2024-04-29T14:49:58-05:00 2023-06-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-07-01 581636959 CAROMONT HEALTH CARO 7048342000 2525 COURT DRIVE PO BOX 1747 GASTONIA NC 280531747 DAVID O'CONNOR EVP, CFO 7048342000 2024-04-29 1 DAVID OCONNOR 999009999 1 AMY BIBBY P00445891 8282542254 2024-04-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DAVID O'CONNOR 2525 COURT DRIVE PO BOX 1747 GASTONIA NC 280531747 23664936 0 X WWW.CAROMONT.ORG X 1984 NC TO PROVIDE COMPASSIONATE, EXCEPTIONAL AND HIGHLY RELIABLE CARE. 14 10 16 0 0 0 0 0 1798805 2951810 59668778 20491056 2331 222070 61469914 23664936 310426 522330 0 0 1120112 1200863 0 0 0 3292522 2108747 4723060 3831940 56746854 19832996 832406138 743172403 10474397 12407110 821931741 730765293 TO PROVIDE COMPASSIONATE, EXCEPTIONAL AND HIGHLY RELIABLE CARE. 0 0 1941183 522330 3111637 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. 1941183 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 2 0 1 16 1 0 1 CJ 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X THE ORGANIZATION 7048342000 2525 COURT DRIVE GASTONIA NC 28054 MR DAVID PAYSEUR TREASURER AS OF 1/1/2023 1.00 1.00 X X 0 0 0 MR JEFFREY CASH CHAIR AS OF 1/1/2023 1.00 1.00 X X 0 0 0 REV PEARL BURRIS-FLOYD SECRETARY 1.00 40.00 X X 0 119248 0 MR BARRY POMEROY TREASURER THROUGH 12/31/2022 1.00 1.00 X X 0 0 0 DR JAY HENDLER CHIEF-OF-STAFF AS OF 1/1/2022 1.00 40.00 X 0 492906 26481 DR HEATH HIGH CHIEF-OF-STAFF ELECT AS OF 1/1/2022 1.00 40.00 X 0 572492 34995 MR BOB HOVIS (COMMISSIONER LIASON) 1.00 2.00 X 0 30589 0 MR JOSEPH DAVIS JR DIRECTOR 1.00 1.00 X 0 0 0 MR WILLIAM ANTHONY DIRECTOR 1.00 1.00 X 0 0 0 MS ANNETTE CARTER DIRECTOR 1.00 1.00 X 0 0 0 MS JANIE PEAK DIRECTOR 1.00 1.00 X 0 0 0 MR FRANK STEWART DIRECTOR 1.00 1.00 X 0 0 0 MR TOM EFIRD DIRECTOR 1.00 1.00 X 0 0 0 REVBENJAMIN HINTON DIRECTOR 1.00 1.00 X 0 0 0 MR JASON AUSTELL DIRECTOR 1.00 1.00 X 0 0 0 MR DAN BOYD DIRECTOR 1.00 1.00 X 0 0 0 MR JAY MCGRAW DIRECTOR 1.00 1.00 X 0 0 0 MR K CHRISTOPHER PEEK CEO 6.00 49.00 X 0 1558081 286732 MR DAVID O'CONNOR EVP/CFO/ASST. TREASURER 6.00 49.00 X 0 884243 174464 MS LEIGH HICKMAN CLO/ASST. SEC. 6.00 49.00 X 0 465494 103464 DR OTIS COSBY PHYSICIAN 40.00 X 260232 0 19585 MS LARIE CARTHEN NURSE PRACTITIONER 40.00 X 114898 0 22990 375130 4123053 668711 4 0 1 0 0 GAIN ON INV. IN STLC 900099 1693603 1693603 PATIENT SERVICE REVENUE 621110 1255520 1255520 GAIN ON INV. IN MRISC 900099 2687 2687 2951810 17186864 17186864 3304192 0 3304192 3304192 3304192 ADMIN EXP CHARGED TO AFFILIATES 900099 159827 159827 SETTLEMENT REVENUE 900099 62243 62243 222070 23664936 3111637 0 20553299 522330 522330 932755 806314 126441 75684 64550 11134 59848 46385 13463 132576 123787 8789 1680259 1680259 159464 108793 50671 26178 26178 1703 1703 2056 2056 105292 105292 12591 12591 MEDICAL SUPPLIES 77322 77322 LEASE OPERATING EXPENSE 42991 42991 BAD DEBT 534 534 MISCELLANEOUS 357 357 3831940 1941183 1890757 0 30004778 7300664 28292346 147789 116339 9092 9092 26077 29772 4486087 930764 3631991 3555323 762990852 723313113 5650771 7540670 1652442 1307430 832406138 743172403 10474397 12407110 10474397 12407110 X 821931741 730765293 821931741 730765293 832406138 743172403 X 19832996 40281786 -151281230 X X 0 1 X 1 0 X X 5 GASTON MEMORIAL HOSPITAL INC 560619359 3 1 0 0 GASTON MEMORIAL HOSPITAL FOUNDATION INC 561479699 10 1 522330 0 CAROMONT HEALTH SERVICES INC 561455630 3 1 0 0 CAROMONT MEDICAL GROUP INC 561479712 10 1 0 0 HOSPICE OF GASTON COUNTY INC 581341530 7 1 0 0 5 522330 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1: THE ORGANIZATION SPECIFICALLY LISTS CAROMONT REGIONAL MEDICAL CENTER AS THE PRIMARY SUPPORTED ORGANIZATION IN THE GOVERNING DOCUMENTS. THE OTHER SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME. HOWEVER, THESE ORGANIZATIONS ARE PART OF THE HEALTH SYSTEM WHICH IS SUPPORTED BY CAROMONT HEALTH. PART IV, SECTION C, LINE 1: THE PRIMARY SUPPORTED ORGANIZATION, CAROMONT REGIONAL MEDICAL CENTER, SHARES THE SAME BOARD AS CAROMONT HEALTH. CAROMONT HEALTH DEMONSTRATES CONTROL OVER THE OTHER SUPPORTED ORGANIZATIONS BY ITS ABILITY TO ELECT THE BOARDS OF EACH OF THESE ORGANIZATIONS AND ALL SUPPORTED ORGANIZATIONS MUST HAVE THE SAME PRESIDENT AND CEO AS THE SUPPORTING ORGANIZATION. 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. 1 1 0 0 0 0 1 0 1 0 0 PART II-B, LINE 1: LOBBYING REGISTRATION IS IN THE NAME OF CAROMONT HEALTH, INC. LOBBYING EXPENDITURES ARE REPORTED ON THE GASTON MEMORIAL HOSPITAL, INC FORM 990. 3536779 3536779 339940 339940 0 609368 590824 18544 3555323 X -89697458 40281786 -151281230 -110999444 21301986 1680259 682691 2362950 23664936 1468990 0 1468990 1680259 682691 2362950 3831940 PART X, LINE 2: THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2023 AND 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY TRANSFERS -151,281,230. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION EXPENSE INCLUDED IN REVENUE 522,330. BAD DEBT EXPENSE INCLUDED IN REVENUE 534. EXPENSE RECLASSED TO REVENUE 159,827. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION EXPENSE INCLUDED IN REVENUE 522,330. BAD DEBT EXPENSE INCLUDED IN REVENUE 534. EXPENSE RECLASSED TO REVENUE 159,827. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS STOCK IN CAROMONT INSURANCE SERVICES, LTD. 550000 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS SELF INSURANCE PREMIUMS 2740356 0 0 0 0 0 0 3290356 0 3290356 1 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 GASTON MEMORIAL HOSPITAL FOUNDATION 2525 COURT DRIVE GASTONIA NC 28053 561479699 501(C)(3) 522330 0 FMV OPERATIONS OF THE GRANTMAKING ORGANIZATION 1 0 PART I, LINE 2: PROVIDED FUNDS TO THE FOUNDATION TO ASSIST IN THE GRANT MAKING AND BENEVOLENCE INITIATIVES OPERATED BY THE FOUNDATION. ALL GRANTS DECISIONS ARE DOCUMENTED. 0 1 0 0 0 1 1 0 0 MR K CHRISTOPHER PEEK CEO 0 948458 0 411971 0 197652 0 263009 0 23723 0 1844813 0 158940 MR DAVID O'CONNOR EVP/CFO/ASST. TREASURER 0 580745 0 194511 0 108987 0 150741 0 23723 0 1058707 0 86689 DR HEATH HIGH CHIEF-OF-STAFF ELECT AS OF 1/1/2022 0 369474 0 201762 0 1256 0 11703 0 23292 0 607487 0 0 MS LEIGH HICKMAN CLO/ASST. SEC. 0 362901 0 101731 0 862 0 87394 0 16070 0 568958 0 0 DR JAY HENDLER CHIEF-OF-STAFF AS OF 1/1/2022 0 427874 0 61083 0 3949 0 12200 0 14281 0 519387 0 0 DR OTIS COSBY PHYSICIAN 173764 0 19629 0 66839 0 2601 0 16984 0 279817 0 0 0 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. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS CONSISTS OF FOURTEEN (14) MEMBERS, EIGHT (8) MEMBERS OF WHOM WILL BE APPOINTED BY THE BOARD OF COUNTY COMMISSIONERS (ONE OF WHICH SHALL BE A GASTON COUNTY COMMISSIONER), FIVE (5) MEMBERS OF WHOM WILL BE APPOINTED BY THE EXISTING BOARD OF DIRECTORS OF THE ORGANIZATION, AND ONE (1) MEMBER WHO WILL BE THE CHIEF OF STAFF OF CAROMONT REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 WAS REVIEWED BY THE AUDIT FINANCE INVESTMENT COMMITTEE OF THE BOARD OF DIRECTORS OF CAROMONT HEALTH PRIOR TO PRESENTATION TO THE FULL BOARD BEFORE THE FORM WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS, MEMBERS OF SENIOR LEADERSHIP, ANY PHYSICIAN HOLDING A LEADERSHIP OR ADMINISTRATIVE POSITION WITHIN THE ORGANIZATION, DIRECTORS, RESEARCH STUDY PERSONNEL, MANAGERS AND ALL STAFF MEMBERS OF THE PURCHASING AND MARKETING DEPARTMENTS AND ANY OTHER DEPARTMENT DEEMED TO HAVE MATERIAL DECISION MAKING RESPONSIBILITIES ON BEHALF OF CAROMONT HEALTH SHALL FULLY AND TRUTHFULLY COMPLETE A QUESTIONNAIRE CONCERNING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST ANNUALLY. SUCH QUESTIONNAIRE SHALL IDENTIFY THE INDIVIDUAL'S OBLIGATION TO IMMEDIATELY MAKE THE CORPORATE COMPLIANCE OFFICER AWARE IN WRITING OF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST AS THEY MAY ARISE AND CONTAIN SAID INDIVIDUAL'S AGREEMENT TO ABIDE BY ALL TERMS AND CONDITIONS OF THIS POLICY AS A CONDITION OF RETAINING THEIR POSITION. SUCH QUESTIONNAIRES ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND THE CORPORATE COMPLIANCE OFFICER. QUESTIONNAIRES SUBMITTED BY DIRECTORS ARE REVIEWED ANNUALLY BY THE NOMINATING COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE CEO, CFO, COO, CPE AND CHIEF LEGAL OFFICER ARE COMPENSATED FOR THEIR SERVICES BY CAROMONT REGIONAL MEDICAL CENTER, A SUBSIDIARY OF CAROMONT HEALTH, INC. THE COMPENSATION OF ALL CAROMONT EXECUTIVES FOR EACH YEAR IS ESTABLISHED BY THE COMPENSATION COMMITTEE OF THE CAROMONT HEALTH BOARD OF DIRECTORS, BASED ON GUIDANCE AND OPINIONS PROVIDED BY AN INDEPENDENT, THIRD-PARTY COMPENSATION CONSULTANT. PURSUANT TO THE COMMITTEE CHARTER FOR THE COMPENSATION COMMITTEE OF THE BOARD, THE BOARD OF DIRECTORS APPROVES THE EXECUTIVE COMPENSATION PHILOSOPHY, WHICH ESTABLISHES THE PARAMETERS FOR ALL EXECUTIVE COMPENSATION DECISIONS. THE BOARD OF DIRECTORS DELEGATES ALL COMPENSATION DECISIONS FOR ALL EXECUTIVES TO THE COMPENSATION COMMITTEE, PROVIDED SUCH DECISIONS ARE CONSISTENT WITH THE COMPENSATION PHILOSOPHY. BOARD APPROVAL MUST BE OBTAINED WHEN COMPENSATION DECISIONS DEVIATE FROM THE COMPENSATION PHILOSOPHY. A MAJORITY OF THE BOARD MEMBERS WHO SERVE ON THE COMPENSATION COMMITTEE ARE INDEPENDENT AND ALL ARE FREE FROM 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 DOES NOT PARTICIPATE IN THE DISCUSSION OR DECISION-MAKING BY THE REMAINING MEMBERS OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RETAINS JURISDICTION OVER THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVES AND REVIEWS EXECUTIVE BENEFITS AND PERQUISITES AS WELL AS TOTAL CASH COMPENSATION. COMPENSATION FOR THE CEO IS ESTABLISHED THROUGH A PROCESS OF PERFORMANCE EVALUATION, COMPARISON WITH COMPARABLE MARKET DATA AND DETERMINATION BY THE COMPENSATION COMMITTEE OF ACCEPTABLE SALARY RANGE AND PERCENTILE RANKING. ALL COMPENSATION DECISIONS FOR THE CEO ARE APPROVED BY THE COMPENSATION COMMITTEE, AS LONG AS THE COMPENSATION DECISIONS ARE CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY. THE PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE MANAGEMENT UTILIZES COMPENSATION SURVEYS AND STUDIES. FULL COLLECTED COMPENSATION INFORMATION AND ANY COMPENSATION OPINIONS PROVIDED DURING THESE PROCESSES WILL BE KEPT WITH THE COMPENSATION COMMITTEE OR BOARD MINUTES, AS APPLICABLE. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE ENTIRE ORGANIZATION'S COMBINED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS TO RELATED ORGANIZATIONS -151,281,230. PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. FORM 990, PART V AND PART VII CAROMONT HEALTH IS A COMMON PAYMASTER AS DEFINED IN REGULATIONS SECTION 31.3121(S)-(1)(B) FOR SEVERAL ORGANIZATIONS. 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. CAROMONT OCCUPATIONAL MEDICINE LLC 2525 COURT DRIVE GASTONIA NC 28054 510522690 OCCUPATIONAL MEDICINE NC 1254985 175110 CAROMONT HEALTH INC CAROMONT AMBULATORY SERVICES LLC 2525 COURT DRIVE GASTONIA NC 28054 510522692 AMBULATORY SERVICES NC 0 0 CAROMONT HEALTH INC CAROMONT COMMUNITY IMAGING LLC 2525 COURT DRIVE GASTONIA NC 28054 562255954 IMAGING SERVICES NC 0 0 CAROMONT HEALTH INC CHI CONTINUUM LLC 2525 COURT DRIVE GASTONIA NC 28054 463056575 ACCOUNTABLE CARE ORGANIZATION NC 0 0 CAROMONT HEALTH INC CAROMONT PARTNERS LLC 2525 COURT DRIVE GASTONIA NC 28054 851275735 JV INVESTMENT HOLDER NC 0 0 CAROMONT HEALTH INC CAROMONT HEALTH SERVICES INC 2526 COURT DRIVE GASTONIA NC 28054 561455630 OUTPATIENT SERVICES NC 501(C)(3) LINE 3 CAROMONT HEALTH INC 1 GASTON MEMORIAL HOSPITAL FOUNDATION INC 2527 COURT DRIVE GASTONIA NC 28054 561479699 FOUNDATION NC 501(C)(3) LINE 7 CAROMONT HEALTH INC 1 CAROMONT MEDICAL GROUP INC 2528 COURT DRIVE GASTONIA NC 28054 561479712 MEDICAL GROUP NC 501(C)(3) LINE 10 CAROMONT HEALTH INC 1 HOSPICE OF GASTON COUNTY INC 2529 COURT DRIVE GASTONIA NC 28054 581341530 HOSPICE CARE NC 501(C)(3) LINE 7 CAROMONT HEALTH INC 1 GASTON MEMORIAL HOSPITAL INC 2530 COURT DRIVE GASTONIA NC 28054 560619359 HOSPITAL NC 501(C)(3) LINE 3 CAROMONT HEALTH INC 1 GASTON COUNTY PO BOX 1578 GASTONIA NC 280531578 566000300 GOVERNMENT ADMINISTRATION NC N/A 0 MRI SPECIALISTS OF THE CAROLINAS LLC 2525 COURT DRIVE GASTONIA NC 28054 263318787 MEDICAL SERVICES NC N/A RELATED 421319 136710 0 0 0.50000 CAROMONT INSURANCE SERVICES LTD PO BOX 69 GRAND CAYMAN CJ KY1-1102 INSURANCE CAPTIVE CJ CAROMONT HEALTH INC C 2799283 11347667 1.00000 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 GASTON MEMORIAL HOSPITAL INC S 111315577 CASH GASTON MEMORIAL HOSPITAL FOUNDATION B 522330 CASH CAROMONT HEALTH SERVICES S 1860362 CASH CAROMONT MEDICAL GROUP R 43629954 CASH