2015-05-01T09:36:37-05:00 2014-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2013-07-01 561479712 CAROMONT MEDICAL GROUP INC CARO 7048342000 2525 COURT DRIVE PO BOX 1747 GASTONIA NC 280531747 DAVID O'CONNOR EVP, CFO 7048342000 2015-03-26 1 AMY BIBBY P00445891 8282542254 2013 2016-03-07 17:11:31Z DAVID O'CONNOR 2525 COURT DRIVE PO BOX 1747 GASTONIA NC 280531747 111075217 0 X WWW.CAROMONT.ORG X 1985 NC TO PROVIDE EXCEPTIONAL HEALTH CARE TO THE COMMUNITIES WE SERVE. 3 3 834 0 0 0 25293 0 87106169 92461244 3323993 3718649 2333958 3068263 92789413 99248156 4800 0 0 0 79985121 79780100 0 0 0 25464613 31993979 105454534 111774079 -12665121 -12525923 72766218 65089441 8224707 10029156 64541511 55060285 X TO PROVIDE EXCEPTIONAL HEALTH CARE TO THE COMMUNITIES WE SERVE. 0 0 106418644 92461244 SEE SCHEDULE O.CAROMONT MEDICAL GROUP OWNS AND OPERATES A NETWORK OF OVER 40 PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES AND THREE URGENT CARE CENTERS. IT EMPLOYS OVER 170 PHYSICIANS AND OVER 60 ADVANCED PRACTITIONERS IN TWENTY-THREE DIFFERENT SPECIALTIES. IN FISCAL YEAR 2014, THE MEDICAL GROUP PROVIDED OVER 490,000 PATIENT VISITS. CAROMONT MEDICAL GROUP IS COMMITTED TO PROVIDING HIGH QUALITY CARE TO ITS PATIENTS. 100% OF ITS PRIMARY CARE PRACTICES HAVE BEEN RECOGNIZED AS A LEVEL 3 PATIENT-CENTERED MEDICAL HOME. THIS HIGHEST LEVEL OF RECOGNITION AVAILABLE TO PRIMARY CARE PRACTICES BY THE NATIONAL CENTER FOR QUALITY ASSURANCE (NCQA) IDENTIFIES PRACTICES THAT EMPHASIZE CARE COORDINATION AND COMMUNICATION TO IMPROVE QUALITY OUTCOMES FOR THEIR PATIENTS. IN ADDITION, OVER HALF OF THE SPECIALTY PHYSICIAN PRACTICES HAVE BEEN RECOGNIZED AS A LEVEL 3 PHYSICIAN PRACTICE CONNECTIONS. THIS HIGHEST LEVEL OF RECOGNITION AVAILABLE TO SPECIALTY PRACTICES BY THE NCQA IDENTIFIES PRACTICES THAT USE SYSTEMATIC PROCESSES AND INFORMATION TECHNOLOGY TO IMPROVE THE QUALITY OF PATIENT CARE. CAROMONT MEDICAL GROUP IS ACTIVE IN ITS COMMUNITIES IN A NUMBER OF WAYS. THE PRACTICES MAKE MONETARY AND IN-KIND CONTRIBUTIONS TO COMMUNITY NON-PROFIT ORGANIZATIONS, PHYSICIANS AND STAFF VOLUNTEER AT COMMUNITY EVENTS AND HEALTH FAIRS, AND LEADERS SERVE ON COMMUNITY BOARDS. CAROMONT MEDICAL GROUP ALSO INVESTS IN THE FUTURE OF HEALTH CARE BY OFFERING OPPORTUNITIES TO ADVANCE THE EDUCATION OF LOCAL HEALTH CARE STUDENTS THROUGH PRECEPTORSHIP PROGRAMS FOR COLLEGE STUDENTS, JOB SHADOWING PROGRAMS FOR HIGH SCHOOL STUDENTS, AND MENTORSHIP PROGRAMS. 106418644 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 167 0 1 834 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAVID O'CONNOR 7048342000 2525 COURT DRIVE GASTONIA NC 28054 SHEILA REILLY PHD CHAIRMAN 2013 1.00 1.00 X X 0 0 0 MR SPURGEON MACKIE CHAIRMAN 2014 1.00 1.00 X X 0 0 0 MR DONNIE LOFTIS DIRECTOR 2013 1.00 1.00 X 0 0 0 MS SUSIE BROWN DIRECTOR 1.00 1.00 X 0 0 0 DR ROBERT CROUCH DIRECTOR 1.00 1.00 X 0 0 0 DOUG LUCKETT CEO/PRESIDENT 1.00 49.00 X 0 712139 129918 DAVID O'CONNOR EVP/CFO/ASST. TREASURER 1.00 49.00 X 0 475002 98510 MARIA LONG EVP CHIEF LEGAL OFFICER/ASST. SECRETARY 1.00 49.00 X 0 381516 72932 DR MICHAEL R TAMBERELLA PHYSCIAN 40.00 X 816566 0 30154 DR OMER L SHEDD PHYSCIAN 40.00 X 798039 0 28292 DR DUSTIN P LETTS PHYSCIAN 40.00 X 876357 0 29772 DR JAMES P GREELISH PHYSCIAN 40.00 X 1266390 0 32545 DR MARK A THOMPSON PHYSCIAN 40.00 X 702395 0 32676 RANDALL L KELLEY FORMER OFFICER 0.00 0.00 X 0 690063 48062 4459747 2258720 502861 138 1 1 0 ATHENA HEALTH INC 311 ARSENAL STREET WATERTOWN MA 02472 PHYSICIAN MANAGEMENT APPLICATION SYSTEMS 4177299 COGENT HEALTHCARE OF NORTH CAROLINA PC 5410 MARYLAND WAY SUITE 300 BRENTWOOD TN 37027 HOSPITAL PHYSICIAN SERVICES 1736000 WEATHERBY LOCUMS INC 5003 SOUTH MIAMI BLVD DURHAM NC 27703 LOCUM TENENS 776018 MEDICUS CONSULTING SERVICES LLC 7 INDUSTRIAL WAY UNIT 5 SALEM NC 03079 LOCUM TENENS 697757 OPTIMED HOSPITALISTS PLLC 557 BROOKDALE DRIVE STATESVILLE NC 28677 HOSPITAL PHYSICIAN SERVICES 606400 13 PATIENT SERVI 621400 92461244 92461244 92461244 781626 781626 14764084 11682409 144652 3081675 -144652 2937023 2937023 MISCELLANEOUS 621400 1931253 1931253 MEANINGFUL USE 900099 1099953 1099953 MANAGEMENT FEE INCOME 561000 37057 37057 3068263 99248156 92461244 0 6786912 68126837 64767655 3359182 2219708 2028263 191445 5938958 5403527 535431 3494597 3305464 189133 6975 6975 5126152 4657437 468715 62356 57748 4608 2709619 2610351 99268 6076758 5826421 250337 94473 53416 41057 3 3 1586766 1382706 204060 1502222 1490023 12199 MEDICAL SUPPLIES 10487235 10487235 BAD DEBT 4185613 4185613 BIOMED 155807 155807 111774079 106418644 5355435 0 197435 1320286 5265023 7258071 200000 954735 710954 136497 189294 20400582 7260938 9124312 13139644 52679518 38398441 3523153 3448153 685545 624598 72766218 65089441 8224707 10029156 8224707 10029156 X 64541511 55060285 64541511 55060285 72766218 65089441 -12525923 3044697 0 X X 0 1 X 1 0 X 25293 25293 75579994 74250177 88855499 87106169 92461244 418253083 1032851 655676 1161305 2333958 3068263 8252053 76612845 74905853 90016804 89465420 95529507 426530429 0 0 0 426530429 1471631 1701412 1457535 1435414 781626 6847618 1471631 1701412 1457535 1435414 781626 6847618 78084476 76607265 91474339 90900834 96311133 433378047 0.98420 0.98270 0.01580 0.01730 X 2620218 2620218 8445239 1619077 6826162 219065 14379 204686 9116060 5627482 3488578 13139644 X 97983950 3044697 -4271846 -1227149 99211099 37057 37057 99248156 107465176 -37057 -37057 107502233 4271846 4271846 111774079 PART X, LINE 2: THE 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, 2014 AND 2013, RESPECTIVELY. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -4,185,613. INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE -86,233. PART XI, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEE INCOME NET WITH FEES EXPENSE 37,057. PART XII, LINE 2D - OTHER ADJUSTMENTS: MANAGEMENT FEE INCOME NET WITH FEES EXPENSE -37,057. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 4,185,613. INVESTMENT MANAGEMENT FEES 86,233. X X X X X 1 1 0 0 0 1 1 0 0 DOUG LUCKETT CEO/PRESIDENT 0 590205 0 121154 0 780 0 113546 0 16372 0 842057 0 0 DAVID O'CONNOR EVP/CFO/ASST. TREASURER 0 362570 0 111268 0 1164 0 82348 0 16162 0 573512 0 0 MARIA LONG EVP CHIEF LEGAL OFFICER/ASST. SECRET 0 294902 0 85720 0 894 0 70934 0 1998 0 454448 0 0 DR MICHAEL R TAMBERELLA PHYSCIAN 583876 0 232690 0 0 0 12911 0 17243 0 846720 0 0 0 DR OMER L SHEDD PHYSCIAN 536458 0 261581 0 0 0 11273 0 17019 0 826331 0 0 0 DR DUSTIN P LETTS PHYSCIAN 570801 0 305556 0 0 0 12607 0 17165 0 906129 0 0 0 DR JAMES P GREELISH PHYSCIAN 1007840 0 44550 0 214000 0 14617 0 17928 0 1298935 0 0 0 DR MARK A THOMPSON PHYSCIAN 581940 0 120455 0 0 0 15433 0 17243 0 735071 0 0 0 RANDALL L KELLEY FORMER OFFICER 0 347736 0 0 0 342327 0 43999 0 4063 0 738125 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY RELATED ORGANIZATION GASTON MEMORIAL HOSPITAL FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DAVID O'CONNOR - $ 69,504 MARIA LONG - 55,601 DOUG LUCKETT - 107,551 RANDALL L. KELLEY - 37,456 RANDALL L. KELLEY RECEIVED A SEVERANCE PAYMENT BY RELATED ORGANIZATION GASTON MEMORIAL HOSPITAL IN THE AMOUNT OF $331,138. PART I, LINE 6 CERTAIN CAROMONT MEDICAL GROUP INC. PHYSICIAN'S COMPENSATION PACKAGES ARE BASED ON THE INDIVIDUAL PHYSICIAN'S NET RESULTS FROM OPERATIONS AS CALCULATED BASED SOLEY ON HIS/HER NET CHARGES LESS HIS/HER ALLOCABLE SHARE OF CLINIC OVERHEAD COSTS. EXECUTIVE INCENTIVE COMPENSATION PLAN FOR ALL KEY EMPLOYEES BASED ON THE ACHIEVEMENT OF ANNUAL BUSINESS OBJECTIVES AND FINANCIAL PERFORMANCE OF THE CONSOLIDATED SYSTEM. MANAGER INCENTIVE PLAN BASED ON CONSOLIDATED CORPORATE AND INDIVIDUAL PERFORMANCE GOALS. FORM 990, PART VI, SECTION A, LINE 1B: BOARD MEMBER INDEPENDENCE: IN CALENDAR YEAR 2014, THE BOARD OF DIRECTORS OF CAROMONT HEALTH CONDUCTED A COMPREHENSIVE REVIEW OF BEST PRACTICES REGARDING INDEPENDENCE OF BOARD MEMBERS. THIS REVIEW RESULTED IN THE DEVELOPMENT OF A BOARD POLICY ON INDEPENDENCE OF BOARD MEMBERS. USING IRS REGULATIONS AND GUIDANCE, INDUSTRY BEST PRACTICES, GUIDANCE AND COMMENTARY APPLICABLE TO NON-PROFIT HEALTHCARE INSTITUTIONS, AND ADVICE OF COUNSEL, THE BOARD OF DIRECTORS DEVELOPED AND IMPLEMENTED A ROBUST POLICY THAT DEFINES INDEPENDENT AND NON-INDEPENDENT DIRECTORS AND CLASSIFIES DIRECTORS ON AN ANNUAL BASIS AS INDEPENDENT AND NON-INDEPENDENT. USING THE IRS REPORTING REQUIREMENTS AS A MINIMUM SET OF CRITERIA FOR DETERMINING THE INDEPENDENT STATUS OF BOARD MEMBERS, THE BOARD'S POLICY GOES BEYOND THE MINIMUM CRITERIA AND DEFINES ADDITIONAL CRITERIA THAT RENDER A BOARD MEMBER NON-INDEPENDENT. ONCE DETERMINED TO HAVE A DISQUALIFYING CONDITION THAT RENDERS THE MEMBER NON-INDEPENDENT, A BOARD MEMBER WHOSE DISQUALIFYING CONDITION HAS BEEN REMEDIED MAY ONLY BE RESTORED TO INDEPENDENT STATUS FOLLOWING A SPECIFIED TIME LIMIT DEFINED IN THE POLICY. IN REPORTING THE NUMBER OF INDEPENDENT DIRECTORS IN PART I, LINE 4 AND PART VI, SECTION A, LINE 1B, THE BOARD OF DIRECTORS HAS DETERMINED THAT IT WILL REPORT THE NUMBER DETERMINED BY ITS POLICY, RECOGNIZING THAT THIS MAY BE A STRICTER INTERPRETATION THAN THE IRS REQUIRES. IN SEATING BOARD COMMITTEES, SUCH AS THE EXECUTIVE COMPENSATION COMMITTEE AND THE AUDIT FINANCE AND INVESTMENT COMMITTEE, THE BOARD DETERMINES A DIRECTOR'S ELIGIBILITY TO SERVE ON THOSE COMMITTEES BASED ON APPLICATION OF THE BOARD'S DEFINITION OF INDEPENDENCE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL BE CAROMONT HEALTH, INC., A NORTH CAROLINA NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS SHALL CONSIST OF THREE (3) MEMBERS, ALL OF WHOM SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF CAROMONT HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B THE 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, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 WAS REVIEWED BY THE AUDIT FINANCE INVESTMENT COMMITTEE OF THE BOARD OF DIRECTORS AND BY THE FULL BOARD BEFORE THE FORM WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH EMPLOYEE AND DIRECTOR 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, SECTION B, LINE 15 THE CEO, CFO, COO AND CHIEF LEGAL OFFICER ARE COMPENSATED FOR THEIR SERVICES BY GASTON MEMORIAL HOSPITAL, 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, 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. BOARD MEMBERS WHO SERVE ON THE COMPENSATION COMMITTEE ARE INDEPENDENT AND FREE OF 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 LEAVES THE MEETING AND DOES NOT PARTICIPATE IN THE DISCUSSION OR DECISION-MAKING BY THE REMAINING INDEPENDENT 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, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT 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. PART XII, LINE 2C RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT: THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. CAROMONT SPECIALITY GROUP LLC 2240 REMOUNT RD GASTONIA NC 28054 522451748 MEDICAL SERVICES NC 0 0 CAROMONT MEDICAL GROUP INC CAROMONT SOUTH POINT LLC 2240 REMOUNT RD GASTONIA NC 28054 205453221 MEDICAL SERVICES NC 13207997 885482 CAROMONT MEDICAL GROUP INC CMG - GASTON WOMENS HEALTHCARE LLC 2240 REMOUNT RD GASTONIA NC 28054 205894683 MEDICAL SERVICES NC 4993550 315559 CAROMONT MEDICAL GROUP INC CMG - FAMILY MEDICINE OF CLEVELAND COUNTY LLC 2240 REMOUNT RD GASTONIA NC 28054 205925671 MEDICAL SERVICES NC 0 0 CAROMONT MEDICAL GROUP INC ASHLEY WOMENS CMG LLC 2240 REMOUNT RD GASTONIA NC 28054 264369018 MEDICAL SERVICES NC 11178839 1430649 CAROMONT MEDICAL GROUP INC CS CMG LLC 2240 REMOUNT RD GASTONIA NC 28054 272146660 MEDICAL SERVICES NC 0 0 CAROMONT MEDICAL GROUP INC GS CMG LLC 2240 REMOUNT RD GASTONIA NC 28054 272146801 MEDICAL SERVICES NC 0 0 CAROMONT MEDICAL GROUP INC CAROMONT HEALTH INC 2525 COURT DRIVE GASTONIA NC 28054 581636959 MEDICAL SERVICES NC 501(C)(3) LINE 11B, II N/A 0 CAROMONT HEALTH SERVICES INC 2526 COURT DRIVE GASTONIA NC 28054 561455630 OUTPATIENT SERVICES NC 501(C)(3) LINE 3 CAROMONT HEALTH INC 0 GASTON MEMORIAL HOSPITAL FOUNDATION INC 2527 COURT DRIVE GASTONIA NC 28054 561479699 FOUNDATION NC 501(C)(3) LINE 9 CAROMONT HEALTH INC 0 HOSPICE OF GASTON COUNTY INC 2529 COURT DRIVE GASTONIA NC 28054 581341530 HOSPICE CARE NC 501(C)(3) LINE 7 CAROMONT HEALTH INC 0 GASTON MEMORIAL HOSPITAL INC 2530 COURT DRIVE GASTONIA NC 28054 560619359 HOSPITAL NC 501(C)(3) LINE 3 CAROMONT HEALTH INC 0 GASTON EMERGENCY PHYSICIANS INC 2531 COURT DRIVE GASTONIA NC 28054 562209423 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 11A, I CAROMONT HEALTH INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1