FORSYTH MEMORIAL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: FORSYTH MEMORIAL HOSPITAL INC (EIN 56-0928089)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201243189349302924
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T13:42:23-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	560928089	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FORSYTH MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FORS	NameControl
Phone	3367182803	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2085 FRONTIS PLAZA BLVD	AddressLine1
City	WINSTON SALEM	City
State	NC	State
ZIP Code	27103	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	FRED HARGETT	Name
Title	EVP & CFO	Title
Phone	3367182803	Phone
Date Signed	2012-11-13	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	FORSYTH MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JEFFREY LINDSAY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2085 FRONTIS PLAZA BLVD	AddressLine1
City	WINSTON SALEM	City
State	NC	State
ZIP Code	27103	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	955803810	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FORSYTHMEDICALCENTER.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1968	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	7584	TotalNbrEmployees
Total Nbr Volunteers	986	TotalNbrVolunteers
Total Gross UBI	500673	TotalGrossUBI
Net Unrelated Business Txbl Income	109574	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3414624	ContributionsGrantsPriorYear
Contributions Grants Current Year	2577799	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	835247712	ProgramServiceRevenuePriorYear
Program Service Revenue CY	887587244	ProgramServiceRevenueCY
Investment Income Prior Year	-12263	InvestmentIncomePriorYear
Investment Income Current Year	-244870	InvestmentIncomeCurrentYear
Other Revenue Prior Year	62398310	OtherRevenuePriorYear
Other Revenue Current Year	65567008	OtherRevenueCurrentYear
Total Revenue Prior Year	901048383	TotalRevenuePriorYear
Total Revenue Current Year	955487181	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	180878	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	372774	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	386412199	SalariesEtcPriorYear
Salaries Etc Current Year	425101646	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	421385517	OtherExpensePriorYear
Other Expenses Current Year	477298833	OtherExpensesCurrentYear
Total Expenses Prior Year	807978594	TotalExpensesPriorYear
Total Expenses Current Year	902773253	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	93069789	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	52713928	RevenuesLessExpensesCY
Total Assets BOY	850834530	TotalAssetsBOY
Total Assets EOY	889125682	TotalAssetsEOY
Total Liabilities BOY	49541905	TotalLiabilitiesBOY
Total Liabilities EOY	46251404	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	801292625	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	842874278	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	762688535	Expense
Grants	372774	Grants
Revenue	947540011	Revenue
Description	FORSYTH MEMORIAL HOSPITAL, INC. (FMH) AND KERNERSVILLE MEDICAL CENTER (KMC) 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. FMH AND KMC MAINTAIN AN OPEN DOOR POLICY, ACCEPTING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. FMH HAS 921 LICENSED BEDS. DURING 2011 THERE WERE 228,862 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 5.78 DAYS, AN AVERAGE DAILY CENSUS OF 627, AND 39,629 DISCHARGES. THERE WERE 25,479 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 1,054,801 OUTPATIENT ENCOUNTERS AND 95,146 EMERGENCY DEPARTMENT VISITS. (CONTINUED ON SCHDULE 0)KMC HAS 50 LICENSED BEDS. DURING 2011 THERE WERE 4,175 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 3.19 DAYS, AND AVERAGE DAILY CENSUS OF 14, AND 1,309 DISCHARGES. THERE WERE 1,429 INPATIENT AND OUTPATIENT SURGERIES, A TOTAL OF 15,535 OUTPATIENT ENCOUNTERS AND 14,893 EMERGENCY DEPARTMENT VISITS.	Description
Total Program Service Expense	762688535	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	7584	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	3367182803	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2085 FRONTIS PLAZA BLVD	AddressLine1
City	WINSTON SALEM	City
State	NC	State
ZIP Code	27103	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BAREFOOTSAMUAL
TRUSTEE	2.00	X	0	0	0
CARROLLJOE
TRUSTEE	2.00	X	0	0	0
COLONNADAVID
TRUSTEE	2.00	X	0	10500	0
EDWARDSJOEL LYNN
TRUSTEE	2.00	X	414293	0	49527
EGGERSGERALD
TRUSTEE	2.00	X	0	0	0
ELYJOSEPH
SEC	2.00	X	0	0	0	X
FORIESTBRYANT
TRUSTEE	2.00	X	0	0	0
FULLERSTANLEY BRIAN
TRUSTEE	2.00	X	0	419851	41829
GREENGARY
TREASURER	2.00	X	0	0	0	X
HAULSEEHADA EE VARONA
VICE CHAIR	2.00	X	0	0	0	X
JOHNSONJOIA
TRUSTEE	2.00	X	0	0	0
JONESBRUCE
TRUSTEE	2.00	X	0	0	0
LAMBECLARENCE
TRUSTEE	2.00	X	0	0	0
LEAVITTROBERT
TRUSTEE	2.00	X	0	0	0
LOGANJOSEPH
TRUSTEE	2.00	X	0	0	0
MCNEIL-MILLERKAREN
CHAIR	2.00	X	0	0	0	X
POLLARDHAROLD
TRUSTEE	2.00	X	0	0	0
POLONSKYSHERRY
TRUSTEE	2.00	X	0	0	0
REAVESDONALD
TRUSTEE	2.00	X	0	0	0
WOLFE IIIJOHN
TRUSTEE	2.00	X	0	0	0
LINDSAYJEFFERY T
PRESIDENT FMC/COO WS MARKET	60.00		757410	0	352308	X
MCGEELAWRENCE UPCHURCH
SVP & GC	2.00		0	1088209	423765	X
MORRISJOHN BENTON
ASST SEC	2.00		0	277977	35153	X
ALLENJOANNE
PRES-KVILLE	60.00		207683	0	23483		X
HAMMESPAUL H
SVP & COO FMC	60.00		476027	0	44491		X
WALLEYBRUCE DOUGLAS
SVP MED AFFRS	60.00		460555	0	13381		X
BRAVOJULIO R
RHEUMATOLOGIST	40.00		498779	0	44354			X
CANNONTHOMAS B
FAMILY PRACTITIONER	40.00		464265	0	63972			X
CHASECHERE MONIQUE
MEDICAL DIRECTOR	40.00		503865	0	27298			X
EBERLEROBERT A
INTERNIST	40.00		467927	0	47972			X
STURGILLWILLIAM H
DERMATOLOGIST	40.00		466529	0	42948			X
ALLENELMS LEACH
FORMER SVP MED AFFRS	0.00		284398	0	26795				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5001731	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1796537	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1237276	TotalOtherCompensation
Number Individuals GT100 K	383	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	6467291
NURSEFINDERS INC
PO BOX 910738	DALLAS	TX	75391	STAFFING	5520854
AMERICAN RED CROSS
PO 905890	CHARLOTTE	NC	28290	BLOOD PROCESSING	4390536
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	3150737
PIEDMONT TRIAD ANESTHESIA
PO BOX 602365	CHARLOTTE	NC	28260	ANESTHESIA SERVICES	2830589

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	76	NumberOfContractorsGT100K
Related Organizations	2336014	RelatedOrganizations
All Other Contributions	241785	AllOtherContributions
Total Contributions	2577799	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT REVENUE	Description
Business Code	621990	BusinessCode
Total Revenue Column	887587244	TotalRevenueColumn
Related Or Exempt Function Income	887587244	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	887587244	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5560	TotalRevenueColumn
Exclusion	$5,560	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3581121	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3581121	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3581121	TotalRevenueColumn
Exclusion	$3,581,121	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	66199	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	316629	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-250430	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-250430	TotalRevenueColumn
Exclusion	-$250,430	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PHARMACY	446110	50635665	50183374	452291
MISCELLANEOUS REVENUE	621990	5776865	5728483	48382
CAFETERIA	722210	3334964	3334964

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2238393	TotalRevenueColumn
Related Or Exempt Function Income	705946	RelatedOrExemptFunctionIncome
Exclusion	$1,532,447	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	61985887	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	955487181	TotalRevenueColumn
Related Or Exempt Function Income	947540011	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	500673	UnrelatedBusinessRevenue
Exclusion	$4,868,698	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	265060	Total
Program Services	265060	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	107714	Total
Program Services	107714	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2991927	Total
Management And General	2991927	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	339058603	Total
Program Services	326106564	ProgramServices
Management And General	12952039	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	16437506	Total
Program Services	15809593	ProgramServices
Management And General	627913	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	43559352	Total
Program Services	41895385	ProgramServices
Management And General	1663967	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	23054258	Total
Program Services	22173585	ProgramServices
Management And General	880673	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	179313	Total
Management And General	179313	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	297	Total
Management And General	297	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	3150	Total
Management And General	3150	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	51669673	Total
Program Services	42827996	ProgramServices
Management And General	8841677	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4654489	Total
Program Services	4476688	ProgramServices
Management And General	177801	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5852682	Total
Program Services	5629110	ProgramServices
Management And General	223572	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6440453	Total
Program Services	6194428	ProgramServices
Management And General	246025	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	5269	Total
Program Services	5068	ProgramServices
Management And General	201	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	30326092	Total
Program Services	29167635	ProgramServices
Management And General	1158457	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	417343	Total
Program Services	401400	ProgramServices
Management And General	15943	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	551559	Total
Program Services	530489	ProgramServices
Management And General	21070	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	16320498	Total
Program Services	15697055	ProgramServices
Management And General	623443	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22494927	Total
Program Services	21635621	ProgramServices
Management And General	859306	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1680250	Total
Program Services	1616064	ProgramServices
Management And General	64186	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
CORPORATE ALLOCATION	107614747	107614747
MEDICAL SUPPLIES	94851393		94851393
DRUGS	79491551		79491551
INCOME TAXES	62933	62933

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	54682214	Total
Program Services	53806136	ProgramServices
Management And General	876078	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	902773253	Total
Program Services	762688535	ProgramServices
Management And General	140084718	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2350739	BOY
EOY	3529739	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	230565	BOY
EOY	167577	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	125995888	BOY
EOY	98613263	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	47685	BOY
EOY	30685	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	6556006	BOY
EOY	7792203	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11035044	BOY
EOY	14946588	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1084525	BOY
EOY	368711	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	370511852	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	214086433	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	77148221	BOY
EOY	156425419	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	29563796	BOY
EOY	31510968	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	596822061	BOY
EOY	575740529	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	850834530	BOY
EOY	889125682	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	43941007	BOY
EOY	38342075	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	191829	BOY
EOY	189281	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5409069	BOY
EOY	7720048	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	49541905	BOY
EOY	46251404	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	801292625	BOY
EOY	842874278	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	801292625	BOY
EOY	842874278	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	850834530	BOY
EOY	889125682	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	52713928	ReconcilationRevenueExpenses
Reconcilation Other Changes	-11132275	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$68,388	OtherActivitiesAmount
Total Lobbying Expenditures IIB	68388	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	SCHEDULE C, PART II-B, LINE 1I DUES PAID TO CERTAIN ORGANIZATIONS WHICH INCLUDE A PORTION RELATED TO LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4082278	OtherCostOrOtherBasis
Book Value	4082278	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	73660088	OtherCostOrOtherBasis
Depreciation	2451212	Depreciation
Book Value	71208876	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9634929	OtherCostOrOtherBasis
Depreciation	5887380	Depreciation
Book Value	3747549	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	272812936	OtherCostOrOtherBasis
Depreciation	205495368	Depreciation
Book Value	67317568	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10321621	OtherCostOrOtherBasis
Depreciation	252473	Depreciation
Book Value	10069148	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	156425419	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	575671064
INCOME TAX RECEIVABLE	69465

Field	Value	IRS element (for citing)
Total Book Value Other Assets	575740529	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
CAPITAL LEASE PAYABLE	$224,344
THIRD PARTY PAYABLE	$7,495,704

Field	Value	IRS element (for citing)
Total Of Amounts	7720048	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	LIABILITY UNDER FIN 48 (ASC 740) FOOTNOTE THE AUDIT FOR NOVANT HEALTH AND ITS AFFILIATES IS PREPARED ON A CONSOLIDATED BASIS. THE COMPANY WAS 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 STATEMENT OF OPERATIONS FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To Most Hospitals	X	PolicyAppliedToMostHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33858393	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	33858393	NetCommunityBenefitExpense
Percent Of Total Expense	0.03750	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	85980574	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56472700	DirectOffsettingRevenue
Net Community Benefit Expense	29507874	NetCommunityBenefitExpense
Percent Of Total Expense	0.03270	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9288255	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6092030	DirectOffsettingRevenue
Net Community Benefit Expense	3196225	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	129127222	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62564730	DirectOffsettingRevenue
Net Community Benefit Expense	66562492	NetCommunityBenefitExpense
Percent Of Total Expense	0.07370	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13896288	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1728074	DirectOffsettingRevenue
Net Community Benefit Expense	12168214	NetCommunityBenefitExpense
Percent Of Total Expense	0.01350	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1461062	TotalCommunityBenefitExpense
Direct Offsetting Revenue	871585	DirectOffsettingRevenue
Net Community Benefit Expense	589477	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	37331212	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28729811	DirectOffsettingRevenue
Net Community Benefit Expense	8601401	NetCommunityBenefitExpense
Percent Of Total Expense	0.00950	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	649382	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	649382	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	372774	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	372774	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	53710718	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31329470	DirectOffsettingRevenue
Net Community Benefit Expense	22381248	NetCommunityBenefitExpense
Percent Of Total Expense	0.02480	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	182837940	TotalCommunityBenefitExpense
Direct Offsetting Revenue	93894200	DirectOffsettingRevenue
Net Community Benefit Expense	88943740	NetCommunityBenefitExpense
Percent Of Total Expense	0.09850	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$31,748,242	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	167011768	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	190392325	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-23380557	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
FORSYTH MEMORIAL HOSPITAL INC
1	3333 SILAS CREEK PARKWAY	WINSTON SALEM	NC	27103	X	X	X
FMH DBA KERNERSVILLE MEDICAL CENTER
2	1750 KERNERSVILLE MEDICAL PARKWAY	KERNERSVILLE	NC	27284	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
FORSYTH MEMORIAL HOSPITAL INC
1	1	1	300.000000000000	0	0	1	1	X	X	X	X	X	X	1	0	1	X	0	0
FMH DBA KERNERSVILLE MEDICAL CENTER
2	1	1	300.000000000000	0	0	1	1	X	X	X	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	52	NumberOfOtherFacilities

Other Facilities OtherFacilities (52 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
WINSTON-SALEM HEALTH CARE
250 CHARLOIS BOULEVARD	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
FMCIMAPLEWOOD
3155 MAPLEWOOD AVENUE	WINSTON SALEM	NC	27103	IMAGING CENTER
FMCIBREAST CLINIC
2025 FRONTIS PLAZA BLVD SUITE 300	WINSTON SALEM	NC	27103	IMAGING CENTER
MAPLEWOOD FAMILY PRACTICE
ROBINHOOD MEDICAL PLAZA BLDG 100	WINSTON SALEM	NC	27106	PHYSICIAN CLINIC
INPATIENT PHYSICIANS OF FORSYTH
3333 SILAS CREEK PARKWAY	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
FMCIWSHC RADIOLOGY
250 CHARLOIS BOULEVARD	WINSTON SALEM	NC	27103	IMAGING CENTER
SALEM FAMILY PRACTICE
105 VEST MILL CIRCLE	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
FORSYTH INTERNAL MEDICINE
1381 WESTGATE CENTER DRIVE	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
MOUNTAINVIEW MEDICAL
216 MOORE ROAD	KING	NC	27021	PHYSICIAN CLINIC
KERNERSVILLE FAMILY PRACTICE
291 BROAD STREET	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
FMCIKERNERSVILLE IMAGING CENTER
445 PINEVIEW DRIVE SUITE 100	KERNERSVILLE	NC	27284	IMAGING CENTER
MEDICAL ASSOCIATES OF SURRY
865 WESTLAKE DRIVE	MOUNT AIRY	NC	27030	PHYSICIAN CLINIC
MEDICAL ASSOCIATES OF DAVIE
485 VALLEY ROAD	MOCKSVILLE	NC	27028	PHYSICIAN CLINIC
PHOA KERNERSVILLE
445 PINEVIEW DRIVE	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
CHAIR CITY FAMILY PRACTICEMEDZONE
903 RANDOLPH STREET	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
UROLOGY PARTNERS
180 KIMEL PARK DRIVE SUITE 110	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
PHOA LEXINGTON
1370 PIEDMONT DRIVE SUITE 202	LEXINGTON	NC	272952053	PHYSICIAN CLINIC
PHOA MT AIRY
865 WEST LAKE DRIVE	MT AIRY	NC	270302157	PHYSICIAN CLINIC
YADKIN MEDICAL ASSOCIATES
305 EAST LEE AVENUE	YADKINVILLE	NC	27055	PHYSICIAN CLINIC
PREMIER MEDICAL ASSOCIATES
3333 BROOKVIEW HILLS BLVD STE 204	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
FAMILY MEDICAL ASSO OF LEWISVILLE
1225 LEWISVILLE-CLEMMONS ROAD	LEWISVILLE	NC	27023	PHYSICIAN CLINIC
THOMASVILLE MEDICAL ASSOCIATES
309 PINEYWOOD ROAD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
KING HEALTHCARE PHARMACY
212 MOORE ROAD	KING	NC	27021	PHARMACY
WINSTON-SALEM HEALTH CARE DERMATOLOGY
175 KIMEL PARK DRIVE	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
FORSYTH ENDOCRINE CONSULTANTS
755 HIGHLAND OAKS DRIVE SUITE 201	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
FORSYTH HEALTHCARE PHARMACY
3333 SILAS CREEK PARKWAY	WINSTON SALEM	NC	27103	PHARMACY
CLEMMONS FAMILY PRACTICE
6301 STADIUM DRIVE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
ARCADIA FAMILY PRACTICE
12208 HWY 150 NORTH	WINSTON SALEM	NC	27127	PHYSICIAN CLINIC
NORTH POINT MEDICAL ASSOCIATES
1995 BETHABARA ROAD	WINSTON SALEM	NC	27106	PHYSICIAN CLINIC
INFECTIOUS DISEASE SPECIALISTS
1381 WESTGATE CENTER DRIVE	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
RHEUMATOLOGY & ARTHRITIS ASSOCIATES
1995 BETHABARA ROAD	WINSTON SALEM	NC	27106	PHYSICIAN CLINIC
MAPLEWOOD FAMILY PRACTICE
5110 ROBINHOOD VILLAGE DRIVE STE	WINSTON SALEM	NC	27106	PHYSICIAN CLINIC	C-1
WEST FORSYTH FAMILY MEDICINE
105 STADIUM OAKS DRIVE	CLEMMONS	NC	27012	PHYSICIAN CLINIC
NEW GARDEN MEDICAL ASSOCIATES
1941 NEW GARDEN ROAD	GREENSBORO	NC	27410	PHYSICIAN CLINIC
GATEWAY FAMILY PRACTICE
390 SALEM AVENUE	WINSTON SALEM	NC	27101	PHYSICIAN CLINIC
FORSYTH INTERNAL MEDICINE K'VILLE
445 PINEVIEW DRIVE SUITE 240	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
SALEM HEALTHCARE PHARMACY
105 VEST MILL CIRCLE	WINSTON SALEM	NC	27103	PHARMACY
PILOT MOUNTAIN FAMILY MEDICINE
207 MEDICAL STREET	PILOT MOUNTAIN	NC	27041	PHYSICIAN CLINIC
WINSTON-SALEM HEALTH CARE PSYCHIATRY
280 CHARLOIS BOULEVARD	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
PHOA ELKIN
505 SAMARITANS RIDGE COURT	ELKIN	NC	28621	PHYSICIAN CLINIC
INPATIENT PHYSICIANS OF DAVIDSON
207 OLD LEXINGTON ROAD	THOMASVILLE	NC	27360	PHYSICIAN CLINIC
MEDICAL ASSOCIATES OF DAVIE HILLSDALE
121 MEDICAL DRIVE	ADVANCE	NC	27006	PHYSICIAN CLINIC
FORSYTH COMPREHENSIVE NEUROLOGY
2025 FRONTIS PLAZA BLVD STE 120	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
PALLIATIVE CARE SERVICES
3333 SILAS CREEK PARKWAY	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
PHOA STATESVILLE
276 OLD MOCKSVILLE ROAD	STATESVILLE	NC	286251949	PHYSICIAN CLINIC
LEXINGTON PRIMARY CARE
110 WEST MEDICAL PARK DRIVE	LEXINGTON	NC	272926773	PHYSICIAN CLINIC
FOOTHILLS FAMILY MEDICINE
600 CHATHAM MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN CLINIC
TRIAD ENDOCRINE CONSULTANTS
500 PINEVIEW DRIVE SUITE 101	KERNERSVILLE	NC	27284	PHYSICIAN CLINIC
STROKE BRIDGE CLINIC
3333 SILAS CREEK PARKWAY	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
WINSTON SALEM CARDIOLOGY
186 KIMEL PARK DRIVE	WINSTON SALEM	NC	27103	PHYSICIAN CLINIC
WALKERTOWN FAMILY PRACTICE
2800 DARROW ROAD	WALKERTOWN	NC	27051	PHYSICIAN CLINIC
FRIEDBERG FAMILY MEDICINE
5010 PETERS CREEK PARKWAY	WINSTON SALEM	NC	27127	PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: ALL UNINSURED PATIENTS RECEIVE A STANDARD DISCOUNT REGARDLESS OF THEIR ABILITY TO PAY. THIS DISCOUNT MIRRORS OUR AVERAGE MANAGED CARE RATE. PATIENTS BELOW 300% OF THE FEDERAL POVERTY GUIDELINES ARE DISCOUNTED AT 100% (3A: FREE CARE). OTHER PATIENTS MAY ALSO BE ELIGIBLE FOR DISCOUNTS FOR BALANCES ABOVE $5,000 (CATASTROPHIC DISCOUNT).
PART I, LINE 6A: THE ORGANIZATION IS PART OF THE NOVANT HEALTH CARE SYSTEM AND THE COMMUNITY BENEFIT REPORT IS PREPARED BY A RELATED ORGANIZATION. NOVANT HEALTH, INC. PRODUCES ITS OWN COMMUNITY BENEFIT REPORT, WHICH REPRESENTS THE HEALTH SYSTEM AS A WHOLE AND CAN BE FOUND ATHTTP://WWW.NOVANTHEALTH.ORG/GIVEBACK/COMMUNITYBENEFITREPORT.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 I, LINE 7: COSTS REPORTED IN THE TABLE OF CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AMOUNTS ARE CALCULATED USING AN ENTITY SPECIFIC COST TO CHARGE RATIO BASED ON WORKSHEET 2 (RCC).
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT REMOVED FROM TOTAL EXPENSES (DENOMINATOR) WAS $31,748,242.
PART II: ALTHOUGH PART II FOR SCHEDULE H HAS BEEN LEFT BLANK, THE ORGANIZATION DOES ENGAGE IN MANY COMMUNITY BUILDING ACTIVITIES, WHICH SUPPORT AND STRENGTHEN THE COMMUNITY IT SERVES. THESE ACTIVITIES ARE IMPORTANT TO THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY. HOWEVER, THE ORGANIZATION HAS NOT TRADITIONALLY MAINTAINED AN INFRASTRUCTURE TO TRACK, MONITOR AND REPORT THESE ACTIVITIES. THE ORGANIZATION IS PART OF THE NOVANT HEALTH CARE SYSTEM, WHICH HAS A COMMUNITY BENEFIT COMMITTEE. THE COMMUNITY BENEFIT COMMITTEE IS CURRENTLY IN THE PROCESS OF ESTABLISHING THE APPROPRIATE INTERNAL MECHANISMS TO TRACK, MONITOR AND REPORT THESE ACTIVITIES. THE ORGANIZATION IS COMMITTED TO CONTINUING TO PROVIDE THE COMMUNITY BUILDING ACTIVITIES NECESSARY TO MAINTAIN A HEALTHY, PRODUCTIVE AND VIABLE COMMUNITY.
PART III, LINE 4: THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ON LINE 2 IS CALCULATED USING THE SAME METHODOLOGY AS CHARITY CARE AND OTHER COMMUNITY BENEFITS USING AN ENTITY SPECIFIC COST TO CHARGE RATIO (RCC).BAD DEBT EXPENSE ONLY REPRESENTS ACCOUNTS FOR WHICH COLLECTION EFFORTS HAVE BEEN MADE BUT NO PAYMENTS HAVE BEEN RECEIVED. DISCOUNTS ARE RECORDED AS EITHER CONTRACTUALS (FOR PATIENTS WHO DO NOT QUALIFY FOR CHARITY) OR AS CHARITY (FOR PATIENTS WHO DO QUALIFY FOR CHARITY). THE TEXT OF THE NOVANT HEALTH, INC. CONSOLIDATED FINANCIAL STATEMENTS READS: "THE PROVISION FOR BAD DEBTS IS DETERMINED BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, THE AGE OF THE ACCOUNTS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS."
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 RATIO OF COST TO CHARGES IS DEVELOPED FOR EACH COST CENTER. THE RCC 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 OR OFFER 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 TO THE GOVERNMENT. ANY UNREIMBURSED COSTS OF THIS CARE ARE A COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT.
PART V, SECTION B, LINE 10: ALL UNINSURED PATIENTS RECEIVE A STANDARD DISCOUNT REGARDLESS OF THEIR ABILITY TO PAY. THIS DISCOUNT MIRRORS OUR AVERAGE MANAGED CARE RATE. PATIENTS BELOW 300% OF THE FEDERAL POVERTY GUIDELINES ARE DISCOUNTED AT 100% (3A: FREE CARE). OTHER PATIENTS MAY ALSO BE ELIGIBLE FOR DISCOUNTS FOR BALANCES ABOVE $5,000 (CATASTROPHIC DISCOUNT).	FORSYTH MEMORIAL HOSPITAL, INC
PART V, SECTION B, LINE 10: ALL UNINSURED PATIENTS RECEIVE A STANDARD DISCOUNT REGARDLESS OF THEIR ABILITY TO PAY. THIS DISCOUNT MIRRORS OUR AVERAGE MANAGED CARE RATE. PATIENTS BELOW 300% OF THE FEDERAL POVERTY GUIDELINES ARE DISCOUNTED AT 100% (3A: FREE CARE). OTHER PATIENTS MAY ALSO BE ELIGIBLE FOR DISCOUNTS FOR BALANCES ABOVE $5,000 (CATASTROPHIC DISCOUNT).	FMH DBA KERNERSVILLE MEDICAL CENTER
PART V, SECTION B, LINE 17E: FORSYTH MEMORIAL HOSPITAL, INC:PART V, SECTION B, LINES 15, 16 AND 17:WE DID NOT CHECK ANYTHING FOR QUESTION 15, 16 AND 17 BECAUSE WE PROCEED WITH ALL REASONABLE EFFORTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE PRIOR TO INITIATING ANY COLLECTION ACTIONS.	FORSYTH MEMORIAL HOSPITAL, INC
PART V, SECTION B, LINE 17E: FMH DBA KERNERSVILLE MEDICAL CENTER:PART V, SECTION B, LINES 15, 16 AND 17:WE DID NOT CHECK ANYTHING FOR QUESTION 15, 16 AND 17 BECAUSE WE PROCEED WITH ALL REASONABLE EFFORTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE PRIOR TO INITIATING ANY COLLECTION ACTIONS.	FMH DBA KERNERSVILLE MEDICAL CENTER
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USED THE AVERAGE OF ITS NEGOTIATED COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.	FORSYTH MEMORIAL HOSPITAL, INC
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USED THE AVERAGE OF ITS NEGOTIATED COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.	FMH DBA KERNERSVILLE MEDICAL CENTER
PART VI, LINE 2: NEEDS ASSESSMENTTHE ORGANIZATION IS PART OF THE NOVANT HEALTH CARE SYSTEM, WHICH HAS A COMMUNITY BENEFIT COMMITTEE. THE COMMUNITY BENEFIT COMMITTEE IS RESPONSIBLE FOR ASSISTING THE HOSPITALS WITHIN THE HEALTH CARE SYSTEM WITH PREPARING COMMUNITY NEEDS ASSESSMENTS. THE COMMUNITY BENEFIT COMMITTEE IS MADE OF INDIVIDUALS REPRESENTING CORPORATE-WIDE DEPARTMENTS, SUCH AS COMMUNITY RELATIONS, LEGAL, TAX, INTERNAL AUDIT, MARKETING/COMMUNICATIONS, AS WELL AS INDIVIDUALS FROM VARIOUS DEPARTMENTS OF HOSPITAL OPERATIONS AND THE HEALTH CARE SYSTEM'S HOSPITAL FOUNDATIONS. EACH HOSPITAL, WITH THE ASSISTANCE OF THE COMMUNITY BENEFIT COMMITTEE, WILL IDENTIFY ORGANIZATIONS AND RESOURCES WITHIN ITS COMMUNITY TO CONTRIBUTE TO THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT. THESE ORGANIZATIONS AND RESOURCES INCLUDE LOCAL HEALTH DEPARTMENTS, UNITED WAY, UNIVERSITIES, PUBLIC HEALTH DEPARTMENTS, ETC. THE EXISTING COMMUNITY HEALTH ASSESSMENTS PREPARED BY OTHER ORGANIZATIONS IN THE COMMUNITY WILL BE COMBINED WITH INTERNAL HOSPITAL DATA AND INFORMATION COLLECTED FROM LOCAL AGENCIES TO BECOME THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT. EACH HOSPITAL HAS ALSO TRADITIONALLY RESPONDED TO REQUESTS FOR CERTAIN COMMUNITY BENEFIT ACTIVITIES OR PROGRAMS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS AND THIS WILL ALSO BE INCLUDED IN THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT. ONCE THE COMMUNITY NEEDS ASSESSMENT IS COMPLETED, WHICH WILL BE EVERY THREE YEARS, THE HOSPITAL WILL PRIORITIZE THE NEEDS BY DETERMINING WHAT HOSPITAL RESOURCES ARE AVAILABLE TO MEET THE NEEDS AND WHAT OTHER COMMUNITY RESOURCES ARE BEING USED TO MEET A PARTICULAR NEED. THE HOSPITAL WILL DEVELOP A COMMUNITY BENEFIT PLAN, WHICH WILL BE REVIEWED AND UPDATED AS NECESSARY, AT LEAST EVERY THREE YEARS. ALL HOSPITALS' COMMUNITY NEEDS ASSESSMENTS WILL BE MADE AVAILABLE TO THE PUBLIC.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEAS A NOT-FOR-PROFIT ORGANIZATION, NOVANT HEALTH IS COMMITTED TO PROVIDING OUTSTANDING HEALTH CARE TO ALL MEMBERS OF OUR COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. OUR ACUTE CARE FACILITIES PROVIDE CARE IN 35 COUNTIES ACROSS THREE STATES. ADDITIONALLY, OUR PHYSICIANS AND ACUTE CARE FACILITIES OFFER CARE TO NATIONAL AND INTERNATIONAL MISSION PATIENTS. 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 LOCAL DEPARTMENT OF SOCIAL SERVICES TEAMS TO HAVE EMBEDDED CASE WORKERS WITHIN OUR FACILITIES. 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, NOVANT HEALTH HAS DEVELOPED FINANCIAL ASSISTANCE POLICIES AND PROGRAMS THAT ADDRESS THE FINANCIAL NEEDS OR OUR PATIENTS. - UNINSURED PATIENTS WITH INCOMES OF UP TO 300% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR 100% WRITE-OFF. - UNINSURED PATIENTS WITH INCOME OVER 300% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR SELF-PAY DISCOUNTS BASED ON THE PATIENT'S ANNUAL INCOME AND OUTSTANDING MEDICAL BILLS / COSTS. - ANY PATIENT (EVEN WITH HEALTH INSURANCE) WITH A BALANCE OVER $5,000 AND / OR INCOME OVER 300% OF THE FEDERAL POVERTY LEVEL IS ELIGIBLE FOR A CATASTROPHIC DISCOUNT. OUR CATASTROPHIC DISCOUNTS ARE ALSO BASED ON THE PATIENT'S ANNUAL INCOME AND OUTSTANDING MEDICAL BILLS / COSTS.- ANY PATIENT IS ELIGIBLE FOR AN INDIVIDUALIZED PAYMENT PLAN BASED ON THE AMOUNT DUE AND THE PATIENT'S FINANCIAL STATUS, WITH TERMS EXTENDING UP TO FIVE YEARS. NO INTEREST IS CHARGED, UNLESS APPROPRIATE. WE PRIDE OURSELVES IN THE TRANSPARENCY OF OUR PROGRAMS AND THE EDUCATION WE OFFER OUR PATIENTS AROUND OUR FINANCIAL ASSISTANCE POLICIES. OUR PROGRAMS ARE DOCUMENTED ON OUR CORPORATE WEBSITE AS WELL AS EACH INDIVIDUAL FACILITY'S WEBSITE, ALONG WITH CONTACT INFORMATION FOR OUR FINANCIAL COUNSELORS. ADDITIONALLY, OUR PROGRAMS ARE DOCUMENTED ON PATIENT FLYERS THROUGHOUT THE NOVANT AFFILIATED FACILITIES AND PHYSICIAN OFFICES. OUR PATIENT ACCESS SPECIALISTS, FINANCIAL COUNSELORS AND BUSINESS OFFICE TEAMS WORK WITH ALL SELF-PAY PATIENTS AND INSURED PATIENTS WITH HIGH DEDUCTIBLES TO EDUCATE THEM ON THE VARIOUS OPTIONS AVAILABLE VIA OUR FINANCIAL ASSISTANCE PROGRAMS OR GOVERNMENT SPONSORED CARE. 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 NOVANT EXECUTIVE TEAM.
PART VI, LINE 4: COMMUNITY INFORMATIONTHE FORSYTH MEMORIAL HOSPITAL, INC. FORM 990 INCLUDES THE OPERATIONS OF TWO HOSPITALS. FORSYTH MEMORIAL HOSPITAL, INC. DBA FORSYTH MEDICAL CENTER AND AS KERNERSVILLE MEDICAL CENTERTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA, WHICH IS FORSYTH COUNTY, NORTH CAROLINA. THIS IS AN URBAN AREA.THERE ARE THREE NONPROFIT ACUTE CARE HOSPITALS IN THE COMMUNITY, TWO OF WHICH ARE THE ORGANIZATION AND ONE OF WHICH IS PART OF THE NOVANT HEALTH CARE SYSTEM. THERE IS ALSO ONE ACADEMIC, TEACHING HOSPITAL. ACCORDING TO TRUVEN HEALTH DATA, THE SPECIFIC POPULATION GROUPS (ETHNIC AND CULTURAL) ARE AS FOLLOWS: WHITE NON-HISPANIC (226,127) 59.5%; BLACK NON-HISPANIC (92,351) 24.3%; HISPANIC (46,602) 12.3%; ASIAN AND PACIFIC ISLAND (7,543) 2.0%; OTHERS (7,705) 2.0%; FOR A TOTAL POPULATION OF 380,328. ACCORDING TO TRUVEN HEALTH DATA, THE MEDIAN HOUSEHOLD INCOME LEVEL WAS $47,132.ACCORDING TO TRUVEN HEALTH DATA, THE AGE BREAKDOWN IS AS FOLLOWS: 0-17 YEARS (94,003) 24.7%; 18-64 YEARS (237,335) 62.4%; 65+ YEARS (48,990) 12.9%
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHE ORGANIZATION FURTHERS ITS EXEMPT PURPOSES BY DOING THE FOLLOWING:1. ADOPTING A CHARITY CARE POLICY, WHICH PROVIDES FREE CARE TO INDIVIDUALS WHOSE INCOME IS AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL;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 HEALTH CARE 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 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 HEALTH CARE ORGANIZATIONS IN THE COMMUNITIES IT SERVES; AND14. GENERALLY PROMOTING THE HEALTH, WELLNESS, AND WELFARE OF THE COMMUNITIES IT SERVES BY PROVIDING QUALITY HEALTH CARE SERVICES AT REASONABLE COST.FOR SPECIFIC EXAMPLES OF THIS ORGANIZATION'S COMMUNITY BENEFIT ACTIVITIES, WHICH FURTHER THE ORGANIZATION'S EXEMPT PURPOSES (AND THOSE OF ALL HOSPITALS AND HEALTH CARE FACILITIES IN THE SAME HEALTH CARE SYSTEM), PLEASE SEE THE NOVANT HEALTH COMMUNITY BENEFIT REPORT, LOCATED AT HTTP://WWW.NOVANTHEALTH.ORG/GIVEBACK/COMMUNITYBENEFITREPORT.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: AFFILIATED HEALTH CARE SYSTEMTHE ORGANIZATION IS ONE OF TEN TAX-EXEMPT HOSPITALS IN THE NOVANT HEALTH CARE SYSTEM IN NORTH 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 HEALTH CARE SYSTEM AS A WHOLE IS DOCUMENTED IN A SYSTEM-WIDE COMMUNITY BENEFIT REPORT, LOCATED AT HTTP://WWW.NOVANTHEALTH.ORG/GIVEBACK/COMMUNITYBENEFITREPORT.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. THE NOVANT HEALTH CARE SYSTEM ALSO INCLUDES AN ORGANIZATION THAT OWNS PHYSICIAN PRACTICES IN VIRGINIA, SOUTH CAROLINA, AND NORTH CAROLINA, WHICH PROVIDE ADDITIONAL COMMUNITY BENEFIT TO THEIR COMMUNITIES, AND FIVE HOSPITAL FOUNDATIONS, WHICH SUPPORT AND ENHANCE THE COMMUNITY BENEFIT ACTIVITIES IN THOSE HOSPITAL'S COMMUNITIES. FURTHER, THE NOVANT HEALTH CARE SYSTEM INCLUDES AMBULATORY SURGERY CENTERS, SKILLED NURSING FACILITIES, REHABILITATION PROGRAMS, AND OTHER OUTPATIENT FACILITIES, WHICH ALSO PROVIDE COMMUNITY BENEFIT TO THEIR COMMUNITIES. THERE ARE SIGNIFICANT COMMUNITY BENEFIT ACTIVITIES WITHIN THE NOVANT HEALTH SYSTEM, WHICH MAY NOT BE REPORTABLE ON A SCHEDULE H BECAUSE THEY ARE NOT CONDUCTED BY AN ENTITY WHICH OWNS OR OPERATES A HOSPITAL. THE HEALTH CARE SYSTEM HAS A COMMUNITY BENEFIT COMMITTEE, WHICH WILL OVERSEE AND ASSIST ALL TAX-EXEMPT HOSPITALS WITHIN NOVANT IN PREPARING THEIR COMMUNITY NEEDS ASSESSMENTS AND COMMUNITY BENEFIT PLANS. THE GOAL OF HAVING A SYSTEM-WIDE COMMITTEE IS TO IDENTIFY COMMUNITY BENEFIT ACTIVITIES THAT ARE DUPLICATIVE IN COMMUNITIES AND TO STREAMLINE AND COORDINATE EFFORTS TO RESULT IN BETTER AND MORE EFFICIENT USES OF RESOURCES, WHICH COULD LEAD TO ADDITIONAL RESOURCES TO BE ALLOCATED TO MEET OTHER COMMUNITY NEEDS, AND TO REPLICATE SUCCESSFUL PROGRAMS AND ACTIVITIES IN COMMUNITIES WHERE A SIMILAR NEED IS INDICATED. ALL OF THE TAX-EXEMPT HOSPITALS WITHIN THE NOVANT HEALTH CARE SYSTEM ARE COMMITTED TO IMPROVING THE HEALTH OF THEIR COMMUNITIES AND PROVIDING COMMUNITY BENEFIT ACTIVITIES TO SUPPORT THEIR MISSION.
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.		PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	STATE EMPLOYEES CREDIT UNION FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 WADE AVE	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27605	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	562255292	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	250000	AmountOfCashGrant
Purpose Of Grant	TO BUILD A HOSPITALITY GUEST HOUSE FOR PATIENTS AND/OR THEIR FAMILY MEMBERS/CAREGIVERS.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	DISCOUNTED PRESCRIPTION DRUG PROGRAM	TypeOfGrant
Number Of Recipients	1640	NumberOfRecipients
Amount Of Cash Grant	107714	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Explanation	PART I, LINE 2 - PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE ORGANIZATION IS AN AFFILIATE IN AN INTEGRATED HEALTH CARE SYSTEM AND FOLLOWS 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 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EDWARDSJOEL LYNN
403303	0	175	0	10815	0	31746	0	17781	0	463820	0	0	0
FULLERSTANLEY BRIAN
0	359937	0	47018	0	12896	0	14700	0	27129	0	461680	0	16901
LINDSAYJEFFERY T
472588	0	245365	0	39457	0	333573	0	18735	0	1109718	0	245365	0
MCGEELAWRENCE UPCHURCH
0	394252	0	277860	0	416097	0	400397	0	23368	0	1511974	0	673197
MORRISJOHN BENTON
0	220277	0	42900	0	14800	0	13650	0	21503	0	313130	0	42900
ALLENJOANNE
167005	0	24212	0	16466	0	16066	0	7418	0	231167	0	24212	0
HAMMESPAUL H
297703	0	156080	0	22244	0	22200	0	22291	0	520518	0	156080	0
WALLEYBRUCE DOUGLAS
324221	0	110229	0	26105	0	4912	0	8469	0	473936	0	110229	0
BRAVOJULIO R
363673	0	133780	0	1326	0	22200	0	22154	0	543133	0	0	0
CANNONTHOMAS B
423164	0	0	0	41101	0	47203	0	16769	0	528237	0	0	0
CHASECHERE MONIQUE
403608	0	17255	0	83002	0	14700	0	12598	0	531163	0	17255	0
EBERLEROBERT A
459265	0	675	0	7987	0	27086	0	20886	0	515899	0	0	0
STURGILLWILLIAM H
461765	0	4222	0	542	0	22200	0	20748	0	509477	0	0	0
ALLENELMS LEACH
65625	0	218492	0	281	0	11845	0	14949	0	311192	0	218492	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 IN LIMITED CIRCUMSTANCES DEEMED TO INVOLVE BUSINESS NECESSITY. 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. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: EXECUTIVES WHO PURCHASE SPLIT DOLLAR INSURANCE THROUGH THEIR DISCRETIONARY SPENDING ACCOUNT MAY HAVE THE ADDITIONAL INCOME TAX OWED ON THE PS-58 COSTS PAID BY THE ORGANIZATION. EXECUTIVES WHO RECEIVE TAXABLE RELOCATION INCOME MAY HAVE THE ADDITIONAL INCOME TAX OWED ON THE INCOME PAID BY THE ORGANIZATION. EXECUTIVES MAY RECEIVE AS SEVERANCE BENEFITS CASH PAYMENTS IN LIEU OF PREMIUMS PAID FOR COVERAGE OF CERTAIN GROUP BENEFITS THAT ENDED WITH THE EXECUTIVE'S TERMINATION. THE ORGANIZATION MAY PAY THE ADDITIONAL TAX OWED ON ACCOUNT OF THESE PAYMENTS. 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 BOARD. 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. IN THE CASE THAT SUCH EXPENSE IS NOT REIMBURSABLE UNDER THE ACCOUNTABLE PLAN RULES, 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. THE ORGANIZATION PROVIDES A TEMPORARY RESIDENCE FOR LIMITED EXECUTIVE USE THAT AT TIMES MAY INCLUDE INCIDENTAL PERSONAL USE. IN THAT CASE, THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND THAT AMOUNT IS INCLUDED IN THE EXECUTIVE'S TAXABLE INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: IN CASES WHERE CORPORATE MEMBERSHIPS ARE NOT AVAILABLE, A MEMBERSHIP MAY BE OBTAINED IN AN EXECUTIVE'S NAME WITH A "BUSINESS USE ONLY" RESTRICTION. AT THIS TIME NOVANT HAS ONE SUCH MEMBERSHIP.
PART I, LINE 3	THE FILING ORGANIZATION IS AN AFFILIATE IN AN INTEGRATED HEALTHCARE SYSTEM AND IS SUPPORTED BY A PARENT ORGANIZATION THAT USES THE PROCESS DESCRIBED IN PART VI, LINE 15A OF THIS RETURN TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION. 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	SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED MCGEE, LAWRENCE UPCHURCH 0 395,337 0
PART III	PART III - OTHER ADDITIONAL INFORMATION DESCRIPTIONS OF SUPPLEMENTAL EXECUTIVE BENEFITS INCLUDED IN PART VII AND SCHEDULE J: EXECUTIVE ANNUAL INCENTIVE PLAN: AS PART OF THE REPORTED COMPENSATION AMOUNTS, THE REPORTING ORGANIZATION PROVIDES ANNUAL INCENTIVE COMPENSATION TO OFFICERS AND KEY EMPLOYEES UNDER AN EXECUTIVE ANNUAL INCENTIVE PLAN. THE INCENTIVE PLAN IS DESIGNED TO OFFER OPPORTUNITIES FOR ADDITIONAL COMPENSATION, BUT ONLY TO THE EXTENT THAT ELIGIBLE EXECUTIVES HAVE PROVIDED EXTRAORDINARY SERVICES AND ACHIEVED EXTRAORDINARY RESULTS THAT MEET OR EXCEED PREDETERMINED GOALS IN THE AREAS OF QUALITY, PATIENT SATISFACTION, EMPLOYEE SATISFACTION AND FINANCIAL VITALITY. THESE GOALS ARE ESTABLISHED AND APPROVED BY INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD). THESE GOALS ARE WEIGHTED EQUALLY. THE ADDITIONAL COMPENSATION CAN RANGE ANYWHERE FROM ZERO TO A MAXIMUM PERCENTAGE OF BASE SALARY THAT DIFFERS BY THE CLASS OF EXECUTIVE; THIS MAXIMUM PERCENTAGE RANGES FROM 30% TO 70% OF BASE SALARY. IN ADDITION, THE INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES WHO OVERSEE THE INCENTIVE COMPENSATION PROGRAM APPLY TWO "CIRCUIT BREAKERS," WHICH ARE SUBSTANTIAL LEVELS OF ORGANIZATION-WIDE ACHIEVEMENT THAT MUST BE SATISFIED BEFORE ANY AWARDS ARE PAID TO ANY EXECUTIVE UNDER THE PROGRAM. THE INCENTIVE COMPENSATION AWARDS HAVE BEEN INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(II) OF SCHEDULE J. THEY ARE REPORTED IN THE YEAR PAID. INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD) REVIEW, APPROVE, AND OVERSEE ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS, INCLUDING THE AMOUNTS AWARDED UNDER THIS ANNUAL INCENTIVE PLAN. LONG-TERM INCENTIVE PLAN: THE REPORTING ORGANIZATION OFFERS A LONG-TERM INCENTIVE PLAN (THE "PLAN") TO CERTAIN KEY EXECUTIVES. THE PLAN TIES A KEY EXECUTIVE'S COMPENSATION TO THE ORGANIZATION'S LONG-TERM STRATEGIC PERFORMANCE, PROVIDES A RETENTION INCENTIVE FOR KEY EXECUTIVES, AND ALLOWS THE ORGANIZATION TO COMPETE IN THE MARKETPLACE FOR TOP LEADERSHIP TALENT. THE PLAN OPERATES ON THREE-YEAR PERFORMANCE CYCLES THAT BEGIN EACH YEAR. LONG-TERM STRATEGIC GOALS (IN THE PRINCIPAL AREAS OF QUALITY OF PATIENT CARE AND LONG-TERM FINANCIAL STRENGTH) ARE ESTABLISHED AND APPROVED FOR EACH CYCLE, IN ADVANCE, BY INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD). A MINIMUM LEVEL OF COMMUNITY BENEFIT AND CHARITY CARE, AS WELL AS A MINIMUM LEVEL OF FINANCIAL PERFORMANCE, IS REQUIRED BEFORE ANY AWARD CAN BE PAID UNDER THE PLAN. NOVANT HEALTH'S INTERNAL AUDIT DEPARTMENT REVIEWS THE METHODOLOGY AND PROCESS USED TO DETERMINE ACHIEVEMENT OF THE QUALITY METRICS. AWARDS ARE PAYABLE FOR A PARTICULAR THREE-YEAR PERFORMANCE CYCLE ONLY IF THE REQUISITE LEVEL OF COMMUNITY BENEFIT AND CHARITY CARE, ALONG WITH THE REQUIRED LEVEL OF FINANCIAL PERFORMANCE TO DEMONSTRATE LONG-TERM FINANCIAL STRENGTH, HAVE BEEN MET FOR THAT RESPECTIVE THREE-YEAR PERFORMANCE PERIOD. IF AN AWARD IS EARNED AT THE END OF A PERFORMANCE CYCLE, THEN THE INCENTIVE AWARD IS PAID OUT AND IS INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(II) OF SCHEDULE J. THEY ARE REPORTED IN THE YEAR PAID. INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD) REVIEW, APPROVE, AND OVERSEE ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS, INCLUDING THE AMOUNTS AWARDED UNDER THIS LONG-TERM INCENTIVE PLAN. SCHEDULE J PART I LINE 4A - SEVERANCE PLAN: ELIGIBLE EXECUTIVES MAY RECEIVE SEVERANCE PAY THAT IS A SPECIFIED MULTIPLE OF ANNUAL COMPENSATION. 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. INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD) REVIEW, APPROVE, AND OVERSEE ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS, INCLUDING THE AMOUNTS AWARDED UNDER THIS SEVERANCE PLAN. SCHEDULE J PART I LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") IS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES, AND TO OFFER COMPETITIVE TOTAL COMPENSATION. THESE SERP BENEFITS ARE CALCULATED WITH REFERENCE TO A FORMULA THAT TAKES INTO CONSIDERATION THE EXECUTIVE'S TOTAL YEARS OF SERVICE WITH THE ORGANIZATION AND OTHER RETIREMENT INCOME. THESE BENEFITS ARE FULLY AT RISK AND WILL NOT BE PAID UNLESS THE EXECUTIVE PROVIDES SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EXECUTIVE IS NOT ENTITLED TO ANY SERP BENEFIT. IF THE EXECUTIVE WERE TO HAVE LEFT THE ORGANIZATION VOLUNTARILY DURING THE YEAR FOR WHICH THESE AMOUNTS ARE BEING REPORTED (BEFORE REACHING BOTH AGE 55 AND HAVING FIVE YEARS OF SERVICE WITH THE ORGANIZATION), THE EXECUTIVE'S SERP BENEFIT WOULD HAVE BEEN ENTIRELY FORFEITED. THE SERP BENEFIT IS REDUCED AT THE RATE OF 2 PERCENTAGE POINTS PER YEAR FOR PAYMENTS RECEIVED BETWEEN THE AGES OF 55 AND 62. CURRENT YEAR PAYMENTS OF SERP BENEFITS HAVE BEEN INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(III) OF SCHEDULE J. AN ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE IS REPORTED AS DEFERRED COMPENSATION IN PART VII AND IN COLUMN (C) OF SCHEDULE J FOR ELIGIBLE EXECUTIVES. INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD) REVIEW, APPROVE, AND OVERSEE ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS, INCLUDING THE AMOUNTS AWARDED UNDER THIS SUPPLEMENTAL RETIREMENT PLAN.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	CHERE CHASE	NamePerson
Loan From Organization	X	LoanFromOrganization
Original Principal	$75,000	OriginalPrincipalAmount
Balance Due	30685	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	30685	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	ELIZABETH WALLEY	NamePerson

Field	Value	IRS element (for citing)
Relationship	FAMILY MEMBER OF BRUCE WALLEY, KEY EMPLOYEE	Relationship
Amount Of Transaction	95071	AmountOfTransaction
Description Of Transaction	COMPENSATION GREATER THAN $10,000 WAS PAID BY THE FILING ORGANIZATION TO A FAMILY MEMBER OF A CURRENT OFFICER, BOARD MEMBER OR KEY EMPLOYEE.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS:	Identifier
Explanation	(A) NAME OF PERSON: CHERE CHASE(A) PURPOSE OF LOAN: EMPLOYMENT RELATED	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ACTIVITIES	FORM 990, PART I, LINE 1: ORGANIZATION'S MISSION OR MOST SIGNIFICANT	IN 2011, FORSYTH MEDICAL CENTER (FMC), A 921-BED NOVANT HEALTH TERTIARY CARE HOSPITAL LOCATED IN WINSTON-SALEM, NC, FOCUSED ON PROVIDING COMMUNITY SUPPORT, CONSISTENT QUALITY, EXCELLENT SERVICE AND A REMARKABLE WORK ENVIRONMENT FOR STAFF. IT IS AN INTEGRAL PART OF THE NOVANT HEALTH SYSTEM (COLLECTIVELY KNOWN AS "NOVANT"), A NOT-FOR-PROFIT INTEGRATED GROUP OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS. NOVANT IS RANKED AS ONE OF OUR NATION'S TOP 25 HEALTHCARE SYSTEMS - CARING FOR PATIENTS AND COMMUNITIES IN NORTH CAROLINA, VIRGINIA AND SOUTH CAROLINA. THE NOVANT HEALTH SYSTEM REPORTED $3.453 BILLION IN REVENUES IN 2011. OUR HOSPITAL IS COMMITTED TO MEETING THE HEALTHCARE NEEDS OF RESIDENTS OF THE PIEDMONT TRIAD REGION OF NORTH CAROLINA, ONE PERSON AT A TIME. QUALITY WE ARE PROUD OF THE ACHIEVEMENTS IN QUALITY THIS YEAR AS WE RANK WELL ABOVE STATE AVERAGES IN HEART ATTACK, HEART FAILURE AND PNEUMONIA CARE. IN ADDITION, FORSYTH MEDICAL CENTER'S BREAST CANCER CENTER PROGRAM IS NATIONALLY CERTIFIED. OUR STROKE AND NEUROSCIENCES INSTITUTE AND CARDIAC & VASCULAR CENTER HEART FAILURE PROGRAM AND STROKE REHABILITATION PROGRAM ARE ALL NATIONALLY ACCREDITED AS WELL AS ITS TOTAL HIP AND KNEE JOINT REPLACEMENT PROGRAM. OUR HEART FAILURE PROGRAM RECEIVED ADVANCED HEART FAILURE CERTIFICATION FOR EXCEPTIONAL EFFORTS TO IMPROVE HEART FAILURE PATIENT OUTCOMES AND THE AMERICAN COLLEGE OF SURGEONS (ACS) NAMED FORSYTH MEDICAL CENTER WITHIN ITS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM. DURING 2011, FORSYTH MEDICAL CENTER ("FMC") EARNED THE VHA HONOR OF THE LEADERSHIP AWARD FOR CLINICAL EXCELLENCE, HONORING THE HOSPITAL FOR MEETING OR EXCEEDING NATIONAL PERFORMANCE STANDARDS FOR CLINICAL CARE AND IMPROVING THE PATIENT EXPERIENCE WHILE ACHIEVING TOP PERFORMANCE IN CLINICAL CORE MEASURES. FORSYTH MEDICAL CENTER HAS BEEN RECOGNIZED FOR ACHIEVING THE TOP 10% OF HOSPITALS NATIONALLY FOR PATIENT SATISFACTION BASED ON HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) DATA AS WELL AS IN THE TOP 10% IN THE NATION FOR CUSTOMER SATISFACTION, EARNING THE HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD. OUR COMMITMENT TO EXCELLENCE IN PATIENT CARE, INCLUDING NURSING CARE, CONTINUED DURING THE YEAR. FORSYTH MEDICAL CENTER IS AMONG ONLY FIVE PERCENT OF HOSPITALS IN THE UNITED STATES TO BE DESIGNATED BY THE AMERICAN NURSES CREDENTIALING CENTER AS A MAGNET FACILITY, CONFIRMING THE EXCEPTIONAL QUALITY OF CARE THAT OUR NURSES PROVIDE. AT THE STATE LEVEL, TWO NURSES FROM FORSYTH MEDICAL CENTER WERE SELECTED BY THE NORTH CAROLINA NURSES' ASSOCIATION TO BE AMONG THE "GREAT 100 NURSES." TO FURTHER ADVANCE THE QUALITY OF ITS NURSING, FORSYTH MEDICAL CENTER PLANS TO ADOPT A NEW NURSING PROFESSIONAL PRACTICE MODEL IN 2012 THE DUFFY'S QUALITY-CARING MODEL WHICH WILL SOONAFTER, BE ADOPTED BY NOVANT HEALTH'S ENTIRE ACUTE NURSING SYSTEM. FORSYTH MEDICAL CENTER IS ALSO AN AWARD-WINNER FOR ITS AESTHETIC BEAUTY IN TOUR COMMUNITY. FMC HAS BEEN HONORED BY THE COMMUNITY APPEARANCE COMMISSION OF FORSYTH COUNTY/WINSTON-SALEM FOR THE WONDERFUL APPEARANCE OF THE LANDSCAPING ACROSS THE HOSPITAL CAMPUS GROUNDS. ON MARCH 16, 2011, FORSYTH MEDICAL CENTER OPENED A NEW AFFILIATE HOSPITAL, KERNERSVILLE MEDICAL CENTER (KMC) AS A 50-BED NOVANT HEALTH COMMUNITY HOSPITAL LOCATED IN KERNERSVILLE, NC. THE HOSPITAL FOCUSES ON PROVIDING A FAST-ACCESS EMERGENCY DEPARTMENT, GENERAL, ORTHOPAEDIC AND EYE SURGICAL SERVICES, CONSISTENT QUALITY, EXCELLENT SERVICE AND A REMARKABLE WORK ENVIRONMENT FOR STAFF TO RESIDENTS IN THE KERNERSVILLE AREA, WESTERN GUILFORD AND ROCKINGHAM COUNTIES, AS WELL AS EASTERN STOKES AND FORSYTH COUNTIES. SAFETY THE VHA RECOGNIZED FMC AS A LEADER IN CENTRAL ATLANTIC COMPARATIVE SAFETY MEASUREMENTS FOR FALLS WITH INJURY REDUCTION NOTING A 50% REDUCTION IN FALLS WITH INJURY RATE JULY - DECEMBER 2011 COMPARED TO JANUARY - JUNE 2011. FORSYTH MEDICAL CENTER'S SERIOUS SAFETY EVENTS RATE DROPPED TO .21 BASED ON A ROLLING 12-MONTH RATE OF SERIOUS SAFETY EVENTS PER 10,000 ADJUSTED PATIENT DAYS. FMC ALSO CELEBRATED A STREAK OF 177 DAYS WITHOUT A SERIOUS SAFETY EVENT IN 2011. FORSYTH MEDICAL CENTER PRACTICES HAVE BEEN SELECTED AS A VHA LEADING PRACTICE BLUEPRINT FOR DEMONSTRATED NATIONAL EXCELLENCE IN PN2 PNEUMOCOCCAL SCREENING AND/OR VACCINATION AND PN7 INFLUENZA VACCINE (DURING FLU SEASON ONLY). TO EARN THIS HONOR, FORSYTH MEDICAL CENTER EXHIBITED SUPERIOR PERFORMANCE AS A LEADING PRACTICE IN THESE TWO INDICATORS FOR THE LAST EIGHT QUARTERS AND HAS EVEN ATTAINED 100% FOR AT LEAST 10 QUARTERS. AS A VHA LEADING PRACTICE BLUEPRINT, FMC'S BEST PRACTICES IN THESE CATEGORIES WILL BE SHARED WITH OTHER LIKE FACILITIES TRYING TO IMPROVE THEIR OWN BENCHMARKS. DURING 2011, THE MEDICAL CENTER RECEIVED A NUMBER OF ACCREDITATIONS AND AWARDS FOR ITS HIGH LEVEL OF PATIENT CARE IN SPECIFIC CATEGORIES, INCLUDING THESE ACCOMPLISHMENTS: - FORSYTH MEDICAL CENTER RANKS WELL ABOVE THE STATE AVERAGE IN APPROPRIATE CARE MEASURE (ACM), A PATIENT-CENTERED COMPOSITE SCORE THAT CAPTURES WHETHER OR NOT A PATIENT RECEIVED ALL OF THE RECOMMENDED TREATMENTS IN THE FOLLOWING MEASURES: HEART ATTACK (100%) HEART FAILURE (100%) PNEUMONIA CARE (100%) SURGICAL CARE IMPROVEMENT PROJECT (99%) - FORSYTH MEDICAL CENTER'S STROKE & NEUROSCIENCES INSTITUTE EARNED THE DISTINCTION AS THE ONLY MEDICAL CENTER IN NORTH CAROLINA AND SOUTH CAROLINA RECOGNIZED BY THE AMERICAN HEART ASSOCIATION (AHA) AND AMERICAN STROKE ASSOCIATION (ASA) FOR IMPROVING STROKE CARE BY CONSISTENTLY ADMINISTERING THE CLOT DISSOLVING DRUG RT-PA TO VICTIMS OF ISCHEMIC STROKE WITHIN 60 MINUTES OF ARRIVING FOR CARE. THE RECOGNITION IS PART OF THE ASSOCIATIONS' NATIONAL QUALITY IMPROVEMENT CAMPAIGN, TARGET: STROKE AND TARGET: STROKE HONOR ROLL, TO IMPROVE OUTCOMES FOR ISCHEMIC STROKE PATIENTS BY RECOGNIZING THOSE MEDICAL CENTERS THAT CONSISTENTLY DELIVER THE FASTEST CARE FOR STROKE VICTIMS. - THE DIRECTOR FOR NEUROSCIENCES AND NEUROCRITICAL CARE AT FORSYTH MEDICAL CENTER, PRESENTED AND PARTICIPATED IN A PANEL DISCUSSION ON THE CHALLENGES OF RURAL WOMEN: UNITED STATES AND AFRICA AT THE 56TH SESSION OF THE INTERNATIONAL COMMISSION ON THE STATUS OF WOMEN AT UNITED NATIONS HEADQUARTERS IN NEW YORK. - FORSYTH REHAB PARTNERED WITH LOWE'S FOODS (BASED IN WINSTON-SALEM, NC) TO OPEN THE "LOWES LEARNING LAB" WITHIN FMC'S WHITAKER REHABILITATION CENTER. THE LOWES LEARNING LAB IS A MOCK GROCERY STORE SET UP WITHIN THE REHAB CENTER WHERE PATIENTS ARE ABLE TO RE-DEVELOP AND REFINE THE MANY COGNITIVE AND PHYSICAL ABILITIES ASSOCIATED WITH SHOPPING, WHILE IN A SAFE ENVIRONMENT. - THE DERRICK L. DAVIS FORSYTH REGIONAL CANCER CENTER IS THE ONLY CANCER CENTER IN NORTH CAROLINA, AND ONE OF ONLY SIX ONCOLOGY PRACTICES IN THE NATION, RECOGNIZED FOR IMPROVING ACCESS TO CLINICAL TRIALS FOR PATIENTS AS AWARDED BY THE CONQUER CANCER FOUNDATION OF THE ASCO. - FORSYTH MEDICAL CENTER IMAGING - THE BREAST CLINIC HAS EARNED A THREE-YEAR ACCREDITATION IN BREAST MAGNETIC RESONANCE IMAGING (MRI) BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR), MAKING IT WINSTON-SALEM'S ONLY ACR-ACCREDITED BREAST MRI FACILITY. - FORSYTH CARDIAC AND VASCULAR CENTER ANNOUNCED ITS AFFILIATION WITH THE CLEVELAND CLINIC HEART & VASCULAR INSTITUTE, THE NATION'S NUMBER ONE HEART CARE PROGRAM IN SEPTEMBER 2011. THE AFFILIATION GIVES OUR PATIENTS NOT ONLY ACCESS TO OUR NATIONALLY RECOGNIZED CARDIAC CARE, BUT TO WORLD-CLASS, LEADING-EDGE CARDIOVASCULAR PREVENTION PROGRAMS AND TREATMENT OPTIONS AVAILABLE AT THE CLEVELAND CLINIC. - FORSYTH CARDIAC AND VASCULAR CENTER IS ALSO THE RECIPIENT OF THE ACTION REGISTRY-GWTG GOLD PERFORMANCE ACHIEVEMENT AWARD. THIS NCDR PERFORMANCE ACHIEVEMENT AWARD RECOGNIZES PARTICIPATING HOSPITALS THAT HAVE MAINTAINED A RATE OF PERFORMANCE OF 85% OR BETTER FOR EIGHT CONSECUTIVE QUARTERS, ENDING QUARTER FOUR 2010. - FOR THE FOURTH CONSECUTIVE YEAR, FORSYTH CARDIAC AND VASCULAR CENTER HAS EARNED THE SOCIETY OF THORACIC SURGEONS (STS) 3-STAR RATING, REPRESENTING THE HIGHEST QUALITY RATING AWARDED FOR HEART SURGERY. - FMC'S WOMEN'S HEART CENTER HAS SCREENED APPROXIMATELY 400 PEOPLE SINCE ITS LAUNCH IN FEBRUARY 2011, AND THIS YEAR HAS EXPANDED TO OFFER WOMEN'S CARDIAC SCREENING SERVICES AT KERNERSVILLE MEDICAL CENTER AND THOMASVILLE MEDICAL CENTER. - FMC'S LABORATORY COMPLETED A SUCCESSFUL BIENNIAL REVIEW BY THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP) AND EARNED THE INTER-SOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES.
	COMMUNITY BENEFIT REPORT:	HTTP://WWW.NOVANTHEALTH.ORG/GIVEBACK/COMMUNITYBENEFITREPORT.ASPX THE COMMUNITY BENEFIT REPORT PREPARED BY NOVANT HEALTH IS A SYSTEM-WIDE REPORT THAT INCLUDES QUALITATIVE AND QUANTITATIVE INFORMATION. IN THIS REPORT, THE NOVANT HEALTH SYSTEM'S COMMUNITY BENEFIT WAS APPROXIMATELY $567,000,000 IN 2011. 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.
	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 EMPLOYEES OF NOVANT AND OUR PHYSICIAN PARTNERS, 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: WE RECOGNIZE THAT EVERY PERSON IS DIFFERENT, EACH SHAPED BY UNIQUE LIFE EXPERIENCES. THIS ENABLES US TO BETTER UNDERSTAND ONE ANOTHER AND OUR CUSTOMERS. PERSONAL EXCELLENCE: WE STRIVE TO GROW PERSONALLY AND PROFESSIONALLY, AND WE APPROACH EACH SERVICE OPPORTUNITY WITH A POSITIVE, FLEXIBLE ATTITUDE. HONESTY AND PERSONAL INTEGRITY GUIDE ALL THAT WE DO. TEAMWORK: THE NEEDS AND EXPECTATIONS OF ANY ONE CUSTOMER ARE GREATER THAN 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.
	FORM 990, PART I, LINE 6:	THE NUMBER OF VOLUNTEERS REPORTED INCLUDES THOSE VOLUNTEERS SERVING AS BOARD MEMBERS.
		- THE AMERICAN DIABETES ASSOCIATION CERTIFIED FMC'S DIABETES CENTER AS WELL AS ITS SELF MANAGEMENT EDUCATION PROGRAM. - FORSYTH MEDICAL CENTER MOST RECENTLY ANNOUNCED IT IS ADVANCING WOMEN'S HEALTH ONCE AGAIN BY CELEBRATING THE BIRTH OF THE MAYA ANGELOU CENTER FOR WOMEN'S HEALTH AND WELLNESS AT FORSYTH MEDICAL CENTER, WHICH WILL OPEN IN MID-JUNE, 2012. THIS NEW CENTER WILL ENHANCE NOVANT HEALTH'S VISION OF PROVIDING A REMARKABLE EXPERIENCE TO WOMEN WITH SERVICES WHICH FOCUS ON THEIR UNIQUE NEEDS, AND WILL BE COORDINATED IN WAYS THAT ARE EASY AND CONVENIENT FOR WOMEN TO ACCESS. IN BOTH THE INPATIENT AND OUTPATIENT COMMUNITY SETTINGS, OUR HOSPITAL-WIDE STAFF OF PHYSICIANS AND MEDICAL PROFESSIONALS WILL WORK TOGETHER TO PROVIDE THE MOST ADVANCED CARE AVAILABLE TO WOMEN TODAY, CUSTOMIZED TO MEET THE NEEDS OF EACH PATIENT, AND ENSURING THAT WOMEN AND GIRLS THROUGHOUT OUR COMMUNITY CAN ACHIEVE BETTER HEALTH FOR THEMSELVES. - THE EMERGENCY DEPARTMENT AT FMC HAS TRANSFORMED ITS OPERATIONS IN THE PAST TWO YEARS TO ACHIEVE ITS LOWEST DOOR-TO-PROVIDER WAIT TIMES ALONG WITH PROVIDING NEW SERVICES. - 39 MINUTES FOR THE AVERAGE PATIENT. UPON ARRIVAL, EVERY PERSON IS GREETED AND EVALUATED BY A NURSE PRACTITIONER WHO, IN MOST CASES, CAN BEGIN THEIR PLAN OF CARE RIGHT AWAY - INCLUDING ORDERING DIAGNOSTIC TESTS BEFORE A PATIENT GOES BACK TO A TREATMENT ROOM. - 58 MINUTES AVERAGE DOOR-TO-TPA TIME TO BEGIN ADMINISTERING TPA TO STROKE PATIENTS TO BEGIN TO DISSOLVE THE BLOOD CLOT IN THEIR BRAIN. A NEW PRACTICE ALSO BRINGS POTENTIAL STROKE PATIENTS DIRECTLY TO A CT SCANNER, SKIPPING VALUABLE TIME THAT HAS BEEN WASTED IN A TREATMENT ROOM. - ADDING A CLINICAL SERVICE NAVIGATOR WHO IS A CLINICAL NURSE THAT CALLS PATIENTS AFTER DISCHARGE ABOUT LAB RESULTS AND FOLLOW-UP NEEDS. THE MEDICAL CENTER ALSO MADE SIGNIFICANT CONTRIBUTIONS TOWARD IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THE HIGHLIGHTS FOR 2011 INCLUDE THE FOLLOWING: - VASCULAR CLINIC/PAD SCREENINGS COMBINE FREE EDUCATION AND SCREENINGS ON CARDIOVASCULAR DISEASE RISK FACTORS WITH AN EMPHASIS ON PREVENTING PERIPHERAL ARTERIAL DISEASE (PAD) IN THE COMMUNITY. - BEHAVIORAL HEALTH COMMUNITY OUTREACH WHICH PROVIDES A 24/7 BEHAVIORAL HEALTH CALL CENTER, DEPRESSIONS AND BIPOLAR SUPPORT GROUP, DIALECTIC BEHAVIORAL THERAPY SKILLS TRAINING, A FAMILY RECOVERY PROGRAM AND A MOBILE CRISIS RESPONSE TEAM. - THE DERRICK L. DAVIS FORSYTH REGIONAL CANCER CENTER'S COMMUNITY SERVICES INCLUDE COMMUNITY EDUCATION FORUMS, A PALLIATIVE CARE SYMPOSIUM, AN EMPLOYEE MAMMOGRAM PROGRAM AS WELL AS PUBLIC SUPPORT GROUPS AND LEARNING SESSIONS FOR CAREGIVERS AND THOSE WITH LEUKEMIA AND LYMPHOMA, GASTROINTESTINAL CANCER, GYNECOLOGIC CANCER AS WELL AS TEACHING ABOUT SPIRITUALITY AND CANCER. - CARDIAC COMMUNITY SERVICES INCLUDE COMMUNITY HEALTH & NUTRITION EDUCATION AND SCREENINGS, A HEART FAILURE CLINIC AND LIPID CLINIC, AN OPEN HEART CLINIC, STRESS MANAGEMENT PROGRAMS AS WELL AS TOBACCO AND SMOKING CESSATION PROGRAMS. - DIABETES SERVICES FEATURE CONTINUOUS GLUCOSE MONITORING, DIABETES PREVENTION AND SCREENINGS SESSIONS, DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT GROUPS AS WELL AS INSULIN PUMP TRAINING. - REHABILITATION SERVICES TO THE COMMUNITY INCLUDE AN APHASIA SUPPORT GROUP, AUDIOLOGY AND POSTURE SCREENINGS. - STROKE AND NEUROSCIENCES COMMUNITY SUPPORT INCLUDES A SLEEP MEDICINE SYMPOSIUM, A STROKE SYMPOSIUM AS WELL AS STROKE EDUCATION AND SUPPORT GROUPS. - WOMEN'S SERVICES COMMUNITY OUTREACH INCLUDE BABY BOOT CAMP, BIRTH AND BEGINNING CLASSES, BREASTFEEDING EDUCATION AND SUPPORT GROUPS, FORSYTH AND DAVIE COUNTY SCHOOL BMI PROGRAMS, A FREE ON-LINE HEALTH RISK ASSESSMENT, GIRLS ON THE RUN AND GIRLS ON TRACK WHICH PROMOTE YOUTH TO LEAD ACTIVE, HEALTHY LIFESTYLES, AND THE HANESBRAND HEALTH LEARNING LIBRARY WHICH PROVIDES SCREENINGS, HEALTH CHECKS AND EDUCATION SERVICES. IN ADDITION TO OUR QUALITY AND COMPREHENSIVE CATEGORIES OF SERVICES, WE'RE VERY PROUD OF OUR PATIENT FINANCIAL ASSISTANCE PROGRAM. WE WORK WITH CUSTOMERS TO HELP QUALIFY THEM FOR PUBLIC ASSISTANCE, ESTABLISH A REASONABLE PAYMENT PLAN, DISCOUNT THEIR BILL TO REFLECT THEIR PERSONAL RESOURCES OR PROVIDE THEM WITH FREE CHARITY CARE.
	FORM 990, PART VI, SECTION A, LINE 2	FAMILY AND/OR BUSINESS RELATIONSHIPS: BUSINESS RELATIONSHIP GARY GREEN PAUL HAMMES
	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	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	DECISIONS SUBJECT TO APPROVAL OF MEMBERS NOVANT HEALTH, INC. HAS CERTAIN RESERVED POWERS, SUCH AS APPROVAL OF AMENDEMNTS 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 11	ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE BOARD HAS DELEGATED REVIEW OF THE FORM 990 TO NOVANT HEALTH'S AUDIT AND COMPLIANCE COMMITTEE, WHICH OVERSEES TAX MATTERS FOR NOVANT HEALTH. THE AUDIT AND COMPLIANCE COMMITTEE IS THE REVIEW BODY FOR ALL OF THE FORM 990S FILED FOR ORGANIZATIONS WITHIN THE NOVANT HEALTH SYSTEM. THE AUDIT AND COMPLIANCE COMMITTEE MEETS BEFORE THE FORM 990S ARE FILED WITH THE IRS AND AFTER ALL BOARD MEMBERS HAVE RECEIVED A COPY OF THE FORM 990 AND A SUMMARY OF ITS CONTENTS. THE SENIOR DIRECTOR 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	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 FORM. ANY POSITIVE ANSWERS ON THE TRUSTEE ANNUAL DISCLOSURE FORM ARE REVIEWED BY THE GENERAL COUNSEL. IF THE RELATIONSHIP DISCLOSED IS DETERMINED NOT TO POSE A POTENTIAL CONFLICT OF INTEREST GENERALLY, THEN NO ACTION IS TAKEN. 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: COMPENSATION PROCESS FOR TOP OFFICIAL INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH 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 RELATED OR DISREGARDED ENTITIES. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT, USES THIRD PARTY COMPARABILITY DATA FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS, AND MAKES SURE THAT TOTAL COMPENSATION AND BENEFITS FOR EACH EXECUTIVE DO NOT EXCEED FAIR MARKET VALUE WHEN COMPARED TO THE MARKET DATA FOR SIMILAR POSITIONS. 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. THE COMMITTEE REVIEWS AND APPROVES EACH ITEM OF THE NOVANT HEALTH SYSTEM CEO'S COMPENSATION AND BENEFITS. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION PROCESS FOR OFFICERS INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH 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 RELATED OR DISREGARDED ENTITIES. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT, USES THIRD PARTY COMPARABILITY DATA FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS, AND MAKES SURE THAT TOTAL COMPENSATION AND BENEFITS FOR EACH EXECUTIVE DO NOT EXCEED FAIR MARKET VALUE WHEN COMPARED TO THE MARKET DATA FOR SIMILAR POSITIONS. 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. LASTLY, IT REVIEWS AND APPROVES ALL OF THE ELEMENTS AND SPECIFICATIONS INCLUDED IN ALL OTHER EXECUTIVE AND LEADER COMPENSATION PLANS AND PROGRAMS (E.G., INCENTIVE PLAN DESIGN, AWARD OPPORTUNITIES, ETC.).
	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 NOVANT HEALTH CARE 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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	FMCF AND AUXILIARY OF FMC CONTRIBUTION: -2,336,014. AFFILIATE TRANSFERS: -3,871,104. MALPRACTICE INSURANCE: -4,933,800. PRESENT VALUE OF FTCC GRANT: 8,643. TOTAL TO FORM 990, PART XI, LINE 5: -11,132,275.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
EXCEL IMAGING LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	204253946	INACTIVE	NC	0	0	FORSYTH MEMORIAL HOSPITAL
SALEM MRI LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103		INACTIVE	NC	0	0	FORSYTH MEMORIAL HOSPITAL
THE BREAST CLINIC MRI LLC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103		INACTIVE	NC	0	0	FORSYTH MEMORIAL HOSPITAL

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
AUXILIARY OF FORSYTH MEMORIAL HOSPITAL
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	560862112	HEALTHCARE	NC	501(C)(3)	LINE 9	FORSYTH MEMORIAL HOSPITAL	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
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	581466368	HEALTHCARE	NC	501(C)(3)	LINE 11B, II	NOVANT MEDICAL GROUP	0
COMMUNITY GENERAL HEALTH PARTNERS
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	560636250	HEALTHCARE	NC	501(C)(3)	LINE 3	NOVANT HEALTH TRIAD REGION	0
COMMUNITY GENERAL HOSPITAL FOUNDATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561828629	HEALTHCARE	NC	501(C)(3)	LINE 7	COMMUNITY GENERAL HEALTH PARTNERS	0
CONTINUING CARE SERVICES
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	541288473	HEALTHCARE	VA	501(C)(3)	LINE 9	PRINCE WILLIAM HEALTH SYSTEM	0
FORSYTH MEDICAL CENTER FOUNDATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	562120959	HEALTHCARE	NC	501(C)(3)	LINE 7	FORSYTH MEMORIAL HOSPITAL	1
FOUNDATION HEALTH SYSTEMS CORP
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561373175	HEALTHCARE	NC	501(C)(3)	LINE 9	NOVANT HEALTH TRIAD REGION	0
MEDICAL PARK HOSPITAL
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561340424	HEALTHCARE	NC	501(C)(3)	LINE 3	NOVANT HEALTH TRIAD REGION	0
NOVANT HEALTH INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561376950	HEALTHCARE	NC	501(C)(3)	LINE 11C, III-FI		0	N/A
NOVANT MEDICAL GROUP
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 9	PRINCE WILLIAM HEALTH SYSTEM	0
PRESBYTERIAN HOSPITAL
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	560554230	HEALTHCARE	NC	501(C)(3)	LINE 3	NOVANT HEALTH SOUTHERN PIEDMONT REGION	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	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	0
PRINCE WILLIAM HEALTH SYSTEM
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	541278944	HEALTHCARE	VA	501(C)(3)	LINE 11C, III-FI	NOVANT HEALTH	0
PRINCE WILLIAM HEALTH SYSTEM FOUNDATION
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	541307595	HEALTHCARE	VA	501(C)(3)	LINE 11A, I	PRINCE WILLIAM 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
ROWAN HEALTH SERVICES CORP
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	561424814	HEALTHCARE	NC	501(C)(3)	LINE 11C, III-FI	NOVANT HEALTH	0
NMG SERVICES INC (FKA ROWAN MEDICAL PRACTICES)
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	562098809	HEALTHCARE	NC	501(C)(3)	LINE 9	NOVANT HEALTH	0
ROWAN REGIONAL MEDICAL CENTER AUXILIARY
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	237022472	HEALTHCARE	NC	501(C)(3)	LINE 9	ROWAN REGIONAL MEDICAL CENTER	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	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 CORP	0
SELF INSURANCE FUND - NOVANT HEALTH INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	581867242	HEALTHCARE	NC	501(C)(3)	LINE 11C, III-FI	NOVANT HEALTH	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
FORSYTH MEDICAL CENTER FOUNDATION
Q	3871104	CASH
FORSYTH MEDICAL CENTER FOUNDATION
C	2316720	CASH
AUXILIARY OF FORSYTH MEMORIAL HOSPITAL
C	19294	CASH