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Nonprofiteer
← COMMUNITY GENERAL HOSPITAL FOUNDATION INC

Form 990 for tax year 2023

Filed by COMMUNITY GENERAL HOSPITAL FOUNDATION INC.

Totals

Total revenue
$267,117
Total expenses
$165,518
Contributions and grants received
$238,310
Grants paid
$136,799
Program service revenue
$0
Investment income
$28,848
Other revenue
-$41
Total assets, end of year
$2,483,887
Total liabilities, end of year
$39,765
Net assets or fund balances, end of year
$2,444,122
Program services expenses (Part IX)
$145,804
Management and general expenses
$16,574
Fundraising expenses
$3,140
Program service expenses (Part III)
$145,804

Program services were 88.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $60,679

  • 1f · All other contributions, gifts and grants

    $177,631

  • 1g · Noncash contributions included above

    $2,221

  • 3 · Investment income

    total $15,497 · excluded $15,497

  • 7a · Gross sales of assets other than inventory

    securities $608,320

  • 7b · Less cost or other basis and sales expenses

    securities $594,969

  • 7c · Gain or loss

    securities $13,351

  • 7d · Net gain or loss

    total $13,351 · excluded $13,351

  • 8a · Fundraising events: gross income

    $10,517

  • 8a · Fundraising events: contributions included on line 1c

    $60,679

  • 8b · Fundraising events: direct expenses

    $13,918

  • 8c · Net income from fundraising events

    total -$3,401 · excluded -$3,401

  • 9a · Gaming: gross income

    $3,360

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $3,360 · excluded $3,360

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $116,027 · program services $116,027

  • 2 · Grants to domestic individuals

    total $20,772 · program services $20,772

  • 11f · Fees: investment management

    total $920 · management and general $920

  • 12 · Advertising and promotion

    total $451 · program services $226 · fundraising $225

  • 13 · Office expenses

    total $3,047 · program services $37 · management and general $2,985 · fundraising $25

  • 24a · Other expenses: CONTRACT LABOR

    total $18,962 · program services $4,740 · management and general $11,377 · fundraising $2,845

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $2,626 · program services $2,626

  • 24c · Other expenses: MISCELLANEOUS

    total $2,138 · program services $985 · management and general $1,153

  • 24d · Other expenses: OTHER SUPPLIES

    total $575 · program services $391 · management and general $139 · fundraising $45

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $719,764 · end of year $855,713

  • 3 · Pledges and grants receivable

    beginning of year $227,591 · end of year $230,033

  • 11 · Investments: publicly traded securities

    beginning of year $1,154,479 · end of year $1,096,308

  • 12 · Investments: other securities

    beginning of year $129,680 · end of year $301,833

  • 15 · Other assets

    beginning of year $7,330 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $39,765

  • 27 · Net assets without donor restrictions

    beginning of year $826,851 · end of year $899,370

  • 28 · Net assets with donor restrictions

    beginning of year $1,411,993 · end of year $1,544,752

Mission and programs · 2023

Mission

SEE SCHEDULE O

  • THE ORGANIZATION OPERATES TO RAISE COMMUNITY SUPPORT AND FUNDING THROUGH CHARITABLE GIVING FOR ESSENTIAL PROGRAMS, IMPROVED FACILITIES, AND STATE-OF-THE-ART TECHNOLOGY OF NOVANT HEALTH THOMASVILLE MEDICAL CENTER, A NON-PROFIT HOSPITAL LOCATED IN THOMASVILLE, NC.

    Expenses $145,804 · Grants $136,799

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Aimee Boozer

    TRUSTEE (FR 1/1/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Angela Rubnich

    TTE (FR 1/1/23), TREAS (FR 11/28/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Beatriz Juncadella MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2
  • Blythe Leonard

    TRUSTEE (TO 7/19/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Candice Jackson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2
  • Christian Brandyberry DDS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2
  • Colon Starrett

    TRUSTEE (TO 12/31/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Colton Wood MD

    TRUSTEE/FAMILY PRACTNR

    Total calculated
    $578,062
    From this org
    $0
    From related orgs
    $530,220
    Other
    $47,842
    Hours/week
    0.2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $205,523 related
    Bonus
    $0 + $282,314 related
    Other
    $0 + $42,383 related
    Deferred
    $0 + $14,526 related
    Nontaxable benefits
    $0 + $33,316 related
    Filer's total
    $0 + $578,062 related
  • Daniel Myers Do

    TRUSTEE (TO 12/31/23)/FAMILY PRACTNR

    Total calculated
    $1,008,224
    From this org
    $0
    From related orgs
    $961,809
    Other
    $46,415
    Hours/week
    0.2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,586 related
    Bonus
    $0 + $580,661 related
    Other
    $0 + $68,562 related
    Deferred
    $0 + $12,368 related
    Nontaxable benefits
    $0 + $34,047 related
    Filer's total
    $0 + $1,008,224 related
  • Deboy Beamon

    TRUSTEE (FR 1/1/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Frank Burton MD

    VICE CH(TO 11/28/23),CH(FR 11/28/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Harold Thornburg

    TRUSTEE (FR 1/1/23)/CLINIC ADMIN II

    Total calculated
    $140,838
    From this org
    $0
    From related orgs
    $114,315
    Other
    $26,523
    Hours/week
    0.2 + 45 related
  • Holly Watts

    TRUSTEE (TO 3/21/23)/PAT EXP ADVR II

    Total calculated
    $115,825
    From this org
    $0
    From related orgs
    $98,582
    Other
    $17,243
    Hours/week
    0.2 + 45 related
  • Hope Surratt

    TRUSTEE (TO 12/31/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Jaime Callicutt

    TRUSTEE (TO 8/29/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Jarrod Dunbar

    TTE(FR 1/1/23), VICE CH(FR 11/28/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Joseph Stringfellow MD

    TRUSTEE/OBSTETRICIAN

    Total calculated
    $424,104
    From this org
    $0
    From related orgs
    $373,549
    Other
    $50,555
    Hours/week
    0.2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,841 related
    Bonus
    $0 + $102,874 related
    Other
    $0 + $12,834 related
    Deferred
    $0 + $16,352 related
    Nontaxable benefits
    $0 + $34,203 related
    Filer's total
    $0 + $424,104 related
  • Justin Finch

    TRUSTEE, TREAS (TO 11/28/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Luzangela Shoffner

    TRUSTEE (FR 1/1/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Mary Akerman

    TRUSTEE, CHAIR (TO 11/28/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Melissa Lawrence

    TRUSTEE (TO 12/31/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Molly Lassiter

    SECR

    Total calculated
    $0
    Hours/week
    0.2
  • Resa Raulston

    TRUSTEE (FR 1/1/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Susan McMillan

    TRUSTEE (TO 12/31/23)

    Total calculated
    $0
    Hours/week
    0.2
  • Dorothy Ann Caulkins

    SVP FDN

    Total calculated
    $836,987
    From this org
    $0
    From related orgs
    $725,233
    Other
    $111,754
    Hours/week
    8 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $362,587 related
    Bonus
    $0 + $272,742 related
    Other
    $0 + $89,904 related
    Deferred
    $0 + $78,889 related
    Nontaxable benefits
    $0 + $32,865 related
    Filer's total
    $0 + $836,987 related
  • Fred Hargett

    EVP/CFO (TO 9/6/23)

    Total calculated
    $2,451,375
    From this org
    $0
    From related orgs
    $2,400,670
    Other
    $50,705
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $886,648 related
    Bonus
    $0 + $1,074,292 related
    Other
    $0 + $439,730 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $30,905 related
    Filer's total
    $0 + $2,451,375 related
  • Geoffrey Gardner

    CFO (FR 9/6/23)

    Total calculated
    $1,037,855
    From this org
    $0
    From related orgs
    $909,106
    Other
    $128,749
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $496,309 related
    Bonus
    $0 + $343,441 related
    Other
    $0 + $69,356 related
    Deferred
    $0 + $98,858 related
    Nontaxable benefits
    $0 + $29,891 related
    Filer's total
    $0 + $1,037,855 related
  • Heather Egan

    EXEC DIRECTOR

    Total calculated
    $213,028
    From this org
    $0
    From related orgs
    $167,236
    Other
    $45,792
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $152,953 related
    Bonus
    $0 + $13,290 related
    Other
    $0 + $993 related
    Deferred
    $0 + $9,699 related
    Nontaxable benefits
    $0 + $36,093 related
    Filer's total
    $0 + $213,028 related
  • Kimberly Henderson

    FMR OFFICER (12/31/19)

    Total calculated
    $1,241,092
    From this org
    $0
    From related orgs
    $1,085,117
    Other
    $155,975
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $620,747 related
    Bonus
    $0 + $346,188 related
    Other
    $0 + $118,182 related
    Deferred
    $0 + $125,670 related
    Nontaxable benefits
    $0 + $30,305 related
    Filer's total
    $0 + $1,241,092 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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, LINE 4B: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONE NONQUALIFIED KIMBERLY HENDERSON $66,932 DOROTHY CAULKINS $43,170 GEOFFREY GARDNER $25,993 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ADEPT HEALTH INC

    C · ADMIN SERVICES · NC

  • CHOICEHEALTH INC

    C · MANAGED CARE · NC

  • COMMUNICARE INC

    C · RENTAL REAL ESTATE · NC

  • KERNERSVILLE MEDICAL CENTER PARK OWNERS' ASSOCIATION

    C · REAL PROPERTY MGMT · NC

  • MEDQUEST INC & SUBSIDIARIES

    C · DIAGNOSTIC IMAGING · DE

  • SALEM DIAGNOSTICS INC

    C · INACTIVE · NC

  • SALEM HEALTH SERVICES INC

    C · INACTIVE · NC

  • THE PARK AT MONROE PROPERTY OWNERS ASSOCIATION INC

    C · REAL PROPERTY MGMT · NC

  • NOVANT HEALTH AFFILIATE II INC

    C · INACTIVE · NC

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202433199349305648

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