GASTON MEMORIAL HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
GASTON MEMORIAL HOSPITAL INC (EIN 56-0619359)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-03-26
IRS object ID
202510859349301001
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-03-26T07:21:19+00:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1Txt
CityAshevilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560619359EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GASTON MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGASTBusinessNameControlTxt
Phone7048342000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 COURT DRIVEAddressLine1Txt
CityGASTONIACityNm
State AbbreviationNCStateAbbreviationCd
ZIP28054ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid O ConnorPersonNm
Person TitleEVP, CFOPersonTitleTxt
Phone7048342000PhoneNum
Signature2025-03-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2025-03-25PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CAROMONT REGIONAL MEDICAL CENTERBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID O'CONNORBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 COURT DRIVEAddressLine1Txt
CityGASTONIACityNm
State AbbreviationNCStateAbbreviationCd
ZIP28054ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$791,079,061GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAROMONT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1945FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPASSIONATE, EXCEPTIONAL, AND HIGHLY RELIABLE CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee4461TotalEmployeeCnt
Total Volunteers164TotalVolunteersCnt
Total Gross UBI$91,099TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$6,232NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$437,208PYContributionsGrantsAmt
CY Contributions Grants$734,159CYContributionsGrantsAmt
PY Program Service Revenue$705,072,770PYProgramServiceRevenueAmt
CY Program Service Revenue$785,308,522CYProgramServiceRevenueAmt
PY Investment Income$192,832PYInvestmentIncomeAmt
CY Investment Income-$10,558CYInvestmentIncomeAmt
PY Other Revenue$4,155,598PYOtherRevenueAmt
CY Other Revenue$4,859,111CYOtherRevenueAmt
PY Total Revenue$709,858,408PYTotalRevenueAmt
CY Total Revenue$790,891,234CYTotalRevenueAmt
PY Grants And Similar Paid$1,200,577PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,073,616CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$290,909,667PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$320,795,138CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$358,682,059PYOtherExpensesAmt
CY Other Expenses$378,920,053CYOtherExpensesAmt
PY Total Expenses$650,792,303PYTotalExpensesAmt
CY Total Expenses$700,788,807CYTotalExpensesAmt
PY Revenues Less Expenses$59,066,105PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$90,102,427CYRevenuesLessExpensesAmt
Total Assets BOY$838,442,096TotalAssetsBOYAmt
Total Assets EOY$895,064,025TotalAssetsEOYAmt
Total Liabilities BOY$443,981,255TotalLiabilitiesBOYAmt
Total Liabilities EOY$442,450,216TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$394,460,841NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$452,613,809NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMPASSIONATE, EXCEPTIONAL AND HIGHLY RELIABLE CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$649,498,225ExpenseAmt
Grant$1,073,616GrantAmt
Revenue$785,217,423RevenueAmt
DescCAROMONT HEALTH'S PHILOSOPHY OF CARE IS FOUNDED IN THREE DISTINCT WAYS. IT IS A HEALTH SYSTEM THAT INVESTS IN THE FUTURE OF HEALTHCARE FROM RESEARCH TO EDUCATION. IT IS AN ACTIVE COMMUNITY PARTNER, SUPPORTING AND DRIVING PROGRAMS THAT ENCOURAGE HEALTHIER LIFESTYLES. IT IS ALSO A DYNAMIC ORGANIZATION FOCUSED ON CONTINUOUS DAILY IMPROVEMENT, ADVANCED MEDICINE AND THE DELIVERY OF COMPASSIONATE, EXCEPTIONAL AND HIGHLY RELIABLE CARE. THE FISCAL YEAR ENDING JUNE 30, 2024 SAW CAROMONT HEALTH LIVING ITS VISION TO BE OUR COMMUNITY'S MOST TRUSTED HEALTHCARE PARTNER. THE COMPLETE 2024 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.CAROMONTHEALTH.ORG.Desc
Total Program Service Expenses$649,498,225TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document255IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4461EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7048342000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 COURT DRIVEAddressLine1Txt
CityGASTONIACityNm
State AbbreviationNCStateAbbreviationCd
ZIP28054ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Mr David Payseur
Treasurer1.01.0Yes (X)Yes (X)$0$0$0
Mr Jeffrey Cash
Chair1.01.0Yes (X)Yes (X)$0$0$0
Mr Tim Efird
Vice chair1.01.0Yes (X)Yes (X)$0$0$0
Rev Dr Pearl Burris-Floyd
Secretary1.040.0Yes (X)Yes (X)$0$122,443$0
Dr Heath High
Chief of Staff (COS) Elect through 12/31/23 (non-voting); COS starting 1/1/241.040.0Yes (X)$0$524,047$59,856
Dr Jay Hendler
Chief of Staff (COS) through 12/31/23; Immediate Past COS starting 1/1/24 (non-voting)1.040.0Yes (X)$0$500,289$58,372
Dr Micheal Gaslin
Past-Chief-of-Staff (non-voting) through 12/31/20231.01.0Yes (X)$20,000$0$0
Dr Shiddhi Patel
Chief-of Staff Elect (non-voting) starting 1/1/20241.040.0Yes (X)$0$383,463$53,086
Mr Bob Hovis
Director1.01.0Yes (X)$0$32,703$0
Mr Dan Boyd
Director1.01.0Yes (X)$0$0$0
Mr Frank Stewart
Director1.01.0Yes (X)$0$0$0
Mr Jason Austell
Director1.01.0Yes (X)$0$0$0
Mr Jay McGraw
Director1.01.0Yes (X)$0$0$0
Mr Joseph Davis Jr
Director1.01.0Yes (X)$0$0$0
Ms Annette Carter
Director1.01.0Yes (X)$0$0$0
Ms Janie Peak
Director1.01.0Yes (X)$0$0$0
Rev Dr Benjamin Hinton
Director1.01.0Yes (X)$0$0$0
Mr David O'Connor
EVP/CFO/Asst. Treasurer45.010.0Yes (X)$956,025$0$184,000
Mr K Christopher Peek
CEO45.010.0Yes (X)$1,764,966$0$309,455
Ms Leigh Hickman
CLO/Asst. Sec.45.010.0Yes (X)$564,906$0$110,160
Dr Todd Davis
EVP Chief Physician Executive45.010.0$1,048,889$0$196,368Yes (X)
Mr Danny Wharton
Chief Operating Officer45.010.0$670,464$0$133,444Yes (X)
Dr George Adcock III
VP Medical Affairs40.010.0$605,913$0$129,008Yes (X)
Mr Frank Murphy
VP Strategy Business Development40.010.0$703,917$0$98,212Yes (X)
Mr Joel Riddle
VP Human Resources40.010.0$500,210$0$47,907Yes (X)
Mr Richard Blackburn
VP Support Services40.010.0$517,138$0$197,012Yes (X)
Ms Robin Lang
VP Chief Information Officer40.010.0$550,336$0$132,449Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,902,764TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,562,945TotReportableCompRltdOrgAmt
Total Other Compensation$1,709,329TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K494IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE ROBINS AND MORTON GROUP
400 SHADES CREEK PARKWAYBIRMINGHAMAL352465870CONTRUCTION MANAGEMENT$88,604,814
SHC SERVICES INC
PO BOX 677896DALLASTX752677896TEMP PERSONNEL$45,196,571
SAMET CORPORATION
309 GALLIMORE DAIRY RDGREENSBORONC27419CONTRUCTION MANAGEMENT$6,647,476
MCMILLAN PAZDAN SMITH LLC
PO BOX 36349CHARLOTTENC28236CONTRUCTION MANAGEMENT$2,608,488
PC GODFREY INC
PO BOX 668567 - FREEDOM STATIOCHARLOTTENC28266CONTRUCTION MANAGEMENT$2,166,655
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K79CntrctRcvdGreaterThan100KCnt
Related Organizations$490,585RelatedOrganizationsAmt
All Other Contributions$243,574AllOtherContributionsAmt
Total Contributions$734,159TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue621500$784,660,390$784,660,390
Ancillary Revenue621500$648,132$557,033$91,099

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$785,308,522TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$177,269TotalRevenueColumnAmt
Exclusion$177,269ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$187,827SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$187,827SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$187,827TotalRevenueColumnAmt
Exclusion-$187,827ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria & Vending Income900099$2,744,102$2,744,102
Miscellaneous Revenue900099$1,960,135$1,960,135
Pharmacy Revenue621500$106,770$106,770

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,104TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,104ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,859,111OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$790,891,234TotalRevenueColumnAmt
Related Or Exempt Func Income$785,217,423RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$91,099UnrelatedBusinessRevenueAmt
Exclusion$4,848,553ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,073,410TotalAmt
Program Services$1,073,410ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$206TotalAmt
Program Services$206ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,005,251TotalAmt
Management And General$5,005,251ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$259,327,974TotalAmt
Program Services$236,667,478ProgramServicesAmt
Management And General$22,660,496ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,262,761TotalAmt
Program Services$4,711,948ProgramServicesAmt
Management And General$550,813ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$33,318,040TotalAmt
Program Services$29,830,894ProgramServicesAmt
Management And General$3,487,146ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,881,112TotalAmt
Program Services$16,009,632ProgramServicesAmt
Management And General$1,871,480ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,037,736TotalAmt
Program Services$1,037,736ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,634,525TotalAmt
Management And General$1,634,525ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$184,429TotalAmt
Management And General$184,429ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$49,500TotalAmt
Management And General$49,500ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$15TotalAmt
Management And General$15ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$83,052,836TotalAmt
Program Services$77,917,394ProgramServicesAmt
Management And General$5,135,442ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,303,630TotalAmt
Program Services$551,040ProgramServicesAmt
Management And General$1,752,590ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,111,113TotalAmt
Program Services$5,070,011ProgramServicesAmt
Management And General$8,041,102ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,107,832TotalAmt
Program Services$3,107,832ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,141,157TotalAmt
Program Services$7,141,157ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$152,238TotalAmt
Program Services$104,434ProgramServicesAmt
Management And General$47,804ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,020,241TotalAmt
Program Services$356,331ProgramServicesAmt
Management And General$663,910ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,992,689TotalAmt
Program Services$7,992,689ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$45,502,764TotalAmt
Program Services$45,502,764ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,119,960TotalAmt
Program Services$2,119,960ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$134,614,653$134,614,653
Bad Debt$57,385,079$57,385,079
Medicaid Assessment Fee$12,782,185$12,782,185
Equipment Rental & Maintenance$3,288,171$3,266,945$21,226

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,439,300TotalAmt
Program Services$2,254,447ProgramServicesAmt
Management And General$184,853ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$700,788,807TotalAmt
Program Services$649,498,225ProgramServicesAmt
Management And General$51,290,582ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$83,316,902BOYAmt
EOY$80,096,437EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$3,756,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,723,915BOYAmt
EOY$13,836,565EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,054,592BOYAmt
EOY$9,894,677EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,159,438,949LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$477,321,936LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$622,309,644BOYAmt
EOY$682,117,013EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,663,032BOYAmt
EOY$348,729EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$96,374,006BOYAmt
EOY$105,014,604EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$838,442,096BOYAmt
EOY$895,064,025EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$132,406,624BOYAmt
EOY$135,340,541EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$250,284,717BOYAmt
EOY$236,808,736EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,289,914BOYAmt
EOY$70,300,939EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$443,981,255BOYAmt
EOY$442,450,216EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$339,071,374BOYAmt
EOY$403,966,316EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,389,467BOYAmt
EOY$48,647,493EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$394,460,841BOYAmt
EOY$452,613,809EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$838,442,096BOYAmt
EOY$895,064,025EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$90,102,427ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,018NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$31,950,477OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$148,138DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$48,517OtherActivitiesAmt
Total Lobbying Expenditures$196,655TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationANNUAL DUES WERE PAID TO THE NORTH CAROLINA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, OF WHICH $48,517 WAS DETERMINED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. THE ORGANIZATION HAD AN ADDITIONAL $148,138 IN LOBBYING COSTS FOR FISCAL YEAR 2024. LOBBYING REGISTRATION IS IN THE NAME OF CAROMONT HEALTH, INC. LOBBYING EXPENDITURES ARE REPORTED ON THE GASTON MEMORIAL HOSPITAL, INC FORM 990.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,061BeginningYearBalanceAmt
End Year Balance$12,061EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,061BeginningYearBalanceAmt
End Year Balance$12,061EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,061BeginningYearBalanceAmt
End Year Balance$12,061EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,190BeginningYearBalanceAmt
Investment Earnings Or Losses$1,941InvestmentEarningsOrLossesAmt
Other Expenditures$70OtherExpendituresAmt
End Year Balance$12,061EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,310BeginningYearBalanceAmt
Investment Earnings Or Losses$228InvestmentEarningsOrLossesAmt
Other Expenditures$348OtherExpendituresAmt
End Year Balance$10,190EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,533,601OtherCostOrOtherBasisAmt
Book Value$8,533,601BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$473,334,546OtherCostOrOtherBasisAmt
Depreciation$235,925,642DepreciationAmt
Book Value$237,408,904BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,171,125OtherCostOrOtherBasisAmt
Depreciation$9,447,379DepreciationAmt
Book Value$723,746BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$307,293,951OtherCostOrOtherBasisAmt
Depreciation$217,437,878DepreciationAmt
Book Value$89,856,073BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$360,105,726OtherCostOrOtherBasisAmt
Depreciation$14,511,037DepreciationAmt
Book Value$345,594,689BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$682,117,013TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
NET PENSION ASSET/DEFERRAL$83,095,781
DEFERRED FINANCING COSTS$601,358
OTHER RECEIVABLES$6,759,302
DEFERRED CHARGE-INTEREST RATE SWAP$3,357,396
SBITA$11,200,767
Invest in CIS Ltd
FieldValueIRS element (for citing)
Total Book Value Other Assets$105,014,604TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED 3RD PARTY SETTLEMENTS$63,851,847
INTEREST RATE SWAP LIABILITY$3,357,396
PENSION DEFERRED INFLOW$3,091,696
FieldValueIRS element (for citing)
Total Liability$70,300,939TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$704,507,671TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,018NetUnrealizedGainsInvstAmt
Other Revenue$2,950,990OtherRevenueAmt
Revenue Not Reported$2,952,008RevenueNotReportedAmt
Revenue Subtotal$701,555,663RevenueSubtotalAmt
Investment Expenses Not Incld$15InvestmentExpensesNotIncldAmt
Other Revenues Not Included$89,335,556OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$89,335,571RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$790,891,234TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$646,354,703TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,950,990OtherExpensesIncludedAmt
Expenses Not Reported$2,950,990ExpensesNotReportedAmt
Expenses Subtotal$643,403,713ExpensesSubtotalAmt
Investment Expenses Not Incld2$15InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$57,385,079OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$57,385,094ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$700,788,807TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR ONCOLOGY MEDICATIONS FOR INDIGENT PATIENTS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteTHE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2024 AND 2023.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990Provider Relief Funds - 2930738 Expenses in Revenues - 20252
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsINTERCOMPANY Transfer FROM Affiliate - 31950477 Bad Debt Expense - 57385079
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990Provider Relief Funds - 2930738 Expenses in Revenues - 20252
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsBad Debt Expense - 57385079

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,595,687TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,595,687NetCommunityBenefitExpnsAmt
Total Expense0.0118TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$138,193,366TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$140,226,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$145,789,053TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$140,226,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,595,687NetCommunityBenefitExpnsAmt
Total Expense0.0118TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,210,417TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,290DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,203,127NetCommunityBenefitExpnsAmt
Total Expense0.0034TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,156,576TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$96,740DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,059,836NetCommunityBenefitExpnsAmt
Total Expense0.0063TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,274,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,844,262DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,430,299NetCommunityBenefitExpnsAmt
Total Expense0.0271TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$440,183TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$134,161DirectOffsettingRevenueAmt
Net Community Benefit Expns$306,022NetCommunityBenefitExpnsAmt
Total Expense0.0005TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,226,914TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,226,914NetCommunityBenefitExpnsAmt
Total Expense0.0019TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$46,308,651TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,082,453DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,226,198NetCommunityBenefitExpnsAmt
Total Expense0.0392TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$192,097,704TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,309,110DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,821,885NetCommunityBenefitExpnsAmt
Total Expense0.0510TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,407,967TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,407,967NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,407,967TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,407,967NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense$57,385,079BadDebtExpenseAmt
Bad Debt Expense Attributable$3,622,734BadDebtExpenseAttributableAmt
Reimbursed By Medicare$84,295,650ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$98,331,512CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,035,862MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROMONT REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 COURT DRIVEAddressLine1Txt
CityGASTONIACityNm
State AbbreviationNCStateAbbreviationCd
ZIP28054ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other3 DIAGNOSTIC IMAGING CENTERS AND 6 OP SERVICE CENTERSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CAROMONT REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.caromonthealth.orgOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.gastongov.com/departments/health-and-human-servicesOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.caromonthealth.org/documents/FY21_Presentation_CHNA-(1).pdfStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://caromonthealth.org/patients-visitors/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://caromonthealth.org/patients-visitors/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://caromonthealth.org/patients-visitors/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. Gaston County Community Health Assessment was conducted by the following partners: The Gaston County Department of Health and Human Services, Gaston Together, United Way of Gaston County, CaroMont Health, and stakeholder organizations. The assessment includes the collection and analysis of existing statistical data, Quality of Life survey data collected directly from residents and input from community focus groups.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. The Hospital conducted their CHNA with the following organizations: Gaston County Department of Health and Human Services, CaroMont Health, Gaston Together, the United Way of Gaston County and representatives of other stakeholder organizations.
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. Partnering agencies presented the CHNA at workshops, meetings and on agency websites to encourage community stakeholders to use them to enhance the wellbeing of Gaston County and its residents.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. CaroMont Health Priorities (2019-2021) are to proactively manage mental health issues in primary care offices through the hire of more LCSWs, enhance opioid and prescription drug abuse intervention and management protocols and to improve access to affordable health food in low income communities through work with local stakeholders. The implementation plan and priorities for the most recent CHNA were set in November 2022.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. Regardless of income, assets are also used to determine if a patient qualifies for charity. Below is the verbiage from this policy: Exempt Assets The primary residence on up to one acre of land, one automobile for each working aged adult, and other assets, including but not limited to, retirement funds, investments and other financial assets, cash value of life insurance policies, and equity in property or real assets, totaling up to $25,000 are also exempt from consideration as assets in determining charity care eligibility. Annual income from property of real assets will be deducted from the amount of equity in the asset when calculating the exemption.
Schedule H, Part V, Section B, Line 15 Facility , 1Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. CaroMont Health has a team dedicated to educating and/or assisting patients with other state or government agencies that may be a source of assistance.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. Plain language brochures are distributed at registration sites. Financial Counselors proactively communicate verbally or in writing prior to service for scheduled visits and in-house, and/or after service to those most likely to require financial assistance. Verbiage is also on the patient billing statement. Spanish instructions on website and in person interpreter staff available to assist.
Schedule H, Part V, Section B, Line 20 Facility , 1Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. Collection actions are taken after reasonable efforts have been made to determine patient's eligibility for assistance.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7hCaroMont Health is involved in approximately 40 research studies, approximately 55% of which are Clinical Trials Cooperative Group Program studies sponsored by the National Cancer Institute (NCI). CaroMont Health also participates in drug and device studies sponsored by various pharmaceutical, biotechnology, and device companies, as well as unfunded oncology, nursing and pharmacy research studies.
Schedule H, Part III, Line 1The Organization complies with the reporting requirements of GASB. Statement No. 15 is not applicable.
Schedule H, Part V, Section B, Line 16aThe Plain Language Summary and Charity Care Application can be found using the links below: Plain Language Summary: http://www.caromonthealth.org/documents/Registration_CharityCarePolicy Charity Care Application: http://www.caromonthealth.org/documents/CHARITY-CARE-APPLICATION-ENGLISH
Schedule H, Part V, Section B, Line 18eCOLLECTION ACTIONS ARE TAKEN AFTER REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE PATIENT'S ELIGIBILITY FOR ASSISTANCE.
Schedule H, Part I, Line 3cFREE CARE IS PROVIDED TO PATIENTS WITH A FPG OF 200% OR LESS. ALL OTHER PATIENTS RECEIVE AN INSURANCE DISCOUNT BASED ON THEIR INDIVIDUAL INSURANCE PLAN AGREEMENT OR AN UNINSURED DISCOUNT FOR SELF PAY PATIENTS. UNINSURED DISCOUNTS ARE COMPARABLE TO OUR INSURANCE DISCOUNTS. REGARDLESS OF INCOME, ASSETS ARE ALSO USED TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY. BELOW IS THE VERBIAGE FROM THIS POLICY: EXEMPT ASSETS THE PRIMARY RESIDENCE ON UP TO ONE ACRE OF LAND, ONE AUTOMOBILE FOR EACH WORKING AGED ADULT, AND OTHER ASSETS UP TO $25,000 INCLUDING BUT NOT LIMITED TO, RETIREMENT FUNDS, INVESTMENTS AND OTHER FINANCIAL ASSETS, CASH VALUE OF LIFE INSURANCE POLICIES, AND EQUITY IN PROPERTY OR REAL ASSETS ARE ALSO EXEMPT FROM CONSIDERATION AS ASSETS IN DETERMINING CHARITY CARE ELIGIBILITY. ANNUAL INCOME FROM PROPERTY OF REAL ASSETS WILL BE DEDUCTED FROM THE AMOUNT OF EQUITY IN THE ASSET WHEN CALCULATING THE EXEMPTION.
Schedule H, Part I, Line 6aCOMMUNITY BENEFIT REPORT: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT MADE AVAILABLE TO THE PUBLIC CONTAINS COMMUNITY BENEFITS FOR ALL RELATED ORGANIZATIONS TO THE HOSPITAL.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation57385079
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe costing methodology used is a cost accounting system. All patient segments are included. This system assigns direct costs to supplies, procedures, routine and specialty room rates based on the department of origination. Fixed costs are allocated based on statistical basis. These costs are then aggregated at the patient level and tabulated by payor type. The ratio of cost to charge method is not materially used in the cost accounting system.
Schedule H, Part II Community Building ActivitiesCaroMont Health's recruitment of physicians, advanced care practitioners, nursing and clinical staff, and business and support staff extends into the five counties the system serves and is driven by the changing population of the region and the specific health needs of patients. The system's goal is to be pro-active and anticipatory so that the health care needs of the community are met in a quality-driven and convenient manner. Additionally, CaroMont Health offers a full program focused on job competency training and professional development opportunities for employees at all levels of the organization and robust education partnerships with public schools, career tech programs, and colleges and universities to develop career pathways for students.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAccounts are reserved as bad debt based on an accounts receivable aging methodology. When accounts are sent to a collection agency, they are written off the accounts receivable system. Any subsequent collections on the accounts are posted as recoveries and reduce the expense. All uninsured patients receive a discount on their bill, which is recorded as a contractual adjustment. The amount of the uninsured discounts are excluded from bad debt expense.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyFor estimating patients for possible charity that are sent to bad debt, we counted patients who met the following criteria: 1)Patients were not previously considered for charity and found not eligible 2)Charity was not previously discussed in patient communication. 3)Patients supplied a realistic social security number. 4)Patient's debt has not been satisfied since the classification of bad debt.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTHE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE ON BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED AS A DEDUCTION FROM PATIENT REVENUE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe Medicare cost report standard costing methodology was followed when filing the cost report. This is a step down methodology that applies the average patient cost to Medicare patients. The cost report does not allow hospitals to report all operating costs. Because of these two issues, the Medicare cost report methodology understates the true cost of treating Medicare patients. We have used costing method to determine total costs related to the Medicare program and all of the shortfall should be considered community befefit as this represents the true cost of adminstering the program
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceTHE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. BELOW IS VERBIAGE FROM THE CHARITY POLICY: CAROMONT REGIONAL MEDICAL CENTER OFFERS MEDICAL SERVICES FREE OF CHARGE THROUGH THE CHARITY CARE PROGRAM. DETERMINATION OF CHARITY CARE WILL BE BASED ON THE PATIENT'S INCOME, FAMILY SIZE, AND ASSETS. POTENTIAL ELIGIBILITY EXISTS ONLY AFTER THE REIMBURSEMENT EFFORTS FROM ALL OTHER THIRD PARTY RESOURCES, FEDERAL, STATE, AND LOCAL ASSISTANCE PROGRAMS HAVE BEEN EXHAUSTED.
Schedule H, Part V, Section B, Line 16a FAP website- CAROMONT REGIONAL MEDICAL CENTER: Line 16a URL: https://caromonthealth.org/patients-visitors/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website- CAROMONT REGIONAL MEDICAL CENTER: Line 16b URL: https://caromonthealth.org/patients-visitors/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- CAROMONT REGIONAL MEDICAL CENTER: Line 16c URL: https://caromonthealth.org/patients-visitors/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessmentCaroMont Health establishes community priorities through several operational functions: 1. Leadership opinions are sought to help identify needed services in the community via partnerships with the Gaston County Department of Health & Human Services, local non-profit organizations focused on health improvement in our communities and other health-focused entities. CaroMont Health also works with community agencies to conduct community needs assessments and quality of life surveys every two to three years. 2. Patient satisfaction data, health trends, and care outcomes are analyzed to determine where and/or how services should to be expanded or improved. 3. Service area data (vital statistics, demographics and utilization) are analyzed for growth and health trends. This information is coordinated with public health data to determine opportunities and voids in healthcare service. 4. Findings from community surveys/reports published by other organizations (Department of Health and Human Services, Gaston County Government, economic impact and development groups, etc.) are gathered and reviewed for pertinence to community health problems. 5. Board members, senior leaders and system management are involved in numerous organizations in the community. Through this network of relationships, information about the community and the needs of area residents and organizations is used in the development of programs and services available through CaroMont Health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceThe organization informs and educates the patients about their eligibility for assistance in several ways. A Charity and Financial summary is on our website. Brochures are distributed in the Emergency Room and all other registration sites. Specifically trained staff (Financial Counselors and Benefit Eligibility Specialists) proactively make contact with patients prior to, at time of service, and/or after discharge to discuss eligibility for Medicaid, other insurance/program benefits, or Charity Care, and to offer assistance with the applications. The communication is attempted as soon as possible. Written communication is made prior to collection agency placement.
Schedule H, Part VI, Line 4 Community informationGaston County, covering 355.9 square miles in the southern portion of the Piedmont Region of North Carolina, is the organization's primary market. Lincoln, Cleveland and parts of western Mecklenburg County, as well as York County, South Carolina, make up the health system's secondary market. According to the U.S. Census Bureau's report from July 1, 2023, Gaston County had an estimated population of 237,424, a median household income of $65,472 and 13.5% of persons in poverty. Race and ethnic demographics state that 74.9% of the population identify themselves as White, 19.9% as Black or African American, 10.2% as Hispanic or Latino, 2.5% as two or more races, and 1.9% as Asian.
Schedule H, Part VI, Line 5 Promotion of community healthCommunity health initiatives are focused on disease prevention and management of chronic illness. That includes working with employers on innovative programs and collaborating with health care neighbors, managing illness within the health system's workforce and intense focus on successful care coordination for patients with chronic disease. Additionally, CaroMont Health provides nearly $1 million annually in sponsorship and grant support for local non-profits, community programs and services, and other community initiatives aimed at improving the health of the community. Acting as a trusted healthcare partners, CaroMont Health seeks to provide care and support to all members of the community.
Schedule H, Part VI, Line 6 Affiliated health care systemEstablished in 1946, CaroMont Regional Medical Center is a 476-bed, not-for-profit acute care facility offering comprehensive inpatient hospital services. CaroMont Regional Medical Center is the anchor of CaroMont Health, a health care system with five affiliate companies including a network of more than 60 primary and specialty care locations.
Schedule H, Part VI, Line 7 State filing of community benefit reportNC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (23 entries)

Recipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
KINTEGRA HEATLH
581958398501(C)(3)$252,913Community Assistance
COMMUNITY FOUNDATION
581340834501(C)(3)$100,000Community Assistance
GASTON BUSINESS ASSOC
560232990501(C)(3)$84,000Community Assistance
GASTON COUNTY SCHOOLS
566001032501(C)(3)$75,000Community Assistance
GASTON TOGETHER
562048064501(C)(3)$22,000Community Assistance
CANCER SERVICES OF GASTON COUNTY
561164253501(C)(3)$19,000Community Assistance
HEART SOCIETY OF GASTON COUNTY
561330921501(C)(3)$16,050Community Assistance
BOYS AND GIRLS CLUB OF GREATER GASTON
561419498501(C)(3)$13,610Community Assistance
THE CATERINE PHARR CARSTARPHEN
560623961501(C)(3)$13,000Community Assistance
CHERRYVILLE CHAMBER OF COMMERCE INC
560635698501(C)(6)$10,000Community Assistance
CITY OF BESSEMER CIT
566001177Governmental$10,000Community Assistance
CITY OF GASTONIA
566000227Governmental$10,000Community Assistance
CITY OF KINGS MOUNTAIN
Governmental$10,000Community Assistance
CITY OF MOUNT HOLLY
566001295Governmental$10,000Community Assistance
DOWNTOWN BELMONT DEVELOPMENT ASSOCIATION
474333734501(C)(3)$10,000Community Assistance
GASTON COMMUNITY FOUNDATION
581340834501(C)(3)$10,000Community Assistance
MEDASSIST OF MECKLENBURG
562018957501(C)(3)$10,000Community Assistance
THE LEUKEMIA AND LYMPHOMA SOCIETY
135644916501(C)(3)$10,000Community Assistance
CITY OF LOWELL
566003509Governmental$5,500Community Assistance
AMERICAN LEGION POST 100
566088212501(C)(19)$5,000Community Assistance
GASTON COLLEGE FOUNDATION
237079454501(C)(3)$5,000Community Assistance
GASTON COUNTY EDUCATION FOUNDATION
561764830501(C)(3)$5,000Community Assistance
HOLY ANGELS FOUNDATION
561762654501(C)(3)$5,000Community Assistance
FieldValueIRS element (for citing)
Total501c3 Org23Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationOTHER ORGANIZATIONS THAT RECEIVE GRANT FUNDS MAY BE REQUIRED TO SUBMIT MONTHLY REPORTS THAT ARE MONITORED BY MANAGEMENT AND/OR THE BOARD OF DIRECTORS. ALL GRANTS DECISIONS ARE DOCUMENTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredfalseSubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr Jay Hendler
Chief of Staff (COS) through 12/31/23; Immediate Past COS starting 1/1/24 (non-voting)$0$426,740$0$69,600$0$3,949$0$43,200$0$15,172$0$558,661$0$0
Dr Heath High
Chief of Staff (COS) Elect through 12/31/23 (non-voting); COS starting 1/1/24$0$369,678$0$153,073$0$1,296$0$35,506$0$24,350$0$583,903$0$0
Dr Shiddhi Patel
Chief-of Staff Elect (non-voting) starting 1/1/2024$0$343,964$0$38,232$0$1,267$0$28,745$0$24,341$0$436,549$0$0
Mr K Christopher Peek
CEO$1,025,632$0$515,175$0$224,159$0$284,284$0$25,171$0$2,074,421$0$188,258$0
Mr David O'Connor
EVP/CFO/Asst. Treasurer$602,432$0$243,238$0$110,355$0$159,219$0$24,781$0$1,140,025$0$95,362$0
Ms Leigh Hickman
CLO/Asst. Sec.$376,380$0$127,220$0$61,306$0$93,072$0$17,088$0$675,066$0$47,249$0
Mr Danny Wharton
Chief Operating Officer$447,130$0$176,418$0$46,916$0$121,124$0$12,320$0$803,908$0$36,918$0
Dr Todd Davis
EVP Chief Physician Executive$668,559$0$269,166$0$111,164$0$171,587$0$24,781$0$1,245,257$0$92,469$0
Dr George Adcock III
VP Medical Affairs$404,166$0$137,602$0$64,145$0$104,259$0$24,749$0$734,921$0$51,109$0
Mr Richard Blackburn
VP Support Services$346,819$0$112,421$0$57,898$0$181,656$0$15,356$0$714,150$0$0$0
Ms Robin Lang
VP Chief Information Officer$370,858$0$123,370$0$56,108$0$120,236$0$12,213$0$682,785$0$45,819$0
Mr Frank Murphy
VP Strategy Business Development$369,670$0$126,165$0$208,082$0$82,614$0$15,598$0$802,129$0$148,818$0
Mr Joel Riddle
VP Human Resources$194,358$0$98,253$0$207,599$0$34,564$0$13,343$0$548,117$0$95,303$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companionsTHE ORGANIZATION HAS A POLICY TO ADDRESS WHEN SPOUSAL TRAVEL IS PERMITTED AND PAYS CLUB DUES FOR THE PRESIDENT/CEO FOR BUSINESS PURPOSES AS PART OF THE EMPLOYMENT CONTRACT.
Schedule J, Part I, Line 1a Health or social club dues or initiation feesTHE ORGANIZATION HAS A POLICY TO ADDRESS WHEN SPOUSAL TRAVEL IS PERMITTED AND PAYS CLUB DUES FOR THE PRESIDENT/CEO FOR BUSINESS PURPOSES AS PART OF THE EMPLOYMENT CONTRACT
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING INDIVIDUALS RECEIVED DEFERRED COMPENSATION ALLOCATIONS FROM THE FILING ORGANIZATION FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DAVID O'CONNOR - $ 116,019 TODD DAVIS, MD - $ 128,387 K. CHRISTOPHER PEEK - $ 241,084 GEORGE ADCOCK III - $ 62,178 ROBIN LANG - $ 56,020 FRANK D. MURPHY - $ 42,410 LEIGH HICKMAN - $ 57,768 DANNY WHARTON - $ 85,790 Joel Riddle - $ 21,657
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organizationEXECUTIVE INCENTIVE COMPENSATION PLAN FOR ALL KEY EMPLOYEES BASED ON THE ACHIEVEMENT OF ANNUAL BUSINESS OBJECTIVES WHICH INCLUDE A FINANCIAL GOAL ATTRIBUTABLE TO OPERATING MARGIN. MANAGER INCENTIVE PLAN BASED ON CONSOLIDATED CORPORATE AND INDIVIDUAL PERFORMANCE GOALS. CERTAIN CAROMONT MEDICAL GROUP, INC. PHYSICIAN'S COMPENSATION PACKAGES ARE BASED ON THE INDIVIDUAL PHYSICIANS NET RESULTS FROM OPERATIONS AS CALCULATED BASED SOLEY ON HIS/HER NET CHARGES LESS HIS/HER ALLOCABLE SHARE OF CLINIC OVERHEAD COSTS.
Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organizationEXECUTIVE INCENTIVE COMPENSATION PLAN FOR ALL KEY EMPLOYEES BASED ON THE ACHIEVEMENT OF ANNUAL BUSINESS OBJECTIVES WHICH INCLUDE A FINANCIAL GOAL ATTRIBUTABLE TO OPERATING MARGIN. MANAGER INCENTIVE PLAN BASED ON CONSOLIDATED CORPORATE AND INDIVIDUAL PERFORMANCE GOALS. CERTAIN CAROMONT MEDICAL GROUP, INC. PHYSICIAN'S COMPENSATION PACKAGES ARE BASED ON THE INDIVIDUAL PHYSICIANS NET RESULTS FROM OPERATIONS AS CALCULATED BASED SOLEY ON HIS/HER NET CHARGES LESS HIS/HER ALLOCABLE SHARE OF CLINIC OVERHEAD COSTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A5213094022003-01-23$120,000,000See Part VIfalsefalsefalse
NORTH CAROLINA MEDICAL CARE COMISSION
B5213094022019-11-19$41,460,000See Part VIfalsefalsefalse
NORTH CAROLINA MEDICAL CARE COMISSION
C5213094022021-02-10$129,092,857See Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$29,600,000$123,594,002$5,150,936$1,256,069$3,386,000$91,583,288$22,217,7092005falseYes (true)Yes (true)Yes (true)
B$7,785,000$41,460,000falseYes (true)Yes (true)Yes (true)
C$1,085,000$129,463,222$1,064,190$128,399,0332024falsefalsefalsefalse

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.00130.0013falseYes (true)0.0011falseYes (true)
Bfalsefalsefalsefalse0.00030.0003falsefalseYes (true)
Cfalsefalsefalsefalse0.00030.0003falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MERRILL LYNCH CAPIT
AfalsefalsefalseYes (true)Yes (true)Yes (true)31.6Yes (true)falsefalsefalseYes (true)
(no name)
BfalsefalsefalsefalseYes (true)falsefalsefalseYes (true)
(no name)
CfalsefalsefalsefalseYes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
Bfalse
Cfalse

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part IV, Line 2c(A) ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 12/05/2017 SCHEDULE K, SUPPLEMENTAL INFORMATION: THREE 501(C)(3) ORGANIZATIONS WITHIN THE PARENT-SUBSIDIARY CONTROLLED GROUP BENEFIT FROM THE BONDS AS FOLLOWS: GASTON MEMORIAL HOSPITAL, INC. (56-0619359) CAROMONT HEALTH, INC. (58-1636959) CAROMONT HEALTH SERVICES, INC. (56-1455630) GASTON MEMORIAL HOSPITAL, INC. D/B/A CAROMONT REGIONAL MEDICAL CENTER HOLDS THE LIABILITY FOR THE BONDS, PER AUDITED FINANCIAL STATEMENTS.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSEISSUE A - THE SYSTEM USED THE PROCEEDS FROM THESE BONDS FOR VARIOUS CAPITAL IMPROVEMENTS, INCLUDING, BUT NOT LIMITED TO, A NEW WOMEN'S CENTER AND PARKING DECK, RENOVATIONS TO EXISTING FACILITIES, AND EQUIPMENT. IN ADDITION, PROCEEDS WERE USED TO REFUND IN ADVANCE OF THEIR MATURITIES $17,000,000 IN PRINCIPAL AMOUNT OF THE SERIES 1998 HOSPITAL REVENUE BONDS. ISSUE B - ON NOVEMBER 19, 2019 THE BANK EXCHANGED THE 2018 TAXABLE BONDS FOR FIXED RATE TAX-EXEMPT BONDS (THE "2019 TAX-EXEMPT BONDS") ISSUED BY THE NCMCC. THIS EXCHANGE OF THE SERIES 2018 BONDS FOR THE SERIES 2019 TAX-EXEMPT BONDS CONSTITUTES A CURRENT REFUNDING OF THE SERIES 2018 BONDS AND PROVIDES CAROMONT WITH INCREMENTAL INTEREST COST SAVINGS. ISSUE C - ON JANUARY 21, 2021, THE NORTH CAROLINA MEDICAL CARE COMMISSION ISSUED $105,260,000 OF SERIES 2021A AND SERIES 2021B HOSPITAL REVENUE BONDS ("SERIES 2021 BONDS"). THE $40,950,000 SERIES 2021A BONDS ARE TAX-EXEMPT FIXED RATE BONDS THAT MATURE FEBRUARY 1, 2036 AND THE $64,310,000 SERIES 2021B BONDS ARE TAX-EXEMPT PUT BONDS THAT MATURE FEBRUARY 1, 2051. THE INTEREST RATE FOR THE NEW BONDS IS 5%. THE PROCEEDS WILL BE USED BY THE SYSTEM FOR VARIOUS CAPITAL IMPROVEMENTS, INCLUDING, BUT NOT LIMITED TO, A NEW FOUR-STORY, APPROXIMATELY 140,000 SQUARE FOOT CRITICAL CARE TOWER ON THE HOSPITAL CAMPUS AND TO PAY THE FEES AND EXPENSES INCURRED IN CONNECTION WITH THE SALE AND ISSUANCE OF THE BONDS.
Schedule K, Part II, Line 3 COLUMN ALINE 3 COLUMN (A) INCLUDES THE TOTAL INVESTMENT EARNINGS ON BOND PROCEEDS IN THE AMOUNT OF $ 3,594,002.
Schedule K, Part II, Line 3 COLUMN CLINE 3 COLUMN (C) INCLUDES THE TOTAL INVESTMENT EARNINGS ON BOND PROCEEDS IN THE AMOUNT OF $ 250,754.
Schedule K, Part II, Line 11 OTHER SPENT PROCEEDSOTHER SPENT PROCEEDS INCLUDE DEPOSITS MADE INTO A REFUNDING ESCROW ACCOUNT ALONG WITH INTEREST EARNED ON THE ACCOUNT, BOTH OF WHICH WERE SUBSEQUENTLY USED TO PAY PRINCIPLE AND INTEREST ON THE REFUNDED BONDS. SEE THE RESPONSE FOR PART I, COLUMN (F) FOR DETAILS.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: NORTH CAROLINA MEDICAL CARE COMMISSION The calculation for computing no rebate due was performed on 12/05/2017

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V and Part VIICOMMON PAYMASTER: THE FILING ORGANIZATION USES A RELATED ORGANIZATION FOR ITS PAYROLL FUNCTION. ALL W-2S ARE FILED BY THE COMMON PAYMASTER. HOWEVER, AMOUNTS PAID BY THE COMMON PAYMASTER ARE TREATED AS IF PAID DIRECTLY BY THE ORGANIZATION FOR WHICH SERVICES ARE PERFORMED.
Form 990, Part VI, Line 18THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE SOLE MEMBER OF THE CORPORATION IS CAROMONT HEALTH, INC., A NORTH CAROLINA NOT-FOR-PROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE BOARD OF DIRECTORS CONSISTS OF FOURTEEN (14) MEMBERS, ALL OF WHOM ARE THE MEMBERS OF THE BOARD OF DIRECTORS OF CAROMONT HEALTH, INC., AND ALL OF WHOM ARE APPOINTED BY THE BOARD OF DIRECTORS OF CAROMONT HEALTH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE FOLLOWING POWERS OF THE CORPORATION SHALL BE RESERVED TO CAROMONT HEALTH, INC., THE PARENT CORPORATION AND HOLDING COMPANY OF THE CORPORATION: (A) FINANCIAL POWERS, INCLUDING THE POWER TO APPROVE AN OPERATING BUDGET FOR THE CORPORATION, POWER TO APPROVE COMPENSATION PLANS, AND POWER TO ASSUME DEBT ON BEHALF OF THE CORPORATION; (B) GOVERNING POWERS, INCLUDING THE POWER TO APPROVE ALL CHANGES TO THE GOVERNING DOCUMENTS OF THE CORPORATION AND POWER TO APPROVE THE MISSION, VISION AND VALUES OF THE CORPORATION; AND (C) STRATEGIC POWERS, INCLUDING THE POWER TO APPROVE ALL CERTIFICATE OF NEED APPLICATIONS WHICH THE CORPORATION MAY FILE IN ANY STATE, AND THE POWER TO APPROVE ALL SALE OR LEASE TRANSACTIONS OF THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE ORGANIZATION'S FORM 990 WAS REVIEWED BY THE AUDIT FINANCE INVESTMENT COMMITTEE OF THE BOARD OF DIRECTORS OF CAROMONT HEALTH PRIOR TO PRESENTATION TO THE FULL BOARD BEFORE THE FORM WAS FILED WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyMEMBERS OF THE BOARD OF DIRECTORS, MEMBERS OF SENIOR LEADERSHIP, ANY PHYSICIAN HOLDING A LEADERSHIP OR ADMINISTRATIVE POSITION WITHIN THE ORGANIZATION, DIRECTORS, RESEARCH STUDY PERSONNEL, MANAGERS AND ALL STAFF MEMBERS OF THE PURCHASING AND MARKETING DEPARTMENTS AND ANY OTHER DEPARTMENT DEEMED TO HAVE MATERIAL DECISION MAKING RESPONSIBILITIES ON BEHALF OF CAROMONT HEALTH SHALL FULLY AND TRUTHFULLY COMPLETE A QUESTIONNAIRE CONCERNING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST ANNUALLY. SUCH QUESTIONNAIRE SHALL IDENTIFY THE INDIVIDUAL'S OBLIGATION TO IMMEDIATELY MAKE THE CORPORATE RESPONSIBILITY OFFICER AWARE IN WRITING OF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST AS THEY MAY ARISE AND CONTAIN SAID INDIVIDUAL'S AGREEMENT TO ABIDE BY ALL TERMS AND CONDITIONS OF THIS POLICY AS A CONDITION OF RETAINING THEIR POSITION. SUCH QUESTIONNAIRES ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND THE CORPORATE RESPONSIBILITY OFFICER. QUESTIONNAIRES SUBMITTED BY DIRECTORS ARE REVIEWED ANNUALLY BY THE NOMINATING COMMITTEE OF THE BOARD.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHE CEO, CFO, COO, CMO AND CHIEF LEGAL OFFICER ARE COMPENSATED FOR THEIR SERVICES BY GASTON MEMORIAL HOSPITAL, INC. D/B/A CAROMONT REGIONAL MEDICAL CENTER, A SUBSIDIARY OF CAROMONT HEALTH, INC. THE COMPENSATION OF ALL CAROMONT EXECUTIVES FOR EACH YEAR IS ESTABLISHED BY THE COMPENSATION COMMITTEE OF THE CAROMONT HEALTH BOARD OF DIRECTORS, BASED ON GUIDANCE AND OPINIONS PROVIDED BY AN INDEPENDENT, GASTON MEMORIAL HOSPITAL, INC 56-0619359 THIRD-PARTY COMPENSATION CONSULTANT. PURSUANT TO THE COMMITTEE CHARTER FOR THE COMPENSATION COMMITTEE OF THE BOARD, THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE COMPENSATION PHILOSOPHY, WHICH ESTABLISHES THE PARAMETERS FOR ALL EXECUTIVE COMPENSATION DECISIONS. THE BOARD OF DIRECTORS DELEGATES ALL COMPENSATION DECISIONS FOR ALL EXECUTIVES TO THE COMPENSATION COMMITTEE, PROVIDED SUCH DECISIONS ARE CONSISTENT WITH THE COMPENSATION PHILOSOPHY. BOARD APPROVAL MUST BE OBTAINED WHEN COMPENSATION DECISIONS DEVIATE FROM THE COMPENSATION PHILOSOPHY. A MAJORITY OF BOARD MEMBERS WHO SERVE ON THE COMPENSATION COMMITTEE ARE INDEPENDENT AND ALL ARE FREE FROM ANY CONFLICT OF INTEREST. ANY COMPENSATION COMMITTEE MEMBER WHO DEVELOPS A CONFLICT OF INTEREST DURING HIS/HER TERM WITH RESPECT TO THE DISCUSSION OF ANY EXECUTIVE'S COMPENSATION DOES NOT PARTICIPATE IN THE DISCUSSION OR DECISION-MAKING BY THE REMAINING MEMBERS OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RETAINS JURISDICTION OVER THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVES AND REVIEWS EXECUTIVE BENEFITS AND PERQUISITES AS WELL AS TOTAL CASH COMPENSATION. COMPENSATION FOR THE CEO IS ESTABLISHED THROUGH A PROCESS OF PERFORMANCE EVALUATION, COMPARISON WITH COMPARABLE MARKET DATA AND DETERMINATION BY THE COMPENSATION COMMITTEE OF ACCEPTABLE SALARY RANGE AND PERCENTILE RANKING. ALL COMPENSATION DECISIONS FOR THE CEO ARE APPROVED BY THE COMPENSATION COMMITTEE, AS LONG AS THE COMPENSATION DECISIONS ARE CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. THE PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE MANAGEMENT UTILIZES COMPENSATION SURVEYS AND STUDIES. FULL COLLECTED COMPENSATION INFORMATION AND ANY COMPENSATION OPINIONS PROVIDED DURING THESE PROCESSES WILL BE KEPT WITH THE COMPENSATION COMMITTEE OR BOARD MINUTES, AS APPLICABLE.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesTHE CEO, CFO, COO, CMO AND CHIEF LEGAL OFFICER ARE COMPENSATED FOR THEIR SERVICES BY CAROMONT REGIONAL MEDICAL CENTER, A SUBSIDIARY OF CAROMONT HEALTH, INC. THE COMPENSATION OF ALL CAROMONT EXECUTIVES FOR EACH YEAR IS ESTABLISHED BY THE COMPENSATION COMMITTEE OF THE CAROMONT HEALTH BOARD OF DIRECTORS, BASED ON GUIDANCE AND OPINIONS PROVIDED BY AN INDEPENDENT, GASTON MEMORIAL HOSPITAL, INC 56-0619359 THIRD-PARTY COMPENSATION CONSULTANT. PURSUANT TO THE COMMITTEE CHARTER FOR THE COMPENSATION COMMITTEE OF THE BOARD, THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE COMPENSATION PHILOSOPHY, WHICH ESTABLISHES THE PARAMETERS FOR ALL EXECUTIVE COMPENSATION DECISIONS. THE BOARD OF DIRECTORS DELEGATES ALL COMPENSATION DECISIONS FOR ALL EXECUTIVES TO THE COMPENSATION COMMITTEE, PROVIDED SUCH DECISIONS ARE CONSISTENT WITH THE COMPENSATION PHILOSOPHY. BOARD APPROVAL MUST BE OBTAINED WHEN COMPENSATION DECISIONS DEVIATE FROM THE COMPENSATION PHILOSOPHY. A MAJORITY OF BOARD MEMBERS WHO SERVE ON THE COMPENSATION COMMITTEE ARE INDEPENDENT AND ALL ARE FREE FROM ANY CONFLICT OF INTEREST. ANY COMPENSATION COMMITTEE MEMBER WHO DEVELOPS A CONFLICT OF INTEREST DURING HIS/HER TERM WITH RESPECT TO THE DISCUSSION OF ANY EXECUTIVE'S COMPENSATION DOES NOT PARTICIPATE IN THE DISCUSSION OR DECISION-MAKING BY THE REMAINING MEMBERS OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RETAINS JURISDICTION OVER THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVES AND REVIEWS EXECUTIVE BENEFITS AND PERQUISITES AS WELL AS TOTAL CASH COMPENSATION. COMPENSATION FOR THE CEO IS ESTABLISHED THROUGH A PROCESS OF PERFORMANCE EVALUATION, COMPARISON WITH COMPARABLE MARKET DATA AND DETERMINATION BY THE COMPENSATION COMMITTEE OF ACCEPTABLE SALARY RANGE AND PERCENTILE RANKING. ALL COMPENSATION DECISIONS FOR THE CEO ARE APPROVED BY THE COMPENSATION COMMITTEE, AS LONG AS THE COMPENSATION DECISIONS ARE CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. THE PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE MANAGEMENT UTILIZES COMPENSATION SURVEYS AND STUDIES. FULL COLLECTED COMPENSATION INFORMATION AND ANY COMPENSATION OPINIONS PROVIDED DURING THESE PROCESSES WILL BE KEPT WITH THE COMPENSATION COMMITTEE OR BOARD MINUTES, AS APPLICABLE.
Form 990, Part VI, Line 19 Required documents available to the publicAT THIS TIME, THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE ENTIRE ORGANIZATION'S COMBINED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueDiscounts & Rebates - Total Revenue: 48104, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 48104;
Form 990, Part IX, Line 11g Other FeesContract Services - Total Expense: 48636893, Program Service Expense: 46231226, Management and General Expenses: 2405667, Fundraising Expenses: ; Purchased Services - Total Expense: 6608519, Program Service Expense: 6235055, Management and General Expenses: 373464, Fundraising Expenses: ; CTS Biomed - Total Expense: 1800, Program Service Expense: 1800, Management and General Expenses: , Fundraising Expenses: ; License Fees - Total Expense: 83000, Program Service Expense: 83000, Management and General Expenses: , Fundraising Expenses: ; Physician Leadership Fees - Total Expense: 286012, Program Service Expense: 286012, Management and General Expenses: , Fundraising Expenses: ; Hospitalist Fees - Total Expense: 12840294, Program Service Expense: 12840294, Management and General Expenses: , Fundraising Expenses: ; Professional Services - Total Expense: 11887549, Program Service Expense: 11887549, Management and General Expenses: , Fundraising Expenses: ; Consulting Fees - Total Expense: 1639099, Program Service Expense: 352458, Management and General Expenses: 1286641, Fundraising Expenses: ; Tax Exempt Bond Fees - Total Expense: 84122, Program Service Expense: , Management and General Expenses: 84122, Fundraising Expenses: ; Integration & Performance Improvement Fees - Total Expense: 985548, Program Service Expense: , Management and General Expenses: 985548, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesIntercompany Transfer to Affiliate - -31950477;
Form 990, Part XII, Line 2cTHE PROCESS HAS NOT CHANGED FROM LAST YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CAROMONT HEALTH INC
25225 COURT DRIVEGASTONIANC28054581636959MEDICAL SERVICESNC501(c)(3)Type IIN/Afalse
CAROMONT HEALTH SERVICES INC
2526 COURT DRIVEGASTONIANC28054561455630OUTPATIENT SERVICESNC501(c)(3)3Yes (true)CAROMONT HEALLTH INC
GASTON MEMORIAL HOSPITAL FOUNDATION INC
2527 COURT DRIVEGASTONIANC28054561479699FOUNDATIONNC501(c)(3)7Yes (true)CAROMONT HEALLTH INC
CAROMONT MEDICAL GROUP INC
2528 COURT DRIVEGASTONIANC28054561479712MEDICAL GROUPNC501(c)(3)10Yes (true)CAROMONT HEALLTH INC
HOSPICE OF GASTON COUNTY INC
2529 COURT DRIVEGASTONIANC28054581341530HOSPICE CARENC501(c)(3)7Yes (true)CAROMONT HEALLTH INC
GASTON COUNTY
PO BOX 1578GASTONIANC280531578566000300GOVERNMENT ADMINISTRATIONNC501(c)(1)N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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