Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1a · Federated campaigns

  $28,679

• 1c · Fundraising events

  $3,575

• 1f · All other contributions, gifts and grants

  $178,093

• 2a · Program service revenue: PROGRAM OPERATIONS

  total $10,504,669 · related or exempt $10,504,669

• 3 · Investment income

  total $482,718 · excluded $482,718

• 7a · Gross sales of assets other than inventory

  other assets $48,914

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

  other assets $0

• 7c · Gain or loss

  other assets $48,914

• 7d · Net gain or loss

  total $48,914 · excluded $48,914

• 8a · Fundraising events: gross income

  $90,866

• 8a · Fundraising events: contributions included on line 1c

  $3,575

• 8b · Fundraising events: direct expenses

  $24,526

• 8c · Net income from fundraising events

  total $66,340 · excluded $66,340

• 11a · Other revenue: MISCELLANEOUS REVENUE

  total $380 · excluded $380

• 11e · Other revenue, total

  $380

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $5,908,543 · program services $5,400,040 · management and general $508,503

• 8 · Pension plan contributions

  total $197,656 · program services $101,931 · management and general $95,725

• 9 · Other employee benefits

  total $820,805 · program services $711,737 · management and general $109,068

• 10 · Payroll taxes

  total $368,455 · program services $333,349 · management and general $35,106

• 11f · Fees: investment management

  total $43,178 · management and general $43,178

• 11g · Fees: other

  total $1,518,688 · program services $1,237,659 · management and general $281,029

• 13 · Office expenses

  total $190,483 · program services $152,494 · management and general $37,989

• 14 · Information technology

  total $6,806 · program services $6,806

• 16 · Occupancy

  total $188,817 · program services $165,204 · management and general $23,613

• 17 · Travel

  total $104,425 · program services $102,859 · management and general $1,566

• 19 · Conferences, conventions and meetings

  total $3,491 · program services $3,441 · management and general $50

• 20 · Interest

  total $43,346 · program services $43,346

• 22 · Depreciation, depletion and amortization

  total $617,385 · program services $617,385

• 23 · Insurance

  total $68,477 · program services $789 · management and general $67,688

• 24a · Other expenses: MEDICAL SERVICES

  total $1,557,076 · program services $1,557,076

• 24b · Other expenses: MEDICAL SUPPLIES

  total $655,793 · program services $655,793

• 24c · Other expenses: EQUIPMENT RENTAL & MAIN

  total $312,775 · program services $309,714 · management and general $3,061

• 24d · Other expenses: BAD DEBT

  total $70,042 · program services $70,042

• 24e · All other expenses

  total $74,129 · program services $70,614 · management and general $3,515

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $1,753 · end of year $10,349

• 3 · Pledges and grants receivable

  beginning of year $2,190 · end of year $1,815

• 4 · Accounts receivable

  beginning of year $1,008,540 · end of year $946,973

• 9 · Prepaid expenses and deferred charges

  beginning of year $24,464 · end of year $6,205

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

  $12,704,350

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

  $5,830,143

• 10c · Land, buildings and equipment, net

  beginning of year $6,095,748 · end of year $6,874,207

• 11 · Investments: publicly traded securities

  beginning of year $20,264,049 · end of year $19,267,283

• 15 · Other assets

  beginning of year $7,165 · end of year $8,676

• 17 · Accounts payable and accrued expenses

  beginning of year $973,777 · end of year $853,745

• 27 · Net assets without donor restrictions

  beginning of year $26,430,132 · end of year $26,261,763

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 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. CHRISTOPHER 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.