ALAMANCE REGIONAL MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ALAMANCE REGIONAL MEDICAL CENTER (EIN 56-0529994)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-15
- IRS object ID
- 201232899349301023
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-15T15:58:12-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561037874 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STOUT STUART MCGOWEN & KING LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 1440 | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 272161440 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560529994 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAMANCE REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALAM | NameControl |
| Phone | 3365387460 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 202 | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 272160202 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | REX STREET | Name |
| Title | VICE PRESIDENT OF FINANCE | Title |
| Phone | 3365387460 | Phone |
| Date Signed | 2012-09-21 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICIA B RHODES | Name |
| PTIN | P00018002 | PTIN |
| Phone | 3362267343 | Phone |
| Date Prepared | 2012-09-21 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | REX STREET | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1240 HUFFMAN MILL ROAD | AddressLine1 |
| City | BURL | City |
| State | NC | State |
| ZIP Code | 27215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 258411790 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ARMC.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1937 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | COMPREHENSIVE COMMUNITY HOSPITAL AND HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2127 | TotalNbrEmployees |
| Total Nbr Volunteers | 562 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 38320 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 29516 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 220464972 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 230322065 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4438674 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3716526 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -5816 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2015834 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 224936150 | TotalRevenuePriorYear |
| Total Revenue Current Year | 236083941 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 98169966 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 102983162 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 117051462 | OtherExpensePriorYear |
| Other Expenses Current Year | 121098836 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 215221428 | TotalExpensesPriorYear |
| Total Expenses Current Year | 224081998 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9714722 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12001943 | RevenuesLessExpensesCY |
| Total Assets BOY | 250436238 | TotalAssetsBOY |
| Total Assets EOY | 256616809 | TotalAssetsEOY |
| Total Liabilities BOY | 82764439 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 82955032 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 167671799 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 173661777 | NetAssetsOrFundBalancesEOY |
| Mission Description | HEALTHCARE ORG. COMMITTED TO IMPROVE THE HEALTH OF THE CITIZENS OF ALAMANCE COUNTY AND ITS SURROUNDING COMMUNITIES THROUGH THE PROVISION OF A CONTINUUM OF HIGH QUALITY CLINICAL, EDUC., PREVENTIVE-WELLNESS, AND SUPPORT SERV. IN A SAFE AND FRIENDLY ENVIRONMENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 165030817 | Expense |
| Revenue | 230322065 | Revenue |
| Description | ACUTE HOSPITAL CARE PROVIDED TO THE COMMUNITY | Description |
| Total Program Service Expense | 165030817 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 260 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2127 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REX STREET | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3365387460 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 202 | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 272160202 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| FD HORNADAY III | |||||||
| CHAIRMAN | 0.00 | X | 0 | 0 | 0 | ||
| THOMAS E CHANDLER | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| DAVID JORDAN MD | |||||||
| BOARD MEMBER | 2.00 | X | 23470 | 0 | 0 | ||
| JAMES A BARNWELL JR | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| ALLEN E GANT JR | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| NANCY HEMRIC | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| JAMES G MCCLURE | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| ALAN J WHITE PHD | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| BERT KLEIN III MD | |||||||
| BOARD MEMBER | 2.00 | X | 15218 | 0 | 0 | ||
| MICHAEL HOLT | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| THOMAS E CHANDLER JR | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| AARON P NOBLE JR PHD | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| BARBARA TAPSCOTT PHD | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| CARL STEINBICKER | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| SHAWN SMITH | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| PAUL H JUENGEL MD | |||||||
| BOARD MEMBER | 2.00 | X | 39000 | 0 | 0 | ||
| BILL SMITH | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| CHAPMAN T MCQUEEN MD | |||||||
| BOARD MEMBER | 3.00 | X | 53548 | 0 | 0 | ||
| ALAN H NORTON | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| JOHN A PETERSON JR | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| JUAN SANCHIZ | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| WILLIAM BRADLEY HAYES | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| MARILYN BURNS | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| GLENN CHYRSTAL | |||||||
| PHYSICIAN | 40.00 | 1115578 | 0 | 42256 | X | ||
| JANAK CHOKSI | |||||||
| PHYSICIAN | 40.00 | 816684 | 0 | 41478 | X | ||
| SANDEEP PANDIT | |||||||
| PHYSICIAN | 40.00 | 453000 | 0 | 22328 | X | ||
| JOHN CURRIN JR | |||||||
| PRESIDENT | 40.00 | 521896 | 0 | 334493 | X | ||
| TIMOTHY FINNEGAN | |||||||
| PHYSICIAN | 40.00 | 428037 | 0 | 21067 | X | ||
| JANE YBANEZ | |||||||
| PHYSICIAN | 40.00 | 413987 | 0 | 16182 | X | ||
| REX A STREET | |||||||
| VP OF OPERATIONS - FINANCE | 40.00 | 317168 | 0 | 150212 | X | ||
| RICHARD DONAHEY | |||||||
| VP OF OPERATIONS - HUMAN R | 40.00 | 281936 | 0 | 207549 | X | ||
| CAROL L HUDSON | |||||||
| VP OF OPERATIONS - NURSING | 40.00 | 267808 | 0 | 164888 | X | ||
| ROBERT E BYRD | |||||||
| VP OF OPERATIONS - STRATEG | 40.00 | 200284 | 0 | 113849 | X | ||
| PRESTON HAMMOCK | |||||||
| VICE PRESIDENT | 40.00 | 141812 | 0 | 12771 | X | ||
| GWENDOLYN GILLIS | |||||||
| VICE PRESIDENT | 40.00 | 161898 | 0 | 15287 | X | ||
| VICKI MORAN | |||||||
| VICE PRESIDENT | 40.00 | 89091 | 0 | 15500 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5340415 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1157860 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EMCARE INC | |||||
| 7032 NW COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | ER PHYSICIANS | 6233719 |
| SIEMENS FINANCIAL | |||||
| 2809 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | MIS SUPPORT SERVICES | 3069172 |
| PRIMEDOC OF BURLINGTON PA | |||||
| PO BOX 7568 | ASHEVILLE | NC | 28802 | HOSPITALIST SERVICES | 1897867 |
| ECLIPSYS CORP | |||||
| LOCK BOX 077133 | PHILADELPHIA | PA | 191710133 | SOFTWARE MAINTENANCE | 1292729 |
| PRIVATE DIAGNOSTIC CLINIC | |||||
| PO BOX 3179 | DURHAM | NC | 27710 | PHYSICIAN SERVICES | 491673 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 34 | NumberOfContractorsGT100K |
| All Other Contributions | 29516 | AllOtherContributions |
| Total Contributions | 29516 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| OUTPATIENT REVENUES | 175992776 | 175992776 |
| INPATIENT REVENUES | 47015150 | 47015150 |
| OTHER OPERATING REVENU | 4709095 | 4709095 |
| OCCUPATIONAL HEALTH | 1708516 | 1708516 |
| CAFETERIA REVENUES | 896528 | 896528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 230322065 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1683964 | TotalRevenueColumn |
| Related Or Exempt Function Income | 367288 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,316,676 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24263432 | Securities |
| Other | 96979 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 22177739 | Securities |
| Other | 150110 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2085693 | Securities |
| Other | -53131 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2032562 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2032562 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Business CodeBusinessCode |
|---|---|---|---|
| RENT REVENUE | 1153273 | $1,153,273 | |
| OTHER NON-OP. REV. | 862561 | $862,561 | 541900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2015834 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 236083941 | TotalRevenueColumn |
| Related Or Exempt Function Income | 232721915 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,332,510 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1508080 | Total |
| Management And General | 1508080 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80148287 | Total |
| Program Services | 57976024 | ProgramServices |
| Management And General | 22172263 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21326795 | Total |
| Program Services | 15569200 | ProgramServices |
| Management And General | 5757595 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2333460 | Total |
| Program Services | 23335 | ProgramServices |
| Management And General | 2310125 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2680535 | Total |
| Program Services | 26805 | ProgramServices |
| Management And General | 2653730 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11550349 | Total |
| Program Services | 8778265 | ProgramServices |
| Management And General | 2772084 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 41561129 | 41335488 | 225641 |
| PURCHASED SERVICES | 26763783 | 17288657 | 9475126 |
| BAD DEBT EXPENSE | 18548744 | 18548744 | 0 |
| OTHER EXPENSES | 6168447 | 801916 | 5366531 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11492389 | Total |
| Program Services | 4682383 | ProgramServices |
| Management And General | 6810006 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224081998 | Total |
| Program Services | 165030817 | ProgramServices |
| Management And General | 59051181 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28719425 | BOY |
| EOY | 32516450 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25406459 | BOY |
| EOY | 28287346 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9364258 | BOY |
| EOY | 9997994 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5428004 | BOY |
| EOY | 5578742 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1739099 | BOY |
| EOY | 1737878 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 230440877 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 126352614 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105534398 | BOY |
| EOY | 104088263 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68540223 | BOY |
| EOY | 67578672 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5704372 | BOY |
| EOY | 6831464 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250436238 | BOY |
| EOY | 256616809 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22500653 | BOY |
| EOY | 27546404 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43810663 | BOY |
| EOY | 41401894 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9789207 | BOY |
| EOY | 7496699 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6663916 | BOY |
| EOY | 6510035 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82764439 | BOY |
| EOY | 82955032 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167470529 | BOY |
| EOY | 173518684 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201270 | BOY |
| EOY | 143093 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167671799 | BOY |
| EOY | 173661777 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250436238 | BOY |
| EOY | 256616809 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 12001943 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6011964 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 11068480 | InvestmentCostOrOtherBasis |
| Book Value | 11068480 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 107563373 | InvestmentCostOrOtherBasis |
| Depreciation | 40304972 | Depreciation |
| Book Value | 67258401 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 4068893 | InvestmentCostOrOtherBasis |
| Depreciation | 2696000 | Depreciation |
| Book Value | 1372893 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 106042580 | InvestmentCostOrOtherBasis |
| Depreciation | 83351642 | Depreciation |
| Book Value | 22690938 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1697551 | InvestmentCostOrOtherBasis |
| Book Value | 1697551 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 104088263 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| BOARD DESIGNATED/DONOR RESTRICTED | 62728362 | F |
| HELD BY TRUSTEE | 4850310 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 67578672 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIABILITY FOR PROJECTED BENEFIT OBLIGATION | Description |
| Amount | $6,510,035 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6510035 | TotalOfAmounts |
| Total Revenue | 236083941 | TotalRevenue |
| Total Expenses | 224081998 | TotalExpenses |
| Excess Or Deficit For Year | 12001943 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -4113614 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | 618827 | PriorPeriodAdjustments |
| Other | -$2,517,177 | OtherAmount |
| Total Adjustments | -6011964 | TotalAdjustments |
| Excess Or Deficit Per FS | 5989979 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 231970327 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -4113614 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -4113614 | RevenueNotRptdF990 |
| Revenue Subtotal | 236083941 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 236083941 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 226511483 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2429485 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2429485 | ExpensesNotRptdF990 |
| Expenses Subtotal | 224081998 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 224081998 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION HAD A FOOTNOTE DISCLOSURE IN THE FINANCIAL STATEMENTS THAT ADDRESSED FIN 48. AT 12/31/2011, THE ORGANIZATION DID NOT RECORD ANY LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTION -87,692. TRANSFER TO AFFILIATE -2,429,485. TOTAL TO SCHEDULE D, PART XI, LINE 8: -2,517,177. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | TRANSFER TO AFFILIATE 2,429,485. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19431 | PersonsServed |
| Total Community Benefit Expense | 8606713 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8606713 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04190 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6232 | PersonsServed |
| Total Community Benefit Expense | 22832952 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17241042 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5591910 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02720 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25663 | PersonsServed |
| Total Community Benefit Expense | 31439665 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17241042 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14198623 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06910 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 66 | NumberOfActivitiesOrPrograms |
| Persons Served | 87600 | PersonsServed |
| Total Community Benefit Expense | 1797519 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 499811 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1297708 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00630 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 1158 | PersonsServed |
| Total Community Benefit Expense | 2561905 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20620 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2541285 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01240 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 1700 | PersonsServed |
| Total Community Benefit Expense | 1270192 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 134818 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1135374 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 3 | PersonsServed |
| Total Community Benefit Expense | 358111 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 175544 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 182567 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 10092 | PersonsServed |
| Total Community Benefit Expense | 553025 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 725 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 552300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 103 | NumberOfActivitiesOrPrograms |
| Persons Served | 100553 | PersonsServed |
| Total Community Benefit Expense | 6540752 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 831518 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5709234 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02780 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 103 | NumberOfActivitiesOrPrograms |
| Persons Served | 126216 | PersonsServed |
| Total Community Benefit Expense | 37980417 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18072560 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19907857 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09690 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 8240 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8240 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 50 | PersonsServed |
| Total Community Building Expense | 8357 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8357 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 3311 | PersonsServed |
| Total Community Building Expense | 48732 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 173 | DirectOffsettingRevenue |
| Net Community Building Expense | 48559 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 1640 | PersonsServed |
| Total Community Building Expense | 1223947 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1223947 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 5001 | PersonsServed |
| Total Community Building Expense | 1289276 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 173 | DirectOffsettingRevenue |
| Net Community Building Expense | 1289103 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,863,785 | BadDebtExpenseAmount |
| Amount Attributable To | 3900000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 86999882 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 95251310 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -8251428 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 MEBANE MEDICAL INVESTORS LLC | ||
| OWNERSHIP OF BUILDING HOUSING OUTPATIENT SURGERY CENTER, MEDICAL OFFICES | 0.51000 | 0.13910 |
| 2 | ||
| AND URGENT CARE CENTER | ||
| 3 PREMIERE PURCHASING PARTNERS LP | ||
| GROUP PURCHASING | 0.00002 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAMANCE REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 202 1240 HUFFMAN MILL ROAD | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 27215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAMANCE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7G: THE HOSPITAL REIMBURSES CERTAIN PHYSICIANS FOR TAKING EMERGENCY DEPARTMENT CALL FOR UNINSURED PATIENTS. THE COSTS ASSOCIATED WITH PHYSICIAN CALL INCLUDED IN PART 1, LINE 7G ARE $1,012,395. | |
| PART I, L7 COL(F): BAD DEBTS OF $18,548,745 WERE ELIMINATED FROM TOTAL EXPENSES REPORTED ON 990 PART IX, LINE 25 TO CALCULATE THE PERCENTAGES PER INSTRUCTIONS. | |
| PART II: ALAMANCE REGIONAL IS INVOLVED IN NUMEROUS ACTIVITIES DESIGNED TO PROMOTE BUILDING OUR COMMUNITY. THESE ARE NOT LISTED AS PART OF THE CHARITY CARE OR OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE IN THE REPORT. THESE ACTIVITIES INCLUDE:PHYSICAL IMPROVEMENTS AND HOUSING: ALAMANCE REGIONAL PARTNERS WITH LOCAL MUNICIPALITIES, INCLUDING ELON AND THE CITY OF BURLINGTON ON THE DEVELOPMENT OF PARKS AND PLAYGROUNDS TO PROMOTE PHYSICAL RECREATION. WE HAVE DONATED SIGNIFICANT FUNDS TO DEVELOP WALKING TRAILS AND INSTALL FITNESS EQUIPMENT AT SEVERAL CITY PARKS.ECONOMIC DEVELOPMENT: WE WORK TO CREATE NEW EMPLOYMENT OPPORTUNITIES IN AN AREA THAT TRADITIONALLY HAS HIGH UNEMPLOYMENT RATES. THE ORGANIZATION IS HEAVILY INVOLVED WITH THE CHAMBER OF COMMERCE AND THE MEBANE BUSINESS ASSOCIATION, WITH STAFF MEMBERS SITTING ON SEVERAL BOARDS AND COMMITTEES DESIGNED TO PROMOTE ECONOMIC GROWTH.COMMUNITY SUPPORT: ALAMANCE REGIONAL PROVIDES SUPPORT FOR NUMEROUS COMMUNITY AGENCIES INCLUDING OUR LOCAL CITY FIRE AND POLICE DEPARTMENT. THE HOSPITALS CLINICAL ENGINEERING STAFF MAINTAINS ALL OF THE LIFESAVING EQUIPMENT FOUND IN THE CARS AND FIRE TRUCKS. THE HOSPITAL IS ALSO HEAVILY INVOLVED IN COUNTY-WIDE EMERGENCY PREPAREDNESS INITIATIVES. COALITION BUILDING: THE HOSPITAL PARTICIPATES IN NUMEROUS COMMUNITY COALITIONS AIMED AT ADDRESSING HEALTH AND SAFETY ISSUES. THESE INCLUDE, BUT ARE NOT LIMITED TO, HEALTHY MOTHERS, HEALTHY BABIES, THE ALAMANCE PARTNERSHIP FOR CHILDREN, THE SAFE KIDS COALITION, HEALTHY ALAMANCE.WORKFORCES DEVELOPMENT: ALAMANCE REGIONAL IS A MAJOR SUPPORTER OF ALAMANCE COMMUNITY COLLEGE, THE PIEDMONT TRIAD ALLIED HEALTH REGIONAL SKILLS PARTNERSHIP, THE RAD-TECH PROGRAM AND LOCAL SCHOOL CAREER FAIRS. COLLABORATION WITH THESE PROGRAMS AND INSTITUTIONS ALLOWS THE HOSPITAL TO HELP TRAIN AND RECRUIT HEALTH PROFESSIONALS WHICH ARE NEEDED IN OUR TRADITIONALLY UNDERSERVED AREA.PHYSICIAN RECRUITMENT: THE HOSPITAL PLACES SIGNIFICANT RESOURCES INTO THE RECRUITMENT OF PHYSICIANS TO SERVE OUR LOCAL COMMUNITY. OTHER: ALAMANCE REGIONAL DONATES EXPIRED EQUIPMENT AND SUPPLIES TO AREA MISSION PROGRAMS | |
| PART III, LINE 4: THE CORPORATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF UNCOLLECTED CHARGES FOR SERVICES AND SUPPLIES FURNISHED BY THE HEALTHCARE FACILITIES UNDER THEIR FINANCIAL ASSISTANCE AND COLLECTIONS POLICY. THE CORPORATIONS FINANCIAL ASSISTANCE AND COLLECTIONS POLICY PROVIDES FOR UP TO 100% REDUCTION OF CHARGES FOR BOTH INDIGENT AND UNINSURED WHEN THE GUARANTOR SUPPLIES THE NECESSARY DOCUMENTATION. WHEN PROOF OF MEDICAL INDIGENCE IS NOT SUPPLIED, THE UNCOLLECTIBLE AMOUNT IS REFLECTED IN THE CORPORATIONS PROVISION FOR BAD DEBT. IN ADDITION TO IDENTIFYING SPECIFIC CHARITY ACCOUNTS IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE AND COLLECTION POLICY, THE CORPORATION DEEMED CERTAIN SPECIFIC PATIENT ACCOUNTS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON FAMILY SIZE, INCOME AND CREDIT SCORE OBTAINED FROM A THIRD PARTY SERVICE. | |
| PART III, LINE 8: THE HOSPITAL IS REPORTING COSTS CALCULATED USING THE NORTH CAROLINA HOSPITAL ASSOCIATION ANDI COMMUNITY BENEFIT COST-TO-CHARGE RATIO DATED 4/11/2012. | |
| PART III, LINE 9B: THE HOSPITAL'S BAD DEBT POLICY REFERS TO THE FINANCIAL ASSISTANCE POLICY FOR HANDLING OF PATIENTS KNOWN TO QUALIFY FOR CHARITY OR FINANCIAL ASSISTANCE. | |
| PART V, SECTION B, LINE 19D: BASED ON FEDERAL POVERTY GUIDELINES, PATIENT IS CHARGED ON SLIDING SCALE | ALAMANCE REGIONAL MEDICAL CENTER |
| PART VI, LINE 2: ALAMANCE REGIONAL MEDICAL CENTER SUBSIDIZES THE SALARY OF THE DIRECTOR OF HEALTHY ALAMANCE, A SUBSIDIARY OF HEALTHY CAROLINIANS. THROUGH THIS PARTNERSHIP, THE HOSPITAL HAS SUPPORTED HEALTHY ALAMANCE IN CONDUCTING A COMMUNITY HEALTH ASSESSMENT EVERY THREE YEARS AND CREATING PROGRAMS THAT ADDRESS HEALTH DISPARITIES. THIS COMMUNITY ASSESSMENT IS A COMPREHENSIVE REPORT THAT IS CONDUCTED IN CONJUNCTION WITH NUMEROUS LOCAL AGENCIES INCLUDING ALAMANCE REGIONAL MEDICAL CENTER, UNITED WAY AND THE ALAMANCE COUNTY HEALTH DEPARTMENT. THE ASSESSMENT ALLOWS THE HOSPITAL TO FOCUS ON HEALTH NEEDS IN ORDER TO MEET ITS MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY AND THE SURROUNDING AREAS. THE LAST ASSESSMENT WAS CONDUCTED IN 2011. THE ASSESSMENT DOCUMENT INCLUDES PRIMARY AND SECONDARY DATA FROM A VARIETY OF SOURCES. SECONDARY DATA SPECIFIC TO ALAMANCE COUNTY WAS COLLECTED AND ANALYZED FROM THE NC STATE CENTER FOR HEALTH STATISTICS, US CENSUS, AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). PRIMARY DATA WAS GATHERED FROM A COMMUNITY WIDE PHONE SURVEY CONDUCTED BY THE ELON UNIVERSITY POLL CENTER, FOCUS GROUPS, AND FEEDBACK FROM COMMUNITY LEADERS. ALL OF THESE METHODS WERE UTILIZED IN ORDER TO RECOGNIZE GAPS IN SERVICES ALONG WITH INDENTIFYING THE TOP HEALTH AND SOCIAL ISSUES IN OUR COUNTY.ACCESS TO HEALTHCARE, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE WERE FOUND TO BE THE TOP HEALTH PRIORITY AREAS BASED ON THE COMMUNITY ASSESSMENT FINDINGS AND PRIORITY PROCESS. ALAMANCE REGIONAL MEDICAL CENTER IS PARTNERING WITH HEALTHY ALAMANCE, ALAMANCE COUNTY HEALTH DEPARTMENT, UNITED WAY, AND MANY OTHER NON-PROFITS TO STRATEGICALLY ADDRESS THESE AREAS TOGETHER. ALAMANCE REGIONAL HAS DEVISED A COMMUNITY BENEFIT STRATEGIC PLAN THAT OUTLINES SPECIFIC GOALS AND OBJECTIVES FOR EACH OF THESE HEALTH PRIORITY AREAS.THE NEXT COUNTY-WIDE ASSESSMENT IS PLANNED FOR 2015. ALAMANCE REGIONAL MEDICAL CENTER IS HEAVILY INVOLVED IN THE PLANNING OF THIS UPCOMING ASSESSMENT. | |
| PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED BY REGISTRATION STAFF, ED DISCHARGE STAFF, BILLING STATEMENT MESSAGES, ADMISSION BOOKLETS, AND IN FINANCIAL COUNSELING APPOINTMENTS. FINANCIAL ASSISTANCE INFORMATION IS ALSO POSTED ON THE HOSPITALS WEBSITE WWW.ARMC.COM. THE HOSPITALS CHARITY APPLICATION IS AVAILABLE IN BOTH ENGLISH AND SPANISH WITH INTERPRETER SERVICES AVAILABLE FOR PATIENTS NEEDING INFORMATION IN LANGUAGES OTHER THAN ENGLISH AND SPANISH.PATIENTS ARE GIVEN FINANCIAL ASSISTANCE CONTACT INFORMATION AT VARIOUS POINTS OF THE HOSPITAL TO INCLUDE REGISTRATION, CASHIER AND THE DEPARTMENT IN WHICH THEY ARE RECEIVING SERVICES. ALL SELF-PAY IN-PATIENTS /OBSERVATION PATIENTS ARE VISITED BY A HOSPITAL FINANCIAL COUNSELOR TO DISCUSS POSSIBLE FINANCIAL ASSISTANCE. SELF-PAY PATIENTS SCHEDULING OUTPATIENT PROCEDURES ARE INFORMED OF THE OPTION TO CONTACT FINANCIAL COUNSELORS TO DISCUSS FINANCIAL ASSISTANCE. | |
| PART VI, LINE 4: ALAMANCE COUNTY IS LOCATED BETWEEN TWO METROPOLITAN AREAS, THE RESEARCH TRIANGLE TOTHE EAST AND THE PIEDMONT TRIAD TO THE WEST. THE LARGEST PORTION OF ALAMANCE COUNTYS WESTERN BORDER IS SHARED WITH GUILFORD COUNTY, AND TO A SMALL DEGREE ROCKINGHAM AND RANDOLPH COUNTIES. TO THE NORTH, THE COUNTY IS BORDERED BY CASWELL COUNTY, TO THE EAST BY ORANGE COUNTY, AND TO THE SOUTH AND EAST BY CHATHAM COUNTY.ALAMANCE COUNTY CONSISTS OF NINE MUNICIPALITIES. BURLINGTON IS THE MOST POPULATED CITY IN THE COUNTY, AND GRAHAM IS THE COUNTY SEAT. ALAMANCE COUNTY IS UNIQUE IN THAT IT SHARES TWO TOWNS WITH NEIGHBORING COUNTIES. GIBSONVILLE IS SHARED WITH GUILFORD COUNTY TO THE WEST AND MEBANE IS SHARED WITH ORANGE COUNTY TO THE EAST.THE COUNTY LAND AREA IS 428 SQUARE MILES, WITH AN ELEVATION OF 656 FEET ABOVE SEA LEVEL, AND APPROXIMATELY 70 PERCENT OF THE COUNTYS POPULATION LIVES IN URBAN AREAS. AREAS OF URBAN DEVELOPMENT LIE PREDOMINANTLY IN A SMALL CENTRAL AREA OF THE COUNTY ALONG INTERSTATE 40, WHILE THE NORTHERN AND SOUTHERN AREAS OF THE COUNTY ARE PRIMARILY RURAL.ALAMANCE COUNTY LIES IN A WARM TEMPERATE CLIMATIC ZONE AND ENJOYS MILD YEAR-ROUND WEATHER CONDITIONS. AVERAGE ANNUAL RAINFALL IS APPROXIMATELY 45 INCHES, WHILE AVERAGE ANNUAL FROZEN PRECIPITATION IS FOUR INCHES.ACCORDING TO THE FIGURES IN THE 2010 US CENSUS AND THE STATE CENTER FOR HEALTH STATISTICSALAMANCE COUNTY HAS A POPULATION OF APPROXIMATELY 151,131 PERSONS, WITH A POPULATION DENSITY OF 351 PERSONS PER SQUARE MILE. ACCORDING TO THE US CENSUS, THE COUNTY POPULATION WAS PROJECTED TO INCREASE BY 12.8% BETWEEN 2000 AND 2010. ALAMANCE COUNTY SURPASSED THAT GOAL BY GROWING 15% DURING THIS TIME PERIOD.ALAMANCE COUNTY HAS A LOWER PROPORTION OF AFRICAN AMERICANS AND ASIANS THAN THE STATE, YET THE COUNTY HAS A 65% GREATER PROPORTION OF LATINOS THAN THE STATE. LATINOS MAKE UP 11% OF THE COUNTYS POPULATION.IN 2010, THE COUNTY AVERAGED 11% UNEMPLOYMENT RATE, WHILE THE STATE SHOWED 10%. THIS RATE HAS GREATLY INCREASED SINCE 2004 (US CENSUS BUREAU). REGARDING EMPLOYMENT STATUS, IT IS ESTIMATED THAT 63.5% OF ALAMANCE COUNTY RESIDENTS OVER 16 YEARS OLD ARE IN THE LABOR FORCE, SLIGHTLY LOWER THAN THE STATES PERCENTAGE OF 65.5% (US CENSUS BUREAU). IN 2008, THE OVERALL POVERTY RATE FOR ALAMANCE COUNTY WAS 16.6% WHICH IS GREATER THAN THE STATE RATE OF 14.6% (US CENSUS BUREAU). CHILDREN LIVING IN POVERTY ARE ESTIMATED AT 18%, WHICH IS SLIGHTLY LOWER THAN THE STATE AVERAGE AT 19.5% IN 2007 (WWW.NCCHILD.ORG).THE 2006-2008 MEAN FAMILY INCOME FOR ALAMANCE COUNTY IS $54,772, WHICH IS 12% BELOW THE STATE AVERAGE FAMILY INCOME OF $62,270 (US CENSUS BUREAU). ALAMANCE COUNTYS 2005 RATE OF UNINSURED WAS 17.5%, RANKING IT THE 40TH COUNTY IN THE STATE FOR UNINSURED. THE STATE HAS A SLIGHTLY HIGHER RATE OF UNINSURED AT 18.6% (NC-CATCH, NC STATE CENTER FOR HEALTH STATISTICS).ALAMANCE COUNTY HAS MANY ASSETS THAT HELP PROVIDE FOR THE QUALITY OF LIFE AND HEALTH OF ITS RESIDENTS. LABCORP (LABORATORY CORPORATION OF AMERICA) IS THE LARGEST PRIVATE EMPLOYER IN THE COUNTY AND ALAMANCE-BURLINGTON SCHOOL SYSTEM IS THE LARGEST PUBLIC EMPLOYER. ELON UNIVERSITY, A NATIONALLY RECOGNIZED FOUR YEAR LIBERAL ARTS COLLEGE IS ALSO WITHIN THE COUNTY, AS IS ALAMANCE COMMUNITY COLLEGE, WHICH OFFERS A VARIETY OF EDUCATION AND TRAINING PROGRAMS FOR MORE THAN 20,000 STUDENTS. | |
| PART VI, LINE 5: MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.ALAMANCE REGIONALS BOARD OF DIRECTORS IS COMPRISED OF 23 LOCAL COMMUNITY LEADERS, BUSINESS AND MEDICAL PROFESSIONALS, ALL OF WHOM RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA. THESE LEADERS PROVIDE COUNTLESS HOURS OF VOLUNTEER SERVICE AND PROVIDE VALUABLE OVERSIGHT TO THE ORGANIZATIONS OVERALL OPERATION. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT, FUNDRAISING AS WELL AS GENERAL STEWARDSHIP FOR THE ORGANIZATION IN THE COMMUNITY.SURPLUS FUNDS FROM ALAMANCE REGIONAL ARE REINVESTED IN OUR COMMUNITY. THEY HELP THE HOSPITAL MAINTAIN ACCESS TO PATIENT SERVICES, BUT ARE ALSO USED TO IMPROVE ACCESS. FUNDS HELP THE ORGANIZATION PURCHASE NEW EQUIPMENT, AS WELL AS EXPAND EDUCATIONAL OPPORTUNITIES ON IMPORTANT HEALTH RELATED TOPICS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GLENN CHYRSTAL | |||||||||||||
| 729061 | 0 | 382982 | 0 | 3535 | 0 | 26300 | 0 | 15956 | 0 | 1157834 | 0 | 0 | 0 |
| JANAK CHOKSI | |||||||||||||
| 768360 | 0 | 42566 | 0 | 5758 | 0 | 26300 | 0 | 15178 | 0 | 858162 | 0 | 0 | 0 |
| SANDEEP PANDIT | |||||||||||||
| 348261 | 0 | 104379 | 0 | 360 | 0 | 14012 | 0 | 8316 | 0 | 475328 | 0 | 0 | 0 |
| JOHN CURRIN JR | |||||||||||||
| 496812 | 0 | 17500 | 0 | 7584 | 0 | 321395 | 0 | 13098 | 0 | 856389 | 0 | 0 | 0 |
| TIMOTHY FINNEGAN | |||||||||||||
| 294532 | 0 | 133235 | 0 | 270 | 0 | 13565 | 0 | 7502 | 0 | 449104 | 0 | 0 | 0 |
| JANE YBANEZ | |||||||||||||
| 297524 | 0 | 116163 | 0 | 300 | 0 | 10814 | 0 | 5368 | 0 | 430169 | 0 | 0 | 0 |
| REX A STREET | |||||||||||||
| 304796 | 0 | 10850 | 0 | 1522 | 0 | 139475 | 0 | 10737 | 0 | 467380 | 0 | 0 | 0 |
| RICHARD DONAHEY | |||||||||||||
| 270399 | 0 | 9658 | 0 | 1879 | 0 | 198392 | 0 | 9157 | 0 | 489485 | 0 | 0 | 0 |
| CAROL L HUDSON | |||||||||||||
| 255611 | 0 | 9028 | 0 | 3169 | 0 | 160942 | 0 | 3946 | 0 | 432696 | 0 | 0 | 0 |
| ROBERT E BYRD | |||||||||||||
| 192292 | 0 | 6840 | 0 | 1152 | 0 | 106582 | 0 | 7267 | 0 | 314133 | 0 | 0 | 0 |
| PRESTON HAMMOCK | |||||||||||||
| 135720 | 0 | 5600 | 0 | 492 | 0 | 5808 | 0 | 6963 | 0 | 154583 | 0 | 0 | 0 |
| GWENDOLYN GILLIS | |||||||||||||
| 154100 | 0 | 5600 | 0 | 2198 | 0 | 9345 | 0 | 5942 | 0 | 177185 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAYS THE BUSINESS PORTION OF THE COUNTRY CLUB DUES FOR ONE OF ITS OFFICERS. THE ORGANIZATION HAS A WRITTEN POLICY ON HOW THIS AMOUNT IS PAID AND REPORTED AS COMPENSATION. |
| PART I, LINE 4B | PART I, LINE 4B: NONQUALIFIED DEFERRED COMPENSATION PLAN - AMOUNT SHOWN IS CURRENT YEAR ACCRUAL OF PROJECTED BENEFIT OBLIGATION JOHN G. CURRIN, JR $295,795 CAROL HUDSON $145,383 RICHARD DONAHEY $182,068 ROBERT BYRD $94,447 REX STREET $121,741 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THERE ARE FOUR MEMBERS ON THE BOARD OF DIRECTORS WHO ARE RELATED. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS DELEGATES TO THE AUDIT/CORPORATE COMPLIANCE COMMITTEE THE RESPONSIBILITY OF REVIEWING FORM 990 IN DETAIL WITH THE HOSPITAL'S EXTERNAL AUDITORS (THE PREPARER) PRIOR TO ITS FILING. ON 8/27/2012, PRIOR TO THE FILING, THE AUDIT/CORPORATE COMPLIANCE COMMITTEE MET, REVIEWED AND RECEIVED A COPY OF FORM 990 AND VOTED ON 9/4/2012 TO ACCEPT THE FORM 990 AS PRESENTED. ON 9/4/2012, PRIOR TO THE FILING, THE BOARD OF DIRECTORS MET AND ACCEPTED THE AUDIT/CORPORATE COMPLIANCE COMMITTEE RECOMMENDATION. AT THIS MEETING, EVERY BOARD MEMBER WAS GIVEN THE OPPORTUNITY TO REVIEW AND RECEIVE A COPY OF THE FORM 990. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE THEMSELVES FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT EXIST FOR THEMSELVES OR THEIR FAMILY. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD WITHOUT PRESENCE OF THE INTERESTED PARTY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPOINTS A COMPENSATION COMMITTEE WHICH RETAINS THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO GATHER COMPARATIVE DATA WITH WHICH TO MAKE RECOMMENDATIONS TO THE BOARD ON MATTERS OF EXECUTIVE COMPENSATION. SPECIFIC GROUP AND INDIVIDUAL PERFORMANCE INDICATORS ARE ESTABLISHED AND FACTORED IN ALONG WITH COMPARISONS OF COMPARABLE EXTERNAL FACTORS SUCH AS THE SIZE OF THE ORGANIZATION, THE GEOGRAPHIC LOCATION OF THE ORGANIZATION, AND THE EXECUTIVE'S TENURE. THIS PROCESS IS CONDUCTED ANNUALLY FOR THE CEO, CFO, SENIOR VICE PRESIDENTS AND OFFICERS OF THE ORGANIZATION. THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN THE TREASURY REGULATION 4958(6)(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF OFFICER AND SENIOR EXECUTIVE COMPENSATION. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AT GUIDESTAR.COM OR IN THE ADMINISTRATIVE OFFICES AT ALAMANCE REGIONAL MEDICAL CENTER, INC. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICES. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -4,113,614. PRIOR PERIOD ADJUSTMENTS: 618,827. NET ASSETS RELEASED FROM RESTRICTION -87,692. TRANSFER TO AFFILIATE -2,429,485. TOTAL TO FORM 990, PART XI, LINE 5: -6,011,964. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART V, LINE 4B | ALAMANCE REGIONAL MEDICAL CENTER, INC. INVESTS LONG TERM SAVINGS FUNDS IN MANY DIFFERENT INVESTMENTS. ONE OF THESE INVESTMENTS IS AS A LIMITED PARTNER IN AN INVESTMENT PARTNERSHIP MANAGED BY A NORTH CAROLINA INVESTMENT FIRM. ONE OF THE INVESTMENTS INSIDE THIS LIMITED PARTNERSHIP IS IN A CAYMAN ISLANDS INVESTMENT FUND. THE INVESTMENT COMMITTEE OF THE BOARD SETS POLICY GOVERNING INVESTMENTS AND REVIEWS ALL INVESTMENTS ON A REGULAR BASIS. | |
| SCHEDULE H, LINE 7 | ALAMANCE REGIONAL 2011 COMMUNITY BENEFIT INVENTORY TRADITIONAL CHARITY CARE AND OTHER FINANCIAL ASSISTANCE ON BEHALF OF UNINSURED AND LOW-INCOME PERSONS MEANS-TESTED PUBLIC PROGRAMS WITH UNPAID COSTS COMMUNITY HEALTH IMPROVEMENT SERVICES: HEALTH EDUCATION ( CLASSES OR LECTURES, SUPPORT GROUPS, SELF HELP PROGRAMS) HEALTH FAIRS HEALTH SMART AD HEALTHY WOMAN ACE ADVANCE DIRECTIVES ALAMANCE BURLINGTON SCHOOL SYSTEM ALAMANCE CARES FREE HIV TESTING ALAMANCE COMMUNITY COLLEGE ALAMANCE ELDER CARE ALAMANCE MINORITY CANCER AWARENESS PROGRAM ALAMANCE PARTNERSHIP FOR CHILDREN ALAMAP AMERICAN CANCER SOCIETY RESOURCE ROOM ARMC MED ALERT ARTHRITIS SUPPORT GROUP ASK THE DOCTOR ASSISTANCE TO ENROLLMENT IN PUBLIC PROGRAMS ASSOCIATION OF HOME AND HOSPICE BACK TO SCHOOL HEALTH & SAFETY FAIR BCCCP BE HEALTHY NOW BIG BROTHER/BIG SISTER CLASSES BONE DENSITY SCREENINGS BOOT CAMP FOR NEW DADS BREAST CANCER SUPPORT GROUP BREAST HEALTH EVENTS BREASTFEEDING AND INFANT NUTRITION CALENDAR FOR ALL SUPPORT GROUPS CANCER REGISTRY CANCER SURVIVOR'S CELEBRATION CARE FOR YOUR HEART CARE GIVER RESOURCE FAIR CARE PROGRAM CARE QUEST CAREER FAIRS CASH DONATIONS CASH DONATIONS NATURAL DISASTERS CASH DONATIONS CHARITY EVENTS CASH DONATIONS EMERGENCY ASSISTANCE CBISA GENERAL ACCOUNTING CBISA COMMUNITY BENEFIT EDUCATION CBISA SOFTWARE CHAMBER OF COMMERCE CHARLES DREW CENTER CLINICAL ENGINEERING SERVICES CLINICAL ROTATIONS RESPIRATORY THERAPY CLINICAL ROTATIONS NURSING CLINICAL ROTATIONS DMIN CLINICAL ROTATIONS LAB CLINICAL ROTATIONS OCCUPATIONAL THERAPY CLINICAL ROTATIONS OTHER CLINICAL ROTATIONS PHYSICAL THERAPY COALITION BUILDING SAFE KIDS COLLABORATIVE GRANT WRITING COMMUNITY BENEFIT ASSIGNED STAFF COMMUNITY BENEFIT OTHER RESOURCES COMMUNITY BOARD AND COMMITTEE LEADERSHIP COMMUNITY EVENT ADVERTISING COMMUNITY FOUNDATION COMMUNITY HEALTH ASSESSMENT COMMUNITY HEALTH SCREENINGS CONGESTIVE HEART FAILURE CLINIC CONSUMER HEALTH LIBRARY DIABETES EDUCATION DIABETES SUPPORT GROUP EACP EARL PARDUE CARDIOLOGY FUND ELON UNIVERSITY PA PROGRAM EMERGENCY PREPAREDNESS ACTIVITIES FIBRO CARE FUNDRAISING FOR ARMC CHARITABLE FOUNDATION FUNDRAISING FOR COMMUNITY PROGRAMS GENETIC RISK ASSESSMENTS GRANT WRITING HEALTH FAIRS HEALTH SMART AD HEALTHY ALAMANCE HEALTHY MOTHERS HEALTHY BABIES HEALTHY WOMAN HEART AND LUNG SUPPORT GROUP HEART SMART WOMEN HIGH SCHOOL HEALTH OCCUPATIONS SHADOWING HOSPICE GALA IN KIND DONATIONS FOOD/WATER/REFRESHMENTS IN KIND DONATIONS DEVELOPMENT OF EDUCATION/ADVERTISING MATERIALS IN KIND DONATIONS ANCILLARY SERVICES IN KIND DONATIONS MEDICAL SUPPLIES AND EQUIPMENT IN KIND DONATIONS MEETING SPACE INFANT CPR AND CHILD SAFETY INFECTION CONTROL INSTITUTIONAL REVIEW BOARD INTERPRETER SERVICES JCCRP JDRF KIDS CAN KIDS FITNESS LACTATION CONSULTATIONS LEGS FOR LIFE 5K LEGS FOR LIFE VASCULAR SCREENING MARCH OF DIMES MEBANE BUSINESS ASSOCIATION NCNA CONTINUING EDUCATION NEW LEAF SOCIETY NUTRITION MATTERS OPEN DOOR CLINIC PATRICIA BYNUM FUND PEDIATRIC ASTHMA CENTER PEDIATRIC ORIENTATION PROGRAM (POP) PHARMACY RESIDENCY PROGRAM PHYSICIAN FEES (NO PAY ED) PHYSICIAN RECRUITMENT PHYSICIAN REFERRAL PHYSICIAN'S ASSISTANT FEASIBILITY TASK FORCE, ELON UNIVERSITY PIEDMONT TRIAD ALLIED HEALTH REGIONAL SKILLS PARTNERSHIP PINK IN THE CITY PINK RIBBON FUND PRENATAL EDUCATION PROGRAM PRESS RELEASES FOR SUPPORT GROUPS PROJECT LAUNCH PROSTATE CANCER SCREENING PROTOCOL PROGRAM RAD TECH PROGRAM RED CROSS BLOOD DRIVES REHAB STUDENT EDUCATION RELAY FOR LIFE SALVATION ARMY BELL RINGING SENIOR ADVANTAGE SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) SKIN CANCER SCREENING SPEAKERS BUREAU SPECIAL CARE NURSERY REUNION SPORTS MEDICINE SYMPOSIUM STROKE CARE TEAM ADVISORY STROKE SUPPORT GROUP STUDENT IMMUNIZATION PROGRAM STUDENT MENTORING PROGRAMS SUSAN G. KOMEN RACE FOR THE CURE TRANSPORTATION PROGRAMS UNDERSTANDING CANCER UNITED WAY UNITED WAY ANNUAL FUNDRAISER VICTORY JUNCTION GANG CAMP WEED AND SEED PROGRAM WEIGHT LOSS SUPPORT HEALTH CARE SUPPORT SERVICES (ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAM, INFORMATION AND REFERRAL, TRANSPORTATION TO IMPROVE ACCESS) ONCOLOGY TRANSPORTATION REHABILITATION TRANSPORTATION TAXI AND GAS VOUCHERS FOR LOW-INCOME PERSONS OTHER: LIFELINE RED CROSS BLOOD DRIVES SUPPLIES FOR BOY SCOUT CAMP AND RED CROSS DISASTER PROGRAM C. R. BYRD FUND PATRICIA BYNUM FUND EARL PARDUE CARDIOLOGY FUND INFANTS AND CHILDRENS FUND ONCOLOGY ANGELS FUND PINK RIBBON FUND CHILDHOOD ASTHMA FUND SEXUAL ASSAULT NURSE EXAMINER PROGRAM HEALTH PROFESSIONS EDUCATION HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS. NUMEROUS INTERNSHIP PROGRAMS NURSE SHADOWING PROGRAMS PHYSICAL THERAPY GRADUATE PROGRAM UNC STUDENTS IN NUCLEAR MEDICINE RAD-TECH PROGRAM UNC SCHOOL OF SOCIAL WORK PROGRAMS AND FINANCIAL ASSISTANCE FOR PHYSICIANS AND MEDICAL STUDENTS, NURSES AND NURSING STUDENTS, PASTORAL CARE RESIDENTS AND INTERNS AND OTHER HEALTH PROFESSIONALS. COMMUNITY HEALTH EDUCATION SCHOLARSHIP PROGRAM FREE IMMUNIZATION FOR ALAMANCE COUNTY NURSING STUDENTS EFFORTS TO GENERATE INTEREST IN THE HEALTH PROFESSIONS, SUCH AS MENTORING PROGRAMS JCCRP- JOINT COMMUNITY CLINICAL RESOURCE PLANNING HIGH SCHOOL STUDENT OBSERVATIONAL EXPERIENCES LOCAL SCHOOL CAREER FAIRS VISITATION PROGRAMS FOR NON-COMMUNITY AND FOREIGN PHYSICIANS SUBSIDIZED HEALTH SERVICES (MUST BE A DISTINCT SERVICE, NOT A SUBSET OF A SERVICE) EXAMPLES: EMERGENCY AND TRAUMA OUTPATIENT SERVICES OUTPATIENT HOSPICE AND PALLIATIVE CARE SERVICES PALLIATIVE CARE ON THE INPATIENT UNIT BEHAVIORAL HEALTH INPATIENT BEHAVIORAL HEALTH RESEARCH ACTIVITIES CLINICAL RESEARCH PHYSICAL THERAPY RESEARCH CANCER CENTER CLINICAL TRIALS COMMUNITY HEALTH RESEARCH HEALTHY ALAMANCE COMMUNITY ASSESSMENT RESEARCH ON INNOVATIVE HEALTH CARE DELIVERY | |
| PAGE 5, PART V QUESTION 3B | A 990-T IS BEING FILED FOR THE ORGANIZATION BUT THERE IS NO UNRELATED BUSINESS INCOME FOR 2011. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|
| ALAMANCE REGIONAL MEDICAL CENTER FOUNDATION INC | ||||||||
| 144 LAKEWOOD COURT | BURLINGTON | NC | 27215 | 581681560 | RAISE FUNDS TO ENHANCE HEALTH SERVICES IN COMMUNITY | NC | 501(C)(3) | 0 |
| ARMC PHYSICIANS CARE INC | ||||||||
| 3940 LAKEWOOD BOULEVARD | MEBANE | NC | 27302 | 562095382 | PRIMARY CARE PHYSICIAN OFFICE | NC | 501(C)(3) | 0 |
| ALAMANCE EXTENDED CARE INC | ||||||||
| 1860 BROOKWOOD AVENUE | BURLINGTON | NC | 27215 | 561681364 | LONG-TERM CARE FACILITY | NC | 501(C)(3) | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEBANE MEDICAL INVESTORS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4401 BARCLAY DOWNS DRIVE | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28209 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203931873 | EIN |
| Primary Activity | BUILDING HOUSING URGENT CARE CNTR, MED.OFFICES AND OUTPATIENT SURGERY CNTR | PrimaryActivity |
| Legal Domicile State | NC | LegalDomicileState |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.51000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ALAMANCE REGIONAL MEDICAL CENTER FOUNDATION INC | ||
| B | 128359 | CASH |
| ARMC PHYSICIANS CARE INC | ||
| B | 2321162 | CASH |