GASTON MEMORIAL HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: GASTON MEMORIAL HOSPITAL INC (EIN 56-0619359)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-04-15
IRS object ID: 201601069349300010
Schema version: 2014v6.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-04-15T07:46:38-05:00	ReturnTs
Tax Period End	2015-06-30	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	2014-07-01	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	2016-04-15	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	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	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	$432,925,705	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3381	TotalEmployeeCnt
Total Volunteers	239	TotalVolunteersCnt
Total Gross UBI	$374,110	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$96,417	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$440,277	PYContributionsGrantsAmt
CY Contributions Grants	$403,474	CYContributionsGrantsAmt
PY Program Service Revenue	$414,500,109	PYProgramServiceRevenueAmt
CY Program Service Revenue	$426,753,833	CYProgramServiceRevenueAmt
PY Investment Income	$98,660	PYInvestmentIncomeAmt
CY Investment Income	-$1,432	CYInvestmentIncomeAmt
PY Other Revenue	$8,902,747	PYOtherRevenueAmt
CY Other Revenue	$5,300,270	CYOtherRevenueAmt
PY Total Revenue	$423,941,793	PYTotalRevenueAmt
CY Total Revenue	$432,456,145	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,026,120	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,154,560	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$170,707,984	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$177,029,770	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$211,881,223	PYOtherExpensesAmt
CY Other Expenses	$214,914,529	CYOtherExpensesAmt
PY Total Expenses	$383,615,327	PYTotalExpensesAmt
CY Total Expenses	$393,098,859	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,326,466	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,357,286	CYRevenuesLessExpensesAmt
Total Assets BOY	$372,724,775	TotalAssetsBOYAmt
Total Assets EOY	$398,347,138	TotalAssetsEOYAmt
Total Liabilities BOY	$316,668,651	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$322,645,715	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$56,056,124	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$75,701,423	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE EXCEPTIONAL HEALTH CARE TO THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$366,240,992	ExpenseAmt
Grant	$1,154,560	GrantAmt
Revenue	$426,961,973	RevenueAmt
Desc	2015 WAS A YEAR OF GROWTH AND COLLABORATION, A YEAR OF INNOVATION AND COMMITMENT. MOST OF ALL, IT WAS ANOTHER YEAR TO WORK TOWARD IMPROVING THE HEALTH OF ALL CITIZENS OF OUR COMMUNITY. WE ARE PROUD OF ALL OUR TEAM HAS ACCOMPLISHED IN PURSUIT OF INDIVIDUAL HEALTH AND A VIBRANT COMMUNITY.PLEASE SEE SCHEDULE O FOR A CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS.IN THE 2015 REPORT, YOU'LL FIND THAT 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-NOT SIMPLY ONE OR THE OTHER.THE FISCAL YEAR ENDING JUNE 30, 2015 SAW CAROMONT HEALTH LIVING ITS VISION TO BE A NATIONALLY RECOGNIZED LEADER AND VALUED COMMUNITY PARTNER. THE LAST 12 MONTHS HAVE BEEN FILLED WITH MANY SUCCESSES. IN WAYS LARGE AND SMALL, SERIOUS AND EXUBERANT, WE'VE BEEN FULLY ENGAGED IN CARING FOR GASTON COUNTY AND THE SURROUNDING REGION, UNWAVERING IN OUR PROMISE OF UNCOMPROMISED CARE TO THOSE WE SERVE.THE COMPLETE 2015 COMMUNITY REPORT CAN BE FOUND AT WWW.CAROMONTHEALTH.ORG	Desc
Total Program Service Expenses	$366,240,992	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	Yes (1)	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
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	709	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3381	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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 (32 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
MR WILLIAM ANTHONY
CHAIR - 2015	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
SHEILA S REILLY PHD
CHAIR - 2014	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MR W MICHAEL DICKSON
VICE CHAIR - 2015	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MR DONNIE LOFTIS
VICE CHAIR - 2014	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MR BARRY M POMEROY
SECRETARY - 2015	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MS ANNETTE CARTER
SECRETARY - 2014	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MR JAMES R BEAM
TREASURER - 2015	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MR M VINCENT QUINN
TREASURER - 2014	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
K CHRISTOPHER PEEK
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MR HOLT D ROBINSON
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MR JAMES W BAILEY
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MRS MARY FRANCES FORRESTER
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
DR CHARLES MEAKIN III
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MS PEARL BURRIS FLOYD
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MR H SPURGEON MACKIE JR
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MR DAVID ALLEN SMITH
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MR J CHRISTOPHER HOWELL
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MR R JASON WILLIAMS
DIRECTOR	1.00	25.00	Yes (X)		$0	$15,418	$0
DR GE WARD ADCOCK III
CHIEF-OF-STAFF	1.00	39.00	Yes (X)		$0	$360,232	$26,646
DAVID O'CONNOR
EVP/CFO/ASST. TREASURER	40.00	10.00		Yes (X)	$504,341	$0	$103,800
MARIA LONG
EVP CHIEF LEGAL OFFICER/ASST. SECRETARY	40.00	10.00		Yes (X)	$418,701	$0	$78,558
DOUG LUCKETT
CEO/PRESIDENT	40.00	10.00		Yes (X)	$857,315	$0	$171,735
KATHLEEN K BESSON
EVP/COO	40.00	10.00			$393,054	$0	$92,051	Yes (X)
TODD DAVIS MD
EVP/CMO	40.00	10.00			$402,490	$0	$75,515	Yes (X)
ANDREA K SERRA
VP WELLNESS DEVELOPMENT	40.00	10.00			$295,753	$0	$58,758		Yes (X)
ELIZABETH MCCRAW
VP HUMAN RESOURCES	40.00	10.00			$291,819	$0	$65,901		Yes (X)
MICHAEL R JOHNSON
VP CIO	40.00	10.00			$349,291	$0	$75,595		Yes (X)
RICHARD C BLACKBURN
VP SUPPORT SERVICES	40.00	10.00			$268,606	$0	$62,770		Yes (X)
BONNIE FAUST
VP/CNO	40.00	10.00			$251,808	$0	$47,785		Yes (X)
RANDALL L KELLEY
FORMER OFFICER	0.00	0.00			$648,281	$0	$0			Yes (X)
JERRY LEVINE
FORMER KEY EMPLOYEE	0.00	0.00			$505,682	$0	$0			Yes (X)
PENNY P COWDEN
FORMER HIGHLY COMPENSATED EMPLOYEE	0.00	0.00			$209,488	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,396,629	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$375,650	TotReportableCompRltdOrgAmt
Total Other Compensation	$859,114	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	140	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
THE ROBINS AND MORTON GROUP
400 SHADES PARKWAY	BIRMINGHAM	AL	35209	GENERAL CONTRACTING	$13,544,836
EPIC SYSTEMS CORP
1979 MILKY WAY	VERONA	WI	53593	SOFTWARE SYSTEMS	$9,148,125
MERCY SPECIALIZED BILLINGS SERVICES
14528 S OUTER FORTY RD	CHESTERFIELD	MO	63017	CONSULTING	$6,090,808
SIEMENS MEDICAL SOLUTIONS USA INC
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	INFORMATION SYSTEMS	$5,205,498
VARROW INC
11006 DRUSHMORE DR	CHARLOTTE	NC	28277	INFORMATION SYSTEMS	$4,896,169

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	54	CntrctRcvdGreaterThan100KCnt
Related Organizations	$397,754	RelatedOrganizationsAmt
All Other Contributions	$5,720	AllOtherContributionsAmt
Noncash Contributions	$49,601	NoncashContributionsAmt
Total Contributions	$403,474	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES REVENUE	621500	$426,282,620	$426,282,620
ANCILLARY REVENUE	621500	$471,213	$456,488	$14,725

Field	Value	IRS element (for citing)
Total Program Service Revenue	$426,753,833	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$330,349	TotalRevenueColumnAmt
Exclusion	$330,349	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,816	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,258	SecuritiesAmt
Other	$332,339	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$558	SecuritiesAmt
Other	-$332,339	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$331,781	TotalRevenueColumnAmt
Exclusion	-$331,781	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$183,734	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$133,963	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,771	TotalRevenueColumnAmt
Exclusion	$49,771	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA & VENDING INCOME	722210	$1,994,953	$1,994,953
MEANINGFUL USE	621500	$1,892,209	$1,892,209
MISCELLANEOUS	900099	$652,388	$652,388

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$710,949	TotalRevenueColumnAmt
Related Or Exempt Func Income	$222,865	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$359,385	UnrelatedBusinessRevenueAmt
Exclusion	$128,699	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,250,499	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$432,456,145	TotalRevenueColumnAmt
Related Or Exempt Func Income	$426,961,973	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$374,110	UnrelatedBusinessRevenueAmt
Exclusion	$4,716,588	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,094,691	TotalAmt
Program Services	$1,094,691	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$59,869	TotalAmt
Program Services	$59,869	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,134,450	TotalAmt
Program Services	$426,890	ProgramServicesAmt
Management And General	$1,707,560	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$136,695,933	TotalAmt
Program Services	$122,105,058	ProgramServicesAmt
Management And General	$14,590,875	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,064,979	TotalAmt
Program Services	$4,470,360	ProgramServicesAmt
Management And General	$594,619	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,066,963	TotalAmt
Program Services	$20,358,943	ProgramServicesAmt
Management And General	$2,708,020	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,067,445	TotalAmt
Program Services	$8,885,545	ProgramServicesAmt
Management And General	$1,181,900	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$396,372	TotalAmt
Program Services	$396,372	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,101,550	TotalAmt
Management And General	$1,101,550	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$160,365	TotalAmt
Management And General	$160,365	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$30,921	TotalAmt
Management And General	$30,921	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,587,174	TotalAmt
Program Services	$31,884,983	ProgramServicesAmt
Management And General	$2,702,191	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$291,538	TotalAmt
Program Services	$86,007	ProgramServicesAmt
Management And General	$205,531	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,150,718	TotalAmt
Program Services	$1,795,601	ProgramServicesAmt
Management And General	$1,355,117	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$960,661	TotalAmt
Program Services	$960,661	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,276,361	TotalAmt
Program Services	$10,276,361	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$156,911	TotalAmt
Program Services	$98,058	ProgramServicesAmt
Management And General	$58,853	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$534,338	TotalAmt
Program Services	$262,728	ProgramServicesAmt
Management And General	$271,610	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,935,219	TotalAmt
Program Services	$6,935,219	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,346,654	TotalAmt
Program Services	$25,346,654	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,652,242	TotalAmt
Program Services	$2,652,242	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UBI TAX	$58,911	$58,911
SUPPLIES	$70,647,524		$70,647,524
BAD DEBT	$46,919,846		$46,919,846
NC MEDICAID ASSESSMENT	$5,023,489		$5,023,489

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,683,735	TotalAmt
Program Services	$5,553,891	ProgramServicesAmt
Management And General	$129,844	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$393,098,859	TotalAmt
Program Services	$366,240,992	ProgramServicesAmt
Management And General	$26,857,867	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$677	BOYAmt
EOY	$18,897	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$52,885,169	BOYAmt
EOY	$51,995,088	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,499	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,251,509	BOYAmt
EOY	$7,407,651	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,145,373	BOYAmt
EOY	$8,161,745	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$537,391,182	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$279,895,058	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$210,684,414	BOYAmt
EOY	$257,496,124	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$10,190	BOYAmt
EOY	$10,020	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,664,300	BOYAmt
EOY	$3,559,270	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	$88,768,998	BOYAmt
EOY	$67,386,697	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$372,724,775	BOYAmt
EOY	$398,347,138	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$47,356,576	BOYAmt
EOY	$44,957,674	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$195,717,418	BOYAmt
EOY	$189,837,913	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,594,657	BOYAmt
EOY	$87,850,128	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$316,668,651	BOYAmt
EOY	$322,645,715	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$56,045,938	BOYAmt
EOY	$75,691,404	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,186	BOYAmt
EOY	$10,019	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$56,056,124	BOYAmt
EOY	$75,701,423	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$372,724,775	BOYAmt
EOY	$398,347,138	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$39,357,286	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$321	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$51,483,356	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$31,771,690	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	$118,325	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$94,408	OtherActivitiesAmt
Total Lobbying Expenditures	$212,733	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 $26,953 WAS DETERMINED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. AN ADDITIONAL $67,455 IN LEGAL FEES WERE PAID FOR LOBBYING EXPENDITURES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,999	BeginningYearBalanceAmt
Contributions	$1,500	ContributionsAmt
Investment Earnings Or Losses	$221	InvestmentEarningsOrLossesAmt
Other Expenditures	$571	OtherExpendituresAmt
End Year Balance	$8,149	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,513	BeginningYearBalanceAmt
Investment Earnings Or Losses	$966	InvestmentEarningsOrLossesAmt
Administrative Expenses	$480	AdministrativeExpensesAmt
End Year Balance	$6,999	EndYearBalanceAmt

Field	Value	IRS element (for citing)
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	$2,717,999	OtherCostOrOtherBasisAmt
Book Value	$2,717,999	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$278,997,388	OtherCostOrOtherBasisAmt
Depreciation	$135,045,715	DepreciationAmt
Book Value	$143,951,673	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,440,374	OtherCostOrOtherBasisAmt
Depreciation	$910,046	DepreciationAmt
Book Value	$2,530,328	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$203,083,725	OtherCostOrOtherBasisAmt
Depreciation	$143,939,297	DepreciationAmt
Book Value	$59,144,428	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,151,696	OtherCostOrOtherBasisAmt
Book Value	$49,151,696	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$257,496,124	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
NET PENSION ASSET & PENSION DEFERRAL	$9,585,111
DEFERRED FINANCING COSTS	$1,739,527
OTHER RECEIVABLES	$4,465,541
457B PLAN ASSETS	$7,765,179
DEFERRED CHARGE - INTEREST RATE SWAP	$25,306,627
457F PLAN ASSETS	$1,704,712
PREPAID COUNTY LEASE	$16,820,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$67,386,697	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
457B PLAN LIABILITY	$7,765,179
ESTIMATED 3RD PARTY SETTLEMENTS	$47,474,188
INTEREST RATE SWAP LIABILITY	$25,306,627
457F PLAN LIABILITY	$1,704,712
PENSION DEFERRED INFLOW	$5,599,422

Field	Value	IRS element (for citing)
Total Liability	$87,850,128	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$417,307,668	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$321	NetUnrealizedGainsInvstAmt
Other Revenue	-$15,148,156	OtherRevenueAmt
Revenue Not Reported	-$15,148,477	RevenueNotReportedAmt
Revenue Subtotal	$432,456,145	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$432,456,145	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$346,179,013	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$346,179,013	ExpensesSubtotalAmt
Other Expenses Not Included	$46,919,846	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$46,919,846	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$393,098,859	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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, 2015 AND 2014, RESPECTIVELY. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2012 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT -46,919,846. INTERCOMPANY TRANSFER FROM AFFILIATE 33,266,678. CHANGE IN VALUE OF INTEREST RATE SWAP -1,494,988.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT 46,919,846.

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
Percent300	Yes (X)	Percent300Ind
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	$8,312,662	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,312,662	NetCommunityBenefitExpnsAmt
Total Expense	0.02400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,904,420	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,151,042	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,753,378	NetCommunityBenefitExpnsAmt
Total Expense	0.05130	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,217,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,151,042	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,066,040	NetCommunityBenefitExpnsAmt
Total Expense	0.07530	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,710,170	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,792	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,672,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,675,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$138,352	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,536,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	75	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,016,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$315,377	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$701,066	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,290,519	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,290,519	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	75	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,692,384	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$491,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,200,863	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	75	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$78,909,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,642,563	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,266,903	NetCommunityBenefitExpnsAmt
Total Expense	0.09310	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,227,094	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,227,094	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,227,094	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,227,094	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$46,919,846	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,512,141	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$96,301,373	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$98,389,819	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,088,446	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	12	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	12	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
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 Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	CAROMONTHEALTH.ORG	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 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 HEALTH DEPT, GASTON TOGETHER, UNITED WAY OF GASTON COUNTY, AND CAROMONT HEALTH. DATA IN THIS ASSESSMENT WAS DERIVED FROM THREE SOURCES: 1) GASTON COUNTY HEALTH DATA; 2) COUNTY HEALTH RANKINGS; 3) GASTON COUNTY QUALITY OF LIFE SURVEY, 2012. 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 SURVEYED: COMMUNITY LEADERS, COMMUNITY RESIDENTS, HIGH SCHOOL STUDENTS, AND 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: 1) HOSPITAL'S FACEBOOK PAGE 2) PRESENTED FINDINGS TO COMMUNITY AT VARIOUS MEETINGS AT HOSPITAL IN JUNE, 2013 3) COPY IN GASTON COUNTY LIBRARY - HAD ADS PROMOTING THIS
CAROMONT REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: MANY COMMUNITY ORGANIZATIONS, INCLUDING GASTON COUNTY BOARD OF HEALTH AND CAROMONT HEALTH HAVE COMMITTED TO REDUCE THE INCIDENCE OF OBESITY IN GASTON COUNTY, TO PREVENT AND REDUCE THE INCIDENCE OF TOBACCO USE AND TO DEVELOP, IMPLEMENT, AND ADVOCATE FOR THE INTEGRATION OF BEHAVIORAL HEALTH RESOURCES INTO THESE INITIATIVES. GASTON COMMUNITY HEALTHCARE COMMISSION STRUCTURE HAS BEEN THE VEHICLE FOR THIS WORK AND IS COMPOSED OF THE FOLLOWING RESOURCE TEAMS: 1) HEALTHY BEHAVIORS, 2) PUBLIC POLICY AND ENVIRONMENT, 3) CLINICAL CARE, 4) MENTAL AND EMOTIONAL HEALTH AND 5) MARKETING. A PILOT SITE, BETHLEHEM CHURCH, WEST CAMPUS, WAS IDENTIFIED. REPRESENTATIVES OF THE PILOT SITE AND THE RESOURCE TEAMS HAVE COLLABORATED ON HEALTH INITIATIVES FOR THIS SITE. HOLY WELL, AN 8 WEEK HEALTHY BEHAVIORS INITIATIVE WITH A SPIRITUAL ASPECT, HAS BEEN PROVIDED TO THIS POPULATION TWICE WITH SUCCESS. ADDITIONALLY, CAROMONT HEALTH IS PROVIDING EMPLOYER WELLNESS SERVICES TO LOCAL EMPLOYERS, INCLUDING THE COUNTY SCHOOL SYSTEM, COUNTY GOVERNMENT AND OTHERS WHICH ARE DEMONSTRATING HEALTH IMPROVEMENTS. THE NEEDS IDENTIFIED AND NOT ADDRESSED IN THIS WORK ARE: A) PREVENT ALCOHOL AND SUBSTANCE ABUSE; B) REDUCING TEEN PREGNANCY. PARTNERS HEALTH CARE IS A LOCAL PUBLIC AUTHORITY THAT MANAGES MENTAL HEALTH IN GASTON COUNTY AND GASTON COUNTY WORKS WITH THE ADOLESCENT PREGNANCY PREVENTION CAMPAIGN OF NC. THESE NEEDS ARE BEING ADDRESSED BY THOSE GROUPS.
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 16I: 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 18D: COLLECTION ACTIONS ARE TAKEN AFTER REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE PATIENT'S ELIGIBILITY FOR ASSISTANCE.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
CAROMONT REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:	CAROMONTHEALTH.ORG

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	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 (1) 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 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):	46,919,846 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 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, AND DURING THIS TIME PERIOD, THE SYSTEM RECRUITED NEARLY 40 PROVIDERS.
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 ACTUAL MEDICARE SHORTFALL OF $24.2 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:- 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. - PATIENT SATISFACTION DATA IS ANALYZED TO DETERMINE WHERE AND/OR HOW SERVICES NEED TO BE IMPROVED.- 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.- FINDINGS FROM COMMUNITY SURVEYS/REPORTS PUBLISHED BY OTHER ORGANIZATIONS (UNITED WAY, CHAMBER OF COMMERCE, PARTNERSHIP FOR CHILDREN, GASTON COUNTY, ETC.) ARE GATHERED AND REVIEWED FOR PERTINENCE TO COMMUNITY HEALTH PROBLEMS.- BOARD MEMBERS, SENIOR MANAGEMENT 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 THROUGH CAROMONT HEALTH.- CAROMONT REGIONAL MEDICAL CENTER THROUGH THE GASTON COMMUNITY HEALTHCARE COMMISSION IN CONJUNCTION WITH THE GASTON COUNTY HEALTH DEPARTMENT CONDUCTS A COMMUNITY ASSESSMENT EVERY THREE YEARS. THE MOST RECENT STUDY CONCLUDED IN THE FALL OF 2012 AND WAS PUBLISHED IN JANUARY 2013. THIS ASSESSMENT GATHERS OPINIONS AND IS COMBINED WITH PUBLIC HEALTH DATA TO DETERMINE THE TOP FOUR COMMUNITY-WIDE HEALTH ISSUES. SERVICE AREA STRENGTHS, WEAKNESSES AND OPPORTUNITIES ARE USED AS A BASIS FOR ESTABLISHING COMMUNITY PRIORITIES. ALL THIS INFORMATION IS USED TO ESTABLISH ORGANIZATIONAL PRIORITIES, IDENTIFY AGENCIES AND ORGANIZATIONS TO BE INVOLVED IN RESOLVING COMMUNITY ISSUES, AND IMPLEMENT PROGRAMS TO RESOLVE IDENTIFIED ISSUES. GOALS, OBJECTIVES AND STRATEGIES ARE ESTABLISHED AND THE PROGRESS IS EVALUATED ON AN ANNUAL BASIS.
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, IS THE HOSPITAL'S SECONDARY MARKET. ACCORDING TO THE U.S. CENSUS BUREAU, GASTON COUNTY HAD AN ESTIMATED POPULATION OF 211,127 (2014), A MEDIAN HOUSEHOLD INCOME OF $42,017 (2009-2013) AND 19.2% PERSONS BELOW POVERTY LEVEL (2009-2013). THE ETHIC/RACIAL DEMOGRAPHICS STATE THAT 80.5% OF THE POPULATION IDENTIFY THEMSELVES AS WHITE, 16.1% AS BLACK OR AFRICAN AMERICAN, 6.4% AS HISPANIC AND 1.4% AS ASIAN. DURING FISCAL YEAR 2015, 7.0% OF THE HOSPITAL'S GROSS CHARGES WERE FROM UNINSURED PATIENTS AND 15.4% WERE FROM MEDICAID PATIENTS.
PART VI, LINE 5:	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). AS AN ACO, CAROMONT HEALTH HAS EXECUTED CHANGES THAT HAVE LED, 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 2015, CAROMONT'S MEDICARE SHARED SAVINGS PROGRAM SUCCESSFULLY REPORTED SHARED SAVINGS WHILE PROVIDING EXCELLENT CARE FOR THE MORE THAN 10,000 BENEFICIARIES IN OUR AREA. 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. 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.HEALTHNET GASTONHEALTHNET GASTON (HNG) IS A PROGRAM DESIGNED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES TO LOW-INCOME, UNINSURED RESIDENTS OF GASTON COUNTY. ITS SERVICES INCLUDE: A MEDICAL HOME/PRIMARY CARE PHYSICIAN SERVICES, SPECIALTY PHYSICIAN SERVICES, MEDICATION ASSISTANCE, CASE MANAGEMENT/HEALTH COACHING ACTIVITIES, AND HOSPITAL SERVICES. HNG OPERATES THROUGH THE LEADERSHIP AND COLLABORATION OF ITS FOUR FOUNDING STRATEGIC PARTNERS, INCLUDING: CAROMONT REGIONAL MEDICAL CENTER, GASTON FAMILY HEALTH SERVICES, COMMUNITY HEALTH PARTNERS, AND GASTON COMMUNITY HEALTH COMMISSION. OTHER STRATEGIC PARTNERS INVOLVED WITH THIS INITIATIVE INCLUDE COMMUNITY PHYSICIANS, GASTON COUNTY DEPARTMENT OF SOCIAL SERVICES, GASTON COUNTY HEALTH DEPARTMENT, AND OTHER LOCAL LEADERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACYCAROMONT HEALTH HAS SIGNIFICANTLY IMPACTED ITS COMMUNITY IN PROVIDING MANY DIFFERENT HEALTH IMPROVEMENT PROJECTS, GROUPS, EVENTS, EDUCATION PROGRAMS AND SPONSORSHIPS. IN FISCAL YEAR 2015, CAROMONT HEALTH INVESTED OVER $7.9 MILLION IN THE COMMUNITY THROUGH HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS, DONATIONS, AND IN-KIND DONATIONS OF GOOD AND SERVICES. OTHER EFFORTS TO PROMOTE HEALTH IN THE COMMUNITY ARE FACILIATED BY HAVING A MAJORITY OF THE ORAGANIZATION'S GOVERNING BOARD COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR MOST OR ALL DEPARTMENTS. THE ORGANIZATION APPLIES ITS SURPLUS OF FUNDS TO FURTHER ITS MISSION OF "PROVIDING EXCEPTIONAL HEALTH CARE TO THE COMMUNITIES WE SERVE". THIS IS ACCOMPLISHED BY INVESTING IN NEW SERVICES, CAPITAL EQUIPMENT, INFORMATION TECHNOLOGY, RENOVATION OF THE PHYSICAL PLANT, PHYSICIAN ACQUISITIONS, ETC.
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 12-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 HEALTH HAS 3 OFF-SITE IMAGING LOCATIONS, 2 SAME-DAY SURGERY CENTERS, 1 FREE-STANDING ENDOSCOPY CENTER, 1 OCCUPATIONAL MEDICINE CLINIC, AND 1 OFF-SITE EMERGENCY DEPARTMENT.
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 (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
GASTON FAMILY HEALTH SERVICES
991 WEST HUDSON BOULEVARD	GASTONIA	NC	28052	581958398	501(C)(3)	$300,000	FEDERALLY QUALIFIED HEALTH DEPARTMENT OFFERING MEDICAL CARE TO LOW INCOME RESIDENTS.
MOUNT HOLLY COMMUNITY DEVELOPMENT FOUNDATION
1068 SOUTH MAIN STREET	MOUNT HOLLY	NC	28120	200738339	501(C)(3)	$105,000	COMMUNITY ASSISTANCE
GASTON REGIONAL CHAMBER
601 W FRANKLIN BLVD	GASTONIA	NC	28053	560232990	501(C)(6)	$32,600	COMMUNITY ASSISTANCE
GASTON TOGETHER
PO BOX 817	GASTONIA	NC	28053	562048064	501(C)(3)	$77,500	COMMUNITY ASSISTANCE
CITY OF BELMONT RAIL TRAIL
115 N MAIN STREET	BELMONT	NC	28012	770338658	GOVERNMENT	$60,000	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)	$21,000	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)	$16,235	COMMUNITY ASSISTANCE
MCADENVILLE FOUNDATION
PO BOX 1939	MCADENVILLE	NC	28101	560623961	501(C)(3)	$15,000	COMMUNITY ASSISTANCE
AS ONE MINISTRIES
805 WEST AIRLINE AVENUE	GASTONIA	NC	28054	562180931	501(C)(3)	$26,400	COMMUNITY ASSISTANCE
BOYS & GIRLS CLUBS OF GREATER GASTON
PO BOX 23	GASTONIA	NC	28053	561419498	501(C)(3)	$6,000	COMMUNITY ASSISTANCE
BELMONT ABBEY COLLEGE PARTNERSHIP
100 BELMONT-MT HOLLY ROAD	BELMONT	NC	28012	560547498	501(C)(3)	$5,000	COMMUNITY ASSISTANCE
CANCER SERVICES OF GASTON COUNTY
306 SOUTH COLUMBIA ST	GASTONIA	NC	28054	561164253	501(C)(3)	$5,500	COMMUNITY ASSISTANCE	$7,487	FMV	NUTRITIONAL SUPPLEMENTS
CHARLOTTE REGIONAL PARTNERSHIP
550 S CALDWELL STREET SUITE 760	CHARLOTTE	NC	28202	581457132	501(C)(3)	$5,000	COMMUNITY ASSISTANCE
GASTON COUNTY MEDICAL SOCIETY ALLIANCE
3131 CHANNEL VIEW LANDING	BELMONT	NC	28012	561493811	501(C)(3)	$20,000	COMMUNITY ASSISTANCE
DANIEL STOWE BOTANICAL GARDEN
6500 S NEW HOPE RD	BELMONT	NC	28012	208362933	501(C)(3)	$30,000	COMMUNITY ASSISTANCE
BELMONT MERCHANT ASSOCIATION
7 SOUTH MAIN ST	BELMONT	NC	28012	260300353	501(C)(6)	$25,000	COMMUNITY ASSISTANCE
GASTON COUNTY HABITAT FOR HUMANITY
PO BOX 1584	GASTONIA	NC	28053	561634454	501(C)(3)	$10,000	COMMUNITY ASSISTANCE
GASTON COUNTY HEALTH DEPARTMENT
991 WEST HUDSON BOULEVARD	GASTONIA	NC	28052	566000300	GOVERNMENT	$10,000	COMMUNITY ASSISTANCE
GASTON COUNTY MUSEUM
131 WEST MAIN ST	DALLAS	NC	28034	561122208	501(C)(3)	$5,000	COMMUNITY ASSISTANCE
GASTON HOSPICE
2525 COURT DRIVE	GASTONIA	NC	28054	581341530	501(C)(3)	$5,000	COMMUNITY ASSISTANCE
LUMIERE MEDICAL MINISTRIES
PO BOX 26	LOWELL	NC	28098	561574483	501(C)(3)		COMMUNITY ASSISTANCE	$14,179	FMV	MISC MED EQUIPMENT

Field	Value	IRS element (for citing)
Total501c3 Org	19	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
AUXILIARY SCHOLARSHIPS	43	$58,650
ONCOLOGY PHARMACY ASSISTANCE	6	$1,219

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)
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
CHIEF-OF-STAFF	$0	$199,551	$0	$155,454	$0	$5,227	$0	$11,299	$0	$15,347	$0	$386,878	$0	$0
DAVID O'CONNOR
EVP/CFO/ASST. TREASURER	$384,792	$0	$118,632	$0	$917	$0	$87,558	$0	$16,242	$0	$608,141	$0	$0	$0
MARIA LONG
EVP CHIEF LEGAL OFFICER/ASST. SECRET	$319,988	$0	$98,155	$0	$558	$0	$76,460	$0	$2,098	$0	$497,259	$0	$0	$0
DOUG LUCKETT
CEO/PRESIDENT	$606,383	$0	$250,230	$0	$702	$0	$154,427	$0	$17,308	$0	$1,029,050	$0	$0	$0
KATHLEEN K BESSON
EVP/COO	$304,620	$0	$87,535	$0	$899	$0	$76,198	$0	$15,853	$0	$485,105	$0	$0	$0
TODD DAVIS MD
EVP/CMO	$309,334	$0	$92,689	$0	$467	$0	$59,647	$0	$15,868	$0	$478,005	$0	$0	$0
ANDREA K SERRA
VP WELLNESS DEVELOPMENT	$226,583	$0	$68,275	$0	$895	$0	$50,680	$0	$8,078	$0	$354,511	$0	$0	$0
ELIZABETH MCCRAW
VP HUMAN RESOURCES	$222,496	$0	$68,998	$0	$325	$0	$50,443	$0	$15,458	$0	$357,720	$0	$0	$0
MICHAEL R JOHNSON
VP CIO	$264,588	$0	$82,878	$0	$1,825	$0	$60,458	$0	$15,137	$0	$424,886	$0	$0	$0
RICHARD C BLACKBURN
VP SUPPORT SERVICES	$201,956	$0	$62,560	$0	$4,090	$0	$47,418	$0	$15,352	$0	$331,376	$0	$0	$0
BONNIE FAUST
VP/CNO	$195,231	$0	$56,279	$0	$298	$0	$38,200	$0	$9,585	$0	$299,593	$0	$0	$0
RANDALL L KELLEY
FORMER OFFICER	$0	$0	$0	$0	$648,281	$0	$0	$0	$0	$0	$648,281	$0	$0	$0
JERRY LEVINE
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$505,682	$0	$0	$0	$0	$0	$505,682	$0	$0	$0
PENNY P COWDEN
FORMER HIGHLY COMPENSATED EMPLOYEE	$0	$0	$0	$0	$209,488	$0	$0	$0	$0	$0	$209,488	$0	$24,988	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE CEO, CFO, 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. BOARD MEMBERS WHO SERVE ON THE COMPENSATION COMMITTEE ARE INDEPENDENT AND FREE OF ANY CONFLICT OF INTEREST. ANY COMPENSATION COMMITTEE MEMBER WHO DEVELOPS A CONFLICT OF INTEREST DURING HIS/HER TERM WITH RESPECT TO THE DISCUSSION OF ANY EXECUTIVE'S COMPENSATION DOES NOT PARTICIPATE IN THE DISCUSSION OR DECISION-MAKING BY THE REMAINING INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RETAINS JURISDICTION OVER THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVES AND REVIEWS EXECUTIVE BENEFITS AND PERQUISITES AS WELL AS TOTAL CASH COMPENSATION. COMPENSATION FOR THE CEO IS ESTABLISHED THROUGH A PROCESS OF PERFORMANCE EVALUATION, COMPARISON WITH COMPARABLE MARKET DATA AND DETERMINATION BY THE COMPENSATION COMMITTEE OF ACCEPTABLE SALARY RANGE AND PERCENTILE RANKING. ALL COMPENSATION DECISIONS FOR THE CEO ARE APPROVED BY THE COMPENSATION COMMITTEE, AS LONG AS THE COMPENSATION DECISIONS ARE CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. THE PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE DIRECTORS AND 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.
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: RANDALL L. KELLEY, FORMER OFFICER $648,281 JERRY LEVINE, FORMER KEY EMPLOYEE $505,682 PENNY P. COWDEN, FORMER KEY EMPLOYEE $184,500 THE FOLLOWING INDIVIDUALS RECEIVED DEFERRED COMPENSATION ALLOCATIONS FROM THE FILING ORGANIZATION FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DAVID O'CONNOR - $ 71,958 MARIA LONG - 59,531 DOUG LUCKETT - 141,984 ANDREA K. SERRA - 33,049 KATHLEEN K. BESSON - 57,539 ELIZABETH MCCRAW - 33,365 TODD DAVIS, MD - 45,614 MICHAEL R. JOHNSON - 39,331 RICHARD C. BLACKBURN - 30,163 DONNETTA L. HORSEMAN - 22,803 THE FOLLOWING HIGHLY COMPENSATED EMPLOYEE RECEIVED A PAYOUT FROM A DEFERRED COMPENSATION PLAN BY THE FILING ORGANIZATION THAT IS TAXABLE IN THE CURRENT PERIOD: PENNY COWDEN - $24,988 THE PAYOUT LISTED ABOVE IS COMPRISED OF DEFERRED COMPENSATION REPORTED ON A PRIOR FORM 990.
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	$1,100,000	$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	$43,770,000	$118,649,831	$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)	0.00210	0.00000	0.00210	0	Yes (1)	0.00110	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00010	0.00010	0.00020	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 (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GENA POMEROY
FAMILY RELATIONSHIP WITH BOARD MEMBER	$48,133	COMPENSATION FOR EMPLOYEE SERVICES	0
TRAVIS O'CONNOR
FAMILY RELATIONSHIP WITH OFFICER	$12,354	COMPENSATION FOR EMPLOYEE SERVICES	0
STEPHEN O'CONNOR
FAMILY RELATIONSHIP WITH OFFICER	$13,244	COMPENSATION FOR EMPLOYEE SERVICES	0
SUZANNE HOWELL
FAMILY RELATIONSHIP WITH BOARD MEMBER	$74,790	COMPENSATION FOR EMPLOYEE SERVICES	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$49,601	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1B:	BOARD MEMBER INDEPENDENCE: IN CALENDAR YEAR 2014, THE BOARD OF DIRECTORS OF CAROMONT HEALTH CONDUCTED A COMPREHENSIVE REVIEW OF BEST PRACTICES REGARDING INDEPENDENCE OF BOARD MEMBERS. THIS REVIEW RESULTED IN THE DEVELOPMENT OF A BOARD POLICY ON INDEPENDENCE OF BOARD MEMBERS. USING IRS REGULATIONS AND GUIDANCE, INDUSTRY BEST PRACTICES, GUIDANCE AND COMMENTARY APPLICABLE TO NON-PROFIT HEALTHCARE INSTITUTIONS, AND ADVICE OF COUNSEL, THE BOARD OF DIRECTORS DEVELOPED AND IMPLEMENTED A ROBUST POLICY THAT DEFINES INDEPENDENT AND NON-INDEPENDENT DIRECTORS AND CLASSIFIES DIRECTORS ON AN ANNUAL BASIS AS INDEPENDENT OR NON-INDEPENDENT. USING THE IRS REPORTING REQUIREMENTS AS A MINIMUM SET OF CRITERIA FOR DETERMINING THE INDEPENDENT STATUS OF BOARD MEMBERS, THE BOARD'S POLICY GOES BEYOND THE MINIMUM CRITERIA AND DEFINES ADDITIONAL CRITERIA THAT RENDER A BOARD MEMBER NON-INDEPENDENT. ONCE DETERMINED TO HAVE A DISQUALIFYING CONDITION THAT RENDERS THE MEMBER NON-INDEPENDENT, A BOARD MEMBER WHOSE DISQUALIFYING CONDITION HAS BEEN REMEDIED MAY ONLY BE RESTORED TO INDEPENDENT STATUS FOLLOWING A SPECIFIED TIME LIMIT DEFINED IN THE POLICY. IN REPORTING THE NUMBER OF INDEPENDENT DIRECTORS IN PART I, LINE 4 AND PART VI, SECTION A, LINE 1B, CAROMONT REGIONAL MEDICAL CENTER USES THE CAROMONT HEALTH POLICY TO DETERMINE AND REPORT THE INDEPENDENT STATUS OF IT'S DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 4	THE ORGANIZATION AMENDED ITS BYLAWS DURING THE FISCAL YEAR TO CHANGE THE COMPOSITION, QUALIFICATION AND APPOINTMENT OF BOARD MEMBERS AS FOLLOWS. THE BOARD OF DIRECTORS SHALL CONSIST OF FOURTEEN (14) MEMBERS, EIGHT (8) ALL OF WHOM ARE MEMBERS OF THE BOARD OF DIRECTORS OF CAROMONT HEALTH, INC., ONE OF WHICH SHALL BE A GASTON COUNTY COMMISSIONER, FIVE (5) MEMBERS OF WHOM WILL BE APPOINTED BY THE EXISTING BOARD OF DIRECTORS OF THE ORGANIZATION, AND ONE (1) MEMBER WHO WILL BE THE CHIEF OF STAFF OF CAROMONT REGIONAL MEDICAL CENTER. THE ORGANIZATION SHALL APPOINT A TOTAL OF FIVE (5) MEMBERS OF THE BOARD AND THE CHIEF OF STAFF OF CAROMONT REGIONAL MEDICAL CENTER.
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 11	THE ORGANIZATION'S FORM 990 WAS REVIEWED BY THE AUDIT FINANCE INVESTMENT COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO PRESENTATION TO THE FULL BOARD BEFORE THE FORM WAS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	EACH EMPLOYEE AND DIRECTOR SHALL FULLY AND TRUTHFULLY COMPLETE A QUESTIONNAIRE CONCERNING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST ANNUALLY. SUCH QUESTIONNAIRE SHALL IDENTIFY THE INDIVIDUAL'S OBLIGATION TO IMMEDIATELY MAKE THE CORPORATE COMPLIANCE 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 COMPLIANCE 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. BOARD MEMBERS WHO SERVE ON THE COMPENSATION COMMITTEE ARE INDEPENDENT AND FREE OF ANY CONFLICT OF INTEREST. ANY COMPENSATION COMMITTEE MEMBER WHO DEVELOPS A CONFLICT OF INTEREST DURING HIS/HER TERM WITH RESPECT TO THE DISCUSSION OF ANY EXECUTIVE'S COMPENSATION DOES NOT PARTICIPATE IN THE DISCUSSION OR DECISION-MAKING BY THE REMAINING INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RETAINS JURISDICTION OVER THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVES AND REVIEWS EXECUTIVE BENEFITS AND PERQUISITES AS WELL AS TOTAL CASH COMPENSATION. COMPENSATION FOR THE CEO IS ESTABLISHED THROUGH A PROCESS OF PERFORMANCE EVALUATION, COMPARISON WITH COMPARABLE MARKET DATA AND DETERMINATION BY THE COMPENSATION COMMITTEE OF ACCEPTABLE SALARY RANGE AND PERCENTILE RANKING. ALL COMPENSATION DECISIONS FOR THE CEO ARE APPROVED BY THE COMPENSATION COMMITTEE, AS LONG AS THE COMPENSATION DECISIONS ARE CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. THE PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE MANAGEMENT UTILIZES COMPENSATION SURVEYS AND STUDIES. FULL COLLECTED COMPENSATION INFORMATION AND ANY COMPENSATION OPINIONS PROVIDED DURING THESE PROCESSES WILL BE KEPT WITH THE COMPENSATION COMMITTEE OR BOARD MINUTES, AS APPLICABLE.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	AT THIS TIME, THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE ENTIRE ORGANIZATION'S COMBINED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFER FROM AFFILIATE 33,266,678. CHANGE IN VALUE OF INTEREST RATE SWAP -1,494,988.
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 11B, 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 9		0	CAROMONT HEALTH INC
CAROMONT MEDICAL GROUP INC
2528 COURT DRIVE	GASTONIA	NC	28054	561479712	MEDICAL GROUP	NC	501(C)(3)	LINE 9		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 11A, 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