2012-10-15T15:58:12-05:00 2011-12-31 561037874 STOUT STUART MCGOWEN & KING LLP POST OFFICE BOX 1440 BURLINGTON NC 272161440 990 2011-01-01 562095382 ARMC PHYSICIANS CARE INC ARMC 3365387460 PO BOX 202 BURLINGTON NC 27216 REX STREET 3365387460 2012-09-19 PATRICIA B RHODES P00018002 3362267343 2012-08-28 2011 2016-02-24 21:20:13Z REX STREET 1240 HUFFMAN MILL ROAD BURLINGTON NC 27215 4207107 0 X N/A X 1998 NC HEALTH CARE CLINIC 3 3 68 0 0 0 50 0 634106 4126096 78 5236 3769 75775 638003 4207107 0 0 0 0 1063027 4486890 0 0 0 458992 2810462 1522019 7297352 -884016 -3090245 1032550 1470142 171809 1398484 860741 71658 TO PROMOTE, IMPROVE AND ENHANCE THE HEALTH AND WELFARE OF THE SURROUNDING COMMUNITY 0 0 7297352 4207107 TO PROMOTE, IMPROVE, AND ENHANCE THE HEALTH AND WELFARE OF THE SURROUNDING COMMUNITY. 7297352 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 29 0 68 1 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NC X X REX STREET 3365387460 PO BOX 202 BURLINGTON NC 272160202 ROBERT E BYRD 1.00 X 0 200284 113849 JOHN CURRIN JR 1.00 X 0 521896 334493 RALPH ELY 40.00 X 294302 0 38083 LEMONT MORRISEY 40.00 X 203437 0 24418 MARK BIRD 40.00 X 257313 0 31578 KRICHNA SOWLES 40.00 X 189474 0 30751 DAVID KASA 40.00 X 332209 0 34388 JOLANDA PUCILOWSKA 40.00 X 181111 0 30432 LAURA BERGLUND 40.00 X 153615 0 20634 1611461 722180 658626 11 0 1 0 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 4 SERVICE REVENUE 900099 4126096 4126096 4126096 5236 5236 OTHER OPERATING REVENU 900000 75775 75775 75775 4207107 4207107 0 0 X 497739 497739 3411847 3411847 577304 577304 58102 58102 90146 90146 PURCHASED SERVICES 700300 700300 RENTS 429821 429821 PROFESSIONAL FEES 394387 394387 INSURANCE 362240 362240 775466 775466 7297352 7297352 0 0 459214 77035 348211 524582 86279 4304 24883 59585 957496 239139 200242 718357 1032550 1470142 60608 775259 250000 111201 373225 171809 1398484 X 860741 71658 860741 71658 1032550 1470142 X -3090245 2301162 X 0 1 1 X 0 X 98547 34366 64181 607103 204773 402330 251846 251846 718357 ACCRUED PAYROLL AND EXPENSES 373225 373225 4207107 7297352 -3090245 2301162 2301162 -789083 4207107 0 4207107 0 4207107 7297352 0 7297352 0 7297352 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. 1 X X X X X X 0 0 0 0 0 0 0 0 0 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 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. ALL OTHER FUNCTIONAL EXPENSES 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFER FROM AFFILIATE 2,301,162. TOTAL TO FORM 990, PART XI, LINE 5: 2,301,162. PAGE 5, PART V QUESTION 3B A 990-T IS BEING FILED BY THE ORGANIZATION BUT THERE WAS NO UNRELATED BUSINESS INCOME FOR 2011. ALAMANCE REGIONAL MEDICAL CENTER 1240 HUFFMAN MILL ROAD BURLINGTON NC 27215 581681363 HEALTH CARE NC 501(C)(3) 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 ALAMANCE REGIONAL MEDICAL CENTER R 2321162 CASH