STANLY REGIONAL MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- STANLY REGIONAL MEDICAL CENTER (EIN 56-0556760)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201242289349303624
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T15:51:19-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 N TRYON STREET SUITE 1000 | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28246 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560556760 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STANLY REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STAN | NameControl |
| Phone | 7049844393 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 1489 | AddressLine1 |
| City | ALBEMARLE | City |
| State | NC | State |
| ZIP Code | 28002 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NYKOLA SAMILO | Name |
| Title | VP, CFO | Title |
| Phone | 7049844393 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGORY W JOHNS | Name |
| Phone | 7049985200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALFRED TAYLOR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 YADKIN ROAD | AddressLine1 |
| City | ALBEMARLE | City |
| State | NC | State |
| ZIP Code | 28001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 136491504 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STANLY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1945 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | TO FACILITATE IMPROVING THE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 826 | TotalNbrEmployees |
| Total Nbr Volunteers | 70 | TotalNbrVolunteers |
| Total Gross UBI | 5594684 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -74131 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 616827 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 729130 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 97142715 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 103069794 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 703457 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2640530 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 850203 | OtherRevenuePriorYear |
| Other Revenue Current Year | 947306 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 99313202 | TotalRevenuePriorYear |
| Total Revenue Current Year | 107386760 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 31394 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 30222 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 41781123 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 43977572 | 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 | 49879252 | OtherExpensePriorYear |
| Other Expenses Current Year | 53643252 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 91691769 | TotalExpensesPriorYear |
| Total Expenses Current Year | 97651046 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7621433 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9735714 | RevenuesLessExpensesCY |
| Total Assets BOY | 108653546 | TotalAssetsBOY |
| Total Assets EOY | 112179894 | TotalAssetsEOY |
| Total Liabilities BOY | 42301863 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 42530196 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 66351683 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 69649698 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 81225700 | Expense |
| Grants | 30222 | Grants |
| Revenue | 97475110 | Revenue |
| Description | STANLY REGIONAL MEDICAL CENTER PROVIDED APPROXIMATELY 21,000 INPATIENT DAYS OF CARE AND APPROXIMATELY 80,000 OUTPATIENT VISITS (EXCLUDING LABS) DURING 2011. DISCHARGES WERE APPROXIMATELY 5,000.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. | Description |
| Total Program Service Expense | 81225700 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | 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 | 1 | 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 | 1 | 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 | 1 | 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 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 826 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 |
| 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 | PENNY PATRICK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7049844643 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 YADKIN ROAD | AddressLine1 |
| City | ALBEMARLE | City |
| State | NC | State |
| ZIP Code | 28001 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| ALFRED P TAYLOR | |||||||||
| PRESIDENT, CEO | 40.00 | X | X | 317076 | 0 | 42607 | |||
| JOHN LOWDER | |||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||||
| DARRELL ALMOND | |||||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID W HORTON SR | |||||||||
| SECOND VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||||
| JOEL HUNEYCUTT | |||||||||
| PAST CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||||
| LARRY BAUCOM | |||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID W HORTON SR | |||||||||
| VICE-CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||||
| DARRELL ALMOND | |||||||||
| PAST CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||||
| JOHN LOWDER | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| JOSEPH GODWIN | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ELBERT L WHIT WHITLEY JR | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| JACK P JORDAN | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DR MICHAEL MCLEOD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| SHERRILL SMITH | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| MICHAEL G HARWOOD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DAWN ALLEN | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DR RUFUS S LEFLER III | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| NYKOLA SAMILO | |||||||||
| VICE-PRESIDENT, CFO | 40.00 | X | 214071 | 0 | 32636 | ||||
| JUDY DORAN | |||||||||
| CNE | 40.00 | X | 32500 | 0 | 0 | ||||
| BRIAN FREEMAN | |||||||||
| VP OPERATIONS | 40.00 | 158082 | 0 | 10804 | X | ||||
| BRAD MARINO | |||||||||
| VP PHYSICIAN NETWORK/SURGERY | 40.00 | 165083 | 0 | 10388 | X | ||||
| ANJANA M YOUNG | |||||||||
| DIRECTOR ANESTHESIOLOGY | 40.00 | 219070 | 0 | 10152 | X | ||||
| JEFFREY B PITMAN | |||||||||
| ANESTHESIOLOGIST | 40.00 | 216714 | 0 | 711 | X | ||||
| WILLIAM R DENNIS | |||||||||
| ANESTHESIOLOGIST | 40.00 | 185438 | 0 | 15437 | X | ||||
| KELLY J NEW | |||||||||
| ANESTHESIOLOGIST | 40.00 | 173752 | 0 | 9248 | X | ||||
| SCOTT M WINSLOW | |||||||||
| ANESTHESIOLOGIST | 40.00 | 171224 | 0 | 12810 | X | ||||
| DEBRA SMITH | |||||||||
| FORMER OFFICER | 0.00 | 227075 | 0 | 5310 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2080085 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 150103 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | NumberIndividualsGT100K |
| Formers Listed | 1 | 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 |
|---|---|---|---|---|---|
| CAROLINAS MEDICAL CENTER | |||||
| 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | MANAGEMENT SERVICES | 2682982 |
| MAXIT HEALTHCARE | |||||
| 705 E MAIN ST | WESTFIELD | IN | 46074 | SOFTWARE CONVERSION | 853238 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| PO BOX 850001 | ORLANDO | FL | 32885 | WOUNDCARE | 631540 |
| TRUSTAFF | |||||
| 4270 GLENDALE MILFORD RD | CINCINNATI | OH | 45242 | NURSE STAFFING | 586398 |
| CMC-NORTHEAST | |||||
| 920 CHURCH ST NORTH | CONCORD | NC | 28025 | HOSPITALIST | 572468 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 28 | NumberOfContractorsGT100K |
| Related Organizations | 201624 | RelatedOrganizations |
| All Other Contributions | 527506 | AllOtherContributions |
| Total Contributions | 729130 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 621400 | 93868452 | 93868452 | |
| UNRELATED PHARMACY | 621400 | 5594684 | 5594684 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3606658 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3606658 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 103069794 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 535652 | TotalRevenueColumn |
| Exclusion | $535,652 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 31209622 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 29104744 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2104878 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2104878 | TotalRevenueColumn |
| Exclusion | $2,104,878 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | EQUITY EARNINGS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 487141 | TotalRevenueColumn |
| Exclusion | $487,141 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 460165 | TotalRevenueColumn |
| Exclusion | $460,165 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 947306 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 107386760 | TotalRevenueColumn |
| Related Or Exempt Function Income | 97475110 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5594684 | UnrelatedBusinessRevenue |
| Exclusion | $3,587,836 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30222 | Total |
| Program Services | 30222 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 810532 | Total |
| Management And General | 810532 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34294745 | Total |
| Program Services | 30477247 | ProgramServices |
| Management And General | 3817498 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 836320 | Total |
| Program Services | 743238 | ProgramServices |
| Management And General | 93082 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5742251 | Total |
| Program Services | 5109821 | ProgramServices |
| Management And General | 632430 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2293724 | Total |
| Program Services | 2055926 | ProgramServices |
| Management And General | 237798 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1361375 | Total |
| Management And General | 1361375 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110931 | Total |
| Management And General | 110931 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79914 | Total |
| Management And General | 79914 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9878 | Total |
| Management And General | 9878 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6688461 | Total |
| Program Services | 4811704 | ProgramServices |
| Management And General | 1876757 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 803974 | Total |
| Management And General | 803974 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 668168 | Total |
| Program Services | 355175 | ProgramServices |
| Management And General | 312993 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2310608 | Total |
| Management And General | 2310608 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1927130 | Total |
| Program Services | 1560366 | ProgramServices |
| Management And General | 366764 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38554 | Total |
| Program Services | 30014 | ProgramServices |
| Management And General | 8540 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182039 | Total |
| Program Services | 113990 | ProgramServices |
| Management And General | 68049 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1284057 | Total |
| Management And General | 1284057 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5252459 | Total |
| Program Services | 5019108 | ProgramServices |
| Management And General | 233351 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1080609 | Total |
| Management And General | 1080609 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROGRAM SUPPLIES | 14585855 | 14535980 | 49875 |
| PROVISION FOR UNCOLLECT | 12665344 | 12665344 | |
| EQUIPMENT EXPENSE | 2361729 | 2097272 | 264457 |
| REPAIRS AND MAINTENANCE | 1070398 | 866319 | 204079 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1161769 | Total |
| Program Services | 753974 | ProgramServices |
| Management And General | 407795 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97651046 | Total |
| Program Services | 81225700 | ProgramServices |
| Management And General | 16425346 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12953235 | BOY |
| EOY | 8828252 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13223137 | BOY |
| EOY | 14620551 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2298359 | BOY |
| EOY | 2417998 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1326577 | BOY |
| EOY | 1685761 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 134451911 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 86906460 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43397431 | BOY |
| EOY | 47545451 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29805369 | BOY |
| EOY | 29854510 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5649438 | BOY |
| EOY | 7227371 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108653546 | BOY |
| EOY | 112179894 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7232512 | BOY |
| EOY | 8257641 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22830532 | BOY |
| EOY | 21522636 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12238819 | BOY |
| EOY | 12749919 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42301863 | BOY |
| EOY | 42530196 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65782901 | BOY |
| EOY | 68723692 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 568782 | BOY |
| EOY | 926006 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66351683 | BOY |
| EOY | 69649698 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108653546 | BOY |
| EOY | 112179894 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9735714 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6437699 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $9,878 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9878 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | A PORTION OF MEMBER ORGANIZATION DUES ARE ATTRIBUTABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7787403 | OtherCostOrOtherBasis |
| Book Value | 7787403 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75432288 | OtherCostOrOtherBasis |
| Depreciation | 52798804 | Depreciation |
| Book Value | 22633484 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35686109 | OtherCostOrOtherBasis |
| Depreciation | 26918927 | Depreciation |
| Book Value | 8767182 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15546111 | OtherCostOrOtherBasis |
| Depreciation | 7188729 | Depreciation |
| Book Value | 8357382 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 47545451 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS | Description |
| Book Value | 29854510 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 29854510 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $7,376,510 |
| PENSION LIABILITY | $5,373,409 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12749919 | TotalOfAmounts |
| Total Revenue | 107386760 | TotalRevenue |
| Total Expenses | 97651046 | TotalExpenses |
| Excess Or Deficit For Year | 9735714 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -2466845 | NetUnrealizedGLOnInvestments |
| Other | -$3,970,854 | OtherAmount |
| Total Adjustments | -6437699 | TotalAdjustments |
| Excess Or Deficit Per FS | 3298015 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 100591837 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -2466845 | NetUnrealizedGainsInvestments |
| Other Revenues | -3598948 | OtherRevenues |
| Revenue Not Rptd F990 | -6065793 | RevenueNotRptdF990 |
| Revenue Subtotal | 106657630 | RevenueSubtotal |
| Other Revenues Not Included | 729130 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 729130 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 107386760 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 97651046 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 97651046 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 97651046 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE FILING ORGANIZATION IS A NON PROFIT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAX ON REVENUE EARNED FROM ITS TAX-EXEMPT STATUS. THE FILING ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FILING ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUSES NOR IS IT AWARE OF ANY OF ITS ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2007 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. THE FILING ORGANIZATION HAS ADOPTED THE INCOME TAX STANDARD ISSUED BY FINANCIAL ACCOUNTING STANDARDS BOARD IN LIGHT OF ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTION 371,906. UNRECOGNIZED PENSION EXPENSE -1,105,925. TRANSFERS TO AFFILIATES -2,864,929. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RESTRICTED CONTRIBUTION REVENUE 729,130. |
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 | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1110559 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1143081 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -32522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13014174 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8943779 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4070395 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04790 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 385283 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 250188 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 135095 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14510016 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10337048 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4172968 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04950 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 483944 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 483944 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11833 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11833 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 495777 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 495777 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15005793 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10337048 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4668745 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05530 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 157592 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 157592 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 157592 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 157592 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,159,265 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 26614383 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 28409368 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1794985 | 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 (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| 1 WEST STANLY IMAGING | |
| RADIOLOGY JOINT VENTURE | 0.51000 |
| 2 STANLY REGIONAL WEST LLC | |
| MEDICAL PROPERTY DEVELOPMENT/LEASING COMPANY | 0.24200 |
| 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 | STANLY REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 YADKIN STREET | AddressLine1 |
| City | ALBEMARLE | City |
| State | NC | State |
| ZIP Code | 28001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | INPATIENT REHABILIATION UNIT AND INPATIENT PSYCHIATRIC UNIT | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STANLY REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| 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 |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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.ON OCTOBER 1, 2010, STANLY REGIONAL INSTITUTED A NEW UNINSURED POLICY. UNDER THIS POLICY, UNINSURED PATIENTS RECEIVE A 40% DISCOUNT ON THEIR TOTAL CHARGES UP FRONT. DURING THIS TAX YEAR, $2,238,597 OF CHARGES AT COST (GROSS CHARGES OF $6,816,733) WERE WRITTEN OFF. | ||
| 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 @ 8%; 61-90 DAYS @ 10%; 91-120 DAYS @ 25%; 121-150 DAYS @ 80%; >150 DAYS @ 90%. 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. | ||
| PART V, SECTION B, LINE 17E: SEND LETTER TO POTENTIAL PATIENTS AFTER DISCHARGE. | STANLY REGIONAL MEDICAL CENTER, INC. | |
| PART V, SECTION B, LINE 19D: ALL PATIENTS REGARDLESS OF COVERAGE ARE CHARGED THE SAME AMOUNT FOR ALL PROCEDURES. | STANLY REGIONAL MEDICAL CENTER, INC. | |
| PART V, SECTION B, LINE 21: SAME AMOUNT IS CHARGED FOR ALL PATIENTS, THEN FINANCIAL ASSISTANCE ADJUSTMENT IS TAKEN WHEN APPROVED. | STANLY REGIONAL MEDICAL CENTER, INC. | |
| 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 6: 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 7: 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). | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EDUCATIONAL ASSISTANCE | TypeOfGrant |
| Number Of Recipients | 9 | NumberOfRecipients |
| Amount Of Cash Grant | 30222 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: EMPLOYEES ARE GRANTED EDUCATION REIMBURSEMENT BASED ON NEED, AVAILABILITY, AND APPROPRIATE DOCUMENTATION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALFRED P TAYLOR | |||||||||||||
| 239370 | 0 | 59819 | 0 | 17887 | 0 | 20258 | 0 | 22349 | 0 | 359683 | 0 | 0 | 0 |
| NYKOLA SAMILO | |||||||||||||
| 182953 | 0 | 28738 | 0 | 2380 | 0 | 14960 | 0 | 17676 | 0 | 246707 | 0 | 0 | 0 |
| BRIAN FREEMAN | |||||||||||||
| 149969 | 0 | 0 | 0 | 8113 | 0 | 0 | 0 | 10804 | 0 | 168886 | 0 | 0 | 0 |
| BRAD MARINO | |||||||||||||
| 154889 | 0 | 0 | 0 | 10194 | 0 | 0 | 0 | 10388 | 0 | 175471 | 0 | 0 | 0 |
| ANJANA M YOUNG | |||||||||||||
| 206593 | 0 | 0 | 0 | 12477 | 0 | 0 | 0 | 10152 | 0 | 229222 | 0 | 0 | 0 |
| JEFFREY B PITMAN | |||||||||||||
| 200214 | 0 | 0 | 0 | 16500 | 0 | 0 | 0 | 711 | 0 | 217425 | 0 | 0 | 0 |
| WILLIAM R DENNIS | |||||||||||||
| 168948 | 0 | 0 | 0 | 16490 | 0 | 0 | 0 | 15437 | 0 | 200875 | 0 | 0 | 0 |
| KELLY J NEW | |||||||||||||
| 157252 | 0 | 0 | 0 | 16500 | 0 | 0 | 0 | 9248 | 0 | 183000 | 0 | 0 | 0 |
| SCOTT M WINSLOW | |||||||||||||
| 154724 | 0 | 0 | 0 | 16500 | 0 | 0 | 0 | 12810 | 0 | 184034 | 0 | 0 | 0 |
| DEBRA SMITH | |||||||||||||
| 44019 | 0 | 35897 | 0 | 147159 | 0 | 4741 | 0 | 569 | 0 | 232385 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | A FORMER OFFICER RECEIVED A SEVERANCE PAYMENT DURING THE YEAR. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|
| ALFRED P TAYLOR | ||
| OFFICER/BOARD MEMBER | ALFRED P. TAYLOR, AN OFFICER OF THE FILING ORGANIZATION, IS ALSO AN OFFICER OF LIFESMART, INC., A BOARD MEMBER OF STANLEX, INC., A BOARD MEMBER OF STANLY MANOR, INC., A BOARD MEMBER OF STANLY MEDICAL SERVICES, INC., AND AN OFFICER OF WEST STANLY IMAGING, LLC, ALL OF WHICH DO BUSINESS WITH THE FILING ORGANIZATION. SEE SCHEDULE R, PART V FOR A LISTING OF TRANSACTIONS BETWEEN THESE ORGANIZATIONS. | 0 |
| NYKOLA SAMILO | ||
| OFFICER/BOARD MEMBER | NYKOLA SAMILO, AN OFFICER OF THE FILING ORGANIZATION, IS ALSO AN OFFICER OF LIFESMART, INC., A BOARD MEMBER OF STANLY MANOR, INC., A BOARD MEMBER OF STANLY MEDICAL SERVICES, INC., AND AN OFFICER OF WEST STANLY IMAGING, LLC, ALL OF WHICH DO BUSINESS WITH THE FILING ORGANIZATION. SEE SCHEDULE R, PART V FOR A LISTING OF TRANSACTIONS BETWEEN THESE ORGANIZATIONS. | 0 |
| JUDY DORAN | ||
| OFFICER/BOARD MEMBER | JUDY DORAN, AN OFFICER OF THE FILING ORGANIZATION, IS ALSO AN OFFICER OF LIFESMART INC., A BOARD MEMBER OF STANLEX, INC., AND A BOARD MEMBER OF STANLY MANOR, INC., ALL OF WHICH DO BUSINESS WITH THE FILING ORGANIZATION. SEE SCHEDULE R, PART V FOR A LISTING OF TRANSACTIONS BETWEEN THESE ORGANIZATIONS. | 0 |
| JOEL HUNEYCUTT | ||
| BOARD MEMBER | JOEL HUNEYCUTT, A BOARD MEMBER OF THE FILING ORGANIZATION, IS ALSO A BOARD MEMBER OF STANLY MEDICAL SERVICES, INC., WHICH DOES BUSINESS WITH THE FILING ORGANIZATION. SEE SCHEDULE R, PART V FOR A LISTING OF TRANSACTIONS BETWEEN THESE ORGANIZATIONS. | 0 |
| JOSEPH GODWIN | ||
| BOARD MEMBER | JOSEPH GODWIN, A BOARD MEMBER OF THE FILING ORGANIZATION, IS ALSO A BOARD MEMBER OF STANLY MANOR, INC., WHICH DOES BUSINESS WITH THE FILING ORGANIZATION. SEE SCHEDULE R, PART V FOR A LISTING OF TRANSACTIONS BETWEEN THESE ORGANIZATIONS. | 0 |
| JACK P JORDAN | ||
| BOARD MEMBER | JACK P. JORDAN, A BOARD MEMBER OF THE FILING ORGANIZATION, IS ALSO A BOARD MEMBER OF STANLEX, INC., WHICH DOES BUSINESS WITH THE FILING ORGANIZATION. SEE SCHEDULE R, PART V FOR A LISTING OF TRANSACTIONS BETWEEN THESE ORGANIZATIONS. | 0 |
| DR MICHAEL MCLEOD | ||
| BOARD MEMBER | DR. MICHAEL MCLEOD, A BOARD MEMBER OF THE FILING ORGANIZATION, IS ALSO A BOARD MEMBER OF STANLY MEDICAL SERVICES, INC., WHICH DOES BUSINESS WITH THE FILING ORGANIZATION. SEE SCHEDULE R, PART V FOR A LISTING OF TRANSACTIONS BETWEEN THESE ORGANIZATIONS. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| 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 12C | |
| REVIEWS BASED ON COMPARABLE INDUSTRY DATA ARE PERFORMED BY INDEPENDENT CONSULTANTS. THE LAST REVIEW AS PERFORMED IN 2009. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -2,466,845. UNRECOGNIZED PENSION EXPENSE -1,105,925. TRANSFERS TO AFFILIATES -2,864,929. TOTAL TO FORM 990, PART XI, LINE 5: -6,437,699. | FORM 990, PART XI, LINE 5: |
| THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. | FORM 990, PART XII, LINE 2C: | |
| OFFICERS LISTED ON PART VII WORK AN AVERAGE OF 40 HOURS PER WEEK OR MORE. THEIR TIME IS SHARED BETWEEN THE FILING ORGANIZATION AND THE RELATED ENTITIES LISTED ON SCHEDULE R. | FORM 990, PART VII, DESCRIPTION OF HOURS FOR RELATED ORGANIZATIONS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STANLY REGIONAL WEST LLC | |||||||||||||
| 301 YADKIN STREET | ALBEMARLE | NC | 28001 | 260512251 | HEALTHCARE | NC | N/A | PATIENT SERVICES | 18710 | 129738 | 0 | 1 | 0.24200 |
| WEST STANLY IMAGING LLC | |||||||||||||
| 301 YADKIN STREET | ALBEMARLE | NC | 28001 | 262414332 | HEALTHCARE | NC | N/A | PATIENT SERVICES | 158078 | 384653 | 0 | 1 | 0.51000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLIANCE MEDICAL INC | |||||||||||
| 907 N SECOND STREET | ALBEMARLE | NC | 28002 | 561682606 | HEALTHCARE | NC | N/A | C | 2235771 | 2589430 | 1.00000 |
| LIFESMART INC | |||||||||||
| 301 YADKIN STREET | ALBEMARLE | NC | 28001 | 010790640 | HEALTHCARE | NC | N/A | C | 68568 | 43146 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | 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 | 1 | 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 | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| STANLY MEDICAL SERVICES INC | ||
| A | 626451 | MARKET VALUE |
| STANLY MEDICAL SERVICES INC | ||
| Q | 717000 | CASH VALUE |
| STANLY REGIONAL MEDICAL CENTER FOUNDATION INC | ||
| O | 75000 | EXPENSES |
| STANLY MEDICAL SERVICES INC | ||
| O | 1520509 | EXPENSES |
| STANLY REGIONAL MEDICAL CENTER FOUNDATION INC | ||
| C | 201624 | CASH VALUE |
| STANLY REGIONAL MEDICAL CENTER FOUNDATION INC | ||
| N | 50319 | SALARY & BENEFITS |
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