Totals
- Total revenue
- $12,628,347
- Total expenses
- $12,694,728
- Contributions and grants received
- $213,923
- Grants paid
- $0
- Program service revenue
- $11,462,002
- Investment income
- $956,315
- Other revenue
- -$3,893
- Total assets, end of year
- $28,746,781
- Total liabilities, end of year
- $848,554
- Net assets or fund balances, end of year
- $27,898,227
- Program services expenses (Part IX)
- $11,477,260
- Management and general expenses
- $1,217,468
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $11,477,260
Program services were 90.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Mr David Ratchford
Vice Chair
- Total calculated
- $0
- Hours/week
- 1
-
Mr Jim Warren
Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Ms Ann Davis
Chair starting 1/1/2024
- Total calculated
- $0
- Hours/week
- 1
-
Ms Ruth Neely
Chair through 12/31/2023
- Total calculated
- $0
- Hours/week
- 1
-
Ms Sharon Smith
Secretary
- Total calculated
- $0
- Hours/week
- 1
-
Dr Joan Martin
Director
- Total calculated
- $0
- Hours/week
- 1
-
Dr John Watts
Director
- Total calculated
- $0
- Hours/week
- 1
-
Dr Micheal Case
Director
- Total calculated
- $0
- Hours/week
- 1
-
Mr Scott Griffin
Director
- Total calculated
- $0
- Hours/week
- 1
-
Ms Ami Parker
Director
- Total calculated
- $0
- Hours/week
- 1
-
Ms Jamie Hester Griffith
Director
- Total calculated
- $0
- Hours/week
- 1
-
Ms Jennifer Jones
Director
- Total calculated
- $0
- Hours/week
- 1
-
Ms Martha Williard
Director
- Total calculated
- $0
- Hours/week
- 1
-
Ms Patti Lineberger
Director
- Total calculated
- $0
- Hours/week
- 1
-
Rev Dr Benjamin Hinton
Director
- Total calculated
- $0
- Hours/week
- 1
-
Mr David O'Connor
EVP/CFO/Asst. Treasurer
- Total calculated
- $1,140,025
- From this org
- $0
- From related orgs
- $956,025
- Other
- $184,000
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $602,432 related
- Bonus
- $0 + $243,238 related
- Other
- $0 + $110,355 related
- Deferred
- $0 + $159,219 related
- Nontaxable benefits
- $0 + $24,781 related
- Filer's total
- $0 + $1,140,025 related
-
Mr K Christopher Peek
CEO
- Total calculated
- $2,074,421
- From this org
- $0
- From related orgs
- $1,764,966
- Other
- $309,455
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $1,025,632 related
- Bonus
- $0 + $515,175 related
- Other
- $0 + $224,159 related
- Deferred
- $0 + $284,284 related
- Nontaxable benefits
- $0 + $25,171 related
- Filer's total
- $0 + $2,074,421 related
-
Ms Leigh Hickman
CLO/Asst. Sec.
- Total calculated
- $675,066
- From this org
- $0
- From related orgs
- $564,906
- Other
- $110,160
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $376,380 related
- Bonus
- $0 + $127,220 related
- Other
- $0 + $61,306 related
- Deferred
- $0 + $93,072 related
- Nontaxable benefits
- $0 + $17,088 related
- Filer's total
- $0 + $675,066 related
-
Ms Anna Marie Shindler
On Call RN Hospice
- Total calculated
- $236,907
- From this org
- $177,583
- From related orgs
- $0
- Other
- $59,324
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $136,564
- Bonus
- $40,882
- Other
- $137
- Deferred
- $34,860
- Nontaxable benefits
- $24,464
- Filer's total
- $236,907
-
Ms Elizabeth Evans
Registered Nurse
- Total calculated
- $187,982
- From this org
- $125,649
- From related orgs
- $0
- Other
- $62,333
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $123,327
- Bonus
- $2,070
- Other
- $252
- Deferred
- $50,725
- Nontaxable benefits
- $11,608
- Filer's total
- $187,982
-
Ms Jeannie Jones
On Call RN Hospice
- Total calculated
- $163,554
- From this org
- $129,427
- From related orgs
- $0
- Other
- $34,127
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $127,957
- Bonus
- $1,239
- Other
- $231
- Deferred
- $17,232
- Nontaxable benefits
- $16,895
- Filer's total
- $163,554
-
Ms Julie Cornwell
Nurse Practitioner
- Total calculated
- $172,183
- From this org
- $145,702
- From related orgs
- $0
- Other
- $26,481
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $114,016
- Bonus
- $31,500
- Other
- $186
- Deferred
- $15,257
- Nontaxable benefits
- $11,224
- Filer's total
- $172,183
-
Ms Michelle Flowers
Registered Nurse
- Total calculated
- $165,713
- From this org
- $132,881
- From related orgs
- $0
- Other
- $32,832
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $131,595
- Bonus
- $1,227
- Other
- $59
- Deferred
- $8,458
- Nontaxable benefits
- $24,374
- Filer's total
- $165,713
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)
- Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
- COMPENSATION PAID TO CEO OF CAROMONT HEALTH, INC. WAS PAID BY GASTON MEMORIAL HOSPITAL, INC D/B/A CAROMONT REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION. CAROMONT REGIONAL MEDICAL CENTER UTILIZED THE FOLLOWING METHODS TO DETERMINE APPROPRIATE COMPENSATION FOR 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
- Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
- The following individuals received deferred compensation allocations by related organization CaroMont Regional Medical Center from a Supplemental Executive Retirement Plan (SERP): DAVID O'CONNOR - $ 116,019 K. CHRISTOPHER PEEK - $ 241,084 Leigh Hickman - $ 57,768
- Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization
- 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.
- Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization
- 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.
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
No itemized grants to organizations 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.
-
501(c)(3) · MEDICAL SERVICES · NC
Directly controlled by NA
-
501(c)(3) · OUTPATIENT SERVICES · NC
Directly controlled by CAROMONT HEALTH INC
-
GASTON MEMORIAL HOSPITAL FOUNDATION
501(c)(3) · FOUNDATION · NC
Directly controlled by CAROMONT HEALTH INC
-
501(c)(3) · MEDICAL GROUP · NC
Directly controlled by CAROMONT HEALTH INC
-
501(c)(3) · HOSPITAL · NC
Directly controlled by CAROMONT HEALTH INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 25 March 2025
- IRS schema version
- 2023v6.0
- Source object
- 202500849349301650
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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