2014-08-14T09:13:35-05:00 2013-09-30 410746749 CLIFTONLARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2012-10-01 560556760 STANLY REGIONAL MEDICAL CENTER STAN 7049844393 POST OFFICE BOX 1489 ALBEMARLE NC 28002 NYKOLA SAMILO 7049844000 2014-08-08 1 JOHN NORMAN P01506766 7049985200 2012 2015-11-30 17:44:51Z ALFRED TAYLOR 301 YADKIN ROAD ALBEMARLE NC 28001 105107460 0 X WWW.STANLY.ORG X 1945 NC TO FACILITATE IMPROVING THE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. 13 12 888 116 6015059 -342176 597039 530863 103661704 98818771 1283320 642175 -2339593 511033 103202470 100502842 54915 78400 0 0 47922158 47236362 0 0 0 48706087 50108712 96683160 97423474 6519310 3079368 116240531 116138826 41648937 37266024 74591594 78872802 X STANLY REGIONAL MEDICAL CENTER'S MISSION IS TO FACILITATE IMPROVING THE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE, BY PROVIDING QUALITY SERVICES THAT ARE COMPREHENSIVE, AFFORDABLE AND DELIVERED: COMPASSIONATELY, APPROPRIATELY, RESPONSIBLY, EFFICIENTLY. THE HOSPITAL USES ITS RESOURCES TO EFFECTIVELY AND EFFICIENTLY PROVIDE QUALITY HEALTH CARE TO THE RESIDENTS OF STANLY COUNTY AND THE IMMEDIATELY SURROUNDING AREAS IN A PASSIONATE AND RESPONSIVE MANNER. IN KEEPING WITH THE HOSPITAL'S MISSION THE HOSPITAL:-PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS WITH REIMBURSEMENT AT A LEVEL BELOW THE COST OF PROVIDING THAT CARE;-PROVIDES BAD DEBT AND CHARITY CARE;-PROVIDES HEALTH ACTIVITIES, SPACE AND PROGRAMS TO SUPPORT THE COMMUNITY. 0 0 63162761 78400 93956920 STANLY REGIONAL MEDICAL CENTER PROVIDED APPROXIMATELY 20,600 INPATIENT DAYS OF CARE AND APPROXIMATELY 79,000 OUTPATIENT VISITS (EXCLUDING LABS) DURING 2013. DISCHARGES WERE APPROXIMATELY 4,600.AS STATED ABOVE, STANLY REGIONAL PROVIDED HEALTH CARE TO MEDICARE AND MEDICAID PATIENTS WITH REIMBURSEMENT BELOW THE HOSPITAL'S COST. THE HOSPITAL RECOGNIZES THESE AMOUNTS AS A FORM OF UNCOMPENSATED CARE IN MEETING ITS MISSION. 63162761 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 86 0 1 888 1 1 1 0 0 0 0 0 0 0 0 0 X 13 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X X PENNY PATRICK 7049844643 301 YADKIN ROAD ALBEMARLE NC 28001 LARRY BAUCOM 1.00 X 0 0 0 DAVID W HORTON SR 1.00 X 0 0 0 ELBERT L WHIT WHITLEY JR 1.00 X 0 0 0 DARRELL ALMOND 1.00 X 0 0 0 MICHAEL G HARWOOD 1.00 X 0 0 0 KRISTI JACKSON 1.00 X 0 0 0 SHERRILL SMITH 1.00 X 0 0 0 JACK P JORDAN 1.00 X 0 0 0 DAWN ALLEN 1.00 X 0 0 0 STEPHEN CHAMBERS 1.00 X 0 0 0 DR RUFUS S LEFLER III 1.00 X 0 0 0 DR MICHAEL MCLEOD 1.00 39.00 X 0 262962 31115 DR MIKE BOHNSACK 1.00 X 0 0 0 ALFRED P TAYLOR 40.00 X 328888 0 53442 NYKOLA SAMILO 40.00 X 212304 0 42833 JUDY DORAN 40.00 X 154155 0 13602 BRAD MARINO 40.00 X 156107 0 20247 ANJANA M YOUNG 40.00 X 224061 0 19172 JEFFREY B PITMAN 40.00 X 223566 0 5755 WILLIAM R DENNIS 40.00 X 183901 0 20289 KELLY J NEW 40.00 X 183066 0 21202 SUZANNE MCLESTER 40.00 X 184780 0 21237 1850828 262962 248894 27 0 1 0 CAROLINAS MEDICAL CENTER 1000 BLYTHE BLVD CHARLOTTE NC 28203 MANAGEMENT SERVICES 3948910 LEIDOS HEALTH LLC 705 E MAIN ST WESTFIELD IN 46074 SOFTWARE CONVERSION 1054816 CAROLINAS HOSPITALIST GROUP STANLY 400 GOLF ACRES CHARLOTTE NC 28208 HOSPITALIST 678794 TRUSTAFF 4270 GLENDALE MILFORD RD CINCINNATI OH 45242 NURSE STAFFING 661994 DIVERSIFIED CLINICAL SERVICES PO BOX 636981 CINCINNATI OH 48263 WOUND CARE STAFF 541590 25 530863 530863 PATIENT REVENUE 621400 87629303 87629303 UNRELATED PHARMACY 621400 6015059 6015059 5174409 5174409 98818771 1166209 1166209 4080584 4604618 -524034 -524034 -524034 EQUITY EARNINGS 900099 536442 536442 SETTLEMENT OF PENSION ANNUITY CON 900099 -25409 -25409 511033 100502842 93314745 6015059 642175 X 78400 78400 372079 372079 35562468 31618634 3943834 1218118 1218118 7553375 110429 7442946 2530322 2215176 315146 1006330 1006330 67739 67739 75342 75342 9758248 5952062 3806186 994499 47477 947022 1750580 1307591 442989 4436005 4436005 1568585 1114883 453702 30052 19305 10747 184311 84012 100299 1177317 1177317 5946907 2629971 3316936 1106905 1106905 SUPPLIES, REPAIRS AND M 17705379 17158747 546632 MRI/GAP ASSESSMENT FEES 2604968 2604968 MISCELLANEOUS 770253 396689 373564 DUES AND SUBSCRIPTIONS 707286 248588 458698 218006 180797 37209 97423474 63162761 34260713 0 3975731 5947485 16595926 13201654 2459616 2339151 1664454 1208634 148380611 100198169 49114981 48182442 34165629 35965608 8264194 9293852 116240531 116138826 8913339 7465500 20139197 22016581 12596401 7783943 41648937 37266024 X 73372723 78166322 1218871 706480 74591594 78872802 116240531 116138826 X 3079368 1134192 710755 -643107 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20109 20109 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF MEMBER ORGANIZATION DUES ARE ATTRIBUTABLE TO LOBBYING. 8385970 8385970 76101666 58069212 18032454 52310306 33995894 18314412 11582669 8133063 3449606 48182442 INVESTMENTS 35965608 F 35965608 OTHER RECEIVABLES 3166960 ADVANCES TO AFFILIATES 1045786 OTHER ASSETS 5081106 9293852 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3693167 PENSION LIABILITY 4090776 7783943 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE SYSTEM, HOSPITAL, FOUNDATION, STANLEX, SMS AND MANOR ARE NON PROFIT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM INCOME TAX ON REVENUE EARNED FROM THEIR TAX-EXEMPT STATUS. ALLIANCE AND LIFESMART ARE FOR-PROFIT ENTITIES AND THEREFORE, RECORD INCOME TAX EXPENSE/BENEFIT, AS APPLICABLE. THE SYSTEM, HOSPITAL, FOUNDATION, STANLEX, SMS AND MANOR'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE SYSTEM, HOSPITAL, FOUNDATION, STANLEX, SMS AND MANOR ARE NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUSES. THE SYSTEM, HOSPITAL, FOUNDATION, STANLEX, SMS AND MANOR ARE NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2009 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. THE SYSTEM HAS ADOPTED THE INCOME TAX STANDARD ISSUED BY FINANCIAL ACCOUNTING STANDARDS BOARD IN LIGHT OF ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. 1 1 1 X 1 X 1 1 0 1 1 3741062 316225 3424837 0.03520 17553400 11497967 6055433 0.06220 267993 142336 125657 0.00130 21562455 11956528 9605927 0.09870 471918 471918 0.00480 8081 8081 0.00010 479999 479999 0.00490 22042454 11956528 10085926 0.10360 147910 147910 0.00150 147910 147910 0.00150 1 5484487 26672301 29531117 -2858816 X 1 1 1 WEST STANLY IMAGING RADIOLOGY JOINT VENTURE 0.51000 2 STANLY REGIONAL WEST LLC MEDICAL PROPERTY DEVELOPMENT/LEASING COMPANY 0.24200 1 1 STANLY REGIONAL MEDICAL CENTER INC

301 YADKIN STREET ALBEMARLE NC 28001

X X X INPATIENT REHABILIATION UNIT AND INPATIENT PSYCHIATRIC UNIT STANLY REGIONAL MEDICAL CENTER INC 1 1 X X X X X X X 12 1 0 1 X X X X X X X X X X 0 0 1 1 200.000000000000 1 300.000000000000 1 X X X X X 1 1 X X X X X 1 X X X 1 X X X X X X X X 1 X 0 1 PART I, LINE 3C: WE USE THE FEDERAL POVERTY GUIDELINES AT 300% AS PUBLISHED BY THE US DEPT OF HEALTH AND HUMAN SERVICES. WE USE INCOME AND LIST OF ASSETS TO DETERMINE ELIGIBILITY. PART I, LINE 7: THE ORGANIZATION USED THE IRS WORKSHEETS TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H. PART I, LINE 7G: N/A. NO SUBSIDIZED HEALTH SERVICES PROVIDED. PART I, L7 COL(F): THE ORGANIZATION DOES NOT HAVE A PROCESS FOR ESTIMATING THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION MAKES ITS BEST EFFORT TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY WITH EVERY PATIENT. PART II: STANLY REGIONAL RECRUITS PHYSICIANS NEEDED TO PROVIDE ADEQUATE CARE AND PROMOTE HEALTH AMONG OUR COMMUNITY. PHYSICIANS RECRUITED RECENTLY INCLUDE FAMILY MEDICINE, GENERAL SURGERY, ORTHOPEDICS, GASTROENTROLOGY AND UROLOGY. ALSO, A MEMBER OF THE EXECUTIVE LEADERSHIP TEAM PARTICIPATES IN COMMUNITY COMMITTEES - LOCAL EMERGENCY PLANNING COMMITTEE AND ENVIRONMENTAL AFFAIRS BOARD. PART III, LINE 4: BAD DEBT EXPENSE IS CALCULATED BY ANALYZING THE AGING OF ACCOUNTS FROM THEIR SERVICE DATE AND APPLYING A RESERVE PERCENTAGE BASED ON THE AGING BUCKET THAT THEY FALL INTO. AGING BUCKETS ARE AS FOLLOWS: IN-HOUSE/UNBILLED @ 6%; < 30 DAYS @ 6%; 31-60 DAYS @ 30%; 61-90 DAYS @ 45%; 91-120 DAYS @ 60%; 121-150 DAYS @ 100%; >150 DAYS @ 100%. BAD DEBT WRITE OFFS AND RECOVERIES ARE POSTED TO THE BAD DEBT ALLOWANCE ACCOUNT AND THE ALLOWANCE ACCOUNT IS THEN ADJUSTED TO MATCH THE CALCULATED AMOUNT PER THE AGING MODEL. PART III, LINE 8: THE ORGANIZATION USED THE IRS WORKSHEETS TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H. PART III, LINE 9B: THERE ARE NO COLLECTION EFFORTS AS SOON AS AN ACCOUNT IS IDENTIFIED AS CHARITY CARE OR FINANCIAL ASSISTANCE IF IT IS 100%. WE APPLY THE FULL ADJUSTMENT AT TIME OF APPROVAL. FOR ACCOUNTS THAT HAVE ONLY PARTIAL FINANCIAL ASSISTANCE THE REMAINING BALANCE FOLLOWS COLLECTION PROCESS DEFINED FOR ALL OTHER ACCOUNTS. STANLY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 3: REPRESENTATIVES FROM THE LOCAL HEALTH DEPARTMENT AND UNITED WAY WERE INVOLVED IN CONDUTING THE CHNA, FOCUS GROUPS AND COLLOBORATED IN THE FINAL WRITTEN DOCUMENT AND INPLEMENTATION STRATEGY. STANLY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 7: STANLY REGIONAL MEDICAL CENTER HAS NOT ADDRESSED THE COMMUNITY CONCERN REVOLVING AROUNG ILLEGAL DRUG USE AS THIS IS BEST ADDRESSED BY LOCAL LAW ENFORCEMENT AND IT OUTSIDE OF THE SCOPE OF SERVICES PROVIDED BY THE HOSPITAL. SRMC HAS CHOSEN TO WORK ON OBESITY/DIABETES AND CANCER IN CONJUNCTION WITH THE LOCAL HEALTH DEPARTMENT. LACK OF PHYSICAL ACTIVITY WILL BE ADDRESSED INDIRECTLY THROUGH THE OBESITY/DIABETES INITIATIVES. STANLY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 14G: AVAILABLILITY OF FINANCIAL ASSISTANCE POLICY IS NOTED ON EACH BILLING STATEMENT STANLY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 18E: SEND LETTER TO POTENTIAL PATIENTS AFTER DISCHARGE. STANLY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 20D: ALL PATIENTS REGARDLESS OF COVERAGE ARE CHARGED THE SAME AMOUNT FOR ALL PROCEDURES. STANLY REGIONAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 22: SAME AMOUNT IS CHARGED FOR ALL PATIENTS, THEN FINANCIAL ASSISTANCE ADJUSTMENT IS TAKEN WHEN APPROVED. PART VI, LINE 2: STANLY REGIONAL WORKS IN PARTNERSHIP WITH THE STANLY COUNTY HEALTH DEPARTMENT AND OTHER AREA AGENCIES TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. THE FINDINGS FROM THIS REPORT ARE USED TO HELP OUR ORGANIZATION TARGET SPECIFIC DEMOGRAPHICS AND RELATED HEALTH CONCERNS AND ILLNESSES WITH SIGNIFICANT PREVALENCE IN OUR SERVICE AREA. IN ADDITION TO THIS LOCAL EFFORT, STANLY REGIONAL ALSO RELIES ON STATISTICS PROVIDED BY THE NORTH CAROLINA HOSPITAL ASSOCIATION AND VARIOUS DISEASE-SPECIFIC AGENCIES SUCH AS THE NORTH CAROLINA STROKE ASSOCIATION TO OBTAIN NEEDS ASSESSMENT INFORMATION. PART VI, LINE 3: WE HAVE OUR POLICY POSTED ON OUR WEBSITE AS WELL AS THROUGH THE NC HOSPITAL ASSOCIATION. WE OFFER "ABOUT YOUR BILL" BROCHURES THAT HAVE DIFFERENT BILLING PROCEDURES INCLUDING OUR FINANCIAL ASSISTANCE. WE HAVE BILLING STAFF AVAILABLE M-F, 8:30 - 5:00 TO ASSIST AND ANSWER QUESTIONS RELATING TO OUR FINANCIAL ASSISTANCE POLICY. PART VI, LINE 4: THE PROFILES OF STANLY REGIONAL MEDICAL CENTER AUDIENCES CONSIST OF THE FOLLOWING GEOGRAPHIC AND DEMOGRAPHIC FACTORS. (1) CENTRAL SERVICE AREA - THE CENTRAL SERVICE AREA CONSISTS OF ALBEMARLE, NORWOOD, NEW LONDON, AND BADIN. THE MEDIAN INCOME FOR THIS AREA IS $45,179.00. THE 2008 POPULATION FOR THIS AREA WAS 44,042. THE 2013 PROJECTED POPULATION FOR THIS AREA IS 44,930. THE AVERAGE AGE OF THIS AREA IS 39. (2) WESTERN SERVICE AREA - THE WESTERN SERVICE AREA CONSISTS OF OAKBORO, STANFIELD, RICHFIELD, LOCUST, MISENHEIMER, GOLD HILL, AND MT. PLEASANT. THE MEDIAN INCOME FOR THIS AREA IS $48,764.00. THE 2008 POPULATION FOR THIS AREA WAS 18,724. THE 2013 PROJECTED POPULATION FOR THIS AREA IS 19,402. THE AVERAGE AGE OF THIS AREA IS 37. (3) EASTERN SERVICE AREA - THE EASTERN SERVICE AREA CONSISTS OF MT. GILEAD AND TROY. THE MEDIAN INCOME FOR THIS AREA IS $39,652. THE 2008 POPULATION FOR THIS AREA WAS 14,707. THE 2013 PROJECTED POPULATION FOR THIS AREA IS 14,931. THE AVERAGE AGE OF THIS AREA IS 39. PART VI, LINE 5: STANLY REGIONAL PROMOTES WELLNESS AND DISEASE MANAGEMENT IN THE COMMUNITIES IT SERVES BY HOSTING NUMEROUS HEALTH SCREENINGS TARGETING HIGH BLOOD PRESSURE, STROKE PREVENTION, HEART DISEASE AND DIABETES. THESE SCREENINGS TAKE PLACE THROUGH CIVIC GROUPS, AREA CHURCHES, COMMUNITY GROUPS AND GEOGRAPHIC SERVICE AREA EVENTS AND FESTIVALS. OUR EMPLOYEES ALSO SERVE AS MEMBERS OF A SPEAKER'S BUREAU WHERE THEY SERVE AS GUEST LECTURERS ON HEALTHCARE TOPICS OF INTEREST TO ORGANIZATIONS, SCHOOLS AND PUBLIC FORUMS.IN ADDITION TO DISEASE-SPECIFIC HEALTH SCREENINGS AND EDUCATION, THE HOSPITAL WORKS CLOSELY WITH OTHER AREA NOT-FOR-PROFITS TO CULTIVATE THE COMMUNITY'S NEEDS (HABITAT FOR HUMANITY, ADOPT-A-HIGHWAY, COMMUNITY TABLE, GROUP HOMES FOR THE AUTISTIC, ETC). THROUGH COMMUNITY EFFORTS AND INITIATIVES, THE HOSPITAL'S EMPLOYEES HAVE ASSISTED IN BUILDING AND CLEAN UP PROJECTS, AS WELL AS FEEDING AND CARING FOR THOSE LESS FORTUNATE IN THE AREA. STANLY REGIONAL ALSO DONATES MEDICAL SUPPLIES AS NEEDED TO AREA CHURCH GROUPS LEAVING FOR OVERSEAS MISSION TRIPS. PART VI, LINE 6: EFFECTIVE MARCH 1, 2009, THE PARENT COMPANY ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM (CHS). REPORTS FILED WITH STATES PART VI, LINE 7 NC 1 EDUCATIONAL ASSISTANCE 22 78400 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: EMPLOYEES ARE GRANTED EDUCATION REIMBURSEMENT BASED ON NEED, AVAILABILITY, AND APPROPRIATE DOCUMENTATION. X X X X X 0 0 0 0 0 0 0 0 0 DR MICHAEL MCLEOD 0 258292 0 4670 0 0 0 9427 0 21688 0 294077 0 0 ALFRED P TAYLOR 250514 0 59542 0 18832 0 24291 0 29151 0 382330 0 0 0 NYKOLA SAMILO 172997 0 37102 0 2205 0 18934 0 23899 0 255137 0 0 0 JUDY DORAN 134703 0 17685 0 1767 0 11546 0 2056 0 167757 0 0 0 BRAD MARINO 156107 0 0 0 0 0 3243 0 17004 0 176354 0 0 0 ANJANA M YOUNG 224061 0 0 0 0 0 8482 0 10690 0 243233 0 0 0 JEFFREY B PITMAN 223566 0 0 0 0 0 0 0 5755 0 229321 0 0 0 WILLIAM R DENNIS 183901 0 0 0 0 0 3788 0 16501 0 204190 0 0 0 KELLY J NEW 183066 0 0 0 0 0 5858 0 15344 0 204268 0 0 0 SUZANNE MCLESTER 184780 0 0 0 0 0 3894 0 17343 0 206017 0 0 0 A FORMER OFFICER RECEIVED A SEVERANCE PAYMENT DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 3 THREE EMPLOYEES (CEO, COO, CFO) ARE EMPLOYED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM ("CHS") AND LEASED TO THE ORGANIZATION THROUGH A MANAGEMENT AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11 CFO AND CONTROLLER WILL REVIEW AND COPIES WILL BE EMAILED TO BOARD MEMBERS AND REVIEWED AT FINANCE COMMITTEE AND BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF DIRECTORS FILES A CONFLICT OF INTEREST STATEMENT ANNUALLY WHICH IS REVIEWED BY THE BOARD CHAIR AND IS MAINTAINED BY THE CORPORATE SECRETARY. MEMBERS WITH POTENTIAL CONFLICTS ARE ASKED TO EXCUSE THEMSELVES FROM VOTING ON MATTERS THAT ARE OF POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 CHS, WHICH LEASES THE CEO, COO, AND CFO TO THE ORGANIZATION THROUGH A MANAGEMENT AGREEMENT, CONDUCTS AN ANNUAL COMPENSATION THAT BENCHMARKS THE SALARIES OF THOSE THREE INDIVIDUALS TO THE SALARIES OF SIMILARLY SITUATED SERVICE PROVIDERS. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G INDEPENDENT CONTRACTOR SERVICES : PROGRAM SERVICE EXPENSES 5,952,062. MANAGEMENT AND GENERAL EXPENSES 3,806,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,758,248. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNRECOGNIZED PENSION EXPENSE 3,831,435. TRANSFERS TO AFFILIATES, NET -3,962,151. CONTRIBUTIONS, NET 569,651. NET ASSETS RELEASED FROM RESTRICTION -710,755. NET ASSETS RELEASED FROM RESTRICTION -371,287. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. STANLY REGIONAL MEDICAL CENTER FOUNDATION INC 301 YADKIN STREET ALBEMARLE NC 28001 561698181 CHARITY NC 501(C)(3) 170(B)(1)(A)(VI) N/A 0 STANLY MEDICAL SERVICES INC 320 YADKIN STREET ALBEMARLE NC 28001 561892763 HEALTHCARE NC 501(C)(3) 509(A)(2) N/A 0 STANLY MANOR INC 625 BETHANY ROAD ALBEMARLE NC 28001 561623092 LONG-TERM HEALTHCARE NC 501(C)(3) 509(A)(2) N/A 0 STANLEX INC 907 NORTH SECOND STREET ALBEMARLE NC 28001 561532751 HEALTHCARE NC 501(C)(3) 509(A)(3) N/A 0 STANLY REGIONAL WEST LLC 301 YADKIN STREET ALBEMARLE NC 28001 260512251 HEALTHCARE NC N/A RELATED 0 1 0.24200 WEST STANLY IMAGING LLC 301 YADKIN STREET ALBEMARLE NC 28001 262414332 HEALTHCARE NC N/A RELATED 0 1 0.51000 ALLIANCE MEDICAL INC 907 N SECOND STREET ALBEMARLE NC 28002 561682606 HEALTHCARE NC N/A C 1.00000 0 LIFESMART INC 301 YADKIN STREET ALBEMARLE NC 28001 010790640 HEALTHCARE NC N/A C 1.00000 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 STANLY MEDICAL SERVICES INC A 958042 MARKET VALUE (RENTS) STANLY REGIONAL MEDICAL CENTER FOUNDATION INC B 75000 CASH VALUE STANLY REGIONAL MEDICAL CENTER FOUNDATION INC C 99885 GRANTS STANLY REGIONAL MEDICAL CENTER FOUNDATION INC M 91666 FUNDRAISING STANLY REGIONAL MEDICAL CENTER FOUNDATION INC O 122868 SALARY & BENEFITS STANLY MEDICAL SERVICES INC O 178091 FY SALARY & BENEFITS (BRAD MARINO STANLY MEDICAL SERVICES INC P 2272151 EXPENSES (WRITE-OFFS) STANLY MEDICAL SERVICES INC R 1615000 CASH VALUE (CASH TRANSFERS)