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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
NOVANT HEALTH INC
 
Employer identification number
56-1376950
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) NEW HANOVER REGIONAL MEDICAL CENTER FOUNDATION INC
2001 S 17TH ST
WILMINGTON,NC28401 		56-1752396 501(C)(3) 50,000,000 0     TO SUPPORT NH NEW HANOVER REGIONAL MEDICAL CENTER
(2) UNC HEALTH FOUNDATION INC
123 W FRANKLIN ST STE 510
CHAPEL HILL,NC27516 		56-6057494 501(C)(3) 15,000,000 0     COMMUNITY OUTREACH
(3) ROWAN REGIONAL MEDICAL CENTER FOUNDATION INC
2085 FRONTIS PLAZA BLVD
WINSTONSALEM,NC27103 		56-1424818 501(C)(3) 2,640,000 0     TO SUPPORT NH ROWAN REGIONAL MEDICAL CENTER
(4) FOUNDATION FOR THE CAROLINAS
220 NORTH TRYON STREET
CHARLOTTE,NC28202 		56-6047886 501(C)(3) 180,000 0     COMMUNITY OUTREACH
(5) QUEEN CITY TEACHING FARM
2242 CRESCENT AVENUE
CHARLOTTE,NC28207 		81-0707631 501(C)(3) 90,000 0     COMMUNITY OUTREACH
(6) WINSTON-SALEM FOUNDATION
751 WEST FOURTH STREET SUITE 200
WINSTONSALEM,NC27101 		56-6037615 501(C)(3) 60,000 0     COMMUNITY OUTREACH
(7) CAPE FEAR HABITAT FOR HUMANITY HOUSE BUILD
3310 FREDRICKSON RD
WILMINGTON,NC28401 		56-1555858 501(C)(3) 51,500 0     COMMUNITY OUTREACH
(8) AFRICAN AMERICAN MALE WELLNESS WALK
495 S HIGH STREET
COLUMBUS,OH43215 		45-4831268 501(C)(3) 50,000 0     COMMUNITY OUTREACH
(9) THE CHARLOTTE CHAMBER OF COMMERCE
PO BOX 20103
CHARLOTTE,NC28202 		56-0173610 501(C)(6) 50,000 0     COMMUNITY OUTREACH
(10) HBCU LIVING LEGENDS
PO BOX 12392
WINSTON SALEM,NC27117 		83-4425245 501(C)(3) 50,000 0     COMMUNITY OUTREACH
(11) DAVIDSON MEDICAL MINISTRIES CLINIC INC
PO BOX 584 / 420 N SALISBURY ST
LEXINGTON,NC27293 		56-1746266 501(C)(3) 50,000 0     COMMUNITY OUTREACH
(12) UNC CHAPEL HILL
219 HANES HALL CB 5140
CHAPEL HILL,NC27599 		56-6001393 501(C)(3) 50,000 0     COMMUNITY OUTREACH
(13) AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVENUE
DALLAS,TX75231 		13-5613797 501(C)(3) 41,140 0     COMMUNITY OUTREACH
(14) JOHNSON C SMITH UNIVERSITY
100 BEATTIES FORD ROAD
CHARLOTTE,NC28216 		25-0983069 501(C)(3) 25,000 0     COMMUNITY OUTREACH
(15) RENAISSANCE WEST COMMUNITY INITIATIVE
3610 NOBLES AVENUE
CHARLOTTE,NC28208 		27-1396021 501(C)(3) 25,000 0     COMMUNITY OUTREACH
(16) THE ECHO FOUNDATION
1125 E MOREHEAD STREET SUITE 101
CHARLOTTE,NC28204 		56-2054137 501(C)(3) 25,000 0     COMMUNITY OUTREACH
(17) CHARLOTTE BALLET
701 N TRYON STREET
CHARLOTTE,NC28202 		58-1314711 501(C)(3) 25,000 0     COMMUNITY OUTREACH
(18) TOM A FINCH COMMUNITY YMCA INC
1010 MENDENHALL STREET
THOMASVILLE,NC27360 		56-1004370 501(C)(3) 22,750 0     COMMUNITY OUTREACH
(19) YBM LEADERSHIP ACADEMY
PO BOX 480412
CHARLOTTE,NC28269 		26-2984776 501(C)(3) 20,000 0     COMMUNITY OUTREACH
(20) DAVIDSON COLLEGE
PO BOX 7162
DAVIDSON,NC28035 		56-0529961 501(C)(3) 20,000 0     COMMUNITY OUTREACH
(21) WILMINGTON CHAMBER OF COMMERCE
1 ESTELLE LEE PL
WILMINGTON,NC28401 		56-0457260 501(C)(6) 19,050 0     COMMUNITY OUTREACH
(22) SERVANTS HEART OF MINT HILL INC
9229-N LAWYERS ROAD
MINT HILL,NC28227 		81-2637735 501(C)(3) 15,000 0     COMMUNITY OUTREACH
(23) NORTHSIDE FOOD COOP
1624 PRINCESS ST
WILMINGTON,NC28401 		85-0504627 501(C)(3) 15,000 0     COMMUNITY OUTREACH
(24) CAROUSEL CENTER INC
1501 DOCK ST
WILMINGTON,NC28401 		56-2098739 501(C)(3) 15,000 0     COMMUNITY OUTREACH
(25) SOARING AS EAGLES INC
20 N 4TH ST
WILMINGTON,NC28401 		27-0864360 501(C)(3) 15,000 0     COMMUNITY OUTREACH
(26) MT CALVARY LEADERSHIP DEVELOPMENT CORPORATION
405 US HIGHWAY 117 S
BURGAW,NC28425 		84-4644495 501(C)(3) 15,000 0     COMMUNITY OUTREACH
(27) PROMISE YOUTH DEVELOPMENT
15115 DURMAST COURT
MINT HILL,NC28277 		81-1096615 501(C)(3) 14,750 0     COMMUNITY OUTREACH
(28) FAMILY SERVICES OF DAVIDSON COUNTY
PO BOX 607
LEXINGTON,NC27293 		58-1591597 501(C)(3) 10,000 0     COMMUNITY OUTREACH
(29) COMMUNITY FREE CLINIC INC
528-A LAKE CONCORD RD
CONCORD,NC28025 		58-2131301 501(C)(3) 10,000 0     COMMUNITY OUTREACH
(30) CITY OF CHARLOTTE
600 EAST TRADE STREET SUITE 307
CHARLOTTE,NC28202 		52-1333483 CITY OF CHARLOTTE 10,000 0     COMMUNITY OUTREACH
(31) B'NAI B'RITH
1120 20TH STREET NW SUITE 300N
WASHINGTON,DC20036 		53-0179971 501(C)(3) 10,000 0     COMMUNITY OUTREACH
(32) CAPE FEAR HEALTHNET INC
1601 DOCTORS CIR
WILMINGTON,NC28401 		26-2469988 501(C)(3) 10,000 0     COMMUNITY OUTREACH
(33) CHARLOTTE HORNETS FOUNDATION INC
333 EAST TRADE STREET
CHARLOTTE,NC28202 		20-0946449 501(C)(3) 8,000 0     COMMUNITY OUTREACH
(34) YWCA OF THE LOWER CAPE FEAR INC
2815 S COLLEGE RD
WILMINGTON,NC28412 		56-0556766 501(C)(3) 7,500 0     COMMUNITY OUTREACH
(35) YOUNG SCIENTIST ACADEMY
20 N 4TH ST STE 420
WILMINGTON,NC28401 		81-4999928 501(C)(3) 7,272 0     COMMUNITY OUTREACH
(36) DAVIDSON COUNTY DEPARTMENT OF SENIOR SERVICES
555 B WEST CENTER STREET EXT
LEXINGTON,NC27295 		56-6000294 CITY OF LEXINGTON 6,000 0     COMMUNITY OUTREACH
(37) FLORENCE CRITTENTON SERVICES
3350 HOLABIRD LN
CHARLOTTE,NC28208 		56-0577626 501(C)(3) 45,000 0     COMMUNITY OUTREACH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
35
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) ZOLL LIFE VESTS 5   16,000 FMV ZOLL LIFE VESTS
(2) MEDICATION FOR INDIGENT PATIENTS 40   1,903 FMV MEDICATION FOR INDIGENT PATIENTS
(3) PATIENT ASSISTANCE 1 90      
(4) DISASTER RELIEF ASSISTANCE 1354 195,035      
(5) PATIENT TRANSPORTATION 10   1,690 FMV PATIENT TRANSPORTATION FOR INDIGENT PATIENTS
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS NOVANT HEALTH HAS ESTABLISHED A SYSTEM-WIDE CORPORATE POLICY WITH STANDARDIZED GUIDELINES THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE FILING ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS ARE MAINTAINED VIA THE GENERAL LEDGER. FUNDS ARE GENERALLY NOT TRACKED AFTER BEING GRANTED, AS THE ORIGINAL ELIGIBILITY AND SELECTION CRITERIA HAVE ALREADY BEEN MET.
Schedule I (Form 990) 2021



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