2011-08-15T10:50:03-05:00 2010-09-30 LarsonAllen LLP 101 N Tryon Street Suite 1000 Charlotte NC 28246 990 2009-10-01 561698181 Stanly Regional Medical Hospital Foundation STAN 7049823888 Post Office Box 254 Albemarle NC 28001 jane boone 7049823888 2011-08-12 1 7049985200 2009 2016-02-24 21:20:13Z jane boone Post Office Box 254 Albemarle NC 28001 1842969 0 X www.stanly.org X 1990 NC THE organization EXISTS EXCLUSIVELY FOR THE BENEFIT OF STANLY REGIONAL MEDICAL CENTER, inc. 18 18 0 60 0 0 203209 219827 0 -329091 149264 -51255 -38683 -177137 330408 111678 119256 0 0 0 7175 52665 38540 164343 157796 -341480 172612 5221603 5683975 2184 1979 5219419 5681996 THE STANLY REGIONAL MEDICAL CENTER FOUNDATION EXISTS EXCLUSIVELY FOR THE BENEFIT OF STANLY REGIONAL MEDICAL CENTER. ITS PRINCIPAL PURPOSE IS TO IDENTIFY, SOLICIT, RECORD, MANAGE AND DISBURSE GIFT INCOME FROM THE PRIVATE SECTOR TO ENSURE THE FUTURE OF EXCEPTIONAL COMMUNITY BASED HEALTH CARE. 0 0 122917 119256 219827 In fiscal year 2010, in addition to general solicitation of charitable contributions, the Stanly Regional Medical Center Foundation added several major donors (those giving in excess of $10K over ten years) to the roster of the Stanly Society, had over 175 employees who gave 1 hours pay per month back to the Foundation as members of the Presidents Club, and held two public fundraisers that netted over $109,567 in unrestricted funds which were placed into the endowment. The Foundation funded over a dozen health care projects and programs within Stanly Health Services and awarded scholarships to over a dozen students. 122917 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 18 18 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Jane Boone 7049823888 Post Office Box 254 Albemarle NC 28001 X c wayne sasser 1.00 X 0 0 0 s todd swaringen 1.00 X 0 0 0 david m rudisill 1.00 X 0 0 0 richard almond 1.00 X 0 0 0 mw mullinix 1.00 X 0 0 0 elizabeth f olivieri 1.00 X 0 0 0 susan m bohnsack 1.00 X 0 0 0 joe s brooks 1.00 X 0 0 0 steven l cumming 1.00 X 0 0 0 yolanda o johnson md 1.00 X 0 0 0 leonard d saltzman md 1.00 X 0 0 0 eric mccauley 1.00 X 0 0 0 mike snyder 1.00 X 0 0 0 susan stokes 1.00 X 0 0 0 carol n sullivan 1.00 X 0 0 0 christine a vaughn 1.00 X 0 0 0 elbert l whitley jr 1.00 X 0 0 0 terry g whitley 1.00 X 0 0 0 jane boone 28.00 X 0 44916 3325 0 44916 3325 0 0 0 0 0 109567 110260 219827 113240 113240 1506585 1470561 36024 36024 36024 0 109567 42000 -42000 -42000 3317 3317 3317 330408 0 0 110581 93131 93131 26125 26125 7281 7281 13524 13524 1040 1040 310 310 president's club 6766 6766 Dues and Subscriptions 4510 4510 Stanly Society Expense 541 541 Marketing 0 4568 3120 1039 409 157796 122917 27704 7175 205577 233612 1477 1884 2934 3114 15099 3099 12310 12000 4999305 5433365 5221603 5683975 2184 528 0 1451 2184 1979 X 4839608 5288380 169255 183060 210556 210556 5219419 5681996 5221603 5683975 X 0 1 1 X 0 X 217327 237683 241870 199992 219827 1116699 217327 237683 241870 199992 219827 1116699 224322 892377 152102 169687 182479 134332 149264 787864 -6276 -10582 -12003 3678 3317 -21866 1882697 0.47400 0.47490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 379811 -169255 549066 376594 7570 10056 8176 6233 379811 1.00000 0 0 12000 12000 3099 3099 0 12000 investments 5433365 F 5433365 advances from affiliates 1451 1451 Outdoorsman's Bonanza 82000 82000 42000 Gala Auction 27567 27567 109567 109567 42000 42000 -42000 1 stanly regional medical center inc 301 yadkin street albemarle NC 28001 560556760 501(c)(3) 75000 Support 1 1 educational scholarships 20 26125 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Scholarships for Dependents of Stanly Health Services Employees: This scholarship is offered to high-school seniors and may be used by graduates to help defray expenses involved in attending any university, or any approved technical institute, trade school, business school, or nursing school. Criteria for selection is based upon financial need, scholastic achievement and extra curricular activities, with an emphasis on health care related activities. Recommendations from high school teachers or guidance counselors and from individuals outside of high school are required. Hinson Scholarship: This scholarship is offered to applicants who have already completed two years of undergraduate study by June and have been accepted into a course of study in the medical/healthcare field. applicants must have a 3.5 cumulative undergraduate gpa or higher. applicants must be currently employed by stanly health services, inc. or be the dependents of a current employee of stanly health services, inc. applicants must submit a statement explaining what a career in healthcare will mean to them and how it will benefit humanity. recommendations from a professor and from someone within stanly health services are required. Healthcare scholarship: This scholarship is offered to stanly county high school seniors pursuing a degree in the healthcare field. scholarships are awarded based on academic performance and financial need. applicants must submit a statement explaining their interest in their chosen healthcare career, transcript, and a complete list of school and community related activities. recommendations from their high school and someone other than a family member or school personnel are required. Form 990, Part VI, Section A, line 7b The Stanly Health Services Board of Directors must approve new Directors nominated to the Foundation Board of Directors. Form 990, Part VI, Section B, line 11 CFO and Controller will review and copies will be emailed to board members and reviewed at Finance Committee and Board Meetings. Form 990, Part VI, Section B, line 12c each member of the board of directors files a conflict of interest statement annually which is reviewed by the Board Chair and is maintained by the corporate secretary. Members with potential conflicts are asked to excuse themselves from voting on matters that are of potential conflict. Form 990, Part VI, Section B, line 15 The staff is employed by Stanly Regional Medical Center. The Foundation has no employees. Form 990, Part VI, Section C, line 19 These documents are made available upon request. form 990, part xi, line 2c: This process has not changed from the prior year. Stanly Medical Services Inc 320 yadkin street albemarle NC 28001 561892763 Healthcare NC 501(c)(3) 509(a)(2) N/A Stanly Regional Medical Center Inc 301 yadkin street albemarle NC 28001 560556760 Hospital NC 501(c)(3) 170(b)(1)(A)(iii) N/A Stanly Manor Inc 625 Bethany Road albemarle NC 28001 561623092 Long-term Healthcare NC 501(c)(3) 509(a)(2) N/A Stanlex Inc 907 north second street albemarle NC 28001 561532751 healthcare NC 501(c)(3) 509(a)(3) N/A 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 stanly regional medical center inc B 75000