dogwood health trust 2023 annual report

2023

annual report

dear partners and friends,

When we think about the future for the people and communities of Western North Carolina, we see transformational possibilities on the horizon. Ours is a region rich in resources – our people chief among them. Over the past year as we visited with grantees and partners across the region we’ve been profoundly moved by their unwavering determination, resolve and innovative spirit. Those are just the type of resources that will propel us forward.

Reflecting on the previous year, we are inspired by the depth of spirit and drive demonstrated among our grantee partners and proud of the investments and commitments we have made in our region. Dogwood invested $88 million to foster equitable outcomes across our strategic – and intertwined – priorities of economic opportunity, education, health and wellness, housing and community equity. With an eye toward the horizon, we also made future multi-year commitments exceeding $92 million. In total, more than 300 organizations are working with us toward Dogwood’s purpose of improving our region’s health and wellbeing through building strong and vibrant communities with attainable opportunities for all.

We recognize this work requires us to continually listen to and understand our region, to learn more about what is possible and to work for systems that serve us all. In support of that, we were pleased to name and cultivate leaders internally to guide our Learning, Evaluation & Data; Community Equity; and Policy & Advocacy efforts, which will support and complement the vital work of our strategic partners.

Informed by the invaluable insights from our partners, we continue to deepen our understanding that building community resilience necessitates supporting the organizations making change happen. Western North Carolina needs resourced and connected leaders to forge ahead and achieve lasting change for generations to come. Our region needs organizations strongly positioned for collective community-building efforts, working across sectors on the challenging issues before them. With these insights in mind, Dogwood will focus on developing strong leaders and organizations to build and serve strong communities.

Accomplishing transformational possibilities requires courage, commitment and imagination. True community solutions are holistic, multi-pronged and require integrated collaboration by many dedicated problem solvers. Our journey in 2023 affirms what is possible when we support organizations with thoughtful and sustained investments over time and collaborate to address opportunities and challenges. This approach embodies the future focus of Dogwood Health Trust. Together, we will create a Western North Carolina where every generation can live, learn, earn and thrive – no exceptions.

Dr. Susan R. Mims
chief executive officer

John F. A. V. Cecil
chair, Board of Directors

our work

Dogwood Health Trust exists to dramatically improve the health and wellbeing of all people and communities in the 18 counties and Qualla Boundary of Western North Carolina. We work within our communities, collaborating with grantees, partners, researchers, policymakers, advocates and scholars – those closest to the communities we serve – to create a Western North Carolina where every generation can

live, learn, earn & thrive,
with dignity and opportunity for all — no exceptions.
Dogwood’s Community Investment Philosophy

shapes our approach to our work through two fundamental anchoring principles: we are community-focused in all we do, and we view equity as a means and an end for our work. Our commitment to these foundational principles fuels our efforts to make the place we call home healthier, stronger, more inclusive, better educated, economically stable and more resilient today and for future generations.

total invested
in community

grants paid
impact investments
program-related
expenses
leverage fund
2023 grantmaking by priority area

In 2023, Dogwood Health Trust approved $92.7 million in new grants, some of which will be paid in future years. More than $79.3 million was distributed through 545 grants, some of which were approved in previous years. A full list of grants by county is available.

strategy area
grants paid
new commitments
grand total
$79,371,927
$92,776,952
Community Equity
$6,502,413
$6,533,444
Economic Opportunity
$16,263,490
$20,849,997
Education
$19,020,516
$30,265,427
Health & Wellness
$24,670,650
$24,902,618
Housing
$12,914,858
$10,225,466

partner stories

We believe that the people working to overcome their communities’ challenges are best equipped to develop solutions that work. Dogwood is committed to co-investing in the knowledge, assets, dreams and plans of our partners.

This year, we worked with hundreds of organizations, synthesizing solutions to make the place we call home more economically stable and inclusive, better housed and educated and overall stronger and healthier – today and for future generations.

impact
investments

To create long-term positive change in Western North Carolina, Dogwood complements its traditional grantmaking through direct capital investments. Since its inception, Dogwood has used tools known as Program Related Investments (PRI) and Mission Related Investments (MRI) to support more than $89 million in projects throughout the region. These investments focus on community impact rather than financial return and align with Dogwood’s purpose of improving health and wellbeing by addressing the social determinants of health.

In 2023, more than $9 million in investments provided support for the creation of affordable housing, improved access to health care and greater access to healthy foods.
Investment Partner Impacts in 2023
  • Construction of a new Federally Qualified Health Center, increasing access to health care for over 4,000 WNC residents.
  • A new home for a food hub connecting families to farmers for locally grown healthy foods, providing increased revenue to farmers and improved nutrition for families.
  • The creation of a new affordable housing development benefiting 33 new homeowners.

beyond
grantmaking

In addition to grantmaking throughout the region, Dogwood also provides other support to our communities. Whether learning together to advance common goals or partnering to increase sustainability, we seek the perspectives of partners and those with lived experience to help us better understand how to dramatically improve the health and wellbeing of all people and communities in Western North Carolina – no exceptions.

board of directors

John F. A. V. Cecil
Board Chair

Chair-Governance & Compensation Committee
Ex-officio member of all committees

Buncombe County
Jacqueline Godlock
Board Vice Chair

Vice Chair-Governance & Compensation Committee
Community Investment Committee

Rutherford County
Vivian Bolaños
Treasurer

Chair-Audit & Finance Committee
Governance & Compensation Committee

Henderson County
Casey Cooper
Secretary

Chair-Community Investment Committee
Governance & Compensation Committee

Qualla Boundary
Janice Brumit

Vice Chair-Investment Committee
Governance & Compensation Committee

Buncombe County
Carol Burton

Vice Chair-Covenant Compliance Committee
Audit & Finance Committee

Jackson County
Dawna Goode-Ledbetter

Vice Chair-Community Investment Committee
Covenant Compliance Committee

McDowell County
Rear Admiral Richard Houck, USCG, Ret.

Community Investment Committee
Investment Committee

Transylvania County
Fred Jones

Chair-Covenant Compliance Committee
Community Investment Committee
Governance & Compensation Committee

Macon County
Samuel Lupas

Vice Chair-Audit & Finance Committee
Covenant Compliance Committee

Jackson County
Rt. Rev. José McLoughlin

Community Investment Committee
Covenant Compliance Committee

Henderson County
Jamie McMahan

Audit & Finance Committee
Investment Committee

Madison County
George Renfro

Chair-Investment Committee
Audit & Finance Committee
Governance & Compensation Committee

Buncombe County
Jacquelyn Simms

Audit & Finance Committee
Governance & Compensation Committee

Buncombe County
Donna Tipton-Rogers

Community Investment Committee
Investment Committee

Clay County
Martha Tyner

Community Investment Committee
Covenant Compliance Committee

Yancey County

 Membership as of January 1, 2024

non-board committee service
Community Investment Committee
Dwight Mullen
Annette Staley
Covenant Compliance Committee
John Ball
David C. Joyce
Investment Committee
Robert Chandler
W. Scott Hickman
Karen LeVert
Thomas Maher
James Mathews
Nathan Renfro
Henry Wilkinson

2023 grantee list

statement of

financial position

assets:
2023
2022
2021
Total Assets:
$1,906,382,918
$1,728,400,90
$2,096,451,010
Cash and cash equivalents
$15,109,910
$10,800,400
$14,098,226
Sales tax receivables
63,231
251,397
435,639
Investments, at fair value
1,807,143,580
1,693,774,990
2,063,280,487
Program-related investments, net
19,524,692
7,958,747
4,400,000
Fixed assets, net
13,688,028
13,918,214
13,449,678
Other assets
50,853,477
1,697,153
786,980
liabilities & net assets:
2023
2022
2021
Liabilities
Grants payable
37,137,463
26,610,369
26,158,554
Accounts payable
942,739
686,498
873,344
Notes payable
26,721,787
21,166,847
17,090,441
Total Liabilities:
$64,801,989
$48,463,714
$44,122,339
Net Assets with donor restrictions
$13,965,199
$11,446,564
$6,475,955
Net Assets without donor restrictions:
$1,827,615,730
$1,668,490,623
$2,045,852,716
Total Liabilities & Net Assets:
$1,906,382,918
$1,728,400,901
$2,096,451,010

As of Dec. 31, 2023

statement of

activities

revenues:
2023
2022
2021
Total Revenues:
$270,622,426
$(276,167,361)
$477,412,592
Contributions received
$8,416,701
$13,484,813
$177,004,804
Investment returns, net
$262,205,725
(289,652,174)
300,407,788
expenses:
2023
2022
2021
Total Expenses:
$17,762,160
$15,236,765
$13,273,103
Compensation and benefits
10,704,752
9,399,658
7,395,106
Professional fees
3,282,588
3,298,663
3,176,653
Other expenses
3,774,820
2,538,444
2,701,344
grants approved:
2023
2022
2021
Total Grants Approved:
$91,216,524
$80,987,358
$96,088,812
Grants approved
91,216,524
80,987,358
96,088,812
Change in Net Assets:
$161,643,742
$(372,391,484)
$368,050,677
Net Assets at Beginning of Year:
$1,679,937,187
$2,052,328,671
$1,684,277,994
 
Total Liabilities & Net Assets
$1,841,580,929
$1,679,937,187
$2,052,328,671

As of Dec. 31, 2023

890 Hendersonville Road, Asheville, NC 28803

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