Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
ALAMANCE REGIONAL MEDICAL CENTER INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 202
 
Room/suite
City or town, state or country, and ZIP + 4
BURLINGTON, NC272160202
D Employer identification number

56-0529994
E Telephone number

G Gross receipts $ 256,920,179
F Name and address of principal officer:
REX STREET
1240 HUFFMAN MILL ROAD
BURL,NC27215
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.ARMC.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1937
M State of legal domicile: NC
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: COMPREHENSIVE COMMUNITY HOSPITAL AND HEALTH CARE SERVICES
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 22
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 18
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,165
6 Total number of volunteers (estimate if necessary) .... 6 630
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 78,900 38,320
9 Program service revenue (Part VIII, line 2g) ......... 212,990,281 220,464,972
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -474,562 4,438,674
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 446,684 -5,816
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 213,041,303 224,936,150
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 94,812,702 98,169,966
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 111,096,959 117,051,462
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 205,909,661 215,221,428
19 Revenue less expenses. Subtract line 18 from line 12...... 7,131,642 9,714,722
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 242,832,218 250,436,238
21 Total liabilities (Part X, line 26)............ 85,833,082 82,764,439
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 156,999,136 167,671,799
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: HEALTHCARE ORG. COMMITTED TO IMPROVE THE HEALTH OF THE CITIZENS OF ALAMANCE COUNTY AND ITS SURROUNDING COMMUNITIES THROUGH THE PROVISION OF A CONTINUUM OF HIGH QUALITY CLINICAL, EDUC., PREVENTIVE-WELLNESS, AND SUPPORT SERV. IN A SAFE AND FRIENDLY ENVIRONMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 169,953,959 including grants of $   ) (Revenue $ 220,464,972 )
ACUTE HOSPITAL CARE PROVIDED TO THE COMMUNITY
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 169,953,959
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? ........
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
231
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,165
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
22
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
18
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NC , CA , IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
REX STREET
PO BOX 202
BURLINGTON,NC272160202
(336) 538-7460
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) FD HORNADAY III
CHAIRMAN
   X           0 0 0
(2) THOMAS E CHANDLER
BOARD MEMBER
   X           0 0 0
(3) DAVID JORDAN MD
BOARD MEMBER
 2.00 X           17,819 0 0
(4) JAMES A BARNWELL JR
BOARD MEMBER
   X           0 0 0
(5) ALLEN E GANT JR
BOARD MEMBER
   X           0 0 0
(6) NANCY HEMRIC
BOARD MEMBER
   X           0 0 0
(7) JAMES G MCCLURE
BOARD MEMBER
   X           0 0 0
(8) ALAN J WHITE PHD
BOARD MEMBER
   X           0 0 0
(9) ANDREW LAMB MD
BOARD MEMBER
 5.00 X           36,000 0 0
(10) MICHAEL HOLT
BOARD MEMBER
   X           0 0 0
(11) THOMAS E CHANDLER JR
BOARD MEMBER
   X           0 0 0
(12) AARON P NOBLE JR PHD
BOARD MEMBER
   X           0 0 0
(13) BARBARA TAPSCOTT PHD
BOARD MEMBER
   X           0 0 0
(14) CARL STEINBICKER
BOARD MEMBER
   X           0 0 0
(15) SHAWN SMITH
BOARD MEMBER
   X           0 0 0
(16) PAUL H JUENGEL MD
BOARD MEMBER
 2.00 X           9,000 0 0
(17) BILL SMITH
BOARD MEMBER
   X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) CHAPMAN T MCQUEEN MD
BOARD MEMBER
 3.00 X           20,440 0 0
(19) ALAN H NORTON
BOARD MEMBER
   X           0 0 0
(20) JOHN A PETERSON JR
BOARD MEMBER
   X           0 0 0
(21) JUAN SANCHIZ
BOARD MEMBER
   X           0 0 0
(22) WILLIAM BRADLEY HAYES
BOARD MEMBER
   X           0 0 0
(23) GLENN CHRYSTAL
PHYSICIAN
 40.00         X   896,560 0 35,569
(24) JANAK CHOKSI
PHYSICIAN
 40.00         X   801,070 0 34,177
(25) JOHN CURRIN JR
PRESIDENT
 40.00     X       479,427 0 313,423
(26) JANE YBANEZ
PHYSICIAN
 40.00         X   463,441 0 17,309
(27) SANDEEP PANDIT
PHYSICIAN
 40.00         X   434,398 0 22,133
(28) TIMOTHY FINNEGAN
PHYSICIAN
 40.00         X   389,799 0 21,114
(29) REX A STREET
VP OF OPERATIONS - FINANCE
 40.00     X       331,991 0 165,211
(30) RICHARD DONAHEY
VP OF OPERATIONS - HUMAN R
 40.00     X       309,784 0 194,494
(31) CAROL L HUDSON
VP OF OPERATIONS - NURSING
 40.00     X       295,145 0 166,975
(32) ROBERT E BYRD
VP OF OPERATIONS - STRATEG
 40.00     X       207,707 0 105,686
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,692,581 0 1,076,091
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet34
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
EMCARE INC
7032 NW COLLECTION CENTER DRIVE
CHICAGO,IL60693 		ER PHYSICIANS 6,701,176
SIEMENS FINANCIAL
2809 COLLECTION CENTER DRIVE
CHICAGO,IL60693 		MIS SUPPORT SERVICES 2,520,217
ECLIPSYS CORP
LOCK BOX 077133
PHILADELPHIA,PA191710133 		SOFTWARE MAINTENANCE 1,221,387
PRIMEDOC OF BURLINGTON PA
PO BOX 7568
ASHEVILLE,NC28802 		HOSPITALIST SERVICES 588,333
PRIVATE DIAGNOSTIC CLINIC
PO BOX 3179
DURHAM,NC27710 		PHYSICIAN SERVICES 582,823
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet5
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		38,320
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 38,320
Program Service Revenue Business Code
2a OUTPATIENT REVENUES   173,650,876 173,650,876    
b INPATIENT REVENUES   40,280,308 40,280,308    
c OTHER OPERATING REVENU   4,170,242 4,170,242    
d OCCUPATIONAL HEALTH   1,593,149 1,593,149    
e CAFETERIA REVENUES   770,397 770,397    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 220,464,972
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 2,002,504 494,617   1,507,887
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 31,983,108 2,437,091
b Less: cost or other basis and sales expenses 29,778,808 2,205,221
c Gain or (loss) 2,204,300 231,870
d Net gain or (loss)..........MediumBullet 2,436,170 2,436,170    
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a RENT REVENUE   498,366     498,366
b OTHER NON-OP. REV. 541,900 -504,182     -504,182
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet -5,816
12 Total revenue. See Instructions....MediumBullet 224,936,150 223,395,759 0 1,502,071
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,955,711 3,331,657 1,624,054  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 73,950,997 53,592,418 20,358,579  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....        
9 Other employee benefits ....... 19,263,258 13,869,546 5,393,712  
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other ..........        
12 Advertising and promotion ....        
13 Office expenses .......        
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 2,288,278 1,402,674 885,604  
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 2,881,624 1,765,328 1,116,296  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 11,680,893 8,687,080 2,993,813  
23 Insurance ..............        
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL SUPPLIES 37,823,503 37,796,429 27,074  
b PURCHASED SERVICES 25,071,338 22,783,831 2,287,507  
c BAD DEBT EXPENSE 21,067,292 21,067,292    
d OTHER EXPENSES 5,239,344 765,626 4,473,718  
e PROFESSIONAL FEES 4,532,443 1,529,672 3,002,771  
f All other expenses 6,466,747 3,362,406 3,104,341  
25 Total functional expenses. Add lines 1 through 24f 215,221,428 169,953,959 45,267,469 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 26,590,523 2 28,719,425
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 27,444,408 4 25,406,459
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 6,125,997 7 9,364,258
8 Inventories for sale or use .............. 4,244,098 8 5,428,004
9 Prepaid expenses and deferred charges ............ 1,679,635 9 1,739,099
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 225,518,500
b Less: accumulated depreciation. ..... 10b 119,984,102 110,280,801 10c 105,534,398
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ...... 61,314,774 12 68,540,223
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 5,151,982 15 5,704,372
16 Total assets. Add lines 1 through 15 (must equal line 34)... 242,832,218 16 250,436,238
Liabilities 17 Accounts payable and accrued expenses . 20,908,380 17 22,500,653
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 46,096,979 20 43,810,663
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 13,370,365 23 9,789,207
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 5,457,358 25 6,663,916
26 Total liabilities. Add lines 17 through 25..... 85,833,082 26 82,764,439
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 156,820,249 27 167,470,529
28 Temporarily restricted net assets ..... 178,887 28 201,270
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 156,999,136 33 167,671,799
34 Total liabilities and net assets/fund balances ..... 242,832,218 34 250,436,238
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
224,936,150
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
215,221,428
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
9,714,722
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
156,999,136
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
957,941
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
167,671,799
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ALAMANCE REGIONAL MEDICAL CENTER INC
 
Employer identification number

56-0529994
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALAMANCE REGIONAL MEDICAL CENTER INC
 
Employer identification number

56-0529994
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 11,073,446   11,073,446
b Buildings ................ 106,315,638   37,128,974 69,186,664
c Leasehold improvements ............ 3,598,355   2,499,640 1,098,715
d Equipment ................ 103,622,702   80,355,488 23,267,214
e Other ................. 908,359     908,359
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 105,534,398
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) BOARD DESIGNATED/DONOR RESTRICTED 		63,556,655 F

(B) HELD BY TRUSTEE 		4,983,568 F







Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 68,540,223
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
LIABILITY FOR PROJECTED BENEFIT OBLIGATION 6,663,916








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 6,663,916
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 224,936,150
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 215,221,428
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 9,714,722
4 Net unrealized gains (losses) on investments .......................... 4 3,762,060
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7 -621,712
8 Other (Describe in Part XIV) ................................. 8 -2,182,407
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 957,941
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 10,672,663
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 228,698,210
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 3,762,060
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 3,762,060
3 Subtract line 2e from line 1..................... 3 224,936,150
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 224,936,150
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 217,387,899
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 2,166,471
e Add lines 2a through 2d...................... 2e 2,166,471
3 Subtract line 2e from line 1..................... 3 215,221,428
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 215,221,428
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:   NET ASSETS RELEASED FROM RESTRICTION -15,936. TRANSFER TO AFFILIATE -2,166,471.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:   TRANSFER TO AFFILIATE 2,166,471.
    THE ORGANIZATION HAD A FOOTNOTE DISCLOSURE IN THE FINANCIAL STATEMENTS THAT ADDRESSED FIN 48. AT 12/31/2010, THE ORGANIZATION DID NOT RECORD ANY LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALAMANCE REGIONAL MEDICAL CENTER INC
 
Employer identification number

56-0529994
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  15,362 7,029,744   7,029,744 3.620 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  1,971 20,501,030 18,830,105 1,670,925 0.860 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     406,717 319,724 86,993 0.040 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		  17,333 27,937,491 19,149,829 8,787,662 4.520 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		69 81,630 1,845,620 443,570 1,402,050 0.720 %
f Health professions education
(from Worksheet 5) .. 		13 1,880 2,983,101 10,269 2,972,832 1.530 %
g Subsidized health services
(from Worksheet 6) .. 		2 10,000 1,001,403 175,686 825,717 0.430 %
h Research (from Worksheet 7) 3 0 304,072 219,817 84,255 0.040 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		20 5,881 681,002 675 680,327 0.350 %
jTotal Other Benefits ... 107 99,391 6,815,198 850,017 5,965,181 3.070 %
kTotal. Add lines 7d and 7j. .. 107 116,724 34,752,689 19,999,846 14,752,843 7.590 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 1 0 165   165 0 %
2 Economic development 2 130 15,929   15,929 0.010 %
3 Community support 2 0 12,323   12,323 0.010 %
4 Environmental improvements 0 0 0      
5 Leadership development and training for community members 0 0 0      
6 Coalition building 4 849 52,928   52,928 0.030 %
7 Community health improvement advocacy 0 0 0      
8 Workforce development 5 728 1,203,055   1,203,055 0.620 %
9 Other 0 0 0      
10 Total 14 1,707 1,284,400   1,284,400 0.670 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
9,041,202
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
4,500,000
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
83,705,298
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
93,927,627
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-10,222,329
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 MEBANE MEDICAL INVESTORS LLC
  		OWNERSHIP OF BUILDING HOUSING AMBULATORY SURGERY CENTER,PHYSICIANS' OFFICES 51.000 %   13.910 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ALAMANCE REGIONAL MEDICAL CENTER INC
PO BOX 202 1240 HUFFMAN MILL ROAD
BURLINGTON,NC27215 		X X         X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:ALAMANCE REGIONAL MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 7G: THE HOSPITAL REIMBURSES CERTAIN PHYSICIANS FOR TAKING EMERGENCY DEPARTMENT CALL FOR UNINSURED PATIENTS. THE COSTS ASSOCIATED WITH PHYSICIAN CALL INCLUDED IN PART 1, LINE 7G ARE $825,717.
    PART I, L7 COL(F): BAD DEBTS OF $21,067,292 WERE ELIMINATED FROM TOTAL EXPENSES REPORTED ON 990 PART IX, LINE 25 TO CALCULATE THE PERCENTAGES PER INSTRUCTIONS.
    PART II: ALAMANCE REGIONAL IS INVOLVED IN NUMEROUS ACTIVITIES DESIGNED TO PROMOTE BUILDING OUR COMMUNITY. THESE ARE NOT LISTED AS PART OF THE CHARITY CARE OR OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE IN THE REPORT. THESE ACTIVITIES INCLUDE:PHYSICAL IMPROVEMENTS AND HOUSING: ALAMANCE REGIONAL PARTNERS WITH LOCAL MUNICIPALITIES, INCLUDING ELON AND THE CITY OF BURLINGTON ON THE DEVELOPMENT OF PARKS AND PLAYGROUNDS TO PROMOTE PHYSICAL RECREATION. WE HAVE DONATED SIGNIFICANT FUNDS TO DEVELOP WALKING TRAILS AND INSTALL FITNESS EQUIPMENT AT SEVERAL CITY PARKS.ECONOMIC DEVELOPMENT: WE WORK TO CREATE NEW EMPLOYMENT OPPORTUNITIES IN AN AREA THAT TRADITIONALLY HAS HIGH UNEMPLOYMENT RATES. THE ORGANIZATION IS HEAVILY INVOLVED WITH THE CHAMBER OF COMMERCE AND THE MEBANE BUSINESS ASSOCIATION, WITH STAFF MEMBERS SITTING ON SEVERAL BOARDS AND COMMITTEES DESIGNED TO PROMOTE ECONOMIC GROWTH.COMMUNITY SUPPORT: ALAMANCE REGIONAL PROVIDES SUPPORT FOR NUMEROUS COMMUNITY AGENCIES INCLUDING OUR LOCAL CITY FIRE AND POLICE DEPARTMENT. THE HOSPITALS CLINICAL ENGINEERING STAFF MAINTAINS ALL OF THE LIFESAVING EQUIPMENT FOUND IN THE CARS AND FIRE TRUCKS. THE HOSPITAL IS ALSO HEAVILY INVOLVED IN COUNTY-WIDE EMERGENCY PREPAREDNESS INITIATIVES. COALITION BUILDING: THE HOSPITAL PARTICIPATES IN NUMEROUS COMMUNITY COALITIONS AIMED AT ADDRESSING HEALTH AND SAFETY ISSUES. THESE INCLUDE, BUT ARE NOT LIMITED TO, HEALTHY MOTHERS, HEALTHY BABIES, THE ALAMANCE PARTNERSHIP FOR CHILDREN, THE SAFE KIDS COALITION, HEALTHY ALAMANCE.WORKFORCES DEVELOPMENT: ALAMANCE REGIONAL IS A MAJOR SUPPORTER OF ALAMANCE COMMUNITY COLLEGE, THE PIEDMONT TRIAD ALLIED HEALTH REGIONAL SKILLS PARTNERSHIP, THE RAD-TECH PROGRAM AND LOCAL SCHOOL CAREER FAIRS. COLLABORATION WITH THESE PROGRAMS AND INSTITUTIONS ALLOWS THE HOSPITAL TO HELP TRAIN AND RECRUIT HEALTH PROFESSIONALS WHICH ARE NEEDED IN OUR TRADITIONALLY UNDERSERVED AREA.PHYSICIAN RECRUITMENT: THE HOSPITAL PLACES SIGNIFICANT RESOURCES INTO THE RECRUITMENT OF PHYSICIANS TO SERVE OUR LOCAL COMMUNITY. OTHER: ALAMANCE REGIONAL DONATES EXPIRED EQUIPMENT AND SUPPLIES TO AREA MISSION PROGRAMS
    PART III, LINE 4: THE CORPORATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF UNCOLLECTED CHARGES FOR SERVICES AND SUPPLIES FURNISHED BY THE HEALTHCARE FACILITIES UNDER THEIR FINANCIAL ASSISTANCE AND COLLECTIONS POLICY. THE CORPORATIONS FINANCIAL ASSISTANCE AND COLLECTIONS POLICY PROVIDES FOR UP TO 100% REDUCTION OF CHARGES FOR BOTH INDIGENT AND UNINSURED WHEN THE GUARANTOR SUPPLIES THE NECESSARY DOCUMENTATION. WHEN PROOF OF MEDICAL INDIGENCE IS NOT SUPPLIED, THE UNCOLLECTIBLE AMOUNT IS REFLECTED IN THE CORPORATIONS PROVISION FOR BAD DEBT. IN ADDITION TO IDENTIFYING SPECIFIC CHARITY ACCOUNTS IN ACCORDANCE WITH ITS FINANCIAL ASSISTANCE AND COLLECTION POLICY, THE CORPORATION DEEMED CERTAIN SPECIFIC PATIENT ACCOUNTS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON FAMILY SIZE, INCOME AND CREDIT SCORE OBTAINED FROM A THIRD PARTY SERVICE.
    PART III, LINE 8: THE HOSPITAL IS REPORTING COSTS CALCULATED USING THE NORTH CAROLINA HOSPITAL ASSOCIATION ANDI COMMUNITY BENEFIT COST-TO-CHARGE RATIO DATED 9/2/2011.
    PART III, LINE 9B: THE HOSPITAL'S BAD DEBT POLICY REFERS TO THE FINANCIAL ASSISTANCE POLICY FOR HANDLING OF PATIENTS KNOWN TO QUALIFY FOR CHARITY OR FINANCIAL ASSISTANCE.
    PART VI, LINE 2: ALAMANCE REGIONAL MEDICAL CENTER SUBSIDIZES THE SALARY OF THE DIRECTOR OF HEALTHY ALAMANCE, A SUBSIDIARY OF HEALTHY CAROLINIANS. THROUGH THIS PARTNERSHIP, THE HOSPITAL HAS SUPPORTED HEALTHY ALAMANCE IN CONDUCTING A COMMUNITY HEALTH ASSESSMENT EVERY FOUR YEARS. THIS COMPREHENSIVE REPORT IS CONDUCTED IN CONJUNCTION WITH NUMEROUS LOCAL AGENCIES INCLUDING THE UNITED WAY AND THE ALAMANCE COUNTY HEALTH DEPARTMENT. IT ALLOWS THE HOSPITAL TO FOCUS ON HEALTH NEEDS IN THE COMMUNITY IN ORDER TO MEET ITS MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY AND THE SURROUNDING AREAS. THE LAST ASSESSMENT WAS CONDUCTED IN 2007. THE ASSESSMENT DOCUMENT INCLUDES PRIMARY AND SECONDARY DATA FROM A VARIETY OF SOURCES. SECONDARY DATA SPECIFIC TO ALAMANCE COUNTY WAS COLLECTED AND ANALYZED FROM THE NC STATE CENTER FOR HEALTH STATISTICS, US CENSUS, AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). PRIMARY DATA WAS GATHERED FROM A COMMUNITY WIDE SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. ALL OF THESE METHODS WERE UTILIZED IN ORDER TO RECOGNIZE GAPS IN SERVICES ALONG WITH THE PERCEIVED AND ACTUAL NEEDS IN ALAMANCE COUNTY. IT WAS FOUND THAT CHRONIC DISEASES SHOULD BE A MAIN AREA OF FOCUS FOR IMPROVING THE OVERALL HEALTH OF THE COMMUNITY. SEVERAL HOSPITAL REPRESENTATIVES SERVE ON HEALTHY ALAMANCES CHRONIC DISEASE COALITION, WHICH WORKS TO DEVELOP PLANS TO MEET THESE SPECIFIED NEEDS. THE NEXT COUNTY-WIDE ASSESSMENT IS PLANNED FOR 2011/2012. ALAMANCE REGIONAL MEDICAL CENTER IS HEAVILY INVOLVED IN THE PLANNING OF THIS UPCOMING ASSESSMENT.
    PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED BY REGISTRATION STAFF, ED DISCHARGE STAFF, BILLING STATEMENT MESSAGES, ADMISSION BOOKLETS, AND IN FINANCIAL COUNSELING APPOINTMENTS. FINANCIAL ASSISTANCE INFORMATION IS ALSO POSTED ON THE HOSPITALS WEBSITE WWW.ARMC.COM. THE HOSPITALS CHARITY APPLICATION IS AVAILABLE IN BOTH ENGLISH AND SPANISH WITH INTERPRETER SERVICES AVAILABLE FOR PATIENTS NEEDING INFORMATION IN LANGUAGES OTHER THAN ENGLISH AND SPANISH.PATIENTS ARE GIVEN FINANCIAL ASSISTANCE CONTACT INFORMATION AT VARIOUS POINTS OF THE HOSPITAL TO INCLUDE REGISTRATION, CASHIER AND THE DEPARTMENT IN WHICH THEY ARE RECEIVING SERVICES. ALL SELF-PAY IN-PATIENTS /OBSERVATION PATIENTS ARE VISITED BY A HOSPITAL FINANCIAL COUNSELOR TO DISCUSS POSSIBLE FINANCIAL ASSISTANCE. SELF-PAY PATIENTS SCHEDULING OUTPATIENT PROCEDURES ARE INFORMED OF THE OPTION TO CONTACT FINANCIAL COUNSELORS TO DISCUSS FINANCIAL ASSISTANCE.
    PART VI, LINE 4: ALAMANCE COUNTY IS IN THE CENTRAL REGION OF NORTH CAROLINA AND IS CONVENIENTLY LOCATED BETWEEN TWO METROPOLITAN AREAS, THE RESEARCH TRIANGLE TO THE EAST AND THE TRIAD TO THE WEST. THE POPULATION HAS GROWN ABOUT 15% SINCE THE 2000 CENSUS, AND THERE ARE APPROXIMATELY 151,131 PEOPLE LIVING IN ALAMANCE COUNTY. WHITES COMPRISE 71% OF THE TOTAL POPULATION, AFRICAN AMERICANS 19% AND LATINOS 11.5%. ACCORDING TO US CENSUS BUREAU 2010 DATA, THE GROWTH OF TEH HISPANIC POPULATION FROM 2000 TO 2010 IS 53%. THE MEDIAN AGE OF RESIDENTS IN ALAMANCE COUNTY IS 37.9 YEARS. TWENTY FOUR PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND 14% ARE OVER THE AGE OF 65.IN 2010, THE COUNTY AVERAGED AN 11% UNEMPLOYMENT RATE, WHILE THE STATE SHOWED 10%. SEVENTEEN PERCENT OF THE COUNTY RESIDENTS ARE UNINSURED AND 17% LIVE AT THE POVERTY LEVEL. THE AVERAGE HOUSEHOLD INCOME FOR ALAMANCE COUNTY IS $54,772, WHICH IS 12% BELOW THE STATE AVERAGE.ALAMANCE COUNTY HAS MANY ASSETS THAT HELP PROVIDE FOR THE QUALITY OF LIFE AND HEALTH OF ITS RESIDENTS. LABCORP (LABORATORY CORPORATION OF AMERICA) IS THE LARGEST PRIVATE EMPLOYER IN THE COUNTY AND ALAMANCE-BURLINGTON SCHOOL SYSTEM IS THE LARGEST PUBLIC EMPLOYER. ELON UNIVERSITY, A NATIONALLY RECOGNIZED FOUR-YEAR LIBERAL ARTS COLLEGE IS ALSO WITHIN ALAMANCE COUNTY, AS IS ALAMANCE COMMUNITY COLLEGE, WHICH OFFERS A VARIETY OF EDUCATIONAL AND TRAINING PROGRAM FOR MORE THAN 18,000 STUDENTS.
    PART VI, LINE 6: MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.ALAMANCE REGIONALS BOARD OF DIRECTORS IS COMPRISED OF 22 LOCAL COMMUNITY LEADERS, BUSINESS AND MEDICAL PROFESSIONALS, ALL OF WHOM RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA. THESE LEADERS PROVIDE COUNTLESS HOURS OF VOLUNTEER SERVICE AND PROVIDE VALUABLE OVERSIGHT TO THE ORGANIZATIONS OVERALL OPERATION. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT, FUNDRAISING AS WELL AS GENERAL STEWARDSHIP FOR THE ORGANIZATION IN THE COMMUNITY.SURPLUS FUNDS FROM ALAMANCE REGIONAL ARE REINVESTED IN OUR COMMUNITY. THEY HELP THE HOSPITAL MAINTAIN ACCESS TO PATIENT SERVICES, BUT ARE ALSO USED TO IMPROVE ACCESS. FUNDS HELP THE ORGANIZATION PURCHASE NEW EQUIPMENT, AS WELL AS EXPAND EDUCATIONAL OPPORTUNITIES ON IMPORTANT HEALTH RELATED TOPICS.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALAMANCE REGIONAL MEDICAL CENTER INC
 
Employer identification number

56-0529994
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) GLENN CHRYSTAL (i)
(ii)		 729,561
0 		163,464
0 		3,535
0 		26,300
0 		9,269
0 		932,129
0 		0
0
(2) JANAK CHOKSI (i)
(ii)		 769,547
0 		27,772
0 		3,751
0 		26,300
0 		7,877
0 		835,247
0 		0
0
(3) JOHN CURRIN JR (i)
(ii)		 415,800
0 		60,000
0 		3,627
0 		307,514
0 		5,909
0 		792,850
0 		0
0
(4) JANE YBANEZ (i)
(ii)		 297,524
0 		165,617
0 		300
0 		11,304
0 		6,005
0 		480,750
0 		0
0
(5) SANDEEP PANDIT (i)
(ii)		 347,480
0 		86,558
0 		360
0 		13,150
0 		8,983
0 		456,531
0 		0
0
(6) TIMOTHY FINNEGAN (i)
(ii)		 297,896
0 		91,633
0 		270
0 		12,757
0 		8,357
0 		410,913
0 		0
0
(7) REX A STREET (i)
(ii)		 286,133
0 		45,000
0 		858
0 		156,785
0 		8,426
0 		497,202
0 		0
0
(8) RICHARD DONAHEY (i)
(ii)		 262,962
0 		45,000
0 		1,822
0 		187,697
0 		6,797
0 		504,278
0 		0
0
(9) CAROL L HUDSON (i)
(ii)		 248,558
0 		45,000
0 		1,587
0 		162,271
0 		4,704
0 		462,120
0 		0
0
(10) ROBERT E BYRD (i)
(ii)		 186,600
0 		20,000
0 		1,107
0 		99,448
0 		6,238
0 		313,393
0 		0
0






Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A THE ORGANIZATION PAYS THE BUSINESS PORTION OF THE COUNTRY CLUB DUES FOR ONE OF ITS OFFICERS. THE ORGANIZATION HAS A WRITTEN POLICY ON HOW THIS AMOUNT IS PAID AND REPORTED AS COMPENSATION.
  PART I, LINE 4B PART I, LINE 4B: NONQUALIFIED DEFERRED COMPENSATION PLAN - AMOUNT SHOWN IS CURRENT YEAR ACCRUAL OF PROJECTED BENEFIT OBLIGATION JOHN G. CURRIN, JR $283,582 CAROL HUDSON $145,554 RICHARD DONAHEY $170,281 ROBERT BYRD $86,863 REX STREET $138,441
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ALAMANCE REGIONAL MEDICAL CENTER INC
 
Employer identification number

56-0529994
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2   THERE ARE FOUR MEMBERS ON THE BOARD OF DIRECTORS WHO ARE RELATED.
FORM 990, PART VI, SECTION B, LINE 11   THE BOARD OF DIRECTORS DELEGATES TO THE AUDIT/CORPORATE COMPLIANCE COMMITTEE THE RESPONSIBILITY OF REVIEWING FORM 990 IN DETAIL WITH THE HOSPITAL'S EXTERNAL AUDITORS (THE PREPARER) PRIOR TO ITS FILING. ON 10/3/2011, PRIOR TO THE FILING, THE AUDIT/CORPORATE COMPLIANCE COMMITTEE MET, REVIEWED AND RECEIVED A COPY OF FORM 990 AND VOTED TO ACCEPT THE FORM 990 AS PRESENTED. ON 11/1/2011, PRIOR TO THE FILING, THE BOARD OF DIRECTORS MET AND ACCEPTED THE AUDIT/CORPORATE COMPLIANCE COMMITTEE 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 EXIST 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 B, LINE 15 THE BOARD OF DIRECTORS APPOINTS A COMPENSATION COMMITTEE WHICH RETAINS THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO GATHER COMPARATIVE DATA WITH WHICH TO MAKE RECOMMENDATIONS TO THE BOARD ON MATTERS OF EXECUTIVE COMPENSATION. SPECIFIC GROUP AND INDIVIDUAL PERFORMANCE INDICATORS ARE ESTABLISHED AND FACTORED IN ALONG WITH COMPARISONS OF COMPARABLE EXTERNAL FACTORS SUCH AS THE SIZE OF THE ORGANIZATION, THE GEOGRAPHIC LOCATION OF THE ORGANIZATION, AND THE EXECUTIVE'S TENURE. THIS PROCESS IS CONDUCTED ANNUALLY FOR THE CEO, CFO, SENIOR VICE PRESIDENTS AND OFFICERS OF THE ORGANIZATION. THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN THE TREASURY REGULATION 4958(6)(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF OFFICER AND SENIOR EXECUTIVE COMPENSATION.
  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.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,762,060. PRIOR PERIOD ADJUSTMENTS: -621,712. NET ASSETS RELEASED FROM RESTRICTION -15,936. TRANSFER TO AFFILIATE -2,166,471. TOTAL TO FORM 990, PART XI, LINE 5: 957,941.
  FORM 990, PART V, LINE 4B ALAMANCE REGIONAL MEDICAL CENTER, INC. INVESTS LONG TERM SAVINGS FUNDS IN MANY DIFFERENT INVESTMENTS. ONE OF THESE INVESTMENTS IS AS A LIMITED PARTNER IN AN INVESTMENT PARTNERSHIP MANAGED BY A NORTH CAROLINA INVESTMENT FIRM. ONE OF THE INVESTMENTS INSIDE THIS LIMITED PARTNERSHIP IS IN A CAYMAN ISLANDS INVESTMENT FUND. THE INVESTMENT COMMITTEE OF THE BOARD SETS POLICY GOVERNING INVESTMENTS AND REVIEWS ALL INVESTMENTS ON A REGULAR BASIS.
  SCHEDULE H, LINE 7 ALAMANCE REGIONAL 2010 COMMUNITY BENEFIT INVENTORY TRADITIONAL CHARITY CARE AND OTHER FINANCIAL ASSISTANCE ON BEHALF OF UNINSURED AND LOW-INCOME PERSONS MEANS-TESTED PUBLIC PROGRAMS WITH UNPAID COSTS COMMUNITY HEALTH IMPROVEMENT SERVICES: HEALTH EDUCATION ( CLASSES OR LECTURES, SUPPORT GROUPS, SELF HELP PROGRAMS) HEALTH FAIRS HEALTH SMART AD HEALTHY WOMAN ASK THE DOCTOR UNDERSTANDING CANCER NUTRITION MATTERS BOOT CAMP FOR NEW DADS INFANT CPR AND CHILD SAFETY BREASTFEEDING AND INFANT NUTRITION BIG BROTHER/BIG SISTER CLASSES BREAST CANCER SPA DAY HEART SMART WOMEN PRENATAL EDUCATION PROGRAM STROKE SUPPORT GROUP BREAST CANCER SUPPORT GROUP WINGS TO RECOVERY CANCER SUPPORT GROUP CALENDARS FOR ALL SUPPORT GROUPS SENIOR ADVANTAGE ARTHRITIS SUPPORT GROUP KIDS CAN! FRESHSTART SMOKING CESSATION CLASS PEDIATRIC ORIENTATION PROGRAM (POP) MANY EVENTS SURROUNDING BREAST HEALTH COMMUNITY BASED CLINICAL SERVICES (SCREENINGS, CLINICS, FREE CLINICS, MOBILE UNITS) PROSTATE CANCER SCREENING CARE FOR YOUR HEART SCREENING NEEDLE FREE HIV TESTING (ALAMANCE CARES CLINIC AND COMMUNITY SCREENINGS) OPEN DOOR CLINIC ALAMAP ALAMANCE ELDER CARE BCCCP- BREAST AND CERVICAL CANCER AWARENESS PROGRAM CARE QUEST CONGESTIVE HEART FAILURE CLINIC PEDIATRIC ASTHMA CENTER FREE PHONE LACTATION CONSULTATIONS ADVANCE DIRECTIVES ALAMANCE MINORITY CANCER AWARENESS PROGRAM ASSISTANCE TO ENROLLMENT IN PUBLIC PROGRAMS BACK TO SCHOOL HEALTH & SAFETY FAIR BONE DENSITY SCREENINGS CARE GIVER RESOURCES FAIR CARE PROGRAM COMMUNITY EVENT ADVERTISING CONSUMER HEALTH LIBRARY DIABETES EDUCATION GENETIC RISK ASSESSMENTS LEGS FOR LIFE 5K LEGS FOR LIFE VASCULAR SCREENING LIFELINE PATRICIA BYNUM FUND PHYSICIAN REFERRAL PINK IN THE CITY PINK RIBBON FUND PRESS RELEASES FOR SUPPORT GROUPS RED CROSS BLOOD DRIVES SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) SPEAKERS BUREAU SPECIAL CARE NURSERY REUNION SPORTS MEDICINE SYMPOSIUM STROKE CARE TEAM ADVISORY TRANSPORTATION PROGRAMS WELL NOW WORKSITE HEALTH EDUCATION PROGRAMS YOUR HEALTH HEALTH CARE SUPPORT SERVICES (ENROLLMENT ASSISTANCE FOR GOVERNMENT-FUNDED HEALTH PROGRAM, INFORMATION AND REFERRAL, TRANSPORTATION TO IMPROVE ACCESS) ONCOLOGY TRANSPORTATION REHABILITATION TRANSPORTATION TAXI AND GAS VOUCHERS FOR LOW-INCOME PERSONS OTHER: LIFELINE RED CROSS BLOOD DRIVES SUPPLIES FOR BOY SCOUT CAMP AND RED CROSS DISASTER PROGRAM C. R. BYRD FUND PATRICIA BYNUM FUND EARL PARDUE CARDIOLOGY FUND INFANTS AND CHILDRENS FUND ONCOLOGY ANGELS FUND PINK RIBBON FUND CHILDHOOD ASTHMA FUND SEXUAL ASSAULT NURSE EXAMINER PROGRAM HEALTH PROFESSIONS EDUCATION HELPING TO PREPARE FUTURE HEALTH CARE PROFESSIONALS. NUMEROUS INTERNSHIP PROGRAMS NURSE SHADOWING PROGRAMS PHYSICAL THERAPY GRADUATE PROGRAM UNC STUDENTS IN NUCLEAR MEDICINE RAD-TECH PROGRAM UNC SCHOOL OF SOCIAL WORK PROGRAMS AND FINANCIAL ASSISTANCE FOR PHYSICIANS AND MEDICAL STUDENTS, NURSES AND NURSING STUDENTS, PASTORAL CARE RESIDENTS AND INTERNS AND OTHER HEALTH PROFESSIONALS. COMMUNITY HEALTH EDUCATION SCHOLARSHIP PROGRAM FREE IMMUNIZATION FOR ALAMANCE COUNTY NURSING STUDENTS EFFORTS TO GENERATE INTEREST IN THE HEALTH PROFESSIONS, SUCH AS MENTORING PROGRAMS JCCRP- JOINT COMMUNITY CLINICAL RESOURCE PLANNING HIGH SCHOOL STUDENT OBSERVATIONAL EXPERIENCES LOCAL SCHOOL CAREER FAIRS VISITATION PROGRAMS FOR NON-COMMUNITY AND FOREIGN PHYSICIANS SUBSIDIZED HEALTH SERVICES (MUST BE A DISTINCT SERVICE, NOT A SUBSET OF A SERVICE) EXAMPLES: EMERGENCY AND TRAUMA OUTPATIENT SERVICES OUTPATIENT HOSPICE AND PALLIATIVE CARE SERVICES PALLIATIVE CARE ON THE INPATIENT UNIT BEHAVIORAL HEALTH INPATIENT BEHAVIORAL HEALTH RESEARCH ACTIVITIES CLINICAL RESEARCH PHYSICAL THERAPY RESEARCH CANCER CENTER CLINICAL TRIALS COMMUNITY HEALTH RESEARCH HEALTHY ALAMANCE COMMUNITY ASSESSMENT RESEARCH ON INNOVATIVE HEALTH CARE DELIVERY
    FINANCIAL AND IN-KIND CONTRIBUTIONS CASH DONATIONS TO TAX EXEMPT ENTITIES: ACMCPD ADVANCED HOME CARE, GREENSBORO ALAMANCE BURLINGTON SCHOOL SYSTEM ALAMANCE CITIZENS FOR EDUCATION ALAMANCE COMMUNITY COLLEGE FOUNDATION ALAMANCE COUNTY ARTS COUNCIL ALAMANCE COUNTY CHAMBER OF COMMERCE ALAMANCE COUNTY CROP WALK ALAMANCE COUNTY MAYOR'S COMMITTEE ALAMANCE ELDERCARE ALAMANCE JR. TENNIS FOUNDATION ALAMANCE PARTNERSHIP FOR CHILDREN ALAMANCE REGIONAL FOUNDATION ALAMANCE ROTARY CLUB ALLIED CHURCHES OF ALAMANCE COUNTY AMERICAN DIABETES ASSOCIATION AMERICAN RED CROSS- PIEDMONT CHAPTER AMCAP ASSOCIATION FOR HOME AND HOSPICE CARE OF NORTH CAROLINA BARTLETT YANCEY HIGH SCHOOL BOY SCOUTS OF AMERICA BURLINGTON BOYS CHOIR BURLINGTON CHRISTIAN ACADEMY BURLINGTON PARKS AND RECREATION BURLINGTON VELO CLUB CASWELL COUNCIL CHAMBER OF COMMERCE CHILDREN'S FLIGHT OF HOPE CHRISTMAS CHEER OF ALAMANCE COUNTY COMMUNITY YMCA OF ALAMANCE COUNTY, INC DARE OF BURLINGTON, INC. EASTERN ALAMANCE HIGH SCHOOL TENNIS PROGRAM EGHS FRIENDS OF THE LIBRARY ELON UNIVERSITY FAMILY ABUSE SERVICES OF ALAMANCE COUNTY, INC. FRONT STREET UNITED METHODIST CHURCH GRAHAM AREA BUSINESS ASSOCIATION GREAT 100 GREENSBORO SYMPHONY HEALTHY CAROLINIANS, INC. HEAT FROM THE HEART HOSPICE LEAGUE OF ALAMANCE-CASWELL J&L BICYCLE CO. JUNIOR ACHIEVEMENT JUVENILE DIABETES RESEARCH FOUNDATION KIWANIS CLUB OF BURLINGTON LOAVES AND FISHES MINISTRY MARCH OF DIMES MAY MEMORIAL LIBRARY MEBANE BUSINESS ASSOCIATION MEBANE PARKS AND RECREATION MEBANE WOMEN'S CLUB MUSCULAR DYSTROPHY ASSOCIATION NAMI ALA/CASWELL/ROCKINGHAM NATIONAL FIRE SAFETY COUNCIL NEW LEAF SOCIETY NCPHP/NC PHYSICAL HEALTH PROGRAM, INC. NORTH CAROLINA PREVENTION PARTNERS NORTH PARK EXERCISE EQUIPMENT OLD NORTH STATE COUNCIL PAT CAMBE-CHILDREN'S AND FAMILY ENTERTAINER PIEDMONT HEALTH COALITION, INC. PIEDMONT RESCUE MISSION, INC. PIEDMONT TRIAD PARTNERSHIP POSITIVE ATTITUDE YOUTH CENTER RESIDENTIAL TREATMENT SERVICES, INC ROYAL AMBASSADORS SHRINE CIRCUS FUND SPECIAL OLYMPICS OF ALAMANCE COUNTY UNC-CH DEPT/ALLIED HEALTH SCI UNITED WAY OF ALAMANCE COUNTY WESTERN HIGH SCHOOL ACADEMICS BOOSTERS WOMEN'S RESOURCE CENTER OF ALAMANCE COUNTY YMCA GYM SPONSORSHIP GRANTS TO OTHER NOT-FOR-PROFIT ORGANIZATIONS ENDOWED NURSING CHAIR FOR ALAMANCE COMMUNITY COLLEGE IN-KIND DONATIONS SUCH AS MEETING ROOMS, SUPPLIES AND PARKING VOUCHERS FREE CLASSROOM SPACE FOR HEALTH CARE RELATED GROUPS USED COMPUTER EQUIPMENT DONATED TO HOSPICE COMMUNITY BUILDING AND LEADERSHIP ACTIVITIES (SHOULD BE RELATED TO COMMUNITY NEED) PROGRAMS THAT ADDRESS THE UNDERLYING CAUSES OF HEALTH PROBLEMS TO IMPROVE HEALTH STATUS AND QUALITY OF LIFE (POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS) PHYSICAL IMPROVEMENTS NEW LEAF SOCIETY HOUSING PROGRAMS EMERGENCY PREPAREDNESS MEETINGS AND PLANNING AT HOSPITAL, COUNTY, REGIONAL AND STATEWIDE LEVELS ECONOMIC DEVELOPMENT PROGRAMS CHAMBER BOARD ALAMANCE COUNTY ARTS COUNCIL ALAMANCE COUNTY ECONOMIC DEVELOPMENT COMMITTEE CLASSROOM COLLECTION CAMPAIGN SPONSOR ENVIRONMENTAL IMPROVEMENTS LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS COALITION BUILDING HEALTHY ALAMANCE LOCAL EMERGENCY PLANNING COMMITTEE SAFE KIDS COALITION ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT SALVATION ARMY BOARD NCHA WORKFORCE DEVELOPMENT WORKSITE PLACEMENT FOR THE ALAMANCE FRIENDS OF YOUTH JUVENILE WORK RESTITUTION PROGRAM COMMUNITY COLLABORATIVE ORGANIZED TO IMPROVE THE HEALTH OF THE COMMUNITY EQUIPMENT SERVICE, PREVENTATIVE MAINTENANCE AND FOR EMS, BURLINGTON FIRE AND COUNTY FIRE DEPARTMENTS, SPONSORING THE SATELLITE STATION FOR EMS OPERATIONAL SUPPLIES AND BUILDING AND GROUNDS MAINTAINNCE FOR CHARLES DREW CENTER MARCH OF DIMES SPONSOR JDRF SPONSOR HEALTHY MOTHERS, HEALTHY BABIES ALAMANCE PARTNERSHIP FOR CHILDREN COMMUNITY BENEFIT OPERATIONS ACTIVITIES ASSIGNED STAFF. COMMUNITY HEALTH ASSESSMENT. EVALUATION OF PROGRAMS AND ACTIVITIES SOFTWARE THAT SUPPORTS THE COMMUNITY BENEFIT PROGRAM (CBISA) DUES AND PROGRAM EXPENSES FOR ORGANIZATIONS THAT SPECIFICALLY SUPPORT THE COMMUNITY BENEFIT PROGRAM, SUCH AS THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT.
  PAGE 5, PART V QUESTION 3B A 990-T IS BEING FILED FOR THE ORGANIZATION BUT THERE IS NO UNRELATED BUSINESS INCOME FOR 2010.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALAMANCE REGIONAL MEDICAL CENTER INC
 
Employer identification number

56-0529994
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ALAMANCE REGIONAL MEDICAL CENTER FOUNDATION INC

144 LAKEWOOD COURT

BURLINGTON,NC27215
58-1681560 		RAISE FUNDS TO ENHANCE HEALTH SERVICES IN COMMUNITY NC 501(C)(3)    
 
No
(2) ARMC PHYSICIANS CARE INC

3940 LAKEWOOD BOULEVARD

MEBANE,NC27302
56-2095382 		PRIMARY CARE PHYSICIAN OFFICE NC 501(C)(3)    
 
No
(3) ALAMANCE EXTENDED CARE INC

1860 BROOKWOOD AVENUE

BURLINGTON,NC27215
56-1681364 		LONG-TERM CARE FACILITY NC 501(C)(3)    
 
No








For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) MEBANE ASC INVESTORS LLC

3940 ARROWHEAD BOULEVARD
MEBANE,NC27302
20-3932019 		AMBULATORY SURGERY CENTER NC  
  -259,221     No     No 100.000 %
(2) MEBANE MEDICAL INVESTORS LLC

4401 BARCLAY DOWNS DRIVE
CHARLOTTE,NC28209
20-3931873 		OWNERSHIP OF BUILDING HOUSING URGENT CARE CENTER, MEDICAL OFFICES AND ASC NC  
  203,631 9,208,420   No     No 55.131 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ALAMANCE REGIONAL MEDICAL CENTER FOUNDATION INC

 B 166,471 CASH
(2) ARMC PHYSICIANS CARE INC

 B 2,000,000 CASH
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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