Skip to content
Nonprofiteer
← CAROMONT HEALTH INC

Form 990 for tax year 2022

Filed by CAROMONT HEALTH INC.

Totals

Total revenue
$23,664,936
Total expenses
$3,831,940
Contributions and grants received
$0
Grants paid
$522,330
Program service revenue
$2,951,810
Investment income
$20,491,056
Other revenue
$222,070
Total assets, end of year
$743,172,403
Total liabilities, end of year
$12,407,110
Net assets or fund balances, end of year
$730,765,293
Program services expenses (Part IX)
$1,941,183
Management and general expenses
$1,890,757
Fundraising expenses
$0
Program service expenses (Part III)
$1,941,183

Program services were 50.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: GAIN ON INV. IN STLC

    total $1,693,603 · related or exempt $1,693,603

  • 2b · Program service revenue: PATIENT SERVICE REVENUE

    total $1,255,520 · related or exempt $1,255,520

  • 2c · Program service revenue: GAIN ON INV. IN MRISC

    total $2,687 · related or exempt $2,687

  • 3 · Investment income

    total $17,186,864 · excluded $17,186,864

  • 7a · Gross sales of assets other than inventory

    securities $3,304,192

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $3,304,192

  • 7d · Net gain or loss

    total $3,304,192 · excluded $3,304,192

  • 11a · Other revenue: ADMIN EXP CHARGED TO AFFILIATES

    total $159,827 · related or exempt $159,827

  • 11b · Other revenue: SETTLEMENT REVENUE

    total $62,243 · excluded $62,243

  • 11e · Other revenue, total

    $222,070

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $522,330 · program services $522,330

  • 7 · Other salaries and wages

    total $932,755 · program services $806,314 · management and general $126,441

  • 8 · Pension plan contributions

    total $75,684 · program services $64,550 · management and general $11,134

  • 9 · Other employee benefits

    total $59,848 · program services $46,385 · management and general $13,463

  • 10 · Payroll taxes

    total $132,576 · program services $123,787 · management and general $8,789

  • 11f · Fees: investment management

    total $1,680,259 · management and general $1,680,259

  • 11g · Fees: other

    total $159,464 · program services $108,793 · management and general $50,671

  • 13 · Office expenses

    total $26,178 · program services $26,178

  • 17 · Travel

    total $1,703 · program services $1,703

  • 20 · Interest

    total $2,056 · program services $2,056

  • 22 · Depreciation, depletion and amortization

    total $105,292 · program services $105,292

  • 23 · Insurance

    total $12,591 · program services $12,591

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $77,322 · program services $77,322

  • 24b · Other expenses: LEASE OPERATING EXPENSE

    total $42,991 · program services $42,991

  • 24c · Other expenses: BAD DEBT

    total $534 · program services $534

  • 24d · Other expenses: MISCELLANEOUS

    total $357 · program services $357

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $30,004,778 · end of year $7,300,664

  • 2 · Savings and temporary cash investments

    beginning of year $28,292,346

  • 4 · Accounts receivable

    beginning of year $147,789 · end of year $116,339

  • 8 · Inventories for sale or use

    beginning of year $9,092 · end of year $9,092

  • 9 · Prepaid expenses and deferred charges

    beginning of year $26,077 · end of year $29,772

  • 10a · Land, buildings and equipment: cost or other basis

    $4,486,087

  • 10b · Land, buildings and equipment: accumulated depreciation

    $930,764

  • 10c · Land, buildings and equipment, net

    beginning of year $3,631,991 · end of year $3,555,323

  • 11 · Investments: publicly traded securities

    beginning of year $762,990,852 · end of year $723,313,113

  • 13 · Investments: program-related

    beginning of year $5,650,771 · end of year $7,540,670

  • 15 · Other assets

    beginning of year $1,652,442 · end of year $1,307,430

  • 17 · Accounts payable and accrued expenses

    beginning of year $10,474,397 · end of year $12,407,110

  • 27 · Net assets without donor restrictions

    beginning of year $821,931,741 · end of year $730,765,293

Mission and programs · 2022

Mission

TO PROVIDE COMPASSIONATE, EXCEPTIONAL AND HIGHLY RELIABLE CARE.

  • CAROMONT HEALTH'S PHILOSOPHY OF CARE IS FOUNDED IN THREE DISTINCT WAYS. IT IS A HEALTH SYSTEM THAT INVESTS IN THE FUTURE OF HEALTHCARE FROM RESEARCH TO EDUCATION. IT IS AN ACTIVE COMMUNITY PARTNER, SUPPORTING AND DRIVING PROGRAMS THAT ENCOURAGE HEALTHIER LIFESTYLES. IT IS ALSO ADYNAMIC ORGANIZATION FOCUSED ON CONTINUOUS DAILY IMPROVEMENT, ADVANCED MEDICINE AND THE DELIVERY OF COMPASSIONATE, EXCEPTIONAL AND HIGHLY RELIABLE CARE. THE FISCAL YEAR ENDING JUNE 30, 2023 SAW CAROMONT HEALTH LIVING ITS VISION TO BE OUR COMMUNITY'S MOST TRUSTED HEALTHCAREPARTNER. THE COMPLETE 2023 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.CAROMONTHEALTH.ORG.

    Expenses $1,941,183 · Grants $522,330 · Revenue $3,111,637

As filed on the 2022 return.

Listed in Part VII

  • Mr David Payseur

    TREASURER AS OF 1/1/2023

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Jeffrey Cash

    CHAIR AS OF 1/1/2023

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Rev Pearl Burris-Floyd

    SECRETARY

    Total calculated
    $119,248
    From this org
    $0
    From related orgs
    $119,248
    Other
    $0
    Hours/week
    1 + 40 related
  • Mr Barry Pomeroy

    TREASURER THROUGH 12/31/2022

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dr Jay Hendler

    CHIEF-OF-STAFF AS OF 1/1/2022

    Total calculated
    $519,387
    From this org
    $0
    From related orgs
    $492,906
    Other
    $26,481
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $427,874 related
    Bonus
    $0 + $61,083 related
    Other
    $0 + $3,949 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $14,281 related
    Filer's total
    $0 + $519,387 related
  • Dr Heath High

    CHIEF-OF-STAFF ELECT AS OF 1/1/2022

    Total calculated
    $607,487
    From this org
    $0
    From related orgs
    $572,492
    Other
    $34,995
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $369,474 related
    Bonus
    $0 + $201,762 related
    Other
    $0 + $1,256 related
    Deferred
    $0 + $11,703 related
    Nontaxable benefits
    $0 + $23,292 related
    Filer's total
    $0 + $607,487 related
  • Mr Bob Hovis

    (COMMISSIONER LIASON)

    Total calculated
    $30,589
    From this org
    $0
    From related orgs
    $30,589
    Other
    $0
    Hours/week
    1 + 2 related
  • Mr Joseph Davis Jr

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr William Anthony

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Ms Annette Carter

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Ms Janie Peak

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Frank Stewart

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Tom Efird

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Revbenjamin Hinton

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Jason Austell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Dan Boyd

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr Jay McGraw

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mr K Christopher Peek

    CEO

    Total calculated
    $1,844,813
    From this org
    $0
    From related orgs
    $1,558,081
    Other
    $286,732
    Hours/week
    6 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $948,458 related
    Bonus
    $0 + $411,971 related
    Other
    $0 + $197,652 related
    Deferred
    $0 + $263,009 related
    Nontaxable benefits
    $0 + $23,723 related
    Filer's total
    $0 + $1,844,813 related
  • Mr David O'Connor

    EVP/CFO/ASST. TREASURER

    Total calculated
    $1,058,707
    From this org
    $0
    From related orgs
    $884,243
    Other
    $174,464
    Hours/week
    6 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $580,745 related
    Bonus
    $0 + $194,511 related
    Other
    $0 + $108,987 related
    Deferred
    $0 + $150,741 related
    Nontaxable benefits
    $0 + $23,723 related
    Filer's total
    $0 + $1,058,707 related
  • Ms Leigh Hickman

    CLO/ASST. SEC.

    Total calculated
    $568,958
    From this org
    $0
    From related orgs
    $465,494
    Other
    $103,464
    Hours/week
    6 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $362,901 related
    Bonus
    $0 + $101,731 related
    Other
    $0 + $862 related
    Deferred
    $0 + $87,394 related
    Nontaxable benefits
    $0 + $16,070 related
    Filer's total
    $0 + $568,958 related
  • Dr Otis Cosby

    PHYSICIAN

    Total calculated
    $279,817
    From this org
    $260,232
    From related orgs
    $0
    Other
    $19,585
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,764
    Bonus
    $19,629
    Other
    $66,839
    Deferred
    $2,601
    Nontaxable benefits
    $16,984
    Filer's total
    $279,817
  • Ms Larie Carthen

    NURSE PRACTITIONER

    Total calculated
    $137,888
    From this org
    $114,898
    From related orgs
    $0
    Other
    $22,990
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION PAID TO CEO OF CAROMONT HEALTH, INC. WAS PAID BY CAROMONT REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION. CAROMONT REGIONAL MEDICAL CENTER UTILIZED THE FOLLOWING METHODS TO DETERMINE APPROPRIATE COMPENSATION FOR THE CEO THAT HAD INFLUENCE OVER THE ORGANIZATION'S ACTIVITIES: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THE FOLLOWING INDIVIDUALS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY RELATED ORGANIZATION CAROMONT REGIONAL MEDICAL CENTER FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DAVID O'CONNOR - $ 111,541 K. CHISTOPHER PEEK - $ 223,809 LEIGH HICKMAN - $ 55,268
PART I, LINE 6
EXECUTIVE INCENTIVE COMPENSATION PLAN FOR ALL KEY EMPLOYEES BASED ON THE ACHIEVEMENT OF ANNUAL BUSINESS OBJECTIVES WHICH INCLUDE A FINANCIAL GOAL ATTRIBUTABLE TO OPERATING MARGIN. MANAGER INCENTIVE PLAN BASED ON CONSOLIDATED CORPORATE AND INDIVIDUAL PERFORMANCE GOALS. CERTAIN CAROMONT MEDICAL GROUP, INC. PHYSICIAN'S COMPENSATION PACKAGES ARE BASED ON THE INDIVIDUAL PHYSICIAN'S NET RESULTS FROM OPERATIONS AS CALCULATED BASED SOLELY ON HIS/HER NET CHARGES LESS HIS/HER ALLOCABLE SHARE OF CLINIC OVERHEAD COSTS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • CAROMONT OCCUPATIONAL MEDICINE LLC

    OCCUPATIONAL MEDICINE · NC · income $1,254,985 · assets $175,110

    Directly controlled by CAROMONT HEALTH INC

  • CAROMONT AMBULATORY SERVICES LLC

    AMBULATORY SERVICES · NC · income $0 · assets $0

    Directly controlled by CAROMONT HEALTH INC

  • CAROMONT COMMUNITY IMAGING LLC

    IMAGING SERVICES · NC · income $0 · assets $0

    Directly controlled by CAROMONT HEALTH INC

  • CHI CONTINUUM LLC

    ACCOUNTABLE CARE ORGANIZATION · NC · income $0 · assets $0

    Directly controlled by CAROMONT HEALTH INC

  • CAROMONT PARTNERS LLC

    JV INVESTMENT HOLDER · NC · income $0 · assets $0

    Directly controlled by CAROMONT HEALTH INC

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MRI SPECIALISTS OF THE CAROLINAS LLC

    RELATED · MEDICAL SERVICES · NC · 50% owned · share of income $421,319 · share of assets $136,710

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CAROMONT INSURANCE SERVICES LTD

    C · INSURANCE CAPTIVE · CJ · 100% owned · share of income $2,799,283 · share of assets $11,347,667 · controlled entity

    Directly controlled by CAROMONT HEALTH INC

Provenance

Return type
form_990
Tax year
2022
Filed
29 April 2024
IRS schema version
2022v5.0
Source object
202411209349301801

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.