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← AUXILIARY OF FORSYTH MEMORIAL HOSPITAL

Form 990 for tax year 2024

Filed by AUXILIARY OF FORSYTH MEMORIAL HOSPITAL.

Totals

Total revenue
$173,393
Total expenses
$50,688
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$46,438
Management and general expenses
$4,250
Fundraising expenses
$0
Program service expenses (Part III)
$46,438

Program services were 91.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BILL BLACKARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • CAROLYN CROSBY

    PRES

    Total calculated
    $0
    Hours/week
    0.2

  • ELAINE BUTLER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • LAURA MONSEN

    TREAS

    Total calculated
    $0
    Hours/week
    0.2

  • LISA BERNTHAL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • MARY BINKLEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • NATALIE FULCHER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • PAT BLACKARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • PEGGY PARKS

    SECR

    Total calculated
    $0
    Hours/week
    0.2

  • SHARON DUNNAGAN

    VICE PRES

    Total calculated
    $0
    Hours/week
    0.2

  • GEOFFREY GARDNER

    CFO (TO 5/12/24)

    Total calculated
    $1,299,829
    From this org
    $0
    From related orgs
    $1,254,251
    Other
    $45,578
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $457,289 related
    Bonus
    $0 + $732,220 related
    Other
    $0 + $64,742 related
    Deferred
    $0 + $20,700 related
    Nontaxable benefits
    $0 + $24,878 related
    Filer's total
    $0 + $1,299,829 related

  • ALICE POPE

    CFO (FR 5/13/24)

    Total calculated
    $999,640
    From this org
    $0
    From related orgs
    $991,687
    Other
    $7,953
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $824,113 related
    Bonus
    $0
    Other
    $0 + $167,574 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,953 related
    Filer's total
    $0 + $999,640 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 — 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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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'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

No itemized grants to organizations 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.

Provenance

Return type
form_990
Tax year
2024
Filed
14 February 2025
IRS schema version
2024v5.0
Source object
202530459349300918

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