2016-08-15T10:58:48-05:00 2015-09-30 PRICEWATERHOUSECOOPERS LLP 800 GREEN VALLEY RD STE 500 GREENSBORO NC 27408 990 2014-10-01 560532302 THE MOSES H CONE MEMORIAL HOSPITAL % JEFFREY JONES MOSE 3368327000 1200 NORTH ELM STREET GREENSBORO NC 27401 JEFFREY JONES CFO 3368327000 2016-08-03 true MARK D YARBROUGH P00838425 3366652700 2014 2016-09-27 15:27:22Z JEFFREY JONES 1200 NORTH ELM STREET GREENSBORO NC 27401 280665589 false X www.conehealth.com X 1911 NC Strategic oversight and support of subsidiary corporations within Cone HEALTH SYSTEM, A PROVIDER OF HEALTH CARE SERVICES TO THE COMMUNITY 21 15 369 0 0 2575 42859311 35050613 23354727 11378827 780227 235299 66994265 46667314 10250 68250 0 0 5385907 6907761 0 0 0 64128419 63392670 69524576 70368681 -2530311 -23701367 1234969297 1232326096 785879251 852657685 449090046 379668411 X LEASING HOSPITAL FACILITIES TO THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION, A TAX-EXEMPT AFFILIATE AND PROVIDER OF HEALTH CARE SERVICES TO THE COMMUNITY; MANAGING DEBT AND OTHER TREASURY FUNCTIONS OF THE HEALTH SYSTEM; SUPPORT OF NEWLY ACQUIRED PHYSICIAN PRACTICES AND STRATEGIC PLANNING /MARKETING FOR THE ENTIRE HEALTH SYSTEM. false false 16859703 68250 Support of Cone Health Operations 23469337 32880508 Hold and operate property for Cone Health System 13027482 Hold debt and investment instruments for Cone Health System 8639024 2170105 Triad Health Network 1343094 Subsidize physician practices 9982118 2170105 63338640 true false false false false false false false false false true true false false true true false true false false false false false false false false false true false true true true true false false false false false true false true false false false false true true true true false false true 48 0 true 369 true false false false false false false X 21 15 true true false false false false false true true false false true true true true true true true true false NC X X JEFFREY JONES 3368327791 1200 NORTH ELM STREET GREENSBORO NC 27401 Jacob B Balsley TRUSTEE 0.0 0.0 X 0 0 0 Louise Brady TRUSTEE 0.0 0.0 X 0 0 0 Carole Bruce TRUSTEE 0.0 0.0 X 0 0 0 John Campbell MD TRUSTEE 0.0 40.0 X 0 404330 52919 Edward Cone TRUSTEE 0.0 0.0 X 0 0 0 Dwight Davidson TRUSTEE 0.0 0.0 X 0 0 0 Allen E Gant Jr TRUSTEE 0.0 0.0 X 0 0 0 Nancy Hemric TRUSTEE 0.0 0.0 X 0 0 0 Deborah Hooper CHAIR 0.0 0.0 X X 0 0 0 FD Hornaday VICE-CHAIR 0.0 0.0 X X 0 0 0 Wayne Keeling MD TRUSTEE 0.0 0.0 X 0 0 0 J Edward Kitchen TRUSTEE 0.0 0.0 X 0 0 0 David Leeper TRUSTEE 0.0 0.0 X 0 0 0 James Maxwell MD TRUSTEE 0.0 0.0 X 0 0 0 Lee McAllister TRUSTEE 0.0 0.0 X 0 0 0 Chapman McQueen MD TRUSTEE 0.0 0.0 X 0 0 0 Diane Moffett TRUSTEE 0.0 0.0 X 0 0 0 Henry B Smith MD TRUSTEE 0.0 0.0 X 0 0 0 Inez Tuck PhD TRUSTEE 0.0 0.0 X 0 0 0 Peter Whitfield MD TRUSTEE 0.0 0.0 X 0 0 0 Terrence B Akin TRUSTEE & CEO 0.0 40.0 X X 0 748227 74511 Andrew Barrow VP & Assistant Treasurer 0.0 40.0 X 0 218753 26495 Theresa Brodrick EVP & Assistant Secretary 0.0 40.0 X 0 346564 58625 Noel Burt VP & Assistant Secretary 0.0 40.0 X 0 465355 58621 Wendi B Carroll Assistant Treasurer 0.0 40.0 X 0 162592 7037 Timothy Clontz EVP & Assistant Secretary 0.0 40.0 X 0 308885 58057 Marva Jarman Assistant Treasurer 0.0 40.0 X 0 169451 5735 Jeffrey Jones Chief Financial Officer 0.0 40.0 X 0 567769 64846 David Kitzmiller Assistant Treasurer 0.0 0.0 X 0 128758 28359 John Miller Treasurer & CIO 40.0 0.0 X 255215 0 28033 Steven Neorr SVP THN 40.0 0.0 X 341623 0 24591 James Roskelly VP & Assistant Secretary 0.0 40.0 X 109627 307076 44763 Judith Schanel VP & Assistant Secretary 0.0 40.0 X 0 382673 55675 Rene Smith Assistant Treasurer 0.0 0.0 X 0 171334 21552 Mehee Haywood Dept. Director-Treasury Ops. 40.0 0.0 X 69308 0 43745 Karen Kendall Department Director-THN 40.0 0.0 X 177256 0 22720 Dawn Pettus THN Pharmacy Manager 40.0 0.0 X 109195 0 14378 Rhonda Rumple Dept. Director-THN Care Mgmt. 40.0 0.0 X 109627 0 10837 Thomas Wall MD Physician 40.0 0.0 X 378997 0 67837 R Timothy Rice Former CEO 0.0 40.0 X 0 969185 98827 1550848 5350952 868163 7 true true false Brasfield Gorrie LLC 3021 7th Avenue BIRMINGHAM AL 35233 Facility Planning 29039956 D L Construction 1301 Carolina St Suite 115 GREENSBORO NC 27401 Facility Planning 5348110 Hammes Company Healthcare LLC 18000 W Sarah Lane Suite 250 BROOKFIELD WI 53045 Facility Planning 542142 Michael Paul Murphy dba Workspace I 4118 Caroll Ridge Court HIGH POINT NC 27265 Facility Planning 193478 Performance Fire Protection 179 Gasoline Alley MOORESVILLE NC 28117 Facility Planning 179036 5 2575 2575 Membership Fees In THN 531120 527123 527123 Contract Incentices from Insureres 531120 1032487 1032487 Disease Management Prog for Cone Employees 531120 610495 610495 LEASE OF SPACE WITHIN CONE HEALTH 531120 32880508 32880508 35050613 10911385 10911385 0 0 0 0 0 234418616 47102 233997132 1143 421484 45959 467442 467442 0 0 0 Financial Management Incentives 900099 233499 233499 Billboard Rental 900099 1800 1800 235299 46667314 35050613 11614126 68250 68250 0 0 0 770558 693502 77056 0 4423063 3980757 442306 326284 293656 32628 998698 898828 99870 389158 350242 38916 51180 46062 5118 361688 325519 36169 1126702 1014032 112670 0 0 2803384 2523046 280338 2569404 2312464 256940 67340 60606 6734 221220 199098 22122 799761 719785 79976 0 128560 115704 12856 99800 89820 9980 0 0 10812647 9731382 1081265 7755790 6980211 775579 32874529 29587076 3287453 0 Debt Management Expense 1395432 1255889 139543 Recruitement & Retention 1006507 905857 100650 Medical Supplies & Services 1005421 904879 100542 Taxes & Licensure 171319 154187 17132 141986 127788 14198 70368681 63338640 7030041 0 5108565 4868600 4568410 3632259 0 0 0 0 0 0 0 0 20366446 9437701 0 0 139913 170241 953512005 426026358 515810346 527485647 417943671 402126211 257357226 269831012 0 0 778815 778815 12895905 13995610 1234969297 1232326096 19285148 9402242 0 0 0 0 281685000 270640000 0 0 0 0 200983065 199851122 0 0 283926038 372764321 785879251 852657685 X 449069645 379650131 20401 18280 0 0 449090046 379668411 1234969297 1232326096 X -23701367 -45718148 -2120 X false true X true true true X X 1 The Moses H Cone Memorial Hospital Operating Corporation 581588823 3 true 0 0 1 true false false false false true false false false false false false false false false true DETAIL OF OTHER SUPPORT- SCH A, PART IV, SEC A, LINE 6 $10,000 was provided to the National Park Service for support of the Cone Park on the Blue Ridge Parkway 30830001 30830001 821794738 328277248 493517490 3557295 3301302 255993 50199209 85279854 0 12050117 9167954 2882163 527485647 269831012 C 269831012 0 INTEREST PAYABLE 1835132 SWAP HEDGE - BOND PREMIUM DISC 24267231 INTERCOMPANY PAYABLES 346414156 DEFERRED COMPENSATION LIABILIT 247802 372764321 X 44457097 44457097 2210217 2210217 46667314 60645651 60645651 9723030 9723030 70368681 OTHER REVENUE NOT ON LINE 1 SCHEDULE D, PART XI, LINE 4b OPERATING REVENUE FROM TRIAD HEALTH NETWORK $ 2,172,605 GAIN ON SALE OF EQUIPMENT $ 37,612 ----------- TOTAL $ 2,210,217 OTHER AMOUNT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4D SCHEDULE D, PART XII, LINE 4B OPERATING EXPENSES FROM TRIAD HEALTH NETWORK $ 9,685,418 GAIN ON SALE OF EQUIPMENT $ 37,612 ------------ TOTAL $ 9,723,030 TEXT OF FIN 48 (ASC 740) FOOTNOTE SCHEDULE D, PART X, LINE 2 As of September 30, 2015 and 2014, the Health System had no uncertain tax positions under 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. false NAT GREENE KIWANAS CLUB 3625 NORTH ELM ST SUITE 100-A GREENSBORO NC 27455 591606922 501(C)(4) 35000 US DEPARTMENT OF THE INTERIOR BLUE RIDGE PARKWAY NATIONAL PARK SERVICE BLOWING ROCK NC 28605 999999999 N/A 10000 THE MHCMH OPERATING CORPORATION 1200 NORTH ELM ST GREENSBORO NC 27401 581588823 501(C)(3) 23000 1 2 MONITORING PROCEDURES- FORM 990, SCHEDULE I, PART I, LINE 2 ASSISTANCE IS GIVEN TO QUALIFIED TAX EXEMPT ORGANIZATIONS TO FURTHER THE MISSION OF THE ORGANIZATION. THEY ARE REPORTED TO THE CEO AND TO THE BOARD ON A QUARTERLY BASIS X X X X X true false false false false false true false false John Campbell MD TRUSTEE 0 246100 0 98898 0 59332 0 44215 0 8704 0 457249 0 0 Terrence B Akin TRUSTEE & CEO 0 655304 0 66000 0 26922 0 46504 0 28007 0 822738 0 0 Andrew Barrow VP & Assistant Treasurer 0 203064 0 0 0 15689 0 18185 0 8310 0 245248 0 0 Theresa Brodrick EVP & Assistant Secretary 0 320095 0 0 0 26469 0 26329 0 32296 0 405189 0 0 Noel Burt VP & Assistant Secretary 0 400072 0 0 0 65283 0 46941 0 11680 0 523976 0 0 Wendi B Carroll Assistant Treasurer 0 162050 0 195 0 347 0 1697 0 5340 0 169629 0 0 Timothy Clontz EVP & Assistant Secretary 0 227106 0 130 0 81649 0 52447 0 5610 0 366942 0 0 Marva Jarman Assistant Treasurer 0 168291 0 0 0 1160 0 1160 0 4574 0 175185 0 0 Jeffrey Jones Chief Financial Officer 0 463139 0 100000 0 4630 0 32650 0 32196 0 632615 0 0 Karen Kendall Department Director-THN 122117 0 49330 0 5810 0 17136 0 5584 0 199976 0 0 0 David Kitzmiller Assistant Treasurer 0 127948 0 0 0 809 0 23809 0 4550 0 157117 0 0 John Miller Treasurer & CIO 228194 0 0 0 27021 0 23433 0 4600 0 283248 0 0 0 Steven Neorr SVP THN 288126 0 30000 0 23497 0 15773 0 8818 0 366214 0 0 0 R Timothy Rice Former CEO 0 936133 0 0 0 33052 0 74641 0 24185 0 1068011 0 0 James Roskelly VP & Assistant Secretary 109108 206406 0 24000 519 76670 3084 32669 7753 1257 120464 341002 0 0 Judith Schanel VP & Assistant Secretary 0 321341 0 0 0 61332 0 47460 0 8215 0 438348 0 0 Rene Smith Assistant Treasurer 0 170136 0 195 0 1003 0 16294 0 5258 0 192886 0 0 Thomas Wall MD Physician 318296 0 11760 0 48940 0 47361 0 20476 0 446834 0 0 0 SEVERANCE AND OTHER PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 4 R. Timothy Rice-Former CEO Compensation Contingent on Net Earnings FORM 990, SCHEDULE J, PART I, LINE 6 Officers, other than those compensated by Carolinas Health System, are paid by Moses H Cone Memorial Hospital Operating Corporation, Inc., and participate in the managment 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. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2004-10-19 47500000 PURCHASE CAPITAL EQUIP WL BOND false true false B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2011-02-09 60170000 REFINANCED 1993 SERIES AND ISSUANC false true false C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2011-08-03 47980000 REFINANCED 2008 SERIES AND ISSUANC false true false D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2011-09-21 50000000 CONSTRUCTION OF PATIENT CARE FACIL false true false A 0 0 47500000 0 0 0 829975 834949 0 33276212 12558864 0 2006 true false true true B 0 0 62559512 0 0 0 959512 0 0 0 61600000 0 2011 true false true true C 0 0 47980000 0 0 0 157229 0 0 0 47822771 0 2011 true false true true D 0 0 50000000 0 0 0 0 0 0 50000000 0 0 2011 false false true true A false true true true false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00000 0.00000 0.00000 false false false true C false true true true false 0.00000 0.00000 0.00000 false false false true D false true true true false 0.00000 0.00000 0.00000 false false false true A false false false true true false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true true BANK OF MONTREAL 23. false false false 0 false true D false true false false true true MORGAN STANLEY 22. false false false 0 false true A true B true C true D true DATE REBATE COMPUTATION WAS PERFORMED SCHEDULE K, PART IV, LINE 2C 09/30/2013 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2011-09-21 50000000 CONSTRUCTION OF PATIENT CARE FACIL false true false B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2013-11-18 88775000 DEFEASANCE & CAPITAL EXPENDITURES true true false C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2013-11-18 25000000 DEFEASANCE & CAPITAL EXPENDITURES true true false D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2013-11-18 16410000 DEFEASANCE & CAPITAL EXPENDITURES true true false A 0 0 50000000 0 0 0 0 0 0 50000000 0 0 2011 false false true true B 0 0 88775000 0 0 20392565 0 0 0 40603723 27592426 186286 2013 true true false true C 0 0 25000000 0 0 5742767 0 0 0 11486908 7770325 0 2013 true true true true D 0 0 16410000 0 0 3769552 0 0 0 7540006 5100442 0 2013 true true true true A false true true true false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00000 0.00000 0.00000 false false false true C false true true true false 0.00000 0.00000 0.00000 false false false true D false true true true false 0.00000 0.00000 0.00000 false false false true A false true false false true true MORGAN STANLEY 22. false false false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true Louise Brady Trustee 235523 Spouse's Firm is major vendor false John M Campbell MD Trustee 457248 Employed by Cone Health false 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. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11 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. 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 Carolinas Health System: Compensation Committee; Independent Compensation Consultant; Written Employment Contract; Compensation Survey or Study; and Approval by the Board or Compensation Committee; EMPLOYMENT CONTRACT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. GOVERNING DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFILCT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PROPRIETARY AND ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 Use of Restricted Funds in THN ($2,120) INFORMATION REGARDING DELEGATION FORM 990, PART VI, SECTION A, LINE 1A Cone Health System has contracted with Carolinas Health System (CHS) to perform the following management duties: (1) Provide executive staff, (2) Managed care contracting, (3) Best practices consulting for operations across the Health System, (4) Provide access to CHS purchasing contracts and (5) COLLABORATION OF QUALITY DATA ANALYSIS THAT WILL ALLOW THEM TO BETTER MANAGE CONVERSION OF REIMBURSEMENT FROM VOLUME-BASED MODELS TO VALUE-BASED MODELS AS REQUIRED BY THE AFFORDABLE CARE ACT. THE FOLLOWING OFFICERS WERE COMPENSATED BY CHS DURING THE CALENDAR YEAR ENDING WITHIN THE COMPANY'S TAX YEAR: R. TIMOTHY RICE, FORMER CHIEF EXECUTIVE OFFICER: $969,185 TERRENCE B. AKIN, CHIEF Executive OFFICER: $748,227 JEFFREY JONES, CHIEF FINANCIAL OFFICER: $567,769 THERESA BRODRICK, EXECUTIVE VICE PRESIDENT: $346,564 FAMILY OR BUSINESS RELATIONSHIPS PART VI, SECTION A, LINE 2 DOCTOR JOHN CAMPBELL IS AN EMPLOYEE OF CONE HEALTH SYSTEM. Triad Healthcare Network LLC 1200 North Elm Street Greensboro NC 27401 300705058 PHYSICIANS NC 2170105 -11399939 MC Parent Moses H Cone Memorial Hospital Oper Cor 1200 North Elm Street Greensboro NC 27401 581588823 Operations NC 501(C)(3) 3 MC PARENT true Moses Cone Medical Services 1200 North Elm Street Greensboro NC 27401 561714318 Physicians NC 501(C)(3) 3 MC PARENT true Moses Cone Physician Services Inc 1200 North Elm Street Greensboro NC 27401 800249057 Physicians NC 501(C)(3) 3 MC PARENT true Moses Cone Affiliated Physicians 1200 North Elm Street Greensboro NC 27401 300554775 Physicians NC 501(C)(3) 3 MC PARENT true Reidsville OB & GYN 1200 North Elm Street Greensboro NC 27401 800217430 Physicians NC 501(C)(3) 3 MC Affil Phy true MC - WL Community Health Foundation 1200 North Elm Street Greensboro NC 27401 562001399 Funding NC 501(C)(3) 11.B NA false ARMC Health Care 1200 North Elm Street Greensboro NC 27401 581681363 OPERATIONS NC 501(C)(3) 11.B MC PARENT true Alamance Regional Medical Center 1200 North Elm Street Greensboro NC 27401 560529994 Operations NC 501(C)(3) 3 ARMC HC true Alamance Extended Care 1200 North Elm Street Greensboro NC 27401 581681364 L-T Care NC 501(C)(3) 9 ARMC HC true Alamance Regional Medical Center Foundat 1200 North Elm Street Greensboro NC 27401 561681560 Funding NC 501(C)(3) 11.B ARMC HC true Alamance Community & Health Foundation 1200 North Elm Street Greensboro NC 27401 462505818 Funding NC 501(C)(3) 11.B MC PARENT true PACE of Southern Piedmont Inc 1200 North Elm Street Greensboro NC 27401 274683614 OPERATIONS NC 501(C)(3) 3 MC Operating true ARMC Physicians Care Inc 1200 North Elm Street Greensboro NC 27401 562095382 Physicians NC 501(C)(3) 3 ARMC HC true Mebane Medical Investors LLC 10350 Ormsby Park Pl Ste 300 Louisville KY 40223 560529994 Real Estate NC ARMC false NSC GREENSBORO WEST LLC 1200 North Elm Street Greensboro NC 27401 PHYSICIANS NC MC Med Svcs false Wesley Long Community Health Services 1200 North Elm Street Greensboro NC 27401 561441377 Medical Servi NC MC Parent C 886801 8304465 1.00000 true Care-n-Care of North Carolina 1200 North Elm Street Greensboro NC 27401 472847536 Insurance NC WLCHS INC C false true false false false false false false false true false false false false true true true false false THE MOSES H CONE MEMORIAL HOSPITAL OPERATING J 31812663 ACCRUAL MOSES CONE MEDICAL SERVICES CORPORATION INC J 980679 ACCRUAL MOSES CONE AFFILIATED PHYSICIANS INC J 82884 ACCRUAL THE MOSES H CONE MEMORIAL HOSPITAL OPERATING P 2896942 ACCRUAL THE MOSES H CONE MEMORIAL HOSPITAL OPERATING Q 9918819 ACCRUAL MOSES CONE MEDICAL SERVICES CORPORATION INC Q 571494 ACCRUAL MOSES CONE PHYSICIAN SERVICES INC Q 86584 ACCRUAL