-FOR-PROFIT INTEGRATED HEALTHCARE SYSTEM KNOWN AS NOVANT HEALTH. NOVANT HEALTH, INC., THE PARENT ORGANIZATION, IS RESPONSIBLE FOR CERTAIN CORPORATE SUPPORT FUNCTIONS INCLUDING ACCOUNTS PAYABLE AND ISSUES FORMS 1099 FOR CERTAIN ENTITIES IN THE SYSTEM INCLUDING THE FILING ENTITY. INFORMATION REPORTED IN PART VII, SECTION B REPRESENTS THE EXPENSES PAID ON BEHALF OF THE FILING ENTITY TO INDEPENDENT CONTRACTORS OVER $100,000.
FORM 990, PART IX, LINE 6: COMPENSATION OF DISQUALIFIED PERSONS	THE AMOUNTS REPORTED HERE INCLUDE AMOUNTS ATTRIBUTABLE TO DISQUALIFIED PERSONS (DQP) AS DEFINED IN THE INSTRUCTIONS, BUT NOW ALSO INCLUDES AMOUNTS ATTRIBUTABLE TO INDIVIDUALS THAT MAY NOT DEFINITIVELY BE CONSIDERED DQPS UNDER THE 4958 RULES. WE HAVE OPTED TO TAKE A MORE EXPANSIVE APPROACH AS TO WHO MAY BE CONSIDERED A DQP AND REPORT THEM HERE AS WELL.
FORM 990, PART XI, LINE 9:	CONTRIBUTIONS: -1,401,008. MALPRACTICE INSURANCE: -390,232. AFFILIATE TRANSFERS: -1,510,878. PARTNERSHIP ADJUSTMENT: 16,846,580.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt
EXCEL IMAGING LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	204253946	INACTIVE	NC	FORSYTH MEMORIAL HOSPITAL INC
NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	825250651	HEALTHCARE	NC	FORSYTH MEMORIAL HOSPITAL INC	$136,043	$87,404
NOVANT HEALTH KERNERSVILLE OUTPATIENT SURGERY LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	821651821	HEALTHCARE	NC	FORSYTH MEMORIAL HOSPITAL INC	$896,924	$3,673,484

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 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
ROWAN MEDICAL FACILITIES INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561424672	MEDICAL SUPPLIES	NC	N/A	C	0
SALEM DIAGNOSTICS INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561513621	HEALTH RELATED	NC	N/A	C	0
SALEM HEALTH SERVICES INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561342654	HEALTH RELATED	NC	N/A	C	0
THE PARK AT MONROE PROPERTY OWNERS ASSOCIATION INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	463910256	RENTAL REAL ESTATE	NC	N/A	C	0

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FORSYTH MEDICAL CENTER FOUNDATION
C	$2,470,495	CASH
AUXILIARY OF FORSYTH MEMORIAL HOSPITAL INC
C	$50,878	CASH
FORSYTH MEDICAL CENTER FOUNDATION
R	$1,510,878	CASH