GASTON MEMORIAL HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GASTON MEMORIAL HOSPITAL INC (EIN 56-0619359)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2013-02-26
- IRS object ID
- 201300579349300005
- Schema version
- 2010v3.4
- 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 | 2013-02-26T09:07:43-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-07-01 | 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 | CFO | Title |
| Phone | 7048342000 | Phone |
| Date Signed | 2013-02-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| 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 | 410972492 | 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 | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3023 | TotalNbrEmployees |
| Total Nbr Volunteers | 291 | TotalNbrVolunteers |
| Total Gross UBI | 619518 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 74649 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 373678 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 119286 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 378127914 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 405735809 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 112375 | InvestmentIncomePriorYear |
| Investment Income Current Year | 41896 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5155165 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5018302 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 383769132 | TotalRevenuePriorYear |
| Total Revenue Current Year | 410915293 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 88799 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 257503 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 157119443 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 163004927 | 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 | 200992995 | OtherExpensePriorYear |
| Other Expenses Current Year | 214831055 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 358201237 | TotalExpensesPriorYear |
| Total Expenses Current Year | 378093485 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 25567895 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 32821808 | RevenuesLessExpensesCY |
| Total Assets BOY | 324420647 | TotalAssetsBOY |
| Total Assets EOY | 332063801 | TotalAssetsEOY |
| Total Liabilities BOY | 314318521 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 307061339 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10102126 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 25002462 | 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 | 351817543 | Expense |
| Grants | 257503 | Grants |
| Revenue | 405678029 | Revenue |
| Description | GASTON MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, AND SURGICAL 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 | 351817543 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 0 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 341 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3023 | 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 | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| 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 (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| H SPURGEON MACKIE JR | |||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |||
| SHEILA S REILLY PHD | |||||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |||
| DR ROBERT D CROUCH | |||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| WILLIAM K GARY SR | |||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| MARY FRANCES FORRESTER | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| KELVIN C HARRIS MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 231676 | 17761 | ||||
| JAMES H HOWARD JR | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JAMES R BEAM | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| RICHARD K CRAIG | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| MICKEY PRICE | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| DR KATHY DRUM | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID ALLEN SMITH | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| M VINCENT QUINN | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| W BARRY SMITH | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| DR JOHN L SCHEITLER | |||||||||
| CHIEF-OF-STAFF | 1.00 | X | 20855 | 0 | 0 | ||||
| DR H CLAYTON THOMASON III | |||||||||
| PAST CHIEF-OF-STAFF | 1.00 | X | 30000 | 0 | 0 | ||||
| VALINDA L RUTLEDGE | |||||||||
| CEO | 40.00 | X | 1076425 | 0 | 38634 | ||||
| DAVID O'CONNOR | |||||||||
| CFO/ASST. TREASURER | 40.00 | X | 692572 | 0 | 39820 | ||||
| MARIA LONG | |||||||||
| EVP GEN. COUNSEL/ASST. SEC. | 40.00 | X | 487588 | 0 | 33654 | ||||
| JAMES D HUBER | |||||||||
| VP MEDICAL SERVICES | 40.00 | 527556 | 0 | 24567 | X | ||||
| STEVEN A RUBIN | |||||||||
| VP PRACTICE MANAGEMENT | 40.00 | 461803 | 0 | 48507 | X | ||||
| TERRY L JONES | |||||||||
| EVP/CAO | 40.00 | 816277 | 0 | 90600 | X | ||||
| W K HARWELL | |||||||||
| VP PATIENT CARE SERVICES - FORMER KE | 40.00 | 446012 | 0 | 139707 | X | ||||
| ANDREA K SERRA | |||||||||
| VP WELLNESS - FORMER KE | 40.00 | 385625 | 0 | 46032 | X | ||||
| MICHAEL R JOHNSON | |||||||||
| AVP, CIO | 40.00 | 288841 | 0 | 61392 | X | ||||
| ROWENA BUFFETT TIMMS | |||||||||
| VP OF PUBLIC POLICY | 40.00 | 306035 | 0 | 17060 | X | ||||
| KATHLEEN L BESSON | |||||||||
| VP OF CLINICAL OPS | 40.00 | 276676 | 0 | 44064 | X | ||||
| WAYNE F SHOVELIN | |||||||||
| FORMER CEO | 0.00 | 5914978 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 11731243 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 231676 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 601798 | TotalOtherCompensation |
| Number Individuals GT100 K | 113 | 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 |
|---|---|---|---|---|---|
| SHARED (SIEMENS) MEDICAL SOLUTIONS | |||||
| 51 VALLEY STREAM PARKWAY | MALVERN | PA | 19355 | INFORMATION SYSTEMS | 4991005 |
| MORRISON MANAGEMENT SPECIALISTS INC | |||||
| 3 WACHOVIA CENTER STE 3000 401 S | CHARLOTTE | NC | 28202 | FOOD SERVICES MANAGEMENT | 4248818 |
| ARAMARK CTS | |||||
| 12483 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | BIOMED SERVICES | 2140200 |
| GASTON ANESTHESIA ASSOCIATES | |||||
| PO BOX 601713 | CHARLOTTE | NC | 28260 | CRNA SERVICES | 2126193 |
| REHABCARE GROUP | |||||
| 7733 FORSYTH BLVD STE 1700 | ST LOUIS | MO | 63105 | OP REHAB SERVICES | 1268959 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 46 | NumberOfContractorsGT100K |
| All Other Contributions | 119286 | AllOtherContributions |
| Total Contributions | 119286 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES REVEN | 621500 | 404550934 | 404068809 | 482125 |
| PARTNERSHIP INCOME | 541900 | 853266 | 851585 | 1681 |
| AUXILIARY INCOME | 621500 | 331609 | 219897 | 111712 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 405735809 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 99095 | TotalRevenueColumn |
| Exclusion | $99,095 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 57199 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -57199 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -57199 | TotalRevenueColumn |
| Exclusion | -$57,199 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| PHARMACY REVENUE | 621500 | 2173456 | $2,173,456 | |
| CAFETERIA & VENDING IN | 722210 | 2048851 | $2,048,851 | |
| DISCOUNTS & REBATES | 621500 | 537738 | 537738 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 258257 | TotalRevenueColumn |
| Unrelated Business Revenue | 24000 | UnrelatedBusinessRevenue |
| Exclusion | $234,257 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5018302 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 410915293 | TotalRevenueColumn |
| Related Or Exempt Function Income | 405678029 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 619518 | UnrelatedBusinessRevenue |
| Exclusion | $4,498,460 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257503 | Total |
| Program Services | 257503 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4508634 | Total |
| Program Services | 919053 | ProgramServices |
| Management And General | 3589581 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54468 | Total |
| Program Services | 54468 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127338862 | Total |
| Program Services | 116843848 | ProgramServices |
| Management And General | 10495014 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5979786 | Total |
| Program Services | 5343975 | ProgramServices |
| Management And General | 635811 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15821584 | Total |
| Program Services | 14199224 | ProgramServices |
| Management And General | 1622360 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9301593 | Total |
| Program Services | 8312586 | ProgramServices |
| Management And General | 989007 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 509315 | Total |
| Management And General | 509315 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418205 | Total |
| Program Services | 57011 | ProgramServices |
| Management And General | 361194 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27388 | Total |
| Management And General | 27388 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263852 | Total |
| Management And General | 263852 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39084210 | Total |
| Program Services | 35888182 | ProgramServices |
| Management And General | 3196028 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1056718 | Total |
| Program Services | 138623 | ProgramServices |
| Management And General | 918095 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2655004 | Total |
| Program Services | 1568135 | ProgramServices |
| Management And General | 1086869 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 373125 | Total |
| Program Services | 373125 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9167315 | Total |
| Program Services | 9167315 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123150 | Total |
| Program Services | 63134 | ProgramServices |
| Management And General | 60016 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 799649 | Total |
| Program Services | 324511 | ProgramServices |
| Management And General | 475138 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11114018 | Total |
| Program Services | 11114018 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26833269 | Total |
| Program Services | 26833269 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1369881 | Total |
| Management And General | 1369881 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 73237048 | 72963654 | 273394 |
| BAD DEBT | 40115742 | 40115742 | |
| EQUIPMENT | 5529915 | 5497322 | 32593 |
| RECRUITING | 1681816 | 1647401 | 34415 |
| MISCELLANEOUS | 418078 | 135444 | 282634 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53357 | Total |
| Management And General | 53357 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378093485 | Total |
| Program Services | 351817543 | ProgramServices |
| Management And General | 26275942 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3285 | BOY |
| EOY | -5240 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33966858 | BOY |
| EOY | 43641842 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5676105 | BOY |
| EOY | 6558153 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7706644 | BOY |
| EOY | 8288591 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 490703793 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 285794159 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207276220 | BOY |
| EOY | 204909634 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17892 | BOY |
| EOY | 9873 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349220 | BOY |
| EOY | 380625 | 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 | 67119347 | BOY |
| EOY | 65968677 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324420647 | BOY |
| EOY | 332063801 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34757005 | BOY |
| EOY | 39454843 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219898498 | BOY |
| EOY | 213332101 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59663018 | BOY |
| EOY | 54274395 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314318521 | BOY |
| EOY | 307061339 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10102126 | BOY |
| EOY | 24995463 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 6999 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10102126 | BOY |
| EOY | 25002462 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324420647 | BOY |
| EOY | 332063801 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 32821808 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -17921472 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | $263,852 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 263852 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | ANNUAL DUES WERE PAID TO THE NORTH CAROLINA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, OF WHICH $25,112 WAS DETERMINED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. AN ADDITIONAL $238,740 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 | 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 | 3501129 | OtherCostOrOtherBasis |
| Book Value | 3501129 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 267380455 | OtherCostOrOtherBasis |
| Depreciation | 118189925 | Depreciation |
| Book Value | 149190530 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 203864992 | OtherCostOrOtherBasis |
| Depreciation | 162915961 | Depreciation |
| Book Value | 40949031 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15957217 | OtherCostOrOtherBasis |
| Depreciation | 4688273 | Depreciation |
| Book Value | 11268944 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 204909634 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| PREPAID PENSION OBLIGATION | 36084752 |
| DEFERRED FINANCING COSTS | 4760905 |
| OTHER RECEIVABLES | 3655234 |
| 457B PLAN ASSETS | 4342068 |
| DEFERRED CHARGE - INTEREST RATE SWAP | 17125718 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 65968677 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 457B PLAN LIABILITY | $4,342,068 |
| ESTIMATED 3RD PARTY SETTLEMENTS | $32,804,817 |
| CAPITAL LEASE OBLIGATION | $1,792 |
| INTEREST RATE SWAP LIABILITY | $17,125,718 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 54274395 | TotalOfAmounts |
| Total Revenue | 410915293 | TotalRevenue |
| Total Expenses | 378093485 | TotalExpenses |
| Excess Or Deficit For Year | 32821808 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -47 | NetUnrealizedGLOnInvestments |
| Other | -$17,921,425 | OtherAmount |
| Total Adjustments | -17921472 | TotalAdjustments |
| Excess Or Deficit Per FS | 14900336 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 368966543 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -47 | NetUnrealizedGainsInvestments |
| Other Revenues | -41948703 | OtherRevenues |
| Revenue Not Rptd F990 | -41948750 | RevenueNotRptdF990 |
| Revenue Subtotal | 410915293 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 410915293 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 336144782 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 336144782 | ExpensesSubtotal |
| Other Expenses Not Included | 41948703 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 41948703 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 378093485 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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, 2011 AND 2010, RESPECTIVELY. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | EQUITY TRANSFER -17,921,425. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT -40,115,744. SWAP INTEREST EXPENSE -1,832,959. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT 40,115,744. SWAP INTEREST EXPENSE 1,832,959. |
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 | 13811326 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13811326 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04090 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61404820 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 51517409 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9887411 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02930 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 822409 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 694576 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 127833 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 76038555 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52211985 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23826570 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07060 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2283238 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2278238 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00670 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3171427 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3171427 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00940 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 597214 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 597214 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6051879 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6046879 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01790 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 82090434 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52216985 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29873449 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08850 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1898904 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1898904 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1898904 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1898904 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $12,531,533 | BadDebtExpenseAmount |
| Amount Attributable To | 1083546 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 126962175 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 109077053 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 17885122 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 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, LINE 7G: THESE COSTS DO NOT INCLUDE ANY AMOUNTS ASSOCIATED WITH A PHYSICIAN'S CLINIC. | ||
| PART I, L7 COL(F): $40,115,744 BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES PRIOR TO CALCULATING PERCENT OF TOTAL EXPENSE. | ||
| 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 IDENTIFIED COMMUNITY HEALTHCARE NEEDS. 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: THE SYSTEM DESCRIBED IN PART 1 LINE 7 WAS USED FOR PART III LINE 2. TOTAL CHARGES AND THE CHARGES WRITTEN OFF TO BAD DEBT WERE TABULATED AT THE PATIENT LEVEL. THE DETAILED COST OF THE PATIENT WAS MULTIPLIED BY THE RATIO OF CHARGES WRITTEN OFF/TOTAL CHARGES PER PATIENT TO ASSIGN THE COST TO THE PATIENT. BECAUSE OF THIS COST BASED METHOD, DISCOUNTS AND PAYMENTS WOULD BE THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND THE CHARGES WRITTEN OFF TO BAD DEBT.RATIONALE FOR PART III, LINE 3: CHARGES FOR SERVICES PROVIDED IN THE EMERGENCY DEPT ARE EVALUATED FOR CHARITY BASED ON MEANS TESTING. CHARGES FOR SERVICES PROVIDED ELSEWHERE IN THE HOSPITAL ARE EVALUATED FOR CHARITY BASED ON APPLICATIONS FILED BY PATIENTS. IF NO APPLICATION IS FILED, THE UNPAID AMOUNT IS WRITTEN-OFF TO BAD DEBT. THE % OF PATIENTS QUALIFYING FOR CHARITY IN THE EMERGENCY DEPT WAS APPLIED TO THE REMAINDER OF THE HOSPITAL TO DETERMINE THE % OF BAD DEBT PATIENTS WHO COULD HAVE BEEN CHARITY. THE BAD DEBT WRITE-OFFS WERE CONVERTED TO COST USING THE METHODOLOGIES DESCRIBED ABOVE.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. | ||
| 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 I, LINE 6A: THE ORGANIZATION COMMUNITY BENEFIT REPORT MADE AVAILABLE TO THE PUBLIC CONTAINS COMMUNITY BENEFITS FOR ALL RELATED ORGANIZATIONS TO THE HOSPITAL. | ||
| 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 FOUR YEARS. THE MOST RECENT STUDY WAS FALL, 2008. 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: PATIENTS ARE NOTIFIED IN SEVERAL WAYS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. BROCHURES ARE DISTRIBUTED AND VERBAL COMMUNICATION BETWEEN STAFF AND PATIENT IS PROACTIVE. IN ADDITION, THE HOSPITAL HAS HIRED STAFF TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH ENROLLMENT IN VARIOUS PUBLIC PROGRAMS, INCLUDING MEDICAID. | ||
| PART VI, LINE 4: GASTON COUNTY, WHICH IS THE COUNTY LOCATED TO THE WEST OF THE CHARLOTTE NC, IS THE HOSPITAL'S PRIMARY MARKET. LINCOLN, CLEVELAND, AND MECKLENBURG COUNTIES ARE 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 A POPULATION OF 206,086 (2010), A MEDIAN HOUSEHOLD INCOME OF $43,253 (2006-2010), AND 16.6% PERSONS BELOW POVERTY LEVEL (2006-2010). DURING FISCAL YEAR 2011, 8% OF THE HOSPITAL'S GROSS CHARGES WERE FROM UNINSURED PATIENTS AND 17% WAS FROM MEDICAID PATIENTS. | ||
| PART VI, LINE 6: STEPS TOWARDS ACCOUNTABLE CARETHE INSTITUTE FOR HEALTHCARE IMPROVEMENT HAS ESTABLISHED A TRIO OF OBJECTIVES CALLED THE TRIPLE AIM, WHICH CAROMONT HEALTH HAS ADOPTED: - IMPROVE THE HEALTH OF THE POPULATION - ENHANCE THE PATIENT EXPERIENCE (QUALITY, ACCESS, RELIABILITY) - 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 IS UNDERTAKING CHANGES THAT WILL LEAD TO BETTER COORDINATED CARE WITH BETTER OUTCOMES AT LOWER COSTS FOR PATIENTS. WE ARE ALSO EMBRACING 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. THROUGH INNOVATION AND A FOCUS ON COMMUNITY WELLNESS, CAROMONT HEALTH IS DETERMINED TO MAKE UPCOMING CHANGES IN HEALTHCARE TO HAVE A POSITIVE IMPACT ON THE PEOPLE WE SERVE. TOBACCO CESSATION PROGRAMIN ORDER TO PROVIDE A HEALTHY ENVIRONMENT FOR OUR PATIENTS, FAMILIES AND STAFF, CAROMONT HEALTH AND ITS AFFILIATE CAMPUSES HAVE BEEN TOBACCO-FREE SINCE JANUARY 2007. IN FEBRUARY 2011, CAROMONT RECEIVED THE "GOLD STAR STANDARD HOSPITALS" DESIGNATION FROM NORTH CAROLINA PREVENTION PARTNERS FOR EXCELLENCE IN OUR EMPLOYEE TOBACCO CESSATION PROGRAMS. ALL EMPLOYEES WHO USE TOBACCO MAY PARTICIPATE IN A "QUIT PROGRAM", WHICH PROVIDES THEM WITH INCENTIVES IF THEY QUIT USING TOBACCO AND REMAIN TOBACCO-FREE FOR AT LEAST SIX MONTHS.GASTON COUNTY HEALTH SUMMITCAROMONT HEALTH HOSTED A HIGH PROFILE, PUBLIC CONVERSATION ABOUT THE HEALTH OF OUR COMMUNITY DURING THE 2011 GASTON COUNTY HEALTH SUMMIT, WHICH WAS HELD IN LATE MARCH. THE EVENT BROUGHT TOGETHER LEADERS FROM ORGANIZATIONS AND BUSINESSES SUCH AS CAROMONT HEALTH, COMMUNITY HEALTH PARTNERS, GASTON COMMUNITY HEALTHCARE COMMISSION, GASTON COUNTY DEPARTMENT OF SOCIAL SERVICES, GASTON COUNTY HEALTH DEPARTMENT, GASTON FAMILY HEALTH SERVICES, PATHWAYS, PHARR YARNS AND THE YMCA. ATTENDEES DISCUSSED WHERE OUR COMMUNITY STANDS IN TERMS OF HEALTH, INCLUDING WAYS TO IMPROVE HEALTH AND THE RELATIONSHIP BETWEEN BUSINESSES AND A COMMUNITY'S HEALTHCARE PROVIDERS. THE GASTON COUNTY HEALTH COALITION'S GOAL IS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY, PARTICULARLY IN TERMS OF CHRONIC DISEASE MANAGEMENT. COMMUNITY CONVERSATIONS SUCH AS THE GASTON COUNTY HEALTH SUMMIT ARE HELPING DIVERSE GROUPS WORK TOGETHER TO MEET THOSE GOALS.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: GASTON MEMORIAL HOSPITAL, GASTON FAMILY HEALTH SERVICES, COMMUNITY HEALTH PARTNERS, GASTON COMMUNITY HEALTH CARE COMMISSION. OTHER STRATEGIC PARTNERS INVOLVED WITH THIS INITIATIVE INCLUDE COMMUNITY 241 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, ETC. | ||
| PART VI, LINE 7: CAROMONT HEALTH IN GASTONIA, NORTH CAROLINA IS A REGIONAL, INDEPENDENT, NOT-FOR-PROFIT HEALTH CARE SYSTEM. IT ENCOMPASSES GASTON MEMORIAL HOSPITAL 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 44 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.COURTLAND TERRACE IS A 96-BED SKILLED NURSING FACILITY.GASTON HOSPICE HOSTS THE 12 BED ROBIN JOHNSON HOUSE INPATIENT FACILITY.CAROMONT MEDICAL GROUP IS A NETWORK OF 45 PRIMARY AND SPECIALTY PHYSICIAN OFFICES IN 5 COUNTIES AND IN 2 STATES.CAROMONT HEALTH HAS 3 OFF-SITE IMAGING LOCATIONS, 2 SAME-DAY SURGERY CENTERS AND 1 OCCUPATIONAL MEDICINE CLINIC.THE GASTON MEMORIAL HOSPITAL FOUNDATION (A SUBSIDIARY OF CAROMONT HEALTH) WAS ESTABLISHED IN 1985. IN ADDITION TO THE FOUNDATION UTILIZING ITS INVESTMENT EARNINGS FOR DONATIONS, CAROMONT HEALTH DONATES UP TO 10% OF ITS OPERATING INCOME TO THE GMH FOUNDATION EACH YEAR.DURING FISCAL YEAR 2011, OVER $700,000 IN DONATIONS WERE DISTRIBUTED TO CHARITABLE CAUSES THROUGHOUT GASTON COUNTY. FUNDS WERE GIVEN FOR THE FOLLOWING ORGANIZATIONS:GASTON FAMILY HEALTH SERVICES, GASTON TOGETHER, HEALTH NET GASTON, UNITED WAY, ALLIANCE CHILD/YOUTH. IN ADDITION, FOUNDATION GRANTS WERE PROVIDED TO FOR THE FOLLOWING: INDIGENT MEDICATIONS TRANSITIONAL CARE, GREAT 100, AND WAYNE F. SHOVELIN SCHOLARSHIP. | ||
| 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 (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| CATAWBA LANDS CONSERVANCY | ||||||||
| 105 W MOREHEAD STREET | CHARLOTTE | NC | 28232 | 581969605 | 501(C)(3) | 5000 | FMV | COMMUNITY ASSISTANCE |
| CHARLOTTE CHAMBER OF COMMERCE | ||||||||
| PO BOX 32785 | CHARLOTTE | NC | 28232 | 560173610 | 501(C)(3) | 10000 | FMV | COMMUNITY ASSISTANCE |
| UNITED WAY OF GASTON COUNTY | ||||||||
| 200 EAST FRANKLIN BLVD | GASTONIA | NC | 28052 | 560653356 | 501(C)(3) | 7590 | FMV | COMMUNITY ASSISTANCE |
| COMMUNITY FOUNDATION OF GASTON COUNTY | ||||||||
| 1201 E GARRISON BLVD | GASTONIA | NC | 28053 | 581340834 | 501(C)(3) | 22500 | FMV | COMMUNITY ASSISTANCE |
| CRAMERTON POLICE DEPT | ||||||||
| 155 NORTH MAIN ST | CRAMERTON | NC | 28032 | 580891982 | GOVERNMENTAL | 22842 | FMV | COMMUNITY ASSISTANCE |
| DANIEL STOWE GARDENS | ||||||||
| 6500 SOUTH NEW HOPE ROAD | BELMONT | NC | 28012 | 208362933 | 501(C)(3) | 20000 | FMV | COMMUNITY ASSISTANCE |
| GASTON ARTS COUNCIL | ||||||||
| PO BOX 242 | GASTONIA | NC | 28053 | 561257449 | 501(C)(3) | 6000 | FMV | COMMUNITY ASSISTANCE |
| GASTON COLLEGE FOUNDATION | ||||||||
| 201 HIGHWAY 321 SOUTH | DALLAS | NC | 28034 | 237079454 | 501(C)(3) | 5000 | FMV | COMMUNITY ASSISTANCE |
| GASTON COUNTY SCHOOLS | ||||||||
| 943 OSCEOLA STREET | GASTONIA | NC | 28053 | 566001032 | GOVERNMENTAL | 10000 | FMV | COMMUNITY ASSISTANCE |
| GASTON GAZETTE | ||||||||
| PO BOX 1538 | GASTONIA | NC | 28053 | 580904885 | N/A | 6750 | FMV | COMMUNITY ASSISTANCE |
| GASTON HOSPICE | ||||||||
| 258 E GARRISON BLVD | GASTONIA | NC | 28054 | 581341530 | 501(C)(3) | 5000 | FMV | COMMUNITY ASSISTANCE |
| GASTON REGIONAL CHAMBER | ||||||||
| 601 W FRANKLIN BLVD | GASTONIA | NC | 28053 | 560232990 | GOVERNMENTAL | 32275 | FMV | COMMUNITY ASSISTANCE |
| GASTONIA GRIZZLIES | ||||||||
| PO BOX 177 | GASTONIA | NC | 28053 | 421554288 | 501(C)(3) | 7000 | FMV | COMMUNITY ASSISTANCE |
| HEALTHCORPS FOUNDATION | ||||||||
| 191 7TH AVE | NEW YORK | NY | 10011 | 261269358 | 501(C)(3) | 10000 | FMV | COMMUNITY ASSISTANCE |
| HOLY ANGELS FOUNDATION | ||||||||
| 6600 WILKINSON BLVD | BELMONT | NC | 28012 | 561762654 | 501(C)(3) | 10150 | FMV | COMMUNITY ASSISTANCE |
| MOUNT HOLLY FARMER'S MKT | ||||||||
| 120 OAKLAND STREET | MT HOLLY | NC | 28120 | 260464156 | N/A | 5000 | FMV | COMMUNITY ASSISTANCE |
| MOUNT HOLLYDAYS | ||||||||
| PO BOX 787 | MT HOLLY | NC | 28120 | 262310697 | 501(C)(3) | 12000 | FMV | COMMUNITY ASSISTANCE |
| NC PREVENTION PARTNERS | ||||||||
| 88 VILCOM CIRCLE | CHAPEL HILL | NC | 27514 | 311722051 | 501(C)(3) | 5000 | FMV | COMMUNITY ASSISTANCE |
| NC PHYSICIANS HEALTH PROGRAM | ||||||||
| 220 HORIZON DRIVE SUITE 201 | RALEIGH | NC | 27615 | 561846599 | 501(C)(3) | 5500 | FMV | COMMUNITY ASSISTANCE |
| THE MINT MUSEUM | ||||||||
| 500 S TRYON STREET | CHARLOTTE | NC | 28202 | 560670666 | 501(C)(3) | 10000 | FMV | COMMUNITY ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 18 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| 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 (13 entries)
| 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 | |||||||||||||
| 0 | 161344 | 0 | 69928 | 0 | 404 | 0 | 5100 | 0 | 12661 | 0 | 249437 | 0 | 0 |
| VALINDA L RUTLEDGE | |||||||||||||
| 577086 | 0 | 316937 | 0 | 182402 | 0 | 3613 | 0 | 35021 | 0 | 1115059 | 0 | 30281 | 0 |
| DAVID O'CONNOR | |||||||||||||
| 322191 | 0 | 135109 | 0 | 235272 | 0 | 7350 | 0 | 32470 | 0 | 732392 | 0 | 81255 | 0 |
| MARIA LONG | |||||||||||||
| 240185 | 0 | 107347 | 0 | 140056 | 0 | 7350 | 0 | 26304 | 0 | 521242 | 0 | 54573 | 0 |
| JAMES D HUBER | |||||||||||||
| 274883 | 0 | 140994 | 0 | 111679 | 0 | 7211 | 0 | 17356 | 0 | 552123 | 0 | 70783 | 0 |
| STEVEN A RUBIN | |||||||||||||
| 217271 | 0 | 94066 | 0 | 150466 | 0 | 6796 | 0 | 41711 | 0 | 510310 | 0 | 56875 | 0 |
| TERRY L JONES | |||||||||||||
| 341070 | 0 | 325548 | 0 | 149659 | 0 | 7350 | 0 | 83250 | 0 | 906877 | 0 | 82864 | 0 |
| W K HARWELL | |||||||||||||
| 221202 | 0 | 96137 | 0 | 128673 | 0 | 6724 | 0 | 132983 | 0 | 585719 | 0 | 55017 | 0 |
| ANDREA K SERRA | |||||||||||||
| 184674 | 0 | 75521 | 0 | 125430 | 0 | 5614 | 0 | 40418 | 0 | 431657 | 0 | 48208 | 0 |
| MICHAEL R JOHNSON | |||||||||||||
| 230017 | 0 | 45810 | 0 | 13014 | 0 | 7108 | 0 | 54284 | 0 | 350233 | 0 | 0 | 0 |
| ROWENA BUFFETT TIMMS | |||||||||||||
| 166689 | 0 | 61153 | 0 | 78193 | 0 | 0 | 0 | 17060 | 0 | 323095 | 0 | 0 | 0 |
| KATHLEEN L BESSON | |||||||||||||
| 198430 | 0 | 39191 | 0 | 39055 | 0 | 5953 | 0 | 38111 | 0 | 320740 | 0 | 0 | 0 |
| WAYNE F SHOVELIN | |||||||||||||
| 0 | 0 | 0 | 0 | 5914978 | 0 | 0 | 0 | 0 | 0 | 5914978 | 0 | 472568 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | TRAVEL FOR COMPANIONS - IF A SPOUSE OR COMPANION IS EXPECTED TO ATTEND AN EVENT, IT MUST BE APPROVED IN ADVANCE AND THE EXPENSES OF THE SPOUSE OR COMPANION WILL BE TREATED AS TAXABLE COMPENSATION AND ADDED TO THE EMPLOYEE'S W2 OR A 1099 WILL BE ISSUED AT THE END OF THE CALENDAR YEAR. DURING FY 2011 THIS BENEFIT WAS PROVIDED TO THE CEO AND SOME BOARD MEMBERS. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - REIMBURSEMENT FOR CERTAIN TAXABLE BENEFIT COSTS (I.E. CELL PHONES) WILL BE GROSSED UP FOR ANY TAX OBLIGATIONS. 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 FY 2011 THIS BENEFIT WAS PROVIDED TO THE CEO AND CFO. |
| PART I, LINES 4A-B | WAYNE F. SHOVELIN, FORMER CEO PARTICIPATED IN A SUPPLEMENTAL SALARY CONTINUATION RETIREMENT PLAN. GROSS PAYMENTS FOR 2010 WERE $5,914,978. PLEASE REFER TO THE SCHEDULE O DISCLOSURE FOR PART VI, SECTION B, LINE 15 FOR MORE DETAIL. |
| 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)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | |||||||
| 521309402 | 65820HVF7 | 2003-01-23 | 120000000 | PLEASE SEE SUPPLEMENTAL INFORMATION | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | |||||||
| 521309402 | 65820HG64 | 2008-01-01 | 118400000 | PLEASE SEE SUPPLEMENTAL INFORMATION | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 700000 | 123222025 | 5150936 | 1256069 | 3386000 | 91583999 | 21845020 | 2005 | 0 | 1 | 1 | 1 |
| 18190000 | 118629570 | 610174 | 917471 | 1553717 | 28947486 | 86600722 | 2009 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 1 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 1 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | 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 | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|---|
| MERRILL LYNCH | |||||||||
| 0 | 1 | 1 | CAPITAL SERVICES | 31.600000000000 | 0 | 0 | 0 | 0 | 0 |
| MERRILL LYNCH | |||||||||
| 0 | 1 | 1 | DERIVATIVE PRODUCTS | 21.000000000000 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| PART I, LINE A, COLUMN C | THIS BOND ISSUE INCLUDES TWO CUSIPS MATURING ON THE SAME DATE: 65820HVG5 AND 65820HVF7 | |
| PART I, COLUMN (F) | ISSUE A - NEW CONSTRUCTION OF HOSPITAL FACILITIES, PURCHASE OF HOSPITAL EQUIPMENT, PARTIAL REFUNDING OF SERIES 1998 BONDS ISSUED ON AUGUST 27,1998 ISSUE B - RENOVATION OF HOSPITAL FACILITIES, PURCHASE OF HOSPITAL EQUIPMENT, REFUNDING OF ENTIRE SERIES 1995 BONDS ISSUED ON NOVEMBER 15, 1995, REFUNDING OF ENTIRE SERIES 1998 BONDS ISSUED ON AUGUST 27, 1998 | DESCRIPTION OF PURPOSE |
| PART II, LINE 11 | OTHER SPENT PROCEEDS WERE 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. | |
| PART IV, LINES 2 AND 3A, 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. | |
| PART IV, LINE 3C, COLUMN B | THIS BOND ISSUE HAS TWO HEDGE TERMS: 11.0 YEARS AND 21.0 YEARS | |
| AMENDED RETURN: | THE 2010 SCHEDULE K WAS AMENDED TO CORRET AN ERROR ON PART II, COLUMM (B), LINE 10. THE AMOUNT IN THE ORIGINAL FILING WAS OVERSTATED BY $1 MILLION. THE AMOUNT HAS BEEN AMENDED TO CORRECTLY STATE THE AMOUNT $28,947,486. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LUCINDA DAVIS | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER OF DIRECTOR, JAMES BEAM | Relationship |
| Amount Of Transaction | 54468 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION AS EMPLOYEE | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED ITS BYLAWS WHICH INCLUDED REVISIONS THAT SPECIFICALLY OUTLINE POWERS OF THE PARENT ORGANIZATION AND SOLE MEMBER OF THE ORGANIZATION. | |
| 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. | |
| 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 PRESIDENT 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 EXECUTIVE VICE PRESIDENT/GENERAL COUNSEL AND THE CORPORATE RESPONSIBILITY OFFICER. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE CEO, CFO/ASSISTANT TREASURER AND EVP GENERAL COUNSEL/ASSISTANT SECRETARY ARE COMPENSATED FOR THEIR SERVICES BY GASTON MEMORIAL HOSIPIAL, 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. 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 RECOMMENDED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR ALL OTHER EXECUTIVES IS ESTABLISHED THROUGH PERFORMANCE EVALUATION, COMPARISON WITH COMPARABLE MARKET DATA AND DETERMINATION BY THE CEO OF ACCEPTABLE SALARY RANGE AND PERCENTILE RANKING. ALL COMPENSATION DECISIONS FOR EXECUTIVES ARE RECOMMENDED BY THE CEO AND APPROVED BY THE COMPENSATION COMMITTEE. FULL COLLECTED COMPENSATION INFORMATION AND ANY COMPENSATION OPINIONS PROVIDED DURING THESE PROCESSES WILL BE KEPT WITH THE COMPENSATION COMMITTEE OR BOARD MINUTES, AS APPLICABLE. IN 2009, THE BOARD OF DIRECTORS, BY AND THROUGH THE COMPENSATION COMMITTEE, CONDUCTED TWO DETAILED REVIEWS OF THE RETIREMENT BENEFIT TO BE PAID TO ITS RETIRING CEO. IN CONDUCTING THESE REVIEWS, THE COMPENSATION COMMITTEE WORKED THROUGH AN EVALUATION OF THE RETIRING CEO'S PERFORMANCE DURING HIS 33-YEAR TENURE WITH THE ORGANIZATION. THE COMPENSATION COMMITTEE CONCLUDED THAT IN THE AREAS OF FINANCE AND QUALITY MEASURES, THE RETIRING CEO'S PERFORMANCE CONSISTENTLY EXCEEDED EXPECTATIONS AND HAS POSITIONED CAROMONT HEALTH AS A LEADER IN THE REGION. HIS PERFORMANCE IN THE AREA OF PATIENT SATISFACTION HAS, IN THE MISSION-CRITICAL AREA OF EMERGENCY SERVICES, EXCEEDED THE BOARD OF DIRECTOR'S EXPECTATIONS. OVERALL, AND OVER THE ARC OF HIS CAREER AT CAROMONT, THE RETIRING CEO'S LEADERSHIP HAS LED CAROMONT HEALTH FROM A MERE COMMUNITY HOSPITAL INTO A REGIONAL HEALTHCARE POWERHOUSE. THE COMMITTEE CONCLUDED THAT HIS LEADERSHIP HAD OUTPERFORMED THE REGION AND FULFILLED THE COMMUNITY'S DESIRE TO KEEP ITS HEALTHCARE SYSTEM UNDER LOCAL CONTROL, THEREBY JUSTIFYING HIS RETIREMENT PAYMENT AS FAIR AND REASONABLE COMPENSATION FOR OUTSTANDING PERFORMANCE. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. | FORM 990, PART VI, SECTION C, LINE 18 | |
| 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 VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -47. EQUITY TRANSFER -17,921,425. TOTAL TO FORM 990, PART XI, LINE 5: -17,921,472. | FORM 990, PART XI, LINE 5: |
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: | THE VISION OF CAROMONT HEALTH, LED BY OUR FLAGSHIP GASTON MEMORIAL HOSPITAL, IS TO BE A NATIONALLY RECOGNIZED LEADER AND VALUED PARTNER IN PROMOTING INDIVIDUAL HEALTH AND VIBRANT COMMUNITIES. CAROMONT HEALTH IS THE HEALTH CARE PROVIDER OF CHOICE FOR GASTON, LINCOLN AND CLEVELAND COUNTIES. THESE ARE RAPIDLY GROWING COMMUNITIES AND WE INTEND TO GROW WITH THE COMMUNITIES WE SERVE. CAROMONT HEALTH IS THE ONLY HEALTH CARE SYSTEM IN GASTON COUNTY WITH ACUTE CARE BEDS FOR THE FORESEEABLE FUTURE. WE CONTINUE TO ATTRACT TOP MEDICAL PROFESSIONALS FROM AROUND THE COUNTRY, WHILE RETAINING SOME OF THE AREA'S BEST PHYSICIANS AND NURSES. WE CONTINUE TO FORM INNOVATIVE COLLABORATIONS TO UPGRADE OUR TECHNOLOGY, CREATING BETTER OUTCOMES FOR OUR PATIENTS AND BETTER MANAGEMENT OF TIME AND MONEY. AND WE WILL CONTINUE TO PLAN NEW FACILITIES AS OUR COMMUNITY CONTINUES TO GROW. OUR GROWING COMMUNITY BRINGS WITH IT CHANGE IN TERMS OF DEMOGRAPHICS, AS WELL ASINFRASTRUCTURE NEEDS. AT THE SAME TIME, THE NATION'S HEALTH CARE INFRASTRUCTURE IS ON THE VERGE OF A SYSTEMIC OVERHAUL WITH FAR-REACHING IMPLICATIONS. FORTUNATELY, CAROMONT IS FOCUSED ON THE FUTURE AND TAKING STEPS TO PREPARE FOR ANTICIPATED CHANGES. WE BELIEVE THAT WE ARE WELL-POSITIONED, NOT ONLY TO EMBRACE THE COMING INNOVATIONS IN OUR NATION'S HEALTH CARE SYSTEM, BUT TO ACTUALLY AFFECT CHANGE THAT WILL BRING ABOUT A HEALTHIER, MORE VIBRANT COMMUNITY. KEY SERVICES AT GASTON MEMORIAL HOSPITAL: - THE BIRTHPLACE IS A WORLD-CLASS BIRTHING CENTER DEDICATED TO FAMILY-FOCUSED CARE IN A SERENE, HOMELIKE ENVIRONMENT - 2,604 BABIES DELIVERED IN 2010 - 52 SINGLE-ROOM BEDS DEVOTED TO MATERNITY CARE - 16-BED LEVEL III NEONATAL INTENSIVE CARE UNIT - CAROMONT HEART CENTER PROVIDES A FULL RANGE OF LIFE-SAVING CARDIAC CARE, INCLUDING OPEN HEART SURGERY - 2,096 DIAGNOSTIC CARDIAC CATHETERIZATIONS PERFORMED IN 2010 - 705 PERCUTANEOUS CORONARY INTERVENTIONS PERFORMED IN 2010 - STRATEGIC PARTNERSHIP WITH COLUMBIA UNIVERSITY MEDICAL CENTER'S HEARTSOURCE PROVIDES PHYSICIAN TRAINING, CLINICAL GUIDANCE AND ACCESS TO COLUMBIA RESEARCH TRIALS - CARDIAC RESEARCH PROGRAM BRINGS THE LATEST ADVANCES TO THE BEDSIDE - SUPPORT GROUPS AND EDUCATIONAL PROGRAMS PROMOTE AND HELP WITH HEALTHY LIFESTYLE CHANGES - CAROMONT CANCER CENTER IS THE ONLY HOSPITALBASED CANCER TREATMENT CENTER IN GASTON COUNTY THAT PROVIDES MEDICAL, RADIATION AND SURGICAL ONCOLOGY - ACCREDITED BY THE NATIONAL ORGANIZATION, AMERICAN COLLEGE OF SURGEONS-COMMISSION ON CANCER - CAROMONT COMPREHENSIVE BREAST CENTER GRANTED A THREE-YEAR/FULL ACCREDITATION DESIGNATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - PARTICIPATION IN CLINICAL TRIAL STUDIES AVAILABLE - "SYSTEM OF CARE" APPROACH INCLUDES PREVENTION, EDUCATION, TREATMENT, FOLLOW-UP AND SYMPTOM MANAGEMENT - CAROMONT CENTER FOR MENTAL WELLNESS HAS 63 LICENSED BEDS PROVIDING COMPREHENSIVE INPATIENT CARE FOR PATIENTS NEEDING PSYCHIATRIC TREATMENT - 165 ADMISSIONS PER MONTH - 24-HOUR ASSESSMENT STAFF COVERAGE IN EMERGENCY DEPARTMENT - 24-BED ADULT UNIT, 13-BED ADOLESCENT UNIT, 9-BED PRE-ADOLESCENT UNIT - BOARD CERTIFIED PSYCHIATRISTS IN ADULT AND CHILD/ADOLESCENT PSYCHIATRY - INDIVIDUAL AND GROUP COUNSELING, FAMILY THERAPY AND SUBSTANCE ABUSE EDUCATION - EMERGENCY SERVICES CARES FOR MORE THAN 100,000 PATIENTS EACH YEAR - 14,000-SQUARE-FOOT FACILITY - 45 TREATMENT ROOMS, 36 EMERGENCY DEPARTMENT EXAM ROOMS, 9 FAST TRACK EXPRESS CARE ROOMS, 4 TRAUMA ROOMS, 4 CRITICAL CARE ROOMS - 28 BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND MORE THAN 200 EMERGENCY SERVICES EMPLOYEES - NC RACE PROGRAM PROVIDES RAPID TREATMENT FOR HEART ATTACK PATIENTS - NATIONALLY RECOGNIZED TRAUMA SURGEONS - CHEST PAIN CENTER AND STROKE PROGRAM ACCREDITATION SIGNIFICANT ACCOMPLISHMENTS IN FISCAL YEAR 2011: - CAROMONT HEALTH EMPLOYEE WELLNESS - CAROMONT HEALTH CONTINUES TO FOCUS ON INITIATIVES THAT ENSURE ACCOMPLISHING THE CORPORATE AND TRIPLE AIM GOALS OF 1) INCREASING THE NUMBER OF EMPLOYEES WHO EXERCISE 3 OR MORE TIMES A WEEK, 2) INCREASING THE NUMBER OF EMPLOYEES AT A HEALTHY WEIGHT, 3) INCREASING THE VOLUME OF HEALTHY CAFETERIA SALES, AND 4) INCREASING THE NUMBER OF EMPLOYEES WHO SUCCESSFULLY COMPLETE TOBACCO CESSATION CLASSES. WE CONTINUE TO EDUCATE/ENCOURAGE EMPLOYEES TO PARTICIPATE IN AGE AND GENDER APPROPRIATE HEALTH SCREENINGS AND IN IDENTIFYING BELIEFS HELD BY VARIOUS STAFF MEMBERS THAT SUGGEST A LACK OF NEED TO MAINTAIN HEALTH, THEN EDUCATE TO ENCOURAGE HEALTH MAINTENANCE. - EMPLOYER WELLNESS - IN DECEMBER, 2010, CAROMONT HEALTH CONVENED A GROUP OF HEALTH PARTNERS TO DISCUSS THE HEALTH STATUS OF GASTON COUNTY RESIDENTS. A REVIEW OF THE MOST RECENT (2008) GASTON COUNTY HEALTH ASSESSMENT WAS PERFORMED. AFTER DISCUSSION THE FOLLOWING MISSION STATEMENT WAS AGREED UPON: TO DECREASE THE INCIDENCE OF CHRONIC DISEASE WITHIN THEIR EMPLOYED POPULATION BY DECREASING THE RATE OF OBESITY (FOCUSING ON NUTRITION, ACTIVITY/EXERCISE), DECREASING TOBACCO USE AND INCREASING THE CONSTRUCTIVE MANAGEMENT OF PERSONAL STRESS. IN MARCH, 2011, CAROMONT HEALTH SPONSORED THE GASTON COUNTY HEALTH SUMMIT, INVITING HEALTH PARTNERS, LOCAL BUSINESSES, SOCIAL AGENCIES, MUNICIPALITIES AND GOVERNMENTAL AGENCIES. THE SUMMIT INCLUDED A REVIEW OF THE HEALTH STATUS OF AMERICANS AND ITS COST TO EMPLOYERS, A REVIEW OF THE GASTON COUNTY HEALTH ASSESSMENT AND THE COUNTY HEALTH RANKINGS. THE HISTORY, MISSION AND EMPLOYER-BASED STRATEGY OF THE GASTON COUNTY HEALTH COALITION WAS PRESENTED. THE IHI TRIPLE AIM FRAMEWORK WAS PRESENTED AND COMMENTS WERE MADE BY THE IHI BOARD CHAIR. THREE LOCAL EMPLOYERS PRESENTED THEIR ACTIVITIES AND ACCOMPLISHMENTS IN THE REALM OF EMPLOYEE WELLNESS. THE SUMMIT CULMINATED IN A CALL TO ACTION WITH MUCH DISCUSSION. AS A RESULT FIVE MORE EMPLOYERS COMMITTED TO THE WORK OF THE COALITION. PRESENTLY THERE ARE 12 EMPLOYERS REPRESENTED, WHICH INCLUDE 4 OF THE LARGEST EMPLOYERS IN GASTON COUNTY. THIS WORK IS DIVIDED INTO THREE PARTS: INCREASING HEALTH, DECREASING COST AND INCREASING EXPERIENCE OF CARE FOR A DEFINED POPULATION. THE MISSION OF THE INCREASING HEALTH WORKGROUP IS TO EDUCATE MEMBERS REGARDING OPPORTUNITIES TO DECREASE THEIR HEALTHCARE COSTS AND INCREASE THE HEALTH STATUS OF THEIR EMPLOYED LIVES AND TO COACH EMPLOYERS TO DEVELOP, IMPLEMENT AND SUCCESSFULLY SUSTAIN HEALTH INITIATIVES WITHIN THEIR EMPLOYEE BASE. TOOLS USED WILL INCLUDE WELLSOURCE'S HEALTH RISK APPRAISAL, PERSONAL REPORT, EXECUTIVE SUMMARY AND A PRODUCTIVITY AND ECONOMIC BENEFIT REPORT. CAROMONT HEALTH HAS AGREED TO PROVIDE HEALTH RISK APPRAISALS TO ORGANIZATIONS READY TO ACTIVELY PARTICIPATE. TO ENHANCE CARE, RESULTS OF THESE HEALTH SCREENS ARE SENT TO THE EMPLOYEE'S PRIMARY CARE PHYSICIAN. THE DECREASING COST WORK GROUP IS COLLECTING DATA FROM MEMBERS ABOUT THEIR CURRENT COSTS TO ASCERTAIN OPPORTUNITIES FOR COST SAVINGS. THEY ARE ALSO DISCUSSING THE NEED FOR A 24/7 NURSE TRIAGE LINE. THE EXPERIENCE OF CARE WORKGROUP IS DETERMINING THE CURRENT METHODS USED TO ACCESS CARE, DEVELOPING THE MOST APPROPRIATE METHODS TO ACCESS CARE AND WILL DEVELOP AN ACTION PLAN TO MOVE FROM CURRENT TO IDEAL STATE. EDUCATING POPULATIONS ON THESE METHODS WILL BE INCLUDED IN THIS WORK. - FAITH BASED COMMUNITIES - THE FAITH AND HEALTH MINISTRY OF GASTON COUNTY (FHMGC) IS A CAROMONT HEALTH SUPPORTED, CHURCH-BASED WELLNESS PROGRAM DESIGNED TO ENHANCE THE HEALTH STATUS OF THE RESIDENTS OF GASTON COUNTY BY 1)EMPOWERING INDIVIDUALS IN KNOWLEDGE OF AND ACCESS TO COMMUNITY RESOURCES AND AGENCIES, 2) ENHANCING AWARENESS OF THE ABUNDANT LIVING PROGRAM TO THE COMMUNITY, 3) ENHANCING THE PARTNERSHIP WITH CAROMONT HEALTH AND COMMUNITY RESOURCES AND 4) INCREASING THE AWARENESS OF LIFESTYLE RISK FACTORS FOR PREVENTABLE DISEASES. WITH THE CONGREGATIONAL MINISTER'S COMMITMENT, THE ESTABLISHMENT OF CONGREGATIONAL HEALTH MINISTRIES (WELLNESS COMMITTEES) AND THE INVOLVEMENT OF VOLUNTEER CONGREGATIONAL HEALTH PROMOTERS (TYPICALLY RNS) THE STRUCTURE IS ESTABLISHED TO PROVIDE THE SUPPORT, ENCOURAGEMENT, EDUCATION AND RESOURCES TO ENHANCE HEALTH OF CONGREGATION MEMBERS. IMPLEMENTING PROGRAMS IN 4-6 CHURCHES IS A SHORT TERM GOAL. FOUR LOCAL CHURCHES HAVE RECENTLY SIGNED COVENANTS TO PARTICIPATE AND THEIR NINE CONGREGATIONAL HEALTH PROMOTERS ARE IN THE PROCESS OF BEING TRAINED BY CAROMONT'S PARISH NURSE COORDINATOR. | FORM 990, PART III, LINE 4A |
| - IN FEBRUARY 2011, CAROMONT HEALTH OPENED OUR FIRST CLIC IMMEDIATE CARE CLINIC. CLIC (WHICH STANDS FOR CONVENIENT, LOCAL, IMMEDIATE CARE) PROVIDES PATIENTS WITH IMMEDIATE ATTENTION TO THEIR ACUTE HEALTH CARE NEEDS, AS WELL AS INFORMATION, RESOURCES AND SUPPORT TO IMPROVE THEIR LONG-TERM HEALTH AND WELL-BEING. UNLIKE TRADITIONAL URGENT CARE CLINICS, CLIC PROVIDES USER-FRIENDLY, INTERACTIVE OPPORTUNITIES THAT CONNECT PATIENTS TO RESOURCES ACROSS A CONTINUUM OF CARE, INCLUDING STRESS MANAGEMENT, FITNESS AND NUTRITION. - LAST SEPTEMBER, CAROMONT HEALTH PERFORMED OUR 100TH DA VINCI ROBOTIC PROCEDURE. THE DA VINCI SYSTEM IS A SOPHISTICATED ROBOTIC PLATFORM THAT ALLOWS CAROMONT HEALTH TO PERFORM MORE COMPLICATED PROCEDURES IN A MINIMALLY INVASIVE WAY. THAT MEANS SMALLER INCISIONS, LESS PAIN FOR THE PATIENT, A FASTER RECOVERY TIME AND HIGHER PATIENT SATISFACTION. - IN 2011, CAROMONT HEALTH BEGAN USING ATHENAHEALTH'S CLOUD-BASED MEDICAL BILLING AND PRACTICE MANAGEMENT SERVICE TO INTEGRATE ELECTRONIC HEALTH RECORDS AND FACILITATE COMMUNICATION BETWEEN PHYSICIANS AND PATIENTS. PHYSICIANS HAVE EASIER ACCESS TO PATIENT INFORMATION AND CLINICAL DATA, ENHANCING EFFICIENCY, COORDINATION OF CARE AND USE OF TIME IN DIRECT PATIENT CARE. THE COMMUNICATOR SERVICE EXPANDS ACCESSIBILITY FOR PATIENTS AFTER-HOURS, STREAMLINES PATIENT PAYMENTS, RE-CAPTURES STAFF AND PHYSICIAN TIME AND REDUCES PAPER-BASED MAILING CAMPAIGNS. THE NEW ATHENAHEALTH SYSTEM HELPS CAROMONT PHYSICIANS DO WHAT THEY DO BEST - DELIVER EXCEPTIONAL HEALTH CARE, PROMOTE INDIVIDUAL WELLNESS AND ULTIMATELY CREATE A VIBRANT COMMUNITY. - THE GOLD STAR STANDARD HOSPITALS AWARD FROM THE NC PREVENTION PARTNERS RECOGNIZED CAROMONT'S HIGH STANDARD OF EXCELLENCE FOR TOBACCO CESSATION PROGRAMS OFFERED TO ITS EMPLOYEES. CAROMONT HEALTH HAS BEEN TOBACCO-FREE SINCE JANUARY 2007, AND HAD ALREADY IMPLEMENTED MANY TOBACCO CESSATION PROGRAMS FOR EMPLOYEES AND THE COMMUNITY. EMPLOYEES WHO COMPLETE A CERTIFICATION OF TOBACCO-FREE STATUS FOR AT LEAST 12 MONTHS CAN RECEIVE AN ANNUAL DEPOSIT TO THEIR HEALTH INSURANCE INCENTIVE ACCOUNT. - IN 2010, CAROMONT HEALTH HAD 41 ORGAN, TISSUE AND EYE DONORS THROUGH ITS DYNAMIC PARTNERSHIP WITH LIFESHARE OF THE CAROLINAS, AN ORGAN PROCUREMENT ORGANIZATION THAT IMPROVES THE QUALITY OF HUMAN LIFE BY ENCOURAGING PATIENTS TO DONATE ORGANS AND TISSUE. - CAROMONT HEALTH RECENTLY BROKE GROUND ON A SIGNIFICANT EXPANSION FOR ITS AFFILIATED HEALTH FACILITY, GASTON HOSPICE. NAMED AFTER A PIONEER OF GASTON COUNTY HOSPICE, THE ROBIN JOHNSON HOUSE IS DESIGNED TO DELIVER SHORT-TERM CARE AS AN ALTERNATIVE TO HOSPITALIZATION FOR THE MANAGEMENT OF PAIN AND SYMPTOMS. GASTON HOSPICE GREATLY NEEDED TO EXPAND THEIR INPATIENT FACILITY DUE TO THE CURRENT WAITING PERIOD. THE ROBIN JOHNSON HOUSE IS OFTEN FULL, AND PATIENTS HAVE TO WAIT A DAY OR TWO TO RECEIVE NEEDED CARE. THE NEW ADDITION AT THE ROBIN JOHNSON HOUSE IN DALLAS WILL ADD SEVEN ROOMS, BRINGING THE TOTAL FROM 12 TO 19, AND WILL ACCOMMODATE ADDITIONAL PATIENTS WITH QUALITY CARE AND COMFORT WITHOUT A WAIT. THE INPATIENT FACILITY EXPANSION WILL BRING MANY OPPORTUNITIES TO OUR CAROMONT HEALTH COMMUNITY. THE ROBIN JOHNSON HOUSE WILL BE BUILT AND FURNISHED THROUGH THE GENEROUS CONTRIBUTIONS OF INDIVIDUALS, BUSINESSES AND FOUNDATIONS. - IN APRIL 2011, CAROMONT HEALTH WAS RATED AS A TOP HOSPITAL IN THE CHARLOTTE METROPOLITAN AREA BY U.S. NEWS & WORLD REPORT. THE MAGAZINE'S "BEST HOSPITALS" RANKINGS EXAMINED NEARLY 5,000 HOSPITALS ACROSS THE NATION, AND CAROMONT HEALTH'S GASTON MEMORIAL HOSPITAL RANKED SECOND AMONG THE 16 CHARLOTTE-AREA HOSPITALS IN TERMS OF THEIR NATIONALLY RANKED SPECIALTIES. GASTON MEMORIAL HOSPITAL HAD SIX HIGH-PERFORMING SPECIALTIES, INCLUDING GYNECOLOGY, UROLOGY, GASTROENTEROLOGY, GERIATRICS, KIDNEY DISORDERS AND PULMONOLOGY. - BECKER'S HOSPITAL REVIEW PUBLISHED ITS 65 GREAT COMMUNITY HOSPITALS, AND GASTON MEMORIAL MADE THE LIST. HONORED HOSPITALS ARE RECOGNIZED AS HIGH-PERFORMING LEADERS IN PATIENT CARE, CLINICAL QUALITY AND COMMUNITY OUTREACH. THEY INCLUDE HOSPITALS WITH FEWER THAN 550 PATIENT BEDS AND MINIMAL TEACHING PROGRAMS. TO COMPILE THE LIST AND IDENTIFY OUTSTANDING CONTENDERS, THE BECKER'S HOSPITAL REVIEW EDITORIAL TEAM ANALYZED AND REVIEWED DATA FROM SOURCES INCLUDING U.S. NEWS & WORLD REPORT, HEALTHGRADES, AMERICAN NURSES CREDENTIALING CENTER AND THOMSON REUTERS. - CAROMONT HEALTH WAS ONE OF ONLY TWO HOSPITALS IN NORTH CAROLINA TO RECEIVE THE HEALTHGRADES DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE AWARD. HEALTHGRADES OBJECTIVELY IDENTIFIES HOSPITALS ACROSS 26 DIAGNOSES AND PROCEDURES TO FIND THE BEST PERFORMERS. THESE INSTITUTIONS ARE IN THE TOP 5% OF THE NATION IN MEASURES OF OVERALL PERFORMANCE, INCLUDING PATIENT CARE, OPERATIONAL EFFICIENCY AND FINANCIAL STABILITY. - CARECHEX IS A RATING SERVICE OF THE DELTA GROUP THAT MEASURES MEDICAL AND HOSPITAL QUALITY. FOR 2011, THE SERVICE RANKED CAROMONT HEALTH NO. 1 IN NORTH CAROLINA FOR CORONARY BYPASS SURGERY, HEART ATTACK TREATMENT, HEART FAILURE TREATMENT, AND PNEUMONIA CARE. CAROMONT RANKED AMONG THE TOP 10% OF U.S. HOSPITALS IN 11 DIFFERENT CATEGORIES. THIS COMPREHENSIVE EVALUATION PROVIDES FEEDBACK ON THE PROCESS OF CARE, OUTCOMES OF CARE AND PATIENT EXPERIENCES. - CAROMONT HEALTH RANKED AS A TOP PERFORMER IN THE PREMIER ALLIANCE QUALITYADVISOR DATABASE FOR COST OF CARE, LENGTH OF STAY, AND AVOIDABLE MORTALITY. PREMIER INC. ASSESSES THE PROCESSES AND OUTCOMES IN HOSPITAL SYSTEMS TO ENSURE THAT FACILITIES ARE ACHIEVING THEIR GOALS. THESE RANKINGS ALLOW MEMBERS TO MEASURE THEIR OUTCOMES AGAINST LEADING CLINICAL EFFICIENCY AND QUALITY PERFORMANCE BENCHMARKING APPLICATIONS IN THE HEALTH CARE INDUSTRY. THE STANDINGS ARE CALCULATED YEARLY ACROSS ALL PREMIER QUALITYADVISOR FACILITIES. - THE CAROMONT CANCER CENTER IS DESIGNATED AS A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM BY THE COMMISSION ON CANCER. THE CANCER CENTER ACHIEVED A FULL THREE-YEAR ACCREDITATION WITH COMMENDATION STATUS AND NATIONAL RECOGNITION AS A RECIPIENT OF THE "OUTSTANDING ACHIEVEMENT AWARD" DURING ITS LAST REVIEW. ONLY 7% OF SURVEYED HOSPITALS RECEIVE THIS AWARD. IN ADDITION, THE AMERICAN COLLEGE OF RADIOLOGY (ACR) HAS NATIONALLY ACCREDITED MAMMOGRAPHY, BREAST ULTRASOUND, BREAST MRI AND BIOPSY WITHIN THE CAROMONT PROGRAM. IN 2011, THE ACR NATIONALLY ACCREDITED THE RADIATION ONCOLOGY PROGRAM, MAKING IT THE ONLY NATIONALLY ACCREDITED PROGRAM WITHIN THE REGION. - CAROMONT HEALTH IS ACCREDITED BY THE SOCIETY OF CHEST PAIN CENTERS (SCPC), AN INTERNATIONAL ORGANIZATION DEDICATED TO ELIMINATING HEART DISEASE AS THE NUMBER ONE CAUSE OF DEATH WORLDWIDE. THE SCPC ACCREDITATION PROCESS GUARANTEES THAT HEALTH CARE FACILITIES MEET OR EXCEED THE QUALITY-OF-CARE MEASURES IN ACUTE CARDIAC MEDICINE. KEY AREAS IN WHICH AN ACCREDITED CHEST PAIN CENTER MUST DEMONSTRATE EXPERTISE INCLUDE INTEGRATING THE EMERGENCY DEPARTMENT WITH THE LOCAL EMERGENCY MEDICAL SYSTEM, CONTINUALLY SEEKING TO IMPROVE PROCESSES AND PROCEDURES, ENSURING THE ONGOING TRAINING OF ACCREDITED CHEST PAIN CENTER PERSONNEL AND SUPPORTING COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS. - THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) GRANTED CAROMONT'S NEW MULTIDISCIPLINARY BREAST CENTER NATIONAL ACCREDITATION IN 2011. NAPBC-ACCREDITATION IS GIVEN ONLY TO THOSE CENTERS THAT HAVE VOLUNTARILY COMMITTED TO PROVIDE THE BEST IN BREAST CANCER DIAGNOSIS AND TREATMENT. IN ADDITION, THESE CENTERS UNDERGO A RIGOROUS PERFORMANCE EVALUATION AND COMPLY WITH NAPBC STANDARDS FOR TREATING THE FULL SPECTRUM OF BREAST DISEASE. ACCORDING TO THE NAPBC, THE MULTIDISCIPLINARY BREAST CENTER AT CAROMONT DEMONSTRATES PROFICIENCY IN THE AREAS OF CENTER LEADERSHIP, PATIENT CLINICAL MANAGEMENT, RESEARCH, COMMUNITY OUTREACH, PROFESSIONAL EDUCATION AND QUALITY IMPROVEMENT. - THE JOINT COMMISSION RECERTIFIED CAROMONT HEALTH IN 2010 FOR ITS HIP AND KNEE PROGRAMS. THE RECERTIFICATION DEMONSTRATED CAROMONT'S COMPLIANCE WITH CONSENSUS-BASED NATIONAL STANDARDS, EFFECTIVE USE OF EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES TO MANAGE AND OPTIMIZE CARE, AND AN ORGANIZED APPROACH TO PERFORMANCE MEASUREMENT AND IMPROVEMENT ACTIVITIES. IT REFLECTS CAROMONT'S COMMITMENT TO HIGH STANDARDS OF SERVICE. - THE CAROMONT MEDICAL STAFF INCLUDES PHYSICIAN COUNCILS - GROUPS OF PHYSICIANS FROM A RANGE OF DISCIPLINES FOCUSED ON A PARTICULAR PATIENT POPULATION, DISEASE CONDITION OR CARE CONTINUUM. THESE COUNCILS ARE USED AS FORUMS TO EVALUATE AND ALIGN NEW SERVICES, ENHANCE CARE COORDINATION, SHARPEN FOCUS AND STREAMLINE THE HEALTH CARE OPERATING SYSTEM. CAROMONT EXECUTIVES USE THE INFORMATION AND IDEAS THAT COME FROM PHYSICIAN COUNCILS TO MAKE IMPROVEMENTS THROUGHOUT THE HOSPITAL SYSTEM TO BETTER SERVE OUR PATIENTS. | ||
| - THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE IS A PRIVATE, NONPROFIT ORGANIZATION DEDICATED TO IMPROVING HEALTH CARE QUALITY. RECENTLY, SEVEN CAROMONT MEDICAL GROUP PRIMARY CARE PRACTICES RECEIVED NCQA LEVEL 3 RECOGNITION FROM THE PHYSICIAN PRACTICE CONNECTIONS - PATIENT-CENTERED MEDICAL HOME PROGRAM (PCMH). MEDICAL HOME PROGRAMS EMPHASIZE CARE, COORDINATION AND COMMUNICATION, WHICH ARE DESIGNED TO LEAD TO HIGHER QUALITY AND LOWER COSTS. CAROMONT HEALTH'S COMMITMENT TO QUALITY CARE IS BASED ON A CORE DESIRE TO ACHIEVE A HEALTHIER COMMUNITY. - THE CAROMONT ONCOLOGY COUNCIL FORMED THE MULTIDISCIPLINARY BREAST CENTER IN 2011 AS A NEW MODEL OF INTEGRATED ONCOLOGY CARE TO EXPEDITE COMPREHENSIVE TREATMENT, IMPROVE OUTCOMES, AND ULTIMATELY, SAVE LIVES. PATIENTS BENEFIT FROM A COMPREHENSIVE EVALUATION AND PERSONALIZED TREATMENT PLAN RECOMMENDED BY A MULTIDISCIPLINARY TEAM OF BOARD CERTIFIED MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, SURGEONS AND RADIOLOGISTS. THE MULTIDISCIPLINARY BREAST CENTER TEAM RECOGNIZES THE IMPORTANCE OF THE REFERRING PHYSICIANS IN ONGOING INTEGRATED CARE AND PROVIDES REFERRING PHYSICIANS WITH DETAILED DOCUMENTATION OF THE BREAST CENTER'S MULTIDISCIPLINARY TEAM'S FINDINGS AND RECOMMENDATIONS. - CAROMONT'S CANCER CENTER AND THE AMERICAN CANCER SOCIETY HAVE PARTNERED TO PROVIDE A CANCER RESOURCE CENTER THAT PROVIDES PATIENTS AND CAREGIVERS TIMELY INFORMATION AND SUPPORT TO HELP THEM MANAGE THE DIAGNOSIS OF CANCER. THE CENTER PROVIDES HIGHLY TRAINED VOLUNTEERS WHO CAN GUIDE CANCER PATIENTS THROUGH ALL CHALLENGES OF THE CANCER JOURNEY SUCH AS FINANCIAL CONCERNS, INSURANCE AND TRANSPORTATION. - CAROMONT HEALTH IS ENTERING THE SECOND YEAR OF OUR PARTNERSHIP WITH COLUMBIA UNIVERSITY MEDICAL CENTER'S HEARTSOURCE, A CLINICAL AND MANAGEMENT SERVICES GROUP FROM THE DIVISION OF CARDIOTHORACIC SURGERY AT NEW YORK PRESBYTERIAN HOSPITAL/COLUMBIA UNIVERSITY MEDICAL CENTER. THE RELATIONSHIP HAS PROVIDED CAROMONT HEALTH PHYSICIANS WITH EXPOSURE TO SOME OF THE MOST ADVANCED CARDIAC PROCEDURES, AS WELL AS ACCESS TO A SHARED QUALITY CONTROL DATABASE. IT ALSO ALLOWS FOR A HIGHER LEVEL OF FOCUS ON QUALITY OUTCOMES AND EVIDENCE-BASED CARE THAT MIGHT NOT EXIST IN ISOLATED, PRIVATE PRACTICES. - CAROMONT HEALTH AND NORTH CAROLINA'S LARGEST HEALTH INSURER, BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, ANNOUNCED A COLLABORATIVE ARRANGEMENT TO OFFER PATIENTS A NEW HEALTH CARE DELIVERY AND REIMBURSEMENT MODEL FOR KNEE REPLACEMENTS. THE INNOVATIVE, VALUE-BASED INITIATIVE IS DESIGNED TO PROVIDE QUALITY CARE WITH IMPROVED CARE COORDINATION AT COMPETITIVE PRICING. SPECIFIC QUALITY AND PATIENT SATISFACTION MEASURES ARE BUILT IN TO THE 'BUNDLED KNEE' PLAN TO HELP ENSURE THAT PATIENT NEEDS GUIDE THE PROGRAM. - THE INSTITUTE FOR HEALTHCARE IMPROVEMENT HAS ESTABLISHED A TRIO OF OBJECTIVES CALLED THE TRIPLE AIM: - IMPROVE THE HEALTH OF THE POPULATION - ENHANCE THE PATIENT EXPERIENCE (QUALITY, ACCESS, RELIABILITY) - CONTROL COSTS THESE THREE OBJECTIVES ARE ALL CRITICAL COMPONENTS IN BEING WHAT IS KNOWN IN THE INDUSTRY AS AN ACCOUNTABLE CARE ORGANIZATION (ACO). IN TAKING STEPS TO BECOME AN ACO, CAROMONT HEALTH IS UNDERTAKING CHANGES THAT WILL LEAD TO BETTER COORDINATED CARE WITH BETTER OUTCOMES AT LOWER COSTS FOR PATIENTS. WE ARE ALSO EMBRACING 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. | ||
| COMMON PAYMASTER | THE FILING ORGANIZATION USES A RELATED ORGANIZATION FOR ITS PAYROLL FUNCTION. ALL W-2S ARE FILED BY THE COMMON PAYMASTER. HOWEVER, AMOUNTS PAID BY THE COMMON PAYMASTER ARE TREATED AS IF PAID DIRECTLY BY THE ORGANIZATION FOR WHICH SERVICES ARE PERFORMED. | FORM 990, PART V AND PART VII |
| THE 2010 FORM 990 WAS AMENDED TO CORRET AN ERROR ON SCHEDULE K, PART II, COLUMM (B), LINE 10. THE AMOUNT IN THE ORIGINAL FILING WAS OVERSTATED BY $1 MILLION. THE AMOUNT HAS BEEN AMENDED TO CORRECTLY STATE THE AMOUNT $28,947,486. | AMENDED RETURN: |
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 | 0 | 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 |
| 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 |