ARMC PHYSICIANS CARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ARMC PHYSICIANS CARE INC (EIN 56-2095382)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-15
- IRS object ID
- 201242899349301269
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-15T15:58:12-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561037874 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STOUT STUART MCGOWEN & KING LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 1440 | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 272161440 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562095382 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMC PHYSICIANS CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ARMC | NameControl |
| Phone | 3365387460 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 202 | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 27216 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | REX STREET | Name |
| Title | VP OF FINANCE | Title |
| Phone | 3365387460 | Phone |
| Date Signed | 2012-09-19 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICIA B RHODES | Name |
| PTIN | P00018002 | PTIN |
| Phone | 3362267343 | Phone |
| Date Prepared | 2012-08-28 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | REX STREET | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1240 HUFFMAN MILL ROAD | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 27215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4207107 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | HEALTH CARE CLINIC | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 68 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 50 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 634106 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4126096 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 78 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5236 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3769 | OtherRevenuePriorYear |
| Other Revenue Current Year | 75775 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 638003 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4207107 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1063027 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4486890 | 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 | 458992 | OtherExpensePriorYear |
| Other Expenses Current Year | 2810462 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1522019 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7297352 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -884016 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3090245 | RevenuesLessExpensesCY |
| Total Assets BOY | 1032550 | TotalAssetsBOY |
| Total Assets EOY | 1470142 | TotalAssetsEOY |
| Total Liabilities BOY | 171809 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1398484 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 860741 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 71658 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROMOTE, IMPROVE AND ENHANCE THE HEALTH AND WELFARE OF THE SURROUNDING COMMUNITY | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7297352 | Expense |
| Revenue | 4207107 | Revenue |
| Description | TO PROMOTE, IMPROVE, AND ENHANCE THE HEALTH AND WELFARE OF THE SURROUNDING COMMUNITY. | Description |
| Total Program Service Expense | 7297352 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 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 | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 68 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | 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 | REX STREET | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3365387460 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 202 | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 272160202 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT E BYRD | |||||||
| PRESIDENT | 1.00 | X | 0 | 200284 | 113849 | ||
| JOHN CURRIN JR | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 521896 | 334493 | ||
| RALPH ELY | |||||||
| PHYSICIAN | 40.00 | 294302 | 0 | 38083 | X | ||
| LEMONT MORRISEY | |||||||
| PHYSICIAN | 40.00 | 203437 | 0 | 24418 | X | ||
| MARK BIRD | |||||||
| PHYSICIAN | 40.00 | 257313 | 0 | 31578 | X | ||
| KRICHNA SOWLES | |||||||
| PHYSICIAN | 40.00 | 189474 | 0 | 30751 | X | ||
| DAVID KASA | |||||||
| PHYSICIAN | 40.00 | 332209 | 0 | 34388 | X | ||
| JOLANDA PUCILOWSKA | |||||||
| PHYSICIAN | 40.00 | 181111 | 0 | 30432 | X | ||
| LAURA BERGLUND | |||||||
| PHYSICIAN | 40.00 | 153615 | 0 | 20634 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1611461 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 722180 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 658626 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RMSOURCE INC | |||||
| 1225 CRESCENT GR | CARY | NC | 27518 | IT CONSULTING | 341444 |
| MSOCMANAGEMENT | |||||
| PO BOX 16696 | CHAPEL HILL | NC | 27516 | MEDICAL PRACTICE SUPPORT | 225390 |
| PRIVATE DIAGNOSTIC CLINIC | |||||
| PO BOX 3179 | DURHAM | NC | 27710 | PHYSICIAN SERVICES | 164370 |
| ALLSCRIPTS LLC | |||||
| PO BOX 8538-0133 | PHILADELPHIA | PA | 191710133 | SOFTWARE MAINTENANCE | 102775 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SERVICE REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 4126096 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4126096 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4126096 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5236 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5236 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER OPERATING REVENU | Description |
| Business Code | 900000 | BusinessCode |
| Total Revenue Column | 75775 | TotalRevenueColumn |
| Related Or Exempt Function Income | 75775 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 75775 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4207107 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4207107 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497739 | Total |
| Program Services | 497739 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3411847 | Total |
| Program Services | 3411847 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 577304 | Total |
| Program Services | 577304 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58102 | Total |
| Program Services | 58102 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90146 | Total |
| Program Services | 90146 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PURCHASED SERVICES | 700300 | 700300 |
| RENTS | 429821 | 429821 |
| PROFESSIONAL FEES | 394387 | 394387 |
| INSURANCE | 362240 | 362240 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 775466 | Total |
| Program Services | 775466 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7297352 | Total |
| Program Services | 7297352 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 459214 | BOY |
| EOY | 77035 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 348211 | BOY |
| EOY | 524582 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 86279 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4304 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24883 | BOY |
| EOY | 59585 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 957496 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 239139 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200242 | BOY |
| EOY | 718357 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1032550 | BOY |
| EOY | 1470142 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60608 | BOY |
| EOY | 775259 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 250000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111201 | BOY |
| EOY | 373225 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171809 | BOY |
| EOY | 1398484 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 860741 | BOY |
| EOY | 71658 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 860741 | BOY |
| EOY | 71658 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1032550 | BOY |
| EOY | 1470142 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3090245 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2301162 | ReconcilationOtherChanges |
| 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 D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 98547 | InvestmentCostOrOtherBasis |
| Depreciation | 34366 | Depreciation |
| Book Value | 64181 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 607103 | InvestmentCostOrOtherBasis |
| Depreciation | 204773 | Depreciation |
| Book Value | 402330 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 251846 | InvestmentCostOrOtherBasis |
| Book Value | 251846 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 718357 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED PAYROLL AND EXPENSES | Description |
| Amount | $373,225 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 373225 | TotalOfAmounts |
| Total Revenue | 4207107 | TotalRevenue |
| Total Expenses | 7297352 | TotalExpenses |
| Excess Or Deficit For Year | -3090245 | ExcessOrDeficitForYear |
| Other | $2,301,162 | OtherAmount |
| Total Adjustments | 2301162 | TotalAdjustments |
| Excess Or Deficit Per FS | -789083 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4207107 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4207107 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4207107 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7297352 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7297352 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7297352 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION HAD A FOOTNOTE DISCLOSURE IN THE FINANCIAL STATEMENTS THAT ADDRESSES FIN 48. AT 12/31/2011, THE ORGANIZATION DID NOT RECORD ANY LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | TRANSFER FROM AFFILIATE 2,301,162. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT E BYRD | |||||||||||||
| 0 | 192292 | 0 | 6840 | 0 | 1152 | 0 | 106582 | 0 | 7267 | 0 | 314133 | 0 | 0 |
| JOHN CURRIN JR | |||||||||||||
| 0 | 496812 | 0 | 17500 | 0 | 7584 | 0 | 321395 | 0 | 13098 | 0 | 856389 | 0 | 0 |
| RALPH ELY | |||||||||||||
| 293023 | 0 | 0 | 0 | 1279 | 0 | 21400 | 0 | 16683 | 0 | 332385 | 0 | 0 | 0 |
| LEMONT MORRISEY | |||||||||||||
| 202994 | 0 | 0 | 0 | 443 | 0 | 10281 | 0 | 14137 | 0 | 227855 | 0 | 0 | 0 |
| MARK BIRD | |||||||||||||
| 257313 | 0 | 0 | 0 | 0 | 0 | 17812 | 0 | 13766 | 0 | 288891 | 0 | 0 | 0 |
| KRICHNA SOWLES | |||||||||||||
| 189293 | 0 | 0 | 0 | 181 | 0 | 20327 | 0 | 10424 | 0 | 220225 | 0 | 0 | 0 |
| DAVID KASA | |||||||||||||
| 331647 | 0 | 0 | 0 | 562 | 0 | 21400 | 0 | 12988 | 0 | 366597 | 0 | 0 | 0 |
| JOLANDA PUCILOWSKA | |||||||||||||
| 180439 | 0 | 0 | 0 | 672 | 0 | 21400 | 0 | 9032 | 0 | 211543 | 0 | 0 | 0 |
| LAURA BERGLUND | |||||||||||||
| 153297 | 0 | 0 | 0 | 318 | 0 | 8325 | 0 | 12309 | 0 | 174249 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS DELEGATES TO THE AUDIT/COMPLIANCE COMMITTEE THE RESPONSIBILITY OF REVIEWING THE FORM 990 IN DETAIL WITH THE ORGANIZATION'S EXTERNAL AUDITORS (THE PREPARER) PRIOR TO ITS FILING. ON 8/27/2012, PRIOR TO THE FILING, THE AUDIT/CORPORATE COMPLIANCE COMMITTEE MET, REVIEWED AND RECEIVED A COPY OF THE FORM 990 AND VOTED ON 9/4/2012 TO ACCEPT THE FORM 990 AS PRESENTED. ON 9/4/2012, PRIOR TO THE FILING, THE BOARD OF DIRECTORS MET AND ACCEPTED THE AUDIT/CORPORATE COMPLIANCE COMMITTEE'S RECOMMENDATION. AT THIS MEETING, EVERY BOARD MEMBER WAS GIVEN THE OPPORTUNITY TO REVIEW AND RECEIVE A COPY OF THE FORM 990. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE THEMSELVES FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT EXISTS 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 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 X, LINE 24E | MISCELLANEOUS: PROGRAM SERVICE EXPENSES 257,475. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 257,475. MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 232,695. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 232,695. BAD DEBTS: PROGRAM SERVICE EXPENSES 187,866. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 187,866. OTHER SUPPLIES: PROGRAM SERVICE EXPENSES 97,430. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,430. | ALL OTHER FUNCTIONAL EXPENSES |
| FORM 990, PART XI, LINE 5: | TRANSFER FROM AFFILIATE 2,301,162. TOTAL TO FORM 990, PART XI, LINE 5: 2,301,162. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PAGE 5, PART V QUESTION 3B | A 990-T IS BEING FILED BY THE ORGANIZATION BUT THERE WAS NO UNRELATED BUSINESS INCOME FOR 2011. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAMANCE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1240 HUFFMAN MILL ROAD | AddressLine1 |
| City | BURLINGTON | City |
| State | NC | State |
| ZIP Code | 27215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581681363 | EIN |
| Primary Activities | HEALTH CARE | PrimaryActivities |
| Legal Domicile State | NC | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAMANCE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionType |
| Amount Involved | 2321162 | AmountInvolved |
| Method Of Amt Determination | CASH | MethodOfAmtDetermination |
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