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STANLY MANOR INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
STANLY MANOR INC (EIN 56-1623092)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201232289349303618
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T15:51:19-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561623092EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1STANLY MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTANNameControl
Phone7049820770Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 BETHANY ROADAddressLine1
CityALBEMARLECity
StateNCState
ZIP Code28001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNYKOLA SAMILOName
TitleCFOTitle
Phone7049820770Phone
Date Signed2012-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY W JOHNSName
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHANIE HERRIN-HUNNEYCUNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1625 BETHANY ROADAddressLine1
CityALBEMARLECity
StateNCState
ZIP Code28001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7453100GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STANLY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SKILLED NURSING AND REHABILIATIVE SERVICES TO OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees225TotalNbrEmployees
Total Nbr Volunteers52TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6940107ProgramServiceRevenuePriorYear
Program Service Revenue CY7448563ProgramServiceRevenueCY
Investment Income Prior Year1084InvestmentIncomePriorYear
Investment Income Current Year1127InvestmentIncomeCurrentYear
Other Revenue Prior Year3017OtherRevenuePriorYear
Other Revenue Current Year3410OtherRevenueCurrentYear
Total Revenue Prior Year6944208TotalRevenuePriorYear
Total Revenue Current Year7453100TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4304944SalariesEtcPriorYear
Salaries Etc Current Year4244494SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2691799OtherExpensePriorYear
Other Expenses Current Year2828227OtherExpensesCurrentYear
Total Expenses Prior Year6996743TotalExpensesPriorYear
Total Expenses Current Year7072721TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-52535RevenuesLessExpensesPriorYear
Revenues Less Expenses CY380379RevenuesLessExpensesCY
Total Assets BOY3094726TotalAssetsBOY
Total Assets EOY3456267TotalAssetsEOY
Total Liabilities BOY2146600TotalLiabilitiesBOY
Total Liabilities EOY2221377TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY948126NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1234890NetAssetsOrFundBalancesEOY
Mission DescriptionSTANLY MANOR, INC. IS A PRIVATE NOT-FOR-PROFIT MULTI-LEVEL LONG-TERM CARE FACILITY OFFERING 24-HOUR CARE WITH ASSISTED LIVING AND NURSING CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6484381Expense
Revenue7448563Revenue
DescriptionSTANLY MANOR, INC. IS A 100 BED FACILITY PROVIDING MULTI-LEVEL LONG-TERM HEALTH CARE FOR NURSING HOME AND REST HOME PATIENTS. IT PROVIDES 24 HOUR NURSING CARE, NUTRITIOUS MEALS AND THERAPEUTIC DIETS, DIETICIAN SERVICE, 24 HOUR SECURITY AND EMERGENCY RESPONSE SYSTEMS, REHABILITATION SERVICES AND RESTORATIVE CARE, PHYSICIAN SERVICES, PHARMACY SERVICES, FULL COMPLEMENT OF SCHEDULED ACTIVITIES, BEAUTY SHOP/BARBER SHOP, HOUSEKEEPING AND LAUNDRY SERVICES, ON-STAFF SOCIAL WORKER, HOSPICE SERVICES, AND TRANSPORTATION FOR MEDICAL APPOINTMENTS. STANLY MANOR ACCEPTS MEDICAID, PRIVATE INSURANCE, AND MEDICARE PAYMENTS FOR SERVICES PROVIDED.Description
Total Program Service Expense6484381TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees225NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STEPHANIE HERRIN-HUNEYCUTTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7049820770TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1625 BETHANY ROADAddressLine1
CityALBEMARLECity
StateNCState
ZIP Code28001ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
ALFRED P TAYLOR
CEO STANLY HEALTH SERVICES1.00X031707642607
NYKOLA SAMILO
CFO STANLY HEALTH SERVICES1.00X021407132636
JOE GODWIN
BOARD MEMBER SHS1.00X000
JUDY DORAN
CNE1.00X0325000
STEPHANIE HERRIN-HUNEYCUTT
ADMINISTRATOR40.0007602410102X
DEBRA SMITH
FORMER BOARD MEMBER1.0002270755310X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs866746TotalReportableCompFrmRltdOrgs
Total Other Compensation90655TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR72902THERAPIES627270
US FOODS
PO BOX 602286CHARLOTTENC28266FOODS AND SUPPLEMENTS318585
STOKES CONSTRUCTION
619 N SECOND STALBEMARLENC28001LABOR/MATERIALS/INSTALLATION245196
CCRX PHARMACY
622 MAYWOOD AVENUERALEIGHNC27603DRUGS209550
MCKESSON
PO BOX 630693CINCINNATIOH45263MEDICAL SUPPLIES209187
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column7412295TotalRevenueColumn
Related Or Exempt Function Income7412295RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column36268TotalRevenueColumn
Related Or Exempt Function Income36268RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7448563TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1127TotalRevenueColumn
Exclusion$1,127ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3410TotalRevenueColumn
Exclusion$3,410ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3410TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7453100TotalRevenueColumn
Related Or Exempt Function Income7448563RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,537ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total93269Total
Program Services10020ProgramServices
Management And General83249ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3135957Total
Program Services3048018ProgramServices
Management And General87939ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total76517Total
Program Services74375ProgramServices
Management And General2142ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total697723Total
Program Services678276ProgramServices
Management And General19447ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total241028Total
Program Services223630ProgramServices
Management And General17398ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total111449Total
Management And General111449ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total190Total
Management And General190ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79994Total
Management And General79994ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total793469Total
Program Services788418ProgramServices
Management And General5051ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1856Total
Management And General1856ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20699Total
Program Services2090ProgramServices
Management And General18609ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total183208Total
Program Services183208ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total13976Total
Program Services7032ProgramServices
Management And General6944ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total58555Total
Management And General58555ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total137837Total
Program Services137837ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total13606Total
Program Services15ProgramServices
Management And General13591ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES89431288394910363
BED TAX ASSESSMENT344990344990
BAD DEBT EXPENSE7062170621
TELEPHONE AND CABLE2947629476

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total73989Total
Program Services31902ProgramServices
Management And General42087ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7072721Total
Program Services6484381ProgramServices
Management And General588340ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY172193BOY
EOY182826EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY685358BOY
EOY842656EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY30793BOY
EOY38586EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5267027LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2901968LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2183381BOY
EOY2365059EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY23001BOY
EOY27140EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3094726BOY
EOY3456267EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY524524BOY
EOY565683EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1158305BOY
EOY1034545EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY463771BOY
EOY621149EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2146600BOY
EOY2221377EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY948126BOY
EOY1234890EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY948126BOY
EOY1234890EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3094726BOY
EOY3456267EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses380379ReconcilationRevenueExpenses
Reconcilation Other Changes-93615ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16364CurrentTaxYearMinus3Years
Total26364Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5931183CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6319220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6701205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6935633CurrentTaxYearMinus1Year
Current Tax Year7448563CurrentTaxYear
Total33335804Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5941183CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6335584CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6701205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6935633CurrentTaxYearMinus1Year
Current Tax Year7448563CurrentTaxYear
Total33362168Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50933362168PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4037CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1084CurrentTaxYearMinus1Year
Current Tax Year1127CurrentTaxYear
Total9773Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4037CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1084CurrentTaxYearMinus1Year
Current Tax Year1127CurrentTaxYear
Total9773Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69346CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years198853CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7491CurrentTaxYearMinus1Year
Current Tax Year3410CurrentTaxYear
Total324010Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5990130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6406877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6901636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6944208CurrentTaxYearMinus1Year
Current Tax Year7453100CurrentTaxYear
Total33695951Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99010PublicSupportPercentage509
Prior Year Support Percentage0.98590PriorYearSupportPercentage
Investment Income Percentage0.00030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00050PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis166092OtherCostOrOtherBasis
Book Value166092BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4058526OtherCostOrOtherBasis
Depreciation2290899Depreciation
Book Value1767627BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis718705OtherCostOrOtherBasis
Depreciation611069Depreciation
Book Value107636BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis323704OtherCostOrOtherBasis
Book Value323704BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2365059TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$25,000
ADVANCES FROM AFFILIATES$141,296
PENSION LIABILITY$454,853
FieldValueIRS element (for citing)
Total Of Amounts621149TotalOfAmounts
Total Revenue7453100TotalRevenue
Total Expenses7072721TotalExpenses
Excess Or Deficit For Year380379ExcessOrDeficitForYear
Other-$93,615OtherAmount
Total Adjustments-93615TotalAdjustments
Excess Or Deficit Per FS286764ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7359485TotRevenueEtcAuditedFinclStmt
Other Revenues-93615OtherRevenues
Revenue Not Rptd F990-93615RevenueNotRptdF990
Revenue Subtotal7453100RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907453100TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7072721TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7072721ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907072721TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE FILING ORGANIZATION IS A NON PROFIT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAX ON REVENUE EARNED FROM ITS TAX-EXEMPT STATUS. THE FILING ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FILING ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUSES NOR IS IT AWARE OF ANY OF ITS ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2007 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. THE FILING ORGANIZATION HAS ADOPTED THE INCOME TAX STANDARD ISSUED BY FINANCIAL ACCOUNTING STANDARDS BOARD IN LIGHT OF ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UNRECOGNIZED PENSION EXPENSE -93,615.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALFRED P TAYLOR
0239370059819017887020258022349035968300
NYKOLA SAMILO
018295302873802380014960017676024670700
DEBRA SMITH
0440190358970147159047410569023238500

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationA FORMER OFFICER RECEIVED A SEVERANCE PAYMENT DURING THE YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3EFFECTIVE MARCH 1, 2009, THE PARENT ENTERED INTO A MANAGEMENT SERVICES AGREEMENT (MSA) WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM (CHS) TO MANAGE THE PARENTS OPERATIONS.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DID NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WILL BE EMAILED TO EACH BOARD MEMBER AND OFFICER FOR THEIR REVIEW BEFORE SUBMISSION.
THE BYLAWS ADDRESS WHAT CONSTITUTES CONFLICTS OF INTEREST, THE RESPONSIBILITY OF DISCLOSURE OF EACH MEMBER, HOW CONFLICTS (AND POTENTIAL CONFLICTS) ARE ADDRESSED, AND EACH MEMBER OF THE BOARD OF DIRECTORS FILES A CONFLICT OF INTEREST STATEMENT ANNUALLY WHICH IS REVIEWED BY THE BOARD CHAIR AND IS MAINTAINED BY THE CORPORATE SECRETARY. MEMBERS WITH POTENTIAL CONFLICTS ARE ASKED TO EXCUSE THEMSELVES FROM VOTING ON MATTERS THAT ARE OF POTENTIAL CONFLICT. IN THE EVENT THE CORPORATION DETERMINES THAT A CONFLICT OF INTEREST EXISTS, IT SHALL TAKE SUCH ACTION(S) AS IT DEEMS NECESSARY TO RESOLVE THE CONFLICT OF INTEREST, INCLUDING: (A) PROHIBITING THE INTERESTED PERSON FROM ATTENDING ANY MEETING AT WHICH IS DISCUSSED THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST; (B) PROHIBITING THE INTERESTED PERSON FROM VOTING ON ANY MATTER RELATING TO THE CONFLICT OF INTEREST; (C) APPOINTING, IF APPROPRIATE, A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; (D) DETERMINING, BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS PRESENT AT A MEETING, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATIONS BEST INTEREST AND FOR ITS OWN BENEFIT; IS FAIR AND REASONABLE TO THE CORPORATION; AND, AFTER EXERCISING DUE DILIGENCE, WHETHER THE CORPORATION CAN ENTER INTO A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; AND (E) TAKING APPROPRIATE DISCIPLINARY ACTION WITH RESPECT TO AN INTERESTED PERSON WHO VIOLATES THE CORPORATIONS CONFLICTS OF INTEREST POLICY IN ORDER TO PROTECT THE CORPORATIONS BEST INTERESTS.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION OF TOP EXECUTIVES AND TOP MANAGEMENT IS DETERMINED THROUGH A MARKET COMPARISON. THIS PROCESS WAS LAST PERFORMED IN 2008.FORM 990, PART VI, SECTION B, LINE 15
THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:UNRECOGNIZED PENSION EXPENSE -93,615. TOTAL TO FORM 990, PART XI, LINE 5: -93,615.FORM 990, PART XI, LINE 5:
THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.FORM 990, PART XII, LINE 2C:
OFFICERS LISTED ON PART VII WORK AN AVERAGE OF 40 HOURS PER WEEK. THEIR TIME IS SHARED BETWEEN THE FILING ORGANIZATION AND THE RELATED ENTITIES LISTED ON SCHEDULE R.FORM 990, PART VII, DESCRIPTION OF HOURS FOR RELATED ORGANIZATIONS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
STANLY REGIONAL MEDICAL CENTER FOUNDATION INC
301 YADKIN STREETALBEMARLENC28001561698181CHARITYNC501(C)(3)170(B)(1)(A)(VI)N/A0
STANLY MEDICAL SERVICES INC
320 YADKIN STREETALBEMARLENC28001561892763HEALTHCARENC501(C)(3)509(A)(2)N/A0
STANLY REGIONAL MEDICAL CENTER INC
301 YADKIN STREETALBEMARLENC28001560556760HOSPITALNC501(C)(3)170(B)(1)(A)(III)N/A0
STANLEX INC
907 NORTH SECOND STREETALBEMARLENC28001561532751HEALTHCARENC501(C)(3)509(A)(3)N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg