Civic Intelligence

Novant Health Inc

EIN 56-1376950 • 501(c)3 • Winston Salem, NC

2085 Frontis Plaza BlvdWinston Salem, NC 27103
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

93rd percentile

0.94x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

86th percentile

2.09x

Higher debt load relative to revenue than 86% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

45th percentile

5.4%

Higher net margin than 45% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

91st percentile

$8,150,937

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

96th percentile

52%

Faster asset growth than 96% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

92nd percentile

63%

Faster revenue growth than 92% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$14,556,934,673

Up $4,960,311,640 (+52%) from 2023

Liabilities

Up

$13,693,623,068

Up $7,819,633,188 (+133%) from 2023

Net Assets

Down

$863,311,605

Down $2,859,321,548 (-77%) from 2023

Revenue

Up

$6,542,888,138

Up $2,527,054,188 (+63%) from 2023

Expenses

Up

$6,192,258,960

Up $2,289,647,878 (+59%) from 2023

Net Income

Up

$350,629,178

Up $237,406,310 (+210%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15B$10B$5.0B$0-$5.0BAssets 2010: $2,395,383,727Liabilities 2010: $2,172,206,566Net Assets 2010: $223,177,1612010Assets 2011: $2,138,191,052Liabilities 2011: $2,025,461,569Net Assets 2011: $112,729,4832011Assets 2012: $2,400,489,338Liabilities 2012: $2,221,419,237Net Assets 2012: $179,070,1012012Assets 2013: $3,023,715,011Liabilities 2013: $2,629,977,052Net Assets 2013: $393,737,9592013Assets 2014: $3,186,813,439Liabilities 2014: $3,170,252,416Net Assets 2014: $16,561,0232014Assets 2015: $3,571,425,514Liabilities 2015: $3,581,446,604Net Assets 2015: -$10,021,0902015Assets 2016: $3,607,897,554Liabilities 2016: $3,684,907,715Net Assets 2016: -$77,010,1612016Assets 2017: $4,150,453,269Liabilities 2017: $3,999,215,487Net Assets 2017: $151,237,7822017Assets 2018: $3,940,829,650Liabilities 2018: $4,020,002,223Net Assets 2018: -$79,172,5732018Assets 2019: $4,524,203,756Liabilities 2019: $4,404,085,258Net Assets 2019: $120,118,4982019Assets 2020: $5,365,829,428Liabilities 2020: $5,084,534,461Net Assets 2020: $281,294,9672020Assets 2021: $9,335,899,762Liabilities 2021: $7,056,759,837Net Assets 2021: $2,279,139,9252021Assets 2022: $8,958,963,272Liabilities 2022: $6,868,103,836Net Assets 2022: $2,090,859,4362022Assets 2023: $9,596,623,033Liabilities 2023: $5,873,989,880Net Assets 2023: $3,722,633,1532023Assets 2024: $14,556,934,673Liabilities 2024: $13,693,623,068Net Assets 2024: $863,311,6052024

Highlighted filing

2024

Assets$14,556,934,673
Liabilities$13,693,623,068
Net Assets$863,311,605

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$8.0B$6.0B$4.0B$2.0B$0-$2.0BExpenses 2010: $473,294,1302010Expenses 2011: $553,584,7682011Expenses 2012: $579,022,8762012Revenue 2013: $657,615,908Expenses 2013: $627,685,714Net Income 2013: $29,930,1942013Revenue 2014: $647,551,508Expenses 2014: $634,747,432Net Income 2014: $12,804,0762014Revenue 2015: $766,374,591Expenses 2015: $769,951,621Net Income 2015: -$3,577,0302015Revenue 2016: $764,869,270Expenses 2016: $763,511,971Net Income 2016: $1,357,2992016Revenue 2017: $881,033,091Expenses 2017: $830,975,915Net Income 2017: $50,057,1762017Revenue 2018: $911,864,857Expenses 2018: $825,152,601Net Income 2018: $86,712,2562018Revenue 2019: $1,019,396,293Expenses 2019: $963,052,061Net Income 2019: $56,344,2322019Revenue 2020: $1,066,591,387Expenses 2020: $1,042,047,954Net Income 2020: $24,543,4332020Revenue 2021: $2,822,105,056Expenses 2021: $2,572,368,985Net Income 2021: $249,736,0712021Revenue 2022: $3,193,826,783Expenses 2022: $3,217,545,790Net Income 2022: -$23,719,0072022Revenue 2023: $4,015,833,950Expenses 2023: $3,902,611,082Net Income 2023: $113,222,8682023Revenue 2024: $6,542,888,138Expenses 2024: $6,192,258,960Net Income 2024: $350,629,1782024

Highlighted filing

2024

Revenue$6,542,888,138
Expenses$6,192,258,960
Net Income$350,629,178

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14,557$13,694$863$6,543$6,192$351
2023Summary only. Only limited summary data is available for this year.$9,597$5,874$3,723$4,016$3,903$113
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8,959$6,868$2,091$3,194$3,218$23.7
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9,336$7,057$2,279$2,822$2,572$250
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,366$5,085$281$1,067$1,042$24.5
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,524$4,404$120$1,019$963$56.3
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,941$4,020$79.2$912$825$86.7
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,150$3,999$151$881$831$50.1
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,608$3,685$77.0$765$764$1.36
2015Summary only. Only limited summary data is available for this year.$3,571$3,581$10.0$766$770$3.58
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,187$3,170$16.6$648$635$12.8
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,024$2,630$394$658$628$29.9
2012XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,400$2,221$179$579
2011XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,138$2,025$113$554
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,395$2,172$223$473
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$7,773,448,562
Mission and Program Overview

Mission

Novant health exists to improve the health of communities, one person at a time.see schedule o

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$2,567,651,315$5,497,633,014▲ $2,929,981,699
Investments in Publicly Traded Securities$2,591,658,787$2,863,582,394▲ $271,923,607
Land, Buildings, and Equipment, Net$2,175,649,939$2,524,265,349▲ $348,615,410
Accounts Receivable$569,441,530$1,446,830,026▲ $877,388,496
Intangible Assets$603,981,349$749,017,733▲ $145,036,384
Cash and Non-Interest-Bearing Accounts$276,365,145$405,942,328▲ $129,577,183
Inventories for Sale or Use$113,727,244$136,456,661▲ $22,729,417
Savings and Temporary Cash Investments$341,508,947$123,127,166▼ $218,381,781
Prepaid Expenses and Deferred Charges$72,366,755$90,214,769▲ $17,848,014
Other Notes and Loans Receivable, Net$14,344,320$27,413,745▲ $13,069,425
Investments Program Related$3,918,358$3,905,521▼ $12,837
Pledges and Grants Receivable$858,064$1,400,049▲ $541,985
Receivables From Officers Etc$1,320,000$880,000▼ $440,000
Total Assets$9,596,623,033$14,556,934,673▲ $4,960,311,640
Other Assets Total$263,831,280$686,265,918▲ $422,434,638
Liabilities
Other Liabilities$2,556,557,962$7,612,241,700▲ $5,055,683,738
Tax Exempt Bond Liabilities$617,037,909$3,046,243,774▲ $2,429,205,865
Mortgage Notes Payable Secured by Investment Property$2,013,376,250$2,009,966,250▼ $3,410,000
Accounts Payable and Accrued Expenses$667,359,376$996,167,997▲ $328,808,621
Deferred Revenue$19,658,383$29,003,347▲ $9,344,964
Total Liabilities$5,873,989,880$13,693,623,068▲ $7,819,633,188
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,722,348,361$862,868,766▼ $2,859,479,595
Net Assets With Donor Restrictions$284,792$442,839▲ $158,047
Total Net Assets Fund Balance$3,722,633,153$863,311,605▼ $2,859,321,548
Total Liabilities and Net Assets / Fund Balance$9,596,623,033$14,556,934,673▲ $4,960,311,640

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,067,934,657$523,519,559$1,591,454,216
Equipment$348,691,937$955,245,293$1,303,937,230
Other Land Buildings$644,907,596$640,730,499$1,285,638,095
Land$335,720,791-$335,720,791
Leasehold Improvements$127,010,368$205,242,459$332,252,827
Other Securities$4,569,138,317--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$284,792$158,047--$442,839
2023$285,425$284,792-$285,425$284,792
2022-$299,276▼ $13,851-$285,425
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Carl ArmatoTrustee, Pres/CEO NhFT$2,359,788$5,791,149$8,150,937
James Dean SwindleEvpFT$1,231,959$2,100,058$3,332,017
Howard Homesley MdOrthopaedistFT$1,900,601$1,140,589$3,041,190
John GizdicEvpFT$1,146,246$1,331,561$2,477,807
Derek Bernstein MdOrthopaedistFT$1,478,112$674,552$2,152,664
John Marcel MdOrthopaedistFT$1,235,456$883,104$2,118,560
David DuvallFmr SVP Marketing & CommunicationsFT$2,118,253-$2,118,253
Pamela Oliver MdEvpFT$877,182$1,187,170$2,064,352
Rashid Janjua MdNeurosurgeonFT$863,640$1,175,711$2,039,351
Denise MihalEvpFT$878,062$1,147,081$2,025,143
Frank Emory JrEvpFT$828,360$1,106,427$1,934,787
Kimberly HendersonEvpFT$807,422$813,407$1,620,829
Onyeka NchegeEvpFT$697,459$788,139$1,485,598
Geoffrey GardnerCFO (to 4/28/24)FT$457,268$842,062$1,299,330
Alice PopeEvp/CFO (fr 4/29/24)FT$824,247$350,909$1,175,156
Sanjay GuptaEvpFT$709,454$371,526$1,080,980
Chere Gregory MdFmr Ke (12/31/21)FT$497,260$574,564$1,071,824
Jesse CuretonFmr Ke (4/27/23)-$1,039,476$1,065,171$1,065,171
Thomas Jenike MdFmr Ke (12/31/21)FT$446,390$593,270$1,039,660
Scott MyersFmr Ke (12/31/21)FT$489,278$513,085$1,002,363
Laurie WhalinFmr Ke (12/31/21)FT$465,787$367,349$833,136
Allison GreearFmr Ke (12/31/21)FT$366,358$291,001$657,359
Kathryn LangfordFmr Ke (12/31/21)FT$162,155$488,769$650,924
Shelbourn StevensFmr Ke (12/31/21)-$605,812$629,875$629,875
Jonathan ApplebaumFmr Ke (12/31/21)FT$303,859$303,678$607,537
Wayne MorganFmr Ke (6/30/21)FT$77,892$265,484$343,376
Angela YochemFmr Ke (3/28/23)-$224,358$225,285$225,285
Tanya BlackmonFmr Ke (3/21/22)-$121,461$124,570$124,570
Eric Eskioglu MdFmr Ke (11/30/22)-$100,800$105,022$105,022
Laura SchulteChair-$725-$725
Brian EckelTrustee-$725-$725
Deborah AllyTrustee (to 12/31/24)-$725-$725

Board Members and Trustees

NameTitle
Christine KatziffVice Chair
Alvaro De MolinaTrustee
Beverly Moose MdTrustee
Brandon AdcockTrustee
Christopher Duggins MdTrustee
David KingTrustee
Elwood Robinson PhdTrustee
Ian McdonaldTrustee
Jason ThompsonTrustee
Charles HauserTrustee (fr 1/1/24)
Robert Barr MdTrustee (to 12/31/24)
James AmosSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Rj Leeper ConstructionConstruction Services5701 NORTH SHARON AMITY ROAD, Charlotte, NC 28215$125,782,799
Vannoy ConstructionConstruction ServicesPO BOX 635, Jefferson, NC 28640$60,191,701
Aya Healthcare INCStaffing ServicesDEPT 3519 PO BOX 123519, Dallas, TX 75312$52,956,936
Mckinsey & CompanyConsulting ServicesPO BOX 7247-7255, Philadelphia, PA 19170$52,604,000
Epic Systems CorporationIt Consulting ServicesPO BOX 88314, Milwaukee, WI 53288$39,525,969
Revenue and Support

Revenue Composition

Contributions and Grants
$75,573,259
Program Service Revenue
$6,229,339,921
Investment Income
$181,836,148
Other Revenue
$56,138,810
All Other Contributions
$454,529
Change in Net Assets
$350,629,178

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Commercial1$392,000Fair Market Value
Total Noncash Contributions1$392,000-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,169,000,017
Other Expenses$3,001,249,090
Grants and Similar Amounts Paid$22,009,853
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,933,114,667$610,469,500-$2,543,584,167
Fees for Services Other$374,747,186$211,984,448-$586,731,634
Other Employee Benefits$236,668,046$74,737,277-$311,405,323
All Other Expenses$152,446,482$114,612,818-$267,059,300
Depreciation Depletion$108,664,447$89,544,500-$198,208,947
Occupancy$137,320,739$38,532,678-$175,853,417
Interest$158,151,690$39,688-$158,191,378
Payroll Taxes$108,705,487$34,328,049-$143,033,536
Pension Plan Contributions$102,268,435$32,295,295-$134,563,730
Information Technology$90,664,282$10,382,559-$101,046,841
Insurance$68,142,737$27,670,319-$95,813,056
Office Expenses$36,522,817$14,696,286-$51,219,103
Advertising$37,878,788$3,154,126-$41,032,914
Fees for Services Management-$27,280,000-$27,280,000
Current Officers, Directors, Trustees, and Key Employees-$26,646,936-$26,646,936
Grants to Domestic Orgs$19,771,291--$19,771,291
Fees for Services Legal-$19,642,297-$19,642,297
Travel$7,971,423$2,517,289-$10,488,712
Comp Disqual Persons-$9,766,325-$9,766,325
Fees for Service Investment Mgmnt Fees-$3,324,668-$3,324,668
Conferences and Meetings$2,235,362$705,904-$2,941,266
Fees for Services Accounting-$2,613,689-$2,613,689
Grants to Domestic Individuals$2,208,218--$2,208,218
Fees for Services Lobbying$127,503--$127,503
Foreign Grants$30,344--$30,344
Other Expenses$80,953,011$-3,378,884-$-3,378,884
Total Functional Expenses$4,713,197,636$1,479,061,324$0$6,192,258,960
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Unc Health Foundation IncChapel Hill, NC501(c)(3)Academic and Clinical Support$16,390,905
Coastal Community Development CorporationHilton Head Island, SC501(c)(3)Affordable Workforce Housing Support$1,000,000
Winston-salem FoundationWinstonsalem, NC501(c)(3)Community Outreach$675,000
Mecklenburg CountyCharlotte, NCGovernmentCommunity Outreach$160,000
American Heart Association IncDallas, TX501(c)(3)Community Outreach$75,000
Cape Fear Habitat for Humanity House BuildWilmington, NC501(c)(3)Affordable Housing Support$60,000
YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHWEST NORTH CAROLINAWinstonsalem, NC501(c)(3)Community Outreach$50,350
Matthews Free Medical ClinicMatthews, NC501(c)(3)Community Outreach$50,000
Wingate UniversityWingate, NC501(c)(3)Workforce Development Support$50,000
Rowan County United Way IncSalisbury, NC501(c)(3)Community Outreach$46,418
Willie Stargell Foundation IncWilmington, NC501(c)(3)Community Outreach$40,000
Foundation for the CarolinasCharlotte, NC501(c)(3)Community Outreach$30,000
March of Dimes IncArlingon, VA501(c)(3)Community Outreach$30,000
Partners in Learning Child Development and Family Resource CenterSalisbury, NC501(c)(3)Community Outreach$30,000
Matthews Alive IncMatthews, NC501(c)(3)Community Outreach$27,000
Pender Memorial Hospital IncorporatedWinston Salem, NC501(c)(3)Community Outreach$26,137
Brunswick County Chamber of CommerceShallotte, NC501(c)(6)Community Outreach$25,000
Collective Impact in New Hanover County IncWilmington, NC501(c)(3)Community Outreach$25,000
Rowan Helping MinistriesSalisbury, NC501(c)(3)Community Outreach$24,760
Greater Wilmington Chamber of CommerceWilmington, NC501(c)(6)Community Outreach$23,500
Ballantyne BallCharlotte, NC501(c)(3)Community Outreach$21,500
Safe House Project IncVirginia Beach, VA501(c)(3)Community Outreach$20,833
Staying ConnectedBluffton, SC501(c)(3)Community Outreach$20,667
Rowan Cabarrus YmcaSalisbury, NC501(c)(3)Community Outreach$20,000
Servants Heart of Mint Hill IncMint Hill, NC501(c)(3)Community Outreach$20,000
Tom a Finch Community Ymca IncThomasville, NC501(c)(3)Community Outreach$20,000
Atrium Health FoundationCharlotte, NC501(c)(3)Community Outreach$19,023
Carousel Center IncWilmington, NC501(c)(3)Community Outreach$18,000
Rowan County Chamber of CommerceSalisbury, NC501(c)(6)Community Outreach$16,830
Center for Prevention ServicesCharlotte, NC501(c)(3)Community Outreach$16,666
Union County Chamber of CommerceMonroe, NC501(c)(6)Community Outreach$15,850
Coastal Horizons Center IncWilmington, NC501(c)(3)Community Outreach$15,000
Community Health Services of Union County IncMonroe, NC501(c)(3)Community Outreach$15,000
North Carolina Business Leaders for EducationWinstonsalem, NC501(c)(3)Community Outreach$15,000
Senior Activities & Services IncMatthews, NC501(c)(3)Community Outreach$15,000
Thomasville Area Chamber of CommerceThomasville, NC501(c)(6)Community Outreach$15,000
Ywca of the Lower Cape Fear IncWilmington, NC501(c)(3)Community Outreach$15,000
Matthews Chamber of CommerceMatthews, NC501(c)(6)Community Outreach$13,200
Mint Hill Events IncMint Hill, NC501(c)(3)Community Outreach$12,300
Jo Ann Carter Harrelson Center IncWilmington, NC501(c)(3)Community Outreach$12,000
Road Runners Club of AmericaSalisbury, NC501(c)(3)Community Outreach$12,000
The Salvation ArmyBaton Rouge, LA501(c)(3)Community Outreach$12,000
Lower Cape Fear LifecareWilmington, NC501(c)(3)Community Outreach$11,500
Town of MatthewsMatthews, NCGovernmentCommunity Outreach$10,500
American Cancer Society IncAtlanta, GA501(c)(3)Community Outreach$10,000
Ballantyne Families Helping Neighbors in NeedCharlotte, NC501(c)(3)Community Outreach$10,000
Girls on the Run of the Greater PiedmontMooresville, NC501(c)(3)Community Outreach$10,000
Lump to Laughter IncWilmington, NC501(c)(3)Community Outreach$10,000
Main Street Mission of China Grove IncChina Grove, NC501(c)(3)Community Outreach$10,000
Matthews Athletic & Recreation AssociationMatthews, NC501(c)(3)Community Outreach$10,000
Rowan-cabarrus Community College Foundation IncSalisbury, NC501(c)(3)Community Outreach$10,000
Smart Start of Davidson County IncLexington, NC501(c)(3)Community Outreach$10,000
The Great 100 IncGreensboro, NC501(c)(3)Community Outreach$10,000
Town of Indian TrailIndian Trail, NCGovernmentCommunity Outreach$10,000
Volunteers in Medicine ClinicHilton Head Island, SC501(c)(3)Community Outreach$10,000
Wway-tv LLCLeland, NC0Community Outreach$10,000
Mint Hill Chamber of CommerceMint Hill, NC501(c)(6)Community Outreach$9,750
Bluffton-jasper County Volunteers in Medicine IncBluffton, SC501(c)(3)Community Outreach$9,200
Stonewall Sports Charlotte IncCharlotte, NC501(c)(3)Community Outreach$8,800
Good Shepherd Ministries IncWilmington, NC501(c)(3)Community Outreach$8,500
Mint Hill American Legion Post 555 IncMint Hill, NC501(c)(19)Community Outreach$8,000
Teal DivaCharlotte, NC501(c)(3)Community Outreach$8,000
Terrie Hess Child Advocacy CenterSalisbury, NC501(c)(3)Community Outreach$8,000
4th Trimester MissionWilmington, NC501(c)(3)Community Outreach$7,500
Downtown Salisbury IncSalisbury, NC501(c)(3)Community Outreach$7,500
Girls on the Run of Union County NcWeddington, NC501(c)(3)Community Outreach$7,500
Matthews Help CenterMatthews, NC501(c)(3)Community Outreach$7,500
Spencer Partnership IncSpencer, NC501(c)(3)Community Outreach$7,500
Communities in Schools of Thomasville IncThomasville, NC501(c)(3)Community Outreach$6,500
One Yard Away IncMint Hill, NC501(c)(3)Community Outreach$6,500
Stepup WilmingtonWilmington, NC501(c)(3)Community Outreach$6,500
Council on Aging in Union CountyMonroe, NC501(c)(3)Community Outreach$6,000
Girls Leadership Academy of Wilimington FoundationWilmington, NC501(c)(3)Community Outreach$6,000
Hpt Hitoms LLCGreensboro, NC0Community Outreach$6,000
Safe Haven of Pender IncBurgaw, NC501(c)(3)Community Outreach$6,000
Bright BlessingsMatthews, NC501(c)(3)Community Outreach$5,500
North Carolina Fourth of July Festival IncSouthport, NC501(c)(4)Community Outreach$5,015

International Summary

Offices
0
Employees
0
Spending
$671,161,531

International Compliance

Foreign grant records maintained
No
Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$587,029,969
EuropeInvestments-00$58,069,878
North AmericaInvestments-00$26,031,340
Sub-saharan AfricaGrants to Recipients-00$30,344
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$31,186
Fundraising Direct Expenses$24,381
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Fleet Feet$20,354$20,354$16,241$4,113
First Uniform$7,061$7,061$5,905$1,156
Total Events$31,186$31,186$24,381$6,805
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
David HauflerFamily Member of Kimberly Henderson, Key EmployeeCompensation Paid by the Filing Organization to the Interested Person.No$231,368
Sandra Wood-mcmillanFamily Member of Scott Myers, Former Key EmployeeCompensation Paid by the Filing Organization to the Interested Person.No$228,784
Aspen BlackmonFamily Member of Tanya Blackmon, Former Key EmployeeCompensation Paid by the Filing Organization to the Interested Person.No$150,854
Carly SaultersFamily Member of Carl Armato, Trustee & OfficerCompensation Paid by the Filing Organization to the Interested Person.No$150,034
Frank Emory IiiFamily Member of Frank Emory Jr., Key EmployeeCompensation Paid by the Filing Organization to the Interested Person.No$135,268
John ArmatoFamily Member of Carl Armato, Trustee & OfficerCompensation Paid by the Filing Organization to the Interested Person.No$120,282
Laura Wood MyersFamily Member of Scott Myers, Former Key EmployeeCompensation Paid by the Filing Organization to the Interested Person.No$114,355
Chanel PenningtonFamily Member of Jesse Cureton, Former Key EmployeeCompensation Paid by the Filing Organization to the Interested Person.No$104,916
Tyler ArmatoFamily Member of Carl Armato, Trustee & OfficerCompensation Paid by the Filing Organization to the Interested Person.No$95,821
Brittany CuretonFamily Member of Jesse Cureton, Former Key EmployeeCompensation Paid by the Filing Organization to the Interested Person.No$65,710

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$1,320,000$880,000▼ $440,000
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$5,987,935,458
Operating Lease$661,330,741
Other Liabilities$507,219,930
Non-qualified Benefit Plans$274,530,592
Third Party Payment Payable$86,553,203
Patient Refunds$64,781,817
Loan Guarantees$34,498,748

Bond Issues

BondIssuerIssuedIssue PricePurpose
DSouth Carolina Jobs-economic Development Authority2024-05-14$2,058,004,216SEE PART VI
ANational Finance Authority2024-05-14$400,000,000SEE PART VI
CNorth Carolina Med Care Commission2019-07-11$327,568,106SEE PART VI
BNorth Carolina Med Care Commission2013-05-07$161,286,657SEE PART VI
ANorth Carolina Med Care Commission2004-12-08$135,000,000SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$2,058,004,216---
A$400,000,000---
C$328,178,016$2,058,004,216-$2,574,347
B$161,291,650$122,313,525-$1,248,186
A$135,000,000$58,237,121$41,475,000$1,124,250

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Form 990, part vi, section a, line 2: family and/or business relationships business relationship carl armato james dean swindle business relationship denise mihal frank emory, jr.

Form 990, Part VI, Section B, Line 11B

Form 990, part vi, section b, line 11: organization's process to review form 990 the audit and compliance committee of the novant health board of trustees ("the committee") has responsibility for overseeing the organization's tax matters. The board of trustees has delegated the review of the form 990 to the committee. The committee is the review body for all of the form 990s filed for 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 the organization's trustee conflict of interest policy applies to all trustees, principal officers or members of a committee with board delegated powers including any applicable disregarded entities. All trustees are sent an annual disclosure questionnaire. The trustee annual disclosure questionnaires are reviewed by the compliance 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: compensation process for top official independent and disinterested members of the novant health, inc. Board of trustees, who comprise the compensation & leadership committee of the board, review, approve, and oversee all aspects of compensation and benefits for novant health, inc.'s ceo. 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 is reasonable. The committee reviews and approves ceo 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 b, line 15b: compensation process for officers independent and disinterested members of the novant health, inc. Board of trustees, who comprise the compensation & leadership committee of the board, review, approve, and oversee all aspects of compensation and benefits for certain executives ("executives") serving as officers 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.

Filing and Contact Details

Filer

Filer Name
Novant Health Inc
EIN
56-1376950
Phone
3362772411
Address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103

Signing Officer

Name
Alice Pope
Title
Evp & CFO
Phone
3362772411
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Carl Armato
Formed
1997
Legal Domicile
Nc
Voting Board Members
16
Independent Board Members
14
Employees
33,786
Volunteers
1,432

Preparer

Firm
Ernst & Young US Llp
Address
55 IVAN ALLEN JR BLVD SUITE 1000, ATLANTA, GA 30308
Preparer
Aerrial M Orr
Phone
4048748300
Supplemental Narrative

Additional Explanations

FORM 990, PI, L1: 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 in order 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. 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 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 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 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. Greater winston salem region: novant health forsyth medical center ("nhfmc") provided health screenings and clinics for blood pressure/hypertension, cholesterol, diabetes, immunizations, and breast cancer in both stationary and mobile clinic settings. Additionally, nhfmc collected, organized and dropped off donations for hurricane helene r

FORM 990, PI, L1: CONTINUED

Nhnhrmc began offering a new cancer treatment through gammatile, a targeted radiation therapy for brain tumors that limits impact to healthy tissue. Nhnhrmc also added the tmini miniature robotic system, advancing knee surgery technology locally. To support patients with atrial fibrillation, nhnhrmc began offering a new treatment option, pulsed field ablation, which uses pulsed electrical fields to treat misfiring cardiac tissue. The hospital also launched a hospital at home program, which earned very positive patient satisfaction scores from patients receiving a hospital level of care in the comfort of their own homes. Nhrmc's emergency department earned a level 3 geriatric emergency department accreditation, highlighting a commitment to delivering remarkable care to older patients. Novant health also expanded its flight operations in rowan county with airlink 4 a helicopter based at nhrmc. This helicopter allows novant health to provide around-the-clock intensive care unit-level support to patients throughout the area. Nhbmc unveiled a new mobile mammography unit to support early breast cancer detection across southeastern north carolina. The mobile unit features the latest 3-d technology. During the 3-d mammogram, an x-ray tube takes multiple low-dose images that are regenerated by a computer. The angled images provide 1-millimeter-thin snapshots of the breast tissues that, collectively, provide radiologists with a detailed, three-dimensional view. In 2024, novant health medical group ("nhmg") added 35 clinic locations, 175 physicians and more than 100 advanced practice providers. Some highlights include: the opening of the third novant health michael jordan family medical clinic (and the first in wilmington, north carolina), which brings much-needed comprehensive primary care services, including to individuals who are uninsured or underinsured. The opening of novant health today's adult primary care, which builds on the existing novant health today's woman ob/gyn and novant health today's pediatrics, two clinics that have faithfully served eastern forsyth county for decades. These clinics have an on-site community engagement center which offers a multipurpose space for patients to receive additional social support services. The community engagement center is staffed by outreach specialists who can identify nonmedical barriers to care and help patients lead healthier lives. This can include providing education about screenings and prevention, transportation assistance or connecting patients to community resources. The clinic also partners with healthcare access, allowing patients to work with a financial navigator to apply for health care coverage. The opening of a new heart failure and pulmonary hypertension clinic in the triad, expanding access to full-service, multispecialty care. Both heart failure and pulmonary hypertension are commonly referred to as silent killers because their symptoms are often ignored but can have devastating effects if left untreated. The clinic offers a robust diagnostic testing area that includes laboratory testing, echocardiographic studies and cardiopulmonary exercise testing. Additionally, the clinic has a dedicated infusion suite to treat patients with diuretic therapy to alleviate congestion and avert the need for heart failure hospitalization. The clinic will also provide outpatient support for novant health's future mechanical circulatory support program set to launch next year in the triad. The groundbreaking on the future novant health wellness and education building in thomasville, north carolina. The multi-use health care facility is part of novant health's strategic plan to enhance the overall health of the community by addressing several health equity challenges gaps in accessible care facing patients across the region, specifically related to behavioral health, substance use disorder, chronic disease management and rehabilitative care. The 18,000 square-foot facility is scheduled

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 IX, LINE 6: COMPENSATION OF DISQUALIFIED PERSONS

The total amount reported represents amounts attributable to disqualified persons ("dqps"), as defined in form 990 instructions, and to individuals that may not definitively be considered dqps under section 4958 but are included in an expansive approach to dqp reporting.

FORM 990, PART XI, LINE 9:

Contributions -6,471,336. Derivatives/swap 2,990,648. Affiliate transfer -1,121,964,358. Fasb/accounting changes -30,361. Capital contribution 457,701,292. Partnerships 441,946. Adjustment for overhead intercompany expense allocations -2,715,062,818.

Financial Statement Notes

PART V, LINE 4:

The endowment funds are held for affiliate hospital service costs related to various centers at the acute care facilities.

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.

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IRS990/Desc0NOVANT HEALTH, INC. IS THE PARENT ORGANIZATION OF A NON-PROFIT INTEGRATED GROUP OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS, AND OTHER HEALTHCARE SERVICE PROVIDERS (COLLECTIVELY KNOWN AS "NOVANT HEALTH"). NOVANT HEALTH CONSISTS OF OVER 8,500 INDEPENDENT AND EMPLOYED CLINICIANS AND OVER 40,000 TEAM MEMBERS WHO MAKE HEALTHCARE REMARKABLE AT MORE THAN 900 LOCATIONS, INCLUDING 19 MEDICAL CENTERS AND HUNDREDS OF OUTPATIENT FACILITIES AND PHYSICIAN CLINICS. HEADQUARTERED IN WINSTON-SALEM, NC, NOVANT HEALTH IS COMMITTED TO MAKING HEALTHCARE REMARKABLE FOR PATIENTS AND COMMUNITIES.
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