GASTON MEMORIAL HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: GASTON MEMORIAL HOSPITAL INC (EIN 56-0619359)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-07
IRS object ID: 201831279349301798
Schema version: 2016v3.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-07T15:37:00-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	560747981	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560619359	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GASTON MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GAST	BusinessNameControlTxt
Phone	7048342000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 Court Drive	AddressLine1Txt
City	GASTONIA	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28054	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	signing officer	PersonNm
Person Title	EVP, CFO	PersonTitleTxt
Phone	7048342000	PhoneNum
Signature	2018-05-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CAROMONT REGIONAL MEDICAL CTR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DAVID O'CONNOR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 Court Drive	AddressLine1Txt
City	GASTONIA	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28054	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$484,379,001	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CAROMONT.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1945	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	To provide exceptional health care to the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3580	TotalEmployeeCnt
Total Volunteers	207	TotalVolunteersCnt
Total Gross UBI	$396,371	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$49,707	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$425,622	PYContributionsGrantsAmt
CY Contributions Grants	$484,202	CYContributionsGrantsAmt
PY Program Service Revenue	$460,065,910	PYProgramServiceRevenueAmt
CY Program Service Revenue	$479,845,593	CYProgramServiceRevenueAmt
PY Investment Income	$331,205	PYInvestmentIncomeAmt
CY Investment Income	$30,286	CYInvestmentIncomeAmt
PY Other Revenue	$4,437,368	PYOtherRevenueAmt
CY Other Revenue	$3,487,850	CYOtherRevenueAmt
PY Total Revenue	$465,260,105	PYTotalRevenueAmt
CY Total Revenue	$483,847,931	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,196,625	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$913,014	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$183,770,425	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$199,154,895	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$250,673,308	PYOtherExpensesAmt
CY Other Expenses	$250,531,058	CYOtherExpensesAmt
PY Total Expenses	$435,640,358	PYTotalExpensesAmt
CY Total Expenses	$450,598,967	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,619,747	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$33,248,964	CYRevenuesLessExpensesAmt
Total Assets BOY	$434,982,179	TotalAssetsBOYAmt
Total Assets EOY	$425,694,209	TotalAssetsEOYAmt
Total Liabilities BOY	$330,366,723	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$315,375,438	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$104,615,456	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$110,318,771	NetAssetsOrFundBalancesEOYAmt
Mission	To provide exceptional health care to the communities we serve.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$420,140,294	ExpenseAmt
Grant	$913,014	GrantAmt
Revenue	$479,993,132	RevenueAmt
Desc	CaroMont's philosophy of care plays three distinct roles. It's a health system that strategically invests in the future of healthcare, from research to education. It's an active community partner, driving programs that encourage healthy choices even before patients walk through our doors. It's a dynamic organization on a path of continuous improvement, delivering both world-class medicine and compassionate, personal care. The fiscal year ending June 30, 2017 saw CaroMont Health living its vision to be a nationally recognized leader and valued community partner. The complete 2017 Community Report can be found at www.caromonthealth.org	Desc
Total Program Service Expenses	$420,140,294	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	782	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3580	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID O'CONNOR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7048342000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 COURT DRIVE	AddressLine1Txt
City	GASTONIA	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28054	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
K Christopher Peek
CHAIR (CEO/PRES. BEG. MAY '17)	45.00	10.00	Yes (X)	Yes (X)	$0	$0	$0
MR Barry M Pomeroy
SEC. THRU. MAY'17/CHAIR BEG.MAY'17	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MR DONNIE LOFTIS
VICE CHAIR	1.00	2.00	Yes (X)	Yes (X)	$851	$0	$0
MR JAMES R Beam
TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MR MICHAEL PRICE
Director (RESIGNED 5/17)	1.00	1.00	Yes (X)		$0	$0	$0
Ms Annette Carter
Director	1.00	1.00	Yes (X)		$0	$0	$0
MR JOSEPH B DAVIS JR
Director	1.00	2.00	Yes (X)		$0	$0	$0
MR TIMOTHY E GAUSE
Director	1.00	2.00	Yes (X)		$600	$0	$0
MR WILLIAM ANTHONY
Director	1.00	1.00	Yes (X)		$0	$0	$0
MR W MICHAEL DICKSON
Director	1.00	2.00	Yes (X)		$0	$0	$0
Dr Charles Meakin III
Director	1.00	3.00	Yes (X)		$0	$0	$0
Ms Pearl Burris Floyd
Director	1.00	2.00	Yes (X)		$0	$0	$0
Mr J Christopher Howell
Director (RESIGNED 10/16)	1.00	1.00	Yes (X)		$0	$0	$0
Dr GE Ward Adcock III
PAST Chief-of-Staff	1.00	1.00	Yes (X)		$0	$312,229	$31,458
MR TOM KEIGHER
DIRector	1.00	2.00	Yes (X)		$0	$21,639	$0
DR PATRICK RUSSO
CHIEF-OF-STAFF	1.00	2.00	Yes (X)		$0	$618,820	$37,077
MR DAVID PAYSEUR
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
David O'Connor
EVP/CFO/Asst. Treasurer	45.00	10.00		Yes (X)	$565,374	$0	$108,958
Maria Long
EVP CLO/AS (THRU. APRIL '17)	45.00	10.00		Yes (X)	$470,930	$0	$81,698
Doug Luckett
CEO/PRESIDENT (THRU. MAR '17)	45.00	10.00		Yes (X)	$942,496	$0	$185,029
Todd Davis md
EVP/CMO (INTERIM CEO/PRES.MAR'17-MAY'17)	45.00	10.00		Yes (X)	$465,740	$0	$100,433
LEIGH HICKMAN
CLO/AS (BEG. MAY '17)	45.00	10.00		Yes (X)	$195,813	$0	$20,451
Kathleen K Besson
EVP/COO	40.00				$484,475	$0	$104,409	Yes (X)
ANDREA K SERRA
VP COMMUNITY CARE	40.00				$331,780	$0	$62,022		Yes (X)
Elizabeth McCraw
VP Human Resources	40.00				$326,971	$0	$70,836		Yes (X)
MICHAEL R JOHNSON
VP CIO	40.00				$377,716	$0	$40,534		Yes (X)
RICHARD C BLACKBURN
VP Support Services	40.00				$295,509	$0	$41,876		Yes (X)
MOHAMADSALIM M SAIYED
CHIEF MEDICAL INFO OFFICER	40.00				$420,544	$0	$23,039		Yes (X)
WAYNE F SHOVELIN
FORMER CEO	0.00				$171,650	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,050,449	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$952,688	TotReportableCompRltdOrgAmt
Total Other Compensation	$907,820	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	144	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ARAMARK CT
12483 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	BIOMED EQUIPMENT SERVICES	$4,509,076
BRASFIELD AND GORRIE LLC
PO BOX 11407	BIRMINGHAM	AL	352460351	CONSTRUCTION MANAGEMENT	$4,385,048
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	SOFTWARE SYSTEMS	$3,836,401
MORRISONS MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	CAFETERIA MANAGEMENT	$3,598,546
EDIFICE INC
PO BOX 36349	CHARLOTTE	NC	28236	CONTRACTOR	$2,073,400

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
Related Organizations	$476,694	RelatedOrganizationsAmt
All Other Contributions	$7,508	AllOtherContributionsAmt
Total Contributions	$484,202	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES REVENUE	621500	$476,357,283	$476,357,283
ANCILLARY REVENUE	621500	$3,488,310	$3,488,310

Field	Value	IRS element (for citing)
Total Program Service Revenue	$479,845,593	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$224,306	TotalRevenueColumnAmt
Unrelated Business Revenue	$68,033	UnrelatedBusinessRevenueAmt
Exclusion	$156,273	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$414	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$194,434	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$414	SecuritiesAmt
Other	-$194,434	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$194,020	TotalRevenueColumnAmt
Exclusion	-$194,020	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$376,996	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$336,636	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,360	TotalRevenueColumnAmt
Exclusion	$40,360	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA & VENDING INCOME	722210	$2,159,782	$2,159,782
MISCELLANEOUS	900099	$636,585	$636,585
OUTSIDE LAB SERVICES	621500	$296,717		$296,717

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$354,406	TotalRevenueColumnAmt
Related Or Exempt Func Income	$147,539	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$31,621	UnrelatedBusinessRevenueAmt
Exclusion	$175,246	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,447,490	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$483,847,931	TotalRevenueColumnAmt
Related Or Exempt Func Income	$479,993,132	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$396,371	UnrelatedBusinessRevenueAmt
Exclusion	$2,974,226	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$890,175	TotalAmt
Program Services	$890,175	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$22,839	TotalAmt
Program Services	$22,839	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,354,485	TotalAmt
Program Services	$470,897	ProgramServicesAmt
Management And General	$1,883,588	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$73,541	TotalAmt
Program Services	$73,541	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$152,357,575	TotalAmt
Program Services	$136,104,047	ProgramServicesAmt
Management And General	$16,253,528	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,046,971	TotalAmt
Program Services	$7,986,886	ProgramServicesAmt
Management And General	$1,060,085	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,375,078	TotalAmt
Program Services	$21,518,910	ProgramServicesAmt
Management And General	$2,856,168	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,947,245	TotalAmt
Program Services	$9,664,494	ProgramServicesAmt
Management And General	$1,282,751	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$56,256	TotalAmt
Program Services	$56,256	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$316,231	TotalAmt
Management And General	$316,231	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$152,000	TotalAmt
Management And General	$152,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$34,122	TotalAmt
Management And General	$34,122	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$9	TotalAmt
Management And General	$9	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,715,655	TotalAmt
Program Services	$36,512,993	ProgramServicesAmt
Management And General	$3,202,662	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$715,101	TotalAmt
Program Services	$136,628	ProgramServicesAmt
Management And General	$578,473	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,497,330	TotalAmt
Program Services	$2,637,878	ProgramServicesAmt
Management And General	$1,859,452	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,286,367	TotalAmt
Program Services	$1,286,367	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,469,553	TotalAmt
Program Services	$10,469,553	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$180,656	TotalAmt
Program Services	$87,395	ProgramServicesAmt
Management And General	$93,261	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$693,988	TotalAmt
Program Services	$267,075	ProgramServicesAmt
Management And General	$426,913	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,809,416	TotalAmt
Program Services	$7,809,416	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,551,033	TotalAmt
Program Services	$36,551,033	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,746,530	TotalAmt
Program Services	$1,746,530	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UBI TAX	$36,249	$36,249
Supplies	$78,247,815		$78,247,815
Bad Debt	$56,708,778		$56,708,778
NC Medicaid Assessment	$4,536,703		$4,536,703

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,777,266	TotalAmt
Program Services	$6,354,085	ProgramServicesAmt
Management And General	$423,181	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$450,598,967	TotalAmt
Program Services	$420,140,294	ProgramServicesAmt
Management And General	$30,458,673	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$34,281	BOYAmt
EOY	$85,308	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$58,169,462	BOYAmt
EOY	$59,370,305	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,784,308	BOYAmt
EOY	$8,636,439	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,985,020	BOYAmt
EOY	$7,359,203	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$620,606,879	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$350,139,766	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$274,951,499	BOYAmt
EOY	$270,467,113	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$9,539	BOYAmt
EOY	$10,012	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,919,920	BOYAmt
EOY	$6,309,913	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,311,646	BOYAmt
EOY	$2,311,646	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$78,816,504	BOYAmt
EOY	$71,144,270	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$434,982,179	BOYAmt
EOY	$425,694,209	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,809,328	BOYAmt
EOY	$44,093,209	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$183,724,702	BOYAmt
EOY	$177,366,739	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,832,693	BOYAmt
EOY	$93,915,490	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$330,366,723	BOYAmt
EOY	$315,375,438	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$104,605,917	BOYAmt
EOY	$107,430,448	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,539	BOYAmt
EOY	$2,888,323	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$104,615,456	BOYAmt
EOY	$110,318,771	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$434,982,179	BOYAmt
EOY	$425,694,209	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$33,248,964	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$451	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$27,546,100	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$55,888	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$53,388	OtherActivitiesAmt
Total Lobbying Expenditures	$109,276	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Annual dues were paid to the North Carolina Hospital Association and the American Hospital Association, of which $21,388 was determined to be expenditures used in lobbying activities by these organizations. An additional $32,000 in fees were paid for lobbying expenditures. Lobbying registration is in the name of CaroMont Health, Inc. Lobbying expenditures are reporting on the Gaston Memorial Hospital, Inc Form 990.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,521	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,013	InvestmentEarningsOrLossesAmt
Other Expenditures	$693	OtherExpendituresAmt
End Year Balance	$9,841	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,002	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$278	InvestmentEarningsOrLossesAmt
Other Expenditures	$203	OtherExpendituresAmt
End Year Balance	$9,521	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,186	BeginningYearBalanceAmt
Contributions	$630	ContributionsAmt
Investment Earnings Or Losses	$405	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,219	OtherExpendituresAmt
End Year Balance	$10,002	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,488	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,251	InvestmentEarningsOrLossesAmt
Other Expenditures	$553	OtherExpendituresAmt
End Year Balance	$10,186	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,149	BeginningYearBalanceAmt
Contributions	$1,500	ContributionsAmt
Investment Earnings Or Losses	$962	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,123	OtherExpendituresAmt
End Year Balance	$9,488	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,513,806	OtherCostOrOtherBasisAmt
Book Value	$4,513,806	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$309,348,348	OtherCostOrOtherBasisAmt
Depreciation	$152,673,140	DepreciationAmt
Book Value	$156,675,208	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,951,749	OtherCostOrOtherBasisAmt
Depreciation	$7,372,756	DepreciationAmt
Book Value	$2,578,993	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$273,237,180	OtherCostOrOtherBasisAmt
Depreciation	$188,464,611	DepreciationAmt
Book Value	$84,772,569	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,555,796	OtherCostOrOtherBasisAmt
Depreciation	$1,629,259	DepreciationAmt
Book Value	$21,926,537	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$270,467,113	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
NET PENSION ASSET & PENSION DEFERRAL	$15,845,733
DEFERRED FINANCING COSTS	$1,475,892
OTHER RECEIVABLES	$3,240,641
457B PLAN ASSETS	$10,216,591
DEFERRED CHARGE - INTEREST RATE SWAP	$23,293,578
457F PLAN ASSETS	$1,121,835
PREPAID COUNTY LEASE	$15,950,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$71,144,270	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
457B PLAN LIABILITY	$10,216,591
ESTIMATED 3RD PARTY SETTLEMENTS	$54,387,023
INTEREST RATE SWAP LIABILITY	$23,293,578
457F PLAN LIABILITY	$1,121,835
PENSION DEFERRED INFLOW	$4,896,463

Field	Value	IRS element (for citing)
Total Liability	$93,915,490	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$399,514,334	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$451	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$451	RevenueNotReportedAmt
Revenue Subtotal	$399,513,883	RevenueSubtotalAmt
Investment Expenses Not Incld	$9	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$84,334,039	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$84,334,048	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$483,847,931	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$393,866,204	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$336,636	OtherExpensesIncludedAmt
Expenses Not Reported	$336,636	ExpensesNotReportedAmt
Expenses Subtotal	$393,529,568	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$9	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$57,069,390	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$57,069,399	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$450,598,967	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR ONCOLOGY MEDICATIONS FOR INDIGENT PATIENTS.
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, 2017 and 2016.
Part XI, Line 4b - Other Adjustments:	BAD DEBT INTERCOMPANY Transfer FROM Affiliate 26,552,880. CHANGE IN VALUE OF INTEREST RATE SWAP 993,220. BAD DEBT 56,708,778. EXPENSES IN REVENUES 933. AUXILIARY REVENUES 414,864. COSTS OF GOODS SOLD -336,636.
Part XII, Line 2d - Other Adjustments:	COSTS OF GOODS SOLD 336,636.
Part XII, Line 4b - Other Adjustments:	BAD DEBT 56,708,778. EXPENSES IN REVENUES 933. AUXILIARY EXPENSES 359,679.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,443,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,443,177	NetCommunityBenefitExpnsAmt
Total Expense	0.02400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,836,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,614,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,222,197	NetCommunityBenefitExpnsAmt
Total Expense	0.03610	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,279,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,614,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,665,374	NetCommunityBenefitExpnsAmt
Total Expense	0.06010	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,356,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,360	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,344,759	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,302,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$247,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,054,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$758,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$191,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$567,039	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,322,543	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,322,543	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,739,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$450,308	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,289,279	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,019,191	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,064,538	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,954,653	NetCommunityBenefitExpnsAmt
Total Expense	0.07610	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,266,417	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,266,417	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,266,417	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,266,417	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense	$56,708,778	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,751,299	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$99,336,520	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$114,283,576	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,947,056	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAROMONT REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 COURT DRIVE	AddressLine1Txt
City	GASTONIA	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28054	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	4 Diagnostic Imaging Centers and 6 OP Serivce Center	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CAROMONT REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.caromonthealth.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.gastongov.com/departments/health-and-human-services	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.caromonthealth.org/documents/For-Healthcare-Professionals/Gaston	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE DISCLOSURE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE DISCLOSURE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE DISCLOSURE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 5: 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 and CaroMont Health. Data in this assessment is derived from three sources: 1) Gaston County Health Data, 2) County Health Rankings and 3) Gaston County Quality of Life Survey, 2015. The Quality of Life Survey was conducted to assess the opinions of Gaston County residents regarding their personal health. To get a comprehensive picture of these opinions, four diverse groups were interviewed: 1) community leaders, 2) community residents, 3) high school juniors and 4) persons living in low-income areas throughout the county.
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 6b: The Hospital conducted their CHNA with the following organizations: Gaston County Health Department, Gaston Together, and United Way of Gaston County.
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 7d: Partnering agencies presented the CHNA at workshops, meeting and on agency websites to encourage community stakeholders to use them to enhance the wellbeing of Gaston County and its residents.
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 11: The CHNA was presented to the CaroMont Health Board on 5/23/16 which led into a discussion resulting in the following priorities being approved: 1) Increase mental health services provided by LCSWs in CaroMont Medical Group practices and 2) Standardization of chronic opioid management in CaroMont Medical Group. These priorities are a part of CaroMont Health's Corporate Goals. Identified needs that are not being addressed are: 1) illegal drug abuse, 2) teen pregnancy and 3) alcohol abuse. These can be better addressed by other local organizations.
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 13b: Regardless of income, assets are also used to determine if a patient qualifies for charity. Below is the verbiage from this policy: Exempt AssetsThe 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.
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 15e: 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.
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 16j: Plain language brochures at registration sites. Proactively communicating verbally or in writing to scheduled patients prior to service. Communicating in-house, during service, or after service to those most likely to require financial assistance.
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 18e: Collection actions are taken after reasonable efforts have been made to determine patient's eligibility for assistance.
CAROMONT REGIONAL MEDICAL CENTER	Part V, Section B, Line 20e: Plain language brochures at registration sites. Proactively communicating verbally or in writing to scheduled patient prior to service. Communicating in-house, during service, or after service to those most likely to require financial assistance.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 the self pay. 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 AssetsTHE 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.Part 1, 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.
Part I, Line 7:	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. No cost to charge ratios were used in the calculations.
Part I, Ln 7 Col(f):	56,708,778 Bad Debt Expense removed from total expenses prior to calculating Percent of Total Expense.
PART I, LINE 7H:	RESEARCH ACTIVITIES: CaroMont Health is involved in approximately 75 research studies, approximately forty percent 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 nursing and pharmacy research studies.
Part II, Community Building Activities:	Workforce Development - CaroMont Health's recruitment of employees, physicians and advanced care practitioners into the five counties the system serves is driven by the changing landscape of health care reform. The system recruits based on a Medical Staff Development Plan that identifies community health care needs for the next five years. 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.
Part III, Line 2:	Charges for services provided in the emergency department are evaluated for charity based on means testing. Charges for services provided elsewhere in the hospital are evaluated for charity based on means testing and/or applications filed by the patients. If no means testing is done and no application is filed, the unpaid amount is written-off to bad debt. The % of patients qualifying for charity in the Emergency Department was applied to the remainder of the hospital to determine the % of bad debt patients who could have been charity.
PART III, LINE 2:	Charges written off to bad debt were tabulated at the patient level and are reported at the amount charged to patients. 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. Part III, LINE 3: Charges for services provided in the emergency department are evaluated for charity based on means testing. Charges for services provided elsewhere in the hospital are evaluated for charity based on means testing and/or applications filed by the patients. If no means testing is done and no application is filed, the unpaid amount is written-off to bad debt. The % of patients qualifying for charity in the Emergency Department was applied to the remainder of the hospital to determine the % of bad debt patients who could have been charity. Part III, LINE 4: 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.
Part III, Line 8:	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. Using total costs from Medicare patients, the hospital had an acutal Medicare shortfall of $21.0 million.
Part III, Line 9b:	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 or at a reduced rate through the Charity Care Program. Determination of full or partial Charity Care will be based on the patient's income, family size, and assets. Potential eligibility exists only after reimbursement efforts from all other third party resources, federal, state, and local assistance programs have been exhausted.
Part VI, Line 2:	CaroMont Health establishes community priorities through a number of mechanisms: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 is analyzed to determine where and/or how services need to be improved.3. Service area data (vital statistics, demographics and utilization) are analyzed for trends. This information is coordinated with public health data to determine voids and service area health problems.4. Findings from community surveys/reports published by other organizations (United Way, Chamber of Commerce, Partnership for Children, Gaston County Government, etc.) are gathered and reviewed for pertinence to community health problems.5. Board members, senior leadership, and department directors are involved in numerous organizations in the community. Through this network of relationships, further information about the community and the needs of area residents and organizations are used in the development of programs and services available though CaroMont Health.
Part VI, Line 3:	The organization informs and educates the patients about their eligibility for assistance in several ways. A Charity and financial summary is on our website, and 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 and other insurance benefits and offer assistance with the applications. The communication is attempted as soon as possible. Written communication is made prior to collection agency placement.
Part VI, Line 4:	Gaston County, located in the Piedmont Region of North Carolina, is the organization's primary market. Lincoln, Cleveland and York County, as well as the northwest portion of Mecklenburg County, make up the health system's secondary market. According to the U.S. Census Bureau, Gaston County had an estimated population of 216,965, a median household income of $42,429 (2011-2015) and 17.3% of persons in poverty. The ethic/racial demographics state that 79.2% of the population identify themselves as White, 16.7% as Black or African American, 6.8% as Hispanic and 1.5% as Asian.
Part VI, Line 5:	Community HealthOur community health initiatives are focused primarily on disease prevention and better management of chronic illnesses. That includes working with local employers on innovative programs and collaborating with our health care neighbors, managing illness within our own workforce and heavily focusing on successful care coordination for patients with chronic disease. Additionally, CaroMont provides more thousands of dollars annually in sponsorship and grant support for local non-profits, community programs and services, and other community initiatives aimed at improving the health of our community. Through innovation and a focus on community wellness, CaroMont Health is determined to make positive impact on health and wellness of the populations we serve. Patient Centered Medical HomeThe Patient-Centered Medical Home is a health care setting that facilitates partnerships between patients and their personal physicians. The program provides medical practices with information about organizing patient-centered care, working in teams, and coordinating and tracking during the continuum of care. Currently, all Primary Care Practices in our system are recognized as Level 3 Patient-Centered Medical Homes by the National Committee of Quality Assurance (NCQA) - the highest recognition a clinic can obtain.Accountable Care OrganizationThe Institute for Healthcare Improvement has established a trio of objectives called the Triple Aim, which CaroMont Health has adopted:1 Improve the health of the population2 Enhance the patient experience (quality, access, reliability)3 Control costsThese three objectives are all critical components in being what is known in the industry as an Accountable Care Organization (ACO). In our steps toward becoming an ACO, CaroMont Health has executed changes that have lead, and will continue to lead, to better coordinated care with better outcomes at lower costs for patients. We also embrace the "medical home" concept, which is a national initiative designed to improve health care quality. Medical homes are patient centered, team-based approaches to care that have been shown to reduce hospital admissions and decrease costs. During fiscal year 2016 CaroMont's Medicare Shared Savings Program successfully reported shared savings while providing excellent care for the more than 10,000 beneficiaries in our area.
Part VI, Line 6:	CaroMont Regional Medical Center is a 435-bed acute care hospital associated with CaroMont Health, a regional, independent, not-for-profit health care system located in Gastonia, NC. The system is also comprised of Courtland Terrace, a 96-bed skilled nursing facility; Gaston Hospice, which includes the 19-bed Robin Johnson House inpatient facility; and CaroMont Medical Group, a network of 42 primary and specialty physician offices. CaroMont Health's vision is to be a nationally recognized leader and valued partner in promoting individual health and vibrant communities.CaroMont Regional Medical Center has 4 off-site imaging locations, a same-day surgery center, and 1 off-site emergency department. CaroMont Health also has a free-standing endoscopy center, 1 ambulatory surgery center, and 1 occupational medicine clinic.
Part VI, Line 7, Reports Filed With States	NC

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Gaston Family Health Services
991 West Hudson Boulevard	Gastonia	NC	28052	581958398	501(c)(3)	$307,992	Federally qualified Health Department offering medical care to low income residents.
GASTON COUNTY
128 WEST MAIN AVE	GASTONIA	NC	28052	566000300	GOVERNMENTAL	$439,045	Community Assistance
Gaston Regional Chamber
601 W Franklin Blvd	Gastonia	NC	28053	560232990	501(c)(6)	$14,000	Community Assistance
Gaston Together
PO Box 817	Gastonia	NC	28053	562048064	501(c)(3)	$26,500	Community Assistance
GASTON COUNTY FAMILY YMCA
201 SOUTH CLAY STREET	GAStonia	NC	28052	560655420	501(c)(3)	$140,500	Community Assistance
Community Foundation
1201 E Garrison Blvd	Gastonia	NC	28052	581340834	501(c)(3)	$20,000	Community Assistance
Montcross Area Chamber of Commerce
PO Box 368	Belmont	NC	28012	560710166	501(c)(6)	$12,500	Community Assistance
Gastonia Grizzlies
PO Box 177	Gastonia	NC	28053	421554288	n/a	$36,500	Community Assistance
Holy Angels Foundation
660 Wilkinson Blvd	Belmont	NC	28012	561762654	501(c)(3)	$16,450	Community Assistance
McAdenville Foundation
PO Box 1939	McAdenville	NC	28101	560623961	501(c)(3)	$10,000	Community Assistance
GASTON COUNTY SCHOOLS
PO BOX 1397	Gastonia	NC	280531397	566001032	GOVERNMENTAL	$61,411	Community Assistance
UNITED WAY OF GASTON COUNTY
200 EAST FRANKLIN BLVD	GAStonia	NC	28052	560653356	501(c)(3)	$12,000	Community Assistance
GIRLS ON THE RUN
190 S OAKLAND STREET	GAStonia	NC	28052	474179257	501(c)(3)	$10,000	Community Assistance
GREATER GASTON DEVELOPMENT CORPORATION
620 NORTH MAIN STREET	BELMONT	NC	28012	471726248	501(c)(3)	$10,000	Community Assistance	fmv	Nutritional supplements
MOUNT HOLLY FARMERS MARKET
PO BOX 352	MT HOLLY	NC	28120	260464156	501(c)(3)	$6,000	Community Assistance
GASTONIA EAST ROTARY CLUB
145 SOUTH MARIETTA STREET	GASTonia	NC	28052	237096884	501(c)(3)	$8,000	Community Assistance
Daniel Stowe Botanical Garden
6500 S New Hope Rd	Belmont	NC	28012	208362933	501(c)(3)	$30,500	Community Assistance
THE GASTON GAZETTE
1893 REMOUNT RD	GASTOnia	NC	28054	472464986	501(c)(6)	$8,000	Community Assistance
FAMILY CHRISTIAN CENTER
PO BOX 12528	Gastonia	NC	28052	561749935	501(c)(3)	$7,000	Community Assistance
HEART SOCIETY OF GASTON CTY
1201 EAST GARRISON BLVD	Gastonia	NC	28054	561330921	501(c)(3)	$6,000	Community Assistance
BACKPACK WEEKEND
PO BOX 551030	GAStonia	NC	28055	471591744	501(c)(3)	$5,000	Community Assistance
GASTON RESIDENTIAL
905 A NORTH NEW HOPE ROAD	GAStonia	NC	28054	510138261	501(c)(3)	$5,000	Community Assistance
NC HOSPITAL FOUNDATION
PO BOX 4449	CARY	NC	275194449	560641290	501(c)(3)	$5,000	Community Assistance	fmv	Misc Med Equipment
SHELTER OF GASTON COUNTY
330 NORTH MARIETTA STREET	GAStonia	NC	28052	566000300	GOVERNMENTAL	$5,000	Community Assistance

Field	Value	IRS element (for citing)
Total501c3 Org	20	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
AUXILIARY SCHOLARSHIPS	7	$9,698
ONCOLOGY PHARMACY ASSISTANCE	6	$693

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 2:	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.
Schedule I, Part III	The purpose of the Gertrude Clinton Health Careers Scholarship is to encourage medical and health-related professionals in the field of human services to practice their specialties at CaroMont Regional Medical Center or in Gaston County.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr GE Ward Adcock III
PAST Chief-of-Staff	$0	$191,508	$0	$119,424	$0	$1,297	$0	$14,143	$0	$17,315	$0	$343,687	$0	$0
DR PATRICK RUSSO
CHIEF-OF-STAFF	$0	$569,318	$0	$47,387	$0	$2,115	$19,402	$0	$17,675	$0	$37,077	$618,820	$0	$0
David O'Connor
EVP/CFO/Asst. Treasurer	$387,072	$0	$96,743	$0	$81,559	$0	$91,314	$0	$17,644	$0	$674,332	$0	$77,497	$0
Maria Long
EVP CLO/AS (THRU. APRIL '17)	$327,957	$0	$79,402	$0	$63,571	$0	$80,385	$0	$1,313	$0	$552,628	$0	$63,064	$0
Doug Luckett
CEO/PRESIDENT (THRU. MAR '17)	$618,606	$0	$202,993	$0	$120,897	$0	$167,333	$0	$17,696	$0	$1,127,525	$0	$119,305	$0
Todd Davis md
EVP/CMO (INTERIM CEO/PRES.MAR'17-MAY	$337,568	$0	$79,573	$0	$48,599	$0	$82,815	$0	$17,618	$0	$566,173	$0	$47,780	$0
LEIGH HICKMAN
CLO/AS (BEG. MAY '17)	$173,521	$0	$21,634	$0	$658	$0	$8,690	$0	$11,761	$0	$216,264	$0	$0	$0
Kathleen K Besson
EVP/COO	$345,017	$0	$85,867	$0	$53,591	$0	$86,788	$0	$17,621	$0	$588,884	$0	$49,906	$0
ANDREA K SERRA
VP COMMUNITY CARE	$238,381	$0	$57,856	$0	$35,543	$0	$53,316	$0	$8,706	$0	$393,802	$0	$34,450	$0
Elizabeth McCraw
VP Human Resources	$232,234	$0	$59,225	$0	$35,512	$0	$53,391	$0	$17,445	$0	$397,807	$0	$35,168	$0
MICHAEL R JOHNSON
VP CIO	$263,882	$0	$107,971	$0	$5,863	$0	$23,009	$0	$17,525	$0	$418,250	$0	$0	$0
RICHARD C BLACKBURN
VP Support Services	$209,823	$0	$52,685	$0	$33,001	$0	$41,876	$0	$0	$0	$337,385	$0	$31,683	$0
MOHAMADSALIM M SAIYED
CHIEF MEDICAL INFO OFFICER	$331,788	$0	$87,369	$0	$1,387	$0	$14,430	$0	$8,609	$0	$443,583	$0	$0	$0
WAYNE F SHOVELIN
FORMER CEO	$0	$0	$0	$0	$171,650	$0	$0	$0	$0	$0	$171,650	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	THE ORGANIZATION HAS A POLICY TO ADDRESS WHEN SPOUSAL TRAVEL IS PERMITTED AND PAYS CLUB DUES FOR THE EXECUTIVE FOR BUSINESS PURPOSES AS PART OF THE EMPLOYMENT CONTRACT.
Part I, Lines 4a-b	During the year the organization paid severance payments to the Former Officer, Key Employee, and Highly Compensated Employee identified below: Wayne F. Shovelin, Former Officer $171,650 The following individuals received deferred compensation allocations from the filing organization from a Supplemental Executive Retirement Plan (SERP): David O'Connor - $ 75,414 Maria Long - 63,307 Doug Luckett - 151,347 Andrea K. Serra - 36,265 Kathleen K. Besson - 67,556 Elizabeth McCraw - 36,428 Todd Davis, MD - 66,915 Richard C. Blackburn - 32,783
Part I, Line 6	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 SOLELY ON HIS/HER NET CHARGES LESS HIS/HER ALLOCABLE SHARE OF CLINIC OVERHEAD COSTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	65820HVF7	2003-01-23	$120,000,000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	65820HG64	2008-01-31	$118,400,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,300,000	$123,594,002	$5,150,936	$1,256,069	$3,386,000	$91,583,288	$22,217,709	2005	0	Yes (1)	Yes (1)	Yes (1)
B	$57,080,000	$118,650,022	$610,174	$917,471	$1,553,718	$28,952,424	$86,616,044	2009	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00140	0.00000	0.00140	0	Yes (1)	0.00110	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00010	0.00000	0.00010	0	Yes (1)	0.00040	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MERRILL LYNCH
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	CAPITAL SERVICES	31.600000000000	Yes (1)	0	0	0	Yes (1)
MERRILL LYNCH
B	0	0	Yes (1)	Yes (1)	0	Yes (1)	DERIVATIVE PRODUCTS	21.000000000000	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: NORTH CAROLINA MEDICAL CARE COMMISSION Date the Rebate Computation was Performed: 03/18/2013 Issuer Name: NORTH CAROLINA MEDICAL CARE COMMISSION Date the Rebate Computation was Performed: 02/25/2013
Schedule K Supplental 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) CAROMONT REGIONAL MEDICAL CENTER HOLDS THE LIABILITY FOR THE BONDS, PER AUDITED FINANCIAL STATEMENTS.
SCHEDULE K, PART I, LINE A, COLUMN (C):	THIS BOND ISSUE INCLUDES TWO CUSIPS MATURING ON THE SAME DATE: 65820HVG5 AND 65820HVF7.
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, ISSUED ON AUGUST 27, 1998. ISSUE B - THE SYSTEM USED THE PROCEEDS FROM THE BONDS FOR VARIOUS CAPITAL IMPROVEMENTS, INCLUDING, BUT NOT LIMITED TO, THE RENOVATION OF CERTAIN FLOORS OF THE PATIENT TOWER, RENOVATION OF THE DAY OF SURGERY UNIT, INSTALLATION OF FIRE SPRINKLERS IN NON-SPRINKLED AREAS, AND THE UPGRADE OF LIFE SAFETY AND CRITICAL POWER. IN ADDITION, THE HOSPITAL USED THE PROCEEDS TO REFUND THE AGGREGATE PRINCIPAL AMOUNT OF THE SERIES 1995 REVENUE BONDS, ISSUED ON NOVEMBER 15, 1995, IN THE AMOUNT OF $41,210,000 AND TO REFUND THE AGGREGATE PRINCIPAL AMOUNT OF THE SERIES 1998 REVENUE BONDS, ISSUED ON AUGUST 27, 1998, IN THE AMOUNT OF $49,710,000.
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 (B):	LINE 3 COLUMN (B) INCLUDES THE TOTAL INVESTMENT EARNINGS ON BOND PROCEEDS IN THE AMOUNT OF $ 249,831.
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, LINES 3 AND 4A, COLUMN (B):	THE SERIES 2008 BONDS WERE ORIGINALLY ISSUED AS VARIABLE BONDS BEARING INTEREST AT WEEKLY RATES. CAROMONT HEALTH, INC. ENTERED INTO INTEREST SWAP AGREEMENTS TO HEDGE ITS INTEREST RISK WITH RESPECT TO A PORTION OF THE SERIES 2008 BONDS. ON SEPTEMBER 1, 2010, THE SERIES 2008 BONDS WERE CONVERTED TO FIXED INTEREST RATES TO MATURITY. HOWEVER, THE INTEREST RATE SWAPS WERE NOT TERMINATED IN CONNECTION WITH SUCH FIXED RATE CONVERSION AND REMAIN IN EFFECT.
SCHEDULE K, PART IV, LINE 4C, COLUMN (B):	THIS BOND ISSUE HAS TWO HEDGE TERMS: 11.0 YEARS AND 21.0 YEARS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GENA POMEROY
FAMILY RELATIONSHIP WITH BOARD MEMBER	$52,972	COMPENSATION FOR EMPLOYEE SERVICES	0
STEPHEN O'CONNOR
FAMILY RELATIONSHIP WITH OFFICER	$10,465	COMPENSATION FOR EMPLOYEE SERVICES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 fourteen (14) members, all of whom shall be the members of the Board of Directors of CaroMont Health, Inc., and all of whom shall be appointed by the Board of Directors of CaroMont Health.
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 11b	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, Section B, line 12c	MEMBERS OF THE BOARD OF DIRECTORS, MEMBERS OF SENIOR LEADERSHIP, ANY PHYSICIAN HOLDING A LEADERSHIP OR ADMINISTRATIVE POSITION WITHIN THE ORGANIZATION, DIRECTORS, 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, Section B, line 15	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, 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 the 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, 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.
Form 990, Part XI, line 9:	INTERCOMPANY Transfer FROM Affiliate -26,552,880. CHANGE IN VALUE OF INTEREST RATE SWAP -993,220.
PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM LAST YEAR.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CaroMont Health Inc
2525 Court Drive	Gastonia	NC	28054	581636959	MEDICAL SERVICES	NC	501(c)(3)	Line 12b, II	N/A	0
CaroMont Health Services Inc
2526 Court Drive	Gastonia	NC	28054	561455630	OUTPATIENT SERVICES	NC	501(c)(3)	Line 3		0	CaroMont Health Inc
Gaston Memorial Hospital Foundation Inc
2527 Court Drive	Gastonia	NC	28054	561479699	FOUNDATION	NC	501(c)(3)	Line 10		0	CaroMont Health Inc
CaroMont Medical Group Inc
2528 Court Drive	Gastonia	NC	28054	561479712	MEDICAL GROUP	NC	501(c)(3)	Line 10		0	CaroMont Health Inc
Hospice of Gaston County Inc
2529 Court Drive	Gastonia	NC	28054	581341530	Hospice Care	NC	501(c)(3)	Line 7		0	CaroMont Health Inc
Gaston Emergency Physicians Inc
2531 Court Drive	Gastonia	NC	28054	562209423	Supporting Organization	NC	501(c)(3)	Line 12a, I		0	CaroMont Health Inc
GASTON COUNTY
PO BOX 1578	GASTONIA	NC	280531578	566000300	GOVERNMENT ADMINISTRATION	NC			N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd