2025-03-26T07:21:19+00:00 2024-06-30 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-07-01 560619359 GASTON MEMORIAL HOSPITAL INC GAST 7048342000 2525 COURT DRIVE GASTONIA NC 28054 David O Connor EVP, CFO 7048342000 2025-03-26 true true Amy Bibby P00445891 8282542254 2025-03-25 2023 2025-03-06 01:10:19Z CAROMONT REGIONAL MEDICAL CENTER DAVID O'CONNOR 2525 COURT DRIVE GASTONIA NC 28054 791079061 false X WWW.CAROMONT.ORG X 1945 NC TO PROVIDE COMPASSIONATE, EXCEPTIONAL, AND HIGHLY RELIABLE CARE. 14 10 4461 164 91099 6232 437208 734159 705072770 785308522 192832 -10558 4155598 4859111 709858408 790891234 1200577 1073616 0 0 290909667 320795138 0 0 0 358682059 378920053 650792303 700788807 59066105 90102427 838442096 895064025 443981255 442450216 394460841 452613809 TO PROVIDE COMPASSIONATE, EXCEPTIONAL AND HIGHLY RELIABLE CARE. false false 649498225 1073616 785217423 CAROMONT 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. 649498225 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false true X 255 0 true 4461 true true true false false false false false false false false false true false X 14 10 false false false false true true true true true false false true true true true true true true true false NC X THE ORGANIZATION 7048342000 2525 COURT DRIVE GASTONIA NC 28054 Mr David Payseur Treasurer 1.0 1.0 X X 0 0 0 Mr Jeffrey Cash Chair 1.0 1.0 X X 0 0 0 Mr Tim Efird Vice chair 1.0 1.0 X X 0 0 0 Rev Dr Pearl Burris-Floyd Secretary 1.0 40.0 X X 0 122443 0 Dr Heath High Chief of Staff (COS) Elect through 12/31/23 (non-voting); COS starting 1/1/24 1.0 40.0 X 0 524047 59856 Dr Jay Hendler Chief of Staff (COS) through 12/31/23; Immediate Past COS starting 1/1/24 (non-voting) 1.0 40.0 X 0 500289 58372 Dr Micheal Gaslin Past-Chief-of-Staff (non-voting) through 12/31/2023 1.0 1.0 X 20000 0 0 Dr Shiddhi Patel Chief-of Staff Elect (non-voting) starting 1/1/2024 1.0 40.0 X 0 383463 53086 Mr Bob Hovis Director 1.0 1.0 X 0 32703 0 Mr Dan Boyd Director 1.0 1.0 X 0 0 0 Mr Frank Stewart Director 1.0 1.0 X 0 0 0 Mr Jason Austell Director 1.0 1.0 X 0 0 0 Mr Jay McGraw Director 1.0 1.0 X 0 0 0 Mr Joseph Davis Jr Director 1.0 1.0 X 0 0 0 Ms Annette Carter Director 1.0 1.0 X 0 0 0 Ms Janie Peak Director 1.0 1.0 X 0 0 0 Rev Dr Benjamin Hinton Director 1.0 1.0 X 0 0 0 Mr David O'Connor EVP/CFO/Asst. Treasurer 45.0 10.0 X 956025 0 184000 Mr K Christopher Peek CEO 45.0 10.0 X 1764966 0 309455 Ms Leigh Hickman CLO/Asst. Sec. 45.0 10.0 X 564906 0 110160 Dr Todd Davis EVP Chief Physician Executive 45.0 10.0 X 1048889 0 196368 Mr Danny Wharton Chief Operating Officer 45.0 10.0 X 670464 0 133444 Dr George Adcock III VP Medical Affairs 40.0 10.0 X 605913 0 129008 Mr Frank Murphy VP Strategy Business Development 40.0 10.0 X 703917 0 98212 Mr Joel Riddle VP Human Resources 40.0 10.0 X 500210 0 47907 Mr Richard Blackburn VP Support Services 40.0 10.0 X 517138 0 197012 Ms Robin Lang VP Chief Information Officer 40.0 10.0 X 550336 0 132449 7902764 1562945 1709329 494 false true false THE ROBINS AND MORTON GROUP 400 SHADES CREEK PARKWAY BIRMINGHAM AL 352465870 CONTRUCTION MANAGEMENT 88604814 SHC SERVICES INC PO BOX 677896 DALLAS TX 752677896 TEMP PERSONNEL 45196571 SAMET CORPORATION 309 GALLIMORE DAIRY RD GREENSBORO NC 27419 CONTRUCTION MANAGEMENT 6647476 MCMILLAN PAZDAN SMITH LLC PO BOX 36349 CHARLOTTE NC 28236 CONTRUCTION MANAGEMENT 2608488 PC GODFREY INC PO BOX 668567 - FREEDOM STATIO CHARLOTTE NC 28266 CONTRUCTION MANAGEMENT 2166655 79 490585 243574 734159 Patient Service Revenue 621500 784660390 784660390 Ancillary Revenue 621500 648132 557033 91099 0 0 0 0 785308522 177269 177269 0 0 187827 -187827 0 -187827 -187827 Cafeteria & Vending Income 900099 2744102 2744102 Miscellaneous Revenue 900099 1960135 1960135 Pharmacy Revenue 621500 106770 106770 48104 0 0 48104 4859111 790891234 785217423 91099 4848553 X 1073410 1073410 206 206 5005251 5005251 259327974 236667478 22660496 5262761 4711948 550813 33318040 29830894 3487146 17881112 16009632 1871480 1037736 1037736 1634525 1634525 184429 184429 49500 49500 15 15 83052836 77917394 5135442 0 2303630 551040 1752590 13111113 5070011 8041102 3107832 3107832 7141157 7141157 152238 104434 47804 1020241 356331 663910 7992689 7992689 45502764 45502764 2119960 2119960 Medical Supplies 134614653 134614653 Bad Debt 57385079 57385079 Medicaid Assessment Fee 12782185 12782185 Equipment Rental & Maintenance 3288171 3266945 21226 2439300 2254447 184853 0 700788807 649498225 51290582 0 5 83316902 80096437 0 0 3756000 12723915 13836565 5054592 9894677 1159438949 477321936 622309644 682117013 18663032 348729 0 0 96374006 105014604 838442096 895064025 132406624 135340541 250284717 236808736 0 61289914 70300939 443981255 442450216 X 339071374 403966316 55389467 48647493 394460841 452613809 838442096 895064025 X 90102427 1018 -31950477 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 148138 false true 48517 196655 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY ANNUAL 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. 12061 12061 12061 12061 12061 12061 10190 1941 70 12061 10310 228 348 10190 0.0 1.0 0.0 false false 8533601 8533601 473334546 235925642 237408904 10171125 9447379 723746 307293951 217437878 89856073 360105726 14511037 345594689 682117013 NET PENSION ASSET/DEFERRAL 83095781 DEFERRED FINANCING COSTS 601358 OTHER RECEIVABLES 6759302 DEFERRED CHARGE-INTEREST RATE SWAP 3357396 SBITA 11200767 Invest in CIS Ltd 105014604 ESTIMATED 3RD PARTY SETTLEMENTS 63851847 INTEREST RATE SWAP LIABILITY 3357396 PENSION DEFERRED INFLOW 3091696 70300939 X 704507671 1018 2950990 2952008 701555663 15 89335556 89335571 790891234 646354703 2950990 2950990 643403713 15 57385079 57385094 700788807 Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR ONCOLOGY MEDICATIONS FOR INDIGENT PATIENTS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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, 2024 AND 2023. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Provider Relief Funds - 2930738 Expenses in Revenues - 20252 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements INTERCOMPANY Transfer FROM Affiliate - 31950477 Bad Debt Expense - 57385079 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Provider Relief Funds - 2930738 Expenses in Revenues - 20252 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Bad Debt Expense - 57385079 true true true X true X true true false true true 7595687 7595687 0.0118 138193366 140226657 0 0.0 0 0.0 0 0 145789053 140226657 7595687 0.0118 2210417 7290 2203127 0.0034 4156576 96740 4059836 0.0063 38274561 20844262 17430299 0.0271 440183 134161 306022 0.0005 1226914 1226914 0.0019 0 0 46308651 21082453 25226198 0.0392 0 0 192097704 161309110 32821885 0.0510 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1407967 1407967 0.0022 0 0.0 0 0 1407967 0 1407967 0.0022 57385079 3622734 84295650 98331512 -14035862 X true true 1 1 CAROMONT REGIONAL MEDICAL CENTER 2525 COURT DRIVE GASTONIA NC 28054 X X X 3 DIAGNOSTIC IMAGING CENTERS AND 6 OP SERVICE CENTERS CAROMONT REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X 21 true false true true X www.caromonthealth.org X www.gastongov.com/departments/health-and-human-services X X true 21 true https://www.caromonthealth.org/documents/FY21_Presentation_CHNA-(1).pdf false true X 200.0 200.0 X X X X true true X X X X true X https://caromonthealth.org/patients-visitors/financial-assistance/ X https://caromonthealth.org/patients-visitors/financial-assistance/ X https://caromonthealth.org/patients-visitors/financial-assistance/ X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 1 - CAROMONT REGIONAL MEDICAL CENTER. Collection actions are taken after reasonable efforts have been made to determine patient's eligibility for assistance. 0 Schedule H, Part I, Line 7h CaroMont 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 1 The Organization complies with the reporting requirements of GASB. Statement No. 15 is not applicable. Schedule H, Part V, Section B, Line 16a The 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 18e COLLECTION ACTIONS ARE TAKEN AFTER REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE PATIENT'S ELIGIBILITY FOR ASSISTANCE. Schedule H, Part I, Line 3c FREE 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 6a COMMUNITY 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 calculation 57385079 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The 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 Activities CaroMont 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 amount Accounts 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 Methodology For 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 footnote THE 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 costs The 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 assistance THE 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 assessment CaroMont 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 assistance The 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 information Gaston 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 health Community 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 system Established 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 report NC true KINTEGRA HEATLH 581958398 501(C)(3) 252913 Community Assistance COMMUNITY FOUNDATION 581340834 501(C)(3) 100000 Community Assistance GASTON BUSINESS ASSOC 560232990 501(C)(3) 84000 Community Assistance GASTON COUNTY SCHOOLS 566001032 501(C)(3) 75000 Community Assistance GASTON TOGETHER 562048064 501(C)(3) 22000 Community Assistance CANCER SERVICES OF GASTON COUNTY 561164253 501(C)(3) 19000 Community Assistance HEART SOCIETY OF GASTON COUNTY 561330921 501(C)(3) 16050 Community Assistance BOYS AND GIRLS CLUB OF GREATER GASTON 561419498 501(C)(3) 13610 Community Assistance THE CATERINE PHARR CARSTARPHEN 560623961 501(C)(3) 13000 Community Assistance CHERRYVILLE CHAMBER OF COMMERCE INC 560635698 501(C)(6) 10000 Community Assistance CITY OF BESSEMER CIT 566001177 Governmental 10000 Community Assistance CITY OF GASTONIA 566000227 Governmental 10000 Community Assistance CITY OF KINGS MOUNTAIN Governmental 10000 Community Assistance CITY OF MOUNT HOLLY 566001295 Governmental 10000 Community Assistance DOWNTOWN BELMONT DEVELOPMENT ASSOCIATION 474333734 501(C)(3) 10000 Community Assistance GASTON COMMUNITY FOUNDATION 581340834 501(C)(3) 10000 Community Assistance MEDASSIST OF MECKLENBURG 562018957 501(C)(3) 10000 Community Assistance THE LEUKEMIA AND LYMPHOMA SOCIETY 135644916 501(C)(3) 10000 Community Assistance CITY OF LOWELL 566003509 Governmental 5500 Community Assistance AMERICAN LEGION POST 100 566088212 501(C)(19) 5000 Community Assistance GASTON COLLEGE FOUNDATION 237079454 501(C)(3) 5000 Community Assistance GASTON COUNTY EDUCATION FOUNDATION 561764830 501(C)(3) 5000 Community Assistance HOLY ANGELS FOUNDATION 561762654 501(C)(3) 5000 Community Assistance 23 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. OTHER 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. X X true false X X X X X false true false false false true true false false Dr Jay Hendler Chief of Staff (COS) through 12/31/23; Immediate Past COS starting 1/1/24 (non-voting) 0 426740 0 69600 0 3949 0 43200 0 15172 0 558661 0 0 Dr Heath High Chief of Staff (COS) Elect through 12/31/23 (non-voting); COS starting 1/1/24 0 369678 0 153073 0 1296 0 35506 0 24350 0 583903 0 0 Dr Shiddhi Patel Chief-of Staff Elect (non-voting) starting 1/1/2024 0 343964 0 38232 0 1267 0 28745 0 24341 0 436549 0 0 Mr K Christopher Peek CEO 1025632 0 515175 0 224159 0 284284 0 25171 0 2074421 0 188258 0 Mr David O'Connor EVP/CFO/Asst. Treasurer 602432 0 243238 0 110355 0 159219 0 24781 0 1140025 0 95362 0 Ms Leigh Hickman CLO/Asst. Sec. 376380 0 127220 0 61306 0 93072 0 17088 0 675066 0 47249 0 Mr Danny Wharton Chief Operating Officer 447130 0 176418 0 46916 0 121124 0 12320 0 803908 0 36918 0 Dr Todd Davis EVP Chief Physician Executive 668559 0 269166 0 111164 0 171587 0 24781 0 1245257 0 92469 0 Dr George Adcock III VP Medical Affairs 404166 0 137602 0 64145 0 104259 0 24749 0 734921 0 51109 0 Mr Richard Blackburn VP Support Services 346819 0 112421 0 57898 0 181656 0 15356 0 714150 0 0 0 Ms Robin Lang VP Chief Information Officer 370858 0 123370 0 56108 0 120236 0 12213 0 682785 0 45819 0 Mr Frank Murphy VP Strategy Business Development 369670 0 126165 0 208082 0 82614 0 15598 0 802129 0 148818 0 Mr Joel Riddle VP Human Resources 194358 0 98253 0 207599 0 34564 0 13343 0 548117 0 95303 0 Schedule J, Part I, Line 1a Travel for companions THE 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 fees THE 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 plan THE 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 organization EXECUTIVE 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 organization EXECUTIVE 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. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2003-01-23 120000000 See Part VI false false false B NORTH CAROLINA MEDICAL CARE COMISSION 521309402 2019-11-19 41460000 See Part VI false false false C NORTH CAROLINA MEDICAL CARE COMISSION 521309402 2021-02-10 129092857 See Part VI false false false A 29600000 123594002 5150936 1256069 3386000 91583288 22217709 2005 false true true true B 7785000 41460000 false true true true C 1085000 129463222 1064190 128399033 2024 false false false false A false false true true true true 0.0013 0.0013 false true 0.0011 false true B false false false false 0.0003 0.0003 false false true C false false false false 0.0003 0.0003 false false true A false false false true true true MERRILL LYNCH CAPIT 31.6 true false false false true B false false false false true false false false true C false false false false true false false false true A true B false C false 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 PURPOSE ISSUE 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 A LINE 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 C LINE 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 PROCEEDS OTHER 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 A Issuer name: NORTH CAROLINA MEDICAL CARE COMMISSION The calculation for computing no rebate due was performed on 12/05/2017 Form 990, Part V and Part VII COMMON 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 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VI, Line 6 Classes of members or stockholders THE 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 body THE 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 stockholders 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, Line 11b Review of form 990 by governing body THE 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 policy MEMBERS 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 official THE 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 employees THE 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 public 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. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Discounts & 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 Fees Contract 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 balances Intercompany Transfer to Affiliate - -31950477; Form 990, Part XII, Line 2c THE PROCESS HAS NOT CHANGED FROM LAST YEAR. CAROMONT HEALTH INC 25225 COURT DRIVE GASTONIA NC 28054 581636959 MEDICAL SERVICES NC 501(c)(3) Type II N/A false CAROMONT HEALTH SERVICES INC 2526 COURT DRIVE GASTONIA NC 28054 561455630 OUTPATIENT SERVICES NC 501(c)(3) 3 CAROMONT HEALLTH INC true GASTON MEMORIAL HOSPITAL FOUNDATION INC 2527 COURT DRIVE GASTONIA NC 28054 561479699 FOUNDATION NC 501(c)(3) 7 CAROMONT HEALLTH INC true CAROMONT MEDICAL GROUP INC 2528 COURT DRIVE GASTONIA NC 28054 561479712 MEDICAL GROUP NC 501(c)(3) 10 CAROMONT HEALLTH INC true HOSPICE OF GASTON COUNTY INC 2529 COURT DRIVE GASTONIA NC 28054 581341530 HOSPICE CARE NC 501(c)(3) 7 CAROMONT HEALLTH INC true GASTON COUNTY PO BOX 1578 GASTONIA NC 280531578 566000300 GOVERNMENT ADMINISTRATION NC 501(c)(1) N/A false false false true false false false false false false true true true true true true true true true true