Self Insurance Fund Novant Health Inc
- Assets
- $6.8m
- Revenue
- -$115.4k
- Investments
- $0.0
- Employees
- 0
- Location
- Winston Salem, NC
- Founding
- 07/1990
- Data as of
- 12/2022
- EIN
- 58-1867242
Organization Overview
Self Insurance Fund Novant Health Inc is located in Winston Salem, NC. The organization was established in 1990. According to its NTEE Classification (Y20) the organization is classified as: Insurance Providers, under the broad grouping of Mutual & Membership Benefit and related organizations. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Self Insurance Fund Novant Health Inc is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2022
Describe the Organization's Mission:
Part 3 - Line 1
SEE SCHEDULE O
Describe the Organization's Program Activity:
Part 3 - Line 4a
SELF INSURANCE FUND - NOVANT HEALTH, INC. PRIMARILY SERVES TO FUND THE GENERAL AND PROFESSIONAL LIABILITY CLAIMS LEVIED AGAINST THE 501(C)(3) ORGANIZATIONS WHICH COMPRISE NOVANT HEALTH'S INTEGRATED HEALTHCARE SYSTEM. THE ASSETS, LIABILITIES AND INVESTMENT EARNINGS OF THE SELF INSURANCE FUND ARE ACCOUNTED FOR IN THE GENERAL LEDGER OF THE PARENT'S BOOKS. ACTIVITY FOR THE FUND IS REPORTED ON THE NOVANT HEALTH, INC. SELF INSURANCE TRUST'S FORM 990 RETURN.
Get More from Intellispect for FreeCreate a free account to get more data, nonprofit salaries, advanced search and more.
Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Denise Mihal Chair | OfficerTrustee | 0.2 | $0 |
Scott Myers Trustee | Trustee | 0.2 | $0 |
Eric Eskioglu MD Trustee (until 12/1/2022) | Trustee | 0.2 | $0 |
Nan Holland Trustee | Trustee | 0.2 | $0 |
Julia Hyett Trustee | Trustee | 0.2 | $0 |
Fred Hargett Evp & CFO | Officer | 0.2 | $0 |
Outside Vendors & Contractors
| Vendor Name (Service) | Service Year | Compensation |
|---|---|---|
Bartoli Cain Wason Pllc Legal Fees | 12/30/22 | $1,400,000 |
Brown Moore & Associates Pllc Legal Fees | 12/30/22 | $1,150,000 |
Shevlin Smith Pc Legal Fees | 12/30/22 | $1,086,000 |
Coffey Law Pllc Legal Fees | 12/30/22 | $930,643 |
Batten Lee Pllc Legal Fees | 12/30/22 | $805,825 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $0 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
| Total Program Service Revenue | $0 |
| Investment income | $262,547 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | -$377,991 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | -$115,444 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $0 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $0 |
| Payroll taxes | $0 |
| Fees for services: Management | $32,919 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $0 |
| Advertising and promotion | $0 |
| Office expenses | $0 |
| Information technology | $0 |
| Royalties | $0 |
| Occupancy | $0 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $0 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $0 |
| Insurance | $0 |
| All other expenses | $0 |
| Total functional expenses | $32,919 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $0 |
| Savings and temporary cash investments | $20,417 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $0 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Net Land, buildings, and equipment | $0 |
| Investments—publicly traded securities | $6,742,340 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $53,389 |
| Total assets | $6,816,146 |
| Accounts payable and accrued expenses | $0 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $7,694,355 |
| Total liabilities | $7,694,355 |
| Net assets without donor restrictions | -$878,209 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $6,816,146 |