2015-08-12T13:22:51-05:00 2014-09-30 561037874 STOUT STUART MCGOWEN & KING LLP POST OFFICE BOX 1440 BURLINGTON NC 272161440 990 2013-10-01 560529994 ALAMANCE REGIONAL MEDICAL CENTER INC ALAM 3365387460 PO BOX 202 BURLINGTON NC 272160202 REX STREET VICE PRESIDENT OPERATIONS FINANCE 3365387460 2015-08-11 PATRICIA B RHODES P00018002 3362267343 2015-08-11 2013 2016-03-07 17:11:31Z REX STREET 1240 HUFFMAN MILL ROAD BURL NC 27215 296481701 0 X WWW.ARMC.COM X 1937 NC COMPREHENSIVE COMMUNITY HOSPITAL AND HEALTH CARE SERVICES 24 20 2196 400 0 0 121557 2093776 170151872 227394728 3228799 2048840 4711794 1189644 178214022 232726988 0 0 0 0 83217426 109178086 0 0 0 80132493 104607579 163349919 213785665 14864103 18941323 367252668 396697277 87195515 31363599 280057153 365333678 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. 0 0 146791038 227802692 ACUTE HOSPITAL CARE PROVIDED TO THE COMMUNITY 146791038 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 235 0 1 2196 1 1 1 0 0 0 0 0 0 0 X 24 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC CA IL X X REX STREET 3365387460 PO BOX 202 BURLINGTON NC 272160202 FD HORNADAY III CHAIR 0.00 X X 0 0 0 JAMES A BARNWELL JR BOARD MEMBER 0.00 X 0 0 0 MARILYN BURNS BOARD MEMBER 0.00 X 0 0 0 THOMAS E CHANDLER JR BOARD MEMBER 0.00 X 0 0 0 RICK DAVENPORT BOARD MEMBER 0.00 X 0 0 0 ALLEN E GANT JR BOARD MEMBER 0.00 X 0 0 0 WILLIAM BRADLEY HAYES BOARD MEMBER 0.00 X 0 0 0 NANCY HEMRIC VICE CHAIR 0.00 X X 0 0 0 MICHAEL HOLT BOARD MEMBER 0.00 X 0 0 0 DAVID JORDAN MD BOARD MEMBER 2.00 X 22560 0 0 BERT KLEIN III MD BOARD MEMBER 2.00 X 12480 0 0 JAMES G MCCLURE BOARD MEMBER 0.00 X 0 0 0 JOHN MCDONALD BOARD MEMBER 0.00 X 0 0 0 CHAPMAN T MCQUEEN MD BOARD MEMBER 3.00 X 4380 0 0 AARON P NOBLE JR PHD BOARD MEMBER 0.00 X 0 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 TARA RUBINAS MD BOARD MEMBER 1.00 X 22500 0 0 SHAWN SMITH BOARD MEMBER 0.00 X 0 0 0 CARL STEINBICKER BOARD MEMBER 0.00 X 0 0 0 BARBARA TAPSCOTT PHD BOARD MEMBER 0.00 X 0 0 0 TERESA TULLO MD BOARD MEMBER 1.00 X 4000 0 0 ALAN J WHITE PHD BOARD MEMBER 0.00 X 0 0 0 GLENN CHRYSTAL PHYSICIAN 40.00 X 906263 0 45587 JANAK CHOKSI PHYSICIAN 40.00 X 778403 0 42003 SANDEEP PANDIT PHYSICIAN 40.00 X 414595 0 32119 TIMOTHY FINNEGAN PHYSICIAN 40.00 X 496511 0 34256 ROBERT G GITTIN PHYSICIAN 40.00 X 320282 0 36885 PRESTON HAMMOCK PRESIDENT 40.00 X 303649 0 29982 REX A STREET VICE PRESIDENT OPERATIONS FINANCE 40.00 X 1833022 0 36212 GWENDOLYN GILLIS VICE PRESIDENT 40.00 X 231142 0 20755 MANDY EATON VICE PRESIDENT 40.00 X 139964 0 18342 VICKI MORAN VICE PRESIDENT 40.00 X 132735 0 26979 JOHN G CURRIN FORMER PRESIDENT 0.00 X 3512082 0 32701 RICHARD DONAHEY FORMER VP 0.00 X 2060753 0 30677 ROBERT E BYRD FORMER VP 0.00 X 1153522 0 26446 12348843 0 412944 39 1 1 0 KBR BUILDING GROUP 5605 CARNEGIE BLVD CHARLOTTE NC 28209 CONSTRUCTION ENGINEERS 23937404 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 IT SERVICES 1528111 PRIMEDOC OF BURLINGTON PO BOX 7568 ASHEVILLE NC 28802 PHYSICIAN SERVICES 979278 EAGLE HOSPITAL PHYSICIANS LLC 16000 DALLAS PARKWAY DALLAS TX 75248 PHYSICIAN SERVICES 832780 PRIVATE DIAGNOSTICS CLINIC PO BOX 3179 DURHAM NC 27710 PHYSICIAN SERVICES 709853 22 2093776 2093776 OUTPATIENT REVENUES 177029649 177029649 INPATIENT REVENUES 40361500 40361500 OTHER OPERATING REVENUE 6744657 6744657 OCCUPATIONAL HEALTH 2244014 2244014 CAFETERIA REVENUES 1014908 1014908 227394728 1051290 10185 1041105 64750613 1650 63749875 4838 1000738 -3188 997550 -3188 1000738 RENT REVENUE 541900 984489 400967 583522 OTHER NON-OP. REV. 541900 205155 205155 1189644 232726988 227802692 0 2830520 2640512 2640512 84379135 62237690 22141445 22158439 15843284 6315155 2886714 118355 2768359 145695 1894 143801 14945345 11358462 3586883 MEDICAL SUPPLIES 40643966 40340046 303920 PURCHASED SERVICES 21363441 9955364 11408077 OTHER EXPENSES 11010399 803759 10206640 PROFESSIONAL FEES 7020957 2660943 4360014 6591062 3471241 3119821 213785665 146791038 66994627 0 19856757 9418305 25394928 24934650 9309134 109056686 5039167 5176433 2793328 1375278 258405428 19857665 220785551 238547763 68553771 49452 15520032 8138710 367252668 396697277 85865147 30671060 0 0 823332 587189 507036 105350 87195515 31363599 X 278905748 365217609 121318 116069 1030087 0 280057153 365333678 367252668 396697277 X 18941323 -286729 66621931 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24917001 24917001 190410095 7532492 182877603 1566675 230394 1336281 41192276 12094779 29097497 319381 319381 238547763 LIABILITY FOR PROJECTED BENEFIT OBLIGATION 105350 105350 X PART X, LINE 2: THE ORGANIZATION HAD A FOOTNOTE DISCLOSURE IN THE FINANCIAL STATEMENTS THAT ADDRESSED FIN 48. AT 9/30/2014, THE ORGANIZATION DID NOT RECORD ANY LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. PART XII, LINE 2D - OTHER ADJUSTMENTS: TRANSFER TO AFFILIATE 1 1 1 X 1 X 1 1 1 0 1 1 5940 9327951 9327951 0.04360 27024 25182094 22648797 2533297 0.01180 0 32964 34510045 22648797 11861248 0.05540 57 23233 1402448 324514 1077934 0.00500 12 424 1422572 26828 1395744 0.00650 2 176 1505642 134166 1371476 0.00640 1 0 245180 170110 75070 0.00040 10 10308 406590 0 406590 0.00190 82 34141 4982432 655618 4326814 0.02020 82 67105 39492477 23304415 16188062 0.07560 0 1 1601 1601 0.00000 1 3698 3698 0.00000 2 1382 52527 1370 51157 0.00020 0 0 2 160499 160499 0.00080 6 1382 218325 1370 216955 0.00100 1 9828491 4900000 94512287 103118196 -8605909 X 1 1 1 MEBANE MEDICAL INVESTORS LLC OWNERSHIP OF BUILDING HOUSING OUTPATIENT SURGERY CENTER, MEDICAL OFFICES 0.51000 0.13910 2 AND URGENT CARE CENTER 3 GROUP PURCHASING 1 1 ALAMANCE REGIONAL MEDICAL CENTER INC PO BOX 202 1240 HUFFMAN MILL ROAD BURLINGTON NC 27215 X X X ALAMANCE REGIONAL MEDICAL CENTER 1 1 X X X X X X X X X 11 1 0 1 X X X X X X X X X X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X 1 1 X X X X X X 1 0 1 X 0 0 ALAMANCE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 3: THE HOSPITAL PARTNERED WITH THE ALAMANCE COUNTY HEALTH DEPARTMENT, HEALTHY ALAMANCE AND THE UNITED WAY TO CONDUCT THE CHNA. ALAMANCE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5D: COMMUNITY PRESENTATIONS TO LOCAL CIVIC GROUPS, CHURCHES AND LOCAL BUSINESS AND NON-PROFIT LEADERS ALAMANCE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 20D: BASED ON FEDERAL POVERTY GUIDELINES, PATIENT IS CHARGED ON SLIDING SCALE 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 $1,240,820. PART II, COMMUNITY BUILDING ACTIVITIES: 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. 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. WHEN PROOF OF MEDICAL INDIGENCE IS NOT SUPPLIED, THE UNCOLLECTIBLE AMOUNT IS REFLECTED IN THE CORPORATIONS PROVISION FOR BAD DEBT. PART III, LINE 8: THE HOSPITAL IS REPORTING COSTS CALCULATED USING THE NORTH CAROLINA HOSPITAL ASSOCIATION ANDI COMMUNITY BENEFIT COST-TO-CHARGE RATIO DATED 2/19/2015. 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 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 2012. 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.THE CHNA WAS MADE WIDELY AVAILABLE TO THE PUBLIC BY POSTING ON THE HOSPITAL'S WEBSITE AND THROUGH A SERIES OF COMMUNITY PRESENTATIONS TO LOCAL CIVIC GROUPS, CHURCHES, NON-PROFIT AND BUSINESS LEADERS PRESENTING FINDINGS OF THE ASSESSMENT AND ALLOWING THEM TO GIVE FEEDBACK ON HOW THESE ISSUES SHOULD BE ADDRESSED IN THE IMPLEMENTATION PLAN.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 24 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. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 GLENN CHRYSTAL PHYSICIAN 713344 0 189532 0 3387 0 26546 0 19041 0 951850 0 0 0 JANAK CHOKSI PHYSICIAN 670115 0 102770 0 5518 0 26546 0 15457 0 820406 0 0 0 SANDEEP PANDIT PHYSICIAN 337160 0 77090 0 345 0 13078 0 19041 0 446714 0 0 0 TIMOTHY FINNEGAN PHYSICIAN 355644 0 140579 0 288 0 14397 0 19859 0 530767 0 0 0 ROBERT G GITTIN PHYSICIAN 294575 0 24347 0 1360 0 17844 0 19041 0 357167 0 0 0 PRESTON HAMMOCK PRESIDENT 296521 0 0 0 7128 0 10941 0 19041 0 333631 0 0 0 REX A STREET VICE PRESIDENT OPERATIONS FINANCE 299260 0 0 0 1533762 0 17170 0 19042 0 1869234 0 1530076 0 GWENDOLYN GILLIS VICE PRESIDENT 195809 0 0 0 35333 0 12977 0 7778 0 251897 0 0 0 MANDY EATON VICE PRESIDENT 122362 0 0 0 17602 0 7107 0 11235 0 158306 0 0 0 VICKI MORAN VICE PRESIDENT 131237 0 0 0 1498 0 7938 0 19041 0 159714 0 0 0 JOHN G CURRIN FORMER PRESIDENT 476042 0 0 0 3036040 0 24055 0 8646 0 3544783 0 3028834 0 RICHARD DONAHEY FORMER VP 387917 0 0 0 1672836 0 15468 0 15209 0 2091430 0 1669536 0 ROBERT E BYRD FORMER VP 184096 0 0 0 969426 0 11237 0 15209 0 1179968 0 968322 0 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. SCHEDULE J, PART II, LINES 7, 11, 12 AND 13 PRIOR TO CALENDAR YEAR 2000, WITH THE ASSISTANCE OF INDEPENDENT COMPENSATION CONSULTANTS, THE BOARD OF DIRECTORS OF ALAMANCE REGIONAL MEDICAL CENTER DECIDED IT WAS IN THE ORGANIZATION'S BEST INTEREST TO PROVIDE A SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT WHICH WAS MARKET BASED, COMPETITIVE WITH OTHER LIKE HEALTHCARE FACILITIES, AND WOULD PROVIDE RETENTION INCENTIVES TO ASSURE CONTINUITY IN HIGH QUALITY HEALTH CARE MANAGEMENT. JOHN G. CURRIN, RICHARD DONAHEY, REX STREET AND ROBERT E. BYRD RECEIVED PAYMENT AS FULL AND FINAL DISTRIBUTIONS WHEN THE BOARD OF DIRECTORS DECIDED TO TERMINATE THIS PLAN IN 2013. THE AMOUNT REPORTED IN COLUMNS B (III) AND F WAS ACCRUED AND REPORTED ON PREVIOUS YEAR'S FORM 990 RETURNS IN THE YEAR IT WAS EARNED BY THE EMPLOYEE. THE AMOUNTS THAT WERE PAID WERE EARNED BY THESE EMPLOYEES WHO HAD 20 PLUS YEARS OF TENURE. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 DOCUMENTS ARE MADE AVAILABLE FOR REVIEW TO EVERY BOARD MEMBER PRIOR TO FILING VIA ACCESS TO A WEB PORTAL. 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 9: NET ASSETS RELEASED FROM RESTRICTION -86,942. TRANSFER TO AFFILIATE -10,454,360. INHERENT CONTRIBUTION -2,154,490. EXTRAORDINARY LOSS -5,454,950. EQUITY TRANSFER FROM PARENT 84,772,673. FORM 990, PART VIII, LINE 2C THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN THIS PROCESS. SCHEDULE D, PART VI THE AMOUNTS INCLUDE A FAIR MARKET VALUATION EFFECTIVE 5/1/2013 THAT WAS A RESULT OF THE MERGER WITH CONE HEALTH SCHEDULE H, LINE 7 ALAMANCE REGIONAL 2012 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 ADVANCE DIRECTIVES ALAMANCE BURLINGTON SCHOOL SYSTEM ALAMANCE COMMUNITY COLLEGE ALAMANCE CARES FREE HIV TESTING ALAMANCE ELDER CARE ALAMAP AMERICAN CANCER SOCIETY RESOURCE ROOM ARMC MED ALERT ARTHRITIS SUPPORT GROUP ASK THE DOCTOR ASSISTANCE TO ENROLLMENT IN PUBLIC PROGRAMS BACK TO SCHOOL HEALTH & SAFETY FAIR BE HEALTHY NOW BIG BROTHER/BIG SISTER CLASSES BCCCP BONE DENSITY SCREENINGS BOOT CAMP FOR NEW DADS BREAST CANCER SUPPORT GROUP BREAST HEALTH EVENTS BREASTFEEDING AND INFANT NUTRITION CARE FOR YOUR HEART CARE QUEST CHARITABLE FOUNDATION CANCER REGISTRY CASH DONATIONS CASH DONATIONS CHARITY EVENTS CBISA GENERAL ACCOUNTING CBISA COMMUNITY BENEFIT EDUCATION AND PLANNING CBISA SOFTWARE CHAMBER OF COMMERCE CLINICAL ENGINEERING SERVICES CLINICAL ROTATIONS RESPIRATORY THERAPY CLINICAL ROTATIONS - CLINICAL PASTORAL EDUCATION CLINICAL ROTATIONS NURSING CLINICAL ROTATIONS OTHER CLINICAL ROTATINS - PHARMACY CLINICAL ROTATIONS PHYSICAL THERAPY COALITION BUILDING SAFE KIDS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION COMMUNITY BENEFIT OTHER RESOURCES COMMUNITY BOARD AND COMMITTEE LEADERSHIP COMMUNITY EVENT ADVERTISING COMMUNITY FOUNDATION IMPACT ALAMANCE COMMUNITY HEALTH ASSESSMENT COMMUNITY HEALTH IMPROVEMENT ADVOCACY CONSUMER HEALTH LIBRARY CDPD SCREENING DIABETES EDUCATION EACP FRESHSTART SMOKING CESSATION CLASSES FUNDRAISING FOR ARMC CHARITABLE FOUNDATION GENETIC RISK ASSESSMENTS HEALTH FAIRS HEALTHY ALAMANCE HEALTHY WOMAN HEART SMART WOMEN INFANT CPR AND CHILD SAFETY IN KIND DONATIONS FOOD/WATER/REFRESHMENTS IN KIND DONATIONS DEVELOPMENT OF EDUCATION/ADVERTISING MATERIALS IN KIND DONATIONS MEDICAL SUPPLIES AND EQUIPMENT IN KIND DONATIONS MEETING SPACE INFANT CPR AND CHILD SAFETY INSTITUTIONAL REVIEW BOARD JCCRP JDRF KIDS CAN LACTATION CONSULTATIONS LEGS FOR LIFE 5K LEGS FOR LIFE VASCULAR SCREENING MARCH OF DIMES MEBANE BUSINESS ASSOCIATION MENTAL HEALTH CARE AND COORDINATION NCNA CONTINUING EDUCATION NEW LEAF SOCIETY 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 PINK RIBBON FUND PRENATAL EDUCATION PROGRAM PRESS RELEASES FOR SUPPORT GROUPS PROTOCOL PROGRAM RAD-TECH PROGRAM RED CROSS BLOOD DRIVES REHAB STUDENT EDUCATION RELAY FOR LIFE SENIOR ADVANTAGE SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) SKIN CANCER SCREENING SNF/AL HOSPICE COMMUNITY RECEPTION SPEAKERS BUREAU SPECIAL CARE NURSERY REUNION STROKE CARE TEAM ADVISORY STROKE SUPPORT GROUP STUDENT MENTORING PROGRAMS SUBSTANCE ABUSE PREVENTION SUSAN G. KOMEN RACE FOR THE CURE UNDERSTANDING CANCER UNITED WAY WEIGHT LOSS SUPPORT WELL NOW 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 CLINICAL ROTATIONS 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 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 CONE HEALTH 1200 NORTH ELM STREET GREENSBORO NC 27401 560532302 HEALTH CARE NC 501(C)(3) 0 MEBANE MEDICAL INVESTORS LLC 4401 BARCLAY DOWNS DRIVE CHARLOTTE NC 28209 203931873 BUILDING HOUSING URGENT CARE CNTR, MED.OFFICES AND OUTPATIENT SURGERY CNTR NC 0 0 0.51000 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 ALAMANCE REGIONAL MEDICAL CENTER FOUNDATION INC B 172077 CASH ARMC PHYSICIANS CARE INC B 5251148 CASH ALAMANCE EXTENDED CARE INC B 2510414 CASH ALAMANCE REGIONAL MEDICAL CENTER FOUNDATION INC R 2520721 CASH