STANLY MANOR INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: STANLY MANOR INC (EIN 56-1623092)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-02-15
IRS object ID: 201130469349301593
Schema version: 2009v1.7
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 D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-15T15:22:53-06:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LarsonAllen 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	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	561623092	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Stanly Manor Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STAN	NameControl
Phone	7049820770	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	625 Bethany Road	AddressLine1
City	Albemarle	City
State	NC	State
ZIP Code	28001	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Nykola Samilo	Name
Title	CFO	Title
Phone	7049820770	Phone
Date Signed	2011-02-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7049985200	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	stephanie herrin-hunneycu	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	625 Bethany Road	AddressLine1
City	Albemarle	City
State	NC	State
ZIP Code	28001	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6944208	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.stanly.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1989	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	To provide skilled nursing and rehabiliative services to our community.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	4	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	242	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6701205	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6940107	ProgramServiceRevenueCY
Investment Income Prior Year	1578	InvestmentIncomePriorYear
Investment Income Current Year	1084	InvestmentIncomeCurrentYear
Other Revenue Prior Year	198853	OtherRevenuePriorYear
Other Revenue Current Year	3017	OtherRevenueCurrentYear
Total Revenue Prior Year	6901636	TotalRevenuePriorYear
Total Revenue Current Year	6944208	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4013191	SalariesEtcPriorYear
Salaries Etc Current Year	4304944	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2318008	OtherExpensePriorYear
Other Expenses Current Year	2691799	OtherExpensesCurrentYear
Total Expenses Prior Year	6331199	TotalExpensesPriorYear
Total Expenses Current Year	6996743	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	570437	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-52535	RevenuesLessExpensesCY
Total Assets BOY	3410311	TotalAssetsBOY
Total Assets EOY	3094726	TotalAssetsEOY
Total Liabilities BOY	2356636	TotalLiabilitiesBOY
Total Liabilities EOY	2146600	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1053675	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	948126	NetAssetsOrFundBalancesEOY
Mission Description	STANLY MANOR, INC. IS A PRIVATE NOT-FOR-PROFIT MULTI-LEVEL LONG-TERM CARE FACILITY OFFERING 24-HOUR CARE WITH ASSISTED LIVING AND NURSING CARE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	5674409	Expense
Revenue	6943124	Revenue
Description	Stanly Manor, Inc. is a 100 bed facility providing multi-level long-term health care for nursing home and rest home patients. It provides 24 hour nursing care, nutritious meals and therapeutic diets, dietician service, 24 hour security and emergency response systems, rehabilitation services and restorative care, physician services, pharmacy services, full complement of scheduled activities, beauty shop/barber shop, housekeeping and laundry services, on-staff social worker, Hospice services, and transportation for medical appointments. Stanly Manor accepts Medicaid, private insurance, and Medicare payments for services provided.	Description
Total Program Service Expense	5674409	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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	0	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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	12	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	242	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
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	4	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	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	0	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
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	STEPHANIE HERRIN-HUNEYCUTT	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7049820770	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	625 Bethany Road	AddressLine1
City	Albemarle	City
State	NC	State
ZIP Code	28001	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
alfred p taylor
CEO Stanly Health Servic	1.00	X	0	0	0
NYKOLA SAMILO
CFO Stanly Health Servic	1.00	X	0	0	0
Debra Smith
VPO Stanly Health Servic	1.00	X	0	0	0
Joe Godwin
Board Member SHS	1.00	X	0	0	0
Stephanie Herrin-Huneycu
Administrator	40.00		74968	0	10025	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	74968	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	10025	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	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
AUTUMN CARE CORP
451 N Winstead Ave PO Box 7728	Rocky Mount	NC	27804	Physical Therapy	483304
US Foods
PO Box 668347	Charlotte	NC	28266	Raw Foods and Supplements	266182
ccrx pharmacy
622 maywood avenue	raleigh	NC	27603	Pharmacy	219787
McKesson
PO BOX 630693	Cincinnati	OH	45263	Medical/Personal Care Supplies	197101
City of Albemarle
144 North 2nd St	Albemarle	NC	28801	Utilities	103397

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	patient revenue	Description
Business Code	623000	BusinessCode
Total Revenue Column	6935633	TotalRevenueColumn
Related Or Exempt Function Income	6935633	RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4474	TotalRevenueColumn
Related Or Exempt Function Income	4474	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	6940107	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1084	TotalRevenueColumn
Exclusion	$1,084	ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3017	TotalRevenueColumn
Related Or Exempt Function Income	3017	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	3017	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6944208	TotalRevenueColumn
Related Or Exempt Function Income	6943124	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,084	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	91626	Total
Program Services	10020	ProgramServices
Management And General	81606	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3198245	Total
Program Services	3109388	ProgramServices
Management And General	88857	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	99604	Total
Management And General	99604	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	675074	Total
Program Services	33808	ProgramServices
Management And General	641266	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	240395	Total
Program Services	226342	ProgramServices
Management And General	14053	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	104252	Total
Management And General	104252	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	77147	Total
Management And General	77147	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	704580	Total
Program Services	697279	ProgramServices
Management And General	7301	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1206	Total
Management And General	1206	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	18867	Total
Program Services	2654	ProgramServices
Management And General	16213	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	168908	Total
Program Services	168908	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	10776	Total
Program Services	4110	ProgramServices
Management And General	6666	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	65527	Total
Management And General	65527	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	135265	Total
Program Services	135265	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	32978	Total
Management And General	32978	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Supplies	799735	792504	7231
Bed Tax Assessment	335230	335230
Bad Debt Expense	99208	99208
Minor Equipment	40146	34773	5373
Telephone and Cable	32642		32642

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	65332	Total
Program Services	24920	ProgramServices
Management And General	40412	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6996743	Total
Program Services	5674409	ProgramServices
Management And General	1322334	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	393591	BOY
EOY	172193	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	674586	BOY
EOY	685358	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	26904	BOY
EOY	30793	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4954888	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2771507	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2292346	BOY
EOY	2183381	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	22884	BOY
EOY	23001	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3410311	BOY
EOY	3094726	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	598718	BOY
EOY	524524	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1275825	BOY
EOY	1158305	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	21877	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	460216	BOY
EOY	463771	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2356636	BOY
EOY	2146600	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1053675	BOY
EOY	948126	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1053675	BOY
EOY	948126	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3410311	BOY
EOY	3094726	EOY

Field	Value	IRS element (for citing)
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)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3000	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10000	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	16364	CurrentTaxYearMinus2Years
Total	29364	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5632507	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5931183	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6319220	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6701205	CurrentTaxYearMinus1Year
Current Tax Year	6935633	CurrentTaxYear
Total	31519748	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5635507	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5941183	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6335584	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6701205	CurrentTaxYearMinus1Year
Current Tax Year	6935633	CurrentTaxYear
Total	31549112	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	31549112	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8385	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4037	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1947	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1578	CurrentTaxYearMinus1Year
Current Tax Year	1084	CurrentTaxYear
Total	17031	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8385	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4037	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1947	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1578	CurrentTaxYearMinus1Year
Current Tax Year	1084	CurrentTaxYear
Total	17031	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	113026	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	44910	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	69346	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	198853	CurrentTaxYearMinus1Year
Current Tax Year	7491	CurrentTaxYear
Total	433626	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5756918	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5990130	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6406877	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6901636	CurrentTaxYearMinus1Year
Current Tax Year	6944208	CurrentTaxYear
Total	31999769	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98590	PublicSupportPercentage509
Prior Year Support Percentage	0.98500	PriorYearSupportPercentage
Investment Income Percentage	0.00050	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00070	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	166092	OtherCostOrOtherBasis
Book Value	166092	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4032435	OtherCostOrOtherBasis
Depreciation	2177715	Depreciation
Book Value	1854720	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	702655	OtherCostOrOtherBasis
Depreciation	541792	Depreciation
Book Value	160863	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	53706	OtherCostOrOtherBasis
Depreciation	52000	Depreciation
Book Value	1706	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2183381	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
estimated third-party payor settlements	$25,000
advances from affiliates	$33,966
pension liability	$404,805

Field	Value	IRS element (for citing)
Total Of Amounts	463771	TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 3	Effective March 1, 2009, the Parent entered into a Management Services Agreement (MSA) with The Charlotte-Mecklenburg Hospital Authority d/b/a Carolinas HealthCare System (CHS) to manage the Parents operations.
Form 990, Part VI, Section A, line 8b	the organization did not have a committee with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11	A copy of the Form 990 will be emailed to each board member and officer for their review before submission.
Form 990, Part VI, Section B, line 12c	The Bylaws address what constitutes conflicts of interest, the responsibility of disclosure of each member, how conflicts (and potential conflicts) are addressed, and 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. In the event the Corporation determines that a conflict of interest exists, it shall take such action(s) as it deems necessary to resolve the conflict of interest, including: (a) Prohibiting the Interested Person from attending any meeting at which is discussed the transaction or arrangement that results in the conflict of interest; (b) Prohibiting the Interested Person from voting on any matter relating to the conflict of interest; (c) Appointing, if appropriate, a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement; (d) Determining, by a majority vote of the disinterested directors present at a meeting, whether the transaction or arrangement is in the Corporations best interest and for its own benefit; is fair and reasonable to the Corporation; and, after exercising due diligence, whether the Corporation can enter into a more advantageous transaction or arrangement with reasonable efforts under the circumstances; and (e) Taking appropriate disciplinary action with respect to an Interested Person who violates the Corporations conflicts of interest policy in order to protect the Corporations best interests.
Form 990, Part VI, Section B, line 15	Compensation of top executives and top management is determined through a market comparison. This process was last performed in 2008.
Form 990, Part VI, Section C, line 19	These documents are made available to the public upon request.
form 990, part xi, line 2c:	The process has not changed from the prior year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA
Stanly Regional Medical Center Foundation Inc
301 yadkin street	albemarle	Charity	NC	28001	561698181	charity	NC	501(c)(3)	170(b)(1)(A)(vi)	N/A
Stanly Medical Services Inc
320 yadkin street	albemarle	Healthcare	NC	28001	561892763	healthcare	NC	501(c)(3)	509(a)(2)	N/A
Stanly Regional Medical Center Inc
301 yadkin street	albemarle	Hospital	NC	28001	560556760	hospital	NC	501(c)(3)	170(b)(1)(A)(iii)	N/A
Stanlex Inc
907 north second street	albemarle	healthcare	NC	28001	561532751	healthcare	NC	501(c)(3)	509(a)(3)	N/A

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	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	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg