TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CAGLE MD MARY JO...................................................................... PRESIDENT & CEO	0.0 ................. 40.0	X	X			0	2,289,628	108,162
(2) EATON MANDY...................................................................... CHIEF OPERATING OFFICER	0.0 ................. 40.0		X			0	1,279,990	77,010
(3) BARROW ANDREW...................................................................... CFO & SECRETARY	0.0 ................. 40.0		X			0	978,116	94,284
(4) HAMMOCK PRESTON...................................................................... SVP & PRESIDENT MOSES CONE HOS	0.0 ................. 40.0			X		0	815,077	79,014
(5) CARTER ROBERT...................................................................... SVP & CHIEF LEGAL COUNSEL	0.0 ................. 40.0		X			0	781,600	77,787
(6) CORNUE CHRISTOPHER...................................................................... EXECUTIVE VP & ASST SECRETARY	0.0 ................. 40.0		X			0	714,377	46,300
(7) MILLER JOHN...................................................................... CIO & TREASURER	0.0 ................. 40.0		X			0	637,285	120,328
(8) ADAMOLEKUN MICHELLE...................................................................... EXECUTIVE VP & ASST SECRETARY	0.0 ................. 40.0		X			0	596,867	92,929
(9) ANTRUM DNP VI-ANNE...................................................................... EXECUTIVE VP & ASST SECRETARY	0.0 ................. 40.0		X			0	583,943	80,849
(10) GORDON MARK...................................................................... SVP & REGIONAL PRESIDENT N.E.	40.0 ................. 0.0				X	553,850	0	90,827
(11) SINOPOLI MD ANGELO...................................................................... EXECUTIVE VP & ASST SECRETARY	0.0 ................. 40.0		X			0	567,730	50,402
(12) NELMS JASON...................................................................... VP & ASSISTANT TREASURER	0.0 ................. 40.0		X			0	341,335	79,888
(13) FORTNEY CATHARINE...................................................................... VP & CHIEF COMPLIANCE OFFICER	0.0 ................. 40.0		X			0	357,096	35,361
(14) HERRICK RICHARD...................................................................... PHYSICIAN	40.0 ................. 0.0				X	321,624	0	52,028
(15) RESH KAREN...................................................................... CHIEF NURSING OFFICER & VP	40.0 ................. 0.0				X	277,004	0	95,475
(16) RAVISHANKAR JAYASHREE...................................................................... PHYSICIAN	40.0 ................. 0.0				X	276,920	0	86,291
(17) BRIMAGE VONDRA...................................................................... PHYSICIAN	40.0 ................. 0.0				X	253,771	0	29,789

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) SMITH RENE'........................................................................ ASSISTANT TREASURER	0.0 .......................40.0		X	249,577	30,777
(19) KITZMILLER DAVID........................................................................ ASSISTANT TREASURER	0.0 .......................40.0		X	210,542	46,784
(20) HAYWOOD MEHEE........................................................................ ASSISTANT TREASURER	0.0 .......................40.0		X	217,139	39,339
(21) STUCKEY MD THOMAS........................................................................ TRUSTEE	0.0 .......................40.0	X		118,806	64,184
(22) DOUGLAS MAE........................................................................ CHAIR	0.0 .......................0.0	X	X	0	0
(23) HAYES WILLIAM........................................................................ VICE CHAIR	0.0 .......................0.0	X	X	0	0
(24) BOYLSTON MD YUN........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(25) BRANDON MD ASHLEY........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(26) CAMPBELL PHD LENORA........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(27) CHANDLER THOMAS........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(28) CONE EDWARD........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(29) DONNELLY ABBY........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(30) FRENCH DAVID........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(31) GONZALEZ MARIA........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(32) MCIVOR WILLIAM........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(33) SAMET ARTHUR........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0
(34) STRINGER MD ARTHUR........................................................................ TRUSTEE	0.0 .......................0.0	X		0	0

- TIN:

SCHEDULE A
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 on 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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

ALAMANCE REGIONAL MEDICAL CENTER INC

Employer identification number

56-0529994

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization ALAMANCE REGIONAL MEDICAL CENTER INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization ALAMANCE REGIONAL MEDICAL CENTER INC		Employer identification number 56-0529994

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization ALAMANCE REGIONAL MEDICAL CENTER INC			Employer identification number 56-0529994
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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 July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, 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)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII 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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on 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	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	26,622,806		26,622,806
b	Buildings ....	293,813,750	84,156,501	209,657,249
c	Leasehold improvements	11,174,152	8,175,517	2,998,635
d	Equipment ....	125,560,171	78,731,674	46,828,497
e	Other .....	7,618,236	6,122,120	1,496,116
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				287,603,303

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
CAPITALIZED LEASE OBLIGATION	5,932,483
DEFFERED COMPENSATION LIABILITY	1,069,699
PAYROLL DEDUCTION FOR HOSPITAL	474,978
LONG-TERM PLEDGES	50,000





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	7,527,160
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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 XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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 XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
TEXT OF FIN 48 (ASC 740) FOOTNOTE	FORM 990, SCHEDULE D, PART X, LINE 2 AS OF DECEMBER 31 2024, THE HEALTH SYSTEM HAD NO UNCERTAIN TAX POSITIONS UNDER FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS CONSOLIDATED FINANCIAL STATEMENTS. THE HEALTH SYSTEM DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT 12 MONTHS.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

ALAMANCE REGIONAL MEDICAL CENTER INC

Employer identification number

56-0529994

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	2,979,867		2,979,867	3.130 %
b	Medicaid (from Worksheet 3, column a) . . . . .	20,797,439	20,797,439
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	23,777,306	20,797,439	2,979,867	3.130 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	130,521		130,521	0.140 %
f	Health professions education (from Worksheet 5) . . .	173,854		173,854	0.180 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	304,375		304,375	0.320 %
k	Total. Add lines 7d and 7j .	24,081,681	20,797,439	3,284,242	3.450 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(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
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

9,109,817

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,019,394

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

34,542,701

Enter Medicare allowable costs of care relating to payments on line 5.....

42,630,555

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-8,087,854

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ALAMANCE REGIONAL MEDICAL CENTER 1240 HUFFMAN MILL ROAD BURLINGTON,NC27215 www.conehealth.com H0272	X	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Alamance Regional Medical Center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

Yes

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

Yes

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $50,000

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Alamance Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V-C

The FAP application form was widely available on a website (list url):

SEE PART V-C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V-C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	Alamance Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Alamance Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, LINE 3	THE ORGANIZATION IS FILING A SHORT YEAR TAX RETURN FROM 10/1/2024 THROUGH 12/31/2024 DUE TO A CHANGE IN ACCOUNTING PERIOD. THE ORGANIZATION DID NOT CONDUCT A CHNA DURING THE SHORT TAX YEAR NOR THE TWO PRECEDING TAX YEARS. AS A RESULT, THE ORGANIZATION HAS FILED THE FORM 4720 TO REPORT AND PAY THE SECTION 4959 EXCISE TAX FOR FAILURE TO CONDUCT A CHNA. THIS WAS FILED PRIOR TO THE FILING OF THIS RETURN. THE ORGANIZATION WILL CONDUCT A CHNA PRIOR TO THE CLOSE OF ITS NEXT TAX YEAR.
FINANCIAL ASSISTANCE POLICY:	SCHEDULE H, PART V, SECTION B, LINE 13B FOR PATIENTS WITH BALANCES LESS THAN $10,000, ELIGIBILITY IS DETERMINED BY A THIRD-PARTY VENDOR UTILIZING A SCORING MECHANISM, PROVIDING A PATIENT FINANCIAL PROFILE. ALL BALANCES THAT EXCEED $10,000 ARE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE WITH SUPPORTING DOCUMENTATION REFLECTING THE FINANCIAL NEED. A DECISION IS MADE BASED ON THE PROVIDED INFORMATION TO DETERMINE THE FPL AND APPROPRIATE PERCENTAGE OF ASSISTANCE (100%, 75% OR 50%). FULL UNCOMPENSATED CARE SHALL BE PROVIDED TO UNINSURED PATIENTS EARNING 200 PERCENT OR LESS OF THE FEDERAL POVERTY GUIDELINE (FPG). FOR FINANCIALLY NEEDY PATIENTS EARNING BETWEEN 201 PERCENT AND 400 PERCENT OF THE FPG, DISCOUNTS SHALL BE PROVIDED TO LIMIT SUCH PATIENT'S PAYMENT OBLIGATION TO THE AMOUNT OF THE PATIENT ACCOUNT BALANCE AFTER SUBTRACTING THE PERCENTAGE DISCOUNT APPLICABLE TO THE PATIENT'S FPG HOUSEHOLD INCOME.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, AND 16C:	https://www.conehealth.com/patients-visitors/patient-financial-services/fi nancial-assistance/
PRE-COLLECTIONS PRACTICES:	SCHEDULE H, PART V, SECTION B, LINE 20E CONE HEALTH RECOGNIZES THAT THE COST OF NECESSARY HEALTH CARE SERVICES CAN IMPOSE A FINANCIAL BURDEN FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND ACTS TO LESSEN THAT BURDEN FOR ALL PATIENTS. DEPENDING UPON THE PATIENT'S CIRCUMSTANCES, THE HOSPITAL OFFERS A FINANCIAL ASSISTANCE PROGRAM AND/OR A HARDSHIP SETTLEMENT. CONE HEALTH ALSO MAKES A REASONABLE AND DILIGENT EFFORT TO INVESTIGATE AND SEEK REIMBURSEMENT FROM THE PATIENT'S INSURANCE AND THIRD-PARTY RESOURCES. THE FINANCIAL ASSISTANCE POLICY (FAP) PROVIDES AN OPTION FOR PATIENTS WITH BALANCES IN EXCESS OF $10,000. PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES MAY REQUEST TO BE REVIEWED FOR A HARDSHIP SETTLEMENT. THE GRANTING OF A HARDSHIP SETTLEMENT SHALL BE BASED ON A REQUEST FROM A PATIENT AND ON THE DETERMINATION OF FINANCIAL NEED. FINANCIAL NEED WILL BE DETERMINED BY COMPARING A PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES AND ASSETS TO THE PATIENT'S TOTAL REMAINING CONE HEALTH FACILITY BALANCE AFTER PAYMENT BY ALL THIRD PARTIES. TO BE ELIGIBLE FOR A HARDSHIP SETTLEMENT, THE REMAINING CONE HEALTH FACILITY BALANCE, AFTER ALL THIRD PARTY PAYMENTS, MUST BE GREATER THAN $5,000.00 AND 20% OF THE PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care 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) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
COSTING METHODOLOGY	FORM 990, SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED ON THIS SCHEDULE ARE REPORTED AT COST, COMPUTED USING THE COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIES	FORM 990, SCHEDULE H, PART II , LINE 2 IN FY 2024, CONE HEALTH CONTRIBUTED $50,000 TO THE ALAMANCE CHAMBER OF COMMERCE IN SUPPORT OF LOCAL ECONOMIC DEVELOPMENT INITIATIVES THAT FOSTER COMMUNITY WELL-BEING AND LONG-TERM HEALTH IMPROVEMENT. PROJECT SEARCH PROVIDED WORKPLACE TRAINING AND INTERNSHIP OPPORTUNITIES TO 6 STUDENTS WITH DEVELOPMENTAL DISABILITIES THROUGH A PARTNERSHIP WITH LOCAL PUBLIC SCHOOLS AND CONE HEALTH. THESE EXPERIENCES HELPED PARTICIPANTS BUILD ESSENTIAL JOB SKILLS AND IMPROVE FUTURE EMPLOYMENT PROSPECTS.
BAD DEBT EXPENSE	FORM 990, SCHEDULE H, PART III, SECTION A, LINES 2, 3, & 4 FOR OUR FINANCIAL STATEMENTS, THE DIFFERENCE BETWEEN GROSS CHARGES AND THE AMOUNT WE ESTIMATE WE WILL COLLECT IS CATEGORIZED AS CONTRACTUAL ADJUSTMENT, UNCOMPENSATED CARE OR BAD DEBT EXPENSE. THE DIFFERENCE BETWEEN GROSS CHARGES AND THE PAYABLE AMOUNT PER THIRD PARTY CONTRACTS OR GOVERNMENT PAYMENT FORMULA IS CATEGORIZED AS CONTRACTUAL ADJUSTMENTS. THE AMOUNT OF THE CONTRACT ALLOWABLE THAT WE ESTIMATE WILL NOT BE COLLECTED IS DIVIDED BETWEEN UNCOMPENSATED CARE AND BAD DEBT EXPENSE BASED ON THE DEMOGRAPHICS OF OUR PATIENT POPULATION AND OUR ESTIMATE FROM THESE DEMOGRAPHICS AS TO THE PORTION OF THIS UNCOLLECTED AMOUNT THAT IS APPLICABLE TO INDIVIDUALS QUALIFYING FOR FINANCIAL ASSISTANCE.
MEDICARE SHORTFALL	WE DO NOT RECEIVE ENOUGH IN MEDICARE/MEDICAID REIMBURSEMENTS TO COVER OUR COSTS ASSOCIATED WITH THE PROVISION OF THESE SERVICES, YET WE CONTINUE TO PROVIDE THESE SERVICES TO OUR COMMUNITY, REGARDLESS OF THE REIMBURSEMENT LEVELS. FOR FYE 2024, OP CORP PROVIDED A TOTAL OF $40,944,041 IN UNCOMPENSATED CARE, WHICH INCLUDES - AT COST - THE MEDICARE LOSS AMOUNT ASSOCIATED WITH PROVIDING SERVICES TO MEDICARE RECIPIENTS, A MEDICAID LOSS AMOUNT ASSOCIATED WITH PROVIDING SERVICES TO MEDICAID RECIPIENTS, AND AN UNCOMPENSATED CARE LOSS AMOUNT ASSOCIATED WITH PROVIDING SERVICES TO PATIENTS WITHOUT INSURANCE COVERAGE.
MEDICARE COSTING METHOD	FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 THE AMOUNT OF THE MEDICARE SHORTFALL IS REPRESENTED AT COST AND IS COMPUTED USING THE COST TO CHARGE RATIO OF THE CHARGES BOOKED IN THE FINANCIAL STATEMENTS AS MEDICARE.
COLLECTION PRACTICES	FORM 990, SCHEDULE H, PART III, SECTION B, LINE 9B WE DO NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST INDIVIDUALS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. A FULL COPY OF OUR FINANCIAL ASSISTANCE POLICY, INCLUDING OUR HARDSHIP SETTLEMENT POLICY, IS AVAILABLE ON THIS WEBPAGE: HTTPS://WWW.CONEHEALTH.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/FI NANCIAL-ASSISTANCE/. PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES OF THE CONE HEALTH FINANCIAL ASSISTANCE PROGRAM (FAP) MAY REQUEST TO BE REVIEWED FOR A HARDSHIP SETTLEMENT.
NEEDS ASSESSMENT	FORM 990, SCHEDULE H, PART VI, LINE 2 THE THEORETICAL FRAMEWORK FOR THE ALAMANCE COUNTY COMMUNITY HEALTH ASSESSMENT (CHA) WAS BASED ON AN ADAPTED VERSION OF THE MAPP 2.0 PROCESS, A MODEL DEVELOPED BY NACCHO TO GUIDE COMMUNITY HEALTH IMPROVEMENT. THIS FRAMEWORK WAS CHOSEN FOR ITS EMPHASIS ON COMMUNITY ENGAGEMENT AND DATA-DRIVEN ASSESSMENTS, AND IT WAS CAREFULLY TAILORED TO REFLECT THE UNIQUE NEEDS AND CONTEXT OF OUR COUNTY WHILE RESERVING ITS CORE COMPONENTS. IN OUR ADAPTATION, PHASE 1 WAS CENTERED ON A VISIONING MEETING THAT SET THE STAGE FOR OUR ENTIRE ASSESSMENT PROCESS. DURING THIS PHASE, WE GATHERED LOCAL STAKEHOLDERS AND PARTNERS TO BUILD A SHARED VISION FOR A HEALTHIER ALAMANCE COUNTY. PARTICIPANTS ENGAGED IN AN INTERACTIVE PROCESS THAT INCLUDED GUIDED DISCUSSIONS, ENABLING PARTICIPANTS TO ARTICULATE A COLLECTIVE VISION AND IDENTIFY THE COUNTY'S MOST SIGNIFICANT STRENGTHS AND ASSETS. THIS VISIONING MEETING SERVED AS A FOUNDATIONAL ELEMENT, ALIGNING OUR EFFORTS WITH THE PRINCIPLES OF MAPP 2.0 WHILE ENSURING THAT THE PROCESS WAS DEEPLY ROOTED IN OUR COMMUNITY'S VALUES AND ASPIRATIONS. PHASE 2, "TELL THE COMMUNITY STORY," INVOLVED IMPLEMENTING ADAPTED VERSIONS OF THREE KEY ASSESSMENTS: THE COMMUNITY PARTNERS ASSESSMENT, THE COMMUNITY STATUS ASSESSMENT, AND THE COMMUNITY CONTEXT ASSESSMENT. THESE TOOLS PROVIDED A COMPREHENSIVE PICTURE OF OUR COMMUNITY'S RESOURCES, HEALTH ISSUES, AND THE LIVED EXPERIENCES OF RESIDENTS. IN THE FINAL PHASE, WE SYNTHESIZED THESE INSIGHTS AND CONDUCTED A PARTICIPATORY PRIORITIZATION PROCESS. THIS SYSTEMATIC APPROACH, FROM VISIONING TO PRIORITIZATION, ADAPTED THE CORE COMPONENTS OF MAPP 2.0 TO IDENTIFY COMMUNITY HEALTH PRIORITIES THAT WERE DATA-BASED AND COMMUNITY-VALIDATED. TO GATHER PRIMARY DATA FOR THE REGIONAL CHNA, CONE HEALTH CONDUCTED A SURVEY WITH 600 PARTICIPANTS - 150 OF THE SURVEYS WERE ANSWERED BY RESIDENTS IN ALAMANCE. COMPRISED OF 37 QUESTIONS, 6 OF WHICH ADDRESS THE DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENTS. SURVEY QUESTIONS WERE WRITTEN TO BE UNDERSTOOD BY RESPONDENTS AT A THIRD-GRADE READING LEVEL OR HIGHER. THE SURVEY WAS TRANSLATED TO SPANISH TO COLLECT RESPONSES FROM SPANISH SPEAKING RESPONDENTS. EACH SURVEY QUESTION WAS EVALUATED TO DETERMINE IF THERE WERE SIGNIFICANT DIFFERENCES IN RESPONSES BASED ON EACH OF THE 6 DEMOGRAPHIC GROUPS AND REGION. WE ALSO CONDUCTED OVER 60 HOUR LONG INDIVIDUAL INTERVIEWS WITH PEOPLE WHO LIVE IN THE AFOREMENTIONED COUNTIES. THIS, COUPLED WITH SECONDARY DATA FROM A VARIETY OF RELIABLE SOURCES, PERMITTED US TO PRODUCE A DOCUMENT THAT SPEAKS TO THE CURRENT STATE OF THE ARMC SERVICE AREA.
PATIENT EDUCATION	FORM 990, SCHEDULE H, PART VI, LINE 3 THE FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO ALL PATIENTS THROUGH MEANS WHICH INCLUDE, BUT ARE NOT LIMITED TO: POSTING ON THE HEALTH SYSTEM'S WEBSITE (https://www.conehealth.com/patients-visitors/patient-financial-services/f inancial-assistance/), INCLUSION IN ALL BILLING STATEMENTS, POSTING AT CONSPICUOUS LOCATIONS THROUGHOUT THE FACILITY, DISCUSSIONS DURING FINANCIAL COUNSELING PATIENT INTERVIEWS, AND DURING PATIENT ACCOUNTING CUSTOMER SERVICE PATIENT INTERACTIONS. AFTER RECEIVING A REQUEST FOR FINANCIAL ASSISTANCE AND ANY FINANCIAL INFORMATION OR OTHER DOCUMENTATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT WILL BE NOTIFIED OF THEIR ELIGIBILITY DETERMINATION WITHIN A REASONABLE PERIOD OF TIME.
COMMUNITY INFORMATION	FORM 990, SCHEDULE H, PART VI, LINE 4 THE POPULATION ESTIMATES FOR ALAMANCE COUNTY AS OF 2024 IS 179,165. 13.8% PERCENT OF PERCENT OF ALL CHILDREN IN ALAMANCE LIVE IN POVERTY. THE AVERAGE HOUSEHOLD INCOME IN ALAMANCE COUNTY IS $65,633. 25.2% OF THE POPULATION IS UNDER THE AGE OF 18; 17.3% IS AGE 65 OR ABOVE. THE UNEMPLOYMENT RATE IS 3.8%. TODAY, MAJOR PRIVATE EMPLOYERS INCLUDE LABCORP, GLEN RAVEN, INC., AND CONE HEALTH, WHILE THE ALAMANCE-BURLINGTON SCHOOL SYSTEM AND ALAMANCE COUNTY GOVERNMENT ARE LEADING PUBLIC EMPLOYERS.
PROMOTION OF COMMUNITY HEALTH	FORM 990, Schedule H, Part VI, Line 5 CONE HEALTH HAS DEVELOPED A PLAN - "CATCH 5 IN 5" - TO INCREASE LIFE EXPECTANCY BY ADDRESSING THE FIVE MAIN DRIVERS OF LIFE EXPECTANCY DISPARITIES IN OUR GEOGRAPHY: CARDIOMETABOLIC DISEASE, CANCER, COMMUNITY VIOLENCE, INFANT/MATERNAL MORTALITY AND OPIOID MISUSE. OUR ORGANIZATION'S FOCUS FOR FYE 9/30/2024 HAS BEEN ON CARDIOMETABOLIC DISEASE AND CANCER AND THE ROLE THAT LACK OF ACCESS TO CARE PLAYS IN THESE DISEASES. OFFERING HEALTH CARE IN NEIGHBORHOODS TO IMPROVE ACCESSIBILITY RESULTED IN INCREASED MOBILE SERVICES, HEALTH EVENTS THAT OFFER FREE SCREENINGS AND RESOURCES, AND CONGREGATIONAL NURSES WHO ARE EMBEDDED IN EXISTING PROGRAMS TO PROVIDE ONSITE CARE. CONE HEALTH INVESTED $169,114 TO IMPROVE ACCESS TO SERVICES THAT IMPACT CARDIOMETABOLIC HEALTH AND CANCER DETECTION, HELPING OVER 5,594 PEOPLE RECEIVE CARE IN LOCATIONS CONVENIENT AND WELCOMING. AS PART OF THIS EFFORT, OUR AGENCY PROVIDED SCREENINGS TO PREVENT COLON, BREAST, CERVICAL, PROSTATE AND SKIN CANCER TO 662 PEOPLE. CONE HEALTH ALSO PROVIDED TRANSPORTATION SERVICES IN THE AMOUNT OF $2,371. OPEN DOOR CLINIC PROVIDED CARE TO 1,199 PEOPLE WHO ARE UNINSURED. CONE HEALTH/ALAMANCE REGIONAL MEDICAL CENTER OPERATES ALAMANCE COUNTY'S MED ALERT PROGRAM, DEVOTING $37,061 AND SERVING 5,215 PEOPLE. CONE HEALTH PARTNERS WITH LOCAL ORGANIZATIONS TO ACHIEVE ITS GOALS, AS WELL, AND DISTRIBUTED $24,000 TO AREA AGENCIES WHO ARE DEVOTED TO IMPROVING THE LIVES OF OTHERS. A $50,000 CONTRIBUTION FOR ECONOMIC DEVELOPMENT DEMONSTRATES OUR COMMITMENT TO PARTICIPATE IN UPSTREAM ACTIVITIES THAT WILL CHANGE THE EMPLOYMENT LANDSCAPE IN THE COUNTIES WE SERVE. CLINICAL ROTATIONS FOR A VARIETY OF DISCIPLINES OFFERS A PATH FOR STUDENTS TO ACHIEVE THEIR EDUCATIONAL GOALS. CONE HEALTH PROVIDED OVER 438 CLINICAL OPPORTUNITIES VALUED AT $2,723,910.
AFFILIATED HEALTH CARE SYSTEM	FORM 990, SCHEDULE H, PART VI, LINE 6 THE ORGANIZATION IS A MEMBER OF THE CONE HEALTH SYSTEM. IN ADDITION TO THE SERVICES PROVIDED UNDER THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION, THE CONE HEALTH MEDICAL GROUP INCLUDES FOUR CORPORATE ENTITIES THAT OPERATE PHYSICIAN PRACTICES ACROSS THE COMMUNITY. THESE INCLUDE PROVIDERS OF BOTH PRIMARY CARE AND A WIDE RANGE OF SPECIALTIES. ALAMANCE REGIONAL MEDICAL CENTER AND ALAMANCE EXTENDED CARE PROVIDE HEALTH CARE SERVICES, INCLUDING OPERATION OF A LONG-TERM CARE FACILITY IN THE COMMUNITY IN ALAMANCE COUNTY. IMPACT ALAMANCE FOUNDATION FUNDS NUMEROUS COMMUNITY ORGANIZATIONS THAT ARE CONDUCTING ACTIVITIES THAT WILL ADDRESS THE PRIORITIES IDENTIFIED UNDER OUR COMMUNITY NEEDS ASSESSMENT.
STATE FILING OF COMMUNITY BENEFIT REPORT	FORM 990, SCHEDULE H, PART VI, LINE 7 NC

Schedule H (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
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Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ALAMANCE REGIONAL MEDICAL CENTER INC

Employer identification number

56-0529994

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

Yes

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CAGLE MD MARY JO PRESIDENT & CEO	(i) (ii)	0 ------------- 1,275,861	0 ------------- 843,946	0 ------------- 169,821	0 ------------- 77,226	0 ------------- 30,936	0 ------------- 2,397,790	0 ------------- 0
2EATON MANDY CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 679,478	0 ------------- 444,192	0 ------------- 156,320	0 ------------- 44,275	0 ------------- 32,735	0 ------------- 1,357,000	0 ------------- 0
3BARROW ANDREW CFO & SECRETARY	(i) (ii)	0 ------------- 595,132	0 ------------- 315,105	0 ------------- 67,879	0 ------------- 53,500	0 ------------- 40,784	0 ------------- 1,072,400	0 ------------- 0
4HAMMOCK PRESTON SVP & PRESIDENT MOSES CONE HOS	(i) (ii)	0 ------------- 485,453	0 ------------- 263,824	0 ------------- 65,800	0 ------------- 44,024	0 ------------- 34,990	0 ------------- 894,091	0 ------------- 0
5CARTER ROBERT SVP & CHIEF LEGAL COUNSEL	(i) (ii)	0 ------------- 514,461	0 ------------- 204,289	0 ------------- 62,850	0 ------------- 49,851	0 ------------- 27,936	0 ------------- 859,387	0 ------------- 0
6CORNUE CHRISTOPHER EXECUTIVE VP & ASST SECRETARY	(i) (ii)	0 ------------- 454,598	0 ------------- 192,454	0 ------------- 67,325	0 ------------- 34,941	0 ------------- 11,359	0 ------------- 760,677	0 ------------- 0
7MILLER JOHN CIO & TREASURER	(i) (ii)	0 ------------- 424,350	0 ------------- 139,398	0 ------------- 73,537	0 ------------- 96,261	0 ------------- 24,067	0 ------------- 757,613	0 ------------- 0
8ADAMOLEKUN MICHELLE EXECUTIVE VP & ASST SECRETARY	(i) (ii)	0 ------------- 367,986	0 ------------- 167,740	0 ------------- 61,141	0 ------------- 58,041	0 ------------- 34,888	0 ------------- 689,796	0 ------------- 0
9ANTRUM DNP VI-ANNE EXECUTIVE VP & ASST SECRETARY	(i) (ii)	0 ------------- 381,794	0 ------------- 146,676	0 ------------- 55,473	0 ------------- 53,277	0 ------------- 27,572	0 ------------- 664,792	0 ------------- 0
10GORDON MARK SVP & REGIONAL PRESIDENT N.E.	(i) (ii)	315,069 ------------- 0	183,453 ------------- 0	55,328 ------------- 0	61,648 ------------- 0	29,179 ------------- 0	644,677 ------------- 0	0 ------------- 0
11SINOPOLI MD ANGELO EXECUTIVE VP & ASST SECRETARY	(i) (ii)	0 ------------- 492,498	0 -------------	0 ------------- 75,232	0 ------------- 49,773	0 ------------- 629	0 ------------- 618,132	0 ------------- 0
12NELMS JASON VP & ASSISTANT TREASURER	(i) (ii)	0 ------------- 237,548	0 ------------- 73,179	0 ------------- 30,608	0 ------------- 46,000	0 ------------- 33,888	0 ------------- 421,223	0 ------------- 0
13FORTNEY CATHARINE VP & CHIEF COMPLIANCE OFFICER	(i) (ii)	0 ------------- 249,382	0 ------------- 77,875	0 ------------- 29,839	0 ------------- 23,000	0 ------------- 12,361	0 ------------- 392,457	0 ------------- 0
14HERRICK RICHARD PHYSICIAN	(i) (ii)	225,383 ------------- 0	26,250 ------------- 0	69,991 ------------- 0	33,235 ------------- 0	18,793 ------------- 0	373,652 ------------- 0	0 ------------- 0
15RESH KAREN CHIEF NURSING OFFICER & VP	(i) (ii)	186,922 ------------- 0	69,148 ------------- 0	20,934 ------------- 0	57,856 ------------- 0	37,619 ------------- 0	372,479 ------------- 0	0 ------------- 0
16RAVISHANKAR JAYASHREE PHYSICIAN	(i) (ii)	240,922 ------------- 0	30,916 ------------- 0	5,082 ------------- 0	56,272 ------------- 0	30,019 ------------- 0	363,211 ------------- 0	0 ------------- 0
17BRIMAGE VONDRA PHYSICIAN	(i) (ii)	233,443 ------------- 0	14,088 ------------- 0	6,240 ------------- 0	23,418 ------------- 0	6,371 ------------- 0	283,560 ------------- 0	0 ------------- 0
18SMITH RENE' ASSISTANT TREASURER	(i) (ii)	0 ------------- 196,246	0 ------------- 50,559	0 ------------- 2,772	0 ------------- 25,474	0 ------------- 5,303	0 ------------- 280,354	0 ------------- 0
19KITZMILLER DAVID ASSISTANT TREASURER	(i) (ii)	0 ------------- 167,932	0 ------------- 39,838	0 ------------- 2,772	0 ------------- 33,272	0 ------------- 13,512	0 ------------- 257,326	0 ------------- 0
20HAYWOOD MEHEE ASSISTANT TREASURER	(i) (ii)	0 ------------- 2,384	0 ------------- 35,683	0 ------------- 179,072	0 ------------- 34,720	0 ------------- 4,619	0 ------------- 256,478	0 ------------- 0
21STUCKEY MD THOMAS TRUSTEE	(i) (ii)	0 ------------- 117,801	0 ------------- 525	0 ------------- 480	0 ------------- 47,582	0 ------------- 16,602	0 ------------- 182,990	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

COMPENSATION CONTINGENT ON NET EARNINGS

FORM 990, SCHEDULE J, PART I, LINE 6b OFFICERS ARE PAID BY MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION, INC. AND PARTICIPATE IN THE MANAGEMENT INCENTIVE COMPENSATION PROGRAM. UNDER THIS PROGRAM, A PORTION OF THE SALARY OF THOSE AT A LEVEL OF DEPARTMENT DIRECTOR AND HIGHER IS SET ASIDE AND IS CONTINGENT ON THE CONSOLIDATED HEALTH SYSTEM'S PERFORMANCE IN SEVERAL MEASURES, INCLUDING NET EARNINGS. NOTE: IF THESE MEASURES ARE NOT MET, THEIR COMPENSATION WILL BE BELOW THE MARKET LEVEL FOR THEIR JOB.

SCHEDULE J, PART I, LINE 4B

SCHEDULE J, PART I, LINE 4B: CERTAIN INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NO INDIVIDUAL RECEIVED A DISTRIBUTION FROM THE PLAN DURING THE CALENDER YEAR.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

ALAMANCE REGIONAL MEDICAL CENTER INC

Employer identification number

56-0529994

Return Reference	Explanation
POWER TO ELECT	FORM 990, PART VI, SECTION A, LINE 7A PER THE BYLAWS OF THE ORGANIZATION, THE COMMUNITY DIRECTORS ARE THE SAME INDIVIDUALS WHO ARE ELECTED AS COMMUNITY DIRECTORS OF THE MOSES H. CONE MEMORIAL HOSPITAL. THUS, THIS RELATED CORPORATION'S BOARD-ACTING IN ITS OWN CAPACITY- SELECTS THESE DIRECTORS.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11B AN ELECTRONIC VERSION OF THE RETURN WILL BE MADE AVAILABLE ON THE BOARD PORTAL TO ALL BOARD MEMBERS IN ADVANCE OF THE FILING DATE. REPRESENTATIVES OF THE FINANCE STAFF FROM THE HEALTH SYSTEM WILL BE AVAILABLE TO RESPOND TO ANY QUESTIONS OR ADDRESS ANY ISSUES.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C BEFORE EVERY BOARD MEETING OR COMMITTEE MEETING, THE CHAIR WILL ASK EVERY MEMBER TO REVIEW THE AGENDA AND TO DISCLOSE ANY AREA WHERE THEY MAY HAVE CONFLICT SO THAT THE DISCLOSURE IS COMPLETE PRIOR TO DISCUSSION.
COMPENSATION REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 15 THE FOLLOWING METHODS ARE USED TO ESTABLISH COMPENSATION OF OFFICERS OTHER THAN THOSE COMPENSATED BY ATRIUM HEALTH: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYMENT CONTRACT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
GOVERNING DOCUMENTS	FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE PROPRIETARY AND ARE NOT MADE AVAILABLE TO THE PUBLIC.
SHORT-YEAR REPORTING DISCLOSURE	FORM 990, PART VII, SECTION A, LINE 1 THIS FORM 990 COVERS A SHORT TAX YEAR FROM OCTOBER 1, 2024,THROUGH DECEMBER 31 2024, DUE TO A CHANGE IN ACCOUNTING PERIOD.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 (if applicable) 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 entity?
(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	Yes	No
(1)KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-1105628	HEALTH CARE	CA	501(c)(3)	3	NA		No
(2)KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-1340523	HEALTH CARE	CA	501(c)(3)	10	NA		No
(3)KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 84-0591617	HEALTH CARE	CO	501(c)(3)	10	KFHP INC		No
(4)KAISER FDN HEALTH PLAN OF GEORGIA INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 58-1592076	HEALTH CARE	GA	501(c)(3)	10	KFHP INC		No
(5)KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 52-0954463	HEALTH CARE	MD	501(c)(3)	10	KFHP INC		No
(6)KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 93-0798039	HEALTH CARE	OR	501(c)(3)	10	KFHP INC		No
(7)KAISER FDN HEALTH PLAN OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-0511770	HEALTH CARE	WA	501(c)(3)	3	KFHPW HLDGS		No
(8)KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3299125	ASSET MGMT	CA	501(c)(3)	12-I	KFH		No
(9)KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3299124	ASSET MGMT	CA	501(c)(3)	12-I	KFHP INC		No
(10)CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3299123	ADMIN	CA	501(c)(3)	12-I	KFHP INC		No
(11)LOKAHI ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-2171891	WC PLACEMENT	HI	501(c)(3)	12-I	KFHP INC		No
(12)1800 HARRISON FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3317484	FINANCING	CA	501(c)(3)	12-I	KFHP INC		No
(13)KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 31-1779500	FINANCING	CA	501(c)(3)	12-I	KFH		No
(14)KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 93-0954562	HEALTH CARE	OR	501(c)(3)	10	KFHP INC		No
(15)KP BERNARD J TYSON SCHOOL OF MEDICINE ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 81-4053028	MEDICAL EDUCA	CA	501(c)(3)	2	KFH		No
(16)KFHPW HOLDINGS ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 93-0480268	HEALTH CARE	WA	501(c)(3)	12-I	KFHP INC		No
(17)GROUP HEALTH NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-1216856	INACTIVE	WA	501(c)(3)	12-I	KFHP OF WA		No
(18)KAISER FDN FOR THE ADV OF INTEGRATED HC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 82-3819611	ADVOCACY	CA	501(c)(4)	N/A	KFHP INC		No
(19)KAISER FDN HEALTH PLAN OF NEVADA INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 37-2097870	HEALTH CARE	DE	501(c)(4)	N/A	KFHP INC		No
(20)KP MEDICAL FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 92-0685740	HEALTH CARE	DE	501(c)(3)	12-I	KFHP INC		No
(21)KFH HOLDINGS INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 88-4172095	HOLDING CO	DE	501(c)(3)	12-I	KFH		No
(22)RISANT HEALTH INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 92-3467590	HEALTH CARE	DE	501(c)(3)	12-I	NA		No
(23)GEISINGER HEALTH 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-1995911	PHILANTHROPY	PA	501(c)(3)	7	RISANT HLTH		No
(24)COMMUNITY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 24-0862246	HEALTH CARE	PA	501(c)(3)	3	GH		No
(25)GEISINGER-BLOOMSBURG HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2193572	HEALTH CARE	PA	501(c)(3)	3	GH		No
(26)GEISINGER CLINIC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-6291113	HEALTH CARE	PA	501(c)(3)	3	GH		No
(27)GEISINGER COMMONWEALTH SCH OF MEDICINE 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 26-0812968	MEDICAL EDU	PA	501(c)(3)	2	GH		No
(28)GEISINGER COMMUNITY HEALTH SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2967235	HEALTH CARE	PA	501(c)(3)	10	GSS		No
(29)GEISINGER HEALTH PLAN 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2311553	HEALTH CARE	PA	501(c)(4)	N/A	GH		No
(30)GEISINGER INSURANCE CORPORATION RRG 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 14-1909894	INSURANCE	VT	501(c)(3)	12-I	GH		No
(31)GEISINGER JERSEY SHORE HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 24-0792115	HEALTH CARE	PA	501(c)(3)	3	GH		No
(32)GEISINGER-LEWISTOWN HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-1352187	HEALTH CARE	PA	501(c)(3)	3	GH		No
(33)GEISINGER MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 24-0795959	HEALTH CARE	PA	501(c)(3)	3	GH		No
(34)GEISINGER MEDICAL CENTER MUNCY 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 85-1226106	HEALTH CARE	PA	501(c)(3)	3	GHMJV		No
(35)GEISINGER SYSTEM SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2164794	SUPPORT SVCS	PA	501(c)(3)	12-I	GH		No
(36)GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM,PA18015 82-4432109	HEALTH CARE	PA	501(c)(3)	3	GH		No
(37)GSLPG INC 801 OSTRUM STREET BETHLEHEM,PA18015 82-5423865	HEALTH CARE	PA	501(c)(3)	3	GSL HOSPITAL		No
(38)GEISINGER WYOMING VALLEY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-1996150	HEALTH CARE	PA	501(c)(3)	3	GH		No
(39)KEYSTONE HEALTH INFORMATION EXCHANGEINC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 46-4359893	HEALTH CARE	PA	501(c)(3)	12-I	GH		No
(40)MARWORTH 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2171417	HEALTH CARE	PA	501(c)(3)	3	GH		No
(41)WEST SHORE ADVANCED LIFE SUPPORT SVCS 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2463002	HEALTH CARE	PA	501(c)(3)	7	GC		No
(42)GNJ PHYSICIANS GROUP PC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 82-0681884	HEALTH CARE	NJ	501(c)(3)	10	GH		No
(43)THE MOSES H CONE MEMORIAL HOSPITAL 1200 NORTH ELM ST GREENSBORO,NC27401 56-0532302	HEALTH CARE	NC	501(c)(3)	12-II	RISANT HLTH		No
(44)THE MOSES H CONE MEMORIAL HOPS OPER CORP 1200 NORTH ELM ST GREENSBORO,NC27401 58-1588823	HEALTH CARE	NC	501(c)(3)	3	MC HOSPITAL		No
(45)MOSES CONE AFFILIATED PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO,NC27401 30-0554775	HEALTH CARE	NC	501(c)(3)	3	MC HOSPITAL		No
(46)MOSES CONE PHYSICIAN SERVICES INC 1200 NORTH ELM ST GREENSBORO,NC27401 80-0249057	HEALTH CARE	NC	501(c)(3)	3	MC HOSPITAL		No
(47)MOSES CONE MEDICAL SERVICES INC 1200 NORTH ELM ST GREENSBORO,NC27401 56-1714318	HEALTH CARE	NC	501(c)(3)	3	MC HOSPITAL		No
(48)REIDSVILLE OB & GYN PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO,NC27401 80-0217430	HEALTH CARE	NC	501(c)(3)	3	MC HOSPITAL		No
(49)ARMC HEALTH CARE 1200 NORTH ELM ST GREENSBORO,NC27401 58-1681363	HEALTH CARE	NC	501(c)(3)	3	MC HOSPITAL		No
(50)ARMC PHYSICIANS CARE INC 1200 NORTH ELM ST GREENSBORO,NC27401 56-2095382	HEALTH CARE	NC	501(c)(3)	3	ARMC HC		No
(51)CONE HEALTH PHILANTHROPIC FOUNDATION 1200 NORTH ELM ST GREENSBORO,NC27401 58-1681560	FUNDRAISING	NC	501(c)(3)	12-II	ALAMANCE MC		No
(52)THE MOSES CONE - WESLEY LONG HEALTH FDN 1200 NORTH ELM ST GREENSBORO,NC27401 56-2001399	FUNDING	NC	501(c)(3)	12-II	MC HOSPITAL		No
(53)ALAMANCE COMMUNITY & HEALTH FDN INC 1200 NORTH ELM ST GREENSBORO,NC27401 46-2505818	FUNDING	NC	501(c)(3)	12-II	ALAMANCE MC		No
(54)REF CONE INC 20 NORTH BENBOW ROAD GREENSBORO,NC27411 99-1330813	REAL ESTATE	NC	501(c)(3)	12-I	MC HOSPITAL		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) NXT CAP SR LOAN FUND I LLC 191 N WACKER DR STE 1200 CHICAGO,IL60606 37-1651297	INVESTMENT	DE	NA	N/A
(2) MAUI NUI ASC HOLDCO LLC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612	HOLDING COMPANY	HI	NA	N/A
(3) KEYSTONE ACCOUNTABLE CARE ORGANIZATION 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 45-5484165	ACCOUNTABLE CARE	PA	NA	N/A
(4) NSC GREENSBORO WEST 3000 RIVERCHASE GALLERIA BIRMINGHAM,AL35244 56-1963226	HEALTH CARE	AL	NA	N/A
(5) GEISINGER HM JOINT VENTURE LLC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 83-1871064	HEALTH CARE	PA	NA	N/A
(6) EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 46-0567687	HEALTH CARE	PA	NA	N/A
(7) GEISINGER ENCOMPASS HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 72-1398803	HEALTH CARE	PA	NA	N/A
(8) KEYSTONE HEALTHCARE PARTNERSHIP LLC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 83-3134941	HEALTH CARE	PA	NA	N/A
(9) HTA HOLDINGS LLC 1200 NORTH ELM ST GREENSBORO,NC27401 92-0615196	HOLDING COMPANY	NC	NA	N/A
(10) CONE HEALTH VENTURES LLC 1200 NORTH ELM ST GREENSBORO,NC27401 92-0712783	INNOVATION	NC	NA	N/A

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) OAK TREE ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 03-0329760	INSURANCE	VT	NA	C CORP					No
(2) KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3203402	INSURANCE	CA	NA	C CORP					No
(3) KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3245176	CONSULTING	CA	NA	C CORP					No
(4) KFHP OF WASHINGTON OPTIONS INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-1467158	INSURANCE	WA	NA	C CORP					No
(5) GROUP HEALTH OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-1314907	INACTIVE	WA	NA	C CORP					No
(6) GARFIELD HEALTH SOLUTIONS EAST PVT LTD LEVEL 10 TOWER C PANCHSHIL BUSINESS BALEWADI,PUNE411045 IN	ADMIN	IN	NA	C CORP					No
(7) GARFIELD HEALTH SOLUTIONS WEST SRL ULTRAPARK II FREE TRADE ZONE BLD 4 LAGUNILLA HEREDIA CS	ADMIN	CS	NA	C CORP					No
(8) GEISINGER ASSURANCE COMPANY LTD PO BOX 1159 GRAND,CAYMANKY1-1102 CJ 98-1016737	FINANCIAL	CJ	NA	C CORP					No
(9) GEISINGER INDEMNITY INSURANCE COMPANY 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2815174	INSURANCE	PA	NA	C CORP					No
(10) GEISINGER QUALITY OPTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 20-4275139	INSURANCE	PA	NA	C CORP					No
(11) ISS SOLUTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2077663	CLIN ENGINEERING	PA	NA	C CORP					No
(12) CARE N' CARE INSURANCE CO NORTH CAROLINA 1200 NORTH ELM STREET GREENSBORO,NC27401 47-2847536	INSURANCE	NC	NA	C CORP					No
(13) WESLEY LONG COMMUNITY HEALTH SVCS INC 1200 NORTH ELM ST GREENSBORO,NC27401 56-1441377	HEALTH CARE	NC	NA	C CORP					No
(14) INSURANCE CASUALTY AND RISK ENTERPRISE PO BOX 1159 GRAND,CAYMANKY1-1102 CJ 98-1491204	INSURANCE	CJ	NA	C CORP					No
(15) PIEDMONT PRACTICE ASSOCIATES INC 1200 NORTH ELM STREET GREENSBORO,NC27401 56-1954739	HEALTH CARE	NC	NA	C CORP					No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) (Rev. 1-2025)

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)	(e) Are all partners section 501(c)(3) organizations?		(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE SERVE OUR COMMUNITIES BY PREVENTING ILLNESS, RESTORING HEALTH AND PROVIDING COMFORT THROUGH EXCEPTIONAL PEOPLE DELIVERING EXCEPTIONAL CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	2,745
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	248,879	87,409
9	Program service revenue (Part VIII, line 2g) .........	403,086,025	106,051,214
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-115,739	-31,594
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,846,047	1,405,656
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	409,065,212	107,512,685
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	620	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)	123,007,397	31,896,412
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	239,093,725	63,284,161
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	362,101,742	95,180,573
19	Revenue less expenses. Subtract line 18 from line 12.......	46,963,470	12,332,112
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	762,656,102	776,019,988
21	Total liabilities (Part X, line 26).............	35,002,787	36,034,561
22	Net assets or fund balances. Subtract line 21 from line 20.....	727,653,315	739,985,427

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 85,662,516 including grants of $ 0 ) (Revenue $ 106,056,914 )
	PROVISION OF PATIENT CARE: TO PROVIDE QUALITY HEALTHCARE SERVICES. ALAMANCE REGIONAL MEDICAL CENTER HAD A TOTAL OF 3,012 PATIENT DISCHARGES, 15,510 DAYS OF CARE, 48,151 OUTPATIENT AND TELEHEALTH VISITS AND AN AVERAGE DAILY CENSUS OF 168.6.

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 expenses85,662,516

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,683,169	10,739,108	1,477,808

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

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 above		1f	87,409

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		87,409

		Business Code
2a	PATIENT REVENUE	621110	105,242,459	105,242,459
b	LEASE OF SPACE W/IN CONE	621110	525,000	525,000
c	SERVICES TO NON AFFILIATES	621110	249,505	249,505
d	SERVICES TO AFFILIATES	621110	32,969	32,969
e	SERVICES TO PATIENTS	621110	1,281	1,281
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		106,051,214

3 Investment income (including dividends, interest, and othersimilar amounts) ......			0
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
			(i) Real	(ii) Personal
6a	Gross rents	6a	252,894
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	252,894	0
d	Net rental income or (loss).......			252,894		252,894
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	84,778
b	Less: cost or other basis and sales expenses	7b	116,371
c	Gain or (loss)	7c	-31,593
d	Net gain or (loss).........			-31,594		-31,594
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0

Business Code
11a	SERVICES TO EMPLOYEES		621110	1,106,271	5,700	1,100,571
b	ALL OTHER SERVICES		621110	46,491		46,491
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,152,762
12	Total revenue. See instructions.....			107,512,685	106,056,914	1,368,362

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	23,805,983	21,425,385	2,380,598
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,042,332	938,099	104,233
9	Other employee benefits .......	5,104,941	4,594,447	510,494
10	Payroll taxes ...........	1,943,156	1,748,840	194,316
11	Fees for services (non-employees):
a	Management ......	475,157	427,641	47,516
b	Legal .........	0
c	Accounting ...........	23,344	21,010	2,334
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	5,027,869	4,525,082	502,787
12	Advertising and promotion ....	20,453	18,408	2,045
13	Office expenses .......	1,262,357	1,136,121	126,236
14	Information technology ......	360,428	324,385	36,043
15	Royalties ..	0
16	Occupancy ...........	589,203	530,283	58,920
17	Travel ............	55,991	50,392	5,599
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	21,934	19,741	2,193
21	Payments to affiliates .......	18,192,958	16,373,662	1,819,296
22	Depreciation, depletion, and amortization ..	5,462,566	4,916,310	546,256
23	Insurance ...	5,295	4,766	529
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SERVICES & SUPPLIES	20,948,371	18,853,533	2,094,838
b	TAXES & LICENSURE	8,416,679	7,575,011	841,668
c	UTILITIES/REPAIR/MAINTENANCE	2,319,020	2,087,118	231,902
d	RECRUITMENT,RETENTION&EDUCATIO	14,445	13,000	1,445
e	All other expenses	88,091	79,282	8,809
25	Total functional expenses. Add lines 1 through 24e	95,180,573	85,662,516	9,518,057	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			5,075	1	5,090
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			459,286,972	4	475,133,255
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			7,142,338	8	6,752,891
9	Prepaid expenses and deferred charges ......			0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	464,789,115
b	Less: accumulated depreciation	10b	177,185,812	289,279,615	10c	287,603,303
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			6,942,102	15	6,525,449
16	Total assets. Add lines 1 through 15 (must equal line 33)...			762,656,102	16	776,019,988

17	Accounts payable and accrued expenses .....	27,078,259	17	28,474,333
18	Grants payable ...	35,738	18	35,738
19	Deferred revenue .........	-2,670	19	-2,670
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	7,891,460	25	7,527,160
26	Total liabilities. Add lines 17 through 25..	35,002,787	26	36,034,561

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	727,493,973	27	739,819,052
28	Net assets with donor restrictions ...........	159,342	28	166,375
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	727,653,315	32	739,985,427
33	Total liabilities and net assets/fund balances ........	762,656,102	33	776,019,988