Civic Intelligence

Alamance Community & Health Foundation

EIN 46-2505818 • 501(c)3 • Greensboro, NC

Profile

The foundation is designed to improve the health of the community while being an extension of the care that is provided at alamance regional medical center.

1200 North Elm StreetGreensboro, NC 27401

www.impactalamance.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

20th percentile

0.07x

Higher debt load relative to assets than 20% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

95th percentile

5.89x

Higher debt load relative to revenue than 95% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Source year 2024

Net Margin

21st percentile

-8.6%

Higher net margin than 21% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

4th percentile

$260,645

Higher top officer pay than 4% of similar nonprofits.

Top officer pay equals 29.7% of source-year revenue.

NTEE E • $50M-$100M nonprofits • Source year 2024

Asset Growth

75th percentile

14%

Faster asset growth than 75% of similar nonprofits.

NTEE E • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets20th percentile

Assets

Up

$73,690,874

Up $8,801,542 (+14%) from 2023

Liabilities

Up

$5,169,456

Up $962,413 (+23%) from 2023

Net Assets

Up

$68,521,418

Up $7,839,129 (+13%) from 2023

Operations
Liabilities / Revenue95th percentileNet Margin21st percentile

Revenue

Up

$877,684

Up $937,840 (+1559%) from 2023

Expenses

Down

$952,766

Down $2,933,433 (-75%) from 2023

Net Income

Up

-$75,082

Up $3,871,273 (+98%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth75th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2014: $60,521,858Liabilities 2014: $547,025Net Assets 2014: $59,974,8332014Assets 2015: $56,361,791Liabilities 2015: $2,517,613Net Assets 2015: $53,844,1782015Assets 2016: $59,467,301Liabilities 2016: $1,882,920Net Assets 2016: $57,584,3812016Assets 2017: $62,031,394Liabilities 2017: $2,392,400Net Assets 2017: $59,638,9942017Assets 2018: $64,057,918Liabilities 2018: $5,579,039Net Assets 2018: $58,478,8792018Assets 2019: $61,040,238Liabilities 2019: $5,361,312Net Assets 2019: $55,678,9262019Assets 2020: $65,023,710Liabilities 2020: $5,400,457Net Assets 2020: $59,623,2532020Assets 2021: $76,630,575Liabilities 2021: $6,675,561Net Assets 2021: $69,955,0142021Assets 2022: $61,278,237Liabilities 2022: $4,176,617Net Assets 2022: $57,101,6202022Assets 2023: $64,889,332Liabilities 2023: $4,207,043Net Assets 2023: $60,682,2892023Assets 2024: $73,690,874Liabilities 2024: $5,169,456Net Assets 2024: $68,521,4182024

Highlighted filing

2024

Assets$73,690,874
Liabilities$5,169,456
Net Assets$68,521,418
Open 2024 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2014: $704,719Expenses 2014: $574,360Net Income 2014: $130,3592014Revenue 2015: $424,984Expenses 2015: $3,362,051Net Income 2015: -$2,937,0672015Revenue 2016: $2,621,669Expenses 2016: $2,114,925Net Income 2016: $506,7442016Revenue 2017: $1,511,297Expenses 2017: $2,719,843Net Income 2017: -$1,208,5462017Revenue 2018: $2,758,387Expenses 2018: $2,945,944Net Income 2018: -$187,5572018Revenue 2019: $1,668,149Expenses 2019: $3,287,775Net Income 2019: -$1,619,6262019Revenue 2020: $3,488,485Expenses 2020: $3,231,284Net Income 2020: $257,2012020Revenue 2021: $12,054,534Expenses 2021: $3,376,871Net Income 2021: $8,677,6632021Revenue 2022: $4,081,321Expenses 2022: $3,645,858Net Income 2022: $435,4632022Revenue 2023: -$60,156Expenses 2023: $3,886,199Net Income 2023: -$3,946,3552023Revenue 2024: $877,684Expenses 2024: $952,766Net Income 2024: -$75,0822024

Highlighted filing

2024

Revenue$877,684
Expenses$952,766
Net Income-$75,082
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$73,690,874
Liabilities
$5,169,456
Net assets
$68,521,418
Revenue
$877,684
Expenses
$952,766
Net income
-$75,082
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$73.7$5.17$68.5$0.88$0.95$0.08
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$64.9$4.21$60.7$0.06$3.89$3.95
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$61.3$4.18$57.1$4.08$3.65$0.44
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$76.6$6.68$70.0$12.1$3.38$8.68
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$65.0$5.40$59.6$3.49$3.23$0.26
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$61.0$5.36$55.7$1.67$3.29$1.62
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$64.1$5.58$58.5$2.76$2.95$0.19
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$62.0$2.39$59.6$1.51$2.72$1.21
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$59.5$1.88$57.6$2.62$2.11$0.51
2015Detailed filing. Detailed filing data is available for this year.$56.4$2.52$53.8$0.42$3.36$2.94
2014Detailed filing. Detailed filing data is available for this year.$60.5$0.55$60.0$0.70$0.57$0.13
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$3,066,047
Mission and Program Overview

Mission

The foundation is designed to improve the health of the community while being an extension of the care that is provided at alamance regional medical center.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$24,492,826$34,969,118▲ $10,476,292
Investments in Publicly Traded Securities$44,797,904$34,641,575▼ $10,156,329
Land, Buildings, and Equipment, Net$3,465,213$3,380,349▼ $84,864
Cash and Non-Interest-Bearing Accounts$732,524$682,700▼ $49,824
Accounts Receivable$2,741$1,778▼ $963
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$73,506,688$73,690,874▲ $184,186
Other Assets Total$15,480$15,354▼ $126
Liabilities
Other Liabilities$4,002,510$4,302,875▲ $300,365
Accounts Payable and Accrued Expenses$458,678$501,081▲ $42,403
Grants Payable$0$365,500▲ $365,500
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$4,461,188$5,169,456▲ $708,268
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$69,045,500$68,521,418▼ $524,082
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$69,045,500$68,521,418▼ $524,082
Total Liabilities and Net Assets / Fund Balance$73,506,688$73,690,874▲ $184,186

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,827,228$1,772,623$4,599,851
Equipment$359,959$577,480$937,439
Land$193,162-$193,162
Leasehold Improvements$0$10,648$10,648
Closely Held Equity Interests$34,969,118--
Compensation and Service Providers
Top Officer Pay4th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Grayzer CatherinePresidentFT$180,719$79,926$260,645
Green MarcyAssistant SecretaryFT$96,431$35,857$132,288

Board Members and Trustees

NameTitle
Hornaday FdChair
Bridges VernettaEquity Committee Chair
Mcclure GriffinVice-chair
Boylston Md YunTrustee
Brandon Md AshleyTrustee
Colville KathyTrustee
Ida AlbionTrustee
Lambert Md LeoTrustee
Ratliff LeandraTrustee
Romero KimberlyTrustee
Stearns PeteTrustee
Alston NicoleSecretary
Chandler TedTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$877,684
Other Revenue
$0
Change in Net Assets
$-75,082
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$380,513
Grants and Similar Amounts Paid$306,692
Salaries, Compensation, and Employee Benefits$265,561
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$306,692--$306,692
Other Salaries and Wages$96,839$25,742-$122,581
Fees for Service Investment Mgmnt Fees-$108,372-$108,372
Fees for Services Other-$94,349-$94,349
Current Officers, Directors, Trustees, and Key Employees$68,130$18,110-$86,240
Depreciation Depletion-$84,865-$84,865
Other Employee Benefits$26,090$6,935-$33,025
Office Expenses$12,793$9,652-$22,445
Payroll Taxes$9,863$2,622-$12,485
Pension Plan Contributions$8,872$2,358-$11,230
Information Technology-$9,389-$9,389
Other Expenses$2,298$893$0$3,191
Fees for Services Accounting-$2,635-$2,635
Advertising-$2,561-$2,561
Total Functional Expenses$565,330$387,436$0$952,766
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Third Sector New England IncBoston, MA501(c)(3)Alamance Co.health Focussed$65,000
National Conference for Community & JusticeGreensboro, NC501(c)(3)Community Equity Impact$47,000
Alamance Community FoundationBurlington, NC501(c)(3)Education Study$12,500
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$4,287,520
Deferred Compensation$15,355
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Alamance Community & Health Foundation
EIN
46-2505818
In Care Of
% TRACEY GRAYZER
Phone
3368327000
Address
1200 NORTH ELM STREET, GREENSBORO, NC 27401

Signing Officer

Name
Andrew Barrow
Title
CFO
Phone
3368327000
Signed
2025-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tracey Grayzer
Formed
2013
Legal Domicile
Nc
Voting Board Members
13
Independent Board Members
13
Employees
57
Volunteers
0

Preparer

Firm
PwC US Tax LLP
Address
2001 MARKET STREET SUITE 1800, PHILADELPHIA, PA 19103
Preparer
Joanne Krueger
Phone
2673303000
Supplemental Narrative

Additional Explanations

Power to Elect

“Form 990, part vi, section a, line 7a the board of directors of alamance regional medical center, inc. Elects the community directors. In addition, the chair and vice-chair of the moses h. Cone memorial hospital's board (or their designees), the president of the medical center, and the medical center's alamance trustees serve on the foundation's board by virtue of office.”

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 the discussion.”

Compensation Review Process

“Form 990, part vi, section b, line 15a and 15b the following methods are used to establish compensation of officers: 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

“This form 990 covers a short tax year from october 1, 2024 through december 31, 2024 due to a change in accounting period.”

Financial Statement Notes

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.”

Raw XML AppendixShowing 400 of 1,561 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/BooksInCareOfDetail/USAddress/CityNm0GREENSBORO
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IRS990/Desc0HEALTHIER: CREATE, MAINTAIN, AND LEVERAGE CROSS-SECTOR PARTNERSHIPS THAT WILL CREATE EFFECTIVE STRATEGIES AND POLICIES THAT INCREASE CHILDREN'S ACCESS TO PHYSICAL ACTIVITY AND HEALTHY FOODS IN ALAMANCE COUNTY.
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IRS990/MissionDesc0THE ALAMANCE COMMUNITY AND HEALTH FOUNDATION'S (DBA, IMPACT ALAMANCE) MISSION IS TO STRATEGICALLY INVEST IN OUR COMMUNITY FOR HOPE, HEALTH AND PROSPERITY. TO FULFILL THAT MISSION, WE SEEK TO BRING THE COMMUNITY TOGETHER FOR HEALTHY CHANGE. WE BELIEVE THAT BY WORKING TOGETHER, WE CAN BUILD A STRONGER, MORE PROSPEROUS FUTURE FOR US ALL. AS A FOUNDATION, OUR GOAL IS TO MAKE INVESTMENTS IN OUR COMMUNITY THAT WILL CREATE LASTING, SUSTAINABLE CHANGE IN ALAMANCE COUNTY. IMPACT ALAMANCE FOCUSES ITS COMMUNITY INVESTMENTS IN THREE STRATEGIC AREAS DESIGNED TO CREATE THIS CHANGE: ADVOCATING AND CREATING SYSTEMS FOR ALL CHILDREN TO THRIVE FROM CRADLE TO CAREER, BUILDING HEALTHY ENVIRONMENTS THAT MAKE THE HEALTHY CHOICE THE EASY CHOICE AND SUPPORTING OUR NONPROFITS THAT HELP CREATE A STRONG GRID OF RESOURCES FOR OUR ENTIRE COMMUNITY. IMPACT ALAMANCE IS A PROUD PART OF THE CONE HEALTH NETWORK FOR EXCEPTIONAL CARE. AS A SUPPORTING ORGANIZATION OF ALAMANCE REGIONAL MEDICAL CENTER, OUR INVESTMENTS ARE R
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IRS990/ProgSrvcAccomActy2Grp/Desc0SMARTER: DEVELOP A CRADLE TO CAREER PARTNERSHIP THAT ENGAGES THE COMMUNITY, FOCUSES ON ELIMINATING LOCALLY DEFINED DISPARITIES, DEVELOPS A CULTURE OF CONTINUOUS IMPROVEMENT AND LEVERAGES EXISTING ASSETS. SUPPORT PUBLIC EDUCATION TO INCREASE CAPACITY TO PROVIDE FAMILIES WITH WRAP-AROUND SERVICES THEY NEED TO SUCCEED. ENGAGE THE COMMUNITY IN DIALOGUE THAT BUILDS A CULTURE FOR SUPPORTING AND INVESTING IN CHILDREN. RESEARCH, IDENTIFY AND INVEST IN BEST PRACTICES FOR IMPROVING EARLY EDUCATION AND WELLNESS FOR CHILDREN 0-5.
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IRS990/ProgSrvcAccomActy3Grp/Desc0STRONGER: SUPPORT LOCAL COMMUNITY ORGANIZATIONS BY PROVIDING RESPONSIVE GRANT FUNDING THAT WILL ENHANCE THE COMMUNITY'S PHYSICAL, SOCIAL, EMOTIONAL OR COGNITIVE HEALTH. SUPPORT NONPROFITS WITH BUILDING THEIR ASSETS TO DEVELOP SUSTAINABILITY AND PROVIDE FAMILIES WITH SERVICES THEY NEED TO BE HEALTHY. PROVIDE ANNUAL CONTRIBUTION AND SPONSORSHIPS FOR FUNDRAISING, EDUCATION AND COMMUNITY AWARENESS EVENTS. RESPOND TO COMMUNITY NEEDS BY OFFERING FLEXIBLE FUNDING TO NONPROFITS DURING TIMES OF CRISIS.
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