GASTON MEMORIAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: GASTON MEMORIAL HOSPITAL INC (EIN 56-0619359)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-11
IRS object ID: 201421319349300612
Schema version: 2012v2.1
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)
Timestamp	2014-05-11T17:52:24-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	560747981	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1
City	ASHEVILLE	City
State	NC	State
ZIP Code	28806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	560619359	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GASTON MEMORIAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GAST	NameControl
Phone	7048342000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 COURT DRIVE PO BOX 1747	AddressLine1
City	GASTONIA	City
State	NC	State
ZIP Code	280531747	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID O'CONNOR	Name
Title	EVP, CFO	Title
Phone	7048342000	Phone
Date Signed	2014-05-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	AMY BIBBY	Name
PTIN	P00445891	PTIN
Phone	8282542254	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	CAROMONT REGIONAL MEDICAL CTR	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DAVID O'CONNOR	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2525 COURT DRIVE PO BOX 1747	AddressLine1
City	GASTONIA	City
State	NC	State
ZIP Code	280531747	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	412423634	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CAROMONT.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1945	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE EXCEPTIONAL HEALTH CARE TO THE COMMUNITIES WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	3185	TotalNbrEmployees
Total Nbr Volunteers	306	TotalNbrVolunteers
Total Gross UBI	536371	TotalGrossUBI
Net Unrelated Business Txbl Income	35338	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1181292	ContributionsGrantsPriorYear
Contributions Grants Current Year	608905	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	416290990	ProgramServiceRevenuePriorYear
Program Service Revenue CY	405334757	ProgramServiceRevenueCY
Investment Income Prior Year	6070	InvestmentIncomePriorYear
Investment Income Current Year	90192	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8515831	OtherRevenuePriorYear
Other Revenue Current Year	6249575	OtherRevenueCurrentYear
Total Revenue Prior Year	425994183	TotalRevenuePriorYear
Total Revenue Current Year	412283429	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	283868	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	628195	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	169254959	SalariesEtcPriorYear
Salaries Etc Current Year	173879833	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	218624236	OtherExpensePriorYear
Other Expenses Current Year	206686229	OtherExpensesCurrentYear
Total Expenses Prior Year	388163063	TotalExpensesPriorYear
Total Expenses Current Year	381194257	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	37831120	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	31089172	RevenuesLessExpensesCY
Total Assets BOY	360052108	TotalAssetsBOY
Total Assets EOY	350012184	TotalAssetsEOY
Total Liabilities BOY	326403841	TotalLiabilitiesBOY
Total Liabilities EOY	304823821	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	33648267	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	45188363	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE EXCEPTIONAL HEALTH CARE TO THE COMMUNITIES WE SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	353393108	Expense
Grants	628195	Grants
Revenue	405737904	Revenue
Description	GASTON MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, SURGICAL, WELLNESS AND PREVENTIVE CARE SERVICES TO THE RESIDENTS OF GASTON COUNTY AND SURROUNDING AREAS AT ITS 435 BED ACUTE CARE FACILITY.PLEASE SEE SCHEDULE O FOR A CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS.	Description
Total Program Service Expense	353393108	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	386	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3185	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DAVID O'CONNOR	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7048342000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2525 COURT DRIVE	AddressLine1
City	GASTONIA	City
State	NC	State
ZIP Code	28054	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
MR H SPURGEON MACKIE JR
CHAIR	1.00	1.00	X	X	0	0	0
SHEILA S REILLY PHD
VICE CHAIR	1.00	1.00	X	X	0	0	0
DR ROBERT D CROUCH
SECRETARY THROUGH DECEMBER 2012	1.00	1.00	X	X	0	0	0
MR M VINCENT QUINN
TREASURER	1.00	1.00	X	X	0	0	0
MR W BARRY SMITH
DIRECTOR/SECRETARY AS OF JAN. 2013	1.00	1.00	X	X	0	0	0
MR JAMES R BEAM
DIRECTOR	1.00	1.00	X		0	0	0
MR JAMES W BAILEY
DIRECTOR	1.00	1.00	X		0	0	0
MR RICHARD K CRAIG
DIRECTOR THROUGH DECEMBER 2012	1.00	1.00	X		0	0	0
MRS MARY FRANCES FORRESTER
DIRECTOR	1.00	1.00	X		0	0	0
KELVIN C HARRIS MD
DIRECTOR THROUGH DECEMBER 2012	1.00	41.00	X		0	310185	20271
DR CHARLES MEAKIN III
DIRECTOR AS OF JANUARY 2013	1.00	1.00	X		0	0	0
SUSIE BROWN
DIRECTOR	1.00	1.00	X		0	0	0
MR MICKEY PRICE
DIRECTOR THROUGH DECEMBER 2012	1.00	1.00	X		0	0	0
MR DAVID ALLEN SMITH
DIRECTOR	1.00	1.00	X		0	0	0
MS ANNETTE CARTER
DIRECTOR AS OF JANUARY 2013	1.00	41.00	X		0	77813	9268
MR DONNIE LOFTIS
DIRECTOR AS OF JANUARY 2013	1.00	1.00	X		0	0	0
MR R JASON WILLIAMS
DIRECTOR AS OF JANUARY 2013	1.00	1.00	X		0	0	0
DR RODNEY SMITH
DIRECTOR/CHIEF-OF-STAFF 2013	1.00	1.00	X		0	0	0
DAVID O'CONNOR
EVP/CFO/ASST. TREASURER	40.00	10.00		X	483333	0	93652
MARIA LONG
EVP CHIEF LEGAL OFFICER/ASST. SECRETARY	40.00	10.00		X	383962	0	47836
DOUG LUCKETT
EVP/COO THROUGH APRIL'13/INTERIM CEO	40.00	10.00		X	508051	0	85174
RANDALL L KELLEY
CEO THROUGH APRIL 2013	40.00	10.00		X	832695	0	166291
JERRY LEVINE
EVP/CHIEF MEDICAL OFFICER	40.00	10.00			575604	0	107622	X
KATHLEEN K BESSON
VP CLINICAL OPERATIONS/EVP COO	40.00	10.00			299398	0	65871	X
W K HARWELL
VP PATIENT CARE	40.00	10.00			340043	0	43689		X
ANDREA K SERRA
VP WELLNESS DEVELOPMENT	40.00	10.00			265030	0	52886		X
TODD DAVIS MD
VP MEDICAL AFFAIRS	40.00	10.00			311983	0	65756		X
MICHAEL R JOHNSON
VP CIO	40.00	10.00			300706	0	64468		X
ELIZABETH MCCRAW
VP HUMAN RESOURCES	40.00	10.00			258147	0	48827		X
TERRY L JONES
FORMER KEY EMPLOYEE	0.00				147866	0	4144			X
STEVEN A RUBIN
FORMER KEY EMPLOYEE	0.00				124527	0	518			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4831345	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	387998	TotalReportableCompFrmRltdOrgs
Total Other Compensation	876273	TotalOtherCompensation
Number Individuals GT100 K	134	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
DUNNSOUTHEAST INC DBA JE DUNN CONSTRUCT
6101 CARNEGIE BLVD STE 400	CHARLOTTE	NC	28209	CONSTRUCTION	5165645
ARAMARK HEALTHCARE
1101 MARKET STREET	PHILADELPHIA	PA	19107	BIOMED SERVICES	2499471
SHARED (SIEMENS) MEDICAL SOLUTIONS
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	INFORMATION SYSTEMS	2447704
PHILIPS HEALTHCARE
3000 MINUTEMAN ROAD	ANDOVER	MA	01810	CLINICAL SERVICES AND PRODUCTS	2106542
MCKESSON HBOC MCKESSON INFO SOLUTIONS
ONE POST STREET	SAN FRANCISCO	CA	94104	INFORMATION SYSTEMS	1906479

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	57	NumberOfContractorsGT100K
Related Organizations	588905	RelatedOrganizations
All Other Contributions	20000	AllOtherContributions
Total Contributions	608905	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES REVENUE	621500	404193517	404193517
PARTNERSHIP INCOME	541900	998817	968272	30545
ANCILLARY REVENUE	621500	142423	142423

Field	Value	IRS element (for citing)
Total Program Service Revenue	405334757	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	167012	TotalRevenueColumn
Exclusion	$167,012	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	76820	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-76820	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-76820	TotalRevenueColumn
Exclusion	-$76,820	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	87425	GrossSalesOfInventory
Cost Of Goods Sold	63385	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	24040	TotalRevenueColumn
Exclusion	$24,040	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
PHARMACY REVENUE	621500	2185411	$2,185,411
CAFETERIA & VENDING INCOME	722210	2103952	$2,103,952
MEANINGFUL USE	621500	534172	$534,172

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1402000	TotalRevenueColumn
Related Or Exempt Function Income	433692	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	505826	UnrelatedBusinessRevenue
Exclusion	$462,482	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6225535	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	412283429	TotalRevenueColumn
Related Or Exempt Function Income	405737904	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	536371	UnrelatedBusinessRevenue
Exclusion	$5,400,249	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	600195	Total
Program Services	600195	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	28000	Total
Program Services	28000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3400058	Total
Program Services	680012	ProgramServices
Management And General	2720046	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	53496	Total
Program Services	53496	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	136469221	Total
Program Services	122139071	ProgramServices
Management And General	14330150	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5970607	Total
Program Services	5243063	ProgramServices
Management And General	727544	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	17950760	Total
Program Services	15763382	ProgramServices
Management And General	2187378	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10035691	Total
Program Services	8812799	ProgramServices
Management And General	1222892	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	501435	Total
Program Services	501435	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1388617	Total
Management And General	1388617	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	135974	Total
Management And General	135974	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	105279	Total
Program Services	105279	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	34447487	Total
Program Services	31151690	ProgramServices
Management And General	3295797	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	374163	Total
Program Services	78164	ProgramServices
Management And General	295999	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2238113	Total
Program Services	1291482	ProgramServices
Management And General	946631	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	468488	Total
Program Services	468488	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8806450	Total
Program Services	8806450	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	159118	Total
Program Services	136803	ProgramServices
Management And General	22315	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	717655	Total
Program Services	333335	ProgramServices
Management And General	384320	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8874005	Total
Program Services	8874005	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	23638342	Total
Program Services	23638342	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2644941	Total
Program Services	2644941	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	73135035	73135035
BAD DEBT	38424175	38424175
EQUIPMENT	4898270	4888413	9857
NC MEDICAID ASSESSMENT	3488420	3488420

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2240262	Total
Program Services	2106633	ProgramServices
Management And General	133629	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	381194257	Total
Program Services	353393108	ProgramServices
Management And General	27801149	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-4752	BOY
EOY	27684	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	45721542	BOY
EOY	44345810	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6266707	BOY
EOY	6668612	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9982612	BOY
EOY	9382675	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	454491258	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	255920686	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	203517164	BOY
EOY	198570572	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	8152	BOY
EOY	9490	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	439199	BOY
EOY	472338	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2311646	BOY
EOY	2311646	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	91809838	BOY
EOY	88223357	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	360052108	BOY
EOY	350012184	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	39871306	BOY
EOY	40942536	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	207464861	BOY
EOY	201369253	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	79067674	BOY
EOY	62512032	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	326403841	BOY
EOY	304823821	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	33640118	BOY
EOY	45178875	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8149	BOY
EOY	9488	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	33648267	BOY
EOY	45188363	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	360052108	BOY
EOY	350012184	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	31089172	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	524	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	26637	ReconcilationPriorAdjustment
Reconcilation Other Changes	-19576237	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$105,279	OtherActivitiesAmount
Total Lobbying Expenditures IIB	105279	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	ANNUAL DUES WERE PAID TO THE NORTH CAROLINA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, OF WHICH $27,079 WAS DETERMINED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. AN ADDITIONAL $78,200 IN LEGAL FEES WERE PAID FOR LOBBYING EXPENDITURES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8149	BeginningOfYearBalance
Contributions	1500	Contributions
Investment Earnings Or Losses	962	InvestmentEarningsOrLosses
Other Expenditures	1123	OtherExpenditures
End Of Year Balance	9488	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6999	BeginningOfYearBalance
Contributions	1500	Contributions
Investment Earnings Or Losses	221	InvestmentEarningsOrLosses
Other Expenditures	571	OtherExpenditures
End Of Year Balance	8149	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6513	BeginningOfYearBalance
Investment Earnings Or Losses	966	InvestmentEarningsOrLosses
Administrative Expenses	480	AdministrativeExpenses
End Of Year Balance	6999	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2249138	OtherCostOrOtherBasis
Book Value	2249138	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	253512879	OtherCostOrOtherBasis
Depreciation	116649006	Depreciation
Book Value	136863873	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1312708	OtherCostOrOtherBasis
Depreciation	633458	Depreciation
Book Value	679250	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	189768602	OtherCostOrOtherBasis
Depreciation	138638222	Depreciation
Book Value	51130380	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7647931	OtherCostOrOtherBasis
Book Value	7647931	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	198570572	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
PREPAID PENSION OBLIGATION	49278966
DEFERRED FINANCING COSTS	4131992
OTHER RECEIVABLES	5359201
457B PLAN ASSETS	5568201
DEFERRED CHARGE - INTEREST RATE SWAP	22897786
457F PLAN ASSETS	987211

Field	Value	IRS element (for citing)
Total Book Value Other Assets	88223357	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
457B PLAN LIABILITY	$5,568,201
ESTIMATED 3RD PARTY SETTLEMENTS	$33,058,834
INTEREST RATE SWAP LIABILITY	$22,897,786
457F PLAN LIABILITY	$987,211

Field	Value	IRS element (for citing)
Total Of Amounts	62512032	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	354283541	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	524	NetUnrealizedGainsInvestments
Other Revenues	-58000412	OtherRevenues
Revenue Not Rptd F990	-57999888	RevenueNotRptdF990
Revenue Subtotal	412283429	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	412283429	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	342770082	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	342770082	ExpensesSubtotal
Other Expenses Not Included	38424175	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	38424175	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	381194257	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR ONCOLOGY MEDICATIONS FOR INDIGENT PATIENTS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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, 2013 AND 2012, RESPECTIVELY. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		BAD DEBT -38,424,175. CHANGE IN VALUE OF INTEREST RATE SWAP -1,862,295. INTERCOMPANY TRANSFERS -17,713,942.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBT 38,424,175.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11014398	TotalCommunityBenefitExpense
Net Community Benefit Expense	11014398	NetCommunityBenefitExpense
Percent Of Total Expense	0.03210	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60372884	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50936501	DirectOffsettingRevenue
Net Community Benefit Expense	9436383	NetCommunityBenefitExpense
Percent Of Total Expense	0.02750	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71387282	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50936501	DirectOffsettingRevenue
Net Community Benefit Expense	20450781	NetCommunityBenefitExpense
Percent Of Total Expense	0.05960	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1489128	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7750	DirectOffsettingRevenue
Net Community Benefit Expense	1481378	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1969078	TotalCommunityBenefitExpense
Net Community Benefit Expense	1969078	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1169661	TotalCommunityBenefitExpense
Direct Offsetting Revenue	412891	DirectOffsettingRevenue
Net Community Benefit Expense	756770	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1061273	TotalCommunityBenefitExpense
Net Community Benefit Expense	1061273	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5689140	TotalCommunityBenefitExpense
Direct Offsetting Revenue	420641	DirectOffsettingRevenue
Net Community Benefit Expense	5268499	NetCommunityBenefitExpense
Percent Of Total Expense	0.01530	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	77076422	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51357142	DirectOffsettingRevenue
Net Community Benefit Expense	25719280	NetCommunityBenefitExpense
Percent Of Total Expense	0.07490	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	761369	TotalCommunityBuildingExpense
Net Community Building Expense	761369	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	761369	TotalCommunityBuildingExpense
Net Community Building Expense	761369	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$38,424,175	BadDebtExpenseAmount
Amount Attributable To	3459509	AmountAttributableTo
Amount Reimbursed By Medicare	122738518	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	115886914	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	6851604	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GASTON MEMORIAL HOSPITAL INCORPORATED	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2525 COURT DRIVE	AddressLine1
City	GASTONIA	City
State	NC	State
ZIP Code	28054	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	4 DIAGNOSTIC IMAGING CENTERS AND 6 OP SERIVCE CENTER	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GASTON MEMORIAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
Other Needs Addressed	X	OtherNeedsAddressed
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 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, L7 COL(F): 38,424,175 BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES PRIOR TO CALCULATING PERCENT OF TOTAL EXPENSE.
PART I, LINE 6A: THE ORGANIZATION COMMUNITY BENEFIT REPORT MADE AVAILABLE TO THE PUBLIC CONTAINS COMMUNITY BENEFITS FOR ALL RELATED ORGANIZATIONS TO THE HOSPITAL.
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.	RESEARCH ACTIVITIES:	PART I, LINE H
PART II: WORKFORCE DEVELOPMENT - CAROMONT HEALTH'S RECRUITMENT OF PHYSICIANS INTO THE FIVE COUNTIES THE SYSTEM SERVES IS DRIVEN BY THE CHANGING LANDSCAPE OF HEALTHCARE 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 HEALTHCARE NEEDS OF THE COMMUNITY ARE MET IN A QUALITY DRIVEN AND CONVENIENT MANNER.
PART III, LINE 4: TOTAL CHARGES AND THE 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. CHARGES FOR SERVICES PROVIDED IN THE ED 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.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 ALSO 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 $15.5 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:GASTON MEMORIAL HOSPITAL 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 V, SECTION B, LINE 3: 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 IS 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.	GASTON MEMORIAL HOSPITAL, INC.
PART V, SECTION B, LINE 5C: 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 4) DEPT OF HEALTH'S WEBSITE	GASTON MEMORIAL HOSPITAL, INC.
PART V, SECTION B, LINE 6I: 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. THE EXISTING GASTON COMMUNITY HEALTHCARE COMMISSION STRUCTURE WILL BE THE VEHICLE FOR THIS WORK AND IS COMPOSED OF THE FOLLOWING 5 RESOURCE TEAMS: 1) HEALTHY BEHAVIORS; 2) PUBLIC POLICY AND ENVIRONMENT; 3) CLINICAL CARE; 4) MENTAL AND EMOTIONAL HEALTH; 5) MARKETING.A PILOT SITE, BETHLEHEM CHURCH, WEST CAMPUS, HAS BEEN IDENTIFIED. REPRESENTATIVES OF THE PILOT SITE AND THE RESOURCES TEAMS HAVE BEGUN COLLABORATING ON HEALTH INITIATIVES FOR THIS PILOT SITE.	GASTON MEMORIAL HOSPITAL, INC.
PART V, SECTION B, LINE 7: 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 ADOLOSCENT PREGNANCY PREVENTION CAMPAIGN OF NC. THESE NEEDS ARE BEING ADDRESSED BY THOSE GROUPS.	GASTON MEMORIAL HOSPITAL, INC.
PART V, SECTION B, LINE 12H: TOTAL CHARGES ARE THE SAME FOR ALL. PATIENT AMOUNT DUE IS ZERO OR A TIERED DISCOUNT FOR CHARITY ELIGIBLE PATIENTS BASED ON WHAT WAS CHECKED.	GASTON MEMORIAL HOSPITAL, INC.
PART V, SECTION B, LINE 14G: BROCHURES AT REGISTRATION SITES. PROACTIVELY COMMUNICATING VERBALLY OR IN WRITING TO SCHEDULED PATIENTS PRIOR TO SERVICE. COMMUNICATING IN-HOUSE, DURING SERVICE, OR AFTER.	GASTON MEMORIAL HOSPITAL, INC.
PART V, SECTION B, LINE 16E: COLLECTION ACTIONS ARE TAKEN AFTER REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE PATIENT'S ELIGIBILITY FOR ASSISTANCE.	GASTON MEMORIAL HOSPITAL, INC.
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. TELEPHONE SURVEYS ARE CONDUCTED ON A PERIODIC BASIS TO GATHER OPINIONS FROM RESIDENTS IN THE SERVICE AREA; THE MOST RECENT STUDY WAS COMPLETED IN THE SPRING OF 2009.- 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.- GASTON MEMORIAL HOSPITAL THROUGH THE GCHC 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.- BOARD MEMBERS, SENIOR MANAGEMENT AND DEPARTMENT DIRECTORS ARE INVOLVED IN NUMEROUS ORGANIZATIONS. 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, 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 AND OFFER ASSISTANCE. 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. THERE ARE NO OTHER ACUTE CARE HOSPITALS IN THE PRIMARY SERVICE AREA. ACCORDING TO THE U.S. CENSUS BUREAU, GASTON COUNTY HAD AN ESTIMATED POPULATION OF 208,049 (2012), A MEDIAN HOUSEHOLD INCOME OF $43,054 (2007-2011), AND 16.6% PERSONS BELOW POVERTY LEVEL (2007-2011). DURING FISCAL YEAR 2013, 8% OF THE HOSPITAL'S GROSS CHARGES WERE FROM UNINSURED PATIENTS AND 15.8% WAS 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). 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.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, AS WELL AS WORKING TO MANAGE THIS ILLNESS WITH THE OUR OWN WORKFORCE. 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. CAROMONT MEDICAL GROUP ENCOMPASSES 27 PRIMARY CARE PRACTICES AND 19 SPECIALTY GROUPS WITHIN THE CAROMONT HEALTH SYSTEM. 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, 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. 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 HEALTH IN GASTONIA, NORTH CAROLINA IS A REGIONAL, INDEPENDENT, NOT-FOR-PROFIT HEALTH CARE SYSTEM. IT ENCOMPASSES GASTON MEMORIAL HOSPITAL (D.B.A. CAROMONT REGIONAL MEDICAL CENTER "CRMC") WITH 435-BEDS; 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 46 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, AND 1 OCCUPATIONAL MEDICINE CLINIC.
NC	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (19 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AS ONE MINISTRIES OF GASTONIA
805 WEST AIRLINE AVE	GASTONIA	NC	28054	562180931	501(C)(3)	20000	COMMUNITY ASSISTANCE
CANCER SERVICES OF GASTON COUNTY
306 SOUTH COLUMBIA ST	GASTONIA	NC	28054	561164253	501(C)(3)	15000	COMMUNITY ASSISTANCE
COMMUNITY FOUNDATION OF GASTON COUNTY
1201 E GARRISON BLVD	GASTONIA	NC	28052	581340834	501(C)(3)	30000	COMMUNITY ASSISTANCE
CRISIS PREGNANCY CENTER
800 ROBINSON ROAD	GASTONIA	NC	28054	561499208	501(C)(3)	5000	COMMUNITY ASSISTANCE
DANIEL STOWE GARDENS
6500 SOUTH NEW HOPE ROAD	BELMONT	NC	28012	208362933	501(C)(3)	5000	COMMUNITY ASSISTANCE
GASTON FAMILY HEALTH SERVICES
991 WEST HUDSON BOULEVARD	GASTONIA	NC	28052	581958398	501(C)(3)	150000	COMMUNITY ASSISTANCE
GASTON GAZETTE WOMENS EXPO
1893 REMOUNT ROAD	GASTONIA	NC	28054	580904885	N/A	6750	COMMUNITY ASSISTANCE
GASTON REGIONAL CHAMBER
601 W FRANKLIN BLVD	GASTONIA	NC	28053	560232990	501(C)(6)	23055	COMMUNITY ASSISTANCE
GASTON TOGETHER
PO BOX 817	GASTONIA	NC	28053	562048064	501(C)(3)	37500	COMMUNITY ASSISTANCE
GASTONIA GRIZZLIES
PO BOX 177	GASTONIA	NC	28053	421554288	N/A	20750	COMMUNITY ASSISTANCE
GIRLS ON THE RUN OF GASTON COUNTY
991 WEST HUDSON BOULEVARD	GASTONIA	NC	28052	562201835	501(C)(3)	15000	COMMUNITY ASSISTANCE
HEART SOCIETY OF GASTON COUNTY
1201 EAST GARRISON BLVD	GASTONIA	NC	28054	561330921	501(C)(3)	31800	COMMUNITY ASSISTANCE
HOLY ANGELS FOUNDATION
660 WILKINSON BLVD	BELMONT	NC	28012	561762654	501(C)(3)	16302	COMMUNITY ASSISTANCE
MONTCROSS AREA CHAMBER OF COMMERCE
PO BOX 368	BELMONT	NC	28012	560710166	501(C)(6)	18000	COMMUNITY ASSISTANCE
MOUNT HOLLY COMMUNITY DEVELOPMENT FOUNDATION
1068 SOUTH MAIN STREET	MOUNT HOLLY	NC	28120	200738339	501(C)(3)	100000	COMMUNITY ASSISTANCE
NC PHYSICIANS HEALTH PROGRAM
220 HORIZON DRIVE SUITE 201	RALEIGH	NC	27615	561846599	501(C)(3)	5500	COMMUNITY ASSISTANCE
STANLEY TOWN REVITALIZATION CORP
PO BOX 279	STANLEY	NC	28164	451621815	501(C)(3)	10000	COMMUNITY ASSISTANCE
THE GREAT 100 INC
PO BOX 4875	GREENSBORO	NC	27404	561705456	501(C)(3)	5000	COMMUNITY ASSISTANCE
UNITED WAY OF GASTON COUNTY
PO BOC 2597	GASTONIA	NC	28053	560653356	501(C)(3)	20000	COMMUNITY ASSISTANCE

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	15	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	4	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	12	NumberOfRecipients
Amount Of Cash Grant	28000	AmountOfCashGrant
Description Of Non Cash Assistance	GERTRUDE CLINTON HEALTH CAREERS SCHOLARSHIPS	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, 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 GASTON MEMORIAL HOSPITAL OR IN GASTON COUNTY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KELVIN C HARRIS MD
DIRECTOR THROUGH DECEMBER 2012	0	165127	0	144758	0	300	0	6976	0	13295	0	330456	0	0
DAVID O'CONNOR
EVP/CFO/ASST. TREASURER	351082	0	124821	0	7430	0	79460	0	14192	0	576985	0	0	0
MARIA LONG
EVP CHIEF LEGAL OFFICER/ASST. SECRET	280995	0	102230	0	737	0	45890	0	1946	0	431798	0	0	0
DOUG LUCKETT
EVP/COO THROUGH APRIL'13/INTERIM CEO	372857	0	127707	0	7487	0	74601	0	10573	0	593225	0	0	0
RANDALL L KELLEY
CEO THROUGH APRIL 2013	577693	0	232988	0	22014	0	156204	0	10087	0	998986	0	0	0
JERRY LEVINE
EVP/CHIEF MEDICAL OFFICER	415992	0	148302	0	11310	0	93092	0	14530	0	683226	0	0	0
KATHLEEN K BESSON
VP CLINICAL OPERATIONS/EVP COO	218002	0	80137	0	1259	0	52324	0	13547	0	365269	0	0	0
W K HARWELL
VP PATIENT CARE	248839	0	86310	0	4894	0	36296	0	7393	0	383732	0	0	0
ANDREA K SERRA
VP WELLNESS DEVELOPMENT	194393	0	69982	0	655	0	45764	0	7122	0	317916	0	0	0
TODD DAVIS MD
VP MEDICAL AFFAIRS	278411	0	33050	0	522	0	53578	0	12178	0	377739	0	0	0
MICHAEL R JOHNSON
VP CIO	245657	0	53363	0	1686	0	51727	0	12741	0	365174	0	0	0
ELIZABETH MCCRAW
VP HUMAN RESOURCES	189485	0	68379	0	283	0	35424	0	13403	0	306974	0	0	0
TERRY L JONES
FORMER KEY EMPLOYEE	0	0	0	0	147866	0	0	0	4144	0	152010	0	0	0
STEVEN A RUBIN
FORMER KEY EMPLOYEE	0	0	0	0	124527	0	218	0	300	0	125045	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - A PERCENTAGE OF PERSONAL USE OF DUES PAYMENTS FOR MEMBERSHIP IN A HEALTH OR FITNESS CLUB OR A SOCIAL OR RECREATIONAL CLUB WILL BE ADDED TO THE EMPLOYEE'S W-2 AT THE END OF THE CALENDAR YEAR. DURING 2012 THIS BENEFIT WAS PROVIDED TO THE CEO AND CFO. THE CEO ALSO RECEIVED A HOUSING ALLOWANCE WHICH WAS ADDED TO THE EMPLOYEE'S W-2 AT THE END OF THE CALENDAR YEAR.
PART I, LINE 3	THE CEO, CFO AND CHIEF LEGAL OFFICER ARE COMPENSATED FOR THEIR SERVICES BY GASTON MEMORIAL HOSPITAL, A SUBSIDIARY OF CAROMONT HEALTH, INC. THE COMPENSATION OF ALL CAROMONT EXECUTIVES FOR EACH YEAR IS ESTABLISHED BY THE COMPENSATION COMMITTEE OF THE CAROMONT HEALTH BOARD OF DIRECTORS, BASED ON GUIDANCE AND OPINIONS PROVIDED BY AN INDEPENDENT, THIRD-PARTY COMPENSATION CONSULTANT. PURSUANT TO THE COMMITTEE CHARTER FOR THE COMPENSATION COMMITTEE OF THE BOARD, THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE COMPENSATION PHILOSOPHY, WHICH ESTABLISHES THE PARAMETERS FOR ALL EXECUTIVE COMPENSATION DECISIONS. THE BOARD OF DIRECTORS DELEGATES ALL COMPENSATION DECISIONS FOR ALL EXECUTIVES TO THE COMPENSATION COMMITTEE, PROVIDED SUCH DECISIONS ARE CONSISTENT WITH THE COMPENSATION PHILOSOPHY. BOARD APPROVAL MUST BE OBTAINED WHEN COMPENSATION DECISIONS DEVIATE FROM THE COMPENSATION PHILOSOPHY. BOARD MEMBERS WHO SERVE ON THE COMPENSATION COMMITTEE ARE INDEPENDENT AND FREE OF ANY CONFLICT OF INTEREST. ANY COMPENSATION COMMITTEE MEMBER WHO DEVELOPS A CONFLICT OF INTEREST DURING HIS/HER TERM WITH RESPECT TO THE DISCUSSION OF ANY EXECUTIVE'S COMPENSATION LEAVES THE MEETING AND DOES NOT PARTICIPATE IN THE DISCUSSION OR DECISION-MAKING BY THE REMAINING INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RETAINS JURISDICTION OVER THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVES AND REVIEWS EXECUTIVE BENEFITS AND PERQUISITES AS WELL AS TOTAL CASH COMPENSATION. COMPENSATION FOR THE CEO IS ESTABLISHED THROUGH A PROCESS OF PERFORMANCE EVALUATION, COMPARISON WITH COMPARABLE MARKET DATA AND DETERMINATION BY THE COMPENSATION COMMITTEE OF ACCEPTABLE SALARY RANGE AND PERCENTILE RANKING. ALL COMPENSATION DECISIONS FOR THE CEO ARE APPROVED BY THE COMPENSATION COMMITTEE, AS LONG AS THE COMPENSATION DECISIONS ARE CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. THE PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE 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 KEY EMPLOYEES IDENTIFIED BELOW: STEVEN A. RUBIN, FORMER KEY EMPLOYEE $124,527 TERRY L. JONES, FORMER KEY EMPLOYEE $145,637 THE FOLLOWING INDIVIDUALS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY THE FILING ORGANIZATION FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DAVID O'CONNOR - $ 69,460 MARIA LONG - 34,427 DOUG LUCKETT - 72,101 JERRY LEVINE - 83,242 RANDALL L. KELLEY - 152,984 W.K. HARWELL - 29,375 KATHLEEN K. BESSON - 26,989 ANDREA K. SERRA - 23,567 TODD DAVIS, MD - 50,400 MICHAEL R. JOHNSON - 21,216 ELIZABETH MCCRAW - 22,968
PART I, LINE 6	CERTAIN CAROMONT MEDICAL GROUP INC. PHYSICIAN'S COMPENSATION PACKAGES ARE BASED ON THE INDIVIDUAL PHYSICIAN'S NET RESULTS FROM OPERATIONS AS CALCULATED BASED SOLEY ON HIS/HER NET CHARGES LESS HIS/HER ALLOCABLE SHARE OF CLINIC OVERHEAD COSTS. EXECUTIVE INCENTIVE COMPENSATION PLAN FOR ALL KEY EMPLOYEES BASED ON THE ACHIEVEMENT OF ANNUAL BUSINESS OBJECTIVES AND FINANCIAL PERFORMANCE OF THE CONSOLIDATED SYSTEM. MANAGER INCENTIVE PLAN BASED ON CONSOLIDATED CORPORATE AND INDIVIDUAL PERFORMANCE GOALS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	65820HVF7	2003-01-23	120000000	SEE PART VI	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	65820HG64	2008-01-31	118400000	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	900000	123594002	5150936	1256069	3386000	91583288	22217709	2005	0	1	1	1
B	31265000	118649798	610174	917471	1553718	28952424	86616011	2009	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Prcntge Bond Financed PropPrcntgeBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	1	1	1	1	0.00010	0.00000	0.00010	0	1	0.00110	0	0
B	0	0	1	1	1	1	0.00010	0.00010	0.00020	0	1	0.00040	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
MERRILL LYNCH
A	0	0	0	1	1	1	CAPITAL SERVICES	31.600000000000	1	0	0	0	1
MERRILL LYNCH
B	0	0	1	1	0	1	DERIVATIVE PRODUCTS	21.000000000000	1	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0

Form990 Schedule K Part VI Form990ScheduleKPartVI (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C	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) GASTON MEMORIAL HOSPITAL, INC. 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):	INVESTMENT EARNINGS INCLUDED IN TOTAL PROCEEDS OF ISSUE:	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):	INVESTMENT EARNINGS INCLUDED IN TOTAL PROCEEDS OF ISSUE:	LINE 3 COLUMN (B) INCLUDES THE TOTAL INVESTMENT EARNINGS ON BOND PROCEEDS IN THE AMOUNT OF $ 249,798.
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 III, LINE 8B, PROPERTY SOLD OR DISPOSED OF:		THE ORGANIZATION HAS INTEPRETED THE RESPONSE TO THIS QUESTION TO EXCLUDE RETIREMENT OF FIXED ASSETS THAT ARE BASED UPON A SET SCHEDULE OF ASSET CLASS LIVES.
SCHEDULE K, PART III, LINE 9, WRITTEN POLICIES;		THE ORGANIZATION DID NOT HAVE WRITTEN PROCEDURES IN PLACE THAT REQUIRE IT TO REMEDIATE ALL NONQUALIFIED BONDS OF THE ISSUE PER THE REQUIREMENTS UNDER REGULATION 1.141-12 AND 1.145-2 AS OF THE END OF THE TAX YEAR; HOWEVER, THE ORGANIZATION HAS IDENTIFIED THIS ISSUE AND AT THE TIME OF THIS FILING IS IN THE PROCESS OF AMENDING ITS WRITTEN POLICIES TO INCLUDES THIS PROVISION.
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 3C, COLUMN (B):		THIS BOND ISSUE HAS TWO HEDGE TERMS: 11.0 YEARS AND 21.0 YEARS.
SCHEDULE K, PART V, PROCEDURES TO UNDERTAKE CORRECTIVE ACTION:		THE ORGANIZATION DID NOT HAVE WRITTEN PROCEDURES IN PLACE THAT REQUIRE IT TO ENGAGE THE VOLUNTARY CLOSING AGREEMENT PROGRAM FOR VIOLATIONS OF FEDERAL TAX REQUIREMENTS AS OF THE END OF THE TAX YEAR; HOWEVER, THE ORGANIZATION HAS IDENTIFIED THIS ISSUE AND AT THE TIME OF THIS FILING IS IN THE PROCESS OF AMENDING ITS WRITTEN POLICIES TO INCLUDE THIS PROVISION.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
LUCINDA DAVIS
FAMILY MEMBER OF DIRECTOR	53496	COMPENSATION AS EMPLOYEE	0
IMMORTOLOGY LLC
COMPANY IS MORE THAN 35% OWNED BY SON OF DIRECTOR	543362	CONTRACT FOR MARKETING SERVICES BETWEEN THE FILING ORGANIZATOIN AND IMMORTOLOGY	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS:	FORM 990, PART III, LINE 4A	CAROMONT HEALTH IS A NOT-FOR-PROFIT HEALTH SYSTEM HEADQUARTERED IN GASTONIA, NC THAT PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES WITHIN FIVE COUNTIES AND TWO STATES. CAROMONT HEALTH EMPLOYS NEARLY 3,900 HEALTHCARE PROFESSIONALS WITH A MEDICAL STAFF MEMBERSHIP OF MORE THAN 450. CAROMONT REGIONAL MEDICAL CENTER, A 435-BED ACUTE CARE HOSPITAL, IS THE ANCHOR OF CAROMONT HEALTH AND FEATURES A STATE-OF-THE-ART CANCER CENTER, AN OUTSTANDING BIRTHPLACE AND NEONATAL INTENSIVE CARE UNIT, AND A LEVEL III TRAUMA CENTER. AS AN INNOVATIVE LEADER IN HEALTH CARE, CAROMONT HEALTH HAS BEEN AWARDED MANY TOP HONORS IN 2013. IN JULY, CAROMONT WAS PROCLAIMED THE FIRST PURPLE HEART HOSPITAL IN THE NATION BY THE MILITARY ORDER OF PURPLE HEART AND ALSO RECOGNIZED AS A TOP 100 HOSPITAL BY TRUVEN HEALTH ANALYTICS FOR THE FOURTH YEAR. SOME OTHER KEY ACHIEVEMENTS IN 2013 INCLUDE BEING RECOGNIZED FOR HEALTHGRADES' CLINICAL EXCELLENCE DISTINCTION FOR THE FOURTH CONSECUTIVE YEAR. ADDITIONALLY, CAROMONT REGIONAL MEDICAL RECEIVED THE "GRADE A" AWARD FOR PATIENT SAFETY FROM LEAPFROG GROUP AND WAS NAMED A TOP 20 MOST BEAUTIFUL HOSPITAL BY SOLIANT HEALTH. CAROMONT HEALTH'S MISSION IS TO PROVIDE EXCEPTIONAL HEALTH CARE TO THE COMMUNITIES WE SERVE. WE FULFILL THAT MISSION THROUGH SEVERAL PROGRAMS AND INITIATIVES, SUCH AS: PHYSICIAN RECRUITMENT & RETAINMENT CAROMONT BOASTS A ROBUST AND TALENTED MEDICAL STAFF OF MORE THAN 450 PHYSICIANS. CAROMONT CONSISTENTLY SEEKS TO RECRUIT LEADERS IN THE FIELD OF MEDICINE. CAROMONT INVESTS IN THE MEDICAL STAFF IN A NUMBER OF WAYS, INCLUDING ATTENDANCE AT INDUSTRY CONFERENCES AND CONTINUING EDUCATION OPPORTUNITIES. IN 2013, CAROMONT INVESTED $761,369 TO RECRUIT, TRAIN AND RETAIN HIGHLY-SKILLED PHYSICIANS TO PROVIDE NATIONALLY-RECOGNIZED, HIGH-QUALITY CARE. UNREIMBURSED COSTS OF CARE IN 2013, CAROMONT HEALTH HAD $71.9 MILLION IN UNREIMBURSED HEALTH CARE COSTS. THIS AMOUNT COVERS ALL FORMS OF UNREIMBURSED CARE, INCLUDING MORE THAN $13.5 MILLION IN CHARITY CARE, $41.6 MILLION IN MEDICARE AND MEDICAID LOSSES, AND $16.8 IN BAD DEBT. CAROMONT PROVIDES CARE TO ALL PATIENTS, WHETHER THEY HAVE INSURANCE OR NOT, THE CHARITY CARE AND BAD DEBT TOTALS REFLECT THE AMOUNT THAT IS NOT REIMBURSED, EITHER BY THE INABILITY OR CHOICE NOT TO PAY. THE MEDICARE AND MEDICAID LOSSES REFLECT THE COST OF CARE PROVIDED THAT WAS NOT PAID FOR BY EITHER THE APPLICABLE GOVERNMENT PROGRAM OR THE PATIENT. COMMUNITY HEALTH IMPROVEMENT INITIATIVES & INVESTMENTS CAROMONT HEALTH IS ACTIVE IN OUR COMMUNITY IN A NUMBER OF WAYS INCLUDING DONATIONS, INVESTMENTS AND VOLUNTEERISM. IN THE LAST FISCAL YEAR, CAROMONT INVESTED MORE THAN $2.96 MILLION IN OUR COMMUNITY THROUGH HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, DONATIONS AND IN-KIND CONTRIBUTIONS OF GOODS AND SERVICES. SPONSORSHIPS & PARTNERSHIPS CAROMONT HEALTH IS ALWAYS SEEKING ACTIVE PARTNERS IN OUR JOURNEY TOWARD ACHIEVING BETTER COMMUNITY HEALTH. ONE OF THE WAYS WE IDENTIFY THESE PARTNERS IS THROUGH THE SPONSORSHIP PROGRAM. IN 2013 WE PARTNERED WITH AND PROVIDED FUNDING TO SEVERAL ORGANIZATIONS, INCLUDING CANCER SERVICES OF GASTON COUNTY, COMMUNITY FOUNDATION OF GASTON COUNTY, GASTONIA GRIZZLIES, GIRLS ON THE RUN OF GASTON COUNTY, HEAR SOCIETY OF GASTON COUNTY, GASTON FAMILY HEALTHCARE SERVICES, AND HOLY ANGELS. WELLNESS INITIATIVES OUR WELLNESS DEPARTMENT IS ACTIVE WITH SEVERAL COMMUNITY ORGANIZATIONS TO IMPROVE THE HEALTH OF THE COUNTY. THESE ACTIVITIES TAKE THE FORM OF HEALTH FAIRS, LUNCH AND LEARN, FAITH AND HEALTH MINISTRY, PHYSICIAN PRESENTATIONS AND COMMUNITY WELLNESS CHALLENGES. PATIENT ADVOCACY - ENROLLMENT ASSISTANCE CAROMONT REGIONAL MEDICAL CENTER HAS DEVELOPED A PROGRAM TO ASSIST UNINSURED AND UNDER-INSURED COMMUNITY MEMBERS WITH ENROLLMENT IN PUBLIC PROGRAMS. SEVERAL EMPLOYEES ASSIST INDIVIDUALS WITH ENROLLMENT IN MEDICAID, MEDICARE, NC HEALTH CHOICE, CRIME VICTIMS PROGRAMS, FOOD STAMPS, VOCATIONAL REHAB, PUBLIC HOUSING, PRESCRIPTION PROGRAMS, MEALS ON WHEELS AND ADULT SERVICES THROUGH DSS. THE TOTAL COST TO CAROMONT FOR THIS PROGRAM IS $377,679. 2013 CAROMONT HEART WALK CAROMONT STRONG, CAROMONT PROUD, CAROMONT HEART! WAS THE RALLYING CRY ON MAY 2, 2013 WHEN SEVERAL HUNDRED CAROMONT EMPLOYEES, ALONG WITH THEIR FAMILIES AND FRIENDS, PARTICIPATED IN THE HEART WALK ON THE CAROMONT REGIONAL CENTER CAMPUS. THE 1-MILE WALK RAISED MORE THAN $21,000 FOR THE HEART SOCIETY OF GASTON COUNTY. UNITED WAY PACESETTER CAMPAIGN THE PACESETTER CAMPAIGN OFFERS OUR EMPLOYEES THE OPPORTUNITY TO SUPPORT MORE THAN 23 LOCAL ORGANIZATIONS WITH THE EASE OF A SINGLE DONATION. LAST FISCAL YEAR, CAROMONT EMPLOYEES CONTRIBUTED MORE THAN $190,000 TO THE UNITED WAY. COMMUNITY GROUPS AND INITIATIVES CAROMONT HEALTH EMPLOYEES ALSO CONTRIBUTE TIME TO SUPPORT LOCAL ORGANIZATIONS, THROUGH BOARD APPOINTMENTS AND VOLUNTEER OPPORTUNITIES. SEVERAL MEMBERS OF OUR LEADERSHIP TEAM SERVE ON LOCAL BOARDS AND WORK CLOSELY WITH PARTNER GROUPS, SUCH AS GASTON TOGETHER AND HEALTHNET GASTON, TO BETTER THE HEALTH OF GASTON COUNTY. THESE TIES TO THE COMMUNITY HELP US PAINT A CLEARER PICTURE OF THE RESIDENTS' NEEDS, ALLOWING US TO TAILOR OUR PROGRAMS AND SERVICES TO BEST MEET THOSE NEEDS. COMMUNITY HEALTH EDUCATION CAROMONT HEALTH ALSO INVESTS HEAVILY IN THE FUTURE OF HEALTH CARE BY INVESTING IN THE EDUCATION OF LOCAL HEALTH CARE STUDENTS. IN 2013, CAROMONT SPENT $2,761,681 TO COVER THE COSTS OF STUDENT ROTATIONS AND EDUCATION COSTS. THIS INCLUDES THE USE OF EQUIPMENT, STAFF AND INSTRUCTOR TIME, AND PROGRAM DEVELOPMENT FOR HIGH SCHOOL AND COLLEGE CURRICULA. CAROMONT HEALTH'S PARTNER SCHOOLS INCLUDE APPALACHIAN STATE UNIVERSITY, GASTON COLLEGE NURSING AND ALLIED HEALTH, GASTON COUNTY SCHOOLS, LENIOR RHYNE UNIVERSITY, UNC - CHARLOTTE, UNC - GREENSBORO, GARDNER WEBB UNIVERSITY, QUEENS UNIVERSITY, AND CENTRAL PIEDMONT COMMUNITY COLLEGE. IN ADDITION, CAROMONT PROVIDED SPORTS MEDICINE AND ATHLETIC TRAINING TO GASTON CHRISTIAN SCHOOLS AND GASTONIA GRIZZLIES BASEBALL CAMP. RESEARCH PROGRAMS CAROMONT HEALTH PARTICIPATED IN NUMEROUS RESEARCH TRIALS AND PROGRAMS IN 2013. CAROMONT INVESTED $1.16 MILLION, $756,000 OF WHICH WAS UNREIMBURSED, IN THESE PROGRAMS FOR TREATMENTS, PROCEDURES, MEDICATIONS AND STAFF TIME. RESEARCH PROGRAMS ARE THE KEY TO INNOVATION AND ADVANCEMENT IN HEALTH CARE AND CAROMONT IS DEDICATED TO SUPPORTING OUR MEDICAL PROFESSIONALS IN THE PURSUIT OF NEW TREATMENTS.
BOARD MEMBER INDEPENDENCE:	FORM 990, PART VI, SECTION A, LINE 1B	DR. CHARLES MEAKIN IS A PHYSICIAN ON THE MEDICAL STAFF OF CAROMONT REGIONAL MEDICAL CENTER, THE MEDICAL DIRECTOR OF THE RADIATION ONCOLOGY PROGRAM AND A PARTNER WITH A 5.25% OWNERSHIP INTEREST IN SOUTHEAST RADIATION ONCOLOGY, WHICH HOLDS AN EXCLUSIVE CONTRACT WITH CAROMONT REGIONAL MEDICAL CENTER FOR RADIATION ONCOLOGY SERVICES. DR. MEAKIN WAS ALSO APPOINTED TO THE BOARD OF DIRECTORS OF CAROMONT HEALTH BY THE GASTON COUNTY BOARD OF COMMISSIONERS IN MARCH, 2013. TO COMPENSATE DR. MEAKIN FOR HIS INDEPENDENT CONTRACTOR SERVICES AS MEDICAL DIRECTOR, CAROMONT REGIONAL MEDICAL CENTER HAS ENTERED INTO A CONTRACT ARRANGEMENT WITH SOUTHEAST RADIATION ONCOLOGY TO PAY SOUTHEAST RADIATION ONCOLOGY FOR DR. MEAKIN'S SERVICES, BASED ON TIMESHEETS PREPARED BY DR. MEAKIN AND SUBMITTED TO CAROMONT REGIONAL MEDICAL CENTER FOR APPROVAL. BECAUSE THE AMOUNTS PAID PURSUANT TO THIS ARRANGEMENT IN 2013 WERE $32,632 AND THEREFORE DID NOT EXCEED $100,000, DR. MEAKIN HAS BEEN COUNTED AS AN INDEPENDENT DIRECTOR FOR PURPOSES OF 990 REPORTING. IN ALL OTHER RESPECTS, DR. MEAKIN IS CONSIDERED TO BE NON-INDEPENDENT. THE COMPENSATION PAID TO DR. MEAKIN IS EXPECTED TO CHANGE FROM YEAR TO YEAR, RESULTING IN VARYING ASSESSMENTS AS TO WHETHER HIS STATUS MUST BE REPORTED ON THE 990 AS NON-INDEPENDENT.
	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 APPLICABLE EMPLOYEE AND DIRECTOR SHALL FULLY AND TRUTHFULLY COMPLETE A QUESTIONNAIRE CONCERNING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST ANNUALLY. SUCH QUESTIONNAIRE SHALL IDENTIFY THE EMPLOYEE'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 EMPLOYEE'S AGREEMENT TO ABIDE BY ALL TERMS AND CONDITIONS OF THIS POLICY AS A CONDITION OF RETAINING THEIR POSITION. SUCH QUESTIONNAIRES SHALL BE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND THE CORPORATE RESPONSIBILITY OFFICER.
	FORM 990, PART VI, SECTION B, LINE 15	THE CEO, CFO AND CHIEF LEGAL OFFICER ARE COMPENSATED FOR THEIR SERVICES BY GASTON MEMORIAL HOSPITAL, A SUBSIDIARY OF CAROMONT HEALTH, INC. THE COMPENSATION OF ALL CAROMONT EXECUTIVES FOR EACH YEAR IS ESTABLISHED BY THE COMPENSATION COMMITTEE OF THE CAROMONT HEALTH BOARD OF DIRECTORS, BASED ON GUIDANCE AND OPINIONS PROVIDED BY AN INDEPENDENT, THIRD-PARTY COMPENSATION CONSULTANT. PURSUANT TO THE COMMITTEE CHARTER FOR THE COMPENSATION COMMITTEE OF THE BOARD, THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE COMPENSATION PHILOSOPHY, WHICH ESTABLISHES THE PARAMETERS FOR ALL EXECUTIVE COMPENSATION DECISIONS. THE BOARD OF DIRECTORS DELEGATES ALL COMPENSATION DECISIONS FOR ALL EXECUTIVES TO THE COMPENSATION COMMITTEE, PROVIDED SUCH DECISIONS ARE CONSISTENT WITH THE COMPENSATION PHILOSOPHY. BOARD APPROVAL MUST BE OBTAINED WHEN COMPENSATION DECISIONS DEVIATE FROM THE COMPENSATION PHILOSOPHY. BOARD MEMBERS WHO SERVE ON THE COMPENSATION COMMITTEE ARE INDEPENDENT AND FREE OF ANY CONFLICT OF INTEREST. ANY COMPENSATION COMMITTEE MEMBER WHO DEVELOPS A CONFLICT OF INTEREST DURING HIS/HER TERM WITH RESPECT TO THE DISCUSSION OF ANY EXECUTIVE'S COMPENSATION LEAVES THE MEETING AND DOES NOT PARTICIPATE IN THE DISCUSSION OR DECISION-MAKING BY THE REMAINING INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RETAINS JURISDICTION OVER THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVES AND REVIEWS EXECUTIVE BENEFITS AND PERQUISITES AS WELL AS TOTAL CASH COMPENSATION. COMPENSATION FOR THE CEO IS ESTABLISHED THROUGH A PROCESS OF PERFORMANCE EVALUATION, COMPARISON WITH COMPARABLE MARKET DATA AND DETERMINATION BY THE COMPENSATION COMMITTEE OF ACCEPTABLE SALARY RANGE AND PERCENTILE RANKING. ALL COMPENSATION DECISIONS FOR THE CEO ARE APPROVED BY THE COMPENSATION COMMITTEE, AS LONG AS THE COMPENSATION DECISIONS ARE CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. THE PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE 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.
	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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFER TO AFFILIATE -17,713,942. CHANGE IN VALUE OF INTEREST RATE SWAP -1,862,295.
	PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM LAST YEAR.
COMMON PAYMASTER	FORM 990, PART V AND PART VII	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

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg