Forsyth Medical Center Foundation

“Form 990, part vi, section a, line 4: significant changes to organizational documents the organization amended it's bylaws to revise purpose language to be consistent with public charity status and to remove references to supporting organization status; to add certain ex-officio members of the board; to clarify that board members do not receive compensation; to clarify that the board will comply with upmifa; and to revise indemnification provisions consistent with state law.”

“Form 990, part vi, section a, line 6: classes of members or stockholders the corporation is a nonprofit corporation with members (or a member).”

“Form 990, part vi, section a, line 7a: election of members and their rights forsyth memorial hospital, inc. Elects the majority of the forsyth medical center foundation's board.”

“Form 990, part vi, section b, line 11: organization's process to review form 990 the board has delegated review of the form 990 to novant health's audit and compliance committee, which oversees tax matters for novant health. The audit and compliance committee is the review body for all of the form 990s filed for organizations within the novant health system. The audit and compliance committee meets before the form 990s are filed with the irs and after all board members have received a copy of the form 990 and a summary of its contents. The senior director of tax and legal counsel for novant health attend the meeting to answer any questions and address any significant disclosures within the form 990.”

“Form 990, part vi, section b, line 12c: monitoring and enforcement of coi the organization's trustee conflict of interest policy applies to all trustees, principal officers or members of a committee with board delegated powers including any applicable disregarded entities. All trustees are sent an annual disclosure form. Any positive answers on the trustee annual disclosure form are reviewed by the general counsel. If the relationship disclosed is determined not to pose a potential conflict of interest generally, then no action is taken. With respect to particular transactions that come before the board, the conflict of interest policy would be followed. The potential conflict of interest would be disclosed by the board member before a vote on the transaction and the rest of the board would determine whether a conflict of interest exists. If the rest of the board determined that a conflict of interest existed then the board member with the conflict of interest would not participate in the deliberations and vote. Form 990, part vi, section b, line 13: written whistleblower policy the organization is part of the integrated healthcare system operated by novant health, inc. ("novant health"), the parent organization. Novant health's bylaws authorize it to establish certain policies for all of its subsidiaries within the system. All subsidiary organizations follow all applicable novant health corporate policies in their operations. Novant health has established a whistleblower policy, which all subsidiary organizations in the system follow. The individual subsidiary organization's board of trustees do not specifically adopt or approve each operating policy, as there are hundreds of policies that apply to all subsidiary organizations and they cannot practicably be approved by all of the individual boards. Form 990, part vi, section b, line 14: written document retention and destruction policy the organization is part of the integrated healthcare system operated by novant health, inc. ("novant health"), the parent organization. Novant health's bylaws authorize it to establish certain policies for all of its subsidiaries within the system. All subsidiary organizations follow all applicable novant health corporate policies in their operations. Novant health has established a document retention and destruction policy, which all subsidiary organizations in the system follow. The individual subsidiary organization's board of trustees do not specifically adopt or approve each operating policy, as there are hundreds of policies that apply to all subsidiary organizations and they cannot practicably be approved by all of the individual boards.”

“Form 990, part vi, section b, line 15a: compensation process for top official independent and disinterested members of the novant health board of trustees (who comprise the compensation and leadership committee of the board) review, approve, and oversee all aspects of compensation and benefits for novant health's ceo and for certain leaders and executives ("executives") serving novant health and its related or disregarded entities. The committee works with an independent compensation consultant, uses third party comparability data for functionally similar positions at similarly situated organizations, and makes sure that total compensation and benefits for each executive is reasonable for that executive's position. The committee reviews and approves executive compensation and benefits annually, consistent with the written executive compensation philosophy of novant health, and in a manner that qualifies for the rebuttable presumption of reasonableness, thereby assuring that total compensation and benefits provided to each executive is reasonable. Form 990, part vi, line 15b - compensation process for officers the organization does not have any key employees and the organization's only officers, other than the top management official, are state law board officers. These employees do not hold a corporate position of influence that results in review of their compensation by the parent organization's compensation and leadership committee, as described in line 15a.”

“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.”

“The organization employs certain executives whose roles are such that they provide services to not only the organization, but also to some or all of the other tax-exempt organizations within the novant healthcare system. For example, many of these executives' roles focus on particular service lines which cross the various geographic markets our organizations serve, thus the services provided by these executives may benefit and be received by multiple organizations within the system. The executives do not allocate their hours between the various organizations, but rather their time spent on services to the organization is inclusive of services to all of the organizations they serve within the system.”

“The forsyth medical center foundation doing business as the novant health foundation forsyth medical center was formed to accept gifts, seek grants and invest funds to support novant health forsyth medical center's mission to improve the health of communities, one person at a time. It has expanded its reach to include advisory boards at new medical centers in kernersville, nc and clemmons, nc. The novant health foundation forsyth medical center is an integral part of the novant health system (collectively known as "novant health"), a not-for-profit integrated group of hospitals, physician clinics, outpatient centers and other healthcare service providers. Novant health is ranked as one of the nation's top 25 integrated healthcare systems caring for patients and communities in georgia, north carolina, south carolina and virginia. In 2013, the system reported $3.6 billion in revenues. The foundation supports people, programs and services within the medical center, providing expanded treatment and prevention options. The foundation also provides mission-aligned grants to community partners that help supplement healthcare and prevention programs for underserved patients. The foundation's diverse board of community leaders in winston-salem, nc, clemmons, nc, and kernersville, nc provides stewardship and oversight of the organization's operations and activities. In 2013, nearly 1,061 donors contributed to the mission of the foundation. Gifts, grants and earnings from investments touched virtually every service area at novant health forsyth medical center. Some examples of this are as follows: -the foundation made grants to support two important free clinics: today's woman, a prenatal clinic seeking to reduce infant mortality; and the community care center, north carolina's largest free clinics. -the foundation helped fund a new hemodialysis unit that increased capacity by 50 percent and changed the entire atmosphere of the service, to the patients' benefit. -restricted gifts from foundation funds went to support nurse navigators, patient support, staff education, research, mammograms, disease prevention, screenings and rehabilitation. -the women's council of novant health foundation forsyth medical center has a mission to engage community women in raising the standard for women's healthcare and expanding healthcare opportunities for all regardless of their economic circumstances. In 2013, the council finished a three-year, $195,000 grant commitment to fund a gyn cancer nurse navigator. Community benefit report: http://www.novanthealth.org/home/about-us/company-information/financial -profile/community-benefit-report.aspx the community benefit report prepared by novant health is a system-wide report that includes qualitative and quantitative information. In this report, the novant health system's community benefit was approximately $566,000,000, including $129,000,000 in charity care, in 2013. Please note that the numeric data in this report is not based upon the form 990, schedule h criteria, but rather it has been prepared in accordance with the north carolina hospital association reporting guidelines. It should not be relied upon as the organization's form 990, schedule h community benefit report.”

“Mission: novant health exists to improve the health of communities, one person at a time. Vision: we, the employees of novant health and our physician partners, will deliver the most remarkable patient experience, in every dimension, every time. Values: compassion: we treat our customers and their families, staff and other healthcare providers as family members by showing them kindness, patience, empathy and respect. Diversity: we recognize that every person is different, each shaped by unique life experiences. This enables us to better understand one another and our customers. Personal excellence: we strive to grow personally and professionally, and approach each service opportunity with a positive, flexible attitude. Honesty and personal integrity guide all that we do. Teamwork: the needs and expectations of any one customer are greater than that which one person's service efforts can satisfy. We support each other so that together as a team, we can be successful in the eye of the customer as a quality service provider. Novant health's brand promise: we are making your healthcare experience remarkable. We will bring you world-class technology, clinicians, and care - when and where you need it. We are reinventing the healthcare experience to be simpler, more convenient, and more affordable, so that you can focus on getting better and staying healthy.”

“The number of volunteers reported includes those volunteers serving as board members.”

“Consulting fees : program service expenses 19,395. Management and general expenses 2,375. Fundraising expenses 17,812. Total expenses 39,582. Contracted services : program service expenses 201,684. Management and general expenses 24,696. Fundraising expenses 185,220. Total expenses 411,600.”

“Affiliate transfers 2,114,191. Rounding -1.”