2025-11-14T12:13:52-06:00 2024-12-31 990 2024-01-01 560653348 PENDER MEMORIAL HOSPITAL INCORPORATED PEND 3362772411 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 ALICE POPE EVP & CFO 3362772411 2025-11-14 1 2024 2025-03-06 01:10:19Z NOVANT HEALTH PENDER MEDICAL CENTER CARL ARMATO 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 38736116 0 X WWW.NOVANTHEALTH.ORG X 1964 NC SEE SCHEDULE O 10 9 265 46 0 0 355405 41111 34633782 38558375 2829 3521 113734 124511 35105750 38727518 0 0 0 0 12598550 17548893 0 0 0 24057776 22705665 36656326 40254558 -1550576 -1527040 49409565 34816841 20140266 7036101 29269299 27780740 X SEE SCHEDULE O 0 0 38600145 0 38558375 PENDER MEMORIAL HOSPITAL, INCORPORATED ("PMH") DBA NOVANT HEALTH PENDER MEDICAL CENTER EXISTS TO PROMOTE THE HEALTH OF THE MEMBERS OF PENDER COUNTY, NORTH CAROLINA AND SURROUNDING AREAS, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE HOSPITAL HAS 86 LICENSED BEDS. IN 2024, THERE WERE 9,391 PATIENT DAYS, 299 DISCHARGES, 1,607 INPATIENT/OUTPATIENT SURGERIES, 35,702 OUTPATIENT ENCOUNTERS, AND 19,966 EMERGENCY DEPARTMENT VISITS. 38600145 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 18 0 1 265 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X WENDI STOCKSTILL 3362772411 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 X BARBARA BIEHNER VC(TO 1/16/24)/CHAIR(FR 1/17/24) 0.50 0.50 X X 0 0 0 BRETT KEELER TRUSTEE (FR 1/2/24) 0.20 0.00 X 0 0 0 DENISE HOUGHTON SEC(TO 1/16/24)/VC(FR 1/17/24) 0.50 0.00 X X 0 0 0 HIRAM WILLIAMS TRUSTEE/TREASURER(FR 1/17/24) 0.50 0.00 X X 0 0 0 JACQUELINE NEWTON TRUSTEE (FR 1/2/24) 0.20 0.00 X 0 0 0 LYNWOOD MEADOWS TREASURER (TO 1/16/24) 0.50 0.50 X X 0 0 0 MOSTAFA REZK MD TTE (TO 12/31/24)/MEDICAL DIRECTOR 3.00 0.00 X 17975 0 0 MYRA MCDUFFIE TRUSTEE 0.20 0.00 X 0 0 0 TERRI KING TRUSTEE (FR 1/2/24) 0.20 0.50 X 0 0 0 TIMOTHY BAKER TRUSTEE/SECRETARY (FR 1/17/24) 0.50 0.00 X X 0 0 0 WILLIE ARMSTRONG TRUSTEE (TO 12/31/24) 0.20 0.00 X 0 0 0 WENDY FLETCHER-HARDEE TRUSTEE (TO 5/17/24) 0.20 0.00 X 0 0 0 ALICE POPE EVP/CFO (FR 4/29/24) 0.20 50.00 X 0 991687 183469 GEOFFREY GARDNER CFO (TO 4/28/24) 0.20 50.00 X 0 1254252 45078 RUTH GLASER PRESIDENT 25.00 25.00 X 0 440172 43433 HARRY COWART PHARMACIST IN CHARGE 45.00 0.00 X 196177 0 32131 JILL CLARK HOUSE SUPERVISOR 45.00 0.00 X 122270 0 29522 KRISTEN SANABRIA SUPV ADMINISTRATIVE SERVICES 45.00 0.00 X 115497 0 18298 PAUL WHITE CRNA II - NE 40.00 5.00 X 271676 11154 52350 REBECCA BATES CRNA II - NE 40.00 5.00 X 215787 9693 22979 939382 2706958 427260 11 0 1 0 RODGERS BUILDERS INC PO BOX 18446 CHARLOTTE NC 28218 CONSTRUCTION SERVICES 3333915 PAVION CORP 4151 LAFAYETTE CENTER DRIVE CHANTILLY VA 20151 CONSULTING SERVICES 627151 VANTAGE SURGICAL SOLUTIONS 2201 NORTH WILLENBORG STREET EFFINGHAM IL 62401 MEDICAL SERVICES 303923 DPS TELECOM SERVICES 3401 MALLORY LANE FRANKLIN TN 37067 REMOTE MONITORING SERVICES 240535 ECEP II PA 4402 SHIPYARD BLVD WILMINGTON NC 28403 MEDICAL SERVICES 222470 7 29881 11230 41111 NET PATIENT REVENUE 622110 38537086 38537086 VALUE BASED INCENTIVE 900099 21289 21289 38558375 5438 5438 11460 0 11460 11460 11460 1400 3317 -1917 -1917 -1917 15957 5281 10676 10676 CAFETERIA MEALS 722514 88377 88377 MISCELLANEOUS REVENUE 900099 13998 13998 102375 38727518 38558375 0 128032 13930945 13476805 454140 790185 786219 3966 2402978 2402978 424785 421606 3179 20475 20475 2593427 2586106 7321 900 552 348 438567 404521 34046 43119 36329 6790 1063140 1063140 65374 65325 49 5980 5980 1143726 1115092 28634 387486 1 387485 CORPORATE SUPPORT 5710430 5710430 REPAIRS AND MAINTENANCE 4789250 4789250 MEDICAL SUPPLIES 3426672 3425929 743 PHARMACEUTICALS 924522 924522 2092597 1385360 707237 40254558 38600145 1654413 0 35991363 9306587 138799 10735 4791693 9452046 1288513 705705 345347 165196 12125610 4854094 6412640 7271516 441210 7905056 49409565 34816841 1825438 3753564 43424 2713 18271404 3279824 20140266 7036101 X 29269299 27742259 38481 29269299 27780740 49409565 34816841 X -1527040 38481 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38481 38481 0.00000 0.00000 1.00000 0 0 42149 42149 4897059 2169445 2727614 41906 35601 6305 4201712 2146150 2055562 2942784 502898 2439886 7271516 RIGHT OF USE ASSETS 288648 DUE FROM AFFILIATES 6585812 DEFERRED TAX 1030596 7905056 0 THIRD PARTY PAYMENT PAYABLE 2295886 OPERATING LEASE 288657 PATIENT REFUNDS 695281 3279824 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD FOR RURAL HOSPITAL LEADERSHIP AND WORKFORCE DEVELOPMENT. PART X, LINE 2: PART X, LINE 2: LIABILITY UNDER FIN 48 (ASC 740) FOOTNOTE THE AUDIT FOR NOVANT HEALTH AND ITS AFFILIATES IS PREPARED ON A CONSOLIDATED BASIS. THE COMPANY IS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS. THIS EVALUATION INCLUDES A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF OUR FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE COMPANY'S CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023. 1 1 X 1 X 300.000000000000 0 0 1 0 1 1 2813753 0 2813753 0.06990 7444320 7444320 0.00000 10258073 7444320 2813753 0.06990 23736 0 23736 0.00060 11093393 5810570 5282823 0.13120 11117129 5810570 5306559 0.13180 21375202 13254890 8120312 0.20170 3076 3076 0.00010 3076 3076 0.00010 1 2394747 6116938 4166121 1950817 X 1 0 1 1 PMH DBA NH PENDER MEDICAL CENTER 507 EAST FREMONT STREET BURGAW NC 28425 WWW.NOVANTHEALTH.ORG H0115 X X X X SKILLED NURSING & REHABILITATION NH PENDER MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE SECTION C X 1 22 1 SEE SECTION C 0 1 X 300.000000000000 0.000000000000 X X X X 1 1 X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 NH PENDER MEDICAL CENTER PART V, SECTION B, LINE 3J: NH PENDER MEDICAL CENTER:PART V, SECTION B, LINE 3E:VARIOUS SOCIAL, BEHAVIORAL, AND CLINICAL HEALTH NEEDS WERE IDENTIFIED THROUGH PRIMARY AND SECONDARY DATA IN THE NEEDS ASSESSMENT. ONCE THE HEALTH NEEDS WERE IDENTIFIED, SURVEYS AND COMMUNITY MEETINGS WERE CONDUCTED IN WHICH THE VARIOUS COMMUNITY STAKEHOLDERS RANKED THE HEALTH ISSUES BASED ON AVAILABLE DATA INCLUDING SEVERITY OF NEED AND MAGNITUDE OF IMPACT. THE INFORMATION GATHERED WAS THEN MATRIXED AND SCORED IN ORDER TO RANK THE FOCUS AREAS AND PRIORITIZE THE IDENTIFIED HEALTH NEEDS, BASED ON CAREFUL CONSIDERATION OF ESTIMATED FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS. THE PRIORITIZED IDENTIFIED HEALTH NEEDS AND SUPPORTING DATA WERE THEN REVIEWED AND DELIBERATED UPON FURTHER BY THE BOARD BEFORE FINAL APPROVAL. FINALLY, AN IMPLEMENTATION PLAN WAS CREATED FOR THE PRIORITIZED HEALTH NEEDS. PROGRESS TOWARD MEETING IMPLEMENTATION PLAN GOALS IS ASSESSED REGULARLY THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT LIFE CYCLE. FOR THOSE NEEDS IDENTIFIED THAT ARE NOT PART OF THE IMPLEMENTATION PLAN, COMMUNITY PARTNERS CURRENTLY SERVING THOSE COMMUNITY NEEDS ARE IDENTIFIED AS POTENTIAL PARTNERS FOR COLLABORATION. NH PENDER MEDICAL CENTER PART V, SECTION B, LINE 5: WHILE CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"), NOVANT HEALTH HOSPITAL FACILITIES SOLICITED INPUT FROM AND CONSULTED WITH A VARIETY OF COMMUNITY MEMBERS AND REPRESENTATIVES INCLUDING, BUT NOT LIMITED TO, REPRESENTATIVES OF CITY AND COUNTY GOVERNMENT, COUNTY HEALTH DEPARTMENTS, COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES/UNIVERSITIES, COMMUNITY COALITIONS AND OTHER SOCIAL SERVICE AGENCIES. INPUT WAS GATHERED THROUGH A COMMUNITY SURVEY (DISTRIBUTED THROUGH A VARIETY OF PARTNERS, METHODS, AND CHANNELS), COMMUNITY MEETINGS AND/OR FOCUS GROUPS, AND STAKEHOLDER'S INTERVIEWS. INPUT WAS ALSO SOLICITED THROUGH WRITTEN COMMENTS THROUGHOUT THE SURVEY PERIOD UNTIL THE FINAL COMMUNITY PRIORITY SETTING MEETING(S) AND/OR SURVEY. THE SCOPE OF EXPERTISE WAS BROAD AND INCLUDED REPRESENTATIVES OF PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH DISPARITIES, AND SOCIAL SERVICES. DATA DERIVED FROM THESE EXERCISES IS BOTH QUANTITATIVE AND QUALITATIVE IN SCOPE.PENDER MEMORIAL HOSPITAL, INC. (DBA NOVANT HEALTH PENDER MEDICAL CENTER), IN COLLABORATION WITH KULIK STRATEGIC ADVISERS AND LOCAL ORGANIZATIONS CONDUCTED A COMPREHENSIVE CHNA THAT WAS APPROVED BY THE BOARD OF TRUSTEES IN 2022. THE CHNA PROCESS INVOLVED EXTENSIVE PRIMARY AND SECONDARY DATA COLLECTION, INCLUDING THE COMMUNITY HEALTH OPINION SURVEY, FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND VARIOUS LOCAL, STATE, AND FEDERAL DATA SOURCES. THE COMMUNITY HEALTH OPINION SURVEY WAS MADE AVAILABLE TO PENDER COUNTY RESIDENTS FROM JUNE 2022 TO OCTOBER 2022 THROUGH BROAD DISTRIBUTION EFFORTS INCLUDING OUTREACH THROUGH ORGANIZATIONS AND COMMUNITY GROUPS ACROSS THE COUNTY, INCLUDING THOSE WHO REPRESENT THE INTERESTS OF MEMBERS OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. MANY COMMUNITY PARTNERS WERE INSTRUMENTAL IN THIS CHNA PROCESS, INCLUDING BUT NOT LIMITED TO: SHARE THE TABLE, PENDER COUNTY GOVERNMENT, CAROUSEL CENTER, PENDER COUNTY SCHOOLS, MT. CALVARY CENTER FOR LEADERSHIP , COASTAL HORIZONS, SAVE HAVEN, PENDER ADULT SERVICES, PENDER CHRISTIAN SERVICES, BURGAW AREA CHAMBER OF COMMERCE, PENDER ALLIANCE FOR TEEN HEALTH, LOWER CAPE FEAR YWCA, PENDER COUNTY SCHOOLS, DEPARTMENT OF SOCIAL SERVICES, WOODBURY, WELLNESS BISHOP, TOWN OF BURGAW COMMISSIONERS, UNC-WILMINGTON, BURGAW POLICE DEPARTMENT AND PENDER COUNTY COOPERATIVE EXTENSION. THESE COMMUNITY PARTNERS SERVE VARIOUS COMMUNITIES, REPRESENTING THE INTERESTS OF MANY COUNTY RESIDENTS, INCLUDING INDIVIDUALS WITH SUBSTANCE USE DISORDER DIAGNOSES, INDIVIDUALS WITH JUSTICE SYSTEM INTERACTIONS, CHILDREN FROM LOW-INCOME FAMILIES, LGBTQ+ COMMUNITY MEMBERS, CHILDREN EXPERIENCING ABUSE, HOMELESS AND HOUSING-INSECURE INDIVIDUALS, FOOD-INSECURE INDIVIDUALS, INDIVIDUALS IN NEED OF COUNTY SOCIAL SERVICES, LOW-INCOME SENIORS, AND TEENS. ADDITIONAL PARTNERS INVOLVED IN THE CHNA PROCESS ALSO SERVE A VARIETY OF INDIVIDUALS SPANNING ACROSS DIVERSE RACES, ETHNICITIES, AGES, SEXUAL ORIENTATIONS, PREFERRED LANGUAGES, AND GENDER IDENTITY DEMOGRAPHICS. SPECIFIC REFERENCES AND OTHER SUPPORTING INFORMATION CAN BE FOUND IN THE MOST RECENT CHNA LOCATED AT HTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/OUR-IMPACT/COMMUNITY-HEALTH-NEEDS/. NH PENDER MEDICAL CENTER PART V, SECTION B, LINE 6B: KULIK STRATEGIC ADVISERS NH PENDER MEDICAL CENTER PART V, SECTION B, LINE 7D: NH PENDER MEDICAL CENTERPART V, SECTION B, LINE 7BHTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS/NH PENDER MEDICAL CENTERPART V, SECTION B, LINE 10AHTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS/ NH PENDER MEDICAL CENTER PART V, SECTION B, LINE 11: THE FACILITY'S CHNA IDENTIFIED MULTIPLE NEEDS FOR THE COMMUNITY SERVED. THE NEEDS IDENTIFIED WERE REVIEWED AND PRIORITIZED BY THE CHNA RESOURCE GROUP AND SUBSEQUENTLY BY EACH FACILITY'S BOARD. THEY EVALUATED EACH DOCUMENTED NEED AND ITS INTERSECTION WITH THE ORGANIZATION'S VISION, COMMITMENTS, KEY STRENGTHS AND AVAILABLE RESOURCES BEFORE FURTHER PRIORITIZING THE HEALTH NEEDS AND AGREEING UPON THE TOP HEALTH PRIORITIES TO BE ADDRESSED. WHERE POSSIBLE, THE FACILITIES LEVERAGED THE SYSTEM'S STRENGTHS AND RESOURCES TO BEST ADDRESS THOSE NEEDS THAT ARE HIGHEST IN PRIORITY BASED ON SCOPE, SEVERITY, HEALTH DISPARITIES ASSOCIATED WITH THE NEED, AND THE ESTIMATED FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS. EACH FACILITY HAS ADOPTED AND EXECUTED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE PRIORITIZED COMMUNITY HEALTH NEEDS FROM THE CHNAS. THE IMPLEMENTATION STRATEGIES OUTLINE THE PLAN THAT THE HOSPITAL FACILITIES UNDERTAKE TO MEET THOSE HEALTH NEEDS IN EACH COMMUNITY SERVED. CERTAIN NEEDS THAT WERE IDENTIFIED BY THE CHNA HAVE NOT BEEN ADDRESSED. SOME OF THE NEEDS NOT ADDRESSED FALL OUTSIDE THE SCOPE OF TRADITIONAL HEALTHCARE (E.G., DENTAL WORK). OTHER NEEDS ARE ADDRESSED BY COLLABORATIVE WORK AND HAVE OTHER RESOURCES IN THE COMMUNITY THAT CAN MORE APPROPRIATELY MEET THESE NEEDS BASED ON SCOPE OF SERVICES AND EXPERTISE.NOVANT HEALTH PENDER MEDICAL CENTER CONDUCTED A COMPREHENSIVE CHNA THAT WAS APPROVED BY THE BOARD OF TRUSTEES IN 2022. RESULTS FROM THIS CHNA PROCESS HELPED IDENTIFY THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN PENDER COUNTY: ACCESS TO HEALTHCARE, MENTAL HEALTH, CHRONIC DISEASE, DENTAL HEALTH, ELDER CARE OPTIONS, FAMILY PLANNING, AND PREGNANCY & INFANT WELLNESS. AFTER THOROUGH EVALUATION, THE FOLLOWING TOP THREE HEALTH NEEDS WERE IDENTIFIED AS PRIORITY AREAS FOR NOVANT HEALTH PENDER MEDICAL CENTER: CHRONIC DISEASE (WITH A FOCUS ON HYPERTENSION & DIABETES), MENTAL HEALTH & SUBSTANCE USE (WITH A FOCUS ON DEPRESSION & OPIOID USE), AND TRANSPORTATION. NOVANT HEALTH HAS DEVELOPED STRATEGIC IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITIZED AREAS OF NEED AND IS COMMITTED TO IMPROVING THE COMMUNITY'S HEALTH. SPECIFIC REFERENCES AND OTHER SUPPORTING INFORMATION CAN BE FOUND IN THE MOST RECENT CHNA LOCATED AT HTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/OUR-IMPACT/COMMUNITY-HEALTH-NEEDS/. NH PENDER MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER ELIGIBILITY CRITERIA EXPLAINED IN THE FAP INCLUDE THE FOLLOWING: FINANCIAL ASSISTANCE IS ONLY APPLICABLE TO MEDICALLY NECESSARY SERVICES. PROVIDER BASED PHYSICIAN CLINICS REQUIRE THAT PATIENTS BE TREATED BY AN AFFILIATED MEDICAL GROUP PRIMARY CARE PHYSICIAN WITHIN THE PREVIOUS THREE YEARS. PATIENTS MUST BE UNABLE TO ACCESS ENTITLEMENT PROGRAMS. PATIENTS WITH SPECIAL CIRCUMSTANCES SUCH AS BANKRUPTCY MAY ALSO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. NH PENDER MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.NOVANTHEALTH.ORG/FOR-PATIENTS/BILLING--INSURANCE/FINANCIAL-ASSISTANCE/ NH PENDER MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION:HTTPS://WWW.NOVANTHEALTH.ORG/GLOBALASSETS/BUTTONS-AND-DOCUMENTS-CTASLINKS/DOCUMENTS-PDFS/FAA_APP_ENGLISH.PDFNH PENDER MEDICAL CENTERPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY:HTTPS://WWW.NOVANTHEALTH.ORG/GLOBALASSETS/BUTTONS-AND-DOCUMENTS-CTASLINKS/DOCUMENTS-PDFS/NOVANT-HEALTH-ACUTE-PLS-ENGLISH-NC-LOCATIONS-.PDF 1 1 - NOVANT HEALTH IMAGING 7910 US HWY 117 ROCKY POINT NC 28457 IMAGING CENTER PART I, LINE 3C: CRITERIA OTHER THAN INCOME AND FPG USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE INCLUDES: (1) RESIDENCY (PATIENTS MUST RESIDE WITHIN SERVICE AREA OF HOSPITAL FACILITY), (2) NECESSITY OF CARE (ONLY MEDICALLY NECESSARY SERVICES ARE COVERED), (3) PATIENT STATUS (FOR PROVIDER-BASED PHYSICIAN CLINICS, PATIENT MUST HAVE BEEN TREATED BY AFFILIATED PRIMARY CARE PHYSICIAN WITHIN PAST THREE YEARS), (4) ACCESS TO HEALTHCARE COVERAGE (INABILITY TO ACCESS EMPLOYER SPONSORED HEALTH PLAN OR GOVERNMENT SPONSORED ENTITLEMENT PROGRAMS), AND (5) AVAILABILITY OF SUBSTANTIAL LIQUID ASSETS (WITHOUT SUBSTANTIAL CASH ON HAND). FOR ELIGIBILITY DETERMINATION, LIQUID ASSETS DO NOT INCLUDE AN OWNED RESIDENCE, VEHICLE, OR RETIREMENT ACCOUNTS. SUBSTANTIAL IS DEFINED AS ENOUGH TO COVER THE MEDICAL EXPENSE WITHOUT PLACING HARDSHIP ON THE PATIENT. PATIENTS WITH SPECIAL CIRCUMSTANCES (INCLUDING BANKRUPTCY) MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. DETERMINATION IS MADE ON A CASE BY CASE BASIS. PART I, LINE 6A: PART I, LINE 6A:THE ORGANIZATION IS A PART OF NOVANT HEALTH, AN INTEGRATED NON-PROFIT HEALTH SYSTEM. THE SYSTEM-WIDE COMMUNITY BENEFIT REPORT, REFERRED TO AS THE "COMMUNITY IMPACT REPORT", IS PRODUCED BY NOVANT HEALTH, INC., A RELATED ORGANIZATION AND THE PARENT COMPANY OF THE HEALTHCARE SYSTEM. NOVANT HEALTH'S ANNUAL COMMUNITY IMPACT REPORT CAN BE FOUND AT HTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS/. THE NUMERIC DATA IN THE COMMUNITY IMPACT REPORT IS NOT BASED UPON CALCULATIONS ACCORDING TO FORM 990, SCHEDULE H INSTRUCTIONS, BUT RATHER THE AMOUNTS ARE PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HEALTHCARE ASSOCIATION REPORTING GUIDELINES. THEREFORE, THE REPORT SHOULD NOT BE RELIED UPON AS EQUIVALENT TO THE TOTAL OF ALL SYSTEM ORGANIZATIONS' FORM 990, SCHEDULE H PART I AMOUNTS OR BASED ON THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION STRATEGY UNDER INTERNAL REVENUE CODE SECTION 501(R). PART I, LINE 7: COSTS REPORTED IN THE TABLE FOR FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AMOUNTS ARE CALCULATED USING A REPORTING ENTITY SPECIFIC COST-TO-CHARGE RATIO ("CCR") BASED ON FORM 990, SCHEDULE H, INSTRUCTIONS, WORKSHEET 2. IN 2024, NOVANT HEALTH'S FINANCIAL ASSISTANCE POLICY REMAINED THE SAME, WHICH PROVIDED FREE CARE TO UNINSURED PATIENTS WITH AN ANNUAL INCOME UP TO 300% OF THE FEDERAL POVERTY LEVEL. HOWEVER, THERE WERE STATE-LEVEL LEGISLATIVE CHANGES RELATED TO MEDICAID THAT AFFECTED OUR OVERALL COMMUNITY BENEFIT NUMBERS. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT REMOVED FROM TOTAL EXPENSES IN THE DENOMINATOR WAS $0. PART I, LINE 4: NOVANT HEALTH HAS A CATASTROPHIC SETTLEMENT POLICY WHICH IS SEPARATE FROM THE FINANCIAL ASSISTANCE POLICY. THE PURPOSE OF THIS POLICY IS TO IDENTIFY CIRCUMSTANCES IN WHICH NOVANT HEALTH MAY WORK WITH PATIENTS TO MEET THEIR FINANCIAL OBLIGATIONS WHEN THEY HAVE LARGE OUT-OF POCKET EXPENSES RELATED TO A VISIT THAT IS NOT COVERED BY FINANCIAL ASSISTANCE. PART II, COMMUNITY BUILDING ACTIVITIES: NOVANT HEALTH CONTINUES TO SUPPORT COMMUNITY BUILDING ACTIVITIES AIMED AT STRENGTHENING COMMUNITY INFRASTRUCTURE, ADDRESSING THE UNDERLYING CAUSES OF HEALTH PROBLEMS, AND IMPACTING THE OVERALL HEALTH OF OUR COMMUNITY THROUGH PARTNERSHIPS WITH LOCAL AGENCIES. NOVANT HEALTH PROVIDES FINANCIAL SUPPORT AND OTHER RESOURCES TO ORGANIZATIONS SUCH AS ONE YARD AWAY INC., LOCAL UNITED WAY AGENCIES, REACH WOMEN NETWORKS, COMMUNITIES IN SCHOOLS AND OTHER LOCAL COMMUNITY ORGANIZATIONS. OUR STRONG PARTNERSHIPS AND OUTREACH ARE HELPING TO SUCCESSFULLY BRIDGE THE GAPS IN AREAS OF NEED FOR RESOURCES BEYOND TRADITIONAL HEALTHCARE SERVICES WITHIN THE COMMUNITIES WE SERVE. PART III, LINE 2: IMPLICIT PRICE CONCESSIONS ARE DETERMINED BASED ON MANAGEMENT'S ASSESSMENT OF CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE, AS WELL AS CURRENT AND EXPECTED FUTURE ECONOMIC CONDITIONS. PART III, LINE 4: THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ON LINE 2 IS CALCULATED USING THE SAME METHODOLOGY AS FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS USING AN ENTITY SPECIFIC COST-TO-CHARGE RATIO (CCR). FOOTNOTE 2 (ACCOUNTS RECEIVABLE) ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES IMPLICIT PRICE CONCESSIONS. PART III, LINE 8: THE METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 IS DETERMINED BY FOLLOWING THE MEDICARE PRINCIPLES OF ALLOWABLE COSTS. COST FOR THE OVERHEAD DEPARTMENTS ARE STEPPED DOWN TO THE REMAINING COST CENTERS BASED ON STATISTICS FOR EACH OVERHEAD COST CENTER. ONCE THE STEP-DOWN PROCESS IS COMPLETE, A COST TO CHARGE RATIO ("CCR") IS DEVELOPED FOR EACH COST CENTER. THE CCR IS THEN APPLIED TO THE MEDICARE REVENUE BY COST CENTER AND TOTALED.IT SHOULD BE NOTED THAT THE MEDICARE COST REPORTS DO NOT ADDRESS ANY MANAGED CARE MEDICARE REVENUES, COSTS, OR RELATED SHORTFALL. THE TOTAL REVENUES REPORTED AS RECEIVED FROM MEDICARE IN LINE 5 OF SECTION B ARE ONLY REPRESENTATIVE OF MEDICARE FEE FOR SERVICE PAYMENTS RECEIVED. THE ALLOWABLE COSTS ON LINE 6 ARE SIGNIFICANTLY LOWER THAN THE ACTUAL EXPENDITURES. AS SUCH, THE SHORTFALL IS UNDERESTIMATED.EVERY HOSPITAL TREATS MEDICARE PATIENTS. SOME HOSPITALS ARE LOCATED IN HIGH MEDICARE POPULATION AREAS; OTHERS PROVIDE SERVICES DISPROPORTIONATELY USED BY MEDICARE PATIENTS. MEDICARE RATES AND NUMBERS OF MEDICARE PATIENTS ARE NOT NEGOTIATED. AS REIMBURSEMENT RATES DECLINE RELATIVE TO COSTS OF CARE, HOSPITALS CONTINUE TO SERVE THE MEDICARE POPULATION. WITHOUT THIS SERVICE THESE PATIENTS WOULD BECOME AN OBLIGATION ON THE GOVERNMENT. ANY UNREIMBURSED COSTS OF THIS CARE ARE A COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT. PART III, LINE 9B: THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY EXPLAINS ACTIONS TAKEN AGAINST PATIENTS WHO HAVE OUTSTANDING DELINQUENT AMOUNTS, BUT THE POLICY DOES NOT CONTAIN PROVISIONS FOR COLLECTION PRACTICES AGAINST PATIENTS WHO ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP) BECAUSE FAP ELIGIBLE PATIENTS RECEIVE 100% FINANCIAL ASSISTANCE AND THEREFORE DO NOT RECEIVE BILLS ONCE FAP ELIGIBILITY HAS BEEN ESTABLISHED. PART VI, LINE 2: PART VI, LINE 2: NEEDS ASSESSMENTTHE ORGANIZATION IS PART OF NOVANT HEALTH, AN INTEGRATED NON-PROFIT HEALTHCARE SYSTEM. NOVANT HEALTH'S OFFICE OF HEALTH EQUITY AND COMMUNITY HEALTH FACILITATES COMMUNITY BENEFIT ACROSS THE SYSTEM. THIS CORPORATE DEPARTMENT IS RESPONSIBLE FOR COORDINATING THE PREPARATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR EACH HOSPITAL FACILITY WITHIN THE SYSTEM, INCLUDING THE CHNAS REPORTED IN PART V, SECTION B. THE OFFICE OF HEALTH EQUITY & COMMUNITY HEALTH ALSO WORKS WITH EACH HOSPITAL FACILITY TO IDENTIFY ORGANIZATIONS AND RESOURCES WITHIN THEIR RESPECTIVE COMMUNITIES THAT PARTICIPATE IN ALLEVIATING SIGNIFICANT COMMUNITY HEALTH NEEDS. SUCH ORGANIZATIONS AND RESOURCES INCLUDE PUBLIC HEALTH DEPARTMENTS, LOCAL COMMUNITY COALITIONS AND CLINICS REPRESENTING THE MEDICALLY UNDERSERVED, UNITED WAY, YMCAS, LOCAL UNIVERSITIES, AND MORE. COMMUNITY HEALTH NEEDS ASSESSMENTS ARE PREPARED INTERNALLY WITH THE HELP OF CONTRACTED VENDORS. INTERNAL HOSPITAL DATA AND INFORMATION COLLECTED FROM LOCAL AGENCIES AND COMMUNITY MEMBERS, ARE USED TO PREPARE CHNAS FOR NOVANT HEALTH'S HOSPITAL FACILITIES. THROUGH DATA COLLECTION AND COMMUNITY PARTNERSHIPS, NOVANT HEALTH IS ABLE TO ASSESS UNMET NEEDS AND WORK TO DIRECTLY SUPPORT PARTNERS IN ADDRESSING THOSE NEEDS WITHIN ITS COMMUNITIES SERVED. ORGANIZATIONAL PARTNERSHIPS ESTABLISHED BY THE OFFICE OF HEALTH EQUITY AND COMMUNITY HEALTH ARE OFTEN LEVERAGED TO ADDRESS NEEDS THAT WERE IDENTIFIED IN THE CHNAS BUT WERE NOT PRIORITIZED BY THE FACILITY'S IMPLEMENTATION PLAN. IN ADDITION TO ADDRESSING HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS, EACH HOSPITAL FACILITY RESPONDS TO REQUESTS FOR SPECIFIC COMMUNITY BENEFIT ACTIVITIES OR PROGRAMS FROM PUBLIC AGENCIES AND/OR COMMUNITY GROUPS. PART VI, LINE 3: PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCENOVANT HEALTH IS COMMITTED TO PROVIDING OUTSTANDING HEALTHCARE TO ALL PERSONS IN THE COMMUNITIES SERVED, REGARDLESS OF THEIR ABILITY TO PAY. THE HEALTHCARE SYSTEM'S FINANCIAL COUNSELING TEAM CONTINUOUSLY WORKS WITH PATIENTS TO UNDERSTAND NEEDS AND ENSURE THAT CORPORATE POLICIES AND PROCESSES ADDRESS THOSE NEEDS. NOVANT HEALTH ALSO MAINTAINS CONTRACTS WITH MEDICAID ELIGIBILITY VENDORS. THESE VENDORS OFFER ADDITIONAL SUPPORT IN PROCESSING AND ASSESSING HOW THE HEALTHCARE SYSTEM SERVES THE FINANCIAL NEEDS OF ITS PATIENTS.BASED ON COMMUNITY ASSESSMENTS, NOVANT HEALTH DEVELOPS FINANCIAL ASSISTANCE POLICIES/PROGRAMS TO ADDRESS FINANCIAL NEEDS OF ITS PATIENTS, AND PRIDES ITSELF ON THE TRANSPARENCY OF ITS FINANCIAL ASSISTANCE POLICY/PROGRAMS AND THE EDUCATION OFFERED TO PATIENTS REGARDING FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE PROGRAMS, ALONG WITH CONTACT INFORMATION FOR FINANCIAL COUNSELORS, ARE DOCUMENTED ON THE NOVANT HEALTH WEBSITE, ALONG WITH CONTACT INFORMATION FOR ITS FINANCIAL COUNSELORS. ADDITIONALLY, FINANCIAL ASSISTANCE PROGRAMS ARE DOCUMENTED ON PATIENT FLYERS THROUGHOUT THE SYSTEM'S HOSPITAL FACILITIES, OUTPATIENT CENTERS, AND PHYSICIAN OFFICES. THE SYSTEM'S PATIENT ACCESS SPECIALISTS, FINANCIAL COUNSELORS AND BUSINESS OFFICE TEAMS WORK WITH ALL ELIGIBLE PATIENTS TO EDUCATE THEM ON THE VARIOUS OPTIONS AVAILABLE VIA FINANCIAL ASSISTANCE PROGRAMS OR GOVERNMENT SPONSORED CARE. THESE PATIENT FACING TEAM MEMBERS ALSO REFERENCE THE FINANCIAL ASSISTANCE POLICY IN ALL CONVERSATIONS RELATED TO PATIENTS BILLS. FINALLY, NOVANT HEALTH WORKS WITH LOCAL AREA FREE HEALTH CLINICS AND OTHER CHARITABLE ORGANIZATIONS TO PROVIDE CONTINUATION OF CARE FOR PATIENTS IN THE COMMUNITIES SERVED. IN ADDITION TO FINANCIAL COUNSELING PROCESSES USED TO IDENTIFY PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE, NOVANT HEALTH'S COLLECTION PROCESS HELPS IDENTIFY PATIENTS WHO MAY BE ELIGIBLE BASED ON FEDERAL POVERTY GUIDELINES ("FPG"). THE SYSTEM UTILIZES PREVIOUSLY SUBMITTED PATIENT DOCUMENTATION AND CREDIT AGENCY REPORTED FPG FOR FINANCIAL ASSISTANCE DETERMINATIONS. SUPPORTING DOCUMENTS ARE VALID 6 MONTHS FROM THE DATE OF SUBMISSION. FINANCIAL ASSISTANCE POLICIES ARE CONSIDERED FLUID AND ARE UPDATED FREQUENTLY BASED ON LOCAL AND NATIONAL MARKET STANDARDS AND NATIONAL ECONOMIC CONDITIONS. ANY UPDATES TO FINANCIAL ASSISTANCE POLICIES REQUIRE MULTI-LEVEL LEADERSHIP APPROVAL AND ARE ULTIMATELY APPROVED BY THE ORGANIZATION'S BOARD. PART VI, LINE 4: PART VI, LINE 4: COMMUNITY INFORMATIONTHE PRIMARY SERVICE AREA IS DEFINED BY THE ZIP CODES THAT REPRESENT AT LEAST 75% OF THE HOSPITAL'S IN-PATIENT POPULATION. ALTHOUGH THERE ARE FIVE COUNTIES IN THE NOVANT HEALTH PENDER MEDICAL CENTER PRIMARY SERVICE AREA, 47.3% OF THE PATIENTS IN THE PRIMARY SERVICE AREA RESIDE IN PENDER COUNTY, 12.8% IN DUPLIN COUNTY, 10.7% IN NEW HANOVER COUNTY, AND 2.4% EACH IN BRUNSWICK AND SAMPSON COUNTIES. THE PENDER MEDICAL CENTER SECONDARY SERVICE AREA ACCOUNTS FOR 15.1% OF INPATIENT DISCHARGES AND IS POPULATED BY EIGHT COUNTIES: PENDER, NEW HANOVER, DUPLIN, ONSLOW, ROBESON, SAMPSON, BLADEN, AND COLUMBUS. MOST PATIENTS RESIDE IN PENDER COUNTY, AND IT REPRESENTS THE HIGHEST POPULATION OF POTENTIALLY UNDERSERVED, LOW-INCOME, AND MINORITY INDIVIDUALS. ACCORDING TO THE VIZIENT VULNERABILITY INDEX RELEASED IN JANUARY 2022, PATIENTS ADMITTED TO PENDER MEDICAL CENTER EXPERIENCE THE MOST PROFOUND SOCIAL RISKS IF THEY LIVE IN 28401, 28448, 28421, 28435, 28425, 28540, 28444, 28398. THESE ZIP CODES EXPERIENCE DISPROPORTIONATELY HIGH SOCIAL RISKS WHEN COMPARED TO THEIR COUNTERPARTS IN NEIGHBORHOODS. AREAS OF PARTICULAR CONCERN INCLUDE ACCESS TO HEALTHCARE, TRANSPORTATION, POVERTY, ACCESS TO EARLY CHILDHOOD EDUCATION, AND FOOD INSECURITY. PENDER COUNTY'S TOTAL POPULATION WAS 61,891 IN 2020 AND 62,815 IN JUNE 2022. PENDER MEDICAL CENTER'S PRIMARY AND SECONDARY SERVICE AREAS HAVE 21,863 RESIDENTS OR APPROXIMATELY 35% OF THE COUNTY'S POPULATION. PENDER COUNTY, NORTH CAROLINA IS A VERY RURAL COMMUNITY, WITH 68% OF THE COUNTY STILL CONSIDERED RURAL BY THE UNITED STATES CENSUS BUREAU DEFINITION OF FEWER THAN 1,000 PERSONS PER SQUARE MILE. PENDER COUNTY HAS 69.1 PERSONS PER SQUARE MILE COMPARED TO NORTH CAROLINA WHICH IS 33% RURAL, WITH 98 PERSONS PER SQUARE MILE. THE LAND AREA OF PENDER COUNTY (871.30 SQUARE MILES), MAKES IT THE 5TH LARGEST COUNTY IN NORTH CAROLINA IN GEOGRAPHIC MASS, CONTRIBUTING TO TRANSPORTATION AND ACCESS ISSUES. THE RURAL NATURE OF PENDER COUNTY RESULTS IN ISSUES WITH SOCIAL ISOLATION, TRANSPORTATION, AND ACCESS TO HEALTH AND HUMAN SERVICES. THE RACE/ETHNIC MIX OF THE PENDER MEDICAL CENTER SERVICE AREA IS CLOSE TO THAT OF PENDER COUNTY, WITH SLIGHTLY HIGHER FRACTIONS OF BLACKS AND HISPANICS. THE BLACK FRACTION FOR BOTH PENDER COUNTY AND THE PENDER MEDICAL CENTER SERVICE AREA IS SLIGHTLY HIGHER THAN NORTH CAROLINA'S PERCENTAGE OF 13.6% BUT MUCH LOWER THAN THE HISPANIC REPRESENTATION OF 18.9%. THE RATE OF UNINSURED INDIVIDUALS IN PENDER COUNTY IS 8.98% FOR PENDER COUNTY WITH AN UNINSURED RATE OF 13.6% FOR ADULTS AND 4.2% FOR CHILDREN (AGES 0-18). THIS COMPARES TO 10.7% FOR ALL NORTH CAROLINA RESIDENTS WITH AN UNINSURED RATE OF 15.5% FOR ADULTS IN THE STATE OF NORTH CAROLINA AND 5.3% FOR CHILDREN.POVERTY RATES FOR PENDER COUNTY ARE 12.3% FOR THOSE LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL ('DIRE POVERTY') WITH 19.9% OF CHILDREN LIVING AT OR BELOW 100% OF THE FPL.THE OVERALL UNEMPLOYMENT RATE IN PENDER COUNTY IS 3.6% COMPARED TO THE NORTH CAROLINA AVERAGE OF 3.9%, NEAR THAT OF THE UNITED STATES RATE OF 3.8%.PENDER COUNTY IS CURRENTLY RANKED 88TH ON THE FOOD HARDSHIP SCALE IN NORTH CAROLINA OUT OF 100 TOTAL COUNTIES.THERE ARE NO OTHER HOSPITALS SERVING THIS PRIMARY SERVICE AREA. DATA FOR THE CHNA WAS GATHERED FROM VARIOUS STATE AND FEDERAL SOURCES, BUT PRIMARILY THE US CENSUS BUREAU. SPECIFIC REFERENCES AND OTHER SUPPORTING INFORMATION CAN BE FOUND IN THE MOST RECENT CHNA HERE: HTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/OUR-IMPACT/COMMUNITY-HEALTH-NEEDS/ PART VI, LINE 5: PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHE ORGANIZATION FURTHERS ITS EXEMPT PURPOSES BY:1. ADOPTING A FINANCIAL ASSISTANCE POLICY;2. REMAINING CERTIFIED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDE SERVICES TO ALL BENEFICIARIES OF MEDICARE, MEDICAID, AND OTHER GOVERNMENT PAYMENT PROGRAMS, AND PROVIDING SERVICES IN A NONDISCRIMINATORY MANNER TO SUCH BENEFICIARIES;3. OPERATING A FULL-TIME EMERGENCY ROOM WHICH IS OPEN TO AND ACCEPTS ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY;4. MAINTAINING AN OPEN MEDICAL STAFF, SUBJECT TO EXCLUSIVE CONTRACTS FOR HOSPITAL-BASED SERVICES SUCH AS ANESTHESIOLOGY, RADIOLOGY, PATHOLOGY, HOSPITALIST, AND EMERGENCY DEPARTMENT SERVICES, TO THE EXTENT AN EXCLUSIVE CONTRACT FOR THOSE SERVICES IS REQUIRED TO OBTAIN PROPER STAFFING COVERAGE OR TO PERMIT A MORE EFFICIENT DELIVERY OF THOSE SERVICES WITHIN HOSPITAL FACILITIES;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 COMMUNITIES SERVED; 9. PROVIDING SUPPORT GROUPS AND SELF-HELP PROGRAMS TO COMMUNITIES SERVED;10. PROVIDING COMMUNITY-BASED CLINICAL SERVICES, INCLUDING WITHOUT LIMITATION, HEALTH SCREENINGS AND CLINICS FOR UNINSURED OR UNDERINSURED PERSONS TO COMMUNITIES SERVED;11. PROVIDING HEALTHCARE SUPPORT SERVICES, INCLUDING WITHOUT LIMITATION, INFORMATION AND REFERRAL TO COMMUNITY SERVICES, CASE MANAGEMENT OF UNDERINSURED AND UNINSURED PERSONS, TELEPHONE INFORMATION SERVICES AND ASSISTANCE TO ENROLL IN PUBLIC PROGRAMS, SUCH AS STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) AND MEDICAID TO COMMUNITIES SERVED;12. PROVIDING SUBSIDIZED HEALTH SERVICES AND CLINICAL PROGRAMS TO COMMUNITIES SERVED;13. PROVIDING CASH AND IN-KIND CONTRIBUTIONS TO NONPROFIT COMMUNITY HEALTHCARE ORGANIZATIONS IN COMMUNITIES SERVED; AND14. GENERALLY PROMOTING THE HEALTH, WELLNESS, AND WELFARE OF COMMUNITIES SERVED BY PROVIDING QUALITY HEALTHCARE SERVICES AT REASONABLE COST. PART VI, LINE 6: PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, A NON-PROFIT INTEGRATED GROUP OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS. NOVANT HEALTH IS RANKED AS ONE OF THE NATION'S TOP 20 INTEGRATED HEALTHCARE SYSTEMS, CARING FOR PATIENTS AND COMMUNITIES IN NORTH AND SOUTH CAROLINA. EACH HOSPITAL FACILITY PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITY SERVED, AS REPORTED ON EACH HOSPITAL ORGANIZATION'S FORM 990, SCHEDULE H. SYSTEM-WIDE COMMUNITY BENEFIT IS DOCUMENTED IN THE COMMUNITY BENEFIT REPORT, LOCATED AT HTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS/. THE NUMERIC INFORMATION IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H INSTRUCTIONS, BUT RATHER IS PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HEALTHCARE ASSOCIATION REPORTING GUIDELINES. THEREFORE, THIS COMMUNITY BENEFIT REPORT SHOULD NOT BE RELIED UPON AS THE SUM OF AFFILIATE ORGANIZATION'S FORM 990, SCHEDULE H COMMUNITY BENEFIT, OR IN ALIGNMENT WITH ITS COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION PLAN. THERE ARE SIGNIFICANT COMMUNITY BENEFIT ACTIVITIES WITHIN NOVANT HEALTH WHICH MAY NOT BE REPORTABLE ON A FORM 990 SCHEDULE H BECAUSE THEY ARE CONDUCTED BY A LEGAL ENTITY THAT DOES NOT OWN OR OPERATES A HOSPITAL FACILITY.IN ADDITION TO HOSPITALS, THE NOVANT HEALTH INTEGRATED HEALTHCARE SYSTEM INCLUDES MULTIPLE PHYSICIAN ORGANIZATIONS WITH PRACTICES IN NORTH AND SOUTH CAROLINA, AND SIX HOSPITAL FOUNDATIONS WHICH SUPPORT AND ENHANCE THE ACTIVITIES IN THOSE HOSPITALS' COMMUNITIES. FURTHER, NOVANT HEALTH INCLUDES AMBULATORY SURGERY CENTERS, IMAGING CENTERS, REHABILITATION CENTERS, AND OTHER OUTPATIENT FACILITIES, ALL DEDICATED TO PROMOTING THE HEALTH OF THEIR RESPECTIVE COMMUNITIES. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT NOVANT HEALTH FILES A SYSTEM WIDE COMMUNITY BENEFIT REPORT, INCLUDING THE FILING ORGANIZATION, PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HEALTHCARE ASSOCIATION REPORTING GUIDELINES WITH THE NORTH CAROLINA MEDICAL CARE COMMISSION AS PART OF THE DOCUMENTATION REQUIRED FOR THE ISSUANCE OF TAX EXEMPT BOND FINANCING. X X X X 1 1 0 1 0 0 0 0 0 0 0 GEOFFREY GARDNER CFO (TO 4/28/24) 0 457268 0 732220 0 64764 0 20700 0 24378 0 1299330 0 22093 ALICE POPE EVP/CFO (FR 4/29/24) 0 824247 0 0 0 167440 0 173333 0 10136 0 1175156 0 0 RUTH GLASER PRESIDENT 0 254461 0 148386 0 37325 0 17337 0 26096 0 483605 0 0 PAUL WHITE CRNA II - NE 265279 11119 5141 0 1256 35 16190 681 34115 1364 321981 13199 0 0 REBECCA BATES CRNA II - NE 196828 9686 18959 0 0 7 11818 583 10171 407 237776 10683 0 0 HARRY COWART PHARMACIST IN CHARGE 190134 0 3664 0 2379 0 9579 0 22552 0 228308 0 0 0 JILL CLARK HOUSE SUPERVISOR 121022 0 966 0 282 0 7150 0 22372 0 151792 0 0 0 PART I, LINE 1A FRINGE OR EXPENSE EXPLANATION FIRST-CLASS OR CHARTER TRAVEL: EXECUTIVES ARE LIMITED TO BUSINESS OR COACH CLASS FOR COMMERCIAL FLIGHTS. HOWEVER, CHARTER TRAVEL IS AVAILABLE FOR CERTAIN EXECUTIVES, BOARD MEMBERS, AND APPROVED BUSINESS PERSONNEL WHO MEET POLICY CRITERIA AND OBTAIN APPROPRIATE APPROVALS. TRAVEL FOR COMPANIONS: COMPANIONS ARE ALLOWED AS PASSENGERS ON CERTAIN CHARTER FLIGHTS PAID BY THE ORGANIZATION. THE VALUE OF THE COMPANION'S FLIGHT IS CALCULATED USING APPLICABLE TAX LAW. THE CALCULATED AMOUNT IS INCLUDED IN THE EXECUTIVE'S TAXABLE COMPENSATION AS PRESCRIBED BY APPLICABLE TAX LAW. DISCRETIONARY SPENDING ACCOUNT: CERTAIN EXECUTIVES RECEIVE A DISCRETIONARY SPENDING ACCOUNT. THE DOLLAR AMOUNT IN THE ACCOUNT IS PRE-APPROVED BY THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE NOVANT HEALTH BOARD OF TRUSTEES. THE EXECUTIVE MAY DEFER THE AMOUNT TO A RETIREMENT ACCOUNT OR THE AMOUNT IS TREATED AS COMPENSATION AND IS SPREAD OUT OVER THE COURSE OF THE YEAR IN THE EXECUTIVE'S PAYCHECKS AS TAXABLE INCOME. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: TEMPORARY HOUSING ALLOWANCES ARE INCLUDED IN CERTAIN EXECUTIVE RECRUITMENT AND RELOCATION PACKAGES. THE TAXABLE VALUE OF THESE ARRANGEMENTS IS CALCULATED AND INCLUDED IN THE EXECUTIVE'S TAXABLE COMPENSATION IN ACCORDANCE WITH APPLICABLE FEDERAL LAW AND REGULATIONS. PART I, LINE 3 PART I, LINE 3: THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM AND RELIES UPON NOVANT HEALTH, INC., THE PARENT ORGANIZATION, TO USE THE PROCESS DESCRIBED IN PART VI, LINE 15A/15B OF THIS RETURN TO ESTABLISH COMPENSATION FOR CERTAIN EXECUTIVES. THIS PROCESS ADHERES TO THE REQUIREMENTS SET FORTH TO SECURE THE REBUTTABLE PRESUMPTION OF REASONABLENESS AND INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT AND DISINTERESTED MEMBERS OF A COMPENSATION COMMITTEE, CONSULTATION WITH INDEPENDENT COMPENSATION CONSULTANTS, THE UTILIZATION OF THIRD-PARTY COMPARABILITY DATA SUCH AS PUBLISHED COMPENSATION SURVEYS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. PART I, LINE 4B PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONE NONQUALIFIED GEOFFREY GARDNER $22,093 EQUITY-BASED NONE PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") IS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES, AND TO OFFER COMPETITIVE TOTAL COMPENSATION. GENERALLY, ANNUAL CONTRIBUTIONS TO THE PLAN OR PAYMENTS TO PARTICIPANTS WILL BE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF JANUARY 1ST OF THE PREVIOUS PLAN YEAR AND ARE REPORTED IN COLUMN (C) OF SCHEDULE J. PRIOR TO MAKING THE CONTRIBUTIONS OR PAYMENTS, THE NOVANT HEALTH COMPENSATION AND LEADERSHIP COMMITTEE ("COMMITTEE") WILL APPROVE THE AMOUNTS AS TO REASONABLENESS, WHEN COMBINED WITH ALL OTHER ANNUAL COMPENSATION. A 3 YEAR CLASS-YEAR VESTING PERIOD WILL APPLY UP TO AGE 62, WHEN ALL MONEY WOULD BE VESTED AND PAID OUT TO THE PARTICIPANT. OTHERWISE, VESTING WILL OCCUR ON JANUARY 1ST OF EACH YEAR FOR THE APPROPRIATE CLASS-YEAR VESTING PERIOD. THE COMMITTEE REVIEWS, APPROVES, AND OVERSEES ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS, INCLUDING THE AMOUNTS AWARDED UNDER THIS SERP. FORM 990, PI, LINE 1: ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES NOVANT HEALTH, INC. IS A NON-PROFIT INTEGRATED NETWORK OF MORE THAN 900 LOCATIONS, INCLUDING 19 MEDICAL CENTERS, MORE THAN 750 PHYSICIAN CLINICS AND URGENT CARE CENTERS, OUTPATIENT FACILITIES, AND IMAGING AND PHARMACY SERVICES. NOVANT HEALTH'S MORE THAN 40,000 TEAM MEMBERS ALONG WITH MORE THAN 8,500 INDEPENDENT AND EMPLOYED CLINICIANS CARE FOR PATIENTS AND COMMUNITIES IN NORTH CAROLINA AND SOUTH CAROLINA. THE NOVANT HEALTH INTEGRATED HEALTHCARE SYSTEM OPERATES TO CARRY OUT ITS CHARITABLE MISSION OF CREATING A HEALTHIER FUTURE FOR THE COMMUNITIES IT SERVES AND DELIVERING A REMARKABLE PATIENT EXPERIENCE. NOVANT HEALTH ACCOMPLISHES THAT MISSION BY PROVIDING AND SUPPORTING EXCELLENT HEALTHCARE FACILITIES AND PHYSICIAN PRACTICES AND BY MAKING A COMMITMENT TO COMMUNITY OUTREACH/SERVICE THROUGH THE PROVISION OF COMMUNITY BENEFIT PROGRAMS. BY BRINGING TOGETHER WORLD-CLASS TECHNOLOGY AND CLINICIANS TO PROVIDE QUALITY CARE, NOVANT HEALTH IS COMMITTED TO CREATING A HEALTHCARE EXPERIENCE THAT IS SIMPLER, MORE CONVENIENT AND MORE AFFORDABLE SO PATIENTS CAN FOCUS ON GETTING BETTER AND STAYING HEALTHY. IN 2024, NOVANT HEALTH PROVIDED MORE THAN 7 MILLION PATIENT VISITS AND OVER $1.6 BILLION OF COMMUNITY BENEFIT EXPENDITURES SYSTEM-WIDE. IN ADDITION TO PROVIDING A HIGH QUALITY, COMPREHENSIVE CATALOG OF HEALTHCARE SERVICES, NOVANT HEALTH OFFERS A ROBUST PATIENT FINANCIAL ASSISTANCE PROGRAM, WORKING WITH ITS PATIENTS TO ASSIST WITH ESTABLISHING REASONABLE PAYMENT PLANS, DISCOUNTING PATIENT BILLS AND PROVIDING FREE CARE FOR THOSE THAT QUALIFY UNDER ITS FINANCIAL ASSISTANCE POLICY. PENDER MEMORIAL HOSPITAL, INCORPORATED, DOING BUSINESS AS NOVANT HEALTH PENDER MEDICAL CENTER ("NHPMC"), IS AN INTEGRAL PART OF THE NOVANT HEALTH SYSTEM. NHPMC IS LICENSED FOR 43 BEDS, BUT OPERATES AS A CRITICAL ACCESS HOSPITAL IN BURGAW, NORTH CAROLINA, WITH 25 BEDS OFFERING EMERGENCY CARE, SURGERY, IMAGING, INFUSION THERAPY AND PHYSICAL REHABILITATION SERVICES. THE HOSPITAL OFFERS RESIDENTS OF PENDER COUNTY AND SURROUNDING COMMUNITIES A CONVENIENT AND FRIENDLY PLACE TO RECEIVE CARE AND TREATMENT. NOVANT HEALTH HAS INVESTED IN THE HOSPITAL'S CONTINUED GROWTH. COMMUNITY OUTREACH COMMUNITY OUTREACH IS A CRITICAL COMPONENT TO THE MISSION OF NOVANT HEALTH. THE HEALTHCARE SYSTEM PROVIDES HUNDREDS OF PROGRAMS THAT SERVE PATIENTS, NEIGHBORS, AND SOME OF THE COMMUNITIES' MOST VULNERABLE CITIZENS. NOVANT HEALTH ALSO PROVIDES FINANCIAL ASSISTANCE (I.E., CHARITY CARE) FOR ITS QUALIFIED UNINSURED PATIENTS, CATASTROPHIC SETTLEMENTS AND LONG-TERM PAYMENT PLANS TO MEDICALLY INDIGENT PATIENTS, SERVICES TO PATIENTS WITH MEDICARE, MEDICAID, AND OTHER GOVERNMENT MEDICAL PROGRAM COVERAGE (REIMBURSED AT LESS THAN COST), COMMUNITY HEALTH EDUCATION, SUPPORT GROUPS, SUBSIDIZED OUTREACH SERVICES, AND COMMUNITY EVENTS/SCREENINGS. IN ADDITION, NOVANT HEALTH PARTICIPATES IN MEDICAL RESEARCH, AS WELL AS ACADEMIC HEALTH PROGRAMS AND PARTNERSHIPS WITH A DIVERSE GROUP OF ORGANIZATIONS TO PROVIDE OTHER COMMUNITY INITIATIVES. NOVANT HEALTH IS ALSO COMMITTED TO SUPPORTING THE COMMUNITIES IT SERVES THROUGH CHARITABLE CONTRIBUTIONS TO COMMUNITY-BASED PROGRAMS THAT IMPROVE HEALTH EQUITY AND UPWARD MOBILITY FOR THOSE WHO NEED IT MOST. TOWARD THAT GOAL, NOVANT HEALTH INVESTS IN COMMUNITY-BASED PROGRAMS THAT ALIGN WITH ITS TWO INVESTMENT PRIORITIES OF DEVELOPING HEALTHY COMMUNITIES AND EXPANDING OPPORTUNITIES FOR HEALTHCARE EDUCATION. THE ANNUAL NOVANT HEALTH COMMUNITY IMPACT REPORT, AVAILABLE AT HTTPS://WWW.NOVANTHEALTH.ORG/ABOUT/COMMUNITY/COMMUNITY-HEALTH-NEEDS/, INCLUDES QUALITATIVE AND QUANTITATIVE INFORMATION REGARDING THE HEALTHCARE SYSTEM'S COMMUNITY BENEFIT EFFORTS AND ACHIEVEMENTS. FOR 2024, NOVANT HEALTH'S SYSTEM-WIDE COMMUNITY BENEFIT EXPENDITURES TOTALED APPROXIMATELY $1.61 BILLION, INCLUDING $139 MILLION OF FINANCIAL ASSISTANCE. NOTE: NUMERIC DATA IN THIS REPORT IS NOT BASED UPON FORM 990, SCHEDULE H INSTRUCTIONS, BUT RATHER IN ACCORDANCE WITH NORTH CAROLINA HEALTHCARE ASSOCIATION COMMUNITY BENEFIT REPORTING GUIDELINES. NOVANT HEALTH COMMUNITY IMPACT REPORT SHOULD NOT BE RELIED UPON AS EQUIVALENT TO FORM 990, SCHEDULE H COMMUNITY BENEFIT REPORT, ITS COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION STRATEGY. NOVANT HEALTH PENDER MEDICAL CENTER SUPPORTED THE COMMUNITY IN 2024 THROUGH RESOURCES, SCREENINGS/CLINICS, AND HEALTH EDUCATION INITIATIVES, INCLUDING: - MYCOMMUNITY ACCESS, WHICH ENABLES COMMUNITY MEMBERS TO SEARCH FOR FREE OR REDUCED COST RESOURCES LOCATED WITHIN THE COMMUNITY. NOVANT HEALTH PAID THE ANNUAL FEES FOR THIS PLATFORM THAT COMMUNITY MEMBERS WOULD HAVE OTHERWISE HAD TO PAY. - PRINTED RESOURCE CARDS FOR ANYONE TO SEARCH FOR LOCAL FREE AND REDUCED COST SERVICES. - SCREENINGS/CLINICS FOCUSED ON BLOOD PRESSURE/HYPERTENSION, DIABETES, BLOOD PRESSURE, GLUCOSE, CHOLESTEROL - HEALTH EDUCATION INITIATIVES INCLUDING RESOURCES FOR MENTAL HEALTH, SUBSTANCE ABUSE ASSISTANCE, NEWBORN AND INFANT CARE AND SENIOR HEALTH EDUCATION. - BLOOD DRIVES IN PARTNERSHIP WITH THE AMERICAN RED CROSS - ADDRESSING SOCIAL DETERMINANTS OF HEALTH, INCLUDING ACCESS TO FOOD AND TRANSPORTATION - MEDICATION TAKE-BACK EVENTS ENCOURAGING PROPER DISPOSAL - BACK-TO-SCHOOL EVENT NEW TECHNOLOGY & SERVICES IN 2024, NHPMC INCREASED THE RANGE OF SURGICAL AND PROCEDURAL CARE AVAILABLE IN BURGAW AS PART OF NOVANT HEALTH'S EFFORTS TO IMPROVE ACCESS TO CARE FOR PENDER COUNTY RESIDENTS. SURGEONS OFFER BOTH APPOINTMENT SLOTS AND SCHEDULING PROCEDURES AT NHPMC TO PROVIDE PATIENTS WITH CONVENIENT CARE OPTIONS AND REDUCE TRAVEL TIME. SPECIALTIES INCLUDE GENERAL SURGERY, COLORECTAL SURGERY, PRE-SURGICAL ENDOSCOPIES, AND GASTROENTEROLOGY. COMMUNITY OPHTHALMOLOGISTS CONTINUE TO OFFER SURGICAL TREATMENTS TO PATIENTS WITH CATARACTS AND GLAUCOMA. IN 2024, NHPMC ALSO INTRODUCED A NEW COMMUNITY CARE CRUISER, WHICH IS DEPLOYED TO VARIOUS EVENTS AND GATHERINGS TO INCREASE ACCESS TO CARE FOR THOSE IN AND AROUND PENDER COUNTY. THE CRUISER PROVIDES SCREENINGS ON BOARD, INCLUDING BLOOD PRESSURE, FULL CHOLESTEROL AND LIPID PANELS AND EVEN GLUCOSE SCREENINGS. AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS - PERFORMANCE LEADERSHIP AWARD 2023: EXCELLENCE IN OUTCOMES (TOP QUARTILE PERFORMANCE) - CHARTIS CENTER FOR RURAL HEALTH - 5-STAR RATED SKILLED NURSING FACILITY FROM CENTERS FOR MEDICARE AND MEDICAID SERVICES - QUALITY MANAGEMENT SYSTEM CERTIFICATION TO ISO 9001 STANDARDS FROM DNV ACCREDITATION NHPMC IS NATIONALLY ACCREDITED BY DNV GL - HEALTHCARE. DNV ACCREDITATION RECOGNIZES CONTINUOUS COMMITMENT AND DEDICATION TO PROVIDING EXCELLENT PATIENT CARE. FORM 990, PART III, LINE 1: OUR CAUSE (FKA MISSION, VISION AND VALUES) IN THE SPIRIT OF KEEPING OUR FOCUS ON PATIENT-CENTERED, EQUITABLE AND COMPASSIONATE CARE WHILE ENSURING OUR ORGANIZATION IS SUSTAINABLE FOR FUTURE GENERATIONS, WE HAVE RESTATED OUR MISSION, VISION AND VALUES AND ARE NOW GUIDED BY OUR CAUSE. OUR CAUSE WE CREATE A HEALTHIER FUTURE AND BRING REMARKABLE EXPERIENCES TO LIFE. DISCOVER WE CONSISTENTLY SEEK TO INNOVATE, COURAGEOUSLY TRANSFORM OURSELVES AND FIND NEW WAYS TO ADD VALUE FOR OUR PATIENTS, COMMUNITIES AND ONE ANOTHER. EMPOWER WE PROVIDE ONE ANOTHER, OUR PATIENTS, FAMILIES AND COMMUNITIES WITH THE RESOURCES AND ENVIRONMENT TO CREATE SHARED ACCOUNTABILITY AND ACTION. THRIVE WE DEMONSTRATE EQUITY, EMPATHY, SAFETY AND QUALITY TO HELP EACH OTHER, AND OUR COMMUNITIES GROW AND SUCCEED. TOGETHER WE WORK AS A TRUSTED TEAM WITH OUR UNIQUE PERSPECTIVES, LIFE EXPERIENCES AND EXPERTISE TO BRING REMARKABLE TO LIFE IN EVERY INTERACTION. WE ALL BELONG. FORM 990, PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION A, LINE 6: CLASSES OF MEMBERS OR STOCKHOLDERS THE ORGANIZATION IS A NORTH CAROLINA NON-PROFIT CORPORATION WITH A SOLE MEMBER, NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER, LLC ("NHNHRMC"). FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF MEMBERS AND THEIR RIGHTS THE ORGANIZATION'S SOLE MEMBER, NHNHRMC, APPOINTS FOUR MEMBERS OF THE ORGANIZATION'S BOARD. PENDER COUNTY BOARD OF COMMISSIONERS APPOINTS SIX MEMBERS OF THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B FORM 990, PART VI, SECTION A, LINE 7B: DECISIONS SUBJECT TO APPROVAL OF MEMBERS EXCEPT FOR RESERVE POWERS SPECIFICALLY DELEGATED TO THE BOARD BY THE GOVERNING DOCUMENTS, OR ACTIONS REQUIRING COUNTY APPROVAL PER THE MASTER TRANSACTION AGREEMENT, THE SOLE MEMBER HAS THE POWER TO MANAGE THE AFFAIRS AND OPERATIONS OF THE ORGANIZATION AS PERMITTED BY LAW AND BY THE GOVERNING DOCUMENTS. THE SOLE MEMBER HAS THE EXCLUSIVE RIGHT TO APPROVE AMENDMENTS TO THE GOVERNING DOCUMENTS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990, PART VI, SECTION B, LINE 11: ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE BOARD DELEGATES REVIEW OF THE FORM 990 TO NOVANT HEALTH'S BOARD OF TRUSTEES' AUDIT AND COMPLIANCE COMMITTEE ("THE COMMITTEE"), WHICH OVERSEES TAX MATTERS FOR ENTITIES IN THE NOVANT HEALTH SYSTEM. THE COMMITTEE IS THE REVIEW BODY FOR ALL OF THE FORM 990S FILED FOR TAX-EXEMPT ORGANIZATIONS WITHIN THE NOVANT HEALTH SYSTEM. THE COMMITTEE IS PROVIDED A COPY OF FORM 990 AND MEETS TO ADDRESS ANY QUESTIONS AND SIGNIFICANT DISCLOSURES WITHIN THE FORM 990 PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C FORM 990, PART VI, SECTION B, LINE 12C: MONITORING AND ENFORCEMENT OF COI NOVANT HEALTH'S TRUSTEE CONFLICT OF INTEREST POLICY, APPLICABLE TO THE FILING ORGANIZATION, APPLIES TO ALL TRUSTEES, PRINCIPAL OFFICERS OR MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS INCLUDING ANY APPLICABLE DISREGARDED ENTITIES. ALL TRUSTEES ARE SENT AN ANNUAL DISCLOSURE QUESTIONNAIRE. THE TRUSTEE ANNUAL DISCLOSURE QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE AND TAX DEPARTMENTS. WITH RESPECT TO PARTICULAR TRANSACTIONS THAT COME BEFORE THE BOARD, THE CONFLICT OF INTEREST POLICY WOULD BE FOLLOWED. THE POTENTIAL CONFLICT OF INTEREST WOULD BE DISCLOSED BY THE BOARD MEMBER BEFORE A VOTE ON THE TRANSACTION AND THE REST OF THE BOARD WOULD DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF THE REST OF THE BOARD DETERMINED THAT A CONFLICT OF INTEREST EXISTED THEN THE BOARD MEMBER WITH THE CONFLICT OF INTEREST WOULD NOT PARTICIPATE IN THE DELIBERATIONS AND VOTE. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 15A/15B: THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM. INDEPENDENT AND DISINTERESTED BOARD MEMBERS OF THE PARENT ORGANIZATION, NOVANT HEALTH, INC. BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD), REVIEW, APPROVE, AND OVERSEE ALL ASPECTS OF COMPENSATION AND BENEFITS FOR CERTAIN LEADERS ("EXECUTIVES") SERVING AS OFFICERS, INCLUDING THE TOP MANAGEMENT & FINANCIAL OFFICIALS, OR KEY EMPLOYEES FOR NOVANT HEALTH ENTITIES. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT AND USES THIRD PARTY COMPARABILITY DATA FOR FUNCTIONALLY SIMILAR POSITIONS AT COMPARABLE ORGANIZATIONS TO ENSURE THAT TOTAL COMPENSATION AND BENEFITS FOR EACH EXECUTIVE IS REASONABLE. 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. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: GOVERNING DOCUMENTS DISCLOSURE THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINING ALL ORGANIZATIONS IN THE NOVANT HEALTH SYSTEM ARE POSTED TO THE NOVANT HEALTH WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION B: INDEPENDENT CONTRACTORS NOVANT HEALTH, INC, A RELATED ORGANIZATION, IS RESPONSIBLE FOR CERTAIN CORPORATE SUPPORT FUNCTIONS OF THE FILING ORGANIZATION, INCLUDING ACCOUNTS PAYABLE AND ISSUANCE OF FORMS 1099. INFORMATION REPORTED IN PART VII, SECTION B REPRESENTS EXPENSES PAID BY NOVANT HEALTH, INC. ON BEHALF OF THE FILING ORGANIZATION TO INDEPENDENT CONTRACTORS OVER $100,000. FORM 990, PART XI, LINE 9: BOOK ADJUSTMENT 38,481. AUXILIARY OF FORSYTH MEMORIAL HOSPITAL 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 560862112 GIFT SHOP *DISSOLVED 3/2024* NC 501(C)(3) LINE 10 FORSYTH MEMORIAL HOSPITAL INC 0 BRUNSWICK NOVANT MEDICAL CENTER FOUNDATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 274616751 FUNDRAISING NC 501(C)(3) LINE 7 BRUNSWICK COMMUNITY HOSPITAL LLC 0 CAROLINA HEALTHCARE ASSOCIATES INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 562049697 HEALTHCARE STAFFING NC 501(C)(3) LINE 3 NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC 0 COMMUNITY GENERAL HOSPITAL FOUNDATION INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561828629 FUNDRAISING NC 501(C)(3) LINE 7 NOVANT HEALTH THOMASVILLE MEDICAL CENTER LLC 0 FORSYTH MEDICAL CENTER FOUNDATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 562120959 FUNDRAISING NC 501(C)(3) LINE 7 FORSYTH MEMORIAL HOSPITAL INC 0 FORSYTH MEMORIAL HOSPITAL INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 560928089 HEALTHCARE NC 501(C)(3) LINE 3 NOVANT HEALTH TRIAD REGION LLC 0 NEW HANOVER REGIONAL MEDICAL CENTER FOUNDATION INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561752396 FUNDRAISING NC 501(C)(3) LINE 7 NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC 0 NHRMC HOME CARE 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 352379154 HEALTHCARE NC 501(C)(3) LINE 10 PENDER MEMORIAL HOSPITAL INC 1 NOVANT HEALTH INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561376950 HEALTHCARE NC 501(C)(3) LINE 3 N/A 0 PRESBYTERIAN HOSPITAL FOUNDATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 581413074 FUNDRAISING NC 501(C)(3) LINE 7 NOVANT HEALTH SOUTHERN PIEDMONT REGION LLC 0 ROWAN REGIONAL MEDICAL CENTER AUXILIARY 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 237022472 GIFT SHOP NC 501(C)(3) LINE 10 NOVANT HEALTH ROWAN MEDICAL CENTER LLC 0 ROWAN REGIONAL MEDICAL CENTER FOUNDATION INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561424818 FUNDRAISING NC 501(C)(3) LINE 7 ROWAN HEALTH SERVICES LLC 0 SELF INSURANCE FUND - NOVANT HEALTH INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 581867242 INSURANCE *DISSOLVED 3/2024* NC 501(C)(3) LINE 12C, III-FI NOVANT HEALTH INC 0 THE PRESBYTERIAN HOSPITAL 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 560554230 HEALTHCARE NC 501(C)(3) LINE 3 NOVANT HEALTH SOUTHERN PIEDMONT REGION LLC 0 ADEPT HEALTH INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 562226937 INACTIVE NC N/A C 0 CHOICEHEALTH INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561896065 MANAGED CARE NC N/A C 0 COMMUNICARE INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561952950 INACTIVE NC N/A C 0 KERNERSVILLE MEDICAL CENTER PARK OWNERS' ASSOCIATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 471511401 REAL PROPERTY MGMT NC N/A C 0 MEDQUEST INC & SUBSIDIARIES 3480 PRESTON RIDGE RD STE 600 ALPHARETTA GA 30005 223860764 DIAGNOSTIC IMAGING DE N/A C 0 SALEM DIAGNOSTICS INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561513621 INACTIVE NC N/A C 0 SALEM HEALTH SERVICES INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561342654 INACTIVE NC N/A C 0 NOVANT HEALTH AFFILIATE II INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 934532877 INACTIVE NC N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1