2019-11-15T07:36:40-06:00 2018-12-31 990 2018-01-01 560554230 THE PRESBYTERIAN HOSPITAL PRES 3367182803 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 FRED HARGETT EVP & CFO 3367182003 2019-11-11 170.98.106.254 2019-11-11 13:18:40 ES P D6D028B83EC7BAE48696A0FE418AC7215527A94E A2315309B7343EB998963AA05290CF11231D17E5 2018 2020-04-17 16:48:07Z NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER CARL ARMATO 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 1422689209 0 X WWW.NOVANTHEALTH.ORG X 1903 NC SEE SCHEDULE O 16 11 6761 534 11029830 0 2805246 2368864 1238733259 1409714492 486741 678832 15360680 9080467 1257385926 1421842655 2098998 2261597 0 0 371775471 412626972 0 0 0 709389366 783960854 1083263835 1198849423 174122091 222993232 1759646092 1989743576 73893877 85603977 1685752215 1904139599 X SEE SCHEDULE O 0 0 993541459 2261597 1400111005 THE PRESBYTERIAN HOSPITAL (PH), PRESBYTERIAN HOSPITAL HUNTERSVILLE (PHH), CHARLOTTE ORTHOPEDIC HOSPITAL (COH) AND PROVIDER BASED PHYSICIAN PRACTICES EXIST TO PROMOTE THE HEALTH OF THE INHABITANTS OF THE CHARLOTTE-MECKLENBURG COUNTY AREA OF NC REGARDLESS OF THE PATIENT'S ABILITY TO PAY. DURING 2018, THE HOSPITALS HAD 727 LICENSED BEDS. THERE WERE 185,836 PATIENT DAYS, WITH AN AVERAGE LENGTH OF STAY OF 5 DAYS, AND AN AVERAGE DAILY CENSUS OF 424. THERE WERE 39,879 DISCHARGES, 41,893 INPATIENT AND OUTPATIENT SURGERIES, 528,047 OUTPATIENT ENCOUNTERS AND 130,328 EMERGENCY DEPARTMENT VISITS. 993541459 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 6761 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 NC X X KAREN DAUGHERTY 3367182803 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 X AGUSTI HENRY TRUSTEE 2.00 X 0 0 0 COTTINGHAM DANIEL TRUSTEE 2.00 X 0 0 0 DAVIS JONI TRUSTEE 2.00 X 0 0 0 FARTHING LINDA SEC 2.00 X X 0 0 0 GOLDMAN TALIA TRUSTEE 2.00 X 0 0 0 JOHNSON JAMES MD TRUSTEE 2.00 X 0 0 0 JONES THADDEUS TRUSTEE 2.00 X 0 0 0 LEE MICHELLE TRUSTEE 2.00 X 0 0 0 LEWIS JOHN TRUSTEE 2.00 X 0 0 0 LYONS JANELLE TRUSTEE 2.00 X 0 0 0 MYERS LEE TREASURER 2.00 X X 0 0 0 POSTON WILLIAM MD TRUSTEE 2.00 X 0 0 0 VINCENT PAULA PRESIDENT 60.00 X X 801557 0 36296 VUONG QUYNHDAO MD TRUSTEE 2.00 X 0 687822 61695 WATSON DANIEL MD TRUSTEE 2.00 X 0 0 0 ZEISS PAUL ANTHONY CHAIR 2.00 X X 0 0 0 SMITH HARRY SVP HOSPITAL OPERATIONS 60.00 X 0 1131009 154164 STOKER SHELLI ASST SEC 2.00 X 0 289350 34653 WALSH BETSY ASST SEC 2.00 X 0 397382 56315 FLETCHER SIDNEY CMO 60.00 X 789303 0 137574 KING KATRINA CNO-SPR 60.00 X 194649 0 32296 MUELLER ANDREW SVP 60.00 X 0 859314 135408 RILEY MICHAEL PRES-PHH 60.00 X 512232 0 53949 SADLER KELLI CNO-PHH 60.00 X 243290 0 32452 LASSITER LANCE ONCOLOGIST 40.00 X 620580 0 64420 MCMILLAN EDWARD CARDIOLOGIST 40.00 X 572778 0 57159 MILLER MICHAEL CARDIOLOGIST 40.00 X 603109 0 61181 NEWMAN III ALFRED ONCOLOGIST 40.00 X 659951 0 59545 NIESS GARY CLINICAL PHYSICIAN EXECUTIVE 40.00 X 631681 0 43149 VANCE AMY FMR PRES 0.00 X 0 694459 103075 BLACKMON TANYA FMR PRES PHH 0.00 X 0 607427 102046 VACCARO MICHAEL FMR CNO 0.00 X 0 553089 58813 ZWENG THOMAS FMR EVP & CHIEF MEDICAL OFFICER 0.00 X 0 1517481 61292 5629130 6737333 1345482 409 1 1 0 VANNOY CONSTRUCTION PO BOX 635 JEFFERSON NC 28640 CONSTRUCTION SERVICES 40179824 RODGERS BUILDERS INC PO BOX 18446 CHARLOTTE NC 28216 CONSTRUCTION SERVICES 23752197 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 11264159 CROTHALL HEALTH CARE INC 1500 LIBERTY RIDGE DR STE 210 WAYNE PA 19087 FACILITY SERVICES 10046854 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 FOOD MANAGEMENT SERVICES 9446149 95 2348400 20464 2368864 NET PATIENT REVENUE 622110 1314203147 1314203147 PHARMACY 446110 90214833 79519625 10695208 HEMOPHILIA SERVICES 622310 1826828 1826828 DIALYSIS SERVICES 622310 1372269 1372269 SOUTHPARK SURGERY CTR NET PT REV 621111 1365471 1365471 731944 731944 1409714492 290549 290549 1680300 0 1680300 1680300 1680300 980543 592260 388283 388283 388283 80662 0 80662 80662 508066 254294 253772 253772 CAFETERIA MEALS 722514 3920809 3920809 CHILD DEVELOPMENT CENTER 624410 1836327 334622 1501705 MISCELLANEOUS INCOME 900099 1091011 1091011 217586 710 216876 7065733 1421842655 1400111005 11029830 8332956 X 2199922 2199922 61675 61675 2833597 2833597 85333 85333 329194338 317475020 11719318 12895459 12436381 459078 45006308 43404083 1602225 22611937 21806952 804985 9010 9010 1570 1570 106329494 101419789 4909705 4074562 4074562 4982076 4419134 562942 7360945 7360945 24899156 24899156 935029 419150 515879 180011 180011 13165427 13165427 38073407 38073407 1598386 1448634 149752 CORPORATE SUPPORT 176061373 176061373 DRUGS 159469185 159469185 MEDICAL SUPPLIES 150532296 150532296 UBI TAXES 24251 24251 96264676 90875741 5388935 1198849423 993541459 205307964 0 819918 598968 156289887 213586997 14179507 15180766 29438215 30515187 1240005 1709801 1100744509 657230898 385161057 443513611 45430534 44366488 18228164 18228164 1108858805 1222043594 1759646092 1989743576 38702275 50356779 318067 287054 34873535 34960144 73893877 85603977 X 1685741484 1904128868 10731 0 10731 1685752215 1904139599 1759646092 1989743576 X 222993232 -4605848 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 1570 0 1 86006 87576 0 PART II-B, LINE 1: LINE 1A THERE IS LIMITED ENGAGEMENT OF THE BOARD. LINE 1B THERE IS MINIMAL TIME OF SENIOR LEADERS. LINE 1G THERE IS LIMITED CONTACT MADE BY SENIOR LEADERS DURING LOBBYING ACTIVITIES. LINE 1I DUES PAID TO CERTAIN ORGANIZATIONS WHICH INCLUDE A PORTION RELATED TO LOBBYING ACTIVITIES. 10731 10731 10731 10731 10731 10731 10731 10731 10731 10731 1.00000 0 0 13212215 13212215 579314411 318366201 260948210 11043227 7881722 3161505 398498285 316632097 81866188 98676371 14350878 84325493 443513611 DUE FROM AFFILIATES 1222043594 1222043594 0 THIRD PARTY PAYMENT PAYABLE 10997869 REFUND LIABILITY 5080766 NOTES PAYABLE 18881509 34960144 X PART V, LINE 4: THE ENDOWMENT FUNDS INTENDED USE IS FOR EQUIPMENT AND PROGRAMS TO BETTER SERVE THE HOSPITAL'S PATIENTS. 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. FUNDRAISERS 80662 80662 80662 80662 80662 1 1 X 1 X 300.000000000000 0 0 1 1 0 1 1 41302114 0 41302114 0.03630 145636795 118497537 27139258 0.02380 2635608 2339296 296312 0.00030 189574517 120836833 68737684 0.06040 812893 122674 690219 0.00060 7207395 1412061 5795334 0.00510 28946357 19758544 9187813 0.00810 1559450 0 1559450 0.00140 38526095 21293279 17232816 0.01520 228100612 142130112 85970500 0.07560 103037 103037 0.00010 405196 405196 0.00040 30171 30171 0.00000 10000 10000 0.00000 44599 44599 0.00000 593003 593003 0.00050 1 60330625 0 201750896 208744058 -6993162 X 1 0 1 SOUTHPARK SURGERY CENTER HEALTHCARE 0.60000 0.00000 0.40000 3 1 TPH DBA NH PRESBYTERIAN MEDICAL CENTER 200 HAWTHORNE LANE CHARLOTTE NC 28204 WWW.NOVANTHEALTH.ORG H0010 X X X X A 2 TPH DBA NH HUNTERSVILLE MEDICAL CENTER 10030 GILEAD RD HUNTERSVILLE NC 28078 WWW.NOVANTHEALTH.ORG H0282 X X X A 3 TPH DBA NH CHARLOTTE ORTHOPEDIC HOSPITAL 1901 RANDOLPH RD CHARLOTTE NC 28207 WWW.NOVANTHEALTH.ORG H0010 X X A THE PRESBYTERIAN HOSPITAL 0 0 1 X X X X X X X X 16 1 0 0 1 X WWW.NOVANTHEALTH.ORG X 1 16 1 WWW.NOVANTHEALTH.ORG 0 1 X 300.000000000000 0.000000000000 X X X X 0 1 X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 1 X 0 X X X X 1 X 0 1 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: TPH DBA NH PRESBYTERIAN MEDICAL CENTER, - FACILITY 2: TPH DBA NH HUNTERSVILLE MEDICAL CENTER, - FACILITY 3: TPH DBA NH CHARLOTTE ORTHOPEDIC HOSPITAL THE PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 3J: THE PRESBYTERIAN HOSPITALPART V, SECTION B, LINE 3E:SEVERAL SOCIAL, BEHAVIORAL, AND CLINICAL HEALTH NEEDS WERE IDENTIFIED IN THE NEEDS ASSESSMENT. ONCE THE HEALTH NEEDS WERE IDENTIFIED, SURVEYS AND COMMUNITY MEETINGS WERE CONDUCTED IN WHICH THE VARIOUS COMMUNITY STAKEHOLDERS RANKED THE HEALTH ISSUES ACCORDING TO THE YEARS OF POTENTIAL LIFE LOST AND MAGNITUDE OF IMPACT. THE INFORMATION GATHERED WAS THEN MATRIXED AND SCORED IN ORDER TO RANK THE FOCUS AREAS AND PRIORITIZE THE IDENTIFIED HEALTH NEEDS. FURTHER PRIORITIZATION OCCURRED WITH THE REVIEW BY THE ORGANIZATION'S BOARD. THE PRESBYTERIAN HOSPITAL PART V, SECTION B, LINE 5: WHILE CONDUCTING THE CHNA, THE HOSPITAL FACILITY(IES) SOLICITED INPUT FROM, AND CONSULTED WITH, A VARIETY OF COMMUNITY REPRESENTATIVES INCLUDING, BUT NOT LIMITED TO, REPRESENTATIVES OF CITY AND COUNTY GOVERNMENT INCLUDING HEALTH DEPARTMENTS, COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES/UNIVERSITIES, COMMUNITY COALITIONS AND OTHER SOCIAL SERVICE AGENCIES. INPUT WAS GATHERED THROUGH COMMUNITY MEETINGS, 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. THE PRESBYTERIAN HOSPITAL 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. THE PRESBYTERIAN HOSPITAL 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 THE PRESBYTERIAN HOSPITAL 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. 31 1 - NH BREAST CENTER HUNTERSVILLE 10030 GILEAD ROAD SUITE 330 HUNTERSVILLE NC 28078 IMAGING CENTER 2 - NH CANCER SPECIALISTS 14135 BALLANTYNE CORP PL STE 200 CHARLOTTE NC 28277 PHYSICIAN CLINIC 3 - NH CANCER SPECIALISTS 1700 MATTHEWS TOWNSHIP PKWY MATTHEWS NC 28105 PHYSICIAN CLINIC 4 - NH CHARLOTTE OUTPATIENT SURGERY 1800 E 4TH STREET CHARLOTTE NC 28204 AMBULATORY SURGERY CENTER 5 - NH HEART AND VASCULAR INSTITUTE 10030 GILEAD ROAD SUITE 201 HUNTERSVILLE NC 28078 PHYSICIAN CLINIC 6 - NH HEART AND VASCULAR INSTITUTE 1401 MATTHEWS TOWNSHIP PKY STE 110 MATTHEWS NC 28105 PHYSICIAN CLINIC 7 - NH HEART AND VASCULAR INSTITUTE 1640 EAST ROOSEVELT BLVD MONROE NC 28112 PHYSICIAN CLINIC 8 - NH HEART AND VASCULAR INSTITUTE 1718 E 4TH ST STES 501 604 607 CHARLOTTE NC 28204 PHYSICIAN CLINIC 9 - NH HOSPICE & PALLIATIVE CARE 324 N MCDOWELL ST SUITE 200 CHARLOTTE NC 28204 PHYSICIAN CLINIC 10 - NH IMAGING MONROE 2000 WELLNESS BOULEVARD SUITE 110 MONROE NC 28110 IMAGING CENTER 11 - NH IMAGING MUSEUM 2900 RANDOLPH ROAD CHARLOTTE NC 28211 IMAGING CENTER 12 - NH IMAGING UNIVERSITY 8401 MEDICAL PLAZA DR SUITE 110 CHARLOTTE NC 28262 IMAGING CENTER 13 - NH LAKE NORMAN ONCOLOGY 10030 GILEAD RD SUITE 350 HUNTERSVILLE NC 28078 PHYSICIAN CLINIC 14 - NH LAKE NORMAN ONCOLOGY 170 MEDICAL PARK RD SUITE 101 MOORESVILLE NC 28117 PHYSICIAN CLINIC 15 - NH MCKEE INTERNAL MEDICINE 3330 SISKEY PARKWAY SUITE 200 MATTHEWS NC 28105 PHYSICIAN CLINIC 16 - NH MIDTOWN OUTPATIENT SURGERY 1918 RANDOLPH ROAD SUITE 740 CHARLOTTE NC 28207 AMBULATORY SURGERY CENTER 17 - NH PHARMACY 100 ROBINHOOD MEDICAL PLAZA WINSTONSALEM NC 27106 PHARMACY 18 - NH PHARMACY 105 VEST MILL CIRCLE WINSTONSALEM NC 27103 PHARMACY 19 - NH PHARMACY 1381 WESTGATE CENTER DRIVE WINSTONSALEM NC 27103 PHARMACY 20 - NH PHARMACY 216 MOORE ROAD KING NC 27021 PHARMACY 21 - NH PHARMACY 255 CHARLOIS BLVD WINSTONSALEM NC 27103 PHARMACY 22 - NH PHARMACY 291 BROAD STREET KERNERSVILLE NC 27284 PHARMACY 23 - NH PHARMACY 911 W HENDERSON STREET SALISBURY NC 28144 PHARMACY 24 - NH PHARMACY LOCATION 1 3333 SILAS CREEK PARKWAY WINSTONSALEM NC 27103 PHARMACY 25 - NH PHARMACY LOCATION 2 3333 SILAS CREEK PARKWAY WINSTONSALEM NC 27103 PHARMACY 26 - NH PRESBYTERIAN INTERNAL MEDICINE 1918 RANDOLPH ROAD SUITE 350 CHARLOTTE NC 28207 PHYSICIAN CLINIC 27 - NH REHABILITATION 125 BALDWIN AVENUE CHARLOTTE NC 28204 PHYSICIAN CLINIC 28 - NH SENIOR CARE 6324 FAIRVIEW ROAD SUITE 310 CHARLOTTE NC 28210 PHYSICIAN CLINIC 29 - NH WOUND CARE AND HYPERBARIC MEDICINE 300 BILLINGSLEY RD SUITE 105 CHARLOTTE NC 28211 PHYSICIAN CLINIC 30 - SOUTHPARK SURGERY CENTER 6035 FAIRVIEW ROAD CHARLOTTE NC 28210 AMBULATORY SURGERY CENTER 31 - ST JUDE AFFILIATE CLINIC AT NH HEMBY CHIL 301 HAWTHORNE LANE SUITE 100 CHARLOTTE NC 28204 PHYSICIAN CLINIC 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 $60,330,625. 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 PRESBYTERIAN HOSPITAL FORM 990 INCLUDES THE OPERATIONS OF TWO LICENSED HOSPITALS, ONE OF WHICH HAS FACILITIES IN TWO LOCATIONS: THE PRESBYTERIAN HOSPITAL DBA NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER, AS NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER, AND AS NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL. THE PRESBYTERIAN HOSPITAL DBA NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND THE PRESBYTERIAN HOSPITAL DBA NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITALTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREAS OF BOTH FACILITIES INCLUDES ZIP CODES IN THE CITY OF CHARLOTTE, AND THE TOWNS OF CORNELIUS, DAVIDSON, HUNTERSVILLE, PINEVILLE, AND MATTHEWS, ALL OF WHICH ARE LOCATED IN MECKLENBURG COUNTY. THE SECONDARY SERVICE AREA INCLUDES COUNTIES IN BOTH NORTH CAROLINA AND SOUTH CAROLINA THAT ARE BEYOND MECKLENBURG COUNTY PROPER. THESE COUNTIES INCLUDE ALEXANDER, CABARRUS, GASTON, IREDELL, LINCOLN, ROWAN, AND UNION IN NORTH CAROLINA AND LANCASTER AND YORK IN SOUTH CAROLINA. MECKLENBURG 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 $65,502.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 513,132 47.14%BLACK/AFRICAN AMERICAN 338,816 31.13%HISPANIC/LATINO 141,271 12.98%ASIAN/PACIFIC ISLANDERS 65,459 6.01%OTHER 29,735 2.73%TOTAL POPULATION 1,088,413 100%SECONDARY SERVICE AREAETHNICITY POPULATION % OF POPULATIONWHITE 970,022 71.74%BLACK/AFRICAN AMERICAN 209,343 15.48%HISPANIC/LATINO 112,389 8.31%ASIAN/PACIFIC ISLANDERS 28,926 2.14%OTHER 31,538 2.33%TOTAL POPULATION 1,352,218 100%ACCORDING TO SG2 DATA, THE AGE BREAKDOWN FOR THE PRIMARY AND SECONDARY SERVICE AREAS IS AS FOLLOWS:PRIMARY SERVICE AREAAGE GROUP POPULATION % OF POPULATION0-17 265,570 24.13%18-64 711,399 64.65%65+ 123,433 11.22%TOTAL POPULATION 1,100,402 100%SECONDARY SERVICE AREAAGE GROUP POPULATION % OF POPULATION0-17 318,119 23.53%18-64 824,860 61.00%65+ 209,239 15.47%TOTAL POPULATION 1,352,218 100.00%THERE ARE FIVE NONPROFIT HOSPITALS IN THE COMMUNITY, ONE OF WHICH IS THE ORGANIZATION AND ALL OF WHICH ARE PART OF THE NOVANT HEALTH SYSTEM. THERE ARE ALSO FOUR GOVERNMENTAL HOSPITALS, WHICH ARE ALL PART OF THE SAME HEALTHCARE SYSTEM.THE PRESBYTERIAN HOSPITAL DBA NOVANT HEALTH HUNTERSVILLE MEDICAL CENTERTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREAS FOR THE FACILITY INCLUDES ZIP CODES IN THE CITY OF CHARLOTTE, AND THE TOWNS OF CORNELIUS AND HUNTERSVILLE, ALL OF WHICH ARE LOCATED IN MECKLENBURG COUNTY. THE SECONDARY SERVICE AREA INCLUDES OTHER CITIES IN TOWNS IN MECKLENBURG, CABARRUS, GASTON, IREDELL, AND LINCOLN. MECKLENBURG 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 $65,502.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 115,040 47.92%BLACK/AFRICAN AMERICAN 84,890 35.36%HISPANIC/LATINO 20,952 8.73%ASIAN/PACIFIC ISLANDERS 12,197 5.08%OTHER 6,972 2.90%TOTAL POPULATION 240,051 100%SECONDARY SERVICE AREAETHNICITY POPULATION % OF POPULATIONWHITE 212,585 65.48%BLACK/AFRICAN AMERICAN 60,326 18.58%HISPANIC/LATINO 25,842 7.96%ASIAN/PACIFIC ISLANDERS 17,321 5.34%OTHER 8,592 2.65%TOTAL POPULATION 324,666 100%ACCORDING TO SG2 DATA, THE AGE BREAKDOWN FOR THE PRIMARY AND SECONDARY SERVICE AREAS IS AS FOLLOWS:PRIMARY SERVICE AREAAGE GROUP POPULATION % OF POPULATION0-17 61,142 25.47%18-64 154,783 64.48%65+ 24,126 10.05%TOTAL POPULATION 240,051 100.00%SECONDARY SERVICE AREAAGE GROUP POPULATION % OF POPULATION0-17 75,263 23.18%18-64 207,860 64.02%65+ 41,543 12.80%TOTAL POPULATION 324,666 100.00%THERE IS ONE NONPROFIT HOSPITAL IN THE COMMUNITY, WHICH IS THE ORGANIZATION. THERE IS ALSO ONE GOVERNMENTAL HOSPITAL AND ONE FOR PROFIT 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 PROVIDES SERVICES TO ALL BENEFICIARIES OF MEDICARE, MEDICAID, AND OTHER GOVERNMENT PAYMENT PROGRAMS, AND PROVIDING SERVICES IN A NONDISCRIMINATORY MANNER TO SUCH BENEFICIARIES;3. OPERATING A FULL-TIME EMERGENCY ROOM WHICH IS OPEN TO AND ACCEPTS ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY;4. MAINTAINING AN OPEN MEDICAL STAFF, SUBJECT TO EXCLUSIVE CONTRACTS FOR HOSPITAL-BASED SERVICES SUCH AS ANESTHESIOLOGY, RADIOLOGY, PATHOLOGY, HOSPITALIST, AND EMERGENCY DEPARTMENT SERVICES, TO THE EXTENT AN EXCLUSIVE CONTRACT FOR THOSE SERVICES IS REQUIRED TO OBTAIN PROPER STAFFING COVERAGE OR TO PERMIT A MORE EFFICIENT DELIVERY OF THOSE SERVICES WITHIN THE HOSPITAL FACILITY;5. MAINTAINING A GOVERNING BOARD CONSISTING PRIMARILY OF A BROAD CROSS-SECTION OF LEADERS IN THE COMMUNITY;6. ADOPTING AND APPLYING A CONFLICT OF INTEREST POLICY, WHICH APPLIES TO THE GOVERNING BOARD AND ORGANIZATION OFFICERS;7. PROVIDING HEALTH EDUCATION LECTURES AND WORKSHOPS;8. PROVIDING HEALTH FAIRS, EDUCATION ON SPECIFIC DISEASES OR CONDITIONS, AND HEALTH PROMOTION AND WELLNESS PROGRAMS TO THE COMMUNITIES IT SERVES;9. PROVIDING SUPPORT GROUPS AND SELF HELP PROGRAMS TO THE COMMUNITIES IT SERVES;10. PROVIDING COMMUNITY-BASED CLINICAL SERVICES, INCLUDING WITHOUT LIMITATION, HEALTH SCREENINGS AND CLINICS FOR UNINSURED OR UNDERINSURED PERSONS TO THE COMMUNITIES IT SERVES;11. PROVIDING HEALTHCARE SUPPORT SERVICES, INCLUDING WITHOUT LIMITATION, INFORMATION AND REFERRAL TO COMMUNITY SERVICES, CASE MANAGEMENT OF UNDERINSURED AND UNINSURED PERSONS, TELEPHONE INFORMATION SERVICES AND ASSISTANCE TO ENROLL IN PUBLIC PROGRAMS, SUCH AS STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) AND MEDICAID TO THE COMMUNITIES IT SERVES;12. PROVIDING SUBSIDIZED HEALTH SERVICES AND CLINICAL PROGRAMS TO THE COMMUNITIES IT SERVES;13. PROVIDING CASH AND IN-KIND CONTRIBUTIONS TO NONPROFIT COMMUNITY HEALTHCARE ORGANIZATIONS IN THE COMMUNITIES IT SERVES; AND14. GENERALLY PROMOTING THE HEALTH, WELLNESS, AND WELFARE OF THE COMMUNITIES IT SERVES BY PROVIDING QUALITY HEALTHCARE SERVICES AT REASONABLE COST.PLEASE SEE THE NOVANT HEALTH COMMUNITY BENEFIT REPORT, LOCATED AT HTTP://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMPANY-INFORMATION/FINANCIAL-PROFILE/COMMUNITY-BENEFIT-REPORT.ASPX.PLEASE NOTE THAT THE NUMERIC INFORMATION IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES. PART VI, LINE 6: PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, A NOT-FOR-PROFIT INTEGRATED GROUP OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS. NOVANT HEALTH IS RANKED AS ONE OF OUR NATION'S TOP 20 INTEGRATED HEALTHCARE SYSTEMS - CARING FOR PATIENTS AND COMMUNITIES IN 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. 1 ALLIANCE FOR HOPE INTERNATIONAL 101 W BROADWAY ROOM 1770 SAN DIEGO CA 92101 113692035 501(C)(3) 15000 COMMUNITY OUTREACH AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW SUITE 400 ATLANTA GA 30303 131788491 501(C)(3) 14000 COMMUNITY OUTREACH AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 150000 COMMUNITY OUTREACH APPARO SOLUTIONS INC 301 SOUTH BREVARD STREET SUITE 300 CHARLOTTE NC 28202 571140089 501(C)(3) 8000 COMMUNITY OUTREACH CARE RING INC 601 E 5TH STREET SUITE 140 CHARLOTTE NC 28202 560621073 501(C)(3) 20000 COMMUNITY OUTREACH CAROLINA BREAST FRIENDS INC 1607 EAST MOREHEAD STREET CHARLOTTE NC 28207 202460400 501(C)(3) 30000 COMMUNITY OUTREACH CATAWBA LANDS CONSERVANCY 4530 PARK ROAD STE 420 CHARLOTTE NC 28209 581969605 501(C)(3) 27000 COMMUNITY OUTREACH CHARLOTTE AFFILIATE OF THE SUSAN G KOMEN BREAST CANCER FOUNDATION INC 5005 LBJ FREEWAY SUITE 250 DALLAS TX 75244 752854959 501(C)(3) 60000 COMMUNITY OUTREACH CHARLOTTE BRIDGE HOME INC 2200 E 7TH STREET CHARLOTTE NC 28204 452350728 501(C)(3) 10000 COMMUNITY OUTREACH CHARLOTTE COMMUNITY HEALTH CLINIC INC 8401 MEDICAL PLAZA DR SUITE 300 CHARLOTTE NC 28262 562274174 501(C)(3) 402500 COMMUNITY OUTREACH CHARLOTTE HORNETS FOUNDATION INC 333 EAST TRADE STREET CHARLOTTE NC 28202 200946449 501(C)(3) 7500 COMMUNITY OUTREACH CHARLOTTE MECKLENBURG AFRO-AMERICAN CULTURAL & SERVICE CENTER INC 551 S TRYON STREET CHARLOTTE NC 28202 561152286 501(C)(3) 70000 COMMUNITY OUTREACH CHARLOTTE SPEECH AND HEARING CENTER INC 741 KENILWORTH AVENUE CHARLOTTE NC 28204 560892041 501(C)(3) 20000 COMMUNITY OUTREACH CHEMOCARS 16731 100 NORMAN PLACE CORNELIUS NC 28031 822158797 501(C)(3) 30000 COMMUNITY OUTREACH CMS FOUNDATION 4421 STUART ANDREW BOULEVARD CHARLOTTE NC 28217 200258541 501(C)(3) 7000 COMMUNITY OUTREACH FOUNDATION FOR THE CAROLINAS 220 NORTH TRYON STREET CHARLOTTE NC 28202 566047886 501(C)(3) 7600 COMMUNITY OUTREACH GIRLS ON THE RUN INTERNATIONAL 801 E MOREHEAD ST NO 201 CHARLOTTE NC 28202 562201835 501(C)(3) 17500 COMMUNITY OUTREACH HEARTBRIGHT FOUNDATION INC 16130 WHITESAIL DRIVE CHARLOTTE NC 28278 450496759 501(C)(3) 28094 COMMUNITY OUTREACH HOPEWAY FOUNDATION 1717 SHARON ROAD WEST CHARLOTTE NC 28210 464510365 501(C)(3) 500000 COMMUNITY OUTREACH JDRF INTERNATIONAL 26 BROADWAY 15TH FL NEW YORK NY 10004 231907729 501(C)(3) 15000 COMMUNITY OUTREACH JUNIOR ACHIEVEMENT OF CENTRAL CAROLINAS INC 201 S TRYON STREET NO LL100 CHARLOTTE NC 28202 560672085 501(C)(3) 25000 COMMUNITY OUTREACH LAKE NORMAN COMMUNITY HEALTH CLINIC PO BOX 2398 HUNTERSVILLE NC 28070 043723062 501(C)(3) 115525 COMMUNITY OUTREACH LAKE NORMAN REGIONAL ECONOMIC DEVELOPMENT CORPORATION 13801 REESE BLVD NO 170 HUNTERSVILLE NC 28078 510463069 501(C)(3) 10000 COMMUNITY OUTREACH MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS NY 10605 131846366 501(C)(3) 15000 COMMUNITY OUTREACH MARTIN TRUEX JR FOUNDATION INC 156 CAYUGA DR MOORESVILLE NC 28117 260654126 501(C)(3) 15000 COMMUNITY OUTREACH MECKED 129 W TRADE STREET CHARLOTTE NC 28202 561752043 501(C)(3) 8750 COMMUNITY OUTREACH MECKLENBURG COUNTY COUNCIL - BOY SCOUTS OF AMERICA 1410 EAST SEVENTH STREET CHARLOTTE NC 28204 560529957 501(C)(3) 6860 COMMUNITY OUTREACH MEDASSIST OF MECKLENBURG DBA NC MEDASSIST 4428 TAGGART CREEK ROAD CHARLOTTE NC 28208 562018957 501(C)(3) 30000 COMMUNITY OUTREACH NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 135661935 501(C)(3) 12500 COMMUNITY OUTREACH PROJECT 658 INC 3646 CENTRAL AVENUE CHARLOTTE NC 28205 462956418 501(C)(3) 25950 COMMUNITY OUTREACH REACH OUT AND READ INC 89 SOUTH STREET STE 201 BOSTON MA 02111 043481253 501(C)(3) 25000 COMMUNITY OUTREACH REAL SCHOOL GARDENS 5520 CONNECTICUT AVE NW SUITE 20 WASHINGTON DC 20015 205946552 501(C)(3) 37500 COMMUNITY OUTREACH RONALD MCDONALD HOUSE OF CHARLOTTE INC 1613 E MOREHEAD STREET CHARLOTTE NC 28207 204671570 501(C)(3) 7500 COMMUNITY OUTREACH ROWAN-CABARRUS COMMUNITY COLLEGE FOUNDATION INC PO BOX 1595 SALISBURY NC 28145 561731864 501(C)(3) 24000 COMMUNITY OUTREACH SAFE ALLIANCE INC 601 EAST FIFTH STREET SUITE 400 CHARLOTTE NC 28202 560529967 501(C)(3) 20800 COMMUNITY OUTREACH SECOND HARVEST FOOD BANK OF METROLINA INC 500 B SPRATT STREET CHARLOTTE NC 28206 561352593 501(C)(3) 25000 COMMUNITY OUTREACH SOCCER SHOTS FOUNDATION OF CHARLOTTE 117 B SADIE DRIVE MATTHEWS NC 28104 452232719 501(C)(3) 10000 COMMUNITY OUTREACH THE CHARLOTTE CHAMBER OF COMMERCE PO BOX 20103 CHARLOTTE NC 28202 560173610 501(C)(6) 97500 COMMUNITY OUTREACH THE LEUKEMIA & LYMPHOMA SOCIETY INC 3 INTERNATIONAL DR RYE BROOK NY 10573 135644916 501(C)(3) 15500 COMMUNITY OUTREACH THE RELATIVES INC 6220 THERMAL ROAD CHARLOTTE NC 28211 561082022 501(C)(3) 15000 COMMUNITY OUTREACH TIME OUT YOUTH INC 3800 MONROE ROAD CHARLOTTE NC 28205 561755564 501(C)(3) 20000 COMMUNITY OUTREACH TREESCHARLOTTE 701 TUCKASEEGEE ROAD CHARLOTTE NC 28208 463867007 501(C)(3) 25000 COMMUNITY OUTREACH UNITED WAY OF CENTRAL CAROLINAS INC 301 SOUTH BREVARD STREET CHARLOTTE NC 28202 560529948 501(C)(3) 9400 COMMUNITY OUTREACH US NATIONAL WHITEWATER CENTER INC 5000 WHITEWATER CENTER PKWY CHARLOTTE NC 28214 562247955 501(C)(3) 6500 COMMUNITY OUTREACH YOUNG ELITES INC PO BOX 547 CORNELIUS NC 28031 455389067 501(C)(3) 8000 COMMUNITY OUTREACH YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER CHARLOTTE 400 E MOREHEAD STREET CHARLOTTE NC 28202 561045299 501(C)(3) 27200 COMMUNITY OUTREACH ZERO-THE END OF PROSTATE CANCER 515 KING STREET STE 420 ALEXANDRIA VA 22314 593400922 501(C)(3) 10000 COMMUNITY OUTREACH 100 BLACK MEN OF CHARLOTTE INC 740 W 5TH STREET STE 206 CHARLOTTE NC 28202 561795371 501(C)(3) 5873 COMMUNITY OUTREACH COLON CANCER COALITION 5666 LINCOLN DR STE 270 EDINA MN 55436 300377727 501(C)(3) 10000 COMMUNITY OUTREACH 48 1 TEAM MEMBER ASSISTANCE (EMPLOYEE EMERGENCY FUND) 93 34675 SCHOLARSHIP 9 27000 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE FILING ORGANIZATION IS PART OF THE INTEGRATED HEALTHCARE SYSTEM OPERATED BY NOVANT HEALTH, INC. ("NOVANT HEALTH"), THE PARENT ORGANIZATION. NOVANT HEALTH'S BYLAWS AUTHORIZE IT TO ESTABLISH CERTAIN POLICIES FOR ALL OF ITS SUBSIDIARIES WITHIN THE SYSTEM. NOVANT HEALTH HAS ESTABLISHED A SYSTEM-WIDE CORPORATE POLICY WITH STANDARDIZED GUIDELINES THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE FILING ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS ARE MAINTAINED VIA THE GENERAL LEDGER. FUNDS ARE GENERALLY NOT TRACKED AFTER BEING GRANTED, AS THE ORIGINAL ELIGIBILITY AND SELECTION CRITERIA HAVE ALREADY BEEN MET. X X X X 1 1 1 1 0 0 0 0 0 0 0 VINCENT PAULA PRESIDENT 454883 0 274707 0 71967 0 16500 0 19796 0 837853 0 22500 0 VUONG QUYNHDAO MD TRUSTEE 0 555266 0 99808 0 32748 0 24000 0 37695 0 749517 0 7500 SMITH HARRY SVP HOSPITAL OPERATIONS 0 590928 0 386327 0 153754 0 116199 0 37965 0 1285173 0 84750 STOKER SHELLI ASST SEC 0 227765 0 51047 0 10538 0 14143 0 20510 0 324003 0 0 WALSH BETSY ASST SEC 0 264898 0 101077 0 31407 0 24000 0 32315 0 453697 0 5000 FLETCHER SIDNEY CMO 449751 0 266348 0 73204 0 95738 0 41836 0 926877 0 30625 0 KING KATRINA CNO-SPR 165276 0 28746 0 627 0 10242 0 22053 0 226944 0 0 0 MUELLER ANDREW SVP 0 454904 0 284128 0 120282 0 95850 0 39558 0 994722 0 65438 RILEY MICHAEL PRES-PHH 286485 0 186087 0 39660 0 24000 0 29949 0 566181 0 7500 0 SADLER KELLI CNO-PHH 190015 0 44625 0 8650 0 11838 0 20614 0 275742 0 0 0 LASSITER LANCE ONCOLOGIST 321516 0 252791 0 46273 0 24000 0 40420 0 685000 0 0 0 MCMILLAN EDWARD CARDIOLOGIST 426974 0 116595 0 29209 0 24000 0 33159 0 629937 0 7500 0 MILLER MICHAEL CARDIOLOGIST 487555 0 97006 0 18548 0 21587 0 39595 0 664291 0 0 0 NEWMAN III ALFRED ONCOLOGIST 321877 0 292205 0 45869 0 24000 0 35545 0 719496 0 0 0 NIESS GARY CLINICAL PHYSICIAN EXECUTIVE 554246 0 40075 0 37360 0 16500 0 26649 0 674830 0 0 0 VANCE AMY FMR PRES 0 361641 0 229021 0 103797 0 75014 0 28061 0 797534 0 55395 BLACKMON TANYA FMR PRES PHH 0 298935 0 247890 0 60602 0 86882 0 15164 0 709473 0 7500 VACCARO MICHAEL FMR CNO 0 319753 0 187035 0 46301 0 24000 0 34813 0 611902 0 0 ZWENG THOMAS FMR EVP & CHIEF MEDICAL OFFICER 0 336434 0 670824 0 510223 0 18300 0 42991 0 1578772 0 98143 PART I, LINE 1A PART I, LINE 1A: FRINGE OR EXPENSE EXPLANATION FIRST-CLASS OR CHARTER TRAVEL: FIRST-CLASS OR CHARTER TRAVEL IS NOT A COVERED TRAVEL EXPENSE FOR EXECUTIVES; THEY ARE LIMITED TO BUSINESS OR COACH CLASS FARES FOR COMMERCIAL FLIGHTS. HOWEVER, CHARTER TRAVEL IS AVAILABLE TO CERTAIN EXECUTIVES, BOARD MEMBERS, AND APPROVED BUSINESS PERSONNEL MEETING APPLICABLE POLICY CRITERIA. TRAVEL FOR COMPANIONS: COMPANIONS ARE ALLOWED ON CERTAIN CHARTER FLIGHTS PAID FOR BY THE ORGANIZATION. IN THAT CASE, THE VALUE OF THE COMPANION'S FLIGHT IS CALCULATED UNDER APPLICABLE TAX LAWS AND THAT AMOUNT IS INCLUDED IN THE EXECUTIVE'S TAXABLE INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS. DISCRETIONARY SPENDING ACCOUNT: CERTAIN EXECUTIVES RECEIVE A DISCRETIONARY SPENDING ACCOUNT. THE DOLLAR AMOUNT IN THE ACCOUNT IS PRE-APPROVED BY THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE NOVANT HEALTH BOARD OF TRUSTEES. THE ACCOUNT CAN BE USED ONLY FOR AN APPROVED LIST OF EXPENDITURES. ALL OPTIONS OTHER THAN A DEFERRED, AT-RISK, COMPENSATION OPTION ARE CONSIDERED TAXABLE AND ARE INCLUDED IN THE EXECUTIVE'S TAXABLE INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: WE PROVIDE TEMPORARY HOUSING ALLOWANCES IN CERTAIN EXECUTIVE RECRUITMENT AND RELOCATION PACKAGES. THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND THAT AMOUNT IS INCLUDED IN THE EXECUTIVE'S INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS. PART I, LINE 3 THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM AND RELIES UPON NOVANT HEALTH, INC., THE PARENT ORGANIZATION, TO USE THE PROCESS DESCRIBED IN PART VI, LINE 15A/15B OF THIS RETURN TO ESTABLISH COMPENSATION FOR CERTAIN EXECUTIVES. THIS PROCESS ADHERES TO THE REQUIREMENTS SET FORTH TO SECURE THE REBUTTABLE PRESUMPTION OF REASONABLENESS AND INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT AND DISINTERESTED MEMBERS OF A COMPENSATION COMMITTEE, CONSULTATION WITH INDEPENDENT COMPENSATION CONSULTANTS, THE UTILIZATION OF THIRD-PARTY COMPARABILITY DATA SUCH AS PUBLISHED COMPENSATION SURVEYS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. PART I, LINES 4A-B PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED FLETCHER, SIDNEY MD 30,625 MUELLER, ANDREW 57,938 SMITH, HARRY 77,250 VANCE, AMY 47,895 ZWENG, THOMAS 249,913 90,643 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. LISA A SMITH FAMILY MEMBER OF HARRY LLOYD SMITH, KEY EMPLOYEE 27740 COMPENSATION PAID BY THE FILING ORGANIZATION TO THE INTERESTED PERSON. 0 FORM 990, PI, L1: ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES THE PRESBYTERIAN HOSPITAL DOING BUSINESS AS NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER ("NHPMC") AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER ("NHHMC") ARE INTEGRAL PARTS 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 PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE 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. THESE HOSPITALS ALSO BELIEVE IN MAKING A COMMITMENT TO COMMUNITY OUTREACH AND SERVICE. THIS COMMITMENT MEANS THE CONTINUOUS CREATION OF PROGRAMS DEDICATED TO HELPING PATIENTS, NEIGHBORS AND SOME OF THE COMMUNITIES' MOST VULNERABLE CITIZENS. THESE PROGRAMS INCLUDE: -CHARITY CARE AND OTHER PATIENT FINANCIAL ASSISTANCE -COMMUNITY HEALTH FAIRS AND SCREENINGS -PARTNERSHIPS WITH OTHER ORGANIZATIONS TO PROVIDE OUTREACH SERVICES -COMMUNITY SPEAKING ENGAGEMENTS, SPONSORSHIPS, AND CHARITABLE CONTRIBUTIONS FOR LOCAL NON-PROFIT ORGANIZATIONS -MEDICAL SERVICES THAT LOSE MONEY BUT ARE IMPORTANT FOR THE COMMUNITY -SUPPORT GROUPS AND PARTNERSHIPS WITH OTHER ORGANIZATIONS TO PROVIDE OUTREACH SERVICES -COMMUNITY HEALTH EDUCATION, WELLNESS COACHING, AND SUPPORT GROUPS -COMMUNITY-WIDE TRAINING OPPORTUNITIES FOR CURRENT AND FUTURE HEALTH PROFESSIONALS -ACADEMIC HEALTH PROGRAMS -OTHER COMMUNITY INITIATIVES 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 TO THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE. COMMUNITY OUTREACH COMMUNITY OUTREACH IS A CRITICAL COMPONENT TO THE MISSION OF NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE 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 CHARLOTTE AND HUNTERSVILLE AND SURROUNDING COUNTIES IN MANY UNIQUE WAYS. EXAMPLES OF THIS ARE AS FOLLOWS: THE NOVANT HEALTH COMMUNITY CARE CRUISER - AFFILIATED WITH NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER, THE CRUISER PROVIDES FREE IMMUNIZATIONS TO UNINSURED AND DISADVANTAGED CHILDREN IN MECKLENBURG COUNTY. THE 38-FOOT CRUISER TRAVELS TO SCHOOLS, CHURCHES AND COMMUNITY FUNCTIONS TO PROVIDE NECESSARY AND REQUIRED IMMUNIZATIONS TO AT-RISK CHILDREN WITH THE GOAL OF KEEPING THEM HEALTHY AND IN SCHOOL. THE SOLOMON HOUSE - AS A DEPARTMENT OF NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER, THE SOLOMON HOUSE OFFERS FREE HEALTH EDUCATION CLASSES ON VARIOUS HEALTH TOPICS AND PROVIDES REFERRALS TO COMMUNITY RESOURCES SUCH AS FREE COMMUNITY CLINICS FOR INDIVIDUALS WHO DO NOT HAVE FULL ACCESS TO HEALTHCARE IN THE NORTH MECKLENBURG COUNTY AREA. THE CRISIS SERVICES STAFF IS BILINGUAL IN ENGLISH AND SPANISH. MEDICAL EXPLORERS PROGRAM - NOVANT HEALTH HUNTERSVILLE MEDIAL CENTER PARTNERS WITH LOCAL AREA HIGH SCHOOLS TO OFFER STUDENTS MONTHLY HANDS-ON DEMONSTRATIONS AND DISCUSSIONS FROM PROFESSIONALS ON DIFFERENT AREAS OF THE HOSPITAL. THIS NINE MONTH PROGRAM ALLOWS STUDENTS INTERESTED IN THE MEDICAL FIELD THE UNIQUE OPPORTUNITY TO GAIN AN UNDERSTANDING OF VARIOUS CAREER PATHS AVAILABLE IN HEALTHCARE. HEALTHY HUNTERSVILLE - IN 2018, NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER CONTINUED ITS PARTNERSHIP WITH THE TOWN OF HUNTERSVILLE TO OFFER "HEALTHY HUNTERSVILLE", A PROGRAM DESIGNED TO PROMOTE COMMUNITY-BASED ACTIVITIES AND PROGRAMS THAT ENCOURAGE A HEALTHY LIFESTYLE. THROUGHOUT THE YEAR, THE HOSPITAL PROVIDED EDUCATIONAL PROGRAMS, A WALKING TRAIL FOR COMMUNITY MEMBERS AND SEVERAL FREE HEALTH SCREENINGS. FARMER'S MARKET - NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER CONTINUED TO PARTNER WITH LOCAL FARMERS AND GROWERS TO HOST AN ON-SITE FARMER'S MARKET MAKING FRESH, LOCALLY GROWN FRUITS AND VEGETABLES READILY AVAILABLE TO PATIENTS, VISITORS, EMPLOYEES AND COMMUNITY MEMBERS. THIS FARMER'S MARKET IS AN IMPORTANT WAY THAT THE HOSPITAL DEMONSTRATES THAT LOCAL FOOD PRODUCTION PLAYS A KEY ROLE IN THE HEALTH AND WELL-BEING OF THE COMMUNITY. MENTAL HEALTH FIRST AID INSTRUCTION - IN 2018, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER CONTINUED TO OFFER MENTAL HEALTH FIRST AID, AN EARLY INTERVENTION AND PUBLIC EDUCATION PROGRAM. THIS INTERACTIVE COURSE IS DESIGNED TO HELP IDENTIFY, UNDERSTAND AND RESPOND TO A PERSON EXPERIENCING A MENTAL HEALTH ISSUE. THE 8-HOUR ADULT AND YOUTH PROGRAMS TEACH WARNING SIGNS OF DEPRESSION, ANXIETY DISORDERS, TRAUMA, PSYCHOTIC DISORDERS, EATING DISORDERS AND SUBSTANCE USE DISORDERS. COMMUNITY PARTICIPANTS LEARN A 5-STEP ACTION PLAN TO HELP SOMEONE IN A CRISIS AND NON-CRISIS SITUATIONS AND HAVE THE UNIQUE OPPORTUNITY TO PRACTICE THE PLAN THROUGH ROLE PLAYS, SCENARIOS AND ACTIVITIES. CANCER SURVIVORSHIP SERVICES - KNOWING THAT CANCER IMPACTS SURVIVORS PHYSICALLY, SPIRITUALLY, FINANCIALLY AND EMOTIONALLY, AND THAT ITS EFFECTS CAN BE FELT LONG AFTER TREATMENT ENDS, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER CONTINUED A SURVIVOR EDUCATION SERIES TO ADDRESS ISSUES SURVIVORS MAY FACE. TOPICS INCLUDE SYMPTOM MANAGEMENT, NUTRITION AND EXERCISE, FINANCIAL, LEGAL AND INSURANCE CONCERNS AND COPING STRATEGIES. ALL CLASSES ARE FREE OF CHARGE. SUPPORT GROUPS - NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER AND NOVANT HEALTH PRESBYTERIAN 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 PROSTATE CANCER SUPPORT GROUPS TO YOUNG STROKE SURVIVORS SUPPORT GROUP, THE HOSPITALS OFFER OPPORTUNITIES FOR INDIVIDUALS MAKE CONNECTIONS WITH OTHERS FACING SIMILAR HEALTH ISSUES AND CHALLENGES. ALL SUPPORT GROUPS ARE FREE AND OPEN TO ANYONE IN THE COMMUNITY. COMMUNITY EDUCATION - AS ACTIVE MEMBERS IN THE COMMUNITY, NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER AND NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER REGULARLY HOST GENERAL HEALTH EDUCATION SESSIONS THROUGHOUT THE YEAR. THE TOPICS RANGE FROM RECOGNIZING DEPRESSION TO CARDIO-ONCOLOGY. IN ADDITION, HUNTERSVILLE MEDICAL CENTER MET THE UNIQUE NEEDS OF OUR SENIOR CITIZEN POPULATION THROUGH MONTHLY "SENIOR SATURDAY" SEMINARS THAT COVER TOPICS SPECIFICALLY DESIGNED TO ASSIST SENIORS WITH MEDICAL ISSUES AND PROVIDE RELEVANT INFORMATION FOR LIVING A HEALTHY LIFE. SUPPORTING HEALTHCARE THROUGH PARTNERSHIPS NOT ONLY IS CONTRIBUTING TO COMMUNITY ACTIVITIES AND ORGANIZATIONS PART OF OUR MISSION, PARTNERING WITH NON-PROFIT ORGANIZATIONS TO PROVIDE HEALTH EDUCATION AND INFORMATION ENABLES OUR HOSPITALS TO SERVE THE COMMUNITY. WE STRIVE TO PARTNER WITH ORGANIZATIONS THAT ADDRESS THE CRITICAL ISSUES OF OUR SOCIETY; ALSO, TO GRANT FINANCIAL SUPPORT TO THOSE WE BELIEVE CAN HELP MAKE A TRUE DIFFERENCE IN THE HEALTH OUR COMMUNITY. SOME OF OUR COMMUNITY PARTNERS INCLUDE: -ADA JENKINS CENTER -AMERICAN HEART ASSOCIATION -CHARLOTTE-MECKLENBURG SCHOOLS -COLON CANCER COALITION -GIRLS ON THE RUN -HOPEWAY FOUNDATION -HUNTERSVILLE FAMILY FITNESS & AQUATICS -JUVENILE DIABETES RESEARCH FUND -LAKE NORMAN COMMUNITY HEALTH CLINIC -MARCH OF DIMES -MENTAL HEALTH AMERICA OF CENTRAL CAROLINAS -NATIONAL MS SOCIETY -RONALD MCDONALD HOUSE -SUSAN G. KOMEN FOR THE CURE CHARLOTTE -REACH OUT AND READ 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 I, LINE 1 NEW TECHNOLOGY & SERVICES A CONCURRENT ELECTRONIC HEALTH RECORD (EHR) INITIATIVE IS BEING UNDERTAKEN BY BOTH THE ACUTE AND AMBULATORY FACILITIES IN THE NOVANT HEALTH SYSTEM. IN JULY 2013, NOVANT HEALTH MEDICAL GROUP FINALIZED THE IMPLEMENTATION OF THE EHR IN ALL PHYSICIAN PRACTICES ACROSS THE NOVANT HEALTH SYSTEM. MANY NOVANT HEALTH FACILITIES HAVE SUCCESSFULLY IMPLEMENTED THE EHR AND CLINICIANS CAN NOW SHARE PATIENTS' MEDICAL INFORMATION BETWEEN PHYSICIAN OFFICES, OUTPATIENT CENTERS AND HOSPITALS. THIS SHARING OF INFORMATION IMPROVES SAFETY AND COORDINATION OF CARE AND PROMOTES CONNECTIVITY AND COMMUNICATION BETWEEN HOSPITAL CAREGIVERS, SPECIALISTS AND PRIMARY CARE PROVIDERS. EMBARKING ON THE JOURNEY TO CREATE A SHARED EHR IS THE MOST SIGNIFICANT AND IMPORTANT INVESTMENT NOVANT HEALTH HAS EVER MADE FOR ITS PATIENTS, STAFF AND PHYSICIANS. NOVANT HEALTH AND ATRIUM HEALTH ANNOUNCED A PARTNERSHIP TO MERGE CRITICAL PATIENT INFORMATION, WHICH WILL GIVE PROVIDERS SECURE ACCESS TO THE IMPORTANT PATIENT RECORDS THEY NEED FOR IMPROVING QUALITY AND COORDINATION OF CARE FOR PATIENTS WHO SEE PROVIDERS AT BOTH HEALTH SYSTEMS. THIS NEW PARTNERSHIP WILL ALLOW PHYSICIANS AND CLINICIANS TO SEE RELEVANT PORTIONS OF PATIENTS' ELECTRONIC HEALTH RECORDS REGARDLESS OF WHERE THEY RECEIVE CARE. THE PARTNERSHIP IS A SIGNIFICANT STEP TOWARD IMPROVING EFFICIENCIES AND COST BY REDUCING READMISSIONS, DUPLICATIVE WORK, TESTS AND PROCEDURES. NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER ARE CONTINUALLY ANALYZING THEIR HEALTHCARE OFFERINGS TO DETERMINE WHAT NEW TECHNOLOGY AND SERVICES SHOULD BE PROVIDED FOR PATIENTS. AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER IS THE FIRST CHARLOTTE HOSPITAL TO EARN THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S HEART-CHECKMARK FOR ADVANCED CERTIFICATION FOR COMPREHENSIVE STROKE CENTERS. WITH AN ADVANCED CERTIFICATION FOR COMPREHENSIVE STROKE, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER JOINS AN ELITE GROUP OF HEALTHCARE ORGANIZATIONS FOCUSED ON HIGHLY SPECIALIZED STROKE CARE. THIS SIGNIFIES THAT NHPMC IS PROVIDING OUR PATIENTS WITH THE HIGHEST LEVEL OF CARE ANYWHERE IN THE COUNTRY. TRAUMA DESIGNATION - THE NORTH CAROLINA OFFICE OF EMERGENCY MEDICAL SERVICES HAS DESIGNATED NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER A LEVEL III TRAUMA CENTER. THIS IS THE FIRST NOVANT HEALTH HOSPITAL TO RECEIVE A TRAUMA DESIGNATION. NATIONAL RECOGNITION FOR SURGICAL PATIENT CARE - IN 2018, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER WAS AGAIN RECOGNIZED FOR MERITORIOUS OUTCOMES FOR SURGICAL PATIENT CARE BY THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM. BARIATRIC REACCREDITATION - NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER RECEIVED ITS FIFTH REACCREDITATION AS A COMPREHENSIVE BARIATRIC SURGERY CENTER IN 2018 UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM. BREAST CANCER CARE - NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER EARNED RE-ACCREDITATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS IN 2018. THE PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS IS ONLY GIVEN TO THOSE CENTERS THAT ARE COMMITTED TO PROVIDING THE HIGHEST LEVEL OF QUALITY BREAST CANCER CARE. HEART AND STROKE CARE AWARDS - IN 2018, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER HAVE BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION (AHA/ASA) FOR THEIR SUCCESS IN USING GET WITH THE GUIDELINES TO IMPROVE QUALITY OF CARE AND OUTCOMES FOR HEART FAILURE AND STROKE PATIENTS. THE AWARDS RECOGNIZE A HOSPITAL'S COMMITMENT AND SUCCESS IN ENSURING PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT FOR STROKE AND HEART FAILURE ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BUILT ON THE LATEST SCIENTIFIC EVIDENCE. GET WITH THE GUIDELINES STROKE AWARDS: -NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER: GOLD PLUS WITH TARGET HEART FAILURE HONOR ROLL -NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER: GOLD PLUS WITH TARGET STROKE ELITE HONOR ROLL GET WITH THE GUIDELINES HEART FAILURE AWARDS: -NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER: GET WITH THE GUIDELINES-HEART FAILURE: GOLD PLUS WITH TARGET HEART FAILURE HONOR ROLL -NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER: SILVER PLUS WITH TARGET HEART FAILURE HONOR ROLL STEMI RECOGNITION - IN 2018, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE GOLD PLUS AWARD AS A RECEIVING CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER RECEIVED GOLD AS A REFERRAL CENTER. MISSION: LIFELINE ACHIEVEMENT AWARDS RECOGNIZE PARTICIPATING HOSPITALS FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURE OUTLINED BY THE AMERICAN HEART ASSOCIATION FOR THE TREATMENT OF PATIENT WHO SUFFER SEVERE HEART ATTACKS. 100 GREAT COMMUNITY HOSPITALS - IN 2018, NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER HAS BEEN NAMED ONE OF THE "100 GREAT COMMUNITY HOSPITALS" BY BECKER'S HOSPITAL REVIEW. THE LIST INCLUDES INDEPENDENT COMMUNITY HOSPITALS AS WELL AS FACILITIES AFFILIATED WITH LARGE HEALTH SYSTEMS. LGBTQ HEALTHCARE EQUALITY RECOGNITION - NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER RECEIVED RECOGNITION 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. HEALTH INFORMATION AND MANAGEMENT SYSTEMS SOCIETY (HIMSS) STAGE 7 ACUTE CARE AWARD - THIS RECOGNITION REPRESENTS NOVANT HEALTH PRESBYTERIAN 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. FORM 990, PART I, LINE 1 CERTIFICATIONS FOR NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER INCLUDE: -AMERICAN ACADEMY OF SLEEP MEDICINE -AMERICAN DIABETES ASSOCIATION - SELF MANAGEMENT EDUCATION RECOGNITION -METABOLIC & BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM -ANCC MAGNET RECOGNITION PROGRAM DESIGNATION -CHEST PAIN CERTIFICATION -CENTER OF EXCELLENCE MINIMALLY INVASIVE GYNECOLOGY (AAGL) (COEMIG) -FDA MQSA CERTIFICATION -NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID -ONCOLOGY REHAB PARTNERS STAR PROGRAM CERTIFICATION -THE JOINT COMMISSION - ADVANCED COMPREHENSIVE STROKE CENTER CERTIFICATION -UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - CLIA -UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - MEDICARE CERTIFICATIONS FOR NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER INCLUDE: -AMERICAN DIABETES ASSOCIATION - SELF MANAGEMENT EDUCATION RECOGNITION -ANCC MAGNET RECOGNITION PROGRAM DESIGNATION -CHEST PAIN CERTIFICATION -FDA MQSA CERTIFICATION -NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE - MEDICAID -ONCOLOGY REHAB PARTNERS STAR PROGRAM CERTIFICATION -THE JOINT COMMISSION - COLORECTAL CANCER CENTER CERTIFICATION -THE JOINT COMMISSION - PRIMARY STROKE CENTER CERTIFICATION -THE JOINT COMMISSION - TOTAL HIP JOINT REPLACEMENT CERTIFICATION -THE JOINT COMMISSION - TOTAL KNEE JOINT REPLACEMENT CERTIFICATION -UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - CLIA -UNITED STATES DEPARTMENT OF HEALTH & HUMAN SERVICES - MEDICARE ACCREDITATION NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER HAVE BEEN FULLY ACCREDITED BY THE JOINT COMMISSION, AN INDEPENDENT ORGANIZATION THAT EVALUATES A HEALTHCARE ORGANIZATION'S PERFORMANCE IN AREAS THAT MOST AFFECT PATIENT HEALTH AND SAFETY. OTHER ACCREDITATIONS INCLUDE: CHEST PAIN ACCREDITATION - IN 2018, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER WERE BOTH AWARDED CHEST PAIN CENTER V5 ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. LABORATORY ACCREDITATION - THE ABRET NEURODIAGNOSTIC CREDENTIALING AND ACCREDITATION AWARDED NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER'S ELECTROENCEPHALOGRAPHY LABORATORY WITH LAB-EEG ACCREDITATION, MAKING IT THE ONLY ACCREDITED EEG LABORATORY IN CHARLOTTE. ACCREDITATIONS FOR NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER AND NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER: -AMERICAN ASSOCIATION OF BLOOD BANKS -AMERICAN COLLEGE OF RADIOLOGY -AMERICAN COLLEGE OF RADIOLOGY: MAMMOGRAPHY -AMERICAN COLLEGE OF SURGEONS: CANCER CENTER -COLLEGE OF AMERICAN PATHOLOGY -INTERSOCIETAL ACCREDITATION COMMISSION ECHOCARDIOGRAPHY LABORATORIES -NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS -MAGNET NURSING FACILITY BY THE AMERICAN NURSES CREDENTIALING CENTER 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 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 THE BOARD MEMBERS OF THE GOVERNING BODY OF PRESBYTERIAN HOSPITAL ARE THE SAME AS THOSE OF THE NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC; THE BOARD IS APPOINTED BY NOVANT HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B FORM 990, PART VI, SECTION A, LINE 7B: DECISIONS SUBJECT TO APPROVAL OF MEMBERS THE BOARD OF NOVANT HEALTH, INC. APPROVES CHANGES MADE TO THE PRESBYTERIAN HOSPITAL BYLAWS. 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: AFFILIATE TRANSFERS: -1,019,013. MALPRACTICE INSURANCE: -521,363. K-1 ADJUSTMENTS: -1,991,011. CONTRIBUTIONS: -1,074,461. 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